As a clinician treating autism spectrum disorders (ASD) and related developmental disabilities, I find the advent of relatively inexpensive whole-genome testing tantalizing because we know it will provide a deeper look into the condition of our patients. But the coming wave of testing also troubles me. Technological advances have already provided us with an amazingly helpful Read more
Genetics
It’s the last patient of the day—isn’t it always?—and she’s here for a first-trimester screen. This is a standard test offered in pregnancy. It’s a noninvasive way to get more information about a fetus’s risk of certain chromosome abnormalities, most commonly Down’s syndrome (also known as Trisomy 21). The ultrasound tech comes into my office Read more
As a developmental pediatrician specializing in autism, I find it difficult to leave my work at the office. Autism is everywhere these days: in front-page news, on late-night TV, as a topic at parties and on the minds of family and friends. So it was not at all surprising to me that on Thanksgiving, while Read more
I remember it well: the first day I met investment advisor Irving Kahn. At 105, he had boundless energy, a sharp intellect and a mischievous laugh that made an immediate impression. As I’ve done with many healthy centenarians in the Einstein Longevity Genes Study for which I recruited Irving, I struck up a friendship that Read more
“Doctor, this is unbelievable,” the expectant father exclaimed. “You have figured out why everyone in my family has high blood pressure!” “Well, it’s a little bit more complicated than that,” I explained to him. His wife had just had an invasive prenatal procedure and consented to have a microarray test. Chromosomal microarray technology, on which Read more
In recent years, the introduction of new DNA-sequencing technologies has heralded a revolution in genetics. These new technologies have resulted in a precipitous drop in the cost of genome sequencing; a whole genome can now be sequenced for a few thousand dollars. As costs continue to fall, genome sequencing will become increasingly commonplace, enabling the Read more