SIXTY FIVE

February 27 - We just got back from a visit to the Pediatrician and got some good as well as slightly negative news. For the good, Alexandra has Blood type O+ which represents the most common blood type group in the world so if she ever needs blood there is a good chance she will have ample stocks. Other positive news is she tested negative for: Congenital Hypothyroidism; Congenital Adrenal Hyperplasia; Galactosemia and Phenylketonuria. Don't ask me what they are as I haven't checked into them yet. On the negative side we found out through her screening that Alex tested positive for Glucose-6-phosphate dehydrogenase deficiency or otherwise known as
G-6-PD.

G-6-PD (aka Favism) is the most common human enzyme deficiency in the world; an estimated 400 million people are affected by this enzymopathy. This enzyme is especially important to red blood cells. If this enzyme is lacking or missing as in the case of Alex, then red blood cells are easily destroyed. When I heard this I was a little freaked out. Fortunately, I was relived to learn it isn't as bad as it sounds.

What is really interesting and possibly ironic is if it weren't for my getting a very serious illness in 2005.....Lupus..... as well as having a major heart attack and the heavy duty medicines I have had to take for this, it is unlikely I could have gotten Lynn pregnant. The thought is the drugs have in a sense cleaned up my body. The other Irony is Lynn by all accounts is very healthy yet the likelyhood is she passed on the two defective X genes to Alex (Lynn has two X chromosomes). However, as remote as it may be since White Caucasians are not in the risk category I too might have passed on my single defective X chromosome gene as it takes two to make this G-6-PD happen in Alex.

The simple take is G-6-PD is more or less a type of allergy. With G-6-PD deficiency you can have a perfectly normal life, provided you avoid the drugs and foodstuffs some of which are included on the list below. It is therefore of great importance to watch your diet and drug intake, and warn your physician or pediatrician.

Symptoms of G-6-PD

1. Sudden rise of body temperature and yellow coloring of skin and mucous membrane.
2. Dark yellow-orange urine.
3. Pallor, fatigue, general deterioration of physical conditions.
4. Heavy, fast breathing.
5. Weak, rapid pulse.

High Risk Foods that must be totally avoided

Fava Beans
Red Wine,
All Legumes (Beans, lentils, peanuts, peas, and soybeans)
Blueberries
Tonic Water

High Risk Drugs (medicines)that must be totally avoided

1. Dapsone - Antimicrobial for treatment of leprosy
2. Flutamide (Eulexin) - Antiandrogen for treatment of prostate cancer
3. Mafenide cream (Sulfamylon) - Topical antimicrobial
4. Methylene blue (Urolene Blue) - Antidote for drug-induced methemoglobinemia
5. Nalidixic acid (NegGram) - Antibiotic used primarily for urinary tract infections
6. Nitrofurantoin (Macrodantin) - Antibiotic used primarily for urinary tract infections
7. Phenazopyridine (Pyridium) - Analgesic for treatment of dysuria
8. Primaquine - Antimalaria agent
9. Rasburicase (Elitek) - Adjunct to antineoplastic agents
10. Sulfacetamide (Klaron) - Antibiotic (ophthalmic and topical preparations)
11. Sulfamethoxazole (Gantanol) - Antibiotic used in combination preparations (i.e., trimethoprim-sulfamethoxazole [TMP-SMX; Bactrim, Septra])
12. Sulfanilamide (AVC) - Antifungal agent for treatment of vulvovaginal Candida albicans infection
13. All Oxidative and Anti-Malarial Drugs

Herbs that must be avoided

Cattle gallstone bezoar
Honeysuckle flower
Chimonanathus flower
100% Pearl powder
Figwortflower
Acalypha indica

Chemicals that must be avoided

Methylene Blue - Arsine - Phenylhydrazine - Toluidine Blue - Trinitrotoluene - Aniline Eyes - Camphor - Napthalene (Moth Balls)- Henna - Menthol Alaxan Gel - Begesic - Ben-Gay - Broncho Rub White - Efficascent Oil - Listerine Mouthwash - Listerine Pocketpacks - Mediplastin - Megascent Oil - Mentopas Medicated Plaster - Metsal - Omega Pain Killer - Perskindol - Rowachol

UPDATE: TURNS OUT ALEX DOES NOT HAVE G-6-PD

On a different note: We have created some new lyrics to the famous Frere Jacka song. It goes like this

Watermelon (frere Jacka) Watermelon (frere Jacka)
Papaya Papaya
Cantelope Banana
Cantelope Banana
Fruit Salad Fruit Salad

Seems like Alex really loves to be sung too. I will give it a try when no one is around. Don't want to hurt anyones elses ears.

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2010 114, 115
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