Jade
Jade is 32 and is married with two children, who are 1 and 2. She works part time as a housekeeper for the NHS. Ethnicity: white British.
Jade’s aunt and nan have been affected by MND and FTD. She decided to have pre-symptomatic genetic testing and received a positive result. Although she has struggled with feelings of guilt, Jade now sees it as part of life and focuses on the positives.
Jade found out about MND in her family when her aunt developed the disease. She had genetic testing before she passed away, which showed that she had an inherited form of MND. At this time, the family knew that something was not quite righ with Jade’s nan. She had genetic testing and has since been diagnosed with MND and frontotemporal dementia (FTD). It is thought that her own dad could have also been affected. Jade’s father died from a brain tumour in 2011, so she could not find out his genetic status.
When Jade found out about the family history of MND and FTD, she did not seek out further information; her approach was not to worry about something that may never happen. She was pregnant at the time and considered testing and terminating the pregnancy if found to carry the genetic variant linked to inherited MND. However, she felt that her daughter was already forming and that she couldn’t take her life away. She decided to have pre-symptomatic genetic testing, as she didn’t want to live in limb. She wanted information to pass to her children so that they could make informed choices around having families of their own. She hoped that if she developed symptoms, she might be diagnosed more quickly and be able to benefit from potential treatments.
Through genetic counselling, Jade was told that it was the C9orf72 gene variant that had caused MND and FTD in her relatives. She valued the clear information she was given by her counsellor, which made her less afraid. Jade was asked to wait until after her baby was born to receive her results. When the time came, she asked to have her results over the phone, as she did not want to wait until after the Covid-19 lockdown to have an appointment. She was told that she did carry the gene variant. She felt shocked and crushe and describes the phone call as a bit of a blur. Jade’s brother, sister, and cousin, Kelly, have received negative results.
Jade has struggled with a sense of guilt over the possibility that her daughter could have the gene variant. She has tried to move on from these feelings; she reminds herself that her children may not be affected, and if they are, she is hopeful that there will be a treatment or cure. Jade feels strongly that if she were to consider having a third child, she would use genetic testing to ensure they did not carry the gene variant associated with inherited MND. However, she sees this as unfair to her son and daughter, as they could be affected but their sibling would not. Jade has therefore decided not to have more children.
Some months after receiving her test results, Jade feels that knowing she could develop MND or FTD is just part of life. She focuses on the positives and feels grateful for her family and what she has. She wants even more to take opportunities as they come. In this sense, she sees her experiences as a gif. Jade has considered how to plan for the future. She has put in place financial preparations and written a will. She has moved house to be close to family, so that her children and husband have support if she were to become ill.
Jade has taken part in research around inherited MND, which has involved various scans and tests. She is pleased to be able to tell her family that she is doing something positive to help future generations. She encourages others to remember that receiving a positive genetic testing result is not a death sentenc, and to enjoy life.