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.

In Jade’s experience, receiving support after pre-symptomatic genetic testing is “off your own back”. She questions whether people with a positive result could be referred to a dedicated counsellor.

Age at interview 32

Gender Female

As her children grow up, Jade plans to make inherited MND “part of life”. She doesn’t feel it is worth talking to them about their own risk until they are old enough to make a decision on pre-symptomatic genetic testing.

Age at interview 32

Gender Female

Jade was pregnant with her second child when she found out about inherited MND in her family. She decided to continue the pregnancy but has since struggled with feelings of guilt.

Age at interview 32

Gender Female

Since finding out about inherited MND in her family, Jade has decided not to have more children. She doesn’t want to pass on the gene, but pre-implantation genetic testing doesn’t feel right for her.

Age at interview 32

Gender Female

Jade hopes her pre-symptomatic test results will inform her children’s decisions around having families of their own. She is positive about the possibility of stopping the disease in future generations.

Age at interview 32

Gender Female

Jade’s approach to sharing her pre-symptomatic genetic test result has been to deliver it with a positive, so people know that “it’s not the end of the world”.

Age at interview 32

Gender Female

Being given a positive pre-symptomatic genetic test result made something that was a possibility “become real”. Although it was “crushing”, Jade tried to take stock and think about the practical things she could do.

Age at interview 32

Gender Female

Jade was pregnant when she found out about the family history of MND and had genetic testing. She felt an overwhelming sense of guilt when she realised her daughter could be affected.

Age at interview 32

Gender Female

Jade plans to retrain as a nurse. Knowing she could develop inherited MND hasn’t impacted her plans; she wants to achieve her goals and “lead by example” for her children.

Age at interview 32

Gender Female

Being given information on the C9orf72 gene variant at genetic counselling has made Jade less afraid. She appreciated having this explained in language she could understand.

Age at interview 32

Gender Female

Jade points out that life is unpredictable, and no one knows when they are going to die. The possibility of developing MND doesn’t scare her because “it hasn’t happened yet”.

Age at interview 32

Gender Female

Focusing on the little things that make her happy helps Jade to manage her thoughts around MND. She feels grateful for the “wonderful life” she currently has.

Age at interview 32

Gender Female

Jade isn’t as worried about the possibility of developing FTD as she is about MND because she doesn’t feel she would be as aware of what was happening.

Age at interview 32

Gender Female

Finding out the name of the C9orf72 gene variant in her family makes it “less scary”. Jade feels reassured that it is known about and being targeted by research.

Age at interview 32

Gender Female