If You Had A Crystal Ball 

If you had a crystal ball, would you look into it to see your health future? At 
UC Davis Medical Center there is one program doing some real life predicting 
and it involves complex a genetic disease. 

The mighty brain, we use it in so many different ways. It controls motor 
functioning, how we move and groove our muscles. The brain is also a thinker. 
It processes our emotions, allowing us to laugh or cry, yell or cheer. But there 
is a neurological brain disease that can severely impact how the brain functions. 
Barbara Briscoe: 

"I think for most people if you describe it, and for people who get a new diagnosis 
in the family and they go look I up in a medical book, they are horrified, horrified to 
read the description of Huntingtons." 

Huntington's Disease is a progressive disorder that can set in anywhere from about 
age 20 to 70. It's a genetic condition that impacts the brain's ability to control 
movement, and the first sign of the disease is often fidgeting, muscle twitching or 
restlessness. The disease also impacts the brains ability to control thinking and emotion. 

Dr. Wheelock: 
"Huntington's Disease is a disease that runs in families and it has a pattern in families 
called autosomal dominance so that if a person who has it has children each of there 
children has a 50% chance of inheriting that abnormal gene. 

Dr. Vicki Wheelcock is a neurologist who specializes in Huntington's Disease at UC Davis 
Medical Center. She is combining innovative research with a progressive team approach 
to find answers about Huntington's. She is involved in a study where patients that may 
have the gene, but don't want to know if they do, are studied for 3 years. The hope is 
to find out about the very first symptoms of Huntington's Disease. 

Dr. Wheelock : 
"We can have some information about people who may develop that disease during that 
observation period that will enable us to better design trials of medication that may delay 
or ameliorate the effects of having the effects of having the abnormal gene." 

For people who want to know their Huntington gene status comes in many forms. There 
is a predictive testing program that offers a blood test to determine if you have the gene. 
Making the decision to find out or not can be a difficult thing. Huntington's Disease runs 
in families, but in the past lack of information about the disease kept it a mysterious dark 
family secret. Dr. Wheelcock and other specialists are trying to help people understand 
and deal with this condition. 

Barbara Briscoe: 
"For some it's pretty clear and straight forward-they are concerned about their children 
and their grandchildren having children-not necessarily because they don't think they 
should-but they feel like they should have an opportunity to know what their risks are." 
Barbara Briscoe is a Genetics Counselor at UC Davis Medical Center, she walks people 
through a genetic lesson and couseling to assist them in making the decision about 
genetic testing. 

Barbara Briscoe: 
"I think the information is there, and I think it can be extremely helpful for people. Some 
people live their entire lives feeling like the time they dropped a glass or foot shaking is 
the onset of their disease and for them it can allow them to live a life free of that ambiguity 
which is, I think, emotionally difficult to live with." 

Sally Klien: 
"People are pretty anxious, number one they're anxious to get through the process of testing and find out the results for themselves and for their family members. Number two they're anxious just coming to the UC Davis Medical Center to this huge area and going through this process with individuals they don't know." 

Sally Klien, a Clinical Nurse Specialist, is also part of the team helping those at risk for 
Huntington's. Her job is to deal with the psychological aspects of the condition. She is 
concerned about how Huntington's may be affecting the patient mentally and emotionally 
and why the patients wants to know if he or she has the gene. 

Sally Klien: 
"When we talk to the individual we go through the what ifs- what if you should test positive 
what would you do-what if you should test negative what would you do? Because we are 
concerned." 

Genetic counseling, a psychological assessment and predictive testing are all a part of this 
program. It is a unique approach and the only one in Northern California. 

Dr. Wheelock: 
"We actually specialize in the care of people with Huntington's disease and providing information to them and their families about the disease; treating the symptoms as best as we can; involving them in our research studies; letting them know about the support group; the predictive testing program that we have we let families know about it." 

There is no cure for Huntington's Disease, but Dr. Wheelcock hopes the study she's 
involved with can offer an answer to this complex condition. The goal of the Huntington 
Program is to offer that crystal ball - give patients information if they want it - and help 
them deal with what the tests reveal.

Many patients avoid genetic testing in fear of losing their coverage. But UC Davis Medical 
Center keeps strict confidentiality about Huntington cases. It believes that the results 
are important for the patients future, and that information is best kept between the patient, 
his or her family, and the medical center. 

Source:
HDSA Center of Excellence
The University of California Davis Medical Center
4860 Y Street Suite, 3700
Sacramento, CA, 95817 
Huntington's Disease - To download this article in PDF format (34K) go to http://pulse.ucdavis.edu/scripts/archive/huntingtons_disease.html