Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Will a personalized DNA report ever be commonly ordered?

James Marroquin, MD
Conditions
November 27, 2013
Share
Tweet
Share

About two weeks ago, my wife looked over at me in disgust as I spit a large volume of saliva into a plastic test tube just before we went to bed.  I had recently received a testing kit from a company called 23andMe, which for $99 conducts a comprehensive analysis of your DNA.

I first learned about this kind of thing a few years ago reading Francis Collins’ book, “The Language of Life:  DNA and the Revolution of Personalized Medicine.”  Collins is the current director of the National Institutes of Health (NIH) and was director of the Human Genome Project when it achieved a working draft of the genome in 2000.  In the book’s introduction, he describes how he submitted his DNA to 23andMe and two other companies offering complex DNA analysis.  Learning he had a higher than average risk of developing type 2 diabetes, Collins resolved to “go ahead with a long-postponed plan to contact a personal trainer and work harder at a diet and exercise program.”  He was also relieved to learn that he had a low risk of developing Alzheimer’s disease.

When I received an email telling me my results were back I felt apprehensive about the Alzheimer’s component what I would find.  As Collins writes in his book, the APOE test for Alzheimer’s disease is “one of the strongest genetic risk factors yet identified, capable of increasing one’s risk by as much as eightfold.  And at the present state of medical research, there is nothing you can do about it, other than use the information to plan for the future.”  Ultimately, the desire to know quickly overcame any qualms I had about what I’d do with the information.

So when I pulled my car up to the cleaners to pick up some clothes, I logged in to my 23andMe account through my phone.  Before receiving the results of my risk for developing Alzheimer’s and Parkinson’s disease, I was required to read a lengthy, informative warning about the implications of learning this information.  While appreciating the company’s attempt to act responsibly, I quickly scrolled down the page looking for the results, holding my breath as I did so.

Then I saw it:  My risk for getting Alzheimer’s between the ages of 50-79 was 4.3% compared the 7.2% average. I felt like I’d just received a good grade on my report card, except that I had done nothing to deserve it.

I did find that I have a higher than average risk of developing certain health problems.  Thankfully, most of these are conditions that can be screened for and treated.

I also learned that my ancestry is pretty homogeneous:  96.6% European, with 2.7% East Asian and Native American thrown in just to spice things up a little bit.

Perhaps because the tests did not reveal any very concerning abnormalities, I have a feeling that this report on my DNA is something that I will soon largely forget.  Nonetheless, it was an enlightening preview of the kind of personalized, gene-based analysis that may become a common component of health care in coming years.

Interestingly, the Food and Drug Administration (FDA) recently instructed 23andMe to halt sales of its main product.  The FDA argues that 23andMe’s claim to tell people whether they are at risk for certain diseases falls into the category of a medical device.   Medical devices require FDA approval which 23andMe has not yet received.

James Marroquin is an internal medicine physician who blogs at his self-titled site, James Marroquin.

Prev

Is saving primary care simply a matter of seeing fewer patients?

November 26, 2013 Kevin 3
…
Next

The British approach to cholesterol: A reason for lower health costs

November 27, 2013 Kevin 5
…

Tagged as: Neurology

Post navigation

< Previous Post
Is saving primary care simply a matter of seeing fewer patients?
Next Post >
The British approach to cholesterol: A reason for lower health costs

ADVERTISEMENT

More by James Marroquin, MD

  • a desk with keyboard and ipad with the kevinmd logo

    Physicians should recognize patients’ spirituality

    James Marroquin, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Health and well-being are holistic concepts

    James Marroquin, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Some patients don’t expect doctors to be miracle workers

    James Marroquin, MD

More in Conditions

  • Why epistemic trespassing in medicine is a dangerous trend

    Farid Sabet-Sharghi, MD
  • Why evidence-based practice in nursing is a strategic imperative

    Mark Mahnfeldt, RN, MBA
  • Why organizational culture eats strategy for breakfast in health care

    Jeffry A. Peters, MBA
  • The economics of prevention: Why an ounce is worth a pound

    Joshua Mirrer, MD
  • Methamphetamine-induced lung injury: the hidden diagnosis in South Texas

    Shiv K. Goel, MD
  • The cost of ignoring pharmacist clinical judgment in health care

    Muhammad Abdullah Khan
  • Most Popular

  • Past Week

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • Retail health care vs. employer DPC: Preparing for 2026 policy shifts

      Dana Y. Lujan, MBA | Policy
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Why epistemic trespassing in medicine is a dangerous trend

      Farid Sabet-Sharghi, MD | Conditions
    • Why evidence-based practice in nursing is a strategic imperative

      Mark Mahnfeldt, RN, MBA | Conditions
    • Social media’s impact on the nursing workforce and student enrollment

      Lynne Moronski, PhD, MPA, RN | Social media
    • Why organizational culture eats strategy for breakfast in health care

      Jeffry A. Peters, MBA | Conditions
    • Urological analysis of delayed cancer diagnoses in political figures [PODCAST]

      The Podcast by KevinMD | Podcast
    • The economics of prevention: Why an ounce is worth a pound

      Joshua Mirrer, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • Retail health care vs. employer DPC: Preparing for 2026 policy shifts

      Dana Y. Lujan, MBA | Policy
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Why epistemic trespassing in medicine is a dangerous trend

      Farid Sabet-Sharghi, MD | Conditions
    • Why evidence-based practice in nursing is a strategic imperative

      Mark Mahnfeldt, RN, MBA | Conditions
    • Social media’s impact on the nursing workforce and student enrollment

      Lynne Moronski, PhD, MPA, RN | Social media
    • Why organizational culture eats strategy for breakfast in health care

      Jeffry A. Peters, MBA | Conditions
    • Urological analysis of delayed cancer diagnoses in political figures [PODCAST]

      The Podcast by KevinMD | Podcast
    • The economics of prevention: Why an ounce is worth a pound

      Joshua Mirrer, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Will a personalized DNA report ever be commonly ordered?
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...