Considering that I have been living with Ehlers-Danlos Syndrome for 40 years myself, this episode was a major emotional roller-coaster for me! I almost turned it off a quarter of the way through, but I did manage to stick it out to the end, which was very hard to do when every other scene seemed to question my "quality of life" and my very right to exist because I have a gene mutation. I really think that the L&O fact-checkers were seriously slipping in the last couple seasons. The following DOES contain some episode spoilers. So stop now, unless you want to learn some ACTUAL FACTS about Ehlers-Danlos Syndrome before you get to see the episode.
There are 6 types of Ehlers-Danlos Syndrome, and I have the rarest and most dangerous form, the "dreaded, deadly" Vascular type, which nowadays has an average life expectancy of around 40 years. In the court, Richard Thomas, as the defense attorney, said that the EDS baby would have a "normal" life-expectancy, which tells me that the baby had one of the 5 lesser-affecting, but more common, types of the condition. I was under the impression that you had to have a live skin puncture biopsy to determine the type, but if you can do it through an amniocentesis, it could only possibly identify one of 5 of the 6 forms, as researchers have still not identified the genetic basis of the Hypermobile type yet. While it can be a very seriously painful and disabling condition, even the most significant cases of the worst types very rarely require the "round-the-clock medical care" that they mentioned 3 different times in one hour as a fact-of-EDS-life.
They kept referring to EDS as "the fragile skin disease," and the defense attorney said it was caused by a protein deficiency in the skin. First of all, it is not a disease, which implies something contagious or cancerous; EDS is a congenital disorder, caused by defect in a specific gene, usually present from conception. Sometimes it is considered to be a caused in some individuals by a spontaneous genetic mutation in utero, because they can't find any prior family medical history, but that could be affected by a number of things, so I don't know that spontaneous mutation is as common as claimed. Regardless, it is a genetic-mutation-based collagen disorder, present before birth. While fragile skin is a predominant symptom of Vascular EDS, each type is actually caused by a defect in the production, or the absence, of a different specific type of collagen, which is the glue and rubber bands that holds your whole body together. For example, Vascular type is caused by a defect specifically in the gene that is supposed to produce type 3 collagen. Each type of EDS affects much more than just skin, and other symptoms can include; joint connective tissues, causing joint dislocations and hypermobility; the structure of blood vessel walls; fragility in the structures of certain organs; and a variety of other things, depending on which type of collagen is affected. Most rubber-skinned folks in circus sideshows have had EDS, most likely the Classical type, while most contortionists usually have either Hypermobile or Classical types. Vascular type actually has the most fragile skin, so the with claim that the baby would have a "normal" life expectancy, seemed to me like they confused two different types, and didn't understand the very basics of the types of the condition. All they had to do was check the Ehlers-Danlos National Foundation website to get the most basic information that they missed. @@ Although, the picture of baby after he was born did appear to have some of the facial characteristics of someone with Vascular type; I wonder if maybe a L&O staff member just had a baby or child diagnosed with EDS, but were still too emotionally involved at the moment to have yet absorbed any accurate information? Either that, or the bad fact checking that I noticed right after Criminal Intent moved to USA (for example, in one of the first USA episodes of CI: drinking mouthwash is not Robotripping; that's cough syrup, like Robotusin, hence the name *sigh*) had infected the NBC episodes as well towards the end?
The hardest part for me was the doctor on the stand saying that anyone with EDS will have a life without dignity, and the ONLY "responsible" medical decision is to prevent us from being born!? WTF!? When it first aired, I had to call my mom to warn her about the emotional roller-coaster nature of the episode, and specifically about what the doctor said about people with EDS being incapable of having dignified lives, and she was angered, but not surprised, that it is was in the episode, as it wasn't the first time she, or I, had heard that attitude among medical "professionals." Like the geneticist we saw when I was 12, who had never seen anyone else with EDS before, but had read a paragraph about it, who "pitied" my mom, telling her, right in front of me, that it was too bad abortion wasn't legal when I was born, stupidly assuming that they could have tested for EDS prenatally back then, and, as a geneticist, she knew they couldn't have; and even if they could have, assumed that my mom would have automatically made that choice just because her kids weren't genetically "perfect" (whatever the hell that is). Ignorance of disabilities breeds fear and hatred of people with them, which was kinda part of the whole plot of the episode, oh, the irony...
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