KinderGenomeSM

bull1About KinderGenome

bull1 About Golder Wilson MD, PhD

bull1 Evaluating Your Child

bull1 Information by Telephone or Email

bull1 Fees

*  Contact Information and Scheduling—Metroplex and West Texas

*  About Miranda Ramirez Pediatrics

 

About KinderGenome

KinderGenome is an extension of one physician’s pediatric and genetic practice, founded to facilitate the humane application of genome knowledge.  The “Kinder” in KinderGenome first denotes expertise in childhood disease and second emphasizes a kinder approach to genetics that prioritizes healing over exploitation.  KinderGenome offers local and web-based services to patients and professionals, including prenatal counseling and reproductive planning or evaluation of children with genetic/developmental conditions.

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About Golder Wilson MD, PhD

Dr. Golder N. Wilson received his MD and PhD degrees from the University of Chicago in 1972, and did residency/fellowship training at Boston Floating Hospital, the National Institutes of Health, and the University of Michigan.  Dr. Wilson has spent 32 years in academic medicine doing general pediatrics and genetics, including becoming an endowed full professor of pediatrics during 14 years at UT Southwestern Medical Center and Children’s Medical Center of Dallas.  Dr. Wilson has published 6 books and 150 articles and has conducted primary evaluations of over 20,000 children with genetic, developmental, or metabolic disorders.  Among his current interests are approaches to prevention in pediatrics and genetics, drawn from his book with W. Carl Cooley: Preventive Management for Children with  Genetic Conditions: Providing a Primary Care Medical Home, 2nd Edition published by Cambridge University Press in 2006.

                                                                

Dr. Wilson is affiliated with Medical Center of Plano in the Metroplex area and with University Medical Centers affiliated with Texas Tech University in Amarillo (Northwest, Baptist-St. Anthony) and Lubbock (UMC) where he is now Clinical Professor of Pediatrics.  He belongs to the Society for Pediatric Research, the American Association for the Advancement of Science, and the Texas Pediatric Society. He has been listed as a top subspecialist by D magazine in 1992, 2002, 2004, and 2007.  He is available for clinical genetics, developmental, and behavioral consultations at the Texas Tech locations and in Plano at Miranda Ramirez Pediatrics, 3608 Preston Rd, Suite 125 (call 972-312-0440 for appointments in Plano).   

EVALUATING YOUR CHILD

The initial evaluation is a beginning for defining genetic factors in your child’s illness and designing a preventive management program for parents and primary care physicians.  In most cases, a two-visit initial evaluation is recommended: the first for family history and specialized physical examination, the second to review laboratory test results, consider potential medical complications, and discuss risks for future pregnancies.  Written reports and disease information with preventive management checklists for known diagnoses are mailed to parents and physicians.  Dr. Wilson encourages families to stay in contact with him by telephone or email for review of their child’s progress and new clinical concerns.

Genetic and Prenatal Counseling Visits—Evaluation of the Future Child

The U. S. Surgeon General recently recommended that all individuals be familiar with their family history so they and their physicians can anticipate reproductive and health risks.  As part of his prenatal or pediatric evaluations, Dr. Wilson will document the family history and discuss hereditary risks for child, couple, future children, or other family members as indicated. The family history becomes the basis for genetic counseling regarding a couple’s risk to have children with particular genetic disorders, for evaluating genetic factors in infertility or pregnancy loss, or for common diseases (like diabetes, coronary artery disease, cancer) in family members.  Dr. Wilson’s experience with many chromosomal or genetic syndromes enables him to provide balanced counseling to couples whose child or fetus has a genetic abnormality; Dr. Wilson reviews positive and negative aspects from the perspective of pediatrician, experienced clinical geneticist, and father of a child who had developmental disability.  

Diagnostic Evaluations

Children with growth, developmental, and/or behavioral problems need genetic evaluation for causes that can be defined by physical examination and laboratory testing.  These evaluations consist of a pregnancy, family, and childhood history, specialized physical examination, and in some cases chromosome and/or DNA testing.   In other cases, families will have questions about risks for problems in current or future pregnancies, or risks for diseases in family members.  A genetic diagnosis provides information about prognosis, risks for family members or future pregnancies, and a menu of potential complications that can be anticipated by a medical management plan.

Evaluation for Medical Management Plans

Children who already have a genetic diagnosis can benefit from preventive management plans like those published in the Wilson & Cooley book.  The management plan defines likely medical complications and provides a checklist of preventive measures to parents and primary care providers.  The plan reassures parents that they are doing everything possible for their child, and gives them a specialist contact for new questions or concerns.

Behavioral Services Including Assessment of ADHD

Children with known or unknown types of developmental disability are at higher risk for behavioral differences, a combination known as “dual diagnosis.”  The nature and severity of behavior differences can be assessed by questioning parents and professionals (e. g., teachers) in a standard format.  Parent/teacher questionnaires may be used to define or exclude particular behavior differences, allowing appropriate recommendations for behavioral or medical therapy.  Dr. Wilson can also assess and treat ADHD behaviors in children with or without disabilities.

Obesity/Metabolic Evaluations and Dietary Counseling/Management

Childhood obesity is a modern epidemic due to abundant food and inactivity.  Childhood obesity leads to severe medical complications such as diabetes, heart disease, and bone/joint problems.  A basic metabolic assessment and dietary history is performed by Dr. Wilson, looking for signs of genetic disorders that predispose to the overeating, abnormal fat metabolism, or decreased activities that lead to obesity. 

INFORMATION BY TELEPHONE OR EMAIL

Physician Consultation Services, Parent Information

Local physicians and health professionals can discuss patients or obtain educational information by contacting Dr. Golder Wilson (email TheGgnome@aol.com or cell phone (214-226-9869 for Dr. Wilson, 214-797-0031 for Dallas office). Review of clinical data and digital photographs may be useful for hospitalized patients or distant family members. When consultation is desired, appointments can be made within 1-2 weeks.

 

Consultations and/or educational materials are also available for health professionals outside the DFW area, including information about disorders, recommendations for management, or diagnostic opinions/suggestions.  Requests should be initiated by e-mail at the above addresses, and individuals will be asked to submit records or requests by regular mail as appropriate.  There may be a charge for mailing information and/or suggestions.  

Legal Services

Dr. Wilson is available for review and testimony as an expert witness on cases concerning developmental disability, congenital anomalies, and/or genetic disease.  He is also available for consultation by patients or attorneys who sense injuries from research fraud, exploitation, or inappropriate/inaccurate genetic testing and counseling.

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Fees

Dr. Wilson accepts most insurance plans and some Medicaid plans for direct patient evaluations. 

Service

Mechanism

Fees, result

Local

 

 

Patient evaluations

By patient appointment

$250-500, summary letter to parents and physicians

Genetic consultations

Physician phone query

No charge, phone advice

 

Inpatient consultations, by physician request

$250-$500, consult note

Educational materials

Request by patients, physician

No charge with local evaluation or phone query

Legal services

Telephone query

No charge

 

Record review, report

$100 per hour, $500 minimum

 

Subsequent deposition, testimony

$300 per hour

Long Distance

 

 

Second opinion Management  plan

Educational information

Email query by parent Submission of records 

   by regular mail if      

   deemed useful

No charge

$100 for review

Summary letter to patient

Legal services

Email query by attorney

Same as local plus travel expenses

 

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Contact Information and Scheduling

Dr. Wilson is available for clinical genetics, developmental, and behavioral consultations at Miranda Ramirez Pediatrics in Plano (3608 Preston Road, Suite 125, Plano TX 75093, call 972-312-0440 for scheduling) near the intersection of Parker and Preston.  Patients from West Texas wishing pediatric evaluations can call 806-354-5437 for scheduling at Texas Tech University Health Science Center in Amarillo, 806-743-7333 for scheduling at TTUHSC Lubbock.  Couples from West Texas wishing reproductive/prenatal counseling can call 806-354-5700x281, where Dr. Wilson works with Dr. Healther Holmes of Maternal-Fetal Medicine in Obstetrics and Gynecology to provide prenatal or adult genetic services.  Adult and prenatal counseling patients can also be seen at the Amarillo and Plano locations. Email requests for second opinions, educational information, or legal expert witness services can be sent to TheGgnome@aol.com.  

 

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About Miranda O. Ramirez Pediatrics

Miranda Ramirez Pediatrics (ramirezpediatrics.com) is a spacious office suite within a modern building in Plano. Genetic referrals to Dr. Wilson are seen on Fridays, with summary letters and educational materials mailed back to the parents and primary care provider within one week.

 

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Last revised: 2/22/08