hi sir thanks fr contacting us 1. as I can see u hv mentioned that ur grandchild who is 10 months old is diagnosed with chromosome 4 defects. 2. unfortunately these are genetic defects which will persist through out life and specific to this chromosome, they usually involve facial and scapular muscles and cause dystrophy ( deformed growth both physically and functionally) and few other blood problems... 3. mother n father getting a genetic s absolutely right,coz Dt will help to plan fr future pregnancies 4. for this child, a such we can involve multidisciplinary approach like pediatrician,physiotherapist,developmental pediatrician who can monitor her at regular intervals and provide support as needed 5. there are no medications available fr de Bcoz it s not a disease,it s present by birth itself so we have to give supportive care fr the child such that they can get to be independent individuals regards Dr sowmya