AAAAA
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[left]Genetic testing[/left] [left]• Mr. J.W. has a gene for a progressive[/left] [left]neurological disorder that has started to[/left] [left]manifest itself in him[/left] [left]• When his daughter was five she was tested and[/left] [left]found to have the gene[/left] [left]• She is now 14 and will require CT’s on a[/left] [left]regular basis[/left] [left]• He is refusing to have her told about her[/left] [left]genetic status[/left] [left]• What are you going to do?[/left] [left] [/left]
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| AAAAA
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I need help, What are you going to do ?
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seeking study partner in USMLE, Canadian MCC OSCE examination
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| AAAAA
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Help please !!!!
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| chemamr
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- First of all: If the patient asks you directly, of course you must tell her, you can´t lie to her.
- First step: Ask Mr. J.W. about his reasons to not tell his daughter about it. Because the only reason to not tell the patient about it is if it´s going to be very bad for her to know it. For instance, she would committ suicide or something. If possible and the reason isn´t strong, try to convince Mr. J.W. that his daughter deserves to know it.
- 2nd step: maybe tell her about it.
by the way, is there any treatment for the disease?
i hope some point of these can help.
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| AAAAA
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The patient is a minor and can not come to see you alone.
She is only 14 y/o and must accompany by her father who is her guardian.
Should you still tell her and order CT scan?
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| chemamr
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Still, I would follow the same steps i tell you...
any other opinions are welcome 
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| Thunderball65
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i agree with chemamr, you have to follow the parents wishes since they are the gaurdians, even if they may be hurting the child. but if she asks you, you have a responsibility to tell the patient the truth. if there is treatment then you have to find a way to convince parent to tell child.
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| AAzad
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I AGREE WITH CHEMAMR.
MEDICAL ETHICS AND GOOD CLINICAL PRACTICE CLEARLY SEZ WHAT CHEMAMR SEZ.
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