I've handed out a list of five scenarios.

I know that you've talked about some this morning but I've handed out five scenarios and the pedigrees are all up on the white board that go along with the scenarios. I've tried to pick out five that would let us discuss some of these issues, some of the guidelines. And I'd love to get your feedback, your questions, your statements about these issues.

Scenario 5
Scenario 5
John and Sarah are foster parents for 3 month old Lisa. Lisa's biological mother was diagnosed with Huntington gene in her mid 20's. John and Sarah want Lisa tested because they are considering adopting her if she does not have the Huntington gene.
Scenario 4
Scenario 4
Mary's husband died of Huntington complications at age 47 years. Their 12 year old son, Jason, was caught smoking in school and his grades are dropping. Mary wants to test Jason for the Huntington gene.
Scenario 3
Scenario 3
Steve, 32 years old, is an experienced airline mechanic. He underwent predictive testing. His neurological exam is now within normal limits but hedoes test positive for the Huntington gene. His mother was diagnosed with Huntington Disease when she at age 45 years.
Scenario 2 Scenario 2 (no discussion)
Denise, 30 years old, and Bryan, 35 years old, have been married for three years. They learn that Denise is pregnant. This was not a planned pregnancy. Bryan is very ambivalent about being tested--he does not feel he is emotionally prepared. Denise feels strongly that she does not want to continue the pregnancy if the fetus is positive for Huntington Disease gene. She has threatened to terminate the pregnancy if they do not clarify the fetal Huntington status.
Scenario 1
Scenario 1
Dan, 43 years old, is at 50% risk for Huntington Disease but did not wish to know his status. His 23 year old son is planning to be married, and wishes to pursue testing.

continue: Scenario 5


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