56 year old came to receive his genetic analysis for Huntington DX. It came back positive. After discussion of the next steps with the patient and reviewing his family history, he said, “I knew it would be positive as my father had similar neurological disease and he suffered, but no one knows it was HD”. The physician discussed with him that he needs to tell his family as it might affect their life and future pregnancies. He said No, the physician explains the risk of that, he insisted. What’s the next step?
A- Respect the patient right to do so and begin to discuss his treatment plan.
B- Tell the patient it’s a must to do so and report the case to healthcare.
C- Discuss the case with the ethics committee.
D- Ask the patient for a written consent of his decision.
E- Ask the patient if any of his living family members developed similar condition so they can undergo the genetic test.