Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Selectively sharing genetic information in the future

Michael R. McGuire
Conditions
March 6, 2022
Share
Tweet
Share

Communicating with relatives that they may share a gene variant that could cause disease is problematic. Maybe you do not want to share that information with other relatives. Maybe other relatives do not want to know about such information.

Examples of such gene variants are BRCA1 and BRCA2 that predispose women to breast and ovarian cancer and men for some forms of cancer.

Medical practice may make more use of a person’s genome in medical care in the future. Let us assume this will be so and that there is then the potential for one person to share matching genetic information with their relatives.

I propose the following:

1. Relatives identified to share information with. An individual can identify relatives with whom they would want to share genetic information by their relationships or names and relationships (e.g., sister, cousin, mother, etc.). The individual can indicate the specific gene variant to be shared or that the individual wants to share all genetic information that affects disease. The individual could indicate whether sharing the genetic information would or would not include the individual’s name.

2. Relatives indicate they want to receive genetic information. Suppose one of those relatives indicated that they wanted to receive genetic information from that individual, categories of relatives, or all relatives. In that case, that relative could be informed of that genetic information. The individual could include or exclude categories of genes that they would like to receive information on (e.g., someone might wish to exclude genes related to dementia).

3. Confirmation of relationships. An analysis of the two individuals’ genomes would confirm any specified relationship.

4. Information shared. The information would be shared with the relative only if there was a gene variant match in that relative’s genome.

This proposal would allow an individual to share genetic information with selective relatives and ensure that the relatives would want to receive such information. And the individual could do this anonymously if they choose.

This proposal is only possible with changes to current electronic medical record (EMR) systems. The EMR systems would have to be able to communicate with each other and identify EMR systems associated with a medical location where an identified individual receives care. EMR systems need access to patients’ genomes that do not compromise patient information.

The approach could also be used to create a universal patient medical record.

Michael R. McGuire is the author of A Blueprint for Medicine.

Image credit: Shutterstock.com

Prev

We must help patients recognize how important their opinions are

March 6, 2022 Kevin 3
…
Next

Why health care delivery is an exceptionally different industry [PODCAST]

March 6, 2022 Kevin 0
…

ADVERTISEMENT

Tagged as: Genetics

Post navigation

< Previous Post
We must help patients recognize how important their opinions are
Next Post >
Why health care delivery is an exceptionally different industry [PODCAST]

ADVERTISEMENT

More by Michael R. McGuire

  • How fragmented records and poor tracking degrade patient outcomes

    Michael R. McGuire
  • A critique of interoperability, big data, and AI in medicine

    Michael R. McGuire
  • Medication management and how consultant pharmacists can help

    Michael R. McGuire

Related Posts

  • Sharing mental health issues on social media

    Tarena Lofton
  • A patient’s perspective on genetic testing

    Erin Paterson
  • The emotional side of genetic testing

    Erin Paterson
  • Why environmental justice is integral to the future of medicine

    Mehtab Sal and Olivia Glatt
  • The mental health benefits of sharing stories

    Vibhu Krishna
  • Start with the students: Addressing the future of physician suicide

    Anonymous

More in Conditions

  • Understanding depression beyond biology: the power of therapy and meaning

    Maire Daugharty, MD
  • Why medicine must stop worshipping burnout and start valuing humanity

    Sarah White, APRN
  • Why perinatal mental health is the top cause of maternal death in the U.S.

    Sheila Noon
  • A world without vaccines: What history teaches us about public health

    Drew Remignanti, MD, MPH
  • Unraveling the mystery behind one of the most dangerous pregnancy complications: preeclampsia

    Thomas McElrath, MD, PhD and Kara Rood, MD
  • How community paramedicine impacts Indigenous elders

    Noah Weinberg
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
  • Past 6 Months

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How I learned to stop worrying and love AI

      Rajeev Dutta | Education
    • Understanding depression beyond biology: the power of therapy and meaning

      Maire Daugharty, MD | Conditions
    • Why compassion—not credentials—defines great doctors

      Dr. Saad S. Alshohaib | Physician
    • Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
  • Past 6 Months

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How I learned to stop worrying and love AI

      Rajeev Dutta | Education
    • Understanding depression beyond biology: the power of therapy and meaning

      Maire Daugharty, MD | Conditions
    • Why compassion—not credentials—defines great doctors

      Dr. Saad S. Alshohaib | Physician
    • Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...