Pic 25: The second screen focuses again on the “Uninformative Negative” vial with a green minus sign and question mark. The following text appears:
How negative results affect screening
“Uninformative” negative (they didn’t know what mutation to look for): You may have a higher chance of getting cancer, like others in your family. Keep getting cancer screenings based on your family history.
Player chooses the response option: How can I find out if my insurance covers counseling and testing?
LINDA: Your doctor or genetic counselor can work with you on getting coverage. If you need to talk to your insurance company, various agencies have guidelines on who should get counseling and testing. You can find them in the Resources section.
Player chooses the response option: I'm ready to practice talking to a family member.
LINDA: Great. Let's practice with the conversation between Sofia and Sydney. And you can use what you practice to discuss any family risk.
You'll play the role of Sofia.
Pic 26: A black and white screenshot of Sofia and Sydney seated in their kitchen is displayed. The captions “Sofia: Mother” appears.
Her sister and her cousin both survived breast cancer, and her father was diagnosed with breast cancer a few years ago.
Pic 27: The following text appears under the captions:
Sister, cousin, and father had breast cancer
Father has a mutation (BRCA 2)
Found out she inherited her father’s mutation
Talked to a genetic counselor and her doctor
LINDA: Her dad was concerned the risk of cancer might run in the family. He got genetic testing and found he had a mutation in one of his genes: specifically, his BRCA2 gene. The mutation can increase the risk of breast cancer and some other cancers; it's one of many mutations a doctor or genetic counselor can talk to you about. He urged Sofia to get tested, and she found out she inherited the BRCA2 mutation.
She's already talked with a genetic counselor, and she's updated her doctor. Now her family needs to know what this mutation could mean for their risk.
She feels she should start with her daughter, Sydney. They have talked off and on about their family's history of cancer. But the mutation will be news. And they should talk soon, because Sydney is in the process of moving to a new city.
Pic 28: The screenshot angles to face Sydney. The captions “Sydney: Daughter” appears.
LINDA: As Sofia, your goal is to help Sydney understand her risk and what she can do about it.
Pic 29: The following text appears under the captions:
Your Goals
Help Sydney understand her risk of getting cancer and what she can do about it.
Be positive, show empathy, and help her think about next steps
LINDA: Remember: Be positive, show empathy, and help her think about next steps.
Afterward, we'll discuss how it went and what else you might want to try. Good luck!