Jeff is a career military male, age 41, whose father was diagnosed with breast cancer several years ago. His father had genetic testing and found to have a BRCA2 deleterious mutation. Jeff was informed of his father’s results but ignored his father’s advice to be tested because he is nothing like his father, takes good care of himself physically, and thought that his father was mistaken and breast cancer genes could only be transmitted through a woman. He completed the ACT for Health breast risk assessment questionnaire as part of his annual WebHA survey, which recommended that he would need follow-up with his healthcare provider. He thought the ACT for Health finding was wrong, so he started investigating using the internet so that he could be reassured. However, he learned on the internet that BRCA2 gene mutations can be inherited from either parent, which meant his father was right and he may have inherited this mutation from him. He kept his father’s mutation information from his wife as he thought it was not relevant to him or for their children, but he recently told his wife about his concerns based on his internet investigation. He is presenting at his annual active duty military physical with his wife accompanying him.

He does not want any of this information in his permanent record.  He is up for a promotion from Lieutenant Colonel to Colonel. He is worried that this will affect a possible promotion.

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