Answer & Explanation

“A Japanese American family brings their maternal grandmother to their primary care physician. The grandmother is 72 years old, came to the United States 10 years ago, and speaks no English. She complains of weakness, weight loss, nausea, and fever of several months’ duration. Her grandson, a computer engineer, tells the doctor, “In case you find cancer, we prefer that she not be told. That is the way with our older people. But we do want her to have full treatment.” Studies reveal acute lymphocytic leukemia with renal failure, a condition that has a 5% change for clinical response too aggressive and prolonged chemotherapy.”

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