You are the doctor. Your patient is being discharged with wounds that need only to have their dressings changed. Medicaid will not pay for a visiting nurse because there is someone in the home capable of providing the care: the patient’s sister. Your patient is HIV-positive and homosexual. He has kept both from his family and refuses to tell his sister who will be changing his bandages. Do you, the physician, have a duty to warn the sister of her brother’s HIV status and breach confidentiality with your patient?My take here: Patient Confidentiality and the Duty to Warn