Harriet S.MeyerMD, Contributing EditorJonathan D.EldredgeMLS, PhD, Journal Review EditorRobertHoganMD, adviser for new media
by Harold Klawans, 256 pp, $24.95, ISBN 0-393-04831-4, New York, NY, WW Norton, 1999.
Recently, a resident in our hospital called to request a neurological consultation for an elderly woman on his service. First he reported her computed tomographic scan. I had to interrupt to ask him her chief complaint. Oh, it was mental status; she was confused. Well, what about her neurological examination? She had a "Mini-Mental Status" of 18. I asked if he could be a little more specific: what was her level of alertness, her comprehension, speech, memory? Again, she had a "Mini-Mental Status" of 18, that was as detailed as he could be on the subject. He wanted to tell me about lab tests and scores, but I doubted he had spoken with her or had done any appraisal of her mental functions other than a script on a 4 × 6-inch card in his pocket. He is a young doctor. He learned those thought habits from his seniors.
Evolutionary NeurologyDefending the Cavewoman: And Other Tales of Evolutionary Neurology. JAMA. 2000;283(20):2722. doi:10.1001/jama.283.20.2722-JBK0524-5-1