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Books, Journals, New Media
May 24/31, 2000

Evolutionary NeurologyDefending the Cavewoman: And Other Tales of Evolutionary Neurology

Author Affiliations

Harriet S.MeyerMD, Contributing EditorJonathan D.EldredgeMLS, PhD, Journal Review EditorRobertHoganMD, adviser for new media


Not Available


Copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2000American Medical Association


by Harold Klawans, 256 pp, $24.95, ISBN 0-393-04831-4, New York, NY, WW Norton, 1999.

JAMA. 2000;283(20):2722. doi:10.1001/jama.283.20.2722-JBK0524-5-1

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.

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