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A Piece of My Mind
November 17, 1999

Millennial Child

Author Affiliations

Edited by Roxanne K. Young, Associate Editor.

JAMA. 1999;282(19):1799. doi:10.1001/jama.282.19.1799

J.B. is a 150-year-old female who presents with fever associated with increased urinary frequency and odor. She has a past medical history of coronary heart disease, cataracts, acute myelogenous leukemia status post–bone marrow transplant 75 years ago, prior insulin-dependent diabetes mellitus leading to renal failure, and Alzheimer disease. She was brought to the emergency unit by staff from the Green Pastures Nursing Home with a two-day history of fever, increased urinary frequency, and foul-smelling urine. One hundred ten years ago she had urinary tract infections related to kidney stones. The patient has no history of allergies. Her medications include two vitamins daily, slow-cyclic-release estrogen implants replaced yearly, fluoride, and yearly antitransplant rejection vaccines. History was obtained from nursing home records, an MCD (miniaturized circuitry disc) taped interview from the state's central files made in 2050 and updated every 5 years through 2125, and her great-granddaughter, who lives in the Jali Island biosphere off the coast of Argentina.

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