Author Affiliation: Dr Larson is Professor of Medicine and Health Services and the Medical Director of the University of Washington Medical Center, Seattle.
Clinical Crossroads Section Editor: Margaret
A. Winker, MD, Deputy Editor.
DR DELBANCO: Mr J is an 80-year-old retired
teacher who has noticed memory loss for 7 years, which concerns both him and
his family. For the past 2 years, he has received care from Dr B, a general
internist practicing at the Beth Israel Deaconess Medical Center. Mr J has
insurance through Medicare and supplemental commercial insurance. Mr J lives
in his own home with his wife, who has a chronic, debilitating illness and
is unable to walk; he serves as her principal caregiver. Three devoted children
Larson EB. An 80-Year-Old Man With Memory Loss. JAMA. 2000;283(8):1046-1053. doi:10.1001/jama.283.8.1046