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Clinical Crossroads
February 23, 2000

An 80-Year-Old Man With Memory Loss

Author Affiliations

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.

JAMA. 2000;283(8):1046-1053. doi:10.1001/jama.283.8.1046

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 live nearby.

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