To the Editor.—
May I express my appreciation to you and to Dr Murphy1 for a fine review of blastomycosis in the June 2 issue of The Journal? May I also, however, express concern regarding one of the author's statements? The author states that "[the patient's] job suggested that his level of cortical function had never been high." The patient's job was that of a highway grass trimmer and tidier, a job he had apparently held for two decades. There is no suggestion that he did not trim in a straight line or that he was untidy. I respectfully submit that his job suggests nothing regarding his cortical function. Perhaps the patient would even be saddened by such a thought. I understand the author's meaning, or intent. However, we who are in medicine must take care not to infer patients' mental status from the nature of their work, lest
Roberts AH. Inferring Cortical Function From the Patient's Job: He Made Grass Trimmer, But Could He Have Made Vice President? JAMA. 1989;262(14):1951. doi:10.1001/jama.1989.03430140065022
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