Case Study 2: Mild Cognitive Impairment

Jack, a 68-year-old lawyer, was referred to the memory disorders clinic due to concerns about his cognitive function. He reports experiencing difficulties such as missing appointments, forgetting names in conversations, and misplacing items. Initially, Jack attributed these symptoms to normal aging but realized that even with careful note-taking, he had missed several important appointments, including a meeting with a significant client. Jack lives alone and manages his household without assistance.

During a recent meeting, Jack repeatedly asked the same question to the client without recognizing his repetition. This pattern raised concerns among Jack's law partners, who informed him that he could only take on new clients once he underwent a medical evaluation.

Jack’s primary care physician (PCP) ordered an MRI and neuropsychologic testing, which revealed amnestic mild cognitive impairment (MCI). Consequently, Jack was referred to the memory disorders clinic for a comprehensive evaluation. Jack is eager to receive treatment promptly as he aims to continue working as a lawyer well into his 70s.