| Evaluation Dialogue Between Doctor-Patient: |
| Doctor |
Good morning. |
| Patient |
Muy buenos días, doctora. |
| Doctor |
Why has your family doctor referred you? |
| Patient |
Porque se me olvidan las cosas, doctora, estoy muy torpe, tengo muchos problemas de memoria. |
| Doctor |
Since when? In what situations? Are you forgetting more recent or older things? |
| Patient |
Pues que le cuente mi hija porque yo no me sé explicar. |
| Daughter |
Pues doctora, se acuerda mucho de las cosas antiguas, pero después no recuerda qué ha comido o es incapaz de sacar la basura y hace un año la sacaba. |
| Doctor |
Are you sleeping ok? Do you think it could be due to something specific? Since when have you felt clumsier? |
| Patient |
Pues desde hace un año. |
| Doctor |
I’d like to know what other things you don’t do anymore, besides taking out the garbage, what you can and can’t do. |
| Daughter |
Elige la ropa, se hace el desayuno, pero ya no es capaz de tomarse la medicación, hay que estar pendiente. |
| Doctor |
I’m going to ask you a series of questions to check your memory. I’m going to do a mini-mental exam and a clock drawing test. |
After the test, the doctor notices a score that suggests the possibility of Alzheimer’s disease.
| Post-Evaluation Dialogue Between Doctor-Patient: |
| Doctor |
You have a bad memory. I don’t know if it will get worse, but we have to work hard to slow the progress so you can have the highest quality of life possible. |
| Patient |
¿Usted cree que esto es una enfermedad de Alzheimer? |
| Doctor |
It is too early to say for sure. I’m going to order an imaging test and an MRI. |
| Patient |
¿Eso es doloroso? ¿Es molesto? |
| Doctor |
You only have to sit still, it doesn’t hurt. |
| Patient |
Muchas gracias, doctora. A ver qué tal va. |
