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A 44-Year-Old Woman With Difficulty Walking, 2 Years Later
Erin E. Hartman, MS;
Tom Delbanco, MD
From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.
JAMA. 2002;288:2598.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In a Clinical Crossroads article published in November 2000, Lisa I. Iezzoni, MD, discussed a 44-year-old woman with difficulty ambulating secondary to amyotrophic lateral sclerosis (ALS) diagnosed in summer 1999.1 Initially, Mrs D leaned on her husband's arm for support, but as she became weaker, she began to use a cane. As her impairment in mobility progressed, Mrs D learned to use forearm crutches and obtained a rolling walker to use at home. She then retired from her job and moved to a wheelchair-accessible home. She became depressed but was unable to take fluoxetine because it intensified spasticity in her legs. At the time of the conference, Mrs D was considering using a wheelchair or motorized scooter.
Dr Iezzoni explained that disability (defined as "difficulty conducting daily activities due to specific health conditions") and impaired mobility are common in the United States, with . . . [Full Text of this Article] DR Z, THE PATIENT'S CURRENT NEUROLOGIST
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ABSTRACT
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