PT - JOURNAL ARTICLE AU - Rebecca E. MacDonell-Yilmaz TI - Counting Backward by Seven AID - 10.1370/afm.2607 DP - 2020 Nov 01 TA - The Annals of Family Medicine PG - 561--562 VI - 18 IP - 6 4099 - http://www.annfammed.org/content/18/6/561.short 4100 - http://www.annfammed.org/content/18/6/561.full SO - Ann Fam Med2020 Nov 01; 18 AB - I delayed my neurology rotation in medical school because I was trying to ignore the symptoms of dementia developing in my mother. They became painfully apparent when I saw my parents less frequently after I moved away for residency, and finally had to be addressed when I had a child of my own and felt unsafe having her care for him. Through my experiences with her and in my training in palliative care and oncology, I have learned that tools like the Mini Mental State Examination (MMSE) and Functional Assessment Staging Test (FAST) can only tell us so much; the true measure of a patient’s decline can be found in the patient’s and family’s own story.