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Another ER doc here, and LBD was also top of my DDX, with vascular dementia being perhaps a distant second. What is noteworthy to me is the rapidity of decline. I compared videos of Biden walking from 3 years ago to now, and the change is significant. This speaks to an actual, diagnosable condition rather than just "age". Anyone who works in adult medicine has had patients in their 80s who are amazingly spry and mentally sharp. Biden does not seem that way at all. Also agree that, if such a patient showed up in the ED, and didn't have family support, he'd be a "social admit".

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