98YO FEMALE, 1MO RAPID DECLINE IN MENTAL FUNCTION, SEEMS TO UNABLE TO EXPRESS THOUGHTS. MILD R EYE LATERAL DEVIATION, INTERMITTENT SLOW TREMOR, POOR RECENT AND REMOTE MEMORY. NO LATERALIZING SIGNS, ABLE TO CALL RELATIVES BY NAME AND EXPRESS NEEDS. HX OF LUMPECTOMY FOR BREAST CA 4 YRS AGO, PACER, A FIB, HTN MED MS & BENADRYL OCC FOR SLEEP. WAS MENTALLY SUPERNORMAL 2 MONTHS AGO, 2 COLLEGE DEGREES.