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There is probably no clinician in the world who does not know the proper response when a patient asks, “Doctor, will I be able to play the piano after this?” The correct response, of course, is, “Could you play the piano before?” Knowing a person’s premorbid condition is important to clinicians and at least equally important to researchers. In this issue of Neurology, McGurn et al.1 have shown that it is possible to use a simple test, the National Adult Reading Test (NART), to determine how persons functioned before they were affected by dementia. The test only requires that the patient read irregularly pronounced words like “ache” and “thyme.” The more of these they can read, the higher their predisease functioning.
The NART is a simple test. It involves giving a person a list of around 50 (depending on the version) irregular words and asking them …
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