Mr. Guiseppe (Joe) Russo is an 81-year-old man who returns to see you, his new Family Physician, regarding cognitive concerns. He is accompanied by his wife of 60 years, Maria Russo. Mr. Russo is a retired Crane Operator, who was born in Southern Italy, and who worked in the steel industry after immigrating with Maria to Canada at the age of 20. As a child, he completed 6 years of formal education; later he became fluent in English while working in Canada. He and Maria have three adult children, two sons and one daughter, and live in a bungalow in the city of your practice. He is otherwise physically well, with well-controlled hypertension, dyslipidemia, and DMII, as well as osteoarthritis of the knees. His medications are provided to you in a list. He is a lifelong non-smoker who consumes one glass of wine with dinner each night. Mr. Russo was diagnosed with early-stage Alzheimer’s disease (versus Mixed Dementia) by his prior physician, Dr. Retired, approximately 2 years ago. At that time, Mr. Russo presented with approximately 2 years of gradually progressive decline in short-term memory and executive function, that was impacting his ability to pay bills on time. His SMME score at that time was 21/30, with 0/3 on delayed recall and difficulty with orientation (year incorrect). He was unable to draw a clock correctly (CDT), but Dr. Retired suspected that language and education impacted Mr. Russo’s performance on both the SMMSE and the CDT.