“…The report fails to acknowledge alternate hypotheses and confounding variables (eg, possible effects of altering the patient’s daily routine, enriching the patient’s environment via contact with novel surroundings and people, incurring exercise, etc), all of which have been shown to affect cognitive function in persons with dementia. 7 Furthermore, the report’s claims of “remarkable improvement” 1 is based solely upon what appears to be weak qualitative evidence as acquired and provided by individuals within—or closely connected to—the patient’s family, incurring considerable potential for bias (which was neither addressed nor counterbalanced/controlled). Although the report states that cognitive assessments were conducted, specific information (ie, type of test[s], schedule of pre- vs post-CT scan testing, detailed presentation of testing method, and results) pertinent to and supportive of the rigor, validity, and value of such evaluations was not provided.…”