[Skip to Navigation]
A Piece of My Mind
February 4, 2009

The First Wake

Author Affiliations

A Piece of My Mind Section Editor: Roxanne K. Young, Associate Senior Editor.

JAMA. 2009;301(5):467-468. doi:10.1001/jama.2009.61

I have felt close to many patients, beyond the usual pleasant rapport I share with them. Mr D, in particular,was always a delight to see and, I am happy to say, a success story. Two years ago I had met Mr D at our first clinic appointment. He was in a wheelchair, rolled in by his wife, who was begging for antidepressants for her husband. Over only a few months, he had been becoming more debilitated, incontinent of urine, and increasingly demented, the latter which his wife mistook for severe depression. He was walking so unsteadily that his arms and legs blossomed with bruises spanning a vast color range, a testament to both the frequency and regularity of his falls.