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A Piece of My Mind
February 12, 2003

Where We Draw the Line

Author Affiliations

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

JAMA. 2003;289(6):671-672. doi:10.1001/jama.289.6.671

"You won't believe it when you see him," the nurse declared as she handed me his chart. "He's a new person!" As I enter the examination room, I can see what she means. Chris is animated and cheerful as he greets me, while helping his 5-year-old daughter climb onto his lap. He answers questions confidently, asserting that he feels back to his normal self in terms of his thinking, energy level, and appetite. He admits that his wife, Diedra, still observes some subtle personality changes. Her employment prevents her from accompanying Chris today, but he offers her report with a shrug of his shoulders. She perceives him as "not voicing opinions" as readily as he did in the past. Chris seems unsure about this, but unperturbed. Certainly he has no recollection of most of his long illness over the past year. It is as if it all happened to someone else.