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Monday DM is a 76-year-old gentleman who has been a patient of mine for several years. Over the last 2 years, he has begun a progressive slide into dementia, in spite of treatment with donepezil. Two months ago, I added 2.5 mg of olanzapine because of increasingly agitated behavior when he becomes confused. His son and daughter-in-law were ready to put him in a nursing home at that last visit. Today, they report that not only has his behavior improved, but they feel he is sharper than before (although his Folstein assessment is unchanged this visit). So, instead of institutionalization, he is attending Alzheimer’s day camp and is doing fairly well at his son’s house. I guess not urinating in the flower pots will brighten everybody’s day.

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