11/20/13: I looked in on patient early Wednesday, but he says that, apart from the occasional compulsion to bang his forehead on the Resolute Desk, he's good. It's far too soon to expect a response to the course of Paxil that I have prescribed to treat patient for major depression. He is overwhelmed by feelings of worthlessness. Quite properly so, in my view. Worthless is, what he is. Of course, I can't tell the moron that, or he will cry out: "Woe is me!" and throw himself from the Truman Balcony---Dictated by S.H.Rink, M.D.