12/5/13: Patient was in unusually good spirits today. He was triumphant about achieving sympathetic coverage for his spouse, just when hostility was growing from millions who have apparently lost their health coverage. He is also leaving for a week in Hawaii over Christmas, the break will do much for his mental health. My only misgiving is the likelihood is high that patient will restock his supplies of Blueberry Yum Yum, Hawaiian Gold from the Big Island, and while he's in South Africa for Mandela's memorial service he may even acquire a few zols of the infamous Durban Poison which would certainly worsen his paranoia.---Dictated by S.H. Rink, M.D.