7/22/14: These are difficult days for Patient. Valerie Jarrett called today and asked me to make a discreet visit to Patient's family apartment. I let myself into the private apartment, where I found Patient face down on the hideous brown sofa pounding it with his fists while wailing pitifully. It seems that The U.S. Court of Appeals for the District of Columbia has delivered a ruling that could scuttle the Affordable Care Act. I gave patient an injection of a mild sedative and advised Jarrett to let him sleep and to call me back if his extreme distress had not eased by dinnertime. Dictated by S.H. Rink, MD.