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REGULAR | December 01, 2008

Smoke and Fire

James A. Bourgeois, O.D., M.D.

Academic Psychiatry 2008;32:517-517. 0055

Dr. Bourgeois is affiliated with the Department of Psychiatry and Behavioral Sciences, University of California, Davis Medical Center, Sacramento, California

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Delirium is the smoke.

Clouding the patient, the family, and the physicians who try to see through it.

All make efforts to clear the smoke, often to reveal that—

Dementia is the fire.

Glowing steadily, eroding cognition, but, somehow, previously subtle.

The psychiatrist knows—

After you clear the smoke, then look for the fire.

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James Bourgeois, O.D., M.D.; Smoke and Fire. Academic Psychiatry. 2008 Dec;32(6):517-517.

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