9/7/13 I was asked by Valerie Jarrett to consult with patient in his private quarters, after his return, as he has been referring to himself as Director General of the United Nations. I reassured her that it was just a manifestation of his usual narcissistic Personality Disorder. Besides, there is no such job. There is a Secretary General. I may have to think seriously about prescribing an anti-psychotic, if these delusions of grandeur persist. I suggested to Patient that he consider having a throne installed in his private study similar to the vulgar monstrosity that he keeps hidden on Air Force One. I mentioned this idea to Valerie Jarrett who was enthusiastic and said there were unused gifts in the White House basement and among them was a throne from the Saudi King made of elephant tusks, gold, and giant semi-precious stones with a peacock feather fan as an accessory. She instructed two minions to wrap it in a protective blanket, and carry it up to the Patient's private study, where it could be put to therapeutic use. Patient moved his specially-engraved iPresidentiphone phone within reach. "Dr Rink," he smiled. "I am now ready even for Pootin" to call. As if by magic, the phone immediately played the Moscow Male Choir rendition of Keep the Red Flag Flying. Patient put the phone on speaker: "Obamavitch, now you are home, I hope you have not forgotten the private lesson I gave you in St Petersburg." Patient immediately began to tremble. I took his arm and whispered: "Remember, you are safe here." Patient immediately disconnected the call. "Bastard!" he said."Bastard!...Bastard! he repeated .And then he smiled sheepishly. " I mean Pootin, not you, Dr. Rink." ---Dictated by Dr. S.H. Rink.