11/19/2013: Patient is showing symptoms of severe depression. He is spending long hours asleep and is listless and lacking motivation and energy. Valerie Jarrett has setup 24/7 psychiatric supervision as I recommended yesterday. I have come to the conclusion that the treatment [ironically suggested on SNL] is a substantial dose of Paxil. I asked patient, if he was OK with a course of the anti-depressant. "Whatever," he replied."Can we spray it over the whole nation with a crop-duster to help everyone feel happier about SoetoroCare?" I didn't answer, but I left a month's prescription for him with Valerie Jarrett on my way out to my car, while dodging a mini-tornado from Juan the Landscaper and his backpack leaf-blower ---Dictated by S.H.Rink, M.D.