Abstract
The phone wakes me; it is 3 a.m."Hello, Dr. Hilfiker? This is Ginger at the nursing home. Mrs. Toivonen has a fever."Despite my tiredness my mind is immediately clear. Elsa Toivonen, 83 years old. Confined to the nursing home ever since her stroke three years ago. Bedridden. Aphasic. In an instant I remember her as she was before the stroke: her dislike and distrust of doctors and hospitals, her staunch pride and independence despite her severe scoliosis, her wry grin every time I suggested hospitalization for some problem. I remember admitting her to the hospital after her stroke, . . .

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