To all my patients past, present, and future but especially the ones with altered mental status. I am sorry. I am sorry for losing my patience and showing my frustration. When your care should be all about you, at times I’ve made it about me, displacing my frustration and exasperation with your medical team onto you. I have been abrupt, a little abrasive, and sometimes a little rough. I need to be better than that and you deserve better especially since you are not in control of your disease process and in most instances completely unaware of it. Please accept my apology. I am truly sorry. I will do better.