Early in the morning. A small old man sits on a chair telling me about his itchy painful rash that sounds suspiciously like shingles. He seems to have dementia and is paranoid. But he is a sweet old guy. It takes me an hour to talk him out of the house. He chatters with me all the to the er. When we are getting him into the bed he looks at me seriously and asks "dear do you think I have the seven year itch?" what do you say to that? I said probably not but he should ask the doctor when he comes in.