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FEATURE:
IN REAL TIME

                                                                          Part 4

                                                                          IN
                                                                          REAL
                                                                          TIME

                                                                          FRONTO
                                                                          TEMPORAL
                                                                          DEMENTIA

                                                                          Unravelling of
                                                                          a Beautiful Life

                                                                          By Rajam Ramamurthy, MD

  I stood in front of the shrine, a place that is created in most Hindu   acceptance of the cards dealt to you, but rather dealing with adver-
homes for personal worship, and repeatedly asked the question, why        sity and prosperity with equanimity, detaching yourself from both
my husband? A man who has alleviated the pain of countless pa-            and striving to reach the plane of becoming one with a higher con-
tients in his practice for 41 years as a pain specialist. Is this not a   sciousness. I promised in the last chapter that I would talk about
question everyone asks when they face adversity? Hindu philosophy         meditation and its role in N’s condition.
has a palatable explanation for it. In this life the deeds of our previ-
ous life is played out as your ‘Karma.’ However, what you do in this        N’s treatment was started with a selective serotonin uptake in-
lifetime is under your control and will determine what your next          hibitor at a very low dose. Geriatric psychiatrists generally believe
birth’s life experience will be. However Karma is not a state of passive  in medicating the patients gently. N was started on 25 mg, they tell
                                                                          me it is a drop in the ocean. I counted the tablets and made sure he

26 San Antonio Medicine • November 2016
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