amazing quote from a patient whose orientation I was assessing today - typically we ask all patients on the neurology service every day if they know who they are, where they are, what year it is, and something to orient them to the rest of the world, like who's the president. It's a way of assessing sophisticated brain function. So my patient (who has a chronic neurological disease and is never completely oriented) today says her name correctly, doesn't quite know where she is, states that the year is "definitely 2020" and when I ask her who the president is, she says, "Ohhh I totally forget her name. Let me think. It's something like Joanne. Yeah, Joanne. I think it's Joanne."