During a particularly rough third shift in the Emergency Room, as I examined the patient, board, I ran across a familiar name, Mrs. Sereno. I just wrote about the Serenos a few days before because they've been in my thoughts lately, as I see them two or three times a week to help the deal with some silly issues they have with Social Security. In fact, I had just spoken to Mr. Sereno in my office earlier that day and we were both surprised to run into each other again at three in the morning (I normaly wouldn't be there are that time, but I was in the ER covering someone else's shift that day). Mrs. Sereno looked rought that night. He're hoping she made it through.