The tragic events of September 11, 2001 definitely brought great sadness to the nation. The whole world was affected, everyone in different ways. Witness my patient, Mrs. Vail, who, even though she had no direct connection to the tragedy, was so distraught that she presented to my office with hives all over her body. She was scheduled to fly to a vacation destination in a few days and certainly wanted to be in better shape physically and mentally. She and I spent time exchanging feelings and talking about the tragic events. Hopefully, the cortisone shot and a prescription for anxiety medication provided enough improvement that she was able to enjoy her vacation.