To suddenly realize you are in the presence of greatness is a rare and heady experience. About a thousand of us shared that feeling Wednesday at the Assisted Living Federation of America conference, when Bill Strickland took the stage.

Some of us are blessed to still have our moms; some of us are blessed with memories.

I recently asked a hospital discharge planner how she chooses which nursing home to discharge to. "Five-Star" was the reply. Was I surprised? Not at all. Once again, it demonstrates just how far this Centers for Medicare & Medicaid Services consumer initiative reaches.

Major depression is a highly debilitating illnesses associated with significant morbidity, impairments in occupational and social functioning and increased risk of suicide. Patients typically have some degree of symptomatic response to treatment, but often suffer from persisting residual symptoms that cause significant functional impairment, decreased quality of life, and increased risk of relapse.