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time it was full screen in soft focus, a butterfly. Her last presentation displayed a tiny dandelion, lost on an otherwise blank screen. Her imagery was never random and cut through the dispassionate nature of medical delivery. "Thank you doctor Blake. I am humble before you, friends. Humble and saddened. A beautiful child was referred to our Children's Psychiatric Services, by Title 107 of emergency educational intervention, for out of character and unexplained behavior. The youngest of three healthy children, she had been generally well all of her eleven years until the last six months before presentation. Except for a pesky punctate rash on her shins which were attributed to sensitivity to her softball uniform socks and occasional pesky cramps, she was deemed entirely healthy. Her former collaborative and vivacious demeanor changed to reclusive, angry and occasionally explosive unprovoked tirades which disrupted her classmates and which led to her direct referral to us by her school psychologist. The concern leading to Title 107 invocation was a possible acute organic brain syndrome." Dr. Ranjeeta Chandra, responding to a polite interruption from the gallery, clarified that such referrals have the status of medical emergency and that's how the youngster's transfer was direct. Her parents learned of her admission as she was actually being processed in the hospital. This was not by choice, but simply the way communications worked out. Chandra also emphasized the fact that the medical resident rotating on psychiatry, used an older intake check list to initiate routine intake studies for that category of medical query. "The point being what?" Blake interrupted. "Hold your Blake," she sweetly upheld her finger, as many snickered. She said that she would spare medical friends the long winded psychiatric jargon describing the girl's mental state except to say that there were clear indications of cognitive disorganization