I really disliked Tom Graboys. He came across as a very egotistical man, on some level aware, but also oblivious to all the pain and effort he is causing to everyone around him. I was outraged at how long he continued to practice medicine, when it was clear to everyone around him how debilitated he had become. And he was so self-delusional, admitting all these limitations in being able to do everyday tasks, but failing to admit that his ability to practice medicine were affected. He also went into his second marriage knowing that he was facing some serious symptoms, but failing to discuss it with his wife -- even fainting on the wedding day without letting her know it had happened.The book was maddening to me, but it was a very good picture of denial, as well as Parkinson's disease and dementia.