My puzzled patient saw ‘children’ as his vision deteriorated

Richard Westman was a fine-boned, softly spoken 80-year-old retired accountant, who prided himself of his sharp intellect and excellent memory.
I had known him for a few years, but didn’t see him often as he was relatively healthy.
Then a myocardial infarction robbed him of his physical stamina, and he started to develop heart failure.
He also developed heart rhythm problems, and ended up with a pacemaker and on a blood thinner.