Aging ED patients can be likened to the life cycle of a banana. When you buy a bunch of bananas they are green and hard and if you drop them, nothing happens. As time goes on, they become more yellow and if you drop one of these, you might get some bruising on the skin, but once you open the peal the inside of the banana is intact. As time goes on the banana starts to accumulate brown spots very similar to aging spots. When one of these gets dropped on the floor, the amount of damage is impressive.