“The victory was someone who made it to their next appointment,” Raffanti says. “It’s amazing. Now we’re finessing whether someone is going to be osteopenic when they’re 65. Who would have thought?” In the mid-90s, Raffanti didn’t care about a patient’s bone density because they weren’t going to live long enough for it to become a problem. Now, only 30% of his patients die from AIDS and most live into old age. So instead of offering hospice-type care, the new clinic at Vanderbilt 100 Oaks looks like any other regular doctor’s office.