He could not tell if what he was seeing was real or if it was a 'hallucination'.
He has been having 'hallucinations' due to the medication.
(..) As such, his illness may have gone untreated... ...far longer than is typical. What do you mean? How long? Possibly since graduate school. At least that's when his hallucinations seem to have begun. What are you talking about? What hallucinations? One, so far, that I am aware of. (..)2001 A Beautiful Mind