It was my intent to make today the first day of my new life. It didn't happen. The alarm went off at 5:30 but I lolled in the warmth of a down comforter until 7:00. I had intended to have breakfast and make lunch. Neither happened. The shiva thank yous that I wrote yesterday remain on the table. I went to the hospital where most of the patients have gone home. I did take a few minutes to make myself at least look good if not feel good.

While I am interested in a lot of things very little really brings me what I regard as pleasure professional. I see a few patients, stare at a lot of charts with loose ends on my desk and in scattered locations in the office.