another birthday has come and gone, this time a quiet one with few birthday wishes outside my family. quiet day for me medically, last hospital patient went home, fewer than usual in the office, a portent of the end of practice that i have been anticipating.

i am a little anxious about the future, not confident. my level of enthusiasm and motivation to do things remains at an ebb. physically i feel well, just a few aches and pains, maybe some sleep disturbance that has greatly improved since last fall.

it is not total anhedonia, however. i went to beth tfiloh last shabbat and enjoyed shabbat morning there as i usually do, even though rabbi wohlberg ceded his time to ruth messinger of the american jewish world service that sponsored rozzy's summer in kenya. i'll just have to seek out a greater measure of pleasurable activities.