Sometimes I find myself wishing I wasn't working. Mostly it's just laziness, but also the fact that I've lost a step. I'm not as adept at keeping track of the multiple problems of multiple patients and the multiple questions and issues that come my way in a busy clinic day (I can keep only about 6-8 windows open). So I'm slower. But then there are realizations that I'm doing a good job for the patients and that I can have some fairly deep clinical insights; there is the pleasure of working with my colleagues; and there are moments like in this photo. What joy to see three generations together like this! What joy to provide care for people who really have their act together, like la abuela in the photo.