It is late, and I am on call, and things go not so great. The hospital is busy, and full, but so it always goes. The truth is, I like approaching a confusing case and simplifying the chaos into a tidy differential diagnosis and plan. I like sitting with the residents and talking things out. I like it when someone feels more in control of their health after we talk. I like it when the residents confide their fears in me. I like knowing the parents, children, aunts and neighbors of a patient. I like the relieved look that comes over my patient’s face when they see my familiar face walk through the door. I like the satisfaction of writing a simple order that relieves pain or anxiety. I like watching scared interns become competent doctors. When it comes down to it, I do like my job. I’m just so tired.