RT Journal Article SR Electronic T1 One Cold Autumn Day JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 279 OP 281 DO 10.1370/afm.1781 VO 13 IS 3 A1 Peter de Schweinitz YR 2015 UL http://www.annfammed.org/content/13/3/279.abstract AB Behavioral change is at the heart of effective primary care, but when patients don’t change, how do we account for our days? In this personal essay, I relate an encounter with a patient who wants to quit smoking, lose weight, and control her diabetes. I am discouraged when she deflects my recommendations, but a colleague’s comment encourages a deeper inquiry. Knowing the patient’s story and deepening the conversation, however, do not guarantee change. The experience reminds me why patience, humility, and faith are core values of the primary care physician.