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An excellent piece by Dr. Temte. It did bring back a flood of memories, more so than just about the medical admits because after doing obstetrics and medicine for 30+ years many of my drives home were great nights despite the challenge. Over time, I relied less on the radio. I just watched the difference in the sky between 6 AM and 4 AM or 2 AM. My rides home always allowed me some reflection on the power of grace-both that which was given to me, and that which I might bring to the medical situation. No one ever asked for more call. And no resident today wants to hear my stories of a Bronx Lebanon residency in 1990, or a private Physician going in to spend a night (or two sometimes) with your laboring patient. My residents now have different priorities, and more debt. They have less children and yet more concerns. They worry about retirement and ask about "mental health days". We may have robbed them of wonder and left them bereft of grace. I hope in years to come, they can look back and see the touchstones and the markers and recognize they too were touched by grace on their night calls. "Attention must be paid" to all our Willy Lomans. Thank you, Dr Temte.