I am sure that you all occasionally receive a grateful letter from a patient or family member. I won’t forget the day I came home and found a legal-sized envelope that had a soft blue background with clouds and a return address of heaven. It was from Blaise, a 6-year-old who had died from metastatic medulloblastoma a couple of months before. He thanked me for being there for all of his procedures, providing anesthesia or sedation and letting me know he was having a good time in heaven. As you can guess, the letter was from his mother, who taught me a great deal about love and faith.

I start with this story because I want all of us to remember as we are confronted with many professional issues of administrative burden, burnout, economic discrimination and practice disruptions why...

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