You became an employer without applying for the job and a leader without being promoted. If you do not set aside the time to decide where the clinic is going, the day-to-day decides it for you.

There is a reason they come anyway, and the same reason applies to the clinic you built yourself. About the patient who canceled, the man who called an ordinary clinic day insane, and why you have to make room before you can build anything new.

You never wrote it down, but your clinic uses it several times a week. The reminder nobody has looked at since the system was installed, my own mistake with a no-show policy, and the three sentences that decide what happens when a patient does not show up.