It is strange, being in the routine I’ve had for years after some time away. The trees are starting to explode into color, a marked shift from the steaming heat the last time I was seeing patients. My tiny car is parked outside, and I watch it from my office window, its color starting to match the emerging fall palette behind it. It’s the same car I’ve had for 8 years, one of the few things that hasn’t changed. I run to the restroom and look in the mirror. My hair is crazy,