Sayed Tabatabai, MD
@TheRealDoctorT
Followers
70K
Following
103K
Media
3K
Statuses
33K
Physician (nephrologist). Writer. My debut book “These Vital Signs” @HarperCollins is now available in stores and online. Owner of @iggythepetrock
San Antonio, TX
Joined October 2013
“THESE VITAL SIGNS” is now available in stores and online, in hardcover, e-book, and audiobook formats. Click on this link for buying options: Or seek it out wherever you buy books. It makes a great gift for students, friends, family, anyone!. Thank you.
23
33
220
The medical student shadowing me looks over my clinic schedule. She sighs exaggeratedly. “Doctor T, your YOUNGEST patient today is 70. Don’t you get tired of only seeing older patients?”. I look down at my patient list, and smile. I don’t see what she sees. 1/.
979
11K
33K
The surgeon’s hand is visibly trembling. The scalpel’s blade glints as it catches the light. I’m a medical student, scrubbed in on the case. I’m not going into surgery, I know that. I’m here for him. He glances at me and notices I’m holding my breath. He grins. “Relax.” 1/.
298
6K
23K
There is a car, in the hospital parking lot. It is a faded red, covered with dust. Other cars have parked and left on either side of it, every day, but this car remains. I pass by it, as I find parking, on my way in to work. I know what it means. 1/.
493
8K
22K
TW: pet animal death. My last patient of the day sits across from me in the exam room. A hulking tree trunk of a man, his arms are folded across his massive chest and he has his usual irritated look. He leans back in his chair. We begin the rituals of the office visit. 1/.
272
8K
18K
“Don’t you wanna see young patients? Isn’t it rough seeing old people, on so many meds with so many medical problems, all the time?”. I look up from my patient list, and my reverie, to respond. “This. is a privilege.”. My student doesn’t seem to understand. Someday, she will.
645
1K
16K
“They just told me I have cancer. It’s everywhere in my body. And you say you’re a kidney doctor? What the hell are you doing here?”. His voice is gruff, and as he looks at me, I feel the weight of his gaze. For a moment I hesitate, then ask. “Mind if I sit down?” 1/.
382
3K
15K
“Why do you want to be a doctor?”. I answer without hesitation, “I want to help people.”. “There are many ways to help people.”. “I want to save lives.”. “There are many ways to do that too. So I’ll ask you again, why do you want to be a doctor?”. “Because I believe in it.” 1/.
181
7K
16K
I glance down at the paperwork my patient has filled out before his visit. Occupation: Retired harbour master. Two things: I’ve never met a harbor master before. And “harbour” with a “u.”. Interesting. It’s the little everyday mysteries that I love most. That reveal us. 1/.
643
2K
13K
Days later, as I round in the hospital, I find myself glancing at his room number when I walk past it. Remembering. The longer you practice medicine, the more faces never leave you. The more memories linger. “What did it take?”. Nothing at all. Time. Every last thing.
363
537
12K
It’s 2020 and students are rotating with me now. I feel the awesome responsibility of trying to impart something meaningful. I try to draw upon the wisdom of the many incredible teachers I’ve had along the way. The students will learn the science. It’s the art that’s elusive.
235
619
10K
Sometimes I wonder. How much gas is still in the tank? How many journeys were still planned, or unplanned? Where did it go? Where was it going?. It was a beautiful car, once, I can see that. As I drive past it, I pray for rain. (For all the love we leave behind - ST, 2/20.).
301
511
9K
There’s a ghost on the corner of 3rd and Broadway. I noticed him the other day, as I made a left turn at the light. He wasn’t there a week ago. He must be new. Nobody I recognize, but then again, his face is blurry and indistinct. I look at him now, and I drive past. 1/.
257
3K
8K
Nephrologist here. Avoid coaches like the guy in the tweet below, and familiarize yourself with heat stroke warning signs: This is the 3rd leading cause of death for high school athletes. Don’t die because your coach doesn’t understand basic physiology.
Imagine your kid's high school football coach posting this on Facebook.
105
2K
8K
He laughs. “Beer and Skittles, doc.”. He shakes my hand, we say our goodbyes, and I sit down in my office to chart. Name. Date of birth. Diagnoses. Data. Forms. Structure. None of it conjures the image. A dog, a car, a way home. Three wishes. Ships in a harbor. Harbour.
415
249
7K
It isn’t easy being 80 years old. Things don’t work like they used to. People don’t treat you like they used to. I’m standing before the shower in my hotel room. “Temperature?” A voice asks me. “Warm, but not too hot,” I answer. The shower starts, the water’s perfect. 1/.
201
3K
7K
One day Mike doesn’t show for his appointment. I know something’s wrong when his wife sends us a bouquet of red and white roses, and a note. “Mike passed away in his sleep. It was peaceful. He loved you and your office staff very much. Thank you.”. My heart is broken. 10/.
30
207
7K
Twenty years ago, I gave a medical school interview. I wore my best suit. I sat up straight. I said I believed in medicine. I meant it. Some part of me once burned brightly, but that fire is down to flickering embers. Our lives mean more than this. More than this.
135
627
6K
Anjali brings me food, without fail. All sorts of delicious desserts that she cooks herself. I once tried to refuse (I’m trying to lose weight), but she looked like she would cry. Her husband explains. Their son died in a car accident years ago. She used to cook for him. 5/.
14
174
5K
“Doc, why did you stop asking about the smoking?”. “Because I know you quit.”. He grins. “Maybe I just washed my clothes real good.”. Considering this, I sigh. He laughs, “Just messin’. Crap was getting too expensive anyways, I just bought a Tesla. ”. I can’t help but laugh.
32
124
5K
John and Lucy always come to their appointments together. Sitting beside each other, they hold hands. Every. Single. Appointment. I’m always moved by how quiet each one is when it’s the other one’s “turn” during the appointment. They’ve been married for sixty years. 4/.
4
187
5K
Howard can barely hear me. Every single visit he apologizes for being almost deaf, and explains “I LOST MOST OF MY HEARING IN THE WAR!”. He has a photo in his wallet, of him in military uniform. I ask him how he won the medals he’s wearing. He grins. “I KEPT MY HEAD DOWN!” 6/.
6
152
5K
Alma has an amazing knack for gardening. I look forward to her appointments so I can learn more about what’s in season in South Texas this time of year. We discuss how therapeutic it is to watch a plant sprout. Her secret?. “Love.”. Every living thing needs love to grow. 7/.
7
294
5K
Every day I see the same cook in the hospital cafeteria. I say hello, and ask him the same question. “How’s it going?”. He always smiles and shrugs, “Eh, not bad for a Monday.”. Except he says “not bad for a Monday” every day of the week. Finally I ask him about it. 1/.
126
1K
5K
I’m on call this weekend. Anyone else out there noticing an uptick in severe nausea/vomiting/diarrhea cases, or is it just me?. Feels like something unusual going on.
610
615
5K
Steve plays tennis almost every day. He’s in his late 70s, and one day, finally, I have to suggest that he start toning it down. I’m worried about dehydration. He says he understands. He’ll tone it down. He promises. Then he starts walking his dogs for four miles a day. 8/.
11
137
5K
Gladys shows me a photograph. She seems proud, and I regard it carefully. It’s a black-and-white shot of a concert. A young singer has his back to the camera. The rest is a sea of screaming fans. A young Gladys is in the front row, clearly visible. The singer?. Elvis. 3/.
9
125
5K
Mike is one of the kindest human beings I’ve ever met. He brings my entire office staff a bouquet of red and white roses every single visit. His smile is gentle, his eyes are kind. He asks me how I’M doing at the start of every appointment, and really wants to know. 9/.
2
147
4K
At first glance, you might find Carl a bit intimidating. Gruff and with a jaw that stubbornly juts out, as if DARING you to try him, he seems perpetually irritated. But Carl runs a dance studio, and still dances every day. At 70. And when he smiles, the sun shines for him. 2/.
13
147
4K
“Did you see how happy you made that kid? You make someone happy like that, and it’s special. And what did it take? Just a toy.”. I nod. “What did it take?” becomes a mantra for me. How simple kindness can be, how easy, if you’re mindful. How positivity can ripple. 9/.
10
324
4K
A time will come, after COVID, when our society will need us to rely on each other to do the right thing again. There’s a ghost on the corner of 3rd and Broadway. I noticed him the other day, as I turned at the light. He wasn���t there a week ago. He won’t be gone tomorrow.
224
238
4K
The first feelings were overwhelming gratitude. Gratitude for the privilege, for the science. And then I thought of everyone who will never get a chance to feel the small sting in their shoulder, and the warmth of hope. I made it back to my car, and sat down. And I wept.
114
340
4K
Thank you so much to everyone for the feedback and shared stories and kindness! I made a promise once that I would respond to every single comment. I intend to keep that promise but unfortunately my lunch break is over so it’s back to work for me. I’ll be back. Thank you 🙏🏻❤️.
111
85
4K
Insurers refusing to cover prosthetic limbs, and lenders repossessing prosthetic limbs for non-payment. Again, it feels like we are approaching an endgame. What it is or when it will be, I don’t know. But it’s coming.
122
2K
5K
Our healthcare system is too often unethical, immoral, unsustainable. The insurance paradigm is focused on revenue generation. It strips the basic human dignity from patients, to the point where they can’t even make eye contact anymore. I know that I’m part of this system. 9/.
11
797
4K
All I did was sit down in his room every day. Sit down and listen, and eventually talk. There was no great medicine I prescribed, no cure. And yet I faced the music with him, and it was my privilege. As I get up to leave, we say our goodbyes. I feel a wave of grief. 14/.
17
113
4K
I turn off the lights. These bulbs are old, not the newer LEDs. There is a lingering glow as the hot tungsten filaments gradually cool. I watch them as the room slowly goes dark. A lingering glow. and then nothing. I am exhausted, but I can’t sleep. A monster awaits. 1/.
163
2K
4K
He shows me photos of his new buddy, named Tesla, because he can’t afford the car but now he can still say he owns a Tesla and impress the ladies. I groan, but can’t help but laugh at his newfound (cheesy) sense of humor. I make a mental note to name my future dog “Castle.” 10/.
7
125
4K
I feel it. There’s something insidious here. A casual cruelty we’re all complicit in. “I can’t go to rehab, insurance won’t cover it.”. “Insurance won’t pay for that medication.”. “I can’t afford any of this.”. “I’m uninsured.”. This isn’t right. None of this is right. 12/.
25
547
4K
On the morning of his 95th birthday, Joe woke up at exactly 6AM. This small irony never failed to irritate him: he had never been a morning person, but the more the years passed, the earlier he woke. “Well, this is it!” He said, to no one, as he swung his legs out of bed. 1/.
128
668
3K
The elevator doors slide open. There’s already someone inside, one of the hospitalists. He moves over to one side as I enter, subconsciously distancing. I look at him and smile, “Coming or going?”. He doesn’t answer right away. Instead, he pauses, as if trying to remember. 1/.
155
1K
3K
And I find myself wishing. Wishing with all my heart. That this human being whose life intersected with mine on some random September morning, be granted all three of his wishes. How precious is each grain of sand in the hourglass. How easily the dreams slip away. 14/.
4
69
3K
Patients I see who’ve lost weight with GLP-1 agonists like Ozempic often seem embarrassed when they mention it. Don’t be embarrassed! Your blood pressure is great, your A1C is down, you look and feel great, your quality of life is better. This is the whole point of Medicine.
56
205
3K
“Sure you can doc. But people already know. Lots of people deal with this. It ain’t that people don’t know. It’s just that nobody cares. Nobody gives enough of a damn to change anything. Nobody. cares.”. The visit ends. My Zoom window closes. His window closes too. 11/.
11
355
3K
Every Halloween one of the amazing PAs I work with dresses up as her attending, and it cracks me up every time.
22
93
3K
I went into medicine to help people. No, really, I did. I know it sounds corny now, or fake, I suppose. But there was a reason for this. At least once. I have to keep telling myself that. Keep remembering that. Because I’m running out of time. And I want you to know. 1/.
114
272
3K
And just like that, I’m again struck by the cruel illusion of what I do. The system I’m part of. This patient did everything right; got insurance, paid his taxes. And he still has to barter years of his life. And he can’t bring himself to look me in the eyes as he does so. 8/.
8
367
3K
There are always questions at the end of the visit. It’s only natural. Nobody remembers everything. I’m used to clarifying and reiterating. But your question catches me off guard. “Did you know that hummingbirds remember every single flower they’ve ever visited?” 1/.
94
1K
3K
He suffers from a rare cardiomyopathy, and has been hospitalized for weeks. He awaits a transplant. His heart is failing. He’s 23. I am a resident on the heart failure service. It’s known as “the rock garden” because of how chronically ill and complex the patients are. 1/.
126
1K
3K
“First, I have to outlive my dog. She’s all I’ve got. She’s beautiful. She was an award-winner. Four times! She’s my best friend, and I have to see her off. She’s old, my age in dog years.”. He gestures with arthritic hands, fingers trembling. Life is a delicate thread. 11/.
6
55
3K
Someone who’s always immaculately dressed at work sent me this little explanation as to why. I wasn’t expecting reason #3, and it hit me hard. It’ll stay with me.
76
209
3K
Sitting in my car, I exhale deeply. I look at my hands gripping the steering wheel, something I can control, knuckles turning white. Was today a Monday or a Friday?. A blessing? Or just another damn day?. Tears threaten my vision. It’s a long road back. I drive.
123
70
3K
It starts with a subtle unease. She can’t describe what’s wrong with her because she isn’t even sure there’s anything wrong. Something just feels . “off.”. Maybe she’s a little tired. Maybe she’s a little stressed. Maybe her college classes are too much. Who knows? 1/.
81
698
3K
Oh I get it. I understand the stats, and the low likelihood of serious illness. I get all of that. I just don’t see it. I see another full hospital. I. Am. So. Sick. Of. This. All that remains of me is raw exposed nerves, and deadened scar tissue, in equal measure. 8/.
6
231
2K
I don’t talk to him about smoking anymore after that. Instead, every time I see him in clinic, I let him talk, and I look at old photos of him and his dog, Lucy. The only friend he’s ever had who never judged him. What intensely lonely lives some of us live. So many of us. 7/.
10
122
3K
“Second, I’ve got to own a Ferrari! I loved cars my whole life, always said I’d buy one, but I never could. Money always had to go somewhere else. But, you’ll never believe this doc, I bought one! It’ll be here in three weeks. Used, and old, like me. But still kicking!” 12/.
2
44
2K
I shadowed a surgeon once upon a time, and saw him write a progress note:. “Surgery. Stable.”. And then he signed his name with such a flourish it took up 3/4 of the remaining page (paper charts back then). I think about that progress note. Often. #callweekend #notesnotesnotes.
94
100
3K
Working in a hospital every day, I am always aware of time’s passing. Babies are being born on one floor, as people die on others. This life is delicate, and finite. If there’s one thing I wish I could convey in all my writings, it’s how fragile all of this is. 1/.
59
589
2K
I don’t understand why some events leave such a collective mark on our psyche, while others we’re supposed to just let slip away. 800,000 people dead and counting. We aren’t equipped to grieve on that scale. But we can, we should, acknowledge it instead of pushing past. 9/.
9
233
2K
*phone rings*. “Hello?”. “DAD!”. “Yeah! What is it? Aren’t you at work?!”. “YES, HE FOLLOWED ME BACK”. “Huh? Someone’s following you?!”. “NO, ON TWITTER!”. “Who?!”. “THE PRESIDENT!”. “Biden? Oh wow, that’s a big deal-“. “NO, THE PRESIDENT OF MEDTWITTER!”. “…”. *click*. “DAD?”
52
57
2K
The day I quit medicine was a Thursday, in 2004. I was a freshly minted intern, arriving at my teaching hospital with that uniquely confusing mix of optimism and imposter syndrome that had defined my medical education. I thought I was ready. Instead, I was hopelessly lost. 1/.
54
518
3K
The phone call comes in the early morning hours. It is a call they’ve been dreading. His wife’s hands shake as she fumbles with her phone, trying to use FaceTime, her vision blurry with tears. He sits silently beside her. While she sobs, he remembers. These crooked paths. 1/.
94
864
2K
I tell him he doesn’t really need a follow-up visit. “It’s okay doc. I’d like to follow-up, if it’s no bother.”. “It’s no bother at all.”. “Good. Good. A place for every boat.”. “Beer and Skittles,” I blurt it out without thinking. 16/.
4
36
2K
Good thing I don’t use much Normal Saline or Lactated Ringers…. wait what.
123
448
2K
“And third, I want to go home. I came here for my children. But I want to go back. Someday, before it’s too late.”. He trails off, and I see the gentle rise and fall of his chest. The way he clasps his hands together in his lap. Suddenly, he seems very small. Frail. 13/.
3
42
2K
“When the dog looks at you, the dog is not thinking what kind of a person you are. The dog is not judging you.”. -Eckhart Tolle. “My name is Dug. I have just met you, and I love you.”. - Dug, the dog, “Up.” 2009. (A 🐶 Thread).
81
402
2K
He’s almost 100 years old, and yet he springs up from his seat when I enter the room. He shakes my hand so firmly I can feel the sting in my knuckles. His smile is ear to ear, and his eyes are bright. “Doctor, how are ya? Good to see you!”. I can’t help but smile, “Hello!” 2/.
5
47
2K
Medicine, like life itself, is an exercise in managing uncertainty. It’s okay to be unsure. It’s okay not to have all the answers. And it’s okay to figure things out as you go. Cultivate resilience, and patience. You’re not alone. You’ll be fine.
89
564
2K
I realize I have to say something. I have been silent too long. So I stammer the first thing I can think of. “What kind of dog is she?”. He smiles, his eyes sparkling with the joy of the memory. “Alaskan Malamute, doc, she’s a real beauty. I’ll bring a photo next time!” 15/.
3
35
2K
I have loved Medicine, for many reasons. Every day that I have been privileged to practice. And I am keenly aware that I will never love what I do more than when I wait for an almost 100 year old harbor master from New Zealand to tell me the three things he has left to do. 10/.
5
71
2K
@PplwhoannoyU2 @closecalls7 Turned off the volume, called my parents to say goodbye, pre-dialed 911 for cardiac arrest, propped up the phone against the wall on the other side of the room, stared just above the screen so I could watch it through my peripheral vision….
19
62
2K
He has chosen to pursue hospice care, and will be going home to his family. I am grateful that he will be at peace, surrounded by people who love him. He thanks me for spending time with him, and “facing the music” as he gruffly puts it. I thank him for his kindness. 13/.
1
29
2K
COVID patients are short of breath, again. I’m looking at the same damn chest x-rays, again. They tell me this is a milder variant. What does that mean? “Milder?”. Can you please sit down and explain it to the ghost outside that room over there?. That it was only “mild”? 7/.
2
296
2K
It’s a strange feeling, to realize that everything you ever wanted and worked for was a dead end. I am a third year medical student and I have no idea what to do with myself. My whole life I’ve worked for this, and now. nothing. 1/.
111
720
2K
At some point your parents picked you up, set you down, and never picked you up again. I don’t know who first said that, but the thought has been lingering with me. There are invisible milestones we cross every day, unknowingly. Last times, and first times, for everything. 1/.
104
508
2K
They’ve been married for forty-five years, and reached the point in their relationship where most of the communication happens wordlessly. A subtle smile, a nod. A “hmm” or a “yeah” or the occasional “fer sure.”. Their love reaches a place, deep down. 1/.
73
874
2K
“You said you lost people you knew.”. I nod. “Almost everyone did, in the end. Everyone knew someone.”. “Did you lose something too? A part of you. ”. I know what she’s asking. We rarely discuss it. Some scars never leave you. You have to heal. I smile, and say nothing.
120
142
2K
He grins, “You laugh doc, but when I started out as a harbour master, I wasn’t armed. By the end of it, I always had a gun!”. I arch my eyebrows at this revelation. He nods solemnly now, “You’d be amazed how angry people get, when you ask them to follow the rules.” 7/.
6
73
2K
Someone once told me I have no taste, because I like pretty much all cuisines and most genres of music and film. I think it comes from working in a field that constantly reminds me that our lives are short, fragile. Finding joy in as many places as I could is a choice I made.
84
172
2K
The COVID wards are being reopened, again. This time, however, it’s different. There’s no sense of imminent danger like there was before. The feeling of fear has been replaced by a grim inevitability. Return to work, fast as you can. You are expendable. You always were. 4/.
9
246
2K
He shows me the photo taken of him cradling her the day she was taken to be euthanized. I look up at him and see his eyes filled with tears. And suddenly I understand, clearly. The quiet anger, the folded arms, the smoking, all of it. We grieve in so many different ways. 6/.
5
117
2K
At the day’s end, he asks me if I have any questions. I have one. “How did you know that patient had a dog?”. He smiles. “Doggie bone on the keychain, bedside table. There’s another lesson Sayed: observe!”. I laugh as his bushy eyebrows wiggle to accentuate his point. 20/.
7
86
2K
At the end of the day I head back to the parking lot. As I walk, I remember a conversation I had earlier in the day. “Did you know in some languages the words for “tomorrow” and for “yesterday” are the same?”. Time is a circle. We only perceive the direction of its flow. 15/.
6
124
2K
Ostensibly we are here to talk about this delightful gentleman’s kidneys. But the truth is, his kidneys are fine for his age. There isn’t much to change or do differently here. I tell him so. He nods, “Getting old isn’t all beer and Skittles! Glad the beans are alright.” 4/.
5
41
2K
“Treat everyone you meet with respect, and kindness. Especially the patients.”. He pauses for a moment, looking back at me over his shoulder, as if making sure he didn’t lose me. “Especially them, ok?”. “Ok.” I nod, filled with the enthusiastic resolve of the novice. 10/.
5
181
2K
The patient is a relatively young man. He is confused, mumbling nonsensical phrases. I ask him what his name is. He stares at the ceiling with glassy eyes and says “cookies and cream.”. His kidney function is normal. I have been asked to see him for acidosis. 1/.
90
999
2K
“I used to make sure that all the boats, they all were in the right places. From the little tiny ones to the big yachts. Followed the rules. Ran the show and all.”. I listen, and ask, “Did you enjoy it?”. “Oh I loved it. But it wasn’t all beer and Skittles!”. I laugh. 6/.
4
37
2K
As death lingers in the hallways, and steps into the rooms, I think of you. I remember you, and your trivia questions like flowers. Like a hummingbird, I remember every single one.
95
84
2K
Wake up with a strange feeling in the pit of my stomach. Not quite anxiety, not quite fear. Shower and it doesn’t go away. Drive to work, construction on the roads, take the detour. Park and exhale, overcome inertia and get out of the car. The air is unexpectedly cool. 1/.
88
509
2K
I have to ask. “Where are you originally from, sir?”. “New Zealand!” Is the cheerful response. Ah yes. Harbour not harbor. “And what does a harbor master do?”. He laughs, whole-heartedly. The crows feet around his eyes crinkle as they must’ve countless times before. 5/.
8
36
2K
“I’m trying to make you better. Learn from me!”. I know you were talking about a video game. But I also know your words will never leave me. I am so deeply sorry. I hope someday I’ll see you again, in a place where the wi-fi is always great, and all hearts beat strongly.
83
68
2K
It’s a strange mindset to want others to suffer in a toxic system that you suffered in, but now have the power to change for the better. If you went through something terrible, making sure it’s perpetuated is a sickness, not a strength.
30
469
2K
The harsh truth is that my day would be easier if I didn’t sit down. If I just stood at his bedside and spoke fast, did a perfunctory physical exam, and moved on. The system incentivizes me to see more people, faster. And the faster I’m done, the faster I can go home. 3/.
2
65
2K
As I take a seat, I instinctively pull my seat closer to his. With my patient population, I’ve learned to sit closer, to speak slower, and louder. Be direct. Sometimes I forget to switch this off. Sometimes younger patients wince and tell me to stop yelling at them. Sorry. 3/.
2
36
2K
I notice the small details, soaking them in. He knows all the nurse’s names. The clerical staff. The janitors. The security guards. The transport staff. And he greets everyone. He even pronounces “Tabatabai” correctly, on the second try. I realize it’s about respect. 12/.
3
82
2K
He’s old enough to be my father. Some part of me imagines that he is my father. Tears threaten my vision, as a hot anger floods me. Now I wish I could angle my camera away. I ask him if I can write about him. Because people need to know. His response lingers with me. 10/.
8
111
2K
It makes me think of World War I and trench warfare. We keep digging these trenches to nowhere and convincing ourselves everything’s okay, only to hear the whistle again and be given the order to charge. And so we charge into No Man’s Land, side by side. Surge by surge. 5/.
6
141
2K
If I don’t respond to your survey on physician burnout, it’s probably because it’s in the middle of a COVID surge and adding to my burnout. There’s no need to send any more reminder emails. I chose not to do it the first time.
27
97
2K
We start having conversations that extend beyond the scope of his illness. Conversations about life, and our experiences. We have unexpected things in common, and discovering them is a unique joy. The day finally comes where I take a seat in his room for the last time. 12/.
2
34
2K
I have only ever known you within the confines of this exam room in my office. Years ago, you were sent to me for a consultation. Understandably nervous, you had all your questions written out on a notepad in your spidery handwriting. You believe in being organized. 1/.
66
222
2K