And so I began to come in during every attending stint in the darkness before—way before—the dawn and more wonders appeared. The nurses appreciated the time and the colleagueship and could tell me things that I otherwise would never had known both about the patients and themselves. Their generosity of spirit, their true concern for patients, and their professional expertise became much more evident than it had been to me in the more frenzied environment of the daytime. We had coffee together as we discussed the patients, and I was able to teach them, as they were able to teach me. I had time to speak to families, particularly those of the severely ill, since the families would often be in the rooms with their dying parent or spouse, and they deeply appreciated the uninterrupted process of discussion—again a rarity during the daytime. Far from resenting my early visits, the sentient “old” patients asked me to be absolutely sure to wake them when I came, as they had much to tell me. I was able to dictate the findings of the complete history and physical exam very early in the morning, and I had the dictated record, both of new patients and follow-up, in the chart by that same afternoon. I felt again as if I were making a contribution to patient care, rather than serving in a secretarial function for billing purposes. I actually began to think what I said might make a difference, not just in the generation of clinical revenue, but that people might read my work-ups and get ideas from them. In short, write-ups became more enjoyable and less rote documentation for faceless bureaucrats to use to decide whether or not I was a cheat.