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My stethoscope felt like an iron shackle that Tuesday. Thirteen complex cases back-to-back - the diabetic foot ulcer weeping through dressings, the toddler's wheeze rattling like marbles in a tin can, Mrs. Henderson's tremor making her teacup dance during our entire consultation. Each encounter piled invisible paperwork bricks on my shoulders until my spine creaked under the weight. I'd developed a Pavlovian flinch every time my EMR login screen flashed, anticipating hours of robotic typing that

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Rain lashed against the ER windows like gravel thrown by an angry god. 3 AM. My fifth double shift this week. Mrs. Alvarez's chart felt heavier than lead in my hands - 72 years old, presenting with tremors, confusion, and this unsettling, intermittent fever that defied every pattern I knew. Her family's eyes followed my every move, dark pools of fear reflecting the fluorescent lights. My coffee had gone cold hours ago, but the acidic burn in my stomach was fresh. I'd run every standard test. Lym

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