The student physician escorts me from the waiting room. She is smiling enough for four people. She asks me how I am and I compromise between her feelings and mine by claiming that I am 'making it'. Her smile trips and she looks overly concerned.

To her credit, all she says is, "making it is good." Had her response been any less kind or neutral or whatever it was, I might have broke just then,. Inside, I am asking how she can see patients all day and expect them to be having good days. My blood pressure is escalating.

I remind myself that not every patient feels as terribly as I do today, not every sick person feels like they should stay home from the doctor's.
I remind myself that I used to make appointments when I was feeling pretty ok.
I remind myself that there was a time before the pain fog.
I remind myself that just as I only barely remember "before" everyone else only barely imagines the fog.
I remind myself of all of those things two or three times, because I am forgetful today.

I borrow some of her extra smile and I try to forget everything I just tried to remember including the pain.