On a sunlit afternoon the following spring, Maria came by the clinic with a paper cup of coffee and a letter from her patients thanking John. The note said the clinic had managed to reduce unnecessary referrals and had improved antibiotic stewardship because staff could reference clear, practical guidance when it mattered. John smiled and turned a page in his battered eighth edition. In the margin beside a paragraph on chest pain he had added, months earlier: "Teach what you can. Share what you must." It was, he thought, a fair prescription for the work of care.