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Stan needed rest, but there was no letting up. His schedule was outrageously full: appointments, meetings, consultations, and routine activities kept him in the office and hospital almost eighteen hours a day. As if this weren't enough, medical crises came up during the night, and several nights a week he would be called in to attend to these problems. He missed his wife and children, who went on a European vacation without him. He was running short on steam, as he said to his colleagues. Even though doctors have hectic schedules, he knew he needed a break.