Abstract
Welcome to Shelbyville, city of progress” proclaim yellow road signs. I don't like goodbyes, but after 7 years of driving 30 miles to Shelbyville every Thursday afternoon I'd had enough. It was perfect when I was new in practice—they didn't have a rheumatologist and I didn't have enough patients, but now I found myself too busy to justify all the extra driving to keep going there. But I felt guilty about deserting my patients in Shelbyville, knowing that many the more elderly ones would not be able to drive to see me.
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