October 5, 2023, Thursday evening, 6:58pm, pacific standard time, hotel room in Bakersfield, California, USA. Spent the whole day working on a quality report. It was exhausting. And I still have 3 more to do before the end of the year and five due before survey window closes in February. The mock survey in Palm Desert ended today. The to do list is daunting. I will start working it next week but I am not looking forward to it. Today, I mentally accepted that my last career accomplishments will center around hospice operations. Something that doesn’t sound bad right on a stress free Thursday night. Check with me at the beginning of next week, it could all change. The only constant in my thought process is inconsistency.