The piercing sound of my pager echoes against the hospital hallways, alerting me to my next consult. Instinctively, I call back to receive report. It is 3:00 pm and my 20th day on the consult services. I am fatigued. My body is drained from the repetition of rounds, the sleepless nights spent anticipating a 2:00 am page, the office practice follow-ups, grand rounds, nephrology journal club, and life itself. I want nothing more than to retreat to the comfort of my own home. My mind wanders aimlessly, dreaming of the day that consult services are done.