I would sit at my desk in the corner of the clinic to review lab reports at the end of a long day of seeing patients. At the beginning of my career it was a stack of paper sealed in big yellow envelopes, delivered by lab messengers. Usually they were young students, pushing loaded wire carts from clinic to clinic. At the end, it was on the computer, using our electronic medical record system. Push a button and enter passwords. Midwives were expected to see 22 patients during a clinic day. I used my break time and lunch to catch up on seeing patients because it often took more than the allotted time to address issues and concerns. Although a clinic day was scheduled and paid as 8-hours, they often lasted much longer.