It’s late, a bar somewhere where delegates briefly inhabit both conference identities: serious doctor, frivolous partier. The balance shortly will tip, people gravitating already to the dance floor, but our small group stays huddled in a corner, cradling drinks. One of us—chief partier in her day, now rising academic—sways a little as she holds court. She presented her paper earlier and is, as they say, on fire. Hard to hear clearly, but lean in and you might catch this: at least we’re working on new knowledge, she says, not just wading through endless patients every day.