It was a slow midday shift in the Summer of 2011 when I was working with a patient who happened to have a day off from work. Usually, this patient was one of the last patients of the day; a time when the clinic was super busy with patients everywhere, multiple therapists and aides moving back and forth between cases. As the manager of the clinic, the challenge was trying to control the chaos while treating multiple patients at a time. But on that day, it was nice and quiet. The patient noted how odd it was to be here when the clinic wasn’t moving at full tilt. The differences didn’t stop there.