They did not understand the airports before dawn, the snow delays at O’Hare, the dinners where I smiled through exhaustion because one skeptical cardiologist had finally agreed to hear the clinical data. They did not understand sleeping in Marriott rooms with my laptop still open beside me, waking at 2:00 a.m. to answer texts from a rep whose hospital account had turned hostile. They did not understand compliance review, territory planning, prescription trends, physician objections, payer restrictions, launch windows, or the peculiar loneliness of being the person everyone expected to have the answer.

They understood results.

And in our family, results were not treated as evidence of discipline. They were treated as excess capacity.

If I had enough money to buy a nice coat, maybe I could help my sister with her credit card. If I had enough time to drive home for Thanksgiving, maybe I could also stop by Bethany’s apartment hunt and “encourage” her. If I had enough confidence to negotiate with hospital executives, maybe I could “put in a good word” for Bethany at my company, despite the fact that Bethany had never kept a job longer than eight months.