The morning rush has already broken over your pediatric cardiology clinic like a wave. Somewhere down the hall a toddler is howling about a sticker they did not get, a phone rings unanswered at the front desk, and the coffee you poured forty minutes ago has gone cold and oily in its cup. You take a sip anyway, wince, and pull up the next chart. A referral from a pediatrician, flagged urgent. So much for easing in.