Your first patient is new and you are trying to establish a rapport with her. As you are ready to examine her ears, you notice that the otoscope specula are once again missing. Clearly the exam rooms were not adequately restocked. This makes you angry because you have complained about this problem to the clinic administrator without results. The nursing aide responsible for restocking either is incompetent or lazy. This clinic should be able to hire better support staff. What could you contemplate during the clinical encounter to reduce your frustration and stay focused on the patient