Jacob looked for her all evening and was disappointed when the lights went out for the night.  He did not sleep well ... every turn caused pain that woke him up.  He tried to sleep on his back but found that equally difficult.  When she finally arrived the following morning, he greeted her with a weak smile ... "Oh, it is okay, Doctor.  I know you must be busy."  He shrugged his shoulders, "I am alright ... I did not sleep well last night ... had pain in my side when I moved."  He looked at the tray with concern ... he knew what the thermometer meant, but the other items, well, he was not sure.  He looked questioningly at her ...