CARNES, Circuit Judge:
One day Dr. Jorge J. Leal, a urological clinician and surgeon, was waiting for the operating room at Cape Canaveral Hospital in Cocoa Beach, Florida to become available. It was, as the doctor would later describe it, "a very long day." And not a good one for him. Instead, it appears that, like Alexander in the classic children's story, Dr. Leal was having "a terrible, horrible, no good, very bad day."
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