Staging : a moral capital -- Backgrounds -- Doctor years -- The undoing -- Conclusions -- Departure : a sense of place -- Our house -- Our town -- The practice -- The patients -- Transformation -- Arrival: the fall and rise of primary care -- Decline of the gp -- What is primary care? -- Alchemy of caring -- A generalist approach -- The work of relationships -- Living in community -- The patient-centered medical home -- The challenge of change.