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Too many big moments to do justice to a single conversational thread on this episode. Dr Dave's eldest grandson is graduating 8th grade today, which is a huge deal for some of his buddies who are Amish. They're done with formal education. Meanwhile, an update on David's Pappy and his ascendancy to nursing home royalty challenges any assumption that we might ever, truly, be done. Respect to all since, as David closed with, "I can work a crowd but I can't milk a cow."