The first person he receives has been having mysterious shoulder pain for months, which he'd assumed was 'cramps', but then it suddenly got worse. It's easy to put Minaiyu out of his mind as Xakda practices a decision tree that is nowhere written down, because there'd be too much to write.
Range of motion? Not great. Muscle? Mostly there's too much give, but in weird places . . . definitely not cramps. And motion causes pain here, and here . . . Xakda gets it X-rayed. Yeah, there's . . . certainly a problem! After twenty minutes of studying it, the sheet Xakda hands over to the treatment planners, along with the patient, centrally tells a story about the joint having slipped months ago, leading to bone wear and eventual tissue decay, with meliorating possibility-branches. (He does get a chance to corroborate with Nakoru on this one! Nakoru, unexcitingly, draws almost all Xakda's same conclusions, but still.) That patient's case being the first of the day would qualify for Xakda as 'frontloading his difficulties' but, gambler's fallacy. Then again, regression to the mean! Then again, this whole aphorism-heuristic is based on rewarding yourself for frontloading difficult tasks you have the choice of frontloading, and Xakda has no control over this. So never mind!
The next patient subjectively has some kind of . . . pressure? weird sensation? . . . going on in his ear, chronic although it was sudden-onset. He thinks it could maybe be related to some subjective balance problems he's been having lately? Approximately a half hour after 'Minaiyu' disappeared (ancient laboring sages, what was wrong with Xakda this morning), Xakda is twisting a camera-otoscope in the patient's ear with one hand, and remote-zooming the camera's-eye view on his desk monitor with the other.