sickness, this is where it gets difficult. there have been a many a time when i have had to puke between patients or excuse myself in the middle of an appointment to loose my lunch. if i need to leave mid-appointment i find some excuse, for example, “i am going to get a specific instrument, or let the dentist know they can come in when they are ready.” then i rush to the ladies room, do my business, splash my face with water, and return. i apologize for any extra time delay, and if needed explain that i am newly pregnant but all is well, and i will deliver them 