One goes through school college medical school and one's internship learning little or nothing about goodness but a good deal about success.
Nobody had ever told me junk food was bad for me. Four years of medical school and four years of internship and residency and I never thought anything was wrong with eating sweet rolls and doughnuts and potatoes and bread and sweets.
The dilemma of modern medicine and the underlying central flaw in medical education and most of all in the training of interns is the irresistible drive to do something anything. It is expected by patients and too often agreed to by their doctors in the face of ignorance.
There were two things going on: 1) I had already established in my own mind where I wanted to go with the next series and having James around as a Grey Eminence would have complicated matters. He had had an amazing life and it was time to bid him good-bye.