Many thanks to these many overly kind comments from friends and followers. Such words inspire me to more and better. Guidance and comments from all of you have been tremendously helpful. Im lucky to be a rheumatologist, luckier to have so many good friends in this field and luckiest when I/we can make a small daily difference in what we do in medicine. That drip, drip, drip becomes an ocean of good at some point. Bless you all. Jack