Eric, I concur. Yet the hassles and obstructions we deal with (insurance, bureaucracy, funding) are the price we pay to play - and all must endur these or retire. THe message is (primarily to fellows and young rheums) that KOLs, experts and leaders such as you find a way and find the time to do that ONE important thing - or in your case, NINE important things. My hope is that this gets ingrained early on in ones career or motivates the seasoned rheumatologist throughout her/his career. I appreciate what you've dedicated much of your professional life to such change. JC