I retired clinically in 2017, so I'm not doing any more patient care. They made it very unpleasant between RVUs, relative value units and basically counting every minute you spent then figuring out whether or not you were actually justifying your salary. And then when the electronic medical records showed up, that was like a death knell. But having said that, what we learned was that sugar was not the cause of obesity in all of them. The other quarter had other things going on. Could be hypotonia so that their mitochondria were not working right from scratch because of some neurologic problem.

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