Andy asked if I would put stars on the ceiling because he's on his back most of the time.

It has been a long time coming.

Based on our research, it appears that increases in numbers of patients at both ends of the acuity spectrum contribute to ED overcrowding. Some increased volume may be due to severely ill patients who can now be treated successfully in the ED, such as those with irregular heartbeat. At the other end of the spectrum, a growing number of less sick patients are now coming to the ED, particularly in areas without after-hours facilities. This is an access problem.

I work to maintain contact with each chapter, stay in touch with the presidents of each of the chapters [six and growing] and keep them abreast of information as well as hearing their concerns.

It felt great to compete in the floor finals for the first time this season because I really made it a goal of mine coming into this year. I hope to be back here next year competing again for a national title.

They're not necessarily connected to a period of time. Each had a significant period that peaked and waned.