Hi doctor Howard, can you tell me a little bit about the patient Chris Frazier who fell and injured his wrist yesterday? Sure. So, I wasn't there when it happened, I got a call last night from my resident who was taking care of the patient after it happened. So, I can only tell you what I've heard through here saying. That's okay. That tripped and fell kind of a standard thing. We unfortunately hear about it all the time. It seems to happen a lot not just on this floor, but just everywhere I go patients are falling. It seems a big problem throughout the hospital. What are the barriers that you see to addressing falls? I don't even know. There's so many different things that many different people are trying to work on. And nurses are doing pieces of it, doctors are trying to do pieces of it, leadership has ideas, I don't know. People are trying to work on it all together which I think is a great idea, but there are still silos of things that are happening only within one group or within another group that people aren't really working together. I think there's always the typical things, there's probably equipment that could be upgraded, there's probably education, there's probably staff engagement, people who really need to care, we might need to hire more people. There's lots of different things we could look at, the question is going to be how do we actually do it? I don't really know. So, the other thing I think is really important is the issue of data. We don't even know where to get data on all the number of patients who do fall. We have one reporting system, but it's not required. It might be in the chart, it might not make it in there. I think we need hard data to be able to really see how big of a problem this really is. Is there anything you think we should be doing with residents or with attendings or really with anybody that's the only multidisciplinary team? I think the important thing is to have doctors, nurses, everybody work together on this kind of problem. This is one that me as a doctor I can't fix. I'm a surgeon, I'm in the operating room doing my thing, and I'm on the floor relatively small amount of time. So, I really count on the nurses as the frontline team to be dealing with this issue of falls. I'm happy to help, but I don't really know what I can even do. And leadership has told us we have to fix the problem, but I don't know that I'm the one who can lean the charge. I'm happy to help, I just don't know how to do it when other people are really the ones at the bedside right when it's happening. From my standpoint, I've heard problems of patients being rushed out of one area maybe the recovery room to get to the floor to make room for the next case, and maybe they're getting sent out with too much sedation, maybe they're still a little drowsy after surgery and they aren't able to get up and go to the bathroom on their own and they fall. Maybe that's what happened in this case. I don't know specifically, but I do know we're under a lot of production pressure to get the cases done and move the patients along the way, maybe that's a part of the problem as well. Yeah, I see your point. We will include you in future work as we start thinking about this. But I agree, when you're in the OR is a little hard to figure out how you can make sure all patients are safe on the units. I'll try my best. Thanks for your time.