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One of the most exciting things that Im doing is trying to deliver all the care I do in the context of value. Value is the outcome divided by the cost of that care. Health care right now is unsustainable in terms of its growth and cost. A great deal of success of an operation, just like an airplane pilot flying a plane, or a golfer playing a golf game, comes from preparation. And so preparation has changed over time. We used to simply look at X-rays and a CAT scan, maybe an MRI, and decide what would work, but now we can do virtual planning for surgery, where we actually take the CAT scan images and build a three-dimensional model and do the surgery on the model. And therefore, all the trial and error steps that we do, we dont have to do in the operating room. Ultimately, it allows us to do a more precise job in the patient and do it in a much faster way. Because we have a commitment to improve the quality of life of patients, one patient at a time, we measure everybodys outcome. We