With inflation, reimbursement cuts, and staffing costs since pandemic has anyone practicing considered going back to Anesthesia? Some of these rates are undeniably great. I'm still young, when I decided to do my pain fellowship the market was hot for outpatient pain jobs, now I see a trend for Anesthesia jobs, there is a definite shift happening and I am wondering if many people who are in pain are considering switching back? And if you are not switching back is it because you haven't done the anesthesia part in a while or because you think pain is still financially lucrative?