Elizabeth Brakebush practices at St. Vincent Healthcare in Billings, Mont. The author has disclosed no potential conflicts of interest, financial or otherwise.

Acknowledgments The author would like to thank Clark Kulig, MD, of Presbyterian/St. Luke's Medical Center in Denver, Colo., Keri Hill, MD, of St. Vincent Healthcare in Billings, Mont., and Brooke Yates, DMSc, PA-C, of St. Vincent Healthcare for their assistance with this article.