From the aTemple University School of Medicine, Philadelphia, PA

bDartmouth University and Hitchcock Clinic, Hanover, NH

cNazareth Hospital, Philadelphia, PA.

Received December 30, 2023, and accepted for publication, after revision January 14, 2024.

Conflicts of interest and sources of funding: none declared.

C.H.M. is in private practice in Meadowbrook, PA.

Reprints: Carl Howard Manstein, MD, MBA, Lewis Katz School of Medicine at Temple University, 8226 Fairview Rd, Elkins Park, PA 19027. E-mail: [email protected].