From the Grey Bruce Health Services, Owen Sound, Ontario, Canada.

Corresponding author: Rami Shasha, MD, FRCSC, Dip ABO, Grey Bruce Health Services, 1800 8th St East, Owen Sound, ON N4K 6M9, Canada. Email: [email protected].

Disclosures: The author has no financial or proprietary interest in any material or method mentioned.

First author:Rami Shasha, MD, FRCSC, Dip. ABOGrey Bruce Health Services, Owen Sound, Ontario, Canada