Does it evolve?

It absolutely evolves.

It can evolve from visit to visit, from year to year, decade to decade for sure.

Of course, when there are new medical conditions that come in, like if somebody has a new cancer diagnosis or a new dementia diagnosis, Definitely that'll change that conversation, but it is something that does matter all the time.

And I just had this case that really brought up so many different considerations of this to me.

It was a patient that I've known for several years and he's in his 90s, but in no way do we approach him that he's end of life, like in no way.

He's thriving, he runs businesses, he travels, he does all this stuff.

We'd like to take the