Wow - how I wish my rep will consider letting me give it a go! Mark - where is this place that you are presenting your letter? Please let us all know when and where it will be published - you bet that my surgeon, my rep, my pain specialist and many others will be given a copy of it, with a letter of endorsement from me attached. And here I sit, asking the group of wonderful people who pray for me to pray for my programming appt this Friday to pray for "Good Commnication Between myself and the Rep and the Rep and his computer". Well, your example eliminated half of that need! Why indeed have the programmed making a minute change and asking the patient "how does that feel?". Well, of course the patient can find the best rythym in no time at all. It doesn't eliminate the need for a rep, so no one has to worry about losing their job or anything. I'll be asking the rep for a turn at the helm on Friday, and praying for the Lord's grace so I present it in a way that will not offend. Thanks Buddy!