Doing the work that people dont see. Instead of enjoying my morning in Vancouver, I'm writing reports. Why aren't consults free? An hour in the office is what people think they are paying for, but there is another hour planning and reviewing the case and talking to referring doctors, another hour writing the report, and surely more time to be spent fielding email questions and phone calls.....and then there is dealing with insurance. There is a lot of work that goes into a proper consultation!