We tend to see patients less intensely because patients are busy and we have found for most patients you have good results. As my records show, I do not see patients today for briefer treatments than when I began my practice. The big difference is that I see them less intensely. As managed care companies understand these changes in practice patterns and realize they do not need to micromanage, hopefully there can be more trust and dialogue between clinicians and payers and less confrontation and anger.
