He is probably writing a number of letters to people, he maintains correspondence with many many people, who care about him, and I know that he is probably doing whatever one does psychologically and emotionally, to get ready for something like this.
They are the difference between (local) care and going for a lengthy drive, ... The challenge is how you maintain this to be the preferred health care provider for people in this area.
There is a challenge in North Carolina ... to some of the most rural areas trying to piece together a health care network,