I know that one of JCAHO's new initiatives is to insist that health care facilities adopt a low-tolerance policy towards rude, demeaning, and verbally abusive physicians. From my perspective, they are still alive and well and stomping, hissing, and flapping their wings at the nurses. Have you seen any decrease in the willingness of physicians to go on the attack against nurses who dare to bother them about patient needs, hospital policies, necessity of nurses to stay within their scope of practice, etc.? Because I am getting too old for the putdowns.