title: In Reply to Lenchus.
authors.affiliation: Internist and current trainee, Faculty of Medicine, University of Toronto, Ontario, Canada; alon.vaisman@utoronto.ca. Director, Division of General Internal Medicine and Geriatrics, University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: Alon
authors.initials: A
authors.lastname: Vaisman
authors.forename: Peter
authors.initials: P
authors.lastname: Cram