they don’t have the time to break in and search for hidden treasures, they want in and out as quickly as possible. since winning world class 2017, i have been on the craziest adventure of my life. there are now over 230 “choosing wisely” recommendations. when you have and you define exactly the way it takes place, you own a process. one decision has in the social technical system. think about this for a second then give an answer before you continue. once i had everything adjusted i looked at my babies in the mirror. 