In the words of Prof. Dr. Daniel Masys (formerly Chair of Vanderbilt University's Medical Informatics Department), the challenges of working with EAV stem from the fact that in an EAV database, the "physical schema" (the way data are stored) is radically different from the "logical schema" – the way users, and many software applications such as statistics packages, regard it, i.e., as conventional rows and columns for individual classes. (Because an EAV table conceptually mixes apples, oranges, grapefruit and chop suey, if you want to do any analysis of the data using standard off-the-shelf software, in most cases you have to convert subsets of it into columnar form. The process of doing this, called pivoting, is important enough to be discussed separately.)