We are into fall already, and we did receive about 2″ above our monsoon average for rainfall this year. As a result, we are seeing more patients complaining of nasal and eye symptoms, and in addition the garden variety fall viruses are active in the community. During the past year or so, we have been blessed with the addition of several new inhalers for asthma and for COPD, which are making it easier to control our patient’s asthma exacerbations. We are currently able to see new patients without much delay and to work in previous patients, as we have 5 physicians and a nurse practitioner on staff now. We have a central office, one in the NW and an Eastside office to serve our patients.