I thought I would share an interesting anecdote that I experienced last week. I had just finished clinic in the morning and was sitting down to have lunch when my phone rang. It was the hospital, they wanted to move my case up to 12:30 from 1 o'clock. I said fine and quickly finished my meal and took the 15 min ride out to the hospital. I get there at about 12:25 and see the patient. I check her labs and consent form and discuss the operation/post-op protocol with her and her family. For whatever reason, she doesn't get back in the room until about 1:10. After 10 minutes of positioning and putting her to sleep the case gets started. I make an incision on the foot. I dissect well and maintain good hemostasis throughout. I reach the heel bone and reduce the fracture. I inspect the joint and make sure that this is aligned as best as possible. I maintain this with 2 small screws across the fracture fragment. I confirm with this with intra-operative X-ray. I then close the deep tissue, sub cutaneous tissue and the skin. This took about an hour plus 10 minutes to put the dressing/splint on. After another 10-15 minutes of talking to the family, filling out paperwork, and performing my dictation, I'm finally ready to go home. All in all, it took about 2-2.5 hours. I go home and have a call on my voicemail from a plumber. My wife and I have been looking to replace our hot water heater because it is old and has now started to leak. I called a major home improvement store to get a quote on the cost of this.The plumbing company that they contracted came to the house while I was there and stated that it would pretty much be a simple basic exchange. I would need a new stand ($40) and an expansion tank ($40). The quote for just labor to do this was just over $700. I will probably make about 800 for the above procedure that I mentioned. This includes all follow up visits for the next 90 days, approximately 4-6 15 minute visits. Anyway, just thought it was interesting to pass along. I'm in no way bitter and wouldn't change anything I've done, as I do love the profession. I just thought many might like to hear this story. Also, I am not going with the that plumbing company, as I called around and have been quoted approximately $300 for the job.