if you have esophigial cancer, if you have a aortic disection, if you need a very serious interventionit makes sense to go to a major academic center in your community and identify the physicians with the greatest expertise in exactly what you have. experience matters. practice makes perfect. when people focus on doing something a lot, in the context of a research environment, they typically get better outcomes and the best news about that is it doesn't cost. most of the physicians at the major academic medical centers are in-patient in most of the insurance plans so you as an individual don't need to pay more to get someone at the top of the game. >> step five you can see your treatment plan with clarity. >> everyone has great intuitions. we all made good decisions and crumby ones over the years. >> i know i have. >> me too. but think of the decisions you made that were the very best. you collected information. you stayed neutral to all of the data is in place. something magical happens. you're intuition engages. you can see the decision and you wake up and say that's the right decisi