Good point Steven. If Bert were truly a business-man, he would understand that you get repeat business if you ENCOURAGE them all to shove the qtibs in as far as they can to "regularly clean out the ears" then also tell them to bring in the baby once every 3 - 4 weeks for a "complete cleaning." You can bill the sh*t out of their insurance and make some serious cash.
Adam Lauer, DO (solo FP) Twin City Family Medicine Brewer, ME