Wow, you guys are amazing, so quick to the rescue. Thanks Bert, Ryanjo, Wayne, Boondoc... I have already sent the link to her, probably when she has time to night she'd read it. I did not exaggerative at all Wayne, that serious. As we are not getting younger, to the point, a former workloads might become too much. Solo practice now aday is no longer that as it used to be, have you read the NYtimes article couple weeks back, about an old doc likes to give away his practice, Wayne? You are dead on Boondoc, she details level 4, 10 steps! 16 patients a day is only makes expenses...so she wants to see more...catch 22.. a trusty, intelligent enough MA is not easy to find, but only to transcribe might be a good suggestion, but then we need to get more MA, as one needs to be constantly with doc. We already had two MAs on busy days like Mon, Tue, Fr... all practical ideas are very welcomed... do you know that female doctors are 'wasting' more time than male