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16:34:2116:34:22 I put another question on the survey, which I16:34:24 don't have a slide for. I asked this group, "For16:34:28 your institution, do you have a policy encouraging16:34:32 MDI valved holding chambers?" The responses could16:34:35 be yes, no, or no, but we'd like to move in that 2016:34:40 direction. And it broke out 30%, about one‐third,16:34:43 one‐third, one‐third. One‐third yes, have a16:34:45 policy. One‐third don't. And one‐third would16:34:48 like to move in that direction.16:34:4916:34:50 Similar to Dr. Mallory in Seattle, there was a16:34:53 place on the survey for extra comments. I16:34:55 received a comment yesterday from Seattle16:34:57 Children's Hospital. They have also converted to16:35:00 MDI's with spacers in their hospital. They look16:35:03 at their quality indicators of length of16:35:05 admission. They're just as good as when they were16:35:08 using nebulizers.16:35:0916:35:10 There's a statement in the Cochran systematic16:35:12 review of the nebulizer culture, and I really like16:35:16 that phrase. In my imagination, I see petri16:35:19 dishes in the microlab with little nebulizers16:35:23 growing on them. But putting that out of my mind,16:35:25 how do you change the nebulizer culture? This is16:35:28 a really interesting study that was done in