Introduction Travelers are often exhausted after a long trip – eager to rest, to settle back to daily routines, to find a bit of familiarity after the strangeness of the new. We did not travel to all of our cases back-to-back but we were exhausted nonetheless – dashing from Columbus to Jacksonville, from Kansas City to Nashville, from Cleveland to Denver, and finally back to Sacramento was quite a trek, not just on our bodies but also on our priors.