What do y'all think about the future of routine use of echo in hearts is? We've come to use it on everyone without regard to any clinical indications. People are getting certified for it, billing for it, docs are doing fellowships in it. Machines are expensive...yada on and on. Hearts started off with just a central line, we moved to swans, now swans aren't nearly as common. Just don't need them like we thought we did and they carry some morbidity too. My sense is that echo, with all of it's sexy and cool appeal will go the same way as the swan. Use it when you need it. Anyone?