Letter: Dr. Leap's InsightEmergency Medicine News: June 2011 - Volume 33 - Issue 6 - p 52 doi: 10.1097/01.EEM.0000398976.29472.91 Letter Article MetricsMetrics Editor: I almost wept after reading Dr. Edwin Leap's article, “‘Just Go to the ER.’” (EMN 2011;33:8.) I had been struggling to explain the current job environment in emergency medicine to my family and friends just a week ago. I don't believe anyone has put his finger so succinctly on the reasons the practice of emergency medicine is so much more unpleasant now than 20 years ago. Dr. Leap's insight is truly a blessing for all of us. Eric Senn, MD Myrtle Beach, SC© 2011 Lippincott Williams & Wilkins, Inc.