"As I told you before," the brilliant young oral surgeon said, "we charge for wisdom tooth extractions on a sliding scale, depending on the degree of difficulty." He paused for a moment, groping for words. "In your case I’m afraid that we will be charging you the maximum on all four." Then he got up and shambled out of the room, weighed down, Randy thought, not so much by the stress of his job as by the knowledge that no one was ever going to give him a Nobel prize for what he had just accomplished.