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Suture reps have not existed in probably 15 years maybe more.  You have no clue what Ethicon represents. We are routinely in cases that use 2k worth of disposables per case and there may be 5 cases that day by the same doc. 10k worth of sales a day for just 1 surgeon is common in every terriorty.  We sell biologics that cost upwards of 15k for 1 piece of tissue.  Some reps manage territories that approach 8 million annually per year.  If you go to any large hospital in any town USA, I can assure you that yheu are using tons of ethicon products in every OR.  Ethicon is pervasive every where you look, not just in one hallway of the hospital.