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Mr. Sanjour - your post is spot-on.  I don't know how some reps. sleep at night knowing that what their doing could potentially harm a patient.  Upper management frequently will not have your back.  In my experience, if you bring to light an important issue involving patient safety you are done for.  They will harass and villianize you until you start to question your own morals.  They will mock you for doing what you believe is right.