1 rich Libsyn https://www.libsyn.com 90 600 Premature closure is something that all clinician deal with. This rule helped me avoid it in the past. In the end, it all boils down to rule number 47 (see episode 11).&amp;nbsp; As always, Please consider supporting PEM Rules by clicking below https://ko-fi.com/pemrules &amp;nbsp; PEM Rules http://pemrules.libsyn.com/site <iframe title="Libsyn Player" style="border: none" src="//html5-player.libsyn.com/embed/episode/id/21854522/height/90/theme/custom/thumbnail/yes/direction/forward/render-playlist/no/custom-color/88AA3C/" height="90" width="600" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe> https://assets.libsyn.com/secure/content/119769785