We did it! Moved in one conversation from a city in Texas to Mongo, of Blazing Saddles fame. I think this is how it happened.
Patient has a fungal infection of some type the requires special testing to determine it's species.
There is a great lab in Tyler, TX that apparently is quite good and known for genotyping and/or categorizing such infections for ultimate prediction of best antimicrobial to use on the patient.
Know what else Tyler TX is famous for? Earl Campbell, great football player.
Football players have short "sport" lives. Earl had about 8 years. Most, particularly linemen, get about 3-5 on average.
Know what a linemen made playing football way back when? Under $50,000. Many had to work extra jobs in the off season to maximize year round income.
Alex Karras was a football player who had to work in the off season. He chose acting.
What character did Alex play in Blazing Saddles? Mongo!
So from Tyler TX to Mongo....No wonder rounds take so long to finish.
Let us not look back in anger or forward in fear, but around in awareness. 
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