Every spring and fall massive amounts of lake water rise or sink as surface temperatures change. It’s called “lake turnover” and delivers oxygen and nutrients to more of the lake and results in more aquatic life. The pandemic created a lot of churning water for most practices. There is movement into and out of the field of ophthalmology. Many of us have lost seasoned managers and those seats are being filled with newer, less experienced managers. This sounds terrible, but it could turn into an opportunity with some time and effort.