Thank you very much for that complete overview, and thank you also for the specific questions around the mental health screening.
I'm going to surprise you by talking about feet. I think that we've heard a couple times that the soldiers are upset about their footwear. I come from the Women's College Hospital in Toronto, where we set up the first foot store and shoe store. In the February 2003 newsletter about how smart training techniques reduce injury, there were some recommendations about how the Canadian Forces can't afford to lose personnel through preventable injuries. There was also discussion of some of the issues around training and cross-training and about some of those science feedback loops that we need. One of those recommendations was to adopt a high-quality cross-trainer shoe after you'd stopped letting people run in their combat boots. Better shoes and scientifically based training guidelines and methods for female and aging warriors were to be used, including a bridging physical training program to keep people fit while they're recovering from an injury. There were also guidelines on how to train safely in the cold and how to stay fit on deployment.
I would like to use that as an example. I understand there are some very serious shoes that are now being deployed by the Navy Seals and that are NATO-approved. Other forces have them, and there are even ones that are sandproof for Afghanistan. I just want to know how you get the feedback from your clinicians. How do you use patterns? How do you use clinical research, the epidemiology of what you're seeing in the office, and get that fed back into policy and changes in training so that you actually can see that you're reducing these kinds of recurrent themes within your clinical practice?