E362 CMAJ, September 8, 2015, 187(12) ©2015 8872147 Canada Inc. or its licensors Dr. Eric Howatt describes his office as the “the crying clinic.” The orthopedic surgeon and chief of surgery at Valley Regional Hospital in Kentville, Nova Scotia, has the onerous task of explaining to patients why their wait times for hip or knee replacements are routinely three times the national benchmark: 18 mo...