Hemant Goyal1, Rupak Desai2, David Parish3. 1. Gastroenterolgy Fellow, The Wright Center of Graduate Medical Education, 111 N. Washington Ave, Macon, PA, 18503, USA. doc.hemant@yahoo.com. 2. Atlanta Veterans Affairs Medical Center, Decatur, GA, USA. 3. Division of General Internal Medicine, Mercer University School of Medicine, 707, Pine St, Macon, GA, 31201, USA.