the right order, and do them correctly," he says. "And when people
use the regular AER, it's still done correctly only about 80% of the
time, because of problems with manual cleaning." For example, guide-
lines say to use a brush and then examine the brush for physical
debris. "When I was 20, my eyesight might have allowed for that," says
Mr. Myers. "But now, what I see is very different."
Also important: AERs don't succumb to peer pressure. "I've seen
people trying to (manually) go through the cleaning process, and
then suddenly 2 or 3 more endoscopes land, and they're told that
these need to be cleaned now," says Mr. Myers. "Whether we want to
admit it or not, you're psychologically pressuring that person to
move faster, even if you say take your time. AERs don't feel that
pressure. They clean the same way, whether there are 10 scopes
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