Noni MacDonald, Section Editor and Dr. Paul C Hebert, Editor-in-Chief, CMAJ. Related StoriesUse of hearing aids can help safeguard memory and thinking abilities in older adultsHonored Residents Choice Health Intend to become renamed as Alignment Health PlanNew across-the-panel Medicare cuts may place many individuals and suppliers at riskIn many industrialized countries doctors tend to be required to assess when a person’s condition is normally severe plenty of to impair their driving. However, this is difficult as doctors do not have objective assessment equipment to greatly help them. ‘Development and validation of a simple, widely applicable screening evaluation tool is sorely needed,’ write the authors.‘We are grateful to have had the opportunity to work with the CardiAQ technology once again to be able to provide treatment to this patient for whom no additional alternatives were available,’ said Dr. ‘Based on a number of risk and anatomical elements, neither traditional mitral valve surgery, nor transcatheter restoration with MitraClip, were options for this patient. Through careful consideration and review, we determined that TMVI, using CardiAQ's 2nd Era Transcatheter Mitral Valve and its own new Trans-Apical delivery program, could offer this individual a chance at an extended and convenient life. The valve was implanted successfully with excellent function.