Finally, on January 9, 2009, while this article was under embargo, Dr. Paul wrote to Mr. Ray Koteras, Director of Technical and Medical Services at the American Academy of Pediatrics (AAP), asking that he share comments similar to those in his letter with key physicians in the AAP. Dr. Paul admitted having a conflict of interest and said he would not be commenting to the media but that his talking points might help others respond to the media. However, within days Dr. Paul gave many media interviews. He told MSNBC “this article is at best incomplete and at worst irresponsible.”4 He told National Public Radio that he takes issue with this study stating, “People for one hundred years have been using VVR and I hear from parents that their parents used it when they were kids and their parents when they were kids.”5 Dr. Paul was quoted by the Business Courier of Cincinnati that this manuscript was “a real stretch.” “It's really unbelievable … and it really calls into question for me that they had an agenda here,” he said.6 Unlike Dr. Paul, who has received funding from P&G to study VVR in 150 children to determine if this makes then feel better, I could not obtain funding to conduct these studies. This research was performed by Drs. Abanses and Arima using discretionary funds that I pulled together. I am delighted that both of these men are now academic clinician-scientists. If this was my “agenda,” I am happy to confess.