Karen Parkhill: Yes. So, I would say, through the quarter, we did see, particularly in the markets that we had mentioned not as robust recovery, but some recovery. But as we ended the quarter with less robust recovery, we are just assuming that in those areas, those procedures stay where they were in the back half. We will see if that’s a good assumption or not. As we look at the first few weeks of our current quarter €“ of the third quarter, we are seeing improvement from the second quarter. So, that’s pointing to some good things, but we will see.
Geoff Martha: Yes. So, just to highlight what Karen is saying there, I mean we were disappointed that we missed the call on this one for the Q2. And so now in our guidance, we have assumed a prolonged recovery here, especially for those segments that we called out, not all the segments. Like we said, many of the segments are back to pre-COVID, but there are a handful on those electives and developed markets that we have called out and Karen walked you through the assumption for the back half of the year. In terms of the staffing, I hear that dynamic in some of the cardiology space is more than others. And maybe have Sean comment on that.
Sean Salmon: Yes. I would say a couple of things on that. First of all, there is €“ you take a therapy like TAVR, where there is multiple handoffs. You have to have pre-imaging. You have to get the patient worked up. They get their procedure done. And then there are sometimes even post imaging that’s done. So, a lot of handoffs and the patients tend to be elderly. So, there is €“ you want to sure you schedule that in a way that’s okay, that they can get it all done in an efficient way. We don’t want them exposed to the healthcare environment for a long time. And I think that’s challenging. It’s also true that you can’t wait forever. You have got €“ with severe aortic stenosis, there is about an 80% mortality rate for 2 years from your diagnosed that.
So, it’s more lethal than cancer, for example, most cancers. So, it’s not something you can put off forever, but it is resource intensive. And I think the other thing we are seeing with staffing just in general is, there is a prioritization for patients that can get in and out relatively quickly so they can make downstream staffing available. So, whether it’s ICU recovery or you have got even transport to kind of move. And I think there is some arbitrage in some countries even on the margin that they make on those procedures. Cardiac surgeries have grown like a 5.5% for us, so very robust. There is a lot of margin that comes out of cardiac surgery patients. They tend not to be as deferrable as, say, like a PCI patient, for example. So, we hear it in pockets.
I mentioned before, France and Germany seem to be some places that are really struggling with staffing in Europe, and we see it just in pockets around the United States and other places. So, it is a dynamic situation, and we think it has gotten better, certainly a lot of places, but not everywhere yet.
Geoff Martha: Okay. Thank you, Matt. Next question Brad.
Brad Welnick: Yes. The next question comes from Pito Chickering at Deutsche Bank. Pito, please go ahead.
