T. Kent Denmark knew it was important to grow up, but how to retain youthful vigor and silliness while practicing medicine? By choosing pediatrics of course And not just any field of pediatrics, but pediatric emergency medicine where the ability to charm, tease or cajole pint sized patients is essential. But what he discovered is that there is an even greater silliness at work - serious grownups refer to it as ICD-10, and they wear suits and rest their chins in their hands while nodding and having very serious expressions. But how can you have a serious express on your face while creating a code (V93.D) for "burn due to water-skis on fire, subsequent encounter." So, with a (clean version) nod to Andrew Dice Clay, he decided to provide medical billing codes for Mother Goose.