You raised a point about Teston’s article that I need to comment on: Did Teston find some weaknesses with the genre Standard of Care Document? She does not openly critique the genre, but leaves the door open. I have pondered about this move, and I wonder if it is a characteristic of the grounded theory approach–this immersion in data and reflection on data. GTA avoids narrative and perhaps Teston does not feel she has enough information to make any strong claims about the Standard of Care Document.