Underlying the negative update is growth in Medicare spending for physician services. During 2005, spending for physician services increased by 18%, with a growth in the volume and intensity of physician ser-vices of 7.5 percentage points and 8.5% growth in total physician spending (3).
1 Wash your Bike Frame and Wheels. 2  Go from top to bottom, front to back, using a diluted soap or a dedicated product and the soft bristled brush. 3  Use the brush to scrub the braking surfaces of your rims. 4  Rinse your Bike, being careful not to shoot high pressure water at bearing packs or shock seals.5  Dry the Bike.f you have a suspended bike, try not to spray water at the seals where the shock pistons move. 1  Clean your Drivetrain. 2  Wet your Bike. 3  Wash your Bike Frame and Wheels. 4  Rinse your Bike, being careful not to shoot high pressure water at bearing packs or shock seals. 5  Dry the Bike. 6  Lubricate.
1 Stand the bike so the seat is up and position the motor inside so the two connection points at the bottom of the motor are resting on the inside bottom of the frame.  Attach the mounting brackets to the two points and put on the washer, lock washer, and nut.