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And what "Clinical Instuments" am I going to be buying in my first yr that add up to $650? Rotate a new mattress as soon as a month the primary year and every season (four times a year) after that. Books really price the impulse purchaser (most of us) boatloads of cash, and lots of occasions we never use the e book once more after the first week. Think about it -- if, for one class, you purchase one textbook for $80 and a review ebook to complement it for $30, then multiply it by 4-5 classes, it adds up.