u
   p
      c
         o
            m
                 i
                   n
                       g
                           appointments
uncertain now
                          a
                             w
                                 i
                                    n
                                        d
                              rises
                                       l
                                         e
                                             a
                                                v
                                                   e
                                                      s
                                                are
                                                      driven
                                                                   away