Our study falls under the rubric of medical research. As such we have had to apply for and receive approval for our research from external review boards. This has been a complicated process due to the review boards unfamiliarity with our pre-design research practices. The review board deals exclusively with quantifiable research methods and did not know how to handle our open ended approach. Future design studies within a medical context will face similar hurdles and we hope to summarize our experience for others to help them through this process.