I think this depends largely on what office you are in so I’m only speaking from my experience but there was a constant revolving door of sales reps when I worked here. You work crazy hours your first few years and they would say “don’t expect to make a doctors salary without working doctor hours.” We were not allowed to take any vacation time unless we hit a sales club for the year. Our office manager and multiple other coworkers were verbally abused on multiple occasions by a rep who just did not get along with anyone. We were told to flush $20 bills down the toilet if we didn’t make enough appointments each day. Had to pick up my “leader” from their house because they were too hungover to drive and then they thought they were having a heart attack and made me run three red lights and drive them to the hospital. Fun times!