I have always been interested in health care. Having come up through the medical system as a volunteer, ICU nurse, nurse practitioner, physician's assistant, and now hand surgeon, I have a unique view of health care. I have the specialized surgical skills to treat the full range of hand and upper extremity problems from simple to complex. However, the key to successful treatment outcomes is patient understanding and involvement. I believe in taking the time to ensure that my patients understand their problem and all treatment alternatives. Only then can the best treatment decision be made. As teaching faculty at the Curtis National Hand Center and the Johns Hopkins School of Medicine I have the privilege of helping to train the future generation of doctors.