"In my 7 years as an attending physician, I have spent most of my time working in immediate care centers. I found this work to have significant benefits and drawbacks. While it was convenient to perform “shift-work”, with no responsibilities after-hours, I missed the continuity of care that I had always envisioned having with my patients. Furthermore, I was exposed, in an unfortunate manner, to the less than savory business end of healthcare. Being in the role of an employee, rather than a practice owner, I often felt pressure from the “higher ups” to require unnecessary testing, treatment, and follow-up appointments of patients so that we could bill more of them and their insurance companies. I found this environment very uncomfortable and highly stressful, thus I chose to leave in the fall of 2016. In the most recent 15 months, I have been working for MBS Envision and Quantum Anesthesia. MBS Envision is an outstanding company, which provides modified barium swallow studies to patients in (primarily) skilled nursing facilities. I travel with a team comprised of myself, a speech language pathologist, and a radiology technician, bringing a mobile fluoroscopy machine to SNFs all over the Chicagoland area. This experience has made me privy to an experience that most other physicians never will be, and has deeply enriched my understanding of dysphagia (difficulty swallowing). Though it is unconventional, I am very grateful for having had this position, as I am sure it will pay dividends throughout my career. With Quantum Anesthesia, I accompany a Certified Resident Nurse Anesthetist (CRNA) to multiple dental offices all over greater Chicago providing varying levels of anesthesia for patients receiving dental implants and other types of office based dental surgeries. Both of these opportunities have been a wonderful break from the “rat-race” experience of the immediate care centers, as well as a chance to broaden my skills, knowledge, and experience as a physician. By now, you certainly appreciate the many chapters that are bound in the book of my medical career. However, I believe the most exciting and rewarding chapter is about to be written. I am truly elated to be running my own medical practice, free of insurance headaches, and with the ultimate goal of providing extremely ethical, high quality primary health care to a group of outstanding patients for years to come."