This is my first go at a blog. I felt the need to have a forum where I can explain the “why” for the change I have made, since it impacts my patients, coworkers, and staff greatly. I will try my best to make what I write understandable from a non-medical mindset, though I will have a category that anticipates a deeper understanding of the workings of the business of medicine in America. I also want to apologize at the onset for my lack of writing skill and use of the English language and punctuation. My focus and love is medicine.