I trained at St Georges university school of medicine. After 2 years of bookwork I performed clinicals at University of Maryland, Hopkins, Michigan and University of San Francisco. Final training was at University of Texas Galveston. For nearly 20 years my company provided all of the critical care at Sierra Nevada Memorial Hospital in the foothills of northern California. I founded The Hospitalist Service and was the director of the stroke center. My past 5 years was all outpatient primary