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Like most physicians depending upon what they into, it's a long answer and it is kind of
complicated and one that develops over time. Myself in a specific or unique fashion is
I went to medical school, went to residency, United States Navy actually paid for medical
school for me, so I went and I did general OB-GYN for four years before making the decision
to go back and do GYN oncology. For me individually it was a decision to go back in fellowship,
which honestly was not a very easy one. Had three kids at that time, was getting a little
bit older in age, and getting kind of settled down and after two to three years of working
as a general OB-GYN, I really missed two important things that inspired me to go back and do
the extra training. For me it came down to two things, I really missed taking care of
people that needed me or were over sick and I know that sounds strange, but my personality
individually I enjoy taking care of people that really needed my help and in general
OB-GYN I felt like I missed a little bit of that. I really helped taking care of the people
that really needed my expertise and look to the medical profession to really help them
get out of the dire situation, so I missed that and I get that from GYN oncology. Secondly,
I very much enjoyed surgery. That was the most enjoyable part of my job when I did OB-GYN
but I just did not feel like I got enough of that and like everyone in life, we have
strengths and we all have weaknesses and we have desires and we have dislikes and for
me things that I really enjoy were doing a lot of surgery and taking care of people that
really needed me and for me it was an natural move to GYN oncology. It was not easy going
back to school and working longer for less money for three years, but it is one that
I have been very very happy I made. In fact my wife helped me make it because it was those
years of doing general OB-GYN became hard for me. It was something that I really just
was passionate about and so after going back to doing fellowship, certainly I found a role
or a profession that I am very passionate about and enjoy everyday.