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I'm a strong believer in the importance of meeting people where they are and when they are ready!  Guidance from clinicians about behavior change must be realistic, measurable and a shared decision between the person and the providers.  I have always believed in the algorithm for care.  This means, I know diseases are progressive and following guidelines for care is often important to meet outcome goals and improve quality of life.  I have done only a handful of jobs in my career but have always kept direct patient care in my practice.  It is what brings me the most joy.  I have been able to do that through volunteering, consulting and telehealth and helping those clients have been my greatest accomplishment! 
When I am not working, I am running, vacationing, going to concerts or at one of my daughters sporting events!