As trite as it sounds, I went into medicine because I like science, and I like helping people. Twenty years after starting this adventure, I still come away at the end of most days satisfied and fulfilled about the things I do. Most humans feel good when they lift, help, or encourage others. I get opportunities to do this everyday. I find a lot of pleasure in helping to relieve suffering, getting to know people, and helping them find solutions to enjoy their lives. Over the years much has changed in medicine. New technology, medications, and evidence have improved some of the things we do. We can treat things we once could not.