Beginning with inpatient and outpatient rehabilitation in a busy hospital center, with additional work in a sports medicine centers since 1989, I learned what grit and determination can do for healing of very sick patients (stroke, amputees, cancer, spinal cord, burn, coma and trauma survivors). Moving into Manhattan to work on athletes in gym-based facilities and then operating three offices under one budget in Manhattan, won me awards and accolades. It was nice, but I wasn't happy running someone else's show. I went into homecare and housecalls because the quality time spent inside the patient's world meant a slowdown of fast-paced centers, with more individualized care. Spending 30-45 minutes of quality time and gearing the session around the patient's life, brings success and progress that was unachievable in a clinical setting.