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so if you dont mind why dont you start on a personal note what even interested you in this topic in the first place well it it happened after five years of private practice I graduated for my residency and headed into the private practice thinking I was going to be there doing that for 40 or 45 years and very content very happy and indeed it was very successful i I had the formula for the perfect life absolutely nailed everything that you want to put in the formula for the perfect life I had it but after five years there was one evening I remember I was driving home from a meeting across town and I was getting a migraine I was thinking why why am I getting all these migraines I mean I get them from my mother she got it from her father but you know but they were just happening too often and I got home and Linda put the kids down early we have two boys and she put him down early and went outside and the dark she waited till his dark to cry and Im getting migraines Lindas crying but w