Author Pepe presents a dynamic memoir expansively examining basic tenets of the medical profession, illustrating the myriad of ways that it has changed, progressed, and improved over the more than forty years of his immersion in it. Pepe was the fourth child in a chaotic home scene and near-constant poverty. At age five, hearing his mother praising a certain physician, he resolved to become a doctor. That ambition guided him to overcome numerous obstacles, leading him to college and medical school.

He began to observe the possibilities and peculiarities of medical practice from "all sides of the bed," including his own experience as a patient, offering intelligent perceptions on all levels. He saw that hospital workers of any sort can impact a patient's care, and that generally accepted practices might be a barrier rather than a cure. Through the years, his wife Anne-Marie encouraged his ambitions, making many sacrifices to support his grueling work schedules and, at times, inevitable exhaustion. Pepe recommended much-needed improvements based on his workplace observations, rising through the ranks from staff physician to chief medical officer, then president and CEO of a major New England healthcare system.

Pepe, recognized and honored by awards and achievements in his chosen field, has composed this interesting, detailed account of medical practices to clarify the finer points of its undeniable importance, looking behind the scenes at hospital policies and routines, and at specific treatment of certain ailments, syndromes, and life-threatening conditions. His writing balances his work-based recollections with details of shared ideals with Anne-Marie, as the couple now imbibe the peacefulness of retirement and the complexities of aging. His inspiring book is intended to encourage younger medical workers and students to follow their dreams and determination, as he did, and attain satisfaction in aiding others within a constantly evolving environment.

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