I am a gastroenterologist and the medical director of the gastrointestinal (GI) program at Duke Raleigh Hospital. I enjoy being at Duke, because our team is one of the most experienced in the Southeastern United States. Most of the patients I see have diseases of the biliary or pancreatic systems including blockages. Some of these can be malignant. When I first meet a patient, I like to know their expectations for treatment. I also like to meet the patient’s loved ones and answer any questions they may have at the very first visit. After we talk, I review the patient’s x-rays and records. The next step is to discuss the results with my colleagues as a team, so we can come up with a unique treatment plan that is personalized for each patient. The most rewarding part of my job is the interaction with patients. If I can provide immediate help, I’m even happier.