 My name is Bettini Mangulya. I'm one of the surgical oncologists at JFK University Medical Center. People who come to see me specifically come with a variety of conditions but usually suspected or diagnosed cancer, mouth cancer, oral cancer, throat cancer, voice box cancers. When patients come to you initially they're typically scared as much as they are of cancer the unknown. My approach in JARO is to be as honest and open with the patient as possible. Part of my job is to be a little bit of a cheerleader. Hope and pods of outlook are as important as anything else in the management of cancer. What I love about my practice is that my practice involves long-term, yearly, years-long relationships with patients. You know I have hundreds of patients at this point that I followed for years and you know patients become like your family. You know what's going on in their lives and what's going on with their children, what's going on with their families in some ways similar to family practice type of relationship so I really enjoy that.