 Patients should know that colonorectal disease is very important and whether it's a rather small problem that often a patient is shy to speak about or a major problem like cancer or ulcerative colitis, Crohn's disease or diverticulitis, we treat all patients the same and we really do care. We have a team of experts who have trained to be specialists in the care of colonorectal disease. When a case gets very complex I usually break it down to how I would want to be treated or how my relative would want to be treated. And I think the most important component to that between the patient and the physician is communication. There are so many components to an operation and all of our lives, the patient's lives, the staff's lives, the surgeons' lives are so busy, but when you're scrubbing at the scrub sink before an operation you have a moment of peace and tranquility and it actually is in that moment I feel like an orchestra leader. When I have that moment I'm thinking about what I'm going to do, thinking about the patient, what they're going through, I'm thinking about their anatomy that's been shown on CAT scans or I've seen on colonoscopy, I'm thinking about how we're going to get to team a dynamic to be most appropriate for its best performance. We have scrub nurses, circulating nurses, assistant surgeons, residents, students, all who are coming together in one room for one single purpose is to make that patient care experience the best it can be, much like an orchestra has one moment to make that performance. There's no area in medicine that teamwork and collaboration are not paramount to patient experience and patient outcome. You can do the greatest operation in the world, but if the nursing care on the floor isn't good, if the medicine doesn't come up from pharmacy right, it hurts what your overall care experience is. Alternatively, you know, if people are smiling and the men and women who are pushing the bed and in the cafeteria and even when you walk in someone says welcome and when you're lost they say can I help you, that experience, it's all the same team, we're all one, we're all equally important so you know I might get to have a badge that says Howard Ross surgeon but the experience is really one that we share with the patient and it's all of us, all of us at Hack & Sack.