 My name is Steven Rossman, I'm an orthopedic surgeon. My subspecialty is in adult reconstructive surgery, mainly hip and knee replacements. I am the medical director at Palisades Medical Center for the Physical Therapy Department. I am also the site director for the residency program here at Hackensack University Medical Center. Generally I like patients to feel like they're not just a number. I want to feel like I'm taking care of them and I'm listening to everything that they have and I'm not just worried about the next person who's in the next room. Most of the time patients are coming to you, they're concerned, they're concerned they're going to come to you, you're going to tell them they have bad arthritis and that they need surgery and people are scared of that and that's a natural feeling to have. So I tell them exactly what they have. I go through their physical examination, we pull up the x-rays on the computer, we go through and I explain everything that we're seeing on the computer and then from there we go pretty much about all the treatment options for arthritis. In general it's anti-inflammatory medicines, physical therapy, weight loss, we go into the various types of injections that you can have and ultimately if you fail all that and you have severe arthritis you're a candidate for a joint replacement. This is the first time they're maybe hearing this information or going through this information but this is what I do every day. So I try to tell jokes, show pictures of my barbecues, show pictures of my daughters and whatever we did the past weekend and to hopefully make them feel a little bit more comfortable. The personal relationship that you make with your patients, when you can take somebody who has had pain for 20 years and they don't know what to do and they have no quality of life and then you can take an operation and very quickly make them better almost instantaneously. It's a life-changing thing and it really is for me the most rewarding part of this job.