Cardiologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Chiropractor providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dentist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dermatologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Family Physician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
OB-GYN providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Ophthalmologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Orthopedic Surgeon providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Pediatrician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Physical Therapist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Podiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Psychiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dr. Peter Candelora serves the New Port Richey, Florida, community as the founder of Coastal Orthopaedics & Sports Medicine. He specializes in joint arthroplasty including minimally invasive procedures for both hip and knee replacements. He and his staff strive to stay at the forefront of orthopaedic technology to offer their patients the most current surgical innovations.
At Coastal Orthopaedics & Sports Medicine, Dr. Candelora has been practicing orthopaedic surgery in the area since 1989. Prior to opening the practice, he was the Chief of Surgery at both North Bay Hospital and New Port Richey Community Hospital
He started his medical career in his home state of Pennsylvania with concurrent Bachelor of Science and Master of Science degrees in Biology at Bucknell University. After graduation he was accepted to the prestigious Tulane University in New Orleans, Louisiana to study medicine.
Once completing medical school, Dr. Candelora remained at Tulane for his residency in orthopaedic surgery. He then moved west for specialty training at the University of California, Los Angeles (UCLA) affiliated Rancho Los Amigos Hospital in Los Angeles. He then returned to the South for additional education in sports medicine at Hughston Sports Medicine Clinic in Columbus, Georgia. Dr. Candelora is board certified by the American Board of Orthopaedic Surgery, a member of the Florida Orthopedic Association, the Florida Medical Society, the Pasco Medical Society, the Hughston Society, and Tulane’s Caldwell Society. The chief goal of Dr. Candelora and Coastal Orthopaedics & Sports Medicine is to “remain at the forefront of proven and accepted surgical innovations.”
John B. Fuller, MD is a fellowship-trained orthopaedic surgeon who provides complete orthopaedic care to people of all ages in New Port Richey, Florida, and throughout Pasco County. Dr. Fuller specializes in hand and upper extremity surgery. People across the Tampa, St. Petersburg, and Clearwater metropolitan areas visit the practice for treatment of various health problems, including arthritis, carpal tunnel syndrome, fractures, hand injuries, and joint pain.
After completing an evaluation, Dr. Fuller lays out potential treatment options and gives an in-depth explanation of the pros and cons of each option, allowing patients to make well-informed decisions. He can also review alternative treatment strategies that patients present and offer an opinion on their likely efficacy. When possible, the team treats these and other issues using a minimally invasive approach. Dr. Fuller is trained in a wide array of orthopaedic procedures, including arthroplasty (joint replacement), arthroscopy, joint fusion, vascular repair, nerve repair, and advanced reconstructive techniques.
Dr. Fuller attended medical school at the University of Central Florida College of Medicine, where he served as a peer academic mentor. After graduating from medical school, Dr. Fuller attended a combined military/civilian orthopaedic residency program at William Beaumont Army Medical Center and University Medical Center in El Paso, TX. This is the only combined military/civilian program in the country and it provided a unique opportunity to train alongside many military orthopaedic surgeons. In military orthopaedic training, it is a learning priority to be able to stabilize complex, diverse trauma in austere conditions where a minimum of specialized equipment is available. Dr. Fuller is confident in thinking through uniquely complex problems and finding creative solutions that will meet your needs.
During medical school, Dr. Fuller became particularly interested in the intricate anatomy and function of the hand. Throughout residency, Dr. Fuller’s interest grew and he learned the importance of effective hand function in patient’s professions, recreational activities, and activities of daily living. This motivated Dr. Fuller to attend hand fellowship at the University of New Mexico. In addition to covering the full spectrum of upper extremity pathology, this fellowship puts special emphasis on microsurgical procedures such as nerve repairs, vascular repairs, and flap coverage procedures.
Dr. Fuller is a Florida native who was born and raised in St. Augustine. During his personal time, Dr. Fuller enjoys spending time with his wife Lindsey, son Elijah, and daughter Imogene. He is an avid outdoorsman and achieved the rank of Eagle Scout in his youth. He pursues many activities that build self-reliance, including wilderness survival, martial arts, and homesteading. He looks forward to serving the Gulf Coast area for many years to come!
Call the office of John B. Fuller, MD, today to schedule a new patient appointment, or book your visit online.
Dr. Walter I. Choung is an Orthopaedic Surgeon serving the Beverly Hills, FL and Citrus County area at the Nature Coast Orthopaedics and Sports Medicine Clinic. The staff at Nature Coast Orthopaedics and Sports Medicine Clinic has over 50 years of experience combined serving patients in the Citrus County area.
Dr. Choung obtained his undergraduate degree in Chemistry at the University of North Carolina, Chapel Hill. He then went on to the University of North Carolina School of Medicine, where he received his Medical Degree. Dr. Choung is a member in good standing of several medical professional associations including the Florida Medical Association, Citrus County Medical Society, American Medical Association and American Academy of Orthopaedic Surgeons.
Dr. Choung treats patients for a wide variety of orthopaedic issues. His procedures include ACL surgery, shoulder replacement, elbow replacement, carpal tunnel release, shoulder arthroscopy, knee arthroscopy, knee replacement and revision knee replacements, wound dressing or debridement, excision of humerus, excision of knee, excision of the tibia, excision of the fibula, excision of the scapula, excision of the clavicle, rib excisions, treatment of ankle fractures, treatment of dislocated ankle, ligament repair, wrist fracture treatment, wrist tendon transfer, hip replacements, and revision hip replacements.
Dr. Choung believes that patients should never have to live with terrible pain on a day to day basis. Most orthopaedic issues do have solutions, and Dr. Choung and his staff will work to find the right customized treatment for every patient at Nature Coast Orthopaedics and Sports Medicine Clinic.
Practice
Nature Coast Orthopaedics & Sports Medicine Clinic
“The office staff is very good, efficiently ran and friendly.
My appointment was on time and moved along nicely.
Doctor is excellent on communication of issues and solutions.
I was in and out in 45 minutes including 2 X-ray s, Cortisone shot and doctor's consultation.
I wish all doctors offices ran as well as this one.
Highly highly recommend this office for your orthopedic needs.”
Dr. Walter Choung, MD
Orthopedic Surgeon
2155 West Mustang Boulevard
Beverly Hills, FL 34465
4.9(602)
5.0
(3)
Dr. Georges El Bahri, MD
Orthopaedic Sports Medicine Surgeon 34.6 mi
Dr. Bahri graduated from the University of South Florida in Tampa, Florida and Nova Southeastern University College of Osteopathic Medicine in FT in Lauderdale, Florida. He completed his orthopedic training at Largo Medical Center-NSU COM in Largo, Florida. He then continued to train under world renown sports medicine Orthopedic surgeon Dr. James Andrews in Pensacola, Florida at the Andrews Research and Education Foundation/Andrews Institute.
Selvon F. St. Clair, MD, PhD, is a board-certified orthopedic and spinal surgeon at Anchor Spine & Joint, located in Tampa, Riverview, Odessa, Pinellas Park, and Lutz, Florida, with extensive training in the diagnosis and surgical treatment of complex spinal disorders.
Dr. St. Clair earned his medical degree and PhD in Molecular Biology/Oncology from New York University School of Medicine. He then completed his orthopedic surgery residency at the Cleveland Clinic and a fellowship in spine surgery at the prestigious Emory University School of Medicine Spine Center in Georgia.
Recognized nationally for his expertise, Dr. St. Clair has received numerous awards for excellence in patient care and surgical outcomes. He is ranked among the top spine surgeons in the nation, achieving 100th overall and 1st in Ohio for spine surgeries—an achievement that reflects his dedication to advancing spinal care.
Dr. St. Clair specializes in minimally invasive and complex spine surgery, with clinical expertise in treating degenerative disorders of the cervical, thoracic, and lumbar spine. His areas of focus include spinal stenosis, herniated discs, adolescent and adult scoliosis deformities, spinal tumors, infections, and traumatic injuries. By combining innovative surgical techniques with compassionate, patient-centered care, he helps individuals achieve improved mobility, reduced pain, and a better quality of life.
Patients trust Dr. St. Clair for his precision, advanced training, and commitment to delivering the highest level of spine care.
Karl Siebuhr, MD, is a skilled orthopaedic specialist practicing at Reconstructive Orthopaedics of Central Florida, located in Ocala and The Villages, Florida. Dr. Siebuhr has been a board-certified orthopedist for 14 years.
Dr. Siebuhr practiced general and joint orthopedics for nine years and then did a trauma fellowship in San Francisco and Germany. He worked in big practices for many years and decided that his patients deserved better than being looked at as a number, so Dr. Siebuhr opened his practice in July 2020. Each patient case is looked at on a personal level, and their care represents that. There are many patients that have followed Dr. Siebuhr to his practice, and there are even those that have made the trip from New York, Georgia, and South Carolina because they knew they would receive the best care from him.
As a board-certified orthopedic surgeon, Dr. Siebuhr has served as an orthopedic surgeon in Ocala and surrounding areas since 2017. He founded Reconstructive Orthopedics of Central Florida with the idea of offering high-quality, patient-focused care utilizing cutting-edge technology, including robotics-assisted knee replacements, as well as joint replacement and sports medicine surgeries of the shoulder, knee, and hip.
Dr. Siebuhr graduated magna cum laude from the University of Nebraska with a bachelor’s degree in biology and health sciences. He later earned his medical degree at Wright State University Boonshoft School of Medicine in Dayton, Ohio, and also holds a Master of Science in Physical Therapy, cum laude.
A published author, Dr. Siebuhr is also a member of the Clinical Faculty at the University of Central Florida’s Orthopaedic Residency Program.
In his free time, Dr. Siebuhr enjoys fishing, boating, and spending time with his family.
“Kudos to Dr. Siebuhr and his entire staff at Reconstructive Orthopaedics. Doctor and staff were professional and caring and you were treated as the individual that you are, not just another patient. This was my second total hip replacement performed by Dr. Siebuhr so while I my be a bit biased, I highly recommend Dr. Siebuhr for any shoulder, hip or knee surgery.
Tom Maurer”
Karl Siebuhr, MD
Orthopedic Surgeon
910 Old Camp Road
#114
Sumter Landing, The Villages, FL 32162
4.93(270)
4.88
(84)
Ascend Orthopaedics And Sports Medicine P.A.
Orthopedic Surgeon 48.3 mi
4.88(84)
6450 38th Avenue North
Suite 320
St. Petersburg, FL 33710
About Ascend Orthopaedics And Sports Medicine P.A.
Dr. Amun Makani is a Harvard-trained, double board-certified orthopedic surgeon and orthopedic sports medicine specialist. Dr. Makani is an active fellow of the American Academy of Orthopaedic Surgery.
Dr. Makani offers state-of-the-art diagnostics and innovative, personalized care to treat painful orthopaedic issues and sports injuries including complex knee cartilage and ligamentous injuries, shoulder pathology including rotator cuff injuries and advanced arthritis in all major joints.
Dr. Makani graduated Magna Cum Laude from Northwestern University and was inducted into the Tau Beta Pi Engineering Honor Society for his achievement in Biomedical Engineering. Dr. Makani earned his Doctor of Medicine at Northwestern University Feinberg School of Medicine in Chicago, Illinois.
He was selected as a member of the Alpha Omega Alpha Honor Society, an honor given to the top of one’s medical school class. He was selected to complete his orthopaedic surgery residency at the ivy league University of Pennsylvania Health System in Philadelphia, the oldest orthopaedic residency in the country.
Following his residency, Dr. Makani completed additional rigorous fellowship training in orthopaedic sports medicine at Harvard Medical School in Boston, Massachusetts. Dr. Makani also earned a Master of Business Administration (MBA) from Northwestern University Kellogg School of Management.
Dr. Makani has years of experience in clinical and athletic environments. In addition to conventional orthopedic care, he also provides newer modalities including injection treatments to help patients get back to their regular activities quickly. He has also acted as team physician for the NFL’s New England Patriots, MLB’s Boston Red Sox, MLS’ New England Revolution, and several colleges. conventional orthopedic care, he also provides newer modalities including injection treatments to help patients get back to their regular activities quickly
Mark Nicholas Perenich, DO, is an accomplished, board-certified orthopedic spine surgeon at the Spine Institute of Florida, formerly Tampa Back Institute, with locations in Crystal River, Dade City, Spring Hill, and Tampa, Florida.
Specializing in minimally invasive spine surgery techniques, Dr. Perenich obtained his medical degree from the Philadelphia College of Osteopathic Medicine in Pennsylvania. Later, he completed his residency in Orthopedic Surgery at the Largo Medical Center in Florida. He then completed a fellowship in Spine Surgery at the prestigious Texas Back Institute.
Dr. Perenich is passionate about treating patients with spine-related conditions and is dedicated to providing the highest quality of care. He is known for his expertise in minimally invasive techniques, which help to reduce pain, minimize scarring, and shorten recovery times.
A member of several professional organizations, including the AOA Board of Orthopedic Surgery and the American Osteopathic Association, Dr. Perenich has authored several publications and presentations related to spine surgery and is committed to staying at the forefront of advancements in his field.
When not in the operating room, Dr. Perenich enjoys spending time with his family, traveling, and participating in outdoor activities such as wake surfing and boating.
Ashley Perenich is a highly skilled Physician Assistant at the Spine Institute of Florida, where she works closely with Dr. Nicholas Perenich and the rest of the surgical team to provide exceptional care to patients. Ashley earned her Master of Medical Science in Physician Assistant Studies from University of South Florida’s Morsani College of Medicine and has since specialized in orthopedics and spine surgery.
As a Physician Assistant, Ashley is responsible for performing physical exams, diagnosing and treating injuries and illnesses, ordering and interpreting diagnostic tests, and assisting in surgical procedures. She is passionate about helping patients understand their condition and treatment options, and works closely with them to develop personalized treatment plans that meet their unique needs.
Ashley is a member of several professional organizations, including the Florida Academy of Physician Assistants and the American Academy of Physician Assistants. She is committed to staying up-to-date on the latest advancements in her field through continuing education and attending conferences and seminars.
In her free time, Ashley enjoys traveling, yoga, wakesurfing, and spending time with her husband, Dr. Nicholas Perenich, and their family.
Anchor Spine & Joint, with offices in Tampa, Riverview, Odessa, Pinellas Park, and Lutz, Florida, is a multi-specialty, one-stop shop to address your orthopedic needs. Our experienced surgeons treat a wide range of chronic pain disorders and spinal and neurological conditions using leading-edge treatments to relieve pain, restore function, and improve your quality of life.
Our highly trained team uses the latest technology and techniques to diagnose and treat back and joint pain. We offer an extensive array of advanced interventional pain management treatments, including epidural steroid injections, peripheral nerve and spinal cord stimulation, and radiofrequency ablation. You can safely receive injections to fight pain and reduce inflammation, such as trigger point, epidural steroid, or joint injections.
Our skilled surgeons can also perform surgeries to ease your pain, such as spinal fusion, carpal tunnel release, and total disc replacement. You can rely on our team for ankle and meniscus repair, elbow cubital tunnel release, lumbar decompression and microdiscectomy, and cervical laminoplasty.
At Anchor Spine & Joint, we combine innovation with compassionate care. We dedicate ourselves to helping you thrive with tailored, multidisciplinary approaches that support your best health. Call the nearest office today to schedule an appointment or contact us online.
Mark Nicholas Perenich, DO, is an accomplished, board-certified orthopedic spine surgeon at the Spine Institute of Florida, formerly Tampa Back Institute, with locations in Crystal River, Dade City, Spring Hill, and Tampa, Florida.
Specializing in minimally invasive spine surgery techniques, Dr. Perenich obtained his medical degree from the Philadelphia College of Osteopathic Medicine in Pennsylvania. Later, he completed his residency in Orthopedic Surgery at the Largo Medical Center in Florida. He then completed a fellowship in Spine Surgery at the prestigious Texas Back Institute.
Dr. Perenich is passionate about treating patients with spine-related conditions and is dedicated to providing the highest quality of care. He is known for his expertise in minimally invasive techniques, which help to reduce pain, minimize scarring, and shorten recovery times.
A member of several professional organizations, including the AOA Board of Orthopedic Surgery and the American Osteopathic Association, Dr. Perenich has authored several publications and presentations related to spine surgery and is committed to staying at the forefront of advancements in his field.
When not in the operating room, Dr. Perenich enjoys spending time with his family, traveling, and participating in outdoor activities such as wake surfing and boating.
Ashley Perenich is a highly skilled Physician Assistant at the Spine Institute of Florida, where she works closely with Dr. Nicholas Perenich and the rest of the surgical team to provide exceptional care to patients. Ashley earned her Master of Medical Science in Physician Assistant Studies from University of South Florida’s Morsani College of Medicine and has since specialized in orthopedics and spine surgery.
As a Physician Assistant, Ashley is responsible for performing physical exams, diagnosing and treating injuries and illnesses, ordering and interpreting diagnostic tests, and assisting in surgical procedures. She is passionate about helping patients understand their condition and treatment options, and works closely with them to develop personalized treatment plans that meet their unique needs.
Ashley is a member of several professional organizations, including the Florida Academy of Physician Assistants and the American Academy of Physician Assistants. She is committed to staying up-to-date on the latest advancements in her field through continuing education and attending conferences and seminars.
In her free time, Ashley enjoys traveling, yoga, wakesurfing, and spending time with her husband, Dr. Nicholas Perenich, and their family.
Ashley Perenich is a highly skilled Physician Assistant at the Spine Institute of Florida, where she works closely with Dr. Nicholas Perenich and the rest of the surgical team to provide exceptional care to patients. Ashley earned her Master of Medical Science in Physician Assistant Studies from University of South Florida’s Morsani College of Medicine and has since specialized in orthopedics and spine surgery.
As a Physician Assistant, Ashley is responsible for performing physical exams, diagnosing and treating injuries and illnesses, ordering and interpreting diagnostic tests, and assisting in surgical procedures. She is passionate about helping patients understand their condition and treatment options, and works closely with them to develop personalized treatment plans that meet their unique needs.
Ashley is a member of several professional organizations, including the Florida Academy of Physician Assistants and the American Academy of Physician Assistants. She is committed to staying up-to-date on the latest advancements in her field through continuing education and attending conferences and seminars.
In her free time, Ashley enjoys traveling, yoga, wakesurfing, and spending time with her husband, Dr. Nicholas Perenich, and their family.
Mark Nicholas Perenich, DO, is an accomplished, board-certified orthopedic spine surgeon at the Spine Institute of Florida, formerly Tampa Back Institute, with locations in Crystal River, Dade City, Spring Hill, and Tampa, Florida.
Specializing in minimally invasive spine surgery techniques, Dr. Perenich obtained his medical degree from the Philadelphia College of Osteopathic Medicine in Pennsylvania. Later, he completed his residency in Orthopedic Surgery at the Largo Medical Center in Florida. He then completed a fellowship in Spine Surgery at the prestigious Texas Back Institute.
Dr. Perenich is passionate about treating patients with spine-related conditions and is dedicated to providing the highest quality of care. He is known for his expertise in minimally invasive techniques, which help to reduce pain, minimize scarring, and shorten recovery times.
A member of several professional organizations, including the AOA Board of Orthopedic Surgery and the American Osteopathic Association, Dr. Perenich has authored several publications and presentations related to spine surgery and is committed to staying at the forefront of advancements in his field.
When not in the operating room, Dr. Perenich enjoys spending time with his family, traveling, and participating in outdoor activities such as wake surfing and boating.
Christopher “Chris” James, MD, is a board-certified orthopedic surgeon at Orthopedic Specialists. He is proud to serve patients throughout Palm Harbor, Florida.
A Tampa native, Dr. James is a graduate of Jesuit High School. He received his undergraduate degree from Purdue University, where he played for the football team as a wide receiver. He went on to complete medical school at Saint George’s University in Grenada, West Indies, and in select New York City area hospitals.
Dr. James completed orthopedic surgery residency training at the University of Missouri - Columbia, followed by a fellowship in hip and knee replacement in Chicago’s Northshore University Health System. He is certified by the American Board of Orthopaedic Surgery.
Dr. James has had extensive training in all aspects of both operative and nonoperative orthopedics. His primary interest is adult hip and knee reconstructive surgery that entails both primary and revision procedures. At Orthopedic Specialists, Dr. James performs a variety of procedures, including hip and knee replacements, knee arthroscopy, periprosthetic fracture surgery, and knee and joint injections, to name a few.
He has been trained in the most advanced joint replacement surgery, including computer- and robotic-assisted techniques that allow for enhanced recovery and improved function. Dr. James uses minimally invasive approaches for his knee replacements and both muscle-sparing direct anterior as well as a mini posterior hip approach.
In his spare time, Dr. James enjoys trying to impress his friends and family with his culinary skills. As a former Purdue football wide receiver, he enjoys cheering for all Boilermakers sports. He also is a fan of the Tampa Bay Buccaneers and Tampa Bay Lightning.
Andrew Boltuch, DO is a board-certified orthopedic surgeon with fellowship training in shoulder and elbow surgery. He received his medical degree from NOVA Southeastern College of Osteopathic Medicine and completed his Orthopedic Residency training at Largo Medical Center .Dr. Boltuch then completed his shoulder and elbow fellowship at the Holy Cross Orthopaedic Institute under the guidance of Jonathan Levy, MD. After his fellowship, he was accepted to the Alps Surgery Institute in Annecy, France, for an Advanced Arthroscopic Shoulder and Upper Extremity Fellowship with world-renowned surgeons Laurent and Thibault Lafosse, MD.
Dr. Boltuch specializes in primary and complex surgeries of the upper extremity. This involves arthroscopic, open, and advanced reconstruction techniques to treat a wide range of pathology associated with the upper limb.He also employs the use of cutting-edge preoperative planning software to customize total and reverse shoulder replacements unique to each patient’s particular needs.Common conditions Dr. Boltuch treats include rotator cuff tears, osteoarthritis, tendonitis, shoulder instability, labrum tears, tendon ruptures, upper extremity fractures, trigger finger, and carpal tunnel syndrome.
He is also highly involved in research,using his broad academic background to author multiple publications in peer-reviewed journals on the subjects of shoulder and hand surgery.He has presented this research at both national and international meetings and has received recognition for his work. Dr. Boltuch enjoys teaching and is an Associate Professor for the Orthopedic residency program at Largo Medical Center. His involvement in education and academics is reflected by his evidence-based approach to treating orthopedic pathologies.
He is a member of the American Osteopathic Academy of Orthopedics (AOAO), American Academy of Orthopaedic Surgeons (AAOS), American Osteopathic Association (AOA), American Association of Ringside Physicians (AARP), and is a candidate member of the American Shoulder and Elbow Surgeons (ASES) and the Orthopaedic Trauma Association (OTA).Dr. Boltuch is on staff at Mease Countryside, Mease Dunedin, Morton Plant, Saint Anthony’s, Largo Medical Center, and Advent North Pinellas.
“One of the very best D.O. doctors we have ever met and been treated by. For starters his office is amazing as is the staff; Dr. Boltuch has an impeccable bedside manner, is knowledgeable beyond words and can talk to you in terminology you can understand and comprehend. He is a fine surgeon as well and continues his education as part of his daily practice. I would recommend Dr Boltuch (and any of the doctors he works with) for any of your aches and pains or mal-normalities. I am very “broken “ yet Dr Boltuch has found solutions that don’t involve surgery for me and for that I am forever grateful.”