Abstract: Anne and Jack moved to San Francisco. Anne struggled in the first months of her internship at Mount Zion because she didn’t know medicine. She was eventually accepted into a neurology residency at UCSF. Anne learned how to assess what was ‘normal’ or ‘abnormal’ in patients she saw, such as their gait, strength, coordination, sensation and cognitive function. She spent her first night on call in the Mission District at the San Francisco General Hospital emergency room. As an intern, Anne became familiar with death and losing patients. Anne rotated at Moffitt (the University) Hospital, the Veterans Health Administration Hospital (VA) and the San Francisco General Hospital. Anne sometimes sought Jack or other residents such as Roger Simon for advice while on call. Jack proposed that he and Anne try to have kids. Within a short time of trying, Jessie was born, a C-section baby. Anne took two weeks off from work. In her third year, she was chosen as chief resident. She and Jack applied for new jobs. They moved to Ann Arbor. Anne was hired by the head of neurology as an assistant professor and Jack for another year of fellowship in neuroanatomy followed by an assistant professorship the next year.