Nadine Semer, MD, began her medical career as a reconstructive plastic surgeon. She worked in a wide variety of settings, from large academic medical centers and inter-city hospitals to smaller community hospitals; from a two-person private practice office to a partner in large multi-specialty medical group within an even larger healthcare organization. Perhaps most rewarding of all, she has volunteered her services in resource-poor areas of the world. About ten years ago, she became more interested in hearing her patients' stories and helping them really understand their illness and treatment options, than in doing another operation. This led her to take a new path into palliative medicine. Now Dr. Semer is a full-time palliative medicine provider in a district hospital in Central Coast California.