in 1989 he began to experience physical symptoms that became increasingly more severe as his practice grew. With the assistance of ergonomists from NASA, Industry and with engineering consultants from universities such as M.I.T. and R.I.S.D., he was able to begin a comprehensive analysis of practice, style, operator performance and health. Today he actively councils dentists regarding office functional layout and its effects on performance and staff well being. Perhaps unique to the practice management consulting profession, he does not in any way believe that there is only one right way to practice dentistry.