I am a residency trained and board certified emergency medicine physician with growing pains. After a lifetime of climbing and skiing in the mountains around the world, I spent 5 years becoming a internationally certified mountain guide through the American Mountain Guides Association (AMGA) and the International Federation of Mountain Guides Association (IFMGA). With this combination, I am working towards a long term goal of balance, spending as much time as I can in the mountains while linking emergency and mountain medicine with the hard skills of technical climbing and ski mountaineering. I currently guide in many regions of the United States as well as a smattering of areas in Europe. In addition to guiding, I am the medical advisor for a number of professional mountain guide companies and organizations including the AMGA, the Certified Guides Cooperative, Exum mountain guides and multiple others. This relationship provides a mechanism to interact with active mountain guides and the technical as well as medical issues that they deal with on a day to day basis. I currently work as an Emergency physician in Jackson, Wyoming. I also provide technical rescue and safety services for the film and ski industry and have worked in a number of different environments including Denali National Park, Yosemite National Park, and for The Freeride World Tour, a professional ski event held in the mountains outside of Haines, Alaska.