I am lucky to be a part of the Heart and Vascular Institute at Lancaster General Hospital, as well as in direct communication regularly with my vascular surgery colleagues within the University of Pennsylvania health system. We are able to offer world-class treatment within the confines of our beautiful landscape, provided by a team of people dedicated to the overall health of the circulatory system. My practice includes the entire spectrum of surgical management of vascular disorders, with very few exceptions requiring outside consultation. I have special interest in clinical research regarding the transcarotid artery stenting procedure performed with flow reversal (TCAR) and hold multiple positions within our regional vascular societies.