Practicing Medicine is not what it used to be. For those in practice longer than 10 years, you know what I’m talking about. For those about to embark upon your career as a podiatric physician and surgeon, you’ve heard the “when I started my practice 25 years ago (I had to walk up hill both ways in the snow) but things were easier.” No matter which stage of practice you find yourself currently, the important thing to remember is balance. Take a close look at your skill set and capitalize on your strengths (patient care, communication and building and maintaining a positive reputation in the community as the foot and ankle expert) while keeping in mind that it takes a village to raise a child (that child being your practice). Do not get lost in the minutia of working in rather than on your practice day in and day out and ask for help when you need it. Surround yourself with colleagues and field experts from whom you can seek guidance, learn from mistakes and to whom you can offer support. The most important lesson is to treat your patients ethically by providing a high level of care, all while keeping a close eye on the health of the practice (business). In time, you will find that Karma will serve you well when you serve others to the best of your ability.