Gracie’s Story

Every once in a while a patient story comes to light that has the lasting power to remind you how precious life is, not only for those living it but also the loved ones who have surrounded that life. Gracie Hazleton is one such extraordinary story.

Gracie School Pic

Gracie’s school picture

Gracie was born in 1997 with significant medical challenges including Arthrogryposis, a rare condition that impacts many parts of the body. Her condition set into motion a life challenged with Gracie being non-ambulatory, non-verbal, in addition to numerous significant orthopedic issues and low muscle tone. She spent the next fifteen years going through countless surgeries, ER visits, hospital admissions, and outpatient appointments to try to manage and improve in every way possible. Despite these challenges, Gracie was extremely tuned in and engaged to her environment. While she couldn’t speak in words she was able to communicate by using pictures and facial expressions to show her bright personality. She was always known for being happy, fun, and, according to her mom, she was even flirtatious with the boys.

IMG_1550Gracie’s parents, Elizabeth and Rob, went on to have two more healthy children in subsequent years and adapted to challenges one at a time for Gracie’s medical condition. As you can imagine, the significant health issues at times limited more traditional family activities, like travel and vacations, but it didn’t dampen the close-nit family bond that had been created over many years. The whole family went on a few manageable trips like the beach and Williamsburg. In an effort to expose the two younger boys to areas outside of the Richmond Region, the family infrequently utilized respite care which provides for 24 hour care for a short period of time. Respite care is an incredible gift for parents who have to normally be on watch 24 hours a day for the child with significant disabilities. In 2012, when Gracie was 15 years old, her parents took the boys to Wyoming and placed Gracie in respite care. Unfortunately, while they were away Gracie choked and was rushed to Chippenham Hospital. This was her first visit to Chippenham based on her family’s home being farther away in Henrico County. Due to limited airline options her parents were unable to get home for a day and half. Luckily extended family soon arrived and immediately got immersed in Gracie’s care, in addition to her parents remotely as they desperately tried to come back to Richmond.

The clinical team at Chippenham’s Pediatric Intensive Care Unit, under the leadership of two extraordinary Pediatric Intensivists, Dr. Alam and Dr. Batista, worked tirelessly to do all that they could for Gracie. It soon became evident that she wouldn’t make it. The family had always believed in organ donation and with the hospital’s help got connected to Lifenet Health and started the process. Gracie’s parents quickly realized how great both the hospital and the Lifenet teams were through their difficult time. Elizabeth commented, “The Chippenham team managed the chaos beautifully. The nurses were extraordinary.” The decision was made to remove her breathing tube on August 15th. One of the care team suggested that if the two brothers (8 and 12 years old at the time) wished they could lie on each side of her on the bed as she was extubated. They were used to lying next to her as it was something they would do frequently at home. The just jumped up onto the bed right away and were by her side for her last breaths. Today that difficult experience is one of the things they cherish most about her final days. The surgical team was able to successfully harvest her liver and one kidney along with other tissues to save other lives. Gracie’s mother shared with me, “We had never been to Chippenham Hospital before that experience. Today we have positive feelings about what happened here. The process was a step in the right direction through a difficult time to help parents heal. The staff made a point to prepare Gracie for her family’s visit so she would look her best. It was an ending but clearly also a new beginning.”kids

Gracie’s parents decided this summer after three years to put together some of the pictures that the Lifenet photographer had assembled through the last period of her life. She made a video to share with others not just to remember the wonderful child they knew and loved but also to share the importance of organ donation. I encourage you to take a look:

You will notice that Amazing Grace is played in the background. Listening to Elizabeth tell me about the amazing life of Gracie Hazleton makes it an exceptional choice. Gracie’s 12 year old brother played the song on the piano during her funeral to remind everyone how fortunate and lucky they were to have her in their lives.

We often don’t want to think of organ donation but it is one of the most impactful decisions we can ever make. I encourage you to formally make it a part of your plan. You can learn more by going to

Virginia Oncology Nurse of the Year

Every year the March of Dimes awards the Nurse of the Year in 17 clinical nursing disciplines. These awards are given from many nominations and a comprehensive application process. I am proud to share that one of our own stars, Tarshae Robinson-Cocker, was recognized as the Outstanding Nurse of the Year in Oncology. Tarshae has been an oncology certified nurse at Johnston-Willis Hospitals for 15 years and was recently promoted to clinical coordinator.

When you speak to her it is obvious she has a great passion for oncology nursing. She commented that she loves caring for cancer patients because they always so grateful for the care and it encourages her to do even more to make them feel better. She also recognizes that it takes a team to provide the care and is quick to share that the clinical and support team on the unit and the physicians make such a positive difference. While she recognizes there are difficult moments when patients lose their fight with cancer, she also sees so many heal and recover.


I asked her what else inspires her to be an oncology nurse and she shared that it really is a dynamic learning specialty in nursing with so many educational opportunities to continue her training. She is continually looking for what is new on the horizon.

Tarshae and her family live in Powhatan. Her husband, Terry, is an auto-technician who drag races as a hobby. They have two great daughters: five year old Taliyah, who is in kindergarten, and 15 year old Tasia, who is in high school. I can only imagine their diversity of interest with a 10 year age difference.

This award isn’t Tarshae’s first this year. She was recently honored with the Pearl Moore Making a Difference award which is a national award for front line nursing care using evidence based clinical practice.

I asked Lauren Cutter, nurse director of oncology services at Johnston-Willis, about Tarshae and she shared, “Her patients describe her as a kind, compassionate professional who is a wealth of knowledge. Tarshae is always willing to go above and beyond to help her patients and co-workers. She is truly a role model for nursing professionals.”

Congratulations to Tarshae for her recognition.

A total of 13 nurses at Chippenham & Johnston-Willis were finalists in other disciplines for Nurse of the Year including:

  • Laura Brown, Chippenham Medical Center
  • Shannon Carpenter, Chippenham Medical Center
  • Rebecca Coviello, Chippenham Medical Center
  • Julie Ann Dudley, Chippenham Medical Center
  • Trula Minton, Chippenham Medical Center
  • Gynette Schnieder, Chippenham Medical Center
  • Laurie Uzukwu, Chippenham Medical Center
  • Sandy Aderholt, Johnston-Willis Hospital
  • Lisa Brooks James, Johnston-Willis Hospital
  • Kim Jarrelle, Johnston-Willis Hospital
  • Nicole Sadler, Johnston-Willis Hospital
  • Marianna Thatcher, Johnston-Willis Hospital

Putting Family First

I often talk about the importance of having work-life balance but recognize that at times I don’t live my own words as well as I should. So this past Friday I decided to do another double date with my two daughters, Ava (8 years) and Georgia (10 years). This is following a recent camping trip with my son, Max (12 years), for two cold nights in a tent for an Indian Guides weekend at Camp Thunderbird. This weekend was my wife’s turn with our son so she took him to a cotillion dance so I knew that I had an evening with my daughters all to myself.

IMG_2452It can be hard to think of creative and memorable ways of spending dedicated time with two girls who really enjoy all the things you would expect from young ladies but have little in common with a middle-aged father. So after much planning we decided we would make it a four event night to spend quality time together in a unique way.

IMG_2453The night started out with carving our 60 pound pumpkin. As scary as it was, they gravitated to the big serrated knives and helped me cut a unique pumpkin which depicted a hungry pumpkin devouring a witch.

The night continued at Kabuto Japanese House of Steak where they cook your meal at your table. As you would expect, the chef was soon flipping food in the air across the table IMG_2454to the willing open mouths of my daughters. While it is always a little awkward sitting at a table of strangers, the time with Ava and Georgia was awesome.

IMG_2455Then the main event (drum roll)…we went old school with roller skating at a roller rink in Midlothian. I didn’t know these places still existed. I hadn’t been roller skating with vintage 1970’s version of quad skates since, well, the 1970’s. Needless to say we hit the rink with gusto and circled the rink to music and lights. I was the only person skating above the age of 13 but I did my best to blend in and the girls made it look easy. I know they won’t always want to hold my hand but for now it is magic.

The night ended bundled up on the couch with a Disney movie. All-in-all a great night and a great reminder that it is so important to spend time recharging and renewing our relationships outside of work. With the holiday season upon us I hope you will find the time too.

The Lesser Known Breast Cancer

October is widely known as Breast Cancer Awareness month. In fact the awareness campaign is so prevalent that you can’t watch a NFL game without seeing pink. This full-court press on publicity has been a great thing for helping educate people on the disease and options for diagnosis and treatment. According to, in 2015, there will be almost 300,000 new cases of invasive and non-invasive breast cancer amongst women. This statistic means that about 1 in 8 U.S. women (12%) will develop invasive breast cancer over the course of their lifetime. These statistics often hide the fact that men also get breast cancer. While the risk is much lower (about 1 in a 1,000), that still equates to 2,350 new cases per year.

This week I had the opportunity to meet Tom Brown, a longstanding patient of Chippenham & Johnston-Willis, who gave me permission to share his story of beating breast cancer. It is an important opportunity to educate others about the lesser known aspect of male breast cancer.

Tom Brown

Tom Brown

Tom is a 69 year old retired pastor. In 1957, when he was 10 years old, his mother died of metastatic breast cancer – she was only 37. Unfortunately she was diagnosed in November, had a double mastectomy, and died just two months later. In those days people didn’t publically talk about cancer so it was shared with their church congregation that she died of congestive heart failure, a co-morbidity she was experiencing. Family genetics played a devastating role in Tom’s family, also taking the life of his mother’s sister at age 60. Tom has subsequently found out that he carries the BRCA gene which dramatically increased his chances of getting cancer.

In March 2004, Tom was taking a shower and he noticed a lump in his left breast. He thought it was odd and went to see his primary care doctor. The doctor referred him to surgeon Dr. John Hylsop after noticing his family history of breast cancer. A needle biopsy was done revealing he had breast cancer. At the time, Tom had never heard of male breast cancer. He quickly got scheduled for a single mastectomy with lymph node dissection, which removed 14 nodes, at Chippenham Hospital. Luckily he was only stage 2. Following the surgery, he had eight rounds of chemo which he readily admits was the toughest part. Tom’s treatment also included 7 years of Tamoxifin, a drug which blocks all the estrogen in your body and has the side effect of having hot flashes.

Unfortunately four years later Tom was diagnosed with prostate cancer and had a radical prostatectomy. Thankfully today Tom is doing great due to his personal determination and great medical care. He goes back every year for a PSA blood test and gets checked twice a year for breast cancer. Tom speaks passionately about the Hawthorne breast cancer support group headed by Robin Yoder, RN at Johnston-Willis, which he attends almost every week. He is the only male patient there but he finds the meetings to be a great help through the last 11 years. He commented that he has developed meaningful relationships and feels like he needs to give back. He made in interesting observation, “It is hard to be a man with a ‘women’s disease’ where everything is recognized as pink.” Tom also participates with Susan G. Komen and serves as a REACH volunteer for the American Cancer Society offering phone support to other men. To date he has never personally met another man with breast cancer.

Tom shares some no-nonsense advice for men, “Check yourself in the shower. You know your own body and if you have something unusual see your doctor. If something is wrong don’t be afraid to go to a physician. Unfortunately men have a higher mortality rate than women because it is often stage 3 or stage 4 when it’s diagnosed. Men are stubborn about going to a doctor about a lump in their chest. Men aren’t usually thinking breast cancer.” He went on to talk about getting comfortable with being a survivor of a classically female disease. He said it took him over two year to go to the beach without a t shirt or to be comfortable in a gym. He shared, “Women can hide it pretty well but a guy who goes around without a shirt is obvious. Emotionally it takes a while to get used to.”

Tom is very active in the community as a chaplain with Chesterfield County police, a spiritual director at a local community retreat center, and he works at Beaumont Juvenile Correctional Facility with incarcerated youth. Tom is a great example of a difference maker who not only personally beat the disease but took the time and made the effort to help others.

To learn more about breast cancer at Johnston-Willis go to or to learn more about the American Cancer Society go to

If you would like to share your story about breast cancer treatment and survival – please feel free to share here as a reply to the blog.

Dr. Randy West: One Doctor With Over 1,000 Robotic Surgeries

Dr. Randy West

Dr. Randy West

Dr. Randy West, gynecological oncologist, has been working at Johnston-Willis Hospital for over 15 years. Prior to being in private practice, Dr. West completed his residency at Medical College of Virginia and his surgical oncology fellowship at University of Pennsylvania. There is no question that changing from an academic medical environment to a community-based practice is a big transition, but few have done it more successfully. Today, Dr. West is widely recognized as one of the premier GYN cancer surgeons in the commonwealth.

Chippenham & Johnston-Willis are fortunate to have him on our medical staff because he is known for taking on the most challenging and complex cases. Often they are the patients that other physicians aren’t as comfortable operating on. He has recently been recognized as one of the preeminent da Vinci robotic surgeons in the country with over 1,150 robotic cases (a volume number only matched by one other surgeon in Virginia). The evidence is clear – the highest quality patient outcomes are the result of surgeons and clinical teams that treat a large number of patients. This universal truth makes Dr. West’s clinical skills second to none in our area.

I asked Dr. West to share some insights into his practice and his impact on our community.

Tim: Why did you choose to be a doctor and study your specialty in surgical gynecological cancer?

Dr. West: I knew at four years old I wanted to be a doctor. Several of my friends and I all had that goal and ultimately ended up choosing it as a profession. I lived in Oklahoma and there were no other physicians in my family. At the time it seemed like a profession that required smart people and that attracted me to the field. I am oldest of five. When I was young we had a big medical event in my family when my sister was hit by car. Thankfully today she is okay. However, at the time they wouldn’t let me go in and see her. I was fascinated by the whole medical environment. My dad was the John Deer dealer in Northeast Oklahoma selling construction equipment. I worked there growing up and could operate all the machinery.

Later I choose gynecological oncology because I liked the challenge of complex surgery treating issues like tumor debulking, wide-spread ovarian cancer, endometriosis, uteral or bowel obstructions, and radical hysterectomies. In our specialty, we are with the patient from diagnosis through recovery which often includes chemotherapy. Most specialties don’t cover the whole gamut in a similar manner.

Tim: You did something unique in your professional practice. You left the safety of an academic practice to start your own independent practice with no outside financial assistance. There was a lot of risk to that move. How did you do that?

Dr. West: In 2000, I came out of Medical College of Virginia and had one nurse and a receptionist/biller. Our office was in my house. I rented office space from three different OBGYN groups. I kept all the charts at my house. Wherever I was going, I physically took the charts with me. The nurse and receptionist would go with me. Cell phones were used to make appointments. After a year we got an office full time and it grew from there. Back in those days if I saw 12 patients in a half day I thought it was it was a good day. Today I will see over 30.

Tim: You are recognized in Richmond as one of the best mentor physicians for OBGYN residents. Why is proctoring important to you?

Dr. West: I do it because I want them to become better surgeons. They are with me for two months of the year. This gives them exposure to 100-120 surgeries. We give them the autonomy to have real hands-on learning. I encourage them to do what they would really like. Today there are only 41 new surgical gynecologic oncologists trained a year and 1,300 actively practicing in the whole country.

Tim: Why the da Vinici robot versus more traditional laparoscopic minimally-invasive surgery?

gridDr. West: I have been using the da Vinci for over 5 years. The robot allows me to be much more precise from the dissection through the surgery. The visualization is much better because you’re not holding the camera and you are able to see the picture in a three dimensional view. I am able to get the camera right where I want it. Importantly, the instruments allow full range of motion (articulate in all directions) unlike laparoscopic surgeries which are more limited. The robot revolutionized minimally-invasive surgery. It makes sewing much easier and allows much faster recovery for the patient. Historically, a radical hysterectomy patient recovered in the hospital for four to five days and then returned to work six to eight weeks later. Now they go home the next day and are back at work within one to two weeks. Also, the incision is so small that we have much less chance of wound infections.

Tim: What is the next medical advancement on the horizon in your field?

Dr. West: We will see more targeted therapy. Personalized medicine in the future will look at the genetics of the patient’s tumor to determine the best therapies. I think we are five years out from being more specific in these therapies, where they become common place. This advancement will allow drugs to be more targeted and customized to the individual patient.

Tim: You often comment about the Johnston-Willis team that supports your care of the patients. Tell me about your experience.

Dr. West: The people we have in the Operating Room work together all the time. They know what I want to do for the patient. There are great surgical assistants. The Women’s Health Unit is the best nursing unit I have been associated with because they know what we want to do; they are attentive, patients love them.

Tim: I can only imagine how difficult it is to have your work centered on a challenging medical issue like cancer. How do you manage that challenge?

Dr. West: Cancer is a hard thing to treat. It can be depressing. In some ways you have to compartmentalize it. Part of being a doctor is being able to deal with end-of-life issues. People who are dying need someone there for them. It never gets easier. It is especially hard with younger patients. We get to know their families and everyone is part of it. But I also see a lot of people fully recover and return back to their normal life. The most rewarding thing is that we cure a lot of people. They are grateful for what you are doing for them.

Tim: Okay, a question unrelated to your practice. What was the last book you read?

Dr. West: I am reading a biography on Richard Nixon. I read a lot of history and philosophy books. I like to know where we have been and how we can prevent things in the future. I have to think that our politicians today don’t have a grasp of what has happened in the past. The medical community doesn’t always learn from it either. I see some of the same articles written today that were written twenty years go. There needs to be more forward thinking.

I appreciate all that Dr. West has brought to our institution. If you have something to share about his impact, please do so here as a reply to the blog.

Dr. Sahni – A World Class Physician

In every industry there are people who become known for being innovative and progressive difference-makers, who build and leave a legacy that impacts others. A few are recognized as celebrity titans like Apple’s Steve Jobs or Facebook’s Mark Zuckerberg. But the ones I admire most are those who tangibly impact lives firsthand through their wisdom and perseverance. At Chippenham & Johnston-Willis Hospitals, Dr. Sahni is a neurosurgeon who has done just that. Dr. Sahni has focused his entire 30+ year career helping patients recover despite challenging odds. He is internationally recognized as a pioneer and a visionary in his work in treating both brain cancer and many other debilitating neurological issues. I have had the opportunity to get to know some of Dr. Sahni’s patients and each of them share stories about living today because Dr. Sahni gave them a chance and gave them hope when they didn’t know it was possible.

Dr. K Singh Sahni

Dr. K Singh Sahni

I recently sat down with Dr. Sahni to get his perspective.

Tim: You have had a long successful career at Johnston-Willis Hospital. How did it begin?

Dr. Sahni: I joined Johnston-Willis Hospital (JW) and my group, Neurosurgical Associates, in 1988 when it was a much different program. There really wasn’t a comprehensive neurosciences program at the time on the south side of Richmond. My practice was uniquely brain surgery rather than traditional spine surgery. At the time, every hospital wanted to grow their cranial surgery program. The administration of Johnston-Willis at the time said, “Give me your wish list to make JW your home base.” I wrote down the equipment and staff I needed and eventually opened an office. Today, we have five neurosurgeons covering Chippenham & Johnston-Willis Hospitals.

Tim: Why did you become a neurosurgeon?

Dr. Sahni: In the 8th grade my 5 year old cousin died in a car accident overseas. I was told he died because they didn’t have a neurosurgeon. It was in that moment that I decided to become a neurosurgeon. Eventually I did my medical school overseas at an American university which was affiliated with UPENN and concluded with my residency training at Medical College of Virginia.

Tim: What are the major changes you have seen since the inception of the neurosciences program?

Dr. Sahni: JW is a much bigger institution now with complex and cutting-edge technology often reserved for the most elite academic centers in the country. One example is our Gamma Knife which is one of only three in Virginia. Gamma Knife is a very exquisite form of targeted radiation which only kills the tumor and spares the normal brain. We are fortunate to be one of the Top 10 Gamma Knife centers in the country. Our neurosurgery patients are able to recover in a state-of-the-art Neuro Intensive Care Unit and Neuro Step Down Unit. The personalized care that patients get here at JW is unique. The other important aspect of our program is the consistency of the nursing care on the floors and in the operating rooms. The combination of our physicians and hospital staff has led us to be the only Joint Commission Certified Brain Tumor center in the country. We treat the cancer patient in a multi-disciplinary approach which includes the radiation oncologist, the medical oncologist, and the neurosurgeon. Our patients with brain cancer live longer because of the comprehensive and detailed approach.

Tim: Tell me about your unique specialty focus areas in neurosurgery.

Dr. Sahni: My clinical practice focus is on two things: a facial pain syndrome called trigeminal neuralgia and secondly brain tumors. I started the Virginia Trigeminal Treatment Center. We are proud to have hosted the national symposiums 3 times which is attended by the people from all over the county. These are patients who have pain in their face, which is described as an excruciating electrical pain that happens unexpectedly. It is described as the most painful human affliction. The pain starts intermittently and ultimately becomes long lasting and unbearable. I have been treating these patients since 1983 and have taken care of over 3,000 patients. We treat them with medication and if that doesn’t work, we can use the Gamma Knife or surgery when required.

For brain tumors, I often rely on the Gamma Knife for both benign and cancerous brain tumors. Treatments can be as short as an hour. Previously to do this, when only surgery was available, was a 10-14 hour operation with long recovery and inpatient stay. Now they can even be outpatients.

Tim: I have had the opportunity to see you in many different settings: the hospital, the Board of Trustees, and the broader Indian community. You are one of those unique people that is looked up to for advice and wisdom. I am not sure a lot of people know what really drives you to be so focused on your specialization. Can you share your thoughts on that?

Dr. Sahni: I lost a daughter at 8 years old to leukemia. I am passionate for anything I can do to care for kids. I can’t personally do it because I get too involved. Working with children as a physician would be too emotionally difficult. My wife would tell you I am known more as the big uncle. Not just uncle for relatives but also my community. They look to me to help them with their medical issues even when it isn’t my area of expertise. Often former patients reach out to me when they need something. They feel comfortable calling me to help them navigate their situation. I feel honored. The biggest pleasure and reward that a doctor gets is when your patient does well. I have cancer patients that are 10 years out, when they may have thought that wasn’t possible, and together we are happy because someone with cancer who wasn’t supposed to be alive is still doing great.

Tim: Tell me about your take on serving on Chippenham & Johnston-Willis Hospitals’ Board which you have done for years.

Dr. Sahni: The CJW Board has evolved over the years to be very diversified, both with physicians and community members. As a practicing physician, I feel I have a good understanding for what is going on at the hospital staff level and also from other newer physicians. It allows me to share firsthand experience for how things are going on the floors and be their advocate. I am focused on making this hospital thrive at a higher level by keeping us balanced.

Tim: What is your vision for neurosciences at JW?

Dr. Sahni: Over the last decade we have really focused most of our efforts in the neurosciences around expanding inpatient services. We have a clear vision to compliment these services with a comprehensive outpatient neuro-diagnostic and therapeutic center. Our goal is to be able to care for any patient with a complex neuro problem at Johnston-Willis in one building. These are often patients with very complex conditions and diseases; centralizing the service will make our center what world class centers like Mayo Clinic are today. My hope is that my legacy will be that world class center here in Richmond, Virginia. We are well on our way and this team has a lot to be proud of for the impact on our community and region.

If you have a story or comment about Dr. Sahni please share as a reply to the blog.

Competition Heats up!


Brandon Haushalter playing Hippity Hop Soccer


Getting ready for Hippity Hop Soccer


Serious competition during Minute to Win It


Cardio Crusaders

This past Sunday, we held the annual CJW Olympics at ACAC Fitness Center in Midlothian. These aren’t your ordinary competitions – they are the kinds that bring out the finest elite athletes in the region to compete in events such as: Gaga Ball, Hippity Hop Soccer, Minute to Win it, Pictionary, and Four Corners Trivia.  Now if you are like me, you have very little idea what these particular competitions are all about.  You can also appreciate the fact that they don’t require any extensive physical training or conditioning.

This was really an opportunity to get together in a lighthearted way with work colleagues to compete against other departments at Chippenham & Johnston-Willis Hospitals.  In fact, over 220 employees showed up for the events.  Each team started the Olympics donning their team shirt and embracing their team names: we had the Lab Rats (laboratory), the Jets (respiratory), the Traumatizers (Medical Surgical Trauma ICU), the Levinson Heart Throbs (Cardiovascular Care Unit), the Fast and Furious (Central Registration) and the Cardio Crusaders (cardiovascular Services) to name just some of the 14 total teams.  In the end, the Purple Cardio Crusaders pulled out for the win, followed by the 2nd place Traumatizers, and the third place Fantastic Four.

It was a memorable day filled with a lot of fun and laughter.  It was, more importantly, a great way to just slow down and reflect on some of the amazing members of our CJW team. Providing extraordinary healthcare can be difficult and stressful, so having an opportunity to just take a break and enjoy our extended work family was a great experience.  Because many weren’t able to make it, we had Sweet Frog pull up their big truck and provide their special soft-serve frozen yogurt to both of our medical campuses this week. I appreciate all that everyone does to make this not just a great place to get healthcare but also a great place to work.