Meanwhile, by learning and earning, I became ECFMG certified. In the United States, rotating in several health care centers at different levels, I noticed that a large part of the pediatric population suffered from chronic morbidities such as obesity, diabetes, hypertension, allergies, autoimmune diseases and cancers. Exposure to adolescent medicine practice, child abuse and behavior modification, and nursing home care for disabled and debilitated patients helped me see a socio- behavior of the