"I graduated from dental school in 1988 and six years later opened my own office in Manteca, a city of 55,000 in California’s Central Valley, about an hour’s drive east of the San Francisco Bay.
"The practice wasn’t doing well. Richa, my wife and office manager, and I were managing by the seat of our pants, going from one problem area to another, which created a lot of stress both in the office and at home.