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I landed three major projects for the hospital and dominated the surgical volume rankings for five years straight. After my wife, Susan Miller, became director, she handed the promotion opportunity to her childhood friend. She said, "He doesn't have much experience, so he needs this chance more. You can get promoted next time; it's all the same." I didn't argue but accepted the invitation from the competing hospital. Right before I left, Susan thought I was sulking. She said, "Come on, stop it. I'll definitely promote you next time." I never told her that the folks from the other hospital were already waiting for me downstairs. The offer letter in my hand was about to turn the medical world upside down.