Thirty-six-year-old Keith Buff is on top of the world the morning of July 18, 1999. A successful businessman with a wife and three young children, he thinks nothing can go wrong. But at the conclusion of eighteen holes of golf in Rumson, New Jersey, his world suddenly goes blank. A CAT scan later reveals a brain hemorrhage. Buffs life is never the same. Unable to walk, talk, or even swallow, Buff persists in his fight for recovery. Determination is his story of finding the strength during the long and remarkable journey toward healing. Each chapter alternates between the comfort and privilege he enjoyed growing upsurfing, sailing, skateboarding, skiing, golfing, travel, parties, football, and funand his life following the brain hemorrhage episode with his persistent efforts at rehabilitation. A compelling story of hope and recovery, at times sad and yet with great humor, Determination encourages others to appreciate life and work hard to succeed in lifes journeyno matter the odds.