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Against the advice of experienced doctors and mentors, Dr. Harold Jenkins returned to his rural Virginia hometown to hang out his shingle as a sole practitioner in family medicine. Dr. Jenkins loved his hometown - its pace, its setting near the mountains, and the unique individuals who make up its people. Additionally, the much vaunted local family doctor was retiring. With his wifes encouragement, Dr. Jenkins defied convention and chose the path less travelled by, finding many gifts along the way. The year was 1985. With a keen appreciation for everyday life molded by history and place, Dr. Jenkins journaled throughout his medical career. Many of the experiences recounted in these memoirs occurred during his time as a family physician in Madison County, Virginia.