This book is a work in progress. It is meant to continue to be that for the mid-level practitioners who own it. During my years as a Nurse Practitioner, I jotted down pearls, notes and quick guides as I learned during my everyday practice. These notes became invaluable to me as I continued in my practice. You will find that you will do this too. This book is to give you a heads up on that idea. Please add your own notes/pearls and make this book your own. I hope that it gives you help when you need it. I have included "My notes" pages for you to write on to add your own pearls and cheat notes.

Donna Smith is a wife and mother of three girls and two boys. She is a veteran of the United States Coast Guard where she served as a Radioman 2nd class in the 1980's. She then returned to school in her late 30's and became a CNA and then an LPN. She continued school and got her Associate's degree RN at a cooperative agreement between Tidewater Community College and Paul D. Community College in Franklin, Virginia. She then continued on to Virginia Commonwealth University in Richmond, Virginia where she obtained her Bachelor's degree. Afterward, her family moved to upstate New York where she attended SUNY Polytechnic Institute in Utica where she earned her Master's degree as a Nurse Practitioner. She finally moved back home to Virginia where she worked as a Diabetic Nurse Practitioner in Endocrinology for 6 years, then she moved into Primary Care where she continues to work today. She lives in Smithfield, Virginia with her husband, Michael.