PROLOGUE
Go Forward
Whenever I’m asked what exactly it was that helped guide me through my darkest days not only to survive but to move past those circumstances and to ultimately attain a level of success and fulfillment that once sounded impossible, what comes to mind are two events.
One of them took place in the early 1980s, when I was twenty-seven years old, on an unusually hot, sunny day in the Bay Area. In the terminally overcrowded parking lot outside of San Francisco General Hospital, just as I exited the building, a flash of the sun’s glare temporarily blocked my vision. As I refocused, what I saw changed the world as I knew it. At any other point in my life it wouldn’t have struck me so powerfully, but there was something about that moment in time and the gorgeous, red convertible Ferrari 308 that I saw slowly circling the lot—driven by a guy obviously in search of a parking spot—that compelled me to go and have a life-changing conversation with him.
Some years before, fresh out of the Navy, I had first arrived in San Francisco—lured to the West Coast by a prestigious research job and the opportunity to work for one of the top young heart surgeons in the country. For a kid like me who’d barely stepped foot outside the six-block square of the ’hood in Milwaukee—not counting my three-year stint as a Navy medic in North Carolina—San Francisco was the be-all and end-all. The city was the Land of Milk and Honey and the Emerald City of Oz rolled into one. Rising up out of the bay into golden glowing mists of possibility, she seduced me from the start, showing off her studded hills and plunging valleys as she laid herself out with arms open. At night the town was an aphrodisiac—with city lights like rare jewels sparkling down from Nob Hill and Pacific Heights, through the better neighborhoods and along the rougher streets of the Mission and the Tenderloin (my new ’hood), spilling out of the towers of the Financial District and reflecting into the bay by Fisherman’s Wharf and the Marina.
In the early days, no matter how many times I drove west over the Bay Bridge from Oakland, or north from Daly City heading toward the Golden Gate Bridge, which stretches right up to the horizon before dropping down into Marin County, those views of San Francisco were like falling in love all over again. Even as time went by and I got hip to the weather—the periods of gray foggy skies alternating with days of bone-chilling rain—I’d wake up to one of those glorious, perfect San Francisco days and the beauty wiped away all memory of the gloom. San Francisco remains in my mind to this day the Paris of the Pacific.
Of course, back then, it didn’t take long to discover that she was also deceptive, not necessarily easy, sometimes coldhearted, and definitely not cheap. Between steep rents and the chronic car repairs caused by the toll the hills took on transmissions and brakes—not to mention that pile of unpaid parking tickets all too familiar to most San Franciscans—staying afloat could be a challenge. But that wasn’t going to mar my belief that I’d make it. Besides, I knew enough about challenge. I knew how to work hard, and in fact, over the next years, challenges helped me to reshape my dreams, to reach further, and to pursue goals with an increased sense of urgency.