Dr. Hoffman is a trauma surgeon in Asheville North Carolina, a hospice medical director, and a founding member of the Surgical Palliative Care Society. We discuss her unique path into the palliative care field and how she uses her skills in the trauma bay and the ICU to help her patients both survive devastating conditions as well helping patients and families transition through events which may be non-survivable, as well as conditions with outcomes which patients would ultimately find unacceptable if aggressive medical interventions were to be pursued. This interview was recorded in October 2023 and previously released.