I feel obligated to write my personal history as I’ve been so incredibly blessed and I want to share the events of my life with generations to come. My life has been extraordinary in many ways, in my view, and my experiences might prove helpful and hopeful to my family and others who read of them. Additionally, I write this book to be true to our Vancouver Canada missionaries. Continuously we reminded them that they needed to write in their journals or histories, and it was pointed out repeatedly that 100 years from now their posterity will know nothing about them except the cardinal events in their lives, such as when they were born and died, who they married, possibly what children they had, and that’s about it. To stay true to my urging of our missionaries to keep their personal histories, I need to write down mine. Understanding my life experiences requires at least some understanding of my progenitors, as I am in large part a continuation of their experiences. Therefore, this prologue includes a brief history of my family on both my father’s and mother’s sides. Additionally, I’ve added an anecdote about my grandfather, George W. Middleton, who was a pioneer physician in Cedar City in the early 1900s but also served as Cedar City mayor. I tell of how he sued some sheepmen in Cedar City to keep their sheep away from the mountain watershed that supplied water to Cedar, because he felt that the practice of grazing sheep in the canyons was in large measure responsible for the waterborne diseases the townsfolk were contracting.  At the end of the book, I have included Appendix A, which is a brief history of the Middleton family in Utah; Appendix B, which is a brief history of my mother’s ancestors; Appendix C, which is an outline of my medical organization leadership positions; Appendix D, which is my full curriculum vita; and Appendix E, which is my condensed biography. Hopefully you’ll find this book interesting and entertaining as well as informative. From my perspective, I really can’t think of anything about my life I would have changed, although the rough patches at the time seemed tough. In retrospect, they simply helped me to learn and grow, and I have learned that facing challenges and overcoming them is the fun in this journey we call life. Enjoy the book. — Tony November 2018