I have visited with many patients who have endocarditis. These patients may be slow to build trust with me. However, I find that along the journey most of these patients can point to a traumatic event that begins a self harm lifestyle. I try to unpack some of the pain with these patients while they are hospitalized. Often these patients come in and out over the course of two years which allows many opportunities for care/interaction. I have had the joy of seeing them return to a healthy lifestyle which is wonderful. Dr. Judith Landau became a doctor at a very early age dedicating her life to substance abuse. She believes there is trauma beneath each addiction story.