Dr. Lechich is a internist/geriatrician with long experience in the care of the frail elderly. Early in his career he served as the Senior Attending physician in the Chelsea Village Program for the homebound elderly and as director of the General Internal Medicine Residency program at St. Vincent’s Hospital in Greenwich Village. Since 1993 He has been medical director and chief medical officer of the Terence Cardinal Cooke Health Care Center, a 609-bed long term care facility in Manhattan serving a diverse population including individuals with late-stage Huntington’s Disease, AIDS, End Stage Renal Disease, frail elderly, severely dependent children and sub acute care. He has been a frequent workshop presenter for the American Medical Director’s Association on nursing home palliative care and has served as a mentor to students and attending physicians in his charge. He has passionately modeled the moral responsibility that practitioners must accept toward the achievement of a “good” death for those in their care.