Charles Pascale, a 67-year-old resident of East Brunswick, N.J., was diagnosed with diabetes in the early 1990s. In 2005, he underwent bypass surgery and was re-hospitalized six times in 2010 and two times in 2011 and 2012. After many tests and procedures, he was diagnosed with congestive heart failure, atherosclerosis, End Stage Renal Disease, mild stroke, various gastrointestinal issues and an irregular heartbeat. Mr. Pascale endured several amputations and continues to receive dialysis. Through it all, he has remained positive because of the collaboration he has witnessed among his health care providers, as well as his own integration into the care team. This is his story.