Prior to medical school, "Dr. Jay" conducted research on tuberculosis at the National Institutes of Health, taught graduate students at University of Maryland, and spent half a year working on a farm in New Zealand.  During medical school and residency he had the opportunity to work on both Navajo and Crow Native American reservations, and he considers his experiences taking care of children as some of the most rewarding in his life.  He counts his mother, Dr. Prasanna Nair, as his greatest inspiration.  She has practiced pediatrics in the same inner city Baltimore community for more than 43 years.  She has also taught medical students and residents for 40 years and was a founder of a clinic specializing in special needs and HIV positive children.