I am a 43 year old with Juvenile Rheumatoid Arthritis. I have been at this fight with JRA since I was 4 years old and have been wheelchair bound since I was 8. I have had many surgeries and have seen many surgeons to correct the damage done by this this autoimmune disease. When I was 23 years old, I had the entire TMJ joint area replaced and the joint to my skull rebuilt, because the entire joint fused to my skull. I had so much damge from the JRA that the entire area under my checkbone had calcified and turn to bone-like material that had to be removed and then the damaged muscle reattached. When the smoke cleared(LOL) and the swelling(my head looked like a basketball with hair) went away, I had a jaw I could use once again. Dr. Feldman is the best! You will not find a better surgeon anywhere, and if you live in the Seattle or Bremerton area, you are lucky to have him so close. Some 17 years later I asked Dr Feldman for help again, and although I'm sure he'd like to remain humble about it, his generosity was incredible. He's a surgeon that is dedicated to the his work, and lives by to oath he took. He will help if he can, but will not harm. A finer surgeon you will not find anywhere. Thank you Dr. Feldman.