Roy Laver Swank, M.D., talks about his early years in Camas, Washington, his education at the University of Washington and Northwestern University Medical School, then turns to his long career in medical research. His research interests centered largely on multiple sclerosis, especially the role of dietary fats in multiple sclerosis, but he also studied fat embolism and blood viscosity. He recalls his years building up the staff and research programs in University of Oregon Medical School, Division of Neurology, and talks about Dean David Baird and Dr. Laurence Selling and the administration of the Medical School. Finally, he discusses the town-gown tensions that flared during the 1950s, especially between Good Samaritan Hospital and the Medical School.