Dr. Gerard Francisco is Chairman and Clinical Professor in Physical Medicine and Rehabilitation at the University of Texas Health Science Center, Houston. He also serves as Director of the NeuroRecovery Research Center and Chief Medical Officer at TIRR Memorial Hermann Hospital. He currently is President of the Association of Academic Physiatrists and Chairperson of the Brain Injury Medicine Committee of the American Board of Physical Medicine and Rehabilitation. The recipient of a great many honors and awards, his medical degree is from the University of the Philippines College of Medicine. He also had a postdoctoral fellowship for training in brain injury rehabilitation at the Baylor College of Medicine. He has obtained several research grants and his work has been published extensively in peer-reviewed journals and as chapters in books on medicine. Dr. Francisco's interview is divided into two parts. In Part One, he discusses patient-provider communication in long-term post-stroke spasticity management, brain machine interfaces, the role of technology, and prognostication in TBI. Next week Dr. Francisco will be back for Part Two.