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He and his wife and three daughters then moved to Austin, TX where he practiced Obstetrics and Gynecology with an emphasis on care of infertile couples. She is CEO of The Medical Institute for Sexual Health and has co-authored two books with Founder Joe S. Married to Lee Bush they have 4 adult children and 8 grandchildren. Fitch resides in San Antonio, Texas with his wife Laurie. He had a private practice of pediatrics for 42 years before retiring in 2010. Lesch is Board Certified in Family Medicine and certified in Hospice & Palliative Medicine.