Josh Epworth is a nurse practitioner at the Fred Hutchinson Cancer Center, where he has treated plasma cell malignancies for nearly a decade. In addition to working with patients on active treatment, Josh manages the Multiple Myeloma Maintenance and Monitoring Clinic (M4 Clinic). This is an APP staffed clinic for patients whose multiple myeloma is under control with maintenance or monitoring alone. The purpose of this clinic is to watch for indications of progression of disease, manage maintenance-related side effects, and improve access to active care teams for patients with new and relapsing multiple myeloma.