What made him decided to change careers and become a writer and so-called 'shaman' is a near-fatal accident. Nevertheless, Ruiz attended medical school, became a surgeon and for several years he practiced medicine with his brothers. Ruiz was born in 1952 in rural Mexico as the youngest of thirteen children. The Four Agreements is a self-help guidebook written by a Mexican author named Don Miguel Angel Ruiz. A Comprehensive Summary the Four Agreements