 "The Wound-Dresser" is scored for baritone voice, two flutes (or two piccolos), two oboes, clarinet, bass clarinet, two bassoons, two horns, trumpet (or piccolo trumpet), timpani, synthesizer, and strings.During this time, Adams established an international career as a conductor.From 1998 to 1990, he served as conductor and music advisor for the St Paul Chamber Orchestra.