This document summarizes Brian Doll's presentation on finding and fixing performance issues using New Relic RPM. It discusses the top 5 performance issues companies encounter: 1) repetitive work syndrome/insufficient caching, 2) web service dependencies causing domino effects, 3) insufficient system resources, 4) slow SQL queries, and 5) N+1 query problems. The presentation provides examples of each issue and explains how New Relic RPM can help companies monitor applications, troubleshoot issues, and optimize performance. It also discusses how RPM works and integrates with applications.