that stance and living good lives Yeah so I think, hats off to the Queen for a long life and maybe we'll find out what their one day. What really happened to her maybe and we go from someone that's almost 100 to someone that's almost 0 Yeah Yeah so I was like, why is there is a great story out of Duke, a lot of great stories I do the pediatric cardiac surgery program as Run by a guy named Joseph turk he's an MGM PhD and he's chief of the car the extra pediatric cardiac surgery program so there was a newborn as there was Owen my grow and he was born with a particular congenital condition called trunk is arterial ads so you have the pulmonary artery coming up the right heart that feeds Blue blood into the lungs or it becomes red blood I'm talking about oxygen and that it pumps out into the order from the left. Hartwell, believe it or not I was born with only one tube so the order and the permanent order had fused together while he was a year a while he was growing as a baby. That is a fail problem because you can't get the blood of the lungs. You can't get the blood to the body because the hearts are mixing trying to get the blood out of one vessel instead of two. So they had a dumber and, you know, it's unfortunate whatever there's a baby don't hear that means that the baby died from other causes. But the problem was that the ventricles the heart pumping chambers in the donor were weak and so the baby Owen was going to die without something done quickly and it's interesting, they're now doing heart transplant says one of the primary cures for congenital heart disease and picking out it makes sense instead of creating a new pathway for blood to flow just put it in a whole new heart, of course, the problem is you can't find somehow begin newborn target is a walnut that's how big a newborn's hardest you could look at these blood vessels and their tiny and Dr. Turk decided to transplant not the whole heart but to transplant the order and the pulmonary artery into the new baby and so what he did was instead of taking the whole hard he took the tubes coming out of the heart took them out of our while he was in the operating room and then tranche planet the good ones so them into the right places created the right holes and he's doing great changed out the plumbing Yeah that's a good way to put it. He kept he kept the walls and the doors muscle and the valves and put in 70 plumbing so what is doing well do is just another example at how lucky we are to have an institution like do so close to us and there were the top Cardiology programs in the World and hats off to Dr. Turk and the pediatric cardiac program and Duke itself Yeah sometimes terms really scary and I know somebody there has suffered a stroke. Yeah, and now they are facing a cardiac embolism Yeah is that common with the stroke. Let me tell you this stroke can be caused by a clong and what happens is a cloudy there comes from a Fed where the top of the heart's not be eating well and little clots form from the sluggish blood flavor they go up to the brain well you can have a clot anywhere in your body. So there's something hard v 10 or Venus thrum though and bill ISM and what they're finding now is if you're in the hospital with us rope he got to get mobilized. You got it you got physical therapy because when you're lying and bad a blood is not flowing as quickly as sluggish, especially in the legs because what keeps our blood flowing the laces the muscle squeezing them so often. And if you Bit into the hospital. You see these plastic bags I can't describe it is as nice like these tubes over covering the legs that are being inflated intermittently by oxygen so it's trying to stimulate the blood flow what when you've had a clot in the brain from us wrote your body has a higher level of clotting all over so it's kind of like when you have coded and you get information from the immune system. It affects head to toe. Well, it's the same thing. We're