certain that the hospital you're going to go to is TPA ready that wasn't the case a decade ago TPA is typically administered the question is how's TPA administered typically it's just given by vein intravenous infusion sometimes when we go up there with one of those catheters you try to pull out the clot and little pieces break loose and then we'll squirt some TPA to get the smaller cloth so it can be administered directly up into the clot in the brain but typically it's through the vein question in the back there yes your head