School came up here for my internal medicine neurology training and then a stroke fellowship so I've spent my entire career thirty years here at Stanford have never looked for a job elsewhere because I love being here it's a great place to interact with other physicians and have a team approach to taking care of patients as well as doing research and as was mentioned we formed the Stanford Stroke Center in 1992 I began on the faculty after finishing my training in 89 at the same time that Gary Steinberg who's a neurosurgeon was