of strokes the hemorrhages and we'll talk about that the strokes that also can cause mortality or where you have a very large ischemic stroke and we'll will discuss that as well but usually what we're looking at is rehabilitation recovery and that the the brain can rewire itself which again is something new that we didn't realize when I was in training is that the brain has the potential for rewiring and that with patients and with therapy that most patients will make a lot of improvement particularly in the first several months