and people who have major stroke with major disabilities and you're looking at nursing home care so it really adds up to being one of the most expensive medical conditions that we have okay so time for some audience participation who can give me a definition of what a stroke is right here okay that's a good definition loss of oxygen to the brain is what was said anybody want to add to that or take a little different approach a blood clot in the brain that certainly can cause a stroke any other definitions yeah that's one of the things that