 The fact of the matter is that as people get older, people do get vascular disease. Sometimes that disease is severe and needs an intervention and other times it needs simply to be managed. We always have to look at the disease but who has the disease? How it's impacting their life? What's necessary to improve that and how to improve it for the longest possible period of time? Every patient that comes through the door we regard as an individual although we do have certain algorithms and treatment plans that are drawn up to standardized care and to make things as safe as possible. Each patient is looked at as an individual and their problems may differ a little bit and require a different approach and so we individualize the care according to each person. Depending on the disease pathology, some of them are life-saving. People have the, for example, people suffer area injuries, rupture, they, if I fix them and then they can potentially leave the hospital in a day, in several days. We're surgeons. Patients don't walk down the street and say, oh I want to go to the surgeon today. When people find that our office is welcoming and that our staff meets their needs and communicates well with them and respects them. Appropriately makes recommendations and provides the right treatments. That's very fulfilling, particularly when we have a group of patients with so many different backgrounds and so many different needs. I'm very proud of what our center does. Personally, I'm just one part of that. It's really a team. Most people go through their entire lives without having a surgery so that if you're on the other side of that, it's a very scary experience and I think that everybody here at Midtown that comes in contact with the patient keeps that foremost in mind and that's why I think it's a very, we make it as pleasant an experience as possible if you should need our services. It's a long-term relationship. It's one of the attractions of what we do in Vascular and we have relationships with patients. We're not family practitioners. I have patients I've treated for 20 years and I know their families. I know their grandchildren and that's very rewarding for me.