 What amazing lady. I met her three years ago now when she was coming out of the hospital and she was very ill where her lung specialist didn't think that she actually had much time to live. So I was scared to death. I didn't want to come to palliative care. I said I'd rather go to hospice. Later on I found that they're they're one in the same but which are from purposes. Oftentimes our sickest patients need extra support and sometimes they need to have difficult discussions around that and they might be bumping up against the limits of what medicine may have to offer at times and it becomes more about what's important to patients at that point and how do we tailor a medical plan that supports that. And palliative care is to get you from where you're at and move forward. Palliative care can be used as just an extra layer of support at any stage of people's illness. So at Kaiser Permanente we use a team approach in our supportive care. You have a nurse, you have a doctor. We have a social worker on our team as well for addressing any gaps in their care in terms of social needs. Perhaps they need help with transportation or financial help. Our social worker also has specialty in assessing coping styles and promoting healthy coping with serious illness as well. In the home setting we have some CNA care who can help with when people get weaker bathing, dressing, that sort of thing as well. So it's a multi-disciplinary approach. So that whole team is with you throughout. Included in that team is a physical therapist and they come, they all come to me. I don't have to go out for anything. We address patients needs in three different settings. We can see them in during a crisis in the inpatient setting in in the hospitals. We can see them as outpatients in clinic and we actually have a home-based service as well for people who are homebound. Palliative care makes me feel wanted, cared for and I get a warm feeling in my heart.