 Pikeville Medical Center was recently recognized on a national level for its performance when treating patients dealing with chest pain and suffering from heart attacks. In cardiology, American College of Cardiology had a database which is chest pain, heart attack or MI database, which everybody submit their data over the years and they evaluate different parameters to make sure we are maintaining our quality of care at the time. We are treating patients at the time, we are discharging patients with all the pertinent thing that needs to give patients better longevity, better care, and to prevent further heart attack. We not only want a hospital to be the place where everybody knows to get and get their care, we want to make sure our patient gets the best care. PMC received the Platinum Performance Achievement Award from the American College of Cardiology and unlike many awards that evaluate a small window of time, this achievement was based on data collected from a two-year period. And it gives you the tools and also gives you a satisfaction that you are doing a good job but also keeps you on your toes. It is minimum of eight quarters which is two years of data and if you have repeatedly proven that your upfront care was good, your care in the hospital was good, your care after you discharged was good. It is for us to see what we are providing our patient is the best quality care. But of course Dr. Ramad stressed that it is always better to try to avoid a heart attack altogether by adopting a healthier lifestyle. You don't wait until you have a heart disease, just try to make sure all the risk factors which is smoking, hypertension, diabetes, cholesterol, make sure you go through those stuff, prevent it, discuss with your cardiologist, discuss with your primary care so we can prevent the heart disease in our community.