 happy birthday. 200 years ago we did open the first hospital Baltimore infirmary built by physicians of the School of Medicine to bring it together to provide health care in an organized way in education and training so that is the birth of what we're celebrating. At the end of the day we exist to serve a mission and our mission in academic medicine is that we have the responsibility of thinking and delivering care today while we are imagining the cures of tomorrow while we are discovering what will shape humanity going forward. We shape the world and you don't have to just take that from my lens. Think about the example of trauma. We have literally shaped how the world thinks about trauma care. We continue to do it today. Think about organ transplantation. Think about cancer care. Think about neuroscience. Think about cardiac care all as examples of how we shape the world. The quality of care offered here by the dedicated doctors nurses and staff has become known beyond the boundaries of Baltimore and has made UMMC a hospital of choice for patients throughout the state and beyond. Not once but twice the doctors in this room saved my life. Thank all of you for your many sacrifices you have made in the pursuit of medicine, of making lives better for your patients. Thank you for your ongoing commitment to research clinical trials and teaching the next generation. God bless you and your healing hands. It's really a privilege and something I'm very proud of to be part of a 200 year history of a value-driven mission and a mission of innovation and care for the most vulnerable people in Maryland. Every once in a while you get pessimistic about the way the world's going or whatever but when I see the people here the dedication here of the people we're not when I see what's available to them now based on what's happened for the last 200 years it's only going to be better you know and I think you all should be congratulated for what you've been a part of up here it's an amazing story. I'm so honored to be part of this 200-year celebration for UMMC and celebrate the 75th birthday of the Children's Hospital. I couldn't be more grateful to be a part of the best team of doctors nurses support staff helping to take care of the children in Baltimore City and the whole state. Happy Birthday!