 I'm Dr. Kanika Modi. I am the medical director of the Durable and the Percotinus VAD program here at Hackensack. I'm also a heart failure cardiologist with a heart failure practice. I'm an advanced heart failure cardiologist. So what that means is once the heart has had damage done to it, whether it's from high blood pressure or heart attack, an unknown illness, an infection, I and my team work with patients to help them restore their quality of life. So advanced heart failure is the end stage of cardiac illness and our role is either to help help try to recover the patients part function or to help them live a better quality of life with the function they have. I am very passionate about cardiology you know every on a daily basis you run into people who have been impacted by cardiac illness and I wanted to make a difference in the quality of life of patients as well as their families. For me it's really important to treat the patient holistically making sure that their family is comfortable with everything every step of the way but the patients comfortable with everything you know it's easy for us to tell patients this is what you have to do but really what are they feeling about that you know today I actually had an office patient who is a perfect example of why I love what I do you know he came to me he's 70 years old too sick for anything other than medical management or possibly an LVAD and he said you know doctor my only goal is to be able to go to Honduras every year I want to go see my family that's there I love living there and he was bedridden not walking and then we were able to manage his heart failure and now he is walking seven blocks a day and he's going to Honduras in two weeks and he said to me doctor you know thanks to you and this is why I do what I do