 The NIH Stroke Scale is a very useful tool for emergency physicians. The greatest hurdle is to become trained in it and to do it consistently. We recognize that emergency physicians have great time constraints, but the NIH Stroke Scale provides significant benefit and can be done in less than seven minutes with the patient. There are about 10,000 neurologists in practice in the United States, but over 600,000 strokes. The large majority of patients with stroke are cared for by non-neurologists. And I think here is the really big value for the Stroke Scale that it can be done in the primary care setting by healthcare professionals that are not necessarily trained neurologists can make a very quick assessment of their patient. I think nurses need to be empowered to include this into their practice. You realize that not so long ago the care of a stroke patient, nobody cared about what happened to the brain because we were basically just there to prevent pneumonia and urinary tract infections and make sure they didn't get bed sores. The reality is I would rather be treating somebody's brain. I would want to know that some of my interventions and my assessments helped allow this patient to go home and be independent. If anything, the nurses and physicians' assistants may actually do a little bit better than neurologists. Again, neurologists very often want to score how they think the patient should do, whereas people such as nurses very often will want to follow the protocol exactly.