cathy greenly the secretary was also i was able to get to a session she spoke in and i think one of thehings that captured me about her comments is where she talked about longitudinal solutions and i think of that when i think of some of the work that we do here in san francisco. we know so much now about mental health and hospital starts in younger agents and we see examples of that. >> >> cluttering and hording is inn an example of that and abuse she was talking about and could start at earlier ages and that was one session and she was right on the mark in the call to action how do we hopefully think about these programs and services and the people who eventually come to our attention and are served by them. the primary part of my report today though is going to be a presentation on the work that the palliative care strategic planning group did. excuse me. when i was in chicago i think the snow and the cold i had a really good voice. now i am back with no rain and i can hardly talk again so bear with me. you may remember my mentioning some months ago that a gentleman the then hospice