dr. espinosa and dr. mobley. you all in your testimony referred to how dramatically, and dr.ess posea, you talked about, a life span for people with down syndrome have increased in the last three decades. can you elaborate a little bit more what the reasons for that increase are, how much of it has been due to research, how much has it been due to change in conditions in terms of how we approach people with down syndrome? dr. mobley: i thank you so much for the question. in large part this is simply making available people with down syndrome what we were already making available to the rest of us. i am going to tell you a story. when i was a brand new pediatric resident at stanford, i went to work one day and i was told there's a little girl in this room and she's 12 years old. she has a low grade fever and belly pain, would you mind investigating, figure out what's going on? i went to see her. and it was very clear she had an acute appendix. so i felt terrific. i could make a difference here. here i am a brand n