dr. jo anna [speaker not understood], i'm the hiv medical director at the mission neighborhood health center and this is my third year speaking to you on this issue. and this year i really just want to say thank you. thank you for your support which has let us keep providing team based multi-disciplinary care that hazlett my patients really thrive. i want to tell you about one patient today being discharged from san francisco general hospital just this afternoon, and this is a guy who a few years ago slipped quietly out of care. he was taking care of a sick relative and stopped taking care of himself. he was admitted to the hospital with advanced aids and active disseminated tuberculosis, highly infectious. and coordinating his discharge and the care that would follow has really taken a village. we've gotten him housing with the help of tb clinic. previously he was sleeping on the floor of a garage where his land lady would lock him in every night because she was worried about getting infected. we're helping him figure out how to deal with the 16 hundred dollar co-payment on his medications