inova is our biggest competitor. they are in the area that we serve our patience, and so they would be our biggest competitor. >> so when you go home at night, you hook up with your wife, mary, a pediatrician, what is the difference in your two lives? when you talk about your day in medicine, what is the difference the two of yours perspectives? >> well, i'm speaking for myself -- i tend to feel more of a burden. i worry more. my wife has a lot of well patients, while babies but when she does have a sick child, she is totally worried that night. but that is not very typical. i think most pediatricians see well babies and routines of stuff -- routine sort of stuff. i forgot that patients who are pretty sick. -- i frequently have patients who are pretty sick. it is an inescapable burden that i do not run away from, it is just part of our life. you know, sometimes patients don't survive, and that is a terrible struggle that, over the years, gets harder, because about the sense that your ability should be so much greater