i will say being -- being in the say paragraph as john isenburg is humbling. will warn you in advance, there are probably too many words and you don't need to memorize all the details on them. a couple of context points, one, very early on i had been at cms five years and counting now, you know, my assistant asked me, why do you go to these meetings at academic centers and the story about john is even more telling is, you know, from my own career mentorship and teaching in academic centers have played a huge role and i wouldn't be here today if it wasn't for some of those mentors and so i don't know that i'll have the same effect as john isenberg, but hopefully i will say something today that will make you think about the career path and health system. i know we have people from faculty to staff, et cetera,ly try to hit on things from all levels. i will try not to use acronyms, a couple of other context points. i had been at cms as mentioned five years, i am the longest serving chief medical officer in cms's history. i was in our retreat, senate directors and