Get to the q a part of the session, we would ask, if you have a question, make your way to the microphone there. As you can see, cspan is they are in this evening and so do we to put it up on our Youtube Channel and we would like to be able to get your question. Before you come back to get your books signed our staff would appreciate it if you hold up the chairs youre sitting in and lean them against column or book shelf. It really is a very special pleasure to be hosting kurt newman. I have known kurt for more than two decades since i first got involved with childrens medical center, the way many parents do, that is when one of our kids needs help. Kurt was a fulltime practice surgeon then, one who clearly enjoyed his work. You could tell he was interested not just in what he did in the operating room but in the Bigger Picture of medical research and the advancement of care, he also was clearly a Peoples Person who connected very easily with kids and their parents. I watched him become chief of surgery and 150 milliondollar gift from uaee, oversaw development of the institute for pediatric surgical innovation of children which is focused on making surgery for children minimally invasive and pain free. As chief of surgery was the top job that kurt had until had inspired to. But he was destined to go higher. Indeed, having vision and great administrative skills, he was tasked six years ago to become the ceo of childrens physician to turn the hospital. Under his leadership, nations best medical centers, care for kids. Now, anyone who gets involved with children hear story after story of kids receiving truly phenomenal treatment. Kurt shared the number of personal stories in case history and he also offered at the end a short but very useful section, practical advice for parents on how to get the best care for their children but larger message in this book and thats the Pediatric Medicine for all advances remain undervalued and underresourced compared to the attention given to adult diseases in this country. When kurt joined children as surgical fellow he worked for Justin Randolph who was the first fulltime pediatric surgeon in the nations capital. That was more than 30 years ago. Many of us in the dc area might not realize how fortunate we are to have a separate hospital devote today kids. Only about three dozen other independent Childrens Hospitals in the united states, maybe a couple hundred or so on the facilities that operate as part of larger integrated Health Systems but that compareson really 5,000 hospitals focused primarily on adult health care, kurt makes a persuasive case that it should be National Priority because just think of it for a minute, if we can get care for kids right, we will make care forking the health of adults so much easier and more cost effective. So, ladies and gentlemen, please join me in welcoming kurt newman. [applause] well, its hard to know what to say when the owner of Iconic Institution in washington, d. C. Introduces you when you think about politics and prose, you know, and cspan, children i feel like i made it. [laughter] im looking out at all of you and seeing so many friends and colleagues and patient families, its just a real special moment for me to see all of you there. I did want to say more about bradley and lisa, they have been longtime friends of mine but i think in some ways more importantly longtime friends to Childrens National. They support us in every which way, orthopedics. I know it isnt supposed to be about Childrens National, its about our book, but when youre a ceo you have to get every chance to tell a story about childrens but they have been a huge supporters for Orthopedic Department and probably in two ways. One with their own philanthropy. They did. They were all terrific athletes and i know because i coached one of them and hes gone onto yale and playing there. Its just a real honor to be here and i wanted to thank you and all the staff, the staff here has just been terrific in hosting what is, this is the official launch, this is it, youre here, its historic. Dont you feel it. Im feeling it because this is an institution and hasnt been around as long as childrens has been part of washington, d. C. Almost 150 years and its just wonderful to be in this room and see so many faces of people that have helped make childrens what it is and therefore this book possible. Now, i could use up my entire time thanking people around the room and there are so many people i could thank but i dont want to use up all of my time and i will try to do that individually because as i look around, ive got a great story about, well, some of you, ive got lots of Great Stories. My best friend from high school is here. [laughter] but, lots of Great Stories and we could go all night and we are not going to do that but im grateful for all of your support. Theres one person do i want to call out tonight and thats my wife allison, allison is here. [applause] she has been about the most important partner anybody can ask for throughout this process. She even let me and agreed that i could tell the story of how we met in the book. A little bit of a joke. Spoiler alert here but i did get the girl. [laughter] for. If you read the story youll realize it was a long shot at that point. [laughter] shes been with me every step of the way as i wrote this book first of all saying, are you kidding. You know, its better than i thought it would be so we are making progress. Thank you, thank you for your support. You know, i was trying to think about a lot of ways i could talk about the book with you all and why i wrote the book and i brought a little prop that helps keep focus because when you think about adult, medicine and bradley talked about all the different adult hospitals, Childrens Hospitals, i want to get you focused on something. I think this prop might help and that is this, this is a little its a 3d printer, replica of a babys heart. I tell the story in the book about a girl and i was with her today on television if anybody was watching channel 7 this morning, tanisha was with me and she was shot in the heart, now, when she came in i operated on her in the Emergency Department because her heart lad stopped, big round. But this is a babys heart and this is where heart surgeons operate on and i think its, you know, maybe the size of a large walnut but this is what heart surgeons and children do every day and, you know, it makes the point, it gets your head as i Start Talking about why i wrote the book around how different, you know, a baby and a babys heart is and how different babies and children are from adult. Most people dont think about that. They dont think about children that way and its kind of weird because, you know, we think about our children differently but for medicine people sort of think its, you know, just all maybe one thing and one size fits all. In my career as a surgeon i would get the stories, i have stories and many of you were on the other end of the phone call and youd say, im here, im in the Emergency Department, they dont have a specialist, my child has a concussion and i took him somewhere and they have not seen too many children or we are here about to have surgery and they tell me the anesthesiologist does a couple of cases a month and i finally just got tired of that and i got a little bit angry and thats really what motivated me to write the book, to empower parents and to take what i had learned over 30 years of practice, getting those kinds of phone calls, working with pediatricians who were just as frustrated to get that message out and so the reason i wrote the book was to try and provide true stories and stories of children because i wanted to bring people in to the world of Pediatric Medicine at Childrens Hospitals but through the stories engage parents on the things they could do and how they could be advocates for their Childrens Health and to understand a difference in raw childrens in a Childrens Hospital but takes care adult but also does children. In a place like Childrens National thats all anybody does there and we almost take it for granted but, so theres this whole world of Pediatric Medicine specialist, pediatricians thats there in washington and thank you for saying that, bradley, is in a way blessed to have a hospital thats completely focused on children and thats all anybody does there because if i bring it back to this, children, you know, are not just different because they are smaller but the whole biology is different. Theyre so resilient. I tell a story well, i will go back to the story i started with. So tanisha starnes, 14 years old, shes standing outside her Junior High School down in a nice part of washington now. At the time it wasnt and she was bystander, she happened to be the double dutch jump rope championship in washington, d. C. At 14 and she was shot in the chest and immediately collapsed. The Emergency Team got there and they knew what to do and to take her to childrens and her heart stopped on the way to the hospital. So we we had been i happened to be in the Emergency Department on call that day. We knew what to do. We trained, we were ready, we had all of the equipment. That is not a given. That is just not a given. So we knew what to do. I operated on her right there in the Emergency Department because her heart had stopped, got her heart going, it was bigger than this, there was a tinny little hole, gunshot wound in her heart. As her heart came back to life and started beating again, the blood started spurted out of the whole and i put my finger on the hole and that saved her life and it was you know, it was the most incredible thing we didnt know whether she would be able to get first the operating table, whether she would make it through the first day alive. Well, she two days later she woke up and smiled with breathing tube still in. Thats what kids are all about. They are resilient. An ability and story after story in the book about how these kids, their biology and resilience come back and the great thing about Pediatric Medicine is that and pediatric doctors in Childrens Hospitals is they is that we know that and we take that into account. Its like part of the deal. You want to you know how a child is going you think through how a child is going to develop. So a concussion, for example, in an 8yearold is very different than a 12yearold or a 16yearold or a 20yearold and so you want this is your childs brain. So you want somebody that understands that. You dont want just the most convenient place where its easy to go and you can get in and out or maybe less costly. Why would we we may see people making compromises all of the time. Thats when i get angry. People spend much more time on whether kids are going to go to school, what soccer okay, im going to get real tough here, what soccer team their kid will play for. We drive 200 miles for a game, but people wont drive 5 miles to go to Emergency Department, one of the best Childrens Hospitals in the country. Think about that. So thats the kind of thing that i you know, motivated me. I want people to understand that and then i want them to parents because its easy to say you should do that, if you dont give people the tools, and its also amazing that our that we dont make it easy for parents to figure this out, like people arent kind of helping, you know, or saying you really should go to a neonatal intensive care nursery because that really has all the specialists and everything thats needed for baby that looks like its going to be complicated ahead of time. Theres this competition and, you know, all of these hurdles that are put in place that make it hard for parents to figure that out. What i try to make is give the parents some of the tools and also the philosophy. Its okay to advocate and its okay to ask hard questions and its okay to switch and find the right thing and to really, you know, its easy to be i think we all do this, be very differential to physicians and hospitals but more and more what i have seen is that to be successful you have to be an advocate and you have to take on that role for your children and what you do, you know, the results are going to be better because at a place with if we take specialists, for example, and you look at the results of different treatments, we will take orthopedics, for example. You want an Orthopedic Surgeon that knows about the growth of the bones. In children you have to know about growth plates, you have to know what happens in the joints and have to be able to interpret mris and xrays in the face of what happens with that growth in mind. We were fortunate because our sons got the best orthopedic care in the country, but it wasnt easy and there were serious injuries along the way, the key is if things arent taken care of properly and done right up front, you miss so much opportunity and thats the another principle dealing with children. Theres so much we can do early and if you look a lot of the things that we have in our country now and a lot of issues that children are facing whether its mental health. Whether its heart disease, obesity, diabetes, these are things that we are in the cusp of being able to solve early and if we make these types of diagnoses early, we can really prevent a lot of the things that can happen later in adult diseases. Thats just one one of the real exciting things thats out there, the whole area of field medicine and diagnosis or what we call prenatal pediatrics, diagnoses are made ahead of time i tell a story in the book and its a family that ive gotten to know very well about mothers and the biggest mistakes ever made as a surgeon is often when i didnt listen to the mother and that was true in my own home. [laughter] i was the great minimizer. Here i am. Hes all right. The fact that can barely breathe and turning blue or give him something. If your wife wasnt an icu nurse hi would be in icu kind of thing, but theres so much that we can learn now from in the story, i tell the story about a mother and grandmother who came to see me where they had been given some advice about terminating a baby based on an ultrasound and that was by the obstetrician to really go through the story real quick, what they were told when they came to see me for a Second Opinion was not really the, you know, was not termination, was not really necessary, this was something that they could probably taken care after the baby was born and everything and so we made that so i had a great radiologist who all she does is look at baby xrays all day long. Why would you want a radiologist that thats only part of their job . Thats all she did. Definitively the baby is going to be fine. So that turned out to be true and the obstetrician was unhappy with me and called me and said i had done a disservice, but to be fair the baby was born she call med to say how wrong she had been and she appreciated what we had done. The baby is now a young girl and is doing great. It was not just a mothers intuition in this story, it was a grandmothers intuition as well because they were together. I said why was it, why did you come to me, why did you come for a Second Opinion, and she said, dr. Newman, we just had a feeling that we didnt want just a Second Opinion but we wanted an expert opinion, and so thats the theme that goes through the book, is that the idea is to, this whole world of Pediatric Medicine and Childrens Hospitals and childrens specialists, its a different world and its what we all deserve and want for our children. We are fortunate to have that type of resource here in washington but thats not true across the country. We need to do more. Im also concerned, i dont get into it as deep in the book but i think its important to say right now is that we are at a real cross roads in our country so we are talking about the conversations i hear is about cutting things like medicaid, you know, cutting the nih and these things and on cusp of such terrific discoveries and when you think about half of the half of the people that are on medicaid, half of the beneficiaries are children. So who is going to get hurt . Why do we want to do that . We are not doing that to elderly on medicare. In fact, we ought to double down and really put more into our children because its really cost effective. Its smart medicine, its wise because we can prevent a lot of these diseases. Im getting real serious here. The book also tells funny story on myself. It wasnt i wasnt always destined to be a surgeon, pediatric surgeon. I had my own Health Situation when i was in medical school and turned the tide and met amazing mentors over the years that you will hear about, jack randolph, icon here in washington, d. C. , he took care of so many children and families and built one of the top departments of surgery in the country. Thats what brought me down here. I talk about some great pediatricians, still practicing in that practice. Great pediatricians here in washington. We talked about joe robert, incredible visionary helped me think through what how we could make Childrens National into the world leading hospital for children in the world through our department of surgery and now all the great things and then the doctors and nurses at childrens that are the real heros. I see one, im catching him out of the corner of my eye, jerry, world expert in childhood concussion, and hes in the book. In fact, one of the hardest part of writing this book was not what not to put in, trying to figure that out because there were so many people and so many stories and all of that. My editor is here. Joey in the green. Shes the one who said you cant do that. [laughter] she took this massive story ies and helped me craft it into a book. You know, i i hope you enjoy and find a way to spread the word. I hope that you feel empowered to as you spread the word about the value, the precious value of childrens medicine, about what it can offer, one can offer parents but also what it can offer our country. I think its something we can all rally around and, you know, so its its been a lot of fun. People say, how long did it take and, you know, my answer is, i mean, the technical answer is it took about four years and it started with i was in a book club, if you can believe that and we would sit around and tell stories. [laughter]. See all my friends from high school and i keep joking about how there will be a stack of at the book feels will be 20 books being sold. Thats why im autographing them all with their names on them so i know who is returning these books for 10 cents and i know you guys are. The real thing was its really been 30 years that ive been thinking about writing this book because its been an experience ive had, first, as a surgeon for 25 years actually, 12 years, ten years before that in training and education in the last five years as the ceo of children. But it has been worth it and ive already ill tell you why its been worth it is because the kids that have come back to me and some of the families that have reconnected with that their stories are so amazing and theyre the real heroes of the book. Thats what drives the book. This week, with a young man, actually a baby and ill give a little bit of the story way where i tried to we were on one of our first dates and i thought id impress allison by getting called in and asked if she wanted to come watch me operate in and be kind of cool and i thought it would be a slick easy operation. The nurses said it was okay so she came there to observe and the baby had one the most competent things ive ever seen. It was so completed i even called my boss, doctor randolph, to tell him and asking for advice and he said well, kurt, you are on your own. [laughter] i wasnt counting on that answer but i had some good colleagues that called in and meanwhile i had forgotten about allison and i was just trying to concentrate in figure this thing out. If there had been a book or the internet i wouldve gone on it at that point but we sorted things out and did something at that time that saved his life. Youll read about it in the book but allison and the end of that evening did not go well. She was not impressed and she also educated me about how i needed to be more attention to the babys needs and he needed to be cuddled and warm and needed somebody there so that he knew something was looking out for him because his mother was not there and that babies know that stuff and no one was paying attention to that. Fastforward and he just came back to childrens a couple of nights ago with a little event i was having for some of the doctors and a couple of the patients in the book and we stood there and i have been at his wedding and this was after 22 operations and i dont know how many hospitalizations and it was someone we never thought would get married and then he now has a seven monthold son. He is the most healthy, most amazing baby and, of course, tyler was in some ways the real hero of the book says that hes got perfect genes, we had them check out top to bottom but if he ever breaks his arm i am bringing him to Childrens National. Anyway, the book is healing children. Ill be signing some books and im happy to take questions now. Thank you. [applause] doctor newman, thank you very much for your words. I am a local College Student and im on the autism spectrum and regularly advocate for inclusion in a variety of contexts. After competing my education, i am seriously considering working in a profession in which will be possible to possible to help individuals who have special needs and particularly, children, to achieve their dreams. My question is what do you think is particularly important for people, individual such as myself, who are working in that area to know and understand . Well, first of all, congratulations. It sounds like you have a great career ahead of you and are doing wonderful things in school and id like to talk to you more about what your ideas and plans are. I think what i have learned and theres a little story in the book that doctor randolph used to Say Something like you can never tell by looking at him, how far a frog can jump. So, excuse my southern dialect attempt there. By that i mean we tend to categorize people and diagnoses way too quickly and we really need to think about the individual and the special potential of every individual. I would say theres many ways that i want to say about your question. First of all, research and theres so much opportunity to find out what causes Something Like autism and maybe autism isnt one thing like you have one thing and i dont know your name. Nathan. This is nathans problem and then there is georges problem. We make a mistake by lumping it all together. It makes it hard to figure out what is going on and then we tailor treatments and approaches individually of people situations and try to look at their potential and not where they are right now. Thats what i would say. I would say we have a lot of work to do in that area but people like you are champions for that and your examples for all of us about what can happen and what people can achieve. Thank you for that. [applause] i am not an audience plant but i am here you answer my question already because i was going to ask you about personalized and individualized medicine but i want to give you a shout out and im one of the things that was for my nexus of the question was as a person who works in health policy, but as a parent how do you fill your pie plate . We are into evidencebased medicine and into cbm and all that stuff so, how do you figure out that click ill give you a couple in example personally. When my son was going into surgery the surgeon said you have to have a little faith and we did. It was wonderful. I remember when were going into anesthesia, were talking about personalized medicine that he was wrapped up in his little blankets, and we took the blanket off and the doctor said no, hes going into surgery. Blakey is in our safe in our home or my child is at college so how do you figure out all my encounters we are so based in science and evidence yet there is this faith and ability to depersonalize and not just working with adults but youre working with moms and dads, how do you do that . Well, i think i have learned a lot and im not the expert but ive learned a lot from being in the role particularly now as ceo of a hospital about a lot of its about listening i have parents and theyre all through the room that come with great ideas. Sometimes they come not so much ideas but i dont want to call them observations. Sometimes they are patients about how we can do things better and we do tend to sometimes in medicine and science focus on the medicine in the science but what we are learning is that more and more experience and thats why the title of the book is about healing and i thought a lot about curing children and i was leaning towards the science and it really is about healing children and it is a balance. One of the great things about Childrens Hospital and i try to talk about the dimension of art music, schoolwork, friends and that is critical and crucial and science is beginning to catch up because the science entrance studies are starting to show that when you have that people heal, particularly children, heal quicker. We have great friends and allies at the Childrens Hospital and id like to shout out to them but how people ask how can you work there if you havent worked there because it must be sad and depressing and, in fact, most of the publishers except mine thought that the book was too depressing and discouraging and it would be a lot about children that were sick and some children that didnt make it but really when you are they are the children dont have that perspective. It takes on the five of a happy place and its our job to support that and to reinforce that and empower that healing. So, im not sure im answering your question directly but there is a story in the book where i was brought up short by a young man who said at one of our first town meetings after he became the ceo he said doctor newman, you are doing great things for children here but im a teenager and you dont have anything for teenagers and we have our own music we need her own space, we dont want to be with the kids and the teddy bears and we have our own video games and you need a hospital thatrespects that and with some great partners we have moved along that path. It is a balance and i dont want to lose sight of the science that is promising in many things that were incurable at one point now are things we treat and theres so many different lethal diseases we also never quite know what works sometimes so i tell the story in one of the stories in the book about a young man who was from washington but was down in South Carolina for his vacation, Summer Vacation with his family, he was playing pascual and got need in the abdomen and went into shock. What had happened was the blow had basically cracked a big liver tumor and he started bleeding and went into shock. He got transported to the closest hospital, they resuscitated him and the family wanted him brought to childrens for his treatment because by the statistics and this is going back to statistics, he only had even in the best Case Scenario a 10 chance of surviving this. Because it had spread and it was the worst kind of liver cancer. He was in eighth grade at the high school and about to go into high school in the gonzaga it was the summer before that. The statistics were against him and we gave it our all with surgery and is one of the most defeated i ever left an operating room because we knew we had it gotten it all. We just got about everything but that was not good enough when youre dealing with this kind of cancer. When i talked to his parents and told them that but they were, there was a certain serenity but the boy never knew that. All he knew was that he wanted to get better. We gave them chemotherapy, started everything and within five months, i think, he had made the Baseball Team as a freshman at the start out with a poor path in place. Then we thought we have to do a liver transplant but his liver had grown back and there was no evidence of any cancer in their. Two years later he sent me a picture that hes carrying the olympic torch when the torch came through here on the way to the atlanta olympics. He now has graduated from college, went to Business School and just got engaged to be married. So, even with all the science it has to stay individualized because you just dont know when these kids will surprise you every time. That why you want doctors and hospital that have that mindset. One of the great pediatricians of all time. You are way too kind but i will take it. I was a plant but it was such a great question that i will ask it. My patients are down in Southern Maryland and that and they come up to Childrens Nationals but the question they gave me and i think its such a great question is what can parents do in advance, especially pairs like mine that are down on the island or further, what can they do to prepare themselves just in case there is emergency, other than having my phone number and saying doctor, you are sending me to childrens. Thats a good place to start. I think it really is about preparation and education, to know that there are resources but theres practical pointers and all shamelessly pitch my book here but one of the things i wanted to do was give parents a practical advice. Theres the section that bradley mentioned called the eight ways to get the best medical care for your kid. The basic theme is preparation. Just like you have a plan for if there is a fire in your house where fire escapes are and you know who you will call in all of that. You need that for your children. You need to know ahead of time and i would figure out where you will take your child if theres an emergency. Down where you are maybe its the local hospital for certain things but maybe for other things that can wait. You can make it to a pediatric Emergency Department but dont wait until it happens to find out where that is or where you park or how you navigate into the system. Why not do a dry run . When you are in the middle of a crisis, its not the time to be trying to figure all this stuff out. That happens way too often. Most people dont know whether their insurance covers a Childrens Hospital for not. More and more in these days hospitals can be carved out of your health plan. You want to know if that is the case and if it is, you probably want to switch health plans if they wont switch it or if they wont allow you to use a resource like the Childrens Hospital. You want to talk to your pediatrician because although you are very wise and experienced pediatrician and no and you have a set, i would predict a set of what specialist you referred to so i would want to know if you are referring me to a have surgery that my child is going to have an anesthesiologist that thats all they do. Why would i want to take a chance on going to a Surgery Center or somewhere where the surgery may be the least complicated part of what is happening for those ear tubes or whatever when it is not anastasia that can make the difference. These are questions you can ask ahead of time and youre in your right to ask those questions just like you would when youre checking out a school or checking anything else out. One of the things that i advocate for is to be an active member of your team, of the childs team. If you are in a hospital, dont more and more the great hospitals encourage parent participation whether its on rounds, they like being challenged and asked the question. Dont be afraid to do that. There are usually resources within the hospital to help you with that. More and more theres navigato navigators, nurse and we have one. In fact, did nathan take off . There he is. One of the improvements i made was that some of the kids that were on the autism spectrum, little younger than you but they didnt and their parents came to me and was very angry because a lot of the things we would do in the hospital and a lot of these kids you had to come the hospital for Different Things and it would trigger off a lot of the things that made them nervous and anxious and we didnt have that personalized approach so back to the personalized medicine, every person there may be something that makes him feel more comfortable or more relaxed and we want to have that. There are resources out there and there embedded in the hospital but the problem is and this is frustrating is how to tap in. Its not made as easy as it should be for people to know that. I will stop there because i could keep going on and on. The biggest thing is check these things out, push it before you need it and then if you are in a special circumstance where you are thinking about being a baby and youre going down that road and you are starting to talk about where the baby will be born or if there are issues, have a plan ahead of time. Know if you need, if there is a complication that at what level will neil need evidence of care are you talking about when youre being delivered. If that wont be enough, where will you go . Where will you be sent . Why is that the best place . Have that whole you may want to switch and the time to have that discussion is while you are healthy, while you are not in the crisis situation of having having delivered the baby and ill use the word and i swear here . All hell is breaking loose. That is just not the time to be worrying about specialists and all of that. You want that seamlessly set up ahead of time. Now silly things are sorted out ahead of time that you want the best advice for that situation. One more question. You describe very convincingly the importance of teamwork and how that contributes to the outcomes. Most of the descriptions understandably, from a pediatric surgeon, are from a surgical perspective but i also know that childrens is very wellregarded for chronic care issues for children with diabetes and asthma. How is that replicated for kids with chronic conditions . Thank you. My good friend, and mahoney. [laughter] Public Health nurse right there. If i didnt credit the team then id be remiss because it is a team sport and to get the best outcomes requires the team. I do talk a lot in the book about nursing and our chief operating officer, is a nurse, thats one of the stories about how important it is and i thought it symbolized things to have a ceo as a physician and as a chief operating officer as a nurse. Plus, shes terrific. Shes the real deal. It is about the team and all of those supports to help children with chronic disease and because one of the great perspectives, though, is that these chronic diseases we can really have an impact on early and whether it is early diagnosis and there is treatment now i talk in the book about situations with Cystic Fibrosis that we would never ever see now because the treatments are so good. Diabetes were making big advances. You need that perspective of children, development, compliance and kids is so different than adults, whether they will take their medicine, whether theyll stick to a diet, whether they wont feel different in the whole psychology of it. If you dont have that team in place than the care and the outcomes are not going to be there. It really is that holistic approach and central to that team is a great mother and probably a father, also a father out there too. Great parents, siblings, this is the kind of approach you need to get the best outcomes. Thank you. [applause] i did want to add that in case you think ill be a millionaire and retire, all the proceeds go to the charity that supports research in children, most of which will go to Childrens National but also other worthy institutions. Thank you all for being here and your support in spread the word. [applause] [inaudible conversations] book tv recently visited capitol hill to ask members of congress what they are reading the summer. I am reading the fish that moved, james clyburns book experiences and im also reading about the life of Coretta Scott king, my life, my love and legacy about credit scott king. What inspired these choices . Let me just say that when coretta was in the Movement Women in particular, black women, have never got the credit that we should have done for