The white house. The shakeup at the v. A. , one cabinet secretary out, the president s personal physician on his way in. The departure of shulkin is not a shock. I think everybody surprised by the president s choice of who to replace him with. What do you know about whats going on behind you there . Reporter weve been hearing about the pending departure for weeks now. He becomes the eight major white house or cabinet official to leave the white house this month and were learning more, steve, about how dr. Shulkin was told he was departing much the same pattern that we saw with secretary tillerson, where two white house officials tell nbc news that it was chiefofstaff john kelly who reached out to shulkin sometime yesterday afternoon before the president dropped the hammer, if you will, with his tweet around 5 30 announcing not so much departure but his upcoming replacement, his personal doctor, the white house physician who has been here for the last two administrations, someone whos w