lifestyle changes and decreasing salt. once you decide you're in that fwrup, and two thirds of all americans have a problem with blood pressure. two thirds over the age of 60. one third of all americans, two thirds over the age of 60. those guidelines were developed in 2004. but half of the people who should be following them are not. so we already have a problem with compliance. the national institute of health and clinical excellence in great britain has not changed to 150 over 90. they're still at 140, and the american heart association has not changed. there, it's still 140. the main point i want to make is this is a decision between doctor and patient. i take care of high blood pressure all the time. it's the number one risk of heart disease in the world. we have a huge problem with heart disease, so we should not rush to medications. david mentioned diuretics. they're a very good medication to consider in elderly people if the higher number is higher. that's called the systolic. if the systolic is up, that