Operator: "Please hold for the stroke neurologist." Me: "I am the stroke neurologist." Operator: "Please hold." [four minutes of hold music] Operator: "He is not picking up." Me: "I know. I have been on the phone with you." Acute stroke systems are measured in door-to-needle minutes, and the guideline target is sixty, with many centers now running under thirty. Four of those minutes were hold music. I would like those four minutes entered into the registry under the correct heading. Send this to whoever runs your call tree. Send this to whoever runs your hospital's call tree.