 nothing at all i mean they already come at a disadvantage because of their state of malnutrition you go in there you have you don't have a clean environment you don't have antibiotics you don't have pain medicine i mean basically after surgery they're getting tylenol i mean it barely helps our headaches here and yet you know you're fixing bones you're taking care of burns you're doing these these massive operations and they got tylenol to take care of them