after after i finish my treatment in that first you know follow-up visit let's say three months after i do the radiation i cannot i could not tell who was going to ultimately have the cancer come back and who had been cured and so state-of-the-art at the time and actually you know is still state-of-the-art today in many ways is just to see the patient every three six twelve months as you get further out and to do scans and see if the cancer has come back without any way of predicting in whom it will right it's really just it's a very reactive approach and very unsatisfying