And this is the part that really grinds my gears about medicine 2.0 is it says nothing about the quality of life. Now obviously I can't speak from personal experience but metastatic bone cancer having spoken to many patients who have had this and doctors who have treated this is debilitating. Men experience this with prostate cancer, women experience this with breast cancer. You know why would we say well you know this is an acceptable outcome when it could have been completely prevented.