and even a couple years later he's like non-diabetic right so it's like that was the whole point we missed you know in medicine it's so difficult because we're so engrained into these patterns of thinking that is you have obesity which causes type 2 diabetes which causes a foot ulcer so we get the plastic surgeon to debride the ulcer it's like that's the least important part you need to get rid of the diabetes and get rid of the obesity and then he will actually get better