pain management expert john dombrowski told us this might be the right moment to take a step back and question whether the esters and a good job is worth the risk. you know we're starting to see now patients have these tremendous reactions i mean sometimes people just get a little bit sick flu like symptoms now we're starting to see an aflac tick reaction like allergic reactions we see platelet problems and now we see even deaths so maybe we need to take a step back and realize as us the right medication or back station for these 'd patients and we also need to ask the questions as physicians does every person need to be vaccinated and vaccines just create herd immunity there are a lot of people who maybe already had the virus like i'm pat and i have antibodies so why would i need a vaccine alas if you want to do is put the some of the rug saying everything is fine because clearly it's not fine and we need to look at the numbers and the 21 gets a vaccination there's always risk always a we need to look at are these numbers an acceptable risk or at least number of exceptionally high ri