and then, if there's nothing there then you have to move to a different modeality, this is my own statement. i think there's too many people in our societies, some of us are equipped somehow, different people think different ways. different people can cope with things differently and assess things differently and this is my own judgment, i think there's just too many people in our country that think there's a pill, a drug or a surgery that will cure whatever you have. and i think maybe we have been brought up to think that. that there's something out there, of, i just get the right drug or pill or surgery it will cure me. i don't know that we put enough into the up front prevention and i'll close on this. when i think about prevention in the area of pain. it's educating not just the doctors and residencies, but people. when they come through