of the washington pain center and certified board certified theologist thanks for joining us so good to have in the program today. what did average an average viewer probably would have heard about these sorts of chemicals before what can you tell us about these inhibitors a german clinic says it's found in the valley system what exactly is this substance and what does it do to the body sure well these medications are used all the time in operating rooms every day east reversed most relaxed what happens with some ph and says what it does this create this large amount of this you know coli this you know call it is a normal. medication that we haven't recruits mitter aware of it's too high everything in balance in life it can cause death to patients and this is actually the agents that we have a nerve gas like serum dxed or as you call new streets and bitters. cause this great uptake of this you know coli causing respiratory depression and death. in terms of the last thing effects of this substance in the body can there be any sort of last thing that might show any sort of long term ef