 absolutely because a lot of them it's like they know the basics they know the guidelines they're going to meet the standard but do i know what they're doing or and therefore sometimes the patient because sometimes the patient's like i don't know i saw him a couple months ago when were you supposed to follow up i don't know or did you get blood work i don't remember and it's like yeah are you on any new medicines and they're like i didn't bring my medicines and it's like okay can you help a sister out your name