 We work with ICRC now for over 25 years and I've been in several missions with ICRC as a generally as a war surgeon going to to battlefields and to warfronts mostly volunteer we all are volunteers doing that it's a very it's a very satisfying work we're doing here to help these people who have no access to health care especially like the Syrian refugees it's getting more and more difficult to get very close to that to the conflict area because of security reasons like in Syria for example it's almost inaccessible for most of the humanitarian medical humanitarian organizations therefore what we see is patients who have been pre-treated before and had afterwards no after treatment and it takes them weeks if not months to get them here and once you get here the situation is much more complex and difficult this is a 52 year old man who got severely burned wounds during a clash and an explosive device which exploded very near where he was standing exploded a gasoline tank and then he was burned by gasoline all over the face the lower part of the face and the thoracic cage the upper part of the body and as you can see on this patient and he was already treated several times before but then the treatment was not accessible to him anymore and that's the reason why he came to see us and unfortunately treatments were just very superficial rudimentary treatments and then we had to go today a much more extensive treatment get skin healthy skin from other parts of the body which you could see and place them in the