 One comment, I don't want to belabor that, I want to be very brief, but it relates clearly to the issue of training and I think the key The key is that to the people that we're talking about that is the clinicians, the patients, the trainees, they need to believe in this, they need to really have sort of feel a compassion in actually making this happen. One of the things I think that for genetic counselors and medical geneticists is to bridge and straddle whatever it means is to take a look at clinical decision support that is sort of you know linked with the electronic medical record and there's a whole group of people that is very very involved in this and I think one of the areas that we need to be concerned about is moving away from you know having an individual session of counseling patient-to-patient to a more computer delivered message that is an interpretation that is sort of in sophisticated advanced and I think the keyword is comprehensible clinical decision support. I think that the way we view it is is sort of the probably most direct entry into the broader clinical world that it has to go through the EHR. I think we all recognize this. I don't want to you know talk too much about this but in in the sense of engaging the expertise that we have here and focusing in some form of a group on clinical decision support and how do we actually communicate these kind of complex subject matters in a way that it can be delivered in a very effective comprehensible message both to the physicians and then ultimately to the patient and I think if we can break down that barrier or make some or have some success in some key areas some demonstration projects, I think that will really help bridge that gap. I'll leave it at that.