 We were alluding that a little bit earlier on where you know have the conversation early and often so that that so that when if and when the time comes at least the Caregiver has a sense of what the patient's wishes would be and I think that's kind of by the number one Barrier is that people are just not having the conversation then we're showing you know people are Until there's a crisis when there's no way to kind of backfill this So having something like that, but that's enough itself not enough I Don't know if I can make a kind of more educated answer than that Marina can I put you on the spot a little bit since you? Are here If you can because we were talking a little bit earlier So I was joking earlier that I really think that this should be the topic for next year's next year's Panel because it is so complex and the realities of what happens in the hospital or You just explain who what the work you do. Oh, sorry My name is Marina Martin. I'm the section chief for geriatric medicine at Stanford So I take care of all older adult patients and work with a lot of families and particularly a lot of families where dementia is the primary diagnosis and Family members are having to make decisions for their loved ones And so we when that happens the advanced directive becomes Can become an important tool for determining who is designated to make medical decisions Sometimes there isn't one completed but even if it is What happens in medical practice in reality is often that those documents aren't looked at that closely and Decision-making around care of the person is Much more about conversations with family members and so it gets very complicated and there are I think someone was mentioning there are new advanced directives being developed around dementia but there's Where people would write it saying if I do develop dementia at some point I do or don't want this or that there's a lot of ethical discussion around that because Some people who work a lot with with people with dementia have noted that The person isn't always as distressed as they think they'll be and in react and we know also from People with non-dementia related serious illness that sometimes they're thought of what can they stand and what's Acceptable quality of life to them changes dramatically when they're actually in the situation So your ability to predict how you will How how you will feel or what will be acceptable to you? In a certain state is actually I mean It's not terrible. You're probably the best authority on yourself, but it's not a hundred percent