instant keto and then muddle through it and so I really liked that my doctor and most of the doctors that you'll go to down there will have some kind of recovery hotel or recovery recovery home something where you'll go and you will have access to care so for my particular surgeon we go to a hotel and it's a hotel with other guests as well but all of his patients are there and there is 24-hour like nurse care so there's always a nurse on call or several nurses on call depending on how many patients there are nurses checked on me the first few days like every couple of hours - vitals a doctor came every single day looked at my incisions made sure everything was looking okay you know