psychological health of young kids as well in this photo here we have a young child who i can't i don't think you may not be able to tell from the photo but all the other t's are resisting still could be and oftentimes those have to be put on a young again there can be risks and if somebody is needed or it goes under general anesthesia i mentioned that i was possible pending for our resident i can't tell you how many times we saw people come in with a really bad infection and they they with bacteria content infection you actually can have a lot of things going on and what happens is that the bacteria that are down in these pockets around the ts i forgot to emphasize that we didn't continue to attach interaction between the bacteria and now your blood and it turns out that these infections actually create chemicals in the body planetree chemical that can activate inflammation and infection in other areas of the body cause of death globally and the us and diabetes is super rich and it effects nearly half a million adults in washington and is responsible for a large part of our medical  disease and diabetes there's been the most research that has been done this and right now it's it's to the point where many consider period all disease or complication of diabetes but it's a two way down in these deep pockets that they actually have a hard time controlling blood sugar levels and for glycemic control place you know the blood sugar in the blood could be used to increase complications of diabetes which are kidney disease blindness problems with you know circulation and the extremities and cardiovascular and in the reverse direction give blood sugars are poorly controlled manner of people have a hard or at leading with all this is how important it is to get this at the very beginning before it becomes hospitalization oh is that how you actually save money as far as health care so in studies that have been done the found out and educate people about health the frequency of eating how to brush your teeth and this is kind of the mainstay of the you know death toll of education oh we need to provide access to preventive dental care not just emergency delivery programs and i want to add one more thing that's not on this list again i didn't tell you about my background i'm also the director of educational partnerships maker city so i work with students out in the community providing care to people who don't have access to care and trying to increase the diggers in the workforce and i think that increasing reverse diversity also house which is the overall home care of our home our communities with these high dise rates because people from communities that are under served to death as we tend to go back to those communities and actually are often the most effective providers because they come from somewhat of a cultural background and can educate in good behavior change better and but it's not only in that arena increasing diversity in research offers you different viewpoints and actually contribute to research does all this work this come about the connections between that impact on decreasing prescriptions but in general unnecessary descriptions i was just involved in discussing current local drug description drug take  and there are it has a direct effect as far as causing cavities it's also very acidic