i am not sure which common it is, if you want to pick it up, mr. mcintyre. but your friend who suggested the change from ptsd to posttraumatic stress syndrome, do you have any sense that monica would have a better shot at the entitlement to the purple heart then ptsd does now? >> it would probably have less. i don't know how we will deal with the question of how displaced it is very hard to tell when the problem starts and it's very hard to know what the problem is. it's very hard to address a treatment. so that makes it very hard to assign and award the sacrifice that we have suffered. the thing that i'm operating in is that folks have been wounded come up wrangham home. you people home up to the moment they arrive. what they are thinking, if they come back to combat come back him as a flash forward. i would prefer to invite the state surgeon to comment on that. the vermont national guard state surgeon. this is a thoughtful and brilliant man with five or six tours under his belt and this is not a new issue. would you like to comment quickly? >> along the li