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in some cases whats so interesting in the New England Journal article on the 16 P deletion that they say is accounting for this was a group I think from the broad Institute uh where um Welch was the first author at any rate the um they described about eight cases and half of them were inherited and half of them denovo so that sight is important but um its hard to understand that in some cases its present in the families and in some cases its not so you really dont know how penetrant that is how strong the effect is