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thank you dr eustep id like to also add my welcome to all of you to our uh to this wonderful course this this is my first time um and enjoying uh this just wonderful um uh list of uh speakers and topics just out of my own curiosity can i just have show of hands how many of you are interested in heart failure or think that you may be taking the heart failure boards down the road okay well thats good how many of you have clinics right now maybe as a resident or as a fellow that you are seeing heart failure patients okay so as i thought no matter what you choose to do in cardiology you cannot avoid heart failure it will follow you no matter how hard you try to escape it um okay i think hold on a second all right so i know um dr brown did a wonderful job in just touching the the very vast compendium of of uh information that has come out of in the world of her fury in the past 10 15 years um you can have literally a whole week of session or and and lecture and discussion just devoted to