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ladies and gentlemen will you please welcome Dr Joseph [Applause] B technical difficulties Absolut good morning itamp;#39;s an honor for me to be here today to speak before you um share my experiences um I had been in clinical practice for over 25 years treating Lyme disease patients and I during that time Iamp;#39;ve seen over 13,000 cases from beginning through to the end and what Iamp;#39;d like to do today is share some of my experiences and the research of literature that support the kind of work that we do um one of the things I recognize and I think you will recognize if you havenamp;#39;t already is that every line patient is different and so what I hope to do with my my two series of lectures today and tomorrow is give you the background on how to approach the illness how to approach the patient so you can make your own decisions based on what you see clinically um so Iamp;#39;ll begin I have no conflicts in interest financially to declare I wanted to also begin with a li