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well hello from the Ching cross Symposium itamp;#39;s a pleasure to be here and an honor really to be amongst vascular surgeons theyamp;#39;re bra very brave having a physician as chairing this so Iamp;#39;ll try and behave myself this afternoon so my background is Iamp;#39;m professor of medicine at the University of Manchester and Iamp;#39;ve been a visiting professor and full-time Professor University of Miami for many years and Iamp;#39;ve researched in the diabetic foot uh really for the last 40 45 years uh with a lot of Publications and a lot of experience in this area and building multidisciplinary teams and itamp;#39;s a pleasure to have with us today two very distinguished vascular surgeons from the United States although sitting immediately to my left is Dr Ana duer whoamp;#39;s actually Scottish originally so thatamp;#39;s a pleasure to have someone from north of the Border here with us today and sheamp;#39;s associate professor at Harvard and sheamp;#39;s