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so thank you for being here this morning and to the Houston heart failure management conference its a third annual event and were very excited for all of you to take the time and be here and I I want to welcome all of you for todays event and I also want to welcome dr. bill Zogby whos our chair of the cardiovascular division whos here to welcome you all to the hospital and the and a conference center here Im sorry [Applause] well good morning everyone this is a good morning you know number one I think you are an amazing audience for people to take of their time on Saturday and I know the weather is not the greatest outside so I think its good keeps people inside but to take time and learn a little bit about you know heart failure now you may I know weve talked in the past about changing maybe the name of heart failure to maybe heart weakness or anything like this and I think from me from an individual perspective this is some weakness of the heart that has afflicted many Ameri