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looks good okay great well well thank you everybody for having me um this is uh i i im john mignon i run the heart fair program here at swedish um our main focus is we do we do all comes all forms of of heart failure so all the way from um cardiogenic shock were the leaders for doing ecmo in the pacific northwest were the only gold center in the pacific northwest were doing ecmo and cardiogenic shock is one of our passions we see the most cartogenic shock cases in the region about 800 a year and we have a shock team that responds to every single one of them and since we implemented that program weve cut the deaths from shock in half and so just remember usually cardiogenic shock its a 50 in hospital mortality uh and weve been able to get it down to about 23 percent um we put person ecmo just uh just recently uh for for his shock um the uh all the way to we do genetic cardiomyopathies i i have an a very comprehensive amyloid program which were capturing a lot of amyloid uh and
