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[Music] as you know many of our faculty get invited to a variety of places this is a lecture that dr. coconut was asked to give as the pot lecture at Western Surgical this this last year this and we are pleased to have her share that experience with us this is not a completely esoteric talk for all of us as well because we deal a lot with the issue of informed consent often people are potentially uncomfortable with consenting for a procedure they dont know about and we dont want you to be put in that position and theres a lot to think about when you think about informed consent so our head of the ICU trauma ACF faculty senior faculty member Chris coconut thank you [Applause] now this is one where I did give it this bring it a Southwestern surgical and trying to come up with an idea of what to talk about and I think this is something that touches every single one of us I have no disclosures okay with an ethical concept is codified in law but its in daily practice at every single hea