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okay 7:30 good morning its my and welcome to the Grand Rounds presentation by Dennis Lang the outgoing recipient of the Bruce Lachlan endowed fellowship in cardiology its also my pleasure to announce this years recipient dr. Sotter shaquille we can do virtual applause the Bruce Locke Laughlin fellowship was established 15 years ago by the Laughlin family honor their father dr. Robert Bruce the first head of the division of cardiology at the University of Washington dr. Bruce was the quintessential academic cardiologist he was an imaginative and highly focused clinical investigator whose special contributions deserve high ranking in any list of important medical milestones hes best remembered for the Bruce multi-stage treadmill test which fights the simplicity of design became reproducible readily performed estimate of maximal exercise capacity and by extension maximal oxygen consumption Id also like this opportunity like to take this opportunity to thank the whole Laughlin family