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all right well I think were gonna get started Gary Shelton should be joining us shortly I think he just stepped out briefly but for those of you who I do not know I recognize a lot of you thank you for coming happy national healthcare decisions day today is the official day but we have extended it into a week-long worth of activities and for those of you joining from other institutions thank you for watching we are gonna be talking about advanced care planning today oh and Im so sorry my name is Nicole loving Im a nurse practitioner with the supportive oncology service the palliative care team and I am very passionate about advanced care planning so Im so glad we can talk about this today so the theme this year for national healthcare decisions day is its always too soon until its too late so I think when a lot of us think about it Vance care planning we think about decisions that are far in the future that we dont need to get to quite just yet but as we know sometimes things c