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today we have Joseph the recently published guidebook on ntral medication administration so Joseph I read your book with great interest what inspired you to develop it great question Im not sure if it was inspiration exasperation it actually started probably in the mid 1990s believe it or not was a patient related issues where we werent really sure how to give medications through a feeding tube and I found myself having to rediscover with every new drug and there was no readily accessible source for for his information no one else seemed to be concerned about it the way I was yet over the ensuing years more and more people would call me for for information I said we need to have a resource nobody was putting this together I figured no one else is gonna do it perhaps I I should and Aspen you know obliged and publish this sounds great and who do you feel is the audience for this guidebook another good question so its really meant for any health care professional that manages patients