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so heart failure is a complex disease process that can span a spectrum of conditions and applied passes put it in Iamp;#39;ve had stents put in and Iamp;#39;ve had defibrillator and pacemaker our goal with care Sanders ation is to improve at the first point throughout the hospital optimization of care we want to make sure that patients who are here at Christiana Hospital Wilmington Hospital and any of our outpatient facilities have access to the same levels of care standards of care and that they meet the most current guidelines fantastic reading upstairs and down here to this unit here is fantastic they really take good care of it we created a bridge clinic available here right at the Christiana Hospital that we focus on education nutrition we use a new technology called the Reds vest which the patient may have experienced in the hospital where we measure the level of fluid in their lungs to see how optimized they are from the volume standpoint in addition to that we have embedded i