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so Chris Ive been struck this week when talking to our affiliates in Europe and South America at just the the breakdown of our normal hospital culture people are BS being us to practice in ways that arent our normal ways of practicing and I can imagine and I picked up from the folks we talked to how just demoralizing and disheartening it is and Im really concerned about just the resilience of our frontline healthcare workforce yeah Mary the the very real concern out of these many stories is that these people in these hospital cultures are being irreparable harmed at this moment as theyre just overrun by the volume and the severity of this situation you know Im really glad that weve got our program circle up in place to help with this I think its its just a great system to take the skills that we have from CMS around briefing and debriefing and put them into action on the frontlines in a way that can really help during this crisis so you talk to us a little bit about circle up w