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now one thing too we should point out you know sometimes I think patients maybe get confused because positive and negative get a little confused when we talk about the screening world so letamp;#39;s try to cut through some confusion that people may have about the terminology positive negative and what that means when when screening results actually come in thatamp;#39;s a good question actually there is a lot of confusion I specifically try to avoid using those words when Iamp;#39;m giving results because I understand they can be confusing I think if as a patient weamp;#39;re very anxious about the result and so itamp;#39;s important that we understand it in general positive result the way I think of it simply is positive means presence of a disease or condition so a positive result means the presence of a disease of poor condition and a negative result means an absence or itamp;#39;s not there so negative not there does either condition okay there we go nice to clear up the con