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[Applause] hi Iamp;#39;m Dr Sprints and today Iamp;#39;m here to talk with you about pain and substance use disorders protecting patients and protecting providers Iamp;#39;m going to start with sort of a background on myself uh Iamp;#39;m originally trained as an anesthesiologist Iamp;#39;m also Fellowship trained in pain medicine Iamp;#39;m board certified in pain medicine addiction medicine as well as um anesthesiology additionally I myself have personally been in recovery for over 23 years so I have a perspective from both a physician as well as from a patient as far as Financial disclosures uh I do a lot of Consulting so there are all of my disclosures so what are we going to talk about today well today weamp;#39;re going to talk about the challenges that we have when identifying substance use disorders in chronic pain patients weamp;#39;re going to look at how to identify warning signs and indicators of whatamp;#39;s going on in terms of a uh a patient who