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all right we have a good amount of folks joining so I think we are all set to go ahead and get started really appreciate everyones time today my name is Betty needle uh with expert Institute and were very excited to introduce expert institutes newest service today called medical chronologies um the webinar will be allotted for 30 minutes well have time for questions at the end and youll actually see at the bottom of your screen theres a q a function as well as a chat function so definitely jump in there if you have any questions and well address those at the end as well as if you have any issues with seeing my screen joining us we also have Dr Ross Green who is expert institutes in-house otolaryngologists and actually heads up our entire team medical team which is comprised of 65 doctors so he is certainly a better person I am to talk about medical chronologies and the way that this webinar will be laid out is Dr Green will give you all just a bit of an overview of what are ch