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[Music] good evening everybody and thank you very much for coming out here tonight and its a little chilly lovely but we have so much to talk about because you know when you talk about lies is always exciting so theres so many lies to talk about so I want to dive right into this and this started because Ive been treating patients for almost 30 years and we say okay youve had a heart attack now lets do X Y Z and they still come back with more problems because the residual risk is still 70 to 80 percent so if I told you just grab a 70% chance of having a heart attack would you be happy but we all were happy with that that were doing everything possible Ive taken care of ABCD but thats just not enough if the residual risk is so high so where did we get the comfort from we got the comfort from Statistics that I am doing everything and Ive reduced your risk by so much and so much and so much and today Im going to show you some of the lies that we have propagated or have been pr