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hello everyone thank you so much for joining us this beautiful afternoon wed like to talk to you a little bit about some advanced options for hip and knee replacement that are now offered here in mayo clinic and lacrosse joining me today will be uh myself and dr johnson and hopefully dr nolte as well so its a little bit about our group here so first ill introduce dr nolte hes one of our partners hes done his training in philadelphia as well as new jersey and has been here in la crosse for several years and a lot of our patients are familiar with him he has a variety a wide variety of practice but does a lot of hip and knee replacement myself so i am local i grew up in the viroqua area did medical school at mayo clinic did residency training out at the university of washington in seattle my fellowship training is an adult reconstruction meaning that my training is specifically in hip and knee replacement and ive been fortunate enough to come back home and have been part of the pra