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good afternoon and welcome to the department of medicine grand rounds my name is ryan abe and im one of the chief residents and i have the pleasure of introducing our grand round speaker today dr nisha bonsall dr bonsol is originally from the east coast where she attended medical school at the university of connecticut in residency at tufts medical center after which she moved to the west coast to complete her nephrology fellowship at ucsf she was faculty at ucsf for several years before moving to the uw in 2013. dr boncil is now associate professor and recipient of the authors stache endowed professorship in the division of nephrology at uw and also serves as a director for the newly launched uw kidney heart service here at mott lake shes also an nih-funded investigator in the kidney research institute and leads a program dedicated to patient-oriented studies in cardio-renal disease and hypertension synthetic exposed today about cardiorenal disease so without further ado ill turn