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thank you thats working yeah good so Im Mike Heiser I supervise their clinical engineering at Middlesex Hospital okay hi good morning everyone Im Bianca Wyman and Im a clinical engineer okay so were gonna start with just a few questions see where everyone stands so who here has a basis not necessarily on fine here everyone does give a standard process for prioritizing that replacement what about the nose or your hands okay so Middlesex Health is dedicated to providing the highest quality care of our patients were a member of the Mayo Clinic system so or their clinical care network so that means we partner with them on different initiatives and we have access for our patients actually get second opinion service which is great for our patients and also for our physician were 229 been Hospital where five times in a row magnet Hospital we have three urgent cares three family practices primary care offices to off-site needies to Cancer Center is an on-site surgical center seven rehab