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to rescue its funny I think he needs no introduction actually so but I will go through sit there go through it so did training Medical School in Romania and then came here to Beth Israel for for residency and then cardiology fellowship here at Emory and then stayed on it faculty and has been a cherished member of our just our educational community involved in resident education and then its great to have you here to speak about this topic which is diuretics and Akili come to talk later thanks for being here greatest honor and pleasure to be here so I thought today I would present more of a method of how to approach the dura is using heart fair paste on the best I could find evidence-based medicine its only one really clinical trial its worth mentioning here the dosed route but everything else is more of a physiology kind of data that when I had the chance I Im gonna post it there so one understands how we would not come across this method and first of all why do we need to treat