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all right letamp;#39;s switch topics to substance use disorders now this we know is we are very familiar we are all so familiar and but and itamp;#39;s also itamp;#39;s taken on kind of a new degree of urgency despite our you know years and years of people that come into the emergency department with certain kinds of drugs on board that use them for recreational purposes or whatever it is now a true public health crisis um thank you sackler family and all of the people that ended up addicted to opioids substance use disorders is a gigantic public health crisis and itamp;#39;s not just opioids itamp;#39;s across the board um and it we i mean we see it all the time all the time in fact weamp;#39;d have nothing to do if there werenamp;#39;t alcohol and drugs out there we really had nothing to do um it is a really big health care price health care crisis we see the intoxicated we see people who overdose we see people who got reversed in the field and get brought into us and and they