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but I want it first of all say that the antibiotic stewardship committee which Im chair of and dr. Landon Wong is a co-chair of meets once a month and we kind of realized that you know given the Kovach pandemic we thought that perhaps we should just make some comments from a therapeutic strategy approach to these patients although after we go through mostly slides youre going to see we really have not that much to offer at this point but I thought from the standpoint of just antibiotic stewardship it would be a good idea just to give you some thoughts and I also want to say that MedStar corporate has developed therapeutic guidelines and if you go on starport theyre actually found on starport and they were they were probably initially created about Im gonna say about a month ago and I think within the next week or so and probably maybe within the next few days youre gonna see some major changes to what the initial guidelines were so well just I think we can go to the background s