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welcome to todays webinar this webinar is sponsored by Mizzou ho OSI a leading manufacturer of specialty for difficulty Buellers and pressure management solutions in this webinar we will learn the importance of consistency when moving from the hospital to ASC setting efficiency in the ASC and keys to effective patient communication its my pleasure to now turn the floor over to our presenter dr. charles de cook well thanks for the introduction and thanks to Beckers for having us on today Im certainly excited to be with you this morning and to talk about some of my passion around the ASC in total joints and really driving back to you I also want to thank this morning needs a home OSI for hosting us and sponsoring this event theyve become a leaders and anterior approach replacements and certainly will be in the ASC as well these are my disclosures all of which are pertinent to the presentation Ive giving today including my paid consultancy through Mesa ho OSI and stock options as