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I always ask how many people have been [Music] thank you very much well its a pleasure to be here weve had an awesome morning this morning seeing some of the amazing work thats being done and delighted to come and talk a little bit about what were doing important always in the current environment to let you know that we have neither of us have any financial disclosures as it relates to industry or pharma I dont know how many of you know the Peter Munk Cardiac Center which is where Cedric and I both work it is located at the Toronto General Hospital we are the largest Cardiac Center in the country and these are just some of the statistics so a very busy very busy center the area that I work in specifically though is around the area of heart failure so I am a cardiologist by training but my focus is in the area of heart failure and the simplest way for me to define for you what heart failure is is that it is the inability of the heart to pump adequately to meet the needs of the body