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[Music] very good morning to everybody and welcome to the houston methodist debatey heart and vascular center grand rounds today today is a special day because this is also a part of our george p noon conference under the jc walter junior transplant center with no further due today we have a special guest and uh dr mann is no stranger to houston in our institution and i jumped at the honor of introducing him except i knew dr guillermo torre whos here with me whos probably going to do a better job and for for many who know dr torre hes for a lack of better word i call him the godfather of our program a phenomenal gentleman my mentor and friend uh and for those of you know him yes hes still a part of our institution and no hes not the president of mexico yet and with that i will transition over to dr torre to introduce dr mann arvin thank you very much its really a great pleasure to be here today first because the transplant program has had a tremendous impact in the houston area a