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okay uh good morning as always and as I always try to say Im just killing a a minute or so here to allow everybody time to get into the grand rounds thank you for being with us as uh we continue another really great presentation with one of our own this morning Dr Alexander will be presenting on a really important topic so uh again thank you for everybody whos joining today um and I wanted to say one special thank you to many of our leaders division especially Dr Dunn who Ill turn it over to in a minute uh Duchess Harmon and Solace as well for helping create um really a lot of great grand rounds throughout the year particularly this month um as you know this month is Black History Month so were celebrating that as well as American Heart month uh and so we have the perfect topic along those lines um I dont really have any uh many updates regarding uh viral infections covet or whatnot which is always good news because things are doing much better as I always say as well please do m