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thank you so much for that introduction and i itamp;#39;s truly not i mean this is something that um i struggle with you guys as much as you guys struggle with your condition and itamp;#39;s been 20 years and weamp;#39;re still trying to find answers and fortunately we are making some weamp;#39;re making some progress weamp;#39;re trying to have a better understanding of of these conditions um when i say conditions i mean crps and all its associated conditions you know when i started out 20 years ago um it used to be called rsd and then other than doing a nerve block there was no other option it was nerve block and gabapentin and thatamp;#39;s it but over the years if you look through some of um if you look through some of our past videos on rsdsa youamp;#39;ll find a progression of how things have moved on um so with that let me just start this presentation iamp;#39;m not going to talk a lot about crps but iamp;#39;m going to talk about some of the conditions that i have noti