I hope so too. Thank you so much for that kind introduction. And I wanted to put together a talk that I thought people in general internal medicine and hopefully the subspecialties will find of interest.

And so I think, I hope this delivers. And feel free to toss any questions you have in the Q&A and I will answer them as best I can. I'll try to leave some time open for questions.

I want to start with this, evidence-based medicine.

You know, will it survive?

The title was just provocatively title so that I could entice you to come.

But recently I've heard very interesting things, which are that, you know, randomized trials,

they're overrated.

You can't have a randomized trial for every question in life.

In fact, probably most of the things you did today, you don't have a randomized trial for,

you woke up, you brushed your teeth, you got dressed.

There are no randomized trials that support that.

Not to mention, there are no, we didn't require a randomized trial to know that smoking was harmful.

And we certainly don't require a randomized trial to know that smoking was harmful. And we certainly don't require

a randomized trial to know that wearing a parachute when you fall out of an airplane is beneficial.

So smoking, parachutes, all those day-to-day tasks, they don't require randomized trials.

They're overrated. We don't need them for every question. And that's what I think increasingly

people argue. So, you know, this is going to be drawing upon a paper that I wrote with Logan Powell, who's based out of Texas.

You know, are those good counter examples?

So let me walk you through this axis.

This is how I think about healthcare.

You know, healthcare is a unique type of intervention.

It's an intervention that we're doing to make people feel better, be better off in some way. And you can imagine a spectrum of

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