Okay, so I had the privilege of chairing the clinical informatics interest group over the last year and a half and I wanted to acknowledge both Casey and Casey's contributions to that group in particular And one of the things is a group that I think the cases already been made fairly well is that clinical informatics is really integral to the success of genomic medicine and so the group has started with a mission of supporting an open forum around exchanging lessons related to clinical informatics and also summarizing and disseminating best practices And so I think you'll see some of the projects that we've been working on are in that realm But we're looking forward to other opportunities and there are many in this area We we have seen essentially summarized in the two previous talks that there are two objectives That are that need clinical informatics to succeed which is having clear actionable representations of genomic risks and clinical guidance within the HR and then also Communicating those results with patients and exchange instruction information between sites of care and one of the things that is not mentioned Which I think is important is enabling long-term management of genomic risks and long-term access to those results So I wanted to reiterate one point which I think the other speakers have made Which is there's been a tremendous run-up in EHR adoption in the last ten years But there's two lines here and the bottom line with this is data reported by ONC is Representing the basic EHR system. So there is truly a diverse Installed base of EHRs in our communities and most of them are basic So the comprehensive ones are represent only about a third of the installed EHR systems and what does that mean? Well, there's actually a list of features which you probably can't read But the one I wanted to highlight was the one that says decision support at the bottom is Lacking in all of the basic EHR systems. So Right off the bat, I think there's a major Deficit in infrastructure to deliver the kinds of guidance we'd like to do within the EHR And we encounter this within our night projects. In fact, one of our sites Has not only had a basic system But they've turned that system over twice in the in a time period where they've been active within ignite So it's the stability of the systems can be an issue as well over time So what we've done as a group in the last couple months is started with this idea. Well, let's let's sort of envision a little more idealized clear compliant genomic data pipeline and This I think echoes some of what Sandy has presented where you have different stages that the data goes through it starts on the laboratory And then we have a stage that we call genomic escrow where It for a large panel test or sequencing result you would Stage the data there and only the data that is actionable would go forward to the EHR but there needs to be a Clear compliance storage over the long term where you could potentially reanalyze that data and produce new findings There are clearly gaps in just about every task within these different stages Probably the only thing that is we do fairly well consistently across sites would be specimen accessioning and tracking But there are lots of opportunities within these other areas and the other thing the other point that I think Sandy made well is that these tasks can be done within the same health system or Many of them can be done within a reference laboratory or even a third party those middle two stages. There's lots of course of Silicon Valley companies that would like to take care of Storing your genetic data for you or doing data interpretation And so the the landscape the commercial landscape is fairly complex in this area Now within ignite we are touching on many of these And with some of the projects that I'll show you Certainly not solving them or trying to boil the ocean, but at least making some progress on some of these areas So as a group we came to came up with these major informatics challenges And I think in terms of the ones that that we've been focused I'm not going to read all of them, but in terms of the ones that we've been focused on lately It's mostly been around delivering clinical guidance based on genetic risks to the right person and place within the workflow But the rest of them are opportunities for us to do to expand our work So one of the major tangible products that the group has helped with is with a site called CDSKB This is a design to be a repository for Implementation related clinical decision support and so it Includes screenshots includes supporting the algorithms documents things that a Site that it was not doing this kind of work could use that to get started now It's not designed at this point to be exportable plug-in decision support That is still technically quite difficult with the range of systems that are out there But this is I think a nice foundation for that kind of work going forward And just to give you an example. This is this the search screen So across all the documents we've collected you can search by Drug name you can search by Jane you can search by disease indexed based on those three categories It were by the type of document that is stored And so within the repository we have Artifacts that are basically screenshots of clinical decision support. This is an example for our own institution showing a Screen that's in the in the middle of the prescribing session where You might want to switch from Prouser girl to from Clopida girl to one of the alternatives based on substitute 19 results And one of the interesting things you can do with this particular resource is compare this to Something that is trying to do the exact same thing at a completely different institution So it's sort of a way to do comparative informatics. This is actually Implemented within an epic system and is much simpler, but is trying to do the Accomplish the same task There's also This clinical decision support that is being generated by ignite sites. This is an example from the guard study related a bell one and And there's a number of other documents and and it's an open site. You're welcome to go browse through them so the other I think nice Activity that SIG has been involved when has been these monthly webinars We've had a number of experts Talk on different clinical informatics topics over the last year and a half Here's some of them And I think our we will continue to do this run this series and so I encourage everyone in the room to participate And we've recently started in the last Couple months looking at this idea of Given the idealized version of the data pipeline. What is actually out at our at our night sites? That's not something we've cataloged yet. And so We are In the process of putting together not only this framework, which is going to look somewhat like the diagram I showed But also a structured data collection to really get at where the gaps are within our own sites Which now cross both, you know, we have academic sites. We have non-academic sites We have community sites and so it's going to be a nice selection And cross-section of what these different clinical care settings look like from informatics perspective The other activity that is related to what we do is we've been active in helping With some of the activities of the pgx group mostly around extracting Drug exposure data or outcome data and doing electronic phenotyping And so this is a project that we've started in the last six months Which is designed essentially to look at How often c-pick level a drugs are being prescribed at a number of different institutions we've collect we've now have a group of 10 or 11 institutions that are participating and so this is going to Allow us to do a couple things It's it's going to look it's going to look not only at the overall opportunity for pharmacogenomics in particular But also look at prescription trends that we should be paying attention to and so this is an example of some preliminary data we put together at our i3p sites and I want to draw your attention to the middle panel where the va made a policy decision to change from Warfarin to one of to Allow their or encourage their prescribers to use the other no acts or novel oral anticoagulants And there's both dramatic drop in warfarin use really in a a couple month time period in early 2015 And so that's the kind of thing that would clearly Impact the opportunity to tailor warfarin therapy Whereas in a place like aurora, which is a large Integrated health network The the warfarin opportunity is still very large where the vast majority of their patients are being initiated on on the traditional medication as opposed to the no acts So briefly summarize we we have a lot of opportunities to study and address gaps in the data pipeline We also have opportunities to support comparative effectiveness activities in the network And one of the Areas which I agree with saying is very important That we could focus on in the future is really more of the user experiencing Of accessing genomic data or interpretations within the EHR Thank you, josh And we will have a discussion moderated by eric borwenko at the university of texas at houston with the discussants terry Klein from stanford university in karin albeck of university of utah


Good welcome everybody and welcome to our guest today. I'm Michelle O'Neill vice-president of Sinn Fein Leader of the party in the north and a member of the North Corolla Michelle has been involved in politics for most For adult life first female mayor of Duncanon MLA since 2001 and a number of ministerial roles in the executive So without further ado Good afternoon and great to be here this afternoon and have a chance to address you all and look forward to the questions afterwards and This is my first time here actually so Great great to be here and to see so many people On the topic of what I want to talk about today, which is around Ireland's future and beyond Brexit So I'm very grateful to the Institute to afford me the opportunity to have a chance to actually address address the gathering And I think that as we gather here today Ireland's probably facing It's biggest and probably its most profound challenges in a generation Not least in the context of Brexit But also because of demographic change and also because of the loss of the Unionist majority in the north and Then aligned to all of that is the fact that there was an evolving conversation Around the future of the constitutional position on the island and Brexit has clearly become a catalyst for all of that So I think as we as we gather here today history is certainly unfolding all around us. I think it's a matter of vital national importance which requires Intelligent mature and inclusive analysis and examination and it also demands proper planning for the future The world is moving on and it will move on very quickly So the question for us all in politics in government and business academia and civil society is How do we best shape Ireland's future direction for the betterment of everyone who shares this island together? We're certainly in uncharted territory as a country And how we respond to all of these challenges will determine our path for decades to come The brexit referendum in 2016 did not take account of Ireland or the unintended consequences for our institutional or constitutional arrangements The political social and economic progress of the last 21 years was ignored The relations developed within the north Across the island and between Ireland Britain have been stretched Brexit is a British policy, which is being foisted on part of this island and our people who have not consented to it at all We value our membership of the European Union Because it has brought us enormous benefits both financially and politically down through the years The people of the north voted to endorse this support during the 2016 referendum by opposing Brexit The majority of citizens and elected members to the assembly are utterly opposed to Brexit and there is no good version of Brexit for Ireland north or south Ultimately dragging the people of the north out of the EU into a nightmare is mutually incompatible with the good Friday agreement So we identified the need to provide an air solution to an English problem And actually former president of Sinn Féin Jerry Adams in this very building actually launched our response to all of that whenever he Launched our document here, which was entitled designated special status for the north within the EU back in 2016 We have worked constructively with the Irish government and the pro-remain assembly parties in the north including the SDLP in the Alliance And the Greens to work in common cause towards in defense of our shared interests We also secured cross-party consensus in the doll back in February 2017 for our policy And the core tenants of that policy have been to advance the case for safeguarding the peace process and the protection of the good Friday agreement No customs border checks and tariffs on this island continued access to both single market and customs union Preserving the north-south east-west elements of the agreement which are critical to cooperation and better integrated collaboration economically and a public service provision and To secure citizenship provisions core to the good Friday agreement Which recognizes the birthright of all people of the north to identify themselves and be accepted as Irish or British or both as They may they as they may so choose and therefore exercise and enjoy their Irish and EU citizenship and associated rights So I suppose the question is is last week's Revised political declaration and Irish protocol good for Ireland We believe that whilst it's clearly imperfect. It is better than a no-deal crash out. I've described it as the least worst outcome Does it achieve what Sinn Fein and others have been arguing for in regards to special status? Yes, it does It means no border and critically what it means is no unionist veto The DUP have been Attempting to conflate the issue of the principle of consent which is set out in the good Friday agreement on the constitutional status of the island With the issue of parallel consent Which is in reference to the workings of the assembly and the executive and is limited to a number of areas For example when it comes to setting of a budget or the election of a speaker Which was a relevant matter over the course of yesterday's debacle in the assembly The deal on the table will mean that seamless trade and all our supply chains will be less disrupted It will protect trade jobs and livelihoods and it's clearly welcome There are issues in terms of it the role and consent required by the assembly every four years is imperfect Because it doesn't allow businesses to plan into the future. It doesn't give them to give their investors certainly Our island economy has conventionally been depicted as a product of our political history That is segregated and divided with the south outperforming the north We now see the reverse of what was done or what was once a vibrant northeast economy on this island when partition occurred and boundaries were drawn Belfast was the industrial anchor haven't emerged from the Second World War in a relatively advanced advanced advantageous position But that's a bygone era and things have changed The divergence between north and south has often meant competing economies and the north continually trying to catch up Despite the peace dividend and all the foreign direct investment post 1998 I Firmly believe that we need to develop and nurture We need to build and grow the all-island economy where we develop closer regimes and models of integration It's imperative that the island of Ireland redoubles our efforts to develop and rebuild modern Competitive and sustainable economy where we open doors to trade to investment tourism and to jobs We need to improve our competitiveness through investing in public services and infrastructure on an all-island basis Our membership of the EU went some way to compensate for the shortfall With substantial financial aid towards infrastructure agriculture subsidies and other granted This island together has been in the EEC and the EU respectively since 1973 And the Tories and the DUP are intent on dragging us out of the EU and there's huge anger about that right across the north What we must take away from all of this Brexit debate and debacle is that we cannot ever allow Others to make decisions for our country for Ireland and for our future So we must decide Ireland's future beyond Brexit And Ireland's future must be in Ireland's hands only And all the while as we go on that journey we must be guided by the principles of the Good Friday Agreement Sinn Féin along with others have invested heavily a serious amount of energy and political capital in the peace process The Good Friday Agreement framework in all of its dimensions is something that we're fully committed to Our agreement, the People's Agreement, has been under fierce attack by hard Brexiteers And I do not expect that to end anytime soon because as we know Brexit is here for keeps The agreement provided an alternative to conflict and it was the basis for building a new and democratic society And the peace and reconciliation of a deeply divided society And I think we have to reclaim that spurt of the Good Friday Agreement We must not lose the last chance to advance reconciliation and heal the wounds of the past A central part of that agreement is human rights and equality guarantees in law The DUP against the will of the majority of parties, MLAs and the electorate have yet to embrace these guarantees And we, Sinn Féin are committed to the restoration of the Good Friday Agreement institutions on a firm, fur and just basis in the common period But this must be based on respect, full respect for and protection and expression of the rights and identities of one another's traditions Which even handily afford our communities the party of esteem, respect and equality of treatment and opportunity promised in the Good Friday Agreement Momentum and talks since April of this year has been impeded by two political realities Brexit being one and the Tory DUP packed at Westminster being the other But we must return to negotiate and table because progress always has been possible We need to guard against what is a lull so that doesn't become a full stop The continued stalemate I believe is untenable. It's unsustainable and it's quickly running out of road It's no secret that we are in course We of course are as Irish Republicans and we're a party whose raison d'être and primary objective is to bring about a new and agreed Ireland We are the largest nationalist party in the north representing our citizens And we are committed to the democratic pathway to united Ireland as subscribed to in the good Friday Agreement And we're also wholly committed to the principle of consent It will only be the people it will be the people alone who decide our constitutional future through a unity referendum The full crime of the brexit crisis is the border in Ireland This has exposed the failure and the undemocratic nature of partition A political problem which requires a political solution There's a growing sense that circumstances are now rapidly changing Which will inevitably lead to the final breakup of the constitutional structures of the united kingdom People from across society in the north including those with the british identity are now seriously questioning the merits of which union They wish to belong and where their economic interests are best served Over the past number of elections in the north the unionist majority has gone That notion of a perpetual unionist majority the very basis of partition is gone The latest census data on the north from 2011 show significant democratic demographic shifts Where the nation's population will soon be a majority as early as the end of the next decade A conversation is now underway on the constitutional future of the whole island That's a conversation that's never been seen before While the devolution settlement ushered in by the labour government back in 1998 Was a welsh scottish and Irish phenomenon how we reached this point And our point in Belfast was very different and historically painstaking We're not the same as scotland and wales The issue of Irish unity has taken on a whole new dynamic because of brexit and that can't be ignored The political momentum on change is moving in that direction Shin fame wants a new and a great Ireland However, let's be clear. We'd never claim to own the debate by ourselves The debate is for each and every one of us And I think the key point in that debate is actually that the EU have declared in the future That in the event of Irish reunification, the north will automatically rejoin the EU So the declaration by the EU states that the european council acknowledges that in accordance with international law The entire territory of such a united Ireland would thus be part of the european union in the event of Irish reunification Those of a british unionist identity are starting to assess what this means Not because they wish to become Irish nationalists But simply because they want to remain europeans It's no longer self-government from Westminster through devolution through devolution that people are content with Everyone is being challenged to rethink their future Shin fame for our part see no contradiction whatsoever In declaring our firm commitment to power sharing with the unionism in the storming assembly Whilst also initiating a mature and inclusive debate about new political arrangements Which examine Ireland's future beyond brexit And similarly, I believe there's no contradiction in unionism working the existing Constitutional arrangements whilst taking its rightful place in the conversation about what a new Ireland would look like Citizens are looking to the future to see where their interests are best served The people of this island should have a choice between brexit and reunification A growing number of people on the island of Ireland believe that Irish unity is the democratic alternative To the unwanted brexit that's been foisted upon citizens here And we cannot afford to compound segregation and division and isolation There is an onus on the Irish government to begin such preparatory work now In parallel with civic society and conversations which have already started Emerging voices across civic society in the north are now discussing this option both publicly But also quietly in workplaces and in homes So how do we help our neighbours from a Protestant British unionist identity into this conversation Without having to surrender that identity or allegiance Because the new Ireland that I certainly want to bring about isn't one that's just for nationalist or republicans It has to be one for everybody who shares this island and everybody must feel that they belong In considering this we should remember that the north would be uniting with a pre-existent state within the EU Where article three of Bunrock-Nahar and anticipates reunification And in the context of an international agreement that guarantees continuity of protections Established within the good Friday agreement. I think that's a really important point. There has to be a continuity of the good Friday agreement All of the mistakes made during the brexit referendum must be avoided in any national dialogue and referenda on the constitutional future of Ireland It's clear that the building of a new and a great Ireland will require the participation and the cooperation of all of the people of this island In particular, it's evident that the people parties and government in the south must commit themselves to this objective However, Britain must also accept its obligations to create the conditions which allow this process to begin in the context of the good Friday agreement provisions The British government have a legal duty to join in developing the necessary processes That will recognize these realities and give effect to these requirements as agreed and to make the required investment of political will So the British and Irish governments should enter into discussions to create the framework and the atmosphere necessary for this purpose It would assist in preparing for negotiations if discussions between the governments were to take place prior to any referendum And avoid the repeat and the abject failure to begin basic planning that was so evident throughout the brexit debate And the Irish government should clearly press for such an engagement The British Irish Intergovernmental Conference, as contained within the good Friday agreement, is a mechanism to facilitate such a discussion The conference, as you were aware, was set up under the good Friday agreement to promote bilateral cooperation between both governments Costing reunification, carrying out an examination of the new political arrangements, fully respecting obligations and commitments under the good Friday agreement is also crucial This also should include any outstanding commitments under the agreement and the steps to be taken to implement them in advance of a referendum A national forum must be established to carry this necessary engagement and consultation forward led by both of the governments The Irish government should also establish a constitutional unit within government and appoint a minister with responsibility for north south relations Political dialogue and negotiation, planning and preparation for a referendum on Irish unity When an Irish unity referendum is secured and won, there also must be a period of preparation for the island of Ireland to become a reunified country Setting a realistic reunification date will allow time for preparations necessary for the national parliament to take on the new powers of reunification to be completed This period between the referendum and reunification will see further negotiations between Dublin, London and, importantly, the European Union The governments, as agreed in the good Friday agreement, are committed to work together constructively in light of the outcome of the referendum in the best interest of the people of the island of Ireland And following that vote and reunification, agreements will be needed between the Irish and Westminster governments, setting the parameters for Ireland's transition to reunification These will set out the precise timetable towards that reunification There are also ways in which the EU could ensure that the transition to Irish unity and maintaining membership of the EU are supported And I think the most poignant example of that is how the EU helped Germany Next month marks the 30th anniversary of the fall of the Berlin Wall in the night of the 9th of November This symbolised the end of the Cold War and setting chain, a motion of events that would forever change the face of Europe And as a direct consequence, Germany was fully unified in one year, in less than one year And that's something for everybody to think about, because sometimes events can overtake you The European Union has always been about removing barriers, about bringing people together in peace and prosperity Professor Colin Harvey and Barrister Mark Bassett published a new paper relating to this only a fortnight ago in the European Parliament This could involve the establishment of a European Parliament special committee on reunification, as was the case in German reunification This parliamentary committee would have the ability to deal with all issues relating to the impending reunification and the reintegration of the north into the EU Also the European Parliament has the ability to establish what's known as a contact group Which would maintain contact with political parties, public authorities, civil society in the north with a view to ensuring the widest possible range of groups are heard In order to ensure the representation of citizens from the north, the existing MEPs may be designated as observer members Using the precedent both of observer MEPs from the new lander in Germany and newly accepted member states of the EU Only an Irish government and an Irish parliament will put the interest of the Irish people first The chaos at Westminster where no heed is taken to the interest of either Ireland or Scotland is a daily reminder that our interests do not matter to the English The Good Friday Agreement gives the people here the opportunity and the choice to decide our future together How we live together, how we work together, and how we share this island together The political momentum and change is moving in that direction Not only is it possible, but I believe it's inevitable in the time ahead Brexit is a serious direct threat to Ireland's future political stability and economic prosperity So these challenges require new thinking and a radical and innovative response Let's take, let's create a new relationship between Britain and the New Ireland and all of our people During the course of this decade from 2012 to 22 We are marking the centenaries of key seminal events which have shaped modern Irish history over the past century And have defined our relationship with Britain during this time Our relationship that's been characterised by colonialism, rebellion, partition and political division And then over the last 20 years, peace, reconciliation, renewed cooperation and mutual respect As we approach the centenary of partition, let's not refight the old battles This solution, this will only be solved by political leadership And we have no choice other than to succeed The best hope for success is the dawning of the realisation That our best future is bringing the people of our island together and not apart And that we embark on this national endeavour to transform Ireland and unite our country from this point forward This is a defining period in our history and the history of Europe I believe that the onus is in all of us intelligently To prepare and to shape for Ireland's future beyond Brexit


Hey, this is Brett, and today I'm excited to show you this brand new 2022 Ram 3500 Mega Cab Short Box Big Horn Level B. This truck is in Granite Crystal Metallic. It is brand new. It is available for sale on our website. We're going to do a walk around here. We're going to get up close. We're going to check out under the hood, inside, and show you the underneath a little bit. And yeah, brand new truck, single rear wheel. This one has the 6.7 liter Cummins diesel engine. It's going to put out 850 foot-pounds of torque and 370 horsepower. Granite Crystal is the paint code. This one also has the night edition on it. So that's why the grille and everything is all blacked out. You get the cab lights up top, front bumper parking sensors, and the painted bumpers as well as the blacked out headlight bezels. This one comes with Firestone Trans Force AT tires. These are LT28560R20s, and you get the 20-inch painted black alloy rims. This you get the blacked out Ram or the 3500 logo, blacked out Cummins logo, and blacked out Ram logo on the door. We're going to take a look at the original window sticker. Feel free to pause this. I'm not going to go through everything, but most of it. 2022 Ram 3500 Bighorn Mega-Cab. You get the 6.7 liter Cummins diesel, the 6-speed automatic 68 RFE transmission. Everything on the left is your standard equipment, including the 373 gears. And then your optional equipment starts right there. Granite Crystal's 200 bucks, premium cloth bucket seats are 295. The safety group B is 2615, gives you the digital rearview mirror. Adaptive cruise control with stop lane keep assist, full-speed forward collision warning plus, rain-sensitive windshield wipers, adaptive steering system also has the towing technology group B, which is 2455, gives you the mirror-mounted auxiliary reverse lamps, the center stop lamp with cargo view camera, power heated trailer mirrors with power fold way, surround view camera system, and trailer reverse guidance.   This also has a 220 amp alternator, the Cummins diesel is a $94, $95 option, clearance lights are $95, rear wheelhouse liners are $195, Alpine speakers with subwoofer are $595, and this one comes with a Uconnect 12-inch 5-radio, so it's the fifth version, it's pretty cool, we'll get into that in just a little bit, and that's $1995, and then you get the spray and bed liner by Mopar, which is $600. Total MSRP is $81,590, three-year 36-mile bumper to bumper, five-year 100,000 powertrain because of the diesel engine, and then your smog and greenhouse gas ratings are actually pretty good on this one, they are both fees and it's not rated for any crash tests. So this one is for sale, and if you want to get your summit price and all the pricing and rebates and stuff on this truck in the upper right hand part of the screen is a link to this vehicle on our website if it is still available so that you can get your price. So let me take a look, this one just has the normal rear suspension, and because it's a 3500, you're not going to get the springs back here, you're going to get the leaf springs, you're not going to get the coil shocks or coils, I should say, and I'm talking about these springs right here, you get the leaf springs with the 3500. LED tail lamps, part of that level B group, notice the blacked out 4x4 logo, the blacked out ram, and big horn logo on the back as well. The reverse parking sensors are in the rear bumper, kind of nicely hidden, and there's your towing package, you get 7 pin wiring, and then this is if you were going to hook up a trailer and set up cameras to that, that's what that is for, and this is also for trailer camera stuff. This might be for the trailer reverse guidance system. Has a power drop down tailgate, spring and bed liner, there's your 115 volt 400 watt plug-in in the back of the truck, and then your cargo cam is up there. The tailgate's really light, lifts up really easy, really a good looking truck, mega cab, ton of ruin back, which we'll show you in just a minute. Has a heated manual fold-up mirrors, built-in directional signals, LED side lights, and then you have your 360 camera stuff right there. Inside the big horn level B group gives you the black and dark charcoal cloth seats, remember these front seats are heated on the level B group, lumbar power driver seat, and factory floor mats, auto headlamps, power pedals, power windows, power locks, power mirrors, you get the nice wood grain trim, the cloth bolsters, and then you can actually control the outside wine spot mirror from inside the truck, which is nice especially for the passenger side, and then they do fold in like so, which is nice as well. We'll hop inside, check out all the options, and we'll check out that Uconnect 5 radio, the big horn animation there, you get the digital speedometer, instrument cluster, 7-inch LCD display, got a compass there, you can change those corners to read pretty much whatever you want, time, miles per gallon, miles to empty, so it's very configurable. Has the leather-wrapped heated steering wheel, Bluetooth and information center controls on the left, cruise controls and adaptive cruise controls on the right, gear selected there, you can see it's really a nice soft touch leather on there, the 68 RFE automatic transmission, push button four-wheel drive, and here is the Uconnect 12-inch 5 radio, so the big thing with 5 is that it's run on Android auto, it's run on Android operating system, and it's five times faster than the old Uconnect 4 system, so it's a lot faster radio, and you can do Android auto and Apple CarPlay wirelessly, has the factory brake controller, factory exhaust brake, tow haul in front of your parking sensors are right there, your lane departure is up here and your stability control is right there, so you can just kind of play around with this radio, you got your AM, FM, and you can go to your media here, you have Sirius XM radio capabilities on there, you have your comfort, climate is off right now, of course the nav system, you can connect your Bluetooth phone, you go to your vehicle, then you can go to your cameras up here, so you can do the surround view camera, this is making favorites right now, but if I turn the ignition on I can go, you have off-road pages on here as well, and you can have all these different apps, including your cargo cam, which is pretty cool, then there's your auxiliary camera for your trailers and everything, there's your cargo cam right there, now you can also do your regular camera, or you can do down the sides, which is pretty cool, if you're backing up a trailer you can pick which side you want to go on, and then yeah, so that's really cool, you can do your surround view camera, weather, there's your surround right there, so you can see that gives you a really nice view of what's going on around you, and just a million things we could do with this radio, anyways you have a cell phone holder down there, 115 volt, 400 watt plug-in, you get your sliding cup holders and coin tray, keyless entry with your remote start, and maybe it doesn't have the power drop down tailgate, but has a shock down assist tailgate, dual glove boxes, up here you get SOS and assist buttons, map lights, power sliding rear window button, and then your home link buttons for your garage door security systems and lane systems, so this is the rear view mirror camera, so you can see it's actually a video of what's going on behind you, now you can adjust it two different ways, so you can dim it, or you can adjust the height, or the angle that it's looking back on, so that's pretty cool, and then I guess you could actually put a camera on your trailer to see what's going on behind the trailer, and then that would display right there, so really cool stuff, we'll take a quick look at the back seats and then we'll start it up and take a look under the hood and do one more final walk around with all the lights on, so the mega cab has a ton of room back here, latch child safety systems, power sliding rear window built in rear defrost, and what I like about these mega cabs is you can adjust the seats two different ways, so you can put the whole seat down, like so, and then it goes down nice and flat, and when both sides are down, you get a very nice flat floor, and you can even sleep back here, but if you've got pets or just need a nice flat area to store stuff out of the rain, and don't have a cap or tonneau cover, it's a nice thing to have, there's also storage underneath here, so that's nice, that's confined, now if you wanted even more confined storage, you can just put this backrest down, and it creates like a wall right here with this, and then you have a nice confined storage area right there too, so then you have a higher load floor here as well, so that's a nice feature as well. Two USBs, two USB C's, another 115 volt 400 watt plug-in, and this truck of course comes with side curtain airbags, get child safety locks on the back doors too. All right, that's pretty much it, really a sweet truck, and we can start it up, take a look under the hood. I'm always amazed at how quiet these new diesels are compared to the old ones, like an O2 or something. Personally would like to thank you for checking out the video today, hopefully from this HD video you've been able to get a good idea of the overall looks, styling, options, and everything on this truck. You can hear how nice and quiet that engine runs, so now I got to do my due diligence here, I got to show you the emissions sticker there, and everybody's been asking me to do this, especially on the new heavy-duty Rams, they want me to show the VIN sticker as well as the tire loading information sticker, so I'm just going to show you every sticker so I don't miss one. There's that one, this is your vehicle noise control information sticker, and then here's your VIN sticker, this tells you your gross vehicle weight rating, and all that good stuff. All right, let's do the final walk around here, we'll start from the back and go round to the front, love those LED tail lamps, the LED license plate lights, and if you learned anything from the video or enjoyed the video give us a like, subscribe to our YouTube channel, and there's a link to this vehicle in the description below, click that, check us out on our website, and to see more pictures of this truck or one of our other 450 new and used cars, trucks, SUVs, minivans, Wranglers, heavy-duty trucks, see the name we got, go to that website right there, summitauto.com, full pictures and descriptions of every single vehicle from two locations, all at summitauto.com, and if you'd like to check out more HD videos, you can go to youtube.com slash summitauto, remember to like, subscribe, and share on this video and all the videos that you see there, click the bell notifications, you get updates on the videos we do each and every day here at Summit Auto. In fact in a second you will see a link to subscribe to our YouTube channel on the upper left, a link to more Ram 3500 truck videos like this one in the upper right, link to this vehicle on our website in the lower left and a link to one of our latest YouTube videos in the lower right. Click those, check us out and we're super excited to be offering the 2022 Ram 3500 mega cab short box single rear wheel Cummins diesel big horn level B in Granite Christmas out. Thanks again for checking out the video, remember to like, subscribe, and share.