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    <nameOfIssuer>AMICUS THERAPEUTICS</nameOfIssuer>
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    <nameOfIssuer>ARCUS BIOSCIENCES</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
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    <nameOfIssuer>ARCUTIS BIOTHERAPE</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
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    <nameOfIssuer>ARROWHEAD PHARMACEUT</nameOfIssuer>
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    <cusip>04280A100</cusip>
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    <titleOfClass>COM</titleOfClass>
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    <nameOfIssuer>ATEA PHARMACEUTICALS</nameOfIssuer>
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    <cusip>04963C209</cusip>
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    <nameOfIssuer>AXONICS INC</nameOfIssuer>
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    <cusip>07373V105</cusip>
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    <nameOfIssuer>BIOMARIN PHARMAC INC</nameOfIssuer>
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    <nameOfIssuer>BIOGEN INC</nameOfIssuer>
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    <cusip>09075V102</cusip>
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    <nameOfIssuer>BIOATLA INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
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    <nameOfIssuer>BLUEPRINT MEDICINES</nameOfIssuer>
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    <cusip>09627Y109</cusip>
    <value>8648098</value>
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    <nameOfIssuer>BOSTON SCIENTIFIC</nameOfIssuer>
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    <nameOfIssuer>BRISTOL MYERS SQUIBB</nameOfIssuer>
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    <nameOfIssuer>CONMED CORP</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
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    <nameOfIssuer>CYTOKINETICS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
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    <nameOfIssuer>DANAHER CORP</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
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      <Sole>10975</Sole>
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      <None>0</None>
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    <nameOfIssuer>DENALI THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>24823R105</cusip>
    <value>7238537</value>
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      <None>236791</None>
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    <nameOfIssuer>DR REDDYS LABS LTD</nameOfIssuer>
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    <cusip>256135203</cusip>
    <value>505132</value>
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      <Sole>8004</Sole>
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      <None>0</None>
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    <nameOfIssuer>EQRX INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>26886C107</cusip>
    <value>2112899</value>
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    <nameOfIssuer>EDWARDS LIFESCIENCE</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>28176E108</cusip>
    <value>3367581</value>
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    <nameOfIssuer>EFFECTOR THERAPEUTCS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>28202V108</cusip>
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    <nameOfIssuer>EVOLENT HEALTH INC</nameOfIssuer>
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      <Sole>105000</Sole>
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      <None>383142</None>
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    <nameOfIssuer>EYEPOINT PHARMA</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>30233G209</cusip>
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    <cusip>36118A100</cusip>
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      <Sole>57297</Sole>
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      <None>0</None>
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    <cusip>36338D108</cusip>
    <value>6255769</value>
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      <None>1191454</None>
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    <titleOfClass>COM</titleOfClass>
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      <sshPrnamt>356740</sshPrnamt>
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      <None>356740</None>
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    <cusip>375558103</cusip>
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      <sshPrnamt>32682</sshPrnamt>
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      <None>6182</None>
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    <cusip>377322102</cusip>
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      <None>69000</None>
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    <cusip>40637H109</cusip>
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      <sshPrnamt>139437</sshPrnamt>
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      <None>135037</None>
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      <None>183375</None>
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    <cusip>444859102</cusip>
    <value>1598490</value>
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      <sshPrnamt>3575</sshPrnamt>
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      <Sole>3575</Sole>
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      <None>0</None>
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    <nameOfIssuer>IRHYTHM TECHNOLOGIES</nameOfIssuer>
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    <cusip>450056106</cusip>
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      <sshPrnamt>30000</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>30000</None>
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    <nameOfIssuer>ILLUMINA INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>452327109</cusip>
    <value>1018446</value>
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      <sshPrnamt>5432</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>4370</Sole>
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      <None>1062</None>
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    <nameOfIssuer>IMMUNOGEN INC</nameOfIssuer>
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    <cusip>45253H101</cusip>
    <value>8235755</value>
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      <sshPrnamt>436447</sshPrnamt>
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    <votingAuthority>
      <Sole>12938</Sole>
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      <None>423509</None>
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    <nameOfIssuer>INARI MED INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>45332Y109</cusip>
    <value>8897920</value>
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      <sshPrnamt>153043</sshPrnamt>
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      <Sole>0</Sole>
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      <None>153043</None>
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    <nameOfIssuer>INCYTE CORPORATION</nameOfIssuer>
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    <cusip>45337C102</cusip>
    <value>509081</value>
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      <sshPrnamt>8178</sshPrnamt>
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    <votingAuthority>
      <Sole>6680</Sole>
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      <None>1498</None>
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    <nameOfIssuer>INSMED INC</nameOfIssuer>
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    <cusip>457669307</cusip>
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      <sshPrnamt>517841</sshPrnamt>
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    <votingAuthority>
      <Sole>10921</Sole>
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      <None>506920</None>
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    <nameOfIssuer>INSPIRE MED SYS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>457730109</cusip>
    <value>7791360</value>
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      <sshPrnamt>24000</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>24000</None>
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    <nameOfIssuer>INSULET CORP</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>45784P101</cusip>
    <value>3604250</value>
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      <sshPrnamt>12500</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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      <None>12500</None>
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    <nameOfIssuer>INTELLIA THERAPEUT</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>45826J105</cusip>
    <value>4111929</value>
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      <sshPrnamt>100832</sshPrnamt>
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    <votingAuthority>
      <Sole>3000</Sole>
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      <None>97832</None>
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    <nameOfIssuer>INTRA CELLULAR THERA</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>46116X101</cusip>
    <value>7589029</value>
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    <votingAuthority>
      <Sole>4900</Sole>
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      <None>114952</None>
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    <nameOfIssuer>IQVIA HOLDINGS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>46266C105</cusip>
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      <sshPrnamt>22100</sshPrnamt>
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    <votingAuthority>
      <Sole>22100</Sole>
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      <None>0</None>
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    <nameOfIssuer>ITEOS THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>46565G104</cusip>
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      <sshPrnamt>146576</sshPrnamt>
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      <None>146576</None>
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    <nameOfIssuer>JOHNSON &amp; JOHNSON</nameOfIssuer>
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    <cusip>478160104</cusip>
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      <None>0</None>
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    <nameOfIssuer>KARUNA THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>48576A100</cusip>
    <value>5579984</value>
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      <sshPrnamt>25732</sshPrnamt>
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      <Sole>1480</Sole>
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      <None>24252</None>
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    <nameOfIssuer>LANTHEUS HLDGS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>516544103</cusip>
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      <None>98687</None>
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    <nameOfIssuer>LEGEND BIOTECH CORP</nameOfIssuer>
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    <cusip>52490G102</cusip>
    <value>552240</value>
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      <sshPrnamt>8000</sshPrnamt>
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      <Sole>8000</Sole>
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      <None>0</None>
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    <nameOfIssuer>LILLY ELI &amp; CO</nameOfIssuer>
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    <cusip>532457108</cusip>
    <value>11145310</value>
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      <sshPrnamt>23765</sshPrnamt>
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    <votingAuthority>
      <Sole>23765</Sole>
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      <None>0</None>
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    <nameOfIssuer>MACROGENICS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>556099109</cusip>
    <value>1885859</value>
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      <sshPrnamt>352497</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
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      <None>352497</None>
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    <nameOfIssuer>MADRIGAL PHARMACEUTI</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>558868105</cusip>
    <value>4385535</value>
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      <sshPrnamt>18985</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>800</Sole>
      <Shared>0</Shared>
      <None>18185</None>
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    <nameOfIssuer>MEDPACE HOLDINGS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>58506Q109</cusip>
    <value>270431</value>
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      <sshPrnamt>1126</sshPrnamt>
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      <Sole>910</Sole>
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      <None>216</None>
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    <nameOfIssuer>MERCK &amp; CO INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>58933Y105</cusip>
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      <sshPrnamt>55000</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>55000</Sole>
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      <None>0</None>
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    <nameOfIssuer>MERIT MEDICAL SYS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>589889104</cusip>
    <value>6356640</value>
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      <sshPrnamt>76000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
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      <None>76000</None>
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    <nameOfIssuer>MINERALYS THERAPEUTI</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>603170101</cusip>
    <value>10480857</value>
    <shrsOrPrnAmt>
      <sshPrnamt>614713</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>516066</Sole>
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      <None>98647</None>
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  <infoTable>
    <nameOfIssuer>MIRATI THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>60468T105</cusip>
    <value>5367220</value>
    <shrsOrPrnAmt>
      <sshPrnamt>148553</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>52956</Sole>
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      <None>95597</None>
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  <infoTable>
    <nameOfIssuer>MODERNA INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>60770K107</cusip>
    <value>1558602</value>
    <shrsOrPrnAmt>
      <sshPrnamt>12828</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>10400</Sole>
      <Shared>0</Shared>
      <None>2428</None>
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  <infoTable>
    <nameOfIssuer>MOONLAKE IMMUNOTHERA</nameOfIssuer>
    <titleOfClass>CL A</titleOfClass>
    <cusip>61559X104</cusip>
    <value>9414090</value>
    <shrsOrPrnAmt>
      <sshPrnamt>184590</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>56184</Sole>
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      <None>128406</None>
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  <infoTable>
    <nameOfIssuer>NEUROCRINE BIOSCIENC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>64125C109</cusip>
    <value>326278</value>
    <shrsOrPrnAmt>
      <sshPrnamt>3460</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2800</Sole>
      <Shared>0</Shared>
      <None>660</None>
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  <infoTable>
    <nameOfIssuer>OCULAR THERAPEUTIX</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>67576A100</cusip>
    <value>4141829</value>
    <shrsOrPrnAmt>
      <sshPrnamt>802680</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>30700</Sole>
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      <None>771980</None>
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  <infoTable>
    <nameOfIssuer>OLEMA PHARMACEUTICAL</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>68062P106</cusip>
    <value>5854628</value>
    <shrsOrPrnAmt>
      <sshPrnamt>648353</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>15500</Sole>
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      <None>632853</None>
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  <infoTable>
    <nameOfIssuer>OPTION CARE HEALTH</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>68404L201</cusip>
    <value>12671100</value>
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      <sshPrnamt>390000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>105000</Sole>
      <Shared>0</Shared>
      <None>285000</None>
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  <infoTable>
    <nameOfIssuer>PMV PHARMACEUTICALS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>69353Y103</cusip>
    <value>2079885</value>
    <shrsOrPrnAmt>
      <sshPrnamt>332250</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>332250</None>
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  <infoTable>
    <nameOfIssuer>PTC THERAPEUTICS I</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
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      <None>190790</None>
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    <nameOfIssuer>SPDR SER TR</nameOfIssuer>
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      <Sole>0</Sole>
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    <cusip>80105N105</cusip>
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      <None>1996</None>
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    <nameOfIssuer>SCHOLAR ROCK HLDG</nameOfIssuer>
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    <nameOfIssuer>ARS PHARMACEUTICALS</nameOfIssuer>
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    <nameOfIssuer>SUMMIT THERAPEUTICS</nameOfIssuer>
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    <nameOfIssuer>TEMPEST THERAPEUTICS</nameOfIssuer>
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    <cusip>G01767105</cusip>
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    <cusip>G4705A100</cusip>
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      <Sole>21000</Sole>
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