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SIGN UP TO BYBIT WITH OUR LINK TO GET $20 FOR FREE! https://partner.bybit.com/b/quamfy We look at the @QuantHQ communications on X, talk about trading #memecoins using $TAO & $YOYO as examples, look at the banana zone phase of this bull run and Jarno drinks wine. 00:00:00 Introduction 00:03:00 Quant Communications 00:28:30 Portfolio analysis 00:40:30 WouldaCouldaShoulda Portfolios & $YOYO 00:52:30 Banana Zone Bullrun 00:59:00 Wrap-Up Quant X https://x.com/quant_network FintechTimes https://x.com/quant_network/status/1795424057367609673 What Would it Take to Get Users Onside With CBDCs for Everyday Use? https://thefintechtimes.com/what-would-it-take-to-get-users-onside-with-cbdcs-for-everyday-use/ RLN overview https://x.com/quant_network/status/1792585527452979656 Programmability https://x.com/quant_network/status/1792495675193651254 Developers https://x.com/quantdevelopers/status/1793226822672347194?t=AI5t64xgWETmjLAFgbEaKg Raoul Pal on taking profits https://www.youtube.com/watch?v=x6NNUBuI8KM&t=1108s WouldaCouldaShoulda PORTFOLIO https://www.coingecko.com/nl/portfolios/public/BAh7BjoRcG9ydGZvbGlvX2lkaQOKWq0=--809070bf2c521beb65efb85a7835c1053012b0ee $YOYO https://www.coingecko.com/nl/coins/yoyo https://www.geckoterminal.com/base/pools/0x158e11f130caef0f4a5a7888784df4d8320f4e0b?utm_source=coingecko&utm_medium=referral&utm_campaign=searchresults @QuantNetwork YouTube https://www.youtube.com/c/QuantNetwork QNT price https://www.coingecko.com/ The Quamfy Show Website https://www.thequamfyshow.com Quanterscan Https://www.Quanterscan.com Quant Library https://t.me/quantlibrary Watch the Full Episode from Thursday, June 1st 1800CET here: Do you want to help support the show? We created an Ethereum address for donations: 0xbDd1C73408E1E0ae165cA73AFB5F2E64E886AE37 https://www.thequamfyshow.com General: Every Thursday, at 18:00 CET, a new Quamfy Show! All you need to know about the Quamfy Lifestyle, but made simple! Music by: https://tinyurl.com/24zb36nv We are on: * Twitter https://twitter.com/TheQuamfyShow * Spotify https://tinyurl.com/3wrsur42 * YouTube https://www.youtube.com/c/TheQuamfyShow * Podbean https://thequamfyshow.podbean.com/ #QRC21 #TQS The International Quamfy community: * NL/BE Quant Group https://t.me/Dutchqnt * $Counchill$ of Quamf - FA ALL DAY https://t.me/counchill * Quamfy Lounge (Price chat) https://t.me/QUAMFYLOUNGE_2 * Council of Quamf - QNT fundamental analysis https://t.me/councilofquamf * QNT Trading & On Chain Analysis https://t.me/QNTTrading Official Channels: * Quant Community Channel “Main” https://t.me/QuantOverledger * Website: https://www.quant.network * GitHub: http://www.github.com/quantnetwork * Twitter: https://twitter.com/quant_network
A Future of Finance interview with Tony Mclaughlin, Emerging Payments and Business Development at CitiThe Regulated Liability Network (RLN) embodies an idea of the future of money that, unlike most conceptual novelties in the field, has become more voguish rather than less since it was first unveiled in a white paper of November 2022. In fact, the RLN can lay claim to have pioneered an approach to scaling the tokenisation of assets that has captured the interest of supranationals and central banks. The white paper may have coincided with the International Monetary Fund (IMF) advancing the idea of an “X-C platform” but it appeared months before the Bank for International Settlements (BIS) outlined its notion of a “unified ledger” or “single programmable platform” and the Monetary Authority of Singapore (MAS) announced it was working with four banks on Global Layer One (GL1), an open digital infrastructure to host tokenised financial assets and applications. But it would be a mistake to label the RLN as avant-garde. It is based in a sound understanding of the classic theory of computation and aims unashamedly to preserve fiat currencies and their twin variants of commercial and central bank money as the foundations of the financial systems of the future. Its design for a common settlement infrastructure for tokenised money also bears an uncanny resemblance to the way payments are settled today, in terms of intermediation as well as technique. Which is why RLN might just be adopted widely once banks understand its design. Dominic Hobson, co-founder of Future of Finance, spoke to Tony McLaughlin, Managing Director, Emerging Payments and Business Development at Citi Treasury and Trade Solutions, and one of the 11 industry leaders that contributed to the development of the original idea of the RLN. Hosted on Acast. See acast.com/privacy for more information.
Wij pakken deze week de laatste @QuantHQ pratner aankondiging uit en het is niets anders dan het regulated LIability Network, het RLN! Do you want to help support the show? We created an Ethereum address for donations: 0xbDd1C73408E1E0ae165cA73AFB5F2E64E886AE37 https://www.thequamfyshow.com 00:00:00 Introductie 00:15:30 Securitize x Blackrock x $QNT? 00:26:00 Coingecko 00:38:00 RLN uit elkaar getrokken 00:55:00 Project Agora alpha 00:58:00 Wrap-Up The Announcement: https://twitter.com/quant_network/status/1779880698309939421?t=JGMCYIodOQIccLpgQQEkIg On the website: https://quant.network/news/quant-and-r3-selected-as-technology-providers-for-the-uks-regulated-liability-network/ UKFinance https://www.ukfinance.org.uk/news-and-insight/press-release/uk-finance-announces-new-regulated-liability-network-experimentation RLN explained https://regulatedliabilitynetwork.org/ BIS On Agora https://www.bis.org/press/p240403.htm Coadjute https://coadjute.com/property-data/ DXC https://dxc.com/us/en/about-us Quant linkedin bloomberg https://www.linkedin.com/posts/quantnetwork_barclays-citi-are-among-banks-testing-tokenized-activity-7185930399942877187-dfFh/ Innovate Finance https://www.linkedin.com/posts/soelenejustus_ifgs2024-activity-7185962094792429569-EYA7/?utm_source=share&utm_medium=member_android @QuantNetwork YouTube https://www.youtube.com/c/QuantNetwork QNT price https://www.coingecko.com/ The Quamfy Show Website https://www.thequamfyshow.com Quanterscan Https://www.Quanterscan.com Quant Library https://t.me/quantlibrary General: Every Thursday, at 18:00 CET, a new Quamfy Show! All you need to know about the Quamfy Lifestyle, but made simple! Music by: https://tinyurl.com/24zb36nv We are on: * Twitter https://twitter.com/TheQuamfyShow * Spotify https://tinyurl.com/3wrsur42 * YouTube https://www.youtube.com/c/TheQuamfyShow * Podbean https://thequamfyshow.podbean.com/ #QRC21 #TQS The International Quamfy community: * NL/BE Quant Group https://t.me/Dutchqnt * $Counchill$ of Quamf - FA ALL DAY https://t.me/counchill * Quamfy Lounge (Price chat) https://t.me/QUAMFYLOUNGE_2 * Council of Quamf - QNT fundamental analysis https://t.me/councilofquamf * QNT Trading & On Chain Analysis https://t.me/QNTTrading Official Channels: * Quant Community Channel “Main” https://t.me/QuantOverledger * Website: https://www.quant.network * GitHub: http://www.github.com/quantnetwork * Twitter: https://twitter.com/quant_network Our Exchanges and Brokers: * Coinmetro: https://coinmetro.com/?ref=jarno * Unizen: https://trade.unizen.io/account/signup?ref=6UT2HC39 * Bitcoinmeester: https://www.bitcoinmeester.nl/?r=100077550 * Bitvavo: https://bitvavo.com/?a=03889DE34C * Crypto .com https://crypto.com/app/2enw9fc23d * Coinbase https://www.coinbase.com/join/de%20sno_s #QRC21
Do you also hear Britney Spears singing: Oops, they did it again, Gil dropped us a nuke, and price isn't moving! Oops, this must be a scam, I'm feeling so sad, is token still needed?! Let's shed some light on matters! $QNT 00:00:00 Introduction 00:04:45 Quant's Involvement with RLN in the UK 00:20:00 Project Agora Confirmed by Tony 00:21:30 The Finternet by the BIS sounds Quamfy 00:36:30 Coingecko 00:42:30 Portfolio Update 00:45:00 BTC Halving 00:59:00 Wrap-Up The Announcement: https://twitter.com/quant_network/status/1779880698309939421?t=JGMCYIodOQIccLpgQQEkIg On the website: https://quant.network/news/quant-and-r3-selected-as-technology-providers-for-the-uks-regulated-liability-network/ UKFinance https://www.ukfinance.org.uk/news-and-insight/press-release/uk-finance-announces-new-regulated-liability-network-experimentation RLN explained https://regulatedliabilitynetwork.org/ BIS On Agora https://www.bis.org/press/p240403.htm Coadjute https://coadjute.com/property-data/ DXC https://dxc.com/us/en/about-us Quant linkedin Bloomberg https://www.linkedin.com/posts/quantnetwork_barclays-citi-are-among-banks-testing-tokenized-activity-7185930399942877187-dfFh/ Innovate Finance https://www.linkedin.com/posts/soelenejustus_ifgs2024-activity-7185962094792429569-EYA7/?utm_source=share&utm_medium=member_android @QuantNetwork YouTube https://www.youtube.com/c/QuantNetwork QNT price https://www.coingecko.com/ The Quamfy Show Website https://www.thequamfyshow.com Quanterscan Https://www.Quanterscan.com Quant Library https://t.me/quantlibrary Do you want to help support the show? We created an Ethereum address for donations: 0xbDd1C73408E1E0ae165cA73AFB5F2E64E886AE37 https://www.thequamfyshow.com General: Every Thursday, at 18:00 CET, a new Quamfy Show! All you need to know about the Quamfy Lifestyle, but made simple! Music by: https://tinyurl.com/24zb36nv We are on: * Twitter https://twitter.com/TheQuamfyShow * Spotify https://tinyurl.com/3wrsur42 * YouTube https://www.youtube.com/c/TheQuamfyShow * Podbean https://thequamfyshow.podbean.com/ #QRC21 #TQS The International Quamfy community: * NL/BE Quant Group https://t.me/Dutchqnt * $Counchill$ of Quamf - FA ALL DAY https://t.me/counchill * Quamfy Lounge (Price chat) https://t.me/QUAMFYLOUNGE_2 * Council of Quamf - QNT fundamental analysis https://t.me/councilofquamf * QNT Trading & On Chain Analysis https://t.me/QNTTrading Official Channels: * Quant Community Channel “Main” https://t.me/QuantOverledger * Website: https://www.quant.network * GitHub: http://www.github.com/quantnetwork * Twitter: https://twitter.com/quant_network Our Exchanges and Brokers: * Coinmetro: https://coinmetro.com/?ref=jarno * Unizen: https://trade.unizen.io/account/signup?ref=6UT2HC39 * Bitcoinmeester: https://www.bitcoinmeester.nl/?r=100077550 * Bitvavo: https://bitvavo.com/?a=03889DE34C * Crypto .com https://crypto.com/app/2enw9fc23d * Coinbase https://www.coinbase.com/join/de%20sno_s #QRC21
João Aragão Pereira is a senior technology specialist at Microsoft, focusing on financial services in Latin America. João has been heavily involved in the architecture of Brazilian Central Bank's Drex CBDC project, as well as other CBDC projects being developed by other countries around the world. In this episode, we discuss Microsoft's involvement in Drex, particularly how its Regulated Liability Network structure could facilitate interoperable and secure transactions with tokenized assets on the platform You can connect with João on Linkedin You can read the the full RLN white paper here
Jarno is flying solo this episode and bringing you up to speed on the latest Quant developments and announcements. Let's look at the RLN as well as the latest added associations, shall we? 00:00:00 Introduction 00:03:19 The announcement of the latest addition to the FSA 00:10:00 What associations is Quant part of? 00:21:30 Price discussion 00:27:00 LACChain Joins ISO/TC307 00:30:30 Ajay Dhingra on Linkedin about RLN 00:32:00 Conclusion The latest Quant Network X announcement https://twitter.com/quant_network/status/1714187905806008523?t=7rFAY6HGhuc5qhgYimy54Q&s=35 The Announcement on the Quant website https://quant.network/news/quant-joins-uk-finance/ The Associations Quant is a part of https://quant.network/associations/ LACChain Joins ISO/TC307! https://twitter.com/gverdian/status/1714188213755969957?t=mBf1-HKkUzwSgrjYQhl1OQ&s=35 AJ (Council of Quamf) on the latest update. RLN anyone? https://www.linkedin.com/posts/ajay-dhingra-3a84ab207_quant-joins-uk-finance-quant-activity-7119958113893462016-PDlz?utm_source=share&utm_medium=member_android @QuantNetwork YouTube https://www.youtube.com/c/QuantNetwork QNT price https://www.coingecko.com/ The Quamfy Show Website https://www.thequamfyshow.com Quanterscan Https://www.Quanterscan.com Quant Library https://t.me/quantlibrary Jarno is flying solo and presents to you an overview and interpretation of the latest developments regarding the latest announcements from Quant Network Do you want to help support the show? We created an Ethereum address for donations: 0xbDd1C73408E1E0ae165cA73AFB5F2E64E886AE37 https://www.thequamfyshow.com General: Every Thursday, at 18:00 CET, a new Quamfy Show! All you need to know about the Quamfy Lifestyle, but made simple! Music by: https://tinyurl.com/24zb36nv We are on: * Twitter https://twitter.com/TheQuamfyShow * Spotify https://tinyurl.com/3wrsur42 * YouTube https://www.youtube.com/c/TheQuamfyShow * Podbean https://thequamfyshow.podbean.com/ #QRC21 #TQS The International Quamfy community: * NL/BE Quant Group https://t.me/Dutchqnt * $Counchill$ of Quamf - FA ALL DAY https://t.me/counchill * Quamfy Lounge (Price chat) https://t.me/QUAMFYLOUNGE_2 * Council of Quamf - QNT fundamental analysis https://t.me/councilofquamf * QNT Trading & On Chain Analysis https://t.me/QNTTrading Official Channels: * Quant Community Channel “Main” https://t.me/QuantOverledger * Website: https://www.quant.network * GitHub: http://www.github.com/quantnetwork * Twitter: https://twitter.com/quant_network Our Exchanges and Brokers: * Coinmetro: https://coinmetro.com/?ref=jarno * Unizen: https://trade.unizen.io/account/signup?ref=6UT2HC39 * Bitcoinmeester: https://www.bitcoinmeester.nl/?r=100077550 * Bitvavo: https://bitvavo.com/?a=03889DE34C * Crypto .com https://crypto.com/app/2enw9fc23d * Coinbase https://www.coinbase.com/join/de%20sno_s #QRC21
"Subject to Compliance" Hosts: Darren Weeks, Vicky Davis Website for the show: https://governamerica.com Vicky's websites: https://thetechnocratictyranny.com and http://channelingreality.com COMPLETE SHOW NOTES AND CREDITS AT: https://governamerica.com/radio/radio-archives/22511-govern-america-april-8-2023-subject-to-compliance Listen LIVE every Saturday at 11AM Eastern time at http://radio.governamerica.com Text GOVERN to 80123 to be notified of live transmissions that may occur outside of our regularly-scheduled Saturday broadcasts. These transmissions will occur when/if circumstances warrant. As everyone is focused on the Trump indictment, dangerous Central Bank Digital Currency infrastructure is being put into place. A system which appears to be the Regulated Liability Network (RLN) has been announced that it will be implemented in July. RLN will be able to shut down "person to person" transactions if they are not in "compliance", according to the RLN whitepaper. The Fed is implementing RLN to solidify their "money" monopoly. People complain about high prices, but lack understanding of how policy causes inflation. The RESTRICT Act is still pending in the U.S. Senate, which would all but eliminate free speech online and annihilate Internet freedom. Central banks buying up literal tons of gold, as governments move toward criminalizing cash. French protesters burn torches outside of Blackrock headquarters in Paris. As countries reel over Biden administration's weaponization of the dollar, is the Chinese Yuan on course to become the world's new defacto currency? Twenty-one states threaten banks with legal action over ESG. The U.S. is now a majority "permitless carry" country. Idaho outlaws credit card company tracking codes for firearms purchases. People are finally being told the truth about the nature of the global tyranny. Does this illustrate a smugness among the global Establishment that "everything is in place and nothing can stop us now?" After targeting gas stoves and automobiles, Biden's DOE puts air conditioners and light bulbs in their crosshairs. Colorado town bans new gas stations, while charging stations for electric vehicles are exposed as being vulnerable to hacking. Environmentalists in California want to ban fire retardant, used to fight forest fires. Saudi Arabia invests heavily in desalinization projects, while officials in the U.S. halt such projects. Follow-up on plans to implant federal "health" agencies within the state and local governments to track people. Dr. Anthony Fauci predicts another pandemic could be "next year", as he signs on to advise Italian government-funded biolab. CDC confirms ICD codes will be used to track people who are not fully-vaccinated. Court records reveal that FBI wasn't the only agency that had infiltrated January 6 protesters, as scores of others from D.C. Metro Police and the Department of Homeland Security were acting as "informants" on the Proud Boys alone.
Today we visit with Tricia Lewis of RLN. We discuss meeting women right where they are regarding the varying kinds of reproductive losses possible, the language of empathy, how we can care for her in a bigger way, and the importance of including co-leaders who do not have abortion in their past.Let us know what topics you'd like to hear about and if you know of an amazing group leader we all can learn from please contact us at mindy@anevenplace.com or abortionrecoverynetwork@gmail.com.
The numbers are staggering. As the U.S. population grows, the number of local newsroom employees continues to decline, as an average of two newspapers shut down each week. Moreover, research shows that a shortage of local news harms the very fabric of our communities. With less new coverage comes more government corruption and local apathy regarding voting or civic involvement. And today, with large corporations and hedge funds who now own what was once vibrant family-owned local news operations and seek more profit by gutting newsrooms, less and less local reporting is taking place. This has created "ghost newspapers" that generate only a handful of stories each week that serve the common good. Over the past few years, some controversial bills have been introduced into Congress to tap into the large amount of locally available ad revenue that has been gobbled up by "big tech." Historically, that revenue was used to help fund local newsrooms. One of the bills that did not gain complete industry support was the Journalism Competition and Preservation Act" (JCPA), which, if passed, would give news publishers the ability to collectively negotiate with “big tech” platforms for content compensation. Other bills, like the Local Journalism Sustainability Act (LJSA), were floated to offer tax credits to help fund news operations. Some have said that the challenge facing our industry's advocacy has been our lack of ability to work with one common "voice," with different media associations working separately with other priorities and agendas. Today with the core mission of helping to advance public policies to counter the collapse of local news, revitalize community journalism and strengthen democracy, the Rebuild Local News Coalition (RLN) was started by Steven Waldman, who initially incubated the GroundTruth Project and Report for America. A recent RLN press release that announced the organization's gaining non-profit status lists members that include the Institute for Nonprofit News, the Local Media Consortium (LMC), the National Newspaper Publishers Association, the Association of Alternative Newsmedia (AAN), the National Association of Hispanic Publishers and the Local Independent Online News Association (LION). The News Guild-CWA, one of the largest news labor unions in the country, is also part of the coalition. When asked why large, established industry lobbying and advocacy organizations like the News/Media Alliance (NMA), National Association of Broadcasters (NAB) and America's Newspapers were notably absent from the list, Waldman responded that the coalition wished to maintain a more local focus when it came to member news media organizations. And even though these groups were not listed members of the RLN, they have and will coordinate with them when it is warranted. The RLN has reportedly raised close to $1-million dollars in philanthropic donations from Ford Foundation, Knight Foundation, MacArthur Foundation and Microsoft Corporation. In this 172nd episode of "E&P Reports," we go one-on-one with Steven Waldman, co-founder of Report for America and chair of the Rebuild Local News Coalition, an alliance of local news organizations that has recently become an independent nonprofit planning to advance a range of public policies addressing the accelerating crisis in local news threatening so many communities. E&P Publisher Mike Blinder asks Waldman why the new coalition is necessary and what its priorities are, what initiatives they are championing and how they can help move public policies along on a state and national level, including payroll tax credits, proposals to target government advertising spending toward local news instead of social media and reducing the influence of hedge funds on local newspapers.
In der heutigen #CryptoFriday Episode spricht Manuel Klein über tokenisiertes Geschäftsbankengeld – den sogenannten Giralgeldtoken. In den letzten Wochen sind einige Reports und Paper zu Banken-Stablecoins erschienen, die sich zur Publikation der Deutschen Kreditwirtschaft vom Juni 2021 einreihen aber nicht so tief das Konzept von tokenisiertem Geschäftsbankengeld darstellen wie der Report der Deutschen Kreditwirtschaft. Manuel gibt zuerst einen kurzen Überblick über die neu erschienenen Studien und zeigt auf, welchen Teil die Reports nicht betrachten: Die Sicherstellung der Fungibilität zwischen den individuellen Banken-Stablecoins in einer Multi-Banken-Lösung. Er erläutert, was der Begriff „Fungibilität“ darstellt und beschreibt, dass im heutigen Geldsystem die Fungibilität von Zahlungen in Giralgeld durch Settlement in sicherem Zentralbankgeld sichergestellt wird. Manuel erklärt, welche Möglichkeiten er sieht, wie man die Fungibilität zwischen tokenisiertem Geschäftsbankengeld sicherstellen könnte und welche Modelle bereits in der Praxis in ersten PoCs und Konzepten Anwendung finden. Welche Methoden das sind und wie genau erste Projekte die Fungibilität sicherstellen erfährst du in der heutigen #CryptoFriday Episode von Bitcoin, Fiat & Rock'n'Roll. Viel Spaß!
Together with our host Wendy and our new guest Samira, in this episode we are learning about post-thyroidectomy Bleeding, Hypocalcaemia, RLN and SLN palsy, as well as prevention and management of these complications...
Wednesday, 15th of May, 2019 President University students visit to CRLC Interview Interview with CRLC teacher, Khatera Ameri. Interview with RLN sport coach. Sport Middle school student , Mujtaba, reports on the latest CRLC futsal match. Music A song by CRLC students. Lyrics by Afghanistan singer, Roya Dost. Thanks for your listening, we are striving for a better education
News headlines Information about Labor Day celebration. Interview with regular CRLC visitor John Taylor Sahar Ahmad updates the situation of refugees living on the streets at Kaliedres Interview with CRLC visitor Cheryl Taylor RLC vs RLN womens Futsal match results and commentary.
Dr. Jeremy Freeman was born in Hamilton, Ontario and grew up in Toronto. He attended medical school at the University of Toronto, graduating with highest honours. He completed his otolaryngology residency at the University of Toronto. After receiving his Fellowship from the Royal College of Surgeons of Canada in 1978, he spent two further years of advanced training, one as a Gordon Richards Fellow at the Princess Margaret Hospital in Toronto in Radiation and Medical Oncology and a second year as a McLaughlin Fellow, training in Head and Neck Oncology at the Royal Marsden Hospital in London, UK. He was the first fellow of the Advanced Training Council sponsored by the two head and neck societies. A Full Professor, he occupies the Temmy Latner/Dynacare Chair in Head and Neck Oncology at the University of Toronto, Faculty of Medicine. He is former Otolaryngologist-in-Chief at the Mount Sinai Hospital stepping down after fulfilling his 10 year appointment. He has an active practice focusing on head and neck oncology with a primary interest in endocrine surgery of the head and neck. He has given over 500 scholarly presentations, has been invited as a visiting professor and surgeon internationally, and has published over 280 articles in the scientific literature. He has been involved in a number of administrative roles in the American Head and Neck Society and is also on the editorial board of a number of high impact journals focusing on head and neck oncology. He has recently been appointed to the National Institute of Health (in Washington DC) task force on the management of thyroid cancer. He is the Director of the University of Toronto Head and Neck Oncology Fellowship, considered to be one of the top three such fellowships in North America. He was the program chair and congress chair of the First and Second World Congresses on Thyroid Cancer held in 2009 and 2013 in Toronto. He was the Keynote speaker at the Congress held in Boston in 2017. He has been invited worldwide to deliver keynotes in the management of thyroid malignancies. In this episode the following topics are discussed: Cost of thyroid surgery in varies depending on jurisdiction Surgery and active surveillance is a fixed cost Costs after surgery TG tests, ultrasound, thyroid hormone costs Contrary to some proponents, surgery is not more cost effective than active surveillance Hypo parathyroidism leads to daily doses of calcium and vitamin D If there is RLN damage, then there could be more surgery and voice therapy There are more costs than solely the surgical fee Levothyroxine costs Ramifications of degree of thyroid cancer Thyroid cancer is a low risk of death Many people die with thyroid cancer but don’t die from it Possibility versus probability Emotional expense of malignancy and being labeled survivor Lead a normal life or the survivor label Lifetime cost of thryoidectomy Medical costs and cost of travel, time of work, baby-sitters, and all expenses that go into managing thryoidectomy for ancillary items How long can someone live without thyroid replacement hormone post thyroidectomy? Quality of life post thyroidectomy Psychological wellbeing Do not do a FNA for nodule under 1 cm NOTES Dr. Jeremy Freeman Jeremy Freeman's scientific contributions LinkedIn
James L. Netterville, M.D. Mark C. Smith Professor of Head and Neck Surgery, Professor of Otolaryngology Director, Head & Neck Oncologic Surgery Associate Director, Bill Wilkerson Center for Otolaryngology and Communication Sciences Dr. Netterville is the Director of Head and Neck Surgery at Vanderbilt and is an international leading authority of treating head and neck cancer. He is one of the world's experts in the treatment of skull base tumors and has a vast clinical experience. Todays topic's include: Reoccurrence thyroid disease patients in paratracheal, thyroid bed, and cervical lymph nodes Papillary thyroid cancer and subtypes: tall cell, columnar, oncocytic, clear cell, hobnail The extreme importance of the pathologist Facebook is one of the number one sources of referrals The changing landscape of researching physicians PubMed and Index Medicus have replaced the library and medical literature In past 5 years patients are seeking advice from peers and experiences from others Patients have become the bets marketers for physicians versus the institution performing thyroid surgery on professional singers Patients are attached to a doctor and care team, which is often driven by social media Paratracheal region, and difficulty in ultrasound Selective neck dissection The evil remnant: when a surgeon inadvertently leaves thyroid cancer behind Three areas where thyroid cancer reoccurs: where remnant is left behind, hidden paratracheal lymph nodes, Lymph nodes in levels II, III, IV Some surgeons’ misperceptions about the effectiveness of RAI as a means to cleaning up poor surgery Doing a thyroid surgery is easy. Doing it right is hard. The importance of finding a surgeon who knows how to do it right Damage to RLN and leaving cancer behind or remnant, is due to inexperience Working around larynx and voice box during thyroid surgery Challenges with the trachea during thyroid surgery Grafting the RLN Grafting the RLN, in line graft, ends of motor nerves and sewing them back to the RLN Thyroid marketing and the term minimally invasive Superior RLN protection Preserving the cricothyroid muscle, especially singers The importance of being a good listener Vetting a surgeon by searching social media or reputation, publications, and volume Is thyroid cancer a cancer or just a nuisance. Chances are it is not going to kill you. Doctors managing their reputation online RAI and killing gross disease fallacy A surgeon's personal brand versus institution branding Online eduction NOTES Vanderbilt Health Vanderbilt-Ingram Cancer Center Thyroid research Funding surgical educational camps in Africa PubMed Index Medicus Aggressive Variants of Papillary Thyroid Carcinoma: Hobnail, Tall Cell, Columnar, and Solid American Thyroid Association
This episode is recorded from Boston at the World Congress on Thyroid Cancer, where thyroid doctors and researchers gathered to share the latest medical research and medical improvements related to thyroid disease. Dr. Özer Makay is an expert in nerve monitoring during thyroid surgery, and has been a guest faculty member in South Korea, Italy, France, the Netherlands, Germany, Belgium and Bulgaria. He has received 17 awards and honors for his scientific studies. He has authored a 300-page book on nerve monitoring during thyroid surgery. This episode covers the following topics: Protecting the recurrent laryngeal nerve (RLN) and superior laryngeal nerve during thyroid surgery. Outcomes of damaging these nerves during surgery include no voice, hoarseness, shortness of breath, problem with drinking water or aspiration, impaired physical exertion with something as simple as climbing a flight of stairs. Why some centers have a higher occurrence of damage during thyroid surgery and include an error rate as high as 10% The cause of the damaged nerve include stretching or traction, and cutting or stitching. How to reduce risk. Is it possible to reattach a cut nerve? Surgeons who are opponents of using a nerve monitor. Pitfalls of using nerve monitoring. Also discussed are thyroid cancer trends in Turkey including: Incidence being in the top 5 in the world. Now the number one cancer for women. Proximity to Chernobyl. Screening and awareness as a reason for the increase. 50% of population has a thyroid nodule.In the words of Dr. Özer Makay Biography: In the words of Dr. Özer Makay I was born in 1974 in the Netherlands. After finishing the primary school there, I completed my secondary and high school educations at Bornova Anatolian High School in Izmir/Turkey. I graduated from Ege University, School of Medicine and started my residency at the General Surgery Department of Ege University, School of Medicine. During my studentship, I did my surgical internship at London King’s College Hospital. During my surgical residency, in 2002, I received education regarding “Laparoscopic Surgery” at Free University Hospital, Amsterdam from Prof. Miguel Cuesta and carried out scientific studies there. I had the opportunity to meet with the robotic surgery system here and did use this system at the experimental investigation laboratory. After being a specialist registrar in May 2005, I started to work at the division of “Endocrine Surgery” of the General Surgery Department of Ege University. During my fellowship, I worked under the supervision of Prof. Enis Yetkin, Prof. Mahir Akyıldız and Prof. Gökhan İçöz. During this period, I became the first Turkish surgeon to have the right to get the title “Fellow of European Board of Surgery – div. Endocine Surgery” by passing the “UEMS Board Examination for Endocrine Surgery”. At the Ege University, we started the “Laparoscopic Adrenalectomy Programme’ in 2008, together with Prof. Dr. Mahir Akyıldız. Besides, the “Robotic Surgery Programme’ was launched in 2012. I promoted to “Associate Professor of Surgery” in 2012. I have been invited to become a member of the European Board of Endocrine Surgery Committee. This makes me the first Turkish member of this committee. Besides, I was chosen as “the national representative” of a “European Union Health Project” concerning this area. To date, I own more than 80 national and international publications. Furthermore, I participated in more than 30 national and international scientific meetings as speaker, instructor and guest surgeon. I served as president, scientific secretary or organization/scientific committee member for national and international congresses and meetings. I had been in South Korea, Italy, France, the Netherlands, Germany, Belgium and Bulgaria as guest faculty member. I received 17 awards and honors because of my scientific studies presented during national and international scientific congresses. I speak English, Dutch and German fluently and Spanish at elementary level. My essential areas of interests are “endocrine surgery” and “robotic surgery”. As Ege University, we are the most experienced center of our country regarding “robotic adrenalectomy”. NOTES Dr. Özer Makay Contact Facebook Publications World Congress on Thyroid Cancer American Thyroid Association
Thyroidectomy: complications; Thyroid surgery: RLN monitoring
Dr. Herbert Chen of University of Wisconsin tackles the tricky topic of parathyroid disease -He also discusses what it was like to train under the greats Drs. Sabiston and Cameron -His experience editing for the Annals of Surgery -His tips on handling a reoperative neck, avoiding injury to the RLN, and managing the intrathoracic goiter
The motoneurons innervating the laryngeal muscles were localized in the rufous horseshoe bat,Rhinolophus rouxi, using the HRP method. HRP was applied to the cricothyroid muscle and to the cut end of the recurrent laryngeal nerve. Labeled motoneurons were found in two completely separated regions of the nucleus ambiguus. The motoneurons innervating the cricothyroid muscle via the superior laryngeal nerve (SLN) are located withinn the ventrolateral portion of the nucleus reaching the caudal pole of the motor nucleus of the facial nerve. The motoneurons innervating the other intrinsic laryngeal muscles via the recurrent laryngeal nerve (RLN) are situated in the caudal half of the nucleus ambiguus. The innervation is strictly homolateral.
The activity of the recurrent laryngeal nerve (RLN) was recorded in the greater horseshoe bat,Rhinolophus ferrumequinum. Respiration, vocalization and nerve discharges were monitored while vocalizations were elicted by stimulation of the central gray matter. This stimulation evoked either expiration or expiration plus vocalization depending on the stimulus strength. When vocalization occurred it always took place during expiration. Recordings from the RLN during respiration showed activity during the inspiration phase, but when vocalization occurred there was activity during inspiration and expiration. These results are consistent with the view that the RLN innervates muscles which control the opening and closing of the glottis. During vocalization the vocal folds are closely approximated and the discharge patterns of the nerve suggests that it controls the muscles which start and end each pulse.