POPULARITY
3 episodes with tiva
3 episodes with tiva
2 episodes with tiva
3 episodes with tiva
2 episodes with tiva
2 episodes with tiva
2 episodes with tiva
3 episodes with tiva
2 episodes with tiva
In this episode of the PFC Podcast, Dennis and Kevin discuss the intricacies of waking patients after sedation, focusing on procedural sedation techniques, managing emergence delirium, and the challenges of airway management. They share insights from real-world experiences, particularly in combat and austere environments, emphasizing the importance of monitoring and patient safety during the awakening process. The conversation also covers extubation strategies, the differences between Cric and ET tube management, and the significance of having a well-thought-out emergence plan from the start of anesthesia.TakeawaysWaking a patient requires careful monitoring and reorientation.Emergence delirium can occur with ketamine; vigilance is key.Communication with the patient is crucial during awakening.Airway management is critical, especially in trauma cases.TIVA can complicate the emergence process; planning is essential.Extubation should be based on patient readiness and safety.Cric tubes may be better tolerated than ET tubes.Ventilation support may be necessary during the emergence phase.Understanding the patient's history aids in sedation decisions.Always be prepared for unexpected airway challenges.Chapters00:00 Introduction to Patient Awakening01:16 Procedural Sedation Techniques06:24 Managing Emergence Delirium10:40 Airway Management in Sedation15:27 Waking Up After Long Procedures24:23 Extubation Strategies and Considerations30:29 Cric vs. ET Tube Management39:06 Ventilation and Monitoring During EmergenceThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
NotiMundo Estelar - Pablo Játiva, ¿Es tiempo de una nueva Constitución? by FM Mundo 98.1
Have you ever wondered about the potential impact of surgery and anesthesia on cognitive function? Today's show will discuss the complexities of Perioperative Neurocognitive Disorders (PND), a term encompassing conditions like postoperative delirium (POD), postoperative cognitive decline (POCD), and delayed neurocognitive recovery (DNR). Through insightful discussions rooted in the latest research, we aim to shed light on: The prevalence and impact of PND, drawing from studies highlighting its occurrence after various surgical procedures. Potential risk factors that may make individuals more susceptible to developing PND. Innovative approaches for prevention and management, including the investigation of medications like dexmedetomidine and anesthetic techniques such as total intravenous anesthesia (TIVA) with propofol, which some studies suggest may have neuroprotective properties. The intricate underlying mechanisms of PND, exploring the roles of neuroinflammation, oxidative stress, and even insulin signaling in the central nervous system. The use of monitoring techniques like electroencephalography (EEG) to better understand and potentially mitigate neurocognitive complications. The importance of early identification and comprehensive care for individuals experiencing PND. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken
El Mundo de Cabeza - Andrea Játiva, Banco Guayaquil concept store by FM Mundo 98.1
Happy Earth Day! In this special episode of Grade 1 View, Kevin and Olivia explore how anesthesia providers can make a real impact on the environment, one case at a time. As healthcare professionals, CRNAs play a significant role in the healthcare sector, which is responsible for nearly 10% of greenhouse gas emissions. This episode emphasizes the importance of being environmentally conscious in our practices, especially when it comes to anesthesia. Here's some of what we discuss in this episode:
NotiMundo A La Carta - Pablo Játiva, ¿Compleja la segunda vuelta electoral? by FM Mundo 98.1
Does the type of anesthesia used during surgery impact cancer outcomes? Today we're going to explore the relationship between cancer and anesthesia with Adam Flowe, Chief CRNA at Duke University Hospital. This topic goes beyond the operating room to cover patient outcomes, recovery and even reoccurrence. Join us to learn more about the growing field of Onco-Anesthesia and its critical role in cancer treatment and patient survival. Here are some of the key topics we discuss:
NotiMundo A La Carta - Carlos Játiva, Ecuador contrata empresa de Lobby en Washington; y, cooperación internacional by FM Mundo 98.1
NotiMundo Estelar - Lolo Echeverría Y Pablo Játiva, Balotaje Final; Daniel Noboa Y Luisa González by FM Mundo 98.1
Get ahead with VETAHEAD and join Dr. Laila Proença™ on 15 minutes of ZooMed (exotic animal medicine) content. Today, let's discover the groundbreaking findings of a 2024 study that compares the effects of Ketofol paired with midazolam, fentanyl, or dexmedetomidine in total intravenous anesthesia (TIVA) for rabbits. Explore practical applications, anesthesia tips, and why this technique could be a game-changer for exotic animal practitioners.Whether you're a seasoned vet or a student, this episode is your ticket to mastering TIVA and raising the bar in veterinary care. Stay curious, stay compassionate, and let's make a difference—one rabbit at a time! Click here to get your VETAHEAD E-Magazine! Click here to receive a VETAHEAD Gift! Do you want to access more ZooMed (exotics) knowledge directly from specialists? Come with us and #jointhemovement #nospeciesleftbehind Head to VETAHEAD Website Join our VETAHEAD Community Follow @vetahead.vet on Instagram Subscribe to @vetahead channel on YouTube Follow @vetahead on Facebook Follow @vetahead on TikTok
In the ever-evolving field of anesthesia, new research constantly reshapes how we approach patient care. In this episode, we explore the compelling findings of a recent systematic review and meta-analysis on the impact of propofol-based total intravenous anesthesia (TIVA) on cancer outcomes. Here's some of what we discuss in this episode: We'll provide an overview of the study and some of the key findings. The biological underpinnings of propofol's benefits. The preservation of immune function could be a key factor in why propofol is associated with better survival outcomes. Dissecting the findings on recurrence-free survival. A deep dive into propofol's role in lung cancer. Clinical implications and practical considerations. The future of anesthesia and cancer research. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken
NCIS director Dennis Smith reminisce with Cote and Michael about making his favorite episodes of the show with them, TIVA, the "secret sauce" that has kept it going for over 20 years, and S3E12: Boxed In. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Hi Everyone, This week Matt and I agreed to get together to do another journal club episode (or more accurately I printed out an article, put it in Matt's pigeon hole and told him to make himself available or else!). We went to one of our favourite journals IJOA (International Journal of Obstetric Anesthesia), where we chose an article from the latest edition published in May. The article is entitled "A narrative review of the literature relevant to obstetric anesthesiologists: the 2023 Gerard Ostheimer lecture." The background to this article is that every year the north american Society of Obstetric Anesthesia and Perinatology (SOAP) hold an annual conference. One of the highlights of these annual conferences is this lecture which is researched and then presented by a well respected obstetric anesthesiologist from the north american community. The lecture is a narrative review of the previous years published literature highlighting important papers and discussing their importance and relevance particularly in relation to current north american practice. This year's lecture was presented by Pervez Sultan from Stanford University, and it is drawn from a review of articles published in 2022 from 66 different journals. Over 12 different themes are discussed including (but not limited to) TIVA for GA Caesareans, dexamethasone for post CS analgesia, predicting epidural blood patch success, dural puncture epidurals and a number of other interesting topics. Join Matt and I as we discuss these and muse over what relevance they may have to our current practice here in Western Australia as well as a couple terrible olympic themed dad jokes to close! References / Links A narrative review of the literature relevant to obstetric anesthesiologists: the 2023 Gerard W. Ostheimer lecture Int J Obstet Anesth 2024 May:58:103973. doi: 10.1016/j.ijoa.2023.103973. Epub 2024 Jan 3.
Michael and Cote rewatch one of the most talked-about episodes in the TIVA-saga, where things suddenly get very steamy between the two of them...: S3E8: Under Covers. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Hi :)Wir sind wieder da. Nachdem die letzten Wochen keine Folgen kamen sprechen wir in dieser Woche über alles, was seit unserer letzten Folge in der Welt der Stars passiert ist, über die wichtigsten Neustarts im Kino und über einiges nennenswertes, was wir gesehen haben.Viel Spaß!
Cote de Pablo and Michael Weatherly discuss their tumultuous first meeting, how they first got into NCIS, and much, much more! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Este 24 de Abril charlamos con Isabel Ferrer sobre las nuevas limitaciones en la ciudad de Amsterdam a raíz del flujo de turistas. Hablamos con Joan Solés sobre las futura medida de la prohibición de comer y beber a partir de medianoche en Milán. Conversamos con el economista Santiago Niño-becerra acerca de la regulación del turismo en algunas zonas de España. Y charlamos con el monitor de la Asociación de personas con diversidad funcional, David Soler, sobre la carrera popular protagonizada por este colectivo que celebra mañana su 16º edición en Xátiva. La palabra del día: 'Solidaridad'.
This conversation explores the topic of gas anesthesia, its historical background, and its use in various environments. The conversation covers the shift to the TIVA technique, the importance of the anesthesia machine and equipment, and the training required to administer gas anesthesia. It also discusses the combined techniques used in the operating room and the stages of anesthesia. The conversation highlights the advantages and disadvantages of ether and chloroform as anesthetics. It emphasizes the need for vigilant monitoring and the use of IV induction agents for safety. The conversation concludes by discussing the duration of gas anesthesia and the importance of witnessing wakeups. Takeaways Gas anesthesia has a long history and is still used today in various environments. The TIVA technique is a popular approach to gas anesthesia, especially in field environments. The anesthesia machine and equipment play a crucial role in administering gas anesthesia. Vigilant monitoring is essential during gas anesthesia to ensure patient safety. Witnessing the stages of anesthesia, including wakeups, is important for understanding the process. Ether and chloroform were popular anesthetics in the past but have been replaced by safer alternatives. IV induction agents are used to quickly transition patients through the stages of anesthesia. The duration of gas anesthesia depends on the amount and length of use. Observing gas anesthesia in the operating room provides valuable insights into its application. Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
The April issue contains lots of excellent clinically-orientated papers and this month, Associate Editor Dr Nicolai Bang Foss has chosen three that caught his eye. The first is a comparison of a new intravenous agent remimazolam vs. propofol for TIVA and we talk about depth of anaesthesia, hypotension and everything inbeteeen. The second is a new PQIP study modelling postoperative complications and their prediction. Finally, we talk about a standalone editorial on neuromuscular blockade and the gap between what we known and what we do.
This month, all the main articles in the issue come from a special collection on sustainable healthcare, climate science and the anaesthetist. All papers are free to read, forever! Our Associate Editor, Dr Ben Gibbison, has chosen three of his favourite from the issue to discuss. These include an editorial on misconceptions about sustainable anaesthesia, a review of background science on global warming potentials and a comparison of the environmental impact of volatiles vs. TIVA in 50k patients.
Continúa la apasionante temporada 23/24 para la mejor competición de nuestro fútbol regional valenciano: la Lliga À Punt Comunitat. La nueva era del fútbol valenciano abre una ventana con el mejor nivel de nuestro fútbol regional desde hace décadas. Vuelve la liga en la jornada 17 con un programa apasionante. En primer lugar, nos centraremos en la delicada situación institucional de uno de los clubes más históricos de nuestro fútbol valenciano. Tras 91 años de existencia, el CD Olímpic de Xàtiva se encuentra al borde del abismo. Trataremos todo ello con nuestro compañero Diego García. Por otro lado, conoceremos la última hora de todos los equipos de la competición, así como nos centraremos en muchos temas de actualidad. En el grupo Norte, realizaremos la previa de la mano de los entrenadores: Carlos Ortí (Ribarroja CF), Luis Navarro (CD Buñol), Santi Marín (Manises CF) y Toni Aceitón (Paiporta CF). Podcast presentado por Raúl Doménech y grabado por Radio Esport Valencia en colaboración con la Federació de Futbol de la Comunitat Valenciana
Thanks Dr James for sharing your insights and all your extremely considered thoughts and professional approach to anaesthetic practice!---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.
Afl. 7 - In deze zevende aflevering van Anesthesie-praatjes gaan we in gesprek met dr. Niek Sperna Weiland over zijn werk als anesthesioloog en hoe hij zijn werk duurzamer maakt. Waaruit bestaat de 'voetafdruk van de OK'? Hoe kunnen we die voetafdruk verkleinen? En wat is de toekomst van de 'Groene OK'? Luister de aflevering voor het antwoord op deze vragen! Zie ook: - Overzichtsstuk impact OK en praktische handvatten voor verduurzaming: https://pubmed.ncbi.nlm.nih.gov/36700462/ - Daadwerkelijke implementatie (Zürich): https://pubmed.ncbi.nlm.nih.gov/38177005/ - LCA damp versus TIVA: https://pubmed.ncbi.nlm.nih.gov/22492186/ - LCA overige IV-medicatie anesthesie: https://pubs.acs.org/doi/10.1021/acssuschemeng.8b05473 - Milieurisico's van Propofol: https://pubmed.ncbi.nlm.nih.gov/36695328/ - LCA OK-muts: https://pubmed.ncbi.nlm.nih.gov/37672247/ - Roadmap om duurzaamheid in het onderwijs te integreren: https://pubmed.ncbi.nlm.nih.gov/36395753/
Fa molt de temps que les dietes d'aprimament estan entre nosaltres d'una manera permanent. Cada any apareixen noves fórmules per aprimar-nos i totes tenen una cosa en comú: a la llarga, no funcionen. Ara està de moda la dieta intuïtiva. Bé, de fet no és tant una dieta com una manera de menjar. I aquesta potser és la seva gràcia; que tracta més COM mengem que no pas QUÈ mengem. En fi, en aquest pòdcast trobareu la informació d'aquest tipus de dieta, o més ben dit, de no dieta...
Embarrados es un podcast de Ciclismo de Ayer y de Hoy donde se habla solo de Ciclocross. 1️⃣ 0:00:00 PRESENTACIÓN 2️⃣ 0:02:16 ACTUALIDAD ¿Qué cobra Van der Poel, Van Aert,...,por correr?; Números de Van der Poel y Pidcock en sus debuts; Van der Poel a por 150 victorias; ¿En peligro el nacional de Sanne Cant?; Persico no ciclocross esta temporada; Kamp deja Pauwels; Stybar formará su propio equipo 3️⃣ 0:12:53 LAS CARRERAS ⭐ Comentamos las de Exact Cross Essen, UCI World Cup Val di Sole, Ciclocross Internacional de Tarazona; curiosidades de otras carreras y comentamos algunos resultados CX Nacional. 4️⃣ 0:22:48 PREVIAS X2O Trofee Herentals, UCI World Cup Namur, Copa de España en Xátiva y Valencia y apuntamos las carreras del Ciclocross Nacional ➡️No te olvides de darle LIKE ❤️ y COMENTAR ✍️ A los mandos de las bicicletas: Jordi Martínez ( https://twitter.com/jordiportista ) y David Gómez ( https://twitter.com/davidesportista ) ¡Haz CLIC en el botón de APOYAR y conviértete en un FAN de Ciclismo de Ayer y de Hoy! ️ Ten acceso a los episodios EXCLUSIVOS para FANS, no tendrás publicidad y ayudas al mantenimiento del proyecto. ¿Quién puede dar más? ¿Nos acompañáis en esta ruta? ➡️Únete a nuestro canal de TELEGRAM. Comentamos las carreras, jugamos a intentar adivinar el ganador de las carreras, hacemos piña alrededor del ciclismo t.me/ciclismoayerhoy Vista nuestra web: http://www.ciclismoayerhoy.com Nuestro Twitter: https://twitter.com/ciclismoayerhoy Nuestro canal de Youtube: https://youtube.com/@ciclismoayerhoy
Esportbase | T08E13 (entrevista)
Esportbase T08E13 (programa completo): 11 de diciembre de 2023
Esportbase | T08E10 (entrevista)
Esportbase T08E10 (programa completo): 20 de noviembre de 2023
Editor in Chief Cecelia E. Schmalbach, MD, MSc, hosts Associate Editor Michael J. Brenner, MD, and lead author Ryan N. Heffelfinger, MD, for a conversation about the article “Recovery Benefit With Total Intravenous Anesthesia in Patients Receiving Rhinoplasty,” which published in the September 2023 issue of Otolaryngology–Head and Neck Surgery. This wide-ranging discussion covers outcomes of less nausea and vomiting for patients receiving TIVA, cost of TIVA, and data related to the environmental impact of TIVA vs. inhalational agents. Click here to read the article.
Esportbase T08E01 (programa completo): 4 de septiembre de 2023
Esportbase | T08E01 (entrevista)
In today's explosive episode, we're pulling back the curtain on Vivek Ramas Swami, the "golden boy" of next-gen politics. You know, the guy everyone and their grandma is singing praises about? Well, hold onto your hats, because this isn't your run-of-the-mill campaign fluff piece. We're diving deep, and I mean Mariana Trench deep, into the hidden corridors of Ramaswamy's life—from his George Soros-funded stint at Yale Law School to his oh-so-coincidental feature on the World Economic Forum website. But wait, there's more! We kick off this jam-packed episode with a bizarre tale you've got to hear to believe. Ever heard of the "Don't Tread on Me" flag? Of course you have. Well, some woke school district tried to ban a 12-year-old from sporting it on his backpack. Yep, apparently it's now "racist." But don't worry, we've got a happy ending to this madness, and it's one you'll want to hear. So before you blindly jump on the Ramaswamy hype-train, you might wanna know who's conducting it, right? Trust me, you don't want to miss this no-holds-barred, tell-it-like-it-is episode. It's time to shake up the echo chamber, question the narrative, and expose the truth. All links: https://linktr.ee/theaustinjadams Substack: https://austinadams.substack.com ----more---- Full Transcription Hello, you beautiful people and welcome to the Adams Archive. My name is Austin Adams, and thank you so much for listening. Today. On today's episode, we are going to be doing a deep, deep dive into presidential candidate Vivek Ramas Swami. Now, you might be saying why we love this guy, and I get it. I've been singing his praises for quite some time now. Uh, I have, have had many, many times told many people about how excited I was for his candidacy, but I'm not just going to blindly follow what everybody else is doing, and I'm not just going to buy into the hype when I see some red flags. So that's what we'll going over today is just some of those red flags and I'll let you make your own decision. But by the end of this, I hope to have a conclusion for you from my perspective. Okay. So this episode will be going into all of the history of Avek Ramas Swami from his George Soros funded time at Yale Law School to his alleged, uh, mishap where he just so happened to find himself listed on the World Economic Forum website. Hmm. And then even deeper into his time in a fraternity at Yale until now. So we'll watch some of the clips. I'll tell you why I like the guy. I'll tell you why I think the guy could be a great candidate, but I'll also tell you why there's some red flags being waved in my book now. The only other topic that we will discuss before that is going to be that there was a 12 year old child going to school who was told, if you've ever seen the flag, the yellow flag, I know you've seen it with a snake on it that says, don't tread on me. Right. Everybody knows that flag. Most people like me correlate it with the United States Marine Corps, but we'll look at the history of that because it came into question during a school district telling a child that they could not walk around school with that patch on their backpack because it was allegedly racist. Hmm. But we do have a conclusion to this and one that I'm actually proud to share in a world of so much wokeness. So stick around for that. First, I need you to head over to the CK Austin Adams, do sub stack.com. Sign up for the podcast companion. Then I need you to subscribe and leave a five star review. Alright guys, I appreciate it a lot. We've been getting some great reviews recently. I can't tell you how much I appreciate it. It's the only way that you can give back right now for all of the hard work that I'm putting into this. This is now the 84th episode, which means almost over a hundred hours that we've spent here together. And there's no way to pay me back other than just leaving a review. That's all I want. Just spread the message, send this video, send this out to two different people. The podcast, subscribe on YouTube, do whatever you can to get the message out. Uh, as you know, a lot of times on social media, I am either shadow banned. Or completely banned like TikTok. Uh, so there's only a few ways that I can get the message out, and that's through you guys sharing my stuff with people that you know and love. All right. So without further ado, today's deep dive on the Adams archive is on Vivek Ramas Swami, the Adams Archive. All right. In another win for freedom, a school has reinstated the 12 year old in Colorado who is kicked out of class for sporting the Don't Tread on me flag. Otherwise known as the Gadsden flag. I didn't actually know the name of that until now when this happened. I guess I should have. Uh, but I always just correlated this with the Marine Corps for some reason. I know that's a very, uh, consistent flag flown for the Marines. However, learning the history of this, I am a big fan of the history of this flag. So it actually dates back to the Revolutionary War, and it was something that was, came up with, and maybe we can go into the history of this just a little bit, um, but it has its place in history, right? It, it, it basically was a, a show of power against the British clergy to show that we will not stand idly while you strip us of our freedoms. That's the history. That's it. Revolutionary war. There's nothing other than that about it. Okay. Now there was a teacher who took that flag and decided that it was now going to be racist and went as far as to having a parent teacher meeting about it, and then even had somebody from her district back her up. So let's go ahead and watch this video. And again, you can always see it right here with me on the YouTube. All right, so here we go. Oh, okay. Hold on. Thank you. Do they know what the Gadson flag is? That's a historical flag. So there, um, the reason that they do not want the flag, the reason we do not want the flag slave mm-hmm. Is due to its origins with the re slavery and slave tribe. That is what was, um, as the reasoning behind them. Not like the Gadsden blood, the don't tread on me. Okay. Which is the Gadsden blood. Okay. Um, okay. So he, he um, now this kid has the best smile on his face right now. What's happen if he doesn't take it off? He, I mean, he is able to go, I was actually just telling him like I was upset that he was missing so much school. I'm like, ah. So I asked if, can he just take his stuff out of his bag and go back to class? Like I just want him to go back to class. The bag can't go back. It's got patch on it. 'cause we can't have that in and around other kids. So that's what I was trying And then he said, you were close. So I was like, oh, okay. Yeah. It has nothing to do with slavery. That's like the Revolutionary War patch that was enslaved when they were fighting the British. Like that wasn't, that's the revolution. Maybe you're thinking of like the, um, the Confederate pe arm Confederate flag. Okay. I so. I'm just here to enforce, is there, tell me. No, I am here to enforce the policy that was provided Okay. By the district. Okay. And definitely you have every right to not agree with it. I mean, I, yeah, because the c u says that he's allowed to wear that if you like, go on their website, it's like, says in the big letters. So I all, I, all I'm saying is that unless there's like a ban on patches period, like if you said there's no patches allowed at the school, you cannot display what you think or anything like that or what cheer or anything like that. Um, I, I don't, I think it's like one sided, you know, because you allow some patches, but not other patches. Other kids have patches like other names and like these American flag backpacks. Yeah. That was like flown during the revolution with, um, yeah. I, I just don't wonder stand that at all. So what I can do is, and if you, if you go onto the ACLU's website, Yeah, let's, let's talk to someone speak, because I don't have a lawsuit. I really don't. I can speak, I can have you speak to our Jeff Yoko again. Okay. Um, and then he can refer you to our person at the district. Okay. Um, because like I said, we're following district policy. Okay. Is what we're doing. Okay. So the last thing I want is him out of class. Yeah. I know that. That's all my, the last thing I want takes his classes seriously. He studies, he does. He wants to get straight A's he did that he made honor roll when he was here before. He intends to do that again right now. But it's hard 'cause he keeps missing class for this. So I understand that. Yeah. And I mean, we teach him to always stick up for your beliefs and I mean, you're going over the revolution. This for seventh grade, I mean the founding fathers stood up for what they believed in against unjust laws. This is unjust. 100%. Get it mama. We are upholding a policy that was provided to us, which we have to avoid. Okay. Can you show me where the policy. I absolutely applaud this mother for everything that she just did there, stood her ground, articulately stated her case, said, I don't understand why you guys would ever think that this is anything to do with slavery. This is a flag that was flown against the British during the Revolutionary War. Now what would happen if he didn't? So she did her research on this. She knew exactly what to say, and, and I applaud her even more so because she's sitting there with another child, like a baby sitting in a car seat in front of her while making this case. Um, and so here's the update on this. Alright, so they eventually, uh, sent a letter. To the district. So it says, meet 12 year old Jayden, who was kicked out of class yesterday in Colorado Springs for having a Gadsden flag patch, which the school claims has origins with slavery. The school's director via email, uh, said that the patch was disruptive to the classroom environment. Now, the receipts from this with the Jeff Yokum that was, uh, told in reference to this mother was about, uh, dress code. Now, this actually happened yesterday and this email back and forth from the Vanguard School District. The, uh, individuals is Jeff Do Yokum, Y O U, or Y O C U m@thevanguardschool.com said, Mrs. Rodriguez, I, as I discussed, I'm providing you the rationale for determining the Gadsden flag is considered an unacceptable symbol, first case when E E O C required the complaint to be reviewed. This was the Washington Post. Saying Wear don't wearing, don't tread on me. Insignia. Could be punishable. Racial harassment then posts the tied to the Confederate flag and other white supremacist groups, including Patriot groups. Huh? Patriot groups. How dare you. Uh, then there's additional photos. Let's see if we can get the bottom of this. No. Okay. So then basically what ended up happening with this, the, what they ended up citing on this was somebody who is a graphic design scholar from the conversation.com. Hmm. So it also says that rattlesnake imagery in the United States, or the American Revolution was hosted and fueled by Ben Franklin's papers and interest in Massachusetts and Pennsylvania. Franklin spent the latter part of his life petitioning Congress to free South slaves. But assistant Dean equity doesn't. Know that hmm many anx were quick to side with Jaden and his mother pointing out that the rattlesnake imagery of the gadson flag was inspired by Benjamin Franklin, who spent the latter part of his life petitioning Congress to free the South's slaves, the Epper Minutemen, who had also used the symbol Incorporated eight 14 black and native men in black flag bearer, a greater diversity than many other regimens, according to Tony Cannet, an investigative colonist of the Daily Signal. Uh, so the result of this was that the district reached out and had a message because this spread like wildfire. And it said yesterday, the student was returned. The student returned with the patch still visible on his backpack. Following the district's direction, Vanguard administration or administrators pulled the student aside so that they could speak with his parents in the district. Upon learning that they have these events to the today, the Vanguard School Board of Directors called an Emergency Meeting From Vanguard's founding, we have proudly supported our constitution, the Bill of Rights, and the ordered liberty that all Americans have enjoyed for almost 250 years. The Vanguard School recognizes the historical significant of the Gadsden flag in its place in history. This is incident is an occasion for us to reaffirm our deep commitment to a classical education in support of these American principals. At this time, the Vanguard School Board and the district have informed the student's family that he may attend school with the Gadsden flag patch visible on his pack, on his backpack. Sincerely, the va Vanguard School Board of Directors of. Good. Good. Finally, some decency and some, you know, reasonable conversations being happening now. There was actually a picture that came out of this child with his backpack standing in front of a teacher's car, which said, make America Green again. So the teachers were allowed to post these things on their vehicles and drive around with them, but a student can't wear this on his backpack. Very, very interesting. So chalk it up for another win for freedom, as I said earlier. Right. We've seen it with Target, we've seen it with, uh, all Bud Light. We've saw it with all of the things that we've seen pop up recently. All of the, the music that is topping the charts, the Richmond, north of Richmond, um, all of it has, has culminated to show that there is power in numbers. There is power in speaking out. I saw this. I saw this graphic the other day that showed a, like what looked like a, a authoritarian Egyptian slave bearer with a whip whipping a group of people. It was like a row of people. And then the next column was one person of that group standing up and the slave bear still, or owner, still whipping that person. And then the next group of people behind that, one person starts to stand up. There's a group of them now, and then the slave bear, the slave owner whips them again, and then everybody stands up and the the slave owner runs. And this is such a good graphic, such a good. Picture of what it means to go through what we all went through in the last three, four years, where we went from, nobody's standing up against this, nobody's speaking out against it, nobody. It wasn't cool to be, you know, talking out against C O V I and you know, it wasn't, it wasn't cool. We were getting banned and shadow banned and getting our accounts ripped away from us not led into airports and, and not allowed to get a job and or keep your job even if you had one already. We saw so many instances where nobody was standing up. There was very few of us, and that was the very precipice of when I started this podcast was because I saw that there was so few people standing up during this crazy time while the curtains were being pulled back of authoritarianism. Once we were learning what was really going on in these institutions, So little people were standing up, but now we're seeing there's a massive group standing up against these things. Standing up for freedom, standing up for liberty, standing up for the rights of our children and their schools to display their support for our constitution and what it stands for. So really happy to see this once again, another win. Alright, so with that, let's dive into our conversation about Vivek Ramis Swami. Now, I have been for a very long time, months now since he announced his candidacy almost, it seems like been saying how interested I was in Vivec as a candidate and there was really one thing for me. There was one thing for me about Vivec. Made me really question him. That has kind of made a little, it was the thread on the sweatshirt that started to unravel it for me. And again, I'm not coming to any conclusions on this yet. Uh, I still don't know how I feel about it fully, but I just wanna show you what, to me, has been the red flags. And maybe you've seen some of them, and maybe you haven't. And maybe because I mentioned him, you started to pay attention to him and support him. So, I, I just wanna be transparent here, guys. I don't know how to feel about Vivek. There's been several red flags, far more red flags than I would like to see about a candidate at this stage of the race. The biggest red flag for me of Vivek was his Obama opener at the debate stage. Now you must be wondering, who's this skinny guy with a funny last name doing, standing on a presidential debate stage? That, to me, started it all. I. And here it's, so first, lemme just address a question that is on everybody's mind at home tonight. Who the heck is this skinny guy with a funny last name? And what the heck is he doing in the middle of this debate stage, the hope of a mill worker's son who dares to defy the odds, the hope of a skinny kid with a funny name, who believes that America has a place for him too. So first, lemme just address a question that is on everybody's mind at home tonight. Who the heck is this skinny guy with a funny last name? And what the heck is he doing in the middle of this debate stage? The hope of a mill worker's son now dares to defy the odds there is the, there is the back to back between those sounds. Pretty familiar, huh? For a Republican candidate to verbatim, verbatim, Rip off. Barack Obama's just, this was one of the most famous statements in presidential history, right? That there's a reason that this was immediately followed up by, uh, Chris Christie on stage with him calling him out for it was because everybody knows this statement. This was a statement that everybody went wild for. Who is this skinny guy with a funny last name and what is he doing on this debate stage? I don't think anybody was asking that about Vivek. I think he was a little out of touch. And then to actually re I, I don't know if this was supposed to be a quirky, funny nod to that statement. Maybe that's the case. Maybe we can, we can attribute naivety or, uh, comedy where malice is being attributed instead. But it doesn't seem like, like that was the case here. To me, it seemed like he was legitimately using this as his opening as on, on the biggest floor that he's had so far next to podcasts, which is crazy that, you know, there's some podcasts that are far bigger than this debate stage. Uh, but that's how you open the debate for the Republican party. Now, I could see if he was a Democrat doing that, I could see him pulling that quote, but just to, to, there, there was no, the, the follow up to this was not, I bet you've heard somebody say that before, but I'm different and here's why. Now, Viva Ram Swami is more articulate than Barack Obama was, I think more presidential than Barack Obama. Was, which says a lot. Barack Obama was a great president in the way that he presented himself and presented our nation. Now you wanna get into policies and it completely unravels. But the ability that he had to speak on a stage to massive amounts of people, the, uh, intellectualism that he conveyed when he talked about certain topics was, was impressive. And that you can say the same for Vivek. And what we came to find out about Barack Obama was that he wasn't as genuine as he tried to appear to be. It was all an act. And I'm afraid that maybe just, maybe that's what Vivek is doing too. Now, I'm gonna be honest with you here, and you might, you might laugh at this, you might roll your eyes at it, but I was watching the debate. And I may or may not have had some t h c enter my system here. And I totally, in that moment, being a little bit high, watching the debates, uh, drinking a, drinking a beer. Um, I s I just felt it, the Vivek felt like a a, you know what it looks like to me for Vivek Ram Swami is that the big leagues, the BlackRocks, the Vanguards, the World Economic Forums said, wake the beast. We got 'em. Guys call in our ace of spades and Vivek just rises from like a cryo chamber and the water just drains out of his plastic, uh, surrounding his, his glass, that, uh, box that he's standing in. And, and he. Takes his first step out of the glass box into the real world to take over the next presidential race, right? It just seems all too good. He seems too good, he's too polished, he's too clean. Everything, everything he's saying is, is right spot on with how they know the disenfranchised feel on one side, everything that he's saying, his presentation is perfect. His teeth are white as can be. His smile is practiced to a t. It's all a little too perfect for me. It's not, it doesn't come off as authentic. And, and maybe I was just a little bit high, maybe that that just unraveled it for me, but it just seems a little unauthentic to me. It seems like a play. And obviously everybody on that debate stage is playing games and all of them are wearing a mask and he's just way out of everybody else's league on that stage. And guess what, Vivek, I would love to have a conversation with you and would love for you to convince me that you are not the second coming of Barack Obama drained from your cryo chamber by World Economic forum elites to come and take over the presidential race once they take down Donald Trump and be another puppet installed into our governmental system. I would love that. Come on, come on the show. We'll have a conversation. I'll even have a drink with you. And, and I would love to have that conversation with you. You're very articulate. I think, again, he's probably the most presidential candidate that I've ever seen, you know, next to John f Kennedy's speech patterns. There's nobody greater in history that I, that I've seen than the way that Vivek, uh, presents himself in, in the, the, the, the canned ness of his speeches, though the, the smiles on his face that are so practiced that articulateness, if that's a word, the, the, the way that he, how good, how clean, how perfect every response is, is just a little too on point for me. And there's a little bit, there's just a, and maybe I just don't know the guy, and maybe he's like that all the time, but he's just so, it's so salesy. Not a salesy in a bad way, but a great salesman, great salesman. And those are the most dangerous 'cause they'll talk you into anything, trust me. Um, so that, that's where this all started. To me, the Obama statement just irked me. And then it was just the way that he was just da da da. Like he knew every single question that they were gonna ask. He had the perfect response, every part of it. He's almost like a robot. And Chris Christie alluded to that. He said, uh, what did he say? Let me, let me pull up the Chris Christie, uh, response because it was just, it was just so spot on. Uh, let me go to the YouTubes here and I can show you. It actually follows up, uh, in, in retorts, vivex statement there. Uh, Christie, G P t I. It was just the, such a good retort. Here we go. I've had enough already tonight of a guy who sounds like chat, G P T standing up here, and the last person in one of these debates, Brett, who stood in the middle of the stage and said, what's a skinny guy with an odd last name doing up here was Barack Obama. And I'm afraid we're dealing with the same type of amateur standing in stage tonight. Who the heck is this skinny guy with a funny last name, and what the heck is he doing in the middle of this debate stage? The hope of a skinny kid with a funny name, who believes that America has a place for him too. I've had it. I'm just telling you, there's something about him, something about him that I just can't, I can't, there's a red flag and I can't get around it. And there's other red flags too. So let's dive in to those. So here is where, uh, there's, there's some other influencers calling this out, right? And we'll get to those in a second. Um, but let's, let's just start from the top here. Okay. Now let's vet Vive. I like that. Let's vet Vivek. Let's see if these red flags have it even merit to them. All right. So Ramas Swami was indeed nominated the sadness comes from dossier.today. Ramas Swami was indeed nominated and selected as a World Economic Forum, young global leader. In 2021, which is an obvious massive red flag. However, Ramis Swami claims an alibi explaining on his social media. Funny, you should bring this up because this all started with a tweet from Jack Poso who said, how strange. When you look at the World Economic Forum, young Global Leaders of 2021 page. Today, it appears a name has been scrubbed from the list. It'd be a shame if somebody had receipts of the original list, in which case Poso posts them. Now, Vivek retorts this and says, funny, you should bring this up. Vivek says, the first chapter of my upcoming book in April has the receipts of my exchanges with the World Economic Forum. Years ago when they repeatedly kept trying to get me to be named, I gave them a polite hell no reveals the games that the World Economic Forum plays. Now let's go to this tweet and actually read, said receipts. Uh, so there's actually the, the, uh, screenshots from the World Economic Forum. It says, meet the 2021 class of young global leaders under that, right under, uh, Terrance Kamal Vasu Vats. Achmad Zaki. Aditi Avanan is Vivek Ramas Swami. Hmm. Very interesting. And then the next day on the website, his name is Gone. Now, Vivek has come out and personally said that, yes, I had to sue them for them to take me off of their website. Now here's the better question. Why would they elect him in this way? Why would, why would that be on their website? Now, I'm not getting elected to be a World Economic Forum, young, global leader, I promise you that. But Vivek is, Vivek is clearly stated on their website until he says that, you know, nobody has been working to dismantle the Global World Economic Forum takeover more than me. You're right over the target. Stay on it. I'll send you a signal or signed book so you can learn more about it. It's worse than you can ever imagine. Jack responded and said, you've sent me like five books already, my dude, and interesting. So, What he has yet to explain is his longtime association with Soros Inc. Now, if Vivek is associated with the World Economic Forum as a global leader and he's been taking money from George Soros, maybe those are a couple red flags we should be at paying attention to. Maybe a G O P Presidential candidate is a literal Soros fellow directly on the Soros website. Right now it lists Vivek Ram Swami 2011, founder and c e O of Roy Van Sciences. Vivek is the child of immigrants from India. Fellowship awarded to support work towards a Juris doctorate in law at Yale University. Vivek Ramma Swami is the founder and c e o of Roy Van Sciences. Vivek was born in, uh, Cincinnati, the Indian parents in high school. He was a class fellow Victorian, a nationally ranked junior tennis player and accomplished pianist. Vivek graduated from Harvard College in 2007, Summa cum laude and Phi Beta Kappa with a major in biology. Later he entered Yale Law School well at Harder. Harvard, a preis of his senior thesis on the ethical questions raised by creating human animal kymera. Hmm. Was published in the Boston Globe in the New York Times. He was chairman of the Harvard Political Union and served as one of three undergraduates chosen for an advisory board for the selection of the current president of Harvard. I. Hmm. During his senior year, Vivek co-founded student businesses.com, a technology startup company, which connected entrepreneurs with the professional LI resources via the internet. And he led the company to its acquisition in 2009, after Harvard College, Vivek worked for three years in life sciences, investing in New York before pursuing his law degree. That's interesting. I didn't see that. Ethical questions raised by creating human animal chimes. That's an interesting topic. Alright. I could get behind 2007 Harvard Vivek writing that. So maybe that's a, a green check mark instead of a red flag for a second. Very interesting. Now another thing here, right on Vivex. soros.org website says, Paul and Daisy Soros fellow Vivek Ramma Swami's Rovan Sciences develops clinical stage antibody to prevent and treat acute respiratory distress syndrome in patients with C Ovid 19. So Vivek profited during COVID through creating these clinical stage antibodies. Another one is pursuing the potential of abandoned pharmaceuticals, and the other one is Havara. Swami's RO sciences stays innovative. So there's the articles from soros.com. He also showed support for George Soros in a recent, well, let's see if it's recent, a tweet from 2021. Pretty recent he said, well said, George Soros said, Vivek Rams Swami, I consider Mr. Z the most dangerous enemy of open societies in the world. Well said Mr. Soros. Hmm. For reasons unknown. Ramas Swami's Wikipedia page has recently updated that deleted information about his religion and his association with Soros Inc. Now, if you don't know, Ramas Swami is a Hindu, was raised Hindu by his family, which no surprise, he's from Indian immigrants. Um, so I'm not sure why they would remove that. Who cares? It says writing on the Wall Street Journal. In 2020, Ramas Swami unveiled his opening salvo against the World Economic Forum in BlackRock stakeholder capitalism model. However, later in the piece he confusingly declared, I would love to have BlackRock as a shareholder if my company ever goes public, said Vivek. Now on China, Ramas Swami is known for his recent tough talk on China. On Tucker Carlson's show. Ramas Swami said that as president, he would have America reorient all of its supply chains away from China. Okay, I can get down with that. Vivek. However, Ramis Swami was a featured speaker at a Shanghai Investment Conference in 2018. Moreover, he has launched companies outta China and formed partnerships with Chinese firms in one such deal. Ramas Swami's Roivant partnered with the Civic Group, a state owned investment company of a Chinese government to launch an outfit called NT Sciences. And here's the article to back that up, which says Viva Ramma Swami Strikes again. This time launching a Beijing based biotech player with a pipeline. This morning, Rove unveiled NTT along with cpi, a Chinese private equity group. Now, this is where this gets a little important when we get to some of the videos that I'm gonna show you from other people who are talking about this, um, because this is where kind of the shift of money and the, the shift of patents come from, uh, a little bit later. So pay attention to that name SYN event as recently as 2020 2nd of February, February, 2022. Ram Swami's Roy event listed subsidiary companies in China, according to SS e c filings, which are the subsidiaries being site event biotechnology CO. In China site event sciences CO in China, Cynt Sciences Limited in Hong Kong Covid 19 in the mRNA gene, the biotech entrepreneur has repeatedly tried to find a niche in the game or in the gene therapy business, and therefore he unsurprisingly, A big proponent of mRNA shots. In January of 2022, Vivek wrote an article in the Wall Street Journal declaring that social distancing and cloth masks would work to stop viruses, but that it needed to stop so that people can avoid antigenic drift. He added the most important step in fighting the C Ovid 19 pandemic was the distribution of vaccines. But new variants aren't emerging in the US said Vivek. This was January 12th, 2022. But new variants aren't emerging in the us. They're emerging in places with a higher percentage of a vaccinated individuals. Those variants are the ones that have the greatest potential to drift and possibly shift away from the strain that initial vaccines were designed to. And then it goes on to the second tweet. Ramas Swami has extensive business ties to to, to Pfizer. Extensive business ties to Pfizer Rovan, which was founded by Ramas. Swami has partnered with the taxpayer looting pharma cartel boss on several occasions. Tiva, another subsidiary says, download our free ebook. Learn how Pfizer Rovan and m AMB X accelerate their process development strategy hashtag bioprocess. Now this, this is not a subsidiary. The subsidiary within that was Roivant. Um, so correct myself there. Tiva, C Y T I V A now, uh, from Reuters in 2022. December 1st at 11:21 PM posted Rovan Pfizer team up on inflammatory disease drug. Hmm. So Vivera Swami not only said that masks work, not only said that vaccines need to be rolled out as soon as possible. Paraphrasing, but also teamed up with Pfizer in several occasions with his own businesses. A brief search of his social media history found no evidence that Ramas Swami ever critiqued Pfizer. Roy vent has also, which again is not, that's not evidence. If you haven't ever critiqued somebody via your Twitter, doesn't mean it's evidence. Rovan has also sued Moderna claiming patent infringement re related to its disastrous lipid nanoparticle delivery system, which is shown to wreak havoc on the entire human body. So here's, here's the way that I would rank my presidential candies right here is my 2023 presidential candidacy ranking and why, and I think he moves down a step here. Okay? Now, I don't agree with many things, several things about the. Robert Kennedy, Jr. But I do agree with him on his stance on Covid and his stance on vaccines. And I do think that we are going into, which I did a whole breakdown in my last episode on pandemic season two, that we're going into another season where they're going to go after lockdowns. They're going to go after a new wave of authoritarian control. So I also think that of all the presidential candidates right now, Robert Kennedy Jr. Is the most authentic. He's the most genuine. He also has a blood tie to not one, but two people who have been assassinated, allegedly by the ccia A. So there's a very good case here to say that Robert F. Kennedy Jr. Has real reason to go after the Deep State, real reason to obliterate three letter agencies into the wind. I. A real reason, a foundationally, deep-seated reason to do so. Now, from what we've seen here, the evidence suggests not the words, don't pay attention to the words, pay attention to the evidence, the actions of Vivek, which shows that he not only teams up with Pfizer, not only that he wants to push vaccines, not only that he wants to push mask mandates, but that he's also associated somehow some way with the World Economic Forum and took money from George Soros. Those things to me, are enough to knock him down several notches, several, several notches, because at this point it's only his words. It's not his actions and his words. You can tell this man is just gifted when it comes to speech. He's a great salesman. He's a great politician in the making, but that's the scary part. Right. Robert F. Kennedy Jr. Has no skills whatsoever to convince you with his tonality, to, to take a point and, and paint it with color beautifully so that you can agree with him to, to he, he loses all of that in his cadence of speech. He loses all of it within, within the way that he has. His, his vocal chords are, are damaged, but vek almost essentially his entire campaign is, is surrounded by his ability to sell you to his ability to smile, his ability to quickly and perfectly articulate exactly what you want to hear when you want to hear it. But there's a lot of red flags here. So I would say right now, Robert F. Kennedy Jr's right up there for me. Now I know his stance on gun control. I know his stance on abortion. So those things I vehemently disagree with, with him. And I'd love to see a, a, a breakdown of every one of his beliefs and every one of the policies. And maybe I'm, maybe, you know, I'm pretty far off in, in, in several, several of those. But to me, the president is basically a figurehead who represents the people and is a display of where we're moving. Are we moving more towards the deep state? Are we moving more towards, uh, a nation of authoritarianism or are we moving more towards freedom and liberty? So I would love nothing more than to see a Trump Robert F. Kennedy Jr. Ticket would love nothing more. That would be my ideal candidacy. And I don't know who I would put in which position. Uh, but because you can clearly see that the deep state that the, the individuals in power are, are obviously a. Trying to put Trump in jail over and over and over and over again. There's been a concerted effort by big, big money to get him out. And we can also see clearly the same thing is happening with Robert F. Kennedy Jr. Besides the indictments, but nothing is happening with Vivek. In fact, he's finding himself on all of the biggest shows, constantly being put on the BlackRock funded Fox News, and CNN's constantly being pushed in the public narrative, having the biggest clips from the debate stage constantly. So let's, let's keep going. Here it says, Ramis Swami has estimated to have a net worth of an impressive $500 million, though it's unclear how he accumulated these funds, or if that number, which is a bit outdated, currently stands. Perhaps it's from a series of business ventures through which he successfully cashed out, but the trail left behind leaves a lot to be desired. S o Gene Therapies, a company founded by Ramas Swami recently announced plans to dissolve after years of failing to advance any successful drug candidates once valued at billions of dollars. Millions. I o currently has a market cap of around 30 million, as it recently failed to find a buyer for the Troubled Corporation. Just so you know, this stock in 2018 plummeted from $200 a share, and then the same day it was at $200. It dropped down below 50 and then over the next three to four months or so, and over the next year, moved down to less than a dollar. It's currently sitting at 40 cents. Crazy. Roy Van Sciences founded by Ramos Swami. He was also the C e O until 2021, but remained on the board. Lost almost a billion dollars last year and has lost on average 650 million each year since 2019. According to the company's financial statements in 2018, the company has described as akin to a bloodbath efforts prized Alzheimer's drug, which formed the basis for the creation of Rovan failed clinical trials. Over the last quarter, Roivant brought in only 12 million in revenue and had a net income of negative $291 million. Remiss Swami stepped down from the board of Rovan after announcing his presidential run, according to a company statement. Crazy. How do you lead a company that loses almost $300 million? And then. Somehow make 500 million. The, the business world, once you get to that level is just pretty crazy. Ramos Swami's latest adventure is Strive Asset Management, which he founded in 2022 with the mission to combat the e s G agenda in corporate America, strive has set up a series of passively managed ETFs through which Strive takes an above average fee in order to purchase stock and Pro e s G woke companies Hmm. Promising to use customer's proxy voices to convince these corporations to depart from that agenda. Since its founding, strive has published forward letters to select companies asking them to change course. Hmm. So Ramas Swami's latest venture is Strive Management. So he founded a wealth management company, strive in a, in a hope to voice with people's funds. I. The, that we don't want them to be a part of the e s G and woke agendas. Cool. I like that. That's a very smart play. Vivek, especially if you're gonna run for office. But essentially he took in all of this money, right? Looks like many millions of dollars. And they held stock in all of these woke companies. What is that? Apple, Microsoft, Amazon, Google, Tesla, Nvidia, alphabet Inc. Or Google again. Um, UnitedHealthcare, Exxon, Johnson and Johnson. Wow. Critics of Ramos Swami have pointed out that Strive is effectively damaging its own mission right off the bat by first purchasing shares and proceeding to add value to these companies. Yeah. And later hoping to convince them by proxy letter or vote to change their behaviors. So what's the real agenda? This says it seems Vivek Ramma Swami knows full well that he will not actually be a serious contender for president. He has already spoken about wanting to merely be able to make the debate stage. His campaign website does not discuss his platform in any detail at all. It only shares clips of his media appearances and is largely nothing more than a donation page. What is Vivek actually running for? First? Maybe we can get some more clarity about who this man is and what he believes. So there's your breakdown, right? We'll watch some videos here. We'll get some other conversations going. But there's the overall breakdown of Vivek Pharma funded by BlackRocks and Vanguards World Economic Forum. Global leader, George Soros funded law degree. That is Vivek. That is his background. Those are, those are his actions that to me speak louder than his silver tongue. Now there's other people raising the flag about this, one of them being Matt Kim. Now, if you don't know Matt Kim, he's got a podcast. He's also a, a pro prominent figure on social media, and he posted this video that I will show you, uh, where he raised similar red flags. So let's pay attention to it, because he allegedly got some messages from Vivex people about his posts. So here it's when he supported Bob, let's restart it for you. Some of you won't like this, but hear me out. He seems to be everywhere. Clips of him giving it to the man and calling out the establishment All over social media skyrockets from unknown to top of the Republican polls, and I understand why. He says what we all want to hear. End the war. Secure the border during the swamp. Unity, freedom, truth, which outlets are considered untrustworthy? Propaganda Media. M S N B C, business Insider, AP Forbes, the New York Times, the New Yorker, Huffington Post, Axios, political, just to name a few, the mouthpiece of the establishment. Then why are they all so supportive of VI? Doesn't make sense. How is he considered anti-establishment when he's supported by the establishment? If you or I were to say some of the anti woke things, he says we would be shadow banned, but somehow he's trending on every single major social media platform. Hmm. Prior to politics, he was a hedge fund manager. His claim to fame was a pharmaceutical startup company called Rovan. In the nine years it's been in business, it has never been profitable or delivered a working product. Now that is where the only part of this that he was corrected with. So we'll look at that statement that he apologizes, um, quite sarcastically, rightfully, uh, about this. So let's watch it. Although RO continues to fail their clinical trials, they were able to find investors and raise money, making VI an extremely wealthy entrepreneur, good at convincing people to invest poor at delivering product and execution. Not a good sign. So what about the money? The media highlights that Vik has invested over $10 million of his own money to fund his campaign, an honorable fee. Vik announced his run for presidency in February, 2023. How long do you think it takes to make that decision and execute a plan? Six, eight months. July, 2022. The value of relevant stock is just over $3 per share. On February 21st, 2023, Vik announces his run for presidency, and on February 22, he sells 4 million shares for approximately $32 million million dollars at nearly $8 per share. Well over $15 million in profit in six months prior to him announcing presidency. Good for him, right? Make that money. Company is losing over $1 billion per year, but he got paid. Smart guy. But anytime things are just so coincidental, I'm forced to keep digging. Why did the stock price of an unprofitable failing company rise over 100%. How does it go from an all time low to nearly? Its all time high. Institutional money. You remember when Vik said the financial investment giants like BlackRock, state Street, and Vanguard represent arguably the most powerful cartel in human history? Well, guess who's on the list of institutional investment giants that started giving his company money one year ago? You wanna guess BlackRock, state Street and Vanguard. All three have added to their positions in the last quarter. And Rian, which Vik still owns 7% share in, is now up over 300% in the last year. Mm-hmm. Making it worth close to $1 billion during the Republican primary debate. Vik vowed to end the teacher's union. Guess who is also on this list of investors? California State Teacher's Retirement System. Look, his intentions may be pure, and this is all a coincidence. Maybe there's a great explanation, however, I am not a financial analyst, nor investigative reporter, but I was able to find all this out in a couple hours of sifting through publicly available data. Why is this connection to George Soros via scholarship and his involvement in the Ohio c Ovid 19 response team scrubbed from Wikipedia in 2021, he was named a young global leader by the World Economic Forum. Two years later, after using that title to raise investments for his company, he sued the W E F to remove his name from the list. Three months after that, he was able to settle with Klaus Schwas, W e f, and receive a formal letter of apology. How do you sue what many may consider evil, the World Economic Forum and win and get an apology letter in three months? He's either that good or I don't know. Any real journalist or news outlet could have easily found out all this info, but they didn't. Real question is why. Hmm. So there's the first video, right? That's one of the main reasons. Almost all of that is so suspect every single part of this journey for Vivek, everything but his words. If you didn't watch a single debate, if you didn't watch a single video of Vivek and you only looked at his actions, it paints a completely different story. If I told you there was a presidential candidate for the Republican party who was funded by George Soros, who is a World Economic Forum global leader, who went to Harvard Law School, founded a pharmaceutical company, which helped with C O V I D responses and was funded by BlackRock and Vanguard, would you vote for that person? Would that person be your number one pick? And again, I just wanna drive this point home for you. If you looked at nothing, Vivek said, if you watched none of his videos, none of the debates, and you only saw that he was a World economic forum, global leader up until the time that he decided to run, he was funded with all of his companies by BlackRock and Vanguard. He made his money in pharmaceutical companies during C O V I D. Is that the guy that you want running this country? Because I don't, that's not what I want. That's not who I want running the country. You know who I want running the country. The guy who says that you shouldn't get the vaccine, the guy who says that all of these institutions are corrupt and wants to obliterate the cia. Actually will do it if he finds office. You know why? Because two of his family members were assassinated by them. Or maybe the guy who's sitting and just got his mugshot taken three days ago from actually fighting the system, not just saying words on the debate stage. And you know, looking at, looking at you at the audience and nodding his head. And then as soon as BlackRock, Vanguard and World Economic Forum, look at him, they go, and then you look at him, right? Does that meme? But that, that's what you have to look at. What are the actions of the individual? Not just the words, because the words literally mean nothing on the debate stage. Here's the second video. Here's a second video about Vivic. I promise I need to move on to other pending social coincidences. I was wrong and I'll admit it. I said V's. Company. Rovin had no successful product, but I was mistaken. Kind of Rovin had a subsidiary called Myov Event that developed drugs with Pfizer. Myov is no longer a part of Rove's products because it was sold to Sumit, which Rovin also owned, which is sold to Sumitomo Pharma Japan, where the executives of Sumit Tovan hold bore seats. Two successful drugs are. Orvi, which is f d a, approved to treat advanced prostate cancer and mefe, which is f d a, approved to treat endometriosis severe period pain. What do the drugs actually do? Morgo. VX is a drug designed to lower your testosterone in mefe is the same drug but with estrogen mixed in. So I apologize to Vivek's campaign team. I was wrong. But please understand that since the drugs were within subsidiaries of subsidiaries, it was not easy to find. So I will formulate correct myself. Vikk has successfully manufactured with Pfizer, an estrogen filled testosterone suppressor. Hope that clears the air. What a great way to respond to that because I'm, I believe he said that, uh, he was asked, uh, for this correction by Vivex team. Uh, so masterfully done. Uh, just so you know, um, Matt Kim's Instagram account is Matt Attack 0 0 9, and he does some great work, uh, very, uh, concise and, uh, very, uh, un un, um, what's the word? Unex Explosive. Unostentatious. Unostentatious. I add a lot of color to our show folks. Um, so just like you heard him talking there, I guess is how he talks most of the time in almost every video. So there's very little color in his voice, but he does it very well and very tactfully, very dry, uh, just like he did there. So great stuff, Matt. You're doing a great job. Um, So found that to be interesting. Right? So here's uh, some other clips. Now I actually just have his Twitter account pulled up here. 'cause I think, you know, one thing we can do is just scroll the, the times of, uh, Vivex most recent posts here. Uh, but let's go the 20%. Let's go to some, let's go to some more, uh, organized stuff here. So here is Vivek Ramas Swami. Now you might ask what, what website is this? Austin. What website am I looking at with Vivek's name on it? Well, I'm glad you asked. That website is right here, which says Paul and Daisy's Soros Fellowships for New Americans. Hmm. So Vivek Swami was funded by the Soros family to attend Yale to get his Juris doctorate. Just 10 years ago. So he was what, 27 at the time? Now that's an interesting choice to move from biology to law and then not use your law degree at all. But he was a Forbes 30 under 30 honoree founder of Rovan Sciences, and we looked at that already, but I just think it's interesting to, to find his name right next to the Soros name. Now, the next thing we have here is, I'm not gonna go into that, um, is that Vivex. Ramis Swami paid Wikipedia editors to erase his Soros fellowship and his work on C O V I D. Now, this came from May. Of 2023. It's now August, June, July, August, three months Now it says he announced his 2024 presidential bid after making sure his Wikipedia page was edited. Vivek Rams Swami, this comes from new republic.com. Never heard of it. Uh, is like much of the Republican party, so pathetically desperate. This says, Ooh, the 2024 candidate who joins other elite educated Republicans in cosplaying is a truth telling populace, while offering no actual solutions to improve people's material conditions, has reportedly used some of his millions of dollars to pay a Wikipedia editor to scrub his past Mediate reports that Ramas Swami seems to have paid Wikipedia outta their Yerman to remove information from his page that he presumably thought would damage his candidacy in the Republican party. A few days later, he announced his 2024 bid. The editor scrubbed off information related to Ramos Swami receiving Paul and Daisy Soros Fellowship from New Americans in 2011 during his time as a Yale law student. Paul Soros is the older brother of billionaire Democratic donor, George Soros, who has been the subject of perennial anti-Semitic conspiracy theories Pedaled by the right. The Fellowship Ramis Swami received is dedicated to helping immigrants and children of immigrants pursue graduate degrees. Prominent right-wing figures like Jack Poso have directed attention toward Ramis Swami's past fellowship, presumably in line with the aforementioned use of Soros as a catchall for anything suspicious. Also removed from Ramis Swami's page was his work serving in the Ohio's c Ovid 19 response team. The editor claimed that Ramis Swami had explicitly asked to remove the mention of his work on the Covid team while the editor himself deemed the fellowship to be extraneous material. After some back and forth with other Wikipedia contributors information, noting Ramis Swami Soros fellowship was later added back to the page. Ramis Swami announced his bid for presidency less than two weeks after he seemingly commissioned an editor to modify his Wikipedia page. So let's repeat that 'cause that is worth it. Ramis Swami announced his pre his bid for presidency just two weeks after he paid an editor to modify his Wikipedia page. To this day, Ramas Swami's Wikipedia page begins with a disclaimer that the article has multiple issues and the neutrality of this article is disputed. This article contains paid contributions. It may require cleanup to comply with Wikipedia's content. Policy is particularly neutral point of view. Wikipedia warrants the episode is just another and a long series of Republicans Spinelessly refusing lead to stand by their past when facing Donald Trump, or to offer even a nugget of an argument as to why, Hey, maybe it's okay to care about problems like Covid. So this is a left wing company calling this out most remarkably is that any of the Republicans think their hungry embrace of conservatism. It's furthest right instincts will result in anything other than failure. Alright? So, so I would say too, I'm actually quite, I'm actually quite, uh, proud of our party. I'm, you know, and, and I say our party, I don't generally traditionally identify as strict conservative. I'm far more, I would say libertarian than I am conservative in many aspects. I believe our government should be basically utilized for a military to protect our borders and protect us against foreign enemies. Not to, you know, go to war with other countries and start proxy wars for billions of dollars. I also believe that we should have a police force which is used to, uh, enact law and order, um, under very limited circumstances. Uh, basically off of the golden rule, which is like if, hey, if you don't want that to happen to you, maybe you shouldn't do it to other people. And if you do it to other people, maybe there should be consequences if we all agree that this thing shouldn't happen. Uh, maybe some, some actually no. I wouldn't even say education systems. I think education systems in the modern day would do fairly well if it was a, a more capitalistic, uh, free, um, free market. Uh, there's very limited use cases for the government, um, very limited use cases, and it's literally just a pile of money for them to, uh, to extort you out of with the threat of violence and captivity. In order for them to be able to find how much money and to move out of that pile into their own pockets, through these little games of money laundering, that's about 86% of government spending to me. Right. You wanna talk about, um, social services? I, I think there should be some social services to be able to help people who are, uh, mentally disabled, who are physically disabled, who, uh, really need the help. Um, I, I, I don't see much other uses for the government other than those things. So traditionally probably not as Republican as many people who, uh, listen or who, uh, follow me or, you know, but that's where I'm at. That's what I think. I, I don't think the government's great at literally almost anything. I think the government's quite bad at almost everything. Um, I'll, I'll give you a story. Uh, when I was in the military, uh, I was at, uh, Biloxi, uh, Mississippi. Uh, I was going to tech school for air traffic control training. And uh, I was in the military from 18 to 22. And when I was at Air Traffic Control Tech School in Biloxi, Mississippi, we had a bowling alley. And at this bowling alley we would go there, you know, friends who would drink there and they'd get big pictures of beer and um, and it was like the shittiest bowling alley you had ever been to. And about maybe four months into my tech school, I was, I was at, at Keesler Air Force Base for eight or nine months, um, doing air traffic school. And maybe eight or nine months, three months after we got there, four months after we got there, the bowling alley closed down. The government had a monopoly on entertainment on base and could not run a business properly in order to be profitable enough, even with tax funding. It's like the most ridiculous circus show of a business being ran ever. Uh, it's unbelievably bad at literally everything it does ever. Right. The government is just horrific at every endeavor it sets out to do. There's so much red tape, there's so much bureaucracy. All the technology's super old. There's no innovation, there's, there's nothing happening from the traditional taxation based government services that is positive for the, for the people. Like maybe you can say firefighters. Police in very limited cases, I think I, I legitimately don't think there should be any traffic enforcement. Um, there's very few use cases besides violence and, um, mostly violence. Like there, there's just, there's so many things that are off about, you know, the government having its own, uh, imperialist army. So those are some of my beliefs on that. But, but so, so that's, when you hear me talk about Robert F. Kennedy Jr. I'm not like, I, I am not a hard right or a hard left. I am like somewhere in the middle with mostly a belief that our government sucks at everything it does. And the less that we can have the government do, and the more that we can have the free market do, the better off we will all be. And when I say free market, it's not like the modern day free market that we have right now, because what we have right now is a, a monopolistic oligarchy of, of capitalistic institutions who own everything, right? We talk about the Black Rocks and the Vanguards. I. Uh, uh, we don't live in a capitalist society anymore. Capitalism is dead. We live in an oligarchy. Every institution that you know, is owned by a single one, two, maybe three investment wealth companies, every politician, you know, is owned by 1, 2, 3 of those same wealth management companies. Every politician, you know, every company that you know is owned by BlackRock and Vanguard. We do not live in a capitalistic society. We live in a oligarchy a we live in a, uh, a, um, a, a monopolistic based oligarchy where all of the politicians are bought and paid for, where all of the companies are bought and paid for, and they enact the policies through the politicians that they fund, through the corporations, that it's this big shit show mess, and we're just the ones at the bottom of it getting shit on. This is just how this whole thing plays out to me. Our entire system is just flawed to, its very core as of maybe the last 80 to a hundred years, 80 to a hundred years. The Industrial Revolution, world War II was all the, the shifting of power to these elite class, uh, the, the Berg Group, the World Economic Forums, the, the BlackRocks, the Vanguards, right? You guys, if you've been listening to me long enough, you know my beliefs on these things. You hear me talk about one-off topics, but you don't really hear me talk about the systemic governmental issues that I really, you know, what I truly believe about our government, mostly just that they suck at everything. It's a proxy for politicians and corporations to siphon off government or to siphon off tax dollars. Right. Taxes weren't even implemented until like two thou 1913, right? Something like that. Like 110 years. Uh, when, when federal income tax was, was started and federal income tax was started basically just to fund, uh, you know, it was like two per, they, they were gonna, they were gonna charge, uh, people who were extremely wealthy, like two to 3% of their income just to fund some certain small services. Right? Like, we left Great Britain because they were taxing us on fucking tea. Right. We were throwing barrels. Right. The, the Sons of Liberty and John Adams and or Sam Adams and, and the Sons of Liberty were just going off having secret meetings and cool bars or pubs like the, the Green Dragon. And they were having these underground meetings with, um, you know, the Freemasons and like, how are they gonna, you know, there was all this crazy shit happening. And a lot of it, the, all of the fed up. Thoughts about the, the British clergy? Were based on the, the, the people not wanting the government to take their money from them. Don't. Maybe we should have you for a couple things, and maybe it's, don't invade my country, don't, don't, uh, kill me, don't take my shit from my house. Right? Like, these, these are the things that the government should truly be focused on. But instead they're writing you traffic tickets via autonomous cameras for profit, and they're telling you that you have to get a mRNA gene therapy in order to get a job. Like we're so far off and it's just gonna get worse and worse and worse and worse unless we, we start to win this, this culture war even more than we are today. So anyways, long tangent. Next thing that says here is, um, uh, most remarkable, uh, is, uh, okay. Yeah, that's a stupid article coming from a left wing, but not wrong in like the first half of this. Um, so originally I looked up this article, uh, about who are the famous alumni of Yale's, uh, Phi Beta Kappa Phi, beta Kappa being the, uh, the, um, the fraternity that Vivek was a part of. And, um, I was looking at Yale and, uh, I, I was looking wrongfully at Yale, so he was a part of Phi Beta Kappa at Harvard. So let's see if we can get the celebrity names of people who were a part of Phi Beta Kappa at Harvard, because I misread that. Uh, and let's see, Harvard alumni. It's so crazy to me that people like go to Harvard, right? Like that there's just like this, this completely, this university that's just like completely made up of elite families who just put a hyper emphasis on their children for academics who fund it with $120,000 or whatever the fuck it is to get your kid to go to Harvard. And then, you know, all the scandals with like telling your, saying your kid was a bad gammon defenseman in order to get them into the university. Right. If you ever saw that documentary, I forget the name of it, but it was about the scandal at, uh, all of the elite universities where, um, it might've been a singular one where they were like basically saying that these kids were, uh, In sports that they weren't because they were paying off the, the admissions individual to get them in, uh, to the university on scholarship and stuff, like pretty crazy stuff. Um, so let's see if we can find the Phi Beta Kappa Harvard alumni. Go directly to the website, harvard.edu five. The Kappa of Massachusetts at Harvard is established under a charter dated December 4th, 19 or 17, sorry, 1779. Wow. The charter was granted along with one for Yale by the original society. Founded three years earlier, the College of William and Mary in Virginia. The charter was brought from there to Harvard by Alicia Parelli, who initiated four juniors of the day before commencement in 19. In 17. Wow. 19, uh, 1781. The first meeting of the new chapter was held in September 8th, 1781. That makes Harvard's chapter the oldest and continuous existence. Interesting. Let's see. Members, literary exercises, eligibility, and election members. Let's see if we can get some famous members. Class of 2020. Class of 2024. Let's just read the names of these people. Samar Bajaj, Suha Bot Rah, Bahari, Alexander Chen. Rah. Hari Ganesh. Jay Gar. Amen Haw. Kaylee Ek. Hari Iyer. James Jolan. Ja. Ana, Madeline Kitsch. Jeffrey Kwan, Clarence Naba. Will Nichols, that's the only white guy. Uh, Mitchell Minchi Park. Uh, Joel Sdo. Atlas Sgo. Trey Sullivan. Lucy two. Eleanor Wickstrom, Dora Woodruff. Vicki, you and Eric Zoo. No white people. Maybe one. Let's look at previous years. Uh, 1980s. 1990s. Let's look. What year did he graduate? I think he said 2007. He was a graduate. So let's look at 2007 and see who he was a part of this with. Maybe there's any names that pop out to us here, so we see, see if we can even find Vivek Bally. Aaron. Vadim. Alinsky. I'll save you the names here. Let's see if we can find anybody that sticks out to us that he was a part of this. With Mary, Brad, Eric, Brian, lots of more white people back in 2007. I don't exactly see Vivek, but there's so many people on this list. Let's see, is this, uh, okay alphabetical. So Ramis Swami, there he is. Okay. The Vek Ram Swami 2007. It's a pretty long list, so I'm not sure I know any more of these people just by looking at it without doing research. Peter b Zuckerman, interesting. Maybe that's a good deep dive we could do is like, who did he actually go to? These, who is he here with? Um, but anyways, I. Digress. Um, maybe we can look at the 1980s, but that would be the thing, right? Like maybe look back at like, who are the alumni at this be? Because the other one, when I was looking at Ya
Will and Jeremiah discuss the latest releases by the tiva, U.S. Girls, and Frankie Rose, plus live reports and bonus songs.
Hi everyone, This week three of us sit down to discuss a great review article (and topic) - the use of TIVA (total intravenous anaesthesia) for GA caesarean surgery. For many the classic technique for a GA caesarean has been thio / sux tube then volatile & nitrous oxide. In recent years many aspects of this have started to change with propofol probably more commonly used as the i.v. induction agent and now in many cases rocuronium is used in preference to suxamethonium. Now with the much increased use of TIVA across anaesthesia practice there is a renewed interest in it's role for women having caesarean surgery and GA for management of postpartum haemorrhage. Join us as we discuss this article. What do we mean by TIVA? What are the potential benefits? (uterine tone, recovery, PONV) and are there risks? (awareness, fetal depression, over sedation). It is fair to say there has not been a lot of high quality research done on this topic and there are more questions than definitive answers, but this article does well to summarise the issues and what we do know. Informal Twitter Poll result from Parita!: References The role of total intravenous anaesthesia for caesarean delivery. Y. Metodiev, D.N. Lucas IJOA April 08, 2022 Comments on above article - M.Paech IJOA June 28, 2022
This week, please join author Mads Liisberg and Guest Host Mercedes Carnethon as they discuss the article "Clinical Characteristics, Incidences, and Mortality Rates for Type A and B Aortic Dissections: A Nationwide Danish Population-Based Cohort Study from 1996 to 2016." Dr. Carolyn Lam: Welcome to Circulation on the Run, your weekly podcast summary and backstage pass to the journal and its editors. We're your co-host. I'm Dr. Carolyn Lam, Associate Editor from the National Heart Center and Duke, National University of Singapore. Dr. Greg Hundley: And I'm Dr. Greg Hundley, Associate Editor, Director of the Poly Heart Center at VCU Health in Richmond, Virginia. Dr. Carolyn Lam: Greg, today's feature paper is about aortic dissections and it's the first nationwide population based study investigating the clinical characteristic, incidents, and mortality based on validated diagnosis of aortic dissection in a national patient registry. You want to hear more? Well, you have to just keep listening. Let's go on though first to discuss the other really important papers in today's issue, shall we? Dr. Greg Hundley: Absolutely. Dr. Carolyn Lam: You know what, Greg? I'm going to start while you grab a coffee. I want to talk about high sensitivity cardiac troponins and how they have allowed the use of strategies in the emergency department, for example, to rapidly rule out acute MI within one to three hours and potentially facilitate early discharge of low-risk patients. Now, the ability to rapidly rule out MI of course depends on the turnaround time of these high sensitivity cardiac troponin results from the central laboratory, which is often delayed due to specimen transport and handling and all these things. So, point-of-care assays can reduce this turnaround time by even 40 minutes, and early studies have actually used frozen plasma bio banks to assess these point-of-care assays... But no study has evaluated these point-of-care assays with fresh whole blood to safely rule out MI in the emergency department. That is until today's paper. So in today's study led by corresponding other Doctor Fred Apple from Hennepin Medical Center in Minneapolis, Minnesota and his team, they aimed to derive and validate an optimal high sensitivity cardiac troponin threshold concentration using whole blood point-of-care troponin eye assay on a single sample at presentation in the emergency department to identify patients at low risk of index MI for potential early discharge. Dr. Greg Hundley: Fascinating study Carolyn. So point-of-care testing, high sensitivity troponin from whole blood in the ED. So what did they find? Dr. Carolyn Lam: Among consecutive emergency department patients from two prospective observational studies with suspected acute coronary syndrome, a point-of-care, whole blood, high sensitivity cardiac troponin eye assay, the Atellica VTli provided a sensitivity of 98.9% and a negative predictive value of 99.5% for ruling out MI. A single measurement using a cutoff of less than four nanograms per liter for whole blood was successful in rapidly identifying patients at low risk of MI cardiac and all cause death and unplanned revascularization at 30 days. Dr. Greg Hundley: Very nice Carolyn, and could be quite practical. So Carolyn, my next paper comes to us from the world of preclinical science and it pertains to cardiac regeneration. So cardiac regeneration after injury is limited by the low proliferative capacity of adult mammalian cardiomyocytes. However, certain animals readily regenerate lost myocardium via process involving dedifferentiation, which unlocks their proliferative capacities. So inspired by this concept, these investigators led by Professor Patrick Hsieh from Academic Sinica, generated mice with inducible cardiomyocyte specific expression of the Yamanaka factors enabling adult cardiomyocyte reprogramming and dedifferentiation in vivo. Dr. Carolyn Lam: Wow. So what did they find, Greg? Dr. Greg Hundley: Right, Carolyn. So two days following induction, adult cardiomyocytes presented with a dedifferentiated phenotype, an increase proliferation in vivo. Microarray analysis revealed that the up-regulation of ketogenesis was central to this process. Now adenovirus driven HMGCS2 over-expression induced ketogenesis in adult cardiomyocytes and recapitulated cardiomyocyte dedifferentiation and proliferation observed during partial reprogramming. This same phenomenon was found to occur after myocardial infarction, specifically in the border zone tissue. And HMGCS2 knockout mice showed impaired cardiac function and response to injury, and so in summary, Carolyn, these data demonstrated the importance of HMGCS2 induced ketogenesis as a means to regulate metabolic response to cardiomyocyte injury, thus allowing cell dedifferentiation and proliferation as a regenerative response. Dr. Carolyn Lam: Wow, that's so cool. From cell regeneration to autoimmunity in this next paper. Now autoimmunity is increasingly recognized as a key contributing factor in heart muscle diseases. However, the functional features of cardiac autoimmunity in humans remain undefined due to the challenge of studying immune responses in situ. Now, these authors previously described a subset of c-Met expressing memory T lymphocytes, which preferentially migrate to cardiac tissue in mice and humans. In today's study, these authors led by co-corresponding authors, Dr. Federica Marielli-Berg and Saidi Mohidden from William Harvey Research Institute, Barts and the London Faculty of Medicine and Dentistry, and Queen Mary University of London, and their colleagues performed in-depth phenotyping of peripheral blood T cells in groups of patients with inflammatory and non-inflammatory cardiomyopathies, patients with non-cardiac autoimmunity and healthy controls... And they found that c-Met positive T cells were selectively increased in the circulation and in the myocardium of patients with inflammatory cardiomyopathies. The phenotype and function of c-Met positive T-cells were distinct from c-Met negative T cells, including preferential proliferation to cardiac myosin and co-production of multiple cytokines. Further, circulating c-Met positive T cell subpopulations in different heart muscle diseases identified distinct and overlapping mechanisms of heart inflammation. Furthermore, validation studies in experimental autoimmune myocarditis showed that elevations of auto-antigens specific c-Met positive T cells in peripheral blood, marked the loss of immune tolerance to the heart. Importantly, disease development could be halted by pharmacologic c-Met inhibition indicating a positive role for these c-Met positive T cells. Dr. Greg Hundley: All right, Carolyn, as you always ask me. So what's the take home message here? Dr. Carolyn Lam: This study demonstrates that the detection of circulating c-Met positive T cells may have utility in the diagnosis and monitoring of adaptive cardiac inflammation and additionally defined new targets for therapeutic intervention when cardiac autoimmunity causes or contributes to progressive cardiac injury... And this is discussed in an editorial by doctors at Abplanalp, Merten, and Dimmeler. Dr. Greg Hundley: Very nice, Carolyn. Wow. More fantastic preclinical science. Well, in the mail of the bag today, there is a Research Letter by Professor Burr entitled “Cannabis Inhalation Acutely Reduces Muscle Sympathetic Nerve Activity in Humans.” Dr. Carolyn Lam: There's an ECG Challenge by Dr. Reddy entitled “Shortness of Breath and Near Syncope During Exertion In a Child, When Patient Worry Syndrome.” There's also a Perspective by Dr. Weitz on what is the future of Factor 11 inhibitors. Dr. Greg Hundley: Well Carolyn, I'm looking forward to learning more about aortic dissections and that large Danish population-based study. Wow. Dr. Carolyn Lam: That's great. Let's go Greg. Dr. Mercedes Carnethon: Well, welcome to this episode of Circulation on the Run. My name is Mercedes Carnethon, an Associate Editor of Circulation, and Professor and Vice Chair of Preventive Medicine at Northwestern University. I'm really excited today to be here with the senior author of a really exciting paper that we're featuring on clinical characteristics, incidences and mortality rates for aortic dissections type A and B, a nationwide Danish population-based cohort study, and we have with us today Mads Liisberg. So welcome today. Dr. Mads Liisberg: Thank you. Dr. Mercedes Carnethon: So thank you so much for joining us and really thank you for sharing your important research with Circulation. This topic is so critically important, particularly given the high mortality rates associated with aortic dissections. Can you tell us a little bit about the work that you and your co-authors did in this important space? Dr. Mads Liisberg: Yes. Well actually the work originated when I started my PhD thesis and we got a registry data dump from the Danish medical registries and we found that almost none of our patients in the registry were registered with a specific aortic dissection code. So we did a validation study on the same time period from 1999 to 2006 where we went through all these medical records to ensure that we had the right aortic dissection TC 10 codes on population. Then we went a bit further and looked at the clinical characteristics of this patient, 'cause that's one of the really major things about Danish medical registries in our country, is that we have access to not only every patient's specific in hospital contacts, but also their medicine abuse, their drug use based on a TC code. So we can go really deep into each and everyone's drug history. When we did this study, we wanted to find out if the incidence rates during this timeframe had changed, which we find that it did, but also looking at mortality rates because, as you said, it's really high risk disease to be diagnosed with. So that's more the rationale for this study. Dr. Mercedes Carnethon: Thank you so much for sharing that. Certainly we know that the mortality rates from this are very high. I note that you report some changes over time between 1996 and 2016 in the incidents of these types of aortic dissections. So what did you find about the patterns of change in type A aortic dissections? Dr. Mads Liisberg: We found that it almost doubled from the beginning of our time period to the last, and the question is why is this? 'Cause that's one of the thing that the data doesn't reveal. We are only able to see that the incidence actually rises, but is it because that they are underdiagnosed in the beginning? Or is it because that we are better diagnosing in the end of the study that really are progressed? Dr. Mercedes Carnethon: That's a good question. I noted that when you studied the correlates of aortic dissection, you identified a number of characteristics and what stood out to me was the finding about the strong association of hypertension. I'm less aware of patterns of hypertension in the Danish population. Do you think that the changes in the prevalence of hypertension in the population contributed at all to these findings? Dr. Mads Liisberg: Well, most certainly, 'cause when you look at the prevalence of hypertension throughout any person's lifespan, the older they get the more likely they are to suffer from hypertension, and the Danish population has aged quite a lot in recent years. So I think that's one of the main reasons we find this, and also that most of our arctic dissection patients are actually quite old, which would correlate with hypertension as well. Dr. Mercedes Carnethon: One thing I really like, and you pointed this out, is really the richness of the data that you have in your health system, and I wonder, just going even a little deeper on the hypertension question, given that it is the most common medical diagnosis worldwide, were you able to study characteristics of hypertension that would be more strongly associated with aortic dissection? So for example, duration of hypertension, severity, prevalence of hypertension control? Dr. Mads Liisberg: That's actually a funny question 'cause the last study of my thesis, which hasn't been published yet or even submitted for that fact, examines the correlation between use and the risk of arctic dissection. On a very specific level, the way that hypertension is treated mostly in Denmark is with your general practitioner. So the way that we examine in studies like these, is that we look at prescription drug use. So if we find that an individual has a TC codes corresponding with anti-hypertensive drugs, then we are able to code them as hypertensive patients. Dr. Mercedes Carnethon: Okay, thank you for that. I always... I'm an epidemiologist myself, so I really love to see great population science studies and this registry is large, you have long-term follow up and you've got a great deal of data, but those people who feel as though it's obviously not appropriate to make causal conclusions around epidemiology and that perhaps epidemiologic findings shouldn't be driving clinical decision-making. In response to that, I think I would pose the question to you, which is how do you see clinicians and providers using this information from your observational study? Dr. Mads Liisberg: I think that's rather difficult. One of the findings that we present is to pose it over mortality for type B dissections when we exclude the 30-day mortality, but then we show that type A dissections have almost a corresponding mortality rate compared to a hypertensive cohort... And this finding is difficult to draw any clinical conclusions from, but there's actually a Danish randomized controlled trial just starting up in the next year. I think it's called the Sunday trial, where they will include all uncomplicated type B dissections and randomize them for treatment or no treatment, and the issue here is that you'll probably be over-treating some patients and under-treating others, but this discussion with the uncomplicated type B dissection has been ongoing for so many years. So it's difficult for me to just give one golden answer. Dr. Mercedes Carnethon: Certainly, and I appreciate the caution as we certainly don't want to overstep our findings. You did make a recommendation in the conclusion that it might be beneficial to treat type B aortic dissections more aggressively. Is this what you're alluding to, based on the other study that you're referencing? Dr. Mads Liisberg: Yes, yes, definitely. We see some clinicians being more cautious treating type B dissections with a TIVA or a surgery. So it's a difficult thing when they're uncomplicated, why treat them? But they can't be or become complicated quite easily and fast and then it's a difficult thing, because should you have treated them earlier? Or do you need to treat them now in their acute phase? Or wait for a chronic phase? It's a really good question. Dr. Mercedes Carnethon: No, I appreciate that and what I really love are the types of research studies that leave you with many more questions and next steps, and so I would like to really sort of bring us to a close with the big picture question, which is what do you see as the next steps in this line of research, given really what we all agree on is a very significant clinical problem. Dr. Mads Liisberg: We would really like to expand our database with even more clinical data as of now and include any image diagnostics for our cohort. So we're might be able to see any trends in our modulation before the dissection occurs. If any of our patients have any diagnostics done prior to being diagnosed. Dr. Mercedes Carnethon: I really want to thank you today for spending time talking with us. I know that our readers rarely have an opportunity to hear from everybody behind the scenes views on what the rationale was for carrying out a paper and really how the authors themselves hope that the paper will be used. So I really thank you for sharing that with us today, Matts, on behalf of your co-authors, this has been really a wonderful conversation, and thank you again for sharing your research with the journal, Circulation. Dr. Mads Liisberg: Oh, thank you for having me in for accepting our paper. Dr. Mercedes Carnethon: So thank you so much to our listeners for listening to us on this episode of Circulation on the Run. Please tune in next week as we will have more exciting insights. Dr. Greg Hundley: This program is copyright of the American Heart Association 2022. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association. For more, please visit ahajournals.org.
En esta ocasión nos acompaña Elena Játiva para hablar de veganismo y el estigma que hay en el sistema de Salud con respecto a este tema. Por sólo 1€ al mes podréis descargar de forma anticipada nuestro podcast, y por 4€ podréis tener acceso al videopodcast y elegir un tema del podcast al mes. También decir que estamos ampliando lo que os ofrecemos desde Malditos Veganos y dentro de poco vamos a estrenar nuestro canal de Twitch, podéis acceder desde: Malditosveganos.com/directo Y hemos abierto ya nuestro foro / comunidad de Discord, como punto de reunión para los veganers y no tan veganers del lugar, acceso disponible desde: Malditosveganos.com/foro ¡Os recordamos que vamos a estar en el VegFest Barcelona el 11 y 12 de Junio! ¡Y que ya llevamos 2 añitos con el podcast de Malditos Veganos! Primero presentamos a Elena Játiva nuestra colaboradora de hoy, para que nos cuente un poco su historia con respecto el veganismo. Elena está actualmente realizando un TFG en el que quiere conocer experiencia de personas veganas con profesionales de la salud. Muchas veces hay estigmas sobre el veganismo, su percepción y cuestionamiento de la viabilidad de la dieta vegana constante. Así que Elena ha decidido hacer una entrevista a Sergio para saber un poquito sus historias con respecto a este tema. Podéis ayudar a Elena con su TFG escribiendo a: elenajativanovella@gmail.com También podéis encontrarla en su Twitter (@jativaelena), su Instagram (@elenajativa) y desde su web: elenajativa.com. Nada más, espero que os haya gustado este capítulo de reflexión y vivencias del veganismo con el sistema de Salud. Muchas gracias por suscribiros en Spotify, dejar vuestras valoraciones de 5 estrellas en Apple Podcasts, por formar parte de la iVooX Squad con vuestros me gusta y comentarios. Y también por supuesto, si nos escucháis desde Google Podcasts o incluso desde nuestro canal de YouTube. Esperamos vuestro feedback, críticas, preguntas, opiniones y sucesos médicos no veganos en malditosveganos.com/contactar. Nada más, ¡nos vemos en el siguiente podcast! Este episodio se publicó originalmente en: malditosveganos.com/61
Intro: when you don't feel your best, do the thing anyway, Fake Famous, H&M is 40 shades of putty, Stitch Fix, Let Me Run This By You: Selfie vacations, Paul Stuart, rent a fake jet, Tevas, we are old enough to accidentally wear cool clothes. Interview: We talk to Mickey O'Sullivan about body image, sibling relationships, getting bullied, Illinois State University, The Wake, Henry Moore is Melting at The Athenaeum, addiction, Sophia Bush, Chicago PD, Casey Affleck.FULL TRANSCRIPT (unedited):2 (10s):And I'm Gina .3 (11s):We went to theater school together. We survived it, but we didn't quite understand it.2 (15s):20 years later, we're digging deep talking to our guests about their experiences and trying to make sense of it all.3 (21s):We survived theater school and you will too. Are we famous yet?2 (35s):Isolation is a funny thing because it's both the thing that you feel drawn towards when you don't feel well. But it's also the thing that, you know, that makes it worse. And I saw another thing that said, the more comfortable you get with you and who you are, the less likely you're going to want to isolate because it does, you know, it it's effort to be who you are when you're, you know, not kind of sinked up. Yeah. That's all just to say that when my kids have their aches and pains and two of my kids are real vocal about every single sensation they ever have in their body at any given time. Like, I can't think of a time where these two leave the house where I haven't heard my foot hurts.2 (1m 20s):My shoulder hurts. I have a headache. My stomach hurts. It hurts when I do this. And I, I believe it all. And yet I'm like, yeah, but if you stay home, I'm not going to let you be on a screen. So you're just going to literally be staring at the wall, feeling that I wouldn't, you rather go to school. Right.1 (1m 38s):Interesting. But Gina, it has taken me to 46 to actually realize that. So they're like, literally like a year ago, I probably would've been like, you know what, I'm just gonna stay home. And like, I have a headache, but like now I realize like, oh no, I think it's also like, time is slipping by like, I'm getting older, we're marching towards death. Like I got to get outside2 (2m 3s):Dude. And1 (2m 4s):You know, so like, I, I think it takes some what it takes, but yeah, man, I know that this pandemic has created the sense that the outside world is dangerous because literally it was, so it is like a war in that we, I felt like we were in a war when, when this all started, it was two years ago this month. Right. So right. I came to visit and then all to you and then all hell broke loose. And it, yeah, it created this thing of like the danger is outside the home. And so now it's like so easy to, but I actually realize that I feel worse at home because not only then do I have a headache, I have to deal with my fucking dog.1 (2m 52s):Who's a pain in the ass and get triggered by my husband who I think should be doing his job differently. And I hear him because we're in a teeny house. So that's torture. That's worse.2 (3m 3s):That's terrible. That's no good. My corollary for that is just, I do spend all of my, I mean, I do my, everything I do is, is at my house. I take care of my house. I take care of my kids and then I write and, and work, work on, you know, artistic stuff when you're home and your office, maybe miles experiences this too. Like you don't, you're never not at work in a way. So you're, I gotta do some, I gotta do something to have more of a separation. Maybe I should just like, bro, did you, did you see what about Bob? When he, he worked from home, but he clocked in. I should know that.1 (3m 42s):Well, the other thing that I was thinking, so I, okay. I thought about this cause I was asked. Okay. So I, a friend of mine said, I have this free thing for stitch fix. Right. One of these bottles. Okay. Right. I've done those before I did DIA and co and whatever it lost, its luster, it's a waste of money. Eventually. It feels like, and it's ridiculous. Okay. But good, good news about stitch fix is that, or one of these services is that one. I love the jeans they sent me, but two, you have to leave the house to return the things you don't want or you pay for the things. Right. Okay. So that's a side benefit. And so that got me out of the house and three I'm wondering, I was like, oh, maybe I should send my code to Gina.1 (4m 26s):But then I'm like, Gina, doesn't like to shut up. Right. And Gina doesn't like, so they do the shopping, but you also don't strike me as someone who would want to dress up for our meetings.2 (4m 36s):Exactly. And I did stitch fix and did it for a while. And then I was like, well, what am I dress for? This is a big conundrum. I have just life in general. And we should tell our listeners that, you know, we're, we're contemplating recording, doing a video recorder recording of these podcasts, which will be great, but then it'll make me feel like I need to, but maybe, but maybe it's okay to feel that way. Maybe it would be actually really good for my mental health to be like, I have to get dressed for my day.1 (5m 8s):I think it helps me. I mean, look, I'm literally wearing a tank top and a bra, but like2 (5m 14s):No, that's huge. Yeah,1 (5m 15s):Yeah, yeah. Right. No, and pants without an elastic ways. So like, I think it helps me in that. And some days it's just a pain in the ass, but it also helps me to think that, yeah, at least I'm trying in some area of my life, which we're all trying in all areas, but I'm just saying it's a visual representation of the fact that like, oh, I'm trying, the other thing about coworking that I like is I get to see other people's outfits. And sometimes they're really cute. Sometimes they're fucking horrible. Like it there's a lot of like 20 year olds that are here at co-working because are 20, 25. I'm a little old. So I like age everyone down, but like a 25 year olds that cause you can rent big offices here too.1 (5m 59s):Like for companies like marketing companies. So I see the fashions of the 20 five-year-olds and I'm like, whoa, you are opening my eyes to a whole hell scape of fashion that I did not know existed.2 (6m 14s):It's all so bad. It's all so bad. By the way, before I forget the, the getting dressed is, is this the reason to do it as the same reason to make your bed every morning? Like you don't have to sure. But doing it creates a nice demarcation that you're not always just, you know, in this miasma of like doing the same, same thing. But yeah. Getting back to the fashions of it's all terrible. And I just watched this documentary called fake famous. You might really like it it's is actually so fascinating. It's a, some guy who, I'm not sure if he's a journalist or whatever, but he speaks all of the time on news programs about social media.2 (7m 2s):Like that's just his area of expertise. So he says the social experiment where he, they have a casting call where the casting call says, I'm asking for people who want to be famous. So they get 4,000 submissions1 (7m 18s):And it's is it called the theater school?2 (7m 20s):Yeah, no, it's not going to theater school. And of course, you know, they paid these people to do it inverse of what we did and they pick these three people who wants to be famous. And he was, he set out to use his knowledge of social media to make them famous, artificially famous. And it was so interesting. It's a, it's something, it's a culture that I knew about. Like, but I'm not, I don't participate in influencer culture. Right. And I don't know if you saw this thing, I posted that 40 million people in the world have a million or more followers, like really puts things in perspective.2 (8m 5s):You know? And, and, and it was also talking about how the algorithm shapes itself. So like I'm also reading this book about Alex Jones and conspiracy theories. And you know, he will say on his show, he'll say a lie. And then he'll say Google it, because he's got millions of listeners and millions of listeners Googling something. Right. Makes it, shapes it into something. Right.1 (8m 35s):It makes it true. Makes it true. You can literally an impact the truth. It's gross. But it's also, it's like literally how for me, yeah. It's like how Hitler got to power, right? There was no Google, but it is the same. Like if you believe it, it will be so on some level. And if 40 million people believe it, it will really be so on some level. Yes.2 (8m 58s):And if they tell us that earth tones and no patterns and no structure to garments looks good, eventually will believe it. And they probably are doing it because there's a glut of earth, tone fabric, and people are trying to write, but I haven't seen something that I would consider a cute outfit on a person under, or maybe even anybody, but in years, like going to the mall, I don't say, Ooh, this is great street1 (9m 29s):Snapper.2 (9m 30s):It's all just looks gross.1 (9m 33s):I went to, so I walked down my street to get to coworking and there's an H and M there. And I, and also when my niece was here, we went to H and M because they love that shit. And I, I was like, literally, this is all 40 shades of putty. Like honey, 40 shades of putty. I said, and she goes, what's potty. And I go, it's this color? 40 shades of putty is my new memoir. And it's all about this color scheme they've got going on. Right? Like it is literally Putney. The putty that came in, the eggs that we used to play with silly putty or whatever, the fuck,2 (10m 9s):Petty wood glue,1 (10m 12s):Like coffee2 (10m 13s):Grounds call,1 (10m 19s):Let me run this by you.2 (10m 27s):So one of the places, I guess that Instagram is a very popular Instagram spot, by the way, people do whole vacations that are just centered around where to have their picture made. And like, not even thinking about the vacation itself, like people come to LA. Yes. Ma'am people come to LA, let's say they had this one story on their two girls from there might have been from Russia. Now that I'm thinking of it came, you know, spent $2,000 or whatever on their ticket to come to LA. And it was literally just touring these selfie spots. One of them is the Paul Stewart building. There's a big pink, it's a Paul Stewart it's fashion design.2 (11m 9s):And it was just like, his store is the, it's a huge, huge, huge pink wall. Oh. And this is where people at any time of day, you could drive by it. And you're going to see people taking selfies there because it's an Instagram spot. Oh. So people come to LA by the droves with a list of selfie spots.1 (11m 33s):This is like fucking Pokemon people situation.2 (11m 37s):Okay. Like by dying because you're being pokey while you're driving. Yeah, exactly.1 (11m 42s):Wait, wait, wait, wait. Yeah.2 (11m 43s):So I guess you don't see too much of this.1 (11m 45s):No, not, especially not in Pasadena. I can't2 (11m 48s):Imagine1 (11m 50s):Fucking suburb dude. And, and, and I would also, oh, but I did see, okay. So miles surfs. Right? And we, while he's a new surfer, I shouldn't, it's not like Kelly Slater or whatever the fuck. Anyway, the point is we went to a surf lesson once and I fucking kid, you not, there was a guy who I believe was speaking Russian on the phone at the Santa Monica parking lot at 7:00 AM beach parking lot with his Mercedes that was rented clearly with a camera on a fucking tripod, taking selfies at 7:00 AM with a rented Mercedes in a crazy outfit there when he was doing and, and, and me and miles and I, and, and, and the surf teacher, who's fucking hilarious.1 (12m 41s):Who's this stoner comedian named Jared, who is hilarious, was like, yeah, yeah, dude, this is, this is, this is it, man. This is how they do it. They like stop traffic. And, and I didn't know what he was talking about, but now that you're saying it, this is what this guy was doing. And I, he was on the bash Dudley doing it. So like, there was no embarrassment. I was like, what the fuck? And music was playing. It was videos too. Like Instagram videos, reels or something. He's fucking, he was playing rap music, which was the best thing about the whole thing was the music. But he, it was raw. And he was crouching down, like by the car, in an outfit at 7:00 AM.1 (13m 21s):And Doris was, I was with the dog of the dog was like, even the dog was like, what the fuck is this guy doing? Like what?2 (13m 28s):I never bring my personal. I was like, just taking a selfie. I have to do it usually with one of my kids. And even then it feels it's something about it feels wrong. And did you know that you can rent the space that looks like the interior of a private jet for $50 an hour so that you could take pictures and make it look like you are traveling,1 (13m 58s):Which is like my nightmare, because I'm afraid to fly. I'd go to, I'd be in hell, but okay.2 (14m 2s):Oh, you can rent a mansion for $600 in a day and have, you know, these Instagrammers, they get together like four or five looks and they rent out a mansion and they pose themselves in these ridiculous things. And then they, because they post, they have to post four times a day in order to stay relevant and to get brands that want to get a sponsor them or whatever. So they are just constantly going around looking for content. And then the pandemic happened. And I think that really gave rise to like renting these spaces because they couldn't actually go on these vacations and so forth.2 (14m 43s):Isn't that wild. It's just1 (14m 45s):Craziest shit I've ever, I'm going to watch this documentary. I M it is again, I know why you find it interesting too, is because it really reminds me of Adam McKay's work. Like what is happening? It's so meta. It's like, what? Wait a minute, wait, what is happening?2 (15m 7s):Well, ironically, I think one of the things that's happening is whereas, you know, initially the feeling about the internet, it was just made everything opened up, right. And that's still true to, to a large degree, but on another way, everybody's life is just about their phone. You know, your life takes place on this tiny little screen and, and to be in a group of people under, I mean, maybe not even that maybe just to be in a group of people is to see like 80% of them at any given moment staring at their phone, wherever they are out in the world. Right. They, one of the scenes in the movie is they, some company hires a bunch of influencers.2 (15m 51s):It's a junket, essentially. Like they take them to these selfie spots, including a abandoned water park. That's like a, that's like a great place to take salaries. They get this crew of girls and they just take them to these various spots to model this ugly, putty, colored clothing, and then get paid for brand, you know, for hashtagging the brand. And there, I was just like so depressed. I felt sick after watching that Pressing right. There was one guy who did not, he decided that actually of the three people, they picked, two of them quit during the experiment, because one of them was getting comments from his real cause the guy was buying them followers.2 (16m 38s):That's what he was doing. He bought them followers, which are all of these bots. And did you know that like people like Kim Kardashians who have whatever millions and millions it's estimated this 60% of their followers are bots. Yeppers. Yep. Yep. Yep. So I guess1 (17m 1s):I can't, I can't even process what's going on here today. Like, I, I, you, you can't people can't see what they will. Once we start recording these bad boys, the video, I like looked down at my fucking TIVA sandal. Okay. My Tivas okay. By the way, by the way I was wearing, I bought Tivas because my feet are fucked up. Right. And I had to wear, I got, I have two shoes now I can really wear, which are Hocus. And then Tivas alright, terrible. Sarah will situations. But anyway, I'm wearing black Tivas sandals that I wore literally wore in eighth grade. And then I have a fucking LL bean like throw back at, or is it an Adirondack2 (17m 45s):And1 (17m 47s):Adirondacks a chair. Right. But okay. And it has like kind of nineties, throwback colors, not on purpose. I just liked it. And I bought it has a hood. I fucking wearing that. Some jeans and my Tivas and I look like I'm going to summer camp. Right. And I'm in the coworking and these young, these young ladies go, oh my God, we'd love your throwback nineties outfit. Literally. They said that. And I was like, Oh my God, I, oh my God, I didn't ha I didn't know what was going on. And I was like, oh my God, the one there. Right. I literally looked like I was going to camp echo, which was the camp I went to the Y camp.1 (18m 30s):And I also was like, it's also kind of hideous. And yet these youngsters are thinking I'm doing it. Ironically.2 (18m 38s):Let's, let's give up.1 (18m 44s):Let's just give up. Let's kill ourselves.2 (18m 47s):Let's wave the white flag. I tried Lord. Oh Lord.1 (18m 53s):I mean, I, I couldn't understand what's going on. And I looked down and I was like, oh my God, they're so right. And I just smiled. And I was like, are they2 (19m 1s):Literally Chivas from eighth grade? Like, you literally still have your same. No,1 (19m 4s):I bought Because my feet hurt. I need sandals that are literally, it's so sad. It's so sad. And I was sitting at coworking and they walked by and they said that I looked down and I was like, I, I did, I did feel Gina. Like I just, I gave up2 (19m 23s):Trying to give up. Now we're all set.0 (19m 28s):Well2 (19m 39s):Today on the podcast, we are talking to Mickey O'Sullivan. Mickey O'Sullivan is a Chicago actor. You know him, you know him from the shy and from Chicago PD and athletes. So many television shows. I couldn't possibly mention them all here as well as theater and commercials. And he is a related and relatable, insightful, funny, warm, talented person. So please enjoy our conversation with Mickey O'Sullivan1 (20m 15s):I'm talking about right now, filling her age. I don't know. It's great. It's great. It's in a good way. You will see that my internet was in and out. It's just,2 (20m 24s):Yeah. Are you close to your router or1 (20m 27s):Even know where the router is? So there we5 (20m 29s):Go. What's the router.2 (20m 33s):Good point. Make you good. Bye. Nice flex there with your Peloton in the background.5 (20m 39s):Oh yeah. Check that out. Just like slid it over. I've got it on one of those lazy Susan's right now. This is my current look. And it just,1 (20m 48s):Do you have another lip?5 (20m 52s):Who's a lazy Susan on the table and you know how you got to kind of prop up your, your laptop. So,1 (20m 57s):Oh, I thought you had the Peloton on a fucking lazy Susan. I was like Next level.2 (21m 4s):I was adding a whole new dimension to that workout, which is already very difficult.1 (21m 8s):I was just feeling Gina and about the things, which is interesting that you popped on. So I can tell, I can say it in front of you and make you really embarrassed. So in a good way. So I was just saying, and we'll, we'll, we'll start with the official Gina opening, even though you left theater school still the same opening applies. So say it,2 (21m 27s):Congratulations. Mikio Sullivan, you survived theater school. Hey, Mickey, serve a cookie.1 (21m 35s):You deserve a cookie and all sorts of things and free therapy. And Yeah, so we all need that. But I was just saying that one of the things that I wanted to talk to you about, and we'll just dive right in and see Gina and I talked before our guests. So we're like warmed up about like psychological issues. Other people are like, what are you talking about? Like, why are you starting here? But here's how I have to start, because this is what I've realized lately. You're the only male identifying person that I've ever talked to. That talks about body image.2 (22m 8s):Oh,1 (22m 10s):I had never had a conversation where casually come up in conversation, your history of your relationship with your body as, as you from a kid to an adult, no one ever taught male, identifying person has ever talked about that with me and eight, I, it opened my eyes to like, oh shit, oh shit, men have body image issues. I did. It didn't even occur to me. So that's where I want to start. Good morning to you.5 (22m 40s):No, I'm also kind of jealous, right? So I listened to your podcast and you do you get like a real ramp up. And so this morning I was like, you know what? I need this a little bit. So I, you know, I drove the wife to work. I have a wife, I would say the word wife, which is really exciting. Thank you. And I'm also a chauffeur, which I love being. I like to be of service. I'm driving her there and I'm trying to have conversation to like warm up, you know? And she is so focused on work.2 (23m 12s):She's like, yeah. Anyway.1 (23m 17s):Yeah. She's like, that's all good. I didn't listen to the last 10 minutes. You said? Yeah. I mean, so I I'm glad that you, that was nice of you to do a ramp up, but no need, but, but, but also, can you talk a little bit about, and then we'll leave that that'll probably lead into acting stuff too, obviously in schooling, but like, what was your experience? Because you've talked about that. Like, I guess my first question would be like, what are the thoughts when I bring that up about a dude talking about body image,5 (23m 49s):To me, it makes total sense. And I'm also kind of shocked that more people don't talk about this. I mean, growing up, right. Like, yeah, kids are cruel for sure. But like, it's kind of very insidious the way that guys can be cruel to other guys. And also this idea that like, in order to be attractive to whoever I'm, whoever I'm like crushing on, like starting from a real young age is I better look like these people. And when we were growing up, those people were athletes. Right. It was never like Neil deGrasse Tyson. Right? Like it was never like these like really super intense or if it was, it was like bill gates or something.5 (24m 31s):And I don't know, like there was, there's this disconnect between masculinity and like being okay with your, your body and your body image and the way that you give off your image to other person, people so much. So to this day, I still struggle with it on a daily basis for a little while there, I was like, you know what? I think I understand the key to Hollywood success and that's the six pack and the really fucked up part was that the more, the closer I got to that goal, the better my career got. And I don't think that the two are linked. I don't think so. But I think that like, being, having to think that as somebody who's, who understands the industry pretty well and who has kind of had highs and lows in their career, if I'm thinking that then what is, you know, the version of 15 year old Makey, who's like, oh, I wonder what being an actor is like thinking.5 (25m 27s):And so that starts super young, but I was also stop me if you have questions, but I'm going to go on like a tangent here. Sure. So very young right. Actor on a baby soap opera before image is even a thing, right? Like before you have any concept of that, you give off your image to other people. I don't remember any of it, obviously. Right. And then parents separated. I come to Chicago, dad stays in New York, me and my brother growing up. My brother is always super thin, super smart. And I am always not super thin and not super smart. And so there's this kind of competitiveness that's going on right there.5 (26m 11s):But in order to fit in my brother developed a real good sense of humor at new school, very young. And I didn't, I was, I, I struggled to acclimate to like a new environment. And I guess, I don't know necessarily that I, I think that I wanted to tell myself that I had an eating problem growing up, but I don't know that that's true. I don't think I understood food or my body or energy really well because later on I started getting into athletics probably out of this complex.5 (26m 50s):Right. But I started using food for fuel and that kind of started my journey towards like understanding my body and understanding of what goes in there. But as a kid, it was like, if it's in the cupboard, I'm going to eat it. And I am a very energetic person. And so I attached myself to like food, energy, just keep going. But then when you're getting made fun of on a daily basis, energy emotions take like a lot of energy to process. And so I would come home and I would be in tears from, you know, being, they call me Shabaka my brother's name is Danica.5 (27m 30s):And they like, you know, the, the terrible people that our children. So I was always known as like, what is the one thing that is different between you and your brother? Well, you're fat and you're not. And, and yeah, like going into the career, it's awful.1 (27m 51s):But wait, I have a question. Was your family, I always wonder this because my family was not supportive. So, so I was bullied at school and I was also bullied at home. Were you bullied by your brother and your mom or no,5 (28m 8s):For sure. My brother, like, we were awful to one another, the fact that we have a relationship now and like a really good one is, is mind blowing. But yeah, we were awful each other. My mom, not so much, my mom always struggled with her body image and her weight and her reflection of herself. And I think still does to this day, like I remember like some of the conversations before our wedding was like, for both her and I like, you know, gotta start to trim up for the way, you know? So, so yeah. I don't know if I was bullied at home as much. I was, it was definitely a safe space for me coming home in that regard.5 (28m 50s):But my brother around his friends, it would increase a bit. And then of course that's like a role model to all of my friends or whatever. And then I just started hanging out with people who like, probably weren't the best for me because they weren't making fun of me. They weren't the best for me because of,1 (29m 10s):I mean, I think that it's like, we go, I'll speak for myself. I went, you go where the teasing stops. Right. Whoever's not, the love is great. And the love5 (29m 22s):Has an absence of love.1 (29m 24s):Right. I see. I always say like, I didn't necessarily want to be not if once I realized I was just going to keep being bullied, I then just wanted to be left alone. So whoever would leave me alone, if not mention it became my friend, even those people were fricking had troubles of their own. I mean, like were troubled, at least they weren't picking on me. Right. So it's like you start settling for more and more, less and less love. And like, you just want to disappear. I mean, that's what happened.5 (29m 56s):Do you think that that led to you being an artist in the sense that you started focusing more on self through isolation? Do you know what I mean?1 (30m 5s):Great question. I started. Yeah. I think that what happened was it led to my brain and heart madly trying to figure out why this was happening to me. Why was reading, being treated this way by school and at home and what I could do that was safe. And the only thing to do that was safe was make believe and create in a world where, yeah, where it wasn't about the way I looked because you know, but then you mix2 (30m 37s):Except until it totally was1 (30m 41s):When you then go to a theater school. So there you go.5 (30m 44s):Yeah. Yeah. Super weird to how that kind of comes into the mix. Right.2 (30m 50s):So I, I'm being quiet as you're talking Mickey because you're describing a dynamic that is happening in my house right now with my two sons and, and you're, so you're the, you're the grown up version. I'm really happy to hear you have a good relationship with your brother, because this is like one of my biggest fears. I had such a terrible relationship with my sister and my sons are on their way to, you know, how it seems to me is they're on their way to having that type of relationship. And maybe it's the thing about, you know, because kids are like, prof, I forget sometimes how much they have to take on at any given day.2 (31m 30s):Maybe even 90% of it at school is social. And only 10% of it is academic, but that's, that is so much that just, just like information processing and it has to happen in your body. So if you're having a hard time with it and then you're having, you know, body image issues on top of it, it's, it's all, it just seems like impossible to survive high school, you know? Like how does anybody survive high school, let alone theater school,5 (31m 60s):But oh,2 (32m 2s):No. The 15 and 13.5 (32m 4s):So part of the pandemic was they were being judged on this while they're going through like fuck and hormones and brutal. I could not imagine2 (32m 16s):Completely, completely brutal. And that's a whole other thing about education and the pandemic and how like we'll never get it back. Like, you know, it's just, there's just last years basically. But anyway. So when did you start getting into acting? When did you decide that that was something you wanted to pursue?5 (32m 34s):All right. So like alone, personally, like walking home from school, right. That, that mind was already there. Like my entire life. I was like, I'll be an actor. Not that I wanted to, but like, oh, that seems like, like I was the liar growing up. I was the storyteller I told the fucking biggest bibs in the world. And so I think like in my mind, but then it was like, oh, I'm very distractable. And I, this is how I knew I wanted to be an actor. Was that like one day that, wow, I could be a doctor. I could be a firefighter. Oh my gosh, garbage man. Why not? Right. And then the idea, like, I'd maybe like work on that for like a day.5 (33m 17s):And then the next day I'd be like, oh, I'm so interested in this. And I think later on, I was like, oh, you can go. It's a really cool way to learn about all sorts of these little things. It was just kind of like spin the wheel of roulette, acting, you know, go out for tons of commercials. You get to play a handyman for a day. And for me, like, I personally loved the pretend of like, oh, I wonder what a handyman stays like.1 (33m 41s):Yeah. That's what I remember about you is like a super curious kid, like super curious and maybe like that's part of the artist's brain too, is like, you were always curious, curious, curious, curious a hundred times curious. So what, okay, so you were like, that was your thought as you're walking home and then how did that translate into like being in a play or auditioning for shit? Or like how does that work or going to school? Yeah,5 (34m 7s):Definitely thought, right. Like funny person was my option in terms of getting out of like the social anxiety. And so my mom got me involved in a play, I think in like sixth grade, but it was outside of my social circle. It was like, we were on like the Southwest suburbs and this was way in the south suburbs. And so I didn't know anybody there only relationship to me was this thing. I played a skunk in a Winnie, the Pooh play. And then I proceeded to like rip my pants and fart in my own peace scene. So That helped the whole shitty body image to thing. Cause right.5 (34m 47s):Cause who splits their pants.2 (34m 50s):Right. Miley Cyrus actually. I mean, anybody can start therapy6 (34m 56s):It's me and my2 (34m 58s):Okay. But when it was time to pick college and you were looking around, did you look at a variety of theater programs or conservatories?5 (35m 8s):No. I don't think that I admitted to myself at that point that those was like a valid career option. So my senior year of high school, I had this like real stint in hockey where like I thought that that could be a career path for me. And then that was ended through like a variety of like injuries and you know, like personal stuff. And so then it was like I had a theater professor pulled me aside and was like, Hey, not professor, but high school teacher, special ed teacher who then ran the drama program was like, Hey, maybe you should consider doing this with your free time. Instead of just like smoking pot and smoking hookah and like driving around with your newfound free time.5 (35m 51s):And I was like, oh, maybe that's a good idea. So I did like beauty and the beast high school as like, you know, this like a side character kind of like not in the limelight. And then later on did a Shakespeare comedians, LR where we just totally ripped off of the American conservatory theater's production from, we like copied it, move by move and called it acting. And then we won state for that, which is kind of backwards, you know, like we won state for copying and production. So I definitely thought it was good, but I didn't think that I was any good at like creating my own versions of characters or anything. So I knew I had to apply to a school.5 (36m 32s):I had no idea what I was going to apply to. That seemed to be what I was good at. So I did a double major and special education and, and theater because I didn't think that a, my parents would approve of me being fully theater student. And then B I felt like maybe it was either a selfish career path or yeah, not like, I think I wanted something more noble maybe. And I had experience working summer camps for special Olympics and stuff like that growing up. So I was like, oh, that's a, that's an interesting thing. So then when I got to Illinois state university, they were one of the schools that accepted me.5 (37m 15s):I had no concept of what a theater school should be, none whatsoever. And a lot of the other people were like, oh, I did four years of drama and four years of forensics. And in the summers, I go away to theater camp and I was like, I played hockey. And so I didn't fit in again. Right. Which was fine because I learned how to be by myself. And so I started making all of my social circles outside of the theater department for the most part. And I think in a way that kind of helped me, like I practice my monologues in front of my buddy, Greg, who I think Greg does like computer science and you would just go, I think that was good. You know, it really became self self reflection.5 (37m 59s):And the weird part is like, I would go in and I, I really did become the, the, one of the golden children of my department. I was an asshole. Yeah. So a hundred percent I was cast in a li almost immediately. And2 (38m 18s):It does not surprise me because this is what always happens. Like the, the men who go into drama don't tend towards the masculine. Right. So then when they get somebody who's like, I played hockey that, I mean, you know, that happened in my high school. That1 (38m 35s):Happened our theater school too.5 (38m 37s):I think it's backwards too though. Cause you the more in touch with my feminine, oh, I hate that word. But like, you know, like this idea that like there's a masculine, the more I got in touch with myself and with art, I felt the better I did. Right. I still think that to this day, like the more I'm receptive to my own emotions and the emotions of those around me, the better I'm able to handle my career.1 (39m 4s):Yeah. It just sounds like the, the, the bind that we're all in, which is people want you to be a certain way. But when you actually invest in being another way, it's going to make you a better person than artists, but nobody really wants that, but they say they want it. So men are in a bind. I guess what I'm saying is like, you're the first male guest that we've had on that I've known. And I know the struggles that you've been through and it, it opened my eyes to theater school for men straight men specifically are men that identify as straight, whatever. It's a, it's a bind for you too. It's a bind for you. So I guess, what did you love about theater school and what were you like? I'm outta here.1 (39m 46s):That's my question.5 (39m 48s):Yeah. And those are all awesome points. Like it continues. The body image thing continues all throughout college. And I do grow closer to myself through that. But I think the thing that I loved about it is that I had that opportunity for the first time in my life. Like hockey was definitely an obsession for me. I tend to gravitate towards obsessing. And so to get into theater school, I didn't take any gen EDS. I like, I, I forgot my degree. I failed out of school. And finally, because I just, I wasn't interested in anything except for learning all of the theater that I think at some point I looked at somebody I MDB and I was like, oh, they were, you know, working for 15 years before they had their big, big, big break right there before they were discovered.5 (40m 36s):And so I was like, oh, I have a lot of catching up to do. Right. I didn't do this until my, until I was 18. Now it's time to catch up. So I just started like taking only theater classes. And then the idea that you can sit or lay on the ground in a dark room, surrounded by your peers and think about what shape your body is making and what noises are coming out to me. That was super interesting to me. I got lost in that world. And I still think to this day, like my brother is a finance guy and he he'll never know what it's like to just weep behind a mask because you saw something a certain way one day. And so for me, that was a celebrated thing.5 (41m 18s):It was like, congratulations, you, you cried behind the mask. I don't know. It's still is kind of a bizarre thing to like to reflect on. But my, my presentation skills got better at, than my social emotional skills got better. I was spending every night in a rehearsal space getting to know how to best work with people and how to make mistakes, like going back. I love college. I don't like the results of college. I don't like the way that it was kind of organized. People were cut after certain years. It was very dramatic. But theater school for me was, I mean, what a dream, right? Like I got to wake up, put on a leotard and go stretch for two hours and then go into a voice class.5 (42m 1s):Talk about my feelings towards words, study history.1 (42m 8s):I wish I could, I want to go. What if I apply where they, that's a horrible idea. I do this all the time, by the way. But like, it sounds so great when you guys, when you say it, I'm like, wait, I was wasted. I wasted my time there. I wasted my time.5 (42m 26s):I don't know though. Right. Like I think I've spent the rest of my career being like, okay, so what can I take from that? Because that's not the real world. The real world is not that you get to wake up and do that. But like, certainly I've recently gotten back into like stretching and mourning, like yoga in the mornings and stuff. And I'm like, oh, that was something that really works for you back then. Where did that go? And so, right. Like creating my own schedule. I think also I got, I was supposed to get a, B S and not a BFA. So I think I definitely missed some of the, I had more rigidity in my schedule that I think some of my peers and that made me resist the regular general education stuff and spend more time.5 (43m 16s):Like I committed to every directing project that somebody was doing. Right. Like they're in a class. And I was like, I'll do it. When they were like, bring one monologue to class. I was like, well, I'll take up the whole class and bring 10. I was super selfish about theater classes as well. Like if nobody else wanted to go, it was like, well, what are we doing here? I'll go.1 (43m 37s):Wow.5 (43m 38s):So I S I experienced a ton. Right. I was looking through, I, I was like reflecting the other day and I don't understand how I did all of that in four years or four and a half years or whatever, because I probably did at least 10 projects a year. And then I stayed during the summers and did community theater, like a playwrights festival there as well. And so I was just constantly going, but a weird body image thing. Right. So freshmen, what are the freshmen 15? I put on like the freshmen 45 drinking a lot. Right. Partying, a lot, eating food from the food Corp,1 (44m 18s):Chicken fingers, chicken fingers, fingers.5 (44m 22s):So much cheese.1 (44m 25s):Yeah.5 (44m 25s):And then I played my first like bigger role was Toby belching 12th night. So, so, oh, you have extra, you are bigger than other people. Now you're going to play the funny role, right. The drunkard, the, this or that. And I don't know what came too, but I think somebody made a body image comment in my final assessment that year. And regardless of whether that was a positive or negative thing, I committed that summer to not being what they thought I was. Right. I was like, I'm not just this1 (45m 6s):Comment. Do you remember the comment?5 (45m 7s):I don't remember. I just know that there was a catalyst, right. Something happened in that last little meeting where either what was said, or what was not said was not what I wanted to write. And so I was like, I have, I have a fucking chip on my shoulder. I love to prove people wrong. It's like a weird obsession thing as well, prove myself wrong. And so I, I went and I went running and I went back to this like, athlete, like, oh, this is how I preserve myself. And maybe if my feelings were hurt, right. Like I can focus all of that into this.5 (45m 47s):And I lost, like, I lost a lot of weight very quickly. And then that next, you know, I was the romantic leading man, the next fall In Philadelphia for the story. And to the point where like, this is how little I understood. They're like, you're doing the Philadelphia story. Will you come in and read for like the dad role? And I was like, okay. And I was like, oh, this is the dad role. It's a musical, obviously in my brain. And it's not, yeah. It's not, it's, it's Carrie gray Audrey. But I was like, I didn't read the play. I had no idea.5 (46m 27s):And then they cast me as like the leading romantically, not Carrie Grant's character. And I was like, oh no, this is a terrible idea. They don't know that. I can't say6 (46m 43s):I showed up to them like ready to like, 2 (46m 50s):Mickey. Would it be fair to say that, like, you've had to figure, I mean, a lot of people come to acting as a way to figure themselves out. Right? Like a lot of people like the idea of trying on roles. Cause that's what they're also doing with their own identity. And I do see like a little bit of a trend where a lot of people who do it for that reason, maybe didn't get enough reflected back to them when they were a kid or they got reflected only these negative things like you're describing about getting bullied. So, I mean, would it be fair to say that it's taken you oh, a long time to get to know who you really are?2 (47m 31s):Are you still in a process of figuring that out? Like, did you, how much, or how little did you know yourself when you were at theater school?5 (47m 41s):Yeah, totally fair to say. I didn't, I didn't really know myself. I definitely was enjoying the process of getting to know myself, but I didn't really have an understanding of like why I was the way I was. I, and I am definitely still in the process of trying to figure that out. I think I did a play right when I left school called, called awake. And it was about a young man. Who's a poet who's who thought his father was a poet and turns out there was, it was his brother. Like my, my father's brother was my actual father.5 (48m 22s):And it was just like, I don't know myself. I need to go figure out who I am. And that really resonated with me. It was like this idea that like sometimes what we feel is just the, the anxiety or the poles that we feel is just us going while I thought I would have known myself more by now. And so, yeah, definitely still trying to figure it out. My process, creative process. I mean, like that's constantly in flux, never the same. And that's like hockey stuff too. The reason I liked hockey was you could run a set play, and it's always going to be different every single time.5 (49m 4s):And the idea of theater, right? Like you, you get up every night and you do it. And like something about the way that your day went will be reflected in your performance. And, and so that's interesting to me. Yeah.1 (49m 23s):Interesting. I never got that. I never, I never knew that that acting was about me. Do you know what I mean? Like I never got that note. Like that message. I missed that whole thing that like, I could bring my whole self to a role. It doesn't mean that it's me. Like, but that I was allowed to bring my whole self to the role. And in fact, if I did, my acting would be better. Like I miss so much, I'm just so bombed, but I'm learning it. I'm learning it from, from listening to people like you on the podcast and talking with them like, oh, I'm helping to, to, when I teach now, I'm like, bring you, you're helping me.1 (50m 7s):The other thing I want to say is that when I saw you Mickey in my first time seeing you in a lead role or any role was at the greenhouse, I dunno, Athen am in Henry Morris, melting this, play it. And I'd never seen Mickey act. And someone was like, I have my own problems. Like, why am I going? I went to this5 (50m 36s):That's great advice. Yeah.1 (50m 40s):Oh yeah, yeah, yeah, yeah. And I give you terrible advice. I was like, go to LA, you're going to be famous. But like, yeah. Well, anyway, so I saw this play. I saw you in the play and I was like, this is one of the best actors I've ever seen in my life. I, I, I was blown away. I thought, oh, this kid knows what the fuck he's doing. And commits 125% on stage, which is, it just was miles ahead of what everyone else was doing onstage, but not in a real snarky way, in a real working man sort of a way so that you don't hate Mickey because you're like, oh, this is a good person.1 (51m 26s):They just really are committed to what the fuck they're doing. I had never seen that from an actor your age, because we're2 (51m 34s):Obsessed.1 (51m 37s):And I was like,5 (51m 38s):Oh,1 (51m 39s):This kid is the real deal. Like I,5 (51m 43s):That maybe I was avoiding My work. I was avoiding all of the other things that were sitting outside of that. Right. That like were valuable pieces of insight that I could have learned about myself. But like, I, at that point, Jen, like I was moving to LA because I did not have a home. Right. Like it was a warmer climate. Like I had no money to my name whatsoever. I struggled with addiction. I right. Like I had all of these personal life crises going on, but theater is a place where you can go for two hours, whether you're seeing it or whether you're in it and totally just purposefully forget everything else.5 (52m 26s):And so I put off a lot of like personal growth until probably like 30 years old, at least like real is true. Like this might work for you, but it is destructive. I put off that work because I was like, oh, it serves me. Right? Like it's, it gives me energy to put into my career. It is going to better knees somehow to hurt.2 (52m 49s):How do you, how, how does the casting world see you? Like who are you as an actor?5 (52m 56s):That's a good question. I wish I knew. I think I'm, I think I play intense characters that I played, blue collar characters, definitely people with an emotional depth, like an intense, emotional depth. I have, I'm starting to play the good guy. All of a sudden, which is interesting. I like playing the best friend role. And I think I kind of look at every role as the best role, you know, I am there to do something.8 (53m 32s):Yeah. Right.1 (53m 37s):Which is why they want you for the leading man role. Look, this is, it makes perfect sense to me from an outside. I'm like, they want you, so you are finally what I'm hearing too is like, you're finally what you said is like starting to do the work on yourself, right? Like as a person, as a human, as a father, as a, as a, as a husband, as all the things. Right? So it makes perfect sense that you are now playing the good guy. And also that you now are wanted by people to play the lead. Even though you want to play the best friend and you play leads to, I'm not saying you don't want to play the lead, but it, it just all makes sense.1 (54m 18s):It all makes sense that when you work on yourself, if, and if you're lucky and all the things that You5 (54m 24s):End up your1 (54m 24s):Career advancing when you do the work on5 (54m 27s):Yourself1 (54m 28s):Internally, but5 (54m 30s):Then you can decide whether or not things are working. And that's like the, the small business perspective, right? Like you open a small business on the corner, your first year, you're, you're looking at like high expenses, right? Like expense your entire store. You're going to be in the red for a while. Second year, you maybe are developing a customer client relationship. Third year, maybe you have a personal crisis and things take a step back fourth year, whatever fifth year, by the time the fifth year goes, you go, I have some solid data to work with. Right? Maybe this network isn't working for me and I need to go to a different network. And I S I subverted a lot of bad advice. I didn't listen to any of it.5 (55m 10s):I went from New York back to Bloomington, normal Illinois to try to get my degree and failing out again, because I did too much theater up to Minnesota, Chicago, California, Colorado, back to Chicago, and about three years, four years. Yeah. And so then I got back to Chicago and I was like, oh, this is what it's like, when you stay in a place for a little while, maybe people have a chance to respond to the postcards that you're sending up.2 (55m 40s):Yeah. And what's that whole thing, like now, since I've been out of it for so long triangle, when you're first starting out and trying to get people to know you, you said you still send them postcards with your, with your headshot on one side or something.5 (55m 54s):Snail mail, baby headshots. Right. I would print go to Kinko's or FedEx or whatever. I've had tons of headshots, tons of resumes, tons of cover letters. And I'd send them to everybody which maybe is what I'm learning. Now. Thankfully, I have representation. I've had representation for a really long time. Is that like, maybe be targeted with the people that you want to work with and focus on that rather than like, will anybody like me please will anybody, But maybe I had a better, I I've never thought about this. I submitted to two agencies or one agency that called me, and it was a really big name in Chicago.5 (56m 39s):And they called me in and they kept calling me Maki, like, Hey, Maki, come here. And then they were like, yeah, my name is Mickey. Sorry. That was the thing that they call me,1 (56m 59s):Excuse me.5 (57m 1s):And I was like, well,1 (57m 2s):That's the greatest fucking name I've ever heard of. I mean, it's not your name, but it's a great name. Yeah.5 (57m 8s):They brought me into the room and they're like, okay, give us your monologue. But look at the wall. They're so spot on the wall, look at it. So I did the whole thing and they were like, how are you expecting to have a good relationship with casting? If you just stare while you talk the entire time. And I was like, oh, I thought you said, like stare at the wall and talk. And they were like, you know what I think, like with your look and your experience, we could do a trial contract. And I was like, maybe finally at that point, did I have the guts in my life to be like, I don't need just anyone to be my friend or to work with me.2 (57m 48s):Maki need somebody who can really connect with5 (57m 51s):It knows my name, you know, that read the email. And then sure enough, I, I reached out to somebody who I knew was an agent and I had a meeting with them and I was like, Hey, is that how all of them should go? Because if it is, I'll just take the contract and I'll work in the industry and whatever. But if it's not, I'm not going to sign with somebody who's a Dick. Who's like too overwhelmed to actually build new relationships. Let me go and focus on somebody who like, wants to have a conversation about what I think of the industry and my place in that.2 (58m 23s):Oh, it makes me sick to think about how many people who are in those positions of power. It's, that's all they're interested in is the sort of the power play of it all. Like this thing that we start doing when we're kids and for some people we don't ever outgrow it, which is like, I don't need you. You need me, you know, the way that I show my, you know, whatever that ability in the world is to reject you instead of, you know, to be inclusive or, or even just, I mean, just a kind thing, because by the way, nobody has, is named Maki. So they should have had a sense of like, wait, why are we saying this? Right. I mean, right.2 (59m 3s):Shouldn't they have had some idea that5 (59m 6s):I do. Like, maybe I'm a sucker and lately I've been trying to think of like, what are all of the reasons that people could act like that? Because I don't get it right. Like, I don't get like, the I'm going to go brag to people about how I treated this person, like shit. And I, I think maybe it like it, it is just a really deep, deep, personal thing that's going on. That's totally clouding. Then being aware of how they're treating other people at all. Because I don't, I it's gotta be because I don't, I I've never heard anybody brag to me about how they treated somebody like shit in my entire life. I know that that's a thing that generally, as humans, we feel deep shame about and how maybe that deep shame manifests is just constantly being so focused on, on you and the things that you have to do and, you know, maintaining your own personal level of success and survival.5 (59m 59s):It's this fucked up survival tactic of like nobody else matters only what I'm doing matters. Maybe. I dunno. Maybe I'm just a sucker.1 (1h 0m 8s):No, I think it's, I think you're right. Like I think people get so caught up in their own process. They don't even know some people do, but I think that's like the exceptional sociopath psychopath, but like most people are just like low level nurses. We're all such low level narcissists mixed with our childhood trauma. We don't even realize what we're doing. I swear because I have confronted people, you know, that I've, I've confronted big wigs and said, do you realize that you're talking like this person is a piece of shit and they're like, what are you talking about? And I'm like, oh my God, most people don't understand.2 (1h 0m 50s):And most people are so far from understanding that the, that the farthest they'll ever get with that is just a defensive will know you're the asshole for pointing out. Right. I mean, that's, that's, that's usually the limit. It never ceases to amaze me. And yet it always amazes me. No, that's the same thing. how with, you know, my, the thing I'm always interested is getting from surface to depth with people. But I think like maybe 98% of the population is just really interested in staying or maybe it's just because of where I'm living. I don't know. But I, I find that not only do people not want to go from surface to depth, they're frightened and weirded out by you wanting to do that.2 (1h 1m 35s):You know what I mean? Because my thing is always like, we all know that the weather is how it is. Like, can we just like, let's skip that part. Let's go to the next thing. And people don't like that. They really don't like that.1 (1h 1m 47s):No people are not interested in that because what they have to, I am convinced that at the, at the core of that is, oh, one day I'm going to die and everyone I know is going to die.2 (1h 1m 59s):And1 (1h 1m 59s):If we talk about real, if we talk about real stuff, it'll inevitably lead me to, oh my God, everyone I love is going to die and I'm going to die. And I can't handle that. So I'm going to do drugs or do anything else instead, or not, or talk about the,5 (1h 2m 13s):Not the talking about the weather, but that's where I'm at right now is that I'm like, oh, the most important thing that we could do now is acknowledged the back that we're going to die2 (1h 2m 23s):Because it's so much freedom by the way, because it's not like, sorry to spoiler alert, but everybody is going to die. So like let's instead of being, spending your entire life afraid of that thing, embrace it because you're not going to die right now necessarily, you know, like you could make right now more interesting, right.5 (1h 2m 43s):Enjoy right now. Right. In a way1 (1h 2m 46s):Even noticed right now, just notice that we're actually alive. And I, and that we are here now doing things, talking, eating, all the things that we do it's happening. I think that that's what I've come to in this podcast. And in my life is like if the most I ever get to is, oh, this is actually happening. I'm here. This is going on. How I feel about it as how I feel about it, but this is what's going on. Acknowledging them. That's going to have to be enough because to go deep with people is such a treat and so rare. But like, I have to still stay true to the acknowledging part.1 (1h 3m 28s):Like, oh, you, you might be uncomfortable, but I'm going to acknowledge in my own way that, that, that we're all going to die in. And that's part of the impermanence. I'm going to acknowledge it to myself because if I don't, it just really leads to2 (1h 3m 40s):You just feel so isolated and desperate and yeah. Yeah. Well, anyway, speaking of isolated and desperate and alone, you mentioned going through some issues with addiction. How, how do you, could you say anything about that and how you, how you got ahead of it?5 (1h 4m 0s):Yeah. Never out of it, right? Like I am an addict through and through, right? Like it's anything that make me feel better and then like learning what those good things are and what leads to right. This path of destruction. I think really early on, I was constantly the kid that was if he only put his mind towards things, but I think if you only focused on those thing, and so that got me on this idea of like, whatever it is, and this is where obsession came in, right. Like if I could just focus on stuff and then I would dive 110%. And so what were the things that allowed me to do that?5 (1h 4m 41s):Right? Like first it was, you know, cigarettes, right? Like I could just sit there and read a play and read another play and smoke cigarettes, I guess. Right. Like definitely alcohol is in there. It's not like my primary. I, I do not go into functioning or nonfunctioning relationships where this, where I'm like, oh, I need this to function. Or I need this not to be totally dysfunctional. But early in my life, it was definitely a medicine of some sort. Right. Like I was definitely looking at it for relief. I drank a lot and drank, it was binge. Like, that was the way that we drank in high school and college.5 (1h 5m 23s):You had three hours to drink. You better drink a lot of it. Right.9 (1h 5m 27s):So true.5 (1h 5m 30s):So that was a thing. And then Adderall became a thing for me where it was like, this is something that allowed me to sit and work for hours on end. And certainly I think that, like, if I'm going to go to a psychiatrist, they would be like, I think you definitely have some traits that are right there with add or ADHD, but I did it. And so I would just abuse on my own. Right. Like, and I, I looked at it as the investment opportunity of a lifetime. Right. It was like, you're going to constantly have this on you. You're going to constantly be taking it. You're going to constantly be working. And that led to cigarettes. Right. That led to me avoiding all of my own personal shit.5 (1h 6m 13s):And then, right. Like the way I quote unquote got out of the throws of it was total collapse2 (1h 6m 24s):All the way to the bottom5 (1h 6m 26s):All the way. Right. Many times where I thought that I was going to die. Right. That I thought I was like, I would not sleep at night and a very functioning. Right. Nobody, nobody knew at least that I know of. Right. Like, I'm sure, like now looking back like, oh, something's going on there? Like, but it was a whole production for me. Right. Like I had the hand sanitizer to stop my hands from smelling like smoke. Right. So nobody needed to know that, like that was my preparation to get myself right. For, you know, the audition. And then it was, you know, I've got gum, I've got Gatorade to keep my body, like all of the, the electrolytes in my body up because I haven't slept in two days, I've got like coffee.5 (1h 7m 17s):And so like financially fell apart. Right. And no good reason. Right. Like best point in my career probably was like, you know, commercial money coming in, episodic money coming in. And for me, this was just like, great. Double-down on my investment. Great. Like be better, be better. And in my version of better was more, more altered, I guess. So never out of it and re emotionally my relationships fell apart. Right. I stopped paying attention to what other people, how other people were reacting around me.5 (1h 7m 58s):And that kind of led into acting, I guess, a little bit that like, it wasn't maybe until like five years ago. And Jen, this is where I'm a little bit jealous of you. Is that like, I did think that what you said earlier was like, I never considered myself, like the main part of gen actor being so valuable to whatever character I'm playing. I never considered that, the shit that I was trying in rehearsal, like just like a kid in a box, like had real time attacks on the other actors that I'm working with.1 (1h 8m 31s):I never considered that either. Like, but you're right. Like, it goes both ways, right.5 (1h 8m 37s):If you're in a, if you're in a meeting with a coworker at an office and they never focused on one idea long enough for everyone to kind of like gel with the idea, you don't work with that person for very long, even if what they're doing is an abusive or hurtful or anything like that, it's just not conducive to like, right. Especially for theater, where in Chicago, right? Like you get $300 for an eight week stipend. And so you better really get everybody read it better, really be getting something out of that rehearsal time. And I was selfish, you know, like this is about me and my journey and my character and, and everybody else better fight for that.5 (1h 9m 17s):And there's, and that's what conflict is. And that's what drama is.2 (1h 9m 22s):Well, what are your feelings about that? The stories that we hear about famous actors who do that, who still do that, that's still their process. Does it make you mad?5 (1h 9m 31s):Yeah, I think it's so misguided. Right. And I'm thankful that I've had enough experiences where I'm like, oh, you're, you were kind of the Dick there that could be bad. That could develop. Right. Or somebody who pulled me aside and was like, you know, that just wasn't necessary or whatever, really, really early on, I moved to New York and I was in a play festival. And it was like about what is that? The witch who they shove into the oven, what was that called? The Hansel Hansel and Gretel. I was Honsel I guess. And we were pushing the witch into the fire and they were like, yeah, you used a broom and we didn't have a broom.5 (1h 10m 17s):And so like fresh out of college, Mickey was like here, hand on the butt. And afterwards this woman came up to me and she was like, don't do that ever again. And I was like, oh my God, what did I do? I have no idea. I'm so sorry. And at first I was really kind of like, come on, like, what are we going to do? Like you needed to get it. So it was my first time being like, oh wow. And she was older than I was. And so to me that told me that she's been hurt in this process and that through whatever trauma that she's been through, like this is not the, the road to working with other people.5 (1h 11m 2s):Right. And so there's just like little moments like that, that I think if you're so blind you're so like, I need to get to the top. I needed to get to the top. I needed to get to the top. It's really easy to just that everybody is being1 (1h 11m 16s):Right. Right. It's like, that's5 (1h 11m 19s):Like1 (1h 11m 20s):This whole reckoning, this whole reckoning that the arts and humanity and the U S and everyone is doing, which is like, that may be true. You said something really important to me, which is, it may be true that people are overly sensitive. You didn't say this part, but I, I think people can be, oh, I can be overly sensitive. That's for fucking shirt. And it's also true that that is not the way to working with others. So like, both are true. Like I have sensitive issues. And you notice that like, doing that kind of behavior is actually not conducive to doing good art and creating and not, and getting jobs, the whole thing.1 (1h 12m 2s):So like, it's interesting. It's like you took the note and actually took it. Whether you took it all in or whatever, you took the note, but a lot of these dudes aren't taking the note. They're not getting the note. They're seeing it as the people are over sensitive, which they might be, but they're also not taking the note, like take the note, you know,5 (1h 12m 21s):I take the note. Absolutely. That's something like in college that we were constantly reminded. It's like, you don't have to respond. Just take it, write it down and think about it for a, for an eye and then com
Reactive Redefined FREE Mini Course Adventure Dog Academy FREE Mini Course Trustworthy RecallsFollow us on Instagram @agoodfeeling_inco www.agoodfeelingdogtraining.comVetCs discount code DISORDERLYDOGS 10% off your purchase If you like this podcast, be sure to subscribe so you don't miss out on super cool future episodes!Leaving a 5-star review really helps this podcast reach other dog guardians in search of help for their dogs and I literally read every single one! Song credit: Podington BearEpisode 199: The Life and Legacy of Tiva
Welcome to Cannabis Daily - Your daily guide to cannabis news, industry trends, and trade ideas in under 5 mins.Episode Summary:Trulieve Cannabis(OTCQX:TCNNF) will now be the exclusive provider and seller of Khalifa Kush, which is Wiz Khalifa's cannabis brand in the state of Florida.Tilray Brands(NASDAQ:TLRY) Continues To Expand Footprint through subsidiary Sweetwater.Elliot's watchlist for the day:Turning Point Brands(NYSE:TPB)Flora Growth(NASDAQ:FLGC)Tilray Brands(NASDAQ:TLRY)Jushi Holdings(OTCQX:JUSHF)Trulieve Cannabis(OTCQX:TCNNF)Hosted & Produced By:Elliot LaneAaron ThomasContact us at: cannabishour@benzinga.comFollow Benzinga Cannabis On Social MediaInstagramTwitterYouTubeLinkedInSubscribe to all Benzinga Podcasts at https://www.benzinga.com/podcastsSubscribe to the Cannabis Insider Newsletter to get more cannabis news and trending links delivered to your inbox.Tune in weekly to Cannabis Hour at 4 pm ET every Thursday for Cannabis News & Executive Interviews at bzcannabishour.comHit us up at https://www.benzinga.com/cannabis/ for more news today, tomorrow, and everyday.Access All The Cannabis Daily Episodes HereFor Top Gainers & Losers Cannabis stocks of the day check out https://www.benzinga.com/cannabis/stocksNOT FINANCIAL ADVICEThe Information Contained on this Podcast is not intended as, and shall not be understood or construed as, financial adviceUnedited Transcript:This is Elliot lane hosts of cannabis daily. Thanks to Aaron Thomas for producing. And Benzinga for the platform. Tons to talk about today though. We're going to start overseas with the isle of man, which if you did not know a little geography lesson for you is located in the middle of the Irish sea between Ireland and the UK.It is now a proposed site for a huge new cultivation facility by PO. In R E, which is a, from local to the area, citing news for the isle of man, Maryland lawmakers back to the U S are now putting the marijuana legalization measure on the November ballot. When I think of companies that would benefit from that, I'm thinking.Mr MD, I'm thinking Curio wellness which is a leading single state operator in the game. South Carolina, federal judge J Michelle Childs handed down a 12 year prison sentence in 2009 for a non-violent marijuana offense, which is a decision that has some we'll say more left leaning, politicians, not super excited at her being a potential Supreme court nomination.Sweet water, which is of course, a subsidiary of Tilray T L R Y a. It is the 11th largest craft brewer in the U S is now bringing the west coast style bruise to the Pacific Northwest in a partnership with Columbia distributing. So this will hit Oregon. This will hit Washington. And once again, Tilray expanding its footprint through unique means and distribution models in the us.Juicy J U S H F on the OTC announces the launch of a suite of new products in Massachusetts. They're going to begin the rollout with the launch of flower sales for our growth core, probably the winner of the day. I think FLDC on the NASDAQ has completed the submission of 23 of its branded products to the Colombian FDA.These will be the first food and beverage products with cannabinoids approved in Columbia, massive round of applause for FLDC. They also expect to begin export of their infused gummies and juices under its Mamba brand. This quarter furthering its us expansion. So FLDC tons of news recently, tons of aggressive. Takes this kind of an exciting time to be looking at FLDC high tide hit Ireland NASDAQ. Another favorite of mine in particular. No recommendations here, though. Certain of cabana locations are now watching delivery on demand. Very exciting for their. Followers in the can of cabana loyalty program, TGI F, which is on the OTC, which is 1933 industries announces the sale of a non-revenue driving real estate assets, turning point brands on the ninth. T P B is a leading provider of ancillary products to cannabis and tobacco announces their Q4 2021 earnings. The fiscal year 2021 net sales rep around 10% year over year. They totaled at around 445 and a half million, or just to EBITDA was up almost 20% year over year. Just two more here. Clever leaves.See LVR announces the expansion of their partnership with German canvas manufacturer and wholesaler cancer TIVA, which also of course just received their funding from Casa Verde. And last but not least, we can't forget whiz calling. You say what TC NNF that's through leave a will now be the exclusive provider and seller of Khalifa Kush, which is Wiz Khalifa's cannabis brand in the state of Florida.So if I'm looking at what stocks to look at today, I'm feeling pretty good. If I'm a TPB shareholder, I'm feeling pretty good. If I'm an FLDC shareholder. I'm going to keep an eye on clever leaves and Jewishy until re but my winners for the day for sure are TPB. And FLDC, this is Elliot lane. Thanks so much for tuning in.We'll probably have a ton more this week, as we always do tune in rate and review us, tell your friends we look forward to seeing you in Miami BZ, cannabis.com, April 20th and 21st. Come get away, hang out on the beach. Learn from the industry leaders in cannabis until tomorrow y'all.Support this podcast at — https://redcircle.com/cannabis-daily/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Vive La Regional de hoy viernes con todo el análisis del fin de semana en Tercera y la Lliga À Punt Preferent. Además, conocemos de cerca a Fran Giménez, capitán del Olímpic de Xàtiva.
Dangerous snakes can be found both while training at home and far away while deployed. It may be a rare occurrence, but a catastrophic event when it does happen. Some austere providers may be aware of outdated treatments, and don't know where to start when it comes to identification and management of a snake bite. Feel free to ask yourselves these questions, or bring them up in a group discussion before listening to the podcast: 1.) Which type(s) of snakes would you put a tourniquet on? 2.) Under what conditions would you apply ice, cut into, or use an extractor on the wound? 3.) Before you deploy to “country x”, how can you find out dangerous fauna and flora? How can I prepare, equipment wise? 4.) How important is it to identify the snake? What if it cannot be found? 5.) How do I assess a snake bite patient and tell a difference between the various types of venom? 6.) How can you tell if it's a “dry bite”? 7.) You receive a patient with a Tourniquet already applied by a non-medic or junior medic… what now? 8.) When do I give anti-venom, of what type and quantity? What are the side effects? 9.) When would you take the airway in a patient with snake envenomation? When would you have MSMAID ready? 10) How do you handle a patient with venom sprayed into their eyes? 11) What are concerns with compartment syndrome in these patients? 12) How do you administer a push dose pressor or dirty epi drip for anaphylactic reaction? 13) If you have a confirmed snake bite but NO antivenom… how can you manage a patient, if at all? 14) What are your pain management considerations for these patients? Do you know the onset and durations for the medications you push or TIVA? What happens if the patient has breakthrough pain before the expected time?
Rick Hines has spent the last 20+ years in service to his country much of it deployed to combat zones and other unstable, austere environments and is dedicated to improving SOF Medicine. He made it a point to spend a fair amount of time with surgical teams when possible and has gained quite a bit of real world knowledge that we hope to pass on to a wider audience here. He was formerly an SF Medical Sergeant turned Team Sergeant before going on to work as the 3rd SFG(A) Senior Enlisted Medical Advisor, the Unites States Army Special Forces Command (USAFC) SEMA and within the USASOC Surgeon's Office. For more content, visit www.prolongedfieldcare.org
The Bispectral Index (BIS) monitor can be a great tool in anesthesia, especially with the use of total intravenous anesthesia (TIVA). However, to use it correctly you must interpret all of the output data, not just look for a BIS value of 40 to 60. This episode is a brief discussion of the basics of using a BIS monitor.
Please allow me to introduce my next guest, her name is Tiva Haliburton she is a nurse by profession for over 15 years , currently working for the State of California, she's the Authoress of “Relentless 31 day devotional” and presently working on her second book ; Vegan Soul Delicious , she's a motivational speaker ,Evangelist, Social Media influencer, Health and wellness coach, and the owner and founder of “the Raggedy Skillet” specializing in Vegan, vegetarian and pescatarian foods Virtual Food demonstrations. She loves inspiring others to eat healthy and taking care of their physical health, and also she has spoken at various events in and around her community on various health topics and seminars on weight loss, She loves seeing people eat healthy it brings her great joy. And brings me even more joy to introduce to you non other than Queentiva “Relentless Journey” Tiva Haliburton! --- Send in a voice message: https://podcasters.spotify.com/pod/show/its-not-really-a-secret/message Support this podcast: https://podcasters.spotify.com/pod/show/its-not-really-a-secret/support
[12 of 12] Section on Intraoperative Neurophysiological Monitoring (IONM) Section Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “Are wakeups always prolonged with neuromonitoring under TIVA?” It's a common complaint: we use TIVA for MEPs, but the patients take forever to wake up from anesthesia. To combat this problem, many surgeons elect to discontinue IONM earlier in the procedure. Did you know IONM has the technology to guide the anesthesia team through a faster wakeup in most cases? It requires communication and collaboration, but it's easy to do. Here we review these techniques. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+
On this episode of the Winner's Edit: David vs. Goliath, we talk about where things stand following one player's quit and an exciting tribe swap. Our discussion includes the story's focus on women, nerds, and Slamtown, the collection of oddball edits that make up the Tiva tribe, and Natalie Cole's reflective properties. In the end, we look at the likely winner edits, with one contestant pulling ahead of the rest. Join us!
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