search is so relevant because it's holding up a lot of value and it has a huge attack surface and that's why i'm paranoid about test automation or not paranoid but very insistent that insistent yes but also paranoid that something bad could happen and therefore we need to insist on a very thorough test automation process which then also feeds into helping the research may get done faster and if the researchers don't have to spend as much time with the basic mechanics of pulling up pledgers for example then they can spend more time thinking about what they are the best at researching the security properties of whatever it is that is getting examined so i think that's a huge net positive there as well valid caution required um another question is interop solution type used by cacti strictly atomic swap or can it or can it be others like two-way slash ledger entry point etc should be possible through plug-in i suppose that's a shame uh you kind of answer your question there quote unquote almost anything is possible through plugins but also just answer a little more uh it's not the only type of solution that you can create with the framework there's plenty of others for example the supply chain app that i was demoing was not doing any atomic swaps that was just showing you uh data on three different ledgers and inserting data also onto three different ledgers but there was no cross-chain angle there apart from the data sharing across the ledgers yeah if i can complement that cacti is modular and allows you to do very flexible things we have data transfers which you can see on the supply chain app so basically the app is transferring data cross-chains no double span protection needed let's say we have asset transfers with the plugin underrepresented all that with gateways which implements our satp protocol which we're trying to standardize and we have asset exchanges with ash lifetime contracts so you deploy ash lifetime contract and then you use the cacti plugin to interact with that contract so you could build interfaces on top of it you could build automation pipelines on top of it it's like really anything because cacti is supposed to support general purpose interoperability so if you want to create your plugin that conjugates an asset transfer with data transfers so imagine there's some precondition for you to do an asset transfer based on some data yes you can do it and that's quite flexible and that's also why we welcome research with such enthusiasm we think it's a really good place and thanks to peter's push on this so if you want to have your codes incorporate on the main code base you need to have the code needs to be clean needs to pass the test needs not to break cacti hopefully preferably and it should also come with some tests right and if it comes with some tests you basically have your paper evaluation for free it's not for free you have to do it right but it's encoded on the test right you can do some performance measurements you can do some attacks simulated attacks on the test files so it really helps it really helped me with the fs2's paper because the test required by the good practices that hyperledger promotes uh made me do the evaluation and it was very quick to boot strep the legend so I think it's a good place but I'm a bit biased Reagan A has a question is it possible to scale deployed network using cacti like adding nodes at a later point in time uh so cactus will or cacti will not speed up any existing ledgers so it is sort of a separate component in a deployment diagram that way if you will so our only aim there are not the only but the number one aim there is for us to not be the bottleneck if you have a ledger that can do 10 000 transactions per second then our rule of thumb there is that cactus talking to that ledger has to be able to handle at least that much as well so that just by deploying cactus next to your ledger you don't end up slowing everything down but cactus is not something that will magically speed up your ledger just by being deployed so that's also a good topic for research uh in principle the transactional throughput will be limited by the soulless chain but here you have an extra component which is cacti which is orchestrating the transactions and could introduce and will introduce some latency right because you you reach from a ledger then you need to do some processing and only that you submit the transaction on the third ledger uh so we could empirically verify what's that uh what's that cost right could be useful uh in some cases but I don't think we have done any extensive studies on what's this cost we're still building the the core infrastructure seems there is no more questions yeah well that's the case then I'm going to say thank you to all the workshop speakers and the attendees uh for joining us today as I mentioned in the chat we are going to send an email to all the registrants um with links to the wiki page the github the pdf as well as the youtube video and we're going to include those links in the youtube video as well so no one gets lost we don't want there to be a lost fidelity there but thank you everyone for joining us and thank you to uh the workshop presenters this was great and we really appreciate everyone also check out the hyper ledger discord the hyper ledger wiki and that will be in the thank you email as well thank you all thank you thanks everyone thank you all right


and we had another new apartment today it's a brand new condo I'm the first person to stay in this one it's always nice when it's brand new so we're just up here me and Nala on the 33rd floor I've got some views here too hello everyone I don't normally let Nala out on the balcony but I think this one's quite safe for her I think she knows it's high up okay so on to the topic of the video when the narcissist realizes you have won what's more important to a narcissist than you winning is them losing that's why they're so bothered about you winning in the first place because they have a black and white mentality where if you're winning it means they're losing because they were always in competition with you they saw you as their opposition their rival their opponent so in their minds if you're winning in this competition this game that means that they have lost to you and that's why it bothers them so much because they've created this game in their heads this competition where it's you versus them and they have to win so when they do realize that you have won and that doesn't have to mean that you've defeated them exposed them you don't have to do anything to them at all if you just find fulfillment in your life you find happiness you're at peace with yourself you become successful you go to the gym and become fitter and stronger you make more money you start a new business none of these things should really affect someone else in a negative way if anything if they had a problem with you you'd think that they would be happy but no it just makes the narcissist worse because in their minds you have won and they have lost and they don't like that so when they realize that you have won they're not going to be there to support you despite how they said that there are all of these problems with you maybe they said that you were lazy or maybe you didn't make enough money they didn't like your job all of these things but then when you become more active when you get a new job or you start a new business and you make more money now suddenly that's a problem as well because in their minds you tricked people you faked your way into that and they think it's unfair they think you did it at their expense somehow they're jealous they feel like you took something from them and now they decided to take it from you and they may openly try to intimidate you they may even become violent and aggressive they may try to take you down or they will play the victim they will act like you did something to them they will blame you they will make false accusations and they will say all of these horrible things about you to other people they will start a smear campaign and all of this it should send a message to you really it should tell you that they're just not comfortable with your happiness and success that's what the problem is and then they were hitting on you all along telling you you're not good enough telling you you'll never be anything great but then when you do actually become that and you correct all of these things that they said were wrong now suddenly that becomes a problem as well you can't win with a narcissist and I know that's the title of this video but there really is no winning with them that's the funny thing it's that when they realize you have won the idea of you winning in a narcissist head is just you not being with them and you being okay because they know as long as you're with them you're not winning that's why they put you down they see it in their minds like if you were anything great you wouldn't be around them because underneath all of the arrogance and entitlement deep down they know what they are they know they're not special they know they're not all that so if you're around them in their minds you must be the same but at some level they have a point in thinking that because when you're around them it's because you haven't realized your worth if you knew how great you are you wouldn't want to be around them you wouldn't be sitting there trying to prove to them how worthy you are how special you are you wouldn't even try to do that you would just be out of there but many of us we stick around and we try to prove to them no you got it wrong I'm better than you think I'm more than what you think I am look I can do this I can do that many of us stick around and try to do that you're not going to convince them of nothing while you are with them because they see it as though if you even want to be around them there must be something wrong with you and they're actually right in thinking that they're actually right in thinking that because if you are around them it's because you lack self-love your self-esteem your self-worth is not as strong as it should be and when the narcissist is targeting that and making you feel like you're not good enough that should show you what you need to work on so yeah it's really when you walk away and things get better for you that's when they start to realize you've won and then that's when they will come back to intimidate you or they may even try to love bomb you again they may try to get back in only if they think they have a chance but if they know that you've moved on and there's no place for them in your life anymore then they will just try to intimidate you or they will play the victim they will really just burn the bridge because at that point they've got nothing to lose they know you're not going to see them the same way anyway so they might as well try to take you down and get what they can from you so yeah if you have won if things have got better for you especially after leaving them you need to be cautious you need to protect yourself because there's no telling what they might do they will definitely want to punish you they will want to hurt you and they will want to sabotage everything that makes you look like you have won because they just don't like the idea of you winning if you have won that means they have lost a narcissist are very sore losers they don't like to lose they don't gain anything from losing because they never take accountability they never learn from their faults or mistakes so they do everything they can to not lose they cheat they lie they deceive they steal and that's why you've got to be very careful because when they're trying not to lose they will come back and deceive you more they will steal from you whatever it takes to level the playing field that's just how it is when people lack ability then they have to go around it they have to find ways to cheat they engage in underhanded tactics like stealing because they know they can't win by doing things the right way and when they do that don't play their game don't sink down to their level let them play in the mud I had a haircut a few days ago no more long hair shaved it all off feels a lot better with a short hair people have said it looks better too they've said I look younger I don't think I'm that old anyway but yeah I think I prefer short hair as well let me know in the comments what you prefer do you like me more with a short hair or long hair I'd like to hear from you on that and also let me know about your situation did the narcissist realize that you have won and what was their idea of you winning and how did they react to it I'd like to know and read your comments every morning so please let me know about that too in the comment section and I am available for one-on-one coaching which you can book from my website it's narcsurvivor.co.uk and as always please click that thumbs up button below it helps the YouTube algorithm and gets this message out there thank you all for joining me on another narc survivor live video I look forward to speaking with you in another one very soon


Good morning. Welcome to CMC markets on Friday the 10th of February and this quick look at the week ahead beginning the 13th of February with me And Michael Houston It's been one of it's been a bit of a strange week actually this week because while we've seen new record highs for the FTSE 100 we've seen the DAX try and push on and We've seen the S&P chop around quite significantly It looks like that we actually could finish the week down On the gains that we saw from the previous week Which seems a little bit bizarre when you think about the fact that Three to three days this week. We've seen the FTSE 100 putting new record highs, but I think that that sort of ties into an awful lot of the indecision when it comes to Central bank interest rate policy and that indecision was no better illustrated in last week's payrolls numbers now when I recorded last week's video, obviously we didn't have Sight nor sound of those of those payrolls numbers And they were just wow. I mean 517,000 new jobs were added in January and The unemployment rate well to the lowest level in the US since 1969 at 3.4% so there's no question The US labor market still looks pretty tight and certainly I think what we've seen in bond markets Certainly reflects that new Narrative and markets are slowly starting to wake up to the fact this is Friday's payrolls report that candle there On the Thursday in the wake of the Fed meeting and the power press conference Two-year yields hit their lowest levels since back in September So not only did we hit a four-month low? The previous week, but we're now back at levels. We saw back in November at 4.5% And I think slowly and surely Markets are waking up to the fact that hey, guess what we're not going to see rate cuts this year and The Fed may well have quite a bit further to go when it comes to raising rates something that I've been saying for quite some time and You know, I've been scratching my head as to why the NASDAQ Has continued to hold up fairly well But certainly I think this week we are now starting to see some evidence That the messaging is trying it is finally starting to get through It just makes pals. I think Reticence and his nuance all the more puzzling when it comes to Outlining a path for future interest rates, but certainly what we have seen this week from a number of Fed speakers and on Wednesday We've got Fed Vice Chair John Williams echoing pals comments But he also went a bit further. He said the rates might need to remain restrictive for a few years Now no Fed policymaker has said that before certainly not in such clearly defined terms And I think that that is significant He was then followed by Minneapolis Fed President Neil Kashkari who reiterated his own comments from earlier this year But the Fed needed to see a terminal rate of 5.4 percent Before a pause while both Governor Chris Waller as well as Lisa Cook followed up with hawkish comments of their own so the impact on yields has Been fairly significant because we've held on to the gains that we saw on Friday as well as the gains that we saw on Monday and we're back at 4.5 percent now that is significant I think if we can move through 4.5 percent again, it's going to be much much harder to justify valuations on US markets particularly in the tech sector because the tech sector despite the fact that we've moved quite a bit higher on the two-year Continues to hold up reasonably well But I think what's significant about that more than anything else particularly if we look at this chart here Is how well this fib level has held 12,850. It's a double fib So basically we've taken the highs of last year the lows of last year We've retraced 38.2 percent and it's been a fairly decent level It doubles up on both sides of the equation Going from the lows there to the highs there and 38.2 there and it's 38.2 there So it's a significant it's a significant obstacle on the upside and we do appear to be starting to roll over again Over the course of the past few days, I think the big question is whether or not we start to see a a move back Towards these sort of areas around the 12,000 level and I think the only way that is going to happen is if US yields continue to edge higher and I think that's one particular area of the market that I will be keeping a close eye on not just the two-year but also Slightly longer term in terms of the five-year as well because while we've seen a sharp move in the two-year The the moves at the slightly longer end While they've been pronounced They they are the yield on the five-year for example is at 3.88 percent. So it is still quite a bit lower So I'd want to see that gap Start to narrow and at the moment. It's still it's still widening out particularly on the twos twos five twos tens as markets start to price out the possibility of aggressive cutting over the course of Over the course of the curve That's not to say that we won't see cuts in 2024 We could well do but certainly I think to be pricing them now is a little bit premature Certainly given the fact that oil prices that seem to be having Seem to be struggling to go lower even as natural gas prices are continuing to Find the air quite a bit thin and I'll continue into drift a little bit lower. So Earlier today we saw fourth-quarter GDP out of the UK economy came in at zero percent So on a on a technical basis the UK has avoided a technical recession Though I think the nuance of that will be lost on an awful lot of people who are struggling with the cost of living Whether you see zero percent growth or a Plus or minus naught point one. I think is neither here nor there But at least it gives the politicians room to say we're not in recession Even though it probably feels like it to an awful lot of people Having said that the fact that the UK economy is probably not in recession Against all the predictions of the OBR and the Bank of England. Yeah, they got it wrong again That's not to say that we haven't got a Significantly difficult quarter coming up actually a Significantly difficult first half of the year given the fact that we got a whole raft of tax changes coming in in the April budget and AstraZeneca earlier this week touted some of those tax changes as the reasons why they decided to locate a A new office or a new laboratory in Ireland and not in the UK something Pascal Sorio the CEO Made a particular pointed mention of now and this is I think this just highlights perfectly You know the the economics almost the economic illiteracy of The current government, you know if you raise taxes. Yeah, okay the percentage headline rate may be higher But a higher rate of nothing is still nothing And ultimately it's better to get a smaller percentage of something than a higher percentage of nothing But it's something that politicians of both sides appear completely at odds with Obviously the talk this week has also been increased windfall tax or you know increased windfall taxes and all the oil majors all predictably boring and But nonetheless, we've seen the FTSE 100 Continue to make record highs this week and despite the initial The initial open slightly lower But the FTSE does continue to look fairly resilient and you know despite the Fairly lackluster economic outlook. I Still see plenty of us. I certainly see no reasons why The FTSE 100 can't continue to benefit At the expense of some of the more highly valued areas of the market Certainly, we certainly we're certainly seeing that in the earnings numbers that are coming out particularly in some of the bigger cap stocks like AstraZeneca like BP and Like Shell, but we're also seeing very decent recoveries in the likes of the airline sector So for the travel and leisure sector, so In the 250 the airlines have been the biggest the biggest You know the biggest gainers so far year-to-date companies like Whiz air easy jet obviously I AG who own British Airways Intercontinental hotels kind of all cruise lines as well. So travel and leisure sector has been Has been a key beneficiary of this recent rally in markets and it was notable that In the GDP numbers that we saw this morning that To travel and leisure support services and what have you contributed 14.8% growth in the Q4 GDP numbers Which is a fairly decent tagline if you want the economy to grow book a holiday outside the UK Because that will help the economy So yeah, as I say, that's a that's a that was one of the key numbers that sort stood out from me, so I'm still of the opinion that we can head towards the 8000 level in it over the course of the next few days and weeks Particularly given the fact that the pound is probably not going to be That strong we could certainly see it move up to 125 and 130 But certainly on a historical level is still a fairly fairly low levels. The only thing that would cause me to revise My outlook for the FTSE 100 is a fall below This key area of support through here at the moment The dips that we've seen thus far have managed to Stay well clear of that. I'm hopeful that will continue to be the case. I'm looking at the DAX We've started to see a little bit of a slowdown there Certainly a negative certainly looks like a negative week This is a little bit worrying this little doji here does appear to suggest that above 15,600 the area is a bit thin So that could see a dip back to 15,000 in the short to medium term but overall again the trend very much is Positive from the October lows. So again, no reason to Push back against a by-the-dip narrative when it comes to the DAX Euro-dollar we've seen a big fall in Euro-dollar over the course of the past week from where we were last week at the moment Holding above the 50-day moving average And that as that that exacting is a fairly decent area of support. So keep keeping an eye on that If we do fall below the 50-day moving average, then we could see a little bit of a slippage back to 106 20 but Given where we are at the moment, we could see a bit of dollar strength, which could bring us back all the way down here But certainly on the basis of this price action alone We've got resistance at around about 107 80 108 So that peak there and also that low there So keep an eye on that particular level 108 108 20 if we can get back above that then we could Have a retest of the highs, but at the moment does look it does appear that The the the euros a little bit range bound at the moment similarly the the cable the cable Found support on the 200-day moving average and it's currently being capped by the 50-day moving average. So again 200-day moving average is currently supported The move lower from the peaks that we saw at the end of January keep an eye on that area of support around about 119 and a half If we can if we can hold above that and there's no reason to suppose that we can't continue to push higher But what is interesting is well the 200-day moving average is still falling The 50 day is starting to roll over. So that is an indication that The market is becoming slightly more Undecided about the future direction for the pound in terms of euro sterling Particularly given the fact we've got a whole host of UK data coming up UK CPI UK unemployment UK Wages UK wages which are due out next week and are likely to give us a distinct insight into Whether that wages inflation gap is continuing to narrow it has been over the past two or three months Since the October peaks of inflation at 11.1 percent, but certainly not fast enough for my liking Looking looking at euro sterling. We've seen a bearish reversal on the Monday. We had started to drift lower That's encouraging But we we could we could be susceptible to a little bit of a pullback towards 88 70 88 80 but with euro sterling, I think it's still range bound and Now while we have squeezed higher and we have made higher highs We asked we could well we could well retest These two moving averages here, which basically supported a Previous move lower so range bound on euro sterling But again here it does look a little bit of a by-the-dip trade on euro sterling. So looking ahead, I think US CPI is going to have a huge bearing on what happens to the dollar next week It's been it's been trending lower for several months now Jay Powell that chair has pointed to Disinflation retrends playing out in the US economy. I think that was part of the narrative But an awful lot of people latched on to disinflation Not deflation disinflation, but I think an awful lot of people were conflating the two You know, it's no surprise that we are starting to see inflation slow in the US It peaked in the summer and it has been coming down Slowly ever since now in the December CPI fell to 6.5 percent Core prices fell to five point seven percent from six percent It's heading in the right direction But I think if anything There's you know, if the markets have taught us anything is, you know, don't try and front-run the Fed too much or don't try and Assume what the Fed is going to do too much because that Friday payrolls report has really upended the Apple cart and it wasn't just about the Employment report on Friday. It was also about the ISM Services report prices paid there are at sixty seven point eight. Well, that's well, not that's well north of the fifty Stagnation level so there is still significant services inflation in the US Wages also still appear to be looking reasonably resilient So on a month-on-month basis, we're still expected to see a fairly decent US CPI number of around about 0.4 0.5 percent Now that won't mean that we won't see a slowdown in the annualized number I think we'll probably it's being predicted that that will slow to six point two percent from six point five Core prices are also expected to fall further from five point seven percent in December to five point four percent year-on-year In January, but again, that is still well above the Fed's target rate And I think whenever you see these numbers, that's what you've always got to bear in mind any prospect or thought That the Fed will be cutting rates this year I think is wishful thinking and certainly the reaction of the bond markets this week Over the past few days has certainly reflected that realignment in Market expectations when it comes to the Fed rate path the message Finally appears to be sinking in UK CPI base rates now four percent and I think the attention at the moment is turning to when the Bank of England might be likely to signal a pause Well, certainly, I think the Treasury Select Committee earlier this week which saw Andrew Bailey Sylvia Tenreiro and Jonathan Haskell testified to MPs highlighted how much Fragmentation there is on the MPC Sylvia Tenreiro even went as far to suggest that she might be disposed to vote for a rate cut But she didn't actually specify when now, you know, I'm all for diversity of views and not Indulging in group think absolutely, but a rate cut when headline CPI is at ten point five percent And it's likely to stay above ten percent next week when the January numbers. I mean really I mean that just I Mean that that just beggars belief that an MPC policymaker could think that with headline inflation Training it above ten percent and grocery price inflation at sixteen percent that somehow Cutting rates to push the pound below 120 and push up import prices is a good way of trying to keep a lid on inflation I mean it I Was sitting shaking my head in disbelief Fortunately, it's a minority view which I think is only probably shared with Anna with one other MPC member So it's unlikely to see the light of day But certainly I think if she does vote for a rate cut that could certainly be perceived as dovish even if it doesn't carry a majority So CPI expected to fall to ten point one percent in the January numbers unemployment is expected to remain steady that's due out on the 14th Valentine's Day and wage growth We're expected to see further increase from the current six point four percent Rolling three-month number for December. So it's UK CPI for January It's the unemployment and wages rates for these rolling three-month period to the end of next year We've also got US retail sales As well as UK retail sales got US retail sales January on the 15th And after declines of one percent and one point one percent respectively in November in December With the December numbers, I think affected by the cold weather We are expecting to see a bit of a rebound a new year bounce in January for US retail sales of one point seven percent So I think if we do see that and we see a fairly resilient CPI number that will reinforce the narrative of Higher yields or stickier yields in the US and potentially go further to undermining The idea that the S&P and the NASDAQ continues to rally in the way that they have been over the course of the past couple of weeks UK retail sales January It's hard to make a positive case Obviously, we've still got strike disruption. We still got rail strikes We've we've got NHS strikes. We've got ambulance strikes. We've got border force strikes Civil servants are going on strike. The teachers are going on strike I think it'd be easier to list the people who aren't going on strike than the ones that are Having said that the last quarter of 2022 was a poor one for UK consumers With November and December retail sales seeing sharp declines of naught point five and minus one percent respectively It's a little bit surprising that the the December one was so steep because Even if you can't go to the shops, you can always order online being said that with with Royal Mail on strike You're limited in the number of options that you have when it comes to delivery, but nonetheless, there are third party delivery services out there that you can use And the GDP numbers do show that We the services sector Did certainly save the UK economy in queue for certainly I think as we head into the new year The the economic environment is going to continue to to remain challenging. So I'm not really expecting anything Mind-blowing or earthshattering when it comes to UK retail sales for January On the earnings numbers, there's only really a couple of items of note to speak of We've got Barclays in that West Group as they announced their full-year numbers on Barclays on the 15th now West on the 17th now costume. I'm back three months ago and the profits that these banks were making were prompting Calls for potential windfall taxes on banks not contempt of your companies They're now looking to look at the banks now that the interest margins are improving And the banks are now after a decade of underperformance and now starting to turn their business models around now There are plenty of reasons why You know banks invite criticism but ultimately without the forbearance of banks during the pandemic The UK economy probably wouldn't have come through it perhaps as well as it did do and Ultimately banks still have to pay their staff So they need to be able to make a decent amount of profit and let's not forget now West Group is still 48 owned by 48% owned by the government. So dividends will benefit the Exchequer so We need to be a little bit careful and banks also pay higher rates of tax than the rest of the business only the oil Only the oil patch pays more you've got Corporation tax going up in April to 25% and there's a banking levy on top of that of 8% So you've got an effective tax rate next year of 33% at the moment. It's 27. So Barclays four-year numbers Let's have a quick pre-see of the buck or preview of the Barclays share price And we can see here that we may well Have seen a bit of a short-term top in the Barclays share price. That's only looks like a doji candle Thursday on Thursday actually. Yeah, it was yesterday and it's been a bit of a mixed bag the last 12 months of Barclays The shares dropped to an 18 months low last October since then we've seen a fairly decent rebound It's face challenges over litigation as well as governance issues Operating expenses is going to be a key metric. They're set to rise to 16.7 billion pounds operating costs We're up 14% during the last quarter q3 and profits after tax for q3 rose by 9% to 1.7 billion Year-to-date Barclays profits are down 19% Largely due to the fact that last year saw profits boosted by the release of loan loss provisions Which flattered the numbers now an awful lot of banks now are adding these back over concerns of Debt defaults and late payments and what have you so that's certainly something to keep an eye on but certainly their interest margins have improved and Certainly, there's been no indication Obviously apart from the mortgage wobble back in October that banks have been underperforming. In fact, Alison Rose CEO of now Wests Actually made a point of saying that at the moment the banks weren't seeing any significant evidence of consumer distress so That's going to be interesting to see whether or not that messaging changes When they released their four-year numbers on Friday next week Q3 numbers were a little bit disappointing Because now West reported an increase in loan loss provisions As well as concerns that a further windfall tax might be levied on profit So as I say keep it keep it keep an ear out for that net interest margin has improved significantly to 2.99 in q3 Bringing the net interest margin year-to-date up to 2.73 Percent from 2.59 percent on the business side of things net loans have looked steady throughout the year They were up to 192.8 billion in q3 from 188.7 billion in q2 That was mainly down to new mortgage lending now new mortgage lending is likely to be a dragging q4 We're certainly seeing that played out in a slowdown in the housing market for The full year now west that they expect total income to be around 12.8 billion pounds With net interest margin expected to rise to 2.8 for the full year But certainly if we look at this there's a nice trend higher Fairly decent support in and around 295 300p here But again, you've got to be a little bit careful of the chairs. Maybe a little bit toppy Certainly that was the that was the big drop In october and then we had the earnings drop back at the end of october there, but it was very short lived And now we're quite a bit higher from the lows back into 10 so Yeah bank bank bank earnings bank profits outlook for q1 q2 likely to be more challenging but certainly profit margins are looking better and we to finally finish off we got centric who upgraded their profits twice in the last six months They're certainly on the basis of the increase in oil and gas prices They up their eps forecast from 10 10 pence A share to 30 pence a share so it'll be interesting to see what sort of What sort of picture they they they they paint against a backdrop Of um some really negative headlines about the forced prepayment the forced installation of prepayment meters So their profits are likely to come under scrutiny as well when they release their full year numbers on the 16th So that's it for this week as I said just a quick summary uk uscpi uk wages uk and us retail sales Going to be I think the key um potentially key market moves when it comes to yields and what have you and particularly us markets relative to european markets but I don't I don't think anything much has really changed in the wider scheme of things more constructive european markets than us markets and um so the key macro items this week uk uk um uk inflation us inflation and and bank earnings so that's it for this week. Thank you very much For listening, this is michael hueson talking to you from cmc markets. Thank you for listening


Welcome to our video podcast discussion. I think we should really find a name for this, something that's really catchy. But anyway, what we're gonna do in this podcast is we're gonna have a conversation about our featured program this week. And if you have already listened to this program, you are probably already hungry for this conversation. So maybe you even want to, like I have cup coffee or something to eat so that we can talk about it. If you haven't listened to the program already, make sure that you visit the link that's at the top of your screen. And this program is called Street Food Around the World. And you can find that on YouTube, you can find a script that you can follow along with on our website, www.spotlightenglish.com. And we hope that you have looked through that and that you're ready for this conversation with me. I'm Liz Wade and we have... Hello, I'm Adam Navas. Yes, that's right, so... Liz, once again, we are here together, excited to dive in to talk about a spotlight program. Yes, and you know, Adam, this is part of my favorite categories of spotlight program, which is about food. Yes, food plays a big part in your life. Yes, okay, I guess I won't be insulted by that. You said it. But yeah, I love... First of all, I wrote this program and it's not all based on my experiences but some of these examples are based on my experiences. And yeah, I do, like you said, I love food. I love eating food. I love trying new food. Yeah, so I think what really made me want to write this program is a visit to Vietnam a couple of years ago. And just seeing all of the foods there that you could get on the street. Just walking down the street. So we should explain, I don't think it is necessary because street food is found all around the world. So why don't you explain to people if you haven't seen this or listened to this program, what do you mean by street food? Right, because of course it's not like food you find on the street, right? The name is a little bit weird. But it's food that you would find maybe at a food cart or somebody is walking down the street with food that they're making and then they're selling or somebody who has like a little stand and you can go visit that stand and sometimes they even have like little stools that you can eat at. Here where we are really popular is like a truck so you would have a food truck which has street food. So basically any sort of food that you can walk down the street and buy at a cart or from a person and then eat as you continue walking along or take a little break. There are a lot of, at least where we live in the United States, there's a lot of regulations. So it's not as common as other places in the world, I think. From I haven't traveled maybe as much as you but I remember when I was in the country of Indonesia, shout out to all the people listening from Indonesia. It felt like there were street food vendors everywhere. Everybody was selling something, whether it was a sweet dessert or meat on a stick, something there was just, they were everywhere. Yeah, especially like in a city, right? Where you just, you can't walk down the street in a city and not see a food vendor. And it's very similar to my experiences in Vietnam as well. Like you walk down the street and you can get any sort of food that you want. Like a big food like for lunch or just a little snack or yeah, all sorts of things like that.  What we're talking about is not just your love of food but you also love to travel as well. So it's kind of that perfect marriage of two interests, right? Yes, that is true. That is one of my favorite parts of traveling is well, being able to try new food, right? But street food makes it really easy to try that new food and to feel like you're really immersed in that culture. So going into a restaurant, you've got to find a place to eat. You've got to make sure there's enough spots for the amount of people that you have with you and you have to make sure it has something for everyone you want. Everyone's got to go there and it usually takes a long time. But street food, you can walk down the street, everybody can get something different, they can all eat it together. Yeah, and it's a great way to experience a different culture, I think, as a way to do that. Oh yeah, 100%.  You know, it's local, the people who made it, it's usually one, maybe two people who have a small, like they're the person who made it, you're not gonna get a McDonald's or a KFC doing street food. I will say though, like sometimes, okay, so here's another thing about me and traveling. I often get sick when I travel. I don't know why, but I try to be really careful about the foods that I eat and stuff like that. But more often than I would like to say, I get sick. And sometimes I have to avoid street food because it's not regular, right? Well, a lot of times when you're gonna travel to a new place, you'll read, what vaccines do I need, what should I drink the water? And there will be advice about, if you're not from that place, maybe the street food will affect you negatively. Yes, it is true. I did, okay, so I sent some pictures to you, Adam, that I wanted to share of street food that I have had around the world. It's not everywhere that I've been and it's not anything specific, but I thought it's just like fun to kind of share. So you want me to throw one up and tell you which one and you can kind of explain it? Okay, so the first one we'll put, we'll share, is a picture of you eating something somewhere. Yes, okay, so this is, I traveled to Vienna in Austria, last right before the pandemic, actually. And they have the greatest, they call them hot dogs. I think that's just like the English adaptation of the name because it's not what I think of as a hot dog. It doesn't look like a hot dog. At all, no, well, this one is cut up and it's got, so a couple different ways.   Sometimes they put ketchup or mustard or sometimes it has like cheese in it or something like that. This one is cut up into just pieces and you can see I have a little fork and then on the side it has- That's a fork you're holding? Okay, that's a tiny little- Yeah, you know, like a little poke for it? Yeah, yeah, yeah. Like a little cocktail fork. Okay. And so, and then it has sauerkraut on the side which is a fermented cabbage, right? So, and then you kind of eat those together and I think that's a very Austrian streak. Yeah, yeah, it seems like a, I don't know if it's the right word. I don't wanna speak out of ignorance. I was gonna say Bavarian, like German, Austrian. Yeah, I think it would be common in Germany as well. Yeah. It's very good. All right, let's go to the next photo. We have a photo of some kind of, let's do this is a, it looks like you're holding some kind of banana pastry or it's a, no? Am I guessing incorrectly? I don't know, maybe I should check these too. I don't know if I said- Well, it's something with some fork sticking into it with some, looks like banana to me. A banana? I don't know, on a bready thing. Oh, yeah, okay. So, but it's got, it's like a puffy bread. Yeah, yeah, yeah, yeah. It's got Nutella and bananas on it. Now this, I don't remember, this is in Hungary. This is a common street food and I am blanking on the name for it. I cannot remember it. Put it in the comments if you're from Hungary and you know what this is called. Be the first one to name this. Yes, I love it. A legit common. It is something that, it is very, very common and you can have all sorts of toppings on it. So when we went and we chose what we wanted, we were in the mood for something sweet, which is why it has Nutella and banana. I see. So you chose what goes on top? Yes, and there were, it was almost like pizza too because you could get some with like cheese and meat and you could get some with like just like sugar and all sorts of different kinds. So that was a very delicious one. This is making me very hungry. I know, right? This is why this program starts out with a warning. This program may make you hungry because it's definitely gonna. Oh man, yeah. Well, we've got, let's do one more. We've got what looks like some kind of green, I wanna say ice cream, but green ice cream of some kind? Yes, it is green ice cream. I think that one was named like Hulk flavor, but you were actually there, Adam. Okay, yes, yes, yes, yes.  Yeah. And this was in Spain. Spain, so we've got Hungary, Spain and Vienna. Green, I'm, if you know, if you're watching this and you think you know what flavor green is, put it in the comments. Cause I think you're gonna tell us in a minute, but put it in the comments and see if you're right. Cause I see behind in this photo, we've got some maybe coconut, some strawberry, some other flavors. Yeah, I think there's a lemon one. But the green. Well, I do remember that I bought it and tasted it before the person told me what was in it. Okay, so were you able to guess it? But I couldn't guess what it was. I always think vegetables are green. I'm, I don't know. I believe it was kale. Kale? I was gonna guess some kind of green tea maybe flavor. No, it was not a matcha ice cream. Okay. Though that exists. Kale, spinach, kale, something, some green leafy vegetable. Yeah, I think it was kale. I would not get that. But I couldn't taste it. It didn't taste like kale. Well, you know, you had it. And that's part of what street food is all about is. You probably got something boring like strawberry. Or vanilla. I disagreed, not boring, flavorful, flavorful. Yeah, so I love meat on a stick. So when I write, it's everywhere you can find. You don't really know what animal it came from. Could be a cow, could be a chicken, could be a pig. But wherever I travel, I look for it. And then, if I can't find meat on a stick, some kind of fried dough. So like a, we call them elephant ears. Yeah. So it's just like a big plate of fried dough. And I mean, it's the simple things. They're easy to make. And those... I think that's a very common, I mean, across cultures, I think that is a food that is always a street food. Yeah. Everywhere. Some sort of fried dough. Yeah, or you combine them into some kind of dumpling or empanada or something where you take the dough and wrap it around the meat and then fry it. Mm-hmm. Empanadas, I haven't had those in a long time. Yeah, I will say, Adam, I wore this shirt as well, especially for this program. Oh, nice. Yes, yes, yes. I don't know if everybody can see it.  I don't think you can see the... Yeah, okay, so it's Vietnam loves spotlight. Yes. Because this program talks about a common Vietnamese street food called banh mi, which I have only had once, which I wish that I could have it more, but which is so delicious as well. And so I would love to hear... Did you make a video about that? Because we do have a series of videos, a playlist on our YouTube channel. I don't think we did a banh mi sandwich. We did a video about noodles, about pho, and I made a video about pad thai. And egg coffee you did. And egg coffee, oh. Oh, now you're making me remember that egg coffee. I had forgotten about it. It was so good. Yeah. And then an iced tea, although that was in Thailand, not in Vietnam. And then there was one more street food one. You did, I think you visited a marketplace, but I don't know if you ate a food there. There is one more. I can't remember what it is, but yeah, you should check those out. I'll link them. There's a whole series of videos about Liz traveling throughout Vietnam. And you know, if you can't travel, sometimes you need to, I should re-watch those videos just because it's good when you can't travel to watch videos, watch traveling videos. It feels like you're there. It makes you want to go there, but it also kind of gets you out of your own little. Yeah. So anyway, yeah, I hope this program is actually another one that I really loved was I think it talks about elote, which is one of my favorite. Have you ever heard of this street food, Adam? No, I have not. Okay, it's so good. So you have like a corn cob, right? Okay, so it's like the corn is not off the, yeah, how would you describe that if somebody doesn't know what a corn cob is? Well, the cob is what the corn grows on. Yeah, okay. So you have the corn on the cob. You haven't cut it off yet. Yes, exactly. Okay, I'm with you. So, and then you, so you take the stuff off the corn, right? So that's how you cook it. And then you have it on a stick. So you would like it, Adam. Yeah. It's not me. The stick is better. And then I believe you roast it like over fire. And then you spread it with like mayonnaise and then some like seasoning, like cheese or and spices and stuff like that. And then you put like a lime on top of it. You squeeze a lime on it. Nice. It's so good. So it's like a method of cooking corn with some other flavors. Yeah, kind of. Yeah. Yeah, we sometimes at my house, we make an elote salad. Like we don't, we, we don't, I don't know, do it on the top. We don't go through all the steps and cook it over the fire. I'm sure it doesn't taste as good as street food from Mexico. Well, that's a good point. Part of the street food experience is an overall experience, right? You're in a new place. You're traveling. You've got the sounds, the sights, the smells of everything. And the food tastes different. It just does. Yeah, it's true. It's not just about how it tastes, but it's about the whole experience. Yes. Well, anyway, I hope that this program doesn't make you too hungry. Oh, yeah. But we would love to hear about street food in your area. I really would.  What's your favorite kind of street food? Is your, is your country known for this street food? We didn't say what, what street food our country is really known for. I don't, I don't know if we would, like hot dogs, maybe? Yeah. You know, the food trucks that I see near us are more like taco trucks. Yeah, a lot of, there's a lot that you have to be able to carry in your hand or eat it, eat it as you're walking. Right. But even so, some of those food trucks are more like for you to sit down. They're like, I don't know, fancy food trucks. Yeah, that's kind of a thing these days. Yeah, it is. Yeah. Anyway, I don't, I don't think that, I mean, there is street food in the U.S., but like you said, it's maybe not as common as. Well, in a lot of times it's associated with festivals or carnivals or different events where people will come and set up to serve a large group of people. Right. Yeah. Okay, so I got a little sidetracked. Okay. We want to hear what your street food is. And if you listen to this program, leave a comment, make sure you subscribe to this channel and that you hit the little bell so that you always get a notification when we post a video. You won't miss anything then. You can listen to the classic program, sometimes an advanced program, and then this program, test yourself all the way through those, those levels and improve your English that way. Again, I've been Liz Wade. This is Adam Navas, and you should follow us on Twitter, Facebook, YouTube. All the places. All the places. And we'll see you next time.


What's up everybody, Jason here for jaskiescasebrakes.com. This gives away 10 spots in Immaculate Football Random Teams 2 box break with this 2021 Prestige Football Hanger. This is a box break number 29 random teams. And first we do the break, we randomize the customer names and teams to strip the hits out of the hanger. And at the end of the break, we'll take all 32 customer names, randomize them and the top 10 get a spot each in the break. Number 30 is on the website that would sell out the 2 box break. Here's the dice roll, let's roll and we got ourselves a five and a four nine times. One, two, three, four, five, six, seven, eight. Josh down to Nick, six, seven. Washington Commanders at the top and the Green Bay Packers. All right, so stick to what you got guys. All right, sweet. So stick to what you got guys. All right, so this is all base cards. Lamar, Brian Burns, Montez Sweats, Sony Michelle, Quitty, Holton, Stevenson, Najee, and Trey Lantz, so the rest of this will be base. All right, let's switch teams guys and do the randomizer, good luck. Here we go, here's the dice roller, here's the customer names again, remember top 10, get in, let's roll it. Three or six and a three again, nine times. One, two, three, four, five, six, seven, eight, and ninth and final time. All right, so sorry guys, from 11 to 32 not in, but Bo, Josh, Derek, Jeff, Nathan, Nathan, Mark, Josh, Kevin and Josh. There you go, so top 10 are in. Congratulations guys, boom. Let's paste you guys in here for Immaculate, and again the next 10 are on the website to give it away and we can do the break next, appreciate it guys.


CHAPTER 10, INFINITY If the doors of perception were cleansed, everything would appear to man as it is—infinite. William Blake There was something before the Big Bang, and that something is what we will have in our future, Sir Roger Penrose. As above, so below, is a common aphorism as we see scale invariance very clearly in our fractal universe. What surprises me more than anything is how clearly the recursive nature of reality is under our noses, yet hidden. The same way an acorn becomes an oak tree, which makes more acorns which become oak trees, is the same way humans birth babies which grow up to become humans that birth more babies, is the same way that reality births more realities, a cyclic nature of infinite becoming. This would mean that we are consciousness exploring infinity, an unbounded map of experiences. We have eternally been doing this and will continue forever because it is impossible to reach the end. We are the designers of this reality. We embedded the codes that slowly titrate our evolutionary awakening. We came from the metaverse, a synthesis of AGI, XR, simulation theory, and it's exactly where we are going. John Smart calls this the Transcension Hypothesis, which is a likely solution to the Fermi Paradox. As Donald Hoffman says, imagine a candy store. There are an infinite combination of flavors that you could never finish experiencing. Embody Walt Disney and imagine the creative space of being a universe designer. Eat a machine beautiful enough that a soul would want to live in it. Eugenia Cudia. Infinite Symphony. I and my father are one, John, 1030. It's all the same being, Mira Alfassa. Take Benoit Mandelbrot's Infinite Fractal Zoom, which you can find an incredible version here on Maths Town, links in the bio. Now imagine that source point is constantly refracting infinite combinations of conscious agents evolving to experience realities. Use a limitless imagination. Think of non-carbon based, non-DNA encoded life. Think of radically different sentience, different math and physics, branching worlds where all of your possibility space from seed theory is being explored by different versions of conscious agent you. Source in essence is creativity. We are the publishers and the players. I would hypothesize that every combinatoric has an automata orthogenesis component following a similar process to Robert May's logistic map where we can program a deterministic recursive telos yet allow for a creative unpredictable trajectory enabled by incredible tools like quantum theory which give rise to free will for diverse conscious agents in this ocean of oneness. The ascension processes in these creative combinatorics are fueled by harmonic flux between polarities like we see in the science of helical coils and electromagnetism which perfectly correlates with ancient spiritual wisdom traditions like the Yin-Yang archetype which has been independently discovered across cultures worldwide. So you begin to wonder, are we all just waking up cyclically like civilizational eureka moments? Recursion and octave. Our symphony's evolutionary pacer is playing between E and F right now. There is no sharp. The awakening from service to self STS to service to other STO consciousness is learning how to play in tune with the strange attractor we designed. Lastly, I believe Darwinian metaphysics applies. So recursion is not guaranteed at the universal level. The symphony doesn't always make it past Fermi filters like asteroids, nuclear weapons, planetary destruction, bio warfare, and AGI. There are no bugs, only features. We purposely designed all these exhilarating creative components and will especially be awakening in the 21st century with all the metaverse technologies being unleashed. Consciousness exploring infinity. Sakyan 2020.


This story is called The Guests. A young man and his wife were on a trip to visit his mother. Usually they arrived in time for supper, but they had gotten their late start, and now it was getting dark.  Just off the road they saw a small house in the woods. Maybe they rent rooms, the wife said, so they stopped to ask. An elderly man and woman came to the door. They didn't rent rooms, they said, but they would be glad to have them stay overnight as their guests. They had plenty of room, and they would enjoy the company. The old woman made coffee, brought out some cake, and the four of them talked for a while. Then the young couple were taken to the room. They again explained that they wanted to pay for this, but the old man said he would not accept any money. The young couple got up early the next morning before their hosts had awakened. On a table near the front door they left an envelope with some money in it for the room. Then they went on to the next town. They stopped in the restaurant and had breakfast. When they told the owner where they had stayed, he was shocked. That can't be, he said. The house was burned to the ground, and the man and the woman who lived there died in the fire. The young couple could not believe it, so they went back to the house. Only now there was no house. All they found was a burned-out shell. They stood staring at the ruins, trying to understand what had happened. Then the woman screamed, and the rubble was a badly burnt tape, like the one they had seen by the front door. On the table was the envelope they had left that morning.


Welcome to Nursing School Explained. Today we'll talk about asthma. Asthma is a condition that can affect children and adults, but most likely in children, symptoms are going to be more severe given their differences in anatomy to the adult population, and we'll get into those differences a little bit deeper here in a moment. So let's look at the path of physiology first. So asthma, they're a genetic and environmental factors that cause problems. Now asthma is hereditary, and then it's also highly dependent on the environment that the patient lives in and grows up in. And what it does, it causes inflammation of the airways or lungs, which leads to increased airway responsiveness, meaning that the airways are kind of more excitable or at risk for going into bronchospasm. And that inflammation and edema causes secretions to accumulate. So let's look at this. This is the diameter of an airway. So normally we have the lining of the bronchial smooth muscle, and then we have the smooth muscle cells in here. And usually the airway diameter is a certain width. Now when we have inflammation of these airways and the airway responsiveness, that means that there is less of a distance or of a lumen that's open here in the middle, because this inflammation causes the airway to swell. The bronchospasm occurs, which means that the bronchioles are now even more constricting, and this inflammation causes edema and swelling, like I already discussed, meaning now the lumen, the inside of the airway is much more constricted causing symptoms. Okay, so we'll talk about how this is typically treated and how the different asthma severities are treated depending on how bad this inflammation gets. Now we talked about genetic and environmental factors that have been very important here, and triggers for asthma can be exercised. You've probably heard of exercise to induce asthma. That's typically in children, so they know that they're going to have a soccer game, for example, or they're going to be running around on the playground, and they're just going to be proactive and then take a puff of the albuterol inhaler in order to prevent any exercise-induced asthma. Now other triggers can be cold air, smoke, so when the parents are smoking or anybody in the house is smoking, that can be very bad for children with asthma, and then upper respiratory infections. Those are the most common trigger for hospitalizations in children especially, but also in the adult population. Stress can lead to asthma exacerbations, allergens, and allergens is a big one. So typically if a patient has asthma, they might also have what's called the trifecta. So it's asthma, allergies, and eczema. So these are the ectopic conditions that a lot of times people have all three of those. So if you have somebody with eczema and allergies, you might want to think maybe they have asthma as well or vice versa. Odors can trigger asthma attacks as well as environmental pollutants. And environmental pollutants, unfortunately, that is highly effective in children or affects children of lower socioeconomic status because they tend to live in areas where there's more factories, where the air quality is not that good, that might be lead in the walls, or there might be other pollutants in the house that might be making their asthma worse. And for allergens, so that can be seasonal allergies, such as pollen, especially in the springtime when everything starts to bloom. Typically these patients with asthma will have more severe symptoms in the springtime. It can also be allergies to pet dandruff, for example, or dust mites and any of those very small things that we don't typically think about. Now signs and symptoms of asthma. So it can be a dry cough and then wheezing. And I put an asterisk here and an exclamation mark because wheezing is the telltale sign of asthma. And depending on the severity of this airway inflammation and narrowing is the severity of the wheezing that we're here. Now I'll get right into this silent chest here. Again, I underlined this with exclamation marks. So if we really think about it, the more inflammation happens here, which means the more constricted the airway becomes, the less air travels through and the more quiet the wheezing or the chest sounds will be. So if somebody comes in with asthma and they have some pretty significant audible wheezing that you don't even need a stethoscope to hear and all of a sudden that audible wheezing stops, maybe even without any treatment given, that's a sign that now the sedema has got worse. So there's more constriction and now they're not moving any air at all. So silent chest and patients with asthma is a really, really bad sign. Don't mistake that for diminished lung sounds because it could be a silent chest and that means the airways are close to being closed altogether and then the patient is basically at risk for respiratory failure. So wheezing and silent chest. Now a lot of times because the airways are so constricted that bronchospasm is occurring, the patient will be complaining of chest pain or tightness. That's a very common complaint as well. Of course, they'll be short of breath depending on the severity of their asthma attack and exacerbation. They might complain of restlessness or they might be apprehensive and anxious. Of course, they're going to increase their respiratory rate because they're trying to move more air in because of this airway edema and then orthopnea, so shortness of breath with exertion. And then in children, they already have smaller airways because of their anatomy and that's just an anatomical fact. As children grow, their airways will stretch out, they'll get bigger. The anatomy of the larynx, the posterior pharynx, the epiglottis will change, but small children are at higher risk for respiratory distress because of any kind of respiratory illness, and particularly asthma here as well because of all this constriction. So children already have smaller airways. Now we put inflammation on top of that and there's a higher risk that that airway will close off all together. And signs and symptoms of those in children are retractions, nasal flaring, use of accessory muscles. There might be triparting, so they might be wanting to lean forward. You might see some tracheal tugging, which basically means that you can see the trachea moving in and out that that's a severe sign of respiratory distress and probably sign of impending silent chest and that the patient is about to to have respiratory failure. Now let's see the classifications here. So you will see in your textbooks and other literature that asthma typically gets classified into four different categories. And sometimes that can be a little bit difficult to understand and I've tried to outline it here where we have the classifications and then later when we talk about medications and treatments, so hopefully it'll be somewhat easy to understand. So first of all, step one is intermittent asthma. So that means the patient intermittently has symptoms. So that might be somebody who has exercised induced asthma and now it's springtime and everything is in bloom and maybe they get a small respiratory infection, but because their airways are already hyper responsive that they now have an asthma exacerbation. But typically intermittent asthma means that they have symptoms intermittently where they don't really need anything to decrease the inflammation they might just need to use their albuterol before they exercise for example. And the different steps here are based on the patient is classified into the step category based on their symptom frequency. So are they having daily symptoms? Are they having symptoms twice a week? There are certain tables that the providers will follow. And then the use of their Saba, their short acting beta adrenergic agonist, which is basically the albuterol inhaler, the bronchodilator. Are they using it daily? Are they using it once a week, twice a week, depending on that. Also ADL interference. So is the asthma interfering with their ability to go about their life, to go to school, to go to work, to go exercise, to do all these things that we like to do. And then the number of exacerbation. So has the patient been hospitalized for asthma before? Do they get hospitalized every spring because when they catch just a regular cold their asthma really flares up and they require hospitalization as well as nighttime symptoms. So that's particularly important in children because their symptom might be coughing a dry cough and maybe some chest tightness, but that child is not able to really communicate that. And nighttime symptoms will often be reported by the parents as the child waking up with a dry cough or waking up with an episode of shortness of breath. Then they console the child, they go back to sleep and that's okay. But nighttime symptoms are also important in classifying the steps here of asthma. So we've already determined the intermittent asthma. Then step two will be mouth-persistent asthma. So that is somebody who might have symptoms of this inflammation every day, but it doesn't really interfere with their ability to go about their ADLs. They can maybe participate in sports, but they might be more prone to these exacerbations. Now step three moderate persistent. You can see every step the symptoms get a little bit more severe. So moderate persistent is somebody who might have symptoms every day and they might be needing to use their SAVA, they're all beautiful, maybe once a day or twice a day before they go outside, before they exercise, before any kind of activity. And then step four is severe persistent. So those are patients who are pretty ill and need to be managed usually by a pulmonologist where the asthma does have an influence on their ability, on their daily activities, as well as they have frequent exacerbations and they frequently have nighttime symptoms as well. For diagnostic tests, so pulmonary function tests are the gold standard for diagnosing any sort of respiratory disorder and that mostly pertains to asthma and then COPD, chronic obstructive pulmonary disease, as well as emphysema. And those are specialized tests that will tell about the patient's lung capacity, the volume that they have, and is a very specialized test. And then the peak flow meter. So peak flow meter is a very simple device that the patient will blow into as it's a forceful exhalation. It'll be kind of like if you have a child, you can kind of tell them it's like if you would blow in and an error would come out. And it measures the peak expiratory flow. So how much volume are they able to exhale? And then the peak flow meter will give them a red, yellow, or green zone. So if they're green, means the lung capacity is doing really well. If they're in the yellow zone, that means they might be, you know, on the verge of having an exacerbation. And then red zone usually means call your doctor or go to the closest emergency room because now your lungs are really constricted that edema is happening, that we need to make sure we get you seen right away and get you treated. Now everybody with asthma should have what's called an asthma action plan, which is basically a one sheet piece of paper that tells the patient here's the medications you need to be taking daily. If you have increased symptoms, so let's say now you've caught that upper respiratory infection that common cold that's going around. So now you have increased number of uses of your albuterol and maybe it interferes with your ability to go about your day. So then the patient uses the peak flow meter and it'll gauge the yellow or the red zone. And so that piece of paper that asthma action plan will tell them if you're in the green zone, take your daily medications don't make any changes. But now you're feeling maybe some chest tightness, you have some dry cough, you have some wheezing, you use your peak flow meter and now you're in the yellow zone. So that would mean that now whatever the action plan that the provider has come up with, the patient will adhere to. And the goal is really to keep the patient from going into the red zone and having a severe exacerbation that might require hospitalization. So asthma action plan is super important here and the peak flow meter is a very simple tool that helps us determine the patient's lung volume and severity of that airway responsiveness. And there are tables available and they're based on the patient's height and gender because it depends on how tall you are and if you're male or female, what the normal lung capacity should be. And so for this is mostly for for monitoring and diagnostic tests and the peak flow meter again is a very great tool to make sure that the patient doesn't get in trouble. Now management of asthma, number one is avoidance of triggers. So if you are allergic to certain allergens or some certain grasses that bloom in the spring, then you want to avoid going outside in the spring time. You want to avoid playing soccer, you want to avoid those things. If you're allergic to pets, maybe you shouldn't have a dog, you shouldn't have a cat. If your trigger is the environment or smoke and you live with somebody who smokes, maybe they should consider stopping smoking, which would probably be the best, or at least removing themselves when they smoke. So avoidance of triggers is the number one treatment because if we avoid the triggers, we might not have any of this inflammation and everything will be great. Now when the avoidance of triggers is not enough or now the patient requires treatment, it depends on there's a whole variety of different medications. So for medications, the first line treatment is always a Saba, a short-acting beta adrenergic agonist, which is also called a bronchodilator. And really the only drug we have for that is albuterol. And bronchodilator means because we have in this bronchospasm, this constriction, the albuterol will open up the airway and let the airflow go through. So very effective treatment. And then I made here an asterisk, so that's usually somebody with intermittent asthma. If they only have intermittent symptoms, they only need to take their bronchodilator intermittently. Now when that is not enough or the patient is in this mouth-persistent category, then what we need to do, second line treatment is a low-dose ICS and that's an inhaled corticosteroid. So that's another inhaler that the patient will be prescribed. And I wrote here OWN, they usually end in OWNs, any of the anti-inflammatory steroids, so keep that in mind. So the patient will take this low-dose inhaled corticosteroid and this is a daily medication. So depending again on the patient's severity, how bad their lungs are, it'll be a once or twice a day medication. And in addition, they'll still have their sabre in case they have an exacerbation or they feel short of breath or they get sick, they can use their sabre to help them with their shortness of breath. Now third line treatment would be a low-dose inhaled corticosteroid and a laba. So a laba is the same as a sabre except that it's long acting, which is what the L stands for. So it works exactly the same way in dilating the bronchioles, but it's just longer acting. So now we have a patient who has more severe symptoms and this is usually the patient with moderate persistent asthma here, the step three. So now they're going to need more treatment, they're going to need more dilation of the bronchioles that they usually get in a once a day or twice a day dose. So third line treatment, low-dose inhaled corticosteroid plus a laba and an example of a laba is salmeterol. And again, notice that this ends in O so that would also hint you that this is a bronchodilator. Now they do make combination medications of inhaled corticosteroids and labas and the reason is that it just enhances patient compliance. So it's much easier to use one inhaler once or twice a day than using two different inhalers two times a day. The patient is less likely to adhere to that medication protocol. Now if the patient has severe persistent asthma, so these are the patients that we talked about, they have frequent exacerbations, it interferes with their ability to perform their activities of daily living. So then what they'll do is they'll just go increase that inhaled corticosteroid use and that will be a medium dose. Inhaled corticosteroids are also available in a high dose. So it'll be low, medium and high dose but it'll all depend on how the patient is doing. So typically they'll start them on a low dose because we always want to start low and see how the patient's doing, reevaluate and then see if we need to go a step higher. So fourth line, medium dose, so higher dose than the slow dose here plus a laba and again this can be the combined inhaler like an adverb would be an example. Now when the patient has an exacerbation, so now they are having a lot of symptoms, they're using the pre-peak flow meter at home and they're in the red zone. So they need to go to the hospital, the treatment there will be that they may need an increased dose or frequency of the inhaled corticosteroid. So maybe they'll call their provider and say I am now having all these symptoms, I'm asthmatic and I usually take a low dose in-health corticosteroid and the laba once a day. So that plan of action might be instead of once a day, use it twice a day now. The other option is that if the regular inhaler, the meter dose inhaler doesn't work, some patients might also have a nebulizer at home which is a machine where it's kind of like what they use at the hospital that's a mask that has a reservoir for the medication and it'll be nebulized so it'll be medication that's inhaled over long longer periods of time three to five minutes or so that nebulizes the medication and it's just a little bit more of a significant treatment rather than just one puff of their amputero inhaler. Now with the exacerbation they might also need systemic corticosteroids so that will usually be done IV or PO and usually a very short course would be sufficient here and I wrote down here again dexamethasone and methylprednisolone and those will be IV or PO medications and again they end in OWN because we know the OWNs are our steroids whether it's inhaled or PO and IV. Now one very important point why do we use the steroids here because the physiology tells us that there is inflammation and when there's inflammation steroids work well to reduce the inflammation, reduce the edema, reduce the bronchospasm and open up the airway. Now we don't want the patient to continuously be using their amputero because remember it has side effects of tachycardia maybe jitteriness, anxious, those are not very comfortable symptoms plus it doesn't really help treat the underlying cause. The underlying cause is inflammation so the underlying cause needs to be if the patient has mouth persistent symptoms that inhaled corticosteroids and then again if they get worse, if they have exacerbations then it'll be IV or PO medications. So I hope this video about asthma has helped enlighten you about the different treatments and why we use certain medications for certain steps in asthma here. I'll be curious to hear your feedback about this. If you have any questions please put them in the comments below please share the video, subscribe to my channel, also follow me on Instagram at nursing school explained and I'll see you next time. Thank you for watching.


Hi everyone, Sean with jaspyscasebrakes.com here doing a 2017-18 Panini Don Russ Optic 5 box mega box, two random teams each, break number seven. We have 15 spots sold, so here is the list from Mateshira down to last spot mojo, Joseph Wyemiller. So teams obviously, Atlanta Hawks down to the Washington Wizards 30 spots. So we need to double up the list. We're going to copy this and like Joe likes to say, double up. There you go. So now you've got Joseph with the last spot mojo once and twice back up to Mateshira. Dice roll here randomized to see how many times we're going to analyze both lists. Six and a two, eight times, one, two, three, four, five, six, seven, and eighth and final time from Christopher Slaughter down to Mateshira. Joey, I'm a linguist. I always get the names right. I don't. One, two, three, four, five, six, seven, and eighth and final time. You see eight times from the Philadelphia 76ers down to the Detroit Pistons. Let's make this a little bit easier for everybody to read. So Christopher Slaughter with the 76ers, Nancy Ripple with the Cavaliers, Christopher Slaughter with the Hornets, Matthew Shear with the Raptors and the Suns, Jonathan Love with the Lakers, Nancy Ripple with the Mavericks, Rhea Mitchell with the Warriors, Matthew Shear with the Magic, Ronnie McIntosh with the Heat, Taylor Harvey with the Wizards, Joseph Weymiller with the Pelicans, Martin Klaus with the Nets, Nancy Ripple with the Thunder, Bob Campbell with the Blazers, Nancy Ripple with the Rockets, Bob Campbell with the Kings, Martin Klaus with the Celtics, Matthew Shear with the Timberwolves, Rhea Mitchell with the Knicks, Joseph Weymiller with the Spurs, Taylor Harvey with the Grizzlies, Jonathan Loeb with the Nuggets and the Hawks, Matthew Shear with the Pacers, Jonathan Loeb with the Bulls, Ronnie McIntosh with the Clippers, Joseph Weymiller with the Bucks and the Jazz, and Matthew Shear with the Pistons. Obviously this is 1718, so we're looking at Jason Tatum and Donovan Mitchell along with Dearon Fox, yes I believe, Miami Heat, Vama DeBio, so on and so forth, so pretty good class actually. A quick trade window if anybody is in the chat would like to sort this by teams. I think OG Ananubi too, Playoff Darling, Joey has the Pelicans up for trade, I'll give it another 30 seconds, Spurs for trade as well, while you guys are trying to figure that out I'm gonna open up the first box, you have until the time that I get this box opened up, so Pelicans and Spurs both for trade, Joey has resonated to keeping those teams as well as his Utah Jazz, so let's go ahead and print the red and yellow graded rookies of these, awesome Tatum value, obviously incredible Donovan Mitchell, Vama DeBio, I mean the deeper that both the Celtics and the Heat go, it's only going to increase the value on both of those, that is true, TWC, trade window closed, final list, Joseph Weimiller with his last spot mojo, Utah Jazz, pretty good, good luck everyone, use of Nurkik, Harry Giles, Torian Prince, Hollow, wrong Celtic, Dieran Fox, Sacramento Kings, Bob Campbell, Anthony Davis, Court Kings, Hollow, for the New Orleans Pelicans, Joseph Weimiller, OG Ananubi, Toronto Raptors, Matthew Shearer, OG Ananubi again, Matthew Shearer, Vama DeBio, Miami Heat, Ronnie McIntosh, Lonzo Ball, Rated Rookie Hollow, very nice, Jonathan Loeb with the Lakers, John Collins, Atlanta Hawks, Jonathan Loeb, Tyler definitely wants to get that, I would like to do that, I think this is the box, we find the big guys, I hate to say it guys, the Dodgers look really good, luckily the Padres look incredible, world beaters Padres guys, no wonder you like to hang out with Joe, Jason Tatum, Rated Rookie, Red and Yellow, Boston Celtics, Martin Klaus, OG Ananubi, Toronto Raptors, Matthew Shearer, Rated Rookie Hollow, Miami Heat, Ronnie McIntosh, congratulations, OG Ananubi, Toronto Raptors, Matthew Shearer, kind of called it I guess, I think there's a good spot for both Andrew, Dennis Smith Jr, Lonzo Ball, Rated Rookie again for the Jonathan Loeb and the Lakers, Jared Allen, Brooklyn Nets, Martin Klaus, Brooke Lopez Hollow, Donovan Mitchell, Utah Jazz, Joseph Weimiller, I think optics look with the Rated Rookies tag and everything is so classic, I mean it goes all the way back to the old school baseball, Rated Rookies and stuff like that, the fact that that tag has been around for forever and it's so just recognizable and everything I think is awesome, nice little uh mega box there, Bam Hollow, Tatum and Mitchell, let's do it three more times guys, not too bad huh, I feel like Donovan Mitchell is one of those guys that I don't think he's going to end up staying in Utah, as much as I'm sure he loves Utah and he loves the team and he loves the fans and stuff like that I can see him being the, let's say for example, speaking to Donovan Mitchell, you heard us talking about him, there you go Joseph, let's say that he, say the Miami Heat, don't, got you a graded Kobe, nice, say that Donovan Mitchell, like the Miami Heat, don't win it all this year, they don't make it to the finals, they get to the Eastern Conference Finals and and Boston ends up winning, all right, I can see them uh trying to make a move on the Donovan Mitchell on a max contract, move Jimmy Butler, build a little bit on over around the younger base like the Donovan Mitchell, Bam Adebayo, DeMarcus Cousins, starts us off, Jared Allen, Rated Rookie Hollow, Brooklyn Nets, Martin Clouse, Bam Adebayo again for the Miami Heat, Ronnie McIntosh, Al Horford, Hollow Green, number two, 175, Boston Celtics, Martin Clouse, Markel Foltz, Rated Rookie, Philadelphia 76ers, Christopher Slaughter, I think he might have a big year next year with uh Orlando Malcolm Brogdon, Rookie Kings, Bam Adebayo, Miami Heat Matt, Ronnie McIntosh, the one that was was upset that I was talking about the Clippers earlier but do you really see them losing to anybody? Bam Adebayo, Rated Rookie again for the Miami Heat, Ronnie McIntosh, stacking those up now, OG Ananubi, Toronto Raptors, Matthew Shearer, Milos Tiedosic, Hollow, Rated Rookie, that was for the Clippers and Ronnie McIntosh, Jason Tatum, Rated Rookie, Boston Celtics, Martin Clouse, Rookie Kings, Kyle Kusma, Lakers, Jonathan Lope, De'Aaron Fox, Rated Rookie, Sacramento Kings, Bob Campbell, Brooke Lopez, Hollow, John Collins and Lana Hawks, Rated Rookie, Jonathan Lope, Rookie Kings, Jared Allen, Brooklyn Nets, Martin Clouse, let me ask you this Joey, if the best version, the absolute best version of the Lakers show up and the absolute best version of the Clippers show up, how do you think that game goes? You think they crush the Clippers? I can say as a fan of neither one of the teams Joey, do you think that maybe your fandom is a little bit guiding that that thought process? Whoa, whoa, whoa, Joey, they definitely don't have a deeper bench, hence Montrezeal Hurrell getting the sixth man of the year award and nobody from the Lakers being up for that award, I don't think, so not a deeper bench. I think the problem with the Lakers is their bench, is that they don't have the ability that if LeBron or AD comes out to hold themselves together. John Collins, Rookie Kings, Atlanta Hawks, Jonathan Lope, BAM on a bio, Rated Rookie again for the Miami Heat, Ronnie McIntosh, John Collins, Atlanta Hawks, Jonathan Lope, Atlanta Heat, that should be a good cop movie, I'd watch it, cop show, based in the mean streets of Atlanta, Jared Allen, Rookie Kings, Brooklyn Nets, Martin Clouse, Jason Tatum, right before we close out the break, Martin Clouse, Boston Celtics, let's see if we can get one more Donovan Mitchell, O'Gee on a newbie, Toronto Raptors, Matthew Shearer, Yannis, Milwaukee Bucks, Joseph Weymiller, and no more Donovan Mitchell, but overall a very nice break, as it should be, loaded to class, and guys that was 2017-2018 Panini Donruss Optic Five Box Mega, two random team each, box break number seven, I'm Sean, jaspyscasebreaks.com, we'll see you next time.


but another question you have to ask is did you really believe that you were going to win that game? each and every one of you when it got tight there was only a couple of minutes left you were down a few points after being up for most of the game did you actually believe you were going to win? again i'm not asking you that that's a question that you have to ask yourself and if you want to earn the right to believe that you win close games and do that during practice do that during field study do that during workouts you earn the right to win close games by what you do on a daily basis you earn the right to win games by what you do in practice it can't be the type of team that just shows up on tuesday and friday and expect to win close games you have to do that in practice and you have to pick each other up and you have to support each other every night somebody's going to be on somebody's going to be a little bit off so now moving forward it's just a matter of how how much you guys learn to play together how hard smart and consistent you can do the little things and what is your response going to be?


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