a little difficult to talk about this. There's no drama here. This is like a personal video, but it's also a video where I'm hoping for your guys' help because the only other people that see or hear from me every other day beyond the people that live in this house, you know, my children, my fiance, are you guys either because I have a video every day, live streams, all that jazz, or because I'm active over on Twitter at Ninty Prime and I'm putting out updates about a whole bunch of things, commenting on different things, whether it's about my life or about whatever.  Also, people would like to see my kids more involved in some videos, and maybe that'll happen down the line as I come up with more video concepts, but really, this isn't about drama. This isn't about whatever, you know, my fiance, I'm breaking up. In fact, we're actually moving forward with wedding plans at this point, so thank you guys. It's been a decade of being with that wonderful woman, and finally, we're moving forward with actual wedding plans, planning to get married at some point in 2022. In fact, we already have our honeymoon book, to quote unquote, booked for next year. A trip to Hawaii should be great, but actually, this year is a big year for me. This year, I have the ability to do something I haven't been able to do in 15, 16, 17 years, however long it's been, and that is be happy with myself. Be happy with my body, I guess I should say. I'm pretty happy with myself. I feel like I'm a pretty awesome guy, love my life, love my children, love my fiance, love everything, love what's happening in college. I just had my semester start up again. I'm already doing well on that. Of course, it's week one, so whatever week one can actually mean, it's good to get off to a good start. But here's my thing. I have been struggling with my weight for quite some time.  I packed on a lot of weight. I'm talking like 100 plus pounds of weight, maybe more. I didn't weigh myself much back then because I was tired of being looked at in a superficial way. In fact, here's a picture of what I used to look like when I graduated high school. And as you can see, I was a lot skinnier. I was a lot more in shape. I was a four sport athlete. I don't have any pictures of it, but I actually had a six pack underneath that shirt. I was doing great. And I loved myself, at least my body at that time. And the problem I had as I went into college is that a lot of women, because that's what I'm interested in, I'm interested in women. Nothing wrong with other interests or other gender connections and stuff like that. For me, I'm into women and they were just mostly into the body. I didn't like that. They weren't getting to know me. So I packed on a bunch of weight, started eating like crap, started pounding dominoes, pizzas, McDonald's, fast food galore, which I could get away with maybe when I was in high school because I was a four sport athlete. But as I was no longer doing athletics and just choosing to workout or not, I stopped working out and just let my body go. And it led to not even today. This led all the way up into a culmination actually back in 2019. Some of you that were around back then already know what I'm referencing, but for those that don't, I ended up weighing over 300 pounds. I'm only five foot five. So 300 pounds is way beyond what's considered morbidly obese for my height. In fact, morbidly obese is anything like over 200 and I was over 300. I was pushing. I don't think I've ever actually said exactly what I was pushing, but I was at 313.4 pounds at my heaviest when I weighed in after a heart attack in 2019. I had a heart attack around October. I don't remember the exact that you figured I should remember, but I tried to put it behind me. I had a heart attack back in 2019 and October. And it was a huge reality hit because when I stepped on the scale after everything and they took took my weight and all that and I saw it at 313. I hadn't weighed myself in over a year. I realized I'm killing myself. The way I'm living my life, the weight I'm packing on, yes, I can argue the way that I packed on worked. I ended up meeting Yulia, my fiance, who ends up loving me for this. She doesn't. She's not really into the body. I can't blame her. I'm not into it either. But she loved me for me. She still loves me for me. She thinks I'm one of the most amazing people she's ever met and probably the most important person in her life beyond our kids. And that's a special feeling. We have a very special connection that's been built up over a number of years and through a lot of hard times and strife. And the thing is, I wanted to lose weight 10 years ago after we met because at that point, she deserved a better looking me. I deserved it. Hey, I found the person. Why am I still losing weight? But I developed such bad habits that it was really hard for me to kick my food addiction. I would turn to food anytime I was stressed out. I would turn to food anytime I was struggling with anything. I didn't matter what it was. I get a bad score on a test, better order a pizza and down it. I lose at a video game, whether it's Madden or I'm dying in like the Wind Waker HD or whatever I was playing at the time, better eat a pizza, better have tacos, which there's healthy ways to have tacos, not pizza so much. But I wasn't doing it healthy. I was eating like 12 tacos, just pounding them down, that 6 pack and a pound you can get from like Taco John's. I tried 12 pack and a pound for me. I was eating myself to death and it led to heart attack and still today, extremely high blood pressure. So I went on a journey. I'm sure you're looking at me now and you're saying, dude, he doesn't weigh 300. I don't. I went on a journey after that. I had one more small heart attack after that. And I went on a journey to losing weight. And I told myself, I'm not just going to lose weight, right? Anyone can just lose some weight, you know, drop 100 pounds and call it good, which in 2020 I did that. I actually dropped from 313 pounds all the way down to 212. I lost 100 pounds. 101 to be exact. That's amazing, right? I did it through diet changes. I did it through workouts and I wasn't even doing strenuous workouts. I was just going for a walk every day. I was walking two, three on warm summer days, sometimes five miles, a little bit less during the winter, but I was doing a lot of walking. And that walking combined with healthier eating habits led to me dropping a lot of weight. And I am happy with that. You could tell in some of my older videos, how much bigger I mean, you could even go back to me in the beginning of the channel, how much bigger I was than I am now. But I'm going to do something I almost never do on camera and I'm going to turn sideways and I'm going to show you guys what's going on because I am at a critical juncture here of losing weight, where I need your guys' support and I need your guys' not to, I don't need your money. I might look for any of that. Just the moral support. I need you to follow me on Twitter, say things in my comments, hold me accountable because as much as I love the people in this house, I'm mostly responsible for myself. And because of that, I need people to make sure I'm sticking to things here because over the holidays I packed on 24 more pounds and I knew I was going to gain weight during the holidays. I didn't realize it was going to be that drastic and it's time to get back on that journey. I was at 137 pounds yesterday, I'm at 132 or 33 pounds today, and or 100, 237 and 233 pounds. And what I'm going to be doing is from this point forward, I am going to be posting a weigh-in at the very beginning of the day. I'm going to be posting it on Twitter. And then I'm also going to be posting pictures of everything I eat every day, from breakfast to snacks to dinner to lunch.  And I want you to hold me accountable. If I skip posting a meal or a snack moving forward, I want you guys to call me out because it probably means I'm cheating. I don't want to cheat. I don't want to fall off the wagon. I want you guys to know every step of the way everything I'm consuming. I want you to know where it comes from. Not that there won't be cheat days like I'll probably have some fried fish every once in a while, but that's okay to have once in a while. But I am going to be trying my best with your guys' encouragement and reminders and even flak when I deserve it to lose weight. I am going on a cruise. I'm going on a cruise this year. It's the first vacation me and my fiance have taken in 10 years together and done anything without the kids. We have gone camping, we've gone to the Dells, but we have never actually gone with her and I outside of the state and did something fun together. And so we're going on a cruise. We planned it last year in the middle of the pandemic, which I know is still going on, because the rates were being massively discounted and it became affordable for us. So we are going in the last week of July. So my goal between then or between now and then is to be back to that weight I was in that picture from high school. And that weight was 145 pounds. That means I need to lose about 3.2 pounds on average per week. There's going to be weeks when you lose more, there's going to be weeks when you lose less, but the average needs to be maintained for me to get there. And I have some extra issues going on because I actually had a hernia from my weight.  I never do this because I'm embarrassed by it, but I'm going to turn sideways on camera. So here I am sideways. I'm a big boy, but you see this, this right here, this is from a hernia. Okay. I had a hernia and what happened is some of my internal fat, the really hard fat that protects your organs came out. And when they patched me up, they never took this fat out. I'm actually really mad about it. And they were supposed to take care of it. So, you know, this makes me look fatter than I am, but you can still see by my, my man boobies on down. I'm still a pretty big boy even regardless of that.  But what's going to happen is if it gets to a point where I've lost a lot of weight and this thing's not getting any smaller is I will obviously go back in for surgery and they will surgically remove that. Now this is like five, 10 pounds itself that they'll take. I mean, it's pretty heavy that they will take out, but that might be something that I do towards the end of my journey. For now, I'm back at the beginning and this is me sideways in all of my fatness, glory. I don't want any of this. I'm looking to go from this down to this. You see this, you see this cut down here? That's where I'm looking to be. This is where the sag begins with the belly on up, cutting all of that off in the next year. And it's going to be about 90 to 94 pounds of loss I'm looking to do. It's a lot, but it's not undoable. It's not unfeasible. And with your guys' support, I feel like you guys holding me accountable is going to be better than ever. And you might say, this is embarrassing, Nate. Why are you turning to the internet to help you? And that's because I need you guys to help me. I believe you're posting about my workouts every single day. I am using an app on my phone, which I'm recording with right now, but I use an app on my phone. I'm going to be doing this 30-day fitness app because it's free every single 30 days, just renewing it. It helps me encourage me to eat healthier. It also helps me maintain my workouts, which I'm going to be doing every single night. I want to get back to walking because I stopped walking over the holidays as well. And it's still really cold out. In fact, it's colder out now than it was over the holidays. Welcome to weather in Wisconsin, global warming.  But I know that I want you guys to support in this.  You think this is embarrassing and I shouldn't talk about anything personal, that's fine. This isn't drama. This is me trying to get healthier for me and also me wanting to, you know, for the very first time I've ever gone on a vacation with my fiancé to feel good when I take my shirt off. I want to be able to take my shirt off on the beaches out in the Bahamas and feel good about me as a person and about where I am and what I've achieved and then maintaining the body that I end up with.  That's fine. Think what you want. But I need you guys to support. I already, this is day two, I already admittedly I had a couple of red sticks today, should not have had that. That's why moving forward, I want to post all my food on social media. I want you guys to critique it. I want you guys, you can give me healthy recipes if you want. Remember I have a family to think about as well so when I'm making food I got to think about my children who can have more calories than me by the way. So sometimes I can make calorie rich, like more calorie rich things for them that's smaller for me. You know like maybe I have a chicken salad while they just have a side salad and then they also have a main dish. I can, I'm pretty good at avoiding eating with the kids eat but I need you guys's help in the worst of ways. I think with your encouragement, with your advice, with you holding me accountable, with those weigh-ins, make sure I do those weigh-ins, make sure I'm taking all the pictures of everything I eat, make sure you know I'm drinking enough water. I won't really post, I'm not gonna post every time I fill my water up but you know, thank you guys. Thank you guys ahead of time. This was hard for me. I never, I literally never turn sideways for anyone. When I'm talking to people I always make sure I'm forward.  I'll see how like it looks a little better but this is where it's really at. It looks a little bit like I do things to hide how fat I really am but I'm a big boy and it's time that I finished the weight loss journey. I started back in October of 2019 and I finished it off strong this year ready to go for a cruise where I'm the man plus hey I'm sure you guys aren't going to complain about me being a better looking person for YouTube. There's already people that think my face looks good and everything but imagine that you know I get some actual pythons here and you know a more chiseled body. Won't that be cool to look at anyways? Even as a even as a fellow man I admit a lot of the youtubers I watch tend to be in pretty good shape. You'd figure that would inspire me but really doesn't. But I also don't want to die and I also want to be as healthy as I can for as long as I can and I want to feel good about taking my shirt off which I haven't felt in a long time. All right folks thank you guys for tuning in thank you for listening to my little spiel and I'll catch you in the next video.


Ladies and gentlemen, welcome. Hey, my name is Saleh Mike. I'm a power lifter, strength and conditioning coach, gym owner, apparel designer, and I'm here to talk to you about the tier list, the ultimate tier list, the raw and filter tier list of cardiovascular exercises. Now I know you guys want to get big, jacked, strong, ripped, tight, vascular, sweaty, dripping, hunk of sexy, but we don't want to die and cardio helps you not die. So we're going to talk about it today. Now when we're talking about purely losing weight, we're going to be talking about maybe strength and conditioning, power sports, athletes, and then we're just going to talk about fun because the biggest thing that matters in our nutrition and our cardio or any workout plan or regimen is that we can stay consistent and a biggest key of having consistency is having a little bit of fun, having a plan. Number one on the list, swimming. I eat Michael Phelps. In the scale of things, I'm actually built the exact opposite that Michael Phelps. He's probably got a huge dong. He's tall, very lanky. He's got webbed feet, large hands, and I think he enjoys marijuana at frat parties in between winning gold medals. I don't swim. I can. I'm elegant. I'm graceful. I'm an athlete. But in terms of this cardio world, not really my gig. If you enjoy it, by all means, I actually think for all factors, bodybuilding, strength and conditioning, and just having fun, it's actually one of the most underrated options. It's very low impact, easy on the joints. If you're out of shape, injured, overweight, or if you're fit, you can still get a quality workout from that. We're going to dump it up, actually, starting off with a bang in the A tier. Little side note, if we're trying to burn calories, we're just trying to get leaner. Number one is going to come from nutrition. You're going to burn way less calories doing any kind of exercise than you think you are. 30 minutes going pretty ham on almost anything. You're going to burn anywhere from 200 to 500 calories. So if you're really trying to lean up, it's all going to come from nutrition. Now this can complement and supplement that with extra calorie burn. But our overall days calories are neat. Our non-exercise calories activity is going to be bigger. How much are we walking? How much are we standing?  Number two, the skier. Now the first time I've seen these for a long time, I've worked with the CrossFit community over 10 years, helping them with some strength and conditioning, worked with Reebok and been around the games, et cetera, et cetera, not as an athlete. So I've seen these for a very long time, but the first one I actually used was with Tim Kennedy, we were just in Austin, Texas, and we went through a crazy killer 1,000-mic killer workout with him, and we used it. My abs were crushed, and because I'm freaking cranking on this thing. It's really hard. It's actually kind of fun. It's way different. Obviously, most cardio when we think about it is lower body base. This one is upper body base. So I think for a lot of people, it's a great switch up. So I'm going to throw it in the beats here.  If we're talking the fun factor, the balls are definitely an S.   I'm slowly forcing myself to enjoy it lately. Playing sports, I used to play basketball for six hours straight, not even blink an eye. When I'm chasing something and have a goal, it's so much more fun. But when we're talking about strength, sports, powerlifting, weightlifting, or we're talking about bodybuilding, building the best physique, aesthetics we can, sports are probably too fatiguing to be in the S tier. So for the fun, it's definitely S. If we're talking about overall, you know, kind of aesthetics, bodybuilding, powerbuilding, whatever your goals are, sadly, I love sports. It's going to go into D tier. The localized fatigue, how tired you're going to be from those sports will take away from your future training sessions. And to maintain as much muscle as we can while we're cutting or while we're trying to gain weight and muscle, we have to put that energy into the lifts that we're doing. Next, probably the same thing, sprints, athletically, great movement. And you would think it would tie in with strength sports, but the truth is, it's just too much fatigue localized on your legs, depending on the sprint you do. Yes, sprinters, especially at the top level are jacked and they obviously sprint a lot and lift a lot of weights, but their performance in the gym is purely to compliment their running, not the opposite way around. Sprinting doesn't really compliment your lifting the same way because sprinting has to be all out for it to be accessible. Whether you're talking about hit, high intensity interval training where you're doing sprints on time, or just any all out explosive movement, that's what the sprint is, that you're going a hundred plus percent. And that is the goal and that is the stimulus that you have to input, but again, it'll take away from the rest of what we're doing. So in terms of fun, it can be a lot of fun doing hill sprints, sled sprints, racing, et cetera, et cetera. But for our ultimate goal, it's probably going to go down in the C tier. If your number one goal is to have the sickest physique or be the strongest powerlifter or weightlifter, sprints I would utilize very minimally.  You can walk obviously a little bit faster than your strolling pick and roses. But that's easily going to be our first S tier, not always the most fun thing in the world.  But if you get outdoors, get a little bit of vitamin D, people watch, walk to a destination. That's why I ride my bicycle as my main transportation when I can, when the weather's good. Probably going to throw in the S tier too. It's such a underutilized tool. You can obviously do sprints on it and start to push yourself a little bit. I did 10 miles in about 40 minutes the other day and I was pushing pretty hard against some wind. That's a pretty high calorie burn for one, for my dieting. And then two, you can also just cruise and turn it more into a leisurely thing so you can have some fun. Again, having a destination helps a lot. Rowing, we just did a McGregor documentary episode on my podcast. So 50% of facts, if you guys are into podcasts, we drop two a week. We do movie reviews, we talk hot topics in life, aliens, and also powerlifting in sports, but we talked about McGregor's new documentary where he's rowing like a mother on that thing. And I've actually gotten a lot more into it now as I'm layering it with my assault bike. Twice a week, I'll do some kind of metabolic conditioning, something from 20 to 30 minutes that I'm pushing a little bit more, you know, in the 78, 7, 8 RPE scale. I'm not sprinting, but I'm not just going for a bike or walk. And the rower's been a big piece of that for me. Doing stuff like a rower or a swim may be a great piece to add in. Next, overall, just hit. I'm going to throw these in F just because we're talking about a category. Nothing in itself is magical. It has a big clickbait buzzword cliche. Is interval training great? It can be. Are sprints great? They definitely can be. But it all depends on how you utilize it, how you program it. I'm going to do the same with lists just because it's this category of buzzword. Low intensity, steady state cardio just means things that you can do while you're doing them, you can basically talk like I'm talking. Maybe slightly more, but you're not heavy breathing. Something like a high intensity sprint or any type of sprint at all, at the end of it, you should not be able to speak an easy sentence. And while you're doing it, there's no way you can talk. Emom workouts. On the fun scale, something like that is great. That's kind of what I've been doing on my twice a week with a try to grab some of the guys from the gym at Third Street and have some fun every minute on the minute. So you have an exercise, a set, a rep, or a couple of exercises that every minute you start a clock, every minute hits, you'll do some. So it could be something like five calories on the assault bike, four med ball tosses, and four toes to bar or something of that nature. And you're going to do, I guess, a superset for my bros out there, three exercises in a row. And then whatever's left in that minute, you get to rest. And then the next minute hits, you do it again. Again, on the fun scale, it's great for purely hypertrophy, bodybuilding, aesthetics, and powerlifting. It's probably nothing that special, although it is a tool you should have in your tool bag. We'll throw it in the C tier. Number one, my new best friend, the assault bike, the spin bike, the fan bike, the old school bike, whatever you want to call it. I do think actually for multiple reasons, this is probably one of the best tools you can have. I'm throwing it in the S tier. You can ride nice and slow. It still has some resistance. So for warming up, like squats and deads, I think it's superior to walking and even bicycling just based on the strength curve and the profile of it while you're pressing it. It really does get blood into your legs well.   Low intensity rides on it, hell. It's a really good piece. Jacob's Ladder. So it's basically a revolving stairs of wood planks that you use both your hands and feet to climb a ladder. I'd seen it in gyms for the last 10 years. It's obviously gotten a lot more popular lately. Again, it's something I've never actually used myself. I'm not a plate on it, but I never like really did a workout on it till we were with Tim Kennedy. I blacked out by the time I was on it at that place. So I don't really know how I felt. It was very difficult. It's a great piece. Again, it's something you could probably utilize both low intensities, moderate and more sprints on it once you get more coordinated. If our pure goals are bodybuilding, power building or powerlifting, strongman weightlifting, it's probably not on the top of my list. We'll throw it in C. Last but not least, this is my personal opinion. I don't care about the rest of it, running.  I don't care if it's trendy online.  I don't even understand it. I understand this mental toughness everyone's trying to go through.  I've never liked running. It's not for me. It might be for you. I won't judge you, but I won't be your friend. Running's going in the F tier. Ladies and gentlemen, the official cardio ultimate, the only cardio tier list you need on the internet. Share it with your friends, man. New content every single day. 3sb.co for all your gear. Appreciate all the support on our birthday sale. We got a brand new launch coming very, very soon. So stay tapped in. GoodCompanyDiscord.com if you want to join the community. Exclusives, discounts, and you get first dibs on all launches. So if you've missed something in the past that's sold out, it's because you're not in Discord, get there. GoodCompanyDiscord.com. I'm Silent Mike, Third Street Barbell. Check us out, Sacramento, California. Appreciate you guys so, so much. And then we'll catch you in the next one.    I appreciate you being a part of something big in yourself, community and culture. Silent Mike, we're out.


So, hi there. My name is Ingrid Holm. I'm one of the investigators in the Baby Seek Project, which is a project that's a combined project at Boston Children's Hospital, Brigham and Women's Hospital, and Baylor College of Medicine. So what is the Baby Seek Project? So the Baby Seek Project looks at answering the study question, should genomic sequencing be performed on newborns? So in our study, we're enrolling newborns, half the families enrolled will receive genomic sequencing, and half of them will receive standard of care. Families and doctors are then surveyed on their experiences, and the infants are followed over time. And the really goals of this study are then to compare the experiences in the families that underwent sequencing compared to the families who underwent the standard of care. So we are exploring the impact of genomic sequencing of newborns on families and providers. So there's three kind of major domains that we're looking at. So we're looking at the medical domain. So what is the impact of sequencing on the individual and public health? We're looking at the behavioral domain. So what is the impact on physicians and parent behavior? And we also have an aspect on looking at the economic domain. So what is the impact on the health care system? So what type of results are provided to families? So as I said, we have two groups. We have the control group, and the control group, which receives standard of care, and then the sequencing group. So in the control group, we do a fairly extensive assessment of the family tree. So we and the family history. So we obtain a pedigree and a family tree, and the genetic counselor that interprets that and provides that information back to the family. So giving them some ideas of the types of things that run in their families that might be relevant to their newborn baby. We also provide back the results of the standard newborn screening, which everybody has, and we go over those results, which are usually normal, but we go over those results with them. So in the sequencing group, we also do a family history assessment and discuss the results of that with the family, as well as a standard newborn screening. But now, in addition, we have a genomic report. So our genomic report is fairly extensive. It includes disease-causing variants associated with childhood onset disorders. We also provide information about carrier status. So these are variants that the baby may carry, but needs to have two copies of the gene that are not working in order to have the disease. So it means they just are carrying one of those. These are not expected to cause diseases in the infant, but may have implications for the infant as the infant gets older, as well as for other family members, as these variants likely were inherited from either one of the parents. We also provide what are called pharmacogenomic variants, which are variants that are involved in the way the body metabolizes medications. And we provide this information on two specific genes that affect two specific types of metabolism of medications. In addition, and the babies, and particularly the babies who are in the sick babies, or in the NICU, as Dr. Kingsmore talked about, we give physicians the opportunity to reanalyze or ask us to reanalyze the sequence that we've obtained to look for genes that might be specific to the condition of the child, particularly children who are sick. So who are we enrolling? So we're enrolling healthy newborns from the well newborn nursery at the Brigham and Women's Hospital. And then we are enrolling sick newborns from the neonatal intensive care unit, which is the NICU, at the Brigham and Women's Hospital and at Boston Children's Hospital. And again, these are a similar population, potentially to the ones that Dr. Kingsmore was talking about. And these, in particular, are children who we may go back and analyze a sequence to specifically look at a condition that they're presenting with in the neonatal intensive care unit. So we have a fairly rigorous consent process. So we start off with an initial approach by the research assistant. So this is a research assistant going in and seeing the family is interested in finding out a little bit more about our study. If they are interested, then we have a pre-consent enrollment session that is done at the genetic counselor. So we explore the motivations for participating. We talk about the type of results that may be returned to the family. And this is a fairly extensive process, so the average time is about 60 minutes. As you can see, it varies from about half an hour to a little over two hours. We've developed some, we feel it's very important for families really to understand our project, to understand the types of information they're getting back and what the implications might be for themselves, for their baby, for the members of the family. And so we've developed some teaching aids to help parents understand the type of results they may receive. And we've done this by developing vignettes that outline possible results for parents. So we give them examples of a disease that could be treated but is not preventable or cured. We give examples of a disease that could be treated and cured, disease that cannot be prevented or cured, and we do give a description of carrier status. So we're hoping when families decide to enroll that they really understand these possible results that they may return. At the end of the consenting process, we kind of give them a little test. We don't really call it a test, but we do go through some questions to assess parents' understanding of what they've consented to. So we have 18 questions that outlined the major components of our study. And if there's any wrong answers, we go back and just discuss with them to clarify so that we're sure that they have a good understanding. So we seem to be doing quite well with our consenting process since really most, the parents' average score on this test is 17.6 out of 18 correct and nobody has gotten more than one question wrong. So that says to us that people really do understand what they're getting into as they sign the consent form. So we then sign the consent form, and then we give parents a 14-day kind of window of time after consent to complete the baseline survey, which then finalizes their enrollment. So if parents go home and they change their mind and they decide they don't want to participate and don't complete the baseline survey within that period of time, then they are not enrolled in the study. So this outlines what participation entails for the family. So we do our enrollment in the first month or so of life. These are the top line is the baby's age and months. So they go through this enrollment process, the baseline survey, all done in the beginning before they get sequenced. Then we have a results disclosure session, which is an in-person session. At this time we discuss the results, the family history, and go over the newborn screening results. The parents complete a post-disclosure survey, and then one of us conducts a physical exam on the infant. We then do another survey at about three months post-disclosure where parents complete a survey from home. And then we do another post-disclosure visit at about 10 months after the disclosure where we discuss questions or concerns. They complete a 12-month post-disclosure survey, and we also conduct a physical exam on the infant. And I'm going to turn the session over to Megan Town, who is our Genetic Counselor and Project Manager, to talk a little bit about the family experiences.