On the breakfast, Senator Ademola Delikey declared winner of the Ocean Governorship Elections by INEC. We take a look at the preparation for the elections, torn out as well as the victory. Also on the breakfast, we'll be looking through today's newspapers and analysing the biggest stories of the day. Welcome to the breakfast in Plasti, Africa. I am Messi Bopo. It's a beautiful Monday morning right here and it feels good to be back on your screen. I mean just a few days after the elections in Oshun State. It feels like we all have been in Oshun State. But it's going to be part of the conversation on our show this morning as we proceed. I mean almost everything. I'm sure that even the papers this morning will be talking about, you know, the elections. One of it and all of that. As always, we set off with a top trending conversation but just before then I am Messi Bopo. The candidates of the People's Democratic Party, the PDP Senator Demola Delikey, won the Oshun Governorship election and that's been making the rounds. Now he defeated the incumbent governor of your progressive congress APC. That's because you have the Independent National Electoral Commissioner, INEC or Commission, I beg your pardon. Announcing that Delikey pulled a total of 400 and 3,000 votes, 371 to defeat Oyutola who got 375,027 votes. So, you know, the Oshun election, it just felt like it was a national election. There's been a lot of reaction following all of that. You could see a lot of jubilation. I mean Saturday up until Sunday and, you know, up until this moment looking at the conversation, it's, you know, it's a lot. But we quickly just look at this track and when we return, we'll talk more. Let's do this. And I expect the outgoing governments to go ahead and congratulate the Governor-Elect and let's work together. We're all from Oshun State. It's not about, it's not a war. It's not, it's not, we're not fighting. We're just contesting ideas. We are contesting programs and policies and the people have made a choice. I expect that they will be spoke monthly and they will work together with us. And I want to say that I'm proud of the Governor-Elect. This is a government of all. This is a government for all. What can you say about this fifth thing? What can you say about this fifth thing? This is a fifth thing which has been ordained. It has been long overdue. But today, God Almighty allow us to grant the effort of the suffering masses in Oshun State and Adelaide has been declared as new governor of the state. We thank God. We thank all our teaming supporters. Forget it, don't. Because they still have mandate in the last election. All living so new that our mandate, they still it. But this time, Iran, God has restored the hope of the suffering masses. Well, the dancing senator has not stopped dancing. He's still dancing. And some people say, hey, he needs to be serious and probably understand the reason why he was elected. But it feels like it's something about the family. They seem to always be very happy. And it's very important. It's very beautiful to see him pull all of those moves. But most interesting, just before we look at another one, where we talk about the victory here, is that if you look at the elections, you would understand that the reason why this defeat is or the victory is imminent is because the PDP, that's Ademola Adelike, actually won in local governments, where if you win in this local government, then it's actually on top of the game. There's no way you're going to change the game. And number one, it's Oshobo. The PDP actually won in Oshobo. The PDP also won in Uluru Day. It's biggest. I mean, if you look at this local government, they have a lot of population, densely populated. And for them to win at this, you know, this to look at government, it might just be that that's, you know, the pointer to the fact that it's a win. Now, let's also forget that, you know, in 2018, in 2018, he contested for this election. But of course, he won by just a little margin. He lost the election by that little margin. 400 votes apparently due to what was actually put out in conclusive election, a rerun after the election. But it's good to see that things actually change. And a lot of peasants have asked what could have been different this time, what really could have been different. But let's quickly take a look at, you know, the dance video, you know, dancing to that victory. Well, I mean, it's really, it's, it's very exciting. A lot of Nigerians have been, that's the energy everywhere. You see people very excited. And the trot is also not left out. You could see that already. Here's a great dancer. I don't know if he's been given that compliment. But the question is, would he stop dancing now that he's won the elections? But it feels like dance has always been, you know, part of his system. And maybe he'll continue to dance. But don't forget, we will continue to talk about the Austrian state elections this morning as we proceed in the course of the show. Away from that, let's quickly look at, you know, the issue. Very, very important issue. Or something that happened that's generated a lot of conversation.  We'll quickly just look at that video. I'm not sure if we're able to. But if you do have that video, if you haven't seen it already, I'm hoping that we can put it out there for you. And we have some audio to that. Quickly. We're having a good time here. Hello. Is it the Aleggershala? I just said hello and he left. I just...  Pardon? Who are you? Who am I? I'm an Nigerian. What do you want? I don't want anything. I thought you were...I think I recognized you. Aleggershala. Thank you. Thank you. Your Excellency. I have to... You can't talk...you can't talk to these Americans. You can't touch this. You can't touch me. You have to tell me, this is America. This is Nigeria. This is not Nigeria. You can't just take my phone. This is America. So you just tell me that. This is America. This is a free country.  I can do what I like in America. You can't... I can do what I want in America. Biden can't tell me that. I don't want you to call Biden. Biden can't tell me that. This is America. Even Biden. Even Biden. This is a free country. This is Nigeria. We are live. They touch me. If you touch me, I'll show you. I'm an American. You can't touch me. This is America. You can't touch me. You are living in a free country. This is Nigeria. You are live. This is not Nigeria. You can't touch me. This is America. Biden can't tell me that. This is America. This is America. Biden can't tell me that. This is Nigeria. This is Canada. You can't touch me. We are not in Nigeria, we are in America. We are in Syria. We are in America. So we have that particular video, I'm sure you've seen it. If you haven't seen it, then that's what it is. The Minister of Interior was in the United States. We can't verify where exactly in the United States he was, but we know that he was in the United States and you have an Nigerian who seemed to be very angry confronting him and introducing himself. Apparently he was recording and making a video of the Minister and then he went on and all of that had transpired and some people have reacted constantly. But let's look at it, some people say that it is very despicable of the Minister at the end of the day. But let's look at some of the issues that the Nigerian had raised. If you follow the video from start to finish then you would see that he approached the Minister apparently he recognized him and the Minister asked him, who are you and what's the problem? He said there's an Nigerian and he offered him a sit. I think it would have been just perfect for him to sit down and have the conversation even if you're going to make a recording or put out a video eventually. But if you look at the approach, I understand that we're very angry we're displeased with the system and not those only in Nigeria but you also have those in diaspora who are also displeased with what's going on in the entire system. But does it call for all of this behavior? So I had statements like, I'm in a free country, this is America, you can't touch me, it's free, I can do whatever I like, no that's not it. I don't even think that it's okay, it just shows that at some point we haven't really understand and maybe we're just allowing our emotions to take a better part of us. Yes, it's okay. But what's the approach, perfect? Even if you had anything to say, he was gentle enough to offer you a sit and it would have been perfect for you to sit down and have a conversation with him or rant and whatever and also record it. But he felt like, I really don't know, I mean looking at that video at that point, this is not to hold brief for the minister himself but just to say that what was the intent of the person who was recording, what exactly was he going to say? He felt like he was just waiting for a point where he could make an excuse and say something.  So as much as we say there's a lot of freedom but it does not mean that we should take that for granted. So I know that we're very displeased, I know that we're not satisfied with the status quo and everything that's going on with Nigeria but let's also not forget that you can't use a wrong approach to correct a wrong. So you will need a superior action or a power or something to correct the current situation and that would mean that your approach should be different. For me, I would think that that was a total harassment and validate in his privacy. Everyone has a right to use some private life. It wasn't that he told you not to record him, he even offered you a seat. So why don't you have a seat and have a conversation whatever it was but it felt like you were just ready and ready for it. Let's just take it easy. I understand where we're all coming from but we can't tow that particular line and hope to get a different result. It would be madness at the end of the day. We get back to this one residence complaint of the condition of Ugun State and you could see that it might just be the reason why they voted differently this time. You could see the reason why it turned out. Or just quickly look at this one and when we return, we continue with the conversation. Right, so you could see that the road is very deplorable. They talked about the condition of the roads. They talked about the issue of security and prior to this election you've had a lot of insecurity situation in the country where you have court clashes. But look at the roads. I think that this is not just applicable to Ushun State. I hope I wasn't Ugun State. I beg your pardon. It feels like it might just be complicated issues. Now residents have complained about the condition of Ugun State and if you look at the roads I think that this is not just applicable to Ugun State but it cuts across the entire federation. I don't know if the FCT is out of this because it feels like those who live in the FCT constantly say the president might not understand what you're going through because every time, I know I had a colleague I talked about and he said, oh no, when you talk about bad roads and you talk about power supply it's not something that we can relate with in the FCT and so maybe that's why the president cannot understand but not necessarily that it's within the poor view of the president because you also have the roads, I mean in this state the state governors, there are roads that should be the trunk A road and trunk B road roads that the state governor should be responsible for and you see that the car has been submerged in that floor is it something that's quite different from Lagos or the paths of the city and what is the government across the entire state doing because it feels like our government has folded their arms and they're making it look like it's rocket science it's mission impossible it feels like there's really nothing we can do about the floating because I know that this is not a natural occurrence it's a man-made situation where you have the drainages that have been blocked you have bad roads why can't we have proper roads I mean more terrible roads why is it that we have governors in different states and you also have a governor in the states the travel out of the country they go to different paths of the world they go to different continents they also go to other paths of Africa where they're doing greatly in terms of infrastructure they go to Europe and what have you don't dare see all of those things it calls for a lot of concern but it feels like the people have actually woken up and the people are taking this these are basic things it comes to you naturally because you were a citizen and if people constantly pay their taxes then what's the reason of paying taxes and not seeing the dividends of you know paying your tax why do we people pay taxes why then do people pay taxes what do we do with the taxes why is it impossible for us to have the basic things that we need as a country the people of Nigeria the people of Ogunstate are not asking for extra they're just asking that you have basic things which will also aid you know businesses let's even imagine that Ogunstate is big on agriculture and then therefore they have all the crops that you're farming it would therefore mean that they would need to transport this product you know to different parts of the country what's going on you can't even do that with horrible roads look at the roads it feels like we're in a stormy age it's totally embarrassing and disgraceful if you ask me there aren't a different question including that of Ogunstate had failed in providing the basic things what exactly is the problem I really don't know I constantly ask you know for questions but I am not sure it gets you know all of these answers why we can have roads, power supply you know you know potable water supply those basic things that it's very prominent have you ever wondered why Nigerians constantly leave this country toward the parts of the world is there anything different they want to go to places where you know there are necessary things that are working and these countries are very big on taxes not like Nigeria where a lot of people evade tax there's a lot of tax evasion going on and so just imagine that you provide the necessary things that the people need what is so difficult in doing all of this why have we constantly you know made us made the country not developing and it's okay for us to you know visit all the parts of the country and it's alright why haven't we sat back to begin to think that we need to begin to have the likes of Joe Biden saying he's taking a holiday in Nigeria you have prominent persons coming all the citizens in different parts of the world saying hey we're coming to Nigeria why can't we leave up to the expectation as a big brother of Africa and the states constantly what's the excuse but we need to move away from that we also have on our top trending Wiener's Chapel Church refuses to wear the couple over litmus I went through the story and it's quite hilarious of course I'm sure that you're going to see you know the pictures so I bring you to a bit of what has actually transpired not like we're really there but we've also done our findings and the reports very interesting so this would not be the first time that a church in the history of Nigeria a church and definitely longer to mention the name now but this will not be the first time that a church has decided not to wear the couple due to the issue of showing up not early and it's always something called African time but was this the situation in this particular case so yes Wiener's Chapel Church according to the reports and the posters made on Facebook they have the Wiener's Chapel posted they said the Ute Avenue Uyo refused to wear this couple because they arrived at the church about 35 minutes late and we guarded around the couple and it's not pictures at least that's the much we could do is this really fair or someone's on someone's big day that's the question that was popped out or you know and there's been a lot of reactions by Nigerians as regard the issue of cancellation of that particular wedding or the wedding not holding because of weakness and so people say oh you understand the dynamics of the church you understand that this is when the church time I mean there are rules and regulations so why didn't the couple respect these rules and regulation at the end of the day the regulation was put out but let's quickly see if we can run through some of the comments that's as some will say it's something they announce all through their marriage classes on the last day of your marriage class you'll be reminded that you also need to understand the consequences I wouldn't have to go there but Tim because it might just be a lot but I don't know why there chose to be an escape goat Wiener's Chapel is one church that keeps to time and I'm sure the couple knew about it and others are saying what about unforeseen circumstances and some people say the couple didn't even respect their day how can there be 35 minutes late on their wedding day it means that they are not serious Wiener's chapel are well done and couples can go back to marriage class this one says there's no amount of lateness that justifies cancellation that's exactly what happens when the Holy Spirit isn't in the place what are the fruits of the Holy Spirit? Ignorance, forgiveness, messy, kindness ETC when churches have become business centers humanity is left out in margin the chunk of people trying to justify for God's sake a lot of things can happen on the day to delay a couple from you have 40 vehicles even the clothes they are about to wear can be delayed or something no one cherishes a wedding up to the couple and no one would like to I mean it's very lengthy but the question now would be would that be a reason who claims to be an eyewitness and he said that the real situation is that the wedding was not cancelled but they were asked to fix another date because a barrel date was actually fixed I mean there was also another event where the church had to attend to at the end of the year so you had the pastor who would officiate a barrel of a church member in another part of the state and so that was why the couple were being asked you know what an eyewitness saying it was being said that you know how to show up on a ladder day but what happens to church administration really I mean these persons could be workers I'm sure that they're workers that given all of their time was it necessary that the parish pastor had to conduct the wedding I mean couldn't he have delegated the responsibility you have a lot of people working in the church and so wouldn't he have been possible for you to have someone else you know a senior member of a church or someone another pastor who would officiate the wedding and that can go on to have the barrel as much as we do not tolerate you know leapness but could he have been a deliberated term or you had all of this inconvenience I mean these are some of the questions that probably would have not been considered have not been answered but let's see how all of this pans out unfortunately that wedding did not really happen but the couples were seen taking pictures I mean the couple were seen taking pictures they look very very very happy in that particular picture that's the size of a top trending this morning we take a break and when we return it will be time for us to go through the front pages of national dailies we bet that you stay around


Okay, so talking about the fecomatoses today, and the way I decided to do this was to, like Russell said, the fecomatoses are really high yield for OCAPs. They actually do come up in clinic from time to time, especially on the Peds rotation and neuro-ophthalmology. And I remember I always get excited when a patient with one of these comes in because you actually get to see what you've been trying to memorize. And there's a, so my approach to these, I actually decided to do this table and kind of walk through the table. And the reason is I feel like these are really hard for me to remember everything. And a few of the problems are each of them have two names, at least two names. They all have some, there's some overlap and similarities between a lot of them. And the other thing is a lot of it's just kind of memorizing and remembering what goes with what. And so for me, looking at a table to see, oh, this is where this fits in, this is where that fits in, it's really helpful. So we'll kind of walk through this and pay attention and if I'm missing anything, let me know. I tried to get, stick with the BCSC for this, no I was going to have everyone flip it over. The quiz won't be bad though. The quiz won't be bad. There's someone here, Russell. So we'll just kind of walk through that and look for patterns and things that are one place and things that are distinguishing between the features. And the other reason that the fakeomatosis were hard for me, especially as a P2I2, is I had just, you know, I was really proud of my new Greek skills. I knew what fake-o meant and pseudo-fake-ik, a-fake-ik, I was like, I know what fake-ik means, it means lent. And so I remember, I was like, but the lens doesn't show up in any of these. So I actually looked up where it comes from, so fake-o means spot or lens. So this is actually from the spot part of the word fake-o and not from the lens part. So don't, you know, don't be, I would get really stressed out, I was like, but how does one of the lenses affect the lens? So the fakeomatosis at the top of the table here, I have the definition. So they're also known as neurocutaneous syndromes. I was actually going to ask you, Dan, do you, when you guys learn about these syndromes, what do you call them? You call them fakeomatosis too, I didn't know if I was just, I hadn't heard that word before, ophthalmology residency. So also known as neurocutaneous syndromes, which I think is a little more descriptive. And the characteristic is they have corastomas, haemartias, and haemartomas involving different organ syndromes. So anyone know what a haemartia is? I don't even know if I'm pronouncing that right. So haemartia versus haemartoma, am I pronouncing it right? I just sound like Turkey. Yeah, I wanted to do it with a Spanish accent. So haemartia and haemartomas are abnormal tissue in the right spot. The difference is haemartomas are growing and haemartias don't grow. And they're really good ones so long. But so that's the definition. So we're kind of walk through these. And then my slides, I just have pictures because I feel like pictures for these are helpful to understand instead of just the words, just memorizing the words. So neurofibromatosis, there's NF1 and NF2. So NF1 is the von Recklinghausen syndrome. And like I said, I feel like the things on this table are all really high yield. And probably if you knew this, you'd do well on this part on OCAPs. So it's autosomal dominant and the gene is 17Q11. Does anyone have a way to remember 17? So there are 17 letters in von Recklinghausen, that's how I remember it. That seems silly, I don't count them every time and I don't remember how to spell it but that just helps me remember 17. So 17Q11 and then the classic findings. So I broke it up into the classic findings, the other eye findings that are, that's something that's often tested and then just other findings in general. So the classic findings are the cafe au lait spots. So here's a picture of those and then as you'd expect neurofibromas or the other classic and then the optic nerve glioma is the other one that's classic. And Lychanodgules, which are iris hamartomas, is another way that those can be described. And then they also have Breckling of the axiol in the Inguenes areas. And then the other eye findings, they can get plexiform neurofibromas, diffuse uveal thickening, ectropion uvea, retinal astrocytic hamartomas, which show up in other places. The myelinated RNFL, I feel like it's tested. And then they're also at increased risk of meningiomas and schwannomas. But the optic nerve gliomas are the ones that are really very characteristic of NF1. And then other findings that also show up. So absence of greater wing of sphenoid, so they get pulsating exophthalmos with that. And then the just hamartomas in other places. Anything else to add on the one? Do you see that absence of the greater wing of the sphenoid? Yes. Is that, does that come up? Yeah. It's not coming out, but it is pulsating. Yeah, it's pulsating. So the eye would be pulsating, but they're just not really coming out. That's helpful. And so moving on, NF2, also known as MISMI syndrome, so that's multiple inherited schwannomas, I think, and meningiomas that are pulled up here. Multiple inherited schwannomas, meningiomas, and endemomas. I haven't heard of called that except on OCAP's practice questions. It was tricky for me. So this one is also autosomal dominant, and then it's on chromosome 22. So this one's easy for a way to remember. It's NF2 on chromosome 22. And then so kind of the defining classic things for this are the bilateral acoustic neuromas, which Russell mentioned. So that was the connection between our lectures. And this is a picture of that. And then the meningiomas are very common with this. And then another thing that's important is that they do not get lish nodules. It's what the BCSC says. Does that hold true in real life? No, I can't imagine. Yeah, he has to describe it. And then the other eye findings, posterior subcapsular cataract. They can also get wedge cortical cataracts and combined retinal RPE hemartomas, schwannomas, neurofibromas. They can get the gliomas. And then deochromocytoma should not be in the eye findings. I don't know why I put it in there. So any comments so far NF1, NF2? Questions about differentiating them? So moving on. So tuberous sclerosis, also known as Born-Dill syndrome. So this one is also typically autosomal dominant, but can be sporadic as well. And then there are two genes for it. And so below you see where I have it in italics, the tuberous sclerosis. The reason I have that there is that's where the abbreviation for the genes comes from. So the T for tuberous and then the SC for sclerosis. So the genes are TSC1 or TSC2. TSC1 is on chromosome 9, and it's called haemartin. And TSC2 is on chromosome 16 and called tuberin. And I don't have a good way to remember those. So if anyone comes up with one, let me know, because I need it. Because that does show up on O-cap's right console. O-cap practice questions. So there's the classic triad. So adenoma sebacea. And I have, looks like, is this there? Because I feel like that's what it looks like on a picture. Mental deficiency and epilepsy are the classic triad. Not every patient has bad mental deficiency or really bad epilepsy. There's some variability with it. So the eye findings. So astrocytic haemartoma of the retina, which does come up in a few other diseases. But it's common in this one. And this is what an astrocytic haemartoma looks like. And then they can also get astrocytic haemartomas of the optic nerve. And then the other findings that end up being really important are seizures. And I think that's where we see quite a few patients with tuberous sclerosis is that on the P's rotation, a lot of these are on, what's that? What's the other name for it? A lot of patients are on that.  So you get really a chance to see a lot of patients with tuberous sclerosis and a lot of patients with astrocytic haemartomas. And then the, so the adenoma subation we mentioned, and then the ash leaf spots are hypo-pigmented spots that fluoresce under a wood's light. And then they can also get sub-dependable haemartomas and cardiac rapid myomas. They have a high risk for those. And then the next one is cerebral facial angiomatosis. Or it can be called encephalotriminal angiomatosis. Or it can be called Sturge-Webber syndrome. And this one kind of an important feature of this one is that it's sporadic, it's not inherited. And then the, so the nevus fleumius or port wine stain, also known as spacial hemangioma, is one of the characteristics of it and it's in a fifth nerve distribution. Then they get the choroidal hemangioma that re-switches the abnormal line. So the, does anyone remember the kind of buzzword for this? It'll catch up, fundus. So it's actually this side. The right eye is the abnormal one and the left eye is the normal, more pale fundus and you can see the choroidal vasculature. That's the classic, but you're right. So what the terminal catch up fundus is, is if it's diffuse involvement, you can't have a focal involvement. And so I looked at a few pictures last night. It looks kind of the same, like, but just not the whole area. So they can also get dilated tortuous vessels of the Conch and Episcularia. And they can get, they're at higher risk for glaucoma. So the same, so this, I felt like, comes up on OCAPs, the congenital versus the juvenile. That's what I had to do with it. So they're at higher risk for congenital glaucoma, meaning they're at higher risk for angle problems. So they have drainage problems. But not all of them will get that. They're also at higher risk for issues with outflow and elevated Episcularial venous pressure. So if the glaucoma comes on later, then that's the issue. And that's an important distinction to keep track of. Then they also can get leptominigial vascular malformations if salateral to the port wine stain. And then they can't have issues with seizure and amyplasia mental belay from those malformations. And then there's Clopel Trinani Weber. It's a variant that also has the nevus phoemius, the heme angiomas, varicositis, intercranial angiomas, and then the hemihypertrophy of worms. So that's a Sturge Weber syndrome. So the next one is Von Hippel-Lindau syndrome, so also called retinal angiomatosis. And that's a tough thing for me to remember for some reason, the retinal angiomatosis associated with Von Hippel-Lindau. It's also autosomal dominant. And the gene is VHL, which is easy to remember, and it's located on chromosome three. And so my way to remember this one is that it has three names, Von Hippel-Lindau, and three locations for tumors, and then it's located on chromosome three. So the three classic locations for the hematomas are the eyes, brain, and then the kidney. And so the eye finding is the retinal angioma. And this is a picture of this. And I think this is something that's pretty distinctive. And before I had seen one, it was hard for me to keep like astrocytic hematoma, retinal angioma, keep all those distinct, or the choroidal heme angioma. So this one's actually really distinctive. So you'll see a small tumor, and then it has two vessels coming out of it, one's a vein and one's an artery. And I saw some several patients with these on the retina rotation is that have other people seen them. So they come up because they can lead to exudative retinal detachments. And then the other is they can get cerebellar heme angioblastomas, renal cell carcinomas, pheochromocytomas. And so that's Von Hippel-Lindau syndrome. And then there's Von Hippel disease, and that's if there's only ocular involvement. Next one is ataxia-telangictasia, also known as Lewis-Barr syndrome. So this one is the only one that's autosomal recessive. And so that's remembering those autosomal dominance and autosomal recessives. I remember this one, the ataxia-telangictasia is autosomal recessive, and then streach-weber and weiburn-mason are sporadic, and then all the other ones are autosomal dominant. I'm sure that's the case. Normally that's the case, right, if it's so. So on chromosome 11, and then so I like it ataxia-telangictasia, it's in the name. So progressive cerebellary ataxia, and then they get ocular cutaneous conjunctival telangictasia. So here's a picture of that. And then the other thing that I think is really important for these is they have eye movement issues. So they get super-nuclear gaze policies, impaired convergence, nystagmus, and I read the ocular motor apraxia is one of the early, and then other findings, they get the, they have cutaneous telangictasias, and then it also affects the thymus and T-cell function, and then increased risk of malignancy, generally, and coarse hair in the skin. And the last one to talk about is this racemos hemangiomatosis, also known as weiburn-mason syndrome, and this one is also sporadic, and it's usually unilateral, and they get this racemos hemangioma of the retina. So it's an AV malformation with really markedly dilated vessels. So you can, so people without this disorder can get AV malformations in the retina, but they're normally not as extensive. These are normally very extensive and remarkable when you see them. And because of these, they can get intraocular hemorrhages, which is one of the things that caused a lot of visual loss for them, that also increased risk for glaucoma, and then they can get AV malformations in the brain, seizures, peresis, mental changes, things from that, and then also other AV malformations in the orbit and facial bones. Okay, any comments on these or patterns? Anything I missed? They are tough, they're tough for me, for OCAPs, but they come up a lot, but I feel like this is pretty much this information. What the name of the disease is, what the classic findings are, some of the other eye findings, especially, the genes can come up. I was like, I think I get the lecture on this, not sure what's happening. I still have a lot of your notes from that, because... So this is the quiz. For the quiz, just fold it like this so you can see the names only. And so just name the... So these are all classically associated with one of the diseases. This is number one. This is a... Look at us looking. Right?


The type of refractive error and how common they are vary enormously from region to region. The region with the lowest proportion of children at school with uncorrective refractive error is in Africa, where it's probably less than 2% of children have a refractive error. This is very different to Asia. Countries such as China and Singapore up to 80% of children now have been shown to have myopia. So there's a big variation in the proportion of children who have uncorrective refractive error and therefore need services. The age at which refractive errors develop also varies. So children who are long-sighted tend to be younger and they grow out of it as they grow up. So primary school children may have hypermatropia, but by the time they're 9 or 10, that's all got better on its own and they no longer lead spectacles. On the other hand, short-sightedness myopia is very uncommon except in China and it tends to develop around the age of 9 or 10. So most programs for the detection and treatment of refractive error outside China focus on children aged 10 years and above. Having said that, there is a great need for services for refractive error to be integrated into Ministry of Education and Ministry of Health's school programs. These are now expanding considerably and are receiving much more support because it's been realised that children who are not healthy or who are hungry or who are deficient in vitamins or who've got worms don't learn well. So there's a big initiative to try and cover many different conditions in school aged children and refractive errors can be seen as being part of that service and this means working with Ministries of Education as well as Ministries of Health. Again, if a team is going into a school to deal with refractive errors then there are all sorts of other things they can and probably should be doing. The teachers are likely to have presbyopia which will make their job difficult and marking homework in a poorly lit home environment is going to make that task very difficult. They may have glaucoma, they may be diabetic and have diabetic retinopathy. So addressing the health needs of teachers is not only good to improve their ability to be able to do their job but it'll also raise their awareness of eye health needs generally. Children also have other eye conditions like styes and conjunctivitis which needs to be detected and treated and they may have younger siblings at home who have locally endemic diseases such as glaucoma and vitamin A deficiency and children can be used as agents of change to take health messages home so that their younger siblings can also receive some benefit from the program. So I think it's important to think more broadly than just narrowly focusing on refractive errors and this can be an entry point into schools and into Ministries of Education to highlight the needs for the eye health needs of children generally.


Building an equal and engaging relationship with our participants requires work and thought. This is because the researcher is often from a position of greater privilege, socially or economically. Recognizing these privileges is part of understanding the position that we occupy in society and in the research interaction with our participants. This kind of understanding must go beyond politeness or kindness. Divorce, devoid of such a recognition may translate into a patronizing attitude which cannot generate an empathetic understanding of the other. Experience researchers continue to grapple with these complexities. Perhaps the best way to deal with these complexities is through empathy as we go from project to project engaging with our participants. Before we go further, let us discuss empathy. Empathy enables us to place ourselves in the position of the other, allowing us to bridge distances that exist, all the distances we sometimes create between the other and ourselves. At the core of the idea of empathy lies the belief that in learning about the other, we learn about ourselves and it is by learning about ourselves we are able to better understand the other. Self-reflexivity or being conscious of our own actions and intentions is a core part of empathy. Empathy and self-reflexivity enable us to be more open, more accepting of worldviews and ideas that differ from our own. They help us see the differences in our reality and that of the other, making it possible to bridge the gap created by othering. But can empathy be actively practiced in one's work? Is empathy an inherent trait or can empathy be taught? Well, we would like to say it can be cultivated, like cultivating respect for others and for oneself. Cultivating empathy as a conscious practice is like teaching oneself new ways of seeing what is already familiar. It is literally the act of shifting our points of view so that we may be able to share someone else's perspective. For this we need to immerse ourselves in the world of the other, which we also refer to as their context. Spending time in the physical surroundings they occupy introduce us to the social and material realities of their worlds. We believe that by immersing ourselves in different aspects of the other's world, we come to understand their ways of seeing their world. So then, when we interact with them, we are able to better understand the meanings and associations underlying their narratives and descriptions. We are able to form shared meanings with them. This idea of shared meaning is central to empathy. Immersion in the other's context is broadly speaking the practice through which we hope to build shared meanings and hence empathy. Perhaps we can explain this through an example. In 1993, a devastating earthquake shook Latur in Maharashtra. Almost 10,000 people died and many public amenities were destroyed, including roads. Engineers working on road building in post-earthquake Latur wanted to find out what kind of roads were required for the town. Let's pause the video here. Do you think it would have helped if the engineers and administrators had asked the townspeople to select what kind of roads they wanted, straight or curved? Would this have led the engineers to make a correct assessment of the need of the townspeople? How would you justify your answer? Some of you may have thought it is fine to ask the townspeople to choose from two given options. Others might have their doubts. Let us see how things actually turned out. Here we have a short video from filmmakers Anjali Montero and K.P. J. Shankar. This is an excerpt from their film Punar Vasant, which is about the rehabilitation process in Latur. Most of the donor constructed villages consist of row after row of identical concrete box-like structures with uniformly broad roads. Such layouts, which have perhaps been lifted from urban housing schemes, are unsuited to the hot, dusty climate of the area, involve unnecessary infrastructural costs and do not take into account specific local needs for community spaces and access to fields. However, in some village planning exercises done by the government, people appear to prefer grid to cluster layouts. The biggest benefit of a linear grid pattern is every house has a broad approach and more important, nobody encroaches upon any open space in terms of his own influence in the village. So this is the reason why the linearity is really being preferred. It is a bad plan. It is a bad space. It doesn't suit their lifestyle. But why still people are choosing the same? Why? And I realize there are so many mistakes which happened actually that you ask questions like this, that you want straight roads or curved roads. And the obvious answer will be straight roads.  And this process of making the implicit information into explicit was distorting the product, the result. In this excerpt, we see the impact of the engineers, administrators approach to road building in Latour. The options they gave the townspeople were based on their knowledge, which had its own assumptions and gaps. It did not take into consideration the needs and knowledge of the townspeople. Had they spent more time talking and listening to people, they may have got more insights into what the people required and importantly what different groups of people required. What we want to emphasize through this example is that even a common thing like a road is not simply straight or curved. The road and everything else that constitutes our lives have many meanings associated with it. To understand these meanings, we have to understand the persons and their contexts. It is this kind of multi-layered complex understanding that we may gain through ethnographic research. And it is this that has made it the research method of choice for a wide range of subjects and projects. This includes projects which need to look into intimate spaces, homes, kitchens, ideas of the body, belief systems and so on. These are subjects which are difficult to understand through large-scale surveys or even limited duration interviews. Ethnography is increasingly applied to projects where one is trying to understand practices that are both widespread and locally rooted. It has also proved useful for understanding complex systems like healthcare and education, where one needs a nuanced understanding of people's interaction with these systems. Even when we need numbers and statistical analysis, ethnography provides a nuanced understanding of the phenomena that may validate or interrogate or further elaborate upon the numerical data. Similarly, when a project requires some kind of projection like fashion forecasting or trend analysis, ethnography can provide additional insights to the statistical or survey data collected for such an endeavor. For those of you interested in exploring ethnography for social development issues and design projects, see the additional material provided. And there is a quiz that you can take to test your understanding of this material.


I'm Wendy Lo, and I'm your friend as we journey to take your health back. We are coming to you live from downtown Honolulu in the studios of Think Tech Hawaii. Think Tech Hawaii brings you topics from about 35 very colorful show hosts with very diverse backgrounds. Today, our topic of discussion will be on rules to live by. What I would like you to take away from today's discussion is abiding by these rules helps us feel better about ourselves, our lives and lowers our stress by practicing positive life rules. It makes life easier for all, especially today's youth. Today we are very honored to welcome Janet Janelle Sheets, who has a special career of being a special needs teacher. And boy, is she special. Please share a little bit about yourself, Janelle Sheets. Hi. Aloha. Hi. I have been teaching for about 25 years. Wow. I graduated from the University of Arizona, and I have a master's in education and curriculum. And I've taught, the majority of my teaching has been in the first to third grades, but I've also taught upper grades, and this next year I'll be teaching. Wow. And so, Janelle, where do you reside? I live in northern Nevada, which is about, I live approximately 30 minutes south of Lake Tahoe and about 45 minutes south of Reno. Wow. And your husband and you are visiting here in Hawaii, and we're so honored to have you here on our show. Yes. And we're thrilled to be here. And you have children yourself? Yes. Yes. You have us. I have a daughter, Bailey, who is 26, and a son, Nolan, who is 24. Wow. How exciting. Yes. Very exciting. And I want to be introduced to you by a dear friend, Margaret, and George.  I wanted to share your heart with everyone here and your passion and your desire to make life better for our special needs population. And I know that you're very successful at doing this. Thank you. Yes.  So tell us a little bit about these honors. I was voted the teacher of the year for my school, and then I was blessed enough to also be voted the teacher of my district several years ago. Wow. And what district is this? I work for the Douglas County School District in Nevada. I currently work for the Churchill Downey School District, but I worked for the Douglas County School District for over 20 years. Wow. And I know we're going to talk a lot about your system and your style of teaching. And I also wanted to just say, personally, I know you were sharing with me that you now teach in a district, not where you reside, that you actually rent and live in an area closer to your school so you could be closer to your students. Tell us about that. What a commitment that is. My husband and I have a home in Douglas County, and I currently have a job that's about 90 minutes away from there. And it is definitely doable, the commute, but we have found it easier for me to rent a place. Actually, the place that I'll be living is walkable to where I'll be teaching. And I live there, rent there during the week, and then I travel home on the weekends to be with my husband. And it makes it easier to have easier access to the school and to the kids and just my job. Well, that kind of segues into our start of our talk, because it's about stress. And what you're trying to do is just trying to keep that stress level down for yourself as you focus on your energy so that you can work more productively with your students. I know that. All right. So I want to know from you, by looking at this next slide, what are some stressors that everyone feels at this very young age that you work with? I find that many, many kids, young people in particular, have a great deal of stress, and I think it's underestimated what kids have. And we all have stress, but I think that kids in particular have more stress than we give them credit for. They certainly have stress when it comes to school and schoolwork and friendships, but I think they also have stressors when it comes to simple things like lunch and sometimes getting to school and stressors from home that we just don't fathom or even think about. If they can get those stressors and get some coping skills taught to them at school and try to help them process those, then it carries off into their school life, their home life, and I think things just get better for them from that point on. So, you know, you're a bit younger than I am, but when we were growing up, did we, when we were of that, our generation, did we have that kind of stress upon ourselves as well? I think we had stress, but I don't think we had it to the degree they do now. Yeah, I think maybe do you think we're putting too much burden on our kids or are they taking too much burden upon themselves as well? I think it's a little bit of both. I think there's, I think technology really adds to stress immensely. Right? Social media. Yes. Right? Being able to keep up. Absolutely.  I think it's so funny. No one puts on social media their bad day. No one puts on social media the poor grade they got. No one, you know, no mom ever puts a C on a spelling test on the refrigerator, you know. So I think social media is definitely a significant cause of stress for parents and kids. It's just a small part. I do think it's a much bigger time, but stressful now than it was when we were younger. Wow. So on the next slide, we talk about your three rules. So how did you come to form these three rules for your classroom? I, when I started teaching, there were always many rules that were, you know, keep your hands to yourself. Don't talk to others. Make sure you, and I quite frankly, I had a hard time bringing them all. And I thought if I'm an adult and I'm struggling, they need to just be short, quick, easy. I came with do the right thing, do your best, and don't stress. And it was funny when I Googled these rules. The first thing that came up were actually these rules from Lou Holtz. And his ends with always show people you care.  My family, my husband, graduated from the University of Notre Dame.  And so the fact that this was the first thing that comes up when you look at it was just kind of an affirmation to me and my thoughts and feelings. But I feel like if we're always doing what we know is right, and I tell my kids, you know deep down what is right. I feel like I don't need to patronize even a six-year-old by saying keep your hands to yourself. You know it's right. Keep your hands to yourself. Don't talk when the teacher's talking. You know it's right to not be talking when someone else is talking. Don't run in the hall. You know that it's right. You know if you search your heart and your mind, you know deep down what is right. And do your best. Now that means doing your best all the time. In the library, in the lunch room, always do the best that you can. If you're drawing a picture, draw it the best you possibly can. If you're cleaning up your mess after lunch, clean it up the best that you possibly can. And then the last one, don't stress. It's amazing little things like we can be writing something as a group on the board and they might be running behind. You know I'm on number four and they're on number two. And they can start crying and getting frustrated. And I can say, am I going to erase it? You know, am I going to mark you down? No. Should you be stressing? No. And I find that if you follow these three rules, everything works out. You're okay as an adult. And they really seem to adopt and embrace the philosophy and carry each other. So if someone is starting to get stressed, another child will say, don't forget about rule number three. Don't get stressed. And they just sort of, they embrace each other with it. They really do. Yeah, they really do. That's good. And you have that posted in your room? Absolutely. And it gets to a point where I can just say, what's rule number two? What's rule number one? You know, it's just embedded in everything they do. That's great training without even training. Well, and I feel like it's, and I expect them to hold me accountable as well. Very good.  Are you following rule number three? Yeah. That's excellent. Everyone needs to keep each other accountable. Even the teacher. I feel like I need to follow those exact same rules. Right. You know, these days, how many students do you have in your classroom? I usually have approximately 23, 24, 25. And how long is the class day? Well, if I have a primary group, then I have them from about nine to three. This next year will be very different. I really felt led that I was supposed to try something new. And so I was offered to teach a sixth grade, which will actually be six separate groups of 25 kids for approximately 55 minutes. So I will be interacting with six separate groups of kids. Wow. That is a big challenge. You're going to have to learn a whole lot of names and personalities. Yes. Wow. That's a big challenge for yourself. Yes. And are these just, are they special needs, population or students, or are they all aspects of students? They're all, they're all aspects, but there's definitely some that will be special. Wow.  That's good for you. Take on the challenge, girls. You can do it. That's why you got that award. Thank you. Right? Because you're able to implement. You know what you need to do? You have your three rules. You follow them, you live by them, and everything should fall into place. Right. Especially because I can feel that you have the passion and the heart. And that's the whole idea.  You have the students, well, now for 55 minutes, but otherwise it would be a six hour day. You have them longer than their parents have them. Yes. Right? And you have to make an impact on them in times, however many in the class, times six, the class loads. So no wonder you're here on vacation to have a good rest.  Is that correct? That's what I'm hoping. Wow. Okay. So stress is real. Okay. So how did you know that stress was really real for your kids? I saw it just, excuse me, affecting them in so many ways. It was very heartbreaking to see them at times. And I think sometimes it does not get acknowledged like it should. Things like them, I think sometimes we laugh off things like she won't be my friend. I'm not invited to her birthday. It's just being devastated by very, very things that we see probably as small. And they're not small. Those when you are six, seven, eight, nine, and those are in their life, those things are monumental and they need to be met as such and they need to be acknowledged as such. Because in their life and in their mind, their reasoning, those are huge things and they need to be respected and understood as such. The other thing is if you look, so many kids manifest stress with things as headaches and insomnia and stomach aches and if you just watch them, you can find just very easy things that are triggers of stress that I just think we don't pay attention to. I think we don't really acknowledge and if we don't do that starting early, they grow up without any keys or any triggers that let themselves know their stress so that they can start dealing with it in an early age and then they grow up not dealing with it in a healthy way. In your six-hour day, you're not just a teacher teaching, you're an observer. And you have to really analyze and assess who needs what at what time by their body language. So what are the types of stresses do you encounter? I mean, acceptance, stress of being accepted, being loved, right? And then all the other, what other types of stress do you know? Academic stress. I try to really let, I try to make it a very accepting, I try to make the class, we have a thing where we say what's said in the sheets room stays in the sheets room. We have a circle. I always make sure that we sit in a circle because everyone is equal. I don't like it when you just sit in a group because the dynamics, there's always someone in the front, it's in the back, it's always a circle. And I try to make it so that we all can find, that we all have an area where we can, we all find an area, I try not to ever let them use the words easy or hard. This was easy for me, this was hard for me because every single person has something else that's hard for them and something, you know, so if someone goes, that was very easy for me. You know, that could make someone else feel very negative or very upset. That might be easy for you, but it's not for them. And I try to say that it goes throughout life. You know, math might be easy for you, but running might be very difficult. You might be very good at reading, but you might really struggle when it comes to jumping rope. You know, it's not, I try to make it a very balanced, it's not all about academics and that can be very special. That's amazing.  I know, you all, do you have a teacher's assistant? Depending on the class. Okay, because I think that's what you need because you're doing the front of the room, but we also need eyes on the side in the back of room to help to assess. But you know what, we're going to take a break right now. And when we come back, we're going to talk about the eyes of the room and all the different aspects of what you're doing and how you bring it all in in the classroom. So I'm so proud and excited to hear more from you. Thank you so much. We'll be taking a 60 second break right now. Aloha. Aloha, y'all. My name is Mitch Ewan. I'm from the Hawaii Natural Energy Institute. And I'm the host of Hawaii, the state of clean energy. We're on every Wednesday at four o'clock. And we hope that we have interesting guests who talk to us about various energy things that are happening in Hawaii all the way from PV to windmills to hydrogen, close to my heart, electric buses and electric vehicles. So please dial in every Wednesday at four o'clock on Hawaii, the state of clean energy. Aloha. Hi, guys. I'm your host, Lillian Cumick from Lillian's Vegan World. I come to you live every second Friday from three p.m. And this is the show where I talk about the plant-based lifestyle and veganism. So we go through recipes, some upcoming events, information about health regarding your health and just some ideas on how you can have a better lifestyle, eat healthier and have fun at the same time. So do join me. I look forward to seeing you and aloha. Aloha and welcome back. Today we have Janelle Sheetz with us, a special needs teacher, a special educator visiting from Reno, from Nevada, Fallon, Nevada and sharing with us her heart and her desire to just make a great impact on all her students, whether it's one child or 36 or 100 students that she's going to be taking on in a day. We're just really amazed to get into her heart. And I was sharing with her that what she has to do as a teacher is such a load. I didn't see how one teacher can manage 24 or even 10 students at their best because you need eyes all around the room to make sure that every need is met. And these children have so many different needs. They have so many different stresses. And things that we as adults just think, that's just life. But you know what? They're just starting life. We need help so that we can guide them to the right life that we want them to have. So our next slide comes up and there's this good-looking young man. Okay. And so tell me about this well-adjusted good-looking young man that we're going to be being viewed right now. Tell me about him. This is my son Nolan. In this picture he is 24 and he is well-adjusted and doing very well. He's currently working at a restaurant as a server and going to school full-time. And will hopefully be graduating at the end of the year. And from this picture he's exactly what you said, just well-adjusted and happy and he's a great kid. He's doing very well. This was taken probably maybe a month ago. And it just shows you don't like kids and adults. We don't always realize what someone's been through, what they have struggled with, whether it's sometimes kids, the whole, I've had kids that will come into class from recess and all of a sudden they can't read, they can't add. And I'm like, what happened to you? You said she's not my friend. And they cannot get on until they get this process. My son, you see him in this picture and he's done very well. He has had his own battles and turmoil that he's had to go through. He's 24 in that picture and approximately seven years ago, he went out snowboarding. I remember the day perfectly. He went out with some friends, walked out the door at about 10 in the morning. And I got a call and he was in a snowboarding accident. He was just skiing, or I say skiing and he's always very quick to correct me. He was snowboarding. Yes, if you have someone who's snowboarding, there's correction there. He's snowboarding down the hill and he said someone was coming from the side and he knew that they were going to crash. So he stopped himself and kind of tucked and rolled exactly. And he broke his clavicle and it broke inward and it punctured his brachiosophallic artery and it punctured that and to make a long story short, he has undergone approximately four to six surgeries between open heart and carotid bypass and there's a picture of that that will show. Wow, so now the photo we just saw, this is seven years after and this is him. How long after that surgery? This is about seven days after his last surgery. This shows his actual surgery. This shows he also had some carotid on the neck that it shows. You can also, actually I should probably explain the tattoo that says December 10th, 2011. That was the day of his actual first surgery. I'm sorry, his accident, not his surgery. And when they did it, his open heart surgery, they said, we're not sure if this is going to work. We may have to go back in. He decided I'm going to put a zipper at the end because they may have to go back in. And the doctor said when he went back in, I'm sorry, I forgot you had a zipper, I didn't line it up. So it's a little off. And then he also has a very, very long 40 staples on his inner thigh where they took a vein from his leg. And you just don't, again, if you were to see that picture of him where the two of us were together now, you just don't have. He's happy. And if you were to talk to him, actually, he's probably one of the most positive people you'll ever meet. I've said many times to my husband, is he ever negative? Is he ever, say, just an amazing? And I think, again, it's just an example of you don't ever know what someone's been through. And those three rules, again, are just very helpful in trying to stay. If you're doing your best, if you're doing the best you can, if you're doing the right thing and you try not to stress, it just really helps you to stay strong, to stay faithful, to stay relaxed, because if you really are doing the best you can and doing what you believe is right, you can sleep at night. You don't have a lot to stress about. Wow. Those are very positive rules to live by. I mean, you did that in the classroom, you did it at home, and your son is a protege of that.  He does. He does, and the forgiving heart and the positiveness comes from all the rules that you set forth. So that is what you're also achieving in your classroom. You achieved it at home as well.  Right? And that shows you that that's how confident he is about himself.  And with all the faith that he has and the family had within him, that he could pull through this, and that he's going to not only pull through, but he's going to shine and thrive for others and be the role model that you created him to be. So I was so amazed to see that. I do have a scar, and up to the time it was like eight and nine and 10, my mom would say, yeah, this is my daughter. This is the girl with the open heart surgery. Lift up your shirt, girl. Lift up my shirt. You know? And yeah, every time, yeah, this is her. This is her open heart surgery girl. And then I was like 13 and 14, and body's changing. Go, mom, no, no. Those days are done. No more. No more. You, no, no. So that he can continue to show his scar and be proud of it.  Right? So just now you have one more. You have a daughter. Yes. Okay. So tell us the story behind this picture that's coming up. I have a beautiful daughter. Yes. Her name is Bailey. And that is Bailey with her wonderful husband, Bradlin. They are very happily married. They live in El Paso, Texas. And that's just a great picture of them. And I'm just as proud of Bailey. She, too, has had some issues that she has overcome. And I don't have a picture to show like I did in Nolan. And part of the reason I don't is Bailey went through a time period where she would not let us take some photos of her. Bailey suffers from bipolar disorder. And she, we adopted her from birth and knew at birth that there was a substantial chance she could have some challenges, but really felt like, you know, God will give us what we get. And, you know, we're certainly not guaranteed to be providing her, not providing, but having any perfect, you know, children. But you're just doing your best. Yes. And she has just been a gift from the day that we have had her. We were actually at her birth. And she has overcome incredible obstacles and has just been strong every day of her life. And she now actually has recently been diagnosed with autism. I'm not, sorry, not autism. Epilepsy. Epilepsy. Forgive me. And she has just been a fighter from the get-go. Same with Nolan. She, like him, has just been very, these are the cards that I'm dealt. And I will do what I need to do to better myself and to be healthy and to make wise choices. And again, you know, she does the best that she can.  And she's just a powerhouse. You gave her the three rules. Full of love. She lives by them as well. So I'm sure that's what's getting her through every day of her life with her little, her challenges. Yes. And she too is just an incredible inspiration to my husband and I. And she's living by the rules. Yes. She's wonderful. So now the next slide talks to us about think bigger. Think bigger. All right. So how can we think bigger? You mentioned stories about a man on a train and a waitress. Two. Tell us about those stories when I was talking to you. Two things that just have helped me try to think bigger is when you see someone and you see a situation to try to not just judge from the small thing you see. One thing is there's two stories that I have heard and read about that I try to keep in mind. One is if there's a man, there was a man on a train and he had kids and they were running around and just being kind of obnoxious and noisy and not behaving and the man is just kind of quiet and not really saying much. And your first response is those kids are really misbehaving. They're awful. And when it comes to turnout, the wife had recently passed away. And so he's on the train and he's suffering his own grief that there's a wife that's not around anymore. There's a mother that's not around anymore and your perspective completely changed when you see these three children. And then the other one is there's a waitress and she's very rude and very quick and then someone wants to complain and then when you find out she has a husband, I'm sorry, a son in the hospital and she's trying to earn money to pay for that then you don't mind. So see, I mean all it goes to show is the upbringing and how we deal with adversities and everyday lives. But again, going back to your three rules, asking those three questions and knowing the three rules will get you through a lot of these different things. So that's why you are the teacher of the year because you are able to set the rules in your students that you are able to reach and that they will have a solid foundation that they can get through these adversities in life that we all will face one day. Hopefully not but sometimes they just come at us. So I know we run out of time right now, Janelle and there's so much to talk to us about and share but I just want to say mahalo to you for being here and just sharing with us the three rules and that in itself will help a lot of people out there so that they know how to get through their days. So mahalo to you, Janelle and thank you for being here and enjoy Hawaii. Thank you very much.