Hello, welcome to my live stream. Let me ask you first. Can you hear me? Can you see me? One moment and then we can start You know since we are live there were always problems Unexpected problems So welcome to order flow with robert rosa That's me and for the people who don't know me yet. I started trading at the age of 13 I bought my first stocks. I think that was 1995. It's the age of 17 I co-founded an investment firm in Germany with two partners and actually they taught me how to do the Investment business what our hedge funds managed accounts private equity and so on and then I started to trade the S&P future but still on the Chicago mercantile exchange So I traded through the telephone and call it directly to the floor and that was you yeah The original S&P contract one point was the 250 US dollar not to seem not to mean it like we have now In 2004 actually I sold my chairs in that company and then in 2004 I moved to China and I set up my second investment company with a Chinese partner together and Yeah, it's a peak. We had over 100 million US dollar under management I had a team of 30 people below me. They were traders analysts and we are doing the business and This business was yeah quite successful in China and well if you are successful in China You always get into trouble and then I was detained in May 2011 for outsmarting the Chinese finance system And I spent the next seven years and seven months in a Chinese Detention center in the Chinese prison. I was released in December 2018 and Yes, and I started to write the book became a best-selling book in German. It's called Dragon years I hope one day will be translated to English so that you can also enjoy it and Well right now I'm running a trading community for free And if you want to get more information, you can just go to robertrosa.com Then you will be forwarded to my community. This is a German speaking community But you will also find the link to the English one Also here you can find more information about me on linked free my if a YouTube channel in German right now But this will be expended to English language as well most importantly the general disclosure all book map limited materials Information and presentations are for educational purposes only and should not be considered specific investment advice no Recommendations risk disclosure training futures equities and digital currencies involves some Statue risk of loss and it's not suitable for all investors past performance is not necessarily indicative of future Results and you should know if you trade you're responsible for yourself and for your own actions If you cannot take this responsibility, you should not go to the markets. This is my personal opinion so Now let's have a look at the markets We have here the s&p chart Some more have some trouble with my mouse. I don't know what's going on. It doesn't work like I want We have a look at book map and Yes, there are also in the chat Well, I am currently in Europe and we this weekend our clock will be changed to daylight saving times So during this week or the last two weeks actually there's always one hour difference between these two countries or two continents but it will be Back to normal next week and that's also much better for me because it really is messing up my daily routine so yesterday we had Fat meeting there were no changes in the interest rates which actually is okay but The market still went nuts so to say and started to make an absolute bull run after the decision and Anyone who was watching the market yesterday. It's very choppy market Yeah, sometimes there was no liquidity in the market since the s&p were jumping up and down and this yeah is not actually a Market which I like to trade for me for my trading style. I'm using a very Short stop loss only five ticks as you can see in the tech profit of 12 ticks Or sometimes a little bit more now, let's simply goes through my routine that I'm doing every day If my mouse would come I have a very important fact sheet for me and This is basically what is important for me is the initial balance high and low if we have I Calculate the delta of the difference high minus low and then I get a number This number is telling me what sort of day we can expect can we expect a trend today or simply? Sideways or rotation if we have a huge initial balance like 30 points or more Then basically I do not expect that we have a trending day So I would short the highs and by the lows But if we have a narrow range like 8.5 like yesterday, which is typical for Fed meeting then I expect a breakout and Every time we have no initial balance around 10 or below. We have a breakout So the I be high or I be low so no, what is the initial balance? I simply very simple term it is the High and low from the first 30 training minutes. So now today the market opened at 2 30 century European time Until 3 p.m. So we have for high above here. I want to draw this into bookmap simply like that it's at 53 to 150 I will put this into my My high three to one into my Google spreadsheet, then I will look at the low where's the low Five it's here. So I will entire it Yeah, this is at five three oh eight fifty and then I get a Delta of 13 it's narrow. It's I Think we can expect another move during the day. We had this shakeout at the beginning market open at 5 3 21 we went down to 5 3 0 8 and now we are in this range Hello, Peter. Well, and hi too. I cannot read this. I think this is Thai. I in Thailand your name I am very good friends in Thailand and I Cannot read it once I as I was in prison. I had two very good Friends from Thailand and they taught me about the language. Let me guess. This is Thai and currently I have very good friends in Thailand so Now the next important most important thing is the end card V web. Yeah, and bookmap has this amazing tool Which I really fell in love because the V web is Very important for me. I Will activate it so and now I will create a new no new new line sometimes my Sometimes I Want to speak German or I think English and I speak German so forgive me for that. It's Sometimes if you speak multiple languages every day non-stop, you'll get confused Hi Gregory. Nice to see you. I'd so if you have questions here in on Discord let me know so now let's calculate the V web and we also need the opening price So and I really like to look at the regular training hours not the extended training hours They are of more value to me. We see that we have Gap up Well, if you look at my chart you can see more many My lines are gone very nice. Basically, I have a lot of Well, it's not loading My drawings since it was there were just there seconds ago. No everything is gone. Ah, okay Sometimes you don't have to understand computers. I really don't get it my lines are gone Anyway, it doesn't matter. We can start from scratch. I want to get the opening price So I simply I know there are a lot easier ways to do this You can make you can automate make this automatically and so on but I am there as your old school guy because In prison actually or before when I started to trading I did everything by paper. I had I Draw my charts on paper. We had chart books where we draw everything So for me, it's sort of meditation here And it gives me a different feeling for the market Hi demo trader. Nice to see you Opening not far opening is 21st 03 That's strange my drawings are gone. Why is this a different chart that I have to it's a little bit annoying? Yes, it's here. Ah Here that was a wrong chart this these are my Drawings and on the upside either there are no drawings because we are trading at all-time highs and there's very difficult to predict anything so above it's all empty now the opening at 5315.25 my 15.5 and Another very important figure that we must know is the settlement price We find the settlement price on the page of the CME Chicago My contact exchange so the Bible for the futures markets are anything you want to know. This is the official rule book So we check the a mini Go to settlement. Well here on the 1st of April somehow this something will change I didn't understand what but right now this is my source for the settlement price, which is at five two eight six point seven five one five two eight six point seven five and I will add this here into my chart book five two eight six five so exactly here and I will fix here means to Hook it up fix it and I call it SP settlement price 21st of three and yes, it is not the settlement price of the 21st of March It's a settlement price of the 20s, but for my idea for my Understanding it's a price from today. So I'll write it here, but I know it's not the one from today The one from today will be figured out later this day So the next thing that we have to do is to add the V-web here So and There I have my I will explain also what and I did this already in bookmap The session V-web. It's important for me with the standard deviations. So now we have our chart picture I will draw in the highs and And the lows and the initial balance high and low this I will simply Take from below, but there's too much lines right now. I Will draw it again. So I be high is here rename it Insta settings want to have it in green I be high and And then we want to have a different color. I learned to use the right colors for the right Things my my problem is before I have a sort of photographic memory and I never used these sort of lines because I just had it in my Mind, but I figured out for live streams and for teaching people. It's better to have a Clear structure and sometimes I also like it. It's somehow relaxing my mind So I be high I below and we have this gap here. This is basically the Trading idea of the day with an initial balance of 13 like I also wrote here For this day 13 we can expect a breakout Right now we are in the trading in that range. Now I will adjust my charts to one here and Bookmap on the left. So it's a good way to present my idea because Anytime, I mean if you only look at book map, you really must be a very skilled trader To see the big picture. It's difficult. Yeah, and I suggest to most of you Always have a look at The long-term picture as well. Yeah, another time frame to not get into Over-trading and yeah the Let's say gambling addiction. We have to say all of us. We are somehow Gamblers if you're not a gambler, you have to admit it Basically, you wouldn't be on the stock market So you have to find your way to deal with this sort of Yeah, well addiction. Yeah, somehow I would say and this is an addiction But you know how to manage it. I have this here in pink. I don't know. I like this color and sort of pink or and Sometimes I also use different colors. It depends on my mood. I'm very flexible with that So now important for me is we are in the middle of the rotation Yeah, initial balance high initial balance low. So there is no need to act right now Simply don't trade for me. I would wait that the market will goes up here to take the stick to fetch the liquidity at 5322 or probably go down here to 5308 and to go to the standard deviations The standard deviations the first and second one are really really good trading points for the ES I'm trading them with an SL of 5 ticks and to take profit of 12 and this is a risk-to-reward ratio from two to one I heard in German house Johnny Well, yes, I am German. I used to live most of my time overseas and Well, I could improve my accent, but I said, what's the hell I live in Australia and Yeah, the British people told me if you can understand the Aussies then you can understand everyone So I can understand everyone and basically most of the people cannot understand me But of course, I'm probably don't have the nicest accent, but so what nobody's perfect So let's look at the real questions And I'm really really happy when this daylight saving problem is solved next week It really messes up my daily routine. Let's have a look at the order book. It's a little bit thinner You know only two figures So I hope that a little bit Volatility is coming to the market and so you probably get get close trade Yeah, here we have see this is a settlement price from yesterday as p21 O3 this would be a nice target Here or at least get close five to nine five Definitely in this area long opportunities and Also here it's a settlement price, of course But the market is very strong really have to say if stock markets generally have an up move or if they get up then Yeah, they have They have power So what we could do now here to anticipate something. Yeah, we'll add an anchored V-web at the low And now let's see if the market should have a breakout Yeah, I don't like to trade breakouts myself because with a very narrow stop loss Breakouts are very dangerous to trade and you probably lose money But if the market has a breakout here, we have the anchored V-web at the bottom and Then this would be a nice entrance point so we can also add it here but for Also, probably important to note as for the anchored V-web I only use This the normal V-web no standard deviations, but for the session V-web. I am using standard deviations So it's a top of here. We see the standard deviation and we see the liquidity of two 320 this could be a nice short opportunity Well, like I said, we don't do live trading here on the bookmob channel Just market explanations to educate the people but it was be a nice opportunity for me to exactly place my short order at 0.75 Yeah, with a five tick stop. We have some liquidity This liquidity basically gets absorbed. Probably I would have my entrance here Well, maybe maybe not with this tick would be depend on luck and my stop loss 12 ticks one two Three this two and a half points 1975 77.25 that would my target would be is a first standard deviation. Yeah In this basically I can trade their in and they out multiple times now we actually touch the liquidity and with a winning range of 50% you can simply make money John. I know Where where are you from? Are you in Germany or or living overseas? So now we touch the standard deviation here and we are running actually into this resistant zone with the high Now we have the choice either we touch the initial balance high or we make a correction back to first standard deviation and or even the session V web In conjunction with the V web of the low if you have any questions, please let me know write it in discord or In the chat room So now we are testing we can see what is important for me. I probably would have Get out of here one two three four. Yeah Right into the stop loss wouldn't be the nicest trade because it's exactly the initial balance high Which is always a good resistance point But I want to get give you an idea. What is my niche in trading? What am I looking for? I'm looking To how to how to explain it in English. I want to know what the smart money is doing with the smart money I mean for example hedge funds pension funds Algorithmic trading What are the algos doing? Where do the algos buy and sell if I know how they are? Calculated what is their formula then I can predict if a market goes to this area like the V web That a process will start. Let's say if the market goes around the V web Buying will start or setting will start and if I know this then I can use this Initial reaction for my trading for my scalping strategy. This is what I'm trying to look at and what I'm trying to understand So if I know when the big players are going to buy and sell and according to which standards they calculate They are yeah Orders then I have an advantage and this is basically what I'm trying to do looking for the smart money And then just follow the money. Yeah Now we can see the market just went a little bit above Couple more ticks, but we can see a reaction is starting here. There is resistance and also in conjunction with this order And now we have this pullback Basically to the to the first standard deviation and then when the market comes here basically, this is a support zone It's very simple But if we understand what is behind the volume weighted average price and its calculation Then we know we have surprise and the volume combined in one benchmark It's not an indicator important to understand. It's simply a benchmark a benchmark according to algorithmic training and well I always Can show you I'm not inventing this thing. Yeah, it's definitely I mean, you cannot find a lot of information about this you really have to Dig deep to get this understanding and I know it from my work for my investment firms in China and In Germany and we had the problem if I wanted to go into a stock Let's say the stock has a trading volume of ten thousand shares a day But we had to buy a hundred thousand shares. We cannot just say by market or Limit by order like we do. I mean we are small traders. We have no size If you trade one ten or fifty or hundred lots, we are nothing so there are Organizations forms they trade or they have like hundred thousand two hundred thousand a million contracts Which they have to place in the market So we have to divide this over a couple of days hours or even weeks And then how can we calculate what is a fair entrance and exit price for this? We have a benchmark and this is the V-web So and well, I'm telling you this you can I always show this case study from Micro-strategy and Michael sailor how they used to buy bitcoins and They're basically they use the V-web in process to Get fields Algorithmic fields with over 200,000 child orders. Yeah, it's a perfect example of how trading algorithms work T-webs the time-weighted average price and they're always used to buy only 0.3 BTC with Over 200,000 Orders to get their position done in the market within a couple of days Five days two hundred fifty million dollars. Yeah, so it's not that you just simply Limit by order. No, and so if I know this if I read these sort of papers, I get an idea of how algorithms are working and If I know that I can use it to my trading advantage also quiet today Ask me anything challenge me We have some on time outside why I'm living next to the beach So after this live stream probably I will head to not to the beach for this is too cold But to go to my favorite bar the digger's pub And now we can see again We did not come exactly to the first and activation But what does the market do it reacted and went up to the second deviation again And now what's the market is doing stopping you really have to get a feeling for that? Yeah on Couple of days the market really makes the Pullbacks like this exactly on that line on the deviation or sometimes one tick above above or below So it's also the market has its own mood Yeah, like every human being once we wake up. Okay. You already know. Oh, it's a good day. What's a bad day?  You already know when Somebody wakes up if it is if you should talk to them or not and the same is with Markets. I also see them as a living Being yeah, I mean there are only human beings interacting here even the algos are programmed by human beings so different times different behaviors different liquidity level how much is in the book We see on the ask side only two digits sometimes you on the Bit size three digits a little bit more and this also makes the Volatility the aggressive it aggressivity in that market What I think about Williams indicator. Oh, that's a good question. Actually I I have To pass on that question as in I never used it. I really don't have any experience with it. So I cannot Give you a Valuable ansaiya simply because I don't have that knowledge Person use value 26 to have a view of the market cycle. Okay. I Simply have to do some research on that Oh interesting now we see the sell-off I will come back to this to exactly to the V web. Yeah Now if I see something like this, okay This is a sale sort of sell-off back to the V web and we see the market is stopping here But I don't know what's what's happening right now Are there any news or whatever for this? I simply go to my favorite website for this. It's called Financial juice And you get if there is something happening. I mean we are in time times of war and Something some things can happen any second and we don't know it and it will have an effect on the markets But I don't see anything here use Natural gas change. Okay, so he's early And you know, it's not as you know, there is no breaking news Which actually would tell us something. So I just believe this is simply a Soul of shake off back to the V web And what we can see right now here the V webs they Not that smooth today. Yeah, also here the market jumps above below above below It's I call it choppy Yeah, with my strategy of five tick stop loss. It's a very very narrow So you have to be careful with training It would work here here but with a risk-to-reward ratio of Over two to one. You're basically fine Sometimes I do like a yeah Recently over a hundred trades a day or even more and then of course you have huge commissions But at the end you still are profitable But we still see here. We are still in that range between initial balance high initial balance low This is simply range trading. Yeah, so we are in the middle And we can also draw a volume profile Into that area and we see we are now exactly at the point of control five three fifteen here It's a point of control Matching with the V-webs. So there's no trading right now. This is simply range trading means Sell the high by the low until we break And when we break we know Because of the initial balance, which is only or the delta of the initial balance Which is only certain points we can Yeah Estimate or we can predict that there will be a break out in the second half of the day I knew it's sec probing crypto. Okay. Okay. Yeah, again. I mean that's Not really. I mean every time something like that, you know, let's say what is Bitcoin doing 67 K minus 1.1 percent. That's fine Think also no big reaction See, I also have Bitcoin here anything Well, nothing of importance in Bitcoin 70 K. We still have 65 60 yeah, I believe and for everyone who's trading cryptos Just place a by limit order at 60,000. Yeah, not for day trading But I think that we will have another shake off like a 10 15 percent that we will catch this liquidity and Getting a lot of margin calls for all the over leverage traders and then the market will go up to 80k because there is There was at least something 90 100. I Believe we still see the 100 cases here, but first we have to fetch this year My favorite token I'm invested here a long time render token amazing story behind it Because they are providing Computer infrastructure, so if you want to basically if you want to do an artificial intelligence Application you need computer power and this the render token pro is providing. That's an amazing story so no still in the range until we don't Come to initial balance low initial balance site for me simply Talking and to you and there's no action that I could do Only finding traded trading opportunities at the second standard deviation here below. It's very nice the five The 308 initial balance law with standard deviation. It's in conjunction put it together nice Support zone for a scalping trade And I'm not going into here and waiting that the market will go up to the initial balance side That's not my business. My business is simply. I know we have something the algos will come into play and I try to jump on it. That's my simple trading style Question here. Okay discord. No, it's too spot gamma spot gamma Um, a similar well spot gamma is an amazing amazing website and analytic tool I'm reading the newsletter. I subscribe to them. It's a great great stuff What's the use we have our we developed sort of our own model? Yeah, we have here We have on the spy the zero DTE options. We have something like an option profile These are these levels one two three. I know here is Are the most traded zero DTE options for the day if the price is now going above five to four the spy is the ETF on the S&P if the prices go above but the option prices will not go above as well Then I know we are in an overboard Situation the prices go too low below this option volume. I know we are an oversold a Situation then I can expect Turnaround it's not if the price go below that I have to buy. No, then I have to put this in Consideration with the price action and see order book and many times you can see that at these levels where the option volume is We also have the futures volume and then I know okay if the market goes to this level it's the the trend is over is finished and then I have the Yeah idea to To simply enter the market Hello, what kind of paid data do you have for your the book map on? Yes? I had a book map for the exam. I took the data from the IB platform and the data was broken From the IB do you mean I use I'm using risk maker I know book map has his own data feed right now But since I'm also trading prop firm accounts and not only using my own money I Basically use rhythmic. I Really have to say I had a lot of problems with the rhythmic data featuring the last two weeks always Delays, I don't know why and then I sometimes you have to change your gateway where you connect So now I'm I'm in Germany, but the Chicago gateway works if I use a Frankfurt gateway, it sucks. I don't know I Be Exactly you need a MBO data and anyone who wants to get a little bit Knowledge about this you can go to the I mean since we have futures trader you go to the CME There is a link market by order data and market by price Mark, let's explain to you. I will put this link here. This is Knowledge that everyone has this is like your your homework that you have but you must do it's like Knowing your tools. Yeah, so and tears described. What's the different market by price or market by order and we need market by price Data and this basically for a long time. It was only rhythmic Who who actually offered this TQG didn't do that? I'm similar. Yeah, if you have any questions, just send me a DM direct message and We can talk about this we doing a lot with options and options calculations Especially zero DT options very nice tool to play around this. It became so popular Now we see here. Nothing is moving. Yeah, David. You're welcome Really I can I meet so many traders also my German speaking community and also now starting my English speaking community If I make a little advertisement You can come and Join me here traders mindset It's for free Only 33 members right now. It's still growing. It's not much there yet, but I'm expanding it But my German community has 395 members and it's growing Step-by-step and it's also for free My my really my goal for this year or maybe beginning of yet next year I want to have a community meeting in New York City. I Mentioned that to Bruce once and he was also very happy about this if we can arrange this and find enough Americans or English-speaking people who want to come to join us on this Get together. Yeah, it's nice I'm doing this since couple of years in Germany every November We are going to an island in Germany called northern I and they were around about 40 to 50 Traders from the German speaking region. Yeah, German, Switzerland, Austria, and we are staying there for three four five days And we have one big event which is basically eating and drinking No, no seminar. Nothing simply get to know each other exchange ideas It's amazing. There's really really great relationships friendships coming through that sort of Event and that is what I also want to do in the US Or somewhere else also. I'm open for that. I don't know of anyone from you in Germany on the 26th of April I think it's 26th of Friday 26 27th there's the investment exhibition in Stuttgart Stuttgart and I will be a speaker there and you know giving a little presentation about my life I was invited and Well, it's a funny a lot of fun event here Old memories coming back actually in the year 2000 when I set up my first investment company with my two partners We also had to boost there was invest 2000 in Stuttgart So now let's see just market description. We now we're seeing these sort of strong buying orders. Yeah from the First deviation to the second and now we're stopping here. I really don't like these orders and now something else is coming in I mean we see there is there is reason why the market is exactly stopping here This is algorithmic trading from here to there No human beings are doing this. This is simply computer Mathematics they say okay, I come from here to here now. I stopped buying if I buy above this price It becomes too expensive So you can say like this you have to pay a penalty as a trader or as an algorithm And we see there are still more buyers always coming here at three 395 lots so someone still wants to go into that market has to buy But he cannot buy above the price then the trader is screwed because he's a bad trader. So he has to wait Now 500 lots. It's increasing Until the job is done now above also they are trying to Play games here. So now let's see Now they're only 150 and it's moving up But they cannot go above that line. It's strange Yeah, it's so funny to see that if you know how the algos are working you get a yeah It's just I always enjoy watching that. It's like a perfect movie for me And this is basic what I try to trade This is my my little advantage Again, if you would enter the shot here Probably you would have you got your execution here at 27.5 1975 1875 my target would be here exactly at the Standard deviation that's very narrow. Yeah, this is what it's nice example and the buyer is still not finished You see he has to buy somewhere here But he could also say now I buy market where the market the price will just simply jump up Then he gets a penalty or he doesn't get his commission from the From the one who actually gave him the order, I mean a trader in most cases is not like us We are here to make money on our own account In my company in China the traders had only one job to execute my orders to that price, which is fair It was not about that. They made a profit. It was I said I wanted to buy this stock For $10, but the trading volume is only 10,000 shares a day, but I had to buy 100,000 shares because I had certain information Let's say insider trading and so on that I knew the news release will be very good So then I also not only had one account We had like 500 different accounts where the money was and then they had to manage different accounts always buying small sizes to a price Which is fair now. How can I determine how if a trader is good or not? The trader is good if he can buy below the Vweb or if he buys above the Vweb, he's not good It's not as simple as that, but I just want to explain to you why these zones or lines are very Important for me. I can understand what is happening there and this is simply my advantage And then here you see it went from here short until there So I would get my take profit 12 ticks These 12 ticks are not random In these five also not These are not random numbers. I can see that that these moves are basically 12 ticks This is the minimum reaction The same is also in the forex markets if you trade euro US dollar you have like 10 pips these Pullbacks always around 10 pips. You take it not more. I don't I don't need this big run I only want to take these 10 pips. That's it I'm similar. Do you have a card? Yeah, well, definitely sent me a private message. I will get you in don't worry about that I have tickets. Yeah Act similar be nice to meet you there So you still have questions, you know It's really sort of boring day, but this can change quickly and we see again touch touch initial balance high is very powerful and This is also not a random line that I'm drawing here. Oh Now we can see huge liquidity comes up at 26 27 28 So I believe we will have a breakout into that zone soon if we see liquidity coming up here Well, we I don't know when it Will happen, but it will happen. That's a market will go. Oh, yeah a lot is coming up so probably simply run into that red zone and When I would look for Pullback to the initial balance and probably trade the retest. I'm not like I said, I'm not the breakout trader I would wait the market runs up here makes a retest and then tries again into that zone Probably if nothing's coming up above Wow five three thirty Then we have a pullback Definitely for me limit Up here Maybe make a retest first This is why we the buyer bought here here here And now waiting to move a little bit higher Does the algo move towards the liquidity and run away? I want to have a better Understanding what really happens. Do you have a recommended book? as in Well, there are really No books about order flow trading or book map That I really I actually I don't know No, I don't know about any book what I can tell you from my own experience is that Markets move where liquidity is Standard drunken Miller I can set it the world famous hedge fund manager He said it's not news that moves the market. It's liquidity So and this is the philosophy for me and Why I use book map. Yeah, why I felt enough is book map because I can see the liquidity If I know where the liquidity is I know there are a lot of sellers here I don't know if they want to go short or if they simply want to cover their long positions Or hedge their portfolio. I don't know. I just know somebody has big pressure here Either he needs to buy or he needs to sell or take profit or whatever So somehow if there are so many orders coming in in that zone This is not an not a normal trader So if I know that I can have different strategies, yeah Basically, it is not common that the market simply runs through that for this you need sort of a booster like news So the market will simply jump through it What I can think about is the market will come here touch this level makes a pullback and This is a trading strategy. You must always find your niche. What is your niche and trading? Do you expect the market will go here and makes a pullback like I do with 12 ticks? Yeah, I definitely would place a sale limit order here in that area But I don't believe in the market. I mean the market still can go up to five thousand three hundred Fifty or whatever, but I don't care. That's not my business My business is the market comes here will test this area and then makes this pullback of 12 ticks. That's my business so Define your strategy to understand this Unwag this liquidity. These are sell limit orders technically Technically speaking, you only see sell limit orders here on the ask side What their intention is that I don't know I Don't know who's placing this order. I don't know probably the people bought here and now they want to sell here I don't know Or they think this price is overvalued and I want to go short or they simply want to hedge their Stock portfolio. I don't know. I just know something is happening here Somebody has or someone is placing or many people placing a lot of stop limit orders a sell limit orders here and this information is enough for me to Develop a trading plan and now interesting again the algos are keeping the prices between these standard deviations So you cannot tell me that this is a coincidence. There is no coincidence in this and now we are waiting or They are accumulating whatever. I don't know Like I said the thing that we can see here basically by limit orders is green Sell limit orders is red That's the only information that we have Alika and how much do you earn daily? Well, sometimes I also lose Sometimes I own earn nothing and I have to pay the market. Yeah These are questions which I basically don't answer if you want to know how much to earn you can look on Google YouTube Instagram There are all the great traders in Dubai or whatever who make a hundred thousand dollars a day On their Instagram or YouTube channel But I can what I can tell you is That I wrote a best-selling book, which is I can also put it here here best-selling book in Germany which verifies that I run huge investment companies that I was so successful That the Chinese government put me into jail for that. So This no one of these youtubers and people who talk about money Can offer you We have a we have a saying a phrase in Germany. Yeah We don't talk about money. You have it if you talk about money, you don't have it I am happily free. I have enough spare time. I'm living next to the beach. I can go Later after this call just 50 meters away. I'm living Okay, I can post a picture later here in the discord channel So I can have my cocktail my beer, whatever you like and enjoy Are you a profitable trader? I can answer these questions with yes. Yeah, this is now for more than 30 years I'm doing this and I educated many traders. I can also say that who Verified with their account statements and with their success. That's actually got funded from prop firms Yeah, I also have a lot of them Who posting their results who are with me? Actually, I have a group day trading group here in Germany where we trade Yeah, three to four hours Each week or each trading day and they can really see my trades and the results that I'm doing every day As in unfortunately, there is not an English version yet. You can look actually I had a nice talk here on book map You can read a little bit about my life On the Let me see here on find more information about me here book web channel book my website Get a brief introduction. I Hope that this book will be translated one day to English I just need a publishing company who wants to actually publish it and also you see pictures here from me It means the young wild boy. I started trading with 18. I was in the newspaper. That was a long time ago you know and Well, you can get more information about me here Are we talking about I know what are we talking about day trading or investing now both? I Invest I'm doing a lot of pre-IPO Investments for example, anyone knows about the company and tropic it is AI company the equivalent to To open AI and chat GPT. Yeah, these these people left Open AI and set up the old company Google and Amazon invested billions of dollars into that company and I Created a actually what I did in China also doing it here now. I created a structure that Anyone can invest in companies like this. Yeah one share right now costs 132 dollars. You can buy it Yes, and I sell you also day trading. I'm doing this every day every single day and people are watching me with it. I Am a profitable day trader Any more questions, but if you want to know how much money I make a day you will not get these answer and you can watch Well, maybe I invite you yeah, you can see how I am scalping the ES every day I'm open for that.  I traded account from two and a half thousand Dollars on AMP up to twenty thousand dollars in one ten months live each trade recorded for the public Yeah, of course as in that's that's what it's simply Yeah exactly people after quick bucks and That is the problem That is I see so many advertisements on the media channels Instagram YouTube Quit your nine to five job and become a successful trader and say how stupid you are trading is Not it is a very hard job compare it to Well, we love soccer in Germany or football.  I cannot date rate every day and basically during the summertime I take like two or three months off and not doing anything Because I simply have to recover my energy level I use book map for execution and for the heat map and Then I use Trading view for my big picture.  That's also important for me. I'm not trading es if es doesn't work I will switch to CL for example. Yeah, also Vwebs working perfectly in crude oil. I can switch to gold I'm trading a lot of Forex. I basically for Forex. I have Developed a trading system which I'm executing Every day my order signs the market and I just wait that they will be executed automatically and Well for state for day trading. I simply use the ES And sometimes crude oil and if I can see the es doesn't work for me anymore or it's complicated I switch to the NASDAQ. I switch to gold. I Oil I I can tell you I traded basically over 1000 contracts at one trade in the CL during 2009 2010 this was my basic position size, but that was a different time you could do that. Yeah How many monitors to use I have one two three four I have three 30 inch I think 30 in 4k Samsung monitors and then I have a Samsung Odyssey this Yeah, round one. Yeah, I also this is quite nice And this is also one question. What's yet? What's the media is telling you you can day trade from anywhere in the world? No, I cannot. Well, I can change my working space very quickly from Germany to USA in a couple of days But I day trade only from my home office station other Anything else is coming. Well You need the perfect infrastructure very simple and you cannot just trade through your laptop well At least I cannot and I don't know any professional trader Who really can do that where you can make your analysis from a laptop and you can look at certain things But you need a professional setup Do you use data full pen chart for day trading? I Am not you know, there are two type of people people who you who like to see images and People who like numbers. I'm the image type. I can remember everything in images and Numbers is not my thing. So this is why I don't like the footprint chart. I know what it is. I Used it before but for me what you see the footprint. I can also see here There's From the visualization. There's no difference for me So that is the important part. I would say you have to understand which Character which type of sinker you are Left side of your brain or right side of your brain. This has nothing to do with good or bad It's simply to understand what works in your brain I'm reading a lot about psychology emotions. How our brain works how our brain is functioning And these are basic questions to answer for yourself How to analyze and how to read data For me, I I love charts. I can see the charts book map. I love the colors Yeah, I play around with the colors my brain can understand this and comprehens this others like the footprint. I my training codec Peter is also book map educator He he's a number guy. Yeah, he can see everything in numbers. So He likes to use the footprint for example, but in the end it's the same We only the data is for everyone the same the only way how we interpret and how we see this data is different How to manage risk Alikaten very simple thing put a stop loss I get to put a fucking stop loss into that market. Yeah, that is the first thing and then Also one thing don't over trade. Yeah, but the stop loss is the most important thing and For me sometimes I'm not willing to risk more than five ticks in the ES for my trading Maybe sometimes like weeks like yesterday when rollover week is are you six ticks or basically I don't trade So you really have to control this and then in day trading very important That I took a long time for me to learn this but also put a take profit there Realize your profits Because 80% of the time stock markets or indices are in a Yeah, in a rotation. They're not actually trending if I want to catch a trend Then you're wrong as a day trader You should invest in stocks, which I also do on my side Yeah currency markets and I leave the stocks on my account But for day trading risk management very simple have a clear idea about your stop loss and about your take profit And don't change it. Don't move your stop loss simply if it's there even if you I had this last week every time I got thrown out of the market on Five ticks. Yeah, it makes you angry, but it doesn't ruin you you still Can trade another day always think about tomorrow not about today Tess good good very good question. How are you using the spy when trading? Yeah very very smart and the spy I always have it on my On my radar very important for me. The first thing is do we have liquidity? Divergences or differences between the spy and the ES Sometimes we can see we have no lot of liquidity here at 26 27, but do we have also the equivalent here? Actually, we have nothing here in the spy above. Yeah, nothing. So there's a divergence Then what we are looking at are the options on the spy the zero DTE options We have here book map as a private tools that we developed. We have like an Volume profile for options. Very simple. We only need these three levels one two three Go down. We see these are the levels where most of the options are traded Call put together quite simple. So now we are in the middle of that So we are at a fair value If the market goes now below these three green Yeah price levels, then we know we have an oversold area if we go above we have an overboard area and then I can Predict that the trend or the correction or whatever it is is over for the day and we can look for a turnaround This is how I interpret the spy very important first liquidity second option levels And then I can put this into the big picture for trading the ES how to sell Can our brackets other brackets here? Well, I mean you have this Button here training button, then you can connect your account and brackets on TP SL is in ticks quite simple and Also book map has a very good Educational source on their website where you can find the knowledge base Everything is explained there now again where did the market turn at the standard deviation Now let's see one two three four five stick five tick stop loss Would be okay here and you catch this trade up to the V web and trade is done And we are still in that range. Yeah, very important. Yeah. No, I would say well First of all before you forget leave a like here Like the YouTube channel always important only 13 likes. That's not enough. You have to improve this otherwise I will not stop Until you know until not everyone hits the like button now well the liquidity is still there new liquidity is coming at 33 16 likes a little bit little bit more click-click like like and otherwise you have to to How to say I have to check this word Endure endure. You have to endure me a little bit longer Nice to see we have we broke through the V web. We made the retest here We can also see the same thing here retest to the V web also on that point and Well, now, let's see But to put too much into that context it doesn't make sense We are still in that initial balance range of 13 take a certain points. It's No trend yet No movement. Someone is building up his position to let the market move The average price is at your 5 3 15 50 according to the volume profile and then well later it will rock Yeah, very good. Some more likes came When there is liquidity on upside but market is going to opposite direction then what should we do? First thing I can is get the big picture. Yeah, the big picture. I we have it here on the right side. That is very important Then the second thing is Simply if you don't know what to do simply wait don't trade. Yeah We see a lot of liquidity is coming up here But the market still doesn't want to move up like I said right now we are in a Rotation that means people are buying selling buying selling and the They want to build up their position size Let's assume. There is a big trader who wants to trade like, you know 100,000 contracts to Make some to move the market up whatever he needs this range to get his order filled So we still have to wait. We don't know yet. I don't know if the market wants to move up Maybe that's fake liquidity, but I don't believe that because it's very serious basic these are not spoofing orders and Then maybe the market will go down first to catch Some stop loss. I really don't know and This is when I don't know I simply wait until the market is telling me, okay We want to go up or we want to go down. You don't have to trade if you don't trade you don't lose money Exactly the 308 No, 308 here, you mean Hmm what broker usage do you suggest for least commissions if we follow your style for standard deviation trading I know what I would simply Recommend AMP I think AMP I'm also trading through them. It's You get you get a good service for good price. Also another question is Are you living inside the United States or outside of the United States? That's also a question which you have to consider because some brokers like sink or swim Are not accessible for non-US citizens. For example, I cannot open an account there because I'm not American and This are some small consideration probably sink and swim is better if you're American. I Cannot judge as I just saw the software and I know many people are using this. It's a great tool I believe but for me the door is closed Okay, I have to accept that but if you are Not if you're non-US citizens and you want to really day trade futures and I'm only speaking about day trading I think AMP is a good choice. Many people are trading there. I never had problems Everything is working fast. You can use bookmap. You have your rhythmic data feed and other softwares for free if you like It's quite. Okay, and I'm not getting anything from AMP. I have no no No partnership of whatever for them. I just telling you this otherwise I can also Recommend as a broker is interactive brokers. I also have no partnership with them, but I'm I be client since over since almost 30 years now and They helped me a lot during the time when I was in prison And I can really say this is one of the most Reliable Brokers also for day trading, but you have to know you don't have day trading margins They only have maintenance margin that means if you want to trade one ES future contract You must have 11 K or 12 K depends on on your account That's like I said for day trading AMP. I think it's a good choice AMP AMP is giving $1 for micros and $1 for mini set too expensive Well, that is a You made your homework on rock. That's good training micros is definitely more expensive than trading the e-mini You must But you must consider Well, let me let me rephrase it. I started I opened. I think it was 20 21 or 22 AMP account with two thousand five hundred US dollar to show it to the public and I started trading three e-mini There's three micro contracts the commission's very expensive, but I simply did not have enough funds on that account To trade the e-mini for me Because you must see if you trade one e-mini you trade like a quarter million dollars It's five thousand three hundred twelve Times 50. Yeah, we can use the calculator So is it's very simple mathematics five three one two times Fifty is you're trading two hundred sixty five thousand US dollar with one contract If you trade the micro you only trade one tense, but you pay more commission it always depends on your Account size if you have ten thousand dollars on your account which is basically maintenance margin you have leverage of 26 if you I know with AMP you can trade. I think one e-mini with four hundred dollars. Yeah now we can tell you I can tell you the Yeah, two six five two six five one two three divided by Four hundred yes dollar you have a leverage of six hundred sixty two This is simply suicide You have to get to know these numbers Now the mini with the micro you trade ten Ten micro contracts are one mini contract With the micro contract one point is five dollars We see mini contract one point is fifty dollars. Yeah, if you trade now again, you see You move a different amount That is the question.  Yeah Ten micros is the same as one mini so the costs are ten against four. Yeah, this is a Alois santa you put it right. I am not wrong in that anorak. I got these questions many times and that is Misconception of the Industry they introduce the micro which I think is a good product don't misunderstand me But it's a good product with higher costs I don't need to trade the micro when I can afford the mini. I'm saving money So now we're all almost one and a half hour. So if there are no more questions, then I would start to go to the beach And the market is not giving me anything here today. It's simply In this range so I can stay here and wait or I can enjoy the sun sunny day today So and if you have any questions, please write to me on discord if anyone is in Germany and wants to come to the invest exhibition Well, let me know we can have a drink at the evening time or you can listen to my Speech and then I would say we'll see you Next week or see you in the community Take care. Bye


Hey guys real is the game here welcome back to another Roblox video today We're gonna be playing hotel stories. Let's see what this is about Let's read the description welcome to hotel stories in a group with the maximum of 10 players after staying the night and parting in a Run-down hotel something doesn't feel right your suspicions are confirmed when you hear a scream from a distant room Oh god, okay, so it seems like we're in this hotel We're getting lit and then we hear a scream from a distant room So that should be crazy and it should be fun. So let's join the game and see how it goes Oh my god, and then we got everybody right here waiting for me already. Okay, so let's go into an empty elevator My god, this place is awesome, man I actually bought a shotgun because apparently we're gonna be fighting stuff in the game. So that should be cool I got my teddy bear. I love you. I love you too teddy bear. Okay. Let's go in an empty one This one has zero people. Let's go everybody. Let's go in here. Oh My god, this animator looks so old man. Hey, what's up Twitter?  Okay, and here we go. Oh my god hotel waiting for our players to load Okay, and we got awesome Aaron cringey fierce Panther King killer jelly and cruise nerf paper army Super say it is super slap 3.0. Okay. Let's see. Oh He's already shooting at the hotel. It's midnight. Oh Midnight you guys. This is no joke. Oh my god that painting just moved. I Know that move just moved it wasn't me right? Maybe if you look away he moves. No, okay Where are we what happened last night? I don't know man We were just getting late and then we heard like a screaming supposedly or something Let's just get partless. Let's get a dance party in here you guys come on Maybe we should all look around. Okay, so what are we gonna look for exactly? You watch my vids? Thank you search the room for clues as to what happened last night I saw something last night in the hallway. I don't know where it was But it definitely was not human What oh my god, wait did you hear that? Yes, even if he means by the scream I did hear that loud and clear Okay, so there's oh my god. Excuse me gentlemen. The hotel has issued an emergency evacuation Okay, so there's somebody at the door you guys that is kind of scary. I'm going to have to ask you to open the door Okay, who's gonna open the door because I'm not but if it's like some crazy maniac someone get the door Okay, let's see who it is. Oh, it's mr. Smith.  Smith. Well, hello, mr. Dear Smith What is going on here? I will be your escort. We need to leave right now.  Did you just hear the scream just now? I'm deadie scream. Don't ridicule me at a time like this We just have to do as the hotel says he didn't hear the scream. He was so loud What if he has something to do with it? Follow me everyone. We have to make sure everyone is safe. All right, mr. Smithy, okay, so let oh can we knock on the doors? Oh My god, we could knock on the doors Okay, so be careful guys wait if something comes out of the doors and you know what there's floating chairs And then there's like vomit under this door. Let's take a moment to check the hotel rooms. Okay, so let's we're gonna check Oh, he found something I Think there's something over here check it out Okay, so what what what what door was he talking about all this one? Okay, so we're in another room now. Oh My god, there's somebody dead right here. Okay. This must have been the scream that we heard. Oh went out.  Yeah, exactly a new visit like a player that just started playing a game Okay, so let's go over here. What happened to the girl. Oh my gosh. She's dead. Yeah, man. Clearly. She is king killer jelly But what happened to her?  I Don't know man. Something's fishy going on here you guys. Okay, this gun. It could be useful pick it up All right, my boy. I mean I already have a shotgun, but I mean I'll take another gun by all means So I could feel more safe I'm gonna look on here. Is there anything out here? Oh Okay, quickly pick up the phone. It's from reception Somebody answer the phone Come on We need some help. There's a dead body in this room. Oh look there's a note It says help Okay, that's uh weird. It just says help Okay, I don't know guys. Oh my god. No the light went out again Okay, something is definitely going on in this hotel, man.  Just die When you don't know Oh, but yeah, we definitely need to go take a moment to discuss your next move. All right, you guys saw We're just gonna go out in the hallway and run for our lives.   What? Let's go check the restroom. Maybe we can go through the vents. Nope. Okay. No. Oh my god Okay, so there's no other clues in here. All right. Let's see what happens. Okay, so we're in the hallway Could have sworn the elevator was just down the hall Wait, so he doesn't even know where the elevator is This door. Okay. Uh, be careful guys. There's a separate Okay, there's the elevator. This has to be the elevator says elevators Maybe it's beyond this door. Hopefully it is man My god, that hallway looks creepy Why is this shotgun shoot up? Open the door. Okay. We got it Dang it. It's luck. Oh, no, that's not good man. We have to find another way in Okay, so now what you guys we're stuck out here in this creepy hallway Oh Oh my god, the walls are closing in. What? How is that even possible? Oh my god, hurry find the key. It should be in one of these hallways All right, you guys so we have to find the key to get out of here split up and find the oh my god The walls are coming. Okay. Are you guys that wall is getting closer? Um, okay. Let's look for the key. Where can it be at? I mean if I was a key Where would I be if I was a key man? Okay, is it in the rooms? I don't think it's in the room. You found it nice. Hurry before the thing closes up on us Oh god, okay. This one closed up all the way and so did this one So it's just this one. Okay, open it. Oh nice. Okay, so we're on to the next hallway Oh my god, so this is like room 130. How many rooms are there in this hotel? There's be a billion rooms. Well, that was certainly odd. I guess there was man Why is there someone's like rubble on the ground man? What is wrong with this hotel odd more like scary? Yeah, that's more to be exact.  I can see the elevator. Let's go. Oh my god. Are those spiders? Oh my god, spiders. I think they're for Minecraft. They kind of look like Minecraft spiders Okay, let me get my shotgun out. Wait, mr. Smith. Don't you see the spiders right there? Oh god Dude, why is the spider just chilling right there? Oh, no, I think we're gonna have to fight these dudes. Okay, get up.   Yeah, there's definitely a lot of spiders right here Okay, so I'm gonna keep my space because I don't want to die.  Oh Dude, look at these things. They're going crazy Okay, they're not dying. Why is it dying out spider get away from me Dude, I'm even taking damage. He's just running and getting me Okay, nice. We need two more spiders. Don't worry guys. We got this No, oh that was close. Okay, so I'm close to dying. That's not good. Ew.  That doesn't sound too pleasant. Okay, better than being spider lunch. Let's get inside the elevator Yeah, definitely do not want to be spider lunch That would not be a beautiful image. Oh my god. The chair just floating upside down Okay, I don't know if it's a good idea if we just hop in the elevator because this whole place is haunted, man And now we're going in this creepy old elevator What it isn't working as it should Oh my god, isn't this just great. Wait, how's it not working if it just came up to us? Give me some time to reboot this this elevator is older than i am. I know Okay, so this dude's gonna fix it. Hopefully no more spiders come back Okay, wait for mr. Smith to finish rebooting the elevator.  Okay, so is there like any like Ghost or something behind this? I'm trying to see if there's anybody lurking through the window But there's nobody. All right, let's go check out the rooms. Maybe there's something in there We're hopefully nothing pops out. Oh All right, all done. We'll be out of here in a bit. All right, sounds good. Mr. Smith I want to get out of this place already, man Oh Dude that was like a demon or something You see that's exactly what I was talking about. What the heck was that? I don't know if it was like some ghost or something. It was pretty terrified What I didn't see anything. Why did this dude never see anything? He never knows about anything, man Okay, uh with the weather going on outside power outages are expected though Yeah, but that was a power outage, man That was like a ghost or a demon and they had wings and had red eyes. So then you know, that's evil Okay, so where is it taking us? Hopefully it takes us to the main floor. We can get out of this. Oh What's that banging man? Okay, this is not good. Oh my god. Okay. Can this stop? Is that the elevator moving? Jesus Christ this thing was like That was a little surreal man Okay, look at the light bulb.  Mr. Smith. Hello. Oh god. We went to the basement. That is creepy. Yo, I don't know.  Finally we got down here Oh my god, this place looks creepy. Yo Okay, so I wonder what's gonna be down here Don't worry. I have my teddy bear but I get scared. I just get my teddy bear out Oh my god. Thank you teddy bear. I feel safer now Okay, what's going on my boy? Okay, that's strange. I pushed a button out For lobby. Okay, so we took the owl and it brought us down here at the basement This is not good, man. It seems like we are below in the hotel in the basement. Yeah, I know that already Thank you for letting me know Okay, it's gonna be like a maze down here. I bet So what do we do down here, man? You brought us down here. Well, oh my god. Look at the ghosts. It's right there Okay, so where'd he even come from man? Hurry get back in the elevator everybody. Okay. I don't know if we should man because This guy is a little he's a little fishy, man Okay, so we just stayed out here with that thing in there. I mean with that thing standing there you guys Okay, I'm gonna sit down. I'm gonna have a seat while everybody while we just there at the demon He just disappeared Wait, so is it fake or something? They like the hologram? Oh god What's that loud thud, man? Mr. Smith, why didn't he get in the elevator? He told us to get in the elevator It makes no sense Okay, the lift doesn't seem to be working anymore Wait, so he's not gonna like question us about it. Okay, man. I'm not gonna trust that guy anymore from here on forth Okay, so what do now you guys what is there to do? Let's keep moving.  Okay two ways. This seems like see I just said that man Okay, so what way do we go? I'm gonna follow the crowd because everybody follows a youtuber but this time I'm gonna play the uno reverse card on them Let's see what they do No, don't follow me. I'm trying to follow you Following me to follow you out of here. That makes any sense. Okay good news. You can buy a candle from the shop Well, it's like he's mocking me or something. I already have the candle You can also push the walk speed boost if you like like I actually bought that also So I'm gonna be fast out of here. Anyways, I'll wait here focus on finding the exit. Wait, he's just gonna wait here That's it. I'm calling it. This dude has something to do with the man. He has to because why else would he wait back here? Okay, you guys all like there's a note What does that say day two on the job? I am the hotel storage manager This job doesn't pay too well and this place gets me the creeps You ain't gotta tell me twice, buddy. Hey, somebody left. We just lost somebody Okay, just use a gun to make light That's pretty smart. Okay, be careful, man Because there is the demon out here Lurking trying to take our souls away We're not a lot that it happened to us Okay, uh, that looked like a trap to me. Let's go this way Okay, okay, I usually find the exit to uh mazes Okay, uh, but this time I'm a little skeptical because I don't want to die And if I die, I'm gonna have to do everything from the beginning Okay, there's a guy over here. Maybe over here Now I'm gonna have to do all this all over and that's not cool, man Okay, um Can anybody find the exit? Please Let's get out of this place My god, this place is humongous. I think that's like the biggest space I've ever like tried to do Okay, be careful peek the corner nothing here that a dead end Yes, it is I really couldn't tell because it was so dark in the middle that you can tell it didn't Okay, hopefully it's this way come on Oh, there it is. What I tell you guys always find the exit somehow. I don't know man. Maybe it's just luck Oh, no, wait, this is the way he came wait. No, is this the way out? Oh, it is the way out It kind of looked like the way that we were back there with mr. Smith What should I say try there? Although we're missing people yo Okay, now. Okay. Let me read this note. I want to read the note. Okay. We can't read the note Oh my god, the spider's here one step closer to getting out of here All right, you guys get ready to fight these spiders again Man these spiders are everywhere, man. What we just got trapped in here.  Right there you go. Nice man. That was fast. Good job everybody. I wanted to read it, but you can't click it Okay, so now what? What do we do here mr. Smith? This way just board it off Yeah, you can definitely I can see that for myself, man. What if we shoot them down?  There you go everybody shoot it Team work Team work makes the dream work, and then we'll be able to get out of here Hopefully because the lick's a little dark down there And I have a feeling that that demon's going to come back for us Okay, we're almost there you guys I can smell freedom from here Okay, knock down one down. Do we really have to knock down one down like it's not even blocking us. It's up there Okay, there goes nothing All right, nice He managed to clear the blockage And then let's see where this path leads us My god, I don't know we should go down there y'all. It looks so dark. I feel in an easy presence ahead Uh-oh That is not good Okay, man. Why is he all the way back there take some time to prepare before continuing Boy, I'm ready to go. Let's just go man. Why are you being the chicken, huh mr. Smith? I know he's lying. He's not really scared. I don't know. He's behind this He has to be man Because he made he told us to get in the elevator back there and he stood back I couldn't even oh like finally we could read it day five on the job. I am the hotel storage manager. I quit Okay, so finally the hotel storage manager quit So why did he quit he didn't tell us maybe we'll find another note and we'll know why he actually quit this job All right, let's go. I want to keep continuing. I'll wait here. You guys keep moving Why does this dude always want to wait behind? I don't trust this guy anymore. Like definitely now. I don't complete the obby. Oh my god. There's an obby Why isn't this just wonderful, man? Skip the obby should I skip the obby for everybody? Now the pros they got a man. Okay, let's go. Oh my god. There's thoughts coming out of the ground Dude, are you sure this is like jigsaw's hotel? Oh, no She died rest in peace, man Okay, oh those things come out of the wall Okay, this is this obby looks a little intense Okay, here goes nothing. Oh god. Be careful you guys. Please don't die. Nobody else died I did not want to lose anybody anymore You got to continue moving. No Oh my god, that was close That I was a goner right there, man Okay, just keep steady. We got this right tweeter. Oh man. Okay They just had to put an obby, man Okay, we got this y'all. Oh, that was so close Okay, we got this jump on the crates We're almost there Yes, we made it. Oh my god. The demon is down there Oh, no, wait. Why is there a giant knife and there's there's a scally man. Oh my god Okay, that is not good y'all.  I've been haunting this hotel for ages Oh, no, you guys. Okay. So we're in the little Prediction made right now. So what are we doing here? You're the first to witness by true four We're gonna have to fight this dude, man. This is a boss battle Finally, we get it like a boss battle one of these games Okay, so this is not gonna be easy for sure. There's no escape now Well, we can just leave through here. Can we just shoot this open and leave? I'm not ready to shoot him. Okay, man Defeat the demon boss. Oh, dude, this guy has powers This is not fair Are we supposed to fight this dude when he's like throwing beams out of the sky and stuff? Okay, everybody just shoot him He's like we're doing good. Oh, no. Okay. Don't think do a lot of damage man. They're no joke Shoot in red. Shoot in red. That's the only option we have man.  I think it's easier in third person because you can actually see where the lasers are at Uh-oh, here they come Dude, when is this guy like run out of power?   You guys Good job, man. You guys are doing a great job. Oh my god.  You gotta be kidding me, man Wait, he lied. He said that we were the first ones to see his true form But there's like a lot of dead bodies here So we're definitely not the first ones that've been down here. Oh, no, this is not good.  Okay Okay, now he's about to die. There you go. You go. Come on.  I actually thought I was about to die there. All right. No, this won't be the last of me Well, too bad a man. We defeated that dude Baron square Okay, so is it like a summoning star, right? What happened here? Looks like a crime scene. Get out of here, mr. Smith. I don't trust you I don't trust that man Okay, let's see what he has to say. Don't worry about it. That's right. You tell him, man Tell him don't worry about it, man This dude always shows up like at the end When everything happened already Okay, where'd he go? Oh, there he is Okay, the exit is just up ahead the score by my escort duties are officially over All right, man. Well, I'm sorry for not trusting you, man. You were just a little iffy, man. You would always disappear You would always disappear when something would happen Walk up the stairs and click no Okay, more stories coming soon developers. Oh, wow. Really? That's pretty cool. Okay. So hey, we made it out safe and sound Well barely we almost died there. We only had like a pinch of health Well, that was pretty cool I've never seen any of the scary stories that you can actually like interact Or like by guns and shoot monsters. That's pretty awesome And this game was definitely unique and that that was pretty awesome. All right Oh, look at he's right here. Oh, this is miss. Amy. Take the elevator to start our hotel to be haunted Those are just stories though. It is. Oh, there's a door open But does it say run away?  So that's pretty cool Let's see if there's anything else move along. Hey, it's mr.  All right, you guys. Well, thank you guys for watching Thank you guys for the amazing support if you guys enjoyed the video Make sure to slap the like button if you're new to the channel Make sure to subscribe and hit that notification bell and I will see you guys in the next one. Bye


Okay. Good morning everybody. Today I'll be presenting an approach for upper GI bleed. Before starting, I would like to wish DJ and Leon for passing their intermediate exam. And I wish all the best for Anthony next time to join us. Okay. So this is quite a big topic and it's a very common problem we face in our emergency department. So upper GI bleed is very common, medical condition with high mortality and morbidity. And commonly they present here with, usually with hematemesis. Very rare you get them with melina, sorry, you get them with melina, but very rare you get them with hemategesia. So these are some common causes which I'm not going to discuss, but these are some common causes in upper GI bleed, which were discussed I think previously in the previous presentation with Anthony. So gastric and duodenal ulcer is figal varicis, esophagitis, malary waste, angiotysplasia, delifoil lesion, and sometimes we know no lesion identified. Regarding delifoil lesion, this is a submucosal dilatation of vessels which tend to erode into the epithelium and bleeds. This is a picture shows the delifoil lesion. This is small, as you see in the center, this dilated small blood vessel. Then this is gastric entral vascular lactacea, which is known also as watermelon gastritis. Again, it's dilatation of blood vessels which gives watermelon look like. Okay, so some other less common causes are hemabilia, which is presence of blood into biliary system. Usually there will be some liver or biliary pathology like liver tumor or instrumentation to the biliary system. Hemococcus pancreaticus, presence of blood into the pancreatic duct. Again, it could be because of tumor pancreas or pseudocyst or any cause of bleeding into the pancreas. Our two intracrystallis and chameron legion. Our two intracrystallis is most common in the third part of the odenum or fourth part of the odenum. Chameron legion is just an ulcer or erosive legion in the sac of hiatal hernia, which is very less than 5%. Okay, this is general approach to upper GI bleed. The initial evaluation of patient includes assessment and diagnostic study. In assessment of the patient, you are looking for stability of the patient, whether he's stable or not. Then you go for diagnostic study that the choice is in the scope to check where is the bleed from and to intervene. Okay, coming to the initial evaluation, you assess the severity of the bleed, identify the potential source and determine if there are any conditions which can be managed by in the scope. Okay, part of that management is your history, history taken from the patient. 60% of the patients tend to bleed from similar legion. If they have history of previous bleed, they tend to actually bleed from the previous legion. And your history can't suggest the source of bleed. Like patient with portal hypertension, you suspect these figal varicis. Patient with like aortic repair previously, like aortic graft or aortic aneurysm can't suspect our two intracrystallis. Then other things like epigastric pain can't suggest like optical cell disease and so on. Okay, in your history, you are supposed to take as well, you should consider your comorbid condition because that will affect your management. Like patient who have coronary artery disease, you should take care of their hemoglobin concentration that you keep it high up, plus they should get some oxygen. Patient with CCF or some renal failure, you should be very cautious with your fluid. Okay, then patient with hepatic dysfunction, your management be affected by giving them like fresh frozen plasma, you should consider it. Then some patient may need intracal intubation if they have dementia or encephalopathy. Okay, then other part of history is your medication. You should know whether your patients are taking NSAIDs, which can be the reason for their ulcers. Maybe they are taking warfarin for some or any antiplated therapy for some condition that could be the reason for their bleed. And other part of history, you should know like if patients taking iron and the color of the melina is just an iron related. Okay, this already I have mentioned symptoms assessment of the patient. Okay, one more point in the symptoms is regarding whether the patients are in clinical condition, whether they have hypotension, dizziness or they have reduced mental status. So that can indicate severity of bleed. Okay, coming to physical examination, as everybody knows signs of hypovolemia, if it's moderate or mild, the patient it will be tachycardic only. If it's more than 50% of blood loss, orthostatic hypotension, and more than 50% or 40%, there will be hypotension supine hypotension. So examination, while doing PR, you examine the stool color, but this is not very reliable thing. Then presence of abdominal pain or guarding or anything which suggests prodenitis can suggest that patient may have perforation and should be worked up for that, like doing an x-ray, looking for air under the diaphragm, and maybe CT scan. Okay, lab tests includes your blood counts, serum chemistries, liver tests, coagulation studies. Okay, it's a patient with coronary heart disease or risk of infection, get electrocardiogram. Then it's important to get the urea nitrogen and urea, because having a high ratio of BU and to keratinine or urea to keratinine is very suggestive of upper GI bleed. Nezogastric lavage is controversial in diagnosis of upper GI bleed. There was a study done regarding that, looked whether there would be any clinical benefit in angi lavage. 632 patients were admitted with the bleed, and some of them went into angi lavage and some of them didn't. The angi lavage was associated with shorter endoscopy time, but there was no difference in regard of mortality and length of hospital stay or surgery, or even transfusion requirement. Okay, then coming to risk stratification, endoscopic clinical and lab features may be useful for risk stratification. There are certain factors used for that, like hemodynamic instability, like systolic blood pressure less than 100 or heart rate more than 100, hemoglobin less than 10. If there is any active bleed during endoscopy, ulcer size if it's ulcer is more than 3 cm, then ulcer location if it's duodenal bulb or it's indelizer curvature. Okay, I'll mention three scoring system, that's Rokal system and BlackScore system and AIMS 65. Coming to the first one, which took in concentration that endoscopic finding during the endoscopy and as well as age of the patient, hemodynamic shock and major comorbid illnesses. So each factor was given some points and a score of 2 or less was associated with low risk of further bleed or death. But I have no idea if the score comes like 10 where we stand, I'm not sure. Okay, then that's the BlackScore system. In this one, they didn't take any endoscopic finding in scoring and the score of 0 was associated with low risk of need of endoscopy intervention. So they took in concentration in blood urinary region, hemoglobin, systolic BP and other markers. This score system looks easier to implement in emergency than the other one. Okay, coming to AIMS 65, which is the easiest to implement, the studies has showed that it has high accuracy. Five factors were taken that include albumin and AIMS 65 actually is kind of mnemonic for the factors we are using. Albumin less than 3 gram per deciliter and INR more than 1.5, altered mental status, systolic blood pressure of 90 or less and age less than 65. So this is the scoring system and interpretation of this system is like this. If you get zero risk factor, so chance of mortality is 0.3%, one risk factor is 1% and so on. Easy way to remember this is 0 into 0 is equal to almost 0. Then 1 into 1 is almost 1. 2 into 2 is 4, it's almost 3. Then 3 into 3, 3 into 3 is almost 9. Then 4 into 4 is almost 16 and 5 into 5 is almost 25. So you can't remember, if you remember it in this way, it's the easiest to remember that. And that's my discovery by the way. I didn't read it. Okay, general management. So this is general points you have to do when you manage a patient of GI BLEE. First you have to try out him whether he needs an ICU or ward admission. Then what kind of support he needs? If he has coronary artery disease, he needs oxygen, then you should have two large board cannulas whether he needs intubation or not. Then fluid recess, he gets like any other hypotensive patient, he gets fluid recess accordingly. Blood transfusion, medication and upper endoscope. So I'll go through last three points more extensively now. Coming to blood transfusion, the slide looks very congested but it's very easy. This blood transfusion decision is individualized. Okay, so usually the recommendation is to initiate transfusion if your hemoglobin falls less than 7 gram per DC liter. Okay, except in cases with patients who have comorbid illnesses or coronary artery disease, that time you fall below 9 should initiate blood transfusion. Okay, you should avoid over transfusion in various bleeds. Okay, what are the studies done in this regard? RCT then suggests that using lower hemoglobulin threshold for initiating transfusion improves outcome. The trial had 221 adults with acute bleed, so they divided them into two groups. One was restrictive group and one was the liberal group. So restrictive group, they never transfused them except if the hemoglobin fell below 7 and liberal group, they transfused them if the hemoglobin fell less than 9. And this was the result. Restrictive group received fewer, less units. Mortality was lower in restrictive group and it was less likely to have further bleed. Okay, then patient with cirrhosis, the death and further bleeding were less in restrictive group. Okay, but we have to keep in mind something that all the patients got in the scope within the first five hours, so that was very early in the scope. So theoretically speaking, if we wait like two days, most probably they wouldn't do well. Medication. Asset separation, that's an era of PPI's high dose of anti-security therapy, our advice, which significantly reduced the rate of bleed compared with the standard treatment. Okay, as you know, we give usually pentaprosal 20 milligram bottles, then we will be followed by infusion 8 milligram per hour, and which last for, supposed to last for 72 hours. Then we can't ship them into oral dose, that will be 40 milligram per day or on the prosal 20 milligram twice daily. Prokionetics. They have studied erythromycin and metaclopromycin regarding prokionetic. And the goal of prokionetic is to improve gastric visualization by gastric emptying. Okay, so reasonable dose was 3 milligram per kg, 20 to 30 minutes before the endoscopy. Okay, many studies were done in this regard, and most of them should improve visibility, shorten endoscopy time, reduce the need of second relook, or a second scope. So meta-analysis, which included five trials, 316 patients, suggested that the using of pre-kinetics decreased the need for second relook, but did not affect the number of unit transfusion transfused and length of hospital stay or need of surgery. And the subgroup analysis showed that erythromycin showed a benefit in the regard of second relook endoscopy, but metaclopromycin didn't. Then there was another meta-analysis with examined four trials and had 335 patients, and the meta-analysis found that the patient who received erythromycin were more likely to have an empty stomach during endoscopy. And they had reduction in the time of endoscopy and volume of blood transfusion and the length of hospital stay. I'm not sure about the volume of blood transfusion, because the first meta-analysis didn't show that. Then finally there was strength towards short endoscopy time and decreased mortality. Again, that other meta-analysis didn't show decreased mortality. Then erythromycin was compared to nezogastric lavage. So they divided, it was RTC, which divided into three groups. One was compared erythromycin alone. Then with gastric, sorry compared erythromycin alone with nezogastric lavage alone and nezogastric lavage plus erythromycin. So there were three groups, one erythromycin alone and one was NGT alone and one was both of them together. Quality of visualization did not differ. And there was no difference among all groups in this regard. So it's NG lavage was not recommended. Okay, using somatostatin or ectorotite is not recommended in case of non-very cell bleed. Antibiotics. Antibiotics were studied in that and it showed it has multiple trial wear then and it showed that they are beneficial in patient with cirrhosis because 20% of patients present to hospital with patients of cirrhosis present to hospital with infection and 60% develop infection while being in the hospital. So it was recommended to give cirrhotic patients, they get the antibiotic pre-scope. Okay, antifibrillinotic agent, which is trans-examic acid, meta-analysis was done in this regard also. Seven trials examined and benefit with regard to mortality. It showed benefit in regard to mortality but there was no benefit in regard to bleeding, surgery or, sorry, re-bleeding surgery or transfusion requirement. So it has no role in upper GI bleed management. Okay, upper endoscopy. Upper endoscopy is diagnostic modality of choice. Okay, it has high sensitivity and specificity. Early endoscopy, which is within 24 hours, is recommended. During endoscope you can classify your ulcer according to forest classification, which I'll explain very soon. In patient with blood to obscure the source they may need second endoscopy but second endoscopy is not routinely recommended. This is forest classification. If you see in the left column it is divided into five, sorry, six groups, which is forest 1A, 1B, 2A and so on. So 1A is actively bleeding ulcer. Second 1B is oozing without visible vessel and 2A is non-bleeding visible vessel, then adherent clot, flat spot and clean base ulcer. The prevalence of these ulcers is in second and middle column, which shows that forest 2A, sorry, clean ulcer base, which is forest 3, is the most common followed by forest 2A. And I think last week we were discussing whether what is the risk of reblead in the forest classification. So you see in the right side column that 90% of the patient with the forest 1A tend to reblead and 50% of the patient with forest 2A. But the patient with forest 1B only 10% reblead, though it's in forest 1 and they were oozing initially. So visibility of the vessel seems that it played a role in reblead patient. Joseph Indoscopy, currently most patients are treated with either thermal coagulation or hemostatic clip with or without additional injection therapy. Okay, why they are doing so because a meta-analysis was done and the analysis included 74 trials, which is, I think it's a big number. What did it show? The following were the major conclusions. Compared with epinephrine monotherapy, the risk of further bleed was significantly lower in the other patient which treated with other modalities, like thermal coagulation. Hemoclip were more effective than epinephrine alone. Then the efficacy of endoscopic therapies for adherent growth was uncertain. The choice between hemoclip and thermal therapy was dependent upon the other factors like location of the ulcer and the endoscopist themselves. Okay, the standard approach when you treat patient with endoscopy is thermal coagulation and hemoclip, which also can be combined with injection, sorry. So injection therapy should not be used alone. It should be used in conjunction and should not be ever used alone because the chances of rebleed are higher. Thermal coagulation is contact probe achieve acute hemostasis and prevent recurrent bleed by coactive coagulation. That's compressing the probe against the blood vessel and doing the coagulation so it seals off the vessels and stops the bleed. Other way is organ plasma coagulation, but in this one there is no you don't compress it against the blood vessel, so there is no sealing as in the first one. Hemoclip, endoscopic application of hemoclip is alternate method, which is similar to surgical ligation. If that hemoclip didn't stop the bleeding vessels, it leaves a marker for further things like when you go for interventional radiology or angioembolization. So if you have that marker, the clip will be like a marker for you later on. So it has disadvantage. Alternate approach is these are other things other than the clips is fibrin sealant that you inject fibrin sealant to initiate the hemostasis which prevent recurrent bleed. And there is something called hemostatic nanopowder, which gets adherent to moist surface and stop bleed. I'm not sure about the mechanism exactly, but it forms a barrier to the second relook endoscopy. Second relook endoscopy refers to practice performing a plan endoscopy, generally within 24 hours of initial endoscopy. I'll come to the reason why we do second relook endoscopy, but if you have no reason, usually it's not recommended to go for second endoscopy. So when you are going to go for second relook, if visualization during initial endoscopy was limited due to blood or debris, if there is a concern about part of the endoscopy that the previous endoscopy therapy was self-optimal. Okay. How you manage recurrent or persistent bleed? Persistent bleed refers to the active bleed that does not stop despite endoscopic therapy or bleeding that developed during endoscopic therapy of non-bleeding legion. Precurrent bleed refers to the bleeding that occurs following spontaneous homostasis of the previous successful endoscopic homostasis. Okay. We have options like surgery, which was discussed in previous presentation last week. I just mentioned that type of surgery we can do. So surgical treatment of pyrtic ulcer, bleeding pyrtic ulcer include overseeing the artery with tranquil begatomy, and dractomy with gastrogenostomy, which is billaric too. Highly selected begatomy. This can be done in a stable patient, and you can do it with laparoscopic. In addition to failure of endoscopic therapy, other indication for surgery is hemodynamic in a stable patient despite vigorous resus, like the patient we had last week, when shock associated with recurrent hemorrhage and perforation. Okay. Intervention and geography is less invasive. Okay. And it's equally effective, but it should be considered for patient with high risk. Okay. Best technique of treatment of bleeding into the biliary tree and pancreatic duct. And it's less likely to be successful in patient with impaired coagulation. Follow up patients. Once your patient is ready to discharge, you have to follow him up to treat the basic, the main reason for his ulcer, whether it's a biliary related or NICID or whatever.


Linda Bird's sixth birthday, March 1950, and right next to her on one side I see Hundred Minutes, and then I believe that's Marta Miller. I never saw her since so happy about white love, and on the sofa Marta Thornberry in blue, and Patty Nichols. There's the birthday cake, and Tulips, and Lucy also dressed in a blue peniforce. I tried to do them in sister dresses for a good long while. That girl was cuddling from the time she was born in Marjorie Jenkins helping with the cake, and there's the A-Benson lovely Bearland, and two little Benson boys were around the table somewhere, and also Beth Jenkins and Anne Thomas. My red curtains were the light of my life for years. There's Molly, Blonde. Stu Simington came over to see us after their children had all departed. In those days Stu was a very constant visitor at 30th place, and Paul Porter was often there too, and Stu was always a favorite of the ladies, age three to sixty. He was especially fond of Lucy. That doll was one of Linderberg's best yes or sixth birthday. There's Paul Porter, always good stories and gay at the accompaniment. There's Zephyr with Lucy and the Pianese. In those days I was a great gardener, and my Pianese were one of my favorite products. The backyard at 30th place, I loved it. Linda and Lucy and sister dresses, and there's that little cousin Rodney and Lyndon against the climbing tile of scarlet, and it was a threesome. I too had one of those pink dresses with a blue braid on it. In fact it still hangs at the ranch in the closet. There's Hunter Minnick and Beth Jenkins and Lucy, and Molly Thornberry. This is Lucy's birthday on the back porch. There's Rodney White helping Lucy open packages. Raggedy Anne, larger than the child who's holding her. Lissy Grant will be somewhere in the group. Lucy's birthday parties were always a happy occasion for all the mamas. We used to have hamburgers with homemade buns and beer at in the backyard, and just have a good time after the children got settled to their place. Four candles, a third birthday, and one to grow on. And back in the yard you'll see my daily lives. And the holly hogs. Molly, Hunter, Lucy. You'll notice she had on the same birthday dress that she wore to Linda's party. I'm afraid I wasn't a very indulgent mother about clothes. Linda Bird helping run the party. Here she is with a great garland of balloons. Little Rodney who stayed with us months of that year. I can almost taste that birthday cake now.  We are at Mr. Bible's Play Park in Austin, Texas. The favorite thing for the children to do in those days when Linda was six and Lucy three. And Halloween was always a big day in our lives. There's Karen and Kellam and Lucy and Philip and Rodney. There's Kathleen Connelly, Nita Louise Kellam. Kathleen in the skeleton suit, Nita Louise in the cowboy costume. There's Lucy, a pink rabbit and two little gnolls looking like Genghis Khan or Tamalaine. The two little Kellam girls and Linda Bird. And there's Robert Brooks and Molly Thornberry. What a handsome pair they were. Ah, Lucy, I could grab you up and pet you. Everybody always could. The mamas went along and had as much fun as the children. And here we are at the professional table. Linda Bird and Kathleen, those two who loved each other so much. All those years, constant companions. Smith girl and Robert.  And there's Gina Deeson and Marietta Brooks. And the little Coleman girl from across the street, Lucy's constant companion in her childhood years.  Mrs. Huberich's school in Austin are just about a block from 1901 Delman. She went from September to Christmas. She loved it daily. It was a good indoctrination. And now Christmas, 1950. Linda Bird beginning to get quite flub. I always tried to get in a bright dress for Christmas. And Red Velvet was one of the very favorite charges. That is the picture that we have used so much for years. Our best one, a Getting's Direct Color Photography. And there is a young and radiant Mary Ratter, Linden's top secretary, and Lulu Hagarchild. There is Helen Williams with Linden playing his favorite role of Santa Claus. In a moment, a very resplendent dress. Oh, there comes the doll. Lucy's best gift for that Christmas. And there's Willie Day Taylor. I wonder if that is the doll that Linda Bird later on traded back to Lucy for a large sum. At least she's accused of having done it. Mary assisting Santa Claus. And there's Warren Woodward. He just come to work for more than a year before. Very much a member of the family. Later on, for those two little girls, he had what he laughingly called the Woodward Date Bureau in my best hostess gown. And there comes the party dress. One inch for Linda and Lucy. Two young buses, Mary V and Horace, had not been married too long. And Linden, in front of my manor decorations, I was very proud of them. Those satin stockings that Neva West gave us were part of our lives for many Christmases. They were rather new then. The file on the hearth at 30th place. Always a good gathering point. And here, the end of the day. A long, happy Christmas. Linda and Lucy. There's Paul Porter and Grace Tully. Both frequent visitors. And here, in the depths of winter, beginning of 51. Back yard at 30th place. Lucy had a bit of a lisp in those days and a slightly tongue tied, which just endured her all the more.