What is up guys? Karma Medic here and welcome back to another dose. If you're new to the channel, then hi, my name is Nasser and I'm now a fourth year medical student studying at Kings College London and welcome back. Welcome back to my vlogs. I feel like it's been a long time since I've picked up the camera and talked to a camera.  Oh yeah, a productive med school study vlog. That was me on my peripheral placement, finishing off my opposite gyneurotation and then studying for my upcoming final written exams that I've already written. They're done and out of the way, which I'm very happy about. It's honestly been quite an intense studying period. I think I showed you guys the timetables that I was using to prepare for that written exam. Yeah, hopefully the amount of messiness can display to you just how much studying we had to do. And then as soon as this was finished, we had no break at all. And we've had to start studying for our upcoming oski exam, the practical exams here in medical school. So I had to come up with a brand new timetable, which I'm working my way through. And believe it or not, we are two days out from the oski. So basically, guys, it's been nonstop studying for over two months now, something like that day in and day out, preparing for either written exams or these practical oski exams. Later today, I'm actually going into campus to the clinical skills room to actually hold and feel and use some of this equipment that I might have to use after tomorrow. Oh man, the exam is way too close. Anyways, that's med school for you. That's a problem for future me. Okay, this is it.  Today, me has quite enough to deal with alone. So let's get started working on those. But before we do that, I do have some good news. Christmas has come early this year. And we've got a lot of packages to open. So let's get into that tons of boxes. Honestly, don't know which ones to start with. I'm just gonna go for the first one. We'll move from there. Video production on the channel is about to skyrocket. All right, probably the biggest and most exciting purchase, the Sony a7c. Wow, it's incredibly light as well. That is fantastic. This is going to be a lot more easy to take around with me. So this over here is called a slider. So this is a power bank. I'll take it. All right, I'll show you guys this in a second. Something else I'm very, very excited about. I call myself the new GoPro Hero 9. Now a lot of you guys won't know this, but my entire YouTube video making journey started with a GoPro, the GoPro Hero 2, I think it was. Let me go grab it. I still have it right over here. It's the GoPro Hero 4. And I use this to make my first couple of videos that I ever uploaded onto YouTube. As you guys can see, it's it's old. It's battered. It's definitely been through its paces. This is the wow, that's a huge box Sigma 2470 f 2.8 lens. Cool. I've managed to make a huge mess as per usual when I do these unboxing videos. You guys will be seeing all of these in future future videos. So stay tuned, subscribe, et cetera, et cetera. And yeah, let's get back to the vlog. I think it's time to actually get started now.  This book has basically been my like North Star, my guiding light or whatever when it comes to oscure preparation and oscure studying for upcoming exams. But the medical school has also given us some guidance, some instruction on sort of possible things that might come up. So I'm going to show that to you on my screen right now. So I think you guys have all become pretty familiar by now with my conditions list. So this is where I keep track of all the conditions that I need to know about in medical school. You know, if we open each one of these, it has its own set of notes color coded according to different things. But studying for oscure for the practical exams is a completely different game. And so I've had to create a new thing. So under oscure here, it's called the purple book checklist. And basically what I have is the five different domains that we can have in our upcoming oscure exams. So we have communication stations. So talking to anxious parents or explaining different diseases or conditions to people who have recently been diagnosed, or maybe someone's really upset about something, you have to deal with an angry patient. That's what comes up in comms communication. Then we have exams. So these would be things like full neurological exams, abdominal exams, cardio, rest, you know, you name it procedures. These are things like clinical skills, for example, taking blood, measuring blood glucose, taking observations, so respiratory heart rate, blood pressure. Those are all the simple ones. But then you have things like urinary catheterization, doing an ABG. There's a lot. Then we have histories. This is sort of the bread and butter of medicine, you know, patient comes into the GP or into the hospital, and you have to take a history from them. You have to find out what's brought them there, what's wrong, take all their relevant history, past medical history, social history, drug history, blah, blah, blah, blah. So that's the histories one. And then finally, prescribing. This is a good one about like a week or two ago, you know, me and all my friends were like, yeah, prescribing, like how hard can that be, you know, you just look at the drug chart, you fill in the drugs, make sure you write everything in the right place, and you're good to go. But it turns out it's way harder than that. All right. So this is an example of a drug chart. This is not a real drug chart. It's an example. And it looks like this, and you have to fill out all kinds of different information. I've scribbled all over it right now because I was just practicing and trying to learn and remember things. Anyways, that was a quick tangent. Now that I've rambled on and we're like a hundred minutes into this video, let's raise the desk. Let's get into studying mode and just bang out a couple hours of this. What are we starting with here? We have review basic life support and I'm new back. All right, let's get started. Quick interruption. When you take a patient history, okay, there's a lot, there's a lot of things you need to do. There's a lot of things you need to remember. But there's certain things that if you forget sort of are really, really bad, or if you forget them, then you'll just be missing a bunch of information that could be very helpful in identifying what the actual problem is. Okay. So one of the things you should never, ever, ever, ever miss is asking a patient about allergies because obviously if an allergy is not documented at the notes and then you give them something they're allergic to, it's going to be catastrophic. Some other things that are really helpful in a history are asking the patient's ideas, concerns and expectations. Okay, so Kings as a medical school has drilled this into our brains as ice, ideas, concerns and expectations. So anyways, there's a bunch of these things and I've written them down as sort of my holy grail list on the like random contents page of this book, sort of like five or six things that you need to need to need to ask. And that I sometimes forget, which I shouldn't. That's what I'm going to go over now and review and make sure that I have grained in my brain. So I can't can't forget them. Moderate severe pain. Okay, for an adult, 30 milligrams every four to six hours. Okay, we're giving this is breakthrough pain relief 30 milligrams PRN so as needed but for a maximum of four to six hours per day. So that would All right guys, so I'm mid studying and we've started to make good progress on our to do list. So we've ticked off quite a few things over here and there's still more to go but we've got the whole day just making random notes over here currently going through blood transfusion charts. But basically, there's this app that I'm using, which is really helping me keep track of time and it's helping me stay motivated and focused for the time that I'm actually studying. And I just got a notification from it and I think it's really great. So I want to show you. All right, so this is the app over here called flow. Let me zoom in so you guys can see that a little bit better. So flow is basically just a very simple little timer that runs in the background and you can move it wherever you want. And you can set how many flows you want to do in a day. So I currently have one, two, three, four, five, six, seven, eight, which amounts to eight hours of studying. And you can pause the timer, you can start the timer, you can give it a little name, reset it.  So it sort of helps me be more intentional with my time. And I like that you can see sort of the progress of what you've done so far and how much is left in the rest of the day. The app looks like this on the app store. So if you guys want to check it out, search flow and look for that. Also need to say that extra saucy AKA that medic, he's been on my podcast. If you watch the karma cast, he's the one who told me about the app. So check him out as well. Links in the description down below. All right, quick little detour back to prescribing blood products back to work. Guys, guess what else is happening today? I'm being abandoned, being abandoned by Noor. She's going to Jordan to see our parents. This is her room right now. Hello. How's it going? Going good? Almost unpacking. Almost. You're going to get to see Simpson as well. Do I haven't seen Simpson in three years? Three years. If you guys haven't seen my Jordan vlog, I was there a couple months ago to be fair. I was there in December. You guys can watch that up over here. I had a great, great time there and I'm sure Noor's going to have lots of fun as well. Make sure you send me pictures. Okay. Plenty of what's up videos of Simpson. All the what's up videos of Simpson. All right. I'm going to study a bit more and then I'll see you for lunch. I'm about to do my first team activity today, which is going to be prescribing practice with Kenji, Georgina and maybe one other friend, Kobe. Basically what we do is we go through this book that we have here. We choose a scenario. So let's say sepsis, meningitis, acute asthma, acute COPD, something like that. We read through the scenario and then we practice prescribing all the medications that person would need. I do that on my iPad, but I'm an absolute genius and I decided to hit the update button literally two minutes before this call. So now I need to let this thing update. So hopefully as soon as that's done, I'm going to hop on the call and we can start that. All right. It's time guys. I cheated for an extra 10 seconds there. So much writing man. Variation. Like in what you think you can do. So once only this time, I did goodness alone and hippodropin bromide. Dose and route. So goodness alone, if the hippodropin, I did 500 micrograms nebs. Yep. Same. That's all I did. Because for me, like the regular, the only thing I put was delt, iron, oxygen for this one. Okay. Wait, before, before we move on to that, I also put magnesium sulfate on once only. Should we break for lunch and then regroup at around 2pm? Sounds good. Does that sound good? All right. Homies, catch you in a bit. Okay. So that is our prescribing station done for the day. As you guys can see, it's really confusing. There's a lot to remember. It's very easy to make mistakes. So practice, practice, practice is what we need to do. As you guys can see from this nice little flow timer on my screen, I've got five minutes left for the last four minute session, which is perfect because I studied from nine to one, four flow blocks. What I'm going to do is I'm going to go say bye to Noor, which is about to go to Jordan and abandon me, leave me alone in this house. I wasn't expecting that. Don't leave me. No. Change your mind. See you later, man. See you later, man. How about fun, bro? Thank you. Bye, Noor. Have lots of fun. Bye. All right. And that's it. I'm on my lonesome. All right. It's fine. I've got my own exams to prepare for my own stresses to deal with. Let's go make some lunch. Let's sit down and have a chat while I eat this lunch. First things first, let me show you what we've made. We have had my face. We've got cut up potatoes in a lemon and butter sauce with sugar snap peas, normal peas, and then crispy honey glazed chicken thighs. You might have looked at that bowl and thought to yourself, Hey, Nasser, why is the chicken burnt to all s***? Well, the answer to that is Noor burnt the chicken in the oven. So don't blame me. Classic angry motorists ruining my audio. All right, guys. So check it out. I'm literally two days away from doing the final exams in my fourth year of medical school, after which I will be a final year medical student. I need to like, I need to listen to that a couple of times out loud. I'm almost a final year medical student. That is absolutely incredible and amazing and exciting. Oh man, it's just crazy to think about like how long this process takes and all the different things you've done over the years to get to this point, all the challenges and hurdles, all the lucky breaks, all the effort, help you've gotten from other people, everything sort of comes together for the one moment when you graduate and you're finally a doctor. Pretty crazy. All right, anyways, we're meeting again in 45 minutes to continue with oski practice. So I'm going to wolf down this food while watching something on the TV and then call Alex here and we'll get back to it. So I'll see you guys in a bit. All right, we interrupt this vlog for a brief word from Amazon. Oh, this isn't even what I was expecting.  This is a nice handheld microphone so I can go interview people on the street and on campus, which I think would be a very fun series of video ideas to do. So stay tuned for that. I've got a lot of exciting things coming there. And then this is a water handle for the GoPro that I got as well. So I can take it in the sea and not lose it. Almost made it in one trip. We had three casualties. So close. Quick side note, if you haven't read Homo sapiens and Homo deus by this guy, Yuval Noah Harari, you should definitely give it a shout. It's honestly mind blowing. And I posted this on my Instagram page that I've never spent so much time thinking about a book outside of when actually reading the book as I have with these two. It poses some really good existential questions. And I feel like it makes you rethink a lot of your beliefs, reasoning, logic, upbringing. So yeah, it's a really good read. Would highly recommend it. Fellows, we have a busy, busy day. My goodness. I feel like I've been running around this whole time. All right, we are about to start oski practice session number two for the day. We're going to go through some histories with Kenji and Georgina channel favorites. And then I'm actually heading to campus for some clinical skills practice, but there's too much going on right now. You guys have seen this before. If you haven't seen this, check out my previous oski vlog. You'll find it's linked somewhere over here. But without further ado, let's turn on the screen recording and get this bad boy started. There's our good friend G. G money. Oh wait, is it doing the voice thing again? Oh, and she left. This is the book we're using to go through histories over here. So there's like hundreds and hundreds of histories in this thing. And we just sort of tell each other what we want. So let's say a pediatric history, opt in guiding history, you know, whatever it is. And then somebody else reads the like mark scheme for it and prepares the history. And then we do the pretend scenario. And yeah, that's just what we've been doing back and forth and see for a while now. But yeah, Georgina just bailed from my zoom call. So let's give her a second to join back and see what's going on. Hi there. Good afternoon. My name is Nasser Karmann. I'm one of the doctors here in A&E. Could I please start by confirming your name and your age? Yeah. So it's Mr. Gopala Kaur and I'm 31. Okay. Lovely to meet you, Mr. Kaur. Can you tell me what's going on? What's brought you in today? Yeah. So for the last about a week or so, I've been having this, you know, really kind of bad shortness of breath and also quite bad cough as well. Okay. Can you tell me a little bit more about the cough? Yeah, it's just really been constant cough, particularly when I exert myself. Particularly when you exert yourself? Okay. Does anything come up when you cough? Kind of on two occasions. I didn't cough up a bit of blood. Otherwise, no. So a bit of fresh blood on two occasions. And this has been going on for about a week. Does anything make it better or worse? My two differentials for this patient would be lung cancer and tuberculosis. My reasoning for lung cancer is his extensive smoking history and his recent episodes of hemoptysis. I bet you guys thought we were going to be home all day for this vlog. No, no, no. We're going out. We've got to practice our clinical skills on campus because I don't want to be fumbling around with any equipment that I might have to use after tomorrow in the exam. The easiest way to show that you don't have confidence or that you don't know what you're doing is fumbling around with equipment. So I want to make sure that doesn't happen tomorrow. You'll also notice I'm in a t-shirt, which you probably haven't seen me in a t-shirt for like months here on the channel. Weather's finally gone and sunny. We're going out to the parks enjoying ourselves in the sun. I can go out without like three layers on me, which is also fantastic. And yeah, life is just good, man. Life is good once I finish this exam. I can't wait.  Campus here, obviously a library. If you guys have been watching this channel for a while, you might remember this room. It's been a hot minute since I've been in here. I think second year. Let's settle down and figure out what we want to do. All right guys, just kidding. I got kicked out of that room because apparently someone else has booked it and I'm actually upstairs. So let's go there. That's us. That is me in second year. That photo was taken by the one and only Aaron. You guys don't know him from my Instagram. Cool. So we're going to settle down in here. All right. So like I said, I'm going to be doing some very basic clinical skills just to sort of get a feel for everything again.  So let's see what we can find here. We've got some syringes, a tourniquet, that special tying method. Let's get some of those. There we go. Urine analysis is what I was looking for. So we've also got models here to do vaginal exams and genital exams for males. But I'm going to blur those out because YouTube is going to demonetize me, but I've done a decent amount of practice with those. So I don't think I'm going to do any today. We've got some saline, some tweezers, we're setting up a sterile field. We've got a couple of breasts here. I think I'll do a breast exam as well and some subcutaneous and IM injections there. Nice. They've got some urine specimens as well. We can take a look at and examine. So we're going to inspect our sample, which appears to be fairly dark yellow. And if we shake it about, we can see actually a clump in there or a couple of clumps. It doesn't appear foamy. It's going to give it a good smell. Okay. I don't smell anything pungent or abnormal. I'm going to get our strip. I'm going to dip it inside to cover the entire surface of it. Now I'm going to take out and I let it rest 45 seconds, I believe. And then we can interpret the results and leukocytes at 90 to 120 seconds. Fine. Aurobulinogen, which I would say is negative. Second one is for glucose, which is definitely positive ketones that looks at least a little bit positive. Okay. So I'm already thinking of diabetic ketosis because we have positive glucose and we have positive ketones, blood negative, happy to see that, pH five. Okay. So that's the topic as well. Protein, negative. So no protein, no leukocytes, negative. All right. So we've gone through your analysis now and I'm pretty confident with that. The next thing that I want to do is show you guys this interesting trick for tying a 20k.  There we go. Nice and tight and easy. So we're just going to pretend there's a carnival here. Kind of like this. So we put one of these on each wing of the carnival. All right. So another skill that I think they could ask us to do is to put on a pair of sterile gloves. So now we need to only touch the inside areas of the glove. I can go in like this and very careful not to touch the inside area. Even though it's a mess, this is all sterile. So I can touch anything here now. So that gives me an easier time when putting on the second glove. A mixture of cotton, sweaty room and small gloves is no good. And I'm ready to go. I did find a manual blood pressure cuff, but I've known to do it on obviously. So I think I'm just going to do it to myself or try and do it to myself. See if that would work. I've obviously forgotten my stethoscope because I'm a genius, but let's see if I can do this.  So also you can actually cheat. You can look at the single momometer here and you can see that the dial is coming down smoothly. It's not ticking. Do you guys see that? So once this reaches around 120, you should see it start to tick. See that ticking there? That ticking means my pulse is back. So that tells you the systolic pressure and then it will keep ticking until it goes down to my diastolic pressure, which is at about 80 or should be 80 if I'm normal and healthy. Tick, tick, tick. You should do a stethoscope obviously, but I don't have one right now. I'm going to do a brief breast exam just to practice the motions. Feel one nodule there. Okay, I'll come back to that in a bit. Obviously here we have the skin dimpling and I can feel another nodule. Let's put the breast on the side of my other hand and follow it down to the auxiliary tail here and here. All right, so I'd like to read it to the two modules that I found. So one is here at about 11 o'clock in the upper inner quadrant of the breast. The second mass is at about two o'clock in the upper outer quadrant of the left breast. I can see that it is not tethered to the skin. It is in fact tethered to the underlying muscle. All right, and I think that is everything that I wanted to do today. I'm happy I came. Just going to pack up, head downstairs, and I'll see you there. I don't know why I got so thirsty doing that. Please don't be stuck. Please don't be stuck. Nice. Look at how beautiful campus is. There's so many people.  This has to be a joke.  Stay there. Man, campus is just looking so nice. I remember when we'd used to come here, like all this would be filled with people eating their food, bathing in the sun. I miss being on campus. I wish more of medical school was based around this campus, but once you start clinical placements and you start going further out to different hospitals, you just lose all of this. One day, everything will go back to normal and we'll be able to enjoy these scenes again. All right, guys, so I think that's it. I think I'm done studying for the day. I'm going to head home, hit a gym, and then probably go hang out with my friends, maybe watch a movie, have some dinner together or something like that, just to relax a little bit, de-stress, decompress from a long day of studying, and yeah, just get in a calm zone before the exam starts in two days. That mental is so important to keep myself calm and relaxed. Otherwise, I'm going to freak out, stress out, and yeah, bad things happen when you're stressed before exams, so need to keep a cool mind and a cool head. See you guys in a bit. All right, guys, I've been thinking about it on the way home. I can't decide if I should go for a run or if I should go to the gym. I'm just infinitely conflicted. I feel like a run would get more stress out of me. Gym will be pretty good. I don't know. I'm thinking this one through. I've actually come up with a genius idea. If it works, I'm going to be very, very happy. I need a couple of things, this, this, and this. Check it out, check it out, and then for the magic, let's go. Check out this super cool thing. So you turn it on. GoPro, start recording. How insane is that? GoPro, stop recording. It's like immediate. That's insane. That's absolutely insane. All right, anyways, I'm going to put on some running clothes and we're going to go on a run. One last for water. How cool is this? Honestly, what a great idea. I hope it works and the footage comes out okay. I don't know if anyone else is like this, but my left ear struggles so much with earphones and headphones. Whereas my right ear has absolutely no problem. It'll never fall out no matter how much I shake my head or run, but my left ear gives me a bit of trouble. Let's get going. Jesus, I almost run over a pigeon. It was a bit of a shorter run, but a good time, good time, good pace. I'm happy with that. I'm going to go hop in the shower, cool off, get some food, and check in with you after that. Peace. Bye-bye. Lovely catch-up with mum. I ordered food and I've just taken the first two bites and it is so spicy and hot. I'm kind of dying over here. I'm hoping I'll make it for the rest of the meal. When I say my mouth is on fire, all right, it was rated as very hot on the menu. So let's just get that out there before I see all the white boy can't handle spice jokes, but I'm coming back with milk. All right, milk. Do your thing. Protect me from this spice. I'm not going to lie. That meal and run has taken out of me. I am ready to sleep, but I just remembered something. Kenji, Georgina and I said we would each take a common prescribing station and sort of type up the most important things to know for that station or like an easy mnemonic to help remember or something. And I'm yet to do mine. So at 9, 11 p.m., I'm going to quickly bang this out, add to the group, be a good team member, and I'm going to call it for the day. This shouldn't take too long, maybe like 10, 15 minutes of focused work. So let's get it done and then we'll show. Check in with you after. Actually, you know what? You guys can watch me do it. That'll be an extra dose of motivation to keep me focused and energized. Do you guys want the wide? Or do you guys want the zoom? Let me know in the comments down below, but you're getting wide for now. I'm procrastinating. All right, I'll see you guys in a bit. It's officially it. I'm actually done working for the day. That's it. That's it. That's it. Goodbye. All right, that is it guys. This vlog is coming to an end right here. Oh, my cat was falling. I'll catch you. As I was saying, this vlog is going to come to an end right over here. I really hope you guys enjoyed watching. It was a very busy day. I genuinely felt like I was running all over the place. I am going to go to my friend's house and play some video games, chill and chat and just hang out and have some fun to relax for the rest of the evening. And then tomorrow is the last day. I'm traveling to my peripheral placement, where I'm going to be staying for a couple of days while being examined for these oskies, and then I'm going to be final year medical student, which is dope. I absolutely can't wait for that. Oh, let's go. Let's go. Let's go. Let's go. If you enjoyed the video, please don't forget to leave a like on it and subscribe to my channel to see more content from me in the future. I'll catch you in the next one. Peace. All right. We interrupt this vlog for a brief word from Amazon.


I feel like I've been splacking lately, you know?  It feels almost nostalgic to be honest. And I look back at my old videos from six months ago and although I honestly cringe sometimes, there's something about them that I will always cherish. And it's something that I miss, honestly. And that is the sheer euphoria to shoot and edit. That's it. The feeling of just sitting and talking to the camera and the probable mistakes that I'll be making before I get it right. You know, going through the edits and seeing those minor mistakes and ignoring them because I can't realize that people are not really concerned with that anyway. They don't even see it. I miss that feeling. And it's the learner's euphoria for me. Let's face it, change is inevitable and growth will find you in so many ways if you keep doing what you're doing. And I'm getting so many great ideas to execute and to do more. You know, like starting my apparel brand Quams, one of which I'm wearing right now and also exploring more avenues with my voiceovers, making documentaries or trying to make documentaries that I can be proud of. All these things are good. It's good to want more, to achieve great things. But I'm also gradually realizing that it will be at the expense of other things.  Of course you can. You're allowed to, but also remember that you may lose something else in a process. Call it your old self or whatever, but something will be lost. And unfortunately, it will most likely be the fun part. The adrenaline, you know, the new feel that you get. I mean, I love the new Kwame, where I am now. I love the vision I have for this brand and I think it's huge. I want to see it all come true, but I also love the part of the journey where it was all fun.  The reason for this video diary platform in the first place. So I guess the lesson here for today will be to try and carry a bit of your innocence along with you on your journey, especially as a creative. Don't lose it.  So what if this video doesn't get as many views as the one that came out last week? Yeah, it's about showing up and having fun with it. And I have, and I liked it. So I hope to be able to bring you more vlogs in the coming weeks while I'm at it. And it's always fun talking to you guys. Don't take yourself too seriously. You'll be fine, you'll be fine. And I also left a link to the QOMS online Instagram account. Do like it and the purchase will be appreciated. That's it for now. Peace.


Alrighty. So there is quite the rumor circulating on the interwebs right now. Yes, I just said interwebs, but there's quite the rumor going around on the interwebs right now about Six Flags and not just Six Flags Six Flags and SeaWorld Entertainment. So I'm pretty sure everyone in the coaster community at this point knows what this rumor is about. There's a rumor going around that Six Flags is in talks to purchase possibly SeaWorld Entertainment. This comes as a shock to me especially because SeaWorld Entertainment is doing pretty decent at this point. Decent may even be an understatement for how well they are coming back from that Blackfish documentary fiasco. So I do find this interesting. I find the timing interesting, but it is not out of the ordinary. So the rumor does have no merit. I will say that. So based off of where it's come from, I had never really heard of that source or that Facebook page before. So I can't sit here and say, okay, yeah, these people have definitely in the past been right about something. You can comment down below if they have and correct me if I'm wrong, but I don't see any reason to fully believe them. I am very happy with the fact that they use the words in talks and there was no kind of like guarantee. So that's always nice to see in the coaster community whenever someone doesn't go, yeah, this is happening. But again, Six Flags is a company that is also doing really well. They're purchasing property. They're, you know, taking out liens and renting out property across the world or around the world in terms of boosting their income to please stockholders. And it seems to be working. Six Flags is showing history of not doing too hot in the stock markets because they're under delivering in terms of buying property and not meeting what their expectations are for investors after purchasing those properties. But they're not doing terrible. They are on the rise in the last couple of week in the last bit of the week as well. So that's always interesting. SeaWorld is also a company in the last year. So you can see both of these are last year. So as you can see, SeaWorld is in the green. So they're going up Six Flags is in the red because they've had steady decline. And this is interesting because this to me just screams and not just this alone, but I just don't see SeaWorld being bought by Six Flags. I really don't. There's multiple reasons. One, SeaWorld for the little amount of parks they own makes pretty much the same amount of income and revenue as Six Flags does with all those properties across the world. Now, that's interesting because it just says that, you know, SeaWorld is a company with a very large bro portfolio in terms of revenue, parks and overall experience. And this is where it comes in that I really just can't see Six Flags owning SeaWorld entertainment. It's just not the same. Can you imagine? And this is of no insult to Six Flags. Six Flags is a very great chain. It's just not meant to run parks like SeaWorld entertainment. I just can't see it. Can you imagine walking in the aquariums and you know this would happen? The amount of advertisements that would be around like as you're watching like Free Willy or the Orca Aquarium and it's like presented by Takis, Snickers advertisements, Coca Cola advertisements, Eminem advertisements. I just feel I feel like they would even name the whales after like products and like, you know how they name trains. And so again, I'm getting a little ahead here with the my predictions that if Six Flags were to run SeaWorld, I just don't see it. So I want to hear from you guys down below. Comment down below. Do you really think Six Flags could be the purchaser of SeaWorld entertainment? Because I just don't see it. I know a lot of other people in the coaster community really don't see it. I think this is why this news blew up with not really any merit behind it is a lot of people were kind of like, really? Like it's shocking. It's kind of weird, you know what I mean? It's kind of like disgusting in a way. Even though Six Flags isn't a bad company, it's almost like, you know, Sea of Fair buying Universal Studios. It just isn't the same. Sea of Fair doesn't know how to run a company like Universal Studios or Disney World. You know what I mean? So it's the same thing just to put down, so I'm putting down both the chains. There's nothing wrong with Six Flags. I just don't see them being able to run a park or a chain like SeaWorld entertainment. I feel like they would greatly ruin it. So definitely comment down below what you guys think. Do you think this would be a good move if Six Flags were to purchase SeaWorld entertainment? Do you think it would be a bad news like I do? Comment down below what you think. Hopefully you guys enjoyed this somewhat, I guess, comedy of a video. It's not really comedy, but in my opinion, it's just a weird video to make. But I wanted to get my opinion out there. I really just don't see Six Flags being the main purchaser of SeaWorld entertainment. I don't think they could really afford it at the moment. And I also don't think that it would be good for those parks if it were to happen. Anyways, hopefully you guys enjoyed the video. Hit that like button, subscribe if you haven't, and share this video for others to enjoy. We have more videos coming out today. Actually, we have some construction tours at some other parks or construction shots and videos. So hopefully you guys really enjoy that. Stay tuned. Have a good one, guys. Bye.


The final item of business today is a member's business debate on motion number 9947, in the name of Liz Smith, on the centenary of Perth royal infirmary. This debate will be concluded without any questions being put, and I would be grateful if those members who wish to speak in the debate could press the request to speak buttons as soon as possible. I call on Liz Smith to open the debate in seven minutes, please. Thank you, Deputy Presiding Officer, and I'm very grateful to you and to parliamentary colleagues for allowing me to secure this member's debate this evening, albeit a little later, than was possible for some people to attend. Long before I became an MSP in 2007, I became extremely aware of just how much Perth royal infirmary has such a special place in the hearts of many residents across Perthshire and Cynroshire, and rightly so. The staff who have worked and currently work at the hospital have provided first-class care, life-saving care in many cases to the local community over the past 100 years. 2014 is, of course, a big year for national commemorations, but it is important not to forget that there are many local commemorations and that they will be taking place in this particular instance on 10 July, which marks, as I say, the 100th anniversary of the opening of Perth royal infirmary. It is unquestionable that our public health services have come a very long way in the intervening hundred years. Life expectancy, for example, has increased from 49 and 45 years for men and women respectively at the turn of the last century to 80 and 76 for women and men today. Infernt mortality has fallen by over 100 per cent, and if in 1914 pneumonia influenza and tuberculosis were among the most common causes of death, they are now amongst the least common. Today, on the news, we hear about a quadruple amputee being accepted for a pioneering operation in Leeds to provide her with two new hands, and in the last few weeks two of our major Scottish universities have continued to make their outstanding contributions to the provision of groundbreaking cancer treatment. Of course, the first half of the 20th century also saw major improvements in access to and standards within the system of public health provision, some of which built upon the Education Act of 1908, providing compulsory medical inspection of school children. Major reasons for those significant improvements are due to the advances in medical science and technology and to better education, but also to the dedicated professionalism of our doctors and nurses and the vast numbers of support staff who do so much for our patients, and it is to them that we pay tribute this evening. For Pershire, the development of the national health service saw the Perth city and county infirmary completed in 1838 by city architect William MacDonald Mackenzie. The hospital saw multiple changes, but eventually proved far too small for the growing city of Perth's requirements. James Miller was then commissioned to design a new hospital and began work in 1912 on the Glasgow road site, two years later seeing the new Perth royal infirmary open its doors. Perth royal infirmary was opened by King George V and Queen Mary as part of their Scotland-wide tour. Accompanied by the troopers of the Scottish horse guards, the royal couple paraded along county place amidst a sea of local support. It was a time obviously when women did not have the franchise and there were considerable protests that day from leaflet-wielding suffragettes and reports state in some of the excellent archives held in the hospital that a startled king was confronted by some of the radical ladies who latched themselves onto the car and were unceremoniously dragged away. However, fortunately, those incidents did not spoil the day too much and Perth royal infirmary was opened as planned. The intervening hundred years have seen many changes and with health services increasingly become centralised as a result of the rationalisation of services at national level, there are significant challenges for PRI in terms of its future place in the community. As such, many residents across Pershar and Kinroshar and many of the staff within PRI have on an on-going basis expressed their concerns that removal of services such as the maternity ward, pediatrics, pathology and weekend surgery will perhaps have a detrimental effect on the future of Perth royal infirmary as an acute district general hospital. That is something that MSPs on all sides of the chamber have fought against. I hope that the centenary anniversary will not only celebrate the very distinguished past of the hospital but also reaffirm the commitments from NHS Tayside to ensure that Perth royal infirmary remains a fully equipped acute district general hospital and serve what is again a quickly growing population of Pershar and Kinroshar. It is very clear that Perth royal infirmary has been a very precious asset for the local community, providing not only many local jobs and high-quality healthcare throughout that 100-year history but it has also brought many people together. The centenary provides an opportunity to both thank and acknowledge the staff both past and present at PRI. The first-class medical care given to the patients from numerous communities and backgrounds is testament to their professionalism and their dedication. Deputy Presiding Officer, looking to the future, there are huge challenges in the realms of providing specialised healthcare which has to reflect the changing needs and changing social structures. Those challenges have been acutely felt at PRI and we know only too well that there are deep-seated concerns amongst the local community about what this could mean for the future of PRI, particularly in terms of the availability of certain health services and staffing levels. If the highly successful hands-off PRI campaign taught us anything, it was the very strong bond that there is between the hospital and the local community. I am sure that we are all clear in this chamber that nothing must happen to undermine the ability of PRI to provide what has always been a first-class hospital. I thank them for that service and I wish the hospital every success in the future. Many thanks. I now turn to the open debate.  I thank you, Presiding Officer, and I would like to congratulate to Liz Smith on securing this debate this evening and giving us the opportunity to mark the centenary of Perthron Firmary. In so doing, I would of course wish at the outset to pay tribute to the care that doctors, nurses and all the other staff of the PRI have given to the people of Perth and Persia, indeed in their neighbouring CanRosher, down through the years. I would also wish to commend the volunteers who give up their time to make the lives of patients and visitors easier as they pass through the hospital. In fact, the PRI grew out of the Perth city and county in Cwmry, which was opened in 1838 and whose elegant main building now houses Perth's famous A.K. Bell library. Indeed, the records for the PRI show the way in which the cost of hospital building has increased over the years. In that regard, it may interest the chamber to note that, whilst the cost of land purchase and building the original hospital, which we now know as the A.K. Bell library, was a little over £6,812, the new Perthron Firmary was built in 1914 in Teimant Terrace and cost £36,000. That sum was largely secured from donations, subscriptions and fundraising. That figure can be contrasted with the development in 2006, when teaching hospital status was gained in conjunction with the University of Dundee, which opened a £5 million clinical research centre at the PRI, which research centre concentrates on chronic diseases such as asthma. I think that it is appropriate to note, Presiding Officer, in this year when we commemorate 100 years since the outbreak of the First World War, that further to the hospital being constructed on the Cornhill estate between the years of 1911 and 1914, it was pressed into use straight away as a war hospital during that conflict. There are many buildings and add-ons, as Liz Smith has said. We saw the maternity block added in 1926-27. We have seen major developments come in the 60s and new boards built into the hillside at the end of the 70s, with an extension to have accident and emergency facilities in the late 80s. We saw also the establishment of a cancer care centre in 2007. However, the PRI is close to people's hearts, not for any particular connection to any of those buildings, Presiding Officer, but rather in terms of what those buildings mean, as far as the local provision of healthcare to the citizens of Perth and Pershire and beyond is concerned. Indeed, when maternity services were under threat—I am sure that Liz Smith will remember that battle well—in the early years of the last decade, folk indeed took to the streets in great numbers as part of the community-led hands-off PRI campaign. Unfortunately, despite the wishes of the local community, and the best efforts of all those involved in the campaign—I see the local MSP John Swinney here tonight and he was very much involved in that campaign as well—as was I, because I was the local Westminster MP for Perth at the time. Despite all those efforts, consultant-led maternity services were still transferred to Ninewells in Dundee. However, there was a partial success in that, although there was a very real threat at one point that there would be no maternity services at all in Perth, the hands-off PRI campaign did secure a community maternity unit staffed by midwives. I would take this opportunity to pay tribute to the women who gave up so much of their personal time to spearhead that fantastic community campaign and also to the midwives and all the other NH staff for making sure that women could still give birth at PRI. In fact, the community maternity unit is now, as we speak, celebrating its 10th anniversary. I join in the congratulations to the outstanding team based there for their sterling service to women and families throughout Perthshire and Cynroshire. It has to be said that there was a period not so long ago when it seemed that the change in the way health services in Tayside were being provided meant that the flow of facilities was always away from Perth to Dundee, but a number of developments in recent years have reversed that trend. We have seen the cancer care centre re-established and we have also seen further to another long-standing campaign, a dialysis unit providing a satellite service from Ninewells hospital and enabling Perthshire kidney patients to get access to a treatment facility nearer to their homes. Of course, we must all monitor the situation and be quick to spot opportunities in the years ahead, but I would like to say in conclusion a very big thank you to everyone involved with PRI now and over the past 100 years for those of us who live in Perthshire. I speak as someone who has received both inpatient and outpatient treatment at PRI and the level of care on all occasions has been excellent. I hope therefore that the PRI continues to grow and develop and to serve the community for many more years to come. I want to congratulate Liz Smith on securing the debate on her motion calls for the centenary of the Perth royal infirmary to be marked. However, I am sure that there will be other local events that celebrate the centenary. The Perth royal infirmary is a district general hospital, embracing new practice and delivering care as close as possible to patients. It is also often the receiving hospital for accidents on the A9, a route that is widely used by many of my constituents. Therefore, the Perth royal infirmary provides those of us who live in the north with life-saving interventions as well. It provides traditional services, as well as housing new developments such as the Macmillan hospice, providing palliative care close to home, family and loved ones, something that is really crucial in someone's final days. District general hospitals have a pivotal role to play in providing other interventions such as dialysis and oncology, which were already mentioned. Those services need to be provided as locally as possible, and they can be provided safely in district general hospitals, meaning that patients do not have to travel long distances for those services. It allows patients to be closer to home, to their family and for those who need those interventions and are still able to work much less disruption to their lives and their working day. We need to move as many services as we can to those hospitals in order that patients are treated as locally, but as safely as possible. eHealth provides a tool to make that possible, making it possible to deliver really complex treatments such as chemotherapy locally and giving direct access to back-up from very highly skilled clinicians. I saw that myself in the open hospital recently where they provide chemotherapy, but they are in touch with the consultants down in Glasgow while they do that. If any problems arise during treatment, they have immediate back-up and can work with that. Those are the things that we can put out to district general hospitals that make a big difference. I pay tribute to the staff at the hospital who work hard to provide quality care. Like many in the NHS, they are struggling because of a decrease in staffing numbers and they are facing some of the most challenging times that our health service has ever known. Nurses, medical and hospital staff in the NHS tell me that they have never known the NHS to be struggling as much as it is today in the entirety of their careers. Indeed, we have had the chair of the BMA now adding his voice to those concerns. We in the Labour Party are asking for a review of the NHS, a beverage 21, to help us to deal with those challenges. I think that we owe it to all those who use and work in the NHS to have this review to make sure that we deal with those issues. We need to celebrate the Perth Royal Infirmary Centenary and also celebrate the contribution made by hospital staff to patient care in the area. We need to recognise and build on the vital role of our district general hospitals in bringing services closer to patients. I am happy to join with Liz Smith in celebrating the centenary. However, I think that I would also like to celebrate the actions of the suffragettes who use the opening of the hospital to bring to the fore the need for women's emancipation. I wonder what they would think of this debate tonight, where three women have spoken led by a woman, presided over by a woman. I think that there would be pretty chaff to know that their actions on that day had borne fruits. It is also very appropriate, because women are the backbone of the NHS, so it is very appropriate that they use the opening of the hospital to highlight the plight of women and their fight for equality. That was a fitting tribute to them. Thank you very much. The debate however will be responded to by a man. I call in Michael Matheson, minister. You have around seven minutes, please. Thank you, Presiding Officer. I like others off for my congratulations to Liz Smith in securing time for this debate. I have listened with real interest to the contributions that have been made by members this evening. Perth, royal infirmary, is a key member of the NHS Tayside family. Our ambition as a Government is that it should continue to go from strength to strength and ensure that high-quality services and care are delivered for the people of Perth and the surrounding area. I want to take this opportunity in the course of this debate tonight, Presiding Officer, to pay tribute to the dedication and the professionalism of the staff, both past and present, who work day in and day out to deliver those vital healthcare services and meet the experience of their patients as good as they can be. It is quite right, given its 100-year anniversary for providing healthcare on the site, that we should mark that and celebrate it. There are a range of activities that Liz Smith made reference to planned activities at a local level, including a health fair, which I believe will include a special birthday cake, an exhibition of photographs and historical artefacts, a day of historical programming on Perth hospital radio, right through to a ceremonial relaying of the original royal plaque by the NHS chair, Sandy Watson, which will take place on 10 July. Members may also be interested to know that the hospital is getting its very own biography. Bill Leckie, Bruce Leckie, a member of the staff at NHS Tayside, who previously worked at PRI, has produced a book documenting the building and the royal opening. Mr Leckie, who kindly joins us tonight, has also indicated that any profits from the sale of the book will be donated to the PRI Endowment Fund. I would like to offer my thanks on behalf of the Scottish Government for undertaking this piece of work and for his generous donation to the Endowment Fund. In celebrating a very proud history that PRI has and the contribution that both its current and former staff have made, it is also important that we look ahead to the use of PRI and the provision of NHS services within NHS Tayside overall in providing 21st century healthcare to the local people. I am sure that all members will recognise the challenge presented by an increasing and an increasingly elderly population, and we are aware that this is particularly relevant in the Persia area. Members, some may be aware that the total population perth in Canros is projected to increase by 20 per cent between 2012 and 2033. That is over twice the national average of 8 per cent, but the population aged 65 in over is projected to increase by 52 per cent in the same period and those 75 in over by 75 per cent. That is precisely why we published our call to strategy and the 2020 vision. It is a complement of a company route map to ensure that the 2020 vision is taken forward at a local level, allowing individuals to live healthier lives within their own home or in a homely setting. Part of the work to deliver the 2020 vision is some of the exciting work that is being taken forward within the NHS Tayside area, including at PRI. There is the creation of the rapid assessment model of care for unscheduled medical patients admissions, which will enable a new model of care to meet the needs of the local population. The early work in this particular project has been developed through listening to staff and patients about what they felt would make a difference to the care environment within the hospital. That is included in leading to seven-day multi-professional team-working, timely patient discharge and an expansion of the role of volunteers. We all know that good quality healthcare is not just about new initiatives in themselves, it is also about times just doing the day job really well. In emergency care, Perthroy and Firmrae is part of a single system of emergency care that operates right across the Tayside region to ensure that patients requiring urgent care are seen at the right place, at the right time, by the right person. Tayside's performance in this area is amongst the best in Scotland, with more than 98 per cent of patients meeting the four-hour A&E standard every year since 2008-09. They are the only mainland board with such a consistent record in this area. NHS Tayside has more than half the size of its inpatient and its day-case waiting lists by treating patients faster. Numbers have gone from 7,264 patients waiting in March 2006 to 3,031 in March 2014. We now have just over 91 per cent of patients seen and treated within 18 weeks of first referral at March 2014, compared to only 86 per cent in the quarter-ending March 2007, despite a rise in the number of inpatient and day cases of over 5.9 per cent in 2012-13. 99 per cent of patients are waiting less than 12 weeks for the standard of first-out-patient consultation at 31 March 2014, compared to 87 back at the last quarter of March 2007. Those figures demonstrate the quality of the care that is being delivered within NHS Tayside, including the PRI, and that demonstrates the dedication of the staff there in helping to achieve that. There has also been significant capital investment made over recent years. My colleague Annabelle Ewing made reference to the palliative cancer unit perthroyal and firmy, which was a £6 million investment with Macmillan, which was completed in 2010, which has made a real difference. Of course, there has also been the £75 million investment into the new Murray Royal and Firmyry hospital in Perth, and the £23 million Rallon unit, which is a specialist unit for mental health issues. We recognise the important value that the PRI has played over the past 100 years. It is important that we celebrate and recognise that, but we also see it as an important setting for delivering high-class quality services going forward. As a Government, we are determined to make sure that that continues to be the case. That concludes Liz Smith's debate on the centenary of perthroyal and firmyry, and I now close this meeting of Parliament.