I'm John Furrier here in Palo Alto Studios for CUBE Conversation. I'm here with David Linkus, the CEO of ScienceLogic. David, thanks for coming in, good to see you. Great to be here, John. So thanks for coming in. You came in from DC, that's really your headquarters in ScienceLogic. You guys are having a good business run right now. You're self-funded early on, now you get a venture back. Take a minute to explain how you guys got started. What does the company do? So this is the classic story of entrepreneurship. We started in the garage. Myself and a couple of co-founders believed that IT operations management was broken. And it was broken because a lot of the industry had really focused on having silos of data. The silos of data, the network, the application, the security, the storage, now cloud, containers, and every technology had its own data silo of manageability. We believed that was intrinsically wrong to understand how the service that combined all these different applications and technologies was behaving. We wanted a service view. So we brought it all together, kicked off, really the first seven years we bootstrapped the company. The first year and a half we coded, got the product to market, it grew very quickly, got to the Inc. 500 a couple of times. And then we attracted a lot of financing options. We had about 250 companies approach us. We never made one outbound call. And fortunately, we had some really great and strong investors, NEA, then Intel Capital. And three and a half years ago, our last round of financing was with Goldman Sachs. And they've really been a great catalyst to help us continue our growth over the last five years. I think we've grown about 540% on the revenue side. So it's been an exciting time. Well, congratulations. Always a good successor to be a hot deal when you don't have to make any calls, they come to you. And that's good, that's part of growth. But I got to ask you, what year did you start the company? What 2003? So it's not obvious then, I'll just ask you as a visionary, but I mean, it's now people now know IT operations is broken and cloud highlights in a big way. It's not like the lights get turned on and the cockroaches are running around. But web services were still booming at that time. You start to see the beginning of the whole web services movement. You guys saw this early. Now it's well recognized that IT operations can be automated away. And cloud certainly has an automation vibe to it. AI has been a big part of the AI operations. Is this kind of where you guys started with that vision? How was it? Was the original vision kind of where it is today? Take us through kind of like what you saw and what's happening today. So thematically we have this next wave of the compute architecture, cloud compute architecture, edge computing, where the way you manage that kind of infrastructure is different than the classic client server. There are different needs, different requirements. And that thematically has led with the change of infrastructure. Applications are changing and applications now are more infrastructure aware. When we started the company, usually applications sat on one system or a cluster of systems and they weren't widely distributed. So now that the application profile is changing, the architects are changing the microservices, that really puts huge strain on our industry. The industry, the total addressable market is about $25 billion a year annual spend on tools. John, if you can imagine that. So 25 billion a year spent, it's going through an amazing, I would say tectonic shift because why? Infrastructure's shifting. And as more people move workloads to the cloud into what I would call ephemeral workloads where they're moving around, that causes all kinds of pressure on the systems of record to manage that so that you understand what is happening at this moment in time. Where is it? What cloud is it running on? How's the application performing? And you really need to tie the application to the infrastructure real time. I want to get your thoughts on this. And I interviewed a CIO this past week for a big company. I won't say the names that we haven't published a video yet, but he told me candidly. He said, look at, we outsourced everything and we outsourced our way into oblivion. And what he meant by that was is that the core competency of IT and he referenced the book Nick Carr, IT doesn't matter which kind of was true, but wasn't true. Now, IT is a competitive advantage and essentially they had this anemic IT department that was outsourced and they lost their competitive advantage. So he's like, the reinvestment in IT is more than ever now because of cloud, because of these new environments. So I kind of believe that to be true. I'm sure you'd do too. But the reaction really is, is he got a lot of legacy vendors that were dictating how to do things. Yes. I'm IBM, I'm Oracle. You got to do it this way and your kind of constrained, IT was constrained by that. Now you got to be much more agile. You have workloads that are dynamic, provisioning, orchestration, this is a whole new dynamic. What's the impact to the IT buyer, the IT environment with this new model, this new modern dynamic, new modern era? All I, when you think about CIOs and CEOs, the pressure that they have to be cloud first. Cloud first is such a strong, at the board level, there's pressure. The adoption of cloud now is happening faster and more rapidly than the adoption of virtualization. Maybe it's doubling in the speed and the time warp. But what that means is that most CIOs are dealing with as many as nine to 11 clouds, not one. You have a federation of clouds, private clouds, public clouds, software as a service clouds. And that's your IT landscape. So it's changing so quickly that you have to think of it in a more federated approach. That means that the way you used to manage your private systems and now your public systems are really different. And you've got to look at them more holistically because often they're communicating with one another in hybrid architectures. So that's really the heart at our mission to provide the context of how all the services you're trying to deliver as a CIO are behaving. What's their availability? What's the risk of the service having a problem? And knowing that real time is ultimately what you want to do with your cloud first strategy but you need the right tooling operationally to affect that kind of outcome for your team. So what's the core problem that you guys are solving? Because obviously there's a lot of complexity now it's new environments. So I still got the baggages and legacy environments. Is it monitoring that you're solving?  If you have the kind of finish that, the core problem is blank. The core problem is visibility. The holy grail is application to infrastructure. And the problem is that's becoming so complicated because everything's moving around. The more abstraction layers where it's a container which is abstracted on top of a virtual machine which is on top of a bare metal server, SD-WAN is an abstraction on top of an MPLS network. So you have all of these layers that get from a software defined perspective that get abstracted away from the actual equipment that it's running on. Well when that happens, where is the problem? Because it's moving around. The problem isn't in one place. So that application to infrastructure awareness, it's almost like one of the things that we've looked at in the world of Facebook. You've got a lot of relationships. You've got videos, you've got friends. You've got all these different connections that are constantly moving around with data streams. What we do as a company is pull all these different data streams from the technologies themselves, from the cloud providers, from the application layer. Pull it together in a data hub that we can then understand how they all relate to one another so that you can really, truly understand service impact. And that is the crux of the problem that most companies are dealing with now. You've got to fight with your legacy because you still have that and it's not going away tomorrow. So you've got to make sure you're good at that. You've also got cloud, the cloud first initiative. And then you've got in between systems that are using both. That's really where we play. We're really good at the legacy. We're good at cloud and connecting the two together. And that is a really tough space because most legacy providers really didn't get good with managing hyperactive ephemeral cloud estates. The guys who started over the last five years building tools to manage the cloud are really good at cloud, but they don't cover legacy. They're not going to cover a NetApp or hyperconverge typically. So we combine the both legacy and cloud together in one management system, monitoring management, Paranym, and then there's an automation engine where we actually proactively remediate problems, real time. So the three together is where algorithmic operations, AIOps comes together. Dave, I want to dig into the offering, but before we get there, I want to get your thoughts on two trends. One is multi-cloud. We certainly, we've seen a lot of hybrid cloud discussion, but now the big hub hub is multi-cloud. And the other one is AI operations. So, you know, I've been saying on theCUBE, everyone who's in IT operations is screwed, going to get automated away by AI. I'm kind of, it's kind of tongue in cheek, but it's kind of a reality is that those old business models that were based upon certain service levels are going to be done in software. Now you've got multi-cloud. So first question is, what does multi-cloud define the definition that you have for that?  What is multi-cloud? In our world, multi-cloud is most large organizations use more than one cloud. And half of that is driven by what cloud is best to operate a particular application profile. Amazon's really good at a lot of application profiles, but Azure might be better at certain Microsoft profiles. And then Google has profiles and IBM Watson has profiles, depending upon what you're trying to do with the application, where it was born, how it's living, how it's been refactored. You're going to use one cloud or the other, but most customers that we see have many clouds. There really isn't one cloud management escape when you're using, vendors are still reasonably proprietary in the public hyperscalers. And some are better than others. And some are better, it depends on the use case. So we try to bring all that together so that you're not looking at four panels, you're looking at one. Actually you've made it easy that one dashboard. Okay, AI operations, this is a hot trend. A lot of venture caps are funding companies that have AI ops in it. Machine learning obviously is booming. There's no doubt software automation is coming, it's seeing it everywhere. What does that mean? What is the definition of AI operations? I mean, I'm bombastic in saying it's going to industry sector is going to crumble. I'm kind of thinking it will, but it'll shift. But what is the impact to IT operations with AI? And what is AI ops? We like to think of it as a life cycle. So when you look at the life cycle of operations you have at the beginning of the life cycle provisioning. So when we think about algorithmic, there's many different layers of automation, machine learning, cognitive learning, and you're going to use different parts of algorithmic operations for different parts of the life cycle. So at the very beginning, you're going to connect generally to a provisioning system so you know what's been provision or deprovision so we can automatically align a manageability template because nobody can be on a keyboard anymore, John. This has to be all machine to machine. So once then it gets provisioned, then there's the run-operate part. And how do you learn from the normal operating conditions that you're looking for, the anomalies that you would look for to detect things aren't behaving appropriately? And then once you understand those anomalies and the patterns, you can remediate them proactively adding resources, decreasing resources, changing configurations, those are the things that kind of that last tier. And then that final tier, when there is a problem, if there is a problem, you've got to then raise a ticket, you've got to then work through the incident management of that ticket. So there's another multi-step layer of automation to the incident management orchestration layer of solving problems, closing out a ticket. So we have so many different layers across that life cycle that we plug into, most of which are native to our core platform. And your secret sauce is managing all the workloads that are moving around really fast. So to complicate that even further, you got a lot of stuff moving around, the track at all. So I want to get, I love what you said about, you don't have to type in a keyboard anymore, but essentially I'll translate that from what I heard was command line interface of CLI has been the primary mechanism for dealing with either network and or storage, which is moving packets from here to there and moving storage from now to then, storing stuff. So CLI is moving to a programmable model. This is the big takeaway. So I totally think this is the mega trend. The command line interface mode of operation is moving to programmable, which hits your run and operate. Correct. This is the mega trend, your thoughts. It is, and that's one of the layers of complication because instead of a CLI, it's an API. And it's usually a RESTful API or a Graph API. Those APIs are very different in construct. And instead of talking to one device, that one device is virtualized into a hundred or a thousand. And so with one API call, you actually create a thousand devices versus one device and understanding how one system is behaving like a CLI would be to one system, right? So that is the layer of complication where when we make an API call, we break it up into hundreds of things that then we track and understand the tendency of what is the multi-tenant nature of that, what is the organization, what is the service view for all these little components that are part of one API call. And that abstraction layer makes it really difficult for the enterprise because the one thing about our API economy right now, there's no standard. Every vendor chooses their own formats for their products. And in some cases, many formats for products in a product family. So that layer of complexity, John, is what we're really solving for. The customer doesn't have to worry about that. We take care of that for them, but you're right. The API has become the CLI and it's just a level of complexity beyond what most enterprises are wanting to deal with themselves. That's why they bring us in. And it's so important too because the data's in the API. That's right. That's key and Cloud's got orchestration challenges, state and stateless applications. All right, let's get into science logic's offering. So what do you guys provide to customers? Talk about the product. How do you guys deliver it? Is it software? Is it cloud? Is it services and appliance? Take us through the offering. What's the key secret sauce? How do people buy and use your product? So our products delivered as a service. You can use it in the cloud. We deliver it as a service in our cloud, but we also provided if customers are using Amazon or IBM or Google or Microsoft, they can put our product, same code base, same product. They subscribe to it. It's a subscription license model. So it's a pay as you go and you pay for the number of devices that are under management. Typically, there are some customers, whether it's in the government, financial services or international locations where they might want to deploy our product on-premise. So we offer the same mode either in the cloud or on-premise, but most customers now are choosing to deploy the product in the cloud. And that is a really easy. It's easy to see. And that's good for you guys. It's great for us because there's consistency of operations we can keep everything up to date. And most customers want technology delivered as a service. They just want it to work. They want it to solve the business problem and do it easily, efficiently, even better, solve really complex problems in an easy form. Give some customer examples or benefits or anecdotal stories around customers that have used your service, that extracted benefits and value out of it. And second part of that question is when does someone know they need your product? What are the smoke signals? When is something breaking or is it just pain? When do they know to call you guys? So first one is customer examples or stories and then how does someone know who's watching us? Hey, I might need these guys. There are four segments that we cover. We have customers all over the world. There's enterprise customers. This is really a product for large enterprise, Fortune 1000 companies. So Clorox would be a customer. Qsatellite would be a customer. Cisco Systems out here in the Valley is a customer. Dell EMC, so it depends on what problem we're trying to solve for customer. So large IT deployments, basically. Very large, multinational, big networks, hundreds of thousands of devices, tens of thousands of devices is where those companies have immense complexity. Lots of heterogeneous technology that comes together to deliver a service. They need a really robust solution to manage that proactively. So enterprise customers, service providers. So a lot of managed service providers, infrastructure as a service providers, telcos, they all use this. I think we have about 60% of the infrastructure as a service provider to use our product to deliver managed services to their customers. And then the federal government all over the world, we have governments, customers around the world. I think right now about 70,000 organizations use our product every day and it's fairly evenly split, Amia and Isha Pak and then the US is our biggest market. You know, it's interesting you mentioned heterogeneous and I just kind of like smile because you mentioned client server earlier. You know, every wave has their inflection point and I think what's going on with cloud and I'd love to get your reaction is that, you know, cloud where it's winning is it's a scale out large scale pool of resources. We've got what's going on with Amazon others is that you don't need to know what servers they have, just get more servers so you're scaling out. Yes. But now you need to have heterogeneous components, it's not just X86, you could have a GPU, you have other stuff, AI going on. So heterogeneous is different now but it's still the same game and still complex that needs to be abstracted away. Is this kind of the key area that you're writing on? Is that right? What's your thoughts about that concept? Well, to a large degree, John, the cloud providers have really provided a layer for you to not have to worry about that. But we've seen customers actually with hyper converged environments that they build in house and or systems that they build because of geofencing in different countries that need the data kept in the country. There are requirements that drive people to build their own system. So the real thing that we're seeing a tremendous struggle with right now is that context, understanding what connects to what. All the different technologies that come together, all the heterogeneity that comes together to deliver a service. And whether you buy best in class technologies to solve one part of the stack, the landscape of whether it's your load balancer or a caching server or the database or the server, the network, all those different components, the security layer, those components that come together often people have chosen specific technologies to solve those problems. The cloud kind of abstracts that away with the hyperscalers. But often you're putting infrastructure that you have on-prem combined with infrastructure in the cloud to deliver an aggregate solution so that multi-tiered architecture, just like back in the day, a three-tiered architecture, we're seeing those emerge again with public cloud because you might want the data that actually generates the information on the web client side to be in your data center. But you still have to understand how the service is behaving. So we really look at all layers of the stack to solve the problem and that's really hard to do. Well, David, great to have this conversation. Before we end, let's get a quick plug-in for the company. How many employees, offices? What's the revenue like? What's your goals? You have to share the revenue if you don't have to. But if you want to, you can. Let's give a plug for the company. What's happening? Well, I'm really proud of what the team's done. We've got a great team of employees, about 370 employees today full-time. They're spread all over the world, probably 80% are here in the Americas. And the vision for the company, we think that this is a big opportunity. We are far from done. We really started the company to disrupt the industry. Because the industry, as I said, was a silo industry and it really is 20 years later. It's still that way. It's not really converged into a unified solution. We have great aspirations. Every year we've been growing the business 40, 50% a year for the last several years. And this year, we'll round over 100 million within the next 12 months of our run rate. So it's an exciting time for the company. Well, you got a great model, SaaS, in a growing, massively growing market, and changing market, complex market, heterogeneous, networks and apps are all being abstracted away and automation is driving this. So I think it's a perfect storm of innovation. Congratulations and thanks for chatting on theCUBE here in Palo Alto. Love to be here, John. Thanks for having me. We're here, CUBE Conversation. We're here with David Link, CEO of Science, Logic and also the founder. Self-funded, big venture rounds, growing like a weed based in DC. It's theCUBE Conversation. I'm John Furrier. Thanks for watching.


And we're here at the IFA. Hi, so who are you? Hi, I'm Marcel and I'm the barista and the expert for the long coffee machines. Today we have the Maestroza and maybe later we'll look at another machine but now we've started with the Maestroza. It's in use, the most famous, most, yeah. So it's called the Maestroza. That means it's the Maestro of coffee? What does it mean? Maestroza means, you know, the design is speaking for themselves. We see the machine as a really, really great design. We have here kind of round the machine, the crown wing. It's kind of old school fashion. And it has like a touch screen right here? Yeah, this is the only touch screen. This is five-inch. You know, it's really, really big. Five-inch? I don't know, it's five-inch, it's all the same. Try to be, say, five-inch. So I can add chocolate? Yeah, we have no touch screen. We use the arrows to go to the left and to the right. To choose the temperature of the machine. The machine has more than 21 possibilities to make drinks. And some special things that only the Maestroza can do is a part of a drink shop here. We have a kind of long coffee. This is a double-winder process. We have cold milk from also. Does it do chocolate by itself or it just adds chocolate to coffee? You add the chocolate. We know, we have this milk thing for doing all the hot beverages like cappuccino, macchiato, coffee, whatever you want to have. We use the milk inside and the machine is making later the milk problem. Maybe you can see it. What's your chocolate and the ice coffee? It can make hot chocolate. It doesn't have to make coffee with chocolate. You can do the same. You can do it also. But you can only make hot chocolate. Let's make one. Do you want to see yours? So we have to switch on. And then if you go to the program, you only check the icon and there you see the problem style. You can choose one cup and two cups. This is what you like to make. I'll drink just one. Just one. Okay. Then we have here in the square the level. This is for one big cup or two. This is for a smaller version. This is the part we need. Here is the magnetic and here is the electric motor. Also there is magnetic on the black field. Now this makes the rotation of the part we need for the hot chocolate. And for this tube, there comes a hot steam from melting the chocolate and mixes with the milk. So do you have to do something or it's ready for it? No, I only need to melt the chocolate. Ah, you have to add something. Yeah, yeah, yeah. There is no system inside that the chocolate is already in. So we have to put it here inside. I need some chocolate. If you have it. So, the best you've ever thought you have all of this for a take in German chocolate and fresh milk, you know. The temperature is important for the result. Now, you see here, we go to the next step. This is just about what you have to do. So we have all the parts together. This is, yeah, this step 403. Then we go to the next one. The machine is telling me what I have to do. And what I have to do is... So, how we have chosen, we only take a small cup. So, only let it in. Then you have here the map. If you have the map, you can see, okay, four more, that's enough. Then... The most important thing is the chocolate you want to have. As you decide, you can have the mousse au chocolat, Nouveau, the hazelnut, the... Just a piece of chocolate. Only chocolate. Pure chocolate. No powder. Real pure chocolate. Then we make it. It's how many pieces you want to have. It depends how strong you want the flavor of the chocolate. And this is the difference. This is not cacao. It's really a drink. And this is rare that the coffee machines can do this? Only this coffee machine. Only this? Only this one. Yeah, you know, we have one machine before this, but at the moment we have here the conventions, only this machine can do it. Only the mice too. Then, now we have here the milk and the chocolate. And this is the big, big pieces of chocolate. Now we go to the next step. The machine says, okay, you can make kind of powder. And now we want to have the connections. Because we need to test the technology. So, move it. Only you lose the two fingers. It's so easy to handle. It's kind of a general feeling of correct discussion. You just do it again? No, no, you just put it there and then what? So, then, you see, we have a cake. And when it's okay, the machine is automatic.  So we need a cup there, no? Oh, when this is started. Look at it.  No, no, no, no, no. We have it for 250 milliliters or the half. But you can't make them full. This is the other stuff you can do in this machine here. So just for... You can ice coffee, you can do coffee frito, you can do chocolate and also you can do the cold milk form for some drinks you want to have with the cold milk form. Maybe for the kids. And I want to get many, many more. Kind of like this. Yeah, you can do kind of that. The engine is strong enough. You can do ice cubes inside. And it smashes them into the milk? Yeah, yeah. Now we are ready, now we have to make chocolate. We talk a few seconds and then we're ready. Then we remove. Well, it's hot. Yeah, it's all chocolate, you know? Yeah. And then, there's the one more, maybe chocolate and milk. So maybe... I know the machine. Maybe I will try. Yeah, but it's very hot. Okay, let's try. Ooh, it's the best hot chocolate. Yeah. Okay, so hot chocolate. Yeah. It's amazing, right? They can do this. How do people otherwise do hot chocolates? They just do... You know, usually with other machines you only have the function for the hot milk by yourself. But if you're using only hot milk you can't have no multi-percent of the chocolate. Here we have the technology. This is a magnetic motor. The engine moving this far. Nice. You need this technology to make a hot chocolate. That's really cool. Can you make the best coffee you think you can make with this machine? How will you do it? What button you push? For me, my favorite... I like it very much. If you have some passion as a VHRF it's to make friends, if you have a family at home you can do up to six cups at the same time. Six cups? Seven hundred and fifty milliliters. Seven hundred and fifty milliliters. This is for your friends, for your family, your neighbors, maybe you have an invitation. Where are the cups? No, no, no. You don't need the cups, you need the carafe. Ah, the big one. Yeah, the bigger one. This is the reason why we have here. This is the reason why we have here. And my favorite glass, my life is great. We bought it in a few years and now it's very successful. So, you'll see I have some there. You'll see I have some here. This is the one here. This is here. This is the one here. I saw you out here, this is the special. This is the special. All of this is the same, I put the glass.  I have the soft icons. I put here. Soft icons. So the only thing you have to do is push the button. And then it will do everything. Does it have the milk in there? No, no. This is always on the side here, the milk, right? The milk, you know. As we keep the fridge, if we want to have cappuccino, we have to stretch and bring it to the machine. And you just fill it up with milk? Yeah, the milk is always on it. Is the only thing you need to do? It's the assimilation of the milk. It's the steam in the other side, and then it's the bubble. There's only this little bit. Nice. I would say the easiest way to make a cappuccino, because you go into the fridge, oh, if we scream it too much? Yeah. What I want to show you, the big cream I have, my friend, when he comes over, he still has cream. It's a little bit stronger than I like. Is it hot? Let's try. I'll taste this one. Maybe you can make an Americano. Americano? Yeah. Let's try this one. So, one second. I need a piece of paper. Yeah. Yeah. It's just too hot. Can I have a piece of paper? So, let me just grab this. Okay. Okay, let's try. Okay, it's good. It's a strong kind, no? We have, if you take the dope, we have 15g of coffee. This is the Mexican coffee powder. 15g is more than enough. What do you want to see in the Americano? Yeah. Can you do it with milk? Of course, you can do it. If you want to have the Americano with milk, you have to do it two steps. So, how long time can you keep this on the machine? Can you keep it the whole day? No, no, no, no. You have to put it back in maybe half an hour. Half an hour and then put it back. This is the reason why we have a kind of thermos system in the tank. There's no chance this can keep it cool in there. No, no, no. It's just a special technology. If you want to keep it cool, you need a little more electric, but here's only a kind of thermo. You can keep it for half an hour. Let's try. For the Americano, what do you take with milk? Or maybe this one? Yeah. It's the same way? You want to do it? Okay. So, I go over here. So, I go in here. What happens? I need to plus? No, if you have to plus, you have more water, you have more vapor, and not the big part. We have two, two, two, two, two beams. And we have a hard one. It's maybe a soft coffee creamer. And on the other side, you have an upper special. And this is the the active bone. No beams. So, we can use the flavor, we can make it a little bit more. Maybe, we can also use it. And on every signal, we have the possibility to save the coffee. You can make the temperature of the coffee. Yeah, yeah. But every beverage has a signal temperature. You can say it's special, it's a little bit hot, more hot than the coffee creamer of Americano. The machine is possible, but you can save it. It's a kind of memory. So, did you choose one? And then you could choose it. It's very important to have high quality coffee. Yeah, of course, of course. For every machine, you need a high quality of coffee. For example, we're using all kinds of gimbal coffee. Gimbal coffee is from Italy, and people know how to make coffee. And we have, on this side, we have one of the same. I don't know where to have it. Thank you. First special, then the larger, this is our economy. We make so much water with this special. Not many can. So what is happening? What is coming down? It looks like water. Hot water, with this special. The program, the setting is hard, they can do it. All right. So what happens now with the milk? It's after, it happens after. So now if you want to have milk, you can see here, this is the two parts. This is the same way we have it here. Push it in this direction, then it's connected. Then, we choose for this drink we want to have only the functional hot milk. So we go through there. We have the cold milk foam, we don't need to be using for the hot milk, if we have the hot milk. I only press again, and then we make the hot milk. You can have the hot milk with the cold milk, without the hot milk. You choose how much, or is it just a standard portion? We have to step manually. And stop manually? This is not telling me. But you can save, you can create how many milk you want to have. Now I have to stop, you see here, the machine is working, but this is all in. So, offices who have this kind of machine, I'm guessing the employees would be quite happy. In the office? If you get addicted, it's one of the problems, right? If you have it in the office, all at home, it doesn't matter. Be afraid to clean this part where the milk is going to flow. The machine has an automatic cleaning system. And then you press OK. Automatic clean? This is to do, not after every computer, but before you do it back in the fridge, you have to clean it. This may have a bad taste after a few hours. So, if you press OK, now look what happens. The machine has a program which is cleaning the way of the milk, automatically going on. So you don't have to do anything.  So this whole part, with the arm goes in the fridge? Yeah, of course. It's ready. The machine is going back to the menu. There. There is no milk. There is no milk, there is no dirt. No dirt? Nothing. So clean, just there. Everybody will love it. That's as good if you have it at home, or you offer it. It doesn't matter, you can have it. So let me taste this one for a second. Yeah, of course. So I'm just going to try this one. Let's try the Americano with milk. Yeah, serve the espresso, then you have the mix, and not the top. Oh, that's good. So a better coffee machine is going to make better coffee? Is that how it works? No. This is for the follow-down medic, one of the best machines, and the newest machine. Highest technology. With the two beam parts, you can also use the already grounded coffee. Can you show more? Can you stand behind and show? So what's happening here? What is this? You know, if you have some friends, or yourself, you don't want to have the grinded coffee, you have your steel grinded coffee, your powder here. They have the spoon, and then it makes the coffee powder inside, make it inside. The machine is helping you, because there is a sensor here. And if you open the machine, it recognizes you want to use the powder. The next time, they will use this. You say, okay, I make the powder inside, and then you say the next step, that the machine is using the powder you have done inside. But you can also choose only to use that? Yeah, only for the next cup. So what's happening there? Where is the water? Yeah. You know, the machine has so many weights. Grab them. The chocolate milk. It's so good. Yeah, I like this kind of Nougat chocolate. You could put Swiss chocolate. Yeah, go on. Belgium chocolate. If you have to open, then we can remove the tank. But this is too long, especially for coffee machines. If you want to use it in the day, if you don't want to remove the full tank, there is a secret. If you see it, you can remove the machine. Just directly? Yeah, if you feel it here in the water, then go into the tank. Wow. Making coffee and just saying, oh, maybe it's not enough for the next cup. You open, put it in the water, and then you always have time to do it. That's so easy. Coffee machines never have a water cable that just goes in directly. No, no, no. I hope you don't really need it. If you have the tube, maybe for the dike water, that would be more expensive. We want to have fresh coffee. If you need fresh water, this is the reason we have the big tank. You can refill it with this. If somebody is the owner of this machine, what did they have to do? Once a month clean this? Yeah, if you want to clean. This is for the dishwasher. You can do the dishwasher. There's no soap that gets stuck anywhere? No, no, no, no, no. Then you open again, you remove it, and then you see here, this is the coffee. And what you can see, you can compare. This is dry. There's no water inside which is wasting the machine. It's only a pure, you know, it's a kind of, we call it ice hockey pool. It looks like cake. Cannot use this for something? Yeah, you can do it to the beds. To the plants? Yeah, yeah.  Not all, but it's good for the organic growing of the beds. So it's kind of a recyclable system. You can give it back to the earth. In the garden? Yeah, of course. And now, if you want to clean, you have to keep it there. All we see, we have to open. On this side here, we have to open, and then we see the hardest machine. But this one? You have to remove. Then you have to clean. The part where I see the red stuff? Yeah, yeah, yeah. Now we see, let's just show them. Yeah. You put it back. Here is the button to switch off. Now the machine has to switch off. Now it's cleaning. The machine is cleaning. You see it a little bit, the coffee, but it's so so little. So it's cleaning at the end of use. This is one step. Switch off. That is cleaning. And now, because you asked me how many times you have to do it, I would say more time in the month, but you're also going to do it more time in the week. Yeah. Now, we open again. We see now the difference. Now it's possible to remove it before the moving part is switched. Can you? Oh. Now we press the red button together. It's not hard or anything? No, no, no. And this part is? This part is making coffee, and this we have to clean. So if you want to clean it, use your fingers, pull it down, and then this hole, the machine is making the one coffee part and then pressing together. And that is? The machine is making coffee, and we have to make it under the water in the kitchen.  You don't need a special liquid, special water. No soap. Once a month, or two minutes. Maybe. Two after five. Not more, not more, not more. You don't waste time with cleaning. Then you put it back, closing, and you know, if it's so easy to clean, you do it maybe one time in the week. And if you have a clean system, you get one of the best coffees you can have.  So this washer, removed, water, or good coffee inside. You can choose to set it, choose to melt, show again. It looks amazing. This isn't good for like a store. The most customers we have are private at home. The most customers. But if you come to the market and say, yeah, I want to have it in your home. If you do it in a little restaurant for the technique, it's okay. You know, we have here this convention. We're making, I would say, 200, 500 coffees per day. So it's your decision. But we made it for the home. I would say 500 coffees. Yeah, yeah. You look how many people we have. And the zero defect in all these is just working perfectly, the whole show. Perfectly. This is kind of quality. You have the perfect quality. The machines were built in Italy, so they know what they do. It's handmade in Italy. So assembled in Italy, you just plug it into the power and then one of the most important questions is how many buys this? Is it going to be lasting 5, 10 years? So if you keep it clean and you know that it's your machine that you have it up to 10 years maybe. So if you buy and make an inverse of this machine, I would say 10 years is the problem for the machine. So it keeps the quality long. The coffee is going to stay good all these years. Yeah, because you have it in your hands.  You have a long time with the machine. All right. So this is the machine. Now I would say we have another kind of machine we call the classical espresso machine. It's a classical typical espresso machine. We call it La Specialissa or maybe we go over there and look to the other ones. Okay, let's check it out. Yeah. So now I'm looking here and I would say we have here for 6 days, 7 days and I expand the machine very, very often, but it makes so much fun to expand the machine. Yeah, I know the red one is only in the color. Over there. This one? This is my favorite because I'm the barista and I like to do it. So it's the barista's favorite. This is the big difference is the design of the machine. This is a full machine. Now we have a machine with a weight of 15 kilograms. So we know what kind of material we have. The big thing is we have here an integrated grinder inside. So we have here the spacer. For most people, how to use a classical espresso machine is difficult to press it to tamping the powder into the filter system. Many people say, oh, I don't want to have this classical machine because I don't know how I have to use. Now I'll show you how we can use. This is maybe already used with what we have inside. We have to keep it full. We need all the kind of lock boxes. That means every time you make a cup of coffee you have to take it off fill it up and put it in, right? This is the big difference. We have to see the brewing part and the other one you have to remove. You have to clean one time we have the part of coffee outside not inside the machine. This is a big point. And here we see the small coffee inside. If you want to have coffee, you first have to clean, you connect it to the grinding station. We have it here and now we have here the insert point and here is the closed point. You move it to survive and there is the inside of the click. And then it starts to grind. So is this going to fill the standard capacity? Sorry? It fills the capacity you have chosen? Yes. Right there, so put it in. We know which is the capacity of coffee and which is the grinding level we have. If you take a fine grinding, you have a bigger surface of coffee you have the better taste. That's my advice. Now comes the secret. We have many secrets at the Longy. We call it the smart tap station. If you move in this direction we are tamping with the pressure to the finger. What's happened there? 20 kilograms. This is the pressure we want to have inside. And you need to use it. You have the flat, you have the powder, it's so clean. You have no dirt, no powder in the kitchen and you don't have to hold it. It's a full time course. You connect it here to the grinding station. Now we move to the spot where it makes coffee. Does the pressure help for the taste? Yes, of course. If you have a big pressure the flavor is coming out. You are baking, the flavor is the coffee. Coffee has a flavor like this. So you put it there and then you put a cup? Yes, we need a cup. We can choose here all the some things. We have a two or a one. If you don't see that I just only want and now I see I have a two. This is the part of the grinding. You can grind it for two cups or one strong cup. I have told you on the outside there is a kind of dough people want to make. Here, for me, my decision I take grinding for two then I switch off and then I'm making a single espresso. I also can do Americano, we have seen how it works. And I can also do a coffee creamer. So I have three automatic programs. The machine is helping me. She is helping me with the grinding, and the automatic program. But I do it by myself. I am the barista, I have it at home. This is my coffee. This is the feeling, of course. Because we are happy to do it. This is a big point. You want to do it, you can do it. Does it change something with the taste? If you do it, it's your coffee. It's a better taste. If we have directly from the coffee I show you. Maybe I need a glass, but I have no glass. Yeah, this one. Look at these two. Wow, I press. Okay. And now, the error is moving a little bit. We have this pure fusion here. And now it comes out. And this looks like electric chocolate, you know. And you see how strong, how intense and how flavor you have inside. So this is all. We have to also do it especially per day. As you know, we have many Italian people here. Now I show you. This is what we call, that's the perfect espresso. Perfect espresso. It's nice, nice. It's intense and flavor. Do you like espresso? Let's try it. This is amazing. This espresso you will... Coffee is it's flowing in your mouth. It's flavor, it's creamy, it's expensive. It's rare. This is the big difference. This I want to hear. It's so good. It's all mine. Don't have the word. Yeah, because it's so good. So this is the only espresso machine like this? Yeah. But the other one could also make it special, right? This are the same machines. We have the red one. This is different. You have seen, we have the cup and there's the coffee. There's no juice between the coffee and the cup. There we have the system inside and here we have the system outside. I like to compare with like a juice. If you have a fresh orange or do you have juice of the fresh orange you have a great full taste. You can buy of course the juice of the bottle but we'll never have the same taste like a good fresh. Unless you can compare. This is maybe easier to use. You have more kind of beverages. Yeah, only push the button. But many people like it. Here it's yours. It's your coffee, it's your moment. If you do the coffee, you take your espresso and what are we saying? This is my coffee and I take the 5, 10 minutes and then join my coffee which you have made, which I have made. This is my moment in coffee. I would say it's kind of emotionally different. So how does this compare with previous generations why is it getting even better? Oh, this is... I can't really say which machine is better is maybe which way of coffee making you like. If you want to only touch the screen then you have to buy the new one but if you want to make it, maybe you you want to have the 5 minutes to make the coffee and then I would take this one. I like this one, I like the other one too so I have both machines at home. This could be for home or could be for the office. It's more office of cars but all the machines you see here is making for home. We want the customers have the feeling of coffee, of barista in the home of the stew but made for home. This is for you, this is for your home, for your kitchen for your living room, wherever you want to have the machine. It's yours.


Good evening everyone. I am Dr. Nisha Shetty, an oral and maxillofacial surgeon consultant with Manipal Hospital. I am here to debunk the myths of orthognathic surgeries also known as jaw-corrective surgeries. Corrective jaw surgeries go a long way. They have been performed for more than 150 years by various surgeons now. These are designed to correct conditions in the upper jaw, in the lower jaw to improve the airway of the patients to correct disorders of the joint that is the jaw bone joints and also to correct mal occlusions. Problems primarily because of the skeletal deformity that persists because of the growth disorders that persists as an individual attains complete growth. Dental deformities alone can be corrected by orthodontic treatment where an orthodontist who is a specialist in aligning the teeth corrects it when the child is growing, generally starts by the age of 11-12 and finishes it within two to three years. But when there is a skeletal as well as a dental deformity meaning the size of the jaw bone is very big, very small or the airway is very constricted or speech is an issue or the child or the adult is suffering from some kind of sleep disorder these are the conditions any kind of disharmony in the upper and the lower jaw is when these jaw corrective surgeries are warranted. A lot of people ask me when are these surgeries required is it really important to do these surgeries? I would say it is not a purely aesthetic correction or a cosmetic surgery it is privately done to correct the functions for the individual functions meaning ability to chew better, ability to breathe better to improve the airway of the patient and also medical conditions such as obstructive sleep apnea. The most common reason why these corrective jaw surgeries are done is because of dental and skeletal disharmonies. It is usually the patient has severe overbite, an underbite, a deep bite, a cross bite that is when the lower jaw is really protruded, the upper jaw is really protruded or the opposite of it or the chin is very small or the oral cavity per se has a very less volume. In these conditions it is warranted it cannot be just corrected dentally it's when a surgical intervention is needed to improve the function. Also some sort of childhood injuries can lead to a deformed development of a particular bone especially the lower jaw bone or the upper jaw bone. In such situations once the growth and development of the individual is completed it may warrant for these jaw corrective surgeries. In certain situations there are these chronic TM joint pains that the patient has. This condition is called as TMD, Tempromandibular Disorder which is treated by conservative means most of the time or with certain arthroscopic procedures but in certain situations it may warrant or require jaw corrective surgeries. So this is also one of the indications of orthognathic surgeries. Orthognathic means straight jaw. Orthognathic doesn't literally mean that we make the jaw straight but we make the jaw you know we achieve a harmonious balance between the upper and lower jaw and in the process a good airway, good function is also achieved and also life-changing aesthetic changes the way the cosmetic changes the way the patient appears also is achieved. These surgeries are needed in conditions when the teeth don't meet at all. In certain individuals it is seen that only 20% of the back teeth only meet and they have opened by they are not able to bite on well which leads to various other problems because they are not able to digest the food that they are eating well and you know there is a lot of functional issue they are unable to close their lip the competence of the lip is lost where they develop upper respiratory tract infections in such situations just by dental correction with braces it is not possible to correct these conditions in such situations corrective jaw surgery is generally you know looked upon as in that is the only way by which we can achieve the functional loss which the patient has another large area that I want to highlight is obstructive sleep apnea this is a branch of medicine that is really not given that much of importance but now it is really a people are very aware of what obstructive sleep apnea is so generally in people who snore a lot there is a lot of apnea hypapnea A H I index what is called that is altered meaning their heart and their brain and their vital organs are receiving less blood supply in sleep that's because of a compromised airway there is a specialty called a sleep medicine which deals with it so generally it is treated using these conditions are treated using CPAP machines these are machines which help the patient ventilate positively when they are sleeping so that the amount of distress to these vital organs is reduced but in certain situations despite of that the patient's A H I apnea hypapnea index doesn't improve then also a lot of weight loss programs the patients are put in or dentists give maxillary mandibular advancement splint these are devices that are worn in the mouth when worn in the mouth when the patient sleeps and despite of all this in certain situation if the there is no improvement there are certain non-invasive surgical procedures like the a soft palate repair to improve airway is done and still if it fails then the last resort is generally a maxillary mandibular advancement meaning moving of the entire upper jaw that is along with the dental segment and the skeletal bone moved forward and the lower jaw advanced forward brought forward thereby improving the volume of the oropharyngeal airway has shown considerable results in treating these conditions as well so it's not generally only for cosmetic reasons that orthognathic surgeries are done it is done for various other reasons generally we wonder what is the right time to do the surgery when a child hits puberty growth spot that's when the parent starts noticing that oh the lower jaw is very protruded the upper face is very protruded meaning very small or the patient the child always keeps the mouth open and breathes through the mouth he's unable to close his mouth properly usually most of these conditions correct because the rate at which the lower jaw and the upper jaw may vary differently in different individuals usually it gets corrected so we ideally wait for a time where the growth and development has stopped after which only the patients are generally taken for orthognathic surgery this is a very debatable topic it's of course on the surgeon's preference as well but generally patients younger than 15 years of age especially girls younger than 15 years of age or boys younger than 18 years of age are not taken up for corrective jaw surgeries so what is the outcome that you are look the parent looks at is an instant improvement in the bite the moment the bite improves the the ability to digest food is better the patient starts enjoying eating his food better because he's able to chew and experience the joy of chewing and also in the bargain there is also a lot of facial appearance improvement meaning when the jaw is very protruded and we are recruiting it there is a drastic change that the patient and you know his peers and people around them will know that there has been something drastic that has happened because it is quite a life changing aesthetic changes that that can be achieved with these surgeries with somebody who has a very protruded upper jaw and we are bringing it out or we are setting it back even in such situation there's a huge profiles change the simplest of corrective jaw surgery is a chin surgery which is called as genoplasty so where only it's a very it's the most simplest of jaw corrective surgeries so in when we do these surgeries it's just the profile that changes so which is also very drastic and noticeable by people and peers around them so there's a lot of other issues that you know the patient comes with along with a beyond the skeletal deformity that is there is the psychosocial baggage that they come with generally as the child is growing in school they are given certain tags or names you know wherein they are bullied by their peers that they're always wearing certain growth develop growth and development appliances and this kind of creates a stigma in them they so they come with a lot of baggage so it is very important for us we understand they are the psychological issues and they are also put through a good psychological counseling before and after the procedure because sometimes the results can be really overwhelming even accepting the new look becomes a challenge for the individual so this is very relative depending on the individual patient but the team generally treating these conditions always takes care that the psychological aspect of the patient is also taken care of so generally what will this treatment involve is what what is asked like from the parent or the individual himself if he's coming much later in life let me broadly divide the patients who come to us into three segments one is patients who who are brought in during their growing phase by the parent when they are very young meaning the parent notices that they have a very long lower jaw or they have a retarded lower jaw there is an airway shoe or they have some thumb sucking habit which has been so severe that has led to you know a very high arched jaw so in such situations when we catch the child very young or when we diagnose the children very young it is easier to correct it with non-invasive methods where the there is a preventive a pediatric dentist and an interceptive orthodontist who looks into this and helps them overcome these habits and correct it conservatively with dental appliances but after a while in certain situations it is not able to we are not able to correct everything non-surgically certain cases it is a surgery is definitely warranted to improve the function and aesthetics of the growing child so we usually see catch these patients very young so they undergo orthodontics from around 14 15 years of age before the surgery so the this this whole jaw corrective surgery is a huge team work where a pediatric dentist an orthodontist that is somebody who aligns the teeth an oral and maxillofacial surgeon a psychologist you know who is you know an expert in dealing with child psychology as well as a dietician play a very important role so it's like a multidisciplinary approach so the orthodontist plays a very very important role in this because he or she will work on the patients before surgery and create a platform for the surgeon where he can precisely do what he needs to do there are a lot of photographs which are taken documented studied using various software with the advent of 3d printing life has become very easy for us in the last three four years we we make multiple CT scans of the face and we 3d print it we do mock surgeries literally virtual surgeries and we show the patient the outcome of the surgery even before we do the soft tissue as well as the heart tissue changes that we are we are planning to achieve is discussed with the patient or the parent and then it is planned so the orthodontist works for about two third of the entire treatment happens before the surgery and then the surgery happens following which again the orthodontist comes in and they completely settle the bite for us and we stabilize what we have achieved and the patient is then a free to go this is generally in the younger patients this is the scenario so what we also do is lot of mock drills on casts and models we make impressions of the mouth and around area and we do a lot of mock exercises before the surgery so that the predictions of our surgery is very very precise so it's all in millimeters everything is calculated there's lot of mathematics that goes lot of tracings that are done of the skeleton of the soft tissue and then this planning is done by the team which is treating the patient so generally after the surgery is done and after surgery orthodontics is done we also put the patient on retainers for a long time and stabilize the bite and then the patient is free to go so in these corrective jaw surgery is what happens is that a particular jaw bone is intentionally broken in I mean that we make osteotomies that is we break the bone and move it forward backward upward downward depending on whether we are dealing with the upper jaw the lower jaw or both jaws together and then they are stabilized in the new position the new position is verified using certain you know like a splint we use it and then we verify that the outcome is correct and then the new position is maintained by using mini screws and plates made out of titanium to fix and stabilize these bones in this position all these procedures all these extensive jaw corrective procedures are done from inside the mouth we don't really cause any scar from outside it is mostly all the stitches or whatever the sutures are placed inside the mouth and so the oral hygiene of the individual is supposed to be very very good and optimal and it has to be maintained before during as well as after the surgery just to warrant no other infections or complications as such so that is about primarily how the pre intra and postoperative course of this procedure takes so very rarely or very often we also have to correct the position of the nose so a bit of change in the shape of the nose is what the patient will see in the whole process or sometimes a rhinoplasty is also done along with this if if that is a concern or if a dns correction is needed then it is done along with these surgeries as well so that is about the course of the surgery what are the risks associated with this corrective jaw surgeries the most common problems or rather in any extensive surgery which goes beyond a two hours or three hours is swelling in the lips the patient sees a lot of swelling after the surgery in the face the swelling may last for as long as up to three weeks to completely resolve but there is still 10 swelling which remains for up to six months so we normally counsel and tell the patients that the true outcome of this whole procedure is should i mean we generally assess the outcome the soft tissue outcome that is how the face or the profile looks like only six months after the procedure but the functional outcomes meaning ability to chew well ability to breathe well improvement of the all this is is literally instant after of two three weeks once all the edema subsides the patient is very comfortable and you know ready to go numbness is something that yes could happen especially in lower jaw surgery where we do a lot of advancement of a lot of setback so in which the lower jaw including the entire teeth section is sliced up and there is an important nerve which is which is a sensory nerve which supplies your feeling of touch and pressure which supplies your lower lip and you know the lower part of your face may undergo a bit of stretching trauma so they might be a bit of swelling around the nerve so the patient might have some neurologic symptoms for sometimes after surgery which is generally explained well in advance before the surgery to the patient but otherwise it usually resolves in two to three weeks and the patient is back to normal in extensive surgeries we generally ask the patient to refrain from going to work or college or school for at least 10 14 10 to 14 days but if the swelling lasts for longer it's maximum up to three weeks that we ask the patient to refrain from you know exposing themselves because of the it's a bit of a stigma to walk around with that much of swelling around now infection of the plates beneath the gums is another common issue so hence a lot of counseling happens on the oral hygiene and how they are going to maintain the oral cavity because with so many stitches inside in the mouth it's a little difficult and they have braces on so it may be a little difficult but we also use certain devices like a water flosser which aids them in maintaining the hygiene of the oral cavity and it makes life easy for them another important constraint that is there up to these surgeries they are diet you're literally on smoothies or you know soups smoothies or soft diet mushy food for up to three weeks because we are literally fracturing the bone and then rejoining it the jaw is jaws are the areas of your headache or part of your body which cannot be splinted like when when you have a fracture in your hand or an osteotomy you can splint it with a cast but your mouth is one area where you are constantly using it when you're talking when you're eating so hence to avoid any strong impact on the healing bone the patient is advised to be on a completely soft diet for up to three weeks or little longer sometimes and once the bones heal the osteotomies heal then the patient slowly graduates to eating slightly solid food and then hard food whatever appeals them once the wounds have healed well in certain situations we may achieve an ideal bite during surgery and immediately post-op we might lose that bite in such situations the orthodontist again comes to our rescue and gives the patient certain kinds of elastics to wear on the braces to settle the bite so that there is an ideal perfect bite that the patient achieves in the post-course relax after surgery is also very unusual however there may be a relapse in the position of the jaws and the teeth which may require in certain but this is very very rare due to some reason they could be a relapse unforeseen reasons they could be a relapse but very very unlikely because we monitor the patients constantly the patients are monitored of course they are in-house generally if we are doing a bi-jaw surgery at least for five days four to five days the patient is in the hospital so they are monitored on a daily basis followed following which on a weekly basis they are seen the hygienist is constantly watching on the oral hygiene of the patient the nutritionist takes care of the post-op nutrition of the patient and the orthodontist and the surgeon are on constant vigil so that the surgical outcome is maintained and the wound healing happens uneventfully so generally if the procedure is very small wherein only a small segmental surgery only the anterior small part of the jaw is osteotomized or and moved front back or a chin job is done the patient requires to stay in the hospital for just about two days 48 hours or maybe three days 72 hours they are discharged and they resume their work very quickly and care after surgery again is very important a lot of psychological as I said earlier psychosomatic changes they come with the psychosomatic psychosocial baggage so we work constantly along with the parent relative pairs to you know heal them faster so they they turn out to be much more confident much more respectful about they they start loving their own self so it is quite a life-changing process for a lot of patients depending on what kind of procedure we do on them when I suggest when I see a skeletal deformity and I counsel the patient or the parent that you know you might require this procedure to achieve this then they ask me is it cosmetic most of the time the aesthetics of course is very very important we are there to provide the ideal aesthetics but also it is primarily because of function inability to eat properly having constant headaches inability to close the mouth properly inability to breathe through the nostril properly obstructive sleep apnea these are the various other functional reasons for which these corrective jaw surgeries are done so hence I would you know I always choose to disagree that it's purely cost it's done for purely cosmetic reasons in certain situations when there is a childhood injury then in such situations also suppose there is a injury or to the chin or something like that in such situation the child's jaw stops growing due to the injury to the bone and they have a lot of difficulty in opening the mouth and they may have a very protruded chin so in such situations we also do something called as distraction osteogenesis where the bone is grown back to its original position so this also is classified under orthognathic it's an advanced orthognathic surgery where we do distraction osteogenesis to grow and achieve the ideal height of the of whatever we are we are trying to achieve there's a huge profile change that happens so now with the advent of 3d technology the there is no uncertainty here the patient will clearly have an idea of what we are going to achieve and we are able to physically show it in the form of you know we have softwares to show the outcome to the patient meaning how the new bite is going to be how their profile is going to change and even you know how the photograph is going to be you know we can morph the photographs and show them as to what outcomes we are looking at to to achieve in such situations and since it is a multidisciplinary procedure where multiple specialists are involved and in which the orthodontist plays a much longer relationship role with the patient it's a literally a journey of getting to where they are that we go along with the patient because anyway between one and a half to three years is what it takes to complete the entire treatment in certain situations you have a young adult who's about say 24 25 years coming into us and saying that you know they're getting married in three months four months generally it's like quick fixed jobs are not recommended because there is a way systematic way where if we decompensate do the decompensate the bite do the surgery and then settle the bite is when we will achieve optimal results but in certain situations we do instant procedures but I always encourage patients to do it the right way that is go through the orthodontist and the team assesses we see what needs to be done and then we help them a lot of parents of come with concern that will my child need surgery do you think so in such situations I always tell them it's very I mean in certain situations very easy for us to know that sure shot this child will require surgery when they grow up you know studying the pattern of growth a facial growth that they come to us with but in certain certain situations as they grow their lower jaw which might be growing at a very fast pace at a certain age might just you know the upper jaw might just pace up with it and it might just get corrected and just with orthodontic treatment that is treatment of the orthodontic purely is dental correction with minimal skeletal corrections which can be done when we start very young with children we can achieve what we need to achieve but in certain situations where there's a severely compromised airway or you know in such situations a jaw corrective jaw surgery is 100% warranted another important situation is birth defects children born with cleft lip and palate who undergo these surgery correction corrective surgeries of cleft lip and palate very young when they are like less than one year or you know lesser and as they grow up they invariably have some sort of skeletal deformity which may require jaw corrective surgeries so again here the orthodontist plays a very important role where they do the pre surgical workup which takes away two-third of the time of the entire treatment and then a surgical correction is done followed by a maintenance phase again by the orthodontist so here the speech therapist also plays a very important role and along with the speech therapist we deliver what needs to be delivered to the patients with who have a congenital anomaly or what is called as a birth defect so I think I pretty much covered most of the things in corrective jaw surgeries which a common person who's looking for it would want to know and these surgeries have very very very predictable outcome with better function better mastication that is better chewing of food better airway better sleep better appearance better psychosocial life you know and overall it is truly a gratifying surgery for us unlike you know when it's trauma and all that it's a very focused here it's a journey with the patients so we kind of grow with the patients seeing them transform and it's truly gratifying for us max vac surgeons to look up these cases and help them out and help them achieve a better quality of life someone's asking me how long is the process of these surgeries now again I understand you're trying to ask me how long does this surgery take that is how long is the operation so generally it depends on what we are trying to do if it's a simple chin job it will be done within an less than an hour's time but if it is extensive by job procedures where both upper and lower jaws are involved then it can go up to five six hours as well or longer in certain situations so but generally the hospital stay varies anyway between 72 hours for longer procedures between seven up generally not more than five days five six days we keep the patients in house in some situations immediately after surgery if the swelling is very very large meaning the tongue can swell up a lot because we are literally playing around the floor of the mouth which is very important so because of the so much of maneuvering of the lower jaw we see a lot of edema in the tongue in such situations we keep the patient in intensive care for about a night after surgery and once the swelling reduces we move them out to the post-operative to the room or the ward so that is the thing are there any questions let me look up yeah so i think i pretty much covered let me look up for questions can snoring be reduced without surgery yes it can be there is a special specialty called a sleep medicine you can reach out to the sleep physician and there is a sleep study which is performed and we see what is your AHI index based on that the doctor will prescribe either a machine or a splint or a device to be worn and it can be corrected non-surgically most of the time it is corrected non-surgically or there are sleep medicine dentists who will give you a splint to wear after you've seen the physician so you wear something on in the mouth like a like a sports card which looks similar to a sports card but it is a sleep device and that reduces your snoring your snoring considerably but here it's not just reduction of the snow snoring it is certain parameters that we look at if how much damage it is causing to your vital organs so in such situations there is airway surgeries which are done the simplest surgeries which is least invasive is a soft palate surgery where we you know stitch up the soft palate and thereby increase the volume of your oropharynx only in situations after doing all of these where the patient has improved his BMI has lost a lot of weight done everything yet is not able to overcome these problems so obstructive sleep apnea by itself is a big science and there are specialists who can help you with this and if need be they will refer you out to us for jaw corrective surgeries but most of the times it can be corrected non-surgically for sure our corrective surgery is reversible to a certain extent yes they are they can be reversed but it is quite an exercise there hasn't been a situation wherein we have had to reverse it but it can be reversed in most situations so yeah I think pretty much covered most of it thank you for hearing me out and it has been a pleasure coming live on facebook thank you so much


Hey, Weirdos. Welcome back to my channel. As many of you already know, I am the voice of Factsverse on YouTube. And I just got this script from them today that they want me to voice. And it just looks like it's going to be very interesting. I've not read it yet. So I'll actually be reading it as I voice it. So it'll be a surprise to me as I voice it for you. But I just thought it'd be kind of fun for you to, you know, maybe some of you would actually enjoy watching me narrate a video. So here we go. And by the way, if you hear this, that actually gives me a visual representation when I'm looking at the WAV file later on for editing, where all of my mistakes take place. And you're probably going to hear a lot of them. So I do a lot of editing before I post anything online. Okay, here we go. Here we go. Factsverse presents scandals. The Discovery Channel tried to hide from viewers. Over the years, the Discovery Channel has had its fair share of controversies. When something happens that could result in a major scandal, the person involved with the scandal is often fired. And the Discovery Channel severs all ties. In many cases, they're able to keep the entire story out of the media. And we have a few scandals and the people who were able to prop it from them. And we have a few of these scandals and the people who were able to profit from their bad behavior. When you see these scandals, the Discovery Channel tried to hide from viewers. You will be shocked. First, though, help us spread the word about Factsverse. Click that like button and also be sure to subscribe and click the notification bell so you don't miss our future videos. Number one, Bear Grills from Man vs. Wild was fired by the Discovery Channel. On the show, there were plenty of things that Bear didn't do. He even drank his own urine on the show to survive. Oh, sorry. On the show, there were plenty of things that Bear wouldn't do. That doesn't make sense either. On the show, there were... Okay, I'll try this one. These aren't written very well. Sometimes these come in and you can tell that the person that wrote them does not speak English as their first language. Alright. On the show, there were plenty of things that Bear would do. He even drank his own urine on the show to survive. There was one thing that he didn't want to do and got him fired. He did not want to do any other projects beyond Man vs. Wild. When he was asked to participate in two of the network's upcoming projects, he refused. After being on the air for six seasons and being on an episode with Barack Obama, he was let go because of a contract dispute. Number two, the Alaskan Bush people aren't from Alaska. There's been a lot of controversy surrounding the family featured on this show. People weren't sure how much of the show was real since their old house was just 10 miles from the center of town. Several members of the family, including Billy, Bear, Bam, Noah, Matthew and Gabriel, were issued citations for making false statements on their hunting and fishing licenses. The family spent most of their lives in Texas and Colorado. They got their hunting licenses shortly after moving to Alaska in 2012. Number three, the Alaska Bush people were charged with fraud. In 2015, Billy Brown and Joshua Bam Bam Brown pleaded guilty to one count of unsworn falsification. Alaskan residents are eligible for money through the Alaskan Permanent Fund Division, and the fund gives full-time residents of Alaska thousands of dollars each year for just continuing to live there. Billy Brown collected $7,956 from the state and Bam Bam received $1,174. They were both sentenced to 30 days in jail for accepting the money when they were only part-time residents. Number four, American Guns canceled. American Guns was a show about the Wyatt family who owned a custom gun shop in... American Guns was a show about the Wyatt family who owned a custom gun shop in Wheat Ridge, Colorado called Gun Smoke Guns. Although the ratings were good, the last episode aired in 2012. Many people believed that the show was canceled due to the gun related tragedies, such as the Sandy Hook Elementary School shooting. The Discovery Channel says that was not the case. However, they still chose not to renew the show for another season, and reruns were never aired again. Number five, Gun Smoke Guns was burglarized. After the show was canceled, the shop was burglarized. On February 27, 2013, somebody broke into the shop by cutting a hole through the roof. The thieves stole 12 handguns and three rifles. The case was never solved, and the police weren't sure if it was a single person or if there were accomplices. Number six, Richard Wyatt didn't have a gun license. Richard Wyatt wasn't authorized to sell guns. In 2012, in the middle of filming, Wyatt lost his federal firearms license for violating federal laws and regulations, but he continued to sell guns at his shop through the... but he continued to sell guns at his shop through a straw federal firearms license that belonged to someone else. He changed the address of a store called Triggers to the address of Gun Smoke, even though he didn't own it. When someone bought a gun and filled out the necessary paperwork, Wyatt was caught. He thought it was a legal loophole, but he was indicted in 2016 for conspiring to sell guns without a license. Number seven, Richard Wyatt failed to report personal income. As if Richard Wyatt wasn't in enough trouble, things just kept getting worse. About nine days after the store was broken into, the IRS raided the store as part of an ongoing investigation for tax evasion. In 2010, an agent working for the Bureau of Alcohol, Tobacco, Firearms and Explosives found out that Wyatt was in possession of six automatic weapons. When they looked into the store's paperwork, something didn't add up. Between 2009 and 2012, Wyatt failed to report $1.1 million in personal income. He was also charged with filing a false tax return. He was found guilty on nine tax fraud and evasion charges and one count of conspiracy to sell firearms without a license. Number eight, a patron on American guns was arrested. A man named Wiley Newton went into the store on the last episode of the first season. He was trying to sell a Colt pistol that was worth $20,000.  Someone familiar with the robbery happened to be watching the show and recognized the gun. Newton was charged with the robbery and trying to sell the stolen gun.  Sons of guns is about red jacket firearms. It's a company that manufactures and sells custom guns. When he was arrested for raping an 11-year-old girl and a 13-year-old girl, the show was canceled. One of the girls was his oldest daughter. He was found guilty on two counts of aggravated rape and one count of forcible rape. When he was convicted of rape, he was facing another charge in Livingston Parish. He was sentenced to life in prison without parole. Number ten, molestation accusations. Will Hayden's daughter, Stephanie Hayden Ford, was on an episode of Dr. Phil. She claimed that her father had been sexually inappropriate with her when she was 12 years old. She also claimed that he sexually assaulted her cousin and one of her friends. She added that she sexually abused her 12-year-old sister. The initial charges came when a personal assistant caught Hayden naked and passionately kissing his 12-year-old daughter. Number 11, Stephanie Ford from Sons of Guns was arrested. After Stephanie's father was arrested for his horrible crimes of rape, she and her husband, Chris Ford, were also arrested on one count of cruelty to juveniles. The couple was charged with hitting their 9-year-old so hard with a belt on his lower back he had bruises. Although Chris was, although Chris was the one who hit the boy, Stephanie was arrested as well because her son said that she was in the room when he was beaten. Number 12, dual survival attempted murder allegations. Cody London from dual survival filed a suit against the network. He claimed that his co-host, Joe Teddy, threatened to kill him while they were filming the show. He says that the network tried to make it look like he was losing his mind during filming. What really happened was that Teddy was having an ice axe. What really happened was that Teddy was waving an ice axe at him and threatened to buy, threatened to buy, threatened to buy him on a mountain, threatened to, what word are they trying to use there? I'm just going to say kill instead of buy. All right. What really happened was that Teddy was waving an ice axe at him and threatened to kill him on a mountain in Norway. This wasn't the first time he says that he was threatened while they were filming Hawaii. London says that Teddy threatened to impale him with a spear. He also says that Teddy showed him photos of people he had killed when he was in the CIA. Number 13, the naked and afraid crew helps the contestants. Naked and afraid places a man and a woman out in the middle of nowhere for 21 days and then they're forced to try and survive. According to a female contestant, the crew fed her bread, rice and baby food when she got sick after she ate a turtle. They also gave her an IV drip two separate times to keep her from becoming severely dehydrated. While they were giving her these things to save her life, the Daily Mail says that it was dishonest because the show never mentioned helping the woman. Number 14, scripted segments on naked and afraid. In the last episode of Season 3, Honora Bowen and Matt Strusel competed together in Brazil. Matt completed the challenge but Honora tapped out after suffering from heat exhaustion. Honora claims that she was coerced into starting a fight with Matt to add drama to the episode. She also claims that the producers wanted her to lie about her background and her relationship with her father. She says that she didn't tap out due to heat exhaustion. It was because of bladder issues. She says the producers wouldn't let her tap out after she asked several times. In the end, she faked a medication condition to be allowed to leave. Number 15, counting cars controversy. Danny Coker was the car expert on Pawn Stars. Thanks to his knowledge of vehicles, he got his own show. On the show, he bought customized and sold unique cars at Count's Customs Auto Shop. On the show, people seemed happy with the shop. However, not all people felt that way. Many visitors complained about the overpriced merchandise and the location of the shop. Number 16, American Pickers isn't as lucky as you think. This show focuses on Mike Wolfe and Frank Fritz. With the help of their office manager Danielle, they hunt for pieces from collectors and they pick through junk to find something great. The way they show the man finding the collections isn't accurate. The producers would get collections from collectors. They would go through the items to find the best ones and only then do the two stars of the show examine the collections. Number 17, Pawn Stars also isn't so lucky. Since Pawn Stars and American Pickers are on the same network, they have a similar protocol. It seems that Rick Harrison has plenty of friends and they're all experts on one thing or another. It isn't Harrison who brings in the experts though. It's actually the TV producers. The experts are brought in ahead of time before they even get to meet Harrison. Number 18, American Restorations Fowl Up. This is another spin-off from Pawn Stars. The show focuses on the cast making old items look new. Unfortunately some fans have noticed a few slip-ups. On one episode titled Secret Fan, they were restoring a go-kart. The wheels weren't put on correctly which caused the cart to wobble. That made people want to take their antiques elsewhere for restoration. Number 19, Pawn Stars cast doesn't work there. Pawn Stars focuses on the lives of Corey, Chum Lee, the old man and Rick. On the show, they inspect artifacts and old goods to find items to buy. Before the show, they all worked there on a regular basis. Today they are rarely ever there. Them being at the shop often got in the way of potential sales. So now they're only in the store during filming which doesn't happen very often. Number 20, American Pickers is staged. When Frank and Mike negotiate sales with the sellers, it's staged. The two men will often bicker on screen but that's fake. In fact, the producers negotiate the price before filming begins. Subscribe for more. Yep, reality television isn't all that real.


Hey everyone, it's Gabrielle. I'm out here today at Oxford Toyota. I have Chuck here with me Hey, yeah, all right guys. So Chuck is going to actually compare to 2020 is that Toyota Corolla now we have an SE here and we have an LE. Yes So Chuck, what are you going to tell everybody? Well, so when you look at this at first glance that both are in that celestial blue And you're like, oh, it's the same car. It's a Corolla, but actually they're different It's the SE and the LE trim and so it's not as pronounced the difference as you'll see like in the Camry grille, but on this one, this is we'll start with the LE. So the LE, the honeycomb grille It's actually a sporty look for an LE trim if you know the history of the Toyota and all the trims and everything Your sensor is right here in the emblem. Okay, so in a lot of the Toyotas the sensor for the Pre-collision systems right there in the emblem And so you also have this second row kind of honeycomb looking grill as well. This is the LE, right? And then when you go to the SE it's a more slope look the emblem is a stand-alone self The sensor is actually built here into this black ball right here. Same different. It's a honeycomb grille as well a little bit different Styling the way it comes out and you get the fog lamps down here So are the daytime running lights. So it's a really cool like sporty look more slope look the LE Still like a surprisingly sporty look on a LE So you really can't go wrong with either of these both of them come standard with Toyota Safety Sense 2.0 So this gives you a pre-collision pedestrian detection lane departure alert Dynamic radar cruise control auto high beams when you're in dynamic radar cruise control on the highway It's slowing you down automatically You have lane tracing assist so it'll actually work to keep you centered in your lane as you're driving So it's a really great feature also roadside detection. It can pick up, you know specific road signs giving indicator there on your mid Now this is the interior of the SE you've got that blue stitching which if you've known the Terms of the SE crawlers in the past always has that blue sporty Stitching. This is the new upgraded radio. So you have Apple CarPlay available on this one You plug your phone in you have an Apple phone all your information is right there navigation ways Google and then we've got the LE over here This one has some upgrades so there's packages you can get on these cars This one has the blind spot monitoring where it'll light up if somebody's in your blind spot It also has the push button start on this one And so that's an upgraded feature that you have used to not be able to get blind spot monitoring on the Corolla's And you have it here in this le which is the base model. So nice Very clean look on the inside and then these are just great reliable cars different wheels on these kind of the sportier look over there on the SE and then this is the le over here. I think right Yeah, this is SE that's the le they look very similar They don't stand out like they used to you've got the spoiler on the back end of the SE Just a flat look here on the le. I mean they both look great. They look fantastic. Yeah, all right. Oh, let's go Yeah, it's a little chilly, but I really appreciate you going over all that my pleasure All right guys so before we freeze if you all have any questions I feel free to give us a call best phone number is<PHONE_NUMBER> Also check out our express swords on our website oxmartway.com. Thanks guys Bye