Good day, fellow investors. Can we beat the market? Whenever I discuss about investing in individual stocks, I get a lot of comments. You can't beat the market. The best thing to do is to invest in index funds.  Don't waste time on thinking about investing. And I really want to give you my opinion on this efficient market hypothesis, efficient market theory, investment style, so not thinking versus investing in individual businesses. And I think it's not about beating the market. It's about controlling your risk and reward, which is something that we'll come to discuss later. And when you control your risk and reward, you end up beating the market. You end up beating the crowd. So in this video, I'll explain what it is that I do managing risk and reward and how it eventually leads to destroying the market. Let me be blunt in this case, because that's what I've been doing over the last 18 years. So let's start. So it all starts with the efficient market hypothesis and that you can't beat the market because it's simple statement that security prices fully reflect all available information. Eugene Fama, Kenneth French, he got a Nobel Prize for it, the Chicago Business School. And there is no point in doing anything because if you look at stock prices, those reflect all available information so you cannot have an advantage on the market. However, I think that's extremely dangerous because the efficient market hypothesis works well for a period and then doesn't work well for a period. And it's simply about not thinking versus thinking. Let me explain. Over the last 45 years, the SAP 500 exploded 40 times up from 100 to 3000. But that's mostly due to luck. Interest rates went down, discount rates went down, so valuations went up. If we just take a look at valuations, the SAP 500 price earnings ratio was 7 in 1980s, 1950s, begin 1920s, so much, much lower than now. And now it is 22. So if I would bring the SAP 500 current earnings to an SAP 500 price earnings ratio of 7, that was the case in 1982, the SAP would be at 945 points, thus down 66% over that time. Plus, if you look at the Dow in this case from Pabrai borrowed from his presentation, there were 22 years of zero returns, 25 years of zero returns, 17, 12 years of zero returns. Or if you look at 35 years, very good returns. So what do you expect will happen next? Will it replicate like the efficient market hypothesis says? Probably not. But if it is smart to invest in markets by not thinking, okay, if you do 0%, is that what you want? No, I want more. And it is likely that real returns will be close to zero or negative as Ray Dalio uses to say. So I think it's extremely dangerous to think that what worked well in the past, which fuels the efficient market theory overfueled over the last 45 years, will work in the future. And therefore, we have to think differently. But even over the last 45 years, some people did extremely well because they were thinking. Let me quote Buffett. So the investment professionals who have swallowed efficient market theory has been an extraordinary service to us and other followers of Graham. So this service to those students, a service to Buffett and Manger.  From a selfish point of view, Graham, it should probably endow chairs to ensure the perpetual teaching of efficient market theory. So we have opponents that are not thinking. Thank you. Thank you, Eugene Fama. I think you deserve another Nobel Prize so that I can continue to do my own thing. And actually, the key finding when I did my PhD is that in the short term, yes, I agree, markets are efficient. But the more you look at longer periods, the more you see irrationalities. Because humans are short term, short term oriented, they are discounting, hyperbolic discounting. So everything that happens in the future or might happen in the future is much less valuable than what you have now. If you take Canaan man, thinking slow, thinking fast, this is the book that will explain you how the markets are irrational. Because humans are irrational, not because of the markets. And I have found also in my PhD based on behavioral finance and efficient market theory that short term, yes, I agree with Fama and French, long term, the discrepancy between rationality and efficient market theory is bigger, bigger and bigger. And you can take advantage of that because the market is wrongly pricing what will happen in the future. And here is where you can balance yourself and take advantage of inefficient markets and also the market that might be zero return over the next 20 years. If you get higher return to that, you will beat the market and you think about risk. When the market is risky, the key is now to invest now in this IP 500 and 30 years ago when it was 30 yet of where it is now, the risk reward is completely different than the yield was much higher. The price earnings ratio was 7 not 22. So this is what my message is when you think you can do much better or you can do better for yourself. Whatever the market does, you manage your risk and reward. So to answer the question whether we can beat the market, I think it's a completely wrong way of thinking. The key is that we reach our financial goals with no risk. And therefore you have to look at the investments that will lead to your investment goals with no risk. No matter what the market does, okay, check the SAP 500. What's the risk? 25 years of zero returns and dividend yields of 1.5%. That's the risk. What's the upside? Protection against inflation, 4% yield, 1.8% dividend yield, etc. So compare that, compare that to other opportunities. Compare that to the credit card debt of 15% that you might be paying to the 7% loan on student debt that you might be paying. And then put everything into perspective. Look globally, look around the world, what can happen, what are the best economies, what are the best businesses. And I'm sure you'll find ways to reach your financial goals. If at the end you do equally at the market or you destroy the market even better. But when thinking about risk, so limiting your downsides, margin of safety, value investing, then you allow much more space for the upside. And the differences are usually happen when there is a crisis. When the market is doing good, like it did over the last 10 years, it's very hard to beat it. But when there is a crisis, then thinking about risk is extremely important. So subscribe to this channel, because here we try to take advantage of what's going on.  We will invest in stocks, especially lower interest rates and everybody prints more money. But we'll always keep in mind the risk so that we protect ourselves from the downside. And we'll try to take advantage of the long-term market irrationalities. So to conclude the performance of index funds over the last 35 years is mostly luck. The dividend yields are low and the crowd is pushing all the cool investments up, up and up. At some point the cycle will break. It has been the case over the last 100 years. It will happen again. So be ready for that. And the solution is to think about risk. What happens if things go wrong? What is my protection? What is my downside? What do I do in case of the downside? Don't lose money. Don't lose money. Have some cash. Take advantage of the opportunities. Be diversified and you will reach your long-term investment goals. Thank you for watching. Subscribe to this channel. This is what we do. We try to think in a way to be ready for everything and take advantage of the irrationalities of the market. See you in the next video.


I think everybody's filtering back in, so I'm going to go ahead and get started. Thank you for inviting me to speak today. I'm Susan Sallick. I'm a cardiologist with a specialty in advanced imaging. I did my medical school in London, Ontario, my internal medicine at Henry Ford Hospital in Detroit, and my cardiology and advanced imaging training at UT Southwestern in Dallas, Texas. So I've been in the Tri-Cities area since 2006, and I've been part of MidMichigan since 18 months ago. So that's my quick and easy background, and let's read some EKGs. Basically, I'm going to go through ST and T-wave abnormalities. I'm going to start with the things that you guys not only, you know, you need to recognize, and you all, you know, everybody here knows pretty much what you're looking for. It's just a refresher of what do I need to call for, what do I not need to call for, and how do I not get confused by some of the normal variants or other causes of abnormalities that are not acute ST elevation. So just one of my favorite pictures, and then getting on into our EKGs. So everybody knows just the basics, but let's very quickly review. And can you see, okay, if I just point with this, rather than the red dot, so P-segment, atrial activity, the PR segment, things that, and unless we're looking at rhythm, which we're not looking at at this part of your lecture series today, QRS segment, and then here where we get into what we're interested in is the Q, QRS going into the T-wave, so your ST segment. This initial segment as it comes up is your J point. And then the ST segment, this is where the main decision making occurs. And then the T-wave and U-waves, which very rarely are seen in clinically are probably not that relevant regardless. So the isoelectric line, depending on what book you read and who teaches you, there's different people who are going to tell you to compare your ST segment to different locations elsewhere in the EKG. And I've read it in all different locations. So obviously you want to look to see if the ST is elevated or depressed, but what do you compare it to? Drawing a line that somewhat follows along both the PR segment and TP segment is ideal, but those segments are not always at the same level. So the majority of experts, and when you read the most recent literature, recommend that you compare to the TP segment. The reason why that's important is with PR segments, you can have depression in certain disease states that will falsely make this ST segment look elevated. So really you want to draw an eyeball between the PR and the TP, and you hope that that's isoelectric and fairly consistent so that you have a general baseline to compare your ST segment to. So just an example of a normally EKG, it's always important to know what normal is before you can start looking at abnormal. And you can visually look with your eye at PR segment, TP segment, looks like the same line, and then you don't see any significant deviation of this ST segment. So I won't go into a whole normal EKG or how to read an EKG. We'll get on with the ST segments. And subtle changes, and this is something that I always, I give a lot of lectures to medical students and residents, and this is a really important point, is that subtle changes in the absence of symptoms, and so that's going to be different from what you guys see, you're seeing somebody with symptoms, otherwise you wouldn't be there. So it really becomes a less important issue. But subtle changes, minor depression, subtle changes in the T wave, subtle flattening, maybe a little bit of inversion, especially if you don't even have an old EKG to compare to, those changes are less important. So look here in this lead one, you can see that the ST segment is slightly depressed, the T wave is slightly inverted, or maybe biphasic before it comes back up to the isoelectric TP segment. But these are just minor changes that really shouldn't draw too much of your attention. And the causes, and the reason why it becomes less important is because ST segment changes can occur with so many different disease states, with toxic abnormalities, with metabolic abnormalities, and with a variety of ischemic conditions, infectious conditions, the whole list is here, medications, and with MI, with non-ST segment elevation MI as well as ST segment elevation MI. Again, not going to get into all of this because it's not the purpose of our discussion today. So getting into some more variations in normal that are not truly pathology. So persistent juvenile T waves, so what that means is T wave inversions, which are very common in young children, in leads B1, B2, B3, and sorry, this is not set up as your standard three by four EKG. But you can see how these are just subtly abnormal, but this is considered a normal variant in young persons. But it may also be seen in certain disease states. Obviously, you all know that that could be a scene in ischemia, as well as some electrolyte abnormalities and infiltrative cardiomyopathies. Brugata syndrome, which is a channelopathy, and ARVD, that's a rhythmogenic right ventricular dysplasia, something you're certainly not going to be diagnosing or seeing when you're out in the field. But something that can cause these types of changes. So, but again, these are very subtle changes. You see no ST segment deviation up or down. You're just seeing T wave inversion, which is more in the non specific side or less, less dramatic side of abnormality, if abnormal at all. Athletic T wave changes, and this gets more into the J point abnormality. So even in up to 13% of African American athletes, you can see this variant. It's typically observed in the septal and anterior precordial leads, where you can see this, again, J point elevation right here, but then ST segment elevation. When you compare it to both the TP segment as well as the PR segment, this ST segment is one to one and a half millimeters elevated, but you can also see that it's a domed. The T waves may or may not be abnormal as well. Again, something that you probably are not going to see very often. You're not getting call. Well, I don't know. I guess you maybe do get calls on these young people, but again, a normal variant and sometimes very difficult to distinguish from a true abnormality. So this is a good example of J point elevation. Hopefully you can see these pretty well up here. So this is a good example right here at the very terminal portion of the QRS. You see this sharp upslope and then the ST segment comes back down and you observe that the ST is isoelectric with the following TP as well as the previous PR segment. So that initial spike upward gives that visual impression of ST segment elevation when it's simply elevation in that J point. Early repolarization, it's a very similar kind of morphology on the EKG. And this bottom here is a better example that I got. And kudos to Charles. I got a lot of these slides from him. So a lot of these EKG examples are from his lecture. So thank you for that. But this is a good example of how how spiked appearing this J point is before it comes back down into the ST segment. ST depression. I don't know how much time we need to spend on that. But any abnormality that you see needs to meet certain criteria, a millimeter or greater of deviation, whether you're talking depression or elevation, and two or more contiguous leads. And I have a slide of the contiguous leads just for a refresher. But that depression or elevation needs to be measured 0.08 seconds. So eight milliseconds, 80 milliseconds after the J point, which is two boxes, two of the little boxes. And again, the reference, there's some controversy in that you'll read different things in different locations. But in general, probably the best consensus is TP segment. So when you're looking for ischemic changes, ST segment depression, up sloping ST depression is less ominous than flat ST depression, which is less ominous than down sloping. So down sloping is always the worst. And that may or may not be associated with T wave abnormality, such as inversions. The other thing, just getting back to that for a quick second, it can be very difficult in people who are in atrial fibrillation or atrial flutter with all that disorganized atrial activity, or organized atrial activity that's buried in the ST segment when those flutter waves are occurring. It can be very, very difficult to discern ST segment changes. So and that's a tough thing for anybody looking at an EKG. So obviously slowing them down and maybe getting them out of the rhythm, an entirely different discussion in order to better assess them. But remember that caveat. So these are just examples of what I was mentioning. So a normal ST segment in the leftmost panel right here, as opposed to up sloping ST segment depression, horizontal, which is more ominous. And then the most ominous is this down sloping ST segment depression with T wave inversion. So the ST depression, so you all know that STEMIs, ST elevation, it tells you where the infarct is, is it anterior, lateral, inferior, posterior, high lateral, whatever the case may be. ST segment depression, whether it's an active symptoms or an active non STEMI, or even in the stress testing lab, when we do ischemic evaluations in patients, patients does not localize the area of ischemia. So you'll typically see changes in the inferior leads and then starting out at the lateral leads like B6, 5, and then climbing its way towards the septal leads. And these are just examples where you can see down sloping ST depression here in B6, B5, B4, and then it becomes less as it approaches the septal leads. So this would be an ischemic looking EKG, not an ST elevation MI. Another example more in the format that everybody's used to looking to. Actually, you guys have this format, right? The 3 by 4, it's not 6 followed by 6, right? So you can see that there's significant flat almost down sloping ST depression here in the lateral leads, the anterior leads becoming less by the septal leads, but also here in the inferior leads, high lateral as well. So T wave changes again kind of go with the ST segment depression or ischemic changes. They can be flat, they can be less tall. Remember, normal T waves should be about a third of the height of the QRS complex they're associated with and most patients don't have normal T waves. Most people have some flattening in the population that we deal with. T waves may be biphasic or inverted. Unlikely to see isolated T wave changes, but as you all know, one of the precursors to ST elevation is a peak T wave because of the hyperkalemic changes that occur in the myocardium. So that's something you may see early on, which is why you repeat EKGs. Well in sign is a one of those textbook things that you may or may not have read about suggest proximal LAD disease. So that's symmetric deep T wave inversions. I have an example of that coming up and that's something that you're not going to miss. It's not a subtle abnormality. So you can see here these very deep T wave inversions. These aren't tiny little, this is what I would consider a subtle or a minor minor T wave change that I would not be too worried about. But when I see these dramatic T wave inversions that almost reach the amplitude of the QRS complex, this is much more worrisome. These interestingly you'll see as I show some other examples can be seen in hypertrophic cardiomyopathy as well as apical hypertrophic cardiomyopathy. Again, things that you won't know at the time of just an EKG without a clinical history, without an echocardiogram for example, but are seen in other disease states.  And the usual territory, you notice a lot of this, I say usual or most places you read because you're going to find different things in different locations that you read. There is some variation in the literature as well as an expert opinion. So usually V1, V2 is septal, some places say antro-septal. V3 and V4, antroapicole are just anterior. V5 and V6 are becoming more lateral. 1 and AVL are high lateral and then the inferior leads, everybody agrees on 2, 3 and AVF. I thought this was just a very nice diagram describing the location of the EKG leads as they correspond to the coronary territories. So you can see here V1 and V2, you're right over top of the right ventricle. And so as you approach the left ventricle, here's your LAD and you're getting into 2, 3 and 4. And then as you approach the lateral wall of the left ventricle is the circumflex territory. So that's reflected by V6, 1 and AVL. So getting into the high lateral leads and then looking inferiorly. So as the right coronary reaches its final location, 2, 3 and AVF. And then just laying out those territories on the EKG itself. Inferior is right coronary artery and the majority of patients who are right dominant, left dominant and 10%. So this would be a circumflex distribution. The LAD is covering the majority of your precordial leads unless you have a very large circumflex or if you have a large wraparound or CA, these are unusual findings that you're not expecting. But so most of the precordial leads represent the LAD in its branches. And then the circumflex somewhat out here towards the lateral leads, but also more towards the high lateral leads, 1 and AVL. So everybody knows the tombstone picture. I mean, obviously, if you see tombstones, it's easy. It's just, it's not always this easy. It can be a lot more subtle or it can vary quite a bit.  So as far as acute infarcts occur, as I mentioned a moment ago, if you catch it early enough in the cascade of events, often people are not, have not presented at this point, will first have hyperacute T waves because of the hyperkalemia in the myocardium. And that's your tall peaked symmetric T waves followed by J point and ST elevation. And you can see here in these in this two and three, as well as it's got to be AVF, you can start seeing this ST segment is becoming elevated and it becomes indistinguishable between J point ST segment and T wave. So if you follow the evolution of ST segment change during an acute ST elevation MI, the first thing is this peak T wave. You can see it's doubled in amplitude from the normal state. And then as the ST segment slowly rises, you lose that contour between the QRS J point and T wave to the point where you get the tombstone or more here tombstone. And then as you start completing the infarct or actually infarcting tissue, you start developing the Q wave and then ultimately you'll invert your T wave. This is an example of an anterior infarct that has been evolving where T wave is inverted, ST is elevated, you've lost that contour between the J point and the ST segment. And you can see that there's very little R wave. Remember the R wave is the voltage from the left ventricle that should grow as you go from V1 through V6.  So the criteria for measuring a Q wave or making diagnostic criteria for a Q wave is one box wide, which is 0.04 seconds. And it should be about one third of the amplitude of the R wave. So if you have no R wave, it's obviously all Q wave. So it's a no brainer. This one's becoming almost completely a Q. You have this teeny teeny little initial R wave. This is an example of an inferior infarction with reciprocal changes. So you don't want to be distracted by these very dramatic down sloping ST segments with T wave inversions, which are not the primary problem here. These are the changes that occur as a result of the reciprocal changes from this inferior ST elevation MI. So you've lost your your contour and the J point here in lead three. You're already starting to develop Q waves here, seen an F in lead three, not so much of a significant Q wave in lead two, but then your reciprocal anterior changes, even high lateral changes. Infraposterior lateral infarct. So this is circumflex territory or a huge wrap around right coronary artery that supplies a posterior lepentricular branch to the lateral wall of the left ventricle. So these are much more difficult to diagnose. This is a patient who is sicker than you think they are based on what you've seen so far. Like they're hemodynamically unstable, they continue to have symptoms no matter what you do, their blood pressure is down, and your EKG is not showing you as much as you think you should see. So at least in this one, because you have inferior changes, you can see that there's ST elevation, there's already Q waves, you can suspect that there may be some degree of a posterior infarct or even an RV infarct going on in these types of patients. And so what you look for in addition to those inferior changes is a dominant R wave in V1, V2, and then T wave inversions as you go out to the lateral leads. RV infarct, this is your right-sided EKG. So anybody who hasn't, is this a protocol? If anybody has an inferior ST elevation, then you do right-sided leads. And so what you're looking for is exactly that, ST segment elevation of the right ventricle, exact same idea. And so you can see this very dramatic inferior ST segment elevation because these leads stay in the same location. You simply change your precordial leads to go out towards the right rather than to the left. You can appreciate also ST segment elevation here. After someone has already had an MI, the ST segments don't always normalize. So when somebody who has had an infarct before and possibly has developed an aneurysm, their ST segments may never normalize. So you might see a patient who's having chest pain or shortness of breath for something completely different, and they still have ST segment elevation. And there's honestly not much you can really do about that because they have symptoms, they have ST elevation. Even in the presence of Q waves, you're stuck basically in thinking that it's a new event unless you have an old EKG for comparison. Paracarditis, that's where basically the PR segment changes come in. So PR segment depression is a very specific finding in the presence of paracarditis together with your clinical suspicion and the pattern of symptoms. So you have this kind of concave appearing ST segment elevation. This almost looks like J point elevation like we looked at earlier, see here in V5. You can appreciate that sharp upslope of the J point and then the ST comes back down and is isoelectric with this following TP segment. But if you use the PR segment as your reference point, this ST segment is two millimeters elevated. So you can appreciate how that PR segment depression can make you think the ST is up when truly that's the abnormal finding. Paracarditis, two changes do not need to occur in every single lead. It doesn't need to be a global process. You still need your two contiguous leads, but it can be territorial. So don't be dissuaded from the possibility of this diagnosis if you only see changes in two or three contiguous leads. Getting into hypertrophy, both right and left ventricular hypertrophy, the findings associated with this can often get in the way of your interpretation of ST segments, typically by way of strain changes from from LVH or RVH. So often the changes that you see with LVH so and I'll go over some of the diagnostic criteria for LVH and RVH. So the classic criteria that everybody memorizes for LVH is the rule of 35. So you take the tallest S wave in V1 or V2 and add it to the tallest R wave in V5 or V6. And that number, if it's greater than 35, which is seven large boxes indicates the presence of left ventricular hypertrophy. So if you see associated ST segment depression, which typically occurs in the lateral and the inferior leads with that T wave abnormalities, it's most likely strain or at least it may be strain, but you can't say that that's ischemia because of the left ventricular hypertrophy. There are limb lead criteria that I typically will advocate people remembering simply because there's there's other diagnoses that can interfere with with any of your LVH criteria. So in the limb leads, what I ask people to look at are the R waves in one being greater than 14 and the R wave in lead AVL being greater than 11. Those are also too easy to remember criteria. As you all know, there's there's a lot of criteria out there that you could memorize and memorizing them all is not useful for right ventricular hypertrophy. So you're looking at a dominant R wave in lead V1, an R to S ratio of greater than one and the presence of S wave progression. So much like you see the R wave growing as the left ventricular myocardium is being seen by your electrodes. The same thing is true of the right ventricle, which is anterior. So as those electrodes are going out more towards the lateral wall, you'll see that negative wave grow. So that's S wave progression. And if you do have right ventricular hypertrophy, the ST with T wave changes that occur are typically in the septal and anterior leads, not in the lateral or inferior leads. So this is an example of LVH and you can see again, sorry, it's in this different format, but you can appreciate that lateral leads, you have this SD segment depression and T wave inversion, which is again, it's not even that much. It's only about a millimeter or half a millimeter, but the T wave is definitely abnormal. This would be a finding of strain and you can see in one and AVL as well, the high lateral leads that you see the change inferior leads actually look pretty normal. But you can see to that this meets the 14 criteria for the R wave and one in AVL, it meets the 11 criteria, but it actually so we've got about five, 10, 12 here in B2, B1 doesn't have a deep S wave. And over here in B5 or B6, you're at about 11. So you don't have 35 for that 35 criteria, you'd have to recognize it by knowing some of the other criteria. Interventricular conduction delays. So remember, there's left bundle branch block, there's right bundle branch block, but there's also wide QRS that doesn't fit entirely into either left or right bundle. And so that's a catch all phrase for those, those characteristics or those EKGs that don't fit the classic patterns. But what you may also see in these also the examples here are both right and left bundle. So in right bundle and B1, B2 and B3 are where you typically will see your repolarization abnormalities. So you can see T wave inversions, usually in B1 and B2, less often do they extend all the way to B3. And then in left bundle branch block, all bets are off. You have all sorts of abnormalities in your ST segments and your T waves that interfere with your ability to diagnose a STEMI. And you all know that there are criteria that are attempted to be used to diagnose STEMI in the setting of a left bundle branch block, but there's truly no consensus as to what really gives you the right answer. So it's not something that we we do. So just to review what is a classic right and what is a classic left bundle branch block. So you need a wide QRS, which is greater than three small boxes 120 milliseconds. And then you only really need to memorize what two leads would look like in each of those. So for a typical right bundle branch block in lead V1, you should have that RSR or rabbit ears appearance, you don't always have to have a very dramatic RSR pattern. It needs to be all upright though. And the T wave is inverted. For leads one and V six, they look the same in a right bundle branch block, where you have this deep slurred S wave with an upright T wave. So that's all you need to memorize to know a right bundle branch block morphology. Going on to the left bundle branch morphology, again, it's the same leads in lead V1, you would have a negative QRS complex with an upright T wave. So really opposite to what you're seeing in a right bundle. And in leads one and V six for a left bundle branch block, you have an entirely upright QRS complex, it could look RSR prime, it doesn't have to, and it has a negative T wave. So again, it's kind of a little bit opposite to what you're seeing, but that's all you need to memorize. And if you know those specific criteria, doesn't really matter what the other leads look like, that's a classic left or your classic right bundle. If you have some mixed features like V1 looks like a right, and V1 and V6 look like a left, or maybe one doesn't look like either, then you would call that what I just mentioned a moment ago, a non specific interventricular conduction delay. But again, if you can't put it into one of those two baskets, it becomes much more difficult to say anything about your ST segments in your T waves. So hyper acute peaked T waves, to make that diagnosis, you need to have greater than five millimeters in a limb lead or 10 in a precordial lead. Really, it's the visual appearance, like I said earlier, you're not seeing these big tall T waves in the majority of our patients, body habitus and other medical conditions or comorbidities being to blame. But this can be seen in a number of disease states and the symmetry or lack of symmetry of it is what may help you to distinguish. So asymmetrically peaked T wave is typically seen in hyperkalemia or the hyperkalemia associated with acute ischemia, asymmetric T wave peaking is more likely to be seen in other disease states. So your bundle changes or hypertrophic changes, or in somebody who's young and normal and has no pathology, which you're typically not going to be seeing. So these are just a couple of examples before we get into all the EKG readings. So just the, and I don't know how useful this is to just go through it, but use this type of thing. And I can give you all these slides that I have, Charles, in addition to what you gave me, that just have the characteristic appearance of these different disease states and how the QRS is STs and T waves look. So the first panel here, and we're looking at leads V1, V2, V3 and lead two. So a left bundle branch block, like we just talked about, entirely negative QRS with an upright T wave and becoming different out towards the lateral leads as well as as inferior. Pericarditis, you have this kind of pseudo ST segment elevation, but you have significant PR depression. Hyperkalemia, it looks like ST segment elevation. And this is the progression that occurs. You'll first peak the T waves, then you start prolonging the QT, the QRS and the PR segment until you become a sine wave. Antroceptile MI, this domed concave or, excuse me, convex tombstone appearing ST segments. This is not something anybody's going to miss. Right bundle branch block. So predominantly upright, it doesn't always have to have that dramatic RSR prime appearance with a negative T wave. And then Brugata, don't worry about. All right. So this is the audience participation time. And I'll tell you that these are all STEMIs. You just have to tell me that the coronary artery, okay, in 90% of people, right? So good. So you have ST segment elevation, you have a normal TP segment down here. In this particular case, you can use your PR segment, but there's at least three millimeters of ST segment elevation.  And they have this EKG. So what might you think, I'm not asking you to make a decision right now. I mean, the, we'll get to that in a second. But if this is their EKG, what else might you think, what else do you notice in the inferior leads that is going to help explain their lack of symptoms right now? It's good. So this is maybe a completed infarct. And then five minutes later, all their chest pain is back and then it's coming and going. So what do you do? Do you activate or do you not activate? Activate. Oh, one other thing. Tell me about B2 and B3. B1. Reciprocal changes. Good. All right, next. What coronary artery? Circumflex. Good. So where are the changes? What territory are they in in the EKG? Good. Good. So you have ST elevation that's in reference to the TP segment and the high lateral leads. It looks like a little bit here, but yes, even getting into LED territory actually. So this could actually be explained by a huge left anterior descending that has a large diagonal branch that supplies the PLV area that typically the circumflex would, would supply. So activate or not activate? Activate. All right. So yeah, inferior wall, no question about it. Do we have reciprocal changes? Yes. Where are those? B2, B3, B4, 1 and AVL. Look at these huge, huge T-wave inversions with downsloping ST depression. So this is either right coronary artery and 90% of people are a large circumflex branch and 10%. So activate or not activate? Easy. Okay. And this patient's blue and their O2 sad is 80 and they can't breathe either. So I'm giving you a very hemodynamically unstable patient. So let's, let's think past LED. You've got high lateral, lateral, anterior, septal. So this is left main. This is a hemodynamically unstable patient who has global ST changes. So the only thing that's not really being affected is your inferior wall. So they probably have a dominant right, but that's probably what's more likely going on if you have hemodynamic instability with a lot of LED area changes. So obviously activate. Okay. Inferior, lateral. So this might be what coronary artery might this be? Like a super dominant right that gives over a huge posterior left ventricular branch. So it's also affecting lateral wall or it could be a dominant circumflex. That's also affecting other branches of two marginal branches of the circumflex. You have ST elevation and B6 kind of borderline and B5 depression here in the high lateral lead. So those would still be termed reciprocal changes and then inferior ST elevation reciprocal changes and B2, B3, B1. What coronary artery? So starting in B1 you have a millimeter about two to three millimeters and B2, five to six maybe even more here and B3, five and B4 and then leveling out by the lateral leads and not elevated in the high lateral leads. Inferior leads, maybe some non-specific changes, maybe some reciprocal changes. What do you also notice? How much our wave voltage do you have? A little to none right? So this is probably not, I mean if they're having chest pain they go to the lab but there's not a lot of our wave voltage left here anymore. So this is probably not very, very recent. There's only so many territories we can do in these EKGs right? So it's this one. Yeah it's inferior. It's not very impressive in two although it does meet criteria but you have much more impressive ST elevation with T-wave inversion in lead B3 and AVF and then what are these? Reciprocal changes in the anterior leads. So LAD again right? Yep yep yep getting out into the lateral leads as well so probably LAD with a good sized LAD significant ST elevation in B3 and B2. Flattening of the T-wave so I don't know that I would say anything reciprocal but you guys get the idea here of the T-wave being subtly abnormal but not dramatically abnormal. What coronary? LAD. Only three choices. Fork including left main. I think this is the last one. So inferior with reciprocal changes. Okay so let's look at some other things that are not ST elevation MIs and look at some of the contrasting changes or findings on these. So I'm giving you the diagnosis at the top. I suppose I should have put those on there but I have more that don't have labels on them so. So let's look at those criteria so you guys remember what I showed you a moment ago about what are the classic criteria you see with the right bundle branch buck. So what's V1 look like? Rabbit ears right? It's your RSR prime. Check. B6 and 1 should look the same. They should have don't look at everything just look at what the criteria are that you need to memorize. Deep slurred S-wave you shouldn't have an S-wave at all and lead one. Nor should you have an S-wave and a normal patient in B6. So yes you have deep slurred S-waves in 1 and B6. Is my QRS wide? It's really wide. It's probably six small boxes long. So we have classic example of a right bundle branch buck. So let's also remember back to what T-wave abnormalities we typically will see with the right bundle branch buck. Are they in the inferior leads in V1, 2, 3 or V4, 5, 6? A, B or C? So they're typically in the septal in the interior lead. So V1, V2, V3 just like with right ventricular hypertrophy also with the right bundle branch buck. You would expect to see changes here but not as you get out too far to the lateral leads. With the left bundle branch buck you expect to be seeing those more dramatic lateral changes. So this I would not consider to be an abnormal finding. There's no ST elevation here but there are ST signal changes. All right. Does this meet your rule? So left bundle branch buck, right? So all negative QRS with an up... Do you want me to not go through my criteria then? Okay. With an upright T-wave in V1 and then all upright QRS complex in V6 and in lead 1 with a negative T-wave. And this could be RSR prime or it could be all entirely upright. But those are the classic criteria for left bundle and it's obviously wide. It's probably four boxes long. So at this point you're not going to say anything else about ST segments. So ventricular pace rhythm. Of course you all know that that not only widens your QRS but it interferes with your ability to interpret ST segments and T-waves. So as long as the pacer spikes are obvious enough to detect them. I've seen EKGs before where you see maybe this teeny tiny little spike in one lead and then no other leads at all. So especially in a lot of our obese patients or COPD patients it can sometimes be more difficult to tell. So you want to make sure that you're looking at all the leads. In this one it's very clear there's an atrial spike as well as a ventricular spike. So you want to make sure that you're looking everywhere and you see that this is clearly a ventricular pace rhythm at which time you can't say anything or you should not say anything. This is one of the biggest causes of it. Yeah and I can imagine a lot of it maybe from artifact because you're you're rushed. I mean there's so much going on. You're trying to try to get a good quality EKG is not always easy. And so if there's a lot of baseline artifact you could see where a very tiny pacer spike like this one right here could very easily be missed. So it just goes to the whole preparation and making sure that you're getting good quality tracings. Patients who have other pathology can have a lot of changes in their EKG as well and the purpose of this one is just to show you one of those examples. Any type of intracranial event whether it's a stroke or a hemorrhage in the brain can cause significant SD segment changes not only ST elevation, ST depression, T wave inversions. This is an example of a subarachnoid hemorrhage where you see these deep wellans type T waves like I showed you earlier in someone who has a prox LAD lesion. So again you're stuck at this point unless you have focal neurologic findings and then you're going down another pathway but you may very well see changes like this in somebody who has absolutely no cardiac problems at all but from some other pathology. The other non-cardiac pathology that can lead to this is abdominal pathology so like acute pancreatitis somebody who has acute belly that type of thing can lead to these changes as well. But again these are typically depression and T wave inversions but you can see ST elevation too with intracranial events. So this is an example of someone who's got some LVH so let's look at the criteria. So you've got 5, 10, 15, 20, almost 25 here 30, 40, 50 but you actually also meet criteria for what? With a wide QRS you can see widening of the QRS with LVH as well as with bundle branch blocks but this looks like a left bundle branch block as well. All negative QRS upright T wave with predominantly or all upright QRS complex in v6 and lead 1 and then obviously the ST segment changes but these irrespective of the presence of the left bundle these are their very classic changes of strain that can occur with left ventricular hypertrophy. I mentioned earlier hypertrophic cardiomyopathy whether it's asymmetric septal hypertrophy or apical that just means the location in the left ventricle of where the genetic abnormality occurs can cause a lot of ST segment changes and again you still end up having to go with your clinical judgment and what the EKG shows you but this is a completely asymptomatic patient who has this diagnosis. So you're seeing ST elevation here of 3 millimeters not quite two contiguous leads, v2 is not quite a millimeter but then starting to notice these T wave inversions out in v3 with more dramatic T wave abnormalities like that ischemic looking or wellans type T waves that we saw earlier in v5 and v6 and when your QRS is all run together you don't really need to do the math to figure out that there's left ventricular hypertrophy as well. High lateral leads marked T wave inversions in 1 and AVL and even in the inferior leads. So just an example of a completely asymptomatic person who has an underlying diagnosis. Another example of paracriditis this was one of yours this was a great example of paracriditis it's not always this traumatic you don't need a lot more information after this but look at these huge huge PR segment depressions in reference to the ST segment and if you follow it might be a teeny bit up but I don't even think it's quite a millimeter when you follow that out to the following TP segment and here you can see that the ST and the TP is isoelectric and the PR segment's about one and a half or two millimeters depressed in lead three it's about three in AVF and it's depressed all the way around all the way through the anterior and lateral leads so it can be a global diagnosis as I mentioned earlier but it just doesn't have to be this is a great example of paracriditis. Right yeah so the with paracriditis it's concave as opposed to the tombstone looking ST segments and you're going to have a patient that feels better sitting up their chest starts hurting when they lay back they take a deep breath coughs fees bend over to tie their shoes it gets a lot worse and they like to just stay still every time you hit a bump they're going to be in pain it's that very pleuritic type chest discomfort it's not your classic angina. Another example of paracriditis although not quite as dramatic but you can see PR segment depression in lead two not as obvious in AVF but maybe a little bit a little bit more dramatic in one AVL v6 and then starting to peter out by v5 and v4. Nice example of hyperkalemia so remember the initial change that you'll see is that peaked T-wave as the degree and time progresses the QT first prolonged followed by the QRS and then the PR segment and then ultimately everything just turns into a nice sine wave yeah this is a sick oh I mean very very well maybe but also your medication side effects but yeah I mean typically that's the most common group in which we'll see that that's pretty much it for what I have here this is just the the reminder of the the sad is the ST elevation and then not that you want paracriditis but I guess you're happier than if you had a stemming so all right well thanks for your attention guys


Welcome to Toffy TV, it's the Everton News Daily. Dominic Calvert-Lewin has been tipped to start for England tomorrow night against Wales at Wembley. Obviously faced the pressure yesterday Dominic went through how he's done in his career and how he's done this season. The big improvement that I saw him called up to Garret Salkates team and it looks likely now that he's going to start in the place of Harry Kane who will probably be on the bench. It's between, reportedly between him and Danny Ings for that start but it looks as though it's going to be Dominic Calvert-Lewin. So hopefully he'll play score, come off and have a rest. And I know England have got another two games before the international break is over so fingers crossed he comes back healthy. Everton today have been tipped to sign Bournemouth striker Josh King before next Friday's deadline of five o'clock. King who was linked with Sevilla and Fiorentina over the weekend apparently turned those two clubs down as well as a couple of others. But he does want to stay in the print or he wants to return to the Premier League and Everton appear to be the front runners for his signature though. So I think he'd been excellent signing for Everton. We've been talking about it on this channel for three months I think now. I think he'd do an excellent job for us especially obviously with Moise King going out to PSG on loan Everton are short in the striking areas. So we're apparently the favourites so let's see how that plays out. Someone who may have ended up with Gwdyswn this summer was Arcadius Millich, the Napoli striker. He apparently wanted to join Everton in the transfer window that's according to Italian journalist Ciero Venorato. He said the Polish 26 year old striker initially had his heart set on a move to Juventus but that fell through and then wanted to join Carlo Anciolotti at Everton. But Anciolotti wanted a different profile of a striker so he's ended up staying at Napoli for the time being. Millich is out of contract next summer. Tom Davis scored for England under 21 today. He also captained the side that played against Andorra. They drew 3-3, Davis equalised just before halftime the long range effort. But Andorra found a goal in injury time to tie it up with 3-3 in the end there. Ben Goffrey was an unused substitute for England today. Finally, Everton's win on the opening weekend of the Premier League season saw her own a far-ab-mashiri reward for Carlo Anciolotti with a black badge culling and Rolls-Royce SUV. They start at £312,000. It's not bad, is it? It's not bad. As a reward for beating Spears who he doesn't really like does he given his Arsenal links but a good reward for Anciolotti so eight to see what he gets him if Everton actually wins the league. Who knows, wouldn't it be nice to see. That is it for the news day. Make sure you subscribe, give the video a thumbs up and if you want more videos including live shows every day join us over on Patreon. See you later.


Hi everyone, Joe for Jasper's Case Breaks.com. You can see Nick right here with the case. He's going to help pack stack. This is Pick Your Team 19. Thanks everybody. And you can also see him on the top camera right there. Thanks everyone for filling this up. Short night tonight we're going to our Christmas party after this. But we decided to pop in and pop on and then see if anything fills and we got a few things done, which is nice. Alright so this break should be pretty lightning fast because we got Nick's help and after this we'll be out enjoying a little team event. It's always good to take a break from all this crazy nice and do some stuff for the team. Who's most likely to spike the eggnog, Diego's wondering. Well I don't think there'll be eggnog there. We're going to like a proper restaurant so I think I think we'll just be straight up getting alcohol. Is everyone over 21? Got to watch out. Can't get in trouble. Don't want to get sued by his parents. Right that's true, not not checking IDs. We'll blame it on the restaurant. Did you sign your waiver? It's only Axel's will work for us. Alright all-card ship especially Cade Marlowe 47 out of 99. We'll do an autograph recap at the end of this break as well. That's for Eric and the Mariners. One that's spot in the team random. You know in countries like Italy and stuff they close from like 12 to 2 for lunch. Oh yeah. A little Spain too. Ciestas. People think Americans are like workaholics. Europeans get like months out of the year. They get like four month vacations and they encourage people to leave the country and like see the world. Ooh nice. The Bowman ascensions, insert and auto Jordan Walker. We saw the regular version of that in the last night's case. This is for Mark, Mark L and the Cardinals. We got all the permissions to sign to Mike Tower. Everyone's good. There's Ricardo Cabrera at a 499 refractor. Got a EDCAP 11 out of 50 gold shimmer for the Marlins. That's going to be for Matthew. Another full box right here. Both of many boxes stacked. We got Emmanuel Valdez, Stephen Carney, Houston Astros. Well nice, Mark. I'm glad you stood strong because you were rewarded with this case. Ooh, a nice Christian Vicaro. 124 out of 125. Aqua for Jacob and the Nationals. One of the top chases for the Nats. We'll see a lot of these base Bowman first, but numbered ones. We definitely like to see it. We like to see it. Set the line. Over. Over. Definitely mostly from your dad. There's Leonardo Balcazar, Cincinnati Red Legs. That'll be for Henry. The Rizzo Refractor is going to be for John and the Yankees. Someone was also asking earlier, Justin Clement, is Teddy dressing up as Santa for the party? He should. And I don't know if Rex has made a comment yet on the triple threads image. Teddy won't even show up. Is he a screwed? That's right. Teddy is a little bit of a scrooge. He's enjoying the murky bed in his apartment. There's Reginald Preciado. He talks about it. He's talked about it on air. That's Joe and the Cubs. Although now he was telling yesterday he doesn't know if he likes Long Beach. All these months of talking about an apartment, checking out places. Now he's just like, he doesn't know if he likes the area. People drive too fast, he says.  Yeah, I know. I know. Seriously. Long Beach is like the 20th most populated city in all of America. I thought he did all this research. He likes the place though. He likes the place. That's good. There's Jake Fox, a Fox in the Box, 191 out of 499. Refractor autograph. Cleveland. This is for you. For Ed P. Right. Yeah. Justin was saying, so when the murky bed pulled down, he wants to put a sexy poster on the back. But Justin, I told him yesterday, when it's up, there should be like a, there should be like a, like, like a, like a Christian themed thing. But when it pulls down, it'll be like, it'll be like a Jesus poster when it's up. And then it's like a sexy Times poster when it's down. I just think it's a Luis Angel carry Potter's room under the stairs case. There's Pete Crow Armstrong, purple shimmer to 250 for the Cubs. Oh yeah, is that right? Mark St come to Massachusetts. They're known for Curtis driving. I feel like you're lying. I feel like when people are pocking the car in Harvard Yard, I think they're just double parking. They're running people over. Springfield, Massachusetts MBA Hall of Fame. I've been there. Yeah, I heard it's like in a strip mall, right? It's not the best. Really Vasquez, 89 out of 100 atomic for the rays. That'll be for Rick, the rays. They're South Freelike purple chrome to 250 for the crew. That'll be for Chris Butler. Duck Boats. Oh, yeah. Yeah. Boston, Massachusetts. Cheers. Cheers bar. Cheers bar isn't but it's still an operating bar, right? Yeah. Even though they say, even though they said the spin off of Cheers, Frasier is a better show. You know, I, I mentioned this the other day. I don't think I've seen an entire episode of Cheers. I don't know. I never see it on TV. Yeah, it's really not on reruns either. Like Frasier's on all the time. Yeah, they don't syndicate it well. Science is always on. Science is always on. Friends is always on. Leave it to Beaver. That's on like better. Cheers or Frasier. Cheers. There's O'Neill crews. Not even yellow 33, I 75. Not even close. Why are you yelling? He's very emphatic about that. Yeah, I'm just he's fired. We're not arguing with you. We either of us have seen your show.  We were right here. He went here. It escalated quickly. He was looking for a fight. He was trying to get he was trying to pick a fight. Beta. I think you got him fired up about all that milkman talk. I guess it was Dr. J. I mean, Nikola Jokic would just post up Dr. J. It was just they didn't allow players from Slovenia. Yeah. Nikola Jokic. Joel Embiid would Joel Embiid would destroy Dr. J. It would be 48 out of 99 Donto Williams. Boreals. It's like any modern day picture would strike out Babe Ruth. Yeah. And it's like, okay, if Dr. J grew up today, I'm sure. Yeah, that'd be a different story. But if you're comparing one to another. Donto Williams for Chris Butler and the O's and there's George Valera, the 75. What's up Logan? Yep. The nickel. Oh, is that what we're calling the nickel? Nick Jasky the nickel. There's not a lot of successful spin off TV series. I feel like they did that more back in the day. Yeah. I mean Game of Thrones a prequel. That's not really spin off. Didn't happy days have a spin off that was really good or maybe not. Oh, whatever. Yeah. Sanford and Sons. I don't know. I feel like they spun off more back in the day. Glock, what's going on? The real Glock Nick is here. Not no fake locks. Now they just reboot stuff which is worse. Yeah, rebooting is the worst. There's Evan Lee. Nationals. Jacob. Last spot mojo. National treasure. They're rebooting it, Joe. And guess who's not in it? Nicholas Cage. He's not in that reboot.  And why even do I even do it? Tragedy. And I'm a huge national treasure. Why even do it? I really love national treasure. They're doing a Disney plus here is next week. I know. I saw it. I don't want to see it. Super is it really? Yeah. I don't know if it's autographed or not. I just saw that super. I'll I'll take it in. Yeah. I'll I'll take one. I'll take one. Either one. Oh, Mork and Mindy was the spin off from him. You got it, right? There was like something and something. You were close. That's close. Is that the super factor stack? Yeah. Should we just like do it last? Well, I put on camera so people like you swapped out the super fractures. Sport car radio would be like, look at the justice. They swapped it out. Swapping it out. Scammers. You're Donny Delos Santos for the Pirates. What what what was the song? You know, that talks about like Joan of Arc was a special lady in this and its family guy like made fun of it.  That's a good that's a family guy over Simpsons and South Park. Wow. This is a hot tape. I just a little bit of a hot take. I've never gotten into the Simpsons or South Park. I'm not a family guy. Man, I would say either but if it's on, I would watch that over the two. I do like the family guy a lot. Laverne Shirley was also a spin off from Happy Days. Man. Happy Days. Spinning it. Bob's Burgers is terrible. You don't like Bob's. You know what? I wasn't into it for a while and then I watched some episodes and then I'm really into it. I haven't seen the movie though. Chris Butler with the Phillies. Logan Cerny with that. Benny Montgomery to 499. Finish Andor. Hmm. You do. It's pretty good. Alex is but it's way it's it's light years above Mandalorian. Light years? Yeah. He said it's finally a Star Wars show for adults. Wow. That's that's what he said. Wow. Star Wars is that what the Atlantic told him to say? Or the New Yorker? Yeah. Zing. You could hit him with that anytime. That's for free. That one's for free. Robert and the Pirates. And I said Mandalorian gets kind of dark. Yeah. Don't just be distracted by Baby Yoda. Right. Right. Right. I think he's just being contrarian. Yeah. He's just like well he doesn't want to be part of the Baby Yoda thing. Just embrace it man. Uh Rosemont Verdugo for the Padres for Diego Stephen Kwan for Cleveland. This is for you. All right. Are you getting ready to leave? What's going on? What are you driving us? Oh look at his sweater. It's like quilted like he's going out to I mean it is cold. It's it's it's pretty cold out there today. All right. Nick says this is the Super Fractor stack. I kind of want to see it. We're going to see it. Okay. You're going to see it. Yeah. We're not a Super Fractor. Oh then you it'd be bad if I was wrong. If you were wrong. Maybe. Maybe. Junior Perez eight out of twenty-five orange shimmer. So it's not going to be an autograph. That's going to be for Oakland. It'll be for Michael F. There it is. Yeah. There it is. I knew I knew I knew a Super Fractor one. I see it. Shane Bosz the Bosz to four ninety nine. Two ninety whatever ninety nine. That's it. It could be an autograph. Here's the second autograph. No, we got the second autograph right here. Roylan Machandi Astros. Stephen Carney. We got a Rosemont Verdugo again for Diego this time out of seventy-five. Well Nick's contending that it's not cold outside. It would maybe it's not cold outside. Go ahead and leave. Under your own accord. There's Benny Montgomery one sixty five to one ninety nine and who's got the Super behind Luis Robert. The Super Fractor is going to be it's warming a burn a ball. Edgar with the Rockies joined the team random took a risk on the team random got randomized the Rockies and ends up with the one of one and your number twenty three Colorado Prospect according to MLB dot com is pretty good. You want top twenty five players right top twenty five thirty players. That's what you want. Corner infielder. We love corner infielders especially if they have a little pop. So you want to see Edgar all aboard the Big Head Express. Happy Christmas. All right. So far so good. We'll do it. Like I said, we'll do a little autograph and one of one recap at the end. There's Colin Burns three sixty four out of four ninety nine. We've got a game on. We have a replay. Oh, we have a replay on. I forgot the game was even on. Oh, no. Gris will be saying Kyler Murray non-contact injury. That's not good. Arrow Vera to one fifty. Chris Butler has the Oreos. You'll get the Burns. The Torkelson base will go to Mark and the Tigers. Maybe we'll find something numbered. All of these Wander Broncos going to Rick and the Rays. Yeah, I've made the fantasy playoffs in both leagues. I mean whatever. I do not. Marcello Meyer to one ninety nine. Jacob with the Nats. Ed with the Curio. Jason Curio. Marcello Meyer. We could have had my dad like 24 hours in a waffle house or something. Right. Put him in a dunk tank or something. Yeah. In the in the in the in the mountains in the Sierra Nevada. Yeah. A lot of snow. Louise Gill Yankees. Don with the Yanks. You got Wilson Contreras to fifty for the Cubs. That'd be like someone else mimicking John Cena's. You can't see me. Right. Right. Right. Can't do that. Or someone doing Stone Cold Steve Austin's beer smash. Right. The double throwing up the double birds and drinking the beers. Yeah. Or hook Hogan when he goes. Right. I am a real. Gets into a state of Hulkamania. Yeah. Goes into a frenzy. There's Alexander Ovales. Tampa Bay. Rick. And the Rays. There you go. There's Edgar. Happy about that warming. He got Hunter Green. Local guy to one ninety nine. Red Legs. Nick and I met him at a Tops Industry Conference a number of years ago. Real nice guy. Henry with the Reds. There's one of Ronald's brothers. Brian Acuna. Twins. That's going to be for Henry. I wonder if there's a Tops Curse from that. Because Hunter Green, Tatis and Joe. Now I met all of those things. I don't know. I don't know. Yeah. Had troubles but. Maybe there is an Industry Party. Also Christian Yelich we met and then he's. Ooh. Gold. Speckle. Jason. Curio. And his brother Jackson another big chase for the Brewers but maybe even a little bit bigger than Jason but this guy's pretty good too. 47 out of 50. Cleveland. This is for you. Ed Pete. With the Jason Curio. Eric Hernandez. Speckle to two ninety nine. Yeah. Colt McCoy's and so. Wait hold on. So Grizzleby's what I mean. Is this are we talking blue tent medical card off the field. Or maybe there hasn't been an update yet. Let's get Aaron Andrews on it. Nope. She's not an ESPN. Let's get Colver on it. Yeah. Wait Susie Colver does sidelines still. She does the half time maybe. And there's Ronald other brother Luis Angelicuna. 140 out of 199. The sidelines probably. Wow. Carded off. That's going to be a sad hard hard knocks. Look at that. Record time folks. We are we are done those final three boxes. Good luck everybody. Thank you Nick. Ryan Mount Castle. To four ninety nine. And Alex De Jesus Dodgers. That's going to be for Peter. And the Dodgers. Mount Castle Refractor for Chris. To four ninety nine. Willie Vasquez. Yellow to seventy five. Forty five to seventy five for Rick and the Rays. I don't think they want to sign Mitch Trebisky. After his his relief appearance. You're thinking you're thinking of they should sign Baker Mayfield. Who seems like he can jump at any situation. Win some ball games. There's a Harar Gonzalez for Kansas City. That's going to be for Matthew Sharrah. And we got a Wilfred Varus out of five. A second train whistle in this case. That's for Mark R. Bought the White Sox straight up. And all aboard the Big Hit Express. Nice. Your favorite chaos. More Trebisky. You will definitely get that. We got a Luis Amados to twenty five orange. And a Jay Allen prime chrome signature redemption. For the red legs. That's going to be for Henry. And Cincinnati. We're on a Cincinnati. We're on a Cincinnati. We got Ryan Donkone. Sixty nine nice out of seventy five. Non-contact Michael. Yeah that's what the chat was saying.  Rotani to two ninety nine. And a Yankees Fernandez. That's a nice one. Edgar with the Rockies got the super. And got one of the one of the chase players here for the Rockies. Nice. Jeremy Pena. One sixty seven out of one ninety nine. That's going to be for the Astros. Stephen Carney with the Stroze. By the way if you case you're wondering these shimmers are not numbered. So I've been kind of breezing by them but still nice. All-card ship final box. We got Vidal Bruhan. To two ninety nine Tampa Bay Rays. And the seemingly one per case Jojo Blackman. That's for Alex and the Rangers. And the Bruhan for Rick and the Rays. To two ninety nine. Nelson Velazquez for the Cubbies to one fifty. That'll be for Jo. All right we got Christian Vecchero for Jacob and the Nats. We got another Julio for Eric and the Mariners. Jason Curio for Cleveland for Ed. Oh wow what a case. A Roderick Arias. Orange. Fourteen out of twenty five. Yankees. Done with the Yankees. We got a super. We got an out of five. We got an orange. We had what else we'll do with that recap. We had the Jason Curio gold speckle. Man. Strong. Paul Goldschmidt to two fifty for the Cardinals. That's for Mark. We got that Bowman Ascension's autograph earlier. Strong stuff. Hey thanks everyone for getting this knocked out. I wish we could spend some more time with you tonight. But we got the Jaspie's holiday party tonight so we're going to go and enjoy. I've got the Yankel Fernandez too. We're going to enjoy some time with our team members. Give a lot of the gang a well earned night off. Thanks everybody for getting into all of our breaks all year long. We appreciate it. The Super Fractors well. There you go. Hey thanks for watching everybody. Thanks for hanging out with us in this little limited time here. I definitely want to come on at least say hi. But it was a short night but we got a few breaks done. We did the hip pray. We got a bow and chrome knocked out. Thanks for very much everyone. Happy holidays and I will see you tomorrow. Jaspiescasebreaks.com. Bye bye.


See hello, what's pop? We are on kick KIC K calm. We are not live But you can leave a like comment subscribe turn on your post notification bells Let's continue to grow the family from Chicago to the UK Right above me if we do go live and you happen to miss it This is where any highlights and things of that nature will be Good news though guys. I got confirmed. I got confirmation from a realtor We did get approved for the apartment. I move in the 12th. That's in four days. So the lives will be coming They're back and there's a lot closer to my daughter's job being work So drop her off come back home be on live. I can go get her simple We're back. I Don't know man, I might go back to twitch to I didn't go lie to you, but anyway Don't forget we do God patreon This is everything that's been published for the week. This is what a week on patreon looks like man after life Fresh meat only fools line of duty Sherlock Sherlock. This was the season 4 finale. It's getting to replaced with Top boy I'm actually watching top boy after I watch this and I'm a posted tomorrow for Saturday. I can't wait Yeah, I forget we do got good merch appreciate everybody who participated And let's get into this man, you know what you hear for a police interceptor season 22 episode 4. Let's go shout out to dripped A High-performance car is giving local cops the run around But it's numbers up enter the interceptors Mad dramatic next left. I ain't seen an up-to-date episode in a minute. Okay Sergeant Jim Carrington and Lisa DeSantis are en route on the hurry up Actually just tipped out from headquarters because the local units picked up a red heart for reasons unknown to us has found to stop On a couple of a roads up here north of the county. It was at high speed office a high-performance car It's been followed by local police and unit I think they've lost the battle really if so, we're all tipped out serve the road crime units We're all tactical pursuit comply and get themselves in the right places if we can pick it up As Lisa races to intercept the runaways picked up by another unit But it's driver ups the ante Raming a cop cars put the fail to stop to the top of not most wanted list I was a lot you ram that cop car They're gonna charge you for so many in America you ram a cop car on purpose You might get 20 years Five miles ahead of Lisa and Jim The traffic unit has managed to catch up with the suspect on a rural road And it doesn't look like he's heading out for a quiet country drive The runaway misses an oncoming car by millimeters Right The suspect vehicle has some serious horsepower and the driver hits the gas But the cops hang on as they approach a roundabout at almost a tongue It's not long before the suspect's aggressive driving puts an innocent motorist in seriously will he drive and is that an audience That kind of be audience The suspect mountain smashes into the white car forcing it off the road the lead cop not gonna lie I was not expecting that At what point and I just heard the doc to him say medium risk this high risk That's a light ball car has to abandon the pursuit to check for injuries Waiting up ahead in an unmarked Volvo s60 is intercepted Gav Hall Incoming at three o'clock A hundred and fifty-five mile per hour motor will be a handful for the most experienced driver But the guy at the wheel is believed to be a teenager Yeah, I mean he really has no care about what's going on I'm not saying that because he's interested like a teenager and it being ages or I'm saying that because obviously Look, I'm you're going a hundred and a he got a hundred hundred fifty And a fifty then ram somebody off the road ram, please One wrong move and it's curtains Intercepting units across the county are honing in using their vast road experience to best guess its escape route For a stinger we're in Ravens it's just gone into ready line of me. It's going south Well cops try to get ahead of him Back at the sharp end gabs on the lad like a shadow And he's now got back up behind For in the car and they're all believed to be youngsters Not gonna lie that's even worse if it's just him in the car cool But now you got four other three other lives that you put in a danger You know I'm saying all right and then in his mind probably oh man, I'm gonna show out watch this Or they could be in the back navigating Bruv Bruv turn right turn You know how that go with the police chasers Somebody's controlling somebody's navigating somebody's driving somebody's controlling the radio and somebody got the snapchat going especially in the UK the teenage drivers not only risking his own life But his passengers as well Is that a mustang since when y'all got mustang, I don't know after I try to have mustangs out there and the risks are rising They're heading straight for built-up areas and running out of time to get the runaway stopped on safe roads Can we get Tactical contact is only authorized in extreme situations But a fail-to-stop teenager in a rapid car is seen as exceptional circumstances Low speed authority is all well and good Ain't no lost the driver showing no signs of slowing down for a nudge Whatever the lads done, he's desperate to avoid a face-to-face with the interceptors But it will take more than a few dodgy overtakes to shake down The pursuits now almost 10 minutes old and it's rush hour However, even the busy roads aren't slowing this boy racer down And it's now at motorway speeds in a 30 If he slows it off the interceptors can use tactical contact From offside But will they stop him before you YouTube trust me I do not condone it, but I am fully entertained I ain't even gonna hold you Bro is in here like fast and furious. This was fast and furious created. They got 12 13 15 movies You know I'm saying this is what it is. It reaches Nottingham city center He didn't took them into a commercial break. He didn't put them on the race so bad The interceptors are after a high-performance car that's random local cop and failed to stop The drivers believed to be a teenager and is leaving a trail of carnage in his wake It's believed to be a teenager and is leaving a trail of carnage in his wake 90 The drivers believed to be a teenager and is leaving a trail of carnage in his Y'all I got to give my little thumbnail.  They've got authority for a tactical Somebody's calling me. I think my daughter school contact. Yeah, I need y'all not to worry about that I'm gonna edit that out best editor on YouTube one of my headphones went out I think them only a low speeds And despite the busy roads the lad shows no signs of slowing That's a video or is that me I'm at 931. Hold on look like he's heading out That's me Jim and other interceptor units try to get ahead But with every mile it gets busier and riskier If the runaway reaches the city centre they may have to abort the pursuit A Near miss with white band man, but an oncoming red Citroen doesn't get off so lightly It's a whisker away from a very messy head on Yeah, head on at this speed is catastrophic That seems to have slowed him down and the intercept to spot their chance somebody need gotta hurt The second pursuit car speeds in front have makes tactical contact Game over he immediately grabbed his arm and tried to break it Give me this I'm from Passages aren't giving a helping hand from the car It's a successful end to a high-risk situation the young drivers off to the cop car as Jim and Lisa arrive on scene Close but no cigar Lisa Gutted we weren't on the back of that. It was coming down mate We're out of his lane for the singer The teenage driver isn't even old enough to hold a license Oh here team team's been involved in a fair share of pursuits, but baby drivers left him shocked I suppose when you get to the end of a pursuit like that, which was inherently dangerous him in parts I suppose you expect to see a really hard and criminal inside this car with the risk They're taking and the standards driving them display in In this situation what we find is a young lad who's been sick when he's been stopped by the place His adrenaline would have been through the roof It's fair to say gav who was in the lead car for most of the pursuit isn't impressed He's taken a really Sort of high-performance vehicle that maybe he's not driven before he doesn't seem that familiar with it The manner of his driving the nearly lost control of it a few times suggests he shouldn't be driving He's not capable of the driving it and He's what it's not a lot of mustang that five point. Oh and get away from you in the back end that real-world drive Hit different Take risks in it and unfortunately if you want to risk his own life, that's one thing But he's also put in the public at risk as well Jim tries to get to the bottom of what's gone on. What about the police officer you crashed into then? What about the cop you ran into to try and escape Yeah, what about that so he didn't care about injuring police officers then I did but in the moment you just want to go With all due respect mate, how stupid are you? Jim's not minting his words as it's a near miracle. No one's been seriously injured No, you're ramming cops. You put in members of public's lives at risk start thinking about your behavior. I don't think about it No wonder you're throwing up. I've just been shocked to be fair And he's laughing Chuckles didn't find it quite so funny when the courts found him guilty of dangerous driving taking without consent Failure to stop and he gotta be at a young offender some prison somewhere driving without a valid license or insurance You're gonna tell us Baby driver was banned for three years and got a detention and training order for eight months All the years have been engaged in pursuits and dealing with criminals that are helping on escaping This one I'll probably stick in my memory for a fair bit because it's one of those really surprising ones We see a young teenage lad taking ridiculous risks unbelievable really He ain't getting no time That's how he has first offense low-key Sceptors police a population of around one too much Gran Turismo GTA on point one million But when criminals from other counties venture in They're more than happy to bang them up as well One increasingly used tool in their armory is the automatic number plate recognition system We've got a country-wide APR system that we can log into Because they will travel to commit crime They know that the local cops in their area are going to be Read out on where they go in what they're doing so they will travel across the border like for example Leicestershire, Derbyshire we border for forces It's very easy for them to drop over onto us So the cameras really do give us like the heads up on where they're heading it will show us patterns behaviors And it will give us a bit of an insight into the way they're moving around the country Let's make you aware of a vehicle that were keeping eye out for today Knife crime team members Sergeant Johnny Groves and Chantel McDowell have their eyes peeled for a white Renault Kang We saw it yesterday at the back of a disqualified driver's house, but hanging around it was a different nominal He's wanted to burglary for a dwelling on Derbyshire and we saw him stood in front of that van Believed to be just out of prison on license The suspect should be keeping his head down not driving a dodgy van with false plates Up until four or five days ago It was hitting all the city cameras and then now started in Ashfield cameras The vehicles left a trail of breadcrumbs for the cops and they're hungry for this bloke's collar Nice little Porsche eyes down for a NPR bingo. Yeah My bad, I'm trying to make my camera Pingo Vans pinged a camera downtown I can't believe she got a whole telephone in the whip and he need to work on his posture This ex-nursery nurse once said the dog units after a mannequin she mistook for a burglar You need to get back in the nursery That mannequin had lost her arm probably a leg his whole head gone pop dog like That's tough The interceptor may have failed to recognize a dummy in the dark, but there's nothing wrong with her eyesight today Chantel's clock the Renault on the opposite side of the carriage way I need to just go on offside to offside with it. It's stuck in traffic. We've Not made it obvious so we'll spin round trying to follow their telephone killing They're in a marked car and don't want to spook the suspect who has previous for failing to stop and Ramming cop cars one occupant The tactics are to get enough units in place before making their move Johnny pulls a U.E. and lets the x5 off the lead The driver may have made them and taken off Why is it only a 360p can we get 1080 but he's soon back in their crosshairs Oh And ages at the cocksmore Junction Where are you on route a few miles away just passing near KMH Our fellow members of the knife crime team Matt Storer and Paul Kingo Kingston I Fellow members of the knife crime team Matt Storer and Paul Kingo Kingston The team is closing in I've got other headphones, but they're all the way I want I got my iPhone headphones I don't know where they are. I'm just gonna use with Chantel and Johnny The bloke's chances of getting away are decreasing by the second Is it messing up your speakers as well Arrive and take the lead There are cop car short of a tactical box until a firearms unit joins the party Mmm, they got the blicks on deck too. You got to be cool. You better go ahead be smooth and take this little tea pack With three units on scene The vans guided down a side road and the suspect doesn't fancy a pursuit today That's it. That's it quicker than you can say you're neat mates Dang Look, you see how quick he handcuffed that man or that woman Look how quick he was off the hip with the cuff onto the wrist. Watch this. Let me make sure I'm not in the way Hold on. This was even mad.  I ain't never seen it Somebody get handcuffed so quick. He probably pride himself on that he probably be in the station like Ready set draw Give Nick Is that not amazing He threw the cuff on in point two seconds Chantel's got him cuffed Never dropped this cigarette It's gonna take sitting this car You're going to turn you know, so you're under a suspicion of a dwelling burglary At my lock. I don't know this time. I'll let you know. You'd not say anything But it may have a defense don't mention a question something to listen. I think but anything do you say? Maybe you never understand Just pop your In there Swing your feet in what made one of the bad mate we need to know about no nothing What made her want to become a police officer from a nurse?  I don't know what that mean, but I Just wonder who's getting the larger check Nothing apart from bolt cutters some other tools and a couple of needles Just they're just going to get rid of the needles in the hospital and then they're going to drive the van back And then we'll give it a proper search there One detained on suspicion of burglary. It certainly beats banging up mannequins Luckily because of NPR network. It means that we've literally been out ten minutes and it's hit the camera And we've helped from some colleagues with we managed to locate it and get him stopped So he's as we said earlier. He's he's wanted for a burglary in Derbyshire So it looks like a fairly tiny job The van and suspects are off to Mansfield Nick. He'll be interviewed by Derbyshire detectives While Kingo and Matt give the vehicle a proper search Kingo's found the original plates It seems the van could have been nicked You can see where they've attacked it. You've got these bent tool marks. It looks like effectively just got screw driving a crane But I'll get it done stuff twice an evening through force It's been a successful job for the interceptors Thanks in no small part of the technology at their disposal It's another example of the sharing information and having access to the same system So we can see that he's wanted for jobs on another force Like I say because of the MPR technology, it just means that as soon as he comes into knots We know he's coming and we can sort of sort out welcoming. You gotta say pause Pause officer. He comes into knots. We know he's coming And we can sort of sort out welcoming party and getting pottered, which is what we've done today For burglary disqualified driving no insurance and number plate offences Fan man got two years and four months behind bars And was disqualified for seven years Two years four months seven years disqualified on a license. Yeah, man. Hey, hopefully you get clean Still to come. There's another phone here. Oh, this one's open as well. It's just same. What could drink dropping? It's our wall-to-wall not all shifts are wall-to-wall action Oh Joe Riley know their day can turn on a sixpence They've spotted an empty car belonging to an old pall of gas Guys just to let you know there's a golf park that comes back to somebody that I had for a cannabis pee with it's about two years ago Bro got two years of knowledge memories in his head Like that man could be a changed devoted Christian or Whatever religious he decided to give his life to like he could be a completely different person and here you go There's intel from this year again that he's still dealing drugs Time to call in the troops Ken Matt, are you all right to cover up that way if he leaves? If this car moves off We should have both ends of the street covered one of our cars can pick it up and it could be a decent little stop With the golf's escape routes covered all they need now is the golf Go home That's not it But that is That vehicle is off off off. It's one up game on Yes, now we'll go for a stop straight away The driver looks to have clocked them up come you go But he's seen sense He's definitely high he got out music still playing he's trying to bring attention away from the car These are all signs that I have learned from the police interceptors of someone who was guilty. You're going to jail, buddy Papa lad into that and it's friends reunited to February for his kid. You're right You know Intel you're still dealing cannabis is that's what the Intel says like you But I don't know but I'm gonna ask you now. You got any cannabis on yet? No, everything gonna get you searching the missus Looks like all right, mate. The suspect claims to have no tropes. How much money's there? I hope he don't well There's a wedge of cash keep your hands working seeing pal, please and just got money Sergeant Matt and Ken Tinley arrived, you know, you know in America like in the UK like if I could pull About a police guy forbid like and maybe like keep your hands where I could see him like I wouldn't even be Intimidated by that statement, you know, I'm saying It's like almost like or what no offense because they or what you know, I'm saying it but out here Unfortunately They say keep your hands where I can see them They mean or I'm a bleak you That's what that mean in America Look if your hands disappear one more time, I'm funny bleep bleep bleep bleep I've and the team soon locate an item of interest Yeah, just a bit cannabis from the the door pocket Judging from the driver there may be more to come He's very nervous mate. I tell you shaking and sweating Right on by the Gav's a fan of TV's forensic detectives. He won't find him rocking a lab coat He prefers to get his hands dirty sure luck. It's got to be something in here or it's down his pants They have a good Dedicated is this the suspect's secret stash? There we go. It's this. Oh sweet There's nothing to come so but they're doing so long in the car What you mean there is just plenty you're going to jail buddy you might as well to swing your little feet inside the back of the car You know I'm saying get comfortable No, man Sweet tooth is still sweating either is OD'd on opal fruits or something else is making him nervous He's left his mobile unlocked and it seems he's a popular boy anything from today. Yeah, same. What? People asking him for Zed. Yeah All of that panic is over that phone. Yeah There's another phone here tweaked. Oh, this one's they're going to your crib They definitely going to your address. They're putting as well. Yeah, even this one's loaded late.  You're under arrest on suspicion of possession of the tennis supply cannabis That one bag cannabis in the car It's probably not the only bag he's got I dare say when we get to his address to be more there now It's just a case of finding where he lives I'm gonna find any more told them. I'm homeless. I'm living on my car. I'm scared. Oh when we search your dress But blokes got a cunning plan Dad Take you won't be here. I'm sleeping in my car. He's sleeping in your car Told you he said exactly what I would have said sleeping in my car I'm homeless Not worth me searching it then It's not worth searching his own address.  Yeah, they found a set of keys in the golf and a clue to which door they'll fit I'm a little bit worse Hope that perhaps there's something on the phone and when you look at his timeline It's on his on his Google Maps The same address keeps flagging up. Were you here? The address is near to where they first spotted his car They've also in tell that a man known to the police is renting out a room at the property Oh Like the Prince armed with Cinderella slipper Gav hopes the house key is a match Yeah, it fits It fits the turn and with he lived happily ever after Hi, I'm sorry to bother you got stop in here and we've got information to stop in here Just is he staying in spare room? He comes on blocks now. Then yes, right. Okay. Is he is it like a rental agreement or yeah? Yeah Is there anything in here that you shouldn't have Well, they're basically they've got not getting an authority to search on section 18 of pace So I'm just asking you if there's anything it shouldn't be here. That's all pal The teams welcomed in Yes, mate But it's not just the suspects room they'll be searching, you know because he's got key for the front door And he's obviously got this room here. We will have to search throughout It's not long before they sniff something dodgy Hello, stick your head in here It's not what you start to know Yeah, it's my weed. Yeah Gav's nose strikes again Beautiful Four ounces of cannabis it was obviously very nervous when we came in but here we are Cannabis so he'll be coming in possession with intense black cannabis as well and we'll come in search and season Can breaks the good news The search continues to in your own crib is great You in the house eating a kiwi or whatever he was eating in the front And bro just full officers come it's over. You can't even do nothing The bad fruit Old crib going A few more ounces in this bag Two three another something that should be legal Four ounces there. We're up to eight ounces of cannabis so far still searching Eight ounces is over a grand width of weed It is wow a bit of cash A set of digital scales and they've got cannabis on them as well And where there's drugs Man, it's like rule number two, man. You're not supposed to keep your stuff at the same place. You live where you live here There's often weapons quite a selection of Samurai swords You gotta I call that a What's all the weapons about Is it that nice? We'll seize that we'll take that It's been a good result for the cavalry in this twisted fairy tale Suspects have been charged with possession with intent to supply a controlled drug The suspect of the house was charged with possession of a weapon in private But faced no further action in court. Yeah, I knew he was nah.  I love you Drink driving is one of the biggest dangers on uk roads Is that what you've been drinking whilst on the motorway? No, that's what I'm trying before I set off right With even small quantities of alcohol affecting driving ability your driving's awful You swerving from lane to lane.  I can smell drink on you. How much have you had? I've had two times and over 200 people Why the car look like it's kind of like nervous Because he just got into an accident It's a nervous whip are killed each year by those driving under the influence So when it comes to dealing with drugs at the wheel And that's a fail you clone 93. Okay Three times over.  It's kicking out time on Friday night prime time for drink driving We are not far from there Jen else and the team are after a Renault espace that's apparently failed to stop for officers earlier in the evening Oh, what was that last ping sorry the driver may have given cops the slip, but they've got his reg and 11 000 anpr cameras It looks like it's a clean vehicle, so it's our fake place to try and hide its identity basically A suspected cloned car that's apparently failed to stop would be a tidy collar So they call in nearby units and it's not long before a dog handler spots the escape Duffy keeps his distance and guides the team in So if you're on the A6 turn up to being Q island left at Morrison's and follow it around you might get up to me Oh, which dog she got she got galaxy or she got the other one whatever his name is Right, I'll show you To push me to the limit ain't you Jen might be a specialist dog handler with a commendation for work with her canine quantum quantum That's a galaxy quantum leap Which is also an advanced driver And she's with Duffy in no time It's off off. It's mainly left hand lane It's straight onto church street.  I am in a marked car, but he's not particularly reactive to me. He's still doing 30 The driver apparently failed to stop earlier tonight, but seems oblivious to the cop car convoy behind him He's gone around about asking that way. He's gonna be a dream driver. Maybe still Dropping between 30 and 40 mile an hour. It's doing nothing to outrageous However, he's got a sudden need for speed Up to eight five about to enter the fifties. I don't expect him to slow down for it And they now join a dual carriageway He is now accelerating up to one zero zero Two other units including an unmarked join proceedings via a slip road the plan to perform a tea pack Isn't it a lot the driver randomly slows and they spot their window There'll be no escape this time Just passed Ikea boxed in like a flat pack I a good one narrator And quantum tea or quantum quantum's keen to play fetch But the tinny toting passenger is in no state to room And the driver is in an even worse state He wasn't running on foot now That's Santa Claus don't talk to Santa like that You getting cold for for for Christmas Tim keeps an eye on them Watch him, watch him As Paul Charlesworth does the honours You look like we didn't smash the window Just be ready to smash a window. I'm telling y'all They be on it Can he be asleep?  I mean he's clearly drunk, but he's just I mean oblivious to it all just doesn't seem to have a care in the world.  He'll blow it was close to soaking with beer. There's comes a beer in the car stinks of it His car is like a pub on wheels I've got plenty of reasons to think you've had a drink because you stink of it He can fit a whole 30 case in there That's tough His blood alcohol levels could still be rising Y'all need to go ahead and give him a full work up You know what I'm saying blood pressure heart rate You know what I'm saying Do go ahead everything I'm sure it's all high off the meter No offense, you know I'm a recovering Big person myself so I can speak on that If you skinny, you can't speak on that So if y'all talking in a live about a dude and you and you and you wait 150 pounds don't talk Because that's offensive Y'all need to drug us him to swipe him swipe his inner cheek The peoples was dilated And surprise surprise That's almost twice the drink driving limit Beggar's believer that he's driving without much alcohol in the system All he has to do is leave a grip of the wheel The light weight Head on into another vehicle of 110 mile an hour combined speed of what is it 50 160 It's game over isn't it Being boozed up isn't the only issue He's disqualified driver as well After feather I should drive more disqualified driving my insurance I'm talking about he trying to get to the north pole. He can't you know what I'm saying? Where's Rudolph? That's that's the only one I know Rudolph the red Where's Rudolph and the rest of them plan sir This is one man is there delighted to get off the roads Sleepy head pleaded guilty to dangerous driving and driving above the alcohol limit While disqualified and uninsured he was banned from driving for a further three years and put behind bars for 14 months Dang you got a year I know they treated him good. That was kind of you know what I'm saying Telling their kids in there sending they wishlisting in my bag No further action was taken for the suspected cloned plates coming up The map it's estimated five percent of british adults have shoplifted Fuck it there dropped into a skirt underneath You can see also the stolen goods underneath the long skirt There are a staggering 1,000 shoplifting offenses committed every day in the uk with over half of these going unpunished I feel like that's not a very smart place to keep anything by a door Certainly within our force area and I've no doubt across still the uk shoplifting is still Massive really tends to be people funding the habit that we come across Y'all never seen them videos where they try to steal something and they lock the door From behind wherever they stand and the employee Damn be funny. Uh, so they'll nick um, if it's food stuff or drink stuff, it's uh, you know Steaks and bacon and the like stuff that they can sell on and then obviously use their the proceeds to To feed what unfortunate habit they've they've got What color is that course? It's saturday afternoon. So I've seen it by now On john lee and paul mackam a clintock shopping list is a vehicle that's pinged in a npr camera The occupants inside are a pair of well-known shoplifters No crossing the drive through But there's better luck outside the mns There it is. She's driving. Yeah Somebody sent my daughter these two some mns Salute to whoever sent oh, I know who sent this salute to her man.  Is that him? That's yeah, that's Imagine getting caught red handed. Like you're not a good thief. Just go ahead retire.  Yeah, you're watching him. He's done. What shot. Let's just Is he getting in to him? He's done. What bro, you know what? My bad. All right, man.  What shoplifters. Is he getting in that car?  A shop worker in hot pursuit Oh, there's one there brother Makes way for the pros This is not just shoplifting Hey What's that wagyu a5 he got a little pizza half cheese pepperoni bro Oh, he got a debit card and you got a card Hands behind your back. You're under arrest of shop theft. This is M&S shoplifting M&S is passion here, right? Stop resisting get down on the floor. Stop messing about what are you doing on stop messing about Put your hands behind your back This meat clearly shot lifting boy Who walks out the grocery store with just meeting their hands pause With just several meats in their hands no bag its heads hands aren't where they belong So right bring your knees up Sit up sit on the curb There's six packets of steak and in the interest of a balanced diet A pizza you can have some officers to us, please at bridge food Back up arrives right switch engine, but it's not for the cops. It's the silver coarser switch engine off stop That's her man.  No, yes he is Go and grab a seat in the back of our car while maca manages the meat snatcher. What are you doing? The meat snatcher is crazy Oh my god Meat snatcher 101 How to get caught snatching meat. Oh man Oh, I ain't even mad at bro though. He's trying to eat.   Oh, yeah It seems mr. Meat is quite the thief about town mr. Meat Thank you Right mate, you also wanted for theft at Sainsbury's um on the 21st of this month. All right So you also wonder rest of that one you do have to say anything about me and finish And she went questions me later on caught anything you do say maybe give me an evidence All right buddy, and there's a breach of court order outstanding as well It's a balancing act for Duffy Look at that They can't put that meat back on the shelf M and M and S. They might as well get that let them have it And Macca conduct a search We want you to stand up and then I'm going to do a quick search on you to make sure you've got nothing else in your pockets Yeah, what is it? Hey Pipe you got any pins on you? Is there anything in it? All right, mate, hey carry on I'm just going to put the cusp behind your back and it's going to wear to get into it There's nothing else on the suspect and while the lady's free to go.  What are you doing?  Who is that Jordan? Meat thief was found guilty of shop theft and fined 40 pounds.  Meat How does how the you know what I'm saying? I ain't even gonna do it Tell or leave a like comment subscribe turn your post notification bells, man Enjoy y'all weekend. I'll be here, of course, but you know, maybe y'all won't watch there with the videos Sad sad times