Just before my 12th birthday I was diagnosed with the incurable bowel disease known as Crohn's disease. Crohn's disease can affect from your mouth to your backside and I was diagnosed right at the join between the small bowel and the large bowel. And then at 14 I had my first surgery. If you imagine you're intestine as a hose pipe it's several metres long and they cut out the section that's no good and stick the two hose pipes together. I had 25 further surgeries. My bowel ended up at 40 centimetres, it just been chopped away disease, disease. And I reached the point of intestinal failure. Your body can't absorb what you put into it. They said to me, look your bowel isn't going to recover, you're going to need bowel transplants. And one of the big things I knew from my transplant was that I was going to have an ostomy. I was going to have a bag attached to my body and one of my earliest recollections is waking up feeling this bag, this alien thing attached to my body.  Here you've got a hole effectively halfway through your intestine, your waist is collected into a bag and you don't know when it's going to come out. So it fills very quickly. So you experience leaks and spills and those things are challenging. And not only that your doctors want to know how much is coming out.   What do you do to cope? And they're like, just get used to it. And so I was looking at this bag and going, okay, well every time there's output it expands, it changes shape. Surely if I could know when it's going to change shape I could send a signal, I could happily figure it out and I had some help with some friends because I'm not an engineer and we bought some gear on eBay and hacked a sensor. I would sellotape it onto my bag and walk at home and then take it into the hospital and go, look, my bag's beeping. And my doctors were like, that's great for you but it doesn't help me.  What struck me at the time was people building all these solutions in healthcare, they're giving you all these things whether it be drugs, whether it be technologies, whether it be bandages, whatever it may be. But they're giving it to you rather than building it with you and here I am as the end user, I understand the problem better than anyone else, better than any nurse. If I want to know how to solve a problem I'll go to another patient. So I started building 11 Health just as a way of helping other people hacking our health. I used social media, I'd really got going on social media in the buildup to Transplant and the phone calls and the text as beautiful as they are are endless. And I just started a blog and the blog was really a way of saying this is what's going on and I was really transparent and what I didn't realise is that my healthcare team were reading the blog as well and then they were passing it on to medical students and at some point 100,000 people were reading this blog from around the world just going this is what it's like to experience a Transplant. And I have a WhatsApp group with my surgeon who's now in India, the surgeon that took over in the UK nurse and we speak almost daily and they are part of my life and they're like my second family. We had we had two guilty pleasures going through Transplant. One, Jeremy Kyle, I'm not sure it's a guilty pleasure and Strictly Come Dancing which is again the UK version of Dancing with Stars and there's always every day different blood tests, different blood tests and nurses would always time it around Jeremy Kyle so we could watch another story live on TV because it kind of took you out of your experience and then at the time when I was in hospital there was a quite a cool guy who was hoping to win Strictly Come Dancing and all the nurses would come in and go I gotta see this guy dance, I gotta see him. And I think what's important is that you treat them with the same respect you want back. My surgeon said to me a phrase that is he's very well used you know yesterday's gone and tomorrow hasn't happened to live today and just you know you've now had the gift of another life go live it and I'm very lucky we built this relationship really just based on the trust empathy together and fundamentally I think that's at the heart of healthcare that doctor-patient healthcare professional patient relationship for me is is what underpins you can have all the best technology in the world you can have all the best systems in the world but it's that human-to-human connection that for me is most powerful. My name is Jerry Hickson and I'm just honored to be here today for the World Patient Safety, Science and Technology Summit and I want to welcome you to the third session which is about patient advocacy and I love this title The Compass for Innovation. Now again I said my name is Jerry Hickson I'm a pediatrician by training but for years was the senior vice president for quality safety and risk prevention at Vanderbilt University School of Medicine was a researcher and my research career focused on if we just listen to patients and families they can tell us about our dysfunctional systems where we make it hard to get the right thing done they also can help us identify those team members those medical team members that don't play well with others that get in the way of safety and so I've learned in lots of studies and in real world settings that it's all about listening to your colleagues and respecting your colleagues and so I want to thank you for being here and want you to know how important I think advocacy is. I also just have told you and we'll tell you again we have a great panel but before we get into introducing our great panel I hope you had a chance to view Michael's video if you have it please do so I've watched it four times and every time I've watched it I have picked up picked up on some other things that are incredibly important at this individual who was committed and worked hard to promote change and I think really he's written a game plan for how you get that done and I also was struck by the fact that in spite of all the things that he's faced he modeled respect for everyone and he modeled a sense of humor those things are really important so today we have three panelists who also have made significant contributions that I have known Sue Sheridan for a number of years as a pediatrician she focused on an issue that was near and dear to my heart and Sue briefly introduce yourself at this moment and then we'll introduce others and then I'm going to have some questions for you. Sue who are you? Great thank you Jerry who am I? Most importantly I am I come from the patient community my family had two extensive medical heirs that launched me into patient safety my patient safety career is one that I've been an advocate I've been part of a nonprofit of mothers I worked at PCORI for six years the director of patient family engagement I worked at CMS and engaging patients in policy making I led a program at the WHO on again engaging patients in innovation and driving safer healthcare I'm currently a co-founder of patients for patient safety us that's focusing on re-energizing patient safety in the United States is an umbrella of a program at the WHO. Pleased to be here. I'm glad you're here and I'm also glad uh Susanna Lorenzo is a distinguished colleague from Spain who is joining us today please tell us a little bit about yourself. Hello thank you for the invitation sorry for my English but it is not my mother tongue so I'll do what I'm as much as I can. My name is Susanna Lorenzo I work at Hospital Universitario Fundacional Corcoran yeah I'll go back. My name is Susanna Lorenzo I work at Hospital Universitario Fundacional Corcoran in nearby Madrid and there I am the manager of quality and patient safety at the hospital I take care of patient health and patient management at the hospital I am also the CEO of the journal for healthcare quality research and thank you for being here I'm so upset that this is not in San Francisco Susanna we just we're glad to be able to participate with you anyway we can and we will continue to have opportunities thank you Carol Carol Moss tell us who you are well I am happy to be here first of all I'm honored I'm here today in honor of my son Nile Calvin Moss and I I share the view of hope and I share the stories of success that we've had in finding ways to make healthcare safer as a mother a wife and founder of Nile's project we are a patient safety we are the voice of the patient our goal is to be at every table that's making decisions for the world and so I'm honored to be here and I look forward to a lively conversation today. You know I'm looking forward to that and thank you for introducing yourselves and as I warned her I'm going to turn to Sue first. Sue I want you to share with us about your personal story how you've moved forward those things that I know you have gotten done so if you would lead out and we'll get started and then I have some additional questions that will follow up with everybody at the right time sure I'm happy to kick this off Jerry so what brings me here you know what brings me here is really what I'm going to talk about today is my son Cal and Cal was born in 1995 in a large regional hospital he was perfect at birth but because of a series of a cascading series of failures in our healthcare system Cal fell through the crack several times and he suffered permanent brain damage when he was only five days old from the failure to test and treat his newborn Johnvis from the fear of nurses to speak up when they didn't agree with the pediatrician from the failure of oversight of residents actually from guidelines the American Academy of Pediatric Guidelines on Johnvis management that weren't really as safe as they could be and also they failure to really educate patients and families the parent education materials for me said nothing about dangers of Johnvis so you know my husband and I my late husband and I watched our son suffer brain damage in the hospital and in our arms and before our eyes and I you know I'm sure all the viewers can understand how devastating that is and you know I learned that there was I couldn't you know erase history I couldn't turn back the clock but I decided that I did want to be part of making sure that didn't happen to any other babies or any other parents so I started writing letters and I wrote letters to our government to the AAP to the American Hospital Association to everybody I could think of and eventually I was invited to testify in Washington DC in 2000. There was a lot of media about it and other mothers saw me and they connected with me and said their child suffered brain damage from newborn Johnvis as well and it was because our children weren't getting the dollar test the AAP guidelines were not clear about if there was no universal test for a billy moving that all babies should have it was considered routine but then in the 1990s it started kind of fall off so we all we all realized that a dollar test and maybe better parent education materials could have changed the outcome of our children so we approached our healthcare system we decided to partner with the very healthcare system that failed our newborns and failed us so we approached the Joint Commission the CDC the American Academy of Pediatrics nursing organizations NIH, HRQ, our government we had 17 partners at the end of our you know end of our work and we did all agree to work together on preventing you know this from happening from other babies notably you know the AAP who really establishes the guidelines that are implemented in all of our hospitals not only the United States but in many other hospitals around the world they really look at AAP as you know as a as a leader and we work with the AAP to revise their guidelines to include a universal billy moving test for all babies before their discharge now this was not an easy task at first because this started in 2000 when we moms presented to the AAP our idea about including newborn newborn jaundice testing as a universal universal test and at first they shared with us that well honestly they called me Pollyanna at first and I think that's what it takes you know to have all this hope and maybe I wasn't calling it but we continued working together for years now that was in 2000 today is 2022 we are still working together and so we successfully through a long process changed those guidelines to include universal billy moving test we also changed their parent education materials that beforehand did not say anything about the dangers of jaundice matter of fact the AAP parent education material said don't worry jaundice is normal so we ensured that they included information that jaundice can in rare cases cause very damage that moms and dads need to be part of the you know the extra eyes to prevent this harm so fast forward to today night in 2022 we are still working with the AAP it's with a very good relationship we are now revising the guidelines again and mothers are engaged as partners in revising the guidelines and we have offered significant changes to the guidelines that were at first proposed by the pediatricians and right now we're in the middle of reviewing and revising the parent education materials so the lesson of that whole you know it's been a 22 year relationship is at first it was difficult because this was new territory and now it's getting ingrained the AAP and other agencies who are innovating and working with patients to really drive change so as a pediatrician i want to affirm that change is real slow but it's real and as we come back in a minute and i'm going to ask you to reflect on some key things that made a difference yep your tenacity has been one of those and tenacity with a smile but we'll talk a little bit about that but thank you for sharing and what you've done absolutely now susanna i want to ask you to share story thoughts about patients advocates and please share with us i've been thinking about how i could participate in the in this meeting and i thought that the most the most interesting thing that i can share is the change in the in the culture in the Spanish healthcare that we started like ten years ago with a project on second victims as you know the second victim is the health care professional that is involved in near me or incident or a preventable adverse event those those people that are involved in the adverse event afterwards are overwhelmed with the with the incident it it happens to nurses physicians and everybody else around when one of those things happens and in the Spanish healthcare there was no initiative for going on so we decided to ask for a grant for the to the Spanish ministry of health and we got the grant so we have to develop that we used all the information that the young Hopkins Albert Wu and Susan Scott that was i think is responsible university we used all that information and we started changing it has we have a few materials that you can find in the website that you can in Spanish and in English that people are using but i think that the most important thing in our cases that the hospitals like or the one where i work at at this point have their own protocols we have procedures when there's an adverse event we follow with we talk to the patients we talk to the families and we go on because this unfortunately as shu was saying these things happen but we had to go over them since i since my my working quality has been my major for the since i finished at the University of Michigan long time ago i thought that this was the way of putting things in practice since i was not only the quality manager saying blah blah but growing with those professionals and working with them at this point during the COVID pandemic we went again with the project and we have been giving support to all those professionals at the Spanish hospitals with a website and some materials to support them and i think that it has been really helpful for most of them so i think that the professionals involved in in the adverse events or even the near misses are something that we should keep in mind all the time susanna i just want to commend you about the issues of looking at things that don't go well and understanding how many responsibilities we have to understand to engage with patients and families their advocates and work to make medicine kinder and safer and this is work in action and thank you for your willingness to share now at this particular point i am going to turn to carol and carol if you could share with us today because you have so many observations and experiences that we need to hear about absolutely i'd be honored too i think the message i want to get through today is that making healthcare safer is possible change can happen with a single person that begins if you have the will i'm happy to say that we turned a tragedy into a mission a coalition of patient safety advocates a coalition of friends of our family and we did this because we suffered a tragedy that we couldn't believe that happened um so why we're here and why we are talking today is is because of a strange thing that happened we were busy our family traveling enjoying life having our jobs my husband ty my son nyle and i we lived a great life um for 15 years and i were really thankful for that when nyle was born he had hydrocephalus he had water on the brain and um he overcame that at six weeks we found these challenges uh we had a great neurosurgeon that you know took care of his aqueduct stenosis which meant that he had a piece of skin in the wrong place in his brain that caused hydrocephalus so he had a shunt and this very creative doctor found a way to pile in enough tubing in the shunt that he didn't have a revision for nine years so a five pound baby stretched out to the length of a 10 year old boy and because of the care that this surgeon took uh we weren't in the hospital off and on revising his work and so we overcame that and many times people will know that along with these things uh you find a way to live your life fully even though you're having neurosurgery or you're having stir business surgeries or you're having whatever you're doing we were really frequent flyers of the healthcare system we're located in california and um we did this in a way that we would always reserve energy for an emergency that we had to go take care of and then we would just live our life so for um in 2006 we had moved to the hills and nyle had a great course and we found a way to live in the country and it was five years since he had had a procedure but every year nyle went to the top children's hospital to have an MRI and a series of tests just to make sure that that growth had not grown so he has an MRI so uh this time in 2006 nyle went uh to the top hospital in orange county the top children's hospital and he had an MRI and we returned and a couple days later he had flu like symptoms and i just you know as one that's very strange let's go have this checked out so we went to the pediatric physician and i said we were just in the hospital this is in 2006 um it's just a couple of days he has flu like symptoms he's wheezing he has a hard time breathing he has a headache um the signs were very similar to COVID and at the time there was no COVID but i'm relating it to what people are feeling today and seeing today so um they took a strep test they said no don't have strep throat and they wrote out a prescription and handed it to me it said go get the prescription for this antibiotic and he should be fine uh little did i know that when i was sitting in that pharmacy um for two hours waiting for a useless prescription that that would be the last time i would be in public with my son um this is now april 15th and uh 2006 and nyle was getting worse he was having a hard time breathing so we rushed him down to the hospital and where it took uh almost 15 hours to finally get him admitted to finally give him the first drops of antibiotics and the delay the delay the delay even with the films that showed he was having necrotizing pneumonia the delay the delay in antibiotics the delay of treatment caused my son to die we could not believe this we could not believe the day after easter in 2006 that our son was not going to be coming home with us and um it was the most horrific day of our lives and three days later we received call from the physician on charge and he said well we got a test back because we took a MRSA test um and we got a test back and your son had had MRSA methicillin resistant stapococcus aureus and i said what is that and they said oh it's it's a staff infection he had a staff infection and and that's that's all we could say we don't know anything else so uh in shock and and not knowing what to do i went to google and i typed in methicillin resistant stapococcus aureus and two things popped up sephad rapid test two hours results in two hours and the stock hospital infection campaign from a woman by the name of lisa mcgifford and she worked for the consumer union which was a part of consumer reports they not only tested toasters but they also tested the quality of hospitals and reported on it and this was a campaign stop hospital infections to make a long story short we got very um uh very engaged with the stop hospital infection campaign and lisa mcgifford began to teach me and educate me and provide a phd um in the area of what is really going on in hospitals that we're not aware of and what we learned was we were unaware of the war of preventable hospital acquired infections raging in our hospitals in the u.s and throughout the world we were unaware of the number of people that died from preventable infections and in nyle's case we were unaware of the number of people that died from sepsis because what happened was the same thing that happens to over 250 000 americans every year and that is uh the physicians did not take nyle's signs of sepsis seriously and because of the delay the delay the delay and the lack of antibiotic proper antibiotic treatment nyle's life ended so this was horrific sue and every other mother in the world especially the people today in ukraine who are losing their the lives of their loved ones and they realize what it's like to be in a war that's what we felt like when we finally i made nine appointments at the cdc i said i need to know why why are you not educating the public and what i want to share is that the success of new information getting out in the public is huge we work very closely with the cdc because we started to take other stories and share their stories with the cdc and urge them to please educate the public we were unaware we were unprepared so today um after forming an organization called nyle's project we are a public health patient safety awareness organization we do public outreach concerts and events to educate the public on real preventable measures we get the information from the scientists we uh found out why we had no idea of how many people go into hospitals and get these infections so we said let's find out what state has laws that require hospitals to report their infection rate let's find out what states require screening at the door so that you can properly test people as they come in to find out do they have mersa or do they have other infectious diseases will they be spreading it to uh our patients will they be spreading it to our healthcare workers so we uh implemented and we work diligently on legislation for the state of california that today saves lives because of awareness and in the state of california all hospitals have to report their infection rate um these are positive things that happen when a single person or family finds the experts gets the science and finds a way to make change for other people and i just want to make sure there's so many things that we've done and so many things that others are doing today the patient safety movement foundation has been a wonderful organization to work with because they do respect and honor the patients and we have a place at the table which is how we need to change this in our world to make sure that families and those who have been affected by preventable medical harm have a seat at the table harrell thank you for sharing this notion about the need for a seat at the table and they don't always come easy but one of the things that i want those in attendance either today or who viewed this later to pause and think about of these stories that we've heard what are the two or three things that were most important a lot of people have great ideas and we want to be thankful for those great ideas but to take a great idea and to promote change requires more than just a good idea so when you think back about michael's presentation your comments susanna's comments carol's comments what two or three things really stand out to you that make a difference that you'd have those who are thinking about how can i help right you know i think that especially from you know my personal experience in engaging in innovation and change in patient safety with the healthcare system you know you mentioned that you know we were tenacious the moms were tenacious and we stuck with it and and we we were moms on admission but you know what really mattered most were the humble leaders that were willing to listen to us and to partner with us and step into a new paradigm where it just wasn't about science and policy and academia they recognized that we weren't going to get to safety without the passion the knowledge the experience experience and advocacy of the patient community so i think that was the biggest lever that i saw and i continued to see 22 years later are individuals willing to step into this new paradigm they're courageous they're humble they're forward thinking they don't they're not too concerned about what their peers think you know they're they're out in front you know making change so i think that was one one of the biggest uh facilitators let's say of engaging with patients in innovation so i like that a lot professionals real professionals right self-reflective they pause and ask am i a part of the problem am i a part of the solution and have i really thought about it and who are the voices out there that i need to listen to that's right who what else would you add yeah and you can i just say something else um you know it was um it was an interesting journey to to work with healthcare professionals because we moms when we approach them we recognize that a lot of the clinicians when we talked about change only saw the barriers they talked about oh no we can't do that we can't do that we can't work with the joint commission we can't call cd cdc and we're like yes you can and and so what we saw as non-professionals we didn't know the barriers in the healthcare system we only saw opportunities right and so that's what i hope viewers of this session recognize yes there are barriers out there but you can overcome those barriers when you when you band together under a mission and a purpose that's really meaningful and it is that collaboration susanna what would you add what have you heard in this session today from any of these presentations that strike you is a key to success i think that the trick i think it was susanna who said that it was tenants because you once you start you have to keep going whatever happens whatever you talk to whomever would find all the barriers no you should keep going you have your objective and keep going that means that you need a multi-disciplinary team and in that team we want patients and we want patients at book advocate at book it's all sorry and we we as i thought it was carol who said that we have the will we have it but then now we need to put it in practice and to sit all of them at the same table when i meet with the with patients and with their families in different meetings or doing surveys at the hospital or conducting studies people is willing to help out us health professionals so let's start talking and making changing the culture that's like what i think we need susanna this notion of collaboration though is sometimes frightening yes and one of the things that i see modeled in this group what i heard on michael's video is and that's why i go back to michael's humor it's a frightening thing and when collaboration among a multidisciplinary group has not been the common getting people to relax enough that they listen and reflect is a key and i've heard that with all of you it does take tenacity but it takes a sense of humor it takes a vision and all of you have modeled that carol what else would you add is is one of your keys to success well i think um you need to make it personal you need to always connect with those who have the connections and you need to make it personal i'll give you an example so when we started to work on this legislation i called governor jerry brown at the time in california the governor of california and i said i need to talk to the head of who is running the health department here and they put me in touch with the head of the person running the health department and uh we made an appointment she called and she said you know my aid is going to be able to get more things done for you you need to talk to jennifer so when i talked to jennifer she uh i'll have to correct that it was governor schwarzenegger who was the governor at the time and she was reporting directly to the governor and i said what i need to do is i need to find a senator that has actually had governor schwarzenegger signed a bill into law that will find hospitals for mistakes or find a hospital for something and they said there's only one her name is elaine and um there's only one and she said but i will tell you right now you're never going to get this through you're never going to get public reporting it's never going to happen i go okay that's right i'll just give elaine all quest call and i kept in touch with that jennifer we found out that niles birthday was the same birthday we got together and had ice cream on their birthday we i kept in touch when i saw things going crazy so make it personal and timing timing was of the essence timing was there were big problems going on in california with health care um at the time the governor's medical his wife's medical records have been breached and he was not happy about that so the timing was perfect to start making sure that hospitals were being held accountable for things that should not happen so i think make it personal and timing carol thank you for that briefly but i do not want to miss this opportunity who heard something in this last round that you just want to call out or emphasize uh raise your hand we'll do it in that informal non-electronic way did you hear anything that you would like to call out again so i see your hand moving no i was just moving ahead i know i'm just trying to think i think everybody's brought up such good points um and that you know i i think what i like carol and susan i think brought this up is the message to those who are viewing this this session this panel is um you know really to acknowledge that again science and technical expertise and academia alone cannot really solve our patient safety problem that it must engage the lived experience the knowledge the wisdom the passion the advocacy of the patient communities and so i want listeners to think about how can they invite us to their boardrooms to their committees to their guideline development table to their you know all of their patient safety improvement efforts to really accelerate and transform patient safety so thank you for that and i saw susanna's hand susanna what would you add i think i think that uh professionals if the professionals involved but also the patients and their families involved need to be heard and understood of what was going on and to participate in the definition of the measures to be implemented after to prevent it happen again i think that that is probably the the key uh to to um change uh things because they would see that after an adverse event things change so that it won't happen again and they would be involved next time more and more involved you know susanna it is so important when i sat as a family member in a patient's room who had had some neat transplants and i suddenly realized what a terrible job we did in washing our dang hands it is that passion to improve things that we see so i want to remind those who are listening today it's not it the policy works incredibly important collaboration is incredibly important sitting in a patient's room and making observations is incredibly important and we need to be actively engaged in those things now we have just a few minutes left but i want us to leave today thinking about what is it what is it that i can do to make medicine kinder and safer from the role of a patient advocate and so carol i'm going to start with you first this time round because i have uh had you uh is the third each time we've gone around carol what would you it is we are sort of beginning to sort of we want to gain momentum we want others to say i've got a role here what would you have them think about is they uh ponder and reflect on this session today i would say fight for transparency fight to see the numbers you want to know how many people were harmed in our hospital today or this year or this month how can we improve the voices from the people that work in these systems the voices that have a soul to change what they see and they do not agree with they need to be brave be brave enough to stand up and speak out for every patient and every healthcare worker because if there are things that are happening and there are they need to be fixed don't count somebody else to do it you need to stand up and do it no matter what carol i really like that i really like that and and this i think is one of the reasons that i was so struck by your comments today i'm struck by michael's message because you're going to have tenacity you're going to go after these things because they're important but we can do them in socially appropriate ways that are far more effective and those things make a difference susannah what would you add as we sort of think about messages that we would want to be sure that those listing will contemplate and reflect on i think i i go i go back to teamwork to the discipline multidisciplinary teams and i think it was one of your prior presidents who said yes we can so yes we can make changes in our healthcare and no matter what it happens in any country anywhere patients and their advocates should participate in the definitions in or under those measures implemented to prevent it to happen again susannah i feel so strongly about this and this links back to sus comments you know the the the commitment here has got to be to make medicine kinder and safer but we do that by making it be more respectful to the real participants patients and families who see and observe things the combination of data carols point with stories to make it real carols point these things are required to make a difference and to influence and to influence and influence so what would you add i would go back to something i already said but i would strengthen humility i really think the healthcare system our leaders our clinicians need to invite you know the patient community in our knowledge and have the humility to accept that maybe we've got some solutions that they haven't thought of and um so that's that's you know be humble and learn from us learn from patients i mean there is so much that happens that we know that we experience the outcomes that we have that simply don't get captured so engage in developing mechanisms and reporting uh tools and other ways that our voice can get heard because right now the patient voice is still quite absent in and really improvement efforts the last thing i would say is um be a polyana um you know during big i love the the saying by dania bernum make no little plans for they have no magic to stir men's blood don't think small think big if a polyana from Boise Idaho can be part of guideline develops and changes and um new standards then others certainly can thank you for that you know it is this notion that as people sit and reflect on this session there is so much to be done wherever we have humans engaged in any kinds of activities we have opportunities uh as i say to do more better i know that's not grammatically correct but we do and we don't do it as long as we sit around just pointing out problems the issue is it's about building solutions in collaboration because we do have systems that make it hard for people to do the right thing it makes it hard for patients and families coming into our health systems to get the care they need real leaders are committed to fixing that but real leaders also understand that the human element is important and i talk all the time about accountable professionals because we do have accountability but that accountability should start with listening and that doesn't occur sue without humility and so those things go together and i think are great drivers of our safety now we have about 30 seconds of peace left carol in 30 seconds what else would you like to share today susanna get ready and sue you'll get the last word get involved whoever you are whatever position you have find a way to get on a committee or get on a hai advisory committee or wherever you are get a vote and a voice and make it focused on the patients because patient safety means patients are going to live and thrive and so will you so get on a committee or a board or a panel and make your voice heard carol thank you susanna what would you add 30 seconds the culture changes if we it happens if we have the will and if we sit at the same table go that's right and susanna i'm going to leave 15 seconds of silence here which we never do because i want people to think about that and then sue but we're gonna close with something that carol opened with and that was the term hope um and believing you know starting out on your projects believing you will be successful you know when we moms change the standard of care for jaundice management a reporter said to me mr sheridan i'll bet you and the other moms never imagined that you would change the standard of care and jaundice management i said oh yes we did so hope you know let us all join this revolution and there's this great saying that you know let's start this revolution of hope and not despair because hope is a really powerful mechanism and i hate to say that sometimes it takes a while to see it the results of it and i do not want to miss the length of time that all of our panelists have been engaged in these efforts and even though they don't come easy it's especially why we have to all get engaged and stay engaged and so sue is the work finished yet no oh gosh you're still you're still revising carol is the work still is it finished yet no no is it finished the answers no never so let's leave this session today and get back to work that's right sounds good thank everyone and go out and do good work make medicine kinder and safer at kaiser permanente in northern california we are committed to save patient care our patients come to us with a sacred trust that will do no harm to deliver on safety we must be resilient and reliable no matter the circumstances that is what highly reliable organizations do they are successful because they hired a fit anticipate mistakes and error proof their environment and design all of their systems and processes incorporating these five principles into their operations they have a preoccupation with failure sensitivity to operations a reluctance to simplify commitment to resilience and deference to expertise in our organization we have been intentionally designing for reliability and continue to refine our leadership capability and error proofing skills to improve quality and safety with our preoccupation with failure we have established organizational structures and ongoing monitoring systems really enhancing our ability to detect emerging problems or drift from strong performance allowing us to lean in quickly to course correct before conditions exacerbate we've incorporated visual boards daily management systems and leadership routines that build in daily sensitivity to operations so leadership can support mitigate as well as reward safety activities and behaviors we are reluctant to simplify the answers to why things happen and are fostering what we call a questioning attitude as well as enhanced our safety event evaluation systems to assure that we dig deep to understand the root causal factors and then mitigate incorporating human factor science and the highest levels of our hierarchy of controls into the design of interventions that make it easy to do the right thing and prevent harm our commitment to resilience assures that we create standard work protocols guidelines and policies that when strictly adopted assure we have consistent safe and quality outcomes we also recognize that two errors human and are currently deploying a common set of error proofing and peer coaching tools that will prevent cognitive error and arm our staff with a common language to respectfully coach a colleague to do the right thing most importantly we embrace deference to expertise by deferring to those most knowledgeable when it comes to finding and fixing our problems and including those that are closest to the work in the identification and solution of issues our patients and family members play an important role in this process we invite them to participate in event investigations shift nurse knowledge exchanges and in designing system change or novel care pathways these HRO principles combined create a collective mindfulness around quality and safety highly reliable organizations are in a constant state of anticipation rather than reaction and they position themselves with the ability to quickly contain and minimize risk before things exacerbate we are proud to be recognized by the patient safety movement foundation for high reliability however we recognize that high reliability is not a destination but rather a continuous journey of improvement and optimized safety


Pam has been a nurse on the orthopedic unit for about 10 years and I've had the pleasure of working with her that long. She really is a voice of change. She every day will look at what we do to see how we can do better. She comes to me and says, this is the problem. I think this is how we can fix it. She's a part of five or six different councils throughout the hospital. She's always caring. She always has an idea and I'm just so thankful to be a colleague of hers. It's always a pleasure working with Pam. She always has good resources, good answers to everything, good solutions to everything. She's a great colleague. We are so proud of you. We are so happy to have you on our team. We are very, very lucky. You are certainly one of a kind and you are very well deserving of this award. So thank you very much.


Hey it's Coach Ben from Soccer Entrepreneur and in today's video I'm going to be talking about websites and marketing. Now the reason why I wanted to create this video is because I've gotten tons of emails from coaches who want to try to figure out how you can position your website number one on Google for whatever your city is. So as soon as you're done watching this video I want you to run one simple test. Just go to Google and type in your city and then put in like private soccer training or soccer training or soccer camps. Anything that you know that parents would be searching for, you need to do that for your city. And I want you to see what comes up, what is showing up on Google on the first page and I don't want you to think about the second, third or fourth page. If you're not on the first page then we need to get you on the first page. This way parents can actually see what you're offering. And a big problem that I know lots of coaches have is they don't understand the marketing, they don't understand how to have a website and that's okay. I'm here to help you out with that because this is a problem I had back in 2009 and fortunately for me there wasn't that much competition in my city at the time for private training so quickly I ranked on the first page of Google. Now I'm number one on Google because we've had thousands of people go through our program, we have tens and thousands of people who visit our website, we have email campaigns, we have Facebook, we do a lot to get people to our website but if I'm not ranked number one on there I wouldn't probably be talking to you on this video because that's allowed me and our company to get between three to five new leads every single week and just think about it this way that's around 20 I would say minimum 20 people per month that are raising their hands saying hey we want to be a part of your program. If you had that just think about how much more of an impact you would have in your city but you have to be very strategic with how to rank your website number one and this is a problem that I know most trainers out there I would say 99% of trainers out there are not going to figure this out and this is why if you follow the steps that I'm about to lay out these are going to really walk you through how to do this. So the first thing I want to talk about is what are you doing to get people to your site and do you even have a website? Most people rely on CoachUp, Craigslist, different sites that are going to feature you. My whole goal with anybody who's in my mastermind or anybody who goes through my books is to move them away from that. I want you to have your own brand but you could have a great website and if it's not showing up on the first page of Google no one's going to find you. Just think about it this way when you go search on Google for how to do anything normally you're just going to type that in see what's rank number one and click that that gets the most clicks whoever's on the second third or fourth page those websites are pretty much dead because they're not going to get that much traction. No one's going to go to the second third or fourth page to figure out how to do something. Everything is listed on page one and so now you can think about how big of an advantage that's going to be for you no matter how big or small your town is that you live in you can rank on the first page and ultimately you can rank number one. This is if you have a website that is optimized and that just means that you have the right keywords when parents are typing in anything soccer related they should be able to go to your website and if they can't you're going to be losing out to whoever your competitor is that has figured that out and I would say this is an unfortunate thing for most people in the future because there's going to be a surplus of trainers especially younger trainers who are starting to figure out this this online marketing there's gonna be more people who have websites and for you to stand alone for you to have the number one presence online in your city you need to rank higher than everybody else and this doesn't mean that you have to have a $10,000 website I'm not saying that you don't need to go pay someone to do that I've created a system it's a four-week accelerator program where coaches can simply watch videos that I've created they're going to walk you through how to set everything up how to get super committed families in your program how to raise your prices for private training how to structure camps clinics small group training basically everything you need to know is in my four-week accelerator program there's going to be a little light that flashes across the screen you can click on that there you'll go to a page that's going to walk you through more information that's about that specific program so that's it for today guys if you have any questions about summer training how to structure it leave me a comment below this video and I'd love to help you out alright I'll see you next time


You're welcome back. We did say that we are going to go to the Niger Delta as it were to bring you what is happening there because we like to touch all parts of Nigeria. That's why if there is someone vying for a position from anywhere, we bring them here. We've brought people from other states to talk to us about what they intend to do to change the political landscape and make life better for the citizenry. And that is what we're going to do in the Niger Delta today. So we'll talk first of all about the Niger Delta. We have just had the new chair of the NDDC and what the marked difference will be. And then we'll also talk about what the governor of River State said about choosing a presidential candidate anointing a presidential candidate which maybe may not be PDP because a lot can happen between now and January. Maybe the reconciliation that we've been looking for or the party needs right now will be done by January. We don't know. But by January he's going to announce who he intends to support for the presidency come 2023. We also are going to be looking at a state in Niger Delta and that is actually Delta State. To discuss this with me is a media consultant and also a public affairs analyst, Mr. Theo Fellows Akatuba. Mr. Akatuba welcome to the show. All right. Good morning to you. Good morning Nigeria. It's a pleasure to be on this channel with you. Okay. Right after the exit for a long time people have been clamoring for the NDDC board to be constituted and to have someone lead that board. Now we have Loreta Onoche as the board of the NDDC and we're wondering if she has come on board and there is a board now because you can't have a chair without a board. What will that much difference be between when that board was not constituted and now? What are we expecting of the board and the chair in particular? Thank you very much. I think the first thing is that the board is in place or it's the organ of an organization that help to supervise, to have what you call a supervisory responsibility over the day-to-day administration of the organization. The board sets the, we call it the strategic agenda in collaboration with the management and then the board determines the quality, the operations of the chief executive and his lieutenants to ensure that the objectives of the owners of the company is met, which is the owners are Nigerians. For example, it's directly the chairman of the board represents the interest of the president and the political party that is in governance, so that the objective of that party for the organization is realized. And so the difference is that it's coming late, but the objective is to ensure that the goals, the aspiration of the president are achieved. Don't forget that the NDDC has been going through forensic auditing and to investigate how they have spent all the mornings that have been put there. There's nothing wrong with the NDDC except for the fact that most of his resources have been managed and a lot of it have not been used for the purpose and the objective, to achieve the objective of developing the Niger Delta and providing solutions to where there are many problems. So the difference is that, of course, a representative of the president is now sitting on the board and overseeing the affairs of the board. It's expected that whoever is managing the leader of the organization on a day-to-day-to-day would be able to listen and work with the board to achieve the big objectives. He is not going to be the first board chairman in that place. There used to be a board chairman, there used to be a board before maybe a lot of things went the way they went. And when this forensic audit was done on NDDC, we saw that there was a very, very massive rot in the system. There was very massive looting in the system, even with the board. So I am just wondering what significance it will bring to that, except that someone from the presidency, which we have seen before, is there to supervise. How can we hold them? How can there be a difference? I'm still asking the same question, because if, at the time, we had a board before, there was that kind of corruption, what will be done to make sure that this time it will be better? The structure of these organizations have always been the same. But you also know that the people that are placed in these offices make a lot of difference. And so what we expect is that no matter how much someone has spoken very loudly and consistently about anti-corruption and who is an adherent promoter of the president and the president's ideals, so our choice for that office is to look closely with the eye of the president and supervise that agency into the future. I believe it's coming late, but let's see what can happen within the shortest possible time. I'm sure that the audit will be implemented and all the recommendations and what the findings and whoever needs to be punished, you will see some action will take place shortly. That's what I expect in the minimum. The future is to see the NDDC does what it set up to do, which it has not done very well, but in many years. It has been a settling ground for politicians, shamefully and disgracefully, to the disadvantage of the Niger Delta people. Unfortunately for that part of Nigeria, they have not been lucky enough to have very good leaders, very good politicians, I don't call them leaders. Take note of my words, leaders are not politicians. Politicians are seekers of public office to represent the people, not because they are natural leaders. Leaders indeed work in the interest of people at the sacrifice and at the heart of their own lives. So we are funding leaders in the midst, but majority of the politicians are not leaders. Well, some people have also argued that Loretta Onochi couldn't have been the best choice. Yeah, some people have said that Loretta couldn't have been the best choice of people to choose if they had to choose somebody that couldn't have been Loretta, and I don't know why they said that, but I don't know what you think, because some say she may not have had the experience to do that, aside from being a lawyer-list to the APC and to the president like you have pointed out. How do you assess the capacity of Loretta based on whatever office she has held before? Well, it could be true that she might not have the broad and requisite academic credentials, which a lot of Nigerians believe in and rely on a lot. We have a country where people struggle to appendage their name, PhDs and doctors, and at the end of the day, they do not make any meaningful impact in society. Nigeria parades some of the best academically qualified men and women, but you see the quality of service that the citizens are enjoying. And so to that extent, I understand where they are coming from, where they look at qualification, but the president in this time will be looking at an individual that has the capacity to manage men and resources. Loretta's exposure is adequate to be a board chairman. She's politically astute. She's working in presidency. She understands the dynamics, and she's quite radically minded enough to hold that office because of what has happened to her people. She's from that religion. She understands. As people have very qualified ones, but we have come. So it must give the president the opportunity to let this chairman play her role. A lot of people, you know, I believe we are moving into an era where we must play down on academic qualification. We must play up the natural gift of men to provide leadership. So that's why when I hear people laugh and gest at her, she taught us of her qualification. It was very, very sound that she has that ability to manage. At that level, you need ability to manage men and women, resources to achieve a give-ungo. You need to have the technical, you know, nitty-gritty detail to do that work. So I think she's qualified and able to do that job. That's what I think, and we must give her the opportunity to play. And she represents the important constituency, the women constituency. We must give more women opportunities to head boards because of the fact that they have more capacity to manage things. I think so. And I believe the president has done well in her choice. Okay. Apart from Loretta and all that around her, what are some of the things that the people of Niger Delta complain about that you think the NDDC should address because they could have addressed them and didn't? Whatever reason there was, but what are some of these concerns of the Niger Delta that you think the NDDC should be looking to address going forward? The NDDC is supposed to play a complementary role. You know, complementary role towards state governments, local government are doing. And other organizations like the SuperDec, for example. And this is complementary. It's actually a federal government interventional agency to help the Niger Delta where there are gaps, major projects that the governors or projects that connect states, the Niger Delta states together. Major roads, major projects that benefit across states. That's what I believe the Niger Delta was set up for. But over the years, it has lost its mandate and they've been doing very little, little things that local governments should be doing. And that has strained the organization and led to so much corruption. Many abandoned projects. So the Niger Delta people are complaining of lack of impact in the big things that the Niger Delta Commission should be doing. They are doing small things. You see them doing cassava in some rural areas, mini roads in towns and villages. There are major projects that need to be done. The East West Road also need their attention, the support, the complementary support of the NDDC. The NDDC, you know, for many, could not even complete their headquarters until recently. You can see that a lot of the resources of the people of the Niger Delta have been filled. That's what the President said. So much has gone in this agency. But not much can be seen as evidence. So the people of Niger Delta have a common crime of not feeling the impact of the NDDC in relation to the mandate that is supposed to be executed. And so that is not about the lack of expertise but it is not a lack of people. But the fact that the NDDC is just a waste is a source of filtering away the resources meant for the development of Niger Delta. Look at the many years. The Niger Delta still remain one of the most backward and underdeveloped regions in Nigeria. I tell you this because if you compare the what's on the ground, you know, so was I caught? You will agree. The Niger Delta, you know, has not done well. Did you lose me? I got a call on this phone. Okay. So Niger Delta expects a lot of things to be done. And sometimes when you say things are not being done and you mentioned some of these things, it seems like an indictment on the governors in the Niger Delta. We need to just know briefly why at all there was this need to set up the Niger Delta so that Niger Delta Commission, because some people will need this to understand why we're even talking about the NDDC in the first place because we don't have the Development Commission in other regions of the country. There was a need for this so it will help us to understand why what is happening is happening and why the people even have a right to complain about some things that naturally it's supposed to be either the federal government or the state governments that should be doing. Just briefly. Yeah. There is a Development Commission recently set up on the Northeast, which is a new one. It was set up in response to the fact that the Boko Haram menace and the insurgents that have managed a lot of these places. The region where most of the resources of this country come from, the oil resources. And so that region needs special attention. This is the reason why the government established it. And the governors of the state, typical of the way they govern their individual states, have looked on, you know, and also benefited from what has happened in the Niger Delta Commission. Every one of them have their own quota. They have people descending there to get contracts. Contracts that were never executed or at best were executed shorty projects not that will not endure. And the money is of the NDDC that is scattered and used to settle political friends even across the Niger Delta, including the North. A lot of Northerners are also part of the Niger Delta Pivrich because the people there have lost every sense of responsibility to their people. They do not love their people, many of the Niger Delta politicians. A lot of them are very backward in thinking, in orientation. They went to school, but they do not understand the meaning of development. They do not know that if they fail to develop the Niger Delta, it's to their own disgrace, detriment, and failure, you know, because your region must reflect the wealth that there is. And if Niger Delta is still what it is today, every politician that has passed through the Niger Delta in the past, and those two seeking office to cover their faces in shame and do everything to cover up for the loss, for the gap, because the governors, those in the past, current governors, recently you heard of Wickey's revelation when Wickey said certain amounts of money have been paid to all the NDDC, Niger Delta governors. Can you believe it that Delta is the way I come from? The governor did not announce to the state that such monies have arrived. The governor did not tell the people that, oh, the money, we have got it. This is where we are putting the money. We are going to do this project with the money. He didn't tell the people about the money until Wickey revealed it. Wickey said, all of these great projects that I'm doing, do you think I got the money from FAC? No! I got the money from a large, from backlog of money that's supposed to have been paid to all of us under the PDP that was not paid. The APC Wickey, supposedly Wickey-Bowari has paid from there, I got all these. But Delta did not hear of it. Many of the states, they didn't tell their people. It was, now they started explaining. This is a very simple example of the decrypt of account. I'm looking for the right word to describe the uncivilized governor that the Niger Delta people are experiencing from there today. And it has to stop. They have so underdeveloped the people. Media, for example, media is not popular in a state like Delta. Delta's do not have a television channel that they all watch so that they can even interrogate their government. There is no mechanism with which you can hold your governor accountable. They made it short. They made it short. There is no media. The media landscape is fragmented. You can at best, the radio in Wawari won't get to, from Wawari won't get to Wawari. The radio frequency in Wawari won't get to Wawari. So there is no consistency of action. There's no way you can make a broadcast and the entire state will hear of it. That's one way they have consistently made the people voiceless. That's why a lot of us don't know what's going on in many of the states, especially in the Niger Delta area. A very dark region of very corrupt and poorly oriented individuals who do not understand development. They don't love the people. They oppress the people with the little knowledge they have. And they think that that way is the best way to go. It takes a few elites to develop a society. So Loretta is going there. She's made a lot of noise. She's promoted the president. She's an advocate of anti-corruption. Let's see what she's going to do with the enemies. Okay. With all the things you're talking about in the Niger Delta, it's good that you said that you're from the Delta state yourself. I would have said, but it's good you're talking about your people and with that kind of passion. But finally, before we take a break and go to other matters, I'd just like to know. Some people also have said, why wait for conflicts before you establish things that are supposed to develop the country and any section of the country? For instance, the Niger Delta Development Commission was established because there were oil spills. There were agitations within the Niger Delta and so many other things that if they hadn't established that board for intervention, like you said, maybe it would have deteriorated into something else. And then now, in the Northeast, there is a board established because there is Boko Haram that has lasted for over 10 years in that place. And people are saying, why not just establish these things if you know that they are going to lead to development so that the Northwest will have its own, the Southeast will have its own, the Southwest will have its own and every zone in the country will have its own. Are you also a proponent of that? Well, we must agree with me that naturally you have three tiers of government and they should be adequate in dispensing service and development in their various areas. But all these kind of agencies were set up as a response to a special need or in the course of doing business or exploring the exploration of the oil. They now discovered that the government are not able to manage the degradation and the federal government in his mind thought that, okay, especially agencies through which funds are channeled could respond to this special need. That is the thought, that's the imagination. And it was set up for that purpose. Remember, derivation was not always there too. So they also came up as a result of, you know, when life is a progressive situation as you move along, you discover, okay, can we respond to this need? So these are responses to developing channeling agencies as they lie and as business determination rolls forward. We can create a commission for every region when there is really no special need. You can create any special commission for the Southwest when there is no special reason for it. The actions of the governors and the local government systems should be enough to go about the day-to-day dispensing of services and development of these areas. So that's a special place. And if you understand it well, there must be what you call the federal government capacity to respond to cross-border development on the cross-border. They can bridge between Delta, Biosa or a certain developmental requirement of, you know, so this is why I think we can't just set up commissions everywhere. For example, you know, no one envisages insurgency to the extent that we suffer. So now there will be need for that agency to help fast-track development across that region for the kind of destructions that have taken place over the years. It's like after post-war development needs. So for me, I believe that it is not so much about where that there is. It's so much about the people and their quest for the development. A lot of us that we are in competition with the world, many of our people, many of our politicians, they fail to understand the competition with the rest of the world. If you do not develop your country, the world will take advantage of you.  Your people will seek a better place. Every human being is a progressive animal. He will look for where else is better. And if your neighbor is making his whole compound better, your compound remains undeveloped. Your children will naturally stray there to play because he's better there, safer there. So Nigerians should not be crying. Nigerians are moving out of this country in droves. They are moving out today because 10 years ago we didn't do what we should do. 20 years ago we did not do what we should do. If we did what we should do 20 years ago, we won't have graduated, we won't have jobs. We have not done. If we develop our electricity many years ago, we have companies coming here to invest and build companies. Most of the industrial parks will not turn to churches and mosques as we see them today. All of the buildings have been converted to churches. Let's drop it here. Many of the iconic places are now springing up as worship centers. Let's drop it here for now. Just a moment. We need to just take a break and return because we have two other very vital things that we need to discuss. Now we've talked about NDDC and mostly about how it has been administered as it is over the years and it has to also do with the governors who are in those states because if they are open doing and looking into the affairs of the NDDC as well because it concerns them, the things we heard about NDDC we may not have heard about them but we'll take a short break and when we return we'll continue with other issues like the utterances of Governor Nyexom Wike and also what is happening in Delta State between Umoa Gege and Okowa who is the Vice Presidential Candidate of the PDP. We have Mr. Akatuba, Theophilus Akatuba, a media consultant and a public affairs analyst talking with us about the politics in Niger Delta we started with something that is more federal than local that is the NDDC. Now let's go to what really is happening in specific states of the Niger Delta. We're going to be talking about two states in particular and the first and short one is what the governor Nyexom Wike said recently he said that in January of 2023 he is going to announce who his preferred candidate for the presidency is. Mr. Akatuba, you are still there and let's just take an assessment of what Governor Nyexom Wike said he is PDP we shouldn't be asking him who is going to support but he is saying that he is going to announce who is going to support which may not be a PDP presidential candidate what's your take on that announcement? Well Wike has been very active in his politics in the twilight of his regime he has been very forceful you know when a man has never lost election and Wike lost the first election he has not been able to acclimatize with Nuzi so this is first one of the things Wike is suffering from within this political party they skinned him out so he couldn't believe it and he also thought that the governor of the Niger Delta some of them betrayed him and betrayed the common understanding that the presidency should come to this out especially the governor of my state Okowa who was the host of one of those meetings where this resolution was reached among them who understanding this accepted the position of vice president to give credibility to the ticket the offending ticket which is Atiku and Wike since that time has been relentless in consolidating within the river state and therefore damaging the chances of the PDP in the Niger Delta because with that revelation that he made what he sought to do was to damage the influence, the credibility of the governors, the PDP governors which are more in the Niger Delta so this latest announcement is only to let you know that is coming to let us know that it was not going to work for Atiku because if Wike goes for Atiku it damages his own credibility because he has said too much against another president taking over another president from President Buhari so his argument is surely going to tell us someone else and that person I do not know but I believe it will not be Atiku because if it goes for Atiku it means whatever he has been fighting for has only been a selfish agenda instead of what he promoted and not what he actually promoted to the people to gain their support and their followers so he has already announced that we wait to see what political card that Wike is playing now because this is called the last card already here it is going to tell us where the presidency is interest is in the presidential election he already told the people that PDP should win reverse that is where the PDP people are telling me that how will the people go to the polling booth and voting all others and therefore be able to identify the presidency and make another choice that they are likely to vote the same party in all the choices they are going to make for House of Red, for Senate and the presidency because all the ballot papers are likely to be given to you at the same time so the PDP are hoping against hope that Wike's gospel or Wike's message will not will not go that far to halt their chances so let's wait for Wike to tell us who he thinks his people vote for, don't forget the state has a PDP structure so a lot of them might not follow him but only he will get to know that when the results are out apart from the fact that this gives other parties some kind of leverage, some kind of advantage because if there is infighting in a party that is at the hem of affairs, other people will stand to gain is this good for our democracy because it might encourage other people in other parties to start doing the same things when they are hurt in fact we saw that in 2015 or 2014 so is it good for the democracy or is there too many strong men and when you have too many strong men in political parties like we have it's not good for you Wike Mr. Akatuba we could hear you but I don't know what is happening on your end as soon as you are able to reconnect we are going to bring you back on gentlemen and ladies we have been talking about the Niger Delta and its politics is majorly between APC and PDP the Niger Delta is made up of states that are majorly PDP and until recently Cross River State was a PDP state now the governor of Cross River State moved over to the APC and made the state automatically an APC state but predominantly is PDP but now we also have a sitting deputy senate president in the person of Omoa Gige who is also standing for an election in Delta State but right now we are just talking about what Wike said and the question to Mr. Akatuba who Lent has just rejoined us is that is this a good thing for democracy or is it a bad thing we have seen it in 2014 now we are seeing it again briefly Mr. Akatuba yes I said it is neither good nor bad it is politics part of the interest in politics you contest for power and you use all the capacity and all the resources available and the advantages that you have to win power and so Wike who had thought that the entire scenario favored him and he has not been able to understand or learn how to adapt to losses because it is not very good he has not lost election in the past so being the first time we must understand why he is fighting the way he is fighting but whether it is good for democracy or bad for democracy what I can assure you it brings excitement to the politics it brings excitement to the game and that is what makes people get excited to follow it because if it is a docile campaign if it is something without intrigues I can assure you many of the citizens is just like a boxing match the boxers will have to excite the followers by saying that they will beat they will be the one that the game will not be more than one minute the one that even talks the most becomes a loser at the end of the fight so you must excite your followers so Wike is doing well fighting and creating the kind of excitement just like you asked some people will go into the polly boots to distance themselves from the PDP some people will do that they will choose among the other parties for the sanity of their own mind because to them what manner of party is this that cannot put his house in order a lot of people will lose a chunk of votes in that area because of that concentration there will be some minus like I said, I like the part of the excitement it's really good and it beats me how way politicians get the kind of confidence that they exhibit some of them let me not even go into that but we have another interesting thing happening in Delta State the excitement you mentioned I think that drama will be in Delta State Delta State is a PDP state and it has the deputy senate president there and it also has the deputy let me use deputy now because we are using deputies presidential candidate for the PDP there the two biggest parties at the moment in Nigeria how are the chances of APC taking over Delta State in 2023 knowing how powerful these two men who are contesting on different platforms and different capacities how is it possible or what are the chances of especially APC taking over the reins in Delta State in 2023 thank you very much the PDP has governed that state for 24 years obviously and have repeatedly been have repeatedly been pronounced as winners of election the generality of deltas are fed up with the PDP if it were to be in the past where the electoral regulatory framework you know gives room for my practices and manipulation the PDP would have won the election right now would have told you that it's still the PDP but with the new electoral regulatory framework and the fact that the actual vote of the people who can't and who showed up for the election and got accredited is within that ambit that this election will be decided it will be a major wonder if the PDP wins the election the reason is that the PDP has failed the people in a very wicked way you know you can fail with a godly mind you can fail with by genuinely failing after you made the effort and it did not work failed the people failed the people by making them malnourishing them with enlightenment they are enlightenmently malnourished by the PDP many years of backward governance backward means a deliberate we are talking now many state governors are ending their regime with inauguration of projects that they have been investing on but my state where I come from there's nothing to inaugurate the presidential candidate of the vice presidential candidate of the PDP is a liability to the PDP because deltas are so unhappy with him that they will ensure he does not get there because one he is regarded as a betrayer of the common interest of the south of Nigeria to have teamed up with an offending ticket of article who want to take over for another full army who want to take over from another now if the PDP is disliked will they vote for Omar Gege because they disliked they disliked the PDP that is automatic because among all the candidates, Omar Gege is the most visible, the most qualified and experienced politician in the mist the candidate of the PDP a liability is inexperienced another local champion who is unexposed in fact his background is so poor that within the PDP they have got to call to say that he's not qualified they have pick holes in his credentials and in fact when he speaks to you you will see that even if it should have been better I don't criticize people for lack of speaking good English because that's not our mother tongue even if he speaks in our mother tongue it does not exhibit any wisdom knowledge that's how bad a state is someone of such low IQ low IQ quotient became the speaker of the state you can imagine the quality of laws that were made in the House of Assembly to the extent that monies were brought in from the federal government and this same man who is now going to be governor connive with the governor to use the money to fund a ticket campaign so for that there's a liability on the PDP Omar Gage is going to benefit from that because of a lot of things that are visible that he has influenced the NDDC instead of using the money the contract for his own benefit every community within the central has a proof of NDDC I would have taken photographs and shared with you of what I saw in my state 10 days ago while I was in the state NDDC projects in that town influenced by Omar Gage so that is that for the presidency the Niger Delta people have been so deceived by PDP's propaganda to driving so much hatred for President Buhari by extension to the APC so the APC is actually hated by the people and for which reason they will tell you full anization islamization these are the agenda this is just the PDP's way of to hold it in bondage the people of the Niger Delta they demonize the North they tell the North that all the oil block are owned by the Northerners all the oil block have oppressed you they deceive them with these repetitions and so they hold APC in odious in negative light now this is what Omar Gage will struggle with which we have already started overcoming because of these revelations and when you come out of that the presidency has made some inroad again because of his strides there and so it seems to be everywhere you go in terms of the governorship but we come out to re-voting time within the next one month a lot of the dynamics we change and I see APC doing well even the presidency because what I see there right now is that the people are just misinformed and since we don't have enough media to recalibrate their mind it becomes a door-to-door campaign speaking to groups and people so that the world of mountain information will go wide in the Delta whenever we hear that someone has experience in politics in Nigeria it means by extension that that person has once upon a time been a member of the ruling class which is PDP the ruling party that was there for the 24 years that you're talking about which means Omar Gage has a PDP foundation if I'm not mistaken so how exactly is he going to be fresh air to the people of Delta state Omar Gage is not fresh he was in the PDP so he understood the PDP he understood the modus operandi of the PDP to under develop the state so he has been finding ways to obtain that party he has contested them in several contests and in each time the PDP will return maximum vote for themselves if you don't know it in the past PDP will pay their own agent and pay the agent of the other parties and make sure that they all collaborate with them to ensure that the maximum number of registered voters in an area is declared for them and the most minimum is given to the nearest party that has been the election elections have been written in majority of the places in Delta and when you go to court they have the resources to ensure that the judiciary is bought so Omar Gage is actually relying on the new electoral regulatory framework because with that the actual votes will count and the real choice of the Delta will for the first time be very will be clear they will know that PDP has long lost his position as the state party as the party loved by the people they will know in this election so I have confidence and I have learned my spot check I have gone round from all the lot of the places to do spot analysis of people's opinion I know that the PDP for any reason must be changed first for underdeveloping the state two, for stealing their monies and with the latest regulation as the closest evidence and finally there is need for a change so that a fresh group of governance fresh level of governance a civilized governance will be in the state for the first time in their history I was just wondering what he was going to be telling them because they might ask him the question when they were rigging, when PDP was rigging results were being written you were there maybe you were taking decisions as well and now you say you are a changed man or what because if the PDP destroyed Delta State it means that Amua Gege at that time was also a part of this destruction and I do not know the gospel he will be preaching right now that's why I was asking you that question maybe there are things that you want to point to specifically Amua Gege is a politician if you can't come it's like Nigeria, is there any politician in this country, just a few who did not start politics with PDP as one of the major political parties in the Delta today you can't be anything if you do not have anything to do with government if you do not carry a card of the party they force you, they tell you it's one of the things you must do and so Amua Gege over the years have been trying to win himself away and you can see and Delta for the first time especially of the robo extract got the highest political office in the land moving away from the PDP, the PDP could not deliver us to the center at that kind of level of participation in national politics they have continually done things in a way that they think that place they occupy is the beginning and the end of life and therefore all the people have to be kept so low so that all most intellectuals of the state are not in this state because they simply cannot find where to interact with governance so Amua Gege came out of it and since that time look at what he has done with his office as deputy senior president whatever he has done within his capacity is highly commendable especially Delta Central and even those out of the Delta Central what were the other his first project and spend his resources to assure the other one was in the community they told me some transformers they are stable electricity because of Amua Gege give transformers supply them a lot of transformers that the electricity distribution companies could not meet so there is so much I understand what you mean even in any revolution it is only those within the system that become the revolutionary leaders so it's not a matter to say because he was there he simply cannot see the light and say that no we must not go in this direction it's among the cities of a state that maybe in Nigeria it's still from Nigerians that revolution will come from the change we are looking for within us we will get them from aliens okay let me turn you to a teacher now as we wrap up the name that we've been calling I've heard it behind the scenes but let it be some form of education what's the real pronunciation of this man that we're talking about is it Amua Gege? OV the word OV is king no no I'm not even concerned about the OV I'm concerned about whether it is Amua Gege like a Gege boy or it's pronounced Amua Gege it's Amua Gege same like that because I've heard people say Amua Gege and all that it's alright now we have learned that we've always been right because some people said that that was not the correct pronunciation so today I had a Delta man so why not just ask him on live television so that people get to know it always seems to be such a Delta name that Amua Gege is not a Delta name it's certainly a derivation of important name interesting okay that's some learning we've done now anyway thank you so much Mr. Akatuba for coming on the show it's been very enlightening talking with you today thank you for being a part of it thank you for the opportunity Merry Christmas to you okay we've been talking with Mr. Theofilos Akatuba he's a media consultant and a public affairs commentator we've been talking about the politics in the Niger Delta region and since you need to go for shopping today I know that we have to end early it's been lovely being with you all this while this is not the last time we're coming on the run-up next week we will return again now it's time to say goodbye on the show and then take the news and every other thing we'll follow my name is Nyam Gul Ak Gege Merry Christmas to you