Good morning, everybody, and welcome again to the RStudio, the R Medicine Conference. And right now we are going to have a panel discussion talking about how to build up in our community. It sounds like they've done a lot of things with different websites and Twitter and what's Apollo. Eager to hear what it is they have to say. That's great. Thank you for that, Beth. So hello, everyone, and welcome to this panel discussion, which is led by a few different members of the NHSR community. I'm just going to share my screen, just because we've got a bit of a, oh, apparently I need to remove the source to be able to share my screen because there's a number of people on here. So all that's been done, I'll just do a bit of talking. So just to give a bit of a brief introduction to what the NHSR community is and what we do. So it was founded by Professor Mohamed Mohamed in 2018, so he's still a very active member of the community. He's not here today, but he's still very much the founder and very involved. So it was set up initially to be able to promote the learning application and exploitation of R in the NHS. And this is done through loads of different methods and webinars, conferences, and we've got Twitter, Slack, lots of different ways. And it's meant to provide a platform as well for discussing and sharing knowledge and ultimately to try and find some kind of best practice solutions to tackle some of the NHSR's problems. Oh, I can share my screen now. So I will just share this for you briefly. So this just gives a bit of an introduction to some of our resources. So we've got a website there, which you can definitely go to. We've got a Twitter account there, and we've got Slack as well, if you'd like to have a look, find out for some more information, get involved. We'd absolutely love that. And on the right hand side, that just shows you a couple of people, well the people actually on this panel discussion today, Tom can't actually make it today, but he's very involved in the community and he's been involved in sort of organising this panel discussion as well. So he's there. So please do tweet us. I haven't, well, I say that, but I haven't really got Twitter. I don't use it that much, but do tweet the other people on the panel. They're very happy to kind of have a chat about anything R related. So I'll just stop sharing that now. I'll flash it up at the end for you as well. So just to begin then, I'll start with a panel discussion. I just wanted to ask you, Chris, what was life like as an R user in health and social care, would you say, before NHSR, and what problems do you think NHSR has been able to solve? Yeah. So before I answer that question, I'll just say something very quickly about the NHS just for obviously being an international conference. So lots of people have already heard of the NHS. So the NHS, the county is still here by the way, here she is. So the NHS is very large. It's the fifth largest employer in the world, but it's made of hundreds of organisations and I work for one tiny bit of it basically and all of us do. So we're fragmented between the individual organisations and within each organisation we're fragmented as well. So for example, in my organisation there are three different teams that look at data. So NHS analysts, we do do lots of really interesting stuff like risk stratification and statistics and machine learning. We do do all that stuff, but we also as I'm sure they do a lot of health contexts. We do a lot of reporting to central government and other agencies and it can take a lot of time and often a lot of that reporting is pretty meaningless. So in the early days, so I've been using R in the NHS for about 10 years now and in the very early days a lot of organisations were very reluctant to use R, not because of R particularly, but just because it's open source and there were lots of unfounded fears about security and bugs and that kind of thing. And those and again, I think that's common to a lot of organisations and that's actually still going on even today, which is absurdly in this day and age when Google have an R style guide. There are still organisations in the NHS and elsewhere that are reluctant to use it. The whole culture, the whole culture around I was a lot scary and a lot smaller. So I remember when I started learning, a lot of people would go to the R mailing list, which the old hands will remember the R mailing list, it's notorious to this day for being quite a punishing environment for learners. If you ask the wrong question, certain individuals on the list would sort of let you know that you'd ask the wrong question. So that was quite difficult. So learning, I'd say overall in the NHS and elsewhere really was quite difficult and lonely. And it wasn't clear for me anyway, and I think to others in the same boat that the NHS would ever accept it. So it was never clear that it was a skill that was really going to be valued and used. So the NHSR I think has given us three things that are really important and have really made all the difference to me and to the use of R in generally. And they are community visibility and resources. So NHSR gave us a community. I think NHSR is it's a fairly small community and it's a fairly novice community as well. And I actually think that's something to celebrate really. So it's a very friendly environment. We pride ourselves on that.  And I think some people who are maybe intimidated by Stack Overflow or some other Slack's feel completely okay asking questions. And we do have some people in the Slack who can certainly answer the more difficult questions. So that's really great. It's given us visibility as well. So NHSR is not just something that was sort of cobbled together by a load of data scientists in Hoodies. It's a proper project. It's been funded by the Health Foundation.  And I think having that external feedback and that external validation, I think, can really help. Because, you know, the people we're dealing with, we're dealing with IT departments, we're dealing with middle managers. They don't know what R is. They don't care. They just don't want to lose their job, you know. So having that argument is really useful. And the third thing that it's given us, which is more sort of prosaic perhaps, is just funding is just there are loads of analysts out. There are thousands of analysts in the NHS. And many of them, if not all of them, could benefit from R. And it's really hard for them to have the time and the space to learn this stuff, to have a conference, to have webinars, to have training days.  It's not a big flash thing. And our conference is certainly not big and flash. But it's just about giving enough people enough time just to, you know, have a bit of space to kind of grow and develop. Thanks for that, Chris. That's great. And it really just seemed like the communities helped remove some of that fear and just help people sort of embrace a new way of kind of working and looking at data. Thank you for that. So, Zoe, I was just going to ask you, would you be able to explain a little bit about the foundational principles of NHSR and what makes NHSR so special? Well, the foundation principles, as I understand them to be and how I've benefited from it was from the promotion of R within the NHS, but with a bit of a plus to it as well. So it's not just the NHS. It's also the social care colleagues we have, academic colleagues. So it's actually broader in the scope of who it deals with and also what you can learn through it. But I think what was really key for me was the technical training. I'm an analyst in the NHS. So my main skill set was SQL with some advanced Excel. But having learned R, because it looked really interesting to learn, I found that it was much better for analysis than what I was trying to make SQL do. As time has gone on, I've been sort of learning R along with the support with NHSR community over the two years since it's started. I've found that it was a community really that mattered to me the most. It's a very flat hierarchy that there's a core group of people who work with us and support us. But we're encouraged to have a voice at whatever level of R or even within our organisations. It's a great way of meeting people outside of your organisation. And it sort of fills a gap within our healthcare analysis areas like you have for our ladies and minorities in R. We have that kind of tendency too, but it's also just because we have such a small, quiet voice within the world of analysis. And I think for me, although R is technically really, really interesting and so cool to learn, it's also the grouping that the people that you have around who help and teach you what they know. No, thanks for those insights, Zoe. And like you say, I think that strong sense of community has been a really key driver and kind of allow the NHSR community to achieve what it has done so far. And that's a really good point. So that leaves me quite nicely on to the next question, which is for NHSAsia. So I was just going to ask to NHSAsia about what the key projects and successes have been for NHSR so far and what else is planned for the community? Oh, it's a great question. And it always makes me very proud, I guess, of our community and of all analysts in the community. So we are two years old and so far we had quite a lot of events happening, all of our events are free. And again, thank you to our founder, the Health Foundation. So far we have run 11 two-day training sessions. Topics were absolutely varied from very broad sessions, such as forecasting in R to very medicine-specific, such as analyzing hospital mortality data. We also had run seven webinars. I think at least you imagine them as well. In January, we couldn't expect that the whole world would love your show, but here we are. So it was very well received by our community as well. We also had two conferences. Our last conference was booked in two or three hours. So we had to extend it and our last year conference actually ended up being over two days and we had about 300 participants. So we run workshops. Again, there are 30 workshops on very different topics such as functional programming or presentation. We also had almost 30 talks and about 10 keynote sessions, including sessions from our studio representative. So you can see we did a lot. And at some point we realized we can do that much with our small kind of core team. And that's why we came up with the idea of creating trained trainer course. So we trained other people to deliver training in introduction to R to their local groups. Again, it was before coronavirus and before we actually think that all training could go virtual. So we trained the staff people and I think about half of them already are running training in their area, either virtually or face to face. And we're planning to do the same thing with SHINee in due course. I'm also quite, I want to say that we are very successful in our communications, I mentioned this before. We have Slack and Slack is very active and we have people come and asking questions. We have our Twitter, it's about 2000 followers. It's not possibly too significant number for big organizations, but for us, it's very, very great achievement. We also have been working with RStudio a lot, which I think can be considered a success for us as a small nonprofit organization. So we're working together to build and just our Academy offer. And we're also working together on RStudio Cloud and we use RStudio Cloud a lot in our training sessions. And also there are all these small things which were difficult to count with which I'm the most opposed to ones. So we are helping people a lot. And a few weeks ago, for example, we've had very nice message from one of clinicians in the one of the NHS hospitals who said how helpful are coming towards and how thankful he is that there is a Slack where he's going to answer it. So he managed to create quite interesting report about coronavirus cases in his local hospital and presented in R, rather than do it by Excel. So it's reproducible and much, much easier, I guess, for him to do. And speaking of which successes, we still have virtual conference planning for this November. Now the bars were high with our medicine conference. So we'll have to do a lot of, I guess, trying to catch up with the amazing conference which is running right now. We're also planning to do hackathon sessions. We are hoping to create better collaboration between local areas groups and our ladies. We're also working on increasing NHS solutions. So it's certain packages which would support clinicians and analysts in the NHS, such as funnel package or package for analyzing text data. So yeah, a lot of work to do. And this, I guess, main points for me. Thank you for your question, Alisa. Thanks for that, Anastasia. Like I say, it's quite amazing to look back and think how much we've actually done and achieved in sort of the time that NHSR has been running. It's amazing. And there's a lot of exciting things to come, which is always something to look forward to. But as we know, these sort of things and managing a community, it could be difficult. So my next question was going to be for you, Chris. So what challenges do you see NHSR facing? And how do you think the community can help sort of change or correct some of the mistakes that might have been happening in the past? And how can we make sure that we can sort of face new challenges in future? Yes, well, just before I answer that question, I just want to say that this was originally Tom. So it's not that I bullied everyone on the panel to give me extra space, I'm being confident. So just to make that point, yeah. So I think the thing about, the thing about NHSR is obviously I'm very positive about NHSR. I think we're very much at the beginning of our journey as a community, but also I think a lot of us are literally at the beginning of our journey as our developers. And as I mentioned before, I think that could be a strength, but it does lean towards beginners and intermediates. And I think we maybe need to grow a bit more expertise to have people with the depths of knowledge. So we have people who can answer like, de-play our questions. We can have people who can do that kind of stuff. But I think for the real experts in a particular area, I think we're still lacking that. And that's something that we can build up over time. And that's part of our role, I think. I think that's particularly true when you think about, it's sort of as it's mirrored in the NHS. So as I mentioned at the beginning, although the NHSR is very large, it's made of lots of little things. And some of those organisations have only got sort of one or two analysts. So they find it very hard to draw on that expert knowledge. And that's, I think fragmentation between them within organisations is something that I talk about a lot. And we talk about it later in a couple of hours time, actually, interesting enough, if anyone wants to come back. So I think as a consumer, we've got quite a narrow focus. So I've said pretty much from the beginning that we call ourselves NHSR, I think more rightly we should be called Health and Social Care and NHS and R and Python and Julia and other programming languages. But obviously that's a mouthful. We do have some Python programmers in the group and within the Slack. And we try and be very welcoming to Python and have something to talk about. And I myself am learning Python. But I haven't pushed that agenda so much because I think when people are learning, you bring someone into a Slack workspace and they're starting to learn R and then suddenly you're throwing a different programming language at them, I think that's probably counterproductive. So we're on a journey where that would have any Julia users at all in the Slack group. And I'm keeping courage. I want someone to go off and learn it because I don't have to basically, but that's what I think would be really positive if we had some people doing that too. I think something else that we need to do is think about, and this is again, something that's sort of like a general thing in the world of analysts. It's kind of soft skills and influence and that kind of thing. NHSR, as we've mentioned, is a grassroots thing and it has a lot of community and it's a flat hierarchy. And those are all things to celebrate. But I think we also need to get better as individuals and as a group at kind of punching above our weight, it's strategically in regional groups and that kind of thing and having influence at that kind of level. Because I think although what we can achieve a lot with what we're doing, I think you can achieve even more if you can get your voice. And I think we have been doing that. I'm not saying that we haven't, but I think that's somewhere where we can grow. We have NHS branded projects underway. And again, some of those are quite in the early stages. I myself, I'm working on something and it's in the early stages, partly to be honest, because I've just been too busy doing things. And I think that's part of the other problem as well is that NHSR, it's not a legal entity. It's not an organisation. No one works for NHSR. It's just the group of people who've come together with similar interests. And so it's very hard for us to kind of get things off the ground. So although we have money and we have allocated funding to projects, the people doing those projects, like for example, me and others, have got other full-time jobs to do. So fitting it all around can be challenging. And that's a real shame, but that's the nature of the beast. That's what we're working with. The other thing on the subject of funding is that it's possible, I don't know, the funding is only for a certain amount of time. It's possible we might one day need to adapt to being an organisation with no funding and being effective at that in that way. And I think we could do that. And I think that's something, again, something to celebrate. Because as Zoe was saying, it's about the philosophy and the community. And it's about that. But I think having a bit of money to pay for sandwiches and pay for conference or other stuff is also really important. So that's something that we may have to face in the future. I was gonna say more, but yeah, I think that's probably, we'll probably run into time, aren't we? So I'll hand over now. Thanks for that, Chris.  But I think we've got some really talented people and passionate people in the community and a really driven, passionate founder in Mohammed. So, you know, there's ways it means, isn't it? There's always things you can do better, but I think we've achieved quite a lot so far. I don't know if there are any specific questions that people wanted to ask. But if any, oh yeah, I'd like to see Beth put a note in there. That I can see. But in the meantime, I don't know if any of the panel, if there's anything, you know, anyone else has said that you wanted to respond with ask any kind of final thoughts. Anna Sajor, if you've got any kind of final comments. Yeah, I'm just quick look in the chat and thank you Richard for posting a link to the chat conference. Yes, registration is open. If you want to register, you're very welcome. Yeah, we likely will have morning sessions and also afternoon sessions. So hopefully we will be able to accommodate people from all over the world. And yes, thank you everyone for the nice comments as well around community and people who wonder if they need to join somehow. If you don't have any bookings or anything, you just come over to our website for awesome Twitter, join our Slack, ask questions if you want and hopefully we will be helpful for you and we can all work together from different parts of the world. So this is how I want to say thank you. Thank you for that Anna Sajor. Now I could just say Beth's put a question in there if any of the panel would like to answer that. What have been your biggest roadblocks? I could talk from my point of view in using our in the community. I haven't experienced them, but I've seen others. I think as Chris alluded to, we've got day jobs to do and if you're already entrenched in a particular program that works, like SQL, you need support still to be able to take that time. People from NHSR will be there and readily give their time and their support but you still need that time to use the program, make mistakes and when you're under pressure you can't do that. You have to just continue with what you're doing. There's the recognition of it as well as also was alluded to, but you can do great things but if people don't understand what it is that you've done it and can't done it in and can't reproduce it, they want you to then go back to what they recognize. So it comes back to Microsoft products and SQL specifically or something like Excel or Power BI. And I think it's our culture outside of NHSR is it's just growing in momentum at the moment is not the default way of analyzing things. So I think that comes with it and with that is also people's time trying to get people to volunteer their time is always difficult and it's without that support and recognition of actually this is a really great thing to practice your soft skills with, presenting your data, not your data necessarily, so there'll be some sort of information governance around that but your code sharing that, seeing that that's a really worthwhile thing to do. I think that's for me the biggest roadblock although Chris is my boss, so that's not actually there. It's just disappeared. That's a great question, Zoe. Can you give me one more question and finish this answer and then wrap up? Well, yeah. Well, I was just gonna say something just picking up on what Zoe said. Yeah, I think the thing, for me the number one principle of NHSR it's all about sharing. Like that's what it's all about for me. It's 100% about sharing. And that's a value I think we've sort of picked up from the tech community. That was as I learned that I learned more about that value. And it's really, I find it very ironic that I work in a very large public sector health system where we're not encouraged to cooperate across organizations. So we're not necessarily really encouraged to cooperate within the same organization. We're certainly not encouraged to share code. We're allowed to share code if we beg and plead and do all the things that I've been doing to make sure. And to be fair to my organization who may be watching at some point, they're absolutely great but there are lots that aren't that I won't name. And so I think it's that really, it's the permission to, I think it's very obvious that the way we're working is right, we're helping each other. And as I say, I think you could run HSR for free. I think it would be effective. And I think that's amazing really. But we're doing it sort of or in the early days at least we're doing it in the teeth of opposition that's long standing about protecting IP and protecting staff time and protecting organizational resources and all that kind of stuff. And it's been flying and it's giving us permission to fly in the face of that. No, thank you for that, Chris. That's great. I think, yeah, we're pretty much to time. Yeah. So thank you very much everyone. I've seen a couple of people asking about some of the links and we'll post that in the chat at the side for the website, Slack, things like that. So you've got access to that. So please do get involved and join the discussion. And yeah, thank you very much all. Thank you to the panel as well. Thank you very much. Yes, thank you very much. It was really interesting and I've got some good ideas and we've got a scheduled break right now. So the next session will start at 35 at whatever time zone that is.


Hello, I am Dr. Devananda, Head of the Department of Cardiac Surgery at Manipal Hospitals. I have been practicing cardiac surgery for the last 18 years. Now, leaking mitral valve, every leaking mitral valve need not have to have surgery. If the leak is very, very minimal, we would definitely observe them. We may not even give any medication. But yes, we do advise them to take good care of their oral cavity, like dental hygiene, gum hygiene should be very well taken care of, because any infection in the mouth cavity, when we brush, the organisms can very easily enter the bloodstream and thereby they can go and affect a mitral valve, which is mildly dysfunctional because of the turbulence. That's the only care if somebody's mitral leak is very minimal. On the contrary, when one reaches the moderate level of leakage, whether one has symptoms or no, we start putting them on few medications, which will help the heart to perform better the intensity of leakage to remain stable for longer time. They are called as ACE inhibitors. So, these are some medications, tablets, which one need to take. When this leakage progresses over years to very severe levels, we keep doing the echoes periodically. We monitor the size of the left ventricle. Often the interventional therapy like surgeries advised based not just on the symptoms, but also on the size of the ventricle. If the left ventricle or the pumping chamber goes beyond certain size, yes, this is the time for an operation. And that is how we decide when to intervene with mitral valve leakages.


Hello everyone live from my hotel room. I'm going to be Answering this question that many of you may have which is Did the narcissist really move on and I'm sure it's something that a lot of you want to know because maybe the narcissist decided you and it may look like they've moved moved on to someone else and So much happier now without you They don't need you because I know many of you are empaths Good people you want to feel needed you want to help people And they never give you that they never let you feel like you have helped them Or like you are needed Because they already know that you are an empath They may not know that exact term, but they know you're a good person a Kind giving generous person who just wants to feel loved and you want to feel needed and Yeah, they make it look like they're giving that to someone else like they're having a great time without you and You're left alone confused You feel like you're missing out, but I'm here to tell you that it is all an illusion It is a deceptive appearance an impression of Happiness It isn't real It is just as fake as What you had with them, but you may think That they have moved on and they found this new person And there's so much happier now And it hurts you you feel like you're not good enough You look at this new person and you think what have they got that I haven't got what are they doing that? I wasn't doing Because many of you everything they wanted you to be or do You became that you did that when they said jump you said how high it's like it was never enough And now they've moved on the with someone else And it hurts You don't want to accept it I get it, but the good news is that you don't have to accept it because it's all fake It's just as fake as everything they had with you and I can tell you that every relationship they have Will be fake There is actually no such thing as a Relationship with a narcissist. It can only ever be a transaction An exchange of value, but that value goes one way From a person to the narcissist That person doesn't get anything back in return They lose everything that they have to sustain the narcissist They are only there for what they can get from you Which is why they do not connect or attach to you probably Which means that the relationship was never real And the reason why it was never real is because they never cared about you Which is the most important part of any relationship You're meant to connect to the other person You're meant to care about them, but unfortunately you've got involved with someone who Only cares about themselves Someone whose only interest or concern is what they can get from you And that was not a relationship Because your sole purpose was just to make them feel good, but of course they can give you the illusion of a relationship They give you these lies and false promises But always being there for you They might have said that they were gonna do all of these things in the future Future faking and that's just it. It's fake None of it was real It may have seemed real to you Because you wanted it to be real, but they were just saying it To get your money Or to have sex with you They were saying that so that they could get what they wanted But it was just a means to an end Whatever you liked whatever you were interested in they reflected that back to you But it was only so they could get what they needed from you It was all fake They're frauds, con artists Scammers And they're always going to be that way whoever they're involved with Their new relationship is going to be just the same It's still going to be fake. It's still going to be an illusion They don't really love or care about anyone that they are with The only thing that they love The only thing that they care about is what that person could do for them They love how the other person makes them feel They love what the other person is giving to them, but That new person is not getting anything from the narcissist They are not getting the narcissist love and attention Because the narcissist has no love to give If they had any love to give they would have given it to you for real So Even though it may look like they have moved on It's actually just the narcissist who is Consuming from another person They gain what they want by putting on an act By reflecting back to this new person whatever they think they want to see And by doing that they are constantly consuming They're constantly Getting their needs met, but they're not giving them anything There's no mutual exchange of value There is no reciprocation So you should not feel like you're missing out on anything You should not be jealous. There's no reason To be jealous of anything There's no reason to miss them Because you have to remember what you went through with them All of the horrific things they did to you Just remember how when you when you questioned and confronted them on it They turned against you Because that is the person who they really are They are broken people They're damaged They cannot deal with their own issues They cannot deal with their own self-hatred So what do they do? They push you away And they push you away because they are not ready to love And they will never be ready to love You're never going to get any real love from a narcissist And the reason why is because they only want what they can get from you They have no interest in giving anything to you So please don't feel jealous about them moving on It isn't real It is just an illusion It's just these ideas and thoughts that they have implanted In your mind The reality is very different And if you weren't proof of that You've only got to look back at your relationship Even when times were good in the beginning You know I could not have been real Because if it was real Where is that person now? Why aren't they there for you now? Why did they run off to someone else? That's how you know it was all fake It was all a lie Because they never followed up with their promises Nothing they promised you in the future ever came into fruition So it was fake And whatever they have with another person is fake too It's all manipulation So that they can get what they want And they are very good at putting on an act because they have So much experience at doing that They've had so much practice They know how to create an orchestration They know how to plan and coordinate the elements Of a situation To produce their desired effects To get the reaction that they're looking for from you And I get it it hurts It's not nice is it when you go On social media you want to see you want some answers You want to know why they just disappeared And where they've gone what they're doing who they're with You want to know these things because they're not going to tell you Or sometimes they might but it's only to hurt you But you're hoping you're going to see it on their social media And you go in there maybe you see them with their new supply They look like they're happy they've moved on It's all fake and you have to start seeing them as so important Because they made you believe that while you were with them But the reality is they're actually very small and insignificant It's just that while you were with them You were looking at them living their lives and having all their fun They were doing everything that they wanted to do And you felt like you were missing out But that's only because they condensed your world They made your world so small and they did that by isolating you Separating you from other people other sources of influence And you only had contact with people within their world Which was never going to be anything good because it's just their flying monkeys And it made you feel like that's all there is So the next step for you now is to stop looking at their social media Because that is not going to help you That is not going to help you to move forward And I know maybe right now that's not what you really want Maybe you don't want to move forward Maybe you want them to come back But there is no one to come back That person you thought loved and cared about you in the beginning That person does not exist So they can't come back The only thing that can come back is the illusion And that's not going to last for long It's just going to be some fantasy That you have to share with them inside your mind So yes, you have to stop looking at their social media Stop validating the illusion Stop responding to their texts Stop picking up their calls Just cut them off Because they are a grown adult And you are not responsible for them They're not a baby, they're not a child It's not your job to take care of them It's not your job to fake things, to make things right They want to do what they want to do So let them go and do it Forgive yourself Because all right, you made a mistake You gave yourself to someone who did not deserve you Someone who could not reciprocate So learn from that mistake and move forward And when you do that, when you finally go into contact That's when you will realize just how small and insignificant they really are How unimportant You will see that they just don't even matter In the outside world Outside of the world that they created for you But they had you trapped Because the entire thing is all just an illusion They really is Of course they're going to try and move on with someone else And you should let them do it Because soon you're going to realize that they are just fooling them to Just as they were fooling you And you're going to move on And you're going to find somewhere where you belong You're going to find someone who is on the same wavelength Someone of like kind Because there is a great world outside of the narcissist You have to remember that there are hundreds of countries in this world There are billions of people And there are so many people for you to meet There are so many things for you to accomplish And we only have a short amount of time I mean I look back in my life and I can't believe it, it's only three more months Until I've been doing these videos on YouTube For five years It's incredible how quickly time has gone Do you really want to waste your time chasing someone Who really doesn't care about you or anyone else Is that really something you want to do?  You have to remember that your life is very valuable This is a gift from God or the universe Your body, your mind, your brain These things are very valuable Do not share these things with someone who does not deserve it Because they will only mistreat it They're not going to value it the same way that you do So realize that there is more to this world than just the narcissist Realize that there are so many people for you to meet Because you will meet many amazing people I can promise you that if you would just Leave the narcissist alone, let them do what they want to do Let them move on or at least pretend to move on And you will find people who are of a much higher caliber A much higher class than the narcissist People who have the capacity to value you Because they actually value themselves When you value yourself, you can value another person I believe that we have that in this community that I have created Where we all love and respect each other And you can find that of YouTube and the internet as well Because it is a big world and the narcissist The narcissist is small They are very insignificant in the grand scheme of things So if you have seen their social media And you've seen the new supply and all of this Please don't fall for it Remember what I said, it is an illusion It really is They're not really happy, they haven't really moved on They're never going to move on Not only do they not attach to you properly But they also don't detach So they will still be holding on to you And they may even try to hoover you I've heard stories where narcissists have hoovered years down the line Because they never let you go They don't know how to detach But you need to detach You need to forgive yourself and you need to move on That's what you need to do Because nothing good is going to come out of engaging with these people They have nothing to offer you You have everything to offer them And that is the only reason why they get involved with you Is to take from you Maybe you are craving their attention, their love, their respects Which are all things that they refuse to give to you They don't even have that to give Because they don't love or respect themselves That's why they're so impulsive and reckless But you can give that love and respect to yourself You can do that right now Just say I give myself permission to love myself To respect myself You can give yourself permission to do that, to receive that And that is something you're never going to get from a narcissist They can only give you the illusion of that And it only lasts for a short period of time All right, quite a deep video today Let's end it on a positive note With this incredible view here Of the city Where I'm about to go out now and get something to eat Thank you for joining me I do hope that this video was helpful for you And if it was, please give it a thumbs up down below And I look forward to talking with you in another


Welcome to All Hands Update, I'm petty officer Jonathan Pankaw. The American Red Cross in Yakuza, Japan recently held an emergency preparedness fair to teach the community how to survive natural disasters. Today we had an emergency preparedness fair along with a zombie 5k. The idea was to create a zombie apocalypse because we figured if you can survive a zombie disaster you can survive all the others like hurricanes, tornadoes, fires. We had a little bit of everything here to prepare you for any emergency. Today's event is definitely very invigorating for all the community to be together and running with you together and seeing all the faces painted and everything. So much animation in everyone's excitement and it's a good feeling to see everyone smiling and having fun.


Predicting the structure of protein complexes is extremely difficult. Here, authors apply Alpha Fold 2 with optimized multiple sequence alignments to model complexes of interacting proteins, enabling prediction of both if and how proteins interact with state of art accuracy. This article was authored by Patrick Bryant, Gabrielle Pazzatti and Anna Loftson.


Well, it's my language and also I am glad to speak it anytime and also I speak it lots of times by myself whenever I'm driving around or something just to keep up with the language so I don't forget the language because it's very important to me. We need to preserve our language of the Mitchiff language and also it's our language that we had and we still have today and we want the young people to know and to understand it that we have our language. Mostly when I get together with other Mitchiff speaking people it doesn't take me long to get into a conversation. It don't matter really who as long as as long as I could I could if they're willing to learn I will I will be gladly to speak speak with them in any way I can myself and also Riverna and Harvey and a few others which isn't ran in but as many people as possible that that are Mitchiff people and the ones that have lost their language and just and to preserve the language so it will it'll be there forever so that the young people can preserve it. It don't matter really where it should be as long as there's this Mitchiff speaking in coffee shops or at home or else anywhere else are visiting us. We want them to understand the same way as we do and also to preserve our language and to know that we have a language and which is important to us. That's scary and and also I would not want that to happen. Well there's so many I could tend I could sit here all day and tell you about so many things like even even their wildlife or how we live and how we used to live and how that can be preserved as well as the language. It doesn't take much because lots of lots of young people are willing to speak it and lots of them understand already of the Mitchiff language they understand it but only they can't speak. They know it because when they left home they they spoke it or they heard the parents spoke speak it and then afterwards they want to speak it and they understand because they were raised that way. We know that the Mitchiff language wouldn't be lost it would be preserved and it would last.