See that's where now it flips now. I've got that that's okay. That's okay. All right, so today where are we going? We're going to Florence All right, so you guys get get to go to Florence and so This is the main cathedral the Domo in Florence And the architecture is just really amazing. It's got this ornate details right here And the interesting thing here is the dome on the inside It's double layered meaning there's an inside layer with all the mosaics on it and then there's the outside layer But you get to climb up in between So don't do it if you're claustrophobic But if you're not claustrophobic you get to climb up and then you can climb out on here and get a beautiful view of the city So that's a close-up that's the inside dome and again This is back stairway. You can go all the way up to the top But I thought that the you know, the architecture was just beautiful right there Florence is an amazing city This is the front of the of the Cathedral and also you can go to the top here of This spire and again you get a pretty spectacular view of the city but gorgeous gorgeous cathedral This was you know Florence was the height of Renaissance in Italy. So beautiful beautiful architecture There's a close-up of the detail here Some of the stonework and some of the detail in the stained glass windows here on The cathedral. All right, so today we're talking about Conjunctiva All right, so let's talk about the three different areas of the Conjunctava What are the three different areas we talk about your bull bar don't you brawl or still all right? So we've got the bull bar lining the ball Now people lining these inside surface of the island. It's the inner layer of the island And then lastly the area here in the fornix.  What do goblet cells do? Musin and what is musin? Why is musin important helps? So it's the innermost layer of the tear film Describe what it does wet ability So if you look at the surface of the cornea the surface of the Conjunctiva I really high power with electron microscopy.  They just Have pretty quick Now I also want you to know the goblet cells are more prevalent the further away you get from the limits So if you're near the limb us Where the congex helium is Cornea there's very few goblet cells Same thing on the Get closer to the fornix, but also closer to the coronical Medially and laterally you start to get more and more about what so that's what gobbled so what is the epithelium of the Okay, so the stratoids queen was non-charitonized epithelium. What is this part underneath it called? It's the substantial propria so the substantial propria is kind of a loose Connective tissue underlying the epithelium and then lastly not really part of the coins, but you get a layer right next to the Metnix of the sclera here anteriorly. What do we call that? Tenons is important because when you are removing a teridium, for example The disease in a teridium is not in the epithelium. It's below the epithelium So you don't want to remove a huge chunk of epithelium when you take off the teridium But you do want to remove some of the underlying tenons capsule and get down all right. Let's talk about some entities What is this thing? We're looking at right here. All right, so this is a picture So the term limbo-dermoid really confuses people so because you have dermoid cysts of the orbit Dermoid and so really the proper term. This is a limbo-dermol Chorostoma now what does Chorostoma mean? Oh me it's perforation I believe of Normal tissue in an abnormal location and how is that different from hematoma. It's the opposite perforation of tissue Yeah, so Chorostoma it's still benign tissue. It's not a tumor, but it's in a location It shouldn't be it. And so this is called a limbo-dermol Chorostoma That way you don't get it confused with the you know, dermoid cysts of the orbit or anything like that If this is indeed a patient who has this limbo-dermol Chorostoma, and it's a young, you know Alice and young child what? Entity can this be associated with systemically? What else would you look for if this is indeed a golden horse? It's like a a regular Facial dysplasia syndrome so you can have like malformations of the external auditory this or the ear globe itself and then kind of a facial Malformations as well body of the job Okay So what you need to know for the boards is that this is often associated with golden heart syndrome So they can get these kind of pre-alicula auricular skin tags They can get these funny teeth anomalies. They get some skeletal anomalies All right, so this is actually the pathology on that lesion what are we looking at right here and what's associated with it? All right, do we normally have hair follicles at the limbus? No, so that's the name Chorostoma So you'll have a dense fibers connective tissue, but the weird thing is you can get little hair follicles growing in these What is this stuff here at low power that you can get with these? Exactly, so you can get little Echryngoans growing in here, which normally shouldn't be here And then the other thing you can get that's really interesting is you can get Highland cartilage so these have Interesting proliferation of abnormal tissue. So these are Echryngoans Sitting in the dense connective tissue Highland cartilage Chorostomas. Question. Just I remember like medical school, I remember like teratomas That's different. Is that? Teratomolate is kind of two cellular layers of worth of stuff proliferating Teratomas all three of the embryologic layers proliferating. So teratomas is kind of a Super dermoid And there's a close-up. You see that nice Highland cartilage with the little lacunae that are in there So I just thought it looked cool. It's not normal to have cartilage sitting at the limbus All right, what are we looking at right here? So it seems like a certain photograph of the white, yellowish, black-like lesion that's not growing on to the cornea That's consistent with Probably a pink-like color. All right, so if someone is born and raised in Utah, 100% of them have a pink-white killer Why is that? Yeah, exactly. So it's because the etiology of a pink-white killer Trigium for that matter is UV exposure. So we're at altitude here. We've got very thin air here We've got 300 days of sunshine and so you get a ton of UV exposure and that's the cause you notice It's within the palpebrofisher It's this little triangular shaped area and What is this now? Trigium. So what's the difference between the two of them? I would have asked the limbus. It starts with the cornea. Exactly. So pretty much the same pathology, same etiologic factors, UV exposure And the only difference is a trigium has actually crossed the limbus and grown on to the cornea But still the same findings. And so when we look at the findings, what are the findings? Yeah, so for trigium, you can see much appropriate, you can see Solar elastosis and then you can also see areas of base of billiard degeneration So the solar elastosis, it's a UV induced breakdown of the connective tissue in the substantial property And when you look at it, I think of it as it looks like a frayed rubber bands And so I don't know if you've ever seen a rubber band that was wrapped around something It's been out in the sun for a while and it just frays and curls up. That's what this looks like That's why they call it elastosis. The connective tissue takes on some elastotic properties And we'll have this frayed squiggly elastotic look and then This gray Smudgy look, again as a basophilic degeneration What is this stuff? It could be the calcium like crenicity. Yeah So if you have a long-standing trigium, you can sometimes get calcium in them So when you look at these with the slit lab, you can often see little sparkles kind of underneath them And that's the calcification. So long-term if they're here for a while, these can calcify When it grows over the cornea, does it break through the bowman's? No, usually it stays on top of bowman's And so when you're trying to remove these, be really careful when you're moving the head that you don't dig down into bowman's Try to stay super visual as you can because usually these will grow onto the surface of the bowman's but not penetrate underneath it All right, what are we looking at right here? This is an external photograph of the palpable conch, the right eye It looks a deminus. It almost Looks like cystic and perhaps maybe like it would trans-eliminate if you... All right. So yeah, that's gonna be my next question. So you guys have obviously read it forward. So What you can do, you can take a fan off head and you can just shine it right next to it And if the light goes through and it lights up, then you know that it's cystic as opposed to if it's dull when it goes through, then it would be solid. And so this turned out to be Acistic lesion. What's the most important thing we need to look at on the pathology of a cyst? The epithelial. The lining. All right, so we look at this cyst and sure enough, there's the lining. How would you describe that? So that looks like a stratophyte squamous epithelium with goblet cells. Goblet cells. So what do we call this kind of cyst? So it's just like an epithelial inclusion cyst. Exactly. So you can get epithelial inclusion cysts and the reason that people call them inclusion cysts is for some reason surface epithelium has been implanted underneath the epithelium in the substantial property. So that could be a Previous injury. It could be a previous surgery But something has caused that surface epithelium to go underneath and then it will insist and then it'll slowly grow and Because there are goblet cells normally in the congex epithelium these goblet cells will be in here And they'll actually make mucin. So oftentimes these are mucin film. What do we look at that right here? Here what exactly are we seeing that makes you say that? There are these raised bones. I'm trying to decide if they're follicular or Sounds like So how do you feel the difference between follicles and papillae? Okay Yeah, if you look right here the blood vessels are kind of around the periphery of each of these little bumps They're not in the center. So these bumps would be Follicles, so what's the most common reason for? What are the reasons for them? Okay, so allergy is one of the main reasons. What else can cause follicles to form? Viral infections and so you really want to be concerned when you see these Allergies the first thing you look for but also don't forget that viral infections and no virus Curator-conjunctivitis even herpes virus can sometimes give you follicles. So you look at the follicles What do you see pathologically? So when you look at these exactly it almost has kind of the appearance of a main lymph node and you've got these larger paler paling paler staining lymphocytes in the center and they're surrounded by these Smaller darker staining lymphocytes in the peripheral. We're looking a close-up here. You see kind of the pale Lymphocytes in the center surrounded by the darker smaller lymphocytes around it. And so this is what a follicle looks like pathologically All right, what do we see in here and why is this different? Look at the little dot in the center you can actually see in each of the center of these bumps There are little vessels in the center. So these are Papillae rather than follicles. What can cause papillae? Okay, and even sometimes Allergic can do it too, but but you know, but that's because technically if you think about it contact lens Induce pepular conjunctivitis. It's all it made me do to something in the Solutions rather than the contacts and maybe something absorbed to the contacts So what are the papillae look like pathologically? So There's a fiber possible All right, so here's the epithelium sticking out goblet cells in it still and you see little fiber vascular Tissue coming right up in the middle. So that's forms of papillae And of course the ultimate papillae is this This is what we call Giant papillary conjunctivitis. So we said that this could be due to Contact lens problem. What else can cause this? Anybody Chacoma can vernal vernal So if you have a you know, so you've got an adolescent child and their eyes really get a change in the spring That's the name vernal Conjunctivitis you can even see these giant papillae on the inside of the lid and vernal So key is always make sure to flip that lid when people come in with some, you know, allergic type reactions So for know what that like superior shield also they talk about is that just from like a upper lid? GPC that's coalesce. That's what we think is happening It affects the cornea as it goes over it Are we looking at right here? Why would I be showing you this picture after that one? So this Exactly so there is a subset of vernal conjunctivitis that they call limbo vernal And so you can get again these these kids that have these these adolescents that have these bumps along the limits And the hallmark of the vernal is just intense itchy and these poor guys just gouging their eyes out rubbing them all the time because this is intensely Inducing of the itch and so you can get the giant papillae on the inside of the eyelid But you can get also the bumps the follicles at the limbis I'm sorry the ability at the limbis. And so this is called limbo vernal The same thing is the like horna tetris dots. Yeah What are we looking at right here? Um, let's run to the hormone. All right. I looks like a almost like a pedunculated elevated lesion Maybe translucent to pink looking So this could be a number of things This could be some type of mass lesion All right, so we look at the pathology And we see this at low power. What do we see in here? Yeah, so I got like a pedunculated lesion lined by um non stratified or yes, grandma's done curtainize the epithelium with like Looks like intralesional like radio-spoking vascular channels So I'd be most concerned for like a pageant and granuloma. Okay, pageant and granuloma is one of those Things that it's been in the literature is what we used to describe it. It's it's it's one of two misnomers in ophthalmology. And so Pyogenic granuloma, what does pyogenic mean? Pever so it means that it's infectious. Is this infectious? No, so granuloma Jordan, what's granuloma mean? It's like a collection of Giant cells Exactly you have that in this entity Not that I could see. Yeah, well and not that you not that are any that are in there. So that's why I see it's a double misnomer It's a pyogenic granuloma. It's neither pyogenic nor granuloma It's really a mass of granulation tissue. So think of it as an overabundance of granulation tissue So if you really look at low power all kinds of little blood vessels Little capillaries, of course if they're but you see it's kind of white It's very very loose very white a few little fibroblasts in here a lot of edema in there. So kind of granulation tissue. Yes Good question. What is the second one? End up thomitis is neither end up thomitis You know nor is it is an anaphylactic. So that's the second double misnomer. You have to remember but for conge You remember the pyogenic granuloma neither pyogenic nor granuloma And here's a close-up little budding capillaries Who's connective tissue now a mix of inflammatory cells? You can get some PMNs You can get some lymphocytes You know a lot of capillaries a lot of swelling and so again, this is kind of an exuberant Reaction a granulation tissue reaction So patients will often have something get in there or have some previous surgery It's almost like a a cheloid of the conjunctiva if you will All right, let's see. I guess we're back to Abby. What is this right here? What do we see in here? Injected rays, what would your differential be here? Um All right, so people call this a salmon Patch or salmon look because salmon's Pink red and so these lesions are pink or red. It's elevated. It's smooth. There's no discharge. There's no sign of infection And you do the biopsy. What do we see here? All right, so this is very much concerning of a lymphoma and we do some special stains and we see that they All stain this little brown Amino peroxidase stain outlining the Nuclear there. So this indeed turned out to be a lymphoma Um, what kind of lymphoma are the classic conch lymphomas? B cell. Yeah, so they're usually a small B cell lymphoma. A lot of people will will further call these Eucosal associated lymphoid tumors, malt, MALT. And so these tend to be malt type low-grade mantle zones small cell B cell Lymphomas and so very similar to the B cell lymphomas you give to the orbit. In fact Oftentimes when you look real carefully if you've got the conch lymphomas, you know, there's there's often an orbital component to it So you want to look real carefully when you see that What are we looking at right here? What would your concern be? So when you look, you know, people will say well, how do you tell the difference between say a teridium and something And then you So basically when you look at it when you look at a teridium the disease is under the epithelium. So the epithelium is very thin You can see through it real easily. This one looks gelatinous and you can actually see that the epithelium itself is thickened when you look here So your concern is that this is an epithelial lesion. So what's the first thing you want to do? Actually, you want to take out that cataract first. Look at that Yeah, I just tumor-laden Get that intermessant cataract out of there. Yeah, so you don't want to get a tissue diagnosis if you can And here's another one you can see again, you've got a lot of vascular cheer here, but look it's it's gelatinous Kind of starts at the limbis, which is where often these lesions start We'll go somewhat under the cornea. We'll go somewhere not here. So again a concern that this is an epithelial proliferation epithelial type Now we do the pathology and this is what it looks like. So Ashley, what do we see in here? So we see a stratified spleen. It's not geratinized. Very thick. And then there's also dysplastic cells within that epithelium. The basement The basement membrane appears to be intact. Is that important? Yes So if the cells are still kind of CIN And if it's broken through the basement membrane, it would be considered a squamous cell carcinoma All right, so that's an important differentiating point if the basement membrane is completely intact The lesion is strictly intrepithelial.   I like to put things in its own little individual mailbox, you know, like upstairs where you get your mail I don't like the mail all being chucked into one sack. I like it in little individual boxes And so I remember it more easily if I do this rather than lumping them all together and just say it's surface neoplasm So I still like to split it up In whether or not it's strictly intrepithelial or it's gone beyond the empathelial So we can see here once again basement membrane completely intact, but look at the nucleoli in here Very active And the nucleoli go clear the heck up here. So how do we subdivide CIN? Usually in the thirds If it's one third up from the basement membrane, mild two-thirds moderate And full would be severe. All right. So we do mild moderate severe in terms of the degree of dysplasia of the CIN And here it's more than two-thirds. And so this would be considered severe dysplasia But the key is the epithelial basement membrane is still intact. None of those dysplastic cells have gone beyond the basement membrane And here we see another one basement membrane. But look at that. I mean you can see look at the pleomorphism huge cells here Smaller cells here nucleoli Clumping of chromatin all the way to the surface. So CIN with marked dysplasia What do we see in right here, Jordan? So again external photograph of the right eye And on the boulder conch, there's large thickened epithelium there Potentially Deposits within it So I'd be really worried about like a squamous I I agree with everything you said except calcified. I don't see any white But you definitely see this gelatinous whitish appearance in the epithelium Growing up the limbus onto the cornea on the backside. So your differential again would be CIN versus actually Superficially invasive squamous cell And when you look at the pathology, what do we see here? So now you have Epithelium that looks I mean it's still very like a cathodic and thick Looks like it's actually Violating basement. Yeah, look here's that kind of pink squamous looking epithelium here Underneath the basement membrane And when we look at this at low power You have these nests of these malignant squamous cells beneath the basement membrane So this is now superficially invasive squamous cell carcinoma What is this thing I'm I'm showing you? Tissue with um malignant appearing cells What is this stuff? Very similar to lid malignancies of this kind That's actually a little keratin world And so as these cells become malignant they can start making keratin And so just like a squamous cell carcinoma of the lid you can get these keratin worlds in here Again, look at these cells. This one's got two nuclei in it big nucleus clump chromatin and so this invasive Squamous cell carcinoma can often have these keratin worlds Keratin pearls and here you can see this is actually the underlying Sclera right here and you can see that this invasive Squamous cell carcinoma has gone all the way to the epi sclera and even to the surface sclera And so you can take a you can see that so so pretty much a really invasive Squamous cell carcinoma of the conjunctiva What is this structure lidium? Why would I be showing you this? Why would I show you a nerve? I just showed you squamous cell of the conch Exactly. So when you have these superficially invasive squamous cell carcinomas They can invade back into the orbit then sometimes they actually go into the nerves And so you can get them along the inferior orbital nerve You get them in the nerves and they can gain access Behind behind the orbit They can either be painful initially and then it can really kill off the nerve and then you can have some focal areas of numbness So you want to check for both? So here again Are these tumor cells here along the nerves? You really want to remember That these invasive malignant invasive squamous cell carcinomas can spread by the nerves Is there a particular reason you're characteristically with a squamous cell carcinoma that costs it to have that preference for? I do not know the answer to that question. That's a good question I'm sorry. I don't know what exactly it is about that tumor that doesn't but it's interesting It's that particular tumor. So Don't have the answer for you So now I can do whatever lectures usually do. Well, dr. Look that up and report back to us next week I I'm sorry. I don't know the answer to that question But just remember that when the squamous cells do spread they do spread by nerves All right, look at that right here. So Here's some scrupulomal pigmentation You're going to live this almost 360 And had more importantly Seems like some pigmentation that's deeper potentially into the sclera itself Okay, so why would I be showing you this picture? What is it that's important about this picture? You actually described what's important about this picture In case you know the pigments. Yeah, some of it is deep and some of it is superficial So that's why I wanted to show you so it's not uncommon that you'll have pigment Especially at the limbus and in people who are darker People who are darker pigmented you can often get in fact Limbo pigmentation here. You could even get superficial pigmentation here, but look at that That instead of being brown instead of being tan that looks almost kind of grayish And so that's a sign of a deeper pigmentation. That's why I like this picture It kind of differentiates the two. So what if you have a patient ignore this And they've got this deeper pigmentation here. What does that mean? Yes Exactly. So you can get oculocutaneous melanosis and what's interesting is the pigmentation is deep It's not on the surface of the eye. So you don't get melanoma of the conge in in oculocutaneous melanosis Rarely you can get melanoma of the sclera Very uncommon, but it can occur and so oculocutaneous melanosis. It's a deeper pigment It's a pigment underneath the sclera and that's why it looks gray rather than brown So I just wanted to show you that that's what the oculocutaneous melanosis looks like.  It kind of looks Maybe it's a little bit tan a little bit pigmented. What would you be concerned about here? What if I tell you this this person is 12 I'm more likely anivis. All right, so more likely anivis now. What's interesting is if you take the history From the parents and again, I'll say the mom. I'm being sexist here. Do dads bring kids in? Virtually never. It's always mom, you know For a dad to bring them in this growth has to be coming out of the orbit Mom will usually say, you know what this has been there for a while. It was pink, but now it's changing And so now it's more tan in color Maybe it's even growing a little bit. And so it's not uncommon In these nevi that they'll look pink initially and then as the kids hit adolescence, you know, they'll hit beginning of puberty These will start to pigment more and they may even grow more and then they'll be more concerned about it Now we look at the pathology here. Let's see. Yeah question Is that the same responsive? Exactly. It's a hormonal response and now we're seeing that earlier and earlier and earlier And so you're seeing now kids are starting puberty younger and younger age. It's all nutritional And so as as you know nutrition is getting better and better and better kids are going into into Puberty a lot sooner. My other theory if you're a conspiratist is it's the growth hormones that they give to the cattle You know to make them grow somehow they get in there and make kids grow more to them But I love there's conspiracies all over the place that they use hormones on cattle that that's affected people so But in any event puberty is coming on earlier and earlier and so these lesions are starting to grow earlier And If you look right here, you can you know in a pinguachina turidium You know, it's a sub epithelial lesion and you see a lot of connective tissue. So it's white. It's dense. It's thick These tend to be more translucent And you can actually see through them more almost like you would see in a in a c i n And so this is definitely Um, you can differentiate that that pretty easily from a turidium Now we're looking at this at low power. This is actually that that um, that young ladies. So what do we see in here? If you look right here, what do you think those cysts can be? Exactly so you can get not uncommonly in these nevi that are there long standing maybe even congenital And then they start to grow you'll often get little epithelial lines just within them. So here's how you remember it Which embryologic layer do melanocytes come from crests? So these melanocytes, they migrate up from the neurocrest They go to the junction between the epithelium and the substantial propria. They start to grow And then as they're dropping down into the sub epithelial little substantial propria They grab epithelium and yank them down with them Now don't tell the examiner when you do oral boards that story But that's how you remember them. And so this is how you remember Those melanocytes grab that epithelium and yank it down with them And so basically if you see one of these that are congenital in nature or are very young young in age They will often have epithelial lines cysts between the nest of melanocytes All right. So we're looking right here random. What do we see in right here? um so looks like the Nest are kind of confined to the epithelium. Maybe there's a little bit of a junctional component about not super convinced So I would say this is I mean I come from component. So I say this is a junctional Exactly. So the melanocytes will start to grow at the junction between the epithelium and the propria So you'll see these nest of melanocytes here at the junction. So we call this a junctional Nevis And Jordan, what do we see in here? Is this different? So now you see Nevis cells both above All right. So again, here's those epithelial cysts. You see melanocytes here at the junction and down below in the substantial propria What do we call this lesion? It's a compound. So compound means both junctional and sub epithelial Now it's important because if there's junctional um, you know still activity at the junction, there's still technically A risk for this going on to melanoma. So both the junctional nevis and a compound these could Technically still go on and form melanoma once you lose that connection with the junction. You lose the malignant potential All right. So Abby, what would we call this? Exactly. So this is strictly sub epithelial. There's really no dermis in the conch. So your home nevis is not proper But sub epithelial nevis. So you can get nevis cells under the epithelium once they've lost that junctional connection They've lost their malignant potential All right, Lydia. We're looking at this lesion right here. What do we see in here? All right.  It's not thick and it's this dusting of pigment now I tell you this story every year, but I love this story. So this was a woman in her 40s very very nervous about this lesion And in fact on a scale anxiety of one to ten She was a 12 and I said man, we're going to photograph this We're going to have you come back again in six months if it's growing if it's changed then we'll just go ahead and we'll just remove it And but let us know if it grows. So she said, okay, so I'm sitting home It's like, you know, eight at night And this is when we had pagers and the resident on call pagers me and said, did you see mrs So-and-so today? I said, yeah, I did. Well, she called tonight. It's growing And so she was totally convinced that that was growing and it was a tumor. So we took it off And the good news is I got to see this lesion Pathologically. All right. So what are we seeing right here? What would we call this This is the second three word turn you have to know for Conch path Ham primary acquired melanosis And this is primary acquired melanosis. We further subdivided into With or without a tip you see what would this one without without a tip you so if you look at this These benign melanocytes are right along the basilar layer. They're not extending into the epithelium There's no um dysplastic features to them. So this is Pam without atypia now racial melanosis limbo melanosis Looks exactly the same. So this is Pam primary acquired melanosis without atypia. You see these benign Melanocytes along the basilar layer of the epithelium. So Pam without atypia What are you seeing right here? So we you know, you'd be concerned here because this is not just flat like a little dusting pigment This has got some thickness to it. It's got some irregularity of the borders. It's right here at the limbo So you'd be a little more concerned about this lesion And then we do the biopsy of this lesion. And what do we see here? Let's pretend that this picture is strictly in the epithelium Okay So Exactly. So this is Pam with atypia. So you look at the melanocytes in there. They have atypical features. There's nucleoli in them There's pleomorphism in them. They're spreading throughout the epithelium, but if they're still within the epithelium This becomes Pam with atypia All right. Now we're seeing a lesion here. What's our concern here? Can I ask you a question about the last one? That's okay. So I know pathologically Pam without atypia looks similar to racial melanosis, but Isn't there a, I mean a distinction between like Pam without atypia is typically Caucasians, you know, lateral Versus racial melanosis is typically biopsy Exactly. They're different entities, but they look the same. But they're not, yeah They're not different pathologically All right. So what do we see in here? I mean Sorry, what do we see in here? Yes, so you have um external photograph of the right eye. It looks like you have some pigment lesions You can see on the oval or and help you roll and formacil conge You can see some formacil shortening and starting just in blood frond Which is your concern for like melanoma prior resection probably So this patient's probably had previous surgery You can see these areas likely Pam and some some blepharine starting to form But when you see pigment like that in the fornix and Dr. Patel really stresses this He pounds that into you that that when you see this lesion in the fornix melanoma until proven otherwise So you really want to make sure that that's not melanoma. So Let's say you went ahead and you did the biopsy here And if you look right here, here's that Pam. Here's that Pam. Here's that Pam So now the melanocytes have gone below the basement memory. So this has gone from Pam with atypia to melanoma Yes Well, you can get you can get pigment lesions in the car, but they're very distinct. They're very round. They're nevine But if you've got a diffuse lesion, especially deep, it's almost like the phonics You want to be concerned for melanoma until proven otherwise, but deep So if you look right here, here is primary cord melanosis primary cord Lignant melanoma when you look at it. This could be pretty nasty. Look at that cell That's a nasty looking cell big nucleus clump chromatin big Cellular body these huge cells are so this is malignant melanoma. All right. That's really important because Let's say jordan. You've got a hundred malignant melanomas of the conjunctile. What's the most Common cause of that most common underlying melanoma With Yeah, okay, so remember there's only three percentages you have to learn in medicine 15 45 and 80 So if you think it's rare you say 15 if you think it's in the middle you say 45 if you think it's a lot you say 80 This actually turns out to be 80 And so about 80 percent of malignant melanomas of the conjunctiva arise from pre-existing pam with atypia 10 to 15 percent arise from pre-existing needles And the other five we often we sometimes don't find it But it doesn't mean 80 percent of pam with atypia goes on the melanoma It's 80 percent of melanomas arise from previous pam with atypia And here's one of the special stains you can do to confirm that those are indeed melanocytes And there's some I mean a peroxidase stains that tell you that they are melanocytic In origin if there's a question And this is what can happen if you don't Take care of these. This was a patient at the va And you can see this huge pigmented lesion growing here and this patient did have documented pam with atypia previously and then just You know refused to come back for follow-up. So you see this huge lesion at this point Um, you know this required an exeneration and he had metastatic All right questions on melanomas just like externally on exam. Can you Tell the difference between like pam with versus without atypia? So let's look down right here Here's our pam without atypia. It's a dusty There's no thickening to it. There's no irregularity to it. It's also like somebody took some pigment and just dusted Thelio Whereas if you see a pam right here with atypia, you see the irregularity the thickness the feathering of the borders And so this is really suspicious for pam with atypia Those are the things that you look for We're congenial. I'll hit melanoma once it's biopsy proven Do you still do like the liver and lung workup?  You still want to go ahead and get get some scanning of especially the liver And this is one of the stained glass windows at the Duel of the cathedral in florida All right, any other questions congen general You guys know it all All right, have a good Thanksgiving. We'll see you next Tuesday


At the tone, eight o'clock. Remember a Hallmark card when you carry enough to send the very best. The makers of Hallmark cards bring you an unusual true story. On the Hallmark Hall of Fame. Distinguished host, Mr. Lionel Barrymore. And welcome to the Hallmark Hall of Fame, where we tell you true stories of our real people. Tonight, the story of Robert Baden-Pole. In America, we call it power. But our drama is in England, and Paul it shall be. For those who remember Robert Baden-Pole, he was an Englishman of gallantry and arms. He served his country as few men have served it. He also created an army of such greatness that the world has never seen its equal. An army of peace. And tonight, we'll tell you why and how we did it. We're also pleased to have as our star, Mr. Herbert Marshall. And later in the broadcast, you'll hear from two very distinguished special guests. Now here is Frank Goss. There are Hallmark cards for every day in the year. For every day in the year is made happier by a Hallmark card. Not only the special occasions, anniversaries, birthdays and holidays, but the Mondays, Tuesdays and Wednesdays of every day living are made brighter, richer when you send a Hallmark card. Because a Hallmark card says just what you want to say, the way you want to say it. And on the back is that identifying Hallmark that says, you cared enough to send the very best. Lionel Barrymore appears by arrangement with Metro Golden Mayor, producers of the color picture, Nights of the Round Table in Cinemascope, starring Robert Taylor, Ava Gardner and Mel Ferrer. And now, Mr. Barrymore brings you tonight's true story, starring Mr. Herbert Marshall on the Hallmark Hall of Fame. In 1596, Robert Baden Poe was in Rhodesia, scouting the enemy force of Mattabeles, who was risen up and massacred the settlers. He had one companion, an American, attached to the army whose name was Burnham. They had ridden into the Metopole Hills together to learn where the Mattabeles regiments were posted. Whoa, whoa, hold up, boy. You see something, sir? In those caves. No, no, to your right. About a quarter of a mile. Oh, there? Right. Do you see it? Yes. They're up there all right. Make a note of it on the chart, will you? Yes, sir. Well, how many do you figure? Now, the difficult to say, there could be a hundred. Two. We'll come back tonight for a closer look. Yes, sir. You've been out for 11 hours on a patrol in the heart of enemy country. It's not so much the distance. The tire's wound is the constant tension of being in the alert. Burnham's a good scout. I'm lucky to have him with me. We have no tents, simply sleep in the open and employ what knowledge we have as woodsmen. Using shrubbery and natural camouflage for protection from hostile eyes. Wonderful, clear night, sir. Yes. Are you riding in the diary, viewers? Just a few odds and ends. One of these days, I'm going to put these things together and write a book. You know, after the fighting is done, a man has to consider what lies ahead for him. Do you think much about that, Burnham? No. This is my kind of life. Always will be, I suppose. Not the odd. What, sir? I was just thinking, when I was at school, Trotterhouse, I used to go out in the woods alone. Do almost what we're doing now. I suppose I didn't think of it as scouting then. The enemy was always imaginary. And animals were a little more friendly than some of the things you want to cross out here. That's funny. The game's youngsters play. I know. I never thought I'd be playing the same game again. At my age. Hello? Hmm? Should be the signal. They may have spotted us. We better move on. I think when the time comes, we'll be able to attack them at the most case. They'll take more troops than we've got now, but we'll do it. We've got to do it. That's the job. A book on the Mattabilly campaign. And some rough sketches to go along with it. Then to India. And my great pride in the suit and command of the fifth, the Grubengards. Lieutenant Colonel. I must keep the men well trained and healthy. There's amazing what they can do if they have half a chance. Training. Teach them to take care of themselves under any and all conditions. And the time passes. To South Africa. 1899. War. The Siege of Mefking. October. Until the 17th of May. And the great word reaches London. Mefking's been relieved. Baden Powell's a hero. News. What? What? Who? What? Strike me pink. Teach them blinking boars a thing or two. Won it.  Ever since he returned from the Africa, he's been absolutely lionized. You're wonderful champ. I must introduce you. Come along. Perhaps we can get him to go into the library. You know, the women simply worship him. Which I had half the luck. I always had great hopes for the South Africa's instability. The men were fine types. Well trained. And it's turned out even better than I expected. I think the people here at home are more interested in your war record than they are in your peace activity. I know, Mr. Winters. That's a trouble. As a matter of fact, I'm ever tired of it.  To repeat. Oh, my dear. Oh, it's nonsense all of a sudden and you wouldn't know it. Hero worship. Lord, I was only doing a job. When you think I'd won the war practically single-handed. I'd say from what I've heard, that's about what you did. Why on earth can't they forget about war? Heroes. War's over. The heroes are going to be of our peaceful future. Doesn't anyone want to think about that? That is exciting, oh boy. If our youngsters ever have a chance to learn about living instead of killing, you've no idea what we found out in the campaigns. I mean, everyday things that don't seem to matter. Learning to use what nature has given us. Oh, you sound as though you're our crusade, my dear fellow. I am. And at this moment it's for the good of Baden-Pole. Let him live in peace. I'll make you a committee of one, Orbison. To begin a slanderous campaign against me. Perhaps that'll make him forget Africa and Africa. Done. I'll pass the word. You flug your Batman daily and twice on Friday. Good, eh? That's the beginning. Seriously, that's a book of yours. Now, what's the devil's name of it? Oh, a aid to the scouts. A aid to scouting. That's the one, yes. Now, my boy at school, he says it's quite a thing there. All his chums are going in for it. What's it about? Oh, bits and pieces. I jot it down. How to make a fire without matches. All that sort of thing. Me was quite a bit of that in the bush. Oh, it's quite the interesting, sir. Well, I got a letter from the boy a few days ago. I believe that he mentioned they had started a BPSS, Baden-Pole Scouting Society. Scouts. Scouting for boys. What? Scouting. Boys. All ages, all over England. Learning to grow into men. Oh, my dear old chap. Playing hide-and-seek in the bushes. Growing into men, I'd say. Learning to trust. To be put on their honor. That's part of it. A code of ethics. Why not? Well, I should think that's up to the masters in the schools and the parents, wouldn't you? Why not up to the boy? Give him a sense of values. Let him develop for himself. Boy, Scouts. Troop a little rag-a-muffins running about playing soldier. Not playing soldier, no. Not soldier. Ah, that's what it would be. I suppose you'd give them guns. Well, I can tell you it won't work. Never. Never got a chance. Boy, Scouts. The second act of the Hallmark Hall of Fame. A look at the calendar shows that a very happy day is coming up soon. A day that sort of breaks up the long winter months between Christmas and Easter holidays. Of course, that day is St. Valentine's Day. Now everyone, from your kid's sister or older brother to your grandparents, likes to be remembered on Valentine's Day. So better plan to drop in soon at a store that features Hallmark cards. You'll find a wonderful variety of Hallmark cards you'll find a wonderful variety of Hallmark Valentine's to choose from. There are Hallmark make-your-own Valentine's that children can assemble themselves without paste or scissors and send their school chums.  And of course, you'll find a beautiful, personal Hallmark Valentine for that one extra special person. A Valentine that says what you want to say. Just the way you want to say it. A sweet heart for husband or wife. There are lots of delightful Hallmark Valentine's too for you to send good friends and relatives. And remember, the Hallmark on the back shows you cared enough to send the very best. And now, Lionel Barrymore brings you the second act of our true story of Robert Baden-Paul starring Mr. Herbert Marshall. Speaking of the Boy Scout movement, an idea is well enough born but how much faith and effort is needed to keep it living. Robert Baden-Paul began a series of lectures and once a day after another he filled the halls or some didn't like his idea and they made sure he knew it. I am planning an experimental camp for the boys which I hope to see formed in Dorset sometime this summer. Through this camp, we should have... Now, look here! This scouting business for boys is all very well. It can't help but be a military organization.  The old circus horse having finished his career in the ring should not settle down peace a bit of the useful civil occupation of pouring a baker's cart. A horse is till a horse. Does not need to become a donkey. Boys get an infectious ride in sports for a nonsense that can't do them a better good than through the woods scouting each other, I say! Harm in the boy learning to follow a trail to safety if he becomes lost. Or for that matter helping his fellow man by performing some small service which otherwise to no one's benefit would remain undone. I don't like not British! Bobbitt spoke to me of the idea he felt that good instructors would be needed and a certain amount of financial assistance required. He hopes the scheme will be given a fair trial. I've definitely decided to start the first camp in Dorset. We shall see. Oh, I'm dashed if I know why I put money into this thing. It won't work. If it weren't for the fact that you talked me into letting my son come here.  Well, I suppose not, but... Where do you think you're going to accomplish that? Look at them buzzing about there. Over there. They've only just arrived, Orbison. Give us a chance. Normally the boys would waste most of their hurriedly at home or whatever they go, wondering what to do with themselves. I want to put them to work. Working at things boys like to do. Lucky under their own leadership. Exactly. Even yours, if he qualifies. Anarchy. You'll see. Wish me luck, Orbison. It was a success. The boys enjoyed themselves thoroughly and rose to heights that I'd not believed possible. They lived together in what we call... Scout law. And it's the beginning of great things. Scott's suit, the nippers are wearing nowadays. I haven't done it just yet. I had to lay out ten bob for mine, the boy won. Just like Biden, Powell, Warren, Africa. I saw pictures. I tell you how them kids all gone barmy. Helping old ladies cross in the streets. So polite I'll give mine a whack the other day for luck. It's not normal for a kid to be so polite like. It's not normal. But it didn't stop the movement. Another camp was formed. And another. Then there was a king whose son had been pulled. He too had something to say on the subject. I suppose you're wondering why I asked to see you. It was a matter of had to answer. Well, sir, quite simple. In view of your past services to England, and especially your present one of raising boy scouts for the country, I propose, Biden Powell, to make you a night commander of the Royal Victorian Order. I am deeply honoured, sir. Yes. And sit down, won't you? Tell me about yourself. I don't see where you find time to do all this. Really, I don't. Between your army life and the scouts? It's amazing. I don't find time, sir. I suppose I get up a little earlier to make more. I follow you. You know, I understand your household word these days. It's beyond me why you don't stand for parliament. You couldn't lose, you know. I should love to, sir. Which side would you suggest? The Robert Baden Pearl. Thanks, officer. I must admit I'm rather proud myself. Once in life, the king? Yes. The way you would expect him to be. The king? Oh, yes. Yes, of course. Oh, well, sir Robert, what now? What about you? Me? I don't...  Oh, stop it, officer.  No, I mean it. Haven't you ever thought of marriage? A family? It's done these days, you know. I've thought of it. I can't imagine any woman putting up with me. I'm not young. And, well, obviously, there's always something to send me off to India, Africa, heaven knows where. What sort of a life would that be? There's some woman quite exciting, I should imagine. I'm off on a tour overseas next month, so I'm afraid that excited lazy will have to wait. I'd rather envy you, Robert. Envy, why? We've done so much. So many things a woman never has the chance to do. And what great thing would you like to do, Wally? You're laughing at me. I'm sorry. I don't mean to.  Perhaps that's why I seem to laugh. It covers my confusion. I confuse you? Why? You're young. That in itself is confusing. I think that I've forgotten how to behave with young people. Oh, a mark against me. Not at all. It's only to have so many mature ideas. These past few days, I've listened to you as we talk, and I'm surprised that your knowledge of people, life. Then I look at you, Oliver. Yes? Well, there's the contradiction. You're much too pretty, too young. I don't know whether to be flattered or angry.  I shan't. Would you like to walk around the deck? Yes. Shall I tell you something about you now? I wish you would. Sometimes you frighten me. Oh? You seem to be such a dedicated man. That is frightening, isn't it? Yes. Am I? I've never thought of my work in that way. It's as though I'm entering my second life now. That isn't dedication. It's enjoying living. If he's such a way, I feel it. But always alone? Yes. Yes, there is that. It can be lonely. Sometimes it is. I think it's one of the reasons I've enjoyed knowing you. I can share my ideas. Plans. With somebody. With you. You're such a good listener, Olive. One needs to share such things, you know. I know, Robert. I know. A brotherhood. We like to think of it as that. The boys and girls of England, America. Now more than that, a change through the whole world. All the links hold in together a great army of young people working for peace. We are the guiding hands. They are the ones who will see it through. This is only the beginning. Robert Badenpoor brought to the world the International Boy Scout Movement as we know it today. And his young wife went on to help establish the Girl Guides. In America, we would call it the Girl Scouts. And she's now the Chief Guide. The Hallmark Hall of Fame is truly proud to have with us tonight in the recorded message the gallant widow of Robert Badenpoor. Ladies and gentlemen, Lady Badenpoor. I'm very glad indeed to be allowed to associate myself with this program which has been broadcast about the scouts and the work that my husband did in finding the movement all those years ago. Like thanks to Badenpoor for his share in making his work more known through this broadcast. And it is good indeed to feel that the movement that my husband founded has been thought about and has been remembered. And I'd love to feel that all this work that he founded has been of such value to boys and girls the whole world over. And indeed there are millions and millions of men and women scattered over the face of the globe now who do remember the days when they were scouts and guys when they were young and perhaps the influence of the movement has helped them to fulfill their tasks in their life. And indeed one can feel that the scouts and drive movement all over the world is helping to make the way indeed a happier and a better place. And so I am so glad that my husband's name is being remembered in this way through this broadcast and that his name will live far into generations to come. Thank you Lady Badenpoor. One of those who remembered being a Boy Scout is a distinguished actor Mr. Henry Fonda who is currently on Broadway starring in the Kane-Ruttenay Court Marshal. He's recorded a special message for us tonight. Ladies and gentlemen speaking for the Boy Scouts of America, Mr. Henry Fonda. Some of the happiest memories of my youth come from my days as a Boy Scout in troop 42 in Omaha, Nebraska. One of the presentest of these is a recollection of seeing and hearing Lord Badenpoor when he was visiting extensively in this country and spoke to the Scouts all over America. As a former scout I appreciate tonight's dramatization of the life of the founder of this great organization. The Boy Scouts of America observed their 44th anniversary week from February 7th to February 13th. Hallmark's gesture in telling the story of Lord Badenpoor at this particular time launches this anniversary appropriately. I want to thank them and the Columbia Broadcasting System in the name of the Boy Scouts of America. Learning how to be a friend is a very important part of a child's education and that I believe is one reason why so many schools encourage the youngsters to exchange valentines with each other. Sending a valentine to a school chum is both friendly and fun and it's even more fun when the youngsters can make their own valentine. Well, at the fine stores that feature Hallmark cards, you'll find Hallmark make your own valentines that are just perfect for children. They're easy to assemble without paste or scissors.  You'll find these Hallmark valentine kits from 29 cents to 79 cents. And there are separate kits for boys and girls, for different ages too. There are also lots of Hallmark valentines all ready to mail for both children and grown-ups. Humorous valentines, friendly valentines for friends and relatives, and of course, special personal valentines for that one special person. Remember the Hallmark on the back of the valentines you send shows you carrying up to send the very best. And now here again is Lionel Barrymore. Thank you, Frank. Thank you very much. Thank you. You know you just made a very wise and true statement when you said learning how to be a friend is a very important part of a child's education. That's why it seems so fitting that we should honor the founder of the Boy Scouts on the Hallmark Hall of Fame. For teamwork and friendly cooperation are two of the most important elements of the Boy Scout program. Wouldn't you say so, Herbert Marshall? Indeed, yes, Lionel. I know as the years go by Scouts might forget how many merit badges they earned or for what. They might even forget how to tie a knot. But they never forget the spirit of friendship that is part and parcel of every Boy Scout truth in the world. Incidentally, Lionel, you'll be interested to know the Boy Scouts from all over the world will contribute friendship rocks to build an international goodwill monument to Lord Baden-Poele on top of Mount Baden-Poele here in Southern California. So you see it was a great honor for me to play the role of the founder of the Boy Scouts and I think you and the makers of Hallmark Cards will be congratulated for bringing his interesting story to such a wide audience. We consider it a privilege, Bart. And the makers of Hallmark Cards and the stories that feature Hallmark Cards ask me to send you personal greetings to every Boy Scout in the world to the past, present and future. And now, Frank, won't you tell the folks about our story next week on Hallmark Hall of Fame? Next week, Mr. Barrymore, we will present an unusual and little-known story from the early life of Madame Curie. Ooh, that sounds very interesting, Frank. Well, until next week then, this is Lionel Barrymore saying good night. Only in stores that have been carefully selected do you expert and friendly service. Remember a Hallmark card when you carry enough to send the very best. Our producer director is William Prude. Our script tonight was written by Anthony Ellis. Featured in our cast were Ellen Morgan, Jack Moyles, John Boehner, Dan O'Hurley, Ben Wright, Alec Harper, and Richard Peele. You are also invited to the Hallmark Hall of Fame on television every Sunday, starring Mrs. Sarah Churchill. This is Frank Goss saying good night to you until next week at this same time when we'll present a little-known story about Madame Curie. The following week, the story of Lee DeForest and on February 14th, Mary Todd Lincoln, starring Jane Wyman on the Hallmark Hall of Fame. This is the CBS Radio Network. This is P.M.G.C.


What they gonna do with me now What's up y'all it's ya girl Brianna Imani and you're tuned in to another talk of the town interview and today Who do I got on the couch with me face mom know that we got face and I'm so excited to have you here So Let's get right into it for those who don't know let us know where you from On the Bronx, New York, Red Park Towers RPT they know So what is it about our because I know everybody that's from there seems to be very excited to make it known that they from RPT So what is it about RPT that's like that makes everybody so proud to be there before love like You all brothers like it's not like you know, just we don't accept Everybody that y'all see what else we all grew up. We all lived it. It's not nobody else from a different block Do you think cuz I know that it's in a lot of songs you think that there's niggas out here like screaming RPT They don't know what it mean. Yeah. Yeah, so for people who don't know what it means. What does RPT mean and I know just like RPT is like it's a brotherhood I mean plenty different things like rip off towers 474 building seven letters. Mm-hmm. Yeah, so when you say four seven four seven Mm-hmm. Yeah, but then the rip off towers is four buildings, right? RPT is in respect Don't respect it, you know what happened it's simple I'm just saying we come with respect though You're we don't you know People make it be we not that mm-hmm come with respect. You don't go look this Well, I think it's dope that job y'all seem to be like a family and y'all all really seem to be working So I think that's really cool. So let's get straight into the music.  Same music you make now Okay, cuz I was gonna ask you like with being locked up and coming out Did you feel like you had to adjust to what was trending? I thought I did Mm-hmm. I don't know. I thought I did but then when I really thought about it was like I'm not gonna compete with my own My young niggas got it. I'm not gonna compete with them. Mm-hmm. I see it as once they open doors It's the open doors for everybody. So whatever I'm doing. I just got to be ready and stay consistent, right?  So Like We all just went to the studio first week We actually the first song we all made was a drill song though.   I know my niggas. Well, I can't speak for so who who your niggas who was who was making this music They not here right now, but um, you got like fatty He got if he was on the few songs with us We got on Lighty pockets That's not here right now And I think it's it's interesting that you started off doing drill and then now you on like more of like a melodic pain So where did that? Why did you stop making drill music?  They told me so I make it. Who's they man. They just kept it real me like like I Can't be out here saying anything I'm looked at I'm really like They really looking at me so I gotta be careful what I'm saying on my mouth It's public. I try to give a good example So people see they they don't see what people just saying about me. I said, they don't know me I get I get that all the time. They don't know me. I look me Okay, so how influential do you think music is on to the people that listen to it? Because you're saying like based on the stuff that you were rapping about and the stuff that you were saying That's why you were encouraged to start making different type of music So like how impactful do you really think that music is? You know, it's really impactful because like if I'm in the studio, right?  I'm in the studio and they Fill in and they get the chills. I don't even got to say enough. I know when they jack in the zone I don't say nothing. They're not jacking something.  They always have your own son I felt that bro. I feel that shit keep going that motivate me to okay So do you put music out based on what you think works for you? Or do you put it out based on what you think other people want to hear? I'm gonna base to me. Okay. Okay, so Curious because we just kind of talked on this and you were saying once again how like, you know being in and out of jail and stuff like that Is there anything that you wish that you could tell your 12th grade self? That you think could possibly change where you are right now like in your career. I Always say that like I wish I could rewind time, but no I don't I don't like I Say to myself, but I don't like the people that I play ball with mm-hmm. Like I'll be feeling like Down when I'm like, I don't reach out to them yourself. Like you're they be really reaching out to me niggas in the NBA Like really reach it out to me. Yo, so bro I'm embarrassed. I'm gonna keep on it like because it's like I know I should have been I took Made a wrong move Well, when you say you wish you could rewind time I said no just because I'm a firm believer of like, you know, we shouldn't reflect on things that we could or shouldn't Right, but I asked you just because there are a lot of young niggas that are coming up right now That may be looking to you know people who are older in age for guidance or advice or anything So just if there's anything that you think that they should hear just in case they're going down the wrong path that you wish that you Could have heard, you know when you were their age and Don't give up just cuz it's not working right now like Trust me, bro. It's like that the end of the tunnel man. Mm-hmm. You don't want to go take that path.   Like I don't like for me. It's like You pay mine.  Don't care about that shit, but nobody don't get a touch of none of that There's not don't care about that So it's about safety. That's it. It's about safety when the old bulls down to it. It's about safety everybody go home back to they thing That's That's happens every night.  Oh, yeah Yeah, yeah, like what are your thoughts on that?  Mm-hmm. It's never gonna happen never So you don't think there's anything that could be done to kind of like bridge that gap Even when it comes to like You know because they are too really influential people in the city right now They are literally like the talk of the town. No pun intended. So like you don't think that there's any way That they could kind of see eye-to-eye make amends Even if just for the music I don't know like I I would say like I don't even think It even worked like if there was a make a song like if somebody was a center verse and center person They will be there. I don't even think that'll work But why I don't know. I just know I wasn't like I came home to all this So I really don't know the end of now or why this started why this happened So when I came home to this I just came back to all this So, you know, I just adopted and played my part. Okay We don't got to get too much into that. But so if it was you right and you had let's say beef with somebody and who's your favorite artist right now? See that. All right. Who's your favorite mainstream artist right now? Very cute. No offense. Dirk. So if Dirk was putting out a track and he said Face I want you on this track and I want insert ops name here on the track. I'm doing it He gonna have to deal with that.  And so that's how I'm gonna look at it. Mm-hmm. I can't speak for a while. I know what I'm gonna do Mm-hmm. So would you date a girl from one of your ops box? I'm in a relationship I Are gonna pivot back to the music So you have a song change you and basically, you know in your chorus You like don't let the game change you which I think is very important because a lot of these niggas definitely do Get caught up in a lifestyle and they become a brand new person. Oh, yeah No, what she said what what I'm gonna keep it a hundred. Uh-huh.  I did was kept on my foot on the gas. I gotta keep Keep going. Mm-hmm. I want gotta get her attention. Whatever the weather is going on not gonna be a big norm Because I'm gonna keep going though. Yeah, that's that's that's the attitude So we gonna get back to the question which changed you you said don't let the game change you, right? So I'm curious as to what are like three do's and three don'ts for once you get into the game That you should do so one of your don'ts is don't let the game change you for example What will be two other don'ts and three do's?  I mean the money the money is gonna change it like no matter what boy You just gotta just continue to be 100 through every situation and just like get back to the hull of where you came from That's important. Mm-hmm. That's really important. Okay.  I say give me three do's and two more don'ts. All right, two more don'ts. All right and You say don't switch up.   So don't that's the easy way out. Okay, that's like don't do that and don't like me like Don't be no suck-ass nigga.     Yo, I think it's a that's dirty mackin. That's exactly what that is Don't do that Oh Don't do that. So you also just dropped. Um, what was it war pains the visual for war pains?  So it was really raw really like so what was like the inspiration behind that? Oh, man, both the song and the visuals Visual I just felt like like I just had to get them like That visual of what's really going on and not like where anybody think was going on that cuz I feel like Good music is overwhelmed by the drill shit right now. So it's like Bro, like nobody else want to listen to other music Right. So I saw I try to give him that pain to make him come back and keep looking like click Oh now let me go back to that Some of the people were saying I felt I felt I felt that Motivated me to keep giving them that vision and what's my life and what's going on So you just said something real interesting that good music is kind of overlooked by the drill shit So what kind what do you think it's like good music the music? Like But you feel like you're overlooked because of the job because of all the job music Not even me It's of all this is that's out there and I'll be looking like and I'm no hate it Like I'll be looking like oh damn how the snickering on yet.  Yeah, that's like nobody don't want to hear nothing But that right so do you think though that eventually the drill wave is gonna die down? No, do you think we ought to come on? I don't see you laughing now But y'all is right here right now Shit buddy, I know what's saying once he come home is I know what's up. Oh, I know what's up. Oh, we know what's up Oh The world no, bro, I'm in Miami, bro So the gun walk down the sheet RPT for said for said I'm all the way across the street I got glasses out of control. I'm thinking I'm not even like somebody that they really be knowing but I'm thinking my mind is like oh damn.  I go in defense mode I have to think like nah, it could be for they fancy me. So She's really real, but I know when do you think it out? I know so So what so what do you think is kind of like the compromise? Where do you think like niggas who aren't making drill music? What do you think they should do if it's being overlooked? How do you put your music out there to get recognized by the leader team like you got to have a team?  I'm just like fucking. I'm just do it. I know I'm best Got just stick to that shit Believe in yourself gotta believe in yourself gotta have confidence from so you're talking about the importance of a team What's your team looking like like what would you say are like the most important people to have on your team? leader a leader Leaders like Like I said goes back to basketball. Mm-hmm. I could tell a bike where they need to be So who's the leader on your team? We all eat us Okay, so who is only seem like do you have a manager? Do you have a manager in your son? Are you sorry not yet? No, not yet.  Why?  You don't got to give me no money. You're I'm cool opportunity Not it let me refer you don't got to be a label it could meet male song for opportunity Yeah, but you don't gotta you can have that just I feel like I'm just saying I'm not saying don't give me no money I'm not saying that I'm saying is if it don't gotta be a label It could be a other artist or something they they interested in my music and they could like y'all I fuck with you This and that did it out.  Mm-hmm. Okay, so you're saying okay So you're saying you're willing to collab and stuff not just like when it comes to signing yours.  I'm talking about like like right now in my right career right now I'm still coming up. Mm-hmm, but I got all the artists around me. That's already Scott Rockett. So all I gotta do is just Keep cooking up. Keep cooking up. Keep cooking up So do you have any like labels in mind like any ideal situations that you would be open to get it into? Wherever wherever my team go awesome.  I try to be different try to didn't work So now you're just going for what you think have to go back home Okay Okay, that's fair. So I'm curious to know who are your top five artists outside of RPD outside like it's me Give me mainstream and then we'll get into underground Dirt baby. Oh, so you don't even be listening to me Okay, so let the the last three be Coming That's easy Okay, all right. So what is your end goal here like you're making music to get to what point If there is one I mean To be successful, but people got a different reason why they making music or why they do it right People some people doing it for the music. I do it because I love this Like it's a difference. Mm-hmm money and everything comes with it. But I do it because I have a passion Yeah, I'm not just doing it because I know I should go make me 100,000, but if it did I'm gonna go do it I'll just be a plus, right?   Would you move your friends? Like who would you would you take anybody with you?  I'm not just gonna get them anything No hand out come over the business Okay, and so what do you have planned for this year? We already almost a quarter of the way through What else I want to do some arm a few features I'm looking I'm still deciding who I'm gonna work with Well, over now. I'm just keep dropping And just keep grinding is anybody that you would like to work with that Maybe you just want to put out there I'm gonna speak this is this is dirt Only hardest I want to work with really Need that feature anybody from New York I'm not really even Okay Okay, so to close it out. Is there any advice that you would like to give to upcoming artists? Who are just trying to make it trying to do anything just uh If you watch it and you paying attention what's going on when you get your chance Do not fumble the bag.   We don't change up. That's it All right, and do you have anything else that you want to say? I want to get a shout out to y'all shout out to the sound chloe and what's your name bring I appreciate y'all Well, thank you for stopping by Fucking social media and everything face mob facie underscore mob Follow me And tap in the wolf pains out now and shout out mix Shout out rpt. Shout out vr. Shout out, you know, free the gods