best speakers that I've ever seen and the sad thing was I didn't listen to him for years you know I was able to lose 40 pounds at times actually you could say 50 pounds in 2008 when I spoke I was close to 200 pounds about well you guys are on on that other thing but but no man I lost like a quarter of my weight you know by switching my diet working out with some of the best fitness people and having information on some of the best fitness and diet and even doctors so what we got today is Mark October auto break man yeah out of break I'm so sorry but the the thing is is he's talking about some of the ways to treat your body the way that you should right supplementation fitness the importance of it and the mentality of why you would need to live with that mindset and make your life better I'll tell you this before I bring them on stage what I've noticed in these conventions what guys walk away with the most it has nothing to do with stuff that I say I wish I wish it was it has everything to do with what guys have done with their fitness body and lifestyle and that's going to come from the guys like this so come on stage man I'm excited to hear take it away brother thank you all for having me here you could be anywhere in the world but you're here with me today so you know big props and big thanks so my name is Mark a tobey or otherwise known as Maximus Mark I have a blog and obviously I'm the owner of Enterprise Fitness which is a personal training company before we get rolling I just want to make mention to a couple of things which is in context I just want to know so I can kind of deliver a more tailored speech for you guys today who in the room is more after the I guess health point of view of wanting to know what they need to do with a health just by a show of hands okay who would be more interested in hearing about I guess the performance aspect of how do I increase my bench press how do I increase you know get six pack all these other things so it's probably more towards the performance and fitness which is good to know good information so we'll get rolling so firstly about me why do you want to listen to me for the next hour well I'll tell you my story in brief so I can give you as much content as possible this was me as the fat kid at school I was always picked last sport I wasn't particularly athletic at all by any means wasn't particularly good at school very low self-confidence about myself and the reason that I love sharing health and fitness the reason I do is because of the fact that this is where I started and this was the vehicle for me to transform my life for some of the other speakers the vehicle for them to transform their life was you know learning about pick up and all the other things but for me it was health and fitness so that's pretty much what I've dedicated to my life to ever since my first I have a fair bit of experience in terms of bodybuilding competitions this was my very first bodybuilding competition I weigh about 68 kilos 87 kilos any day of the week this was me at just 68 kilos moments away from hospitalization before my first bodybuilding comp so when I say I did everything that you could possibly do wrong learning about health and fitness I did everything possibly you do wrong I mean after my first comp I put on 14 kilos in the space of three days yeah so I wasn't particularly healthy which was the void and please write this down your voids in life dictate your values okay so if you don't have health you will search for health if you don't have money you will search for money okay if you don't have women in your life you're gonna search for women so your voids dictate your values so for me it was health and fitness it was performance so that motivated me that inspired me to go out and learn as much as I could I wanted to be the authority in the world to really get this message across of how to do things the right way so I competed a few other times this was my last comp that I did which was in 2007 and I've got to be honest with you guys competing as much it was fun at the time that I did it you know I don't compete anymore it's I rather focus on the strength sports getting my squad up my deadlift up that's what's more inspiring to me however I do this some photos of me here just recently taken that's me lifting I think it's about 200 kilos 210 kilos on a fat bar at a strongman comp which which I won the under 90 kilo division so you know I train and you know for me it is all about performance but since then and learning what I've learned and the lessons along the way around nutrition I've been able to create quite a fair bit of success for my clients these are some of the clients who I train and coach this is actually Janet Kane Janet Kane's the four-time Miss Australia three-time Miss Olympia so she is you know quite bonafide she's the best female figure competitor in Australia one pretty much every title that the IMBA has to offer and that's her just winning her fourth Australian title with me backstage at one of our comps I coached six girls this year and I do do a lot of work with fitness girls so figure and competing physique competitor so fitness models at one of the comps I had three girls compete they all wanted the divisions so you know the methods work that's why beautiful fiance Christine she competed as well she won her division Caroline won the fitness model division Linda she won the intermediate the same comp these are other girls that I've worked with so list goes on and on Amanda she won the VIX this year Lauren transformed her body completely as you can see Jenny she was a mum of four Marshall was actually in the room and he met me at 21% body fat now he sits at about 13 he got down in those photos is about 8.6 the reason why I showed this another guy he actually interesting story with this guy he met me around 2006 I taught him my philosophy around nutrition which is what I'm gonna essentially teach you guys today and he went over to Vegas to be a DJ and he essentially someone said to me you look good basically why don't you do some modeling he did some modeling and now he works as a model in Las Vegas you know not bad two-time mr. Australia Tristan boys who I used to work coach in 2009 Eros is actually one of our trainers at Enterprise Fitness this transformation was eight months this is Aiden more boys that I've coached to be on stage so the reason why I show you that those photos is not to you know look wow look at all these photos you need to get in that shape no no it's too impressive on you that you know what I'm gonna teach you guys today in the philosophy you can pretty much tailor it to whatever level that you want and that is right for you it's not about competing on stage you know it's seriously not it's not the point that I'm trying to get across it's about you maximizing your own health and fitness so before we get rolling one of my philosophies and I see this a lot and I mean there's probably some of the other coaches who and speakers who spoke yesterday who kind of James Marshall definitely this morning touched on this topic and people come in and they come to see me and they want to know what to do because they want to have the result now I'm gonna present to you guys it's not about what you do and it's not about what you have it's about the person that you become okay so there's a formula and essentially I'll just write this formula over here and that is B as you can see on the board do and have now a lot of people say to me you know Mark I want to have a great body I want to have the six pack I want to have all that what do I have to do now that's working with someone on a very superficial level because the fact is and I'll speak in someone at lunch I can give you a 12 week in this case it was a ketosis diet I can give you a 12 week ketosis diet you can lose a whole bunch of weight but if you're not the person mentally to maintain and sustain those results you're gonna screw it up it's like 97% of lottery winners you know go broke within three to five years okay after winning the lottery why because they're not that person so in your quest for knowledge don't look at things that you have to do to have the result look at the person that you have to become okay and it's really super mega important because let's face it the person that I am does not allow me to go to McDonald's okay it does not allow me to use things like canola oil margarine even drink Coca-Cola and people will say oh you know you have a restrictive diet I don't have a restrictive I eat whatever the hell I want whenever the hell I want it's because the what's between my ears is the person who I am I have a healthy identity about myself and a healthy relationship with food I am someone who loves to be physically active so that is what I'll encourage and that is what I that's the main goal of this presentation is to get that obviously there's things that you have to do around that but once you be that person it becomes very very easy almost effortless so there are four factors into getting the body that you want okay there's nutrition training supplementation and the key one is the mindset and that's what I just touched on before okay that is key who do you be you know what does a healthy person do okay if I was this healthy person what actions would I do then the actions when you have the result that you want to have an almost seamlessly overnight you'll have lost 10 kilos or put on some weight or whatever the case may be so my favorite analogy in terms of teaching all this stuff and teaching nutrition I just put this down is this analogy here because it kind of puts in perspective I guess my philosophy around what and how we were designed to eat and the foods that we should eat so we all know Australian rules football at least I think we all know hands up for those who know Australian rules football okay can't the pies I didn't beg for the pies but most people do so why not okay so Australian rules football basically the overall looks like that now what I'm going to use this as a reputation representation of is the time frame in which the human species has been on the planet now there are people that will argue the human species has been on the planet for as much as 15 million years or other people who will say no no no it's only 2 million years so the argument sake will just say this whole oval represents the past 5 million years of human evolution okay so if we all go to the MCG today and we walk from here all the way up to this gold square here and I just move this yeah yeah move this in the side sorry yep easy so if we walk all the way up to this tiny little gold square here that represents pretty much you know most people say well you know maybe 4.5 or even 4.9 million years okay that that whole time that whole field there if we look at this tiny little gold


My name is Sam Baknin and I'm the author of Malignant St. Flood, Narcissism Revisited. Pathological envy, envy is actually one of the criteria for the Diagnosis of Narcissistic Personality Disorder. The New York Subdictionary of English defines envy as a feeling of discontented or resentful longing, aroused by someone else's possessions, qualities or luck. In an earlier version, the shorter Oxford English Dictionary adds, mortification and ill-will occasioned by the contemplation of another person's superior advantages. Pathological envy is the second deadly sin. But it is a compounded emotion, not a simple one. It is brought on by the realization of some lack of deficiency or inadequacy in oneself. It is a result of unfavorably comparing oneself to other people, to their success, their reputation, their possessions, their luck, their qualities. Envy is misery and humiliation and impotent rage and a torturous, slippery path to nowhere. The effort to break the padded walls of this self-visited purgatory often leads to attacks on the perceived source of frustration. There is actually a spectrum of reactions to these pernicious, cognitively distorting emotion, envy. One way is to subsume the object of envy via imitation. So some narcissists seek to imitate, or even emulate, their ever-changing role models. It is as if by imitating the object of his envy, the narcissist becomes that object, subsumes it. So, narcissists are likely to adopt their bosses' typical gestures, or the vocabulary of a successful politician they admire, or the views of an esteemed tycoon or intellectual, or even the countenance and actions of the fictitious protagonist of a movie or a novel. And that's the way they cope with their pathological envy, by becoming the source of that envy, the source of their frustration. In his pursuit of peace of mind, in his frantic efforts to alleviate the burden of consuming jealousy, the narcissist often deteriorates through conspicuous and ostentatious consumption, to impulsive, reckless behaviors, even to substance abuse. As where I wrote, in extreme cases, to get rich quick through schemes of crime and corruption to outweigh the system, in other words to prevail, is thought by these people to be the epitome of cleverness, providing one does not get caught, of course. It is a sport of living, it is a winked at vice, it is a spice of life. But some narcissists, rather than subsume the source of frustration with the object of envy, choose to destroy it, to destroy the frustrating object. They choose to destroy the object that gives them so much grief by provoking in them feeling of inadequacy and frustration, they display obsessive, blind animosity, and they engage in compulsive acts of rivalry, often at the cost of self-destruction and self-isolation. In my essay, The Dance of Jail, I wrote, This hydra has many heads, from scratching the paint of new cars and flattening their tires, to spreading vicious gossip, to media-hyped arrests of successful and rich businessmen, to wars against advantaged neighbours, these are all manifestations of pathological envy. The stifling, condensed vapours of envy cannot be dispersed, they invade their victims, their rage relies, their calculating source, they guide their hands in evil doings and they dip their tongues in vitriol. The envious narcissistic existence is a constant hiss, a tangible malice, the piercing of a thousand eyes, the imminence and imminence of violence is always there, the poison joy of depriving the other of that which you, not, or cannot, have. I also deal with the issue of self-deprecation. There are those narcissists who idealize the successful and the rich and the lucky. They are triggered to these people superhuman, almost divine qualities, in an effort to justify the agonizing disparities between themselves and others, these narcissists humble themselves and they elevate others. They reduce and diminish their own gifts, they disparage their own achievements, they degrade their own possessions and look with disdain and contempt upon their nearest and nearest who are unable to discern their fundamental shortcomings. They feel worthy only of abasement and punishment, they are besieged by guilt and remorse, voided of self-esteem, perpetually self-hating, self-loathing and self-deprecating. And this is by far actually the most dangerous species of narcissists. For he who derives contentment from his own humiliation cannot but derive happiness from the downfall of others. Indeed, most of these narcissists end up driving the objects of their own devotion and adulation to destruction and decrepitude. And then there is of course the classic defense mechanism, cognitive dissonance. The most common reaction is the good old cognitive dissonance. It is to believe that the grapes are sour rather than to admit that they are craved. These people devalue the source of their frustration and envy. They find faults, unattractive features, high costs to pay, immorality, in everything that they really most desire and aspire to, and in everyone who has attained that which they often cannot. These narcissists walk among us, critical, self-righteous, inflated with the justice of their own making upon the high moral ground and secure in the wisdom of being what they are, rather than what they could have been and really wished to be. These narcissists make a virtue of genuine abstention, of wishful constipation, of judgmental neutrality. These qualities, these behaviors, these oxymorons are the favorites of the disabled. And the narcissists is an invalid. Narcissists recoil from the sources of their envy because envy is painful. They adopt sometimes avoidance, a schizoid solution. To witness the success and joy of others is too painful, too agonizing, and too high a price to pay. So these narcissists stay at home, alone, in communicable. They inhabit the artificial bubble that is their world. And in this bubble, they are the king of the country. They are within the bubble, they are the law, they are the artistic, they are the one and only. They are in the penumbral recesses of their home, their study, their office, the flickering laptop, the only company. The only noises are electronic, and they are the residents of their own bulging delusions. And so, in this bubble, they are happy, they are soothed. They are what they dream, they dream their own being. These narcissists are no longer real, they become kind of narrative, an invention of their own feverish minds, a call of a myth, sustaining and engulfing. But they are contents. Finally, we need to discuss romantic jealousy. But the logical envy is not the same as romantic jealousy, these two emotions have little to do with each other. romantic jealousy is actually a narcissistic defense. It reflects the narcissistic traits and behaviors of possessiveness, objectification, treating the spouse and really regarding her as an object. And of course of extension, treating the spouse and regarding her as an extension of oneself, devoid of autonomy, personality, needs, wishes, emotions and autonomous action. Thus, the spouse's cheating, as in infidelity, is perceived by the narcissist to be tantamount to a violation of, in an encroachment on, his self. Exactly like non-narcissists, narcissists are humiliated by having been lied to. They suffer abandonment inside, they compare themselves with the spouse's new paramour. And they feel deprived when the services of the unfaithful and faithful spouse are no longer available to them. This kind of denial of service which may encompass sex, emotional intimacy, house chores, companionship or any other function. Romantic jealousy is the product of a violation of trust, which in the narcissist provokes paranoia. He asks himself, where else lurks deceit? It's a breach of exclusivity, which threatens the aforementioned narcissistic and nationalist. If she is an extension of the narcissist, then there is a breach of exclusivity, it's akin to objectification. There is a denial of possession, which in the narcissist translates to fear of loss and abandonment inside. Non-narcissists are even romantically jealous of intimate partners that their spouse has had before the marriage and after the divorce. Some narcissists realizing that they cannot control their spouse's forever become swingers or engage in group sex where they feel that by bringing adultery home they have tamed and controlled it. If you can't beat it, join it, as the narcissistic saying goes.


Welcome back to our MedSmarter question of the week where we're taking a smarter approach to preparing future physicians. Before we get started, if you'll take just a quick minute and click that like button and also subscribe and turn the bell on so that you'll be notified when we post new videos. Let's get right to that question. As always, we start with the last sentence of the vignette and then go back and read the rest of the vignette. Which of the following is the cause of this patient's condition? A 40 year old woman presents to a new physician because of the recent onset of fatigue, arthralgias, discomfort in her right upper quadrant, and polyurea. On physical examination, her skin seems somewhat browner than would be expected. Lab tests are remarkable for an elevated glucose level, indications of homolysis, and increased transference saturation. Cardiac testing shows moderate restrictive cardiomyopathy. She mentions that she regularly requires blood transfusions, which the following is the cause of this patient's condition. So right from the bat, I saw a 40 year old female that had some right upper quadrant pain, I'm thinking possibly gallbladder issues, the fat fertile female 40. But when you went on further into that question, it obviously pointed us away from that. So we're talking about brown skin, we're talking about elevated glucose levels, homolysis, getting blood transfusions. So we're looking more into an issue with blood and that type of thing. So let's look, take a look at these answer choices, read the question again, come up with an answer and write it in the comment box below. Alright, so let's just go through these answer choices and see which ones would fit our clinical vignette and which ones would not. And then we can rule out some and maybe come with a better option for us. So A, mutations resulting in copper accumulation. We know that copper accumulation can cause some browning of the skin, this is called Wilson's disease. But we do also note that they typically will have Kaiser Fleischer rings. It will be a golden brown ring that you can see around the iris in the eye. There's no mention of that in this particular vignette. Some other symptoms associated with Wilson's disease, Parkinson's symptoms, asteroxys and dementia, not seeing any type of a mental deficiency in this patient. So I'm not really seeing clinical indications in this vignette that would lead me to believe that Wilson's disease was the issue. So I'm going to say no to A. B, absence of the hemoglobin alpha chain. So that is going to be an alpha thalassemia. If you're having a full absence of the alpha thalassemia, we're talking about a severe form of alpha thalassemia. Not having an alpha chain in your blood would be what is known as hemoglobin barts or HB barts. That's going to have major issues that aren't going to allow you to get to the 40 years age range before this type of thing comes along. So this is oftentimes intrauterine fetal death here with patients at HB barts. So therefore absence of the alpha chain is not an option for me either. Mutation in the hemoglobin beta chain. So that is a beta thalassemia. And if it's a mutation in the beta chain, it could be beta thalassemia minor or major. We are seeing homolysis and ineffective erythropoiesis in this patient. So I'm thinking that C could be a possible answer. Let's continue on and look at some more options here. Mutation resulting in increased absorption of dietary iron. So we do see some cardiac abnormalities here where we have that restrictive cardiomyopathy. That can be something that is seen in an issue with iron. But it appears that in this particular case, the patient's restrictive cardiomyopathy is likely more because of those regular blood transfusions rather than because of something like hereditary hemochromatosis, which is what we're seeing described in option D. So to me, D is not a possible answer choice here either. And then finally in option E, mutations in the gene encoding anchoring. If you can remember about anchoring, anchoring is something that's associated with a mutation for hereditary spherocytosis. So that is what is associated with the cytoskeleton of erythrocytes. With a mutation in anchoring, then the erythrocytes no longer take that bicon cave shape, but they become more of a sphere where we get the spherocytosis from. We do see some homolysis with this, so that does show some indications of homolysis that we do see in the vignette. However, this is not something that would match up here because we would see gallstones, anemia, jaundice, splenomegaly. None of those are we seeing in this vignette. So therefore, I am ruling out E is a possible answer choice, which leaves me only with one choice C, a mutation in the hemoglobin beta chain. And C is the correct answer. So like we said, this is a beta thalassemia. So we're seeing severe homolysis, which is what we can see here, this indication of homolysis. And then when we're seeing that she already gets regular blood transfusions, that's because with a beta thalassemia, they need normal blood often to replace those blood cells. So what we do end up seeing is an iron overload. So that iron overload from multiple blood transfusions is where we have what is known as transfusion dependency or secondary hemochromatosis, which is what's being described here. Brown skin, right over quadrant pain, arthralgias, fatigue, all that is a secondary hemochromatosis, where we have various tissues with the deposition of the iron, pancreas, heart, and skin are the most common ones to be seen. So with the heart, we have a restrictive cardiomyopathy. With the skin, we have the browner color of the skin. And then the pancreas is where we're getting some of those discomforts, polyurea, elevated glucose levels, and that right upper quadrant discomfort there. If you found this material helpful for your studying, please like and consider subscribing to the channel. Also, share this video so that more people can benefit from it like you have.


All right guys we are in the middle of the transmission build for Clifford This is what we've Replaced so far.  Hopefully it works right. We'll have to see if you did it right You think some work? He just did his first burnout Lot of stuff we still got some more to go we got to do the shift kit for the valve body But we got pretty much the transmission back together We got a new drum all new clutches new band We already put some of the transgo shift kit in here the accumulator sills and new rings and sills for the pistons in here and We are to the point where we're gonna adjust the bands We already did the rear band the boy the boy about to do the front band So we're gonna torque this band with the torque wrench to 72 foot-pounds and Then back it off two turns. So let's see what you got there guy See if you're any good Basically, he's tightening this band up There it is but she click she clicky So we got it torqued down to 72 foot-pounds and now we're going to back off the Little tensioner bolt right here We're gonna back that off two turns And that's top secret specs directly from John Cope CRT corporate There you go And then Yeah, you just use the regular ratchet. There you go. Put that on there And back it off two turns. So go one turn No It's fun back it off We got to learn you something All right, so that's gonna be one turn. I'll go back around line it up to the top right there.  Hopefully it works, right? We'll have to see if you did it right You think some work Oh, we got my boy over here Pretending like he knows what he's doing on this kegger manifold What's that thing going on dag on five nine? Yeah What what we doing to it?  We're gonna be putting in a new gasket cleaning up this manifold And we're like I said, we're gonna do a little bit of uh intake runner trimming. We're gonna shorten them up a little bit And then we're gonna repaint this thing so it actually looks good again Boy is working. What are you doing a valve job? You're lapping vows, right?  You got to put it in the head first Ah, ah, there you go. Make sure you get it in the right one. Yeah, you already got the first two done Now hook up your drill Come on grasshopper Green horn over here doing his first valve lapping job We're learning we're learning him something sooner or later Now just get it over there put the drill in forward That's reverse put it in forward. There you go. Hold the chuck There you go. Now you can start the lapping process That's tight enough make sure you there you go Hold it down a little longer. Let it breathe every now and then We're lapping vows guys Or I should say the green horn Trying to learn him something he's got a long way to go Oh, yeah the 5.9 magnum head Getting it lapped in oh jimmy oh jimmy jimmy Look at that smile right there boy. Clifford is moving All right Clifford is alive And we got reverse put it in drive see if it goes forward a little bit Oh, yeah, all right stop Hold it All right We're about to teach them how to do his first little burnout Put your foot on the brake pump it up Pump it up hold it to the floor now mash the gas pedal and hold the brake He just did his first burnout what's up Hey is all that hard work paid off a little bit finally All right, let's go up there and park her. I don't know who's happier me or him We got a mess out here Clifford runs and drives to give a big thanks to john cope for lots of help and Parts for this transmission. That's for sure Personally, I have to thank this guy Now you did most of work. I don't know you did most of work You did most of work. That's for sure But yeah, you got to go on there and give john cope a big thanks because uh He he he built us out a few times when we got into a pickle trying to figure something out on that transmission but hey First transmission build for myself and you and she works baby She works We did take it down the street. However, I did not get a video but How many times I did like what two or three donuts, right? I swung probably four four four donuts and we swung it And drifted a few times, but we had to be quick because we got no tag no insurance on it yet.