Hi everyone. Hi. Thanks for joining us again. So good to be together. Yeah we've got a wonderful day ahead of us and I'm Peter for those who are new and the host and yeah so we're going to start the day with a movie commentary with David and you know after that we'll have a 10 minute break and then we go to a Q&A session. So this is going to be a wonderful movie commentary. I haven't seen this one. I'm looking forward to it. So I'm going to pass it over to David now. Hi everyone. Welcome. Wow. This is a fun way to wake up watching movies. Who would have thought of it? Only Jesus could think of such a great idea. And in these movies often times we'll do the, I'll do a setup and commentary to help bring the movie and the themes alive in your heart so you can feel like oh yeah that's what's important. That's what I'm devoting my life to. That's what I need to focus on to be happy and peaceful and joyful. So these movies are really teaching devices that are very practical for us to live a very wonderful spirit guided life. And I know some of you recently saw the movie, the last movie I think it was with me called Man of God. Nectarius has been visiting people during the week. They were so inspired. I heard so many reflections. Oh my gosh, thank you for showing a movie of such a humble man. Such a man devoted to prayer. Such a simple-minded man who had his focus on God and really just try to serve Jesus the best that he could moment by moment regardless of what the circumstances are. And today I'm going to show you a woman of God. I'm going to show you a woman who has a lot of strength, who was raised with this idea that God is very important. You should put God first in everything you think and say and do. And where Nectarius was a priest, this woman her name is Mahalia Jackson. She is one of the most famous gospel singers in history. She was a very strong-minded and non-compromising woman who basically would pray and would not compromise with the temptations of the world. And because she didn't compromise, she had this beautiful voice, a huge voice, almost like a voice from heaven. It's hard to believe a woman could have such a strong voice like the voice of a thousand angels. And yet she had the same temptations in this world to use it for money or for fame or for purposes that the ego comes up with. But instead she chose to use it for love, for healing. And I would say she used it for equality. You know equality is something that the ego doesn't know about because all we have an equal presence in the love of God. God loves everyone equally because God loves Christ as one. And now the children of God, which we could say we're all children of God, we are equals. We are absolute equals. No person is ahead, no person is behind. And all of us have equal gifts to give in the sense that what we're giving, we're giving our gifts from the light that we are. So all of our gifts, even though they seem to take different forms in this world, are all coming from the light. They're inspired by the light. And so their gifts to help us remember our true identity as light, as the Christ. So to give you a little bit of background on Mahalia Jackson because she's going to be our role model today. She's our woman of God role model. She was born in 1911 in New Orleans in what they call the deep south of the United States. And the deep south of the United States is known for the struggles that people had for equality because Mahalia Jackson is a black woman born in 1911. And then she has to go through the challenges and trials of what would be the ego's world. And the ego's world is a world of inequality. Inequality the ego would say based on race, on ethnicity, on your financial socioeconomic background, based on your level of education, and based on physical traits like physical beauty and skills and abilities. The ego tries to use all those things to convince your mind, which is the sleep, that it's different from all the other ones. So the ego always emphasizes differences. And the Holy Spirit basically says no, you're the perfect Christ, you're the perfect child of God.  And you're created as perfect love. So there's nothing you can really do to change the love and the innocence that you are. You may dream that you're not worthy, but truly you are worthy. You may dream that you're not enough, but you're the Christ. And the Christ is everything. So, you know, whatever seems to be happening in the dream is not reality at all. And the light of Christ is reality. So, quite simply, we might say that the only purpose in this world that's worthy of your mind is forgiveness or releasing illusions from your mind so that you can see with the vision of Christ. And spiritual vision is not vision with the body's eyes. Spiritual vision is pure light. So, when you really forgive in the deepest way, then you become aware of the one light, the light of God and the light of Christ. So, Mahalia Jackson, she grows up in the deep south. And also though in the deep south, they have some very devoted spiritual people in the sense of devoted Christians that have given their life over to reading the Bible, studying the Bible, singing songs of praise to God, which we can call gospel songs, and feeling the Holy Spirit, or they sometimes call it the Holy Ghost. The Holy Ghost is in me. And Mahalia, she has the Holy Ghost in her, for sure. She's not only aware of this calling to God, but she goes the next step, which is devoting her life to being an expression of her devotion to God. So, even though she was born in 1911, I'd say her major decades, where she really let that booming voice just come out in worship to God and glory to God, those decades were the 1940s, the 1950s, and the 1960s. So, for three decades, the spirit is going to boom this beautiful voice out to the whole planet. And also, she's not just, you can't really just classify her as a singer, because she also was so involved in equality, she really believed that in her heart that everyone was equal. And so, she would go to political rallies, civil rights rallies in the United States, particularly during the 1960s, when there were many civil rights leaders, including Martin Luther King Jr., who were talking about equality, and how equality is something that comes from God. And it's really, it's like our birthright to be equal to one another, because really God created us as the same one. So, even if it seems like we're in different characters, we're the same one. No one's better, no one's worse. So, in these decades, Mahalia Jackson, she began to sing, and we will see in the movie, she stays true to her calling. They will offer her different temptations to do theater, or to become a blues singer, or to branch out, like they call them crossover singers, where they move between genres. Basically, she's just got such a devotion to God, she's not interested in crossing over to anything else. She's not going to cross over to anything else, because her devotion is to God. And she also is going, we'll see, she has a very strong influence in her childhood, her aunt. And her aunt is just a really devoted woman of God. And I would say, I just wish all of us had aunts like this, that were so devoted to God when we were children, that they would have really imparted to us how important it is to follow your heart, to follow your joy, and to serve God in the deepest way that you can. That is our fulfillment. That is where we find everything that we're looking for. So, we're also going to find that, unlike the man of God, who was just a devoted priest his entire life, that Mahalia's life is going to involve relationships, romantic relationships. So, I know for many people, this is important. You may watch the man of God, and you may say, wow, what a humble man, what a trusting humble man. And he was a priest basically most his whole life. But now we're going to see from a woman of God, who she will go through a marriage, and then she will have another relationship after she gets a divorce. And then she will actually have a then a second husband will come after that. And so, we're going to watch her as she moves through relationships. Because all of us know that a course in miracles is a pathway where Jesus teaches that you've learned to forgive through your relationships, that the relationships that you have are mirrors to what's going on in your mind. And so, there is no relationship that's unimportant. Every single relationship that we have is teaching us something very valuable that we need in order to realize that we're the Christ. The relationships just mirror the unconscious beliefs that we still hold on to. And of course, unconscious means out of awareness. So, we should be really grateful for these relationships. We should have, Jesus says, you should always have full appreciation and gratitude. And then he goes on to say that that is the only thing you should feel for all of your relationships ever. Appreciation and gratitude. Because he says that all those relationships are opportunities to extend love or to realize there's a call for love. And if you answer the call for love with love instead of attack or defense, then when you answer the call for love, then you realize you are the love. That's how you realize you are the love by giving the love that is called for or by giving the love that just wants to shine through your heart. So, this movie will span the entire life from childhood all the way through adulthood for Mahalia Jackson. And also, some of you are familiar with Martin Luther King Jr. What an amazing man. He was a minister, a reverend, a preacher. He spoke on behalf of Jesus, on behalf of love, inequality. And Martin Luther King was a man who was inspired by Mahatma Gandhi, who lived a little bit before Martin Luther King. And Martin Luther King loved how Gandhi focused on nonviolence and equality. And so, this is a very famous minister. And he is also going to be a very close friend of Mahalia Jackson. Some of you, it's not really in the movie, but some of you know one of Martin Luther King Jr.'s most famous speeches that he gave, I believe it was in Washington, D.C., was called, I Have a Dream. And I mean, it was delivered with such passion. You know, I can just go into my mind, I have a dream.  And who was the woman behind Martin Luther King? It's Mahalia Jackson. Go on, Martha, tell them about the dream. Don't people please here, don't compromise, even if it's on national television and there's hundreds of thousands of people listening, tell them about the dream.     Jesus is more like, if I use Martin Luther King's voice, you are the dreamer of the dream. And don't forget it. You know, that's what Jesus is saying through Martin Luther King. You are the dreamer of the dream. And in this movie, we're going to see that Mahalia Jackson has this huge energy, huge strength, and huge devotion. And she is going to really support Martin Luther King Jr. And actually, Martin Luther King Jr. will support her. This is a beautiful example of a holy relationship. Yes, Mahalia Jackson will be married, and Martin Luther King Jr. is married. He's married to Coretta. And Mahalia Jackson will be married. Her first husband is Isaac, and her last husband is Sigmund. And then she's going to have a real blazing mighty companion come in, in between the two husbands. Another guy. And he's like a preacher. So you're going to see some preaching going on today. My commentary might get a little preachy, but just enjoy me. If I start talking like Martin Luther King and channeling Martin Luther King Jr. today, well, that's just for the good of the joy of everyone. Because I admired Martin Luther King. I was a big fan of Martin Luther King Jr. and of Gandhi. Those were some of my heroes when I was growing up. And now I get to channel them, because we're all the same one anyway. So you can play any character that you want in any moment. You can play Marilyn Monroe if you want, or James Dean. But really, it's the light in you that's shining through. That's what makes it so important. Because that light is extremely important. And so we had some themes. You all voted on some themes coming in today's movie. And the number one theme is always remember what the purpose is. Isn't that a nice theme? Always remember what the purpose is. Try to always remember the purpose as much as you can throughout the day. Even when you're tempted to get your mind focused on details, focused on plans, focused on what's coming in the future or what happened in the past, I can see why you voted that number one. That is coming from Jesus Christ in you, in your heart. Always remember what the purpose is. Number two, know there is a higher plan at work. When you start to feel depressed or angry or you start to feel down, always remember that there is a higher plan at work. Even when you're not connected in awareness to the Holy Spirit, the Holy Spirit is still working overtime. Even when you feel kind of sad and disorganized, or maybe you feel like a bit crazy, a bit insane, Jesus is still working overtime for you. You may not be aware of it, but the angels are working overtime for you. There's thousands, hundreds of thousands of angels that are working with you, and the ego is the only one that's working against you, or your true self, is trying to keep you from knowing that you're the Christ. The third one is be an uncompromising miracle worker. Oh, and Mahalia is going to take you a big stride in that direction.  She's going for it. She's going for it. She's not going to be stopped. She's going to be strong. She's going to stay strong in there, and that's what we need to do to be a miracle worker. We need to have faith. We need to keep the faith alive. We need to keep the fire burning. Maybe we need to all start listening to more gospel songs. We should put a little Mahalia Jackson on our iPods and our iPhones in our music list. We need the booming voice of love coming in there when we feel sad or distracted. Let that booming voice of love come sweep you away. And Mahalia is really good at that. She's got this down perfect. Next one, number four, let love take over everything. Wow, do I hear an amen from the choir? Amen. We have an amen. Yes, we're going to let love take over everything, not some of it. We're going to let love take over all of it because we want to be happy and we know that when love leads us and love comes to us to lift us up to love, that's what we want. That's what we've always been praying for in our heart of hearts. And finally, number five, I know you guys are going to like this, dare to sing my heart song. Dare to sing.  She's like, yes, I've been waiting for this movie. It's about time my mind has put this in the queue a long time ago and today is my day. I'm going to dare to sing my heart song. And in order to do that, you can just give yourself over to it. Now, if you start singing your heart song, the ego will try to hijack that and will say, you can make a lot of money singing your heart song. You could have a lot of possessions. You could have a lot that this world have to offer if you really sing your heart song. And we know that because Barbara Streisand shows us there's another singer for God, Celine Dion. I heard Celine just was diagnosed with an incurable disease, but we know the real Celine, her heart goes on and on like in Titanic. There's nothing that can stop love because our heart goes on no matter what the world tries to present to us. So I think you're going to really enjoy it. You know, this one's not quite so intense as man of God. I don't think so. So this time take out your your your carpet magic carpet rides and plan to fly around in them a lot today.  She's she's just going to keep booming her voice and singing for God all the way through and admittedly when she's a girl she has a little bit of pride and then her aunt's going to come and knock some pride out of her so she can really get going for God. You know, that's that's why we need aunties like that that point us in the right direction. Let us really go for God. So enjoy the movie. I will come in and visit you during the movie, but I think you're going to love this movie. I think you're going to have a warm feeling in your heart after this movie because every time we see strength and uncompromising devotion, then we start to realize that we don't have to people please with this. We're going for God and we're not going to look back. We're not going to doubt ourselves. We're going straight to God. Okay, enjoy. Enjoy the movie.


Can you see the screen Victor? Yes? Yes. Okay. So, and now in this session, I'm going to talk a bit about direct database interaction. So, well, first of all, the SDK has almost all the accessing that you want to access. So, to all the data that you want to really access, you have a repository for that. But in the case that you need some other needs for your application, some, and now you want to create a new queries for that, the SDK also allows you to directly interact with the database. So, yeah, for that reason, the SDK is exposing a database adapter, and with this database adapter, you're going to be able to query to the database directly. Also, all the models in the SDK include a method with name create. If you pass to this great method a cursor, it will automatically generate the object from the model. Also, the database has the table model, so you are going to be able to check it too. Here, I have the database schema. So, I come here. You can see, well, I think you can see it more or less all of the tables that there are storing are the SDK. If we go near to one of the tables, you can see that, for example, this is the attribute table, and you have the code, you have the name, display name, all these possible columns in the table.  So, to see what is the difference, the DHS2 has 452 tables into .32. Now, I will say that they have more near 500. And the under SDK has now 110 tables with a lot of properties, which is like a lot of information that you can use to show all the information to your clients, to your users. So, here, you can see an example of table info. So, in case that you want to know a bit about the structure, you can find in every class some information. This one is the table info, but you have for each table and object like that. So, you will have the program, table info, the dataset, table info, the attributes, table info. So, in this case, for the table info, you can find the name of the table, you can find some of the columns here, you have that the period have the end date, the start date, the period type, and the period ID. That is just an example. So, you can find all this information in the SDK too. In case that you want to interact with the database, you can access through this module. So, well, it's not a module, it's just the database adapter. So, you write D2, there's that there, and then you can execute all these methods here. For example, if you want to delete a table or you want to delete with a clause or you want to query some information, you want to execute or set a transaction, etc. So, you have here all the methods that this database adapter allows you. And here is a bit of a comparison of what you can do using the SDK repositories and modules, and what you should do if you are using the database adapter. So here in the very first example, we have the program module, and we access to the programs. And here we are filtering by program type using the program type with registration, and then we just call the get met. So that will return all the programs with this program type. If we want to do the same with a direct query, you can query, so go to the database adapter, and then query. Here you have the query, and then you pass the registration string. So, what this query method is going to make is, he will put a word, this is the symbol, the name of the string that you are putting here. So after that you're going to get the cursor, and then if you check that the cursor is not null, you can move to the first row. And then with the method that is in the object program, the create method, you can pass the cursor and you will retrieve a program. So it's more a bit longer, but it's not that complicated, because the SDK provides the create cursor. Without this method, it will be very, very confusing. So just try to use always this create method. And also, do not forget to close the cursor, please. Always close the cursor because if you don't do that, your memory will run out and your application will break. Here you have another query, a bit more complicated. Here we are using the event module to get an event. And then we try to use the Enrollment UID to filter the events, and then inside the equals of the Enrollment UID query we are searching for an enrollment which has this UID and is this program. So at the end, you're going to have the events for this enrollment, for this TI, for this program. So that you can do it in this block here if you're using the repositories, but you also can use a cursor query. But it's a bit dangerous because if you see the query here, just the select event from event, your enrollment on... You see that there is a lot of information here and you could commit some mistakes when taping and just one small character here will end up with a fail. So for that reason, we really recommend to use the repositories if you can do it, but you are free to use the attributes if you need it. In this sample, you are going to have to go to the cursor and then move to the first, loop the cursor and in each loop just create the event using the create method. So yeah, everything that we are talking in this academy is in this documentation, in the page docs.hs2.org. And for the direct interaction with the database, you can follow this link here. I would like to... Sorry. I would like just to remember that this class here, you create a method in all the objects is really, really useful if you are going to use in the modules. And that's it for this session. We are not going to make any... Any exercises? So now let's talk about the DSS2 compatibility. This is something that we mentioned in the first day and that the DSDK is compatible with at least the latest three versions of DSS2. So it means that you can use DSDK and you don't have to care about the version of the server. And probably you don't even know the version of the server when you are developing the application. So it is DSDK who deals with any modification in the web API, like a new parameter or some changes in the endpoints or whatever. So the process of DSDK is to encapsulate the logic, the changes, sorry, as much as possible by sending the data model usually. Sometimes the changes in the server are very big. And it is not enough to... DSDK cannot encapsulate those changes. DSDK has to tell the application that there is some changes that has to be done. Yeah, the one thing here is that if DSDK is responsible to notify those changes, so you don't have to care about unexpected changes that you didn't notice in the web API, it is DSDK who has to deal with that. And of course the changes in DSDK will be properly documented in the upgrade nodes. So in case we have any change in the DSDK that is a breaking change, we will properly document that change. So just for you to know what kind of changes we have had so far in the DSDK in this year and a half. So an example of a small change, a change that can be encapsulated by DSDK, it was a change between versions 229 and 230 in the program object. In the program object in 229 we have the captured coordinates property that was a Boolean, true or false. The coordinates were a point, always a point. And in 230 this property was removed and replaced by feature type. And now the feature type can be a point, a polygon, a multipolygon, or none. So in DSDK we adopt the new feature type and also keep the previous capture coordinates. And we can do kind of a mapping here. So we can map between false and none. And then between true and capture coordinates to point in the feature type. So in this way, we don't force the applications to update to the new feature type. So we have marked the capture coordinates with the deprecated annotation. So it means that this property is going to be removed, eventually, maybe in the next version or in a major version. And it means that you should use the feature type property. And if you are working with a 229 server, you can use the feature type property and DSDK will do the translation. So this is an example of a small change. An example of a breaking change was the change in the relationship model in 230. 229 or up to 229, a relationship where between a TI and a TI always. Now in 230, the model change. And you can have a relationship between TI's enrollment and events and TI's enrollment. So the model is completely different. The approach here was, well, let's suppose we have an application 1.0 that is using that is compatible with 228 to 229. Then 230 appears and the model has changed. So in order to create a new version 1.1, that would be compatible with all of them with 230, 229 and 228. In this transition, the app will be forced to do some changes in the code. In this particular case, the application in 1.1 will use the 230 model, I mean the new model that is more complex. So using that model, DSDK can translate to 230 and then to 229 and 228. So you can use the same model with all the three versions. But it's important here that the change in this case implies some changes in the app. Okay, and this is very related to the strategy to manage upgrades in the server. So let's suppose I mean you want to, you have an application on 1.0 and you are using 232 server. So what would be the approach to upgrade the server? In case you want to upgrade the server because you want to upgrade to 233. In case the process would be in first place, upgrade all the application in the field because you know that upgrading the applications all the end users can take some time. And even if the connection is not very good, maybe it can take some weeks, for example, to update all the devices in the field. If the project is very large that can take a few weeks and it's normal. In first place, you can update the applications. It doesn't matter if there are some users that are using the 1.0 app, other users that have already updated their application and are using 1.1. You are still in 232 so all the users can still work because 1.1 is compatible with 232. And only once all the users in the field have updated their applications, then you can move to the 233 server and the application will continue working because 1.1 is compatible with 233. So there will be no interruptions in the work. So this is the way in the way that the compatibility strategy can help in the server upgrade. Okay, any questions about this? This is just a small regular session for you to know how it works. So now let's talk about the roll map for the next version. We are in 1.4. We have seen that in 1.4, we had some basic analytic features. Now, for the next version for 1.5, we want to extend this functionality because now we only have basic analytics about even line list analytics in the context of a TI, mainly, parameters that are evaluated in the context of an event or a TI. Now we want to have parameters evaluated across all the TI or even indicators for aggregated, evaluated in a wider context. So this is one of the things that are coming. Also, we want to extend the utility or logic method. And we have talked about the event service, the enrollment service, some helpers that are there already. But there are a lot of things that have to do with the VSS2 logic that we, the DSDK should care about that. There are more helpers being in services to identify if the server is connected or not in a more reactive way. Also, validation of the data entry, we are working on that to validate if the value provides for that specific value type is correct or not. What about tracker? I don't know if you are familiar with this functionality, the break the glass. The break the glass, this thing that is, yeah, is an amazing thing because it allows you to hide some TI depending on the context or unit and the access level of the program. But this also introduced some complexity when dealing with permissions. So this is not implemented in the SDK yet. So basically, the TI that are behind the glass are hidden, we cannot see those TI. So this is something that is coming in the next version. This is 1.5. And also it involves all the flow to get a specific consent to download the TI. I mean, a reason why you want to access that particular TI. And also the consent to upload the TI. That's something that is coming. The topic that was mentioned like, well, almost from the beginning of the SDK is the possibility to have support for more than one user.  The previous one is deleted because the SDK only supports one user at the same time. So this is something that we want to introduce, the ability, the capability to have more than one user or the same user connected to more than one server. That is a common use case when you have an instance for aggregated and another instance for tracking. Also, yeah, we want to explore the widget thing. I mean, there are a lot of things that probably any Android application will have to implement at some point. For example, the organization unit B, the organization unit three is probably any application will have to do that. It's a very common thing, or the rendering of the value types, for example, for the date or for the file. There are a lot of things that can be served between applications in the form of widgets or UI components. Yeah, this is something that is in the roadmap as well. Yeah, and also we want to introduce an improvement in the synchronization process. And when it comes to metadata, we have seen that there is just a single method to trigger the load of the metadata and need download all the metadata that is relevant to the user. But maybe even if the user has access to all that metadata, for a particular use case, you only want to download, I don't know, a particular program. You know, in advance, or, I don't know, you have parameters, I have how this program in the server, I don't know, or you want to be more selective in the download. And even think about this online offline thing that may, because maybe we mainly work with the data that is in the database of the device in an offline mode. And we have a repository that combines online and offline that is the tracking things that search, you can search both online and offline. And we have this thought about extending this feature to all the repositories. And maybe you don't want to store tracking entities in your device, because you are sure you have a very good connectivity. You are in a hospital and there is Wi-Fi in all the hospitals, so you can work online always. So maybe this is an option or you want to update the program every time you access the program and keep a local copy just in case you have lost the connection. I don't know, it's something to explore. That's all. Well, last thing I just want to mention is about Kotlin, the Kotlin thing, because the SDK is mainly written in Java, but now we are moving to Kotlin. All this academy has been written in Java, but probably, I don't know, we could be moving to Kotlin at some point. Yeah, that's all for the roadmap. Any question or any comment on any suggestion of new features, we would really like to know our new features, new requests, something that you missed in the SDK. Anyway, if you have any comments or any requests for new features, you can use the Slack channel as well, but it would be nice to know you have more ideas about things that we can add to Kotlin.


Hi everybody, Joe for Jaspy's CaseBreaks.com. Great late night rally here. We knocked out the random number block randomizer.  Then we put the remaining teams into a random number block and that sold out fairly quickly as well. So great late night rally for everybody. Thank you. And thanks to these folks for helping make this happen. Appreciate it. There are the numbers right there. Let's roll it and randomize names in numbers five and a six 11 times. One, two, three, four, five, six, seven, eight, nine, 10 and 11 then final time. After 11, we got Matthew down to Chris. And let's assign you guys a number. Five and a six 11 times for the numbers. One, two, three, four, five, six, seven, eight, nine, 10 and 11 the final time. Good luck everybody, six down to eight. And here's what you get matched up with. Matthew, you got the number six. Robert with three, Devin with seven. Ed with zero. That means any and all redemptions for these teams right here, Ed. Including one of one redemptions. But Chris, you'll still get live one of ones for those teams. Ed with nine, Chris with four. Roy with two, Chris with five and eight. Let's order these numerically. And we'll see you in the next video for the break itself. This is casebreaks.com.


Now, as gunshots echo across the windswept snow-covered reaches of the wild northwest, Quaker Pop Wheat and Quaker Pop Rice, the breakfast cereal shot from gun, present the challenge of the Yukon. It's Yukon King, swiftness and strongest lead dog of the northwest, blazing the trail for Sergeant Preston of the Northwest Monument Police in his relentless pursuit of lawbreakers. On King, on your skin. Gold, gold discovered in the Yukon, a stampede to the Klondike in the wild race for riches. Back to the days of the Gold Rush, with Quaker Pop Wheat and Quaker Pop Rice bringing you the adventures of Sergeant Preston and his Wonder Dog Yukon King as they meet the challenge of the Yukon. When you get up in the morning, there's nothing like a breakfast you really go for. Like, for instance, delicious Quaker Pop Wheat or Quaker Pop Rice with milk and fruit. These Giants ready to serve grains of wheat or rice are premium grains. They're shot from guns, popped to perfection, exploded up to eight times normal size to make them crisp and tender. Quaker Pop Wheat or Quaker Pop Rice shot from guns is good for you too. Makes a thrifty deluxe family breakfast. Tomorrow morning, enjoy this breakfast treat. Quaker Pop Rice or Quaker Pop Wheat. In a small cabin about 20 miles from Dawson City, Beth Grayson was busily cooking her husband's supper. Beth was young and strong and bore the hardships of life in the North country without complaint. She hummed to herself as she put more wood into the stove and placed the big iron frying pan over the heat. Why, who? Help me, I can't go any farther. My foot! Oh, what's wrong? Here, let me help you up. Can you get over to the cot? Yes, I can. There. Are you all right? Yeah. Good eyes and water please. Oh, of course. Who are you? What happened to you? I'm lost. I haven't eaten in a long time. I have some hot soup on the stove. Here's the water. I'll get the soup right away. I was just getting my husband's supper. Thank you. You don't mind. I'll lie down. Oh, you're frozen. I'll pull that for a blanket over you while you're shaking. I'll get the soup right away.  It's sure nice of you. I'm a trapper. I got lost somehow. I've been wondering around for days. It's not hard to get lost around these hills. Here's the soup. It's good and hot. It'll sure hit the spot. I'm Beth Grayson. My husband's a trapper too. He started out as a prospector, but we didn't have any luck. So he's been trapping this winter to keep us going. It's the same as me. My name's Nick, Nick Smith.  Tom, he's my husband. He'll be home any minute now. And we'll all have supper. As Beth hurriedly cooked the supper, she watched the bearded man who lay with his eyes closed, breathing deeply. His face looked gaunt and starved. His parka was ragged and dirty. And one boot was torn almost away from the foot that dangled from under the fur blanket. Then, suddenly, she heard running footsteps, and a door burst open as her husband Tom entered brothels. Beth! Beth! I found gold. We're going to be rich. Gold? Yes. Just by accident, I found a rich vein. Down by the creek. Oh, Tom, be careful. Don't say any more. What? Oh, who's that? Who's that man on the cot? He's a trapper. He stumbled in here about 15 minutes ago. I think he's asleep. I hope he didn't hear you. I'd better see if he's asleep. You're not awake. I guess he didn't hear you. He's dead to the word on it. Come on outside so I can tell you. I'll have to get to town tomorrow and file a claim. Where did you say it was? Well, I was sitting trapped down by the creek about five miles from here. A rock tour loose that I was standing on, a lot of dirt came with it. Oh, honey, it was the luckiest thing that ever happened to me. The creek right there must be full of gold, because the vein leads right into it. I bet we're going to be rich. Tom, I just can't believe it. Wish that man hadn't come. We can't talk about it in front of him and continue to get the claim file. Well, you'd better get back in the cabin before you freeze to death. He is. Here, honey, take my snow glasses and put them on the shelf. All right, Tom. I'll unharness the dogs and beat them while you get supper on the table. It was hard for Beth and Tom to conceal their excitement as they ate supper with a stranger who wolfed his food like a wild animal, refusing to talk until every morsel was cleaned from his plate. He drank his hot tea all in one gulp and devoured a thick piece of bread as Beth filled his cup again. Will you have another piece of venison, Dick? Yes, I sure will. I'm still a little hungry. I'm glad you found our cabin. Here's your tea. I can't remember when the meal ever tasted so good. I noticed that you lived when you came to the table. Did your foot hurt? I guess it's frostbitten. I didn't wind it around for two days.  I didn't even hear you come in. That soup warmed me up inside and I dosed right off. Would you mind if I slept in your woodshed tonight? In the woodshed? Well, you'll sleep right here in the cabin. I'll fix a sleeping bag right beside the stove. I'm going to Dawson tomorrow and you can ride on the sled. The following morning was bright and fair. The early sun shone on the white snow from the sky that was clear and blue. Tom had gone out the hardest of the dogs. While inside the cabin, Nick fastened his pocket and lived over to a corner of the room where Tom's revolver lay next to his snow glasses on the shelf. Beth turned on the stove quickly. She heard the click of the gun. Well, what are you doing? I'll shoot. What's wrong with you, Nick? Get down on that chair beside the table, quick.  You yell for your husband, I'll shoot him when he comes in that door. Don't shoot. What do you want? Sit down, I said. All right. Please. Put your hands back in the chair.  No, no. Get him back here. My arm. You're hurting me. Keep quiet, I said. I just forgot to make you all gaggy with this towel. I told you to keep still.  Oh, still. You won't be able to get out of this in a hurry. All right, Nick. Stick him up, Tom. What? Don't move or I'll shoot. What are you trying to do? Put your hands up and keep them there. All right. Just don't hurt Beth. I'll give you whatever you want. All right now. I want that hunting knife, Nick. Keep your hands up. All right. Here it is. I'll keep it for you. Guess what's the idea of this? We're going to take a little trip, you and me. A trip? You're going to show me just where you found gold yesterday.  You warned us. I heard every word you said. I needed sleep and food, so I waited until after breakfast this morning to do something about it.  Keep those hands up. When Beth took in and fed you, now you turn around and do this. You should turn to turn around. I'm tying your hands behind your back with this rope. You'll be able to walk and lead me to your strike. Turn around, I said. You won't get away with this, Nick. Put your hands down behind you. I'll let you keep those mittens on so your hands won't freeze.  If you behave and lead me to that claim, you won't get hurt. Neither will your wife.  Don't think I'm fooling up to believe that. That won't do you any good if you don't believe it. So don't try any monkey business. Now then, you take me straight to that gold claim. You walk ahead of me, and remember I'm the one who's got the gun. Now get going. All right. I have to have sun goggles. My eyes are weak. I can't stand the glare. Let's talk about time. Start moving. I'll ride the runners and you walk ahead of the dog team. Hurry it up, let's go. As Tom strode ahead of the dog team, his brain whirled as he tried to figure a way out of his predicament. Though the creek where he had accidentally discovered gold lay to the west, he headed east and stalled for time, hoping to meet a traveler or some friend who could help him. The early morning sun, shown on the white snow with a blinding glare, and his unprotected eyes grew watery and bloodshot. After two hours of traveling, Nick grew impatient. You can't tell me that claim yours is this far away. You aren't going to it, that's what. My craft line is 40 miles long and the creek is almost at the end of it. Well, go faster then. By this glare, I can't see very well. My eyes, something's wrong with them. Hey, pull it.  You're lying. There's nothing wrong with your eyes. I'm not lying, I can't see, I'm snow blind. Snow blind, nothing. That's just an excuse to keep from finding the place. I told you I couldn't stand the glare without my goggles. I'm telling the truth, I can't see. Well, I'll find out. Oh! Why you dirty r— If I could see, I— Well, I guess you'd tell him the truth after all. I guess you didn't see my hand coming out. Well, that blasted look. All right, get on the sled, go on. Stop pushing me. That's right here, get on it. What are you going to do? We're going back to the cabin. If I'm born any, your eyes will be bloody. This time, I'll see to it that you take me to the claim. I'll ask your wife where the creek is. If her directions don't fit yours, it'll be too bad for the both of you. Right, march! But back at the cabin, Beth had struggled with the bombs that held her. By rocking the chair back and forth, she got close to the hot stove. Twice, she burned her wrist painfully. But at last, the cinch broke broke. She strained at it. With her hands free, she got the gag in her mouth. Now, if I can, on this time I speak, I'll go to the trading post for help. I must find Tom. A short time later, Beth, going as fast as she could on snowshoes, took a shortcut across country toward the trading post. As she neared the main trail, it was necessary to descend the steep slope. But in her haste, she lost her footing and pitched headlong toward the bottom. We'll continue our story in just a moment. Man, oh man, these three famous words, shot from guns, mean a breakfast treat that really huts hard to beat. Yes, for tasting swell, you just can't beat Quakerpuff rice or Quakerpuff wheat. What's more, these ready-to-serve breakfast cereals actually are shot from guns. Listen. Yes, sirree. Premium grains of wheat or rice are exploded up, up, up to eight times normal size. That makes them bigger and better tasting. Makes Quakerpuff rice and Quakerpuff wheat crisp and tender as nuts in November. And talk about flavor. Just shake out a bowlful right from the package. Then pour on some... That's right, milk or cream. And to really do it up, add some fruit, like, say, sliced bananas. Man, oh man, there's a real treat. More important, long hours at school and play call for a hearty breakfast. And Quakerpuff wheat and rice furnish added food values of restored natural-grade amounts of vitamin B1, niacin, and iron. So how about it? You'll be getting off to a flying start when you eat Quakerpuff rice or Quakerpuff wheat. To get the original crisp, fresh, wheat or rice shot from guns, always buy the famous big Quaker red and blue package. It's never sold in bags or bulk. Now to continue our story. Beth lost her footing and fell screaming to the bottom of the slope. A short distance away, Sergeant Preston of the Northwest Mounted Police halted his dog team and spoke to Andy Ross, the trapper who accompanied him. Okay. How ya, Husky? You hear that scream, Andy? Yes, sir. That's all I did. These big fur hoods over our ears, it's hard to hear anything. I saw him turn his head and point his ears. He seems to know something's wrong. Come on, Andy. We'll leave the team here and see if we can find anything. Right, Sergeant. Go ahead, King. The great dog King had heard the piercing scream that rang through the cold silence. Leading Sergeant Preston and Andy, he approached the still figure that lay at the bottom of the slope. Good work, King. What? It's a woman. Must've hit her head when she fell. It's bleeding. I say. That's Beth Grayson. She lives about five miles from here. She must've been taking a shortcut to the train post. She's still alive, but she's unconscious. They better take her to the post instead of trying to get her home. It's posy. I'll help the carrier. She isn't very heavy. I can get her back to the sled, all right. If she hasn't broken any bones, it'll be safe to carry her. Her young husband's town. Be worried about her. He's a trapper. Maybe he's out on his trap line. Old dog Brady's in this territory somewhere right now. He heads up this way once a month.  I'll carry her. All right, King. Back to the sled, boy. Back at the trading post, Beth Grown, the sergeant Preston, tied the bandage around her head. She lay still with her eyes closed as the mountain turned to Andy who watched quietly beside him. She'll be conscious soon, I think, Andy. Nothing more I can do for her. She'll be all right if she rests quietly until the doctor comes. Well, he'll be here soon. That Indian I sent can make fast time on snowshoes. But I think we ought to get worried to her husband, though. Town will be money worried if she doesn't show up. You say she lives straight west of here along the trail? Her cabin is back in the trail at the place where he branches from the creek. I'm going in that direction. I can stop off and tell her husband on my way. I'll send him here as soon as possible. While Sergeant Preston with his dog team made his way toward Tom Grayson's cabin, Tom and Nick approached it from the other direction. Tom, his eyes bound with a scarf, groped his way toward the door, guided only by Nick who pushed him roughly. Go on. Hurry it up. Do it straight ahead. It's Beth all right. Beth. Beth. Where'd you go? She got away. Beth, where are you? You're in the ropes. She burned them off somehow. She must have gone for help. Well, Nick, I... I guess your scheme won't work after all. You won't get my claim now and you'll be lucky if you get away at all. Look at those dogs. Must hear someone killing them. You can't get away now, Nick. Whoever's coming, you'll see you. It looks as though you're caught. I'm not caught yet. It's only one man and a dog team. Your wife isn't with him. If I could only see you... Then I'll take care of you. Now I'll turn and gag you and put you in the woodshed back of the cabin. We'll see if I'm caught. A narrow door led to the woodshed back of the cabin. And Nick, having bound and gagged Tom, was just re-entering the cabin to get his gun when there was a knock at the door. He hesitated a moment, then decided he must blow it through. But he started the surprise when he saw Sergeant Preston. I'm Sergeant Preston. You're Tom Grayson? Yes, yes, I am. Your wife was hurt on her way to the trading post today. She fell and hit her head. My wife? I'm sure she'll be all right after she rests a while, but it knocked her out for a time. But did she... Did she talk to you at all? I know she didn't. But Andy Ross knew who she was. She'd better get to the trading post as quickly as possible. She'll feel better if you're there. But it starts right away. Well, I might have glad you stopped to tell me, Sergeant. I wonder if you'd mind if I made myself some hot tea.  I'm rather hungry. No, not a dog. You just go on in and help yourself. You won't mind if I don't wait for you there. Of course not. I'm going in the other direction anyway. Oh, uh, you mind if I take my dog in with me? Not a dog. Go ahead, help yourself. Thanks. Come on, King. I just got back from my trapline so my dogs are all ready to go. Thanks again, Sergeant. You're welcome and thank you for letting me use your cabin. Oh, don't worry too much about your wife. I think she'll be all right once you get some rest. I hope so. Goodbye. Bye. You hungry boy? No, I wasn't hungry. As Sergeant Preston unpacked the food he had brought into the cabin with him, King circled the place, sniffing here and there, investigating every part of it. When he came to the door that led into the woodshed, his sharp ears pricked forward and he sniffed under the door. Then he heard a muffled sound. What's wrong, King? What's bothering you, fellas? Oh, this door leads to the woodshed, I think. There, it's open. That's what you wanted. It's so dark in here. What? It's a man. Good work, King. You must have heard him moving in here.  There. Thanks. Now, untie your hands and feet. Take it easy. You'll be all right in a minute. Who are you? I'm Tom Grayson. Tom Grayson. But that man, the one that let me into the cabin, he said he was... Who are you? Sergeant Preston, Northwest Mounted Police. I'm Mountie. Not a known except that I can't see very well. I went snow blind. That man you talked to, his name is Nick. He tried to force me to tell him where I found a gold claim. He tied my wife up now, she's gone. Your wife's at the trading post. She fell and had her head on the stone. My founder, that's why I came here for you. Oh, she hurt much? No, she'll be all right. Doctors with her. Can you see it all now? A little, Sergeant. My eyes feel better now. I've had them covered. We've got to catch Nick, Sergeant. He has my dog team and I know their tracks anywhere. My lead dog lost a toe on his front foot. And Jinx, the wheeled dog, has a bigger track than the rest of the team. Let's go after him right now. We'll catch him without any trouble. You can ride on the sled. Come on. I'll help you. Thanks.  It was tied up so tight I could barely move.  There's still a glare on the snow, but it'll be dark soon. Here's a scarf. I think Nick would have killed Beth and me if I'd shown him where that gold strike was. I led him in the wrong direction. Oh, still a man. My eyes are weak, but he wouldn't let me stop long enough to get my goggles from the cabin here. You thought I was lying and stalling for time. There you are. Thanks. Well, we can't, Snake. You can drive your team to the trading post and get your wife. Come on. It won't be hard to follow Nick's trail from here. His tracks are as clear as handwriting on a piece of white paper. They won't be, though, when he reaches the main trail. It's packed down hard. Here's the sled, Dom. Sit down. Thanks. Hey, King, hi there, boy. What are you doing, Sergeant? I think King got the sound of Nick's tracks, so I'll know who we're after. This is the man we want, King. We won't need a dog to find him. I'll be able to see the tracks of my team if he turns off the main trail. I could see well enough for that right now. Won't hurt. I need to have a double check. I'll front, King. On King! On you! Oh, look, King! Bring him back, boy. What's wrong, Sergeant? Mick wanted to make sure he'd have a good start in case I found you. He cut my traces partway through, and they broke. Will it take long to fix them? Quite a while. He weakened them in five or six places. This will give him a good start. Well, he won't get away. I can tell the tracks of my team anywhere. We'll get him. We'll get him, all right. Won't be, King. In the meantime, Nick had reached the main trail. The long dog whip cracked over the heads of the dog team as he urged them on at a heartbreaking pace. Hush to your mother! Hush! Hush! Hush! Later, light snow began to fall, leaving his tracks clear, and Nick knew his only chance lay in putting as many miles as possible between himself and the Mountie, so he didn't spare his team. As the miles flew by, the dogs became exhausted, but slowly, they slowed down in spite of the cruel whip, their sides heaving and their tongues dripping. It was at this point that Nick saw a man with a five-dog team crossing the trail ahead of him. He hailed him. Hey, you! You there! Wait a minute! The man waited as Nick approached and stopped. Hold on! Hold on! The dog team dropped in their tracks to rest. Where you by, Fort Speedy? Me? I just come from see my friend Pierre. I go home to my cabin. She is five miles from here. Well, you wouldn't swap dog teams, would you? It's a better team than yours, but they're all tuckered out and I need a freshman. Well, that is fine team you have, but mine is good too. I'll give you all seven of mine. You just have five. They're better dogs, you can see that. You see, I'm in a hurry. My brother is dying and I have to get to him. Oh? You'll never get a better bargain than this one, Mr. Well, that lead dog is fine animal. That wheel dog, he has good chest. Come on, Frenchie. Make up your mind. Nobody else would swap you even for those curves of yours. We? I think maybe I do it. Here they are.  You take these dogs to your cabin. They're rested up, you'll have the best dog team you ever own. It had stopped snowing and Nick smiled with satisfaction as he saw the clear tracks of Tom's sled turn off the trail to the left, driven by the Frenchman. Then Nick continued on the main trail, urging his fresh team on. So he knew he had thrown off anyone who might be pursuing him. Frenchie! Frenchie! Frenchie! Frenchie! Darkness was approaching as Sergeant Preston neared the spot where the tracks of Nick's sled turned off the trail. The Mounties dog team had kept up a steady pace, and the tracks of the sled they were pursuing were clear in the newly fallen snow. Tom had taken the bandage from his eyes and peered ahead. And you've seen all, Tom. Pretty well, Sergeant. Enough to see those tracks. That's my team, all right. I go snow blind quickly, but it doesn't last more than three or four hours. Right? Say, Sergeant, look. I've turned off here. The tracks go to the left. Hawking! Haw, you're lucky. You're right, Tom. The king was going straight ahead. Hawking! Haw! That's funny. What's funny, Sergeant? King doesn't want to follow those tracks. The Great Dog King stood still, refusing to change his course. He had been told to find a man, and his nose told him where that man had gone. He tried to tell his master why he refused to obey. Who wants to follow those other tracks, Tom? The ones that lead straight ahead? Well, we can see, can't we?  King's following a saint. He's not depending on his eyes the way we are. But the scent of my dogs goes this way. King isn't interested in your dogs. He's following the scent of a man. Well, I'm not going to trust a dog, Sergeant. You can go that way if you want to. I'm going to follow the tracks of my team. If you don't get Nick, I'll do it myself.  You may find your dog team. I'll bring Nick back to the trading post in the morning. I'm the one who'll bring him back, Sergeant. I know he went this way. And after the way he treated Beth, I won't promise that he'll be alive. All right, Tom, go ahead. I'll see you at the trading post in the morning. All right, King. Straight ahead, boy. Darkness had fallen, but Sergeant Preston continued on the trail, trusting King to lead him to his quarry. Then suddenly, up ahead, he heard some dogs barking. And saw the small light of a cabin as he rounded a bend in the trail. Oh, King! You'd better leave the team here, boy. You and I can go more quietly. With the big dog beside him, the Mountie walked toward the cabin slowly in the darkness. King growled, and his fur bristled as they neared it. The dogs chained outside the cabin, barked frantically as they approached. The Mountie kept his eyes on the door, waiting for it to open. Suddenly, King sprang ahead of him with thick fur trees near the cabin. The roar of a gun shattered the stillness. Get away!  Get away, sir! All right, King. Back, boy. Back. Get up, Nick. Your dogs warned you, so you thought you'd surprise me, eh?   You run to arrest, Nick. In the morning, I'm taking you to Dawson. It was later the following day that Sergeant Preston entered the trading post, pushing Nick handcuffed and sullened before him. Tom Grayson rose in his seat beside the stove where he was sitting with Ben. Stand over there, Nick, and don't move. Sergeant, you caught him. I can't tell you how foolish I feel. Don't bother, Tom. We saved time this way. How are you, Mrs. Grayson? I'm all right, Sergeant. Thanks to you. I brought my dog team back. Oh, this is Gene LeFarze. Nick traded teams with him. For sure, Sergeant. I hope you'll not think I helped him get away. He say it is fine to... That's all right, Gene. I brought your team back. It's out front. Thank you, Sergeant. It is too bad his brother was not dying. That was such good bargain. I wish I could apologize to that dog of yours, Sergeant. After the way you found me, I should have known I could trust him. The king doesn't mind. As long as I trust him, he doesn't care what anybody else does, do you boy? Now you better get to town and file that gold claim, Tom. Far as you're concerned, this case is closed. Wait till you get there. At the moment, Sergeant Preston will give you a preview of Friday's program. Here's a tip. Cracker Pop Wheat or Cracker Pop Rice are never sold in bags or bulk. To get the famous crisp, fresh, wheat or rice shot from guns, always buy the big Cracker Red and Blue Package. You go for both delicious kinds. For variety, eat the Cracker Pop Wheat one time. time, Quaker Puff Rice the next. These tasty giant breakfast grains shot from guns are made from only the premium grains. So for the best, always insist on Quaker Puff Wheat and Quaker Puff Rice. These radio dramas, a feature of the challenge of the Yukon Incorporated, are created and produced by George W. Trendle, directed by Fred Flower Day, and edited by Fran Stryker. The part of Sergeant Preston is played by Paul Sutton. They are brought to you every Monday, Wednesday and Friday at the same time by Quaker Puff Wheat and Quaker Puff Rice, the breakfast cereal shot from guns. Listen, Friday, when Sergeant Preston and Yukon King meet the challenge of the Yukon in the adventure of the Poisoner of Chilliwa. The Poisoner was after old Toby Dixon. You see, old Toby thought he had a mighty good hiding place for all the money he'd saved. But the Poisoner of Chilliwa was too smart for Toby. He was too smart for everyone for a time. He fought with a sinister weapon that left King helpless and brought the great dog to the brink of death. It's an exciting story you'll enjoy. Be sure to hear this exciting story Friday. Till then, this is J. Michael wishing you good bye, good luck, and good health from Quaker Puff Wheat and Quaker Puff Rice. So long. For a delicious hot breakfast, eat Quaker Oats. The giant of the cereals is Quaker Oats. Yes, the giant of the cereals is Quaker Oats. Delicious, nutritious, makes you feel ambitious. The giant of the cereals is Quaker Oats. Hey, boys and girls, do you want to be a star someday in sports and activities? Then start on good Quaker Oats breakfast tomorrow, because nourishing oatmeal gives you more growth and endurance than any other whole grain cereal. Still less than one penny is serving. Quaker and Mother's Oats are the same. This is ABC, the American Broadcasting Company.


One of the challenges is that when a post program is successful, it can be overly loved and that's not always what we want. People have shared that they don't have a conflict of interest, but relative to this talk, that's particularly important. Our Center for Ethics and Healthcare does not, never has and never will take funding from healthcare industry sources, and that relates to the issues at hand today. I'd like to talk about three areas as we focus on the challenges. One is that the public trust is fragile about decision making near the end of life. That there are three very large changes that will be coming to the Oregon Post Form in 2019, what they are and why. And specifically some of the ethical issues about offering feeding tubes, particularly in the context of advanced dementia, whether they should even be offered. Oregon separated from the National Post Office in 2017, but continue to work closely with many colleagues of whom we have wonderful relationships in a number of states. Incentives. The world has changed from when we first created the post program in the early 1990s. In the early 1990s, healthcare was completely fee for service and the incentives were the more you did, the more you made. And so there was a real pressure to do things and post was a counterweight, pressure back, the advanced ability to set limits and say no. But things have been changing and in Oregon for example, managed care, coordinated care organizations, Medicare Advantage are 50% now of healthcare. You hear a lot more language in talking about advanced care planning with words like bending the cost curve, cost savings and value. All of those things can be good things, but they can also mean that incentives have changed and patients can wonder who we're advocating for. The cost curve has actually started to bend at the end of life and we are spending less near the end of life in the last couple of years according to Dartmouth Atlas data. Could there be problems, could there be misunderstanding, could there be an implied conflict of interest because it could appear that an incentive is primarily for cost saving purposes. We just want to alert you to that possibility because some patients have described feeling pressured to complete post forms in health systems where there is any kind of incentive. It turns out post is extremely sensitive to incentives. You can have a pop up in an epic record system that just says your patient does not have an advanced directive or post at age 65. You'd think well it says or and you could fill out the appropriate document, but if you're counting, not incenting, no financial reward, you will increase the number of post forms with a spike at age 65. And Joan Tino and I wrote about this in a blog in health affairs a couple of months ago, but we have learned that if you show me the data of a health system, I can probably back guess exactly what the incentive is. So there are not in Oregon but in some other states pay for performance incentives that have an or clause so that you receive a part of your bonus as a primary care provider based on how often you get flu shots at a certain age, how often you check the hemoglobin A1C in someone who has diabetes and how often someone 65 or older has done advanced care planning, which is a carefully written conversation recorded and advanced directive or a post form. And you will get a spike at age 65 with post form completion. So those things have made us concerned about any kind of counting of post forms and the Oregon Post Coalition has created a policy strongly recommending that post forms never be counted in any kind of health system as a quality measure because it's so sensitive. Shifting gears to objective two. We are making three major changes in the Oregon Post Form on January 2nd based on data. The first change is the color. It used to be all pink, many states have a fully colored form sometimes green in the state of Washington or Maine, yellow in Wisconsin. We are only going to have a pink border for two reasons. One is that systems are shifting to electronic and you print it out white when you print out an e-pulse and so the whole pink is becoming more of a thing of the past. Second, we did quality analysis of the Oregon Post Registry and found out that 900 post forms last year could not be entered because they were too dark from the photocopying and faxing of pink and it was reducing quality. So it'll be white in the middle and a pink border as we move to more and more electronic and probably eventually all white but because those who use paper charts like the visual that will show on the edge in any kind of record this way. Since 2001 advanced practice nurses have been signing post forms in my state and increasingly in other states. The word physician as physician orders for life sustaining treatment has not been particularly inclusive of our at Brandt's practice nursing colleagues. The name is changing to make it not all about us but all about the function of the document and it is portable orders for life sustaining treatment and the word pulse remains. The biggest change is that section C will disappear. Section C is artificial nutrition and hydration by tube, the placement of a permanent feeding tube. What are the implications of removing a permanent feeding tube from the document that has been in place now since the early 90s and all states that have followed the Oregon's original implementation have feeding tubes in some way on their documents. Is it a problem that it's on the form? Well in the early years of the post form it wasn't much of a problem because people usually filled out the form to set limits on treatment and most of those who set limits also set limits on feeding tubes and the rate of requesting a permanent feeding tube in that group, comfort measures only, DNR, was 2%. Some of those are completely appropriate, they have ALS, they meet a goal of medicine, it makes sense that it wouldn't be zero but we did not see a high rate of requesting feeding tubes particularly those with advanced dementia. We have increasingly learned and not known when we originally put feeding tubes on the form that it doesn't work in advanced dementia, that it meets none of the goals of medicine. That in advanced dementia, you do not live longer and you do not reduce suffering. In fact, there's a two fold increase in bed sores. Why? For strains because you're going to pull the tube out. So, there's not anything we can find that is an advantage in any of the more recent literature simply regard to feeding tubes and advanced dementia. There are conditions that it meets one or both of the goals of medicine. ALS being one, some situations with stroke and dysphagia, clearly people live potentially decades in permanent coma, that meets one of the goals of medicine. We are talking about advanced dementia and there are some other situations where you don't live longer if you put a feeding tube in. So, we are saying because there is no evidence keeping it on the form, knowing that there is a shift, this is in press, not yet in print, that there is a rising rate of orders for full code, full treatment on pulse forms in the last few years. Changing incentives, changing climate, pulse overly loved, lots of things are happening, but in that group, the rate of request for a permanent feeding tube is much higher. So, then you have someone who perhaps in a much healthier state created a pulse form that says yes they want a permanent feeding tube and years later develop advanced dementia and family is looking at this form, it says yes, healthcare is looking at this form, it says yes, and we know it doesn't meet the goals of medicine. So, we have been worried that we're setting up a situation that isn't what we should be doing. We are finding challenges with the over completion of pulse forms in healthy 65 year olds, some of them are filling it out so they can refuse a tube feeding. And then five years later they have a stroke, families looking at this saying well we've never had a conversation about goals of care, maybe this is what they really want and that's adding a burden. So, either way in that group there are some problems. Healthy people are not supposed to have pulse forms and so insurance companies have denied life insurance in people simply because they have a pulse form. Even though it says full code, full treatment. The life insurance company has looked at the writings about who pulse is for and it says for people with a year or two to live, denied now obviously that could be appealed and so on. But that is a new problem in recent years. So, the take home messages are that the public trust is fragile, we need to be much more vigilant about any kind of incentive including just plain counting. And that people as part of welcome to Medicare or Medicare annual visits should not have any kind of incentive to have pulse forms completed, most of them an advanced directive would be a more appropriate document. Aged based incentives cause problems and they erode the quality of the pulse program. Pulse is for people with advanced illness and frailty. Thank you for your attention. I welcome your question. Hi, thank you. My name is Stephanie and I'm from Michigan and our legislation just passed a post law November of last year and I'm part of the committee with the Department of Health and Human Services to implement and roll out our pulse program in Michigan. One of the things that we often see and I'm curious if you've heard any work with the national pulse paradigm with regards to interpretation of DNR. We see a tremendous amount of discrepancies with regards to what it means to be a DNR and that is my concern with rolling out our pulse program and assuring that the document is used appropriately as you describe but I think more importantly is how we are interpreting what DNR means. Thank you very much. Interpretation and education of EMS are incredibly important in the success of a pulse paradigm program. The interpretation that is even more challenging than DNR is what should EMS do under limited treatment and how does that fit in if there is a situation where there is respiratory difficulty. Do they use some of the new technology, the supraglottic tubes? How does that lead into honoring the patient's wish in those circumstances to not end up intubated and in the intensive care unit which is the main function of limited treatment category. And so we have been working with statewide EMS to define terms so that we can put them clearly in the guidebook and clearly educate EMS. This is part of your protocols for a do not resuscitate order or for limited treatment and the biggest questions have arisen related to the newest technologies. It turns out that if you put in a supraglottic tube in the field the minute they get to the emergency department we are told people are indeed endotracheally intubated without questions asked and moved to the intensive care unit which is what those people with limited treatment were trying to avoid. So we are making it very clear that that is an advanced airway treatment, that that is under full treatment and not what would be provided in the field. But you have to provide incredible clarity on protocols with all of your EMS senior leadership agreeing with the definitions of what treatments are provided in what categories or you have a lot of chaos and uncertainty. Yes. Susan, Ed Dunn, Louisville, Kentucky. Thank you, thank you, thank you for your leadership in Oregon and what you have done, what you accomplished in the last 25 years. In Kentucky we have been at it for two and a half years. My question is who should we be prepared to argue with when there is push from industry funding and a push to account? I assume it is health systems and insurance companies. Anybody else? No. Okay. All right. Thank you. You need to go talk to the CEOs and the... I already have. To make sure nobody counts and they didn't realize that simply counting and putting out numbers about polls at age base which usually ends up being 65 but can be older and still results in a spike there. And patients using the word for the first time something I hadn't seen until about four years ago. Pressured. I felt pressured to complete the document. We do need to push back. Susan Siegler, Chicago. I'd love to hear you talk a little bit more about your first point that public trust is fragile. Because most of us around the country think of Oregon and West Virginia as the two states leading the way in the post program. And if public trust is fragile there it must be even worse in the other states. I do not think the public trust is uniquely fragile in West Virginia and Oregon. I think that is a national issue. We've all heard the words death panels. We know what that mindset can do if you create a pathway from financial incentive cost savings to feeling pressured to complete documents. That is the fragile put that story in the media. And it's not at all unique to our states and in fact in Oregon because we've been pushing back so hard we have no pay for performance incentives. I do not think we would be the media lead in where things could go wrong. Yes. Hi, my name is Sienna, former ethics fellow here. I'm an internist working in a rural area on a reservation. I was curious if you comment on the, if there's issues with post forms when they're done on reservations which is technically federal land and not state run anything. So what should I do with my patients in these places? First of all it's rather like the VA as well. The VA is not follows a lot of federal distinctions and has some unique features about advanced care planning that relate to the VA system. We are finding that across all parts of our state including the VA and reservations that people are completing post forms. They are putting them in the Oregon Post Registry and they are being found and honored. But you know we've been doing this a long time and there are regions that are just getting started. Obviously mistrust is common and when we talk about issues with the public trust, broken promises, other things that we heard in the earlier session, may lead that not to be the place that you would like to first lead with developing the post program, but rather where a well established program might also be offering it.


If you're stuck on not knowing how you would like to celebrate your birthday celebration, here is one question that has the power to unlock that and you can build on that. Ask yourself what you didn't like when you went to a birthday celebration in your lifetime because we all lived long enough, in my opinion, that we experienced birthday celebration, that they were left us all bored or frustrated or, you know, nothing. And remember that celebration and the feeling that left you? And remember what would you do instead? So for example, for me, it was a few years ago, there was a birthday celebration, it was lavish. It had everything, food, drinks, music, space, everything was gorgeous, you know. You could have said that it was perfect, yet people didn't know each other and they didn't mingle.  And I felt a bit sad when I left the party, I didn't feel very good about it. And I remember saying, I will never do this to myself, for myself. When I do a birthday celebration, even if I invite complete strangers, I will make sure we have an experience that brings us together. And if I don't want to provide an experience and take the lead in this, then I don't invite people who don't know each other or they don't have a common ground. So for me, that helped me. So please remember something in the past that left you with a bit of taste from a different birthday celebration. And think, hmm, I will not do that. And start from there.


Just a few days to the governorship and House of Assembly elections, the Lagos State Chapter of the Accord Party has declared support for the re-election of Governor Babajideh Sanwallu for another four-year term. Addressing the press conference in Lagos, the state chairman of the party, Delia Olladigy, said the decision of the AP is premised on the grounds not to sacrifice various achievements of the Sanwallu-led administration on the altar of beta-politicking. Coming into the state election, we see push at INEG to see if we can get our legitimate list on the list, but like some few parties we were unable. I think Labour Party had that issue too. AA had the same issue and ADC. So we can't sit back and align posters to blow the trumpet of a king. Today we are adopting a Ventura candidate of choice. We didn't just choose someone because this would be a watershed in the history of Accord. We have never at any time in Lagos State had any alliance with APC. APC had been the ruling party from 1999. They were AD, AC, ACN, then APC. We've never had any alliance with them. The only thing we've had that is close to them is whenever anybody is disgruntled in APC, they look for someone that can meet wife or deliver their mandate. We welcome them and we work for them. So going into this election, we had two options. APC, Governor Vagile San Olu to continue in his efforts in governing Lagos State. And don't forget to hit the notification button so you get notified about fresh news updates.


Welcome to the Daily Decrypt, where the currency competition is served hot and ready. I am your host, Amanda, and today's episode is brought to you by BitShares. I've been trying to get an interview with BitNation founder Suzanne Tartowski-Templehoff for some time now, and I'm happy to report I finally caught the little nymph but a few hours ago. The setting? What she calls BitNation's Embassy, currently in Rio de Janeiro, Brazil. But what is BitNation? A blockchain-based organization was founded in 2014 with the unique mission of competing with nation-state governments.  So people should have the choice of governance, you know, which government they want, as much as they should have the choice of what car or cell phone or anything else. So what does it look like to compete in the market of governance? We asked Suzanne to give us an example of a BitNation app.  You choose your own arbitrator based on the ID and reputation system.  You can bring, you know, several arbitrators if you feel like that. And everything is just done product, you know, product, not free but, you know, very cheap chat platform on your cell phone. So with dispute resolution as a planned native offering of BitNation, what about governance options not initially offered by BitNation, but that its users or some of its users might want to see deployed? Let's say you want to create an education initiative, for instance.  Holland is like a part of the whole, right? And I want to do this education program and I, you know, I think it's going to cost this much and it's going to generate this much. Currently, BitNation lives on the Bitcoin blockchain and its tokens are issued via the counterparty protocol. That will soon change, however, as Suzanne has decided that the smart contract capabilities of the Ethereum blockchain are more suited to her project's goals. We're going to burn the counterparty tokens and then people who have tokens that can swap them at a one-to-one body with the new Watson. Okay, so it will be a complete move, a blockchain hop. That's right, yep. All right, a block hop, very good. And once living on the Ethereum blockchain, will BitNation again issue its own tokens like it did with counterparty on Bitcoin, or will it simply use Ether? Actually, we haven't really decided on that yet, I think. That kind of remains that open issue. I think we will end up using our own token as well, you know, we'll probably use both. In tandem with the migration to Ethereum, a BitNation constitution is set to be enshrined in code this Monday, February 15th in Rio de Janeiro. The constitutional code itself will be written in person by Ethereum developer Alexander Vandesand. So BitNation's governance is being called a holocracy. But what does that mean? A holocracy is defined as a form of governance in which individuals or holons are simultaneously part of the general whole and autonomous. The holocratic system just means that instead of voting on an issue, you just say, you know, here's a proposal, I want to do this and then people can fund it for the tokens. And what would Suzanne have to say to those who are attracted to the idea of competing with nation-state governments, but aren't particularly attracted to BitNation's holocratic constitution? Yeah, now a really important aspect of it is to just communicate the notion that people are not stuck with our own governments, that there is an easy way for everybody to create their own nation. And it doesn't have to be complicated, you know, I'm not a developer and even I can do it. It would seem that competition indeed begets competition. If you would like to watch the live broadcast of the coding of BitNation's new Ethereum based constitution, you can follow the necessary updates at BitNation's Facebook page linked below. Today's episode has been brought to you by BitShares, a currency which features usernames in place of long alphanumeric addresses to make sending and receiving payments easier. The next release of the BitShares software will also offer the ability to make confidential transactions, increasing the privacy of BitShares users. You can download the smart-looking desktop wallet at bithares.org or simply try out the web-based version at openledger.info. And I would like to extend a hearty invitation to you, lads and ladies, to check out our new subreddit. Yes, that's right, you can now eat your daily decrypt at reddit.com slash r slash the daily decrypt. Enjoy!


Oakland down big in this game, down big on the season, but Ryan Noda needs to get his hacks in, get his at bats in, feel good about himself. This breakdown is brought to you by DraftKings. First pitch, curve ball fouls it, foul, umpire throws the ball back, feels cool about how he did it. Follows the curve ball up with a fast ball strike. Noda doesn't like it, kinda shakes his head. He's like, ah, look, watches it. And he's like, nah, ah, oh man, yeah, that was in. I'm just like, yeah. And then he steps back and he calls time. They only get to call time once this season. A lot of players are using it after calls they disagree with as kind of like a way to let the ump know like I disagreed with that. Anyway, I noticed that. A lot of the Yankees are doing that. Oh, and two's the count now. He steps back in. What's the pitcher gonna go with? High fast ball, ball number one, inside curve, ball number two, two and two. He goes back to the outside fast ball, swinging a miss, he's frustrated. He's ejected. What? He doesn't even know he's ejected. He's got no clue. He's just walking back like, damn, that's a bummer. Now if you really wanna know what's going on here, in his mind, he thinks the first pitch wasn't a strike, it was a ball, but it was a strike. He's wrong. So now he's thinking, I have to protect the outside part of the plate even though I think it's a ball. I have to swing at it. So he swings at the pitch cause it's a mirror of the one that got called a strike that he thought was a ball. You know, they're both strikes and he's frustrated and after his swing he draws a line in the dirt. That's what the umpire sees. He sees, the umpire knows he's frustrated cause he shook his head, he called time out. And then he knows that it's a similar pitch as the one he was frustrated with and then the umpire sees him draw a line in the dirt which is a big no-no. So it's immediate ejection. Yeah, that's a big, you can't do that cause you're kinda telling the umpire like this is where that pitch was and you're showing them up. The only problem is you didn't really show him up this time cause nobody noticed it or saw it but the umpire, but the umpire also doesn't know that. From his point of view, he drew a line saying that's how outside that pitch was and that is a no-no. Now, Noah's gonna say, I was just kind of like frustrated but I don't know, it looks like a line throwing to me. He says, he drew a line. I did, I saw it. He's like, well, when was he even? No, he drew it at home plate. I saw it, he turns to the other arms. Did you see him draw a line? He's just walking back. Noah's like, what? I got ejected? For what? What did I do? And the other arms like he did. He did draw a line. I saw it as well. And now the umpire, look at the look he gives Noah to. Look at this.  You can't draw a line in my face like that. I'm out. Now umpire just walks away cause he's so insulted. Can't even have that happen.  I don't know. Do you think he drew a line game on? Or do you think he just kind of fell over? Cause what he says, he's like, yeah, I just swung and then I finished my swing and my bow was on the ground. But I don't know, seemed like a line to me. Another thing I just wanna share with you is how different these strike zone boxes are. It's kind of wild. So this is the A's box and this is the Red Sox box. And look how different they are. Same angle. They're like a ball different on the left and right side of the screen. Kind of bizarre. Anyway, thank you to DraftKings for sponsoring this video and thank you to you guys for watching it. Appreciate DraftKings as always. Appreciate you guys as always. And if you enjoy the breakdowns and you wanna watch more and get notifications and all that, you can subscribe and enjoy them. Thanks.


Afghan National Army soldiers distributed food to villages around Camp Levinac, Helmand Province, August 27th. Conducted with Marines with 1st Battalion, 23rd Marines, the mission gave ANA soldiers a chance to gain support and interact with locals. The ANA delivered basic Afghan staples, such as rice, flour, vegetable oil, and tea. The mission coincided with the celebration of Eid, the end of the Muslim holy month of Ramadan. Food operations in the border local national center need to eat. They've gone through a month of fasting, it's been hard on them. The food distribution mission is part of the ANA process of taking full responsibility for security in Helmand Province. For Regional Command Southwest, I'm Petty Officer Matt Snodgrass.


The top three regrets humans have are who they dated or married or didn't date. Number two, their education. Most people realize, man, I should know a musical instrument. I should know more about business. And the third thing is the career they choose. If you've got a crappy job, there's a good book, Happiness Hypothesis, which basically goes through and says, for example, if you're in an unhappy relationship, there's no meditation, no yoga you can do, you're going to be unhappy. So you've got to get out of it. It's a chronic issue. Yeah, that's chronic. Yeah.  You can't just ignore it, you know? Sure.