but today's topic of discussion is the society pressure of having a child why are you going seeing children as a burden there are so many things that are put into having a child first of all how you gonna carry this pregnancy do you have the money to sustain yourself the entire pregnancy period are you psychologically prepared this is not the kind of life i want for myself yet so i can't have a child right now because i am not even satisfied with the kind of life i'm leaving and me i have seen guys what i want to say is that i am feeling very warm welcome to espion bars this is friends vibe and we are back with another episode my good name is miss kithingi and i am joined by edema store in the house silva kido guys don't worry to me kula lunch atakama one of you you know the mood is a bit low but shout out to you guys for always commenting down on the comments section you know what were us dubai guys we see you talk to you funny asho kubei very very soon invitas we will come but today's topic of discussion is the society pressure of having a child how big is this pressure where is it coming from what is the effect of this society pressure because we've seen people you know online and even people we interact with one on one me me nili ulizo adiwa kachoka sasawa meni atia mungu but you see now that's society pressure how is it affecting us and how does it come because i feel like it comes in different forms sometimes not just pregnancy if you if you're done with school ahead after kazi ama if you're done it's cool when i'm here so sometime you can settle down and then when you settle down it's but don't you think they are right but you see a do it's okay they could be right they could be right yes but then again let's say for instance we're talking about the child a child here the society pressure of having a child a child is not something you just wake up and you say today i'm having a child yes there are so many things that are put into having a child first of all how you gonna carry this pregnancy do you have the money to sustain yourself the entire pregnancy period are you psychologically prepared those are things you cannot ignore you are complicating this thing so why why you pressure in me how sure are you about putting pressure i am an adult i'm allowed to choose and have my own choices no listen i'm an adult i'm allowed to have my own choices i'm allowed to live my life the way i want one thing you must know your parent well that's okay but it can't continue if the child is going to do nothing no it's not that you are the best for you yes bro do you know there are people also who are suffering because they had children that they had not planned for but exactly why are you going to bring a child why are you going to bring a child in this life just to please he's not in your relationship and why are you guys seeing why are you going to see children as a burden no it's not a burden it's preparation are you prepared to have this child is your are you ready you know psychologically prepared are you ready to raise a child i don't know yet You've just been a judgement of a new result. I'm not being judgemental.  Angali aivi beti. At times kupatam tui mapema. Kusam tui ni blessing. Let me finish beti, let me finish. At times kupatam tui mapema, ina sedi yanga a lot. Kusabena kumiaivi. Mdwe reza kusedi awe wuka become more... Responsible. Responsible. Uka tu liya chene. Mdwe reza kamko family yama kakamko ako. Akak yunai tui na bofenti ako. True. Onaget. Na kuna si kumtoia takuja uta teseka. People watching us here. They have families. They are looking for to have families. Ume pata chance. Yakupatam tui mapema. Zazi ya kuskuma. Mupatam tui jana mojana. Taka mapema. I do ni ni. Yakuna kazi ageki dogo. And takam say to mdweftem toto. Mdwe rata kam. But usi seme. My time is jafika. Because of one thing. Uwe mdwe reza kuja ina different way. Reza kwa unplanned. Mdwe reza kumtoia. Mdwe reza kumtoia. Mdwe reza kumtoia. Uwe mdwe reza kuja ina different way. Reza kwa unplanned. Kapatam tui. Dure jama kapotea. So mdwe ya kikam. Namzize ki sema upatia mdwe. Mdze se shaw na mbeine. Me ya disagri. Me ya disagri. Me ya disagri. Was aso kwangia. Kwangia tuwa mese. I disagri. Because they see. What anidipu kid doata before tuve. Before useme you disagree with me. Thing is, I am still responsible right now. And I am not ready. What part of I am not ready you guys cannot understand. I am not ready. I am not ready. I am not ready to be responsible right now. Financialli. Financialli. I am not ready psychologically. I am not ready financially. I am just not ready. And when I feel ready, I will know. I will know. There are things I need to plan before I decide that. But if it happens accidentally, well and good. But if me making a decision, it's gonna take time. But sometimes also it's good. It's good to know. As in, kuna vituzi na kuchaleju me cheki kama yo, kitu mese ma, ita kusahidea. Beti kuna venyam toyuki wama na gaivi, mama kiyama na gamu toiwa keivi. Nuna. There is how like mainda kuna shift. Nuna cheki. Una janza kuji challenge vii different sana. Una zaku pendulum toi. Una get. Una zaku fanya vituzi. Nginiata, kama uru kuna fanya ga job moja. Una zaku tafti ingini. Nuna. Ilikum. Nuna. Lakin uzi se ma atu ya no trade. This thing is not a process. It's not to do ya agi. Usi complicati ki tu tafu ta mutu. Kana e tulia na e zaheni aza familiar po. It's as simple as that. No, that's very hard. Tifa, ati tafu ta mutu. Tafu ta mutu. Ika macha usubah market. Nika maia. Nika maia. Nika maia. Nika maia. Nika maia. Nika maia. Nika maia. Are you single? Are you single? No, you don't just speak someone you want to raise a child with. Just ati ako. Kujetupatia mtoto. It doesn't work like that. Yeah, it doesn't work like that. It doesn't work like that. It doesn't work like that. So mta kama laikama. Bro, wekwaza wkuna mtoto. No, do you know the feeling to be a dad? Do you know the feeling to be a dad? I don't know. I don't know. Do you have a parent? Do you have a fee? Do you have a child? Do you have a feeling to be a dad? Do you have a feeling to be a dad? To be called daddy? To go home? Wekwaza wkuna iyo feeling. I have one. That's why I can say. What kids? What kids?  Yeah, this is the kind of kid. Yeah, this kid was just one. You want to get a baby. Apana. Nice. One thing, first, there's what we call lineage. That lineage will be protected. Bro. Nugets. Let's say like me, I have to protect my lineage. Nugets. By the, let me just ask you. By the, in identity 40. There's this thing, nameless, alikwana aftaku, ni nimto toa ke, the third girl. Sindio. Kuliko na komentia, msi alibu komentia. You should have a boy. You should have a boy. Uno na like, mentality outlook of very, very different. Different. That's just a mindset here, 1970. What do I Facebook on? What do I Facebook on? Hey. But then what do I Facebook mindset, those na kwa ga different. What do I Instagram different? What do I Twitter different? They are just different types of audiences. No, but I feel like, you don't go around forcing people to have kids, just because you want them to continue your lineage. It has to. No, with kids, you know. Or else, or else. Or else, or else. And that's why, let me tell you, before, parents were just raising kids without even knowing their kids well and all that. And it has really messed up with a lot of people's minds and how they get. Roken children are just being raised. Roken children. Yeah, and the traumas that are going on in those houses and all that. But now, let me tell you, you know better. You understand better.  Financially, we are living in hard times.  So, let me tell you, to go hard times. To go hard times. Do you want to have kids once a month? That's not what I say. But my child cannot suffer because I just decided to have a kid. Are you suffering right now? At that moment, are you suffering right now? I think it's time. That's not the kind of life I want for my children. Right now, this is not the kind of life I want for my children. Right now, this is not the kind of life I want for my children. Please say, this is not the kind of life I want for myself yet. So, I can't have a child right now because dad and me I'm not even satisfied with the kind of life I'm living. And the goal is to make your children's life better than you had. So, if I feel like I'm not able to provide that right now, so, where are you guys for me? You guys want me to go into Miza, Mkinita, Mama, Iwiju, So, you want to tell us that these ladies that are Miza, Painge, they are Mizirebo. We are not Mizirebo. They are living good and you are kusawa. When you hang out with people who have kids.  That's a lie. That's a lie. It's true. It's true. No, no, no.  It's true. It's true. Mimi, no, no. Excuse me. Come on, guys. Come on, guys. Mimi, what's your name? Nice to meet you. Nice to meet you. Nice to meet you. They have no... Let me tell you one thing. I may marry to a lady, isn't it? To make a son of a Bahasa but you know one thing that makes me happy when I go home. Is that to me to Iwango? Yes. I'm sick in Iwiju. Yes. In any pamba, Iwango is my best friend. So, so, so... In fact, Iwango is a friend that I've met before. So, so, Iwango is a friend that I've met before. Because at the end of the day... Iwango is a friend that I've met before. Where were you? Iwango is a friend that I've met before. Mimi, honestly, at the end of the day, let's people live their lives. Don't pressure people into doing things that they don't want, they're not ready for. You guys are complicating this. We are not complicating. You are so westernized designing it. It's not westernized. It's not complicated. I don't know what you want.  I just don't get it. It will be too late. It will be too late. Kwa kwa kwa. Hey, so, you are so westernized. Iwango is a friend that I've met before. No, you guys, you are so westernized. Iwango is a friend that I've met before. When a child comes in this world, it is literal. Who doesn't want to see how it's gone? Let me ask you, every single day, do you have a child? Yes. Kwa ni munao ga? Eh. Ui mtui ya kiki kuja, hatapa yo kitu na kula si. Kwanzao, kato, ana rilae on mimi for 9 months. Niyin ni munao ga pato responsibility. Kwa ni muna kata kata ushera tu, piga sheheri. Kwa ni kuzunguka, kwa rato pui taon.  It's not everyone who just wants to be a sheherei. Sto kujete ware. I think on us. We just afraid of responsibility period. Kui do mamo. It's okay so that I don't give birth and I'm not responsible of my child. I already know that. It's okay. What are your last words Kido? I will say this. If you have a chance to have a baby, please nibaraka. Don't wait aske na naisa and betia waiting. This is a bad example. It will be too late. This is a bad example. But if you have a child, please take care of the child. This is the one who does not have a child. Naisa. Do whatever you want. Honestly, this is your life. Plan the way you want it. If you want to have kids at a certain time, that's okay. Don't get into this pressure. Ladies have kids. They are blessings. With which men? Advise the men as well because they are not having kids alone. Men are there. Talk to your men. We are here. Opatinia wa tu miimbabuan. And do toroke. We are here. We are here. We are here. Alright, guys. Mimi, I will just say. If you know you are pressuring anyone in this society, just stop. They have a life. You don't need to control anyone's life. Whether it is in direct pressures or direct pressures or just silent pressures. Pressure is in any form of pressure. Just stop because you don't know how their life is. You don't know what they've gone through. And you don't even know what they want to achieve later in life. So just stop the pressure please. Okay. Yes, but also let us know down on the comment section. What do you think? Have you gotten any pressure? How did you handle it? How did you talk to the people who are putting in the pressure on you? Just let us know down on the comment section and make sure you subscribe and share this video to your friends. Edi Junior baka zalewe ita on. Edi Junior. Kido Junior baka zalewe. Kida mabebisha wazawe nyewe? On inseindomi na baka bisha wazawe nyewe haku Jacki watwa kudie. Friends vibe friends vibe.


All right, so this talk began with asking two questions. First, why have we failed so spectacularly at finding treatments in medicine for the most common diseases that we see? And the second question is why do we continue to repeat that mistake over and over and over despite that failure? I'll give you just another second to appreciate this. All right, so one of the reasons that I directed my, decided to direct my interest in the neurosciences into a career in neurology was because I thought that we were on the verge of some major breakthroughs in a lot of the most common diseases that we faced, as were many other people, so I was led to believe that as well. And that was a bit of a mistake. So if you look at this timeline here, these are the sort of major breakthroughs, pharmaceutical breakthroughs that have been made in some of the major categories of neurological disease and the, so the mark is essentially for the last significant breakthrough that was not perhaps clinically considered a breakthrough, but at least a stepwise change from what we'd had previously. So if we look to this, the last one would have been, was migraine, 1991, with the drug Sumitriptan, a drug taken for migraine relief. And it's debatable, even with that one, whether it's been a net benefit or done more harm than good. So if we were to throw that one out, we have to go all the way back to 1961 with Levodopa for Parkinson's disease. So to say that this lack of progress is surprising is an understatement. So there we have the therapeutic winter between 1961 and 2019 to illustrate a lack of progress. And notable things absent from here, things like Alzheimer's, multiple sclerosis, diabetic neuropathy, other common things that we neurologists see. And this isn't limited to neurology, so these are some of the major categories of disease in other areas. And if we look here, you know, we'll see 1970 Prozac for Depression being sort of the last landmark. That's not to say there aren't new drugs being developed, but nothing that's been a stepwise change from anything that preceded it. So Santa Claus has gotten in on the fun and the therapeutic winter. So the, as I said, one of the reasons that I decided to pursue a career in neurology was because I thought we were going to have some major breakthroughs within that period of time. And I still vividly remember as a senior in medical school asking one of the prominent Alzheimer's researchers at my institution when he thought we might have a cure for Alzheimer's disease and his estimation was 10 years. And that was the year 2000. And we have made zero progress on the pharmaceutical front. And some of you may have seen headlines like these that the pharmaceutical industry is giving up a search for an Alzheimer's cure because it's so futile and has spent billions of dollars on that project. So if we might have to revise our projection of when we might find that breakthrough from, if we consider that it was first reported in 1906, Alzheimer's disease by Louise Alzheimer's. And maybe you could argue that the current drugs are a minor progress. We've made a tiny little step forward, but maybe our realistic projection is in the next 2,000 years or so. So I think anyone taking a sober look at this has to ask themselves the question, what the flock is going on, which brings me to Angry Birds. So the parable of the Angry Birds is a thought experiment to help try to answer our first question. And so imagine that an iPhone lands on an alien planet and these aliens, they had never seen iPhones. They don't have any computers. They don't play any games where you launch birds at pigs, forts. But they are a curious and competitive species of aliens. So they're intrigued and they decide they're going to have a competition. And so they're going to break into two teams, meet back in a month and to see which team is better and crown one team the victor. So one team goes off and does what most of us would probably do, which is to play the game over and over again and try to get really good at it. And so that's their approach. The other team, they have a few scientists in their midst, so they start taking the game apart and they realize that the game itself is just an illusion and that underneath it, sort of specifying everything about the game is this programming language and underneath that is machine language and really it's all just transistors in their momentary state and all just at the root ones and zeros. So they decide that they're super excited, by the way. They think that they've cracked the code so that other teams can have no chance. And their goal is going to be to manipulate the source code as their approach to winning the game. So once again, team game level, they're going to figure out how the game works, learn the controls, learn the game mechanics, get really good at that part. Team source code is going to try to manipulate the source code in real time and win the game that way. So game day arrives and the team game level crushes it, right? They post a super high score and team source code's turn comes up and it's a massacre. They can't even get the game to run once without it crashing. And that's because even the person or people who coded the game could not do such a thing. There's no computer scientist alive who could look at the machine language of any piece of software and have any idea what it did. So they are doomed to fail. So we are here because we think that an evolutionary perspective is essential to understanding the foundations of help and we also believe that mismatches between our ancestral and modern environment drive the pathogenesis of chronic diseases. And what this parable hopefully illustrates is that our failure to translate immense progress in science and technology into any therapeutic progress comes from the absence of an evolutionary perspective in our approach to therapeutics. So modern medicine has almost exclusively taken team source code's approach to finding new therapies. And another way of thinking about source code interventions is that they are evolutionarily novel and so mismatched as well to our physiology and so by adopting evolutionarily novel types of treatments we're essentially introducing all the same hazards and risks that led to the conditions that we're trying to treat in the first place and I would argue that that approach of favoring source code interventions over game level interventions explains our therapeutic winter. On the other hand, the ancestral health therapeutic paradigm is to take team game levels approach. So this is how we would integrate an evolutionary perspective into how we evaluate and develop therapies. So unlike source code interventions, game level interventions are evolutionarily familiar and so matched to our evolutionary history. And so I think if we can fully embrace this paradigm then we have the opportunity to leverage all of the advances that we have made in science and technology so that medical therapeutics can catch up with all of the other areas of human progress. And so because it's, I think, a very useful frame for understanding what an ancestral health perspective on therapy looks like. Let's explore this distinction between game level and source code interventions a little bit more. So as I mentioned, one way to think about a game level intervention is that it's evolutionarily familiar. So these are the evolutionary forces which we've been adapting to throughout the history of our species and beyond and really some total of actions that we might take in the game of life whereas source code interventions are, by their nature, evolutionarily novel. So from a safety perspective, game level interventions are safer because they engage evolved regulatory mechanisms whereas source code interventions are going to be inherently riskier because they bypass those evolved regulatory mechanisms and so are much more likely to crash the system. Game level interventions are also more powerful because they act upstream in the physiologic cascade so impacting many pathways whereas source code interventions are inherently weaker because they act downstream and with a narrower scope of influence. Game level interventions are also better suited towards intervening in a complex adaptive system where the outcome of a source code intervention can't be predicted. And the source code interventions are most appropriate for complicated systems or scenarios where we know a condition is caused by a single factor and where we need a targeted intervention and it's no coincidence that pretty much all of the most significant breakthroughs in medicine come from that sort of condition where we have a single target like meningococcus causing meningitis for example where all the major breakthroughs have been made. So just to review, game level interventions are evolutionarily familiar. They engage evolved regulatory mechanisms and so are inherently safer. They have an upstream locus of action so they're stronger, not stronger and they're best suited for intervening in a complex of adaptive systems whereas source code interventions are evolutionarily novel. They bypass evolved regulatory mechanisms and so are inherently riskier. They have a downstream locus of action and as such are inherently weaker and are best suited for intervening in complicated systems where the impact of the intervention can be predicted. So some of the implications that fall out from this. Randomized controlled trials are the appropriate way to acquire knowledge about source code interventions. So where you're going to be manipulating a single variable and you have a static intervention that's not going to change. Now it's reasonable to think given sort of the complexity of biological systems if we should ever expect a breakthrough when that is our primary therapeutic paradigm impacting a single variable with a static intervention. So you could argue that we've sabotaged ourselves from the outset by requiring that as the only means of validating new therapeutic knowledge and by the same token randomized controlled trials are the wrong way to acquire knowledge about game level interventions where you're going to be manipulating multiple variables and that manipulation is going to be dynamic. So if you think about a baseball player trying to learn how to throw a curve ball it would be a bit ludicrous to consider manipulating one variable at a time especially considering that you change one thing that's almost certain that you're going to need to change another to accommodate it. So it would be needlessly tedious and time-consuming and unlikely to ever arrive at the optimal solution. But one of the most common objections that we would hear to those of us who advocate an ancestral health paradigm or ancestral approach to therapies is that we need more trials and I would argue that it's not, and by that they mean more randomized controlled clinical trials. I would argue that's not what we need. We do need research but we need to develop an entirely new research ecosystem that's designed towards developing game level knowledge. So this is how we acquire game level knowledge. We play the game, we make some action, we assess what happens, we get feedback, we refine our approach and then we try again. So it is an iterative trial and error process and most of the knowledge that we all have in our heads was acquired in this manner including a lot of the knowledge that we know about human health. So we have no randomized controlled trial telling us that humans need water to stay alive or that they need to breathe or that decapitation leads to a permanent loss of consciousness. Yet we all consider these things as incontrovertible truths and if someone would argue that all we have is anecdotal evidence we would think that's absurd. Another important implication here is that mechanistic understanding isn't required to win the game. So again, if I'm a baseball player trying to learn to throw a curveball I don't need to know anything about the underlying physics to do that well. I only need to know about what I need to do at the game level and furthermore, somewhat counter-intuitively even knowing the underlying physics doesn't typically help me throw that curveball any better. By the same token we knew that air and water were essential to life and decapitation was not long before we knew the mechanisms involved at why we need water or why we need to breathe long before we knew about oxygen and the electron transport chain. And yet in spite of that if we can't provide mechanistic explanations for something that we do it's considered undermining that intervention and another common objection to someone who would advocate for a game level intervention. And of course that particular objection comes from the paradigm itself which says that we should be looking at the mechanisms first to guide our pursuit of a therapeutic intervention which is the very paradigm that has led to our therapeutic winter. So we have kind of two forms of knowledge here that we can develop. One being mechanistic understanding and one being simply research at how to play the game. And these are both valuable forms of knowledge. They just have different ways of application. And if we want to get better at helping our patients developing new and transformative therapies and we should be redistributing this allocation of resources significantly imagine if we had been pouring the same amount of effort into developing research on how to play the game as we have in advancing mechanistic knowledge. So let's now revisit the two questions that I started with. The first was why have we failed so spectacularly in finding new treatments? And the second being why have we continued to repeat that same mistake or that same approach in spite of overwhelming evidence that is not working? And I think it's important or I think one of the potential explanations here one explanation is that we all find reductionism inherently seductive. So because it's a product of science and reason and because it reveals to us levels of explanation that are initially hidden it feels as if we've uncovered some deeper truth and it feels like we have found the man behind the curtain and sort of everything else is just an illusion. So and I think we're all biased towards thinking that's a more privileged form of knowledge and hopefully I've illustrated that that's not the case that the different kinds of knowledge have different domains of application but I think we're all again biased in this direction and into thinking that reductionist knowledge is inherently superior and again I'm not complaining not claiming that it doesn't have a role even in therapeutics but I would say that by not factoring this into account we're missing out on tremendous opportunity to usher in a revolution in therapeutics and because we are all prone to this bias or most of us are prone to this bias I know I am it's helpful to have safeguards in place to kind of keep us from being lured by the seduction of reductionism and so I think it's helpful to kind of formalize what an ancestral approach to therapeutics looks like what incorporating an evolutionary perspective looks like so that we can also have a common language for talking about it and a compass to help orient ourselves and keep us focused on what we consider to be most important so to that end I'll now present a four quadrant model that kind of formalizes how I think about an ancestral approach to interventions and my own personal way of safeguarding myself against the reductionist trap so on the vertical axis we have the level of the intervention so again we have game level interventions and we have source code interventions so game level interventions once again are ones that act at the level of evolutionary forces kind of the top most level of biology whereas source code interventions generally act at the level of cells so things that impact enzymes, neurotransmitters, receptors and so on and then on the horizontal axis we would have things that are supportive meaning we're trying to support whatever the body is trying to do at any given moment and generally speaking from an evolutionary standpoint what we're trying to do there typically is to minimize mismatch between our ancestral and modern environment and then the other category in terms of the goal of our intervention would be things that are disruptive or exploitative so where we are essentially taking the physiologic status quo and overriding it in some way redirecting it because we think that doing so has some sort of benefit so why would you do such a thing probably the main case would be when you have a regulatory system that you think is broken beyond repair so an example being giving insulin to someone with type 1 diabetes so they can't manufacture it anymore that's their physiologic status quo so you administer it because the system is broken exploitative interventions would be where we are taking our understanding of physiology and doing something that exploits it in some way so for example we can take our understanding of what happens to the body in temperature extremes whether it's heat or cold and use that to improve health in some way or that would be a game level intervention whereas a source code might be to give a vaccine so that we can help our immune system fight off a pathogen in the future so again exploiting some knowledge of biology and you see those so here are just a few more examples of what those would be it's not meant to be an exhaustive list but just to kind of help illustrate what I'm talking about here so all the things in that top left category are the things that we talk about most at these times of conferences and then some of the exploitative type things like I mentioned we'd have heat and cold exposures breathing methods fasting, high intensity training, mindfulness, psychotherapy again all things that take our understanding of what we know about biology and are intervening at the game level to confer some benefit and then source code interventions that would be supportive mainly the main thing I think about here are where we think that there's a nutrient or that's insufficient and the body needs more of to do its jobs so we're trying to support its ability to do what it needs to do and then source code interventions that are disruptive would essentially be all pharmaceuticals things like no tropics and then hyper supplementation so where you're supplementing with something past the point of correcting a deficiency and so the decision algorithm from an ancestral point of view would be to prioritize category one which would essentially be the foundations of health over intervention two and then three and four unless you had to have evidence that would indicate otherwise that you should prioritize one over another so which there that can exist so another reason why I think that we've continued to repeat this same mistake over and over again is that we need solutions that scale and I mean not diet but drugs and supplements scale really well and another problem is that the way we currently or our current regulatory system for evaluating new drugs allows companies to make or to create a blockbuster drug even if it's no better than its predecessors and that's been the prevailing strategy for the last few decades I think we're starting to squeeze the last drops out of that particular strategy but it has prevented market forces from forcing their hand into looking for something that's truly a breakthrough truly an improvement upon what currently exists and I feel quite certain that there are people who are in the drug research industry who've recognized this and know that we that true breakthroughs will require a paradigm shift but realize that the only route to profitability is to create these me too drugs which is all I've seen in my own career which is almost 20 years so that's to say that to combat this issue we do need to have credible models for developing new therapies that can be better scalable and I think that's possible so we'll revisit the model for how we acquire game level knowledge so I think it's possible to create a model that can scale and that leverages advances in science and technology at every step along the way so at the level of gameplay most of the things or a lot of the things that we would be thinking about require behavior change so there's an entire evolving science of behavior change that can be applied there along with technological tools that are becoming increasingly sophisticated for helping us to do so and then we have other types of technologies that we would use perhaps to mitigate the impact of being indoors all day so lighting solutions, architectural solutions you have sleep technologies from wearing sleep masks to chili pads to audio to entrain certain EEG rhythms so we have all manner of potential technological solutions that can help solve this problem and help to provide game level interventions and then at the assessment piece here we're talking about things where we're trying to figure out how we're doing with whatever action we've taken in the game and this is where source code knowledge is best applied so disease markers can help us get an idea of how well we're doing so labs imaging, biometrics subjective data like surveys or just talking to people digital phenotyping all of these things can be brought into the assessment phase and then with that data we can apply all of the emerging tools of data science including machine learning to then figure out how to what variables we should manipulate again and take our next action in the game and continue so creating a virtuous cycle that's self-amplifying and where we're able to leverage the tools of science technology at every step so just to give a couple of examples to help make this more concrete so one example would be the ketogenic diet so nutritional therapies are a game level intervention and at that level obviously you can give your change as a big part of what you're trying to accomplish then you have the assessments that you'd make you can have process based assessments so how well someone is adhering to the intervention which can be all manner of things including measuring things like whether they're in ketosis or not and then you have primary metrics so the very thing that you're trying to treat if you're trying to treat diabetes for example then you'd be measuring hemoglobin A1C or fasting glucose as your primary metrics or of potential secondary metrics that you might want to care about such as impact on blood pressure, body fat CRP and so on and then in the refinement phase there are all manner of variables that you can manipulate the protocol itself the diet the nature and frequency of their support and so on and another example so there are all sorts of variables within sleep that you can manipulate one being trying to improve slow wave sleep which the research would suggest can have potentially broad ranging effects and could be a force multiplier on many other things in medicine and so there's all sorts of possible technologies we might develop for enhancing slow wave sleep including things already in development but here you would whatever your intervention is you then assess based on metrics like the time in slow wave sleep and we already have tools for doing that and tools that will likely improve in terms of their fidelity and then you have secondary sleep metrics so anything you might want to monitor that we believe might be connected to sleep or things that we don't even know yet are and then of course taking that data making a manipulation to the variable and then starting to loop over again and of course there are multiple domains within just sleep that you might care about and then the next frontier would be for doing this at scale seeing how all these different areas interact so using the tools of systems analysis to figure out what things we're doing at the momentary what things might be at odds what things might be multiplicative or subtractive it also may help us to resolve some paradoxical observations so things like we know that there's pretty robust data that people who drink an alcoholic beverage once or twice a day tend to live longer yet we know that also has sleep and we know that sleep quality is also associated with longevity so how do we reconcile that we currently don't have any real mechanisms for understanding the contextual dependencies of all of our interventions so how does doing something in one context differ from doing it into another which is incredibly important information so just to summarize our myopic focus on evolutionary novel source code interventions explains our inability to translate advances in knowledge and technology into better treatments so when you prioritize source code interventions over game level interventions you have a spectacular failure that you repeat over and over again and number two that an ancestral health paradigm for chronic disease prioritizes evolutionarily familiar with game level interventions and since we are all prone to the lure of reductionism it's useful to have safeguards and a way of kind of formalizing our approach so that was the goal of the four quadrant model proposed third the advancing knowledge about game level interventions requires different research tools and methods than source code interventions randomized controlled trials are not the appropriate tool for that we need an entirely new research ecosystem for learning how to play the game and doing so if we create that ecosystem we can finally bring about the revolution in therapeutics that I was promised 20 years ago and we can in my cheesy success graphic we can have exponential growth and perhaps most importantly the last point is this amazingly doesn't get old or can I no I wish we have like two or three minutes for questions if anybody has pull them up here Josh you spoke I don't know when it was but on migraines years ago and I remembered 14 I remember that presentation really well you're a great speaker and this is a phenomenal presentation and concept and I think everybody needs to hear it so couple comments I did work with Dean Ornish in 2000 interesting thing we did was look at a variety of different complementary mechanisms to see if we could get greater outcomes than the individual parts alone what you lose by doing that is certainty about what worked if it did but you could engineer better outcomes overall and I think if one thing that we might do with lifestyle based stuff is instead of trying to have certainty engineering for certainty gamify okay who can get the biggest effect and then that all create a different type of thinking into we'll go in here you mentioned the funny I was writing down silver bullet and I looked up and it said silver bullet on the screen I think one of the reasons why we're looking to it's like if we can find the silver bullet we can manipulate it and keep living the way that we do we're subconsciously searching for license to just keep on doing what we're doing and then shoot I had one more thought shoot I'll forget but I'll mention it to you afterwards but yeah thanks again it was great yeah and I think one of the first point you're saying that once we dissociate this we're trying to acquire mechanistic knowledge from trying to understand how to play the game you can pursue all these other types of research we're currently constrained by feeling like we have to prove we have to link in the mechanism every time we do research and so you can't it limits us in many ways including what you talked about I remember my point challenging your idea play assess refine why not just play yeah is the assess and refine simply behavioral if we get some validation then we can get people to commit more to the play so there are certain save for a diabetic or some of the hypertension you make a game level intervention you have to figure you have to have some assessment to understand whether the outcome if it's opaque to the patient or the client or whatever you still need measures for assessment sometimes the feedback is right there and you can just play the game and so much of what we do so much of the day in and day out we have our own feedback systems but there are times when our own endogenous feedback systems aren't enough that's where we can deploy all of our source code knowledge to get more granular detail about how well we're playing the game it's just interesting to me that source code knowledge at that point might simply be behavioral it's the game base of it I mean sometimes yes but oftentimes it's just getting people to hear more to circadian rhythm only if you just play the game we don't even need putting that in there I think there's value in that but understanding that you can create a scalable concept through a kind of virtuous cycle awesome thanks and that's time thank you so much sure


oing to do my best to summarize the information that was stated in the public comments and apologies ahead of time if I miss anything. The Health Care Advocates comments, the general focus was that the requested change that One Care has asked for in actuality reduces One Care's public health management investments by $3.7 million. The Health Care Advocate noted that Vermont, the Vermonters do have a significant need for the public health management investments. In their comment was that 2018 spending should not be set aside due to implementation delays, which was one of the things that One Care talked about in its presentation. And the request from the Health Care Advocate was that all unspent money should be used to increase One Care's population health budget for the coming fiscal year. One Care Vermont's response to that public comment, the highlight service follows, One Care agrees that the investment in public health and prevention initiatives is very important. Not including the value-based initiative fund, which was not included in what One Care's, or value-based incentive fund, sorry, value-based incentive fund spending that One Care has not included in its presentation. They did spend more than $21 million in population health programs in 2018. One Care does not have any additional unspent funds on their books or sitting within their bank accounts. And any increase in spending for 2019 that might be contemplated beyond what is in the already approved 2019 budget would require additional revenue to be collected from hospitals who are in large part funding all of the spending that is going on in population health management issues. So that's basically where we're at, I think at this point. We're happy to answer any questions board members of the public might have to the extent we can. We also have representatives from One Care here who are going to volunteer them to answer questions that people may have. So I think I'll turn it back to you. I guess the logical question is to One Care, since they have someone there, if they feel that their ability for success in the future has been adversely affected by the inability to make these population health adjustments. So this is Tom. We're starting to find through One Care. I don't think so at all. I think in fact we have a very successful 2018 operation for timing of program rollout, changes to attribution, et cetera, especially the primary care pilot, for example. The ratio that we have achieved is less than what the budget order required. But I believe that it was a very successful year and that we rolled out all the programs for tremendous growth period and are continuing to evolve and grow as we get started in 2019. So I do not see the results of 2018 in any way as a detriment to 2019 in the future performance of the ACM. Other questions from the board? Any other questions or comments from the public? Seeing none. Is there anyone who would like to make a potential motion? I can do it if you'd like. Would you prefer one or two motions? I would. I'd be cleaner to do two. Okay. Then I will start with moving to approve the requested amendment to order at four by reducing the reserve requirement to 1.4 million by December 31st. Is there any discussion? I had a comment on it that I would say in terms of my thinking about this is I think when we approved the budget there were a number of unknowns that we talked about two weeks ago when we were here in terms of what the Medicare program would require in terms of backstops as well as the reinsurance-like protection that one here ultimately got. So I think that combined with seeing how the risk model has rolled out for me makes me comfortable that this reduction makes sense and doesn't pose a potential risk to the program. Also I think when it comes to reserves we have to be careful about it both ways. We want to make sure there's enough reserves but we also don't want to owe the reserve because I think that then may not be the best investment of the dollars. So that's my comment. Is there a second to the motion? I'm sorry. Okay. Other discussion. If not all those in favor signify by saying I, I, any opposed? Okay. Remember lunch. Okay. I'll move that we amend order H to adjust the percentage of spending from 3.1% to 2.5% on the population health reform and payment reform program. Is there a second? Second. So moved and seconded. Is there a discussion? Again, I'm happy to comment on my thinking on this one. I think when we did this part of the order the other thing we should all remember is that we also separately included in the order that seven and a half million dollars be spent on the blueprint for health and SASH and we did it in that two-part way because we wanted to ensure that that money that was cranked in the negotiation and tended to go to the blueprint and SASH programs did that so I just wanted to point out that that amount is not reflected in the ratio. I think I certainly am very concerned about the proportion of spending that goes into the population health investments that is a very important and innovative part of this model and I think is necessary for us to really keep an eye on. However, this was the first year. We have to expect that there will be operational issues and rolling out a number of programs obviously can create those operational issues so given that it's the early years this is the first time that we try to do this kind of proportional order as well as kind of a ramp up period that it's those components that make me comfortable with. Any other discussion? I just might add to that I'm fully agree with what Robin said this was the first year and it was the growth year as it's 19 and I haven't heard a complaint from any of the potential recipients of this additional funds in 2018 complaining that they didn't get their funds rise for example was one that didn't receive its full allotment but it seems to me from what I've heard is that vice president received its full allotment and so after the fiscal year came this amount had not been necessary to fill in the hospitals and we moved on into 2019 so it just seems like a simple administrative clean up here and that's why I support it. Other discussion? If not, all those in favor signify by saying aye. Any opposed? Thank you. Thank you very much. Any old business to come before the board? Seeing none, is there any new business to come before the board? Seeing none, is there a motion to adjourn? It's been moved by member Holm, seconded by member Yousper to adjourn. All those in favor signify by saying aye. Aye. Any opposed? Thank you everyone.


ay all right thank you very much we'll see you at 12 30


Welcome to our show. We're the voice for the Hispanic Chamber of Commerce, Hawaii, where our aim is to provide an inclusive platform that celebrates diversity fosters connections and celebrates the voice of our Latino business owners here in Hawaii. And we want to thank think tech for giving us this opportunity in this platform to amplify our Latino business voice here in Hawaii. And we also have other events that help us achieve our mission, like our upcoming Latino business expo in October on October 7, and we also have a taste of mana, which is a fundraiser that we have scheduled for November 4. So stay tuned for that. Follow us on our social media and website. I'm Barbara Luca, president and founder of the Hispanic Chamber of Commerce Hawaii, and my lovely co host is going to introduce our guest today and we're going to have a great show for you. Hello, I'm Marisol Ruiz, and I am the vice president of the Hispanic Chamber of Commerce. And we are so excited. Our guest today is a political river from RIP Fitness. He is the founder and CEO. We have tons to talk about. I'm going to introduce him. We're going to get started with him telling us a little bit about himself personally first. And then we're going to get into all the wonderful, fantastic things that RIP Fitness is doing here in the community. So without further ado, HIP, would you please talk to us about. Hello, hello, hi, familiar. My name is Similea Rivera. I was born in the Dominican Republic. Got to the US in 1998. My parents brought us over here. I was living in New Jersey until 2012. I joined the military for about 10 years, decided that I wanted to get out of the military and open up a business and RIP Fitness was born from there. So RIP Fitness, what does R1P stand for? R1P stands for reborn in paradise.  So you could be reborn a new person. So that was the name that we came up with, you know, be reborn and especially here in paradise. Thank you. Had you ever had a business before? Was this your first venture and then why the fitness world, right? So many people are doing restaurants and marketing, you know, why fitness and is this the first one? I had different ventures before other businesses that I've invested on, but nothing that I've started myself and fitness just gave me the ability to truly help people and see the results and see the change in people. You know, I wanted something that was rewarding in a sense and I wanted to see people's life change. I wanted to see people's I saw a lot of stress in the military. I saw a lot of lonely people. I saw a lot of people gaining weight. I saw a lot of issues that were very that they weren't being solved in the military. So what I was like, I wanted to do something to change that. So I wanted to see we first started it wasn't even supposed to be a business. It was just supposed to be helping those that were in need. So we started just doing free workouts and from there, that's what the business was born. Can you elaborate a little bit on that the free workouts because I've met people throughout the islands that are now that you have a physical brick and mortar gym which is an amazing place I love it anytime I talk to somebody I'm always, you know, promoting the gym. But what is this that you were doing before that came just from a space of love and sharing with people what were you doing because I've heard some stories from people that are like hey I was out this place so share a little bit about that. Share a little background about that. As soon as I touched down on the island which I believe was 2019, early 2019. We, I wanted to do workouts just to help out I was already a fitness instructor in the military. But people needed the extra help.  Let's get together and Ford Island with a memorial for Pearl Harbor is that we will all get together there. And it just started working out like as friends. And then they started inviting more friends and more friends until the group outgrew Ford Island. And we're like okay, we're now we got civilians that want to come and join. We have different people that want to come into this group. So we ended up moving into the beach started doing it at the beach, and it got bigger and bigger at the beach. We saw that the community just kept growing. And we were like, okay, what are we going to do to shift this into an actual business, because we weren't charging anything at the time. So we ended up doing the merchandise. That's where the red fitness merchandise was born. Once the merchandise came in, they truly went into people, the community just went and supported it. Everything that we put out, they loved it, they supported it, and they were buying it. And then we were hit with COVID. Once COVID came in, we had to shift more into the online process of it. Once COVID started dying down, we started getting back together and doing the workouts on a smaller scale. But then again, we just kept growing. So we're like, okay, we have to find the facility. We ended up looking for a facility. We went to a couple of places, came here to Waipahu. We ended up going to the place across the street. And we got out, we got outbid by a construction company since we didn't have any history or anything like that. A construction company kind of beat us for that building, which was 5,000 square feet. And it was twice as much as the rent of what we pay now. We kept circling around looking, and we ended up looking literally across the street from the place that we went the first time and ended up finding a 10,000 square foot facility for half a place. And we got down and so, yeah. That was a blessing. It was amazing. You know, I love the way that you use your space to support the community. Tell us about your sip and shops and how that came to me. The sip and shops were beautiful because we wanted to find out a way to give back to the community and to bring other local businesses to kind of be part of our community as well. I've always been a firm believer that if you create a community, it has to be large enough so other communities can thrive and live within the community. So I was like, okay, we need to bring other small businesses who were just coming up like us and give them the opportunity to be in front of a public, to be in front of our community and in different people. So we gave them that platform. And then we wanted something also for our community to just have fun, enjoy, bring the kids. It is family friendly. Yes. So and I are one of our favorite things to do. Yeah, and we love, you know, we love just seeing our community in a different aspect, not only just working out, you know, getting their sweat and but also enjoying themselves being with their family and being in a place where they feel comfortable. Right. I love your your sip and shops and I think it's something to be said when people operate businesses individuals when you operate from a space of abundance right where you're it's not it's so easy for us to get caught up in our own businesses whether it's your self employed or your job right. We can get caught up in the grind and not really think about anybody else because you're trying to just kind of, you know, get through the day and you know move on to the next so when you come from a space of, hey, we're all in this together. Let's share.  I mean it's amazing and, and you give people this platform and again it comes from a space of an abundance from abundance and when we operate from that space, I think everyone grows naturally.  It's kind of the same idea right and when a community collectively thinks like that I think that's when we start to see massive change in community and people start to grow and thrive. What do you think about that. I love the way you put that honestly because not a lot of people can see it from that perspective or understand what's happening and, and I love when you can see it. What that it comes from a place of love and a place of abundance and that if we all start thinking that way we all start helping each other out and helping other small businesses because tomorrow those small businesses can be the bigger businesses. That you know so if they come from a platform like that they would again do the same thing for those other smaller businesses who are coming up and help the entire goal is to help each other out and continue building on top of the foundation that we've already laid. Right. Now, so that's one aspect of it right is your, your sipping shop so kind of to just build off of that. You know, sharing and growing and thriving, you know, but at the end of the day, I mean real talk a lot of business owners and a lot unfortunately in our Latino community I'm just going to say it. You know, we're not always fully fully supporting one another so it takes like a mental shift right to come from that space so what is it that you're also doing because I've heard of something like a mastermind which is huge. Right. Tell us a little bit about that what you're doing and the how that was born and what is your mission with that. The mastermind is another amazing project that we came up with my friend Maria Arietta, she was able to. We were able to get together and kind of come up with a plan on how to level up the people around us, those who are truly focused, those who want to get to that next level and and don't have the opportunity how to make that mental shift. So we decided to implement everything that we know as business owners as the industries that we've been working in for all of these years, we've kind of gathered so much information and so much knowledge that now we've been able to pass it down and implement and change and make those mental shifts that are really needed in order to level up in order to level up there has to be change in order to in order to have progression, you have to have some sort of change and change is uncomfortable. I so we want to show people that yes it might be uncomfortable, but you're progressing each time that you're getting into uncomfortable song, you're progressing I love comparing them to the gym and the gym you come in and you're literally breaking down your every day and then you have to recover and the muscles will grow same aspect when it comes to a business when it comes to a project, you are going to be you're going to find areas that are going to be hard. They're going to break you up, but if you can see through them, you will level up to that next to that next step. So we want to shift the community mentality on. Okay, what is it that that that real growth looks like what is it that real opportunity looks like what is it that working in abundance looks like what is it that getting away from any limitations that set. What does that look like. So the mastermind encompasses all of that. We, we like Maria. So we're also partnering with her with the Hispanic Chamber of Commerce, and we met her at your sip and shops and we've done business with her because we're all in the real estate industry as well right so. So, she's actually helping us on the committee to plan the Latino business expo which is going to be, you know, the event that we bring in and support our Latino business owners of all different industries that a lot of towers. She's going to moderate a panel, and I, you're going to be one of our guests, along with Mercado that I saw who's also been a guest on our talk show. And the talk area so you know we're we're supporting our business Latino community and sharing our culture. It's Hispanic Heritage Month so we have you know entertainment scheduled. We're using the stage out there it's going to be a great event. And speaking of, you were talking about a ranchero so hip so you're not just the gym right you do you do outreach you have your sip and shops you have your masterminds. But you've also brought out and I've seen and you know I don't know much about it so maybe you could share a little bit I've seen that you've collaborated with a ranchero, you brought out like DJs, literally like full on events and you know a concert out in El Ranchero from who did you find somebody from the Dominican Republic, I think a DJ right. Yes, we've got the adonis from the Dominican Republic. We are currently partnered up with El Ranchero with their Latin nights every Saturday night. They do a lot and I is a hosted at El Ranchero will run by Rip Fitness. One of our guys are dance instructors run that night they do they teach classes by chat and salsa at El Ranchero for free during that night. And then what they do is that the community that they built already in the gym that comes to dance and that enjoys dancing. They have like that free that basically that Saturday to come out and show the moves that they that they've learned. We've been partnered up with El Ranchero since I believe October of last year, and then we've been doing these events there. So every a quarter we try to bring a different artist, a different DJ, different sort of entertainment for the community. So speaking of those events with El Ranchero hip how had you done this before like had you promoted events had salsa nights before is it something that how did it grow. And because it does take a lot of work to when we put on events are one of the as breakfast lock goes on. And we, you know, we have our 30 guests. You know, we have our little committees, something like this is huge bringing out DJs or having people show up on Friday nights. Like, how did you get involved in that. Funny enough, while I was deployed in the USS car event in the Middle East, this is an aircraft carrier. I hosted by Chata, like nights on the flight deck or there's a flight deck and then there's a below deck in that below deck we're able to do basically events big events and stuff like that. So we hosted like Latin night, Latin dancing by Chata and salsa. And during that time I kind of got a little feel for it. Nothing too crazy because you couldn't fly anybody in, but gathering the community together. And I think that with all of these events. It's already having a community makes it that much more easier. I don't really have a background in bringing out artists and stuff like that. But once I put my mind to something, I make it happen. So I, we wanted to see the DJ the community wanted to see the DJ. So we moved all the pieces that we possibly can and brought him out here. Yes, there was so many road bumps in the process. But overall, we got him here. We did the party. Everybody enjoyed the event and it turned out to be fantastic. So I gained a lot of experience from it. Yes, that experience sets you up for where you're at now. I see you're in your south side but Chata room right now so I know you guys get you have classes there at night. And you, I was looking at your website and you guys have also participated in a competition. Can you tell us about that. Oh yeah. Competitions are fantastic. They're there. They're really show you so much about yourself with the competition. It comes a lot of training, dedication, consistency, it goes from your sleep, from how much water you're taking it, how much food, your way in your food. And then once there is competition day comes up. There's so many different factors that go into it. A lot of people do it in many different ways. But here what we do is we do it as a team. The competition, the bodybuilding competitions or the bikini competitions, they're very isolated sports.  We come as a team. So we look like a collegiate team. Everybody's wearing the same suit. Everybody, we have the music on. Oh yeah, you're rocking the Rift Fitness gear. Yes, we show up and we show out. Right, that's how we do it. And we also, that we brought to these competitions, we brought the side side and by Chata performances, which happened at the competition, which never happened in any competition. Fun. So it gives them a little bit of our culture and who we are and what we stand for. And we love that because not only are we showcasing our best shape and our best physique, but we're also showcasing our culture, our gym, our community and everything that we stand for. That is so cool because you said something about that bodybuilding or those types of competition can be pretty isolated sport. I've watched videos of when you guys did some competitions. Barbara, they come out when it takes a village and I'm telling you when they're up there and they're like competing and you have 20 people in the crowd just going nuts for you and cheering you on and singing.  I was just overjoyed watching it. And I can't imagine what it feels like being on that stage by yourself and knowing that you literally have a village right there backing you up the whole time because it is it's extraordinarily difficult.  It's beautiful. But it does take a village.  I saw that you guys recently had a Barbie car wash on your Instagram page so what was that about. The Barbie car wash was pretty cool because we did some of our athletes here are doing are going to be modeling or have some sort of some sort of show coming up. And what we did was they needed a fundraiser so we're like why not just host a car wash here. We try to support the community whichever way we can. And this was one of the ways that we were able to just get them to kind of like, Hey, this is this is a way to get your tickets out and do something cool. And now it's killing it all over. It is trending everywhere. So super cool to do a car wash that was Barbie theme. We need to do that for the chamber mighty song. Are you going to dress up like a Barbie. This people. Anything else in the works that you have going on that you want to share. We have a lot of things in the words we have right now our Spartan program that's coming up in August 7. I know that that's going to be a huge one that's usually where we have a group of individuals who sign up to kind of change their lives. This is where we see the most changes is about three months long their training Monday through Friday. And this is most popular program here at the gym. And we love when that program kicks off because you start seeing people change drastically from we've had clients here that not only have they changed physically and let's say lost a ton of weight or gain muscle, but also to get off medications like high blood pressure medications sugar like those things gave me goosebumps when they're when I'm getting those kind of stories back. I'm like, wow, like that's we're really impacting somebody's life to the point where they don't have to whether they don't have to take medication. I was like, that's huge. That's something that I wasn't I wasn't expecting that I wasn't expecting to hear that. And it kind of gave me a reality check like where there's people that are really needing this for life for health for their changes. So that was big. That's coming up now, August 7. Is there a limited number of if somebody wanted signed up for the Spartan program because it sounds again that's kind of a group effort right it isn't like an individual one on one training it's it's with a group. Is there like limited number of seats to sign up is there a deadline can you talk a little bit about that. It's a limited number of seats, because we want to make sure that the groups are not too big for each individual trainer we want to keep the groups no more than five individuals. We want the quality of the workout and the training to not be affected by quantity. For that individual for that one that's coming up now in August 7 is this Friday. That will be the last. The last time that you're able to sign up and we currently have about five spots left and our limit is usually about 30 individuals total. How about your beach day I know you guys just had one recently and you go out on the beach and you guys are out there dancing and celebrating like let's talk about that. Every last Friday of the month, we usually have the dance team go out to the beach. The classes that they were going to teach in the studio out there and then invite anybody at the beach that wants to enjoy the classes joining them as well. So we do that every last Friday of the month. And then we usually have a big beach day for the entire community. At least once a quarter have them come out there we do a big beach day we do a workout. We kind of go back to the roots where we first started, and we do a free workout for the community and have people come out barbecue have a good day bring their dogs kids, everything. I also want to ask about I know you guys, you're not just a gym you offer dance lessons. So let's say that I'm not a member of the gym, but I want to learn how to bachata is that something that somebody can do or do they only have to be a member of the gym to be able to participate and what does that look like. So you can be a member of the gym and participate. You don't have to be a member of the gym. You can participate there's dropping rates. So for example there's a dropping rate to any of the classes that you want to do and try them out. There's different memberships that you can do that are just specifically for dance, just specifically for the gym, or for both.  Where can they find you where you located and what that's the best way to follow you. So we are located in white power. Right by don't get hot day. You are about two minutes walk walking distance from the train station that just opened up. So if you take the train station to the white power station, you're able to find our gym within two minutes. You can find us in Instagram, Facebook, tiktok, YouTube, Google. Any of these, you're able to find us immediately. Well, our most active social media channel is Instagram. We're constantly putting our information there. We're constantly uploading the next event what's coming up. So if you want to stay in touch with everything that's happening at the gym. Currently and what's coming up. Instagram will be the best channel. You're doing a great job on Instagram. How many followers are you at now. 19,800 right now. 20,000 just say 20,000. This year alone. Good job. Wow, you went from working out of the beach for free to you know, 20,000 followers and all these events and keep up the good work we're happy to support your business and be part of the community and thank you for joining us in our community events and you know we're, we're doing the same thing out there and giving a voice for Latino business owners. I want to thank you guys for actually just giving me the opportunity to be here I want to thank you for thinking of me for both being supporting supporting the gym for both being here and being part of this community and always adding to this community and always looking for ways to help the Latino community grow. And it doesn't go unseed you know, we really, we really are all so grateful with the work that's being done and with the projects that are coming up. I know that the business expose coming up on the 7th of October, I believe it's on this. And I'm excited for that and I know that the both of you most likely will be joining us on our next mastermind. So we are going to be talking about that, but I'm so happy to be a part of what you guys are doing and having you guys are part of what we're doing is what we're building. And what events do you have anything coming up in the next, you know, 30 days to have any any events coming up. We have the sipping shop, I believe that's going to be on the 18th or the third Friday of the month. We have an event in town this Saturday, August 5th. I believe it's like the Waikiki. One of the festivals in Waikiki. It's like the street festival in the main. That's going to be fun. We usually bring our dancers out, our merch, and we usually play dominos out there. We're playing Majong. On the 12th we're supporting a local volleyball team and we're going to be doing a volleyball tournament down on Queen Beach. Which one? What is it called? Queen's Beach and Waikiki where they have the volleyball set up. Oh yeah. We're going to be the sponsor for that tournament coming up on the 12th.  That's exciting. But thank you so much. Yeah, I think when we all put our minds together and we, again, going back to abundance and support one another, promote one another, help one another, level up, right? That's what you were saying earlier. We're going to thrive and grow together. So it's really exciting. Thank you so much for giving us your time. We know you're busy training everyone over there. Speaking of events, we do have an upcoming Buenos Diaz breakfast networking event. We have it every other month at the taqueria. So the next one is going to be August 8th and we're going to be discussing wealth builders education. So basically it's just changing your mindset from a saver to an investor and setting up your family for generational wealth. It's going to be a great event. I've been to one of their seminars before. And Rick Inigas is presenting. He has a nonprofit and he's one of our members. And our next Ola Iloha talk show. We do these every other week. And our next guest is going to be Nancy Ortiz. And she's a community organizer as well. And we're going to be discussing her two day event that she has planned in October for Hispanic Heritage Festival. So I just, you know, this is a great platform for us to all get together and talk about all of our events. And this, thank you think tech Hawaii. Thank you for watching our show. Thank you, Marisol for co-hosting. And thank you for joining us. This is Barbara DeLuca. And catch us next time. Adios and all of everybody. Thank you so much for watching think tech Hawaii. If you like what we do, please click the like and subscribe button on YouTube. You can also follow us on Facebook, Instagram and LinkedIn. Check out our website, think tech Hawaii.com Mahalo.


DEATH OF A FOOL, by Nioh Marsh Authors' Note To anyone with the smallest knowledge of folklore, it will be obvious that the dance of the five sons is a purely imaginary synthesis, combining in most unlikely profusion the elements of several dances and mumming plays. For information on these elements I am indebted, among many other sources, to England's dances by Douglas Kennedy, and introduction to English folklore by Violet Olford. N. M. Chapter 1 Winter Solstice Over that part of England the winter solstice came down with a bitter antiphony of snow and frost. Trees, minutely articulate, shuddered in the north wind. By four o'clock in the afternoon the people of South Mardean were all indoors. It was at four o'clock that a small dogged-looking car appeared on a rise above the village and began to sidle and curvert down the frozen lane. Its driver, her vision distracted by wisps of grey hair escaping from a head-scarf, peered through the fan-shaped clearing on her wind-screen. Her woolly paws clutched rather than commanded the wheel. She wore, in addition to several scarves of immense length, a hand-spun cloak. Her booted feet tramped about over break-and-clutch-pedal, her lips moved soundlessly, and from time to time twitched into conciliatory smiles. Thus she arrived in South Mardean and bumped to a standstill before a pair of gigantic gates. They were of wrought iron and beautiful, but they were tied together with a confusion of shopkeepers twine. Through them, less than a quarter of a mile away, she saw on a white hillside the shell of a Norman castle, theatrically erected against a leadened sky. Partly encircled by this ruin was a hideous Victorian mansion. The traveller consulted her map. There could be no doubt about it. This was Mardean castle. It took some time, in that deadly cold, to untangle the string. Snow had mounted up the far side, and she had to shove hard before she could open the gates wide enough to admit her car. Having succeeded and driven through, she climbed out again to shut them. Saint Agnes Eve, ah bitter, chill it was, she quoted in a faintly teutonic accent. Occasionally, when fatigued or agitated, she turned her short-eyes into long ones, and transposed her Vs and Ws. But I see no sign, she added to herself, of hair, nor owl, nor of any living creature, God a mercy. She was pleased with this improvisation. Her intimate circle had lately adopted God a mercy, as an amusing expletive. There arose from behind. Sample complete. Ready to continue?


We need people in trades to keep the BC economy going. There's a lot of demand and a lot of money in the trades and there's going to be even more once, you know, the older generation retires. We need to develop our skills and talent to have a stronger BC. Hi, my name is Kristen Siemens. I am a automotive service technician in my third year of my apprenticeship at KPU. Before I got into this trade, I was a restaurant manager and I knew that it wasn't a forever career for me. So I wanted to go and re-educate myself in something that interested me. Something where there would be a big demand for in the future. I decided to go back to school and get into the trades because I knew there would be a lot of opportunity for me. BC is investing a lot of money into skills training for the trades.  I had a passion for automotive and automotive made the most sense for me. I was around family members and friends and things throughout my entire childhood that really got me interested in vehicles and how they worked. I created this passion where I wanted to work on them and fix them and have the knowledge and experience to do it myself. I think it's important to upgrade your skills because you get a lot more practical knowledge and you get a lot of hands-on experience on the job but getting the knowledge and training from school is going to be really beneficial in the future. We are the future of BC. I feel really empowered to take on challenges and I find myself more willing to try things that I never did before because I feel like I have the confidence to fix them. That's something that I got through my training and through my experience. By the end of February, I'll be done all my schooling. I will have my Red Seal certificate and I'll be able to work anywhere in Canada. The only way to fill the gap out there is through skills training. We need to build a stronger BC together.


Hello, I am Takumi Abe from the University of Tokyo, Japan. I would like to talk about transducer projection in ultrasonic phase array to form multiple forces on a non-planar surface. AUTD can remotely provide tactile sensation by driving a large number of ultrasonic transducer arrays in an array. It can form focal points at desired location or generate fine sound pressure distribution. Other tactile presentation devices have been proposed, but AUTD has some advantages such as temporary and specially high resolution, low latency, and don't require the user to wear a device. To form desired sound pressure distribution, we have to solve optimization problems to determine driving signal for transducer. Various methods have been proposed and they are effective enough in free space. Some methods can obtain driving signal at high speed. However, this method may not work when focal formation on non-planar surface such as human hand because of shielding by object itself. Conventional methods are inefficient because all transducer try to contribute to the focus formation to all target points, so we try to form the focus efficiently by projecting transducer to be used for each target point. When the object itself becomes an obstacle, the angle between the normal of the object surface at the target point and the direction from the target point to the transducer is considered to be large. Therefore, we introduce pre-selection metric whose value becomes lower as the angle becomes larger. The transducer that is above the threshold is pre-selected by each target point before the optimization calculation. For example, when pinching the partial object in the center from the side and the set threshold to zero, dividing role as the left side transducer showing red from the focal point on the index finger and the right side showing blue from the focal point on the sub. Since the pre-selection can be represented by a transfunction matrix, the program formation is the same as before. So conventional first method can be used for proposed method and we can derive the transducer efficiently with small computational cost. We perform American simulations. In the case of pinching the object as mentioned earlier, the pressure on the desired surface was weak by conventional method and except pressure was upright on the other side. On the other hand, the pressure distribution on each surface was improved by proposed method. Next, we change the angle difference between the two normal directions. When the angle difference was large, the proposed method is effective. On the other hand, when it was small, in other words, that normal directions are concentrated in one direction, effect of proposed method decreased. However, we would avoid negative effect by setting appropriate threshold. This is Conclusion. Thank you for listening.


Family Theatre presents Richard Basshart, Audrey Totter, and Danny Thomas. The Mutual Network in Cooperation with Family Theatre Incorporated brings you Audrey Totter and Richard Basshart in a transcription of The Story of Joyce Kilmer, to introduce our drama, your host and narrator, Danny Thomas. Thank you, Gene. It was on July 30th, 1918, that near the village of Sarang and Friends was killed a young soldier who, in his regrettably short span of 32 years, had one heartfelt acclaim for his sensitive and delicate poetry. This was a soldier poet, Joyce Kilmer, whose verse mirrored and tranquil reflection the beauty of trees and stars and roses, and served as a commentary to the love and strength which came from his life. Now it is with pleasure that I present Richard Basshart and Audrey Totter in The Story of Joyce Kilmer. It is a day early in the 20th century that a nervous young man runs hurriedly up a flight of stairs, knocks, then stands expectantly before a lovely girl who regards him with lively interest. Yes, I'm listening. I mean, will you marry me? I most certainly will not. Oh, but a poet is made of stern stuff, so we shall try once more. Look at me. I'm looking. Will you consent to be my wife? Your wife? Certainly not. But how does the poet say it if at first you don't succeed? Try, try again. Aline, listen please. I'm listening. Well, look at me. I'm looking. Will you, would it be asking you too much to become Mrs. Joyce Kilmer? Well... This is the way the story began. One beautiful day in June 1908. For he said himself, Joyce Kilmer did, he said... You know, Aline, I can understand the interpretation that makes marriage the end instead of the beginning of a splendid adventure. If this should ever be the perfect novel of love, it would begin rather than end. They were happily married. And should I add, they lived happily ever after? Well, now that, that would depend upon one's interpretation of... Naturally, that would depend upon one's interpretation of happiness. For example... Aline, are you happy? I was never happy, your Joyce. A quiet home here in New Jersey, a baby. Yes, I know, but hang it. I was never meant to spend the rest of my life teaching Latin to a bunch of high school students. The very best of people are professors. And nothing but declensions, conjugations. It's positively demoralizing, I tell you. Now, if I had my way, Aline, don't look at me like that. Oh, go on.  Oh, for a dollar a pound. Perhaps two dollars a pound. Stop squeezing my hand. Slender your hands and soft and white as petalers of moon-kissed roses. Why, old ladies, I'll swoon for my stuff. The critics will come clamoring across the ocean. Joyce Kilmer, poet laureate to the medica. Aline, I shall have to develop a beastly mustache and grow long, dirty fingernails. Oh, Joyce. Aline, I'll leave it up to you. You'll leave what up to me? I'll let you decide whether your husbands to stagnate henceforth and forever in the swamps of irregular Latin verbs, or whether he's to take root in the immortal hills of poetry. The baby is crying. Your answer? The milks in the icebox. Speak, old vision, speak. Stop squeezing my hand, Joyce. Nothing so exquisite as that slight hand. Could Raphael or Leonardo trace... The baby will have hiccups. An answer, princess. Shall we or shall we not go to New York? Well, I... I knew you'd say yes. Come so soon. And how was my poet laureate to the medica? Oh, I'm tired. Come, sit down. No, no, down here. There now. Aline, are you happy? Why do you keep asking me that question, Joyce? It's the kind of a question a man has the right to ask his wife occasionally. Come, sit beside me. Look at me. I'm looking. You know, selling books in a store at eight dollars a week isn't exactly a thrilling occupation, is it? Joyce, I've told you it's going to take time getting started. You just can't come into New York and expect publishers to eat up your work. No? No, it takes time and patience. You know yourself, poets never start out by being poets. Isn't that so? Or what do they start out by being? Oh, street cleaners and assistant clerks and soap factories and even book salesmen. That's just my point, Aline. I'm not even a good book salesman. There's too much arithmetic connected with the confounded things. Well, what has arithmetic to do with selling books? And stop squeezing my hair. Arithmetic, my little princess. Arithmetic has a lot to do with selling books. As Charles Spibner's sons will soon discover. Oh, what happened now? Oh, I sold a rare book today. Sold it for a dollar and fifty cents. Well? Well, I made a slight mistake. Manager told me the book was not worth a dollar and fifty cents. No? No, it was worth a hundred and fifty dollars. Oh. And so an aspiring young poet in his family managed to live in New York on the magnificent sum of eight dollars a week. And did they live happily ever after? Well, that depends upon one's interpretation of happiness. I'm tired, Aline. I know. And there are thousands, tens of thousands, like us who are tired. I've seen them in subways, street cars, seen them outside offices waiting for interviews, nervous, tired people who stare at the wall over your head when you look at them. You're in a mood, Joyce. That's a fact, I tell you. The world is lopsided with selfishness.  And do you think your socialist friends can solve the problem? Socialist? A socialist might have the right idea. It's getting late, Joyce. You better get some sleep. Now, there's too much time for sleeping. Writing for the socialist paper again? Oh, I know what you're thinking.  You might try typing. I won't try typing. Joyce, haven't you become a little loud lately? Well, not half loud enough for an upside-at world. Oh, well. What are you doing? Saying my prayers. You're not going to say your prayers. Joyce, what in the name of heavens? Heavens. God. There is no God, do you hear? Joyce. There is no God. All the good things a man holds precious in this life. All the long cherished hopes and dreams. All the faith that man has ever placed in his God, and himself, and his family. All these are candlelight for living. But there are times when the flame of faith wavers. When the flax begins to smoke and smolder. Then it takes only the slightest, the very slightest. It happened this afternoon, doctor. This is your second child, Mrs. Kilmer? Yes, doctor. How old? Nine months. Well, I'm sorry there's not very much we can do now. The germ has already struck. Oh, doctor. Infantile paralysis is a strange affliction. We don't know where it will stop or when. The only thing we can do now is wait and hope for the best. Yes, doctor. So. Infantile paralysis. So my, my baby, my baby's going to be paralyzed. There's nothing we can do, Joyce. There's nothing we can do? Nothing? Yes. The time comes when the candle flame of faith wavers. When human flax smokes and smolders. But comes the clean, healing breath of pain. And smoking flax leaps to flame. And man lives by blessed candlelight again. Joyce. Yes? I didn't know how you were going to take it. I was afraid that- It's all right, Elin. It's simple and clear now. You can't build a home on rhyming couplets, poetry. You build it out of flesh and blood and spirit and faith in God. You build it out of pain and love. And tonight I know what love is. It's poignant and accustomed pain. Oh, good God. Help my little girl. Heal her. But even, even if my child should never walk again. I know this. I know she taught me how to walk again. And a little child had led him. I've got it. What on earth, Joyce? Behold your beloved spouse. Oh, you whiskers, Joyce. Elin, Elin, look at me. I'm looking. Good. You now have the unusual privilege of beholding a New York Times book reviewer. They've accepted my poem for the Pathfinder, Elin. Moods Magazine, Elin. They're going to publish my verse. Elin, another one. The boss figures you deserve a spot in the Times Magazine section. You mean permanent? That's right. Doing interviews. Interviews? Wonderful. Would you mind giving the American public your views on Oh Henry, Mr. Gerald? Oh Henry? Yes, some people call Oh Henry the 20th century Balzac. Some call him the American de Mopazan. Now what would you call him? I'd call him a pernicious influence. This is the life. It's quiet here in the Rampos Hills, Elin. Man couldn't want much more in this life, could he? A little house, four children, as of present. A wife who is beautiful with black ribbons at her throat.  The world is good, except I watch her lying there on the grass, this little paralyzed angel, my daughter. 16 years, the doctor, say Joyce. Yes, 16 years before she may walk. It's a long time. Yes. Still... I was just thinking. I was just thinking how light a cross can be when the cross you're carrying is someone you love. When love is the burden, I was thinking how tightly the arms of a cross can bind a husband and wife. For more than 16 years, Joyce. For always. Nothing could ever separate us, Elin. Nothing? Nothing. Come here. Well, look at me. I'm looking. You're a very young wife. Am I? And lovely. What's troubling you? Nothing. Nothing? Oh, Joyce! My little princess is younger than a baby. Stop crying in my ear, tickles. What's the matter with you? I just want to hear you say it again. Say what? Say nothing can ever separate us. All right. Nothing can ever separate us. I know what you're going to say. Don't look at me like that, Elin. Go on. Say it. You're going to war. Oh, I suppose I'm unreasonable. Being a woman, I suppose I'll never understand this man's world of war. Yes, I know. If I could only be sure that we could have the years ahead together. Thousands are saying that tonight, Elin. But remember, I once told you, nothing can separate us. Say it again, Joyce. Neither pain nor sorrow, nor distance can separate us. Say it again, Joyce. Neither suffering nor height, nor depth can separate us. Proceeding to the sixth area. You say you left the seventh regiment. That's right. Your name is Kilmer. Right. How come you joined the fight in 69? I didn't join. I adopted the fighting in 69. I'm Irish. Irish? With a name like Kilmer? Half Irish. Half Irish. Well, my great, great, great, great grandfather was Irish. Proceeding to the sixth area. And this was no man's land. Yes, this is no man's land. Little Eddie couldn't believe it was no man's land. This afternoon he said to me, Kilmer, it gets awfully quiet around here. But then... Just like that it came. In the afternoon, a clumsy, wobbling torpedo shell, something dangerously casual, that catches a manched, highing his shoes, or opening a package of cigarettes. It caught Eddie. It caught Kennedy and Sage and Finn and Galvin and Sullivan. It caught 21 of them. Buried them alive in a dugout. Donovan called the engineers, called everybody. But the soft earth kept slipping in on them. I saw the engineers crying this afternoon. So I wrote it for Little Eddie, and the rest of them. Stokes was trembling when he reached for the bugle, and the chaplain read it under the trees. In a wood they call the Rouge Bouquet. There is a new-made grave today. Built by never a spade nor picket. Yet covered with earth, 10 meters thick.  Never to laugh, nor love again, nor taste the summertime. For death came flying through the air, and stopped his flight of the dugout's tear. Now, over the grave, abrupt and clear, three volleys ring. And perhaps their brave young spirits hear the bugle sing, Go to sleep, go to sleep. Slumber well, where the shell screamed and fell. Let your rifles rest on the muddy floor. You will not need them anymore. Danger's past. Now at last, go to sleep. Major Donovan, Major Donovan. Well, what is it, Kilmer? I hope I'm not troubling you, Major. Not at all. I heard we're moving up tomorrow. That's right. Your battalion's going to lead the way. You pick up a lot of information, don't you? I'm in the intelligence section, Major. Well, I was wondering if you couldn't arrange for me to go along. I don't see how I possibly could. But, Major, you do need a battalion adjutant. All right, all right, you win. Thanks, Major. Hope you can make out this writing, Eileen.  Can almost hear you speaking again. With a voice coming across the white roads of France. And like the voices of all the women of the world, it keeps saying... Say it, Joyce. Say nothing can separate us. Eileen, you won't mind my writing this. I've never quite recovered from the wonderment of being husband to a wife. Eileen, you're always before me and with me in my heart and brain. But it's dangerous to write this. It draws so tight the cords that bind me to you. And the people and things at home. I'd like to be there again. I'd like to see Kenton and Deborah and Michael and Christopher and Sip Dry Sherry and see a roast of lamb with mint sauce, Blackwood's Magazine. I'd like to see a straw hat and a circus. But most of all, I'd like to see you. Goodbye now and lovely exceeding women. Yes, Major, you're looking pretty up there on that ridge. You got us in the clear, do you think? You've got to be careful, Major. I'm going up ahead, Kilmer. Watch yourself. Just remember the man, Kilmer. Keep flat. You've got to move, move fast. The machine doesn't mess us up there with the ridge of the hill.  Well, what say, Kilmer? Do you a dunchy? You don't have to move, you know. All you've got to do is stay right here. You've got no orders to move. Just crawl like this. Just like this, to the top of the hill. All you have to do is take a look. Get my spot that nest. That's all. I suppose I'll be waiting for me. Just as soon as I lift my head over that ridge, I'll just remember the manual.  Here you are, Kilmer. It's the ridge. It's still barking. Well, that's all right. That's all right. Here you go, now. Big breath, Kilmer. You're going to see something right now. Here goes. They found him lying still. And his eyes were looking out over, away over the ridge. And they buried him where the scarlet poppy's nod by the river circle. And so Sergeant Joyce Kilmer, Patriot and poet, died with... Wait a minute, mister. Huh? What is it you wish? You didn't answer the question for the people. What question? The question you've been asking all night. Did they live happily ever after? Who are you, sir? Who am I? I'm the interruption. I'm the question lingering on the tongues of millions. I'm the voice of the kids who fight the wars. The voice of the guys who scream to cross the continents and across the world. I'm the voice of human pain. And they're trying to choke me again with speeches and promises. They're choking me with new headlines, new suspicions, new hates. Did they live happily ever after? Did they? Who will answer the question? Trees. There was a tree planted on a hill. Did one soldier die in vain on a hill with half his songs unsung?  Can we live happily ever after? Can it be possible that in our days we shall at last see love? Grant that it be so. Be thou the patience in our planning and the humility in our heart. And grand good lord that all men, the men of the north and the south and the east and the west, may rest always in the soft shadow of peace. Where trees are not crosses but living things. That look at God all day and lift their leafy arms to pray. A soldier poet would have it, sir. We of the family theater remind you as we do each week. That the family that prays together stays together.  In Hollywood, Family Theater has brought to Audrey Totter and Richard Basshart in the story of Joyce Kilner with Danny Thomas as your host and narrator. This transcription of the later life of the beloved poet was written by Timothy Mulvey with music composed and conducted by Harry Zimmerman and was directed for Family Theater by Jaime Del Valle. Heard in our cast were Norman Field, Howard McNear, Alice Maudry, Tim Graham, and Victor Perrin. This series of Family Theater broadcasts is made possible by the thousands of you who felt the need for this type of program and by the mutual network which has responded to this need. This is Gene Baker inviting you to join us next week at this time when your Family Theater will bring you Henry Wadsworth Longfellow's Robert of Sicily. Join us, won't you? This program came from Hollywood. Don't delay. Your own future, your country's future can't wait. By United States Savings Bonds.