If base Goku starts making a way through your team before sparking, that's not a- Oh... Oh... Oh no... How's it going everybody? Dottonoi here back with some more Dragon Ball fighters, rank badges. This time playing a suggested team of enemies that became allies, including Piccolo, Super Saiyan Vegeta, and Tien. And our opponent is actually playing the team of Universe 7. I actually used this team recently and it was really hard to use, but glad to see somebody else picking up the team. It just works super well. Go ahead and get that pose, 17. And then of course there's my team. I did opt to use Super Saiyan Vegeta because I feel like that's the first instance of Vegeta acting in a somewhat sort of ally manner. I don't think base Vegeta was really helping out all too much. Just going around running on him. Whoa! Huge pickup by Chousu! Chousu already making a case for MVP of the team! And we are exactly three seconds into the game. Demon Elbow? Alright. Shot me down with a ki blast pretty quickly. Oh, I gotta use that Super Saiyan Vegeta assist a little better. It's... Oh, Chousu! You are too good at the game, Chousu! Oh, I did that wrong. That's fine. We still get a decent combo out of it. Oh, there we go. Oh, I could have killed. Huge mistake. Oh, but a pickup regardless. We get the knockout anyway. Alright, not gonna lie. Even though Piccolo did all the damage, Chousu set up all the damage. So, already. Things are looking pretty... I mash on that? Yeah, I think I mash on that. Demon Elbow part two. Let's go, dude. You know I gotta do the Demon Elbow. It's too sick. I actually... I really do like the... Look, the air movement with Demon Elbow. I'll do a little bit of it here as much as I can without getting, like, punished or anything. But you can actually... If you whiff Demon Elbow, it doesn't do the attack portion. So, you can just continue to miss it. Nice use of ki blast. I should probably... I should probably stop doing that so much. I don't know why I'm obsessed with that move. Oh! Tien... Okay, good. Huge pickup by Tien. Nice. I get him into the corner. Chousu! Ha ha! Command grab! Nobody for... Everybody forgets Tien has that. How much does a level three do off that? Oh, a lot. I won't commit to any more though. Command grab! Oh, I should have done it. I'll do it right here. Command grab! You thought I was gonna mash! That was sick!  He's not the flashiest character of the roster, but I really do enjoy him. Piccolo Aesis is snapped. He's gonna wanna vanish your Super Dash. Yep, that's fine. Oh, if you would have done it, I would have been there. Back dash? No, I can't. I didn't get a back dash. Nice. I still have Spark. Still could use that option. Base Goku is pretty scary. I believe he has B assist. I'm not wrong. I'm gonna Spark right here. Try to keep corner. Stay in the corner. Stay in the corner. Stay in the corner. Just please. Don't put up a fight. I don't want you TODing my team. No! It was too obvious. I did that way too many times. All right. Officially started sweating. If Base Goku starts making a way through your team before Sparking, that's not a... Oh... Oh... Oh, no... Oh... Oh... Oh... Yes! He dropped it! I can't believe it! Super Dash, let's go! Oh, he dropped the TOD! No, that's fine. No, I'm scared. I'm still scared. Wow! Poor vanished Vegeta! Go behind him! Okay, that was pretty sick. Oh, no! I'm worried! No. Vanish beats vanish. I gotta... I gotta get me one of those. No, no, no! I think that's the most relatable hit noise. No, no, no! Don't Super Dash. Play your feet! Play your feet! I don't think this combo is right.  Oh, it does combo. I couldn't kill. Maybe I could have if I thought hard enough. Play your feet. Watch for Super Dash. Play your feet. Oh, beautiful air-to-air. Tell me that's... It's game. It's game. He's got the Kaio-ken. He might even break my back. Goku, we're friends now though. We're allies. The team theme was enemies that now allies. You wouldn't break my back. At least put me down gently. That was a comeback story of the ages. Base Goku is by far... Well, I always say this. It's either Broly or Base Goku. I go back and forth depending on who's beating me up that day. But... So, as of now, it might have been... Goku is the best anchor in the game, dude. Are we not going to get a rematch? After a loss like that, you need a rematch, dude. All right, we actually got a very good start too. Ooh, another good start though. I'm pretty worried he might make some adaptations with the rest of his characters. But until those start happening, we escape the corner. But there we go, Vegeta assist. I'm reacting really slow for some reason. Go! Nice. Are we just not going to take damage? Hold on. It looks like Goku's going to have to do all the work. Big Bang! That should be enough, right? Okay, good. I definitely took my hands off the controller and quickly put them back on. Big Bang took them off. Saw that help bar? Panicked. Put them back on. Could have gotten more. You know what? You don't get to play anchor Goku anymore, dude. You got to play real Goku. Real Base Goku. Okay, yeah, you pretty good at Goku. Got to play Goku? You pretty good at playing Goku. Yep, still hurts all the same. He's probably going to do a level one with Frieza. It wouldn't surprise me. Yeah, he doesn't want... Yeah, you're going to get back out here and play Goku. I don't care how... Damn, he might... He's just good at the game. You will play Base Goku though. I'm not giving you a little bit of a break, Goku.  That was a really poorly timed assist. Now, switch into Goku. Aim it, dude. He's not interested. Okay, good. No, pain, dude. I'm focused too much on the tag. I don't... Oh, he can kill me here with one bar unless he drops it, which I don't think will happen. No, not going to happen. Damn, I'm so focused on getting Goku out of here. I got to focus on Frieza. Focus on Frieza first. If we get the hit, then we can go ahead and see if we can't go to Goku. We are not moving as well as we did against 17. There we go. All right, get Goku out of here. You're playing Goku now. I just hope we can beat him. Shouzu! You're the man, Shouzu. Keep that up. We love to see Shouzu succeeding, thriving out here. MVP. Oh, beautiful. You don't get to play Anger Goku. I hope that combo could have done better. Guard canceled. You are not playing Anger Goku. Give it up. Give it up. No, no, no. Damn it. He's trying to get Goku a limit break so he can T.O.D. I can't let that happen.  You have to understand. Oh, my God. He's putting up a fight, dude. He's fighting. He's fighting. Come here. Come here. You are not playing Goku last. Come on, Goku. Come on. Oh, it's a battle, dude. It was a battle. What a battle. I think that shouldn't stop it, though. This should be the deciding factor. Special Beam Cannon. If that doesn't wrap it up, T.N. Will. What a battle. We cannot let that happen. And he was only interested in that happening. Okay, he's going to go Golden Freezer. This is about, I mean, this is just a scary to me. Well, maybe a little less scary, but still, still a force to be reckoned with for sure. My God, he's fast. Look at him. Look at how fast Super Dash is actually a nerf to this guy. Whoa, behind me. It's just like a Namek, dude, except now on Earth. I didn't get the back step. And we got loops. Oh, that was pretty sick. All right, T.N. We can still very much lose. Hmm, game over. Game set match. T.N. called it. That level three goes off. I see a Super Dash. We are Neo tribe leaving all day long. That was a stressful game, too. And to think like we actually got a really good start. We, that was a 2v3, honestly, which we got to keep that pace up if we want to win now. Whoa. Chatsu, don't mess me up. Chatsu. All right, nice. Nice. I should have predicted a Super Dash there. I should have predicted him getting a little more aggressive. If we can, we should switch and go cute. Good stuff, Chatsu. I don't know why I censored myself there. I definitely wanted to say good shit, Chatsu. Oh, block that. Hi, hello. It was high. Bounce back. I got to start implementing that when I play 17. I constantly forget you can do that. It looks so cool. Nice. All right, we'll see if we can't get 17 out of here first. Oh, it's looking like it's looking very likely. 17. Hopefully this is the end of us. All right, nice. The end of us fighting 17. Hey, Goku, you can't hide behind Frieza, dude. I'm coming for you next. All right, it didn't Super Dash that time. I'm nervous, dude. Oh, I thought we had to jump in. Oh, we needed that to hit. Please, I'm so focused. I'm sorry if I'm going quiet. I'm so focused. I just, I got to focus so I don't, there it, no, I dropped it. There it is. Goku, come in here and fight. He wants to play Living Brick, Goku. So bad. At least, I like how I'm just making that up, right? I mean, he could, he could totally not mine. It's just that I think he wants it or I'm afraid of it. No, dude, you don't get to play Frieza. Hold on. Let me take a little bit of your health off. Then you don't get to play Frieza. I'll take all the health you'll give me, but I'm not playing against Frieza. I had a button. I did, I did it. I hit a button. I must admit, I must admit, I think we're dead here. He's going to tag out back into Frieza, too. That's the, that's too, that's late. That's late. That's late. Oh no. No, no, no, no. Huge error by clicking Dragon Rush. We could have maybe gotten a jumping medium there. Fine. He's still in the game. Going, Goku, Super Dash, maybe. I was, no, no, no. That voice line keeps fighting me. Nice. Good job. That turn around by Piccolo is insane. Take a level three here. Again, we want to make sure he's as low as possible. That's it. That's it. I'm feeling great about this now. I'm feeling really good about this. Get back here. I don't even have to do anything. I'll just let the hell zone hit. Yeah.  I'm excited. I'm excited. I think we accomplished the win condition, which was not letting Goku get out here. Beautiful. That's just, I'm really like, I'm just barring that strategy from when I was like first playing Yamcha. A lot of Yamcha players were like, all right, I'll just play Yamcha on anchor and I'll only use Yamcha's assist. But if you snapped in Yamcha, it was game over. It was just like people would start panicking. They wouldn't know what to do. They'd be upset. They'd be scrambling to get Yamcha out. It's just, it makes the game a lot more controllable. I'm not saying I'm going to win this. I hope I win this. Oh no. Okay. Is that game? I hope so. Let's put a little extra in this final flash. The finale flash. Please, please. Nice. Final flash does actually kill and team allies that were enemies is going to take set number one in an intense game. Oh, that was a lot of fun. Why does that bush back there look so fake? Why does that bush in the background did not look good? But great games had a blast. I'm excited for the next one. Ooh, and the points are at it. We're almost that ultra instinct rank. Let's go. Okay. We are back with game two. And this time we are up against the other character. I told you I was worried about Broly, the legendary super saying, do we try to make a read here? I'm going to do it. Oh, it almost worked. It almost worked in an alternate universe. It went down and pretty much worked. Nice. There we go. Using that assist defensively is definitely the way I think it's at its best. I will definitely take that jumping medium reflected. That's fine. Let me go ahead and get stepped on is what I was going to say tossed up back into the quarter. I feel like, yeah, Broly's going to toss us out anyway. All right. None of our assists are really at their best when this guy's berries up. Chow Tzu. Oh, Chow Tzu, you almost stopped Broly.  He is built strong.  I'm switching back out into the man. I got to stop switching. All right. We got to set our feet. Try to get a couple swings in here. That's probably the best way to go about doing it. Do we spark? I'm the spark. Let's get some momentum back. I was terrified. He hit the eject button. What was I supposed to do? Take a couple of Vegeta swings here. Not in death range yet. Guard cancel when the duty calls. I got to get the raw 2M. Let's go back into the quarter. I'll take a final flash. This might have actually been a waste because I don't know, we're not going to get too much here. Overhead. Oh, thankfully we messed that up. You're not going to hear that one a lot, but I am so glad we we've made an error there. Can't kill. Oh, I should have switched into Tien. He would have been able to do it. Vanish beats Vanish stay in the corner. Dragon rush to risk it all hits attack was a little too slow to take it. We actually take a character. The momentum has shifted now. I'm again, Broly's the one who worries me though. He might tag another dragon rush. I'll keep going for him. All right, but that jokes aside now that he can't hear us, probably not going to go for another one anytime soon. I feel like don't be expected now TN with the hardest hitting level one going to be more than enough to take Broly out of the game and now it's a 1v3. I'm willing to deal with a 1v3. Sit down. Oh, what a heavy that was clean. Darkness free shot out of the corner wants to extend it even more. Oh, the tension dude. Wow, that actually hit. Don't on raise too slow to get reflected.  I am sweating. Chow Tzu again. Hold them down. Chow Tzu just keep doing what you've got to do. Woo TN that was clean. All right, nice. Again, we're going to go Chow Tzu for the knockdown pressure. Chow Tzu unfortunately missed. That was on me. Hurry. Oh, thank you Chow Tzu. You are the best. Unfortunately Chow Tzu. This is where we part ways. Goodbye Chow Tzu. I needed the damage. I know you'll understand. I know you'll understand Chow Tzu. I needed it. This is for Chow Tzu. This one's for Chow Tzu. He would have wanted me to take this win. All right, dude. Game one. I feel like really rough start, but after that everything really started clicking for us. Mostly thanks to Chow Tzu. We did rely on him pretty heavily, but even the even all the other teammates came into play. Do we get the rematch? Every every time it hits 25 seconds. I start. I get nervous. 20. I've activated my second gate of nervousness. We only got seven gates. Oh, that third gate unlocked, dude. I'm skipping to the fifth gate of nervousness. Oh, okay. You know, everybody needs time to cool down. I could use the cooldown period myself. Didn't combo there. No, give me that. Okay. It's understandable. Have a great day. 2H nice. I'm so surprised that 2H actually hit. Yeah, I waited too long. Too much of a delay to combo off that elbow drop. Offensive use of Vegeta assist. Come on. Come on. No, huge missed opportunity. Elbow drop again. Yes. Even if we drop, we got to make sure we're keeping him in this corner as much as we can. 2H a little early and I'm going to cost Tien a lot of his life there too. No, I'm so sorry. That's on me Tien. That's on me. Huge damage. Elbow. I don't know if I should switch out to healer. I'm just going to... If we got an opportunity to guard cancel, I'll definitely take that. Did not respect his assist as much as I should have. I want to use a level 3 so bad. Ah! No, he was going to go. He was mixing me there, dude. That move is literally only there for the mix. That move is not good. If you see a super baby start using that, it's time to run. Revenge death ball. Do we still have spark? We do. I think it's best to use it here. Just pop it, get the blue life back. Get him in the next one. Chaotzu again. He's so good. This is so annoying. 2H. Wow, he blocked that? That was crazy. Stay out of the corner. Yes. Oh, we needed this, dude. All right. Hopefully I can get a good enough combo from it. Yes. I don't know. I actually don't know what people do after that. Elbow counter. That was clean. Do it again. So nice I did twice. So nice I did it thrice. No, thrice is not never a good thing. Three times is too many. Broly, please stop. Nice. Chaotzu. Too good actually. The fact that Chaotzu can hit that high, I can't combo from there. Wow, that was cheap. That was so good. The Keyblast came back and he combed it into Broly's Keyblast. That was outstanding. I'll give it up. Oh, okay. DP. Sorry about that hit. DP bar two. Chaotzu, why did you get so good? This is Bruno. I feel like this is a Chaotzu video. 2H. Man, all of his characters are low, but it's still, it hurts so bad knowing we got to go through three of them. That's three opportunities to reset to neutral. Unless of course we get really lucky with, I don't know, we could get absolutely insane luck and catch up with a Neo tri-beam if they're all out at the same time. But until then, I think it's best to just play it a bit slower. Lost a few opportunities there. Oh, level three hurts. Oh, squished. Ow, bro, relax. Relax, you got it, super baby. You got it. Call out an assist. Please call out an assist. I need you to call out an assist. Oh, I was too slow. I was too slow. Do Broly? I'm just comboing Broly. I think he got out. Damn it, Broly got out. Why was I trying to combo and assist? No! No! What a huge misfire. But he dropped it too. Whoa, you got to hold that. All right, and then we go into Big Bang for sure, right? Yeah. Thank you. Oh, I'm so worried that missed. But because it didn't, now we get a good chance to get some blue life back. We're still one combo away from death, so we can't overextend. Wow, that reflect actually worked. All right, set my feet. Oh, got caught jumping though. Keep last. Nice. When they least expect you to superdash, that's when you got to bust out the old reliable. But that one was a trick shot by Choutsy. I shouldn't have tried to DP there. That one was a big mistake. Huge mistake even. Yeah, no drops, meaning we are in trouble. Dude, I feel like this has already been such a long game. I don't know if I can handle a third one. If that goes into a third one, I'm dead. I'm panicking. I'm panicking. That's not a good sign. Not a good sign to start panicking. I should have taken note of three bars. I think we're dead here, especially because it's empowered. He's not limit broken. That's the only reason I have slight hope. But the hope was just kill. Oh, no. We got to, we got to, we got too anxious. Too scared. This next game, even though I don't actually have any, we got to exude confidence. That was a long set. Oh, man, I feel like we disappointed Choutsy. Choutsy didn't deserve that, dude. Choutsy did not deserve to go out like that. All right. All confidence. Oh, I didn't even see the key blast. All confidence here. I am not slowing down to end. Boom. Choutsy comes out next. Hold him down on wake up. Dragon rush on the second hit. Nice. Burly almost punched us in the face, but he was a bit too slow. All right. Volleyball fist. Again, there's a lot of points on the line here. So we got to win these matches, win these kind of matches. Vanish beats vanish. Reflect. No reflect. No reflect. That was a misread. Huge misread on that one. All right. Nice. Please pick a little asys. Don't do it. Oh, pick a little asys almost killed us there. Can we kill here? One level one with this death. Oh, this is for sure a kill. Hey, we got Broly out of the way. All right. Seed confidence. The difference in play style. We are kind of, I mean, this is kind of like a game three strategy because we played two games where we were a lot slower, more defensive. And now we're just kind of going for it all. All right. We spark here again. We want to keep that pace up. Great counter. Those stuffed it.  A single keyblast saved him. Hey, why? Why? Why is that? It's so funny that chances of since is so good. Just the no reflect. You just get hit. All right. Nice. I'm going straight into a level three off that. No time. Oh, that's bad. Sparking. All right. All right. I guess we not too bad by a little more time off sparking blast. Stay down. Damn it. Damn it. Damn it. No, I'm getting scared. I'm getting scared again. Wait, why am I scared? Just have confidence. Let's go slam down. That was actually a season 3.5 buff. The fact that you can go straight from a two inch into that. It's actually a huge deal. It's really good. Makes super dash confirms a lot more consistent. All right. Four bars again. Don't want to spend any chow suit for the knockdown again. I should probably just raw to age there, huh? Yeah, because I try to jab and then do it, but I never have enough time. Yeah. Did that last time a great adaptation by him, by the way. Last time he just kept charging in this time he faked it and did it again to he was going for it twice. That could have been that could have been bad. If he did it to me twice, that would have been really bad. Games looking pretty even right now. We just have a little more health and some more bar. Hopefully we can use that bar to reach. I got. I paint it. I paint it. He lost. No key blast. That's fine. Dragon rush here will set up a level one, which will give us the kill. Not this one, but Vegeta's will. Nice. Okay. I thought it dropped, but I don't know, dude. If it makes this comeback, he's earned it. This will have to be an earned comeback. Please don't earn this comeback. I need this now more than ever, dude. These points on the line. Why are we still here? Just to suffer. No, dude up there again. Let's go. No, no, no, no, no, not good enough. Not good enough. Not good enough. Now, at least we hit the ejector button. Oh, is anybody else sweating? Just me. Okay. That's fine. Kick him. Kick him part two. Kick him part three. All right. Not a fan of the trilogy. I hit super dash. Oh, really? Level one. That's not going to kill us there. We got a second shot. Oh, level one, level one. That should kill if it connects. Yes. Whoo. I was so involved in that one. I'm sorry if I went quiet. I was really trying to bring that home. I will definitely take that. Yes, dude. What a great game. Hopefully you enjoyed that video. If you did, let me know your favorite moment down below the comment section while you're down there. If you enjoy these videos, I would really appreciate you. If you could like and subscribe to the channel. It helps the channel out a ton. I can't really put into words just how much I appreciate all the support recently. But if you want to watch more videos, there is some on your screen that you can check out other than that. I have adopted away though. Thank you again for making it to the end of this one. And I will see you in the next video.


My name is Vijay and I'm from Hyderabad. I have been learning agile since last six years and I have recently been part of a large scale agile transformation where around 60 teams are transformed into agile. So I have contributed to around 10 teams in terms of training for two days, agile values, fundamentals, scrum framework, lean and kanban and followed by six to eight sprints of coaching for those teams. So I'm going to talk about some of the observations and challenges and anti-patterns and some suggestions, best practices based on my coaching to those teams. And what is the take away of the session? Is there any take away from a 20 minute session? Okay, there is. So if you feel some of these observations or challenges found in your teams also, feel happy because they are not unique for you. They are universal problems. Or if you are planning to transform some teams to agile, this information will be helpful for you so that it can be done little better. So how many of you agree a scrum master is a team spirit guardian? Why? Why is a team spirit guardian? He is the one guru, he is the one friend and he is the coach he takes care of the teams. So he works for the team to make his team great, high performance teams, right? Okay, so when I started working with these teams, what I understand was it was very natural that these teams are undergoing through the, what is that? Tuckman ladder, right? Forming, storming, norming, performing and adjoining. Where you have the forming stage, a lot of team members will have different skill sets, different mindsets, different religious backgrounds, right? But the observation what I had was we conducted for some of the teams a self-forming exercise where the team members come together. They form their own teams based on the guidelines that we give generally like, okay, this team needs three developers and two testers and they should have this background, domain expertise and they should have these technical skills. So those teams, the duration of forming to performing is actually less than somebody else's form the teams based on their requirements, their demands. The reason is when you let the team choose themselves to form a team, the initial buy-in and the accountability and the commitment will be more high, right? Another point I observed is if the scrum master or the coach is, he has more agile perspective and agile knowledge and...


Hi, I'm Jeff Huber, co-founder of OpenCovaScreen, and partner with X-Prize on the rapid COVID testing competition. X-Prize rapid COVID testing is announcing five grand prize winners on March 16th, plus four more from the Open Innovation category. We started with over 700 teams from around the world that we narrowed down to 200 semi-finalists, then 20 finalists, and finally these winners who represent the best innovations for scale, accessibility, and impact. We need testing that's frequent, fast turnaround, cheap, and easy. So we can enable safe return to work in school and hotspot protection programs where we can catch occurrences before they become outbreaks and stop transmission chains. These innovations ultimately save more lives now and in the future. While we can finally see light at the end of the tunnel, join me in congratulating and thanking the X-Prize rapid COVID testing competition winners.


to everyone. Today I'll be telling you something about the common disease that is hypertension or hypertension in common language as it is known to all of you. Hypertension is the most common cardiovascular disease affecting the human-gaze gloom. Hypertension, uncontrolled hypertension or uncontrolled blood pressure is a condition which affects each and every organ of your body starting from head to toe and it is responsible for many cardiovascular diseases namely stroke, heart failure, kidney failure and heart attacks. In India, we find that there is a huge variation in the distribution, geographical distribution of the blood pressure. We find that Jammu, Kashmir, North East regions, they are highly affected. There is high prevalence of disease in these areas and as compared to Rajasthan and Uttar Pradesh Bihar, we have more patients in South, down South. There are various reasons for that. There are genetic reasons then there are reasons related to the lifestyle, your climate conditions. It is said that one in four adults, out of the four people, one person has got high blood pressure and what is more pathetic is that only one-third of the people, only two-third of the people will know that they have high blood pressure and one-third they don't know it that there is high blood pressure affecting them. Why? I will let you know. Now first of all let me define what is high blood pressure. From time to time guidelines keep changing but in on an average for your understanding if your blood pressure is more than 130 by 80 all the adult people I am talking of, 130 by 80 if it is more than that really this means we have high blood pressure. Now depending upon the further increase in the pressure we stage them and how do we say, how do we conclude that your pressure is 130 or 80 and beyond this we tend to have to average of two readings taken at two different occasions and we follow a standardized protocol for that. What is that? I'll just give you an insight into that also. Very common notion is that people think that blood pressure is a condition which will affect which is important for the people who are middle-aged, young people. As you grow the pressure has to increase. What is the great fun about it? That is the most mishand misconception which is there in the society. It is true that as we grow old all of us are to have a high pressure so much so that it is set by 90 years of the age 99% of the people will develop high pressure which is high from the readings of 120 by 80.  It has been found that the cardiovascular mobility, the death related with the associated with the high blood pressure is much more in every age group as compared to the middle age group such as the importance of treating and controlling the blood pressure. It is said that for every 2 millimeters high in systolic blood pressure we can have 7% increased risk of death due to heart attack and 10% increase in the rate of death due to stroke or the brain stroke which you know by in common language. Now once we check in blood pressure we always advise our patients to person to sit say take rest say 10 to 15 minutes before you get their preparation measurement. You should be rather comfortable sitting in the chair bladder should be empty trying to avoid taking caffeine smoking before you visit the clinic of your doctor because that tends to increase your pressure. Then once the pressure is being taken your arm should be rested on the table elbow should be at the heart level anything above or below which is going to change the reading. Similarly try not to look at your mobile phones at the time try not to talk to the system who is taking the blood pressure or to the attendance be calm, composed and get your reading checked. Cuff size metals whether we have not centered the cuff or not at all metals but that are the things which will be taken care by the medical petition is taking your pressure. Sometimes what we find is that and you must have noted yourself also that the reading in the home is different and once you reach a hospital or you go to a clinic your reading gets up. This is something we call as a white coat reaction let's see the white coat you get hypersensitivity you you go into an anxiety form and your pressure rises but then we have things to judge whether this is a some in white coat reaction some related to that anxiety only or you truly are having high pressure we have this to find it out so don't worry about that but then this is one of the phenomena which can occur when we visit a clinic or a hospital. Now when we check your blood pressure it is just not only the reading of the pressure we concentrate upon it is the in the totality we see the patient but what is your body what is your age what is your gender what is your body weight whether you're obese or not then you have other risk factors for heart developing cardiovascular disease very important among them are whether you have diabetes do you smoke are you already having a kidney problem are you already having a heart problem history of stroke or something vascular problem in the legs and we calculate a risk like what is it what is your failure risk of developing a cardiovascular disease it is not just the pressure readings what is your cholesterol levels and what is your family history of heart disease all this matters and if that risk is more than 10 percent then we categorize you into a category which needs immediate attention which needs immediate treatment which needs initiation of treatment and the control of pressure now this treatment and the control of pressure immediately with lifestyle changes lifestyle measures or maybe with the drugs or a combination of the two so we have to accept that if the pressure is this high we have to be treated then sometimes some readings are so high that we cannot ignore that and then we have to start the treatment immediately something like suppose a patient comes to me in emergency and the pressure is 180 by 110 I cannot go by other demographic readiness I have to start medicine otherwise this patient will go into a complicated stretch very important very pertinent question when the person comes to me sitting opposite my chair in the OPD we tell them that your pressure is high the first reaction is denial doctor how is it possible I am not having any symptoms let me tell you here and clarify you all that if you talk to me about the symptom of high blood pressure literally there are no symptoms of high blood pressure you have to accept it that and I don't want to scare you by this term but blood pressure of the hypertension is known as a silent killer it is said that 99% of the time don't feel any symptoms and the pressure is high it is damaging your organs it is damaging your body and you get to know only when you check it if you don't check your readings you can't tell that you are having high blood pressure now so don't be surprised if you visit the clinic for anything and you find your pressure high accept that reading and start hitting on it then if the symptoms and very important is if the symptoms have started usually the stage is a complicated stage not always but most of the time it's a complicated stage that you presented suppose the patient may be having nose bleed he may be having headache and headache may turn out to be some brain stroke he may be having nausea he may be feeling short of breath and nausea short of death vomiting he may be having inside either fluid in the lungs or because of the high pressure or there may be some cardiac problem which has started like he may present the day unstable and then a acute heart attack situation also in certain conditions so this is just a way to tell you that our guidelines say that we have to target the blood pressure below 1-80 for almost everyone whether you are in the age group of these 50s or you are in the age group of 80s or something depends and how much is your cardiovascular risk as I already described and also what are your other comorbid conditions whether you are having any diabetes also your bees you smoke you take an alcohol you have family history all this and what is your cholesterol levels all this has to be taken now as far as the drug that is concerned we have full battery of drugs which can help you out in controlling the blood pressure which drug will be used for which patient depends upon we select the drugs according to certain behaviors suppose what is your age what is your gender how active you are in the in your job what type what is the nature of your job then what are your cholesterol levels are you having any other coexisting problem that diabetes renal problem then are you an old age group patient with a prostate hyper photography so there are few things which we take into consideration before you starting on your medicines if you are dealing with one demography it's fine otherwise telegraphically also people tend to differ Americans differ they respond to different type of drugs black Africans they tend to respond better to some group of drugs and not to the others so all this is known to your clinician you have to just believe him and if there are any side effects you have to report to them back and the medicines will be adjusted accordingly for you to understand and what you can institute is the lifestyle changes because it is it is the one thing which only you can do and this goes a long way in preventing this condition and also controlling this condition mainly lifestyle changes mainly are basically how much physical activity you are doing what is your diet how much salt you are whether you are habitual to smoke or alcohol and all these things I take bundle most important in the foremost thing I consider for your well-being is the physical activity I think it is second to none if your physical activity active right from the your childhood adolescent days you are very unlikely to see a doctor in a clinic that is my statement for all age groups all and all both general all age groups the reason is that exercise and the physical activity is one thing which keeps you away from all these lifestyle changes blood pressure diabetes people ask her what is the cause I tell them it is a lifestyle lipid disorder it is a lifestyle it is how you conduct yourself starting from the childhood no age is there which will not benefit from the physical activity you can you have information on the google's also but people can get better can have physical activity which can drastically change even in the age group of 70s if we are 25 we are 30 we are 40 that is the best age to start the exercise if we have not been doing previously it is said that the aerobic endurance exercises they can reduce the blood pressure even in normal individuals patients with normal blood pressure and of course they are very beneficial in patients who have high blood pressure aerobic activity we consider like this for jogging running you doing you playing some sports badminton cycling all these coming to swimming all they come into aerobic activity where you are not using weights but you are using your body and putting into motion so it places demands on the cardiovascular system now the immediate effects a long-term effects are tremendous the it said that the reduction of the blood pressure with exercise can till can last 22 hours means when you next time go to the exercise that is after 24 hours later you are breathing the benefit of the previous days exercise and it is not always that if you lose weight then only blood pressure will come now blood pressure can come down without you losing weight also with exercise so we have it is said that usually with regular physical activity you can have a reduction in systolic and diastolic blood pressure between of 2.5 to 5 to 11 just by doing exercise we recommend that you should be preferably you should be doing it all the days if not then at least five days a week intensity we recommend as a moderate it should be 30 minutes of continuous activity sometimes but it is not that if you can't do 30 minutes of continuous activity you can't have the benefit of the physical activity it can it is still there you this even this statement is important that if you are sedentary and if you start walking you start doing simple things like not taking a lift and the elevators and taking stairs you are doing good to yourself even you are standing for some time in the kitchen you are doing good to yourself even small amount of activity is helpful such is the tremendous benefit of doing a physical activity daily but if you can do it in a consistent way you can do it 30 minutes or more of a continuous activity then you are doing the maximum benefits if you can't do that continuous you can break it up for the enduring the day like 10-15 minutes I've done this thing 10-15 minutes in the afternoon I've done something in the evening I've done something so aerobic exercise we usually use your large muscles but for the blood pressure patients we have a cautions also if your pressure is too uncontrolled it is more than 160 by 110 don't go for exercise immediately first get your pressures controlled by the drugs and no salt and everything as as per your doctor's advice and once it is in the coming down and it's in the normal range you start your activity this will help you in reducing your number of drugs and also it will help in other ways like reducing your cholesterol levels taking control of your diabetes it will take control of your weight next important thing is alcohol now people are so so much formed of alcohol especially our main patients there's so much into this that they feel that the statement should be that you are allowed alcohol living that is a complete no we have that you must be searching in the google and you must be asking your colleagues that one or two per se they will help you that statement comes with inverted commas because if we say that some amount of alcohol is helping you in your coronary artery blockages but this is not helping you in your blood pressure control it is not helping you in controlling your weight it is not helping in you in controlling your lipid profiles it is not helping you as for your muscle strength is concerned heart muscle gets weakened with chronic alcohol use then you have liver also if you have no heart blockages but you have liver disease what are we gaining so there are so many side effects of alcohol and as far as the blood pressure contest is there we we say if you can avoid it it is it is it is very very good thing but if somebody is taking a call should actually there should be at least two few days per week when you're not taking a call and you should limit it to one unit a day and these days we say the binge drinking is if you do it take more than three units a day and believe me there are no safe limits for alcohol important another important vice which is there in the society is the smoke smoke I tell you if all your risk factors if if I compare two people with the similar age group male people no uh similar lipid profiles everything is okay but only difference between these two individuals these two patients is one is smoker other is a non-smoker we tell the cardiovascular risk goes by more than double any person who is a smoker as compared to who does not smoke such is the tremendous effect of smoke on their cardiovascular disease actually acutely increases the blood pressure and it has other significant effects on your blood vessels it damages the inner lining of the blood vessels when it damages the inner lining there is a plaque formation on those in those vessels plaque is a scientific term in common language we can say that there is a deposition of fat cholesterol and the inflammatory tissue coming out the inflammatory cells coming out sitting on that fat and globules which causes a thick waist structure inside the lumen of the vessel and slowly it gets increasing in size and what it does is it reduces your blood flow to the organ suppose it is suffering in the vessel supplying the heart the heart vessels will get narrowed down your blood supply to the heart muscle will go down and what you will land up in is which we commonly known as angina or a heart attack similar reduction in the brain supply can cause you a stroke uh brain stroke similar reduction in the kidney can cause kidney problems so if we refrain from having it we can cut down our risk of heart diseases and brain strokes while salt is an important component when we discuss the blood pressure our recommendation is you limit your salt to five grams a day but what happens is that most of the people they don't know that there are invisible ways of you getting salt being absorbed in your body so and most of the time we find that what we are taking is almost double of the recommendations so avoid it go for low salt rights and prevent the intake of high salt substitutes high salt things are when you go for canned things you go for processed meat you take a lot of bread then you lose sauce achar pickles all these things in your diet more often on the other hand when you have a lot of fresh foods variables in your diet pulses in in the short the nature found things like the things which nature has offered to us if you rely more on them in your food in your diet then you're doing their justice to yourself as well as this controlling this condition is concern if we say that there is 1.25 gram of salt per 100 gram of the food which you're eating we label it as a heavily salted and here I want to tell for our younger patients that once we snack outside the person who is preparing food for him who is not a homemade food he's just concentrating on his benefit he has to earn something from you he's giving you something which is very palatable very tasty to your appealing to your tongue but he's not taking care of your diet he's not there to take care of your health who is there who is a person who is really thinking about your health is the person who is sitting in the house and cooking for you it may be your mother maybe your sister maybe your life so trust them instead of the people who are out to just make money out of what you are eating because it is said that one meal outside the house will you will prepare you what will you do you will undo your 15 days of precautions which you have already taken in your diet so we advocate the dash plate what is a dash plate dash plate is a very you see how colorful diet it is on your plate you have all the types of colors this yellow there is red there is green inch in short you have to include fruits and green vegetables in your diet three to four servings of the foods per day and lots of veggies on your plate they help you in law in controlling and in this condition now the fruits and vegetables they have a good phytochemicals antioxidants they have multiple vitamins and minerals which help you in coping up with the development and prevention of this depression high depression now people say that instead of taking food if I take this vitamin medicine this capsule it helps me no my simple answer is no never rely on supplements if you are able to chew if your body is able to digest the things then go for the natural form of this supplements can never help you they are first of all they will have one or two concentrates only second they get they don't get absorbed if you don't have a deficiency of that they're just thrown out of the body sometimes their toxicity can harm you instead of giving you any benefit coffee intake usually is considered a small amount of high blood pressure in maybe there once you're taking it but most of the time there is a antioxidant effect there is engine inflammatory effect and if you're not doing too much of everything then you can treat the benefit of coffee and it is said that once you are habituated to it usually it is it is a almost a neutral effect on the depression tightly peptides they're very important in reducing the depression important product is a milk which is so freely available to us and the indians are very fond of milk and milk products let's continue without the age of habit of having milk twice a day one cup before going to sleep also children should also be inculcated this habit and here i'd like to just tell my lady listeners that don't shy about they get shy from this product this is very good for you it's a good source of calcium also for you not only in controlling the depression but it's a source of calcium in protein also so another important thing is this is stress though there is a no direct correlation we can find out from the scientific studies but personally i feel that stress goes a long way in starting this condition and then persisting with it so as far as possible we should do have our lifestyle this way that we are not unnecessarily stressed out we can plan our things we can put them into perspective that what is the most important thing for me in the house is it the household work is it the recreational activities we do is it is it the society interaction which is important or my health and my family members health and work of course is important for everybody but whether that work should be made such a human cry to you that you damage your health the the ball lies in your foot and there are ways to condemn your stress also you can have regular physical activities one of the important things which can reduce your stress levels yoga meditation these are important things which can help you in reducing your stress and controlling this condition herbal remedies is very important questions and queries from the people and especially the older fellow we agree with them we have very good natural products which can help us in providing us with the antioxidant effects and they go if consumed properly over a long time they go a long way in developing in reducing the development of lifestyle diseases which depression is the most important even diabetes is important but this has to be combined with other good things which we require it's not that we eat diet which is prepared outside lot of oils ghee and we think that we'll have some ginger or some natural product that will counter it that that is not possible and this slide just helps you in understanding that we have to understand this this we have to understand what our clinician or doctor is telling instead of going just on the births they have to invite or if you have pressure into concern initial stage many people can help you your family physician your GP internist your cardiologist everybody can help you but what are the points what are the stages where you need a cardiologist intervention is when your blood pressure is uncontrolled in spite of any medicines when you are requiring two or more than two deep medications for the control of pressure then you have some end organ damage supports you get some effect on kidneys heart or you have some retinal problems or there is a epistexy is most bleed these are the conditions that need you need to consult your cardiologist or suppose you are planning some surgery for you that is the point you will require a physiopathologist in to conclude I like to say that after the age of 30 BP check should be regular and mandatory for all and especially those who have a family history of diabetes family is your hypertension or have some other problems like coexisting real disease or there is a history of stroke there are lipid abnormalities so on and then diagnosed with hypertension don't be the demand phase that is the most important thing we see in the clinic don't be a denial accept the thing and try to try to X start acting that day only so that you don't land up into complications you have to control your depression it may be your lifestyle it may be your medicines anything but only end point is the control blood pressure should be there as I already told you it affects actually each and every organ of your body and sometimes both things are required lifestyle also medicines also depending on which stage you have reported to the doctor and another important thing is we find that once the pressures are controlled people are very hyperactive anxious to get the medicines stopped or reduced never tell your doctor to do that you are not supposed to be telling him that why he's calling you after regular intervals why he's telling you to have a check on the pressure readings and report to with the pressure readings the purpose is this only if it feels like that your pressure is controlled and now you don't need three medicines you you are going with one medicine only he will do that but don't insist that you need a reduction of the pressure readings and don't stop the medicine of your own also this can do you more damage than better than good I think with this I conclude my slides and if any questions or queries are there you're welcome


Because I, you know, yeah, there's evidence in the past that that's not the case. Otherwise, I'd never be saying I want to be clearer. I'd always be as clear as possible. Does it make sense when we talk about the idea of, like Dorothy's been mentioning, you either believe this course entirely or not at all, or that idea that they would have to be kind of an all or nothing kind of a thing? I mean, how, where, how does your mind approach that idea or what kind of reaction do you have with that kind of an idea? That to forgive, to truly forgive one person is the same as to truly forgive one situation, any situation that you can think of. And that anything short of complete, total forgiveness is not, is not it. Well, I think the thought I have about that is that seems reasonable or logical or that that's the way it would have to be. And I have not had the experience of that. In the past or present. Right. So you, so you believe it will come in the future? Well, if it's going to come at all, I guess it's when it would have to be. If I'm not experiencing it at this moment and there's ever any hope of experiencing it would have to be still ahead of me or, you know. So then we're back to that basic question that we asked on the way down the last time from Michigan. Why should the good appear in evil's form? In other words, if God offered, if the Holy Spirit or true forgiveness is available, then it comes from God and is good, then why, why not now? Why? Well, I feel like I must be throwing up some kind of obstacles to it being the experience now. I mean, I don't think God's holding out on me. But there's some fear that keeps me from my awareness of that or my experience of that. So it's a present fear. It's a present fear. And every time we come together and talk and go into it, I mean, that's precisely, nothing more than that that we're trying to get at. What, what am I afraid of right now? Yeah, it gives us a starting point. Is it perfect clarity that you're afraid of? I don't know. That just came to my mind. I wasn't expecting an answer, but I mean, it just occurred to me. It's like, if I have perfect clarity, or if I say I have perfect clarity, then that's going to be a standard that I hold up for myself. And then, you know, I will have to demonstrate that. And so I better not say that I'm totally clear because then that'll give me some room, you know, to some room for improvement. You know, to say, well, yeah, I'm still working at it. You know, I'm still trying to get there. And I think, you know, when you were talking about, you know, how we feel about where we are coming to the end of this lesson and discussing it, for me, it was just, it was like, how do I feel right now? I feel peaceful. I feel calm. I'm not having thoughts about anything outside of this room. I'm not having thoughts about fear or I'm not having, you know, it was just like kind of doing an inventory of what is that I'm aware of right now. And it just felt like, well, I'm aware of just being here and doing this and it feels calm and it feels peaceful. And yes, that felt like clarity to me. And that, it was like as simple as that. Versus saying, well, you know, it's kind of like Dorothy's thing about just do it. How is it? Don't think about it. As soon as I start to think about it, that's where the projecting into the future, the saying, well, I better not say I'm clear about this because if I say something in 10 minutes that demonstrates that I'm not clear, then I was just lying to myself, you know, or any of those, you know, kind of excuses that I might make for wanting to give like, you know, like I said, give myself some room, you know, I better not say that I'm clear. And that's how my thinking would go if I got, you know, if I let it get into thinking about it versus just experiencing where am I right now? Am I peaceful? Am I feeling clear? Yeah. Okay. That's it. Don't think about it. What is clarity? What does it mean to be in the experience of perfect clarity? What came to me was that there's a fear out there and I was grateful that I didn't want it. And also when you asked about what you were afraid of and the only thing that came to me was, are you afraid of the love of God? Maybe you might not think you're good enough to accept it. I accept it gladly and I have this feeling that I want to help you so much and I know I can't. I only can say what comes out. I really don't know what else to say. Sometimes for me, too, when you say what is the clarity, it's like, it's like, you know, my mind is still and the questions are still, you know, and that may feel like clarity. Just, you know, my mind's still. I don't have to figure it out. I don't have to ask a million questions just to accept it. I think of years ago when I was reading in Psychology, Abraham Maslow talked about means and end, means and end, and he said that to the self-actualizing person that they were the same. And I thought, what a phenomenal idea that the means and the end are one, that this instant is the endpoint. It's so much with linear thinking. It's almost that always thinking means to something coming in the future. And to think of it, I mean, the question sees and the peace of just seeing the present as just an endpoint. In a sense, there's no need to even get into why I feel peaceful or clear because that ceases. There was nothing that preceded that. It just is kind of like, that's the endpoint. I remember just my heart took a little leap when I read that for the first time. It was like, it's so simple. It's like, instead of chasing something and always doing something or thinking something that's going to be, it's just present. One of the things I got in touch with when I did the Warner Air Hard Work was that I'm always in a place or position or a stance of waiting in my mind. It's the waiting game. It's how I refer to it. That it was never now. It was always to come. And I think this is related to that. And at that time, I looked at it in terms of external things. I was always waiting until I arrived at that point in my life when it was possible to start traveling, for instance. I was always waiting for the point in my life when finances were such that we could have the house the way we wanted it. And that's what my life was. My life was going through the waiting period. So now that I'm to apply it more at a mind level, I think I've probably transferred it over. And now I'm waiting for certainty and clarity. And if I apply my mind to this, hard enough and long enough, I'll get there. It's still very much a process, orientation. But see, I think built into that is some kind of feeling or sense or belief that I don't deserve it right now. That I have to earn it. And waiting is earning it. Paying your dues, you don't start out at the top. You start out at the bottom. And through much effort, you may get to the top. But you earn it. You prove your medal. And part of it is having the perseverance and the persistence to wait as long as it takes and not give up. Interesting storyline. When you trace it back to God, though, and you try to fit the waiting game into God and heaven, the story starts to fall apart a bit when you start to approach it to that absolute. So what is there I can look at with this waiting game to get more underneath the beliefs for why I would hold on to the waiting game? I mean, what do I think it gets me? What you're waiting for is my question. What do you think you're waiting for? What are you waiting for? Well, now what I'm waiting for is clarity and certainty. Lasting clarity and lasting certainty. In what? In my mind. So you believe you have a mind that we don't have? This mind I'm a part of is clarity. I don't understand which mind you're talking about.