Boom Tony Johnson here with a new and improved 21 report. I have my good friend Tony Bruno He's been helping out the event once again helping out the show did a great job Tony. How you doing? Good Anthony, how are you? Or should I say Tony tonight today? I'm Tony. Yeah, thanks, man. Appreciate being here So this is one of your many times being at 21 summit 21 convention What's it been like this year for you the 15-year anniversary of the event compared to when you first came I? See a major improvement every year. Yeah, I see an improvement In men I see an improvement in the way it's run Improvements in every facet of the convention Thanks, I appreciate that you've been a part of that team and you started out as kind of like you know volunteers helping out a little Bits every that's gone by you've gotten more involved as a senior volunteer I call you at this point and I appreciate it man What you do is integral to what we do scheduling logistics with people around Things much, you know all kinds of stage makeup all kinds of pretty pretty useful stuff. We need I appreciate it big time man So you've been at the event here. What's it been like this year specifically or again? What's it like being at this event being around a lot of men that share our values? I Think it's something that every man needs every man needs to experience without a doubt. I Think there should be two thousand men at this event. I I I think that what you've brought to men is Something that nobody else has Create an event Exclusively originally for men now we've added women to the 22 convention But as far as men goes, I don't think there's anything else in the world That you can get this type of value from because when I speak to guys that are attendees and Every single guy Says they want to come back. They can't wait till next year. They want to bring a friend But I think the event has Kind of morphed into a I'll say an event of positivity I think there's a There's a buzz when you're here that you get nowhere else. Yeah Yeah, buzz is a good way to put it. It's an energy like Pat's seven might say right our chakras are aligned Pat and Pat's by watching later So this is your first year doing interviewing and hosting in part along with Will Spencer the 21 report the show We're on now that I'm hosting How'd that go? That's a pretty unique experience and it's a much higher role than even being a senior volunteer You're part of the talent now. How'd that go and or some of your favorite interviews? Well, it was new for me Doing a YouTube channel is quite different than this type of interaction. So it was new for you've had a lot of experience So this so you do a lot of interviews. Yeah. Yeah, this is a different Dynamic though then speaking on a screen, you know or from my kitchen table or from my from my living room So yeah, it's a little bit different, but We'll say Steve the Dean like he said pop my cherry But I know Steve so I felt comfortable It was at first maybe a little awkward for me because I wasn't used to it, but I Think interviewing Jesse and coach Greg was it was a lot of fun for me. You interviewed the black man's fair Yes, I did. Oh Shay you watching she was watching Who else would you interview anyone else? I interviewed John Anthony lifestyle and Alex playing with fire What do you think about the the events this year in particular the speeches like you Obviously, you're like me busy as hell people don't see the main year behind the scenes or grabbing people doing this running around At least let's see some of the speeches What were some of your favorite speeches at 21 convention the room you're writing the most I believe Well, my favorite speech was yours. Yeah With a doubt without doubt it had the most energy I think but that's that's Tony Johnson Yeah, I went I went all out on that one. I appreciate that man. Yeah, I did watch Jesse, of course, which yeah Jesse's always amazing. Of course Michael Foster. I think is an incredible speaker I think Michael Foster can he's one of the guys that really can relate to men Obviously fathers guys that want families guys that have families Coach Greg of course High energy his meat thing I saw on there, right? Is was I think it was protect your meat. I didn't know what that was I just saw it when I was walking out.  I was really good You know, I get a few minutes of each speech when I'm here, so Yeah, there's a lot of energy in the room is what I noticed too It's been it's been a good year man, and I'm really glad you were here Did you get to see any of the talks in the patriarch or the 22? Bouncing up like me at like I'm bouncing in and out and seeing those. Yeah, I did watch I can't remember who I watched in 22. I'm moving so fast. So Was it a man or a woman? I didn't watch any woman set with any women So we had a couple birthing person speak, you know. Yeah, so but Yeah, I don't remember who I watched in 22. That's all right So that could be one of the guys. Yeah, Socrates or Ken Curry J. Vincent There's a lot of them that each event had like 10 to 15 speakers or might more like 12 to 17, but yeah, it's complicated. Yeah What do you look forward to most next year at 21 21 summit? I'm gonna do you know make upgrades where I can change it like you have a business owner I was looking to improve for my product to prove what I do We look forward to next year kind of thing in particular I'm looking forward to more attendees. Yeah is is what I would like to see yeah Because I think men and women are missing out in a big way if they're not here Again, I'm behind the scenes now and being behind the scenes I get I get a lot of reaction from guys A lot of guys tell me, you know, they talk to me because I'll ask them. What's your experience like here? And they're very candid with you. Yeah, and it's always so positive There was a couple guys I think from Texas that were just so excited to be here And I don't remember how they how they found the 21 convention, but they will be back next year So it's just a positive event for men and of course for women now Yeah, yeah, the fathers the men the women got to get the females and the birthing persons the non birthing persons I don't want to call the fathers They haven't others a new name.   Yeah, what a wild year, man Damn, I don't have a question brain for I don't want to ask on that. Oh, yeah, the frauds.   I like making fun of but what do you thoughts on that from like a conceptual standpoint? I find that When you say fraud to me a fraud is somebody who isn't congruent Okay, if you're teaching me something or you want to show a man something say you're a dating coach you're teaching a guy to Meet a woman.  Yeah receipts I think a receipt for a dating coach is really important I've heard guys say oh you you don't need receipts Yeah, you need receipts No, those are fake.  They're an easy target. They're an easy mark They're ready to give money to somebody that they're expecting help and I think a fraud Okay, let me put it this way When I look at a content creator or somebody who is Who is trying to genuinely help men? I look for a net positive And on these a lot of these fraud guys I see net negative So there doesn't they're they're not only not helping them. They're actually hurting them.  It's a trauma loop. I call it. Yeah a trauma loop is Once you get in this loop. We want you in this corner.  You got a tax now.    Yeah, yeah They're saving lives man. Yeah, it's all kind of bad. It's really now I never take away the fact that somebody is saving lives and we've talked about this before I think that word The phrase saving men's lives or I'm saving a man's life What I want to say to man is how about say to a guy you didn't save my life I mean legitimately the guys if you were pulled from a noose or From like my one buddy says the wrist knife.  Yeah, you've helped me change my life Yeah, what's wrong with changing lives? Yeah, or you've helped me make a pivot. Yeah, exactly but what happens is I think in the man's fair a lot of these guys in this umbrella is that Both ends of the content creator and the content consumer Live off validation from each other The consumers want the hearts right on YouTube another platforms a little heart and little like and they share a Superchats are the epitome of this, right? Yeah. Yeah, it's a it's a big deal though to a guy that doesn't Know one of his heroes or to get that like but a lot of guys will and it's nothing against the guys A lot of guys will say something to see that I got a like from this guy I got a like from that guy, but it's attention seeking and attention seeking validation It reminds me a lot of like strippers and hookers and shit They like prey on men particularly men who just got out of a breakup They prey on those dudes because they know they can get more money out of them They're in an exploitative position, you know, or a weak but we can position not get more money out of them Now we talk about you always hear feminine energy.  I Don't like these people they're scum. I'm glad there's men like you around in the man a sphere I think I said this in a newsletter and you know, there's an attendee by the way He read that newsletter I wrote about you and he like personally thanked me for writing it He was he read he was like very specifically about the newsletter.  Thanks, man. I appreciate that It was about you though It was about how guys like you and Socrates are very similar and you're the real base of the man a sphere for a long long time Not the content creators not even guys like me, right? It's men like you who are basically want to mentor because the community helped you in some way Then you want to give back and it's pro bono.  I want to help the community the guys like you and sock You don't have a commercial enterprise at all. It's hard. You know socrates. I think socrates turned on money Guys can give you money by what buying soap like this is not you have a real job.  Yeah But I don't give advice A lot of guys when they're in a tough place They get advice and it's a lot of times. It's the wrong advice. Sometimes it can be good But what men need is support. Yeah, not advice. Those are two different supports that can help themselves Rather than this, I'm going to help. I'm going to save you. It's like not man.  I don't even know his name, but his channel is a lot like yours It's got a couple thousand subscribers But he's independent like you he has a real job does real work whatever right But then you spit fucking fire like you on his channel and it doesn't have a hundred thousand subscribers But it doesn't need to it doesn't matter because it's about the issues and the mentorship and all these other And the men themselves it's about the community not you know a patreon and super chats.  It's this patreon. It's that only fans.  It's hurt men. It's the same men, right? You know entertaining between the two it's sick men So i'm glad they got those guys out there like you and socrates and the war room guy You guys are the real heart of the manosphere on a people level I've had a few compliments a compliment to me was when somebody called me I'm building bridges and I like that the reason I like when he said that Is because I've brought different communities together I remember I texted you one night when I said Michael foster and migthow dictionary are on my stream tonight two guys you would never think Would be able to have a great conversation And it was an amazing conversation your channel does do that a lot You're right your bridge builder. I do the same thing as well with the convention. So it's it's a unique it's unique skill Pat Steadman one of my favorite guests On my show good friend dating coach The black pill community I've aligned and found those guys good friends good people looking for truth. That's what the black pill community is about I think the red pill community has been I think I've used this phrase before but bastardized And it's no longer Well, it's it's become the rollo pill. Yeah, so it's whatever rollo says. That's what That's what it is. You tried to hijack that term. Yeah, and it's been hijacked.  He's a dangerous individual. Yeah, he speaks the truth. Yeah, and he's genuine plain and simple That's what men are looking for. Yeah more than ever today.  It's anti-clown world. But really it's like the whole world. It's not just clown world It's fake world.  But the manosphere is very real and we want it most of it's very annoying. There's there's some douchebags, obviously But there's uh, it's a lot of realness to it. That's what you know, that's what you're focused on I think very intensely and those guys see the black pill guys If people accuse me of being like secret allies at them. I'm like, I don't know Interview them. Tony talks to them.   Yeah, I mean the pill philosophy What about Tony? What's about talk to me about Tony pill? How's that? How's Tony pill going? Tony pill is great Yeah, the Tony pill is something that popped up. That's adapting. You got him and I guess some over there Tony pills over there We should get a bottle of Tony pills I think the main thing about the Tony pill is that you've got to be able to adapt adapt to the truth It might not be Something that you're comfortable with but truth is real important Okay, so adapting I think is the first part um Holding yourself accountable Is is very very important. There's three a's to it Accountability is the second part of it. Why don't you just blame women for everything now? We thought easier. I've done that doesn't work Doesn't work brings you down So you adapt You're accountable and what that does Makes you authentic. So there's three a's to that and authenticity As a man as a person is real important. It's important to me You know, we hear that phrase find yourself To me, that's the simplest way to actually find yourself and find your true self as a man Well, I'm gonna wrap this up Tony. I've been going for a little bit over time here I appreciate your time Not only now in the interview but throughout the whole event men everything that you did means a lot to me I appreciate it big time. Thank you. Thank you. Thank you for having me. I appreciate it I'll see you next year and I'll see you soon. I'm sure too. I know you guys at the beach men. It's been a while Yeah, thanks, Anthony. All right. That's it guys. It's been Tony Johnson and Tony Bruno with the new and improved 21 report See you next time or probably next year. That's our last one. Peace


The next topic we're going to be talking about today is Cholidocholithiasis. Now, we just talked about Cholicistitis in the last lecture. Now, the story continues. For Cholidocholithiasis, I want you to just realize it's the continuation of the story of Cholicistitis and also Cholilithiasis. Cholilithiasis was a stump. This stone obstructed the cystic duct. We call it Cholicistitis when it had the gallbladder inflate. This stone no longer lives here. Somehow, some of the stone will manage to get through. And now it's obstructing the common bowel duct. See how I told you from the beginning that everything that has to do with the gallbladder starts with the anatomy. So, there's something special about Cholidocholithiasis. Let's start. On history, when the patient comes in, they're going to come to the ER and they're going to tell you, Doc, have you had a rightful quadrant pain? Also, we're getting into my scapular. I'm having some epigastric pain. Right? Then you ask them, what else is wrong? They're like, my eyes are yellow. They've got yellow eyes. Now you've got a clue. I had the patient last time. He came to the ER exactly like that. Rightful quadrant pain, epigastric pain is that bilateral sclerotecterus, which is basically yellow eyes. I'm looking at the lady, I said, hmm, look at that. You're spilling bilirubin. She's like, why is my eyes yellow? I knew the answer. I knew she's spilling bilirubin. Now let's go over the pathology. Now look at the liver. The liver automatically processes bilirubin. Right? Bilirubin has to travel and go inside here. However, when you have a stone obstructing the column by a dot, all the bilirubin start to back up and back up and back up. Whoops. He goes into the central vein. When he gets into the central vein, he goes straight into the apathic vein, which eventually he dumps into the IVC. Now here's a catch. First history, right? Upper quadrant pain, or epigastric pain. The nausea, the vomiting. They tell you the eyes are yellow, right? Yellow eyes. In medicine, we call that sclerotecterus, which is a financing name for yellow eyes, right? Then you wonder, nausea, vomiting, the right upper quadrant pain, epigastric pain, and jaundice, right? The reason why they have that, the difference, right, between acute cholecystitis and acute cholecolythiasis, this is right upper quadrant pain with no jaundice at all. You know why? Because when you obstruct the cystic duct, you don't spill, you can't even get the bilirubina, right? However, if you're obstructing the common body duct, the bilirubina is able to go here, but it has nowhere to go. And all of a sudden it backs up. You ask them, how's your poop? You. Yeah, I know. It's clay collared. Clay collared stool. Why is this stool clay collared? It doesn't have any collared. What do you think gives your poop that brown, whatever collared comes out to be, is because of the what? Is the bilirubin and the bile acids. That's what gives the costal stool collared.  I know. Nothing really curious there, right? Oh, jeez. So gross. Anyway. But, guess what's going to eventually happen? All this bilirubin is backing up, backing up, backing up. It's going to your bloodstream. Now the blood, it's going to go through the kidneys. When it gets into the kidneys, we've got a problem. It's going to spill out the bilirubin and now it's going to give your urine dark collared urine. Isn't it funny? When you understand where things are going and how things are ending up, you realize it's not that hard. The adjoin is dark urine. Click on the stool. If the bilirubin is so much, bile salts cause you to itch. It causes a lot of itching. Can I tell you? Oh my God. I've been itching a lot. Not cold. Itching, yellow, right up a quarter on pain. Right? Tondis, colidocolithiasis. So, now that you've got the history, a physical exam, what are you going to do? You pop it on the belly. You push down. Tell it to take a deep breath. It hurts when I do that. They might have Murphy's sign, but it's not always there. Always remember. But the difference is to know how to make the diagnosis. Now, to make the diagnosis, we need to order labs. So what labs are we going to order? The first thing you want to get, I want to get a liver function test. A-S-D-A-L-T. You also want to get also G-G-T and alkylophosphatase. When you get a positive A-L-P, you can get an alkylophosphatase. If you haven't watched the video, check back on alkylophosphatase and liver function test videos that we made. G-G-T, which is gamma glutamate transferase, is extremely specific to the what? To the gallbladder, to the biliratory. A-F-A-S-T, you can find the placenta, you can find the bone, but a G-G-T-A-L-T is still coming from the gallbladder. It might be elevated in ALT if you get some mild inflammation, but it's usually not. It's usually coming from ALT and G-G-T. You can order a CBC to check their white count, right? To see what their white count is. If it's high, it's telling us something wrong. If they have a fever, oh, it's taking us a different pathway, which we're going to talk about in the next lecture, but let's focus on this. Because one of the complications might lead us to tell us something different from the CBC that we don't really expect. Now after we've ordered that, and we know definitely this is a gallbladder pathology, how do we make the diagnosis? The diagnosis and the treatment have pretty much the same. Let's do this. Diagnosis, E-R-C-P, right? Endoscopic, retrograde, colonio pancreatography, right? What they do, normally how they do this procedure is they'll take a scope that goes all the way into your stomach, goes all the way and now makes a U-turn and goes right into the column about that. They observe it, they'll be able to see the stone. And guess what, see the stone? They can pluck it out and pull it out. So that's called E-R-C-P plus sphincterectomy. That's the treatment. Right? They take a scope, put it on your throat, it goes all the way down, goes into the duodenum, always makes a U-turn, goes through the sphincter of Audi, pluck it out, and that's it. Voila, I'm done. If that doesn't work, we can do a laparoscopic colidocolithotomy. But that's usually done in very select cases. E-R-C-P is usually your mode of treatment and you're good to go and the patient feels better and they say, doc, thank you. Can I go home now? You say, yeah, good. Now, because there are complications to colidocolithiasis, we need to talk about those complications and one of the complications is what? Ascending colongitis. So, ascending colongitis. Let's talk about that for a second. This is one of the complications for colidocolithiasis. I'm going to tell you a little story. Let's go back to our picture here. Inside your duodenum is a lot of poop, right? It's not really the nicest thing.  And inside there's a lot of bacteria. So, the definition of ascending colongitis is what? Something is going up, right? Through the steps, right? Affecting the coal. Again, biliary tree, right? Coal-y, biliary cobalter. Aides, again, inflammation. In this case, what's causing the inflammation is an infection. So, an infectious process creeping up into this green line which is the common bowel duct is called ascending colongitis. What do you think is causing it? Bacterial overgrowth. Now, let's talk about the guys that are actually playing a role in this. And I love this story. So, one day, E. coli clapsiella proteas pseudomonas enterococci enterococci they were just hanging out a couple of buddies, right? They were just hanging out.  This are what? Gram-negative bacteria. They were just hanging out in your colon, right? And all of a sudden, they're creeping up and creeping up, and there's a little hole. They're like, man, yo, E. coli, you wanna go check that place out? They're like, yeah, I'll go check what's up, man. E. coli clamps through the little hole, goes up. This is something that's like, fellas, I can't really see. But, y'all wanna come up here and see stuff? These buddies come with him. They ascended. They climbed the stairs. They all climbed the stairs. Now they end up into what? They get into the billiard tree through this beautiful hole. And now they're having sex. Mating. Bacteria overgrowth. Now you've got an infection. So now we know the cause. Let's talk about the history. What is the patient gonna present with? We actually have to erase this and talk about something very important. What are the chocolates? Fever. Right up a quadrant on this. Now, this doesn't really require a lot of memorization. Because I told you, we talked about colidocolithiasis. And one of the complications of colidocolithiasis is if the stone gets stuck there long enough bacteria can come up there. They're having sex. They're growing. So now, I'm not surprised with the right up a quadrant of pain because that's where the stone coming from, right? I'm not talking about the journeys of thousands of journeys. They're really not enough to bring it out over. It's the fever. Because fever, right up a quadrant of pain in journeys is called the classic triad usually 50 to 70 percent of patients. This is an emergency. I do not want my patients to be journeys right up a quadrant of pain in a fever. And that's bad. So what do we want to do? Order labs. When we order labs I know that thing before actually we order labs Chuckles triad is this three. We can expand it to Reynolds triad. And I can tell you if you think Chuckles is bad Reynolds is even worse. And I'm going to explain exactly why Reynolds is bad. So now the bacteria having sex right? You think that's cool? No it's not. Because when this bacteria gets into the bloodstream now you've got a problem. You get into CERS Systemic Inflammatory Response Syndrome right? You become tachycardic a heart rate greater than 90, right? You get a fever. Now all of a sudden your white count goes up about more than 12,000. It's not the end of the world. You think that's bad enough? You can't talk hypnic. You have to hyperventilate. Guys, it's really bad. You get warm skin. You go into sepsis. Eventually bacteria because we're going to actually talk about sepsis and septic shock you go into septic shock, right? Systemic Visibilitation all of a sudden you get all the mental status. Now that's called a Reynolds triad Pentate. Which is the extreme of a Chuckles triad. Because remember the fever is because the bacteria are coming in and the new trophies are traveling infiltrate and now the bacteria's context is broken apart that's what started to cause the CERS that I talked about, Systemic Inflammatory Response Syndrome and eventually people develop ultimate status and all that. You don't want that to happen. So what do you want to do? When we order labs, you're going to see the elevated bilirubin, right? Conjugated bilirubin is going to be high. Just as in collidocholithiasis LFTs, you check what? You check ALP, alkaline phosphatase it's going to be elevated. GGT is going to be elevated. Do you think you're going to have a white count? Yeah, that's what was trying to tell you before. The white count. The white count. Why do we order CBC? Because now we got a shift which means new trophies are coming in, right? Lab wise LFTs we get alkaline phosphatase and we get a GGT. Conjugated bilir and if you don't know why we're saying it's conjugated because the liver already processed it. The UDP glucoloneal transverse already added glucoloneal as we're conjugated your bilirubin so all of a sudden it becomes water soluble and it's able to come out into the gallbladder. So it's already conjugated. It's not an intrepid problem. This is more coming outside here, right? So the conjugated bilirubin will be high. We got a white count we see WBC is going to be elevated maybe with increased left shift a lot of neutrophils. We got a lot of neutrophils. That is badness. So what do we want to do? How do we treat this patient? You can do what you want to do. The next thing you want to do is get an ultrasound. You ultrasound the belly the belly is going to also show you the coli-ducalithasis ERCP is what we have to do. We have to drain this. Right? But before we do that we still got to order more labs for blood culture. Why do I want to get blood culture? I just told you E. coli and his friends are made. So I want to be able to see them exactly what antibiotic I got to give. I'm worried because this guy might go into sepsis and go into shock soon. So we'll give them IVF. Remember this is an infection what do we use to treat infection? We give them antibiotics. Now the most important thing is to do an endoscopic retrograde pancreato-colongeography ERCP What is the point of that?  Okay? That is extremely important. We decompress this common balda because it's probably already distended. We use a catheter and we do a sphincterotomy. Okay? Also sometimes they put a T-tube in there so for drainage for especially a lot of people that don't respond to antibiotics. So the problem is this is a very serious emergency. Okay? One of the biggest complications of colidol-colithiasis. Keep this in mind and don't forget. Thank you.


So today I have a cook and claim with me video for you and if you guys have watched my channel for a while Then you know every once in a while I work with home chef. They are a meal delivery System that gives you healthy meals that you can make in 30 minutes everything comes pre-measured for you pretty much and You can just put everything together and you have fresh veggies all that stuff So I'm gonna go ahead and show you guys a meal out of here and show you what I got for this week And know some of you have been ordering and letting me know how much you've been loving it So every single week they have a different menu for you to choose from and as I'm cooking I'll tell you a little bit more about everything. All right, so this is how everything comes and before I go ahead and show you I do want to know you guys know that there is a link in the description bar for a great Discount on all of this stuff. So what I got this week was three dinners It is ginger garlic chicken thighs chicken and steak and mushroom melt on pretzel buns Which I'm kind of thinking this is what I'm gonna make for lunch So I had also gotten this and it was a lunch option Which this stuff is a little bit quicker some of this stuff is pre-made for you and we already made these they were super super yummy So what I have left is these three meals So I'm not sure which one I'm gonna do and then it comes in a box like this where everything is insulated and each meal Is in its own individual bag and then on the bottom is your meats with an ice pack So and the meats all come vacuum sealed. So this stuff really does last I mean a good week if you're waiting till the end of the week to use your last meal It should be great and fresh to go. So I'm gonna go ahead and get cooking All right, I decided to do the steak and mushroom sandwich It was just a great lunch option and actually my oldest picked this one out So I couldn't say no to her I washed up the potatoes and sliced them up Most all of these meals take 30 minutes to make they're extremely simple and their meals start at 799 a meal They have a new menu every single week and if you check out the description box I have a coupon code for $30 off your first order. I Love this idea of doing potato wedges You could even do it with sweet potatoes One thing the home chef really does for me is it inspires me to cook it inspires me to Make meals at home instead of grabbing stuff and just gives me more ideas of things to make and my little ones have Loved the meals as well. It's all just been really really good This steak was so tender. It was just perfect for a sandwich and the mushrooms were delicious as well and The sauce that went on these sandwiches worse was really really good It had a horse radish in it So it had a little bit of heat, but it wasn't too much my my one two and three-year-old were actually all really fine with it It just gave it just enough just to give it some flavor On the back of all of the cards that come with the meals are the instructions so it's step-by-step It's very simple to follow and generally the only other things that you need that don't come with it is olive oil salt and pepper So you guys should definitely check out the links below and try out home chef So this was actually a separate day that I did my cleaning I just needed to tackle this mess. Oh my goodness talk about sticky sticky sticky my daughter's high chair was just a disaster and Has an insert in it and she's just getting big enough that I needed to take it out So I took everything apart and just scrubbed it all down Every little thing in the room to mop this day I just was kind of getting the bulk of it or the main areas and using really hot water if you guys can see There's like steam coming out of my bucket Just to get like sticky stuff and food like just right where the girls sit is Often where it really needs to be cleaned pretty often more often than the full floor kneading mopped So I just kind of did the areas that were the worst of it today Next I moved on to my kitchen and dishes got the dishwasher unloaded and reloaded again I've been getting so many comments about the fact that I use my broom a lot Apparently that's not something very common. I do use my vacuum cleaner too You'll see me doing that in a minute, but it just gives me it just cracks me up whenever I hear you guys talking about how You think it's funny that I use my broom or that you rarely see it used in cleaning videos But my mom always use her broom So I just grew up with it and I like it in fact sometimes I think it does a better job than any vacuum cleaner and I have different ones It's just the way that it's built to get underneath of things and stuff like that Oh My girls are in a major kick right now where they love to go and take everything off of my bed and Just roll around on the floor and all the pillows Sometimes if I'm trying to get something done, it keeps them pretty entertained So I'll let them do it and just let them have fun All right, you guys thanks a lot for watching today if you're new to my channel Don't forget to hit that subscribe button give this video a like and I'll see you in tomorrow's video


Okay. So let's try this reaction. Hopefully you all can see that this is a significantly rearranged product from one, from the reactants to the product, right? And notice there's no reagents. We're just heating this stuff up, okay? So we just went over this reaction. So why don't we try to remember what the name is? What's the name of this process called? Yeah, this is a Claisen rearrangement. Don't sound too excited about it, but good job, okay? So there's the Claisen rearrangement. Okay. So how does this happen? Okay, remember there's that 6 electron electrocyclic rearrangement. So this is a pericyclic reaction, okay? So remember just like when we were doing things like the Friedel-Crafts reaction or those types of electrophilic aromatic substitutions. And in those ones, the benzene ring or the aromatic ring became a nucleophile. Okay? Same thing happens in the Claisen rearrangement. Okay? So did everybody write down what the product is? Because I'm going to go over the mechanisms. So erase that. Actually, done us a favor and written the reactant in such a way as to show the kind of obvious electrocyclic nature of the reaction. So it might not be where you see this allyl group like pointed down like that. It makes it easy to see, okay? If it's like pointed up and around, you still got to realize that it can point down and do that place in the right green range. Okay? So like we said, this is going to be a concerted reaction. So we're going to have how many arrows that wants? Three arrows. Very good. Yes, very good. Okay? So the first one, like we said, is going to be the benzene acting as the nucleophile. That's going to induce that double bond to go there, breaking the carbon oxygen bond there and actually forming what's going to be the eventual, what functionality are we going to make there? A what? I can't understand you. It's not going to be an alcohol. It's a ketone. Yes, very good. I think we talked about it. So we've got that and we've also got, so if we look there, okay. But in the product, it's not a ketone, right? What is it? No, it's the enol form. Yeah, it's the enol form or in this case it's the actual compound phenol. So what I'm saying is it's a phenol compound, right? So what do we have to do to get from here to over there? Okay, but we can't just move the electrons around. There's a hydrogen there, so we have to inter-convert between the ketone and enol form. Okay? So what's going to happen is there's going to be, well since we only have this molecule in the reaction mixture, it's going to be another one of these molecules that's going to be acting as the base. So I'm just going to go right, B in there. It's going to deprotonate that and then there's going to be another one acting as an acid like that. Okay? So it's going to deprotonate here and then protonate like that. Okay? So you're going to go from the keto to the enol form. Okay? Is that the normal way that you see things go? Do they normally go from the keto to the enol form? Would they rather be an enol than a ketone usually? No. Why? So why does this one do it then? Yeah, so what we're doing is, it's just like that Friedel-Craftz reaction, we're reforming that aromaticity that we broke. So in this case, we don't have an aromatic compound. Okay? So that intermediate is not as stable as this aromatic phenolic compound here. Okay? So that's the kind of quintessential place in rearrangement. Okay? Make sure you are familiar with that reaction mechanism. Okay? Any questions on this one?


The the thing we didn't talk about about SEO right is it's a long game Six months minimum minimum. I mean probably a year before your ranking really in the top 10 That's great information because you might get disappointed Yeah, don't expect any any organic traffic from your blog post in the first couple of months You you really got and those I don't want to call them throwaway blog posts But like you really just need to start producing content. That's a free thing, right? You just post it on your blog or I'll be updating, you know, depending on how your home page is set up But be adding things to your page Talking on social media all of that is is in can be incredibly powerful in the long term And you do need to have that foundation


Yep, you're just going to keep pressure on it, it's a big fish. I'm going to just fling it out. It's a giant.  Use your left hand to drag it. That a boy.  What? What? What? What is that? That is a monster. Look at the size of that fish.


नमस्कार माजना विद्देवष्नुषिन्दे माजना मुल्गा रोक कुप चांगलाउ ता पहला शायल जातो ता फिरोतो ता तेजा कै तुसर के जलम लेबस्विं तेला कै तरास नोथा आजारस नोथा तेला कुतला आजार सब लिवरे थु आजार सवाजना रहें तेधी आएक। डोस्कात एक दंगे साँल का एक लालस नहीं वोख्तरा नहीं तक आगी तो तो ता फोड पुड पुड रहें तेनी मुन अले तुमी पुड बेंगलर माजे जावा नहीं जवावा ने लिवर क्रन्समथ करनल पाईषेंग। आमी भेंगलर मदे आलो, आमला नागेंदर सर भेटले। आलोक is a very young chap and he was studying well in the school. He came to me probably 3 months back with a deadly disease called as cirrhosis of the liver. And with that he had lot of fluid accumulated, acitis, he lost lot of weight. Literally he was skin and bones when you look at his names. His legs were swollen, eyes were swollen and he left his school almost 6 to 8 months back. And he was running around so many hospitals. He had a disease called as probably wilson disease. And his liver was completely shrunken and he had an end stage liver what we call it as. And he definitely required a liver transplant at the movement otherwise there was no other medication or the medical support. So we referred as a team, we worked together and I referred this to Dr. Raju Lochan. आलोक had been very sick and was troubled with a lot of water accumulation in his abdomen and also jaundice. We certainly decided that this would be the right time for him to undergo the procedure. He needed a living donor because he could not really wait for long for many weeks or months for a disease donor graft to be available through Jeeva Sarthakate. Our parents are very poor, they are from Velkam and then they are very much obedient parents. However they didn't had money. Our next hurdle was finances. Fortunately in the Manipal we have multiple ways we can raise the funds. We have some types with the companies as the company social responsibilities. And we also raise the funds through online programs. Then we were told that Raju Sarthakate had met us in Nagendra Sarthakate. He told us that he was in touch with you. And he told us that he had done the same operation as he was told. And then he told us a lot about it. But the problem was that his mother, father both were workers. Mother was a housewife and plus had continued to do some odd jobs around the house. And father was a full time delivery wage worker. Both of them were from North Karnataka. And thankfully we could offer them a robotic living donor to protect me from the mother. So which meant that she could go back to work quickly. And more importantly care for Alok as well during his recovery. Post-rup was again challenging because in ICU he was so malnourished. So it was very difficult aspect challenge for us. So somehow we managed our PSU, our PSU team did very well. And we managed child and within 15 to 20 days we were able to discharge him. And after the operation we were able to discharge him. And we believed that he will be able to discharge his mother completely. Fortunately with the God's grace all the operations, everything went well. Minimally invasive or robotic donor hepatectomies have now come of age. And this is being offered routinely here at Manipal comprehensive bureaucrat center. Which is our unit where we perform these operations on a regular basis. And this technique of doing these operations using the robot helps the donors to recover very rapidly. And also aesthetically is also very pleasing.  His liver functions are picking up with the basic medication. He didn't had any complications since we did a transplant. He is doing quite well so I am very happy with the team.  After such a major blue transplant operation. I am now in Changra, Malpana Hospital. And now I am in Changra city. Thank you. I was given a lot of thanks to Salah Doctor. Thank you Manipal Hospital. Thank you Nagendra Sir. Doctor Rajav Lajan Sir.


The new RT lamp assay developed by researchers is more accurate than previous versions, as it has fewer primers and does not suffer from misamplification. This makes it suitable for use in health care settings during the fight against COVID-19. This article was authored by Galiya Alhamid, Huzain Tambiloglu, and Abteesam Ulsehami.


Hi all of you, I am Deepak Dev Vishwan. I secured 508 rank in the Civil Services Examination 2018. So right now I am with my best friend Anu Bijli. He also secured rank 435 in this year's examination. So we are close friends so that right now we will actually discuss some tips as well as some strategies we studied and also a close association with Shankar Iyer's Academy. So Anu Bijli, you please carry forward right now. So my, in fact our association with Shankar started with 2017 prisms at a series. Pose which we joined here for the mains day series as well. And that means I couldn't clear the mains at that time. And they were can actually clear the mains 2017 mains and he went till interview and he like unfortunately he couldn't clear 2017 interview. So that was the watershed memories moment in our friendship and that was when we decided that friends this year together we are going to clear it for the next time and we started preparing with more vigor. So talking about our prisms preparation for this year, Deepak, something on that. So I actually associated with the Shankar Iyer's Academy for the preparation of prisms examination of 2017. So for that I actually involved in the prism test series in the year 2016 which actually trains the students for the exam in 2017. So in fact I have actually done a lot of test series and question papers even before that. But when I joined Shankar Iyer's Academy in 2016, I felt actually the test series was actually much more effective. In fact the discussions given in each test series after each test was actually much more effective and they help in actually bringing out the analysis aspect of each questions and helping the students in finding the knack to clear a lot of questions. So this is something which is very important in clearing the prisms because it doesn't mean that like it is not always necessary that we should always need knowledge to clear this examination. We should also develop a knack to clear this questions. So in fact we have 100 questions we need almost 120, I mean on 10 levels score for clearing prisms. So we shouldn't develop that particular knack. So I think the Prism Test series of Shankar Iyer's Academy has actually helped in that aspect very well. Definitely it has helped me as well. Now coming to means, the most important aspect that I liked in Shankar Iyer's Academy was the personal feedback that we used to get. Particularly the 100 sessions which we used to get with the faculty associated with Shankar.  I remember that most important tips she gave me for answer writing that was really useful for me especially for internal security and international relations answers. Then Govindar Raju sir was really helpful especially in international relations area and he actually molded us in writing good answers. I remember that. Kurthungan sir's feedback was vitally in our preparation that we always speak about him. That is because last time I remember my GS paper too was corrected by Kurthungan sir in Deserius and he actually gave me a lot of tips regarding answer writing and I could use that in my real exam and that I think that has helped me in securing this rank. Talking something about interview, like Deepak, what you have to say. Interview, actually I did my preter series and main test series and the main test series of academy helped me very well in clearing maids. So then after that I had my interview training in Shankar Iyer's Academy again. Then unfortunately I could not clear the 2017 interview of UPSC. But I can very confidently say that even the interview training of last year as well as the interview training of this year both have actually helped me in clearing this year's interview. So both these aspects are actually have worked very well to actually clear my dream. Even actually you can say that like last year I myself have told you about the interview strategies and which I have actually gained myself. Then we have actually discussed about and you have actually come here and also understood the kind of opportunities. Even the boards actually headed by different experts, actually the Sarengi sir and Dogra sir, they themselves have actually helped us a lot. Even after the I mean the day hours they have actually helped us even at the night with discussing the current affairs of or even IR international relations everything. So the kind of support we got here is actually unparalleled and unrivaled. And like one thing that I would like to add is about the PMO that we had here and I think that was the most important part in our interview preparation. Because the kind of questions that we get from our peers itself and many of the questions that actually they asked came in a real interview. So that was really helpful. Then Reshda man's DAF analysis was another important aspect in our interview preparation. Because I myself got around two questions regarding my name and my job. Reshda man actually credited my questions and I was surprised when Bonsalisa asked me in that in that in my real interview. Yeah that was there. I think I should say that Reshda man is actually a gem of Shankar IS academy. She the kind of way she actually handles the work the academics the managing activities everything especially she's actually handling the optional work and I myself have actually taken a lot of tips for sociology options from Reshda man which actually which actually no other academies can give. She has also she has she has just told about the DAF analysis of Reshda man. The kind of analysis that Reshda man has actually given us. Actually I could not actually personally have a sitting with the Reshda man but she actually connected with me with video conference right from Chennai. I actually had got more than two I mean almost two hours. The kind of analysis which he gave and also the questions was actually was very was very wondering and also it actually gave a lot of insight into our interview preparation. It actually actually it removed a lot of nuances which which were actually there in the interview preparation. So this is our experience with like Shankar IS academy then this is our experience in your preparation journey as well. And one more thing like like a lot of the other academies in Shankar IS academy we don't have an answer key. This is something very interesting because it's unique because the thing is for the main test series it is not that we need to study some answers for a question. It is the art of developing answers instantly while you have a lot of unexpected questions. This is something which you should develop by your own by thinking yourself which is what actually Shankar sir he himself actually has been telling us the telling us I mean the students for a lot of years. I think the one aspect which is actually missing in this year's interview preparation or main preparation is that we I mean Shankar sir he itself. Exactly. So yeah that is our that is our strategies and preparation and our association with the academy. We wish like all of you clear it in the next year or in the coming years. So all the best everyone. Yes.


This call is now being recorded. OK. All right, welcome back. We just started with understanding a little bit about what counseling is. We looked at some basic tenets of counseling. We're going to be looking at two more portions now, just certain elements of a Christian counselor and certain principles in counseling that you need to keep in mind. This is fairly simple. The core elements of a Christian counselor is fairly simple, but we'll just go through that slide a little in detail. So the first one is that a Christian counselor needs to be spiritually mature. In 1 Timothy 3, 6, it writes that the one who watches over souls ought not to be a novice. That means ought not to be someone who is newly come in as a believer, but not someone who's newly converted and instructed, but someone who is more seasoned. So the one who watches over souls should not be like an amateur. They should be spiritually mature, should have walked with the Lord for some time, rarely experienced, and also helped others. So that maturity of life and of living is important. The second one should be grounded in scripture. The person who is a Christian counselor should be grounded in the scripture. As John 1717 says, teach them your word which is truth. Sanctify them by your word, which is truth. So the person who is a Christian counselor should be involved in regular reading of scripture, in understanding, memorizing, living by scripture. Next is they should be prayerful. They should be one who continues to devote themselves in prayer, as Colossians 4.2, devote yourselves to prayer with an alert mind and a thankful heart. Just bringing all of the things that they may be dealing with in counseling situations in prayer. Next one is they should be a giver of hope. Proverbs 1312 reads, hope deferred makes the heart sick, but a dream fulfilled is a tree of life. So them to be able to give hope, you can only give hope if you are filled with hope. You cannot give somebody hope if you feel you can't give something you don't have. And we know the hope that does not disappoint us, but we know that God loves us and he's given us the Holy Spirit and fills our hearts with love so that we in turn can help and support others. They should be someone who are activators of change. What does that mean? Someone who is able to bring people into conversation, bring people into really exploring their way of life so that they can put on the new nature that is created by God. And you could go back and read some of these scriptures where the scripture talks about the Holy Spirit renewing our thoughts and our attitudes, being able to put on that new creation that is created to be like God. So we need to be that activator of change, from them moving them from that place of sin to a place of active change. As a counselor, we should be able to make a practice of scripture at every area or at every problem area that you may encounter as part of your counseling sessions. But James 122 reads, don't listen just to God's word. You must do what it says. Otherwise you are only fooling yourself. So as a believer, as a counselor yourself, you practice scripture, you practice whatever it says, especially in the areas that there are problems. Next is we need to be compassionate. Just as Jesus was, you see how Jesus reached out to people being moved with compassion. And he touched people, healed people out of the compassion that was there within him. And the last one is the need to use wisdom, to be able to be in the fear of the Lord, because that is foundational to wisdom, so that we can operate from a place of wisdom even as we are counseling. Knowing what to say when, what not to say when, being able to lead people in the right form of questions, in the right form of direction is using that wisdom. Now, all of this comes as we build ourselves in the Word, as we build ourselves in the knowledge of the Word. All right. The next we are going to look at its certain principles of counseling. These are very important because these are like, when you put up a tent, you put pegs on a tent. It's on those, you put those stands on a tent when you put a tent, because that's where the tent holds. So similarly, every principle is something that is foundational to the certain profession. So we will look at some of it that is, that's important for us to know. The first one is what we call as individualization. I know these sound like big words, but for each of these principles, I've put certain examples so that we know what we mean by this. So let's look at the example. It's a young couple has just had a newborn baby, and they realize that the child is physically challenged. The husband being physically challenged himself is quite calm and composed, an acceptance of the reality, whereas the wife is troubled and very distressed at the thought of a differentially able child. Okay. So you understood? It's a couple who has a baby. The husband also has a physical disability. So he's quite composed having a child like that, but the wife is very, very troubled. Okay. So what do generally people do when you are in a situation like this? What is the advice they would give the mother when she's so distressed? It's probably say something, look at your husband, he's so strong you should be like your husband. Isn't it? Nina was thinking of something big. Yeah. So that's exactly when you see your husband is so strong, you should also be as strong as that. Right? That's the immediate thing that we may think we should be saying. Okay? Because that's what we are noticing. But what does this principle say? The principle is saying that no one person is alike. Every person is different in the way that they see the world, the way that they feel, the way that they react, the way that they respond to anything. Okay? Even though the problem may be the same, or the cause of the problem may be the same, it's still the way that one takes it can be very, very different. All right? So as a principle in counseling, what are you doing? Individualization is letting them know you have a right to be you. Okay? It is based on the right of people to be individuals. It's okay to be you. It's okay to be different. And that's why also, you know, even in counseling, you may have a lot of people who are very different from others who come in for counseling, right? Like for example, there may be a member of a family who comes and says, you know, I'm very different from all my siblings, all my brothers and my sisters. They are all a certain way. I'm very different. And my father and mother have always told me I should become like that. And if you as a counselor are also going to say, yeah, become like that, you're no different, right? So what are you doing? It is helping people see that you have a right to be you. Okay? It's based on the right to be an individual. And we treat them that way. So what are you doing? You are recognizing that each counseling has unique qualities. They have unique experiences. Okay? They are a different entity. They're not attached to anything. They are as unique and as special, right? Just like each of us are made at the image of God, right? All of us are different, unique. We have our dignity. God's given each one of us a dignity. And that's what we recognize. In counseling, we recognize every person who comes to us is a brand new make, right? Okay? Then so when we are dealing with people, we may not like when you go to service your car. They have a 10-step process of servicing the car, no? But maybe like they have 10 things that you do to every car, right? So man is not machine. So when someone comes to you for counseling, you're not doing the same thing that you did for the person before, right? It may be a totally new conversation that you're holding. So that's what it says. The use of principles and methods to assist client can be very different. There are different use of principles or methods that you're helping people to make that change. So you're not treating every person who comes to you like a machine. It can be a very, very different conversation every time you have. So that's what individualization basically means, that they should be treated as someone who's unique, who is a person or an entity that's very special, okay? That shouldn't be compared to anybody else or anything else that you have probably seen. So that is what the principle of individualization. Each person is treated as an important individual. Okay, clear? Yeah? Okay, it's also a right to be treated as a person with personal differences. So each of us could have our personal differences and it's that right to be treated for who they are. All right? Okay. Are you all okay with the first principle? Can I move on? Online students very, very quiet today. No conversation. Okay. The second principle, we'll look at two examples, okay? A young wife lost her husband to sudden death. She comes to you and cannot control her tears and her emotions and is incessantly crying or a man is sharing and says, I'm so depressed. I can't work. I can't think. I just sit there all day. Which principle is this? Okay.  Okay? Now, when someone is talking to you or is in a conversation with you and they're very, very emotional, what is the first thing you may do? You may tend to, we may all respond differently but what do we do? Console them, okay? Francis, what will you do? You don't know.  What will you do? You'll say, don't cry. You'll say, don't cry. So, very often we are very uncomfortable when people get emotional, right? That's true, correct? But I'm saying when someone is doing that in front of you, I'm asking you your response. How are you? What would you do? How comfortable are you? Yeah, I understand what you're doing. Oh, I understand what they're doing. I'm asking you, I'm asking you what would you do? You said, let them cry. You'll sit and watch. Okay, you'll sit and watch. Okay. So, especially maybe in our culture is that we are very uncomfortable when people show some emotion, isn't it? You think about maybe, you know, when you were growing up, when you started crying, what did your parents maybe say? They used to beat me. What beat you more? So, basically, we are, because we have not probably been allowed to express when someone else is expressing, we're also very, very uncomfortable. We just want to somehow get out from there or say something, finish it fast and over. All right. But in counseling, there is an important principle which talks about to help them have an expression of feelings which is called a purposeful expression of feelings. So, in your time with them, it's just not getting them to cry, cry, cry, cry, cry, cry, you know, all, they come 10 times, all 10 times they're crying. It's called purposeful, which means they need to express, but it also needs to lead to something. Okay? So, the first recognition of this principle is that the counseling needs to express feelings freely. You should give them enough opportunities, space, time for them to express their feeling. Okay? Sometimes what we do is when they're crying, the first thing we do is we ask a question. You ask a question, like, like Susan, Susan was crying, no, Susan was crying. What did your husband do? It's a question, right? So, you're actually moving her into... Correct, right? But allowing them to stay there and cry. Now, that doesn't mean you keep quiet. That's a technique. That's, you know, you use certain techniques to help them to purposefully express those emotions. So, that's called the purposeful expression of emotions. And when you do that, in order to do that, you need to listen carefully. You need to listen purposefully. The word is purposefully, being able to listen to what they're saying. Remember, it's not just the content, but it is the emotion behind it, right? In fact, when you talk to many people, no one's going to say, I'm feeling sad, I'm feeling angry. Nobody will say that. What will they say? My husband did this and he did this and how could he do that? And, you know, it's so mean of them.  That language, they will not use. I'm feeling sad because my husband, no, they'll say my husband did this or, you know, that teacher, I wish I could kill him. Why? Because they're angry, right? So, the counselor needs to listen to what they are saying and deduct or infer what emotions they may be going through, okay? So, that's the principle of expression of feelings. Also, you're also the counselor is not discouraging or condemning any expression of feelings.  No, you're not discouraging them, allowing them that expression, okay? What you're doing as a counselor is you should be stimulating and encouraging them to express their feelings. Can you give me a way you can stimulate someone to cry or someone to share, someone to feel? How do you do that?  How do you, okay, let me, let me give you an example, okay? I'm going to say, let's say I say, I had a very bad fight today. I'm only telling you that much. How can you encourage me to express more? I'm saying I had a very bad fight today. How can you encourage me to express my feelings more? So, what happened will only give you, I will say, I fought with such and such person, we fought about this, we fought about that. I've told you the content, I've told you the, the matter, the circumstance. I haven't told you my feelings. Right? Okay, so. Okay. Yeah, so that's one way you can ask, you know, how are you feeling about it right now? Or you can say, my, that sounds as if that was really bad. You know, are you feeling angry about it or how are you feeling right now? So that's how you stimulate an expression of feelings. When you say what happened or tell me who you fought with, it's all the circumstance, but an expression of feeling goes a little bit more deeper. It's the next level that it goes deeper. Got that? Yeah, okay. All right. Online students, are you all okay? Oh, sorry, Jacken said something. Hold their hand and console them by being there. Sorry, Jacken, I think they're lost.  Oh, okay. All right, yes, Jacken. Okay, good. So let's move to the third principle. I'll give you an example again. You have been called to see a man in the hospital. Before you go in to see him, you'll find out through talking to the doctor that the man is terminally ill.  Am I going to die? Do you know? Can you tell me? Am I going to die? No, there's no question. Nothing, I'm just showing you an example. Someone is telling you, then he's asking you. I want to ask you something. Am I going to die?  How would you deal with a situation like this?  And then he's asking you this, am I going to die? Do you know? Can you tell me? Do you want? Oh, sure.  Okay, so there can be sometimes when someone is, someone's asking you a question, you really don't have anything to say. Isn't it? Like, especially in situations like someone passed away. Correct. Yeah. Yeah. Am I going to, this is a problem. Other, I don't know whether he's really a believer or ready to go to heaven, maybe he's actually going to go in heaven. Yeah. Yeah. I think I'm going to go in heaven. I think I'm going to go in heaven. I think the stress actually, maybe it's because we have a lot of stress. Why do you think so? I think it's because we have a lot of stress. Like, if there may be so strong. And like, hopefully it's not a big one. And if he's a believer or so, how can you say it's okay? Yeah. Yeah. Okay, so basically this, the principle that we're looking at is, how can you be involved, your emotional involvement? How is, how can you control it? Okay, so as, as a counselor, you're going to be faced with very many situations like this. Right? That it is so difficult to even respond. Right? And that's what comes to this question, this principle of being, having a controlled emotional involvement. A controlled emotional involvement. Now you may look as if you're very insensitive or you don't care, but in order to help someone, you have to be, I'm not saying detached, but you really need to know how much you need to be involved. So it's a sweet spot. You need to be sensitive to the, the counselor's feelings. And at the same time, learn how to stay in control or to be able to help them through that, that emotion, to bring them to a place of understanding. So that's what's called this controlled emotional involvement. Because if you're also going to be as emotionally affected by the counseling, your help is not effective. Okay? So that doesn't mean we may not feel like that. I remember, you know, my initial, my initial times of counseling, I used to come back home and cry very often because it's a new thing. I haven't been in such a state before listening to so many problems and getting so involved in their lives and things like that. But then in time, I also learned how to be, have that sense of a, you are involved where you're sensitive and you're a compassionate and you're empathetic, but you're also, you also know that there is a certain boundary that you may need to place as you are dealing with them. So it is a purposeful, appropriate use of your emotions to respond to the counseling's feelings. Now, I'm going back to that example. So when he asks you, am I going to die? What is something we can say if we are going to make appropriate use of your emotions? What is something you can say? Sorry? So what will you say? A little bit. A little bit. What will you say? What will you say? What will you say to the doctors and the army? It is a will. It is a will. But if they thought there is no counseling for a call, they're going to die for sure. Yeah for sure. And if he asks you, you don't know that he will die, but it has two answers. If he answers something, if he speaks something, what will he ask from Namaskar? See, the point is, ask yourself, is it something you really need to answer?  That's not it, right? That's not the outcome of it. So you could say something like, I can't imagine the pain you're going through right now, right? That you really would like to know an outcome of this. But unfortunately, when I don't know, but I'm here to help you through this, I haven't answered him because I don't know. Honestly, I don't know if he's going, and maybe that's not the right time to tell him about God as the healer also. Because he's so, he's actually crying, right? And he wants some support and comfort and someone to just be there with him, that he's not alone, right? And then maybe after that, you can come and say, you know, let's pray together for strength and... So in some of those times, it's a good thing to just be quiet, right? Just be quiet and say, I know this is really, really hard.  Okay, so I'm talking about initial responses, okay? Now, all of this will come at a later point when you calm them down and then you can... This is that, he said, am I going to die now? No, this is happening, she's just... Okay, remember, you are counseling here. Then the outro. Oh, there are counselors who are in places for death and dying, right? Yeah, yeah.  There are counselors there who help them through that last stage of life. Oh, yes. What will happen? Is that the answer he wants to... I don't think he wants to hear an answer. It is out of that angst and expression of sadness he's talking about this.  It's not that he's...  What next or how is it going to... Exactly. So that's all of those emotions are happening over there. So our role as a counselor is not to give them an answer and say, yes or no, that's not it. It is how are we helping them through that stage? And one of the principle is how can we stay involved yet controlled in our emotional response? Without actually giving them an answer. It's like I said, counseling is not about giving them answers. It's about leading them through difficult stages of life where they find a way to cope through this. Okay? All right. Also, when we're looking at emotional involvement, control emotional involvement, it is how much a counselor is going to be involved in the problem of the counseling, objectively being involved in the problem of the counseling. Like maybe your counseling, once leaves your room, they're going to get into a problem. Okay. And you're saying, okay, I will also come with you. All right. So your involvement in the problem also needs to be controlled and objective. Okay. You're not solving the problem for them.   All right.  That's not your that's not your job. Right. But what you do you're empowering her to be able to take action. You can you can support and assist, but you don't you have to be involved as objectively as possible. Okay. And control emotional and controlled emotional involvement in the counseling as a person, even, even how sometimes you may have a soft corner for people because of the kind of things they're going through your, your involvement with them also needs to be very objective and controlled as well. Okay. Oh, there is. Okay. So an emotional person does not qualify to be a good counselor. No, nothing like that, Jack in nothing like that. Is it so or is it possible that we can learn and develop these skills and help some people at least? Yes, absolutely. Right. We are all emotional at some, some core. It is it's a skill. It's learning how to stay involved to stay objective yet know how to be have that sense of boundary or a sense of control as you are dealing with them. So it's a skill that you learn. You're right. It's something that you will learn as you practice it. Okay. All right. The next one, we'll go to the next principle. It's the fourth principle. So what is the first one? Individualization. Second is purposeful expression of feelings. Third is controlled emotional involvement. Okay. Next one. The example is a young woman comes to talk to you about God and his existence. She feels that she can't break away her allegiance to her God, but yet would also like to treat Jesus as one of the many gods. They also come. Yeah, you have many mixes like that. Yeah. So in a case like this, when, and this is why we talk about the principle of self determination, where you're giving the individual the right to make their own choices and make their own decisions on something. Right? You're giving them the right. You cannot override somebody's decision or somebody's choice on anything. You can bring them to a point of awareness or understanding and looking at what are the benefits or what are the disadvantages, but at the end of it, it is their own choice. It is an individual's own choice of how they decide and do things. So the council has a right and a need to have freedom in making their own decisions or choices. They have a right and they have a need. Although there are certain limitations to it, what are some of those limitations is limitations of not harming somebody else, right? Or maybe harm to themselves.  You can't stop me.  You can't say, her right, her need, let her go do what she wants. You have a responsibility because it concerns the life of another person. Otherwise, within those limitations, they have the freedom to make their decision and their choices. The counselor has a duty to respect the right in theory and in practice and you refrain from any kind of a direct interference. You can't manipulate them to do something you want them to do.  That's emotionally blackmailing them, right? So no indirect or direct form of interference is possible, right? So that is the principle of self-determination, the ability for the counselor to make their own choice or decision in any given problem or a situation.  Every time I sleep with this other woman, I feel so guilty. What can I do about it? Okay, so there are going to be times you are going to have people with different kinds of moral codes that come to you and that's where we look at the principle of acceptance. That is recognizing that every person has dignity, has worth, has equality, has their needs. So that does not mean when you're accepting someone, you're accepting their behavior. That you're saying, okay, what you're doing is right. When I accept you, that doesn't mean I'm accepting what you do. Okay, so your acceptance of people is regardless of their behavior, their environment, their characteristic trait, their personality. It's regardless of that.  Okay, you had a explain. So when someone comes to you with a problem that, like the example I spoke about, you know, this husband was sleeping with other women, right? It was infidelity. And it's quick that we may judge the person for what they're doing. But in counseling, the principle in counseling is we accept them as people for who he is, for knowing that they have dignity, they're unique, they have worth, we accept them as people regardless of their problem or their environment, we accept them as people. So which means we do not, this judge dismiss them because of their behavior or because of their sin or because of their issues that they're coming. They are accepted for who they are. As a human, correct, correct. Exactly. You, you're not approving of it. That's what it says. Acceptance does not mean approval. Approval is saying, okay, great, you're doing good. You're not approving, you're accepting them as people with a behavior, with a condition, with a situation. Okay, but it doesn't mean you are approving of their behavior or their attitudes. Acceptance also will include how they think and how they feel. All right. And even how you think and how you feel towards them and what kind of service you give them. Right. Like for example, we tend to treat people who are nice, nice, we tend to treat people who are right. But in counseling, your way of treating people, even if should be is the same. It is based primarily on who they are. And however you serve them, that's what it says, is expressed primarily in the manner of service. So the way that you're thinking about them, you're feeling about them should be from a mind of respect and honor and acceptance. Okay. Biblical, no? Think of how Jesus saw the adulterous woman. Acceptance. But he didn't approve of her behavior, but accepted her. So that's what we're called to do. Okay. Next one. I'll share this with you. I'll share the PPT with you. Okay. Next is an example. A wife in counseling says, I just separated from my husband. I'm emotionally involved with another man. I'm not sure that my husband and I can work it out. I know what my beliefs are, but I'm not sure what to do. The principle of non-judgmental attitude. So in a situation like what we spoke, what I give you, often, you know, people going in for some help or support will say, hey, you know what you're doing is wrong. You're in sin. There's a lot of judgment that happens. Okay. So this is very closely related to the previous principle where there's a non-judgmental attitude, where it is based on the premise that when you are seeing them, you're not assigning any guilt or innocence, which means that suppose the husband and wife is sitting here, you're not there as a judge pleading someone guilty and pleading somebody innocent.  You're very innocent. That's not your role. Okay. Not being in a place of judgment, which means being non-judgmental. Okay. No matter what the situation, it's not just acceptance of the person, but also not judging them for what their situation or they are. Okay. It includes a principle of non-judgmental attitude also will include how you make your statements of, you know, towards your counseling, your attitude towards your counseling, how you treat them or how you act towards them. What are some judgments that you use to say things about them, to feel about them. So all of this is not just in your behavior, but also in the way that you think about them. Okay. It is not making those evaluative judgments about their attitudes of who they are or what they are, so that you see them as, sorry, you see them just like the way God sees them. Right. So not having, not being in a place of judgment. Okay. Next one.   Here is the principle of confidentiality. What is confidentiality? Yeah, it is not disclosing any secret private information in the relationship. So like this, when you are meeting maybe members in the family, one family member may say something about the other family member or they may say some secret thing of their own life. Right. And it is not, in, as you as a counselor cannot be sharing that information to others. Okay. That's what the principle of confidentiality is. Okay. So confidentiality is a right of the counseling who comes to you. Right. And actually it is a ethical obligation that is in the professional profession of counseling, one of the biggest ethics a counselor needs to hold on is confidentiality. And if you breach that confidentiality, you have breached ethical principles or ethical practices. Okay. It is necessary for helping. Why? Because if your counselor knows that you may go and share this with somebody else, yet they're not going to be open enough to share or discuss with you. The right, however, the confidential right is not absolute, which means there are two conditions that information about the person can be shared among other professionals like counselor to counselor so that they can get the best help that they want. Like for example, if the counselor is stuck on what to do, there is a written permission that is given that it will be discussed with other colleagues for better help. Or confidentiality is also not absolute when there is a risk to somebody's life. Okay. Or there is a risk to someone else's life and someone else is trying to murder somebody or abusing someone or they intend to take their own life that time. That's when confidentiality can be divulged, can be breached. But it should be all with a written permission that is required to divulge information to others who are involved. Okay. So just going back to those seven. Yeah. Okay. So these are the seven principles, individualization, purposeful expression of feelings, controlled emotional involvement, self-determination, acceptance, non-judgmental attitude and confidentiality. Yeah. I just want to know these legal things. So if a person is going through a situation which they want to take their life, so the person came to a counselor and he counseled, the counselor counseled that person, particular person. Whatever happened, we don't know, but that person took their life. So what will be the legal things this counselor will face because of that? So the responsibility of a counselor, if someone does come in like that, is to, with, in that session to be, after assessing the risk to be able to inform someone next of kin generally. That's something that we do. Right? Like if there is someone over here and we assess the suicidal, high suicidal risk, we do inform, get the person in confidence and inform a third party or whoever so that they get either vigilance or they get adequate medical help to the family. So generally in a counseling sheet, there is the name of one person that they have to write down an emergency contact number. Right? And it'll be written there in case of an emergency, this person will be contacted. And that's what they sign. So, if it is a position like, see, you are a pastor, someone messaged you on WhatsApp or some social media, and they wanted to take their life before that they wanted to speak with you.  So when an interrogation happened, because I heard a situation. So what is important, Anand, is when you get calls like this, there is a certain protocol you have to follow. Right? Like if it is, I mean, I know sometimes there are these helplines, suicidal helplines, where you can't track. You can't track the person. It's an anonymous call. And that time you can't track it, because that's what it is meant for. But if it is at least people you know, or something you know, it's important to lead them to some form of help. So without that, you shouldn't cut the call. You shouldn't hang up on them. Still, you've ensured some help, either in the form of them seeking out somebody or, you know, you offering to call that someone and make that conversation. That's very, very important, especially if you assess high risk. And that is a way to assess.  But then if something like that happens, there is some way to deal with it. So that, you know, legally also you are protected, as well as the person has not, you don't have to inform the police only, you can inform a family member so that they say this person is like this, please come in right away and take them or, you know, please ensure that you go there, get back in touch with them, get them for help. That is something you must make sure you do. Okay. All right. Any questions or any thoughts? Interesting. Okay. All right. If there aren't any questions, we'll close with the word of prayer. Heavenly Father, we thank You, Lord, for helping us learn something new. God, we understand and know that the ministry of counseling is vital in church as well as for the outside world. I pray that even as we go through this, that You will equip us, Lord, You will give us greater understanding. Lord, You will help us, Lord, learn not just skills and techniques, but also from Your Word of how important it is, Lord, for connection and building relationships with people and helping them see the truth of Your Word. Thank You for Your grace over each one of us. Till we meet next time, we pray that You will work in us and You will continue to examine our hearts, Lord, so that we could be right in Your rise. Thank You once again. In Jesus' name, we pray. Amen. All right. Thank you all. Meet you next week. Thank you, students.