actually handle because this is like I said is a preset up car in a quick race oh my god there we go what we can actually do this come on come on come on get the whole course you can actually drift the whole course what's up everybody I'm evil rabbit we're here on drift 21 there was an update for force feedback physics feels everything like that so we're gonna take a look at them as well as a new game feature called quick race so we're gonna take a look at all of that here for today if you guys follow me on social media I'll put your phone in the description box below let's get to it so I did click quick race so we can see what it goes to so we do have my s15 oh oh it's not my s15 we have a 600 power s15 45 oh so we have some built cars so we're gonna take out the s15 why not and we're gonna see we have the touge we have north course so we have a new course as well but we're gonna test out the physics at driftland just to see what they have changed so hopefully my wheels connected and we're good to go so let's see if everything works out how it's supposed to in the beginning um no all right so we got our wheel finally set up all the wheels very stiff so new physics new feedback let's see what it's like actually not bad at all oh I like these physics so the physics have been updated and they feel really good right now actually feels like it has grip I'm actually able to get a bunch of sidewaysness here in this 15 I don't know if it's maybe the way the car is set up or whatever but we're actually able to get sideways the physics does feel good so let's try going on another track that we actually have to pay attention to and maybe actually run the touge or no we'll go to the north course we'll select the north course we'll go try to do north course and see if we can get a good drift at north course because well I'm liking how the physics are feeling so the update of physics the update of the wheel and these are set on my a set of course uh fantasy settings okay so there's a little bit of uh a little bit of weight on the wheel we are actually able to keep a drift you guys remember watching this video in the beginning when the game first came out the wheel was kind of numb feeling and it was very hard to transition now it does have a very good feel can handbrake in see if we can't actually get a good entry I kicked that too early oh we're gonna retry that I kicked that too early I got over aggressive and over zealous on that so this is not my car this is one of the pre-built cars I feel like we need to turn the force feedback down a little bit so let's go to one of my actually we'll go to this one that's authentic a little less feedback see how this one feels I'll take this hairpin real quick yep it doesn't get as light it doesn't get as numb feeling like it was before so let's uh let's rip this north course and see if we can't actually get a good drift oh logged it in there may not have been the cleanest but you know what it was a lot better than the previous ones we can actually drift the whole course now I'm super excited on this this actually feels quite good and uh I'm actually super excited about this the way they've adjusted the physics and stuff like that because now I feel like I could actually take my cars to the actual courses and actually do some of the drift drift things with others so I think we're gonna do another episode here on drift 21 with some of the uh some of my cars and some challenges and see if we can get my cars to actually handle because this like I said is a preset up car in a quick race oh my god there we go what we can actually do this come on come on come on get the whole course you can actually drift the whole course that was sick so let's try some of the other cars because well I'm feeling uh I'm feeling a little bit good right now feeling I'm liking the way the wheel feels the wheel feels really good right now so let's go to Miname and we're gonna select that and we're gonna change up cars I think we're gonna run we don't have an rx-8 built so we're gonna take the rx-8 out even though that just that fitman is just that fitman is just no and not not feeling that fitman at all but we'll take it out anyways let's go to Miname see what we can do with Miname hope you guys are enjoying these episodes here on drift 21 definitely doing oh I didn't change course uh rip on my part quick session fail Miname select there we go now we're gonna be on Miname maybe jump drifts I feel like we can get them we were never able to drift really any courses before the rx-8 does feel a little bit different than the uh 15 but drifting and like I would be drifting the asset of course this section but we can hold a drift you don't know how excited I am about these physics updates and the wheel feel force feedback settings because that makes this game so much more fun to play ooh makes this game so much more worth it jump trip time not the greatest of jump drifts but we managed to come around oh this feels so good I've never had so many drift points and completed drifts in drift 21 since this game came out we lost it there because we kind of ran that way so drift 21 definitely a huge improvement on how the wheel feels it feels very stiff very aggressive so let's see if we can't turn that down just a smidge because it is definitely a very aggressive on their main power we're gonna drop main power down to I want to say 80 we're gonna drop main power down to 80 and see what 80 feels like all right 80 feels good it's not it's not like ripping my hand out of my uh out of its place I'm gonna try one last jump trip for today's episode oh well tap drift 21 coming back with a banger update with feedback yep I like it I like it a lot so I think that's gonna do here for this episode here on drift 21 because you guys follow me on all social media you guys play drift 21 and you guys have tried the new feedback let me know what you guys think about it definitely gonna try and maybe get my buddy on here and get his impressions on it so as always I thank you guys for coming back and watching I'm evil rabbit I'll see you guys on the track


Hello, this is Laptop Media, and today, we will show you how to open the Asus TUF Gaming A 17 2023 and what's inside of it. To access this notebooks internals, you need to undo a total of 12 Philips head screws, one of which is captive, and lifts the corner of the bottom panel from the chassis. This is where you need to start the prying process from. Please remember, it would be of great help to us if you just hit the like button and subscribe to our channel. That would motivate us to make even more and better videos for you. Inside, we see a 90 watt hours battery pack. It lasts for 11 hours and 30 minutes of web browsing, or 10 hours of video playback. To take it out, unplug the battery connector from the motherboard, and undo the four Philips head screws. Here, we find two Sodium slots for memory expansion. They use DDR5 sticks. As for storage, there are two M.2 PCIe X4 slots, both of which support Gen4 SSDs. Cooling wise, there are two heat pipes, shared between the CPU and the GPU. In addition, there is one more dedicated to each of them, as well as a fifth one meant for the graphics memory and the VRMs. For heat sinks and two fans deal with heat dissipation. If you'd like to see more disassembly videos of the latest notebooks we would highly appreciate if you hit the like button and subscribe to the channel.


I always take the opportunity at the gathering of senior advocates to just add a little discomfort to my dear friend Paul Lusoro, senior advocate of Nigeria, who as you know is from Aqwaibom State. I always remind him that my village, Ikenne, which is a very little village in Remon, in Ogustet, has 13 senior advocates now. A few more than his state, Aqwaibom. And I always advise that whenever they need any help, you know, even just to beef up the numbers, we are always prepared in Ikenne to offer something to my dear friend Paul Lusoro, senior advocate of Nigeria. Your Excellency, my Lords, after listening to the evergreen and always on point, Chief Mrs. Folake Sholanke S.A.N., and who will believe that she is 90 years old this year? I think she really, if we can look like this at 90, we should really thank the Almighty.  And earlier, the Chief Justice of Nigeria, represented by my Lord Justice K. Kerev. I am then listening to the very engaging and thought-provoking lecture by His Excellency General Abdul-Sallam Abu Bakr. I doubt if colleagues have any more appetite for any heavy discourse, especially as dinner appears to be slightly delayed. Let me add my voice anyway to the congratulations of the newly preferred senior advocates for the attainment of this prestigious rank. I particularly wish to congratulate and commend Professor Chief Adjagbe Toriola Oyewo, whose resilience and persistent determination in the pursuit of excellence had him dawning the silk at the age of 91. This non-agenarian story of hard work and perseverance is one that will be told for generations to come. And this is as it should be. The incredible power of hope and the unfailing laws of sowing and reaping have been so decisively proved yet again. Congratulations, sir. The visioners of Bosan had indicated from the beginning that we did not intend to be a typical elite club in the legal profession, who will not go beyond simply enjoying and relishing the privileges of our profession. Our role clearly must go beyond that. And it's imperative that we lead the way in deepening the discourse on and championing reforms that will continually uplift the prominence and prestige of our profession. Some of the reputational damage suffered in recent times for our profession and our system of justice could possibly have been avoided with rigorous and sustained introspection on our part. Apart from the roles of the bar in the development of an effective and efficient justice sector, who are so eloquently outlined by the guest speaker, there are two areas which I wish to commend to us for further reflection. The first area has to do with the law school, the Nigerian law school, and what its future should be. Every year, thousands of students enroll for the bar examinations at the law school. Most of them have to live in poor accommodation spaces, the classrooms are full, and will only become more so in the years to come. There is no country with the number of law graduates that we yearly graduate, that provides or still provides in-person lectures and accommodation for those taking bar exams. Generally speaking, professional exams do not provide residential training. This is why I think the suggestion by some that we scrap residential training and enable law graduates to register online for bar examinations and be provided online resources for training, mock trials, appearances in court, et cetera, and how to make applications and all of the various things that we teach, all of them can now be done without being physically present in a classroom. We can do all of this and ensure that those who want to take the bar examinations in Nigeria can do so from practically anywhere in the world. And the attachment is probably the only other thing that they may need to do. And it's important that we do not allow a situation where the crisis that we're experiencing today, where there are far too many young men and women in the classrooms, and accommodation of course continues to be a problem, to subsist for much longer. Still on the issue of legal education, how can Bosa help in stemming the falling standards and the quality of legal education, which ultimately translates into dramatic decline in the standard of legal practice? While the Nigerian Bar Association is conscientiously advocating and supporting continuous legal education for legal practitioners, the problems we see in our courtrooms today, unfortunately, are those that emanate from inadequate or defective legal training. In some instances from the basic levels of instruction, we in our various ways have developed schemes through which we can offer community service, be it in the form of pro bono legal service to indigent litigants or undertaking projects for the benefits of communities. But when it comes to legal education, I believe that Bosa is in a position to offer something that may be a little better. The partnership of Bosa with the Council for Legal Education and some of the faculties of law, perhaps on a pilot basis, for the provision of additional instructional support will not only be useful to the students, but also to some of the law teachers who obviously would require mentorship. I recall how my Lord Honorable Justice Amina Ogi, JSC, while serving on the bench of the Sokoto State Judiciary, graciously accepted pro bono to serve as an associate lecturer at the Usmant and Fodio University in Sokoto. Imagine the students' excitement and enthusiasm, and most importantly the expertise and experience that instructions by members of our body in our case will bring to the classrooms. Only a few of our undergraduate students benefit from the tutelage of those of us who are traditionally within academia. The second issue has to do with the role of our body, the body of senior advocates, and the bar association in ensuring the discipline of our own members. This is a, there is a growing perception that some of our colleagues have developed unhealthy relationships which are meant to influence cases before our courts. And it is, it is now becoming the case that even younger members of our profession do much the same things, and many of them do much the same. I think it's time to commit to calling out those whose actions demean the rank of senior advocate and ensure that they are brought before their appropriate disciplinary bodies. We must not allow a situation where the rank is demeaned because people, because members of the public believe that some of those in our rank are those who actually corrupt our system, corrupt the judicial system. As I close, I also want you to, I also want to leave you with one thought. Our system of justice is a public resource. It does not belong to the legal profession. It does not belong to the bar or to the bench. It belongs to the people. We, we, lawyers and judges are paid operators of a service that our constitution created to resolve their disputes and to give justice. We are custodians, not owners. When this public resource is not working effectively, an account of delays or it is being discredited by corruption. We, the operators, have a moral, legal and civic obligation to fix it. We must not become defensive or thin-skinned. If we do not fix it, we would have failed in our most important task, we would have failed the people. And to borrow from the scripture in Proverbs 31 verse 8, that Chief M. Shulank E. S. A. N. Quoted, who would have failed to speak up for the voiceless and the vulnerable. Everyone of us seated here today, those of us in our profession, know that there is a lot wrong with our system of justice today. History beckons us to fix it. I congratulate the leadership of our body, the body of senior advocates of Nigeria for sustaining this initiative and for instituting a scholarship which rewards excellence for students in our law faculty. And I wish all of our new members, members of the body of senior advocates a prosperous and happy practice in the Inaba. Thank you very much. God bless you all.


Learned welcome to the International Daily Roundup with People's Dispatch where we bring you some of the top stories from across the globe. Let's take a look at today's headlines. Venezuela pardons opposition leaders accused of conspiracy. WHO study points to massive setback in the health care due to COVID-19 pandemic. Filipino activists approach Supreme Court seeking protection from killings. Rafael Coría's sister will try to formalize his candidacy for vice president of Ecuador. Hamas announces ceasefire deal with Israel. Venezuela has issued a pardon to opposition figures including various leaders accused of conspiring against President Maduro in the wake of upcoming parliamentary elections out of the 110 individuals who have been pardoned more than 50 are leaders of the opposition who are either in prison, have fled the country or are seeking asylum in various embassies in Venezuela. The move signals the government's attempts to increase participation in the upcoming elections which the opposition has vowed to boycott. While announcing the list, Minister of Communications Jorge Rodríguez stated that they intend to deepen the process of national reconciliation for national union so that political issues are settled by peaceful means and by electoral means. Despite the pardon, opposition leaders have come out with statements reaffirming the convictions that the 2018 elections were rigged. The WHO came out with a study on Monday stating that the COVID-19 pandemic could set back decades of progress in the healthcare industry across the world. The survey assessed responses from health services and institutions between May and July from over 100 nations. It stated that the impact of the COVID-19 pandemic on essential services is a source of great concern. Major health gains achieved over the past two decades can be wiped out in a short period. The WHO had also recently raised concerns about the possible impact of COVID-19 on the treatment of HIV AIDS patients specifically in the sub-Saharan region of Africa. According to the study, the pandemic crisis has affected routine immunizations by 70% family planning in over 65% as well as cancer, diagnosis and treatment by 55%. The WHO added that this can develop into a crisis long after the pandemic is dealt with due to the strain it places on the health sector. The study also cites several other concerns which might lead to protracted strain on the health sector for people with health complications, refusing to visit hospitals wearing the virus and patients being unable to afford non-COVID-related services after surviving it are factors that will add to the strain. The WHO stresses these situations could have led to increased death rates across the world. Human Rights Advocacy Group Karapatan Alliance has approached the Philippine Supreme Court for protection from political murders. On September 1st, Tuesday, legal counsels of Karapatan Alliance filed a plea urging the court to take measures to prevent state-sponsored killings and harassment of activists. The submission cited the recent killing of Zara Alvarez, a health activist and member of the Negroes Island branch by unidentified gunmen last month. Alvarez was killed on August 17th, a week after the murder of peace consultant Randy O'Connor on August 10th. The plea demanded that the court grant them the petition for review of Amparo and habeas data, legal provisions in the Philippines to deal with extrajudicial killings and forced disappearances. The manifestation opened by noting the recent slew of political murders in the country under the administration of President Rodrigo Duterte. Yesterday, Karapatan posted about its death threats against the Negroes Island Deputy Secretary Julius Dagatan, who is also a media liaison for left-wing coalition Bayan Muna. Karapatan has documented 328 killings in line with the government's counter-insurgency program since July 2016. The organization has stated that 185 of these murders were of human rights defenders and social movement activists. Karapatan also stated that with Alvarez's murder, 13 of their activists have now been killed under the Duterte administration. On Tuesday by Irina Correa, the sister of Ecuador's former president Rafael Correa will try to accept his nomination as a candidate for the vice presidency of Ecuador as a brother's notarized power of attorney. Rafael Correa was elected as the running mate of economist Andres Arroz in the primary elections held in August within the new coalition called the Union for Hope. The coalition is made up of left-wing political parties and social movements. As part of a recently reformed electoral law, in order to stand in the elections, the participants are required to present their candidature and accept their nomination in person in the CNE's headquarters due to the COVID-19 pandemic in the CNE, enabling online registration of candidacy. However, the electoral entities stressed that the candidates elected in the primary elections must appear before the electoral authorities to formalize the participation no later than September 1. Former president Rafael Correa is currently residing in Belgium and has been a constant victim of the law for which against him by the current president Len Moreno's administration. His returning to the country could be met with preventive retentions for the bribes 2012-2016 case. Correa has rejected the charges pressed against him and denounced them, as well as the electoral reforms as a form of political persecution intended to prevent him from running in the elections. On Monday, the Palestinian resistance group Hamas announced that it had reached a ceasefire with Israel that would end the recent hostilities in Gaza. Since early August, Gaza has faced constant aggressions from Israel. This includes warming up the region from the air-shell attacks from tanks and attacks on Palestinian fishermen off the Gaza coast. As per the ceasefire deal, both sides have agreed to adhere to several conditions. Hamas sources have told reporters that it and other Palestinian factions have reached an agreement to hold all pyres of rockets and dispatching incendiary explosive balloons across the border in response to Israeli provocations and escalations since the first week of August. Israel, on the other hand, said that it will immediately open its border crossing with Gaza to allow the supply of goods and essential items as well as resume fuel shipments. It would also reopen the fishing zone for Palestinian fishermen and would allow them to fish in the waters for up to 25 kilometers off the Gaza coast. According to Hamas, the resuming of fuel supplies between Gaza's power plant will be operational again from Tuesday. Due to the fuel shortages, Palestinians in Gaza had access to electricity for only four hours a day. Nikolay Mladanov, the United Nations' envoy to Israel and the occupied Palestinian territories, welcomes the news in a tweet stating that ending the launching of incendiary devices and projectiles restoring electricity will allow you to focus on dealing with the COVID-19 crisis. And this is all we have for this episode of the International Daily Roundup. For more such stories and videos visit our website peoplesisfire.org. Subscribe to our YouTube channel and follow us on Facebook, Twitter and Instagram. Thank you for watching. Thank you.


It's a real privilege and honor to be here talking to this esteemed group about this topic. We've, you know, thinking for, even though we do a lot of transplants and what not, for cardiology grandmothers, thought we would talk about a procedure that we're doing more and more of, essentially, the concept is, you know, how do we select people for certain procedure and how do we give patients what a lot of people are kind of wanting, which is more and more minimally invasive approaches to almost everything we do. Even transplants, there are more and more people trying to ask to see if we can do these minimally invasive and lower stress levels, less blood transfusions and what not. So I thought I'd kind of hone into just one aspect of this whole topic, which has been fairly well characterized historically in the literature and there's a lot of data about it so we could talk about it and that's around the area of aortic valves, so we're approximately sending aortic work and how we view that. So I'll talk a little bit about background operative techniques, benefits, some of the pitfalls which really kind of balances all of our best intentions, is acknowledging what the pitfalls are, preoperative imaging and then how we can branch out to other type procedures. So just honing in here, this is the aortic valve, this is a stenotic aortic valve, many of you have seen these in the OR or pathology slides, this is essentially a transected root and you can see the three commissures, highly calcified valves, typically when we're talking about replacement of a valve like this we have to essentially cut this out along the annulus, remove it and then sew in a brand new valve for when we're looking at doing an aortic valve replacement. So what's the difference in scars or in invasiveness when we're comparing a standard aortic valve approach to a minimally invasive valve approach, at least through a mini sternotomy type approach. So when we look at our standard AVR approach, it's about 11 to 14 centimeter incision and it's, I'll show you some more slides going forward but it gives us the most optimal view for conducting the operation and for protecting the heart and the way that we have to protect the heart in order to do these procedures safely. So when we talk about a minimally invasive one, we're looking really at least a six centimeter type incision or smaller, so six, maybe even six to eight and there are different techniques that we need in order to achieve that. When we look at a standard sternotomy, this is the view, this is what we're talking about and this not only applies to aortic valve, this also applies to coronary bypass, mitral valve. So this is 11 to 14 centimeter skin incision, we split down the sternum in the middle and then you get access to all of these critical structures in the heart. So there's the ascending aorta, there's the right atrium, all of these, these are critical to be able to access because we have to drain the heart and we have to provide anagrid blood flow to the body and to the brain in order to then work within the valve in a bloodless field. So this exposure is absolutely a very nice, safe, full exposure for us to achieve these metrics. Aortic valve replacement, we're all familiar now with TAVR, but just to remind us that aortic valve replacement has very, very long follow-up, 17 year follow-up, even of bovine pericardial bioprostesis shows excellent 15 year results, particularly younger patients with a longer life expectancy. When we look at structural valve degeneration rates, even for bioprostatic valves in patients younger than 60, at 10 years it's still less than expected, this is data from the Cleveland Clinic on 12,569 implants. Clearly TAVR is the ultimate immunally invasive and it is here to stay and we will continue to grow our TAVR practices and compared to standard therapy, TAVR is absolutely phenomenal innovation for medicine. However, clearly there are patients that need these kind of very long-term results, especially the younger patients who are patients needing mechanical valves or various other reasons for aortic valve replacements in a tertiary care center like us, we have to be able to offer open procedures as well as a percutaneous procedures. So I'm going to talk a little bit about the operative technique for aortic valve replacement and try to highlight a lot of the risks involved in it and then kind of hone into how we can make a minimally invasive approach to it safer as we do it. So when, in my experience or in my practice, the MIS, it's an upper, small upper hemi-sternotomy approach that was popularized by Toby Cosgrove and Mark Gilanoff at the Cleveland Clinic which is where I learned it. It's the one that we have data for, a lot of data. It puts the view of the surgeon very similar to a sternotomy if the preoperative imaging suggests that it will be a good view. So that's why I think a lot of folks who do minimally invasive like that approach, it makes it very similar to a sternotomy except it's a very small incision. The incision is positioned just around the angle of the Louis. The actual sternotomy goes from the sternal notch down into the fourth intercostal space jade over to the right. When everything is open and pericardial stay sutures are placed to elevate the pericardium to the surface, you can actually see all of those critical structures that we were talking about before. The aorta, the right atrium, albeit you can see that this is still a pretty limited approach. So this is all that you can see, but I'll talk to you a little bit about how we're able to conduct the procedure safely by just seeing those structures. Obviously another option is to write lateral thoracotomy and here we're doing so much minimally invasive that that's another approach that we're doing a lot of here at the Texas Heart. These are the different cannulas that we think of that we have to have for these procedures. We have to have drainage in the atrium with the cannula and the inferior vena cava, sometimes in the superior vena cava. We have to have an aorta cannula and the aorta. We have to have an anagrade cardioplasia line to deliver cardioplasia to the aortic root. And then sometimes you need to have a cannula in the retrograde coronary sinus to deliver cardioplasia retrograde. And finally a vent that is placed in the right superior pulmonary vein that helps to decompress the left ventricle and improve your exposure. So this is a lot of gear and whenever we modify our technique to make it a very small incision we have to say well how can we safely still achieve all those components through a small procedure and is it right for this particular patient. This is the full cardiopulmonary bypass circuit what it looks like. This is outflow going into the reservoir. This then gets filtered, air bubbles in particulates gets filtered. It gets pumped into an oxygenator and then gets pumped back into the aorta. The aorta goes here into the aortic root. Cardioplasia is one is absolutely probably the most important elements of an aortic valve replacement. A lot of these patients have hypertrophy ventricles and making sure that they get a really good myocardial arrest is critical. If not no matter what we do they can end up with some degree of heart failure afterwards after the procedure. And I will say that's probably, this is probably one of the, a little bit of Achilles heel about minimizing the exposure is how do you protect the heart still. The most ideal way to protect the heart is retrograde and anograde. Retrograde is highly unpredictable through a minimally invasive approach. So delnito is actually a solution that we use a lot here and that's kind of circumvented this issue a lot and has revolutionized our ability to do these procedures. It's a single dose it's just one shot you give as opposed to having to give retrograde and anograde. You need one cannula and in fact you can even remove it when you're done. So one dose arrests the heart completely for about an hour and a half allows you to do the procedure. You don't have to worry about the retrograde cannula being in place or not so it starts to take away some gear while maintaining safety. This data here from the Cleveland Clinic showed it was extremely safe to use. We're currently looking at our cabbage data is one of the biggest series actually here out of the Texas Heart with Dr. Ott looking at all of the cabbage cases that have been done with and without delnito preliminary results show it's identical even from multi vessel coronary disease. So this is a great advancement for minimally invasive procedures. After you protect the heart you go on bypassing or decompress next thing is to actually do the case do the actual procedure. So typically there's a longitudinal incision just above about two centimeters above the right coronary artery and that lets us see the disease the aortic valve. We start resecting it along the plane of the annulus and then often times you still have some debris and some calcium still hung over along the annulus so we take a second pass with this rondeur to take off any particulate matter that was left behind. Once it's nice and clear we've irrigated and flushed everything through we place several interrupted pericardial sutures usually about 12 to 15 of them then we pass them through the sewing ring seat the valve tie the valve down and then close this air autonomy. So what are the potential benefits when we think about making a relatively complex procedure even more complex by by kind of you know sort of seeing less of the field hopefully there's going to be some benefit to it and so there's on the minimally invasive upper hemisternatomy there's a lot of data looking at this actually this 11-year experience by Dr. Rocky and colleagues group looked at a thousand five patients 13% of them are re-operations that's a little unique to do these for re-operations is a is a different topic 18% of the patients were older than 80 which is obviously a very old group operative mortality even in patients older than 80 was very low was 1.8% so that's that's very encouraging it tells us there's there is some data suggesting you can keep that low STS mortality rate that we need even by offering a small incision small sternotomy bleeding rates were very and infection rates MI rates were all 1 to 2% which is what we would expect for standard sternotomy so that's that's very good news when we look at the Cleveland Clinic data which probably has the most mini sternotomy approaches in their latest update that was published in 2013 about 10% of all the aortic valves was done through a mini upper hemisternatomy this includes all of the valves that were done in 2013 they have they reviewed that data but you can still see 32% of them are still done open 27% were done partial half of these were for aortic valves so it shows you that even in a high volume center there's still we have to kind of select which ones go where survival was identical out to 10 years from less invasive and full sternotomy that's encouraging pain scores were superior for less invasive than full sternotomy although not by a ton but they but it was better what was interesting was that in patients with pulmonary disease who had already had some low FEV ones you the track these FEV one scores patients between 40 and 50 that's a really low FEV one they in particular had a benefit with a with a mini sternotomy compared to the full sternotomy different study looking at 500 patients by back years in Kali group out of Europe showed they really ventilation ICU stay was about the same hospital stay was the one thing that was significant by about a day or two so not a huge difference but some benefit here in hospital resource for for a length of stay in this meta analysis perioperative deaths were lower with the minimally invasive approaches it was interesting compared to full sternotomy 1.9% versus 3.3% but it was not significant there were no difference in the neurologic events there was less renal failure no difference in pulmonary failure no difference in cardiac events there were lower transfusion requirements this does seem to be consistent with a lot of data about one or two units less of blood transfused and then less pain requirements other potential benefits are with the mini upper strum you have so you have approach you have access for TAVR when you need it suture list valves can be deployed through that that exposure as well and in the future reoperations may be a lot easier this this patient Jeff green when I was training at Cleveland Clinic he came in for a mini sternotomy made a lot of sense for him he had to he's a point guard for the Celtics yet to go back out get back out on the field you know for in the court pretty quickly so it made a lot of sense for him he's young though so he had a biologic valve because he couldn't be on kumitan playing you know playing in the NBA but he will probably almost certainly you know five year five ten years from now need to be back for another valve replacement or possibly a valve and valve TAVR so the the reops are certainly easier when a prior previous mini sternotomy was used now how about some of the pitfalls though so the benefit is there I think the psychological benefit is there there there are resource resource benefits as well but what are the pitfalls what is the trade-off what are the things that we got to think about when we're minimizing our exposure or offering a minimally invasive procedure conversions to a standard full sternotomy are not uncommon they when we look at a global kind of full country experience one to 8% of cases you have a conversion when you do have a conversion your mortality rate goes up so it which kind of makes some sense if you have to convert if it's an emergency it's it can be associated with up to a third mortality the order cannulation sites may be a little bit far hard to reach might be calcified the also the atrial cannulation sites may also be hard to reach the annulus itself may be far from the operator might be hard to truly get a good full debridement you may have some greater slightly greater leak rates coronary occlusion rates and there are there's been reported a six percent revision rate so these are all kind of important points to think about so this brings us to a concept that I that I like a lot which is the preoperative imaging so how can we level the playing field how can we make this kind of relatively complex concept a little more user-friendly for almost anyone that goes into approach it this is where preoperative imaging comes into play to plan the procedure and select the procedure for the right patient so ideally you want number one visualization and access to the distally sending Eorta and the right atrium for central cannulation should be ideal so if you're looking at doing a mini sternotomy and the anatomy is not gonna is not going to be ideal for that if the order in the atrium is gonna be far away you should change your approach or you should do it slightly differently because you need to have safe cannulation as that's critical you need to be able to visualize and access the aortic annulus after you clamp and arrest the benefits of ideal exposure are shown here so there is significant variability in patient anatomy I'm going to show you a couple of case case reports of this but essentially if you have the right exposure a mini AVR proceeds honestly like a standard and full sternotomy AVR very very little difference to the operator looks the same if you have the wrong exposure if you you chose one particular decision for a different patient and their annulus and measurements are different than what you would expect it's a very difficult operation and that's where I mean thankfully obviously there are some very seasoned surgeons that can get around that kind of stuff but for the average practitioner in the US doing minimally invasive you want to try to pick the right exposure for the right patient when you can the options for exposure or upper hemistronotomy as I mentioned these this for me was the most popular from from training in Cleveland extended upper hemistronomies when it comes down into the fifth interspace it's still a very small incision six centimeters lower hemistronomy you can use the very bottom of the sternum right lateral thoracotomy which is very popular here mini skin with a full sternotomy is also another option or finally conventional sternotomy these are the different things we have to think about when we look at the particular patient so this is a study that did with dr. Roselli a Cleveland clinic 2013 that got me on this mindset of tailoring the procedure to the patient's anatomy and I use this for everything for transplant I use it for for coronary work for almost anything in this particular case series we were looking at the effects of preoperative imaging and how that could make the operation comfortable or not comfortable this is the type of view that we can plan out preoperatively using Aquarius 3d off offline processing of a cta that was done with contrast and thin slices we can look at many different angles I'm sure a lot of you have seen this for tavern planning or for stent graft planning you can look at the at the heart from many different directions to try to plan what things are going to look like when you're already in the operating room in this particular case so this is a 58-year-old gentleman who had severe valve stenosis norm actually not not hemodynamically significant coronary vessels came in requesting a million base of AVR the preoperative imaging suggested that when this part of the sternum is now it's not it's not removed it's just this is the part that's separated down into the fourth intercostal space we would have access in fact to everything we were talking about we have access to the aortic annulus we have access to the ascending aorta beautifully here to cannulae we got access to the right atrium it's real nice for draining the heart so this this preoperative view tells us that this particular exposure is going to be perfect for this for this gentleman and in fact it was a very easy to conduct the procedure this patient a different patient 68-year-old female with a bicuspid aortic valve and they send any aneurysm her aortic annulus is was far below the fourth interspace actually if you draw a line to it which I don't have here it shows the degree the angle is actually greater than 30 degrees to the aortic valve so in this particular case doing it through a fourth interspace incision that kind of standard the very classic cost growth type mini AVR would make it a very difficult operation instead we're using this imaging we were able to extend the sternotomy down to the fifth intercostal space still keep the incision about 7 centimeters and then have complete access to all these structures this is a different case this is a 7-year-old patient female with tricuspid valve aortic valve stenosis whose anatomy is very unusual so she has ascending aneurysm but the aortic valve is down below the xyphoid so this is a very very low-lying aortic valve if we had done this through a standard sternotomy the chances of converting we're gonna be very high and kind of obviated the potential benefit by doing the preoperative imaging and cutting away the slab of bone on the CT scan ahead of time and just getting a sense of what things would look like we could tell that an inverted sternotomy incision would be ideal so this was ended up being small incision almost looks like a pericardial window type incision about the level of the xyphoid and we did an inverted sternotomy into the fourth interspace in this case gave excellent access to the aorta the valve and the right atrium for cannulating this is a mini right lateral thoracotomy incision which I think which we may have heard about already previously and this particular patient the anatomy was such that the aortic valve was beautifully positioned on the second interspace towards the right of the sternum so this was really a very ideal view for this particular annulus some considerations for CTA so a lot of people say well why do do I have to get a CT for every scan every patient I think if if it depends on the surgeon depends on your preference but you do have to be careful about the timing of the diet administration you do it right before bypassing might be a slightly greater risk of renal insufficiency for that patient insurance doesn't cover all CTA so you have to have a kind of a reason for having forgetting it cardiac MRI is an option non-contrast CT scans probably okay for looking at the dimension but it's not as ideal and it's obviously anybody who's a re-op a CT scan is going to be mandatory always going to be covered anyways echo there's a lot that we use the echo for so I'm not going to belabor that here but you certainly want to rule out things that will make the minimally invasive approach very difficult such as subvalvular hypertrophy other valves that you have to approach when you go in they just want to be sure you're going in for specifically what you want what you want to do and that you can get in and out pretty quickly and safely transesophageal echo is sometimes used to guide the retrograde cardioplecia cannula but as I said with del nido now giving one dose of del nido anigrate kind of gives you a great arrest and you almost don't need retrograde anymore so branching out a little bit just in terms of this concept of looking at the preoperative imaging and how that can clear up the field for what you have to do and make the operation similar to what you're used to going to show you how we can use this approach for a variety of additional surgeries you can use it's a plan almost anything a mitral valve aneurysm repairs circulatory arrest valve repairs ascending aneurysm replacements you name it so let me see if this if this video plays here this is a similar concept I'm going to kind of just take you into the cockpit a little bit of being in the operating room what you see and how how the structures that you have to cannulate and the structure that you have to deal with can make or break your procedure so this particular patient 27 year old male young guy 3 plus AI has a 5 centimeter ascending aneurysm a lot of tattoos really no other past medical history so he wants a minimally invasive approach through which we can offer through a mini upper hemisternatomy potentially so it's a lot of work that we have to do so we plan this look at looked at this with the CT scan we see is a dilated ascending aorta right a nice cuff here at the proximal arch the measurements were such that the root would was above the fourth interspace so this does seem to see be like one that would be approachable very easily through an upper sternum we'd be able to see the structures we need to cannulate to protect and to repair the valve so this would be the approach here small upper hemisternatomy into the fourth intercostal space and what up in a few seconds what you'll see is what this looks like so I think you'll agree once you see it it's almost indistinguishable between full sternotomy in terms of what we need to do so you see all these cannulas that I was talking about this was the cannula into the right atrium to drain the heart this is the anagrid cardioplasia line to give cardioplasia to the root this is SVC line going into the superior vena cava the we're already on bypass cooling the patient because we need to replace part of the arch in in this particular case you notice that the incision is not very big the incision is from here to here it's about seven centimeters at the most it's about this big and only about half of the sternum is divided here we have room to cross clamp the ascending aorta opening up the the aortic valve like we normally would to expose the aortic valve this is a remnant of the ascending aorta I'm just kind of getting as much tissue as possible out of there and now you can see the bicuspid aortic valve in this case and the pathology the view is very good there's the annulus is right in the operative field the heart is arrested nicely the flows both forward aortic flows and aortic drainage is good so even though it's through a small limited exposure the preoperative imaging suggested that this was going to be very much like conducting it through standards or not I mean it was so here we're able to breed this leaflet back and and do the repair which is a different concept but essentially just lining up the length of the of the diseased bicuspid valve leaflet to to be the same length as the normal healthy leaflet now the the heart in this particular case is starting to fibrillate so we start preparing the graph that we're going to use to sew to the arch and I'm going to stop the circulation now completely to do circulatory arrest and replace the proximal the proximal arch so right now the circulation is stopped completely and believe it or not this facilitates the the minimally invasive approach because we can take the clamp out of the way so the circulation is completely stopped we're giving support through the SBC cannula that's delivering protection to the head the patient's 18 degrees right now and we're sewing this standard graft gel we've grafted with a piece of bovine pericardium along the underside of the hemi arch just being very meticulous and careful about each each bite I mean one of the things that definitely minimizing your exposure does is it doesn't give you much room for error so almost everything that you do has to be actually slowed down a little bit it has to be verified before you move on to the next step because it is hard to go back to it without you know completely increasing your exposure so now that the graft has been sewn in now we're going to resume systemic circulation again through this side graft and we've de-air it and now we've just clamped this graft and are resuming circulation to the rest of the body just getting a little bit of hemostasis here of the suture line to make sure everything is very perfectly dry before we proceed with the aortic valve part of this procedure so just tying this down and in fixing these these small leaks and then moving to the next spot now we're going to size the graft to the proximal aorta and then in a second we'll go back to the aortic valve and again just to illustrate that because of the imaging predicting what this exposure was going to be like this really is carried out in very little difference than a standard synodomy would be here we're able to plicaid this valve leaflet after having debrided it we'll suture it down with a double-layer running suture to reinforce that tissue and and we'll sew it down and make it a better co-aptation line with the healthy leaflet and this is what it looks like when that is done now we're just completing it removing our cannulas removing the anigrate cardioplegia line and slowly weaning off a cardiopulmonary bypass follow-up echo shows no aneurysm no aortic valve leak CT scan postoperatively was good patient was discharged home in a few days and is doing well but this could have been very different had his anatomy been different would not have been able to offer it through that through that approach so in conclusion many AVR particularly many upper synodomy may offer some advantage over conventional approaches the benefits are most pronounced in small series with very experienced surgeons preoperative CT imaging provides important details that can level the playing field for cannulating and for your working areas it I believe it should be required for patients undergoing many AVR depending on your level of experience and the expense should be weighed against the potential benefits and clinical outcomes and resource utilization so with that I'll take any questions that you guys have thanks a lot for allowing me to chat with you guys this morning


Okay, come over here. Let's look at the chart pk. Let's go over the chart here for Philip First of all, we didn't do the first trade in this. We missed it completely missed it Yes, should have watched three things two things is a lot for me to watch anyways This worked right out of the gate. I did rate the gap I did rate the gap in the morning, but I also thought I would only have a small target I mean it ended look at this move today huge. Yes So it's off a planet boom Look at that Amazing and even in here, I should have called it for one split second I thought should I call it at 70 for the stop over the high and then I didn't I thought it's too late It's going but the stop was good It was still a 30 cent stop and then I thought well it'll back up it'll back up and never backed up So then I called it in here with a wide stop. That was a good call Everybody stayed with it then the stop was 82. I said you could add at 55 You did take some more than I did take. Yes Okay, so how many shares do you have right now? I have 5,000 and what are you up right now? What's your price? Okay Beautiful So look at it. It looks fine. It looks amazing.  I wasn't freaking out. You were freaking out from this I was questioning Well, I was seeing in relation to what you think some people got out there that were shorted. Yes Yes, and as I told you I might have because of the fact that I would have been heavier into it and not Wanted to hold it longer not wanted to keep trading later in the day and Therefore if I had done this, I would have just walked on the size It's a cheap stock for a move down in and I did say 730 725 720 I did say it's gonna do something at one of these areas. It could have been 725 Where did it go to 731? Yes, but this isn't a problem number here. It's going right now. You're up more What do you what are you gonna do? You can't make the decision in the live moment because it bounces back too fast And if this goes down to 715 and then that's it and you don't get out and it bounces back to 730 Do you know what I'm saying? Like I don't you know, you have to decide. This is the whole discussion in the room today Before you enter a trade how much you're risking if you'd like it enough to retake it You don't have to decide if you're gonna add or not, you know, necessarily You did this because you didn't know if you're gonna get in that and I said it was fine to do that but You kind of need to know what you're doing with this now I Will be happy to break even off as you suggested 715 720 area 715 you're gonna be up money. I will be yeah If it gets to 715 though, I'm telling you that it's gonna break it probably right But it might do a little Yes, three green bar boo boo boo, and then what are you gonna do like what this could do is I'm just because I know charts It could go up do this drop break do-do-do then it goes down Before it breaks it goes up into this resistance here and then drops and breaks it after The resistance then of 730 ish It could bounce back 15 cents drop break go to 7. I mean would you put your position in huh? That's another option. You can do a low install. I like to full-on play things through usually That's what I do and no I told you I don't think you should lower the stop I said that I think you should keep it people in the room wanted to lower the stop And I said if you want to you can obviously if they did they were fine people could have lowered the stop here but You know when you train leader in the day You're you know you have to be watching the market and you also really should use the correct stop Anyways, and this looks very good And I also told you that no one's going to be buying this today It either continues to go or it just flat lines and as it's you seen it's continuing to go now Let's look at the cues. They're red the spy is red. Yes, I Don't think we're gonna recover in the market today. I think the market will not recover green today I'm not saying it has a big sell-off, but knowing that you know the market against you It is 12 o'clock major reversal time I would like to see this go now continue here between 12 and 1 because it's getting close to the lows because it's major reversal time I don't think this should take two hours to go 15 cents It's not gonna not move It's either gonna push back or it's gonna keep going in the next two hours So it'd be better if it takes between now and one to keep going, but it's slow moving here But that's good sign of selling So again, what do you want to do? We'll have to stay with it as long as I possibly can Yes, I would be getting it to you when I was getting to break it definitely What are you up right now?  Right? So that's why I'm trying I'm trying to tell you where are you going to get out 715 let it break Yes, 720 715 ideally, you know 10 more cents you're gonna be up over a thousand bucks. Yes 10 more cents. It's five hundred dollars You're gonna be up 1200 something in the trade because of the position you have with 5,000 shares So what are you going to do? I'm going to do as you suggested. I Told you you can get out at 715 if you doubted 7. What do you want to do? If you get out at 7 the whole the whole total of profit in this trade will be 2350 That would be terrific for you. You know really. Yeah, I'll be up 1300. Yeah Yeah, you would more than have exceeded your goal for that where you're doing in the day And also that you would have had another over $2,000 trade. Yes But no one said it's gonna take five minutes That's the problem with trading in the afternoon You know, what are you gonna do? Well, the question is how how long am I available to sit here. Well, I don't know do you have things to do today? I don't have anything to do. Yeah, I told you I have to do work So I'll do my work. You're fine with that. Yeah, and I'm saying you can stay here you can play it out But I still you still have to know if you're gonna get out of it 715 or 7 if you're sitting here staring at it watching But as you say it could plow through 715 and then go down to 7 In which case, yes It's just like This morning, but we weren't watching it. It's easy to decide then when it stops at 715 bounces. Yes What are you gonna do? What are you gonna do at this moment? I like the look of it. I like what it's doing. So I would play to 7 If it goes down to the low of the day does not break in a fall for planet, what are you gonna do? Take it out. Yes, that's what you need to know and you need to decide and you need to make a conscious It's just been not played in the moment and say I think boo boo boo. Okay. All right All right, this is Melissa. I'm with the stock switch will review the OPK once Philip gets out of it He's holding on and we'll see what happens Email me at Melissa the stock switch commie who want more information everybody and have a good day


Difference on how your character plays on how your team plays this is not a character games is a team game because I can say You didn't say that both cameos can do a same thing. They can do something something cameo would be plus I mean that's right, but they do it to completely different ways Yeah, like there's a big set up factor with lot with low hat you can steal turns offensively with low hat It's your turn for even longer as Johnny with low hat But you don't really get the same like extended chip series that Cyrox can get you don't get some of the same Combo conversions that Cyrox can get yep But you can get unrelenting pressure and longer pressure with that low hat as we got false here in a position to show Us it if you can get a go and no gambler. It's got hasn't got the Cyrox train on the rails. Yeah choo choo Okay out of that. Oh Come out of the rescue footsies footsies look loud hat Unexpected to finish the string It's very rare to see Johnny go beyond two normals because that's just how the pressure is built right Yeah, he can still be plus after two Depending on what he brings out or you oh interesting interesting low hat blows it up Trying for the parry I don't know if those are go shadow kick attempt or what with that stand three or four out there in oblivion From the corner gambler saw that check even though only a little bit of the helicopter hit right there We did the jump really almost recognize again setting up safe jump into pressure one one such a bully string It's his turn still Oh buck the time maybe looking for safety, but no No, and that juggle was a little weird and finally committed Pulse is unafraid to go for those parry meets Big damage. Yeah All the crowds in Through it out loud. I get to set it up. No, no, it's denied I was a lot of whipping and perfectly punished Damn, I threaded the needle there. This could be it for the death. Yes Funny and then he throws the phone. Come on. What a waste. No, he's fine. He's got plenty of money This is John Carlton. He's doing fine. How do you think you know he can afford the mansion still man? Yeah, no, you're right. I gotta have them burners And man the movement in this match between these two is so sick Low hat's still there because he held on to it. That's it's done means you get the combo out of it I love that we can visually see both players recognize when they go into each other's for three range You go man, I feel like it with that right now We're a little too close Oh, that was a big challenge just that one special and that's what separates us too as well Is you guys see a lot more of that rising uh the uppercut of johnny with the syrox assist versus the law where it's much more grounded There she is Oh, didn't believe it Here we go gambler Moving on two bars spent syrox lets you set up the bomb We're blocking the low hat almost dash into it Yeah, and you want to do it pulse with no fear Just like before in a very similar situation Johnny with the parry fatal blow With his back to the wall, which was just all a bet everything in in the moment Normally you see johnny's trying to throw those when their opponent's back is to the wall So you gotta guess try to jump But no The straight use of the parry mechanic of that fatal blow coming in. Yep pulse man the movement in this match up is a treat to watch Keep it up. Nope Got the in and out and ready for that grab plus gamblers. He's tucked under It's his turn And johnny guy's not the biggest damage dealer. It's just that honest near 300 every touch that boom It's time to play Good blocks there and oh my goodness the low hat. Yeah, it's happened a couple of times. I really like the Covering kind of both sides. It's just a four three cameo input. Okay, not going to the flesh monster I think that abomination down there. I don't know. I can't look at it. We're moving out of there Okay, we're going back That's a that's a sheng sung's christmas tree Yeah, all right Let me look at the star on top And they're so aggressive on wake up You see the four dashing on wake up so much and dash canceling just to try to close that gap and get normal range again Okay, it's pulse finding the moment for himself Backing off. No, wow The brave call. Uh-oh. He said i'm not going to drop this one It ain't over yet. What a price to pay. Look at this 400 I'll wait it all out. Yeah, he did not want to even take a risk It lasts a long time the active frames are there for a long time. I'm really smart You want to swing into that it doesn't have the scariest lows or your low start or even Could just weather it Gambler one of the cyrax if you guys ever get confused If you see the spin It's gambler on the hunt. Mm-hmm Taking away a cell for a block right now pulse You know both of them It just comes down to being right on the stagger when you've got enough of those frames to get nine out in that four three Look at that knee getting to work it just look at it dizzy somewhere smiles Look at that knee. I know every time it's called Disney. I think it sure is shots of dizzy They're another on studios And every cage player in the world is probably did away. That's actually my pulse Shaking his head. It was so good.  Oh god. There's the guys. I'm sorry. I'm playing you're in trouble, buddy pulse here So back to character select I'm not looking for a character change might be there to be a cameo change Gambler was on cindal early couple other characters cameos Well, he's definitely considering it If he does change if you're not familiar with the rules here if he changes characters, then His opponent gets to change cameos in response what if So Yeah, never mind. It's not gonna be the case. I'll stop the run a wild scenario. Okay, sure Whoa, dude, you are so cut. Yeah, I'm on the Santa Clarita diet There's nothing better than johnny cage interacting with johnny cage in world combat And nobody loves johnny cage more than johnny cage, which is canon. Yeah. Yeah In this mortal combat all timelines are possible So it's being plus two oh and he swung through it Johnny cages parry is so unique in this game to where you don't want to commit to something that's going to leave you In much recovery. That's that's the difference versus just getting straight up punished for it. Yeah Now one parry gave gambler all of this throw To the sky this death Yes No Bet just chip is all he needed Gambler probably a little bit of a smarter In a situation to go for the shout of kick wanted a little bit of a special because now we are back in a mortal combat We're building meter matters. Mm-hmm. Yeah, that's true Oh actually punished He gets to hunt on the approach Low at all you just get slow johnny down. I do. I love it. Yeah grab in the air the animation. So good That's a good animation. Oh that enough bunch gives me shivers every time Doesn't have two bars for the full thing So pulse move sword Out of the corner was the throw that was why it worked gambler was looking for that to be the back throw I just see a really similar use of cyrax that you saw from other characters too where it's poked special cyrax Johnny cage gets it but that added mix up with him coming from the sky a lot of people try to uplock and get blown up Really different kicks and oh my goodness. Is he gonna be able to press the button low heads back again? man all these turds stolen back and forth Pulse they're both having he's got low hat And it is there In true assist fashion You did you sure did Pretty pretty that guy in the back like the two Can you imagine just watching these two clones fighting each other and not leaving? Yeah, why do what are you doing here? Oh, well, I almost got sniped Awkward pick up there. Almost I was gonna fall out of the corner on that second hit Upkick gambler feeling it. This is Right guys. Those are eliminated from the pro competition Gambler with a huge life lead Looking at it. Maybe no not quite Two 99 saw the down one and says thank you for doing down one as long as doesn't see the uppercut my turn Yeah, down ones downpokes in general really minus in this game giving the opponent sometimes straight-up opponents depending But in any case definitely the opponent's turn that said really important turn sealing tools anyway for that little bit of time between the matches paying off getting composed settled It's a big moment. It's a big stage A lot of people watching millions watching millions watching a lot around the world live. You know, hope they can't hear me Right back in Back to madame bow's restaurant. Yeah Brought her out.  She'd probably handle that. Oh, yeah If she can handle the table. Yeah, exactly. She can handle being she fell two stories. She was fine Big drop Big star by Paul some media wake up microduck. Thank you Woke up with violence there Loan some hike too. That's something we haven't seen in this mirror at all. Yeah, it's where is the hype The hype has not been needed that the sauce has not been needed. It's just been the basic page of cage The game plan I don't know if the sauce is unneeded a lot of dudes in the background there Taken from it pretty deeply right now There on that bar Yep, still low hat Oh, it came off some extra resources there So, you know what I can do some damage too No, sirex needed man. The fact that he gets to keep us turning that long. Oh, that is terrifying Pulse moving forward escape failed Again, he was looking to maintain corner Low hat on the approach you're gonna get hit anyway, exactly recover the time not gonna punch by the hat as well Just these one more pulse He's pushing him to the corner guess this right on the 250 50 gambler Man his growth itself were excellent throughout that match As he consistently had the right read on which direction to do that gambler was not expecting three to one And with with the path that pulse was given I mean cementing himself as one of the Johnny cage if not the Johnny cage maybe so in the competition


Hey everybody, welcome back to the channel. I am going to look and check right now and make sure I started recording because this is the second time I've tried this video. I'm getting really good at making videos over and over again because I keep having to make them over and over again. This is really, this is terrible. Okay. Anyways, today we're going to be talking about a terminal client for Telegram called TG. Just the letter T and the letter G. That's what it's called. I will have the GitHub page linked in the description below. I believe this is also in the AUR. So if you run Arch, you can just install it right doing yay dash capital S Telegram dash TG. I believe is the package name. Anyways, let's just go ahead and jump right into what this looks like. This is, so you start this program by just running TG in your terminal. And this is what this looks, what the program looks like. Two columns on the left hand side, you have your chats and you navigate these with them bindings for the most part. I'll talk about one that doesn't work inexplicably in a minute. And you can go into your chats using L, which is or you can also use the arrow keys if you're one of those heathens that use arrow keys. But you can jump up and down using J and K. And it's very simple to navigate with your Vim keys. Now, if you want to go to the bottom of your chat, let's say you've navigated all the way up here somewhere and you're just reading along and then all of a sudden you want to go to the bottom shift G works or capital G goes to the bottom. Now if you're back over here in the chats and you want to go to the bottom, you can't just hit shift G. I'm not sure why that doesn't work. But if you're at the bottom and you want to go to the top, you can press G G and that will take you to the top. So that's a little inconsistent, which bothers me. But you know, what can you do? And it's really weird because you can't actually go through and remap any of these keys. So at least as far as I can figure out, this is written in Python. So maybe you if you know some Python, you probably could figure out how to do it. If you want help, you just push the question mark key and where you are in the program will determine what help you get. So if you're in the chat window, if you're in the chat list of chats, this is the one that you get. So it shows you how to move up and down between the chats, you can move up 10 chats, down 10 chats by using capital J, capital K, you can view your contacts in this thing. So you can create new chats, you can delete chats, you can go to the top chat, you can toggle mute, which is really it's fairly useless in this program, because there's no notifications at all. But you could do that if you if you use this in, you know, conjunction with the main Linux telegram client, because those things kind of transfer over, you can also toggle the read and unread status of the chats. So if you're in the chat window, and you press that help, you get way more options. So you can toggle a select message now so select and jump to the next message with a space. You can jump 10 messages down up with the capital J and K, you can reply with a long message, which is capital R. I'll talk about the replying and writing messages here in a second. You can delete your own messages, you can open URLs. These ones here are very interesting. If you have a mail cap file set, you can send audio uncompressed audio animations, which would be a GIF or an image, you can also I believe there's also a way to do a file that way. You can edit messages using the E and so on. So this is basically all the help is there's no man page or anything like that. There is a little bit of stuff for the configuration file on the GitHub page, which I'll show you in a second, which I closed that page already, because so I'm going to find it again.  Anyways, so let's talk about the main thing. So let's say you want to write a message, you can do that by pressing a. Now you probably can't see this on the video because it's really, really small. If you press a, you can see the little blinking cursor down here. This is a message and you just type that and you hit enter and it would send it. I'm not going to send that to the ARCO or the ARCO group that'd be very interesting.   And while if you sent that, which I'm not going to again, if you sent that here in TG, it would just look like a regular message. But if you went to the, after sending that went to the official telegram client, you would notice that it actually maintained the formatting so that you did your spaces, it would maintain those spaces, which is really cool. Now reply works the same way only with R and capital R. So if I wanted to reply to this message here, I just hit R and this reply and, you know, like that or get out of that and do capital R and this is a reply. Okay. So that is very simply how you reply and send new messages. Overall, why would you use this?   Does this have any specific advantages over using the other one? Not really. Telegram is not a huge memory hog or anything as far as I know. But if you want to be cool, use the use the terminal program TG and, you know, just be cool like the rest of us. That's where you should be. Anyways, that was just a real quick video on a really simple program. If you liked it, you'll want to hit the thumbs up button. If you disliked it, hit the thumbs down button, subscribe if you're interested in finding more open source and Linuxy type content. Coming up, there's going to be a video on my audio problems because I've been having some audio problems. I got a new audio interface and it's just not been a kind to me in terms of, you know, actually working. So I'm using it now, but it's not, you know, it's not been something that I've been happy with so far. Anyway, so thanks for watching and we'll see you next time.


How much of the U.S. dollar values dependent on foreign lending from lending or foreign borrowing? Peter Schiff's is convinced that other countries will stop accepting U.S. IOUs and will cause it to be worthless. Also U.S. Dollar index is going down while gold is going up. Yeah, I mean if foreign countries stop using dollars If stop, foreign countries stop buying U.S. debt Then the dollar will collapse But you have to ask yourself What would they use? What are they going to use if they don't use the dollar? Right now if they were rational They could go on a gold standard. That is impossible to imagine The China or the European Union would abandon the dollar and go on a gold standard Because the gold standard is too limiting to statists. The whole point of a gold standard The whole point of going off a gold standard is to give status more power and more control So with the world investors start using one the the Chinese currency really I think the Chinese Economic system is built on an even bigger house of cards in the American economic system The Chinese government has control of its own currency even more than the U.S. government has control of its own currency The the the the Chinese have borrowed huge amounts of money. Can they ever repay it back without inflating their currency? Oh Well, they all shift to the euro really you trust the European Central Bank more than the Fed So the problem is that in a world of fiat currencies and in a world unwilling to go to a real money like gold What are they gonna go to is the US dollar good money? No, is it as good or better than the euro and the yuan? Yes, probably better now at some point it might not be and At some point it could collapse relative to Euro and to you on I just don't see it because I see Europe and China as even more decrepit and even more at risk economically than the US dollar than the US economy is That could change of course. Europe could become sane China could move towards capitalism, but it's unlikely anytime soon So I'm not worried about the dollar collapsing relative to other currencies anytime soon now it is possible if we get inflation That is if the government if Trump gets another trillion dollar stimulus package I think trillion or two trillion or whatever they're talking about these days and the Fed continues printing money like crazy Then we will get inflation at some point. I know it's six trillion But you know people talking about inflation after the after the financial crisis and it didn't happen So I'm a little wary But because of other mechanisms that suppress inflation at the surprise inflation at the same time as all this printing is going on It's all those are disappearing onto the for example reserve balances at the Federal Reserve So it's not actually going out into the economy and creating the kind of activity that would create inflation But if we actually got significant inflation in the US Then yeah, the dollar would be drop in value unless and this is how markets are self-correcting What would encourage foreigners to buy dollars even if you had inflation? Not dollars what would encourage foreigners to buy dollar denominated debt? Even if you had inflation Well, what encouraged them is if interest rates were very high So for that to actually happen For that to actually happen The Fed would have to allow interest rates to rise particularly long-term interest rates to rise So again, whether the dollar collapses completely is depends on what the Fed does The extent to which interest rates are allowed to move The extent to which we are Inflating our currency to the to a point where prices start going up significantly and to the extent that other countries are not doing that That is to the extent that to what extent is Europe and China engaged in more rational economic policy I see no sign That China and Europe engaged in economic policy that is better more rational than America is then the US is right now We will see maybe I'm wrong But but that's why I don't see the collapse of the dollars imminent now gold is going up because the risk of inflation has gone up So if you want a in inflation hedge if you want a hedge against the possibility of future inflation price inflation Then you buy gold so the gold is a consequence of the fact that Gold going up as a consequence of the fact that the risk not the actual inflation, but the risk of inflation of a price inflation has gone up Somebody says there's 30 trillion dollars of debt There's much more than 30 trillion dollars because what we're not Counting is all the obligations that the federal government has made that are not literally Denominated in bonds and if you count those which which includes so security and Medicare Then the actual US debt is closed is as well above a hundred trillion dollars But those obligations also exist in Europe and in and to some extent in China What we need today what I called a new intellectual would be any man or woman who is willing to think Meaning any man or woman who knows that man's life must be guided by reason by the intellect Not by feelings wishes women's or mystic revelations Any man or woman who values his life and who does not get want to give in to today's of the spare cynicism and impotence and does not intend to give up the world to the dark ages and to the role of the collectivist All right before we go on Reminder please like the show we've got a hundred and sixty-three live listeners right now 30 likes That should be at least a hundred. I figure at least a hundred of you actually like the show Maybe they're like 60 of the Matthews out there who hate it, but but at least the people who like it You know, I want to see I want to see a thumbs up. There you go start liking it I want to see that go to a hundred all it takes is a click of a click of a thing whether you're looking at this And and you know the likes matter. It's not an issue of my ego It's an issue of the algorithm the more you like something the more the algorithm likes it So, you know, and if you don't like the show give it a thumbs down Let's see your actual views being reflected in the likes, but if you like it don't just sit there help get the show promoted of course you should also share and And you can support the show at your own book show Dot-com slash support on patreon or subscribe star or locals And and show you support for all for for the work for the value. 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Today we are removing red tape and creating flexibility for hotels and resorts allowing them to provide a welcoming environment as they envision for their guests. Effective January 23rd hotels and resorts that own a restaurant or bar will be able to permit guests to carry unfinished liquor from the bar restaurant directly to their room. Additionally hotels and resorts that own a bar or lounge will be permitted to serve a complimentary cocktail to guests upon check-in. Without a doubt these resulting changes will have an impact on our industry. The ability to offer guests a complimentary drink at check-in whether it's a warm mug of mulled wine over the winter season or a fresh summer cocktail this allows hotels an added layer of luxury to their guest experience. Additionally having guests being able to take the drink from the hotel bar directly to their room allows a sense of comfort across the entire property further enhancing the guest experience. This change builds on the 48 recommendations we've already implemented to improve liquor laws in BC. Today's announcement is the perfect example of how a simple change a simple change in the law can do a lot to help a business instead of hinder. We need to be able to compete internationally and it's common sense changes that we are making to policy to allow our small businesses to compete.