Alright, so here's a very important optimization if you want to feel superior to people on the internet Or, I mean, at least if you want to write your scripts very efficiently and optimize and stuff like that This came up in a video a little bit ago And I realized I didn't have enough time to explain it just in case you don't know it So, here's a video on it So, I did something, we were doing something like this And, oh, actually, this is the lesson of this video Never use a complicated tool when a simpler tool exists Never rely on complex technology when simple technology exists That's a recurring theme on this channel But, so, let's say we have a variable in our shell We have, and all it has is two Well, it's one string, it has two words in it Apple and orange What if I want to do something with that information?  I used these weird commands in a video previously to do stuff like that in a script And I said that that was more efficient than alternatives Now, first off, well, I'm going to explain how these work Because they look like totally vexing But, first, what do people usually do when they have this issue? Let's say that you have, let's do it ourselves Let's say we do have this variable, Apple, orange So, of course, you can print a variable out Now, right off the bat, a lot of times people will use something like AUK Let's say we only want, so we have this variable that has Apple orange in it We only want to print out Apple A lot of people will do this They will say, okay, I saw someone do this, so I'm going to imitate it And it does work, I'm not knocking it, I've done it before, I do it But, let's say you pipe it into AUK And AUK has this option where you can say, okay, only print the first column So you run that, and it only has Apple Or you change this to two And it says, okay, I'm only printing orange That's how that works So, this is how people often do it Of course, I just ran it here, it was nice and quick But this is actually really inefficient, okay And what I mean by that is every time you run this, you're calling AUK Now, first off, let's, let's, we've got to bust out time If we time this, you see that, you know, here's the time it takes Now, of course, that's very quick, that's way faster than humans are going to notice But, I was writing a script last week where I was looping through something And I had to do exactly this, this modification And because I was looping through something and running AUK Calling the separate program AUK over and over again It was so laggy Whereas, let's say, we just do this Okay, and let's say we time this How quick, how quick is this command? Oh, look at that, it is like 0.001 Okay, actually if we rerun it a lot of time, I've run this before Sometimes it's literally just 0.00 This is infinite, this is one-sixteenth of the time Of the AUK command So if you're running this in a script, you definitely want to be doing this Simpler alternative that's built into the show Actually, let's have a three-way comparison Because a lot of people use AUK A lot of people will know that AUK is actually a very complicated program It's very big, it does a lot of things The assembler alternative is usually cut So we said AUK was, you know, let's re-time AUK Where did that go? Okay, so AUK goes about that fast It's a little faster this time, but still pretty slow Let's try cut Okay, I'm going to say cut, use the delimiter of spaces Because we have spaces separating the columns Quote-unquote And format for me the second column Okay, so AUK took around this much time Cut was nearly half as fast Twice as fast with half of the speed And if we use this built-in equivalent, it's way faster So we want to figure out what this actual built-in equivalent is But look at it, it looks confusing, so let's explain it So I have this little script here, it's called Tester Just to validate that it works This first command will print out Apple This second command will print out orange And they get it from this variable No fancy, nothing else fancy Runs extra quick Okay, so let's figure this stuff out Okay, I'm going to actually just sort of get rid of this stuff by exiting before it So of course you know that we can echo out a variable Okay, that's everyone knows that kind of stuff It's not run time on that because that's going to get annoying So, and that'll echo out Apple orange Let's say you can also do this You can also modify a string and do special stuff with it Add on special things, here's an example I'm going to say pound sign and then I'm going to say A Okay, what does this do? If I run Tester, what that has done is it deletes that first A Now what the pound sign does is this It says delete, I'm going to give you a substring In this case our substring is A I want you to delete that from the beginning of this string So if I say A it deletes A, if I say app It's going to delete app, if I say Apple It's going to delete Apple Notice it did not delete the space here, it just deleted Apple What happens if I say orange? Okay, here's a good question Nothing happens, it prints out the whole variable Because pound sign is only deleting from the very beginning If it doesn't find a match at the very beginning It's not going to delete So if I say orange, or if I just say or It's not going to delete anything But you can also match globs So I can put an asterisk in here And it's going to try and find the match of an asterisk The asterisk of course means in glob matching It means any character So it's going to say, okay, I'm going to start at the beginning I'm going to look for any characters I find And then I'm going to find OR And that's when I'm going to stop deleting Okay, so if I run this now It is going to delete all the way to OR Or specifically it's going to find this whole regular expression Of dollar sign, or dollar sign Asterisk OR And then it's going to delete that, okay So it's deleted all the way to OR Or if we change this to L What's it going to do? It's going to start at the beginning It's going to find the match of the glob And then L and it's going to delete that All from the beginning, okay So that's what that's doing Now here's a trick, this is a trick question What happens if I just have a glob? Okay, what do you think? Now normally the glob can match literally anything It can match nothing, it can match anything So what is it going to do? Is it going to delete nothing? Or is it going to delete anything? Okay, in this case It's going to delete nothing Now if you have one pound sign What that means is I want Glob match conservatively Glob match as little things as possible As few things as possible So if I put two pound signs as I have down here That is going to say, okay When you see an asterisk, be really greedy Steal everything, get rid of everything So if I run this now, it actually says Okay, the whole thing matches the asterisk So I'm going to delete it all Now in some cases of course Let's say the example of asterisk P If I run that with two pound signs That's going to delete both P's Because it's going to say I'm going to be greedy I'm going to take, I realize that this matches You know, I'm going to be really greedy I'm going to take as many as possible If I have two pound signs So I'm going to delete APP But if you have one pound sign You're saying be as conservative as possible In that case, it's only going to match It's not being greedy The asterisk is not greedy So again, what pound sign does Is it deletes from the beginning If you have one pound sign Your globs are going to be conservative If you have two pound signs So what do you think that the percent sign does? Well, let's try it out Let's see what this does So let's change this to a percent Oops, so we know that If we run A In pound sign It's going to delete A from the beginning What happens here? Well, nothing happens here Well, that's because percent sign Deletes from the end So if I change this to E You will now see that E From the very end has been deleted Without it's E So we can also put in Here, we can put in And you see that it's now Apple Aura Or we can of course Match globs as well So we can put in and then Glob match And that's going to delete In G E Or let's actually try again with P Because that's a good example of the double letters In this case Since we have one percent sign Just like in the case of pound signs If you have one percent sign It's going to be very conservative in what it deletes So its glob Is only going to match up into the first P And delete only that Whereas if you have Two percent signs Exactly equivalent to Having two pound signs It's going to delete both P's The glob is going to be grittier So that's what's going on here Now So just as a rehearsal This is a much quicker way At looking at strings Deleting portions of them Or getting subsets of them This doesn't work the same way as Awk when doing multiple lines But if you just have simple variables Like this it is much more efficient Much faster It happens basically instantaneously You should always do this if you have the opportunity It is a built in solution for your problem So just as a reminder Pound signs delete from the very beginning Maybe we should just rehearse So pound signs delete from the beginning If our string is Apple orange I can put in Apple And that is going to delete Just Apple, it's not going to delete the space here If we want to delete the space We have to delete that Whereas percent signs Are going to delete from the end So it's not going to delete anything here Because Apple space is not at the end But if we replace it with Space orange What's it going to delete? It's going to delete all of that stuff You can of course put globs in these As I said And if you double them the globs are going to be greedy Now one final note Let's look at these commands that I already have Now I should say Let's just run these commands And you'll see that I get Apple and orange So think about it If I'm using two percent signs here And two pound signs here If I only have one of them In each In this case it's actually not If I run them over again It's matching space And then glob So the reason this deletes space orange Is because I say here's a space And then here's an asterisk Delete everything there Now the difference happens Let's say we change our variable Let's say our variable is now Apple grape orange Only one glob matching right now So let's say we're being Conservative in our glob matching If I run this This first command is going to delete All of this because it's matching Conservatively And the second command is going to delete With the pound sign It's going to delete this without the G I didn't mean to highlight that So in both cases Grape is in them Whereas if we put in the extra symbols To tell it basically be greedy Or in their globs It's going to not print out grape Because it's actually matching Just to be clear Let's say this one here If we tell it to be conservative It's only going to match up to this space But if we tell it to be more radical It's going to be up to this space That's the difference I re-explained that a couple of times But that's how you do it Edit substrings This is built in the POSIX shell Or at least Dash There's even more of this kind of stuff with Bash Maybe I should do a video on that Alright, so that's enough This has been gone a little longer than I expected But I'll see you guys next time


The importance of considering the differences between the male and female sex in clinical decision making is crucial. It has been acknowledged in recent decades that clinical trials have not always adequately enrolled women or analyzed sex-specific differences in the data. As these deficiencies have hindered the progress of understanding women's response to medications, agencies in the United States have worked towards the inclusion of women in clinical trials. This article was authored by Lu K. A. and D. Pietro Major and A.


Good morning, everyone. It's about eight o'clock. My name is Lee Ferguson. I'm the new first year resident here at the John A. Moran Center. I have the distinct pleasure of introducing the three presenters for this morning's grand rounds. The first presenter is Dr. Brent Betts, and his talk will be about unknown corneal lesion. First off, I want to thank our patient for coming in early this morning, and she's also here today to hopefully hear some discussion that we have about this interesting case that we have. So this is a case that has seen most of the corneal service. The chief complaint presenting was there was a bump on the patient's left eye. In history, she's 26-year-old female. Lesion started as a white dot about a year and a half ago now. She did have surgery to remove the lesion, which I'll go into a little bit later a year ago, but in the past six months, it's growing back with a vengeance. Her vision, she reports, has been blurring her left eye during the last three months. She denies any eye pain, any redness, removal irritation. She does have difficulty wearing contacts, and like I said, that were the fourth opinion that she sought for this lesion. Passable chemistry is pretty insignificant when you see her eye issue. Examination, she's 23-year-old right eye, 25-year-old left eye. She's a contact lens wearer. You can see she's a high myode. She does have some irregular stigmatism in the left eye, limiting her vision. But everything else is pretty unremarkable, including her IOP. Anteris segment examination with Siltland. You'll see a photo of her left cornea, but everything else was unremarkable. We did not do a fundus exam on her visit. So here's the Siltland photos. She did have her contact lens in, so you can't appreciate fully, but I'll try to explain some pertinent points here. But you can see here she has this lesion of her inferonazle quadrant. Measures about 5 millimeters vertically by 4 millimeters into the visual, near the visual axis. You can kind of see there might be, you know, a little bit more prominent vasculature at the limbis where the lesion is growing. And here's a close-up shot, but you can see it's kind of this yellowish color at the leading edge. It appears that there's some kind of crystalline or lipid deposition. One thing that it's hard to appreciate because she has her contact lens in, but actually when you get into the cornea there's actually clear cornea over the top of the lesion, so you can appreciate that's fairly deep into the stroma. You can appreciate the lipid cartopathy here. And then here again. We did enter a segment OCT and you can kind of see here it looks like the anterior stroma and the epithelium is intact and fairly normal over the deep stroma lesion. I actually, when she came this morning to Gonioscopy on her and the lesion is either full thickness or it bows in the peripheral cornea, but it's not invading the angle at all. Here's some tomography. You can appreciate she has quite a bit of a stigmatism centrally and you can see her posterior float is really bowed in where the lesion is located. So for past OCT history we got great notes from where she was treated in San Diego by a prominent cornea specialist. She was evaluated first in May 2015 down there. There's kind of this described as like a red spot by her cornea for two months previously and felt that sometimes it was hitting her lower lid. She was treated with medications over the next two months and you can see she had topocleroids, oral NSAIDs, oral corticosteroids, none of which changed the size or shape of the lesion. And then she was also treated with valicycabir due to concern for maybe some kind of her pettic process. Nothing changed me of that. So it was decided to do a full laboratory work out. Everything was within normal limits. And so kind of the working diagnosis through most of her visits down to see this cornea specialist was nodular scleritis interstitial carotidus. I'm not saying that's what it is, but just kind of as an idea of what they were thinking. So they decided to do a biopsy of it. So they did about 10 weeks after she presented, after she had tried all these oral and topical therapies. And then postoperatively and I'll go through the operative report next, but she was on Durazol twice a day, a lever daily and then a best advance for the first week. She did a long Durazol tapering was on it for about six weeks to two months after the procedure was performed. But this is, I basically copied this straight from the operative report. The contractile was pulled back. The lesion was resected with a crescent blade till it was flushed with surrounded cornea scleritis. And then, you know, he said it seemed that there was some kind of yellowish lipid mat underneath and this was taken in its entirety. But you can see the patient provided a postoperative photo. Oh, and here's the pathology report. This is once again taken. It was not read by an ophthalmic trained pathologist. But there was this benign screen is up feeling with sebacellular nodular clestinal lymphocytes, histocytes and ethereal cells and stromal cells. There were some markers that were that were done. Some of the markers, I didn't include them in here, but everything was negative. Any kind of markers they did. Post-reception, you can actually appreciate it's kind of blurry because it's a cell phone photo. But you can see here, it's a lot different looking than what we're seeing today. There is still this yellowish material at the limbis partially onto the cornea. But, you know, compared to today, that's quite a bit different. This is about a year later. And so we're bringing it today because we don't really know what this is. There's some things that are differential diagnosis, infectious things we were thinking about. We do know that she was on Durazol for two months postoperatively, never had any kind of, you know, infectious appearing thing going on. So we think that's pretty low. Congenital, you know, when we first looked at it, I thought, was this a limbo-dermoid? Those typically don't occur like this. And it really only started a year and a half ago. Inflammatory things all going to a couple, one diagnosis that I'm not proposing that this is, but just food for thought. And then neoplastic, there has been a, I didn't include photos because I couldn't get permission, but there was a, there was a case report of benign lymphocliferative hyperplasia, baryngoactive lymphocliferative hyperplasia with corneal involvement. And it did have a fairly, you know, kind of similar to a parent star patient. But that patient also had follicles, kind of classic for lymphocliferative hyperplasia. And had completely opaque corneas and required keratoplasty. And when they did pathology, there were there were germinal centers and all kinds of things suggestive of that. But we also, you know, thought as this, sometimes you can get CIN that looks like this. Not quite like this, but you know, we're, this was all in our differential. One thing I just wanted to bring up, because Dr. Lin actually had a recent case, is this thing called epi-bolver nodular fasciitis, sometimes just called nodular fasciitis, the cornea, but it's benign fibroplastic growth. There are only about 23 cases total in eight case series published in the literature. It's thought to be associated with trauma and inflammation. A lot of the case reports are associated with floppy eyelid syndrome, which our patient doesn't have. But the thing that is kind of classic is you have this really rapid growth. A lot of times people the treating physicians were concerned about some kind of malignant thing. But it's almost always just this kind of mixed, a mild fibroblastic tissue on pathology. I was fortunate enough to know two people who provided case reports. The top one is kind of a really striking example out of Cleveland Clinic, but you can see this is a huge nodule on the cornea that was resected multiple times. And once again, pathology didn't show anything really, it was just kind of my eryfibroblastic growth. And this is our case that was about a year and a half ago. But you can see here at the limit, there's this elevated lesion. This patient didn't really have any pain with it. Just kind of showed up. No history of trauma in this case. But you can kind of appreciate it's hard to see on here, but it is a little bit yellow, you know, kind of same as yellow color as our patient at the limbis. But, but like I said, we really, you know, include this in our differential. But once again, our patient has no history of trauma. She has a chronic contact lens wear, but wears them appropriately. But they are the very high correction soft contact lenses. So our kind of we thought about treatment options because it is nearing visual access and it's inducing a lot of stigmatism. Number one is observation. It seems like it got worse after she had an incisional biopsy. We thought about doing cryotherapy at the limbis to shut off maybe if there's some feeder vessels. More extreme things would be a complete incisional biopsy. You'd want to get ultrasound before we even consider that to see how deep this actually is. And then we thought about doing maybe like a partial repeat biopsy and using mydomycin C afterwards. But we just wanted to bring it to here to get some expert opinion because like I said, we just are not entirely sure what we think this thing is. So appreciating the comments or thoughts if anyone hasn't any. I'll just show the lesion again. Oh, this is a, you know, obviously a fascinating lesion. Very concerning. See where some of the residents so so first of all, as you look at a care for the sitlamp and where is most of this change occurring? Tara, where's most of this change occurring in the cornea now? Is it superficial? Is it deep? In fact, the superficial cornea as you get out towards the head looks looks really normal as the epithelium. And so this is something that you can follow as you get along to the front of it. I mean, this is right at decimation. So you've got to tell me that this is going, this is mainly posterior cornea where these changes occurring. And this is going right down to get it. So I know Francis Miles, he's a good friend and an outstanding corneal specialist. I mean, I have a feeling as what he was removing was some of this thicker superficial change, which I think is likely secondary. And so the pathology may not really have gotten that, you know, to where this is. But I've learned, I mean, those are the kinds of reports you see from a, you know, a non ophthalmic pathologist. And often that kind of stuff is just almost meaningless. And nothing should be done until we get the slides and we get the specimens and have Nick look at this in detail and try to give us a better idea of what we're dealing with on this. But that's the problem. And most of the things we deal with, be it be at CIN or be it, you know, stem cell failure or the rest isn't deep in the cornea. Something you can use these superficially take out, whereas most of this change is coming in extremely deep. And if you're and if we know it's a lesion that somehow scary and otherwise can be treated, and this is going to require a full thickness corneal resection in order to get rid of all of them. So the other important thing is, is we keep talking about it, it's yellow. What does it what does it mean that it's yellow? You see something like that. I mean, what, what does that tell you? Yeah, yeah. So don't mean anything that's causing new vessels to grow that are not fully formed and fully mature will leak lipid. And that causes a yellow change. So that's, that's a non specific. And all, all it's telling you is, is that you've got immature new vessels that are growing. And that crystalline stuff you see right along the edge. That's, that's what it looks like. And it gets thicker. It turns around into yellow in that particular area. So often what you do on these tough ones is you try to, first of all, decide, you know, what this isn't.  And the one area that you think of an infectious is some form of interstitial keratitis, which is really not infectious. It's almost for sure type of immune reaction associated and what's what would be the most common cause of an interstitial keratitis in association with an infectious agent? Was that chickenpox? You know, chickenpox a deep deep interstitial keratitis would be number one herpes can do a bit of everything you can always through that differential. So, you know, we got to think about that any of that Ikea associated those is a form, however, of an inflammatory reaction. It's not infectious at that point. So, out and out infectious, extremely unlikely. We're not seeing any other signs of that. Typically, that is going on a lot faster. You're going to see a lot of vessels that are engorged. So I think we can kind of rule that out. Some type of neoplastic, some lymph. I mean, if it is, it's most likely some type of a lymph or proliferative, my guess. And Nick, don't you agree? That's got to be sitting on that list pretty well. Some type of a lymph or proliferative. You know, I'd love to see the pathology on this because I haven't seen anything like this before. This is very interesting.  But so it doesn't look like CIN or variants of CIN before just doesn't look that way. And, you know, with the deep, that's definitely deep right there. If they did just the superficial biopsy, we may have missed the path completely. So it'd be good to look at it and see. But, you know, with the deep lesion like this, you know, the differential that Doug Rolson was talking about, some kind of infectious or inflammatory reaction secondary to that, in terms of lymph or proliferative, I've not seen a lymph or proliferative lesion in the deep corneal stroma before. We're in uncharted territory. This is definitely a neat-looking lesion. I've never seen nodular fasciitis of the cornea either. There was, like I said, one case before, he's out in Malaysia and this lady had bilateral corneal infiltration from lymph or proliferative. And they actually had anterior segment OCT that showed, you know, kind of full thickness evasion. But there wasn't, it didn't spare the anterior cornea. So it had that classic salmon patch appearance too. So it was, you know, this doesn't fit in any category. No, no. I mean, the kinds of things I've seen that are somewhat like it, you know, in Saudi Arabia, we quite commonly see pyogenic granulomas and they can come in really deep. But it was pretty obvious that, you know, there've been some preceding lesion. They tend to really heap up and be huge on the surface. The other thing that you could see growing that's quite deep would be some variation on the dikteoma. That's why I ask really strongly, was there anything there beforehand? Was there any change? And really, you know, just no evidence that there was some really small germoid or something that was sitting there. I mean, that's an area that I have. So I think the key for right now is to find out exactly what it is. And relatively rapidly, because this is growing and it's already affecting vision and it could soon be in the visual axis. So, I mean, I think we got to get that, all of those slides and the rest and Nick's got to look through to see if we can come up with at least some area. And if not, then it looks like it's a little thicker and a little easier to get to out of the limbus is to get, you know, a punch biopsy where we can get down relatively deep to get it out. And then Nick, you know, work with pathology about maybe some stains. We'd like to know, is this in the immuno category? Is this in lymphoproliferative? Is this in the, you know, some unusual form? I mean, if it is some type of an unusual malignancy, and this will be the first reported case. I mean, I've never, but it's got to be in one of those categories, for sure. And one way or the other, we've got to find out. Because, I mean, this could be something that should be treated with low dose radiation rather than trying to do surgery. Or this needs a definitive excisional biopsy, which I think has got to be a full thickness, and you got to get out and you've got to try to remove all of its there. Certainly a doable surgery and something we've done before, but you know, this can result in a lot of irregular stigmatism and other issues or problems. But better that than, you know, this thing grow through the visual axis, which it looks like it could be doing relatively quickly. Amy, what do you think? Any of that help with your thoughts? Yeah, so, I mean, in that case, I have a fear that people are not really fasciitis, and people with my arm are not. So, I took half sclerolusia at all. It was, you couldn't really define where the lesion was, where normal scleroma was. So, what I did was I kind of shaved it off and maybe went a little bit thinner. Right. But I didn't, I couldn't really tell how deep it was going. So, it might have a full thickness, but in that patient, it did not occur at all. Interesting. You see how deep this is? I mean, you can see this right at decimally. So, you get this here. You really got to go full thickness. I, and I think we need to report back, obviously, but the first thing is, is let's ASAP get what pathology we have and, you know, let Nick take a look at it. For those of you who are out and around, I don't want to knock general pathologists, I mean, they do a good job, but you know what we say when there's an exam done by, you know, in family practice or by internist friends, when they put down W-E-N-T-W with W-N-L, you know what that really means? We never really looked. They don't have a clue what's happening in the eye. And general pathologists, I mean, they'll put it in categories, but by and large, they just, you know, don't, don't have a sense. So, it's a very, always a good thing.  You know, you've got to get this to an ophthalmic pathologist. And the ophthalmic pathologist, the other great thing, once you get it to one, I mean, you're, you're kind of tied into a group. I mean, Nick, you guys share, I know you share stuff all the time with each other, and it, it, it is, it has its own separate area and separate nation. And we, we got to figure out exactly what this is. So, before we can decide just how to treat it. But, having a general pathologist read IPATH is equivalent to me looking at a liver biopsy. You know, I mean, you can look it up in the book and say, it looks like this, but it really isn't just a different, it's just a different group of, of lesions. And so, you'll often get a vague, you know, a vague report that says infiltrate with chronic inflammatory cells or something like that, but it really isn't helpful. So, if we get the slides right away and blocked too, if you can get that in case we need to do some special schemes with that. I fear they're too superficial. I fear they're probably, they were getting secondary changes and they weren't getting right down into where the lesion is. But, but let's, let's determine that first. And if, if we go for a biopsy, you know, out of the lumbus and got to get pretty deep, I think, to make sure we know just where, and that, that's where it started. I mean, that's, that's a problem where the money is. But this is, this is, I've seen a lot of weird stuff, but this is, this is out there in the fascinoma area. So, let's, let's find out what we're dealing with before we try to treat it. Thank you everyone. Thanks for our patient for coming in today too.


Hey, what's up, you guys? Welcome back to my channel. My name is Coach Coco, and I love volleyball.  So today, I wanted to do more of an informal video and talk a little bit more about it's a new year. Happy new year. And what does that mean for us who are playing volleyball? What do I do? What are you supposed to be doing? What should you be working on? Let's get right into it. You didn't already know it is a new year. It's 2022 and it is crazy to me how fast time is flying. But this means that you might not be in your volleyball season right now. And what does that mean for you? Are you supposed to be playing right now? Should you be practicing something right now? Who knows? I do. So my coach once told me a long time ago that the off season was for learning new things and during the season was for playing. This is the time for you right now to be practicing new concepts and skills that you don't know so that way you can start practicing things during the season that you do know. So one of the things that I highly recommend to players in the off season is to get involved in some kind of volleyball program in some kind of capacity in which allows you to be able to get some touches on the ball. One of the things that you guys see me do a lot is I play recreational. I play recreational quite a bit. I haven't done that so far as of this year yet because I am in graduate school. So one of the things that's important for me is to be able to get touches on the ball so that way I can get involved in more things with the ball. So that means recreational. If you don't know what recreational is, if you look at your local recreational center by doing a Google search you are able to find different recreational centers in your city in your town typically in which what volleyball programs that they have here. So I'm going to show you a sample of what that looks like so that way you can get a better idea of what kind of recreational programs there are and what kind of recreational things that they do. So I live in Charlotte, North Carolina and in Charlotte, North Carolina we have a lot of different programs here. So I'm going to do a simple Google search and see the different kind of programs that are offered to me here. They're usually typically go by city and then after you look by the city you're able to see okay the city's here listed, okay the level is listed and a lot of the times you see a lot of beginner to intermediate programs you might not see too many advanced programs but you often see a lot of volleyball programs offered during the summertime as well because at this time we're seeing a lot of basketball happening however it's not unbelievable there are still volleyball programs that you can participate in now. The next thing is maybe you should think about getting involved with a club. So club volleyball and school volleyball are two separate entities. A lot of the times we'll see people who are playing club volleyball and school volleyball at the same time. Sometimes we'll see school volleyball go to one season or one point and then club volleyball starts right after that. We just want to make sure that you're involved in some kind of volleyball in order to keep your skills year-round developing so that way you have the best chance possible to grow as a player. One of the things I recommend is when you're looking at a club is to look at a club has values that you really align with. If you would like me to make a video more about club environments and how to find a volleyball club for you I would be more than happy to do that. Just leave a comment down below but you want to find a club that aligns with your values. For example if your club is a local club and they only play clubs in your area and maybe you don't want to travel as much maybe that's a club that you should think about participating in or let's say your club is more of a nationally ranked club and they travel all over there's clubs who even go overseas if that's something that excites you or you see yourself wow that's something that you just really want to be involved with then maybe you should think about going to a larger scale club and they have those it's all about the way that you do your research. Now club can be a little bit more demanding than our in-school programs because club is more of an environment in which volleyball is the main purpose. That means that when you are going to a club practice you have a volleyball coach that might not be a secondary teacher or a teacher and the volleyball comes second. When you're going to club your club coaches specialize in volleyball and they are there for volleyball and that is their main focus is you.  Believe me I've been there but we want to make sure that when we are looking at that club environment that we are finding an environment that fosters growth in us. Are the people there who are playing or participating in the club are they nice? Do you feel like you can connect with them?  Is the coach going to give you an opportunity that you agree with? Do you think that you can really grow as a player there? You want to make sure that you're going with a club that will go with you. Another thing that you can do during your off season is making sure that you are investing in practice yourself. One of the things that I did when I first started playing was figuring out how am I going to be able to get enough net time if I don't have a net or if I don't know anybody else who plays volleyball. What my parents did was they got me a really affordable net and I'm going to link some in the description box below. They got me a really affordable net and what I used to do is pop it up in my backyard or the side of my house and just try my best to learn the concepts that I learned at practice that day. So this was the time before volleyball was readily available online and there was an opportunity for me to see things online so I didn't really have the chance to see tutorials or videos like that. So I really had to learn what I learned in practice and then go home and try to translate it then because I wanted to be prepared. I wanted to study before the test and sometimes that's something you really need to think about doing. So I'm going to link a very affordable net down below in the description box so that way you can see that's something that you want to work on in practice. Another thing is you really need to define the goals that you're going to be setting for yourself especially if you think that you want to continue playing. If you haven't made the team, if you want to make a club, if you want to make, if you want to start next year, if you want to try for the first time, you really needed to define your goal and that means smart goals so that way you can better understand where you want to go. Setting a goal one thing is one thing. Setting a smart goal is another thing. If you don't know where to start, that can be the hardest thing even for me. Sometimes I don't know where to start and I'm just like you know what it's a lot of work. I don't really want to think about this. It's a lot of work to start. I want you to start thinking about how am I going to start the process of learning? How am I going to start the process of practicing? When am I going to practice? Define when, where, and how you're going to practice so that way you know how to do it. I think that these are some really good and helpful tips to be able to, for you to be able to get some, some touches on the ball. One other thing that was a runner up is to get a private volleyball coach. If you don't already know in the Charlotte North Carolina area, I do train individuals one-on-one. One of the reasons why I advocate for one-on-one coaching is because it gives you the chance to ask questions in a very safe environment. I remember how it felt to be able to ask questions and I'm asking a question in front of my whole team and I was afraid to ask a question because I didn't know how other people were going to perceive me asking that question. I was afraid of the thought process behind that question so it was really scary. When I ask one-on-one I know my coach is avidly listening to me and that my thoughts mattered. So that's one of the reasons why I really like one-on-one coaching and there are a lot of different platforms that you can find coaches. One of them that I really like is called CoachUp. I was a coach on CoachUp and I'm going to leave that description in the description box below so that way you can better understand and maybe you can find a coach in your area. So if you have any other tips that you think may be helpful to some of your teammates or peers and on our channel, please link it down below. Link it. I'm going cuckoo. Please comment down below so that way others can get some more information and we can better understand exactly what we need to do. All right, please like, comment, subscribe and I'll see you guys next time.


Hi Virgo, this is House of Virgo doing your love reading for the next 24 hours. This will be for Virgo's sun, moon rising, or Venus. Some of the messages may or may not resonate, just take a fit, sleep the rest. Personal reading links are below this video in the description box. You can also follow me on Instagram, House of Virgo. Please do hit like on the video if you so enjoy it, and please do subscribe if you're new to my channel. I would greatly appreciate that. OK, Virgo. So the past position here. OK, so love reading can generally be about a romantic relationship, but it could also have to do with all things under the umbrella of love, friend, family. So it really just depends on your situation. OK, so past we have the hermit and the harrafant. So Virgo and Taurus energy, five of pentacles. In the present, four of sorts, the nine of sorts, and the four of pentacles. OK, Queen of Wands again. It was in the last two readings, last two days, three of wands. OK, and the Queen of Pentacles. Interesting, Virgo, OK. All right, give me a second here to see. There's definitely anxiety and stress I'm seeing here at the center of the reading. I feel like in the past there was a silence withdrawal. Somebody going into process, think things through, seeking clarity, like a quest for personal truth. And I feel like it had something to do with expectations or conforming to something. Usually the harrafant can represent conforming to a structure in a relationship. OK, could be committing to something, OK, committing to a structured type of environment and that five of pentacles energy makes me feel like there was worry about that. I'm seeing isolation, bookending, this committed thing. It was like right in the center, it was like being presented in the past. And there was a feeling of struggle about this worry, worry about finances, some physical health, feeling incapacitated or incapable of doing something, committing to something long term. There might have been this somebody that you connected with in the past that just always kind of ran from that or had like a rebellious nature, didn't want to need somebody, didn't want to have to like fall in line, didn't want to have to depend or be viewed as someone who needed you, didn't want to be seen in that light, either financially or in a relationship emotionally. OK, that's going to clarify in part for the hermit. There's a lot of thought being put into a relationship, whether to commit eight of cups withdrawing emotionally, somebody in your past just withdrew on a personal quest for truth, that ace of cups. Will they be let down? Will they let you down? Are they too depressed? Will they be disappointed? Disappointment in the self? Okay. Can they be in a committed relationship? Are they capable? Are they willing to have a baby? Can they do that? You know, can they be married? Can should they make a proposal? What it's like just deep seated thinking and that eight of cups energy that withdrawal, there was a maybe they abandoned you or maybe it felt that way that they had to pull away. OK. And it kind of made it seem like this person like ghosted you or moved on or they were retreating, but I really feel like their energy was pulled away because of there was a concern about not being able to hold up their end of the hold up the expectation of what you needed from them. Okay. Let's take a look at the higher five cups. This person are you dealing with or were dealing with? They haven't a problem with their word. Their self worth. They don't know if they they didn't know if they could love themselves enough to love you a sense of grief or abandonment that they carry with them. Somebody might have left them in the past and I kind of started a chain reaction with this person that they were just had this sense of sadness or avoidance at a hard time believing in commitment or romantic love or a hard time with even being someone who could ever be married like long term or have a long term partnership. And so there was an issue, their struggle with possibly feeling overwhelmed with the duties or the expectations. Okay. Now the five of pentacles. What can you tell us about the five of pentacles? Okay. The moon. Wow. This person struggled with their wanting to be free and wild to them. Partnership and a committed relationship or just, you know, I told you there was like an issue with rebelliousness. This person struggled with, should I am I someone who can be domesticated, so to speak, or am I someone who needs to stay in my wild freedom, that kind of thing in the moon? It's the emotions, the things, the unseen things that they've kept have been presented to were presented to them in the past about your relationship. You know, I feel like if this, this moon energy hadn't come, or these things hadn't been brought to them, you know, their deepest feelings, they would have just kept them down because they were called to action. And it seems like they pulled away or they ran away when it came to really getting committed or really committing to something in their life. So the current energy for this person. So let me just say real quick, there's also Piscian energy, Leo Aries, Sagittarius, Capricorn. Okay. For those of you who, you know, need to know the present energy. Okay. King of Pentacles is here. This person is, they're thinking about you. That's for sure. And they're thinking about their ability presently. They really have it on their mind. If they are someone who could be a solid and good, strong leader in your life or someone who can be quite stable, you know, I feel like this person presently is like going through some stress. Some nights they can't sleep. Other nights they're resting in peace. There's perhaps some nightmares at times, stressful thinking thoughts. But when they envision themselves as being someone who can be stable and maybe financially well off male or female, it doesn't matter. They view you that way. When they think of you, it brings them peace. It does. It brings them a sense of peace. Because you represent safety and home to this person. But and they will, they wish, I feel like this person is currently, you know, taking that step back here and trying to envision themselves as someone who can be there for you. But tell us about this Nine of Swords. What is this stress? Even be there financially or be in a better position financially? Three of wands. But they stress. They have extreme grief or maybe they're going through some depression. You know, not extreme. It's light. They have mood swings, I feel. But when they're in their negative anxiety ridden period, some of it has to do with their ability. They still stress that they're able to. They even they see that they see themselves. They put they envision themselves being able to. And then and then at other times they envision themselves as not being able to be part of a team is not being able to expand upon the relationship. Right. And that right there, it's like negative thinking. And then they get themselves kind of lost. And then they're kind of up and down with it. There it just feels like with these four cards here that they're undecided. You know, do I be wild and free and irresponsible and just go with the realm of the wolves? You know, do I stay alone wolf or do I come into union? Do I commit? Do I make something work here? But they struggle with their self-warves and they don't know if they can do it. So the four pentacles is here to tell me that the truth is that this person does have a desire for long term security with you. They do. And in the present, I feel like they don't want to let you go. Tell me more about this for a pentacles. Yeah, ace of cups. They know they do know they feel it in their heart. Their head is like, but when they're at rest and at peace, they know that they can give you what you you need. And the reason they don't want to let you go is because they're currently seeing they need to have courage. The ace of cups brings in an energy, an emotional new beginning, an initiation, a huge potential. They don't want to let you go because they see that there's a love potential here with you. They struggle with their inner demons. So what's happening here going forward? Then queen of wands is courage. And the three of wands again with the queen of pentacles. OK, they get this courage going forward after these 24 hours at some point. They get their confidence back. I don't know how they're doing that. I feel like it's because they're given a blessing. It's almost like a higher power comes in, a spiritual grace that infuses their heart. It has a huge effect on them. You know, it's grace because if it were left up to them, they would just be confused or lost. This person might be secretly getting some type of spiritual help or they've come across something has just come down onto them. You know, like something causes their cup to overflow. And I partially feel like they come to this place where they realize that they don't want to let you go and they want this love because they see so much potential with you. There are struggles to see it within themselves, but they do come to this queen of wands energy. Tell us more about this. Yeah, they do see here the seven of cups that, you know, they have options. They know it, but I also feel like all those options that they have, no one's choosing them when they begin. Your person is coming to terms with the fact that they it was everybody was always a potential look at all those one cups. Each cup represents a new potential. Everyone was always a potential. What makes you the one? Because when they think of you, when they dream about you at night, when they think about you, they see you male or female as someone who is domesticated. You represent something that they have always fought against. Perhaps they were just selfish for a long time and never truly self-sacrificing for not for others. They may not have felt worthy enough to anybody would want them to do that. You bring something to them, Virgo. Let me just get a pinnacle as clarifier to a wands. Yeah, they also see that you've been waiting for them, that you were someone who's willing to wait for them, that you chose them. And that you were supportive and compassionate towards them. And that you were a friend to them. I feel like your person was just kind of always visions of grandeur. And I see them getting their self-assuredness and their confidence back in regards to the fact that they were just spreading themselves thin for a long time. They get some truth for sure. It's karma. It's not really negative karma, it's positive karma because the truth comes in a win-win with justice. This is labor and energy cause and effect. This person is seeing that there were consequences to their decision to just stay wild and free because, you know, they're having a lot of anxiety. I don't know if they're having some kind of shift or change in their life here, but justice is coming in and forcing them to find a win-win solution in their life. Justice is forcing them to be truthful and honest with themselves and to be, but to be fair and reasonable and to really take a look at where they are in their life right now and where they are without you if you are not in communication or if there's a chance to lose you. So the Three of Wands is here yet again, which tells me that this person is expanding now. Tell me about the Three of Wands. Strength, courage, success. This person somehow, I don't know, I feel like you inspire them. That Ace of Cups is a card of inspiration. Something happens in the present that inspires this person to love you. It might be something that comes from you or it just is something that they experience in their life. The love, the inspiration is stronger than their desire to run away from it. It's a Leo energy, even material happiness. Joy. Virgo, you have a way to tame this person. You tame the wild beast in them. You have tamed them. They recognize this and they needed that because they were just running free with the wolves. You know, just a relentless everyday freedom. But like there was a lack of emotional connection. The wolves don't have emotional connection. They have instinctual, you know, transactional type of relationships. But you inspire this person and warm their heart and you give them strength. So the Queen of Pentacles energy is here and that's you. You're the end all be all to this reading, Virgo. Clarify. Oh, two cups.  The romance comes back, the partnership. There's a proposal or marriage. It comes, there's union here. You guys definitely have an understanding. There's a mutuality in your love, in your exchange. There's a connection. There's camaraderie. There's two people who are on the same page who understand one another. There's balance. There's duality. There's diversity between the two of you. There are some very strong differences between the two of you. Could be in your emotional expressions, your physical look. It could be in the way you speak to each other or the way you think. It could just even be diversity in your creative aspects of life and the things you do. But regardless, there's an understanding between the two of you. And I feel like your person begins to see there is a very good connection here.   Please remember to hit like, share and subscribe while you're watching this video. Greatly appreciate that. OK, yeah, nine of sorts right here again. Still, that is the overall theme for the reading. This person has huge anxieties, unfounded fears. That's true. This person has a tendency to expect the worst. Thus creating self-fulfilling prophecies.  They're being asked and they are beginning to refocus their thoughts. But the love is inspiring them to do so. Or, you know, it is in the present, for sure. A lot of thinking, a lot. This person might be thinking way too much overthinking things because of fear and the worries driving them. Page of cups, sensitive, open-hearted, inexperienced, moody. That's your person. They have those. They may have inexperience in relationships or, you know, they're very sensitive. They have a tendency towards mood swings. And I think I said that before. But they are a very open-hearted person. OK, so there are messages here coming from them regarding your relationship. The new emotional experiences. There's a romance coming here. That could be they invite you to social something or event. There's a lot of there's heightened psychic abilities between the two of you. I feel like you guys can feel each other's energy. I feel like and that would be very similar to a twin flame connection. But I feel like when you're not communicating with them or there's time apart and you have a sudden emotion that just comes and it's completely out of the blue and you don't know why if you've experienced that, you're feeling something with them. If you have some nights where you have trouble sleeping, you don't know why because maybe three nights prior you slept like a baby. But now all of a sudden you can't sleep and there's nothing really going on. You don't feel stressed and you can't figure it out. That's your person. That's what you're feeling. You're feeling their their energy because you are both connected. Look at the energy that comes from the connection here. It's like a surge power between the two of you. OK, the star. Talk about energy. The star is the biggest ball of energy in the sky. OK, the star is the sun. The sun is here. No, it's not strength. The star having faith. The future is bright. Dreams coming true. Positive changes that bring an end to these challenging times. There is light at the end of the tunnel there ago. OK, there's renewal. There's hope. Clarity comes. The miracle is happening here. And you're both being asked to have faith. Light is being shown. That's Aquarian energy. Light is being shown down on this relationship, on this love. There may have been a time in this connection where he felt ignored. There may have been a physical impotence. There may have been a feeling or somebody may have been very arrogant or again, depression or some type of illness while there's healing from all of that happening here, Virgo. So it looks very beautiful and very, very beautiful. Healing of anxieties and stress. And it's all coming from this ace of cups, this inspiration of love. Could be coming from you. Could be just coming from spirit for this person. But whatever it doesn't matter, it's there. It shows up in the present. And that sets off a chain reaction of change and healing. All right, Virgo, so I hope you enjoyed that. Do click like and subscribe to my channel. If you did, you can also follow me on my other channel, Moonpitero, and I will see you all very, very soon. I'll see you in 24 hours. OK, take care. Bye.