Here we have a spreadsheet program, I'm using the LibreOffice version 4.3 here, you can download it from the internet, let's have a look, this is how it's written, LibreOffice, so if you were to search for that, you will find it is available for download free of charge and has most of the functionality that you would find in large commercial products such as Microsoft's Office, now you can use whatever spreadsheet you like, many of these spreadsheet packages actually has beautiful data analysis tools inside of them though, they are limited I'd like to support open source software free software, so really give LibreOffice a try, this is the spreadsheet software, now data collection as far as healthcare science is concerned, obviously statisticians frown upon or many would frown upon the use of spreadsheet software such as this to capture your data, a proper database program written in SQL which stands for structured query language, we know Microsoft SQL server, we know MySQL free of charge open source and there are many others, but the learning curve there is enormous, to develop your own database for data capture for most of us it's just too difficult, takes too much time and a spreadsheet serves our purpose, especially if you save this file and import it into Python and more specifically using pandas, then you can manipulate this data to your heart's content, so what I'm going to suggest for this course is just a basic spreadsheet software such as this, you'll see that there are columns there's column A if I click on the top there, there's the whole column, column B, column C, column D and then there are rows, rows 1, rows 2 and that makes it very easy that will be cell B2 because it's in column B, row 2, it's normal for us to collect data where we put the variable names at the top, so in this first one I can say file for instance, I can give that a name, the second one I might suggest gender and the third one age and the fourth one say white cell count, white cell count, so I can very quickly say this will be my patient number one, my patient number two, my patient number three, four, five, six, seven, eight, nine, it need not be patients, it can be any kind of subject that you are analysing and you can also just drag down on them holding down your mouse key so that they're all selected, not the file, not the first row which contains the variable names and there's a little arrow that appears there and in most software you can just start dragging down and you'll see it is going to autocomplete, see the 26, 27, 28, 29, 30 or say I want 30 values and it did that all for me, 10, 11, 12, 13, 14, it did that autocomplete for me, let's do this now you might then say first patient comes in, it's male, the age is 33 and the white cell count was 12.1, next patient comes in, also male age 45, white cell count was 7.0 and so you can keep on filling these in and you have a beautiful data collection tool here, what is important here is you've got to decide beforehand what the variables are that you want to capture, these are the variables, gender, age, white cell count, HB, whatever type of research you're doing, this is going to be the variables, I can even have one say for group, so a patient might belong to group one, this one might belong to group two, this one might belong to group one, etc. and we can manipulate in pandas to extract the different groups so that I can compare the mean difference between the white cell count of the group one patient from the group two patients for instance, spreadsheet is a very easy to understand, two dimensional representation of your data, structure it this way, put your column headers up there, that's the name of the variable that you're going to collect, each of these variables are of different type, obviously male and female are of a nominal data type, it's a categorical and nominal, in other words you can't order male and female, male is not one and female two or female two and male one you can't order them in any way, although you can also use code words, you might be concerned about protecting the identity of your patients, you don't want that, you can say for instance I'm going to code all my males as eight and all the females as four, so that's the coding that you have running behind the scenes, to protect your patient identity you're going to keep that information separate, not any way near your data collection tool which is in this case your spreadsheet, you're going to keep it separately and only you and your investigators are going to know which is which, it's a little secret key that you keep, eight is male and four is female, that way you can, that's one form of protecting the identity of your patients with data collection, age on the other hand that's a numerical data type, there is an absolute zero actually, you are born on a certain day, so this does really make it a ratio type numerical data, white cell count, so ratio type numerical data, there is an absolute zero which is zero, and furthermore if we look at continuous and discrete, obviously this is going to be discrete, there's only male and female, age is really a continuous data type, white cell count obviously a continuous data type, the groups again are going to be categorical data and it is nominal at that, it's not ordinal, I can't really say because I could have called that group green and this one group yellow, so we can't really order them even though we can use terms like one and two there, so this lecture is just about introducing you to spreadsheet software, this is the spreadsheet software that we're going to use for you to collect your data, structure it with row, that will be one subject's data entry, whether that be some test that you're running in the lab, whether that would be patient encounter, that's the row, and on the columns you make the different variables.


Google launches artificial intelligence powered search engine or search generative experience in beta last May, sending publishers scrambling to prepare for significant disruption on organic search traffic. They're an ad sales company. And they have been an ad sales company from the moment that they realized that they had a 100% margin product that they could sell as many times as they wanted. They need to be into the membership world and the API world, specifically both with their LLM. What I would say is what about their current world of rolling out their LLMs makes us think that they will be competent in that phase of it, because they certainly haven't been competent in the rollout, despite the fact that they have nothing but data, nothing but talent, nothing but money. They should be a leading player, if not the leading player, and they have made unforced error after unforced error.


Now Yut in Emo state have an urge to shun violence and restiveness and embrace dialogue for development and peaceful society. This goal was made at the High Court in Oweri during a court valedictory session for his royal highness, Afonso's Duraburu is one of the traditional rulers murdered by non-gun men in a tribal local government area of Emo state. Speaking during the valedictory session, the transition committee chairman of the tribal local government described the late traditional ruler as a man of peace, who was known to stand for justice in his lifetime. The chairman used the occasion to appeal to Yut in Emo state to embrace dialogue for peace and development to thrive. This was the exact position of Israel's High Court in Emo state, a position which is certainly a fulfillment of the wants of the princesses who have been in the east this season to perform and to die. He was a very brilliant traditional ruler, an intelligent ruler and a very wise man, a good man and his demise is a very big loss to us. Miss Lentai Sinarula was a man of honor, was a man of peace, was a man of wisdom.  He was a man who did all his best to put a code on the global stage. Very certainly two big further projects were related to my community through the instrumentality of our wife. Because of the nature of our job, the average lawyer is beginning to panic. There are some jurisdictions that we are beginning to see as volatile areas and I would say that I mean to truncate the kind of practice we are having. He is the person that can accommodate both friends. Hello, hope you enjoyed the news. Please do subscribe to our YouTube channel and don't forget to hit the notification button so you get notified about fresh news updates.


So here the ID Tech X. So who are you? I'm Marcus Treker from Teemo. So you just put on your jacket, why? Yes, it's cold here with the climate system. And so you have a special, this is not just a normal one, right? No, it's a special jacket. So who are you? I'm yeah, Marcus from Teemo. We are doing technologies for garments. So our company's technologies in motion and we are developing electronic systems and this here what you see is a conformable electronic system that we have developed and we are taking pre-orders and you can get it in spring. So what is in here? So this is a jacket for convertible drivers and car enthusiasts. What we have inside is two-zone heating. So we have the upper zone with the inner color. So this is a heating? Yes. Like a how? It's a resistive heating. We have batteries. I can show you. We have some batteries which we can put into the pocket. I have some test batteries in at the moment. So I can just switch on the heat, the electric heat with these two buttons. This is the upper heating zone. This is my lower back heating zone and on top of this I have a hands-free system with speakers here. So I can listen to my favorite tunes if I want to but the main function is a hands-free system for the convertible drivers. If you have a classic car you may not want to put a modern Bluetooth system in it so you have it all in a jacket. Let's take it off again. Yeah and let's show our clothes. And this battery system it seems flexible. What's going on here? It's flexible. It's flexible? Yes. What's going on? What is it? This is a flexible battery. Alright. This is a lithium-ion battery. Yeah. Which yeah we had to develop it because we want this jacket to be a leather jacket. Of course it's a complex electronic system but you will not feel it. You have no idea that this is electronics that you're wearing and so the only thing you have is the useful functions like heat and the hands-free system and as mobile phones nowadays. So can we see... So there's a bunch of things around here, something inside here. Yes. And the heat I can feel is hot. It's for real. It's for real. It's not just because... It's not a joke. It's for real. And where else? Is more stuff? Yeah. What you have like mobile phones nowadays are always empty. We have integrated a mobile phone charger so you just can charge your mobile phone in the pocket of the jacket. And where's the battery also this? It's the same batteries. The same? Because we need a lot of energy. We have two batteries like this in the jacket which gives you autonomy of about one and a half to six hours and so we can easily charge your mobile phone on top of it. One and a half to six hours of heating. Of course with music and and just calling you'll have a lot of time. And you have the female version. Yeah. The same functionality? Or more. Functionally or less. And one extra feature we have the pockets heated. So we have heated pockets for the women. Some men complain that they don't get this feature but... Where do women get to heat their pockets? Yeah this is a physiological topic. Women have more often cold hands than men and they like the warm hands. So is it charging the jacket right now? Yes. It charges all day here so we are like this is the connection you have to the car and you have one connected to the car on the right side and one on the left side.  So that means when you're in the car you're charging? Yes.  Yes. And is it is this printed electronics? This is conformable electronics so this electronics moves with your body and you will not feel it and therefore for example here you see these wires this is a cable this is an electric conductor which is in principle a textile cable textile wire and we developed this in order to be able to integrate these kind of technology into jackets without you feeling it. So you developed a special cable otherwise it will break and these cables are washable. Washable everything is washable here? The latter not. No you don't want to wash your lighter jacket but the technology in principle can be washed. So we're here at the ID Tech X what do you think about this conference? Great conference we made very good contacts we had very good feedback so it's yeah very nice partnering with all these companies. It's interesting. Meeting the people out of this kind of technology. Which kind of people are here? Yeah you have developers from electronics world doing components in textiles doing printed electronics you have people on energy harvesting so it's a very good mix of technical people and also people from brands or big companies who see how you bring these technologies to the market. All right so is this can I buy one or where? Yeah you can pre-order. Which website? It's on Teemo.com it's www.teemo.com Teemo and there we have it people can go now and they can order now and there's your official videos how you cut it open and stuff what is that about? Yeah we have it as well on Kickstarter for one more week so you get a preferred price on Kickstarter if you want to support us there. Is it successful campaign on Kickstarter? Not yet. How much more do you need? We can try. We can try. I have no idea at the moment. All right so it's a Kickstarter. The big topic is people would like to order it on our website. It's not a typical Kickstarter item. It's very special and you can give one to each of the members of the German national football team. I don't know the German national football team has something else. Why did you just give them one and they'll wear it? I give them one. I made something for them the last four years. We did? Yes. I was the head of engineering for a big German sports company. Ah you did the my coach team elite. The what? The my coach team elite. The Adidas. You did the Adi team my coach which was on stage before. I was the director of engineering for Adidas. This is the system that was on stage. So basically it's thanks to you that Germany won the World Cup and that's Switzerland. I think thanks to a lot of people and especially to the German national team but maybe a system like this has contributed. What is the my coach? My coach is an initiative on Adidas that you can look it up on the web and it's about training. Training and it's the coach and it's sensors on every player. The my coach team elite is a specific development for professional soccer players and it starts with a smart shirt and it has the whole electronics infrastructure that you need in order to collect data from professional soccer players and for coaches to have the data on their iPads immediately and then there is a whole cloud infrastructure with it where you upload the data after training session and so you can track the performance of the players over a longer time period with not a lot of efforts on the tracking side because the system is highly automated. So this is the most professional sports tracking system ever and it's I don't know maybe. I would think so yeah it's quite complex and it was a lot of effort and it's a high quality system and it's a real system. It's out there. It's a real system. It's out there. And all the teams that use them are winning. Yeah you can see this is already published from Adidas as well. The whole MLS Major League Soccer in the US is using it. Every team there has one. But they just lost 7-0 against Manchester United the Galaxy people. I'm joking. Okay but just credits to mention just the United there. Maybe they use my coach also. So they use the MLAs. And if not they would be even better. And the teams that are using it are the winning teams right. Of course always. I mean that's for real. But in sports we are all winners you know. But I mean you can still give the jacket to the German football team because they use my coach during the sports and after they can wear this right. I think this is a deal yeah if they show up in our office we can discuss it. So what's going to happen with wearable closing in the future. What are you really really looking forward to like which technologies do you want here. Yeah we are looking at sensors and technologies we can integrate into garments and we help people to realize this kind of systems. We have a setup where you can bring innovation to the market directly like this jacket. This is something we do and we bring it to the market so that the end consumer can really buy this technology and also can afford it. So you want to grab some of the technologies here and bring them for real to market. Yes this is what we do. This is what I'm doing. It's what you do. This is what our company is doing. Is it difficult. Yes it's a new technology so you always have to make sure it's viable it's robust and that you can make a product out of it. And of course you have to keep the cost in mind and very often with the new technologies you have to start somewhere with a lower volume. So there's like samples prototypes and then mass production. Yes and what we do as well we help people if somebody even a big brand wants to do something in this arena we help them getting the industrialization done and we help with the technology transfer and also can put these kind of things into a high volume production. And so what's it called a health. It's important in the clothes. It could be nice right. This is my coach a little bit but some sensors heart rate other bunch of things should be in the jacket too big driving factors in sports we talk about the virtual trainer. So you have not everyone has a personal coach but you can have a virtual trainer as a coach who helps you to train better. And this is my system like my coach. This is the idea behind it helps you get your training plan and it helps you to train on a day to day basis and it helps you to get better and not to train wrong. So we talk of the virtual trainer and the other topic is of course our aging population. And therefore you would like to have some more sensors or you have people with chronic illnesses who can use wearables as yeah. Monetary daily in the daily life without any stigmatism because you will not feel it this kind of sensors you can integrate them in your garments and you just have them with you. If you don't need them it's great and if you need them they're there. All right. So which arm processor are you using in the jacket? Is that a secret? It's a very small one. Now we have several arm processors. Arm cortex M something. It's an M0. M0. What do you think about the M0 plus? M0 plus. Tell me about it. I don't know it's even smaller right. I hope so. All right. So Wi-Fi, Bluetooth. Wi-Fi, Bluetooth. You have Bluetooth right. Yes. No Wi-Fi. We have Bluetooth music with it. All right. Cool. So thanks a lot. Thank you very much. Thank you.


She has graced our screens for over 40 years. Four of those in the hit TV show American Horror Story. We thought we saw the last of her back in 2015, however we've just received the news we've all been waiting for. Ladies and gentlemen, this is Matt Rogers. Now this week during the TCA summer press tour, actress Sarah Paulson was talking about a directorial debut which is going to be the sixth episode of the upcoming eighth season of American Horror Story, Apocalypse, during which she announced the diabolical Constance Langdon will be returning this season. Yes it's official, we're getting another season with Jessica Lang. We last saw Lang and Murphy's other effects show, Feud, as the fiery Joan Crawford, which was a surprise to everyone after Lang had officially set American Horror Story freak show, would be a farewell acting performance. She had an interview on The Hollywood Reporter's roundtable back in 2015 which sort of explains her relationship with acting. Let's take a look. I think about like having it finish at some point you know really saying okay I've done this for 40 years, it's been great but now I'm done. But the thing about acting is you know it's so seductive you know you get drawn into something and it's like oh yeah this is you know it's like a love affair. It's like something there's something really alive about it and you feel great and you know it's physical and it's all these things and then you remember why you were doing it to begin with. So now she's back flipped on her decision on retiring once again but fans of AHS couldn't be happier. Plus she's actually been rumored to star alongside Gary Oldman in the upcoming 2020 movie Flying Horse so it looks like she's a long way off retiring yet. Lang is commonly known as one of the best actors of her generation closely following stars such as Meryl Streep who ironically lost one of the lead roles back in the original King Kong to Lang because Streep was quote too ugly. I'm sorry I'm not beautiful enough to be in King Kong. However since then Lang has won two Academy Awards, a Tony Award, three Emmy Awards and five Golden Globe Awards. So Sarah Paulson has said Constance will be returning in the sixth episode but according to other sites that is rumoured to be the only episode she'll be in. I find this hard to believe and I feel like she's going to be a critical character as soon as she's introduced. Plus I doubt creator Ryan Murphy would waste such a talent as Lang on just one episode. However there's still supposed to be this big twist about halfway through this season but Ryan Murphy said that'd be an episode five which is one full episode before Lang's appearance. Now Lang hasn't been the only character that's been confirmed. Murphy has since confirmed most everybody and a bit of a spoiler warning here. Returning to reprise their roles we have Tayesa Farmiga and even Stevie Nicks. What is interesting though is Gaboris Sadeeb, Emma Roberts, Lily Raib and Francis Conroy have also been announced and last we saw they were killed in season three or season five for Queenie so maybe Cordelia's got some more resurgence to do to help take down the big bad rumoured to be Michael Langdon. Cody Fern's being confirmed to play Langdon, Lang's character Constance's grandson who is presumed to be the Antichrist and apparently hasn't changed his shirt in 20 years. Which also raises the question how old is Constance at this point? She wasn't a young woman back in season one and now she's got a grown adult son? Who knows it's a possibility she might just be in flashbacks. This week we also got our first few teaser trailers for Apocalypse which didn't give too much away with its beautiful visuals. Apart from it's looking like it's going to take the apocalypse kind of literally with an atomic bomb destroying everything in its path and the demonic hand that we saw from the posters starting time all over again. In another teaser that same hand punctures a fig revealing two black scorpions hinting that there may be two antagonists performing the devil's work. The obvious guess being that the character of Michael Langdon is paving the way for a new demonic world which could actually set the scene for seasons nine and ten which have also been confirmed. What do you guys think? Are they building up too much hype around this season that they can't possibly live up to it? Or is there a chance that merging two of American Horror Story's most popular seasons is actually going to create the mother of all seasons? I'll be chatting with you guys in the comments. But until next time thanks so much for hanging out. If you had a good time then spank that like button and if you subscribe during this video then walk on the board. This is Matt Rogers and that is all.


Hello and welcome to this session in which we will discuss the Department of Labor ethical standards when it comes to the CPA exam The first thing we want to understand is something called employee benefit plan. What is an employee benefit plan? It's a plan established by either the company or the union or both to maintain a pension plan for their employees Which we call participant simply put back in the 50s 60s 70s and even in the 80s Most companies had a pension plan. What is a pension plan? You work for a company For 15 20 30 years once you retire the company will pay you a certain amount of money Now it's important to understand those pension plan in historical context And why do we have this ERISA or the Department of Labor ethical standard? Back in the 50s and 60s pension plan were infiltrated by the mafia by the mob And if you watch mob movies like one of them is a good fellows It's it's not the best one for this topic, but they do touch upon this It's basically the mob was was infiltrating the dose plans through the union and misusing the money or even Outright stealing the money using it for some other purpose So what the government wanted to do is protect the participant and to protect the participant You wanted to make sure the benefit the benefit It means the funds that the company is putting away in that plan is protected Through either some sort of an insurance policy or self-funded arrangement But the money is there and the money is protected. So the government introduced this Employee Retirement Income Security Act or ERISA in 1974 and who enforces ERISA the Department of Labor So basically the government says going forward We are going to make sure those benefit plan report on an annual basis their figure to us Audit figures to make sure that the what they promised their employee will be there So the participants their participants are protected now when we do the audit when the auditor do the audit The audit has to follow the government auditing standard But the most important thing is the auditor must be independent So when the auditor conduct that audit of the employee benefit plan that gets submitted to the government that Making sure everything is good. The auditor themselves must be independent simply put You don't want the auditor to be part of the good fellows part of the mob That's that's the idea and I doesn't have to but that's the idea is your order must be independent to protect the public now What is independence as when it comes to the auditor before we proceed any further? I have a public announcement about my company farhat lectures calm Farhat accounting lectures is a supplemental educational tool That's gonna help you with your CPA exam preparation as well as your accounting courses My CPA material is aligned with your CPA review course such as becker Roger Wiley gleam miles my accounting courses are aligned with your accounting courses Broken down by chapter and topics my resources consist of Lectures multiple choice questions true false questions as well as exercises go ahead start your free trial today No obligation no credit card required First we're gonna discuss what impairs independence and this is for CPA purpose exam Well, if during the engagement at the end of the date of the opinion or during the period covered by the financial statement The auditor the firm or a member thereof. We're gonna see what a member is has any financial interests Direct financial interests or any material indirect financial interests in the plan So simply put you cannot have any direct financial interests and any material indirect financial interests So you could have any material indirect financial interests. That's fine Now what is a member the member is pretty comprehensive all partners or shareholder employee of the firm and the whole firm and all professional employee participating in the audit also those are covered member or Located in an office of the firm participating in a significant portion of portion of the audit So notice member covered a lot Also, the auditor cannot be the plan sponsor or promoter. You cannot play those roles underwriter of the plan Invest and you cannot be an investment advisor to the plan voting voting trustee director officer or employee So what is the again? What is the plan? The plan will have assets will have Stocks will have bonds will have all sorts of investments The auditor cannot be any of this when it comes to the plan also the auditor cannot maintain the books of the plan And that's should be common sense to us You cannot maintain the books and audit your own work basically you're auditing your own work Also, the auditor cannot be party in interest with the plan What does that mean means you cannot buy and sell anything to the plan any stuff to the plan any investments Buy it from them sell it from them advise them so on and so forth Why because there's always the potential of conflict of interest and you have to be what? independent From the plan itself We also need to know when is independence is not impaired because that's what they test you on the example give you a scenario I'd say is independent impaired or not. Well Other professional services as long as they're not prohibited as we saw on the prior slide for example tax. That's fine Also, they always talk about the actuary. That's fine The plan can use as the an actuary that is also associated with the accountant What is an actuary an actuary is a specialist there's a field called actuarial science Where those actuaries it's really a tough exam much harder than the cpa exam much much harder And the actuary they will estimate The liability how much the company is responsible for in order to have that plan fully funded Based on the number of employee how long they're going to live so on and so forth now the plan Can use an actuary and that actuary can also be hired by the accountant for other purpose. That's fine There is no conflict of interest here Also the firm hired a former officer or employee That is this associated from the plan or the plan sponsor. That's fine as long as you are this associated And the employee don't work on the audit for the period for which he or she was an employee of the plan or the plan sponsor So it's okay to hire them as long as they this this associated themselves left left the plan And you don't allow them to work on an audit for the same period for which they were also an employee of the plan or the plan sponsor That does not Impair independence So the questions on the exam revolves around what is independence when it comes to the department of labor ethical standard And when the situation is not a violation of independence. Remember the department of labor Establishes enforces irisa and what's the purpose of irisa is to protect Your grandpa your grandma who has a pension plan? Why because you don't want that money to be embezzled So that's the purpose of it So you have the auditor auditing the plan and submitting the audit to the to irisa to make sure everything is good What should you do now go to farhat lectures look at mcqs specifically The previously released a icpa questions. They usually recycle them or they recycle the concepts Easy points on the cpa exam take it seriously. Good luck study hard. I'm always here to help you and stay safe


Welcome to Ancestral Health Today. Evolutionary insights into modern health. Welcome to the Ancestral Health Today podcast and today with us we have Miguel Casale. He's a medical doctor who practices in Ireland and Spain. Welcome, Dr. Casale. I'm really glad to have you with us. Thank you very much, Isabel. Thanks for having me here. Yes, absolutely. So I'd like to have the guests do their own extensive introductions and it really helps the public, you know, get to know where your mindset comes from and what your thought process is when we go a little bit back.  Okay, I am Miguel Casale. I was born in Pamplona in Spain, a small town in the north of Spain, maybe well known for the world running. And well, I was just living in this quiet town all my life. And well, I have no tradition about medicine in my family at home. So when I was in the last year of my studies, I can't even tell you how was it that I felt I had to try to be a doctor. And definitely, now I really know why was that, but there was no tradition. And so in my studies, I really enjoyed them a lot. I started to love medicine. But until the last year, I didn't realize my real, real vocation was to work in the community to be a family doctor, not to go for hospitals. So in Spain, we pass a quite interesting heart exam called MIR. And then when you pass this exam, you can choose to be a specialist. And well, it was a heart exam. I was the number 548. And there were more than 18,000 candidates. And I decided to choose family medicine when I could have chosen many, many specialists, specialties of cardiology, dermatology, any of them. But I really realized I wanted to be a family doctor. And this is what I've been really preparing to, trying to be in the last three decades, a general practitioner, a family doctor in Spain. The training of family doctors is very, very good. And then it hasn't been so easy to practice medicine. So in Spain in the decades of the 1990s and the beginning of the 21st century, there was no job for the doctors. There were very difficult times. And I think also these times make me be very conscious about how really I wanted to be a family doctor. So how is medicine in Spain maybe different from medicine in the United States? What type of situations are you seeing within your family medicine practice? What are some of the frustrations that you get? Well, family medicine in Spain is a public, 100% public for universal and public for the population. This is characteristic. And also it's very characteristic. The doctors are saddered. We work for the government and we are saddered. This is very good for the population. And this is also very good for the standards of the medicine we give. On the other hand, I can tell you that when you are working more than two decades, three decades, you also feel that sometimes you can't do many things you'd like to do inside the public systems because there are some limits regarding the management, regarding the sometimes more the it's a political management, more than a clinical management or a public health management. And so, well, it's comfortable to have your salary. But for example, regarding other countries, you can't choose the people you work with.  You work in a civil service. And so now I'm working in Ireland and I'll tell you that later. So you realize the good things and the things that are not so good of our Spanish system. So I think I can tell you it has been hard to not to be able to work every day because there were no jobs in Spain. It's difficult to believe that for a medical doctor. But it was true, it was real. And then I think to finish already, I can't create inside the public system as much as you'd like. So it's more protocols, public health, or it's very well organized, but it's not as creative as I'd like. And I think I like to be creative in my profession. And yeah, that's that's although we don't have a public health system, we have the same limitations with the insurance bottles that we have, which the doctors are confined to only what is approved, what's in the guidelines, what is, you know, tiered into the insurance model. So it is, it can be very frustrating. So how has that helped you evolve in the type of medicine that you practice? I find there is a very interesting model of family medicine developed in Spain in the 1980s after the Alma Ata WHO meeting, starting the primary health care. This is around the 1970s. So I think I joined in the practice of medicine in the early 90s, 1990s, when in Spain was just after the in Spain, many, many people don't know in the 1970s, we changed it from a dictatorship to a democracy. So in the justice, it's hard to believe that I was born in a in Franco's dictatorship. And so in the 1980s, we were just starting to dream with everything public, everything for everybody, just about democracy. And together with the beginning of the primary care and the family medicine of the bio-social, bio-sico-social medicine as primary care. And when I started to listen about, wow, bio-sico-social, this is really what I love. This is really my understanding of the medicine. This model not only biological. And so there is a very interesting person like a called Amando Martínsurro, has a very, very good book in primary care called Martínsurro. And wow, they explain very well all the systemic, the interactions of everything and the person, the atom, the molecule, the cell, the tissue, the organ, the body, and then the family, the community, all this, we are all interacting. So this systemic model of medicine really fascinated me. And this is the one I am yet looking for, because I really love it. And in Spain, I think there are many places where you can feel this school of medicine is powerful. And so I think I was like surfing this wave of this post Alma Ata conference, starting the bio-sico-social model, and then the practice of the family medicine in Spain in the 1990s was really my, it's really my background. So what brought you to also practice in Ireland? So, well, when you get a permanent position in Spain, and you are like me in the early 50s, like as I was used to say, oh, now, well, the, the, it's not so stimulant. So it's already all done.  And maybe you have some dreams you haven't been able to get. And you know, in this system, you won't be able to get. And the conversations start to go out, starts to be around, well, we are born out just calculating the months and years for the retirement, talking about pensions. And you say, oh, I love medicine. So, and also medicine is definitely changing so much. I think the decade, the second decade of the 31st century, you start to realize because of the technology of many things. And of course, after COVID, start to realize that many things were changing in the, in the medical profession. And you say, oh, am I going, am I going to, to work all my life on my professional life? Like, like I've been working now, or will I be able to participate in some changes? So I knew I need to practice my English. I need to try to go to other countries to, to, to practice my, to practice medicine. And that's what I did in the 2021. Yeah, wonderful. So I met you in, at Lowcar, Denver, in Colorado, at the, at a group meeting that we were having for people who spoke Spanish. So what brought you to Lowcar, Denver? I think here I kind of start to mix my professional and my personal background. I mean, because from the personal background, I also come from, come from a background of like many people fighting, fighting with or struggling to through your mental health, struggling with your weight. I was, I was around 30, 35 kilograms more, just 10, five years ago. And, and well, and so they come, I think that from the professional point of view, Ireland gave me the opportunity to start to separate the earning of money, I can earn money in Ireland. And I can also, I can also invest my money in my training and in my professional development. That's very difficult, very difficult in Spain. So from the personal point of view, and after many years struggling with diets and with, and with, always many, I think I can tell you physical and mental problems. I, I started to follow the people in Lowcar keto community. And I said, oh, I really, I really would like to go and see what's going on in, in, in USA, in Denver, in Lowcar. And I was able to do that because I was already working through my company in Ireland, not as a civil servant in Spain, would have been impossible to do that in my, in my professional status in, in Spain. And, and I felt I needed to, to go to this conference. And really was the starting point for many, many things. And the last thing I can tell you, when I was in Denver, 13 degrees minus zero, in a hotel, in a hotel in downtown, waiting for the conference, I, I did my strategy to communicate because I was alone, completely alone. And I, I create a group in a, in an app called actually Boa or something like that. You can, and I create a group for the Spanish speakers, participants in Lowcar Denver. And, and was for me the opportunity to, to meet you, for example, yes. And others people, the person as Mariela Glant, the Argentinian, who is also working with me now in, in projects related to Lowcar. And wow, I can tell you, Lowcar Denver was like the, the beginning of a, of a new, new understanding of my professional life. Wonderful. So did your weight loss journey include Lowcarb or is that something that you learned after? My weight loss journey started like everyone with just counting calories, exercising, being hunger all day, hungry all day, spending 80% of your energy in, in the buying, buying food cooking and exercising and eating five times a day. Well, first of all, it's, it's, it's, it's a decision when you decide I, I'm going to change it. This is something very deep when you realize you, you are not going to be the same anymore. And, and then, well, I, there is a very relevant person, a nutritional therapist in Spain called Salvador Talón, who started to introduce me in just such a simple theory of this auto molecular nutrition, where you just need to, to eat nutrients and not toxic. So, that's so simple, so simple.  And even in studying, studying as a doctor or, or what I was doing, even with my patients, something as simple as that, I, I, I have never done. And I really started also this nutritional therapist to introduce me in the low carb, not, not, not at the keto stream, but in the, of course, carbs should be reduced definitely. And when, but then through videos, YouTube videos, watching American doctors, many of them, I, I met them in, in low carb Denver and started to, to watch, for example, diet doctor channel, Dr. Berser, all the interviews they have, starting to, to, to note the, the movement in this in, in UK with Dr. David Alwin and, and well, I started to be fascinated and, and tried myself. I tried myself and tried myself the low carb diets and also the fasting and, and finally the keto. And I can tell you, this is for me like a new life. It's a new life because it's the first time in my life, I started to feel, I was able to control what I, what I eat. And I was able to, to, to stabilize my, mainly my mind, mainly my mind that was to realize my body was quite more stable, but mainly my mind. And so I can tell you, everything works in the moment in every moment in different moments. But finally, for people relate more with what now can be understood as food addiction or difficult to control the impulse to, to, to eat in the low carb keto diets are very, very helpful. And for me, definitely the lifestyle, I can follow all my life, I think.  And to some degree, you've been exposed to medicine in the US and, you know, the rest of the world through talking to colleagues and watching interviews and so forth. Why do you think there's such a big disconnect between practice in medicine in so many places and nutrition? Why do you think we've gotten into a place that we've got and where, you know, the medical system doesn't seem to understand and, and know how to advise patients we're struggling with different metabolic issues, not, not just necessarily weight, but yeah. So why do you think that's a problem? Well, this is a fantastic question. And you see, I can tell you the training is very important. The medical training is very important, the content, the biomedical approach we are, we are taught in the universities is, is understand the symptoms, give a name to the symptoms that diagnose and the diagnose for the doctors we are trained to, to give, to go straight to some medical, to some medicines or to some, something that the medical system can offer. So regarding lifestyle is not really considered a powerful tool to, to work with. And, and for, I think, for many reasons, because the way we practice medicine with many patients, not many, not much time. So if you want to really educate people, it's quite difficult to, and, and then on the other hand, I think the, the nutritional regarding the macronutrients, mainly the macronutrients, I think we haven't, we haven't been having the right answers to the question of which macronutrients are the best to eat. And so I think we are, we have been taught that we have to eat five times a day and 550% of carbohydrate rates. As a doctor, do you realize people are getting sick with this, this message we are giving to the patients? But you are like in, in a, is you can't even, you can't even think about changing that if you are inside every day system. The reasons are related to the tradition, to the training, to the, how, how difficult it is to, to change this, this mentality, because it's not even taught at the universities now. And it's just starting to be understood, many things just, and this is lower than all the process to, to get the science and then put the science in, in a, in a, in a medical, in a medical school, for example. So it's, it's a very good topic to talk deeper, really. Um, so you touch upon, um, the benefits of the low-carbon keto diets for mental health and there's a whole new, um, movement, if you will, that is, um, that is named, uh, metabolic psychiatry, new sort of branch of medicine. Um, why do you think that the keto diet is beneficial for mental health? Well, uh, my, my, my, I think my main surprise last year in low-carb Denver was when I was just looking there for diabetes, obesity, and some other metabolic problems. When I saw, uh, I think his birth chart, uh, giving here his speaker, he's, he's, uh, speaking and, and, and I, I knew very well him, uh, in the, uh, about, uh, watching the diet doctor channel and started to say, oh, metabolic mind, metabolic mind. Oh, Dr. Berserk is a cardiologist and has, is talking about metabolic mind and I just started also to realize myself. The main change, I, my main change was in my, in my mind through the, the, the, the, the abstinence of carbohydrates mainly and, uh, and so, um, well, um, uh, I, I started to be fascinated about that really. And it is just one year ago, no more. And I, I, I really think it's really, really powerful. The movement around metabolic psychiatry and, uh, and well, I, I, I, I'm, I'm getting ready. I've worked now, of course, from Georgia eat, uh, and, uh, I follow metabolic mind channel and I started to be involved in some projects with my, even with my family, with the projects I, I'd love to be involved, but just now get being trained. Uh, I, I'm getting the, the training and observing how powerful it is. And also it's fascinating how I, in, in my last summer, I was able to do, I traveled to India. I also have met the community in India and, uh, and the people already working in powerful, uh, projects in metabolic mind, which in another country like India, completely different. And so, um, I'm just starting to think about, uh, offering services on that is complicated. It's not easy. You need to be trained. Uh, but, uh, from my personal experience and, and also, uh, understanding many, many, uh, medical problems, make minor mental health problems. I see every day in my practice, I'm sure there's a, uh, a powerful relationship between what you eat with your metabolic health and, and your mind in many, many senses. Yes. And yeah, Christopher Palmer, Palmer wrote the book, Brain Energy, who speaks about all of this. So it's, it's a really fascinating feel that we've just started to tapped into. Um, so how are you approaching your patients now with all of this knowledge and this new understanding and the training that you're getting? Well, uh, I continue working as a GP, as a general practitioner in Ireland and, uh, but of course, uh, is every day I see patients with, uh, blood test results, uh, asking you about what to do with the diets, what to do with it, with the lifestyle. And of course, when you understand the low carb approach in medicine, you see like, uh, different glasses, people. Uh, uh, so, and, uh, of course in my everyday practice, I am, so I cannot advise people about the, mainly the macronutrients, because of course, anti-inflammatory, bad quality food is, is definitely everybody knows is bad. But many people is thinking that things they are eating are, are good because they are taught. The, they have been told they love to take this, for example, fruits is very common for, for many people, eating out of fruit because they think every kind of fruit is good. And so in my, in my current practice, every day in the GP practice, I cannot advise people, for example, if a person comes with a high triglycerides, I, I don't tell them to reduce the fat intake. I just, I tell them to reduce the carbohydrate intake or the fructose intake that is the, is, is what I now understand is, is, is different. And, but, and then I am starting to get ready to offer a metabolic care clinic online and maybe in a hybrid mobile model in virtual, virtual clinic. This is what I, I've seen is that it's really the, the future. And I'm prepared. I'm just getting ready to, to participate myself with my company, with my own self-employment or, or developing with other colleagues. I, I'd like to, to meet. So, and I, but I would like to, to abandon the medical, the routine or general medical practice because there is the place where people also, I, I love general practice. So, and you can give very good advice in general practice, but also offer for the ones who are looking for maybe a more, more relevant or more decisive change in their lifestyle to tell them, I think it's, it's good to be able to offer alternative, the alternative for anti-inflammatory, low-car keto diets, understanding how they work, who are, who are mainly they from, who can do them. Of course, everybody can do absolutely, but, and, and, and organize like clinics, train, train myself, train other colleagues and offer also the virtual practices that, I think the hybrid model also being able to come face to face, but, but also maybe just online in the, because it's, it's, it's 100% possible to be done online and offering the tools for the patients to, to be able to follow this, this, this lifestyle because I believe you definitely can revert the mechanisms involved in your, in your in your disease, mainly insulin resistance and inflammation. And if you can get it sustainable for months and for years, the benefits are huge. And, and I, this is the way I love to work, but not abandoning the general practice and also trying to integrate this new science in the general practice. I think this is a challenge. It's not easy, but this is the way I'd like to work. Now, do you find that your patients have a difficult time implementing these changes? I know that other countries are different, but for example, in the United States, in order to see a doctor, you know, that practices metabolic health is, is all private. So there's a lot of people who cannot afford it. And then even for people who can afford the, the, the doctor or, you know, another practitioner, there's also the challenge of how many hours we work, you know, being able to implement these changes is, is rather difficult. It's a, there's a lot of barriers to entry. Yes. So I know two countries, Spain and Ireland in this moment better. In Spain, I can tell you, I'll, I know very well Spain, the practice in Spain. And for me, it's been to be very difficult to find one colleague, medical doctor or pediatrician or to, to motivate this doctor to, to try to work on low car keto diets or metabolic health, because it's not at all spread this spread this information in Spanish, in, in the, in the Spanish general practice. In Spain, it's more common, the nutritional therapist or some coaches to offer that, but disconnected absolutely from the public system. This is not offered at all. And I, I, my, I'm working to try to, to join some colleagues and start doing some research, some projects, research showing that the same results, but for example, David, David Darwin is getting in UK about a remission of diabetes type two. We can get the same results sure in Spain, but it's very difficult in Spain. No, no, no general practitioner is, is doing that, maybe some of them not, not known. So of course a few of them, but it's not, it's not a, well, it's not easy. And I like to offer a private practice with people, but affordable, affordable. Okay, I like to, but and, and then give tools to people in Spanish. And I like to, to have like a website, blog, LinkedIn profile, social network, at least to spread all this, this so good people working in the world on that. And just tell this is the, what they are doing, this is the science is behind that. I think it's just to know that in Spanish, like translated or adapted by a family doctor like me. In Ireland, this is the same, but in Ireland, this is an English speaking country. And of course, everything that is done in UK, the States, in Australia is, can you do it? Can you easier do in Ireland? Because the, if you show them a video or a, or a website in the UK is like, like more, oh, they're doing there. So, but so I, I think for me is, I practice general practice in Ireland. And I like, I'm started to practice telemedicine, online medicine from Ireland in Spain. And I love also to, to, to, to work in Ireland in, in metabolic health. But it's not going to be easy because people for many years, for many decades, the people are really needing the, the changing lifestyle in the 40s, 50s, 60s. And they have been for decades being told other messages. And so it's like shocking, like shocking if you tell them about, well, reduce so much your carbohydrates, even forget about bread, forget about it's a breast, pasta rice for a while. And they say, Oh, I didn't told other things. So well, I think it's, we need everything we need to organize the science, the science is powerful now, organize the clinical practices on that in many, many good experience in many countries. We need to spread the news in a, in the right way. We need also to organize good clinical settings, virtual, hybrid, face to face. And also we need to participate in research. And so we have loads of work ahead. Yes. Yes, absolutely. Tell me a little bit more about what you saw in India, because I know that the increase in tattoo diabetes in India has been massive. And there's a big struggle with that. So how is that effort going? What are they doing? And what are the results there? India is another world is fascinated, fascinated. I don't know why it's one of the countries I went to where I was just 20, because I had a rank missionary, Catholic missionary, and I went to, to stay with him. And then I went back, which I was working for an NGO in leprosy in the late 90s in management. And this is a familiar country for me. And I'm amazing. My son went one year to work in the Spanish embassy last year. I went last year. And it was funny because I could meet the local community in India. And I'm still fascinated with what I found there. Absolutely fascinated. So, because it's a country without a health system. They don't have a health system. Only the public system is for half of the population who can't afford nothing. And the other half, they have to, to spend their own savings in Dave if they get sick. So it's completely different in Spain. If you get sick, you will have a doctor, you will have a nurse, you can go to a hospital, and it's all included in your universal health.  So lifestyle medicine has a huge future in countries like India. And on the other hand, in Spain, it is also regulated.  You have the endocrinology in hospital, the cardiology in hospital, the phyrology in hospitals, they follow the guidelines. And maybe if you prescribe or you give some guidelines, you need to discuss with them. In India, people with very simple training courses, they are already reverted diabetes much more than many endocrinologists in the Western world. Because, and of course, diabetes is, I think, is a mix of the of course, carbohydrate intake, insulin resistance, of course, low, low-income countries and like India, very bad quality flavors, very bad quality seed oils. So inflammation plus insulin resistance is a disaster. I'm accepting a lot of metabolic health. If you are interested, I can tell you about maybe my next trip to India and the people I went to meet in Bangalore working already in metabolic mind. Yeah, absolutely. Go ahead, because I think a lot of our audience would be interested in learning what's going on and perhaps joining the efforts in that community. Yeah, so it was so, so fascinating, so good, too, because I was in a conference with David Irwin, talking to him, and I told him, I'm going to go to India. He told me, oh, yeah, and you have this email of this person, Sashengari Yajangar. Yes, and I sent a message to him. I was so good. They met me in a hotel in Mumbai. I came in from all around India for different persons involved in the low-carb community, and wow, I just start to feel the strength. You can follow all the Indian movement. They are powers for you, I think, in low-carb. I think the most from this community. And while Sashengari Yajangar is based in Mumbai, he comes from the pharmaceutical industry that has realized himself. All history is from type-to-diabetes revisions through low-carb lifestyle, and now he's an excellent coach doing great fix, trained by nutrition network, the American training in low-carb. And Anup Singh is another person. They started more than 10 years ago with a, I don't remember exactly the name now. I can double check and I can send you later. They have 10 years of experience with a wonderful movement in low-carb in India, and I think many people in the world need to know what's going on in India, really. And the other person is called Poshini.  I don't know if she's happy to, if I tell that here. Just tell you that she has massively improved, just reducing the inflammatory seed oils and reducing the bad quality flavors, bread and less rice and changing because they eat, and even in India, they are vegetarians, many of them just sit there as an animal source. And the massive improvement of her mother changing the diet has encouraged her to create a center in Bangalore for mental health and metabolic health where they are doing great things. I'm very happy to tell you that next month of April, I will visit her again because I've started to be involved in some projects in India. I'd love to participate in projects in India. I hope I will be able to do, and maybe she has started a podcast. I think you can perfectly interview her or because she has started her own podcast and because she will be involved in spreading the message. And definitely India is another world, it's so energetic, it's so massive population and where things are different. I'm just starting to be in touch with them, but I can tell you the place where you can get faster results with less investment, maybe countries as India. As India were, for example, I was talking to Sasingar Ayengar told me, I am offering people, I know they are bipolar or depressive for many years and I see how they may start to go out home when they are for some weeks in a keto diet or things like that. Of course, there are many other things involved around the mental health. This is not only this metabolic exclusively, but I'm sure it's relevant and I've seen there are even some people like working with poshini, they are carnivore yogis, some carnivore yogis. Many yogis are vegetarians, but even there are some many carnivores in India, in the country where there is also the religious situation. If you eat some, someones don't eat even eggs, only eggs and dairy and so I think we have a lot to learn because they get very good results, not with extreme keto diets because of the religion, for example, but also I think the system is not so powerful like in other countries to control what everybody does. So I think they are very creative and the energy of India is different. Yeah, that will be interesting to see how fast that tide can turn because like you said, there's no interference from the massive regulatory bodies and it's probably easier in that sense, although I'm sure there are other limitations that they face, but if they can have these interventions from the get go, then it can definitely, we can definitely see fast results, right? I definitely want to be in touch with them and follow what they are doing. I love them to come to Europe. I think they have many things to show us. Yeah, that'd be amazing. So you'll be back there in April. Yes, I'm planning to go back to India in April, back to Bangalore, and Pochini has offered me an interview in her podcast. I've told her I love to do this interview but face to face, they are in their studio. Oh, wonderful. Yeah, that'll be fun, I'm sure. So anything else that you would like to tell the audience in regards to metabolic health, any message to the doctors listening on how they can improve the health of their patients, anything else that you'd like to say before we go? I think we should believe in the lifestyle.  I think we should like just enjoy learning that. I think we should be open to check the science around the last few years and of course all related with microbiome but also all related with macronutrients or related with I think we have the same questions but maybe we need to be open to different answers just to be open. I think just to be open and consider that the people who are involved in in this kind of movements or new ways of working is because we would love to be able to have the right tools for the people to be the owners of their own health. I think this is the message I can give to be open and be able to have different answers for the same questions. Wonderful, thank you so much for being with us today Dr. Kessely. Oh it's a real pleasure, Isabel. Thank you. Thanks for joining us on this episode of Ancestral Health Today. We hope you enjoyed our discussion on how evolutionary insights can inform modern health practices. Be sure to subscribe to our podcast to catch future episodes.


The Mid-Minnesota Women's Center in Brainerd has hired a new executive director. Rolling Joseph has more on the story. Shanon Wuzo, who was a probation agent for more than six years, monitored domestic violence offenses at Central Minnesota Community Corrections. Now, she ticks on the roll, has a new executive director. I was extremely excited to join an organization where I felt as though the board of directors was supportive of not only me being in the position, but also of what I would be able to do for the organization, but also what the organization can do for, you know, me and just that team atmosphere and then what we can do for the community. Shelter manager Vicky Flore, who has been working for the organization for more than five years, is excited to have her on board. I think that having someone who is passionate and excited and to kind of just have somebody excited about jumping in and getting their feet wet and not even hesitating is refreshing and exciting. Brainerd Police Department Community Service Officer, Troy Streffels, has known Wuzo from her work as a probation agent. He says she will be a great addition to the board. I really appreciate about her is that if there's something that she needs to do or to educate herself on, I know she's gonna give it not 100% but 110%. She wants to help improve the center and its programming, including parenting visits and safe child exchanges. She suggested that domestic violence is a serious issue and it should be prevented. We try to provide safety for victims of domestic violence so they've got a place to go. We also try to educate the community and then we also try to provide services out in the community as well. Wuzo comes through the role with optimism to enhance public awareness and to provide empowerment to women who has been victimized by domestic violence. Reporting from Brainerd, Rolene Joseph, Lakeland News. The center is hosting an upcoming fundraiser tomorrow evening at Craigins Resort on Gull Lake to help keep survivors, to help survivors of domestic violence and to help keep them safe. If you've enjoyed this segment of Lakeland News, please consider making a tax deductible contribution to Lakeland Public Television.