Chris Conraddy, also going to be a senior resident of ours, and he will be talking on assessing the role of genetic risk factors in lifestyle changes. Okay, thank you Dr. Orozco. So today I'm going to be talking about a project I've been working with Dr. Bernstein on. It'll be, it's a pilot study that I'm going to show you, but you'll see that as we kind of go. And basically we're asking if we can cause some lifestyle changes using genetic testing. I have no financial disclosures to declare. However, Dr. Bernstein and Dr. Gellerman in the University of Utah do own a patent on the Resonance Rheumatist Spectroscopy, which we'll talk about here in a second. So I do need to declare that. And so the project is based on age-related macular degeneration. We all know that it's a degenerative disorder of immaculate with known genetic and hereditary risk factors. Basically with these single nucleotide polymorphisms, otherwise known as SNPs. We also know from groups around the country and based here as well that AREDS2 was a randomized control trial that showed that PO supplementation reduced progression of AMD to the advanced form. There are some other kind of larger parts of that study, but that's at least one point of that that's key to what I'll discuss here. Then we also know from subsequent studies that patients with diets high in zeaxanthine and lutein have a reduced risk of developing AMD. And those are just two of the macular carotenoids. We also know that patients with lower serum carotenoid concentrations, so kind of on the other spectrum of that, are at an increased risk of developing AMD. We also know that from a lot of Dr. Bernstein's work and others that most of the carotenoids come from plant-based foods, specifically things like kale or orange fruits and vegetables. Resonance run spectroscopy is a way of measuring skin carotenoids. You basically put your palm on the scanner, takes longer to turn on and turn off than it does to actually make the measurements. And you basically get what has been correlated and nicely associated with actual skin biopsy results. So it's a very valid measurement. And we know that from a paper that Dr. Bernstein and I currently have under revision and then also some of his other subsequent work, that these skin measurements seem to correlate with serum concentrations of carotenoids, as well as what we're showing in this paper we have under revision with macular pigment carotenoid concentrations. We also know that skin carotenoid concentrations seem to be a biomarker for fruit and vegetable intake. So no surprise there that the more fruits and vegetables you take in your diet, the higher skin carotenoid concentrations you have. If we then look at just a patient in repeat measurements of their skin carotenoid concentrations over time with no sort of intervention, fairly stable. This is over basically almost six months with repeat measurements four times same individual. Then if we kind of shift gears and talk about kind of the crux of this project, the more controversial aspect in medicine, not just this project, but genetic testing. So what is the role of genetic testing in medicine and in the future of medicine? So we know at least from just simple blood draws that there's really little physical risk from the actual blood draw. Groups have hypothesized that if we can identify patients, pre-symptomatic patients, we can maybe increase surveillance of those individuals with higher risks. We can maybe tailor preventative treatments to those individuals. We can target resources to those patients at risk based off of their genetic results. However, that comes with the caveat that there has been some major concern raised with genetic testing. We're all fairly familiar with them. The first, probably foremost, is the emotional toll. So you can have survival guilt. So one family member in the family that doesn't have the gene or the genetic risk factor can get pressure from the family or even just have the survival guilt. It obviously comes with anxiety or depression, or at least people have proposed that. Then probably the biggest concern just in overall medicine is the discrimination that can come from that in the workplace, mainly associated with health insurance or the ability to get health insurance. So what do we know about genetic testing in AMD? So most of the things we know now, so we know specific genes, SNPs. As I've already kind of mentioned, but most of the data in targeted therapy comes from post hoc analyses. It's been from two different groups and they have shown completely separate and very different results almost from the same patient profiles. They've used the same patients and done analyses and basically shown some groups respond better with specific gene profiles to AREDs or antioxidants while the other group has shown that they behave exactly the same. So at the end of the day, we really have no good information, at least from using genetic profiles to target therapy in AMP. If we look at other chronic diseases, and this kind of puts a little bit of a cloud on the anxiety portion of genetic testing. Back in 2009, a large study was performed looking at basically looking at Alzheimer's patients, genetically testing them and telling them of their risk, and it didn't seem to induce any sort of additional anxiety knowing that you are at risk of developing Alzheimer's versus the patient that was told that their genetic profile did not predispose them to that. So walking into the study, we basically asked, could genetic testing improve patient carotenoid intake? And maybe the kind of larger question that wouldn't necessarily be answered by this study, but maybe subsequent studies, would be, could this alter the course of the disease with pre-symptomatic treatment? So this is, like I said, a pilot study, and so we basically walked into this, taking 16 patients, and I'll kind of describe to you the study itself as we go, that were tested by Dr. Hageman's lab, and then risk stratified into low, medium, or high risk for developing A and D based on their SNP profile. The groups were then subdivided into early and late disclosures, so a group found out as soon as their genetic results were available what their risk factor was, and then there is the late disclosure portion of the group that still does not know their genetic risk at this point. So within four to six weeks they're told of their genetic results in that early group. Then both groups met with a genetic counselor basically discussing healthy diet, cessation of smoking, ARED supplementation, or at least taking in more fruits and vegetables into diets to decrease developing AMD or even progression of AMD. We then did baseline measurements at, baseline eight weeks, six months, and we're still waiting on the one-year measurements, but basically the skin carotenoid concentrations is a surrogate marker of carotenoid intake. All the patients in this study were ages 20 to 59, and the SNP profiles have all been validated in Caucasians, so all the patients are Caucasian, and then you see in the bottom of this kind of the just general outline that I've kind of already discussed. The actual demographics of the patients included in this study, 15 of them were female, one was male. Like I said, they were all Caucasian and all of the family history of AMD. Seven were low risk from genetic testing. Four moderate risk and five high risk. And then if we look at their skin carotenoid concentrations over time, so the high, moderate, and low risk, those are all early disclosure. And then it's kind of a grab bag in the late disclosure of low, moderate, and high risk patients in the late disclosure that still did not know their genetic results. We can see some interesting trends, at least from this small study. So if we look at the high risk or moderate risk, you can see most patients actually had an increase, or at least half the patients in the high risk, most of the patients in the moderate risk had an increased carotenoid concentration. Like I said, with that previous graph that I showed you, these remain fairly stable without any sort of intervention. In the low risk group, half of them obviously changed their diet or did something additionally to increase their carotenoid concentrations. That's in kind of comparison to the late disclosure group, of which none of them have obviously changed anything lifestyle-wise or carotenoid consumption-wise. So while this is a pilot study, and I realized that, this would suggest that we need to further pursue this. So, at least from what we're seeing, the higher genetic risk factors, profiles, and patients knowing that seem to make these patients more amenable to altering their lifestyles in positive ways. And while this is only a pilot study, we are currently in the process of submitting a much larger grant by this further to the VA, in which we're going to enroll two to 300 patients over an 18-month time period and follow them for a year, just like we have previously. What we've also learned from this pilot study is that we also know that that eight-week time point that I plotted previously doesn't seem to be the most beneficial because most patients may not even have their genetic profile known at that point, just from the genetic testing. And then we're also going to add in measuring macular pigment with a spectralis, and I didn't talk anything about that. I just mentioned that our value chart very early on, but we also know that we can measure macular carotenoid concentrations very well with a spectralis. And so I need to make some acknowledgments and thank several people, so obviously there have been several labs involved in this, Dr. Hageman's lab, Dr. Gellerman's lab, and then, of course, Dr. Bernstein and his lab. Then the clinical studies department, specifically Kellyan and the rest of the clinical studies staff, and then, of course, funding kind of makes the research world go round. Then if you care to look at citations later, here's some interesting things. Of course, the non-ophthalmology literature of this reveal study with Alzheimer's disease is actually, I think, maybe the next step in medicine, but we'll see what genetic testing ends up becoming in the future. Then to kind of shift gears to a QI project that I've been working on was Dr. Feist and Dr. Ferguson. There's been, unfortunately, I don't know if this is a trend or maybe this has been much longer than just my residency here, but it seems like as a resident here, there's been kind of a gradual decline in paging practices. What do I mean by that? We don't have enough information to actually either identify the patient that we're being consulted on, or even identifying the team to get a hold of to identify the patient. For example, we'll get a four-digit number, that's the only thing that we get in the page that literally is a non-working number, so we have no information, possibly compromising eye care from our standpoint. So a fairly big deal when it comes to eye care, presumably. So our kind of solution to that was to kind of take a step back and figure out ways that we could force other services to give us the information that we needed to, I guess, perform consults in a timely fashion. And so we've gone in and had them create a smart web template, and I'll show you that here in a second, where you have to fill in specific information, patient name, MRN, and a specific question, and a 10-digit callback number so we can get a hold of the team and know the patient for each consult before the page will go through. Unfortunately, bureaucracy is a bad thing, as we've already heard. So this has been readily adopted at the U. However, Primary Children's has been giving quite a bit of pushback in regards to adopting this, and I'm not quite for sure why, but it seems to have improved at least my experience on call, and I think several other residents would agree as well. And so this is what the current template looks like now. It used to be a single box that you could basically free text anything you wanted into, and now it's multiple parts, and you can still go around this.  So it's not quite the solution, but it's better, and I think we're seeing some improvement with that. So with that, any questions? Yes. Students that were identified early at the eight-week point were being at risk, and they were told to increase their prognoi intake. Right, and change their lifestyle, yes. Were they, was that quantified in any way, whether by food or by supplement, or how much, they were to increase it? No, so there was, basically they were giving general information on age-related macular degeneration and what's known in the literature. So not in a quantifiable, you know, there's A-REDS vitamins, there, you know, if you smoke, it should stop smoking, it shouldn't pick up smoking, it's a midlife crisis, you know, things along those lines. So it wasn't quantifiable, it was just kind of a blanket statement with the genetic counselor. Yes, Dr. Olson. So it's interesting, as we look at the genetic risk profile, and there are not patients in the study now to look at subgroups, but there are about 30 patients who are homozygous risk at one in 10. Right. So both HR1 and chromosome factor, or component factor agent, and of those that have reached 70, all of them have been legally blinded both by themselves.  Right. And then we have protective groups who, you know, in some populations, they're just never going to get it. So this is a big deal, and the controversy about whether knowing this is important or not is interesting. Clearly, there has to be a difference in what's happening. I just think no one has been able to look at it real carefully as far as our nature side, the nurture side of this, our lifestyles and the rest. And so clearly it's a subject, but it's going to be important. Right. And when we get to gene therapy and targeted therapy, we're going to be testing all of our patients for this and then striving to likely do a gene therapy to prevent the problem down the road. That's what I see. Yeah. And I think we all assume theoretical risks of anxiety, depression, survivor guilt. They haven't been well studied. We've all just hypothesized that these are risks. You know, so is it really a risk worth prohibiting the avenue of genetic testing? I think that's going to be the biggest question in probably the next five to ten years of medicine. No question. This is a very emotional thing. I mean, I've had patients break down in tears, obviously, young and seeing their parents or grandparents suffer. So doing your genetic risk is really quite bad. So, you know, I mean, no question. There's a certain, but long term is this better and you make a difference. And that's important work to do. Right. Have you shown studies where people have had that diet of high protein whites and still have a high chance of getting AMT even though they haven't? Yeah. So there's the genetic risks. So those two authors that I showed you earlier that have basically shown two totally different kind of results, even with the same patients. They've both analyzed the data in different ways. So the question, people think have been answered, but I think it's much more debatable in the literature than to say, yes, it decreases risk. The AREDS II trial has shown, yes, it decreases progression, but patients still progressed. So it wasn't every patient responded as well. So I think there's a genetic component that we don't understand. The question you ask is, if you're at risk but normal, if you have the appropriate lifestyle, can you change that risk over time? That study has never been done. Yeah. It's not been done.  So the answer is probably, but believe it or not, that particular study has never been done. Yeah. So there's a few big studies that have never been done to answer some of those questions. Dang it. There's no answer to that at this point. This would presume, I mean, this would have to be a 50-year study where we followed patients for 50 years to see, that was kind of the sub-question that I asked with our initial question. So I think the only way to do that is to do this study but prolong it to 50, 60, 70 years when patients would be developing AMD to see if that alters development or even progression of AMD. I'm going to give you my scientific answer to that because I get that asked that all the time. There is no downside to having the good lifestyle that we're talking about. This is a diet rich and particularly cruciferous vegetables that have been shown to be good in a whole host of ways. Lots of fruits and vegetables, whole nuts, fish. I mean, that's a good diet. So there's no downside to be doing it anyway and then exercise has also been shown to be important. The one thing that I recommend probably not is the ARIDS, it's very high in zinc and there are studies that show that high zinc levels decrease your high-density low blood pressure, your protective cholesterol. So probably not ARIDS unless you actually have change but all of the rest. I say there's no study to prove it but if this were me in that situation, I'd do it and frankly I'm doing it anyway even though I don't think I have unusual risk. So I recommend and if you look at the epidemiological studies of large groups and what happens and this would be over a period of time, those who've had those habits tend to be doing better. That's the best evidence we're going to have until somebody really does at least a 20 to a 30-year study of 50 likely to be able to answer that question. So I'd say absolutely but I would not recommend the ARIDS until we know more about long-term high zinc and its impact on high-density live protein. That does come with one caveat. There has been a lutein crystalopathy patient that Dr. Bernstein has seen. So you can take enough lutein that you actually get crystals. I think you can take that in diet. Yeah, she was on lutein supplementation plus taking basically a shake of kale, strawberries and oranges every single morning. So you can take too much. There's so little that's done from a long-term perspective on overall incidence of the disease. Remember, when Greg Hageman submitted his first grant, the head of the National Institute called him up on the phone and said we are never going to fund a grant on macular degeneration because everybody knows this is just light exposure and age and that nobody will ever do anything about this disease so you're wasting your time. That wasn't that long ago. That's kind of the mindset that we had back when I was a resident. So you didn't want to give a diagnosis if they're doing all right. What do you want to know? So we're really getting incidents and things now but the genetic risk and lifestyle, the genetics are overwhelming if you're at super high risk and then your lifestyle becomes more important than some of the intermediate and then you've got the protective and if you're protective you can smoke three packs a day and eat horribly and you're never going to get it. So you've got to remember that interplay. Interplay of all of this and that almost anything that has lifestyle as a negative impact on our future we're not doing very well. You know what they call the American diet? The standard American diet. The sad diet.


Every single mystery Easter egg in Madden 24. What's up, you guys? I look forward to this video every single year. I collected 55 eggs and we got three of the four limits. We got this branch out one right here. We got the Madd's Stork and the Gold Bird's Egg. My hope is these are Gold 99s. There's only one way to find out. The Christmas promo was not great. So I'm a little nervous right now, but hopefully these are absolutely amazing. Let's just hop right in and we'll start with the Wild Card Egg, which is a... So the Wild Card Egg was one of the Tier 1 eggs and it's got a 96 over on Alec Pierce. That's a good card, but I hope that all of these aren't just 95 or 96 pluses.  Screw it, let's go right now. Branch out. I think this is Brian Branch. Hopefully.  They made him a corner too. I mean, I feel like he's technically a safety. I guess he is a slot corner. 99 speed. 98 man, 90... Dude, I wish this card came out when I started the Wheel of Mutt season. This could have been my team captain. It gets Pick Artist's Mid Zone KO. Deep Zone KO. This card's nasty. Gold 99, Brian Branch. Hey, so the limited eggs are Gold 99s. That is huge news. We are already off to a way better start than the Christmas promo. That's amazing. All right, so these were the Super Bowl eggs. These were small, like low overall. What? What? Did I just get super lucky? Or are these actually 95s? No, I just got insanely lucky.  Oh, let's go. So this is probably an 86 plus Super Bowl player.   All right, so I mean, this was the small egg.  The fact that I even pulled Chase Young is actually kind of crazy. Yeah, I think we used all our luck right there. So we got 95 Chase Young, couple 86s, couple 89s. And honestly, we can just quick sell all these for training. So that's really not that bad. I feel like it's better than I expected. Okay, what about the Simple Egg? I think this was the cheapest egg that was available, like the shittiest one. Simple Egg's got, what do we think this is? This is, I bet, you know what I bet this is? I bet this is an 86 plus overall player. We start with Fred Taylor, 92. It's actually like, it's actually really good. Or are these all Ultimate Legends? An 86 plus Ultimate Legend player? No, it is. It's 86 pluses. It's actually pretty good. Might even be better. It might be an 89 plus. Cause I haven't seen anything lower. I'm getting corrected in real time. So maybe an 85 plus. We got 93, Edgerton James, 93, Fred Taylor. Good training on all of those. Another Simple Egg here. 85, Braden Mann. So far, we've only gotten Wild Card Sugar Rush and Ultimate Legend. So I wonder if this Simple Egg is exclusive to those promos. Yeah, I'm not getting anything else. There's Sugar Rush again. Terrell Smith. Another Ultimate Legend. So it is. It's specifically these promos. Like I can't pull like a core elite in this. She's a really good star. Ozzie Newsome. Dude, this is already so much better than the Christmas promo. I'm so happy they didn't fumble this. I was gonna be really sad. Kyler Gordon. I'll take it. And our final Simple Egg, Chugluma Okorafor.  I ain't reading that name right now. All right, we'll go seven of the nice eggs. I'm guessing these are Wild Card players. No, it's a Sugar Rush 92.  It's interesting the promos that are available in this. It's only Sugar Rush, Wild Card and Ultimate Legend. Just kidding. Aka is possibly an Amunra. Dude, the Amunra St. Brown Sun God Card is one of my favorite cards in this game. I want that on my team so bad. I don't know how many to get ahold of that though for pack and play. Oh, and this is a big tier one Wild Card egg. 97 brain and sheriff. I love that. That's an awesome pull for the pack and play squad. All right, well back out here so we can take a look at this. We have two of these excellent eggs. I have no good guess on this. I'm gonna say 95 overall Sugar Rush though. Division Dynasty? 93 Reggie Gilliam. And our second excellent egg, an honors player. Oh, I forgot that they're Rashidi honors cards. I thought that was gonna be something sick, like a 96 or a 97. All right, this is the tier one cruise egg. I'm hoping this is at least a 95 overall player. Hopefully higher. Amunra, Amunra, Amunra.  Yes sir, yes sir, yes sir. Dude, that's actually insane.  Truly, this is one of the coolest card arts I've ever seen. It's just so good. 98 speed, 97 short, 98 medium, 98 deep. And he has a route tech baked into the card which is nasty. Honestly, at this point, you might as well switch this to third down threat. Yeah, and I'd take route tech for one. It's worth it. Ooh, and then you could take mid and elite or jukebox. I think I'd take mid and elite. He's, this card is nasty. Yo, they're coming out with a gold 99 pat McAfee middle linebacker tomorrow, by the way. Or wait, as you're watching this, it's already out. Log in a mutt and you get a gold 99 McAfee for free right now. I'm not kidding, it's insane. All right, we get seven of the extravagant eggs. I'm guessing these are Sugar Rush and we could pull a limited in this right now. So that's kind of what we're going for. So it is, it's a 95 plus Sugar Rush player. Okay, that's exactly what I expected it to be. What is this? Wait, what the, wait, what? What? 97 team of the year sauce gardener? This card's insane. That was in that egg? It's probably just a 95 plus in general. 98, 98, 98 Andrew Thomas. Oh my God, these are heat.  What did I just click? What did I just click?   Oh my God.  I just opened the mad store keg. Six foot 797 speed. This game is so cooked. I guarantee he gets free Lurk Artists. I mean, duh. It's not even a negotiation. Run stopper, goal line stop, medium route KO. Lurk Artists tackle supreme. What is this card? I really don't know what I would run here. I guess I'll go medium route KO. Those are weird abilities. Lurk Artists is the obvious one.  I thought it was gonna be a safety though. I thought it was gonna be an out of position safety, but we've got gold 99 Hendricks. We have gold 99 Brian Branch. Now the question is who is Go-Birds? I think I originally said Harold Carmichael, and then I switched it to Michael Vicks. So I have to run with my Michael Vickness. All right, let's clean up everything else with who Go-Birds last. 93 Jabril Peppers in the Genki 4 sec. Honestly, I am blown away. This is so much better than Christmas. I'm so happy. This is a 98 Sugar Rush again Christian Barmore. Apparently Barmore gets insane abilities. So he is really good.  Are you kidding me? We already have Nico Collins on this squad, but I can definitely use that. You can't complain about a 98 overall. Full Ultimate Legend. Oh, well actually that is a full Ultimate Legend. I just forgot that they're as low as 96. It's a pretty nasty pull. Ozzy Newsome, I did say I need a new tight end. I'm packing play squad. So we will take that. Dude, packing play squad just got so good. Final extravagant egg that is 95 Lorenzo Carter. We have a few tier one eggs left. I think this cruise egg is still a tier one. This is how we got Sun God.  You guys know. Tori Holt. Well that makes the Sun God pull even better if they could be as low as 95. It's the ultimate egg, 95 scrambler, Deon Sanders quarterback. They even know this card existed. Honestly kind of crazy. Good stats. If he doesn't get like set feet ladies, probably not that good, but solid card. We have five team of the year eggs. 97s? 97s? 97s?   I totally thought they were gonna shaft us. I thought these are gonna be 95s.  Toonie again, I'll take it.  Ah, they can be 95s. Darren Blaine. Should I just get really lucky, or is it just really good odds? No, I got 497s. No, I got 295s, 397s out of five. Probably 50-50 odds. If I had to guess, it's probably 50-50. Combined egg, this was a tier two. This is the guy who's getting cooked on social media for his voice, right? Man that'll be great, man. I'll be right down the road. It'll be a little easier for my family to come watch me play. Final act, go birds. I guess Michael Vick. This is one of the eggs that I truly do not know. We know it's a gold 99, it's a limit. Shit, I shouldn't have switched my guess. They stick a six-foot seven linebacker and a six-foot eight wide receiver in the game at the same time he has 98 speed. Oh my God, that's so gross. He's deep-leaved for one. Get out of here. Matchup nightmare, sure dude. Oh God, this card's insane. Obviously double me, he was built for it. We just added Sun God Carmichael Branch Hendricks. I gotta go throw all these guys in, dude. This team is gonna be so sick. I cannot wait. So our current Pack of Play squad's a 96 overall. It's already insane. And every single player in this team we pulled in a pack and it's about to get even crazier. Gold 99 Carmichael, 98 Sun God, Ozzy Newsom, got a new right guard, a new left guard, a new left tackle, and on defense, we just pulled Aaron Donalds to his new. Barmar Armstead, Brian Branch, Joey Porter Jr., Sauce Gardner, Ronnie Lodge of Real Peppers. I cannot believe this team. Also, the Sugar Rush Chemistry gives you plus two speed on your Sugar Rush players, so definitely tossing that in. Okay, well, this team is absolutely disgustingly broken. Let's go have some fun. Mocho Cinco, Aaron Donald, Tyree Kill, Mahomes, Carmichael, JPJ.  Oh, Happy Easter, by the way, you guys. Did I say that already? Did I say Happy Easter?  We don't have to go there. It's not even a race thing, is it? Easter is a Christian holiday, right? It's not just like a white people holiday. Bro, what are you talking about, man?   He's six foot eight. He shouldn't be allowed to do that.   I'm on side kicking it. The feds can't stop me. It's got that Bo Jackson duo, the quarterback halfback. There's absolutely no way he can throw on me. Oh, just kidding, that Tyree Kill is open. This game is over. Well, you really can't start a game much better than this. Let's go to the Sun God. I asked for this card, so I gotta use it.  I want Japan quaking in their boots. But you didn't have to say it. I mean, good law. Oh, I'm six eight for what? I keep throwing these balls and clicking onto the receiver and simply not getting up to catch it. I don't know how I keep messing it up. Buddy is six foot eight with 99 jump. I expect him to jump. I'm sending the blitz. Oh no, I overrated. Oh, it didn't matter. Rokwon Smith, 95 team of the year Rokwon Smith. Fourth and 15. Let's get the ball back right here right now. I'm on it. He can't hit it. He can't hit it. I'm on it. Come on, Brian Branch. No abilities needed. Goodbye. I like, I literally feel like I, this is my toxic trait right now is thinking that I could just click Harold Carmichael's button and he will catch everything.  I'm just gonna click his button. I'm shutting it off. I'm clicking his button. That was a, that was a salt. That was a horse collar. How did I drop that? Ooh. I, yeah, yeah. You know what? Wait, what? Who has the ball? Why would I even, like, why would I throw that? I'm just showcasing defense. It's all I'm doing, guys. RPO peaks on bubble? I haven't seen peaks on bubble in so long. Is that actually peaks on bubble? Am I gonna get like absolutely dogged by the RPO today? Oh my God, I am. He's actually gonna span the RPO the whole game. This is gonna be a rough one, boys. Let's lock in. Come down, your bro. Third and four. Bagged. Fourth and four. He could get the field goal, it's a 62 yard. I'm actually gonna drop coverage here. This is another RPO in it. Oh, it's not. I don't think he has anything. Thank you. Six, seven.  Although I should have swatted that ball because I actually have worst field position now, but that's okay. Dude, I gotta remember. I couldn't run the ball. I don't know what I'm sitting here spamming passes for when I can do this. Well, that's actually a pretty poor example, but. I'm actually gonna stick to it. Fast as fuck, boys. I don't think you have any idea.  Fourth and a one. Oh my DPI. I was about to say that was the most blatant DPI. That may be the first time that I've actually seen DPI very correctly called. Honestly looking at nooseum, maybe not, what? What even was that? What did I just watch? All right, he's playing a pretty good user on Carmichael right now. So I'm gonna hit McCaffrey.  How did you come through the middle? Sun God, I need you. No knockouts, let's go. Playing off to McCaffrey, yeah? Oh, good. Juke left. Yes, sir. Oh, he just barely grabbed me. Look at Nico Collins.  He just torched his man. Great play. I'm actually looking at Carmichael. Oh no, I had McCaffrey. Too much heat. Absolutely dog on the run, second and 13. I fear he has absolutely nobody open. All right, six to zero, third and 25. Pretty much just blitz here. Kind of just force him to get rid of the ball quickly. I'm gonna go DB blitz zero. I haven't ran this play in a long time. Ew, I don't like it anymore. I don't really like this defense either. Oh, yep, I do now. Ooh, I think that got tipped. And I still got it. Hendricks, go.  All right, happy Easter, everyone. I'm gonna take my two arrangements again. Amazing pack opening. Balled out with Hendricks, balled out with Carmichael. That's all I wanted to get done today. I love you guys. Hope you have an amazing day. I'm gonna get you a MacCabe video. Oh, you got Wheel of Muts coming. You're handsome. I love you, and I hope you talk to that girl you like.


I was facilitating the plenary session yesterday on financing local adaptation in urban areas. I think a few of the key messages was that we have to recognise that urban areas are very much important when discussing adaptation to climate change. We can't ignore urban issues. And we also have to recognise that urban areas are very complex areas. So any actions taken to address climate change adaptation have to be taken at multiple levels and recognising the capacities of communities in urban areas who are already carrying out actions to build their resilience to climate change, to develop the capacities of local governments and municipalities to understand the impacts of climate change and how they might plan and manage activities to address these, and also open up windows to finance urban resilience directly because currently it is very difficult for finance to be reached by municipalities. The session provoked a lot of debate. I think because we had panellists representing various sectors from the community level to the municipality and also more broadly the philanthropic sector. And debate focused partly around the capacities of communities and how what they're already doing contributes to climate change adaptation. And I think we have to recognise that a lot of climate impacts will have effects, for example, on health. So if you're talking about an informal settlement that doesn't have access to basic sanitation, climate change means frequent floods. And it's really important to ensure that this basic sanitation is in place. And community groups are already taking action to put in such basic sanitation if they can work with municipalities to scale up these types of activities, then all the better. I think one of the issues that came up is also how can we ensure that the community level funds, which are often quite small-scale savings groups, how can they access or how can climate finance feed into that. And I think what's being shown by the activities of community groups is they have the capacity to manage these funds. They ensure that these funds are transparent and accountable to the members who contribute to the funds. And therefore this demonstrates the broader capacity to manage funds for financing larger-scale projects for scaling up what's already being done. So rather than reinventing the wheel, why not build upon what's already being done at the local level? We had a number of advocacy artists. Firstly, to recognise the importance of addressing urban resilience. Secondly, ensuring that there are urban windows for financing resilience so that municipalities can access finance directly. And thirdly, recognise the capacities of local communities to plan and manage and implement activities and to manage finance for resilience-building activities as well.


Oh, Mami-O. Hey, y'all, welcome back to my channel. Today's video, as you can see from the title, it is gonna be my very first ever vlogmas vlog. I've never, ever done vlogmas before. I am super excited to try to do vlogmas this year. If you're new here, my name is Akira Jenae. Don't forget to subscribe and join the family before you leave. So, the video that you guys are about to watch is a video that I already recorded about a week ago. For me to be able to try to do vlogmas this year and post 25 videos, I had to start early. So, this video is gonna be me going Christmas shopping, Christmas decor shopping with me and my boyfriend. We are gonna be going to some stores. I'm gonna show you guys a haul in this. So, it's gonna be like the intro to the vlogs and then day two. I already have that pre-recorded as well. I'm actually about to finish that up tonight. So, that's kinda gonna be in real time. It's gonna be me putting up all of my Christmas decorations, Christmas tree, like the whole not. So, stay tuned. I do have 15 videos already planned for you guys. I'm gonna tell y'all. I'm gonna for sure post every single day for 12 days, like the little 12 days of Christmas. If you're new to like the vlogmas thing, whatever vlogmas is basically where content creators or YouTuber will post every single day, starting from December 1st, a video every single day opens on Christmas. So, girl. I for sure have 12 videos planned and or some are pre-recorded for y'all. After 12, if I miss today, cut me some slack. But I do have 15 videos planned. So, yeah. I'm super excited. Y'all can comment down below some videos or ideas or something down below that you want me to do because girl, I still need like nine more videos. So, I don't wanna get to the point to where I would have to like vlog and record the same day because that's a lot. I'm a one-woman show. Like, I don't think I would be able to vlog, edit and upload in the same day, especially because my vlogs be kinda long and it takes a lot to like save it and upload it. So, it'll say it'll take two hours and it turns out taking four hours to upload. So, comment down below if y'all want the videos at my normal time at like 3pm or would y'all want them a little bit later since it's vlogmas, like let's say like 5pm. But yeah, I'm super excited. I didn't record an actual intro to this vlog. So, yeah, I'm super excited for vlogmas. I don't know what to say. This is my very first vlogmas. I wanted to do it last year, but I had a lot going on as well as me kind of feeling like I didn't have enough subscribers or like enough viewers, I guess, whatever. But my family or a family is growing. The AJ family is growing. I'm super, super duper excited. Yeah, I did hit 30K. I wanted to kinda keep that under wraps into my actual 30K like video, but we did hit 30K today. Super duper excited. I cannot thank you guys enough for watching me along my journey. Some of y'all have been here for since I was in college, even high school. So, I really, really do appreciate y'all. Don't wanna cry, but we're gonna save all of the 30K talking stuff for the actual video. So yeah, hope you guys enjoyed this. Like I said, this one is kinda gonna be an introduction into vlogmas. Vlogmas day two and the other ones is gonna be really, really lit. Some of the videos isn't just gonna be all about Christmas stuff either. Like, it's gonna be like I have like a moving vlog. I'm not moving, but I still consider it a moving vlog because it's like me updating my apartment, different like furniture pieces and stuff like that. So, we're gonna have a lot of different categories of vlogs and like actual like sit down videos and stuff like that. So, I'm super duper excited. I'm gonna stop talking now and my list y'all get into this video. Thank you so much again and yeah, hope you enjoyed the video. Bye. Pray you get that job in town, but that's only four hours away. Check out the car in a minute. All right. What can I get for you? I want the eight count nugget meal with a eliminating ketchup. Any other sauces besides the ketchup? No. All right, so I got an eight count nugget meal with me in front of the eliminating ketchup. Yes. Yes, I saw. All right. I'm gonna have to scan that code for you. All right.  Okay. You'll pay the person who's the umbra up there. Her. How much money you got? I've been for what? I'm a grandpa. I still got three of them. I still got three of them bags. Okay. Hey y'all, welcome back to my channel. Welcome back to my channel. If you're new here, my name's Acure Janae. Don't forget to subscribe and join the family before you leave. So me and bae right now are at Chick-fil-A. Y'all know I can't get enough of it. We're gonna be going to a few stores today. So I'm gonna bring y'all along with us. I don't really know what this vlog is gonna be. It's gonna be some type of vlog. I'm just watching you work. I'm just watching the magic happen. Don't get shy on me. Cause you reacted. It's being quiet, so I don't get it. After Chick-fil-A, we're gonna go to Pop Shelf and then at home by a little Target. I don't know. Target's right here. So we may end up just going to Target just looking around and stuff, but. What? Maybe. Why are you saying maybe? JC, this is for a kid.  Don't share with him either. He's like, I'm just kidding. I gotta pass it to him. Okay, well be nice then. Thank you. I got ketchup. You got one. Okay. I ain't never caught it on the good stuff. What is she doing? I don't know. Where's your line? I need to go. What are we doing? To the Pop Shelf thing. Pop Shelf. Pop Shelf. Go towards the best vibe. Which way is that one? Just pulled out. Ah, there we go. You didn't say that on camera, did you? Guess that was funny. Yeah. If I'm trying to eat. And I can't prop out love cause he ain't got no mouth for me up in here. And I'm not about to put this up on the dash because. Sorry, my truck. Baby slanging. Baby slanging me around in the truck. Bye y'all, just bye. Cause I know what I'm saying, come on out, right? You got your wallet. Uh-huh. If you want me to just touch on you, just like that. You know that's a given, you know. Okay. That's the feeling that I get when we lie down. I got the weed and the crib and the liquor too.   That was probably not. It is. This is 15. I mean one for that. Yeah, it's not cause they're usually $20. Start trying to record and stuff. Oh, dog toy. I did that for points. Oh, that cute. It's cute. That's why I love it at home, because I got everything color-coordinated. Oh, this just makes me so happy. Do one like this too though, like the classic Christmas colors. I think it's so cute. I know, I know, I know. Babe, what am I gonna do? Oh my gosh. This is so hot. So we found a tree that we want. We're both getting the exact same tree. Do they got two? Okay, they got a lot. Yeah, so we're getting A37. It's a 6.5 foot tree. It comes with the lights on there already. I'm a male Velma.  Yes, cute. So it comes with the lights and stuff.  I'm gonna do a haul when we get back to the house. I need some glue balls, but yeah. We got some stuff in the cart. Now I just need like a tree skirt and then I do want my tree just a little bit taller. So I'm either gonna put it on my, what'd I say? What'd I say? You didn't even say that specifically. My, yes I did. My old end tables, yeah. So I probably put it on my old end table and then, or I can find like a, I call it like a tree stand and then you put like the tree skirt over it. So yeah, these trees, we got A37 if y'all wanna go to that home store. They're only $59.99, so $60, not bad. So yeah, that's what we're doing. We may go to Hobby Lobby. I don't know. Cause I'm trying to see where I can find the chief's stuff. I don't know if they got stuff. I might find all I need to do.  That's huge. No. That's probably like a $80, babe. I was just saying, look at it. Oh, that's probably $40. Oh no. How much is this one? I like this one. $42, cheap, $14, just $50. Okay, yeah. I like that one. I feel like that's huge. Look at this. $47, so 50% off of that. What would that be? $20? I think we need a basket. I need a welcome sign. Dang, dang, dang. I want something like this for where my TV at. I'm on, I'm on, gotta see what's going on. What's going on? What would you do? You're not eating that white. You know you're not cooking. Yeah, for the Christmas vibes. Okay, so for the Christmas vibes, $5.99 times 25% off.  How long are these 20 feet? I think I'm gonna need two or one pack. Cause I got two, my bed, 25 off, $5.99, what's that? I'm gonna get two, cause my basket was gonna be. His basket, he had to get a different basket. Cause I'm from, one basket was full. So that's our monster, that's his bag. He destroying stuff. You ain't getting none of this. 10th, I think I picked y'all up last when me and Bae was going shopping. So that might've been this past Monday. Today's actually Friday. Today is one of my pick up days. So I do gotta go to work today. It is actually four, I just got back from Bae house and picking up print, it's 4.18. I'm gonna leave out, that's Jasmine back there. I'm gonna leave out today for work at like 5.30 cause I'm hungry, but I wanted to open up some packages and stuff and show y'all what I got. I got three things delivered from Amazon. And then I did wanna give y'all a haul of all the Christmas stuff that I picked up as well. Obviously not gonna be putting any Christmas stuff in this vlog. I got, I got some plans coming up for y'all. I don't wanna spoil anything yet, but I got some stuff coming up and cooking for y'all.  I was kinda tired of like the just one born little slick bag ponytail.  Never ever wore my hair like this before. So I'm gonna use the bathroom real fast because I feel myself moving and I gotta pee and then we're gonna come back for a haul. So, ooh, I got three packages from Amazon just now. Some random stuff, but, and then I'll show y'all what I got for me and Bae when Christmas shopping. First package, oh, this is small.  So y'all know I like to read. Finally getting around. I've been wanting to read this for a while. Don't mind my nails either because I gotta get a new set, but I'm trying to let these come off by themselves instead of like taking them off. Anyways, don't disregard my nails. Anyways, rich dad, poor dad. I don't wanna read this for a while and it's only 300 in some pages. This is a pretty tiny book as well. So I feel like I'll probably get through this really fast. I am gonna take this to work with me tonight and start reading this. So we'll see how far I'll get in this. How many chapters is it? Oh, so it got like chapter one, lesson one, lesson two, lesson five, chapter six, seven. So I think it's only like, this is a 30 set. It's only eight chapters. So yeah, I'll probably get through a lot of this tonight. The other item that I got at random. I needed another Apple Watch cover. So I think this was a pack of two. It'll be linked in my Amazon store front if you are wanting this. Yeah, so I have a rose gold watch. So this one is the rose gold I'm gonna put on and then this one is just like a clear, kind of like silver case. I'll probably rotate them out. I like that it did come with a two-pack because the last one I got was definitely not a two-pack, it's dying. I was thinking of maybe putting on this clear silver one because the jewelry that I have is like silver, but then I kind of like having it all look rose gold, you know? Like I like this look. And then the clear ones, these just pop right on it all. The only thing I don't care for about this one is my last cover, it had like a actual plastic, not plastic like screen protector. So that one had cracked and everyone used to think my watch was cracked. And I'm like, girl, no, my watch is not cracked. Okay, this is how the silver looks. May just be rose gold, yeah. It just looks like it goes with the watch a lot better. So I'm gonna stick with this one. Got, I can't quite remember what this one is. It was just, actually this came up on my Amazon like browsing feed or whatever, like homepage I guess. And it's a Miss Mouse, messy eater, stained remover. And this had so many good reviews. Like it had reviews like thousands. And when people started to spray this on their clothes, it'll immediately go away. So they keep some of his clothes here. So when I get off work, I think I'd be emptying out all my pockets, but I don't sometimes. So I will have like markers and pens and stuff in my pockets from my scrubs. I work at the hospital if you didn't know, I'm a patient care tech at the hospital. So sometimes I will have, you know, stuff left in my pockets. So I had an X-File marker left in my pockets and it literally got all over his, one of his shirts. And yeah, I've been trying to figure out how to take out that stain. I used that OxyClean, did not work. It's like since it's markers. So I'm hoping this works. I'm gonna actually try this out and we're gonna just test this real quick on camera. Yeah, I turned on a light so y'all can see. So this is the X-File marker stain. And yeah, it got him good. And he really likes this shirt and I felt so bad. I was trying to hide it from him, but I think he seen it one time, but he didn't like say anything to I guess like not make me feel bad. But yeah, I know he probably seen it. But hopefully this works. I'm praying it works. Literally all the women that was testing it, yeah, it was working. Okay, we're gonna test this out. Let's pray it works. And then you're supposed to just throw it in the washing machine. Let me read the directions first. Okay, remove any excess materials and wet dry stains with water. Treats, apply the formula to the fake stain. We gonna wet that, try to wet that. The main stain is wet. So we gonna test it on this big boy right here. Okay, it looks like it's trying to do something. We gonna see, let's pour it all over this. Oh, I don't know what to do to get marker out. I don't wanna have to return this. Okay, I'm gonna let this sit and do what it do.  Okay, the last thing I got to show y'all I went to water y'all cricket. I went to buff city soap and I went in there for this one item, it's their shower oil. I had bought, well I had bought laundry detergent from there and they let me get a sample since I had paid like over $50 or whatever on my last transaction. So I had sampled out this oil and I ended up really liking it. So I guess it comes like in a spray bottle. It's just shower oil. I love the coconut scent. It says to apply evenly on skin and rub it in and then you'll rinse it with water. It did not have the directions on the little bitty bottle. So how I used this was I got the mini bottle so the mini bottle wasn't a spray bottle. After I get done showering and everything before I would dry off and my body was still soaking wet I would put this on and then I would kinda dry off and I still feel like I was getting the effects of it but it says apply evenly on skin and rubbing in and then you'll rinse it with water. So I guess I'll try that and see how I like it. But anyways, I got this. I love it, it's a really good product. And for whatever reason, she said if you come at the right time at buff city soap you will like be able to get something free for like a whole year. So she was like from now on I'm gonna be getting like a free soap with every purchase. She will have to explain it again. I didn't record or anything but I don't know the logic cause I've only ever bought something from there twice. So I don't know, she said I just came on a lucky day and sometimes you will just get something free for like a whole year. So it smells really good. I got the sour candies. I absolutely love it. Can't wait to use it. All right, so getting into my Christmas shopping haul as you can see behind me, this is from Hobby Lobby. They have 50% off everything as most of you should probably already know. This one was regular $26.99. So I got that 50% off. That's a really good deal because first off, this one says Merry Christmas and then you can flip it. And it also has welcome but it do have a little reef right here. So even after Christmas, I feel like I may just turn it over to the welcome side to get a little bit more use out of it. But yeah, I am super excited. That's so cute. And that's like such a steal because y'all know reefs and door signs can get real pricey. So I took everything out the box. We're gonna start off with, like I said, Hobby Lobby. I got a pack of 200 mini lights. These lights are multi-colored. I thought since it's Christmas it'd be cute whether it is having white lights outside. So I decided to get the multi-colored ones. And the Christmas lights was 25% off, not 50% off, but they were regular $5.99. And also fun fact about Hobby Lobby, why did they make her like Hobby Lobby? She had to key in everything. Like she couldn't just ring it up and it'll automatically go to the sale price.   And then people, like we was talking to her and she was steady just keyin' them in. Like she good, she good. Anyways, I got this cute little tree skirt. My boyfriend had got a bigger one, but now his is a little bit too big for his face. So I am glad I did go with the smaller one. So I got a white fluffy one because I got a lot of white fluffy pillows and stuff and I just thought it'd be on theme to get this regular $19.99. And then the next thing I got is these cute little trees. It's a three-piece tree set. I actually bought these from the at-home store but took them back because this three-piece set was cheaper at Hobby Lobby since they had them for 50% off. Little stuff like this, I'm just gonna put kind of in my bathrooms because I'm not just gonna completely Christmas-five my bathroom. Just gonna have cute little bitty statement pieces in there so you can still kind of feel like the Christmas spirit going throughout the whole entire apartment. Moving on from the trees.  And I thought this would be super cute so maybe put on the bar somewhere. I think that'd be cute. Then I always wanted a Christmas countdown. They had this cute little days till Christmas countdown so we're definitely gonna be putting this up. I have a cute little like, I wanna do a TikTok of putting all this stuff up so I think it'll be cute, but yeah.  Oh, now meow. I know you, I know you can't. Okay, so it's a magnet on there and then you will just put it on there. So I'm just gonna go ahead and put 25 days on there.  What I got is this cute sign that says Joy. I was looking for a wreath but Hobby Lobby didn't really have any good ones and the good ones say hair and girl, they were $100 and even 50% off, I'm not paying $50 for a wreath. I'm sorry. So I got this, this says Joy, super cute. I'm gonna put this outside. I wanted to know the wreath for my patio door. I'm not sure if I'm gonna put this on my patio door or I'm gonna put it like on the side. So yeah, we'll see. But it just says Joy, super cute, especially on theme, got the white going. So real cute, real cute. The next thing that I have is stuff for the tree. And then I also got a wreath holder right here. But these, I've never had these before. I'm trying to do a little something with my tree, a little something different with my tree this year. Like, you know how you just stick these in the tree? I've never put these on a tree before. So I'm super excited. These two was $199. A few of these other ones was $199. And then these sparkly ones right here were $99 cents. It's this cute little tree. I was thinking of putting this outside somewhere, regular price $10.99. So yeah, I probably asked some snow to it. I did buy a can of snow from there, regular $9.99. So I'm literally just gonna put a little snow on there. And I was thinking, like I said, putting this outside of my patio or I may put it out on my balcony. We'll see how much stuff I got out there. But yeah, I thought this was cute, girl. You cannot beat these prices at Happy Lobby. Like, super cute. Next thing I got is a lone thing of a garland. Don't really know where I wanna put this. I was thinking of putting it where my entryway table was. And then I was thinking of putting it kind of up there on my TV stand. So we'll just see. The last thing that I got from Happy Lobby is just a placemat or doormat, I should say. Regular $14.99. I also had bought one of these from the at-home store, but I took it back because the one from the at-home store was $12.99. And then this one was 50% off. And this one just says probably watching Christmas movies. I thought that was cute. And then it got a little popcorn right there. So yeah, I didn't want nothing too crazy and too Christmassy. So I'm super excited about Pop Shelf. Only thing I bought from there was Alley Pop drinks and then just this doormat as well. They didn't really have none of the Christmas stuff put out. So I literally just got this.  And I like to put this down and then I put the brown mat on top of this one. So from the at-home store, I got this cute silver flower because silver is still gonna be the theme of my tree.  I like to put a flower or an angel at the top. Probably needed some more of these. So I went ahead and picked some of those up. And y'all, I got the cutest little stocking for prints. How cute is this? $7.99 at the at-home store. Come on now.  So you can put stuff in right there. I just thought this was the cutest little thing ever. This is so cute. I can't wait to put our stockings up. And it's white and brown, perfect because my other stockings that I got for me and my family is literally white. So I cannot wait to put this up. It is so cute. The last two items that I got from the at-home store was some ornaments. I probably recorded this already in the store, but I just got a 50 piece for $1.99. And I looked at my receipt and it turns out these were actually on sale for like $2 cheaper. So I got 50 ornaments. They are a little bit on the smaller side, but when me and Babe put up his tree two days ago, because we got the same tree, he didn't even use all of his ornaments. And he only got like one pack. So I'm like, but also me and he don't, like he don't care for his trees to just be as full, like us as women most of the time will put all the stuff on our tree to where you can't even see the tree anymore. So it was like just the decoration. So that's what I liked. So I am excited that I did get a 50 pack of these, super cube, silver, white, clear. And then I also got another pack of ornaments. This is a 40 piece. So these are a little bit smaller. I probably put some of these on my pink tree as well to kind of fill that in some more. And then the last thing that I got obviously is my Christmas tree. It's a 37. If you want it the same tree as me, it was only $60 and it's 6.5 feet. So that's my little haul. I'm going to clean up my little mess because it is 4.56. I'm going to go ahead and start getting ready for work and probably unpack my bag. I got a load of clothes in the washer. I got it on a quick cycle. So it's only going to take 30 minutes. So yeah, I probably pick up this camera again Saturday because I'm off Saturday and Sunday. And we're going to take down all of this fall stuff. Well, mostly I got some Halloween stuff still up, like spiderwebs and like a fake spider. So we're going to take all the Halloween stuff out and really just take the fall stuff out as well because I'm about to start decorating for Christmas here soon. I'm not going to be showing any Christmas related content this month. I'm going to save it all for December. So unfortunately you won't see me like putting up my tree and stuff until December 1st, but I am going to have my tree up way before then. So yeah, I'm going to stop talking. I've been talking for seven minutes, girls. So I'll see y'all probably tomorrow after I wake back up because I'm not going to work. So I'll talk to y'all later. Bye.


I don't know much about the clothes I'm wearing I don't care about your latest fashions don't want those shop shoes or pants in suit you can't polish me up like a diamond you treat me like some old Chevy you're gonna get a suit done right can you guys hear me everything all right let's get started oh hit that like button hit that subscribe hit that like that helps other people find the show guys I need a haircut the next time you see me I'll get one I got him I got an appointment tomorrow uh there's there's a like thank you very much all right to hear is showing up uh let me guys hit me up in the chat let me know that you're here let me know where you're watching from and um we'll go ahead and get started I hope everyone's doing fine on this beautiful March second that's right that means that means spring is is coming for all of us I'm very excited even me here in Las Vegas I gotta tell you I haven't ran in a few months I have a rule which is if it's below 50 degrees when I wake up and uh that that I will that I'll go for run but when I wake up at six in the morning it has not been 50 degrees and I don't do well in the cold all right is that I'm not sure to pronounce your name right uh um brand new view here from Sacramento right on well we're just getting started brah I do this every Tuesday at 8 30 I go over a few things I give an update of what artichoke is doing and what we're dropping this week content wise so I hope you enjoy it all speaking of content yesterday I added to the many lessons just go brie got it we can do that all right brie um so yesterday I dropped another micro lesson how to be seen and heard in any room and this is coming uh from a series of many many uh many lessons and how-tos that I'm doing and they're mostly well they're from my 15 years in in the art of charm and research that we've been doing over the podcast for interpersonal relationships but also uh you know I have had an extensive life as a bar manager and bartender so I threw a bunch of these things that I had learned over the years in that environment to help everybody out so I hope you guys enjoy them they're in the micro lessons playlist they're a lot of fun and uh so last week I did a a micro lesson on how to connect with anyone instantly and it was a it was a small trick that I used to use bartending and as I was saying in the video I was able to use my tips as uh to quantify the level of engagement when using these rapport tricks and when I used them my tips went way up I would I would use these tricks for like a few weeks and then I would use another trick so I'm putting all my results all the research that I had done over the years into the micro lessons are a lot of fun check them out and you have an opportunity to tell me what you think and and to add to those in the comments so hope you guys dig them all right so I'm going to get started today with a little bit of of cancel culture reporting this is the kind of stuff that usually gets me in trouble but I don't care I think it's so absurd at this point that that how can you take it seriously that's how absurd it has become it has become so absurd that you can't take it seriously for instance Dr. Seuss we have now gotten to a place where Dr. Seuss is highly offensive to a lot of people now I find this hilarious because as as this kind of stuff and I've been following this for like the last decade but when you keep chopping at the bit right with cancel culture you you find people that are offensive and you get them and then mildly offensive and you whack them and then you look for somebody else and you whack them and it eventually gets so absurd that no one can take the whole thing seriously well what do you think most people most Americans think about the idea of canceling Dr. Seuss do you think that they think it's a good idea or do you think it's so absurd that they're that they're seeing the ridiculousness of the offensiveness that these people are are taking it has gotten to a place where no one can take the movement seriously they have overplayed their hand now I'm sure that some people will rationalize it and go well you know Dr. Seuss is offensive well I guess I can see that I mean a lot of those books were written a very long time ago and we had a different set of cultural standards then that though they have may have been mainstream and those stories and those books have landed into the lives of millions of children from around the world perhaps they are offensive to some because of the time period that they were written you can make that argument but how many times are you going to make this argument so but here's the thing okay let's all agree that possibly in the context of when these were written if you if you bring them into today's culture some people might see them as offensive so these books and these movies the Grinch and the other Dr. Seuss movies will live on YouTube if if we continue to play this game where everyone is so sensitive that everyone's going to continue to get canceled then mainstream culture what you see on regular television will be dulled to such a degree that no one is going to take interest in watching it anymore because things that are funny tend to be a bit edgy they make you think about things comedy is supposed to be about cultural shifts and ideas and to look at things critically with a sense of humor about it so that we can examine whatever it is that the comedy is about but if we decide that all comedy is offensive or that it could be offensive well then we're just going to continue to keep dulling the art that we produce until it it is so safe that there is no bite to it there is no emotional it is devoid of any emotional content which good art is all about good art makes the uncomfortable comfortable and the comfortable uncomfortable that's what good art does good art should make you think it should it should make you aware of things that perhaps you've never thought about that's that's the idea of things being thought provoking that it stirs up emotions which will stir up your brain activity so that you look at things from all different sides examine it and then make your own decision if we continually reduce art into just safe images and safe music so that no one is offended well that's going to lose all its bite and then we should see if that's the case here's the argument i'm going to make if that's the case to all of this then mainstream media who is perpetuating all this insanity should be losing their ratings rapidly is that the case has that happened is that the consequences of reducing the product to very safe humdrum emotional devoid content yeah and you could say that mainstream television now is just making emotionally devoid content so that means that everyone will have to go to alternative platforms in order to find engaging thought provoking content so they're going to find dr seuss videos in movies and books in the fringes of society where it has been reduced to because that's what good art is there comes a time in everybody's life where you start to pursue thought provoking content because you want to be moved you want to feel alive you want to feel like you're a part of something when mainstream content doesn't deliver that to you you will seek it out and you will find it or you will create it yourself this perpetual culture of being offended only it just moves people to other places and and we're seeing the fallout of it right now i mean as i said if that was the case then mainstream media would be losing their ratings well did you see the ratings of the golden globes this weekend it was a 60 drop in viewership 60 percent that means no one cares why does no one care because no one can connect to it because it is not thought provoking it is not it doesn't stir you emotionally it doesn't connect to you it is bland boring safe images on a screen that's where we are you know what i used to be i used to get so mad about all of this stuff but if we just write it out to its inevitable conclusion then we get to watch everybody else learn from their mistakes and backpedal and double down in the rest of the insanity and guess what this is where i take a step back and watch the show for my own enjoyment so i hope that you guys can enjoy it with me and that is my rant for today so if you guys feel the same way let me know throw in the comments let me know how you throw uh how you feel about it because uh you know i see a few of you are have been able to tune in and watch and we're always going to continue to build our little thing here so as i mentioned i'm here every tuesday 8 30 a.m for a live stream to do something different it's an opportunity for me to rant and go off so as we watch the continual decline of art and music and cinema in our culture it'll swing back the other way but i'm going to sit back and watch the catastrophe that is unfolding before our eyes because for these people who feel like they're doing the right thing they've watered down their product and no one cares so then what do you what do you think that the mainstream does now that everyone runs to find this edgy content thought-provoking content content that they can identify with and make them feel good they go elsewhere to find it and guess what the mainstream tries to shut it down because they're not interested in their bland lame safe product so as i said i used to get mad now i just watch it for the the pure hilarity of the whole thing so that's what i that was my rant on cancel cancel culture and that's where i'm at with it today you know it's quite amazing you know you can look at cartoons from the 40s and 50s and things like that and see their the stereotypes and how in the in a cultural context of that time period those things looked and felt different because of well we everything looked and felt different back then every and then of course everything that is created today is going to take on a different meaning in 20 years because those are cultural shifts if you and listen if you want to put things in a museum for a bit and so that people would chill out i'm fine with that as well but i certainly don't think destroying things is the answer how are you supposed to not repeat the past if you have no reminders of it i mean this here's my final point to this and i do we all have to watch this show to inevitably understand and know its conclusion and just watch the trainwreck everyone's been screaming everyone's been holding up the the red flag and and saying yo this is going to end terribly but here we go steadily hurtling to our demise and when i say our demise i mean that in the in their cultural movement it's an inevitable demise and i'm certainly not gonna get into all that now because i'm just gonna end up upsetting more and more people which i tend to do when i rant into the camera all right so uh this week we also dropped the emotional bids episode emotional bids are probably one of the most powerful tools that you can learn to use in communication in interpersonal relationships because you and me give out emotional bids all day every day in order to receive attention approval and acceptance the three things that all human beings need in order to feel good about ourselves in fact everything that we do through our self expression is an opportunity to connect with others through attention approval and acceptance if you understand how to wield the three a's attention approval and acceptance you can use them to your own advantage you can use them as rewards for people you can use them as motivation you can use them as punishment you can use them as something to aspire to but emotional bids are the distilled essence of where attention and approval and acceptance spring out of look at facebook look at every post that you see those posts are emotional bids there are an opportunity for you to throw out an idea whether it's a meme a song a rant this is an opportunity for you to connect to other people when you when no one comments on your post and there's a little feeling of of being ignored or upset inside and i know it's silly but we all do it we all allow social media to play with our emotions because that's exactly what they were designed by the top experts in psychology and and technology to do so if you understand emotional bids you can use them much in the same way technology uses you to manipulate and influence behavior which is incredibly important now if you want to know how to use emotional bids and your own and other people's psychology and an opportunity to influence them to persuade them and to connect to them well then i highly suggest that you download that new podcast it's going to be on youtube thursday we always drop the podcast episode on youtube on thursday we give it a few days on itunes and then we drop it here but we've talked about emotional bids on this show many times and this week's toolbox goes in depth inside and out on emotional bids there's also a screensaver that you can download for your phone that has all nine emotional bids so that you can learn them and to be able to identify and validate and turn towards emotional bids you can't use them unless you know what they are you you're not going to be able to identify them if if you don't if you if emotional bids are not defined for you right they are a bid for attention we go through all of them in the show we talk about how to use them to connect with your loved ones and how to use them to be able to persuade behavior it's probably well i will say this emotional bids are one of the communication tools that will completely change the way you look at conversation because now you understand what you need to pull out of conversation in order to connect with people and i'll tell you another one here's a here's a story once you understand emotional bids right which are opportunities to connect with people once you understand what they are how to identify them you will never run out of things to say in in a conversation you will never you'll never run out of things to say on a first date you you'll never run out of things to say at a networking event because you understand what you're looking for and how to identify and validate those emotional bids which when you do heighten the person that you're speaking to it heightens their emotional state it heightens their emotional state because when you identify and validate emotional bids you trigger their dopamine receptors and it floods them they get a shot of dopamine just like every day that you log on to any social media and you get that red notification badge up in the corner that has been specifically designed to heighten your emotional state through dopamine it's the same mechanism why are you not using the same mechanisms that science and technology and psychology has devised to make social media so incredibly addictive why are you not using that those same mechanisms in your own personal life to heighten the state of everyone around you to be able to heighten their state get them to feel good and then be able to influence or persuade them or connect to them it's all the same thing and you know when i talk about influence and persuasion i could also throw manipulation in there because the actuality is it's all the same thing it's just the intent behind why you are doing it that that matters my mom is probably the greatest emotional manipulator of all time in history i'm 47 years old and she still uses emotional manipulation to mess with me to this day why not understand and use these tools in your own communication to your own advantage because guess what everyone else is already using them against you so if you want to get better at persuasion and influence and connection and even manipulation if me if if it came to that if you were using it for Jedi purposes only then then check out the emotional bids episode because that is the the same mechanisms that technology uses and you once you learn them you will feel as if you are in on a little well a little secret that most people don't acknowledge or realize in their own communication that you will now be in control over so that's what i have to say about this week's episode on the at the artichoke podcast it'll drop here on uh thursday but it's already in itunes and in the recent podcast now my last point today that i want to discuss is well here how about this i'll just do a quick i'll do a quick recap which is um monday yesterday i dropped a how to be seen and heard in any room micro lesson check that out last week's was how to connect with anyone instantly i put that together from all bartending tricks that i used to use to raise my tips back in the day and then the drop will be for the emotional bids episode podcast which will be dropping uh thursday now this is all going to be in a series of rapport tactics that you can use to connect with people influence them persuade them and just communicate better i think of anything of of our modern times that has showed us the importance of of influence it has showed us the importance of ideas in fact i think that you can chalk up everything that is going on culturally right now connected to the internet which is hyper speed info information exchange and we are trying to navigate this new technology to the best of our abilities and i will tell you this right now we're not doing a very good job about it when you're canceling dr seuss and every other movie and childhood book and and everyone's mad about everything and and no one's safe about talking to anything and mainstream culture has diluted their own art for the sake of being safe and uncanceable then we have painted ourselves into a corner those who oblige to it those of us who constantly open our mouths and get ourselves in trouble which is me and you probably if you're watching this we're over it we're not playing this game and uh because we're not playing this game we can detach from the whole the whole thing and have a good laugh so all right guys that's all i had to say today give me give me a thumbs up if you can that always helps people find the show we're going to continue to do this i do this every day i'm sorry i do this every week tuesday 8 30 pacific and if you have any questions i'm going to give you another minute or two to put them in the comments in the in the chat and i'll answer them or if you just want to say hello put it in the chat and give me that hello outside of that my time is up and i got a head out of here and do some work so i appreciate all of you guys tuning in today and and and checking it out as i said check out the micro lessons i added two really good ones i think they're a lot of fun they come out every monday 8 am pacific time and then the podcast will drop on thursday and if you haven't checked it out yet make sure that you can hit it on itunes all about emotional bids as i explained it's a lot of fun it's definitely something that i would want you guys to check out and have in your communication conversational repertoires and then if you enjoy what i had to say and you want a lot of cool stuff to to learn and practice while you're still in the pandemic check out the art of charms captivate and connect it is everything that you need to unlock the hidden skills that are within you so that you can meet your goals and with that guys i appreciate it thank you very much i'm gonna head out i got a lot of things to do thank you if you haven't given me a thumbs up please do and i will uh you can catch me on all the social and i'll be back next week 8 30 a.m pacific all right guys cheers


Studying Romeo and Juliet. Here's how you can analyse that five scene three. The scene opens with Paris and his page coming to Juliet's graveyard. Here he speaks in alliteration and caesura to ask his page to stand watch whilst he enters Juliet's tomb. The page agrees but these stage directions show that he's talking to us directly as the audience showing that he's afraid to stand and watch as he has a bad feeling and the assonance here illustrates that he's scared in case an intruder comes. Just as he feared, the stage directions illustrates that the page whistles because he's intruders. These intruders are Romeo and Balthazar his confidant. Romeo speaks to his confidant Balthazar. He gives him a letter to deliver to his father.  Romeo wants Balthazar gone and although Balthazar promises to leave, these stage directions we're speaking to us directly as the audience as well as his use of alliteration here shows that he still hides himself and keeps on watch to see what Romeo will do. The stage directions reveal that Romeo forces open the tomb and Paris to his shock when he sees Romeo realises that he's come to desecrate and to disrespect Juliet's tomb. Here he speaks in alliteration as well as Ayambic pentameter to basically state that he needs to protect Juliet's honor. Paris asks Romeo this rhetorical question because he believes that Romeo has simply come back to Juliet's grave in order to disrespect her memory. He thinks that he sees Juliet as an enemy. Romeo is seized with desperate emotions and he speaks in this imperative sentence telling Paris to back off and leave him alone. He then reveals to Paris that he has plans to kill himself in this tomb. Paris refuses to listen to Romeo and these stage directions show that he challenges him to a duel and Romeo kills him. Once Romeo has killed Paris and laid his body next to Juliet's body he speaks using this metaphor to say as he approaches her face that she still looks beautiful.  He asks this rhetorical question basically saying that Juliet looks so beautiful even if she's supposedly dead. This is ironic because she actually isn't dead she's still asleep however Romeo doesn't realize this. The stage directions show that Romeo drinks the poison and he speaks a 9-bit pentameter as he dies. He gives Juliet a final kiss. Fry Lawrence arrives and finds Romeo and Paris's dead bodies. He speaks in this exclamatory sentence as well as this rhetorical questions to show that he's horrified at what he's seen. Once Juliet wakes up and realizes what's happened she refuses to leave. She speaks in this exclamatory sentence and these stage directions show that she's so overcome by grief she takes Romeo's dagger and kills herself. The alarm is raised by Paris and Balthazar and Fry Lawrence's court. He then confesses everything and he uses these oxymorons to tell the houses of Montagues and Capulets what's really happened to their children. The Prince tells both families that they cause these deaths and they end up forgiving each other.


dystopian time. Coming up, we have a really big event. This is the Medicare for All March taking place on July 24th. So there's going to be marches across the country, hopefully the locations. Okay, locations are popping up, but I'll try to bring it up. Joy, can you tell us what is going on here where it's happening and how we can get involved and take place? Yeah, so we started with one march in DC, and now we are at 28 marches nationally with more being added. You can find the locations at m4aLL.org. I'll be the emcee at the DC one. Our keynote is Marianne Williamson. We have Lee Camp. We have Margaret Flowers. We have a bunch of cool people. LA, Ron Placone, Graham Elwood will be in Hawaii. So we have incredible, oh maybe a girl is the emcee in LA. So we have incredible people coming out to support this. It's actually one month from tomorrow, July 24th. So I'm actually helping organize all of them. So I'm kind of going bananas, but that's a lot of work. It is, but it's very rewarding. It's the, you know, the, I've organized probably over 30, you know, actions in the past six years, but this is my first event I'm doing since I went blind. So this is very special to me, and it's like I get to prove to myself I can still do this. Like I can still actually contribute to and do what I want to do. So yeah, July 24th, we have so many locations. And then our Twitter is at m4m4aLL. That's incredible. And I have the locations on the screen here. I believe that this is not the updated list. The link didn't work for me there, but so the website is m4m4aLL.org, something that I think is really, really cool. I love that this is taking place. And I feel kind of like, since it's happening in July, which is my birthday month, people are trying to fight for Medicare for All as my birthday present, which would be really great. So if you want to get involved. It's actually Medicare's birthday as well. Is it really? Yeah. Well, they're a little bit older than I am. Medicare's older than I am. Yeah. And just to kind of add to this, so before the pandemic, there was a study that came out. I think it was from Princeton University. I'm not entirely sure. But it showed that 68,000 people per year were dying because they didn't have health care. And I don't necessarily know if they're disaggregating between people who just don't have insurance or people who had insurance, but they were underinsured. And so now after the pandemic, or during the pandemic, I should say, I can't imagine how much worse it's gotten. And I've spoken about this before as well on Twitter that after my dad died, I still, I don't know if my mom's gotten one lately, but she'll receive these bills for ambulance rides for hospital stays for my dad after he's been dead over a year. And the system in America is so bizarre the way it's set up. It's violent. It's literally violent. And I also want to point everyone to a video from the New York Times, talked about this on the Humanist Report, actually, where they basically talked to folks from Canada, from Australia, and it was maddening to see their reactions to how dysfunctional the American health care system is. And so since we have this topic up, does anyone have like a crazy health care story? Because one thing that I say on my show is, look, basically, if you live in America, and if you've had to sign up for insurance, you have some sort of a story about how confusing it is, how difficult it is to navigate the system, you know, going through. So I have Obamacare, right, not necessarily the best in the world. I think I just signed up for the cheapest bronze plan that I can find. But when you look at all of the plans, it's extremely confusing. Even though you make your monthly payment, it doesn't cover everything. So you're spending thousands of dollars. And I mean, I feel like Medicare for all, it's no brainer at this point. And Jen from the, I'm blanking on the name of her show. So I'm so sorry, Jen, I want to give you a shout out, but I forgot your, your show's name. But she basically said, look, at this point, if you don't support Medicare for all, I put you in the same category as like the Flat Earthers, like that's how crazy you are, because there's no debate at this point, like it's cheaper overall, it reduces net health care spending, it saves lives. Oh, generational change. I don't know why that was so difficult, Jen. I'm so sorry. But I love the point that she made there. It's, it's, you're, you're like in the same category as Flat Earthers. And this is kind of where I'm at. So does anyone want to share like a healthcare story that they have?  Like you shared, what is it $12,000 per eye? Per eye every 30 days. Yeah. So I just started going blind last year. So all of it was unpredictable. And, you know, I just woke up one day without most of my sight. And it's super rare. And I'm only, well, I was 40 at the time. And so insurance companies were like, we're not paying for it. It's rare. Like, and it's like, yeah, I'm totally making it up. I said to my doctor, is this some kind of kink I don't know about, like people actually asked to get in, you know, injections in their eye because, you know, they were refusing to pay for it.  You know, there's, I have a cane, there's no driving, I can't watch movies.  But so on top of that, it's exacerbated by calling about preauthorization and my surgeries and all of those things and just spending hours and hours every day on the phone, trying to get things covered. So it really is a hostage situation where it's like, you know, you have like a real little bit of sight left, but we're just kind of going to let that go too, unless you can pay, you know, XYZ. And thankfully, the lovely Marianne Williamson, Mike and Ron Placone, you guys did a fundraiser for me. I how how I would have gotten through it, I just don't know. And, you know, I had to get all blind accessibility equipment and everything. And it's like, Medicare for all would have changed my life. My dad's out of the family. Lots of them are in Georgia. My family is originally from New York, but lots of them are in Georgia. My aunt and my grandma lived in the same home. It was like a really small duplex. It wasn't the best place. They lived there for a really long time. I think as long as I've been around that I'm 22 now, so quite quite quite some time. My my grandma passed away and we brought my aunt to live with us for some for some time. She had some health issues, but the thing is she never got it touched on, because she couldn't afford the health care that and even if she did have the health care, like you said, they wouldn't pay for everything. So she was scared of if something came up, if she ever knew about something, she'd worry about it. She was very worried, worried some person. She'd worry about it more and it made the health care worse. So just kind of imagine that it doesn't exist until it caught up with us. So we brought it to the house and everything.  And she was going on for her first her first doctor's visit, first medical checkup in her adult life that Monday, but the weekend before she passed away. So thank you. It happens. So our health care system is absolutely like abominable. I have to say so. That's basically that's one of the big reasons that got me into politics in the first place and got me into having health care be my like big issue. It touches a lot of people and I do think like health care is like really one of those big things. Like for me being in Kentucky, not only on specifically the marches, I was able to go to the one year anniversary of Breonna Taylor's killing in Louisville. And it was an amazing time. Listen, all right, if you're lonely, a march is a great place to go. I'm at a really cute girl, really nice. And yeah, and you get to show out. I got to speak to her aunt and everything and her mom, great people. So you get to do something that's good. You get to go outside, great, touch grass. I did it. And I just really think that it'd be great for everyone to sort of get together behind the movement. And I live right next to West Virginia.  I think that's one of the really big things that can get people moving, something that really affects them, especially a lot of people in cold country, oil country, those people get really messed up. Yeah. And speaking of that as well, there's this place called Libby Montana.  And at that point, everyone got 100% coverage. And if you look at the legislation, it does not say Libby Montana in it. So that's one of the one of our demands at the at the March to enact Libby Montana. Um, they can enact it for literally our entire country just on that one statute. I mean, we saw actually a country wide nationwide version of that actually with the COVID vaccine. You can get that really large. Exactly. Yeah. And it's uh, I was honestly like because we live in the United States, I was actually a little bit worried, because I don't know about you all, but they did ask for my insurance card. And thankfully I do have my my Obamacare. But it's like, okay, when's the bill coming? Like I know I'm gonna get something in the mail, because it's like it's traumatizing like to have any experience with healthcare.  And maybe it's because I'm gonna have a contract. So I'm not necessarily the best gauge for this. But when I think, Oh, God, I'm sick. If this is something wrong, then is this gonna be the thing that like bankrupts me.  Like if you're sick, you should be worrying about getting better, not like how you're going to pay for this. Not if your family is going to be okay or bankrupted. You know, as it was the case with like with my dad, you know, with my mom receiving medical bills, it's like she should be grieving, not thinking about Oh, my God, am I going to get sued for this? And we still don't know. It's like, you know, when you get a medical bill, it's not $20. It's like thousands. Did you want to say something to them? Yeah, I wanted to say and like, I don't think people it's not that people don't recognize, but I think we forget the amount of like trauma that comes with getting hospitalized for any reason or having to go to the doctor for any reason. I have like a close relative of mine who got cancer and luckily, they had Medicare. So they got to go to a doctor. They were worried that they did. They caught it a little bit earlier. And they are doing well now. They're doing great. They, you know, survived and everything's great. And they don't ever have to worry about the stress of having to pay back literally hundreds of thousands of dollars back into this.  And that is like the toll it takes on you.  And then also the mental like just like the stress of just the mental burden that it is of just feeling sick. Like you don't, you just, I'm sure everyone here knows about like the theory of like spoons. When you're physically sick, you just don't have energy to do things. Your energy is so limited. And like we look at all this and we're like, yeah, we need to make sure these people pay hundreds of thousands of dollars, despite the fact that we don't have to make them pay this. Like it's just depressing.