ught his car and put it in the garage. Daniel Vasquez first. I was like, what did this come in? Who bought a BMW yesterday? Yeah, it was a nice one too. I was like, dang, where did this freaking come from? We're in M-series. Where did it? There's a Artega first. Joey Gallo. Got Yankee Fernandez there on the first sapphire. And Joey Weimer on the back. First for the Verucru. Alrighty there, Daniel. That will do it for your 2022 Bowman Chrome sapphire. Thank you so much. We'll get them right out to you. That man, Jackson Churio, is hiding from me on those. He is hiding from me. Dylan's like, if I don't top of this now, I'm just gonna be the one top of it tomorrow. I'm just gonna give it to him real quick. It's gonna be me, either way. Alrighty guys, got Dean next with the Case of Star Wars Six series. Let's do it, Dean. Do it, Dean. 20 boxes here. Come on, Dean. The Case of Star Wars Six series. Hopefully I got you a Vader in there. Yeah, Dylan picked this one out so you can blame or thank him. Either way. Either way. All right, let me get, give me just a second. Gotta get Dean 20 entries in this random here. Two, three, four, five, six, seven, eight, nine, 10. I hope so, Dean. That would be awesome. Cool, cool, cool. Let's see a Vader auto at least. Haven't seen one yet. Yes, sir, let's do it, Dean. Good luck. What's going on, guys? Got Kyle here with Layton Sports Cards and we are ripping 120 box case. This is gonna be Star Wars Six series. This is for Dean W. Good luck, Dean. Let's see what we got here. 20 box case. These don't love coming out clean. Very tough to get them out. Oh, boy. I said they don't like coming out clean. I was right. I was right. 20 boxes here for you, Mr. Dean. Good luck, good luck. Box one. Yeah, let's see that dual or triple autos, man. Let's see it. Dual and quad, I guess. First up, we have General Draven on the base auto there. That is from Solo. Alistair Petri is General Draven. First one there for you. Box two. It is gonna be the first numbered. It is blue to 50. Gonna be Septin Vanick on the blue to 50. That is a pilot there. Rise of Skywalker. Joseph Alton has a Septin Vanick numbered to 50. On the blue, box three. His forest, guys. His fortnight skin numbered to 25. We've got Kers Anton from Mandalorian, or sorry, Book of Boba Fett. Kerry Jones as Kers Anton on the green to 25. Nice one there. A box four is Base Auto Zero. Bouncy Hunter from the Mandalorian. That is Chris Bartlett as Zero. Bouncy Hunter robot there. Wouldn't wanna run into one of those. Box five for you here, Dean. Let's see one of those quads or duels. Base Auto gonna be Evan Peele, or even Peele. Now one is from the Phantom Menace on Makayla Cottrell. That's even Peele. Box six. Base Auto gonna be Pammage Nero Good. That one is from Force Awakens Crystal Clark. Pammage Nero Good. Box seven. Already starting to lose count. Seven. We've got Auto gonna be Corrin Trawler on the Auto. That guy is from the Mandalorian. Demetrius Betreski as Corrin Trawler on the Base Auto. Ooh, nice one. Here we got Bluetooth 50. It's gonna be Grand Moth Tarkin. Nice one there from Star Wars Rogue One. That is Guy Henry as Grand Moth Tarkin. Number 250, Dean. Now we got Box nine. What's up, Yogi? How we doing today, Yogi? Father's Day. This is Base Auto gonna be Carson Tiva. Carson Tiva from the Mandalorian as well. Paulson Lee. Carson Tiva. Come on, triple or quad. Box 10. We've got Auto gonna be Twilight Major Domo. Twilight Major Domo. That one is from the Book of Boba Fett. David Pascari. The Pascuesi. Box 11 for you, Dean. Let's get these going, man. Let's get this double or quad Auto going. We've got Base Auto gonna be Axe-Woves. This one is from the Mandalorian. Simon Casanitas as Axe-Woves. Box 12. Toby on Box 12 there from Star Wars Visions. Donnie Lemmingo's name's Toby. That's Jane Waldman there, T-O-B-1. Call him Toby. Nice one there on the Base Auto. We've got Throwback Auto. This one is Lira Urso. That is from the Solo Star Wars Story. Not numbered there. Velene Kane as Lira Urso on the Throwback of Variation Auto there. This one is Ezra Bridger on the Base Auto there. That is Taylor Gray from Star Wars Rebels as Ezra Bridger. Nice one there, the hero in that show, do you believe? Box 15. We've got Ben Kenobi, Auto from Star Wars Rebels. This one is Steven Stanton as Ben Kenobi. Obi-Wan's older Variation, Ben. 16. We've got another Variation Auto there. 8D8 on the Red Throwback. That is Matt Berry. Matt Berry has 8D8. Box number 17. This one is going to be a Base Auto of Lovey. Lovey there, that is from The Last Jedi. Lily Cole, The Last Jedi. I believe that was a, maybe not Casino scene I think. I think that was where she's from. Trying to steal the plans or whatever they're trying to do with the Casino. There is a Base Auto now. It's 80 Galea. 80 Galea there from Star Wars Clone Wars. Angelique Perrin. Angelique Perrin is 80 Galea. All right, Dean Box 19 now. Come on, come on. Let's see them multi-autos. This one is going to be Green on the Throwback, got Edgrio Tutubes. That one is number 10 of 25. Going to be David Accord. 10 of 25 on the Green Variation Auto there. Edgrio Tutubes. And last one here, Dean Box 20. Good luck, good luck, Star Wars Six Series. The last auto is going to be Bede. Scott Capuro as Bede on the Throwback. They're the Pod Racing announcers. The Bunta Eve Classic. The Bunta Eve Classic. Bede there, Scott Capuro. Alrighty, Dean, that will do it for your one case of Star Wars Six Series. Thank you so much, my friend. We'll get those right out to you. Yeah, of course, Dean, of course. Sorry we couldn't get you one of those quads or triples, man. We've been hunting those for sure. Alrighty, guys, let me get that one uploaded to YouTube. We'll keep going here. Man, I should be watching the Four Shizzles stream right now, dude. We're missing out, missing out. The Force is probably gone now. Sam's probably still with him. All right, guys, next up I got a WWE for Tony. Good luck, Tony, let's do it. What's going on, guys? Got Kyle here with Layton Sports Cards and we are ripping one box of 2023 Revolution WWE and this is for Tony Y. Good luck, Tony. Let's see if we can get a kaboom out of here for ya. Let's see a kaboom here. Sticky plastic around here, man. Just something about it. All right, good luck, Tony. Let's see a kaboom here. We've got a rookie base topped out. Degeneration X, I like that. That is a, this is Vader on the impacts number two, 199. Degeneration X, oh boy. George, George took some damage. George took some damage. Say Kevin Owens there on the shock weight. We've got Johnny Gargano on the Astro. Is that George? Yeah, it's George. Max is getting a safety carpet. This race is over, this race is over. Can't even lose out on the pit. He's good. We've got a core Jade on the fractal knot numbered. Nikita base, come on. Let's see a kaboom here. That is another, we got an Astro Bianca Belair and Alexa Bliss is gonna be autographs cubic. Nice one there, Tony. That should be numbered to 49. On the Alexa Bliss autograph redemption. Great one there for you, Tony, on the Alexa. We will take that. Rookie is Maxine Dupree. We've got Tyler Bates. This one is going to be the cosmic, number two, 149. There's a Miz on the shock wave. Now one is numbered to 99, sunburst shock wave. Fractal of Kit Wilson. Oh, look at that rim. Yeah, he ran right into the wall. I'm gonna get that thing off. Elton Prince. We've got an Astro Matt Riddle. When you just smash into it. Yeah, look at this right here. They sent Louis out right in front of a long little. Geez. Trying to get a, trying to grab a few seconds there, I guess. There's a Stargazing Randy Orton and Groove is gonna be Groove Rookie Teahale. Theahale. Not numbered on the Groove. Nice one there. Alrighty, Tony, that will do it for your WWE Revolution. Nice hit on the Alexa Bliss auto. Get that right out to you, sir. Next up we have Jeff. Jeff with five optic choices. Give me just a minute here, Jeff. We'll get it going. D-generation X, bro. That's what I grew up on right there. DX, man. Love DX. These guys are wild. Alrighty, guys. Got Jeff coming up next. No, we've only seen some pink Isis so far. I haven't seen much else. Just a regular. Yeah, there's an orange ice on the box. It says two. Didn't see any of those.  Live stream there. We got it done. Hey, good luck, Jeff. What's going on, guys? Got Kyle here with Layton Sports Cards and we are ripping five boxes for Jeff M. Gonna be all Isis optic choice 2022-2023 basketball. Good luck here, Jeff. Let's see some black golds. Let's see some golds. Good luck, good luck. This might be a replay. Really. What about last night? No, I was wrong. TJ Warren, Hollow, and Markel Fulls. Good thing I didn't go to the bar. I didn't go either. We've got red. OptiGraph's auto. Gonna be Steph Curry. Let's go, dude. Forrest bringing the heat. Right when he walks in. Let's go. Let's take a little break for that one. You go, Jeff, on the OptiGraph's not numbered Curry. If it was someone else, I would have. Well, Mag, that one for you, Jeff. You guys got this one? It's a 88. We've got THT. Spain and Croatia, the final. We've got Dasunmu and a Kindle Brown rated rookie there for the Pacers. And our choice rookies, we've got Kennedy Chandler and Jaden Ivy. Nice one there on the choice. Great box there. Great box there for you. Yeah, dude, I called it full and at least 20 orders all came at the same time. I've been kind of watching it in an hour and I was like, oh, it'll be full by like 12.30. Yeah, it got there quick. Basically, yeah. New stuff, too. Yeah. A lot of stuff to rip. Got you Holiday Optic, Jalen Green. Auto is gonna be a throwback to honoris. Auto's Sean Kemp. Nice one there for the magic Sean Kemp. Yeah, that's something. That one's gonna go the Super Sonics though. Yeah, to 88, Donovan Mitchell. 88, Donovan Mitchell. We have Isaiah Mobley. Nice one there on the red choice to 88. Nice rated rookie red. We've got Red and Green, Zach Levine. I like that rhyme there. And there we go. We've got a choice, Ben the Bucket. Nice math are in there. And Ty Ty Washington on the choice. Good boxes for you so far. Let's keep it going here, Jeff. I see a croissant in all of them. Boy. Oh, you know I mentioned you.  There's a Trey Jones hollow. A Ty Ty Washington hollow rated rookie. Redemption. It is Walker Kessler on the Rookie Optic Autographs Choice. Nice one there as well, Jeff. There we go. Walker Kessler Ranger on the Optic Autographs Choice. Very nice. Number to 88, Cam Johnson for the Nets. Not numbered, Green and Red is gonna be Jalen Williams, Jay Will for the Thunder Rookie. We've got a dragon print, Jalen Brunson. That one is for the Knicks. And we've got two choice rookies, Pat Baldwin and Jabari Smith. Nice one there. Gotta go a little further back just the mustache showing, dude. Just the stuff. Box four. There it is. There it is. Let's go. Let's go. Box four. Good luck here, Jeff. George just crashed, yeah. There's a James Wiseman. Oh, here we go, Forrest. Here we go. Rated rookie auto. We've got Paolo Bankero. Boom. You go, Jeffrey. Yeah, he's got the heavy NBA Jam. Let's go. Forrest is bringing out the heat. Here we go, Jeff. We've got another Mac for you. I was thinking of doing some other stuff, but I was sticking it out for the last box. All right, to 88, we've got a Jalen, sorry, a Julius Randall. Two box, two. Red, green, Desmond Bain. And to 88, Scotty Pippen Jr. To 88, Rated Rookie. Got the Rated Rookie Choices, Scotty Pippen, and Wendell Moore. These are hot, though, because they put like four black and golds in five boxes at night, including like- And one more. Including an Ivy, a Durin Auto, a Dyson Daniels, and then there was like a vet.  We had a black and gold March on Bo-Champ. March on Bo-Champ. March on Bo-Champ. We've got a Darius Basley, a AJ Griffin that is Hollow Rated Rookie, and Otto is gonna go for the Celtics there. Dino Rajah on the Opti-Grafs. Opti-Grafs. Dino lost the powers, Rajah. No. Nice one. They're not numbered for the Dino. Behind that, we had to 88, gonna be OG on a Nobi for the Raptors to 88. We have a red and green, not numbered, Cam Thomas. Yeah, it's in Montreal. And Blue to 24, we got Malik Monk on the Blue Choice. Nice one there, Kings. And the Choice Rookies on the back, we got a Chet. Nice one there. And we got Andrew Nemhard. Alrighty, Jeff, that will do it for your five boxes of Opti-Choice. Some great boxes there. Nice hit on the Paolo. We'll get those right out to you, sir. That's right, Jeff. I got them in a, as I rip them. I'm at 80 right now. Do you want to title that sheet, like Father's Day officials? Gotcha. All right, guys, got Chris Vee up next with the Athletes Unlimited. That guy should be able to get through everything we got here. Gonna keep it going here. Yeah, right, Jeff? He did, man. He came in for you right at the right time. We're in the Paolo shirt. We got the Paolo. It was meant to be. Yeah, Paolo and Curriottos. That'll do for you, Jeff. Congrats on that one, man. Those are sick. Paolo and Curri. Always happy to pull some fire for you, Jeff. Appreciate you, sir. Always happy to pull some fire for you. Alrighty, guys, I got Chris Vee next. Then I got Matt. Then I got Pete. I was a little bit off on your estimation there, Pete. I do apologize for that. Some of these took a little bit longer than I did expect. I apologize, guys. All right, good luck here, Chris. Good luck here, Chris. What's going on, guys? Got Kyle here with Layton Sports Cards and we are opening one box of 2023 Topps Athletes Unlimited. This one is for Chris Vee. Good luck, Chris. Let's see some autos in here. I've heard of some hot-box autos, hot auto boxes of these, like five or six autos in one. See if we can get one of those coming. All right, good luck here, Chris. There's a Being Unlimited, Danny Drew's, and Gold Foil that is Basta Nelly, not numbered on these Gold Foils. Get through the base here pretty quick. I want this to actually catch it up a little bit. It was like four seconds before the crash. There's a Foil of Nadia Taylor, Unlimited Potential, Peyton St. George. Yeah, these. We've got record breakers. I think that's red, maybe pink. It is gonna be Gettin' Buckets. That is Fuchsia 14 of 22. Nice one there, team card for the basketball team. Gettin' Buckets. Gettin' Buckets, numbered to 22. Cool lookin' card there. I know you do, Dylan. I like Gettin' Buckets. Your dad played your Drippy song for me. He's like, this is for you, Face in the Nation. How was I used for me? Yeah, made it for Drippy, man. Made it for me? Made it for you. Don't sound like it. Like 15 years old. There's a record breakers, Allie Kennedy. One second here. One second. All cards shipped. Cool. I'm sure it wasn't separating the wrong stuff. Got another foil. This one is Lindsey McCone. Lindsey McCone foil. Got a foil of Kristen Carr. Let's see some autos here. Let's see some autos. I believe we had one box with six autos. It's supposed to be two, I think. Call that a hot box. There's a limited potential lord, Lauren Gilbert. There's a foil of Natalie Valenson Anderson. Look, there got up quick. He's in fourth. Start in tenth. It's pretty good. Face of the Nation, Charlotte North. There's a record breakers, Dela Cruz. And we've got a foil being unlimited, Dela Cruz. Bethania, Dela Cruz. Face of the Nation, McLeany. Right, Chris, let's see these autos coming up here. Let's see if we can get some low numbered autos. There's a foil of Aaron Fairs. Record breakers, Amanda Chidester. Hit incident involving Ocon, Botas. I guess it wasn't the Lewis one. Yeah. Being unlimited, Masturwani. And Otto is gonna be Lindsey McCone on the Otto there. It's like a lacrosse player there. Lindsey McCone, base Otto. Come on, Fernando. Dylan needs ya. Come on, man. Come on, Nando. Nando the Mando. We've got a 2022 volleyball group on the foil. Unlimited potential, Sydney Watson. That might be four she is. Now he's still playing. Childress there, Face of the Nation. He's still got some time. Got a record breakers, Natasha Cloud and Jersey. This one is going to be Amanda Chidester on the Game Use Jersey. Nice one there, Chidester Game Use Jersey. Unlimited potential, Lexi Brown. And Otto is gonna be Cary Everly. Cary Everly, that's a softball player there on the Otto. Foil Otto. That one is numbered 46 of 50. It's a numbered Otto there for ya. Unlimited potential, Balint. Nope. Oops. Oops. How about you?  I'll see what I got a penalty. Sam O'Puzo used to go like the correct area to go back in. So you had to like cut it. Cut it hard. Cut it hard. We got a penalty without it. I think he still has to like give up his position if he passes somebody doing that. But you get a penalty if you don't go the right way. There's a Lishman on the foil. There's a foil of Isabel Harrison. Basketball there. Got a Britt Reid insert. Unlimited potential, Danielle Gibson. And this is Natalia Valentin Anderson on the pink. This one is numbered to 50. Pink foil there. Last pack. Got a face of a nation, Alicia Ocasio. And that'll do it for ya, Chris. On the one box of 2023 athletes, unlimited. Thank you so much. Get that right out to ya. Mr. Unlimited, gotta be unlimited. You see his video yesterday for us? No, not. His new workout video? It's great. It's great. This guy's, this guy's a mess. I'll be here soon. It's Southern? Yeah, really. I grabbed a bunch of cards that I have to sit down and go through now and check surfaces and all that stuff. Yeah, that's amazing. I have so many cards that I pulled down there. I probably have like one or so. Then you pulled out. I pulled out like 100 or so. Probably more than 100, I'm gonna have to like feel it through and make sure that like everything's good before I, you know. What up, Timmy? We ain't going for no eights, all right? No, exactly, I feel that. All right, guys, got a three and two now for Matt K. We need two for Matt K. Glass now. Yeah. You can sell that to Jake. You can upload it to Google.  Oh, really? What's going on, guys? Got Kyle here, laden sports cards, and we are ripping one box of 2023 and two baseball. This one is for Matt K. Good luck, Matt. Let's see what we got here. Got a base pack and we'll have two in-case cards. Let's see some fire. Base pack here. We've got number 250. Tommy Heinrich, contemporaries. We've got another contemporaries. This time to 25, it's gonna be Whitey Ford. Low number contemporaries there. And rookie number to 15. Got Jack Lider for the Rangers. Rookie Jack Lider. He's not a rookie yet, is he? He hasn't actually played. Interesting. Jack Lider there to 24. We've got number to 75. This is gonna be Kobe Mayo on the jumbo jersey for the Orioles. Nice one there for the Orioles prospect, Kobe Mayo. And last one, we have Quad Relic Otto. Gonna be How You Lead. That is numbered one of 10 for the Phillies.  Very nice one there. I got a little number patch on these two. Got a logo patch on the two on the right. Very nice box there for you, Matt. We'll get those right out, see ya. Thank you, thank you. I like that three and two. It's a cool product, man. All right, got Pete up next, guys. It's gonna be a Star Wars Chrome and a Sterling. Good luck, Mr. Pete. Charge our super, I'm in. The Jar Jar, yeah. Of course, it's boxing me in. It's boxing me in. All right, good luck here, Pete. Let's do it, sir. What's going on, guys? Got Kyle here with Layton Sports Cards. Oh boy, Donny's here. Oh man, I just lost focus. Donny's here, guys. I got two boxes for Peter. Peter M, guys, got 2023 Star Wars Chrome and we've got a 2023 Topps Sterling. Good luck, Pete. Good luck. And he's talking like Jar Jar. What's up, Kyle? What's up with that super? I'm just gonna take over for a second, man. Take over for a second and give Donny a yellow card. I'm with that. Yellow card. Yellow card. Finally. Finally, the refs are freaking showing some discipline around here, man. Finally. It's close to a red, Donny. I'll be honest. That was really close to a red. You're lucky it's something I'm feeling like vibing right now, so. Yeah, Pete, I think Dylan got you, man. Dylan grabbed this case of Sterling, so this box. Got an auto already. It's gonna be Rose Tico on the refractor auto. Nice one there. That is from the newer Trilogy Star Wars. That is Kelly Marie Tran as Rose Tico. Got a Grogu insert. Let's see if we can get a sketch for you here, still, Pete. That would be sick. I don't think the babe has been pulled out of Sterling yet. I haven't seen any like, usually you see the babe. Yeah, for sure. And I'm seeing. Salacious B Chrome on the refractor. There you go, Donny. Donny. There you go, Donny. I got a salacious auto, bro. I don't have to give it to Donny. Dude, he's still going. Dude, he wants the red card. He said how wooed. Ooh, orange. We got mean nub on the orange. That one is number 23 out of 25. That's what the pilot said. Nice one there on the orange. That's Invicta. What I'm saying? Very nice. This is the lowest number I've seen, actually. Or I've pulled, I should say. Padme on the refractor. Dude, Invicta gave me a red Babu trick from Finest. It's gonna gem. Is that Babu? No, it's not. No, it's gonna gem. Babu. Got Palpatine. Got a Grogu insert. That's the hey-hays part I've ever seen, bro. Hey! Madness, that's gonna be Han. Han and Chewy there. Chewy looks a little scared, DJ. I think it is back. Yeah, the flawless for sure. Yeah, why don't you start over here? Selecty, I think you're good on that too. And Sterling. There's a refractor bucket. Grogu insert. Grogu. Got a refractor of Greasdritis. Greasdritis. I thought it was soccer. That is a moniker's of Obi-Wan, the negotiator. That's what everybody calls him. Everybody calls him the negotiator. These are not the joys you're looking for. It's not really negotiating. That's just... Just persuading. Cheating, yeah. Yeah, Joe, it doesn't take long for Donnie here. I might give Joe a yellow. Supreme Leader Snoke. How he was acted in our Fortnite stream. Oh! Joe's about to catch a yellow. Boris is feisty right here. It's a foul, I don't know. Boris comes in feisty. Hold up on the yellow. There's a manga madness for Hoff, a boy's at Hoff. Got a moniker's Ray Skywalker Jedi. That's what they call her. Ray Skywalker, comma. That's a long name. Comma Jedi. That's a long name. There's a Grogu journey of Grogu again on the insert. The Vader one is like, dark board of the Sith. And I'm like, ain't nobody saying dark board of the Sith. They have a yellow card emoji, are you kidding? Oh, no way. He probably has it from another... Which got it all. He has to have it from somewhere else. We should have a yellow card emoji at this point. We got a yellow. We got a flag. We got the card. There's a refractor Vader. Nice one there. A Phenix Shan. There's a Forrest again. Forrest Fortnite skin. Gotta be either that or Chris Sampson. Nice one here. Our first appearance is case hit of Obi-Wan. There we go. Ego Peak and the case hit there on the Obi-Wan. Grand Inquisitor. That's technically been Kenobi though. So... That's the real Kenobi. So, I don't know. I like Guinness, y'all. Yeah, exactly. There's a Neenup or refractor. Face red, droopy eyes. Face red, droopy eyes. Face red, droopy eyes. All right, Joe. I feel you, Joe. I feel you. A Grogu insert there with IG-11. Let's see what that looks like. Yeah, what about you, Joe? Face red, droopy eyes. I don't know. Ooh, nice one here. We got another... This is the movie poster there. That is Darth Vader. Nice one there on the refractor. That's a nice, another short print there and a Ray refractor. That is a red face of droopy eyes. What that is. We've got Manga Madness. That's Han Solo getting frozen in carbonite. Don't want that. Don't want to be frozen in carbonite, man. That's how you do that much. There's a Monica's Finn. That is his name. Let's go with the nickname there. It's a little damage on that base, Princess Leia. Won't send a box for the base, probably. There's a Mandalorian on the refractor. Last box here. Owen Lars and we got Monica's for the Mandalorian now, Mando. Mando, the nickname. Alrighty, Mr. Pete. Now we got 2023 tops, Sterling. Good luck, sir. Let's see it. Yeah, that's the first one I opened. Had an icon. The raging bull, Jake Lomada. Oh, Jake Lomada, that's kind of neat. We've got tops, All-Star Cup rookie team. All-Star rookie cup team, something like that. Silver Slugger's award winners now. Good luck here, Pete. Let's start with the Silver Sluggers. That's pretty thick. That is very thick. That is very thick. Come on, Silver Slugger. Whoa! That's a forest card. We've got Bat Barrel Otto, one-of-one, Xander Bogarts. Go, I pulled that box. Boom! That is as forced of a card as you're gonna get. Let's go, Pete. Xander Bogarts on the Red Sox Bat Barrel. Boom! There we go, Pete. That is dirty. The forest is bringing the heat since he's been here, man. Holy cow. Yeah, Dylan snagged this one for you, Pete. Xander on the Bat Barrel Otto. That is dirty. Look how close the Otto is on the Bat Barrel, too. His actual Otto, too. That's kind of awesome. Very nice one there, Pete. Now we got the tops All-Star rookie cup team. Let's see, let's see. I thought that was gonna be the good one, so let's see here. Yeah, forest. We pulled the forest card right in front of him. This one is number to 10. It's gonna be Anthony Rizzo on the Triple Relic Otto. Really good box. Really great box there for you, Pete. Six of 10 on the Riz. Got a Bat Relic and two jerseys there. Let's go, Pete! Alrighty there, Pete. That'll do it for your two boxes. Really nice couple boxes there, sir. Great hit on the Bat Barrel. Get those right out to you. Yeah, that was pretty sweet. Pretty sweet for Pete. Yeah, I'm gonna take a picture of that one. Yeah, I think it's cut a little bit long. Yeah, it's cut a little bit long, Pete, that Xander. So we're gonna have to put that one in a... We're gonna try a thicker mag. We're gonna try a thicker mag, but if it doesn't fit, we're gonna put that one in a slider box, nice and secure, just like it came from Sterling. So we'll see if it fits in the thicker one. It might not, though. Yeah, awesome hit, Pete, man. That was sick. That's one to make Forrest jealous for sure, and Dylan, honestly. I'm about to say what if it was a Padres card? Oh man, that would break Forrest's heart. Alrighty, guys. Got Tony K coming up next, two and three. All right, three and two, about the same. Pete likes those one-to-ones, man. Little magnet format. So hey, the other, a while ago, that was sick. All right, Mr. Tony, three and two baseball. Good luck. What's going on, guys? Got Kyle here with Layton Sports Cards, and we are ripping one box of 2023, Panini three and two baseball. This one is for Tony K. See what we got here, Tony. And I have one base pack and two mags cards here. By the way, Pete, I wasn't looking at the mag, so. All right, Pete, it did fit in the mag. It's a little bit of a thicker mag, so we got some fillers in there with it, but it did fit nice and secure in the thickest mag we have, Pete. So we'll get that out to you in a nice mag here. Alrighty, good luck, Tony. Three and two. Here is the base pack here. Yeah, you can just leave it there for a second. Two, one, 50. I've got Bobby Thompson. That is on the contemporaries, two, one, 50. We've got two, one, 50 as well, Duke Snyder. And we have the 25 Jack Leiter on the rookie for Texas. Rookie for Texas. Now for our mags cards, we had number to 49 Grayson Rodriguez on the prospect dual jerseys. Number to 49 Grayrod for the Orioles. And we have number to 10.  Very nice one, three of 10 with a three color, or four color Giants patch. Well, number patch, that was a sick looking one there. Player worn on that as well. Nice hit on the Reggie Crawford. Alrighty, that will do it for you, Tony, with the one box up three and two. Let me grab a picture real quick. Looks extra thick with the guy. Yeah, it really does. Yeah, no problem, Pete. Congrats, man, that's awesome. I don't know if I'm gonna be able to get to you, John. I called it full just a little bit before you did get an order in. I'm gonna try to keep ripping here, but I don't know that I'm gonna be able to get to you tonight, John. I called it full about noon. Your order came in about 12.51. A little bit after that. I'm gonna try to keep ripping here as long as I can, though. See how long we can keep going. Yeah, of course, Tony, appreciate you, sir. Appreciate you. All right, guys, next up I got Kurt C with A-N-G Chrome. Get that going here. All right, let me get Kurt C here on the list for the giveaway. And good luck here. This is the A-N-G Chrome. What's going on, guys? Got Kyle here with Layton Sports Cards, and we are ripping one box of 2022 Allen and Interchrome Baseball. And this one is for Kurt C. Good luck, Kurt. Alrighty, let's see some low number rookies. Yeah, I can. It's up to you. If you want me to, yeah. I'm down. There's an inside the park, Rocky Mountain. Yeah, yeah. Pace. All right, guys, so I think what we're gonna do, once we end here at 3.30, I'm gonna try to go to channel two over to the other room and finish up what we got. We have a pretty long queue. I called it empty at about noon, so got a good bit of stuff to get done here. Still can get that going for you guys on channel two. I'd probably stop there. There's a Bryson stop. Or whatever had come in. Gotcha. Yeah. And barrios. So I should be able to get you done. I will get you done today, John. Most likely we'll be on channel two in a little bit, though. There's a goldschmidt refractor. We've got a mini Todd Helton. McCutchen. There's a pink Matt Veerling on the rookie for the Phillies, number to 199. Got inside the park of Mesa Verde. It's like a nice place. Tom Sievert. All those guards, I'm like, oh, it's a nice place to hang out. I just think of breaking that into Mesa Verde. Oh, true. There's Allen there on the mini. Great show. In case something's Sam definitely has never seen. Oh yeah, I don't understand that. That's such a good show. Yeah, no worries, John, no worries. Just trying to make sure we get through everyone today. We did get a good bit of orders. There's a Rafi on the blue, number to 150. And cheese. Yeah, some high cheese. Uli Gurriel. That's not Lourdes. It's Uli. It's Uli. Yeah, it's Uli. There's a refractor of Clayton Kershaw. Got a mini Seah. Nice Seah rookie mini. Brian Reynolds. There is Wayno on the mini. Wayne Wright for the Cardinals. Francisco Lindorz, Xander. It's a Royce Lewis rookie refractor. And Green rookie mini. Nice one here is Stephen Kwan, number to 99. Nice Green rookie mini. He had a really great rookie season last year. Kwan was hitting the ball nice. Yeah, so guys, like I said a second ago at 330, I'm gonna switch over to Layton Channel 2. We're gonna get going because fours need to set up for group breaks tonight. But we're gonna keep going here on the Personals. We'll just move over to Channel 2 for that. So about 330 here, we're gonna stop. Give me another, a couple of moments to set up over there and then we'll get right back to it. We'll get right back to it. There's a Paul Canerco refractor. We've got it inside the park. That is Joshua Tree. Danny Glover. 23 seconds. When did that happen? He's faint. How do you get 23 seconds ahead? There's a Fuchsia Javi Baez for the Tigers, that one's number two, 199. And mini rookie is Bryson Stott for the Phillies. There's a goal, that's Ted Williams. Nice one there for the Red Sox. Ted Williams, number 32 of 50. Very nice looking one there. We'll take that. Got an Al-K-Line mini refractor. That is Jackie Robinson. We've got William D'Amé's mini, Martin McGuire. That is a mini Matt Manning rookie, mini Manning. Christian Yelich. I got forces commenting from channel two already. He's over there. Got a Brandon Marsh mini on the insert. Pedro and a O'Neil Cruz rookie base. Oh, maybe he hadn't pitted yet, that's why. He was 28 ahead, that makes sense. And Orange, we've got Josh Donaldson. That one's gonna be number to 25, 12 to 25. Nice one there, Josh Donaldson for the Yankees. Mitch Hannager, Kyle Tucker refractor. Ichiro refractor. And more. Alrighty, that will do it. Court for your one box of Allen and Ginter Krohn. We have a ship it for you as well. We'll go out with that order. Thank you so much, sir. We'll get it right out to you. One of these days I'm gonna start ripping with this tonight shoe going. Oops. Alrighty guys, again, we do upload all of these videos to YouTube under latent sports cards. If you guys are ever trying to watch your personal or a break back, can search with your first name and first letter of your last name for a personal. That's how we will always upload these. So if you do have a couple boxes, you can always just search your first name and first letter of your last name and they should all come up in one spot. Should be nice and easy for you guys to find your videos back. All right, guys, next up we have David C. With the revolution. All right, let me get the box. All right, Mr. David, good luck, good luck. What's going on, guys? Got Kyle here with latent sports cards and we are ripping one box of 2023 Revolution WWE. This one is for David C. Good luck, David. Let's see if we can get you a little kaboom here. Good luck, good luck. Revolution WWE. Many topies. It's empty box. Good luck, good luck. Both the autos we've seen in this have been redemption so far. It's a Roman Reigns base. We've got Astro, Rokitea, Hale, Felton Prince, Butch, Mustafa Ali. We have a groove of Sami Zayn stargazing and a groove undertaker. Nice one there. Not numbered on the groove. Nice undertaker. Let's see a kaboom here. Let's see a kaboom. Here is a Seth Freakin' Rollins on the Fractal not numbered. Oh wait, sorry, that is the Cosmic to 149. Cosmic to 149, nice Seth Freakin' Rollins. Ooh, nice one here. We've got a cubic stargazing, numbered to 49 Roman Reigns. Nice one there, David. On the insert, numbered to 49. Great one there, head of the table. Got an Astro of Big E and the almighty Bobby Lashley. This is Steiner and Steiner, the Steiner brothers. We've got a Rey Mysterio Fractal, not numbered. Jey Uso McIntyre. This is Lift Off Die Cut, gonna be Eddie Guerrero. Nice Eddie there. And this is Bam Bam Bigelow on the, that is also cubic, numbered to 49. What a name. I do not know this one, Wahoo's. Not gonna lie on that one, Bam Bam Bigelow on the cubic, numbered to 49. Rey Mysterio. What an outfit too. Yeah, right? My boy's looking good. It is. Here's a Andre the Giant. We've got an Astro Natalia, not numbered.  And Seth Freakin' Rollins base on the back. Alrighty, David. That'll do it for your WWE Revolution. Nice hit on the two Cubics there, numbered to 49. Get those right out to you, sir. Studio 54. Sounds like something. Sounds like something historical for sure. I was gonna send an email real quick. I will keep ripping here in just a moment. We're going till 3.30 here, guys, and then we're gonna switch over to Layton Channel 2. We did have a lot of orders come in, so we're just gonna finish up what we had come in. If anybody wants to get into a personal order, I guess they can keep doing it. I mean, I'll keep ripping. So if anybody does wanna get something going on, might as well, throw it on in. Alrighty, guys. Let's keep it moving here, guys. Like I said, we're gonna be switching over about 3.30. So in about 20 minutes here, we're gonna switch over to Layton Channel 2. We dropped the link. I will drop it again here in chat. Guys, give that a subscription. You can see when we go live. So we'll be going at 3.30. We'll be going to Layton Channel 2 to continue personals. And we'll go until we stop, you know? If anybody's trying to get some personals, grab up a box. We'll keep it going here. Got a Jiromi D next with two Recons. All right, let's get those going. Might be the last one here before we switch over. See how we're doing. All right, it's good luck on these Recons. What's going on, guys? Got Kyle here with Layton Sports Cards and we are ripping two boxes of 2022, 2023 Recon basketball. This one is for Jiromi D. Good luck here. Let's see what we got, some Recon. And guys, gonna be switching over to Layton Channel 2 probably after this box here. We'll switch over to Layton Channel 2 and keep the personals going. We'll have four setting up here for group breaks tonight. He starts at 5 p.m. Eastern. If you guys are interested in group breaks, he has hockey, baseball, basketball, and football break in tonight. Little bit of everything if you guys are interested. Can always check out our website, LaytonSportsCards.com, see what we got breaking. There's a LeBron insert. Bogdanovich Goldfoil. Darius Garland, Kawhi. Rock the Rim, A.D. A2199, Mitchell Robinson for the Knicks. Cole Anthony Bates, Chris Middleton. Bogdanovich and KCP. There's O'Shea Baji, Rookie. It's a 199, Tyrese Maxi. And Otto, 10 of 10. We've got Ben Matherin. Boom. We go Jiromi, 10 of 10 on the Gold Otto. That is a sick-looking Otto as well. I like that. The boy's fired up. Yeah, he is. Nice one there, Jiromi on the base. True Potential Otto. 10 out of 10. We'll mag this one for you. Very nice one there. We have been pulling some Matherin today. Say Rollins Rookie. Dante Devin Chinzo. Rookie Shade-On-Shark. Jamal Murray-Base. Reeves Aldama. FVV. He is fired up in the K. Yeah, right? Must have just done something. There's a Rookie review. That's a throwback for Jason Tatum. Celtics there. We've got the 299 Norm Powell. And Otto. This is going to be Gary Harris to 99 for the Magic. The Otto to 99 Green. Glorified Signatures, as it says. Got Rookie Ty Ty. Mackie Sma. Mackie Sma. Yeah, looks like Max has got it under control. Yeah, he's got the winning board. As always. There's a nice Rookie here. Future Legends, Jeremy Soham. Cam Johnson. Christian Wood, Dinwiddy. There's a Recon Vector. That is Lamello. Nice looking one there on the black and white. There's a Steph to 299. Rookie Chet Holmgren. Brad Beale. Rookie Future Legends, Johnny Davis. We got a Rookie, Jeremy Soham, Silver. Tyler Hero. We've got a Top Charts LeBron. Walker Kessler, nice Rookie there for the Jazz. KD Lonzo. We've got a Vector, Finals MVP, Nikolaj Jokic. Got 299, RJ Barrett. Christian Bronn, Rookie. Dude won five straight championships. Three high school or two high school championships. I don't know, three high school championships. College championship and the NBA championship. Five years in a row. Zero, zero losing for that guy. If you want to win, just pick up Christian Bronn. Zero losing for that guy. He is not interested. He's not interested in losing. There's a Shade On Sharp Future Legends, Rookie. Got Mikhail Bridges, Goldfoil. D'Andre Aitin. Again, guys, this will be the last personal here on our main channel. I will switch over to LSC2 here. Give me about 10 minutes. Once the stream ends, I'll grab whatever is left in the queue. And we'll keep ripping over there. LSC Channel 2, 199. I did drop the stream or the link to the YouTube in the chat there, guys. If you guys want to subscribe, you can see when we go back live. Like I said, it'll probably be about 10 minutes after we do go off here. I need a little time to grab a couple more boxes. There's a Ben Matherin Rookie. But we'll keep going over on Channel 2 for personals, guys. If you guys do want to order some personals, can keep it going for you. We have a decent queue still, but we can keep it going. There's a Chet Holmgren Vector Rookie. Got to 199, Jared Vanderbilt. Rookie Ken Lofton. Kyree. Got a Rookie Deiland Terry for the Bulls. A Rookie Deiland Terry for the Bulls. Gary Trent. We've got Fleet Feet. This is a short print insert there of Damian Lillard. Fleet Feet. To 299, we have Jeremy Grants. And Otto to 149, we have Landry Shamet. Or these Suns on the Otto to 149. Price McGowan's. Laurie Markinen. James Harden. All systems go. Dylan just got visibly scared from Sam doing that. He trembled. He trembled. You don't see people tremble very often. There's a future legend, Scotty Barnes going nulls. To 299, we got Rookie Jabari Walker for the Blazers. Chet Holmgren Rookie Base. Gordon Hayward, two packs left. Good luck here, Jeromey. We've got a Vector of Luca. Emmanuel Quickly, Goldfoil. Jalen Noel. Last pack. It's a great on that gold Ben Matherin. Got a Rock the Rim, Don Mitchell. To 299, scary Terry. And looks like another Otto. It is a Rookie Otto of Benedict Matherin, number to 49. All right, all right. We'll just keep the Matherin going then. There we go, Jeromey, number to 49. Another Rookie Ben Matherin Otto. First one to 10, this one to 49. We'll take that, sir. Got Ryan Rollins Base, Alonzo, and PJ Washington. All righty, that will do it for your two boxes of recon basketball. Nice sit on both of those Ben Matherin autos. We'll get those right out to you, sir. All right, all right, guys. Oops. Yeah, right illegal, that's what I'm saying. All righty, guys, we are going to move over on to latent channel two now. I will copy the link again real quick. Give me about 10 minutes or so, get set up over there. We'll keep going on the personals. Again, guys, Forrest is starting group breaks at five. Starting group breaks at five o'clock. I'll link the break schedule here for you guys as well. He's got hockey, basketball, baseball, and football breaks today. So he's got plenty of stuff if you guys are looking to get into some group breaks. Hey, there you go, Joe. Yeah, you picked those out good, man. You picked those out good. All right, guys, there's a link to the break schedule if you want to get in some group breaks with Forrest. Like I said, he's starting about five o'clock. And me and Diller are going to head over right now to latent channel two. We'll keep ripping some personals for you guys. If you guys want to get one ordered, got a little bit of room, can keep ordering here. We will be back in just about 10 minutes over on latent channel two. I dropped the link in the chat for you guys. If you guys subscribe, you'll be able to see when we do go back live. Thank you all for a fun morning here. Like I said, latent channel two in about 10 minutes. Peace out, guys. Have a good one, Forrest at five.


So, that's a very nice segue to our next speaker who is Dr. Gretchen Schwarze. Gretchen is an associate professor in the division of vascular surgery at the University of Wisconsin. Gretchen received her medical degree from Harvard Medical School, a master's degree in public policy from John's John F. Kennedy School of Government. Her residency was at Mass General Hospital in surgery, fellowship training in vascular surgery here at the University of Chicago, where she also completed an ethics fellowship at the McLean Center. Gretchen's research interests are in the doctor-patient decision-making for high-risk operations, end-of-life care for surgical patients. She is an alumna of the Greenwall Faculty Scholars Program. She currently holds a K-12 award via University of Wisconsin CTSA, as well as an R03 award from American Geriatric Society and the Society of Vascular Surgery, and so many, many things. Gretchen is a good friend and also a member of the Ethics Committee of the American College of Surgeons. Thank you. So, I'm going to tell you a story of a patient who came to our hospital recently. She was frail and otherwise quite really just sort of making it at home. She was in her late 70s. She had really bad obstructive pulmonary disease and her kidney function was failing as well. Given that she had wonderful family support, she was able to live at home, but she got a lounge with a walker. And unfortunately, she came to our hospital with a tender thoracoabdominal aneurysm. And this was a very threatening situation for her. And she had a long conversation with one of my partners about whether she should have surgery for this aneurysm, which could potentially kill her. And he spent quite a bit of time with her, very appropriately going through the risks of surgery, telling her that she had a 50% chance of dying from surgery, that she had a 60% chance of being on a ventilator long term, and an 80% chance of having kidney failure complete and permanent kidney failure after surgery. He also very appropriately offered a non-operative choice, expressing the possibility for palliative care instead of surgery. And she and her family thought long and hard about it, and they said, yeah, I think I'd like to go forward with surgery. So very soon after that, she went to the operating room. And my partner spent a long time in the operating room working on her. It was a very difficult operation. In about eight hours, they used many, many units of blood. But afterwards, they got her to the ICU. And she was what most people after this big operation look like in the ICU. She's intubated. She was on a lot of fluids. But she wasn't requiring blood products. She seemed to still be making urine. And the vascular surgeons came by and they said, well, this is as good as it gets here. They were happy. This was the best thing that could happen after surgery. A few hours later, her family came in to see her in the ICU and they took one look at her with her puffy, puffy face and the breathing tube in place and machines and wires and things going all over the place. And said, no, she would not have wanted this. And they turned around and they asked my partner to remove all life-supporting treatments. And so if I had to describe what happened to this patient, I would describe this as unwanted care. And there's more and more information about unwanted treatment in the medical literature but also in the lay press. And what these papers all have in common, besides pretty crappy titles, are very compelling stories about people who received unrunned care at the end of life. And so if I had to contextualize why we have this problem, I would say the problem is informed consent. And you can imagine what this patient did when she was thinking about surgery. If I have a 50% chance of death from surgery, well then I have a 50% chance of living. If I have a 60% chance of pulmonary failure, well then I have a 40% chance of not having pulmonary failure. And if I have an 80% chance of renal failure, well then I have a 20% chance of not having kidney failure. And so you can imagine she went down the list, 50, 40, 20. I have a 20% chance of being exactly like I am before surgery, afterwards, when that was never in the cards. And so my concern is that we're using this very clunky mechanism to make decisions with patients that hasn't changed in many, many years. And I think the problem is that we're very interested in innovating technology and everybody's getting their own thing, Chaney gets his VAD. And I'll be honest with you, a few days ago I did a ruptured AAA, or ruptured aneurysm, through two incisions this big, 26-year-old guy who walked out of the hospital two days later. I mean it just blows my mind that technology has changed that much as I've been attending surgeon. And yet the thing that we don't seem to be willing to innovate, or we haven't invested much time or effort in innovating, is communication. And as such, we're stuck with this very clunky process of informed consent and we get the decisions like the one I gave, the example I gave. So our group has worked hard to try to innovate this process, and this is our innovation. It's called Best Case, Worst Case. It is a graphic aid and a way of talking to patients. So what the surgeon does is takes a simple piece of paper and draws out these stars and boxes. And as you can see, there's clear presentation of an obvious choice. For our patient that I just described, the choice is between surgery and supportive care. The other thing that's described on the paper is uncertainty, meaning that there is a best case scenario what would happen if everything went well as well as a worst case scenario, suggesting that there's bookends to what is possible. In addition to that, the surgeon is asked to use narrative to tell a story about what it might look like when you have surgery, in order to describe to patients in a way that they can understand the tangible outcomes and relate that to their lives and so they could have a conversation subsequently about whether that was important for them or not. And finally, the graphic aid uses some probability by saying there is the most likely outcome. And so if I were to use our intervention to talk to this patient about surgery, what I would say is we can do surgery. Let me tell you what the best case scenario is. In the best case scenario, I would take you to the operating room and we would be there for about 8 or 10 hours. It would be long operation and then afterwards I think you would be in the hospital for a couple of days of care unit, probably for 3 or 4 or 5 days with a breathing tube. If everything went well and you didn't have a complication and we got through it, then you'd probably be in the hospital for another 10 days or so maybe a little bit longer trying to sort of work through what it was to go through surgery. Then after that, given what I know about you, given that I know that you were just and if we're lucky, in the best case scenario, we can get you to a nursing home after surgery. But given that you were just barely making it at home with all of these medical problems, I don't see you getting back home again. And that's the best case scenario. That's the story.   It's peaceful. You don't have to make any decisions. But unfortunately in this day and age nobody dies in the operating room anymore. People die after surgery after lingering in the ICU for about three or four weeks of multiple complications. So that's the story about death after surgery that needs to be told. But by using narrative, we can explain to people what the possibilities are and then say in the most likely scenario this is how I see it. And the same can be done for the alternative and it doesn't have to be palliative care but certainly for this patient it would have been palliative care. I think the thing that I really like about this is it interprets the information that we are already giving to patients. Sharon Kaufman is a brilliant anthropologist at San Francisco and she says patients don't need more information. They just need more interpretation of the information we give them. So this is how we see it fitting into the decision making conversation. We don't see it certainly as replacing informed consent. It's a legal requirement and certainly risk disclosure is important but we're not using informed consent to make a decision anymore. And the idea is that the best case worst case tool can be used to demonstrate that there are options and also show what the choices are about. What does that mean for the patient? The way it works really nicely is that patients can start to visualize outcomes for which they must prepare and then in turn talk to the physician about how they feel about those outcomes so that the physician can ultimately recommend a treatment that's in line with their preferences and goals. So we started first by doing some focus groups with seniors and with surgeons. This is my colleague Toby Campbell who's posing as a surgeon here. He's a palliative care doctor and my neighbor is the patient. And we went out into several different senior centers in Wisconsin to get their feedback about our intervention. And the seniors liked the intervention. They gave us some nice suggestions about how to improve the graphic aid which you've seen in the final version up there. But they liked that many different people with different values and goals could use the tool and it seemed very neutral that it could apply to many different people. They also liked that it showed what was possible and what wasn't possible and many times people would attribute different outcomes to surgery that they hadn't mentioned or that just sort of assumed things would be a certain way after surgery and this put bookends on that and that was important to the surgeons. So moving from there we thought we might test our intervention and our hypothesis was that if we taught surgeons to use the best case, worst case tool we would improve their ability to engage older patients in decisions about surgical treatment and preferences and values. And we did a very simple pre-post pilot study. We've completed all of our enrollment and enrolled 10 patients in our control arm and 20 patients in our intervention arm and right in the middle we spent quite a bit of time teaching surgeons to use the tool. To be honest it's actually much harder to use than it looks. It seems very straightforward but teaching surgeons who are very used to quoting lists of risks to talk in narrative about outcomes was a real challenge. So the good news. The good news is that surgeons can do it and they actually do it fairly well some are better than others obviously and I think that what it does is it takes everybody sort of baseline communication skills and lifts them up a bit. The other good news about the surgeons is that they actually seem to like it. We used a survey called the Practitioner Opinion Survey and it's very, very highly rated by surgeons and even after our study is over 75% of surgeons say that they're still using it. And this is just an example of a tool that was used with one of our patients. He was very elderly gentlemen my colleague wrote out the best case worst case intervention of amputation versus home hospice for very severe four foot sepsis and you can see he wrote down really important information that you might want as a patient or a family member to make decisions about this so the value of the amputation was that he would be alive but overall his prognosis was poor and that if he was really lucky in the best case scenario he would live another year at a nursing home. He was quite clear that there is a potential for death even if the patient had amputation and also on the best case side at home hospice it was very clear that death would come sooner. So this is a huge change in the way my colleague talks to patients we're quite conscientious of this change. The second good thing is that patients really like it and part of our study was to go to their house about 30 days after the treatment was decided upon and talk to them about the best case worst case tool or talk to them just about their decision and literally the patients or their family member would just find a drawer and pull the piece of paper the graphic aid out of the drawer and say you know this was really helpful not even with prompting because of course we didn't tell them what the study was about and one of the other things that the patients like not just about having it was that they could share it with other people they could share it with their family members after the surgeon had left that it had things written down so they didn't forget but they could also get other physicians or other care providers to help them interpret what was on the paper as well so that's great so here's the problems so the first is that surgeons are busy people which I don't think I need to tell anybody that they're probably less busy than they think they are but certainly they're very very busy and while we got 25 surgeons to show up to our training sessions that were scheduled one-on-one at their convenience in our sim center totally around their schedule about 25% of them missed their original appointment and not only did they miss their original appointment they missed about 2 or 3 appointments after that and so it's a lot of resources another issue is that it's very sad but there are many older patients who are in the hospital who are critically ill and very sick and they're there without family members and patients who are really making it and are cognitively okay at home it takes about 5 seconds of diverticulitis or sepsis in the foot or cholecystitis to tip them over the edge into delirium and so it's very hard to have a decision-making conversation with patients who are ill and having a hard time with their cognitive function additionally it's scary to be in the hospital with an illness and the hospital environment moves very very quickly and so getting consent to be in the study was a real challenge we had this wonderful woman who was in her early 90s who also came in with one of these big aneurysms and we're like oh this is a perfect person for our study she used the tool to come talk to her about whether she should have surgery and my research assistant went in to visit her and gave her a little brochure about being in our study and she looked at the brochure and she said oh Dr. Shorsey I love Dr. Shorsey she came to my sister's living home and she gave us a lecture she's just great and my research assistant said so will you be in our study she said oh no I couldn't it's just too scary this acute setting was really challenging one thing that was really a big stumbling block that we didn't anticipate is that surgeons struggled to make a recommendation they had this idea that their job was to put the options on the table and it was the patient's job to decide and so as we were teaching them how to use this tool within our contextual framework about eliciting preferences and then suggesting treatments many of the surgeons said I can't make a recommendation that's not what I do you know we can all say bad things about surgeons that's not hard to do but I think that comes at a very genuine place which is that they wanted to respect autonomy but didn't get that by abandoning people to their autonomy that was actually not helpful as well and that what we really need to think more about is relational autonomy the other thing about the surgeons is we made a very clear study design choice that to be in this study you had to have a choice between surgery and something else and that was determined by the surgeon and that that actually takes out a whole bunch of choices that probably exist but just don't exist in the surgeon's mind furthermore some of the choices the surgeons decided they thought were a choice would be something I might not say as much of a choice so one cardiac surgeon went in to talk to a patient about a cabbage and he said well you have a choice of staying in the hospital and having surgery on Monday or you can go home and have surgery on Monday so I do think that there are certain surgeons who actually don't see the existence of a choice and for whom it's going to be very challenging to use this tool the thing that probably got me up against a wall the most as far as how to proceed forward is this issue of how do we measure what's a good decision and if you look at the decision science literature people are really fairly obsessed with this decisional conflict scale in a way that I would say is disappointing at best the problem with decisional conflict doesn't have good face validity in this setting meaning that as a surgeon I could come up to you and say you know you have this aneurysm and if I don't operate on you you're going to die and you would not have much decisional conflict or regret about that decision and yet you might not be very informed so I'm struggling to sort of characterize what is a good decision particularly in a group of patients who aren't all predicted to die meaning that there's a wide uncertainty about who's going to do well and who's not going to do well and that's our frail and ultimately have a shortened lifespan ahead of them and then the last thing is that the tool didn't do two things that it needs to do and the first is this idea of breaking bad news I mean that in order to have a conversation like this patients need to have some sort of shot across the bow or awareness that this is a really bad problem and if you're just sort of chugging along at home and managing all of your chronic illnesses and then suddenly get a sequel volvulus or perforated duodenal ulcer or some tricky problem it's not going to necessarily occur to you that this is a life threatening or life ending problem and without that shot across the bow it's very hard to contextualize these choices into something that is you know gets you into that state of being really thoughtful about it so in the future in our version 2.0 we need to teach surgeons to do this breaking bad news and then the last piece is that while we tried to teach surgeons phrases to encourage deliberation for example we told them after they presented the choices they should ask patients and family members well what do you think about all of this and surgeons could do that but they weren't so great at listening to the answer so for example you know one surgeon was talking to a 92 year old woman about whether to have a colectomy for her colon cancer and at the end he used the wonderful phrase that we taught him what do you think and she said well her daughter said let's live as long as possible and he said oh great let's do surgery and the problem was that he didn't listen more about what that meant to live as long as possible what was that like how did they think about that what was valuable to them and so in the version 2.0 we're going to have the surgeons right on the bottom of the paper what is important to you now because even if the surgeons can't wait long enough to hear what's important to the patients the fact that they take the paper or use that paper or use the graphic aid as a way to have a conversation with their family or other health care providers will allow them to start thinking about what their preferences are so I would be remiss to not mention my really fantastic team particularly Toby Campbell who is doing best case worst case in his clinic long before I ever showed up he's the real genius in our team so thank you very much please questions hi Gretchen quick question two questions really firstly about patients and did you find that I often find in fact that patients look at the best case scenario and put themselves in the best case scenario picture and it's much harder for them even with the information you provide to actually consider that they could even feature lower down the scale that's the first question the second one was I was impressed that you even managed to get all these surgeons to agree that they could participate in such an intervention it's a serious question I wonder how you brought everyone together to even consider that this is an issue yeah so the second question about how did I get surgeons to want to do this surgeons hate to operate on people who didn't want an operation right this scenario I gave you the story I gave you at the beginning on top of that I think many of us feel that we are providing care at the end of life that really isn't value concordant that there's a lot of suffering and very burdensome interventions like surgery that happen right before people die so that is the downside of having to do an acute care project I mean it's really hard to enroll people in the acute setting the whole reason we did was that's how we could get surgeon buy-in the second piece about patients always think of themselves in the best case scenario it's great I think that idea behind showing them what is possible is that there will be some people for whom best case scenario is not valuable and those people should choose a different treatment option so that's the first group that you're looking for but I actually think and please don't tell the surgeons this is what people will do is they will go for surgery hoping that they're going to have the best case scenario outcome but what will happen is they'll end up having the most likely or the worst case scenario and that will be more recognizable to them earlier on and so rather than sort of prolonging things after surgery will more earlier recognize and they'll say hey what about that palliative care option I'm interested in that our family members told us they loved knowing these most likely and worst case scenarios they said we hope for the best but we felt very well prepared in case these other outcomes occurred can I ask a quick follow-up question did you study whether the patients altered their decisions based on the intervention tool that you provided them and that it changed yeah so to do this study we had to get the surgeon and the patient to consent to the study before the surgeon had talked to the patient about what options were so the patients hadn't made a decision and they hadn't had a conversation things move pretty fast in the hospital there's a lot of need to get things done and so there was no way to test what their decision was ahead of time because they didn't know there was a decision at all yeah two quick questions I praise your efforts in trying to increase the primary palliative care skills of surgeons and physicians in general I was just wondering have you ever thought about if the surgeon is the right person to do this in a busy surgical clinic and could this be a role of increasing interdisciplinary clinics in surgery of having a palliative care clinician do this so that even in the if they choose the surgical option where the best case scenario is maybe not doing well in the so I mean you don't have to be a surgeon to use the tool every time I give this lecture to somebody to a group who's not surgeons I get exactly this question the surgeons never ask that question and I think that that's a very legitimate possibility I think that there are times when these decisions need to be made and there's nobody around but a surgeon I think that if I just wanted to be a really awesome technician I would have been an aerospace engineer and what I like about being a surgeon is I get to be a technician and somebody who takes care of patients and not that all surgeons are that way but I think many surgeons are that way and would like to be involved with this so Gretchen this is probably another one of those questions that people ask all the time but it almost seems sort of like a stereotype question but did you then thinking about advanced directives as part of the intervention like hard wiring that people should say who their decision maker would be afterwards a double power attorney you live and will that kind of thing or I'm sure you thought of it so either you did it or you intentionally decided no that doesn't work we're doing something different here yeah it's so it's really hard and very time consuming to teach people new things when I told Bob Arnold that we're going to get two hours with a surgeon he said no you need six hours and then when I told Victor Montore he said two hours you need to do this in five minutes and so while there are all these other things we would have really liked to teach it it's just not enough time thanks Gretchen


In this video we're going to go through a dedicated video on Shiba and the information behind this. If you do enjoy the video then do smash that like button, it really does help out support the channel and I've collated the information together for this video so any help on the video would be greatly appreciated. And also thanks for all the support on the recent videos, there is a lot of interest in the crypto videos that I've been making. Let me know down below if there's any of the cryptos you'd like me to cover or if you would like me to cover Shiba in the future as well. Let's go into the information on should you buy Shiba and the information behind it and get right into it. I've got to say I'm not a financial advisor, I'm a business teacher but I'm by no means an expert on the stock market. Let's get right into the information. So first of all the ecosystem of Shiba, it's an experiment in decentralized spontaneous community building. The token is our first token and allows users to hold billions and even trillions of them. It's been nicknamed the dirgecoin killer and it can remain well under a penny and still outpace in small amounts relatively speaking. Popular well-wired and already up to thousands of percent, Shiba token is the first crypto currency to be listed and incentivized on Shiba Swap, our decentralized exchange. We lost the 50% of the total supply to Uniswap and through away the keys. The remaining 50% was burned to this area here in terms of the project. So interesting stuff in this that they are another sort of mean coin in the sense that they're trying to beat dirgecoin. Now as we know dirgecoin has also been doing very well recently. It's one that we covered in sort of December, January time and it's up massively since then. And now Shiba is starting to gain a lot of traction and actually starting to make that movement upwards as well. It has been in recent times pulling back a little bit, but again that could present a potential buying opportunity, which is what I'll go through in this video, but let's get right into some more information about Shiba. So another recent news that's come out is the fact that it's now being asset listing in terms of you can now swap Shiba right now on StealthX. Okay, so they have this on board with an offer you can guys to get Shiba, your new token safely for 350 plus other crypto currencies without signing up. So they've added Shiba to their platform and this is going to continue into be happening where Shiba gets listed in a range of different platforms as well, which does seem like it could be potential catalyst there because it adds more accessibility to the coin itself. Now going into this, you can see the fund will be put towards the financial relief of our developers, admins and marketing team need to make our ecosystem their full time focus. We want these talented individuals to continue building on the solid foundation they gifted to us with their own time, money and energy. So essentially, they are thinking about the long term future by having the developers on board that are working on this full time so that they can then produce the best sort of solutions. That's what they're trying to do. So I like that. I like that they've got a long term outlook in that sense. So they're allocating a certain amount of funds to the developers. Okay, so that they can work on the development of the of what they're doing, right? Then they've got admins as well that are involved with that. And then the marketing as well. This is a really important part of this marketing. So the ecosystem is even more impressive when you consider that so far the entire effort has succeeded without spending a dollar on marketing. However, it will allow the team to deploy international marketing strategies such as commercials that will make Shiba the freshest mainstream crypto currency name. Okay, so they've achieved what they've currently achieved with basically no marketing spend. So if they can achieve what they've achieved without the marketing spend, imagine what they'll be able to do if they've got some funding for marketing. So then get that coin out there, get it well known and build the brand awareness of that coin. The brand awareness has happened for itself through its meme nature of the coin and it's been spread about. Okay, but what what will happen when you actually put some marketing money behind it? We're going to see this one absolutely do really well because more eyeballs on the coin and the brand awareness is going to be going through the roof for this one. As they consider looking at more marketing avenues to get this coin out even further. Okay, also it says here Shiba ecosystem. That's what we've just read there. So the fund will be put towards a continued advancement of the Shiba ecosystem. Okay, it is to keep up to date that momentum going. Okay, so, you know, they've got a development fund for the ecosystem to ensure that it is effective essentially. So they're looking at one hand to the development of what they're doing there. But on the other hand, they're looking at the marketing factors in the fact that, you know, what would happen if they put more money into marketing. But the fact that it's managed to do so much in so little time with very little marketing is very, very impressive. Okay, now the roadmap here they've got here is what they're looking to do is launch an artist incubator, upcoming NFT project releasing Shiba swag and even potentially actualizing real world application that move us beyond the digital landscape. So there is a lot of catalysts in that one, you know, one sentence there. Okay, a lot of different catalysts. They're looking to get into NFTs more in relation to their Shiba brand. They've got the artist area there. And then, you know, there's a lot of areas there which they have avenues that they could take down. And I'm suspecting that we will probably get a good amount of news coming out about these areas, particularly the NFT project in the future, which could also be a potential catalyst that moves the price up even further. So how can you buy if those are unaware? Essentially, you can you can buy it in terms of a decentralized change such as Uniswap. Okay, so that's where you can buy it. Now the current chart you can see here for the coin here, you know, for the token, it has had a bit of a drop off. It's actually lost a lot of its value recently, okay, over time. So, you know, as it gets down to this lower level, okay, what you're then doing is, of course, minimizing your risk. Now, if you're holding this for the medium to long term, these prices, you know, could be seen, seen cheap. Like when we're sort of talking about Durgecoin, should you pay, you know, 0.0007 or, you know, around that price? And then you look at it now and it's like, well, it doesn't really matter at that point because it's moved up so much. However, to, you know, kind of relieve the risk, essentially to have a less downside on the coin is obviously always best to get it on a downward trend. Okay, and that is that is that is good to try and get it on a downward trend and see where it consolidates. So what I would do is I'd watch the coin. I would see where the consolidation appears and then start to buy it at that point. But of course, you don't want to buy it at the highs or the recent highs. What you want to do is try to get it on a downward trend and wait for the consolidation and then get in at that point. But I do see that this has got a lot of potential, particularly the fact that it's managed to do so well with very little marketing, but also the fact that, you know, it's got a long term approach in the fact that they've got developers there that they're working on this consistently. And then I've also got those different projects that they're looking to embed within the within the coin here. So within the token. So it's got a lot of potential. If you did enjoy this video, then do smash that like one. It helps get the Shiba video right up into that YouTube search results so that when people are searching for microcap or not not microcap, but searching for crypto currencies in general, right, then that then comes up on the YouTube search result list. So if you could smash the like button to get this in the YouTube search results, that'd be much appreciated. Let me know down below if you would like me to cover Shiba even more and I will certainly look at doing that. And I would like to say thank you for all the support as well. And I will see everybody in the next video. Remember to subscribe.


Pick your upset, Rob Gronkowski. I mean, the Jaguars and the Giants would be the upset games, right? I mean, like the fact- All the teams on the left, all the traveling teams would be the upsets. Yeah, I know. I see what you mean. So, Giants, Giants, Bengals, Cowboys, who could win? It's tough? Yeah, it's tough, but the team that has the best chance to win, that's on the left side, I would say would be the Cincinnati Bengals. Sincy Bengals, and you love those bills too, so that's getting a lot. I do love the bills, I'm a bills fan, but I'm saying if it could happen, the team has the best chance to win, that was on the left side right there, would be the Cincinnati Bengals.


Aaron with the exception of that that ninth inning late rally the offense was pretty stagnant tonight Just what made the race staff so tough I mean, that's you know one of the things that's made them You know the division winners and the best team the league they've always obviously been good at at run prevention and You know they were able to hold us down. I thought a number of guys hit some balls really well You know Riz had a couple good ones Glaber Gallo hits that ball with a runner on in the gap, you know, just couldn't break through enough and You know love the fight there at the end and the the quality of the bats there at the end just couldn't break through Domingo Herman was on the mound for the first time since July 31st Just what went into that decision to use him in that situation and try to get some extra outs out of him Yeah, just you know like like I've been saying every day when asked about him You know, he's gonna be in in some difficult situations. We got to lean on everyone down there I thought he came in and threw the ball well, you know Obviously, you know the walk there hurt him to knock him out of the game But but I thought overall he threw the ball pretty well and then why abray you next just You know it between him and litky No, we got to get two outs there and then they probably working to hit for a Rosa Reina there and and wanting Franco from the left side Just felt like matchup wise it was good And and and I thought Albert did a good job also of of getting a Rosa Reina out And then he puts Franco on the ground there. He just found a hole with it. So Yeah, I thought he came in through the ball well Tom Miriam, please unmute I mean, it's right up there. So you pay attention to what's going on Greg Joyce you have the next question Aaron was DJ not available and do you have any update on his status? No update. He was not available tonight. No Anything else Ken David off go ahead Aaron It's interesting jarring the ninth is that up? Excuse me. No brainer.  No, I was I was gonna go with Gary there in the ninth.  We got to turn the page quickly and get after it tomorrow