Hello Friday date nighters. Hello. Look who Aowyn brought us her date. I brought my date, Molly. She's a good date. She's a sweetie. So happy Friday everybody. We have five people watching so far because Friday date night is in the middle of the afternoon. Well we have Kathy and Tommy so we're good. We do. Yes. Our regulars. We've got a couple of our regulars here. Who else is here? Speak up. I know you're watching. There's Kay. I knew Kay would be here.  Come on you guys. There's three more of you. Say hello. Don't be shy. We know you're there. Did we get our one down vote? Shout out to that person. I haven't looked. Debra from Kentucky and Isabel. Yeah. Isabel's here. Debra Slate, VJB signing in from a rainy Pennsylvania and we have Dagmar. Now Dagmar. I don't think Dagmar's been here before, right? I don't know. That is a sort of name that would be in my distant family. So that's cool. Welcome. And Catherine is back and John Tyler is here. Some of you guys are staying up late, aren't you? Profiles are like potato chips. It's so true. It's very easy to fall down the improvement rabbit hole when you start working on this stuff. Slate, VJB, I don't know who you are. Who are you? Yeah. Give us your first name. You know, if you don't want to share your whole name, that's okay. Or if Slate is your last name. There's Steven and I keep getting little discord sounds coming up here too. Oh hi Molly. Hi. Yes, Isabel is always up late. I think she's a night owl. I understand why you think that she's a cat but she's actually a dog. She's about the size of a big cat, right? Yeah. She's so cute. And there's Robin. Yay. Robin. She's like something's happening. Just sit here and watch people. She can't hear anybody either. Look ahead. She's like, my mom talks to me all the time. Yeah. There's Leah or Leah. Is it Leah? Should I say Leah or Leah? I don't speak French. Ask Isabel. Where's Steven? Steven is there. Oh look, we're up to 19 now and we got one upvote on Facebook. Thanks guys. Thanks Facebook watcher. Oh boy, we're so exciting. We're just, we haven't even done anything yet. See and look how exciting we are. Oh June is dating photographs from her mother-in-law's house. Oh good for you. Names and dates. They're so rare on photographs and it's Leah. So I'm still butchering it I'm sure. Leah. I'm always so excited when they turn over a photo and there's something on the back. Me too. I have eight. One, two, three, four, five. Well I have five in here and three in the other room. Bins of pictures and stuff from my dad. I don't, I think there's probably a dozen of them, dozen pictures with something on the back. I know. I wonder if you know the like the face facial recognition on the photo photography like like Apple has iPhoto or what used to be called iPhoto. I'm wondering if I scan them in if it'll help me recognize people. It might. It's worth a try. Worth a shot. Yeah oh wait Robin said did we lose you or should I start over? We're still here. I hope they can see us. Are we still here? I hope so. If not we're having a nice chat. We're having a good chat. There's no, yeah I don't see any more. Can someone else say something in the chat so we know if we're still here. Oh it's her. I had a weird thing happen this morning boy. Discord just I could see notifications coming in but I couldn't load the messages and I couldn't reply to anybody and then Gmail stopped working and and then poof it was back so that was nice. So I don't know if anybody of you know anybody. I don't know if any of you know in G2G Ben Molesworth was asking for some interesting stories that we could include in our Friday date nights because we usually keep this pretty short. We come in, we chat, we answer questions, share stats and then we're out of here and and that's okay too. I mean we like to let you guys just come in and say hi and and then get to work but Ben was thinking and I agree it would be kind of fun to have some stories to tell from some of the research that you're doing for the for date night. If you find some cool, I know I fall down the rabbit holes. I know I'm not the only one. You find an interesting family and you start digging around and all these stories pop up and let's hear them. That would be cool. Or if there's other stuff you want us to talk about you can let us know. Yeah yeah absolutely. Let's see what do we got going on here. Found a different spelling on the back of some picks and turned out to be another spelling for the last name. Well that's convenient. June is finding many photos of the same with different notes on the back. So that's cool. Oh we froze. But we don't know if it was us or Deborah. Oh and Mojavelin, Jester that's. Lynette. I know who that is. Lynette. What? Lynette. Thank you. Hi Lynette. I probably said the first name wrong there too. To answer Stephen's question, more people chat on YouTube than on Facebook. So if you want to be in the chat with people, YouTube is definitely better. Definitely. We see a lot more people over there. She looks very very happy and relaxed right now. She's not bubbly. She's really not at the moment. I'm sure she has her bubbly moment so. Yep when there's a treat in ball time. And you're very excited. Mojavelin. Did I say it right that time? She spelled it for me. So I get it now. So shall we talk some stats and then I have something else I wanted to throw in. Okay. Hey. You want to? I haven't shared my screen. Yeah. Should I share my screen? Okay. Maybe. Okay. Here we go. Look at that. I do not have this week's stats. I'm very sorry but I can probably get them up here really quick and tell you what they are. But we broke 20,000 two weeks ago. Look at that. 20,683. So let me go pull up and see what the total is for this past week because I know you guys are out there pecking away even when we're not doing stuff. Oh my gosh. I know you can't see this. 21,869. Wow. I know. Oh I didn't add that. So these numbers are for two weeks ago but I didn't get a chance to update the spreadsheet this week. But we're almost at 22,000. So I know it's not lightning fast. I know but you guys are making so much progress. No. And just think about what happens when you add a date to a profile. You know it just kind of opens up. Exactly. People know it's their person. Yeah. And I know you know when you're adding dates I'm sure you're probably adding locations too. So it just makes everybody's life easier when you're starting to look for duplicates and it's just a wonderful thing you guys are doing. Lynette says only three million more to go. No. Not that many but yes there are a lot. But we've turned off the faucet so there's not as many coming into the bucket as they were before. Which is really good. Yes. Every once in a while we get a batch of profiles where we find that they've got a higher, I can't talk today, privacy setting than what should be on them and so we'll open them up and then we get a whole other batch but it just comes in little bits and pieces. It's not like a big blob of them. So cool. Yes. And category tags. And K just reminded me the other thing I wanted to talk about. Let me take that out and go get this. K put together a cool little project that she's been promoting called the GEDCOM review and improve profiles or GRIP. So I don't know if all of you have heard about this but it kind of ties in very nicely with Friday date night because basically what you're doing is improving profiles and she has a number of items here that you can use for advice or how to find profiles to work on. Can you see this? Did I forgot to share it again? No you need to share. There we go. And she has a spreadsheet. K I am not good. I have not been out on your free space page much so I'm going to get a little bit lost. Let's get it explained. There's a checklist for the profile which is where you're at right now. You can click on any of those things and it'll give you detailed instructions on how to do them. And I believe she links back to Friday date night which is cool because we also have instructions. She's got some tips and tricks and there is a link out here for a spreadsheet. Correct. Yep there's a spreadsheet where you can put what you're working on. Yep which I could also pull up but I don't have it open at the moment. And there's a sticker. Of course we always need stickers. So can you guys see, hang on a second, you can't see the URL on my screen. Tell you what. That's basically the title. Yeah I'll throw that URL into the discord channel so you guys can go and click on that and it'd be fun for us all to collaborate on these efforts together. It would. Because we would like to focus everybody on doing a like when you're working on stuff like this do a whole profile approach. 650 improved. Yes that's awesome. That's in like 11 days. Yeah I know it's crazy isn't it? It's just pretty awesome. So it helps us take a whole profile approach to cleaning up these profiles that came in through JEDCOMS a long time ago. A lot of them have basically nothing. They might have a name and a date. They might not have a date but they have connections to family so. They tend to have nothing or they have a whole lot of stuff. Mm-hmm and yes what Steve says. I do have a fan. It's blowing my hair because it's right here because it's like 100 degrees here today. Yes. Wind in the hair it's very important. I could use, can you send some of that over here? It's very humid here right now. There we go. Sorry. Good thing we're not dorks. It takes a lot of effort for us to be normal. So true. So true. Anyway let's see guys what else? Does anybody have any questions? Anybody? Oh there Linda put the the grip free space page link into the into discord. If you guys need to get into discord if you're not there I think everybody I've seen here so far is in there except maybe Lynette message me on on wiki tree and I'll get you in here. What I'll say Owen what is happening? 57 and raining in northern California. It's 25 Celsius in John's house in Ireland and humid in 33% where Steven was which I forgot where that is. Steven is on the west coast if I recall the northwest. I think Oregon or Washington. He's gonna tell it might be Seattle even. I think it might be right. Yeah 79 that sounds awesome. It's one million degrees here with 150% humidity in Illinois. I don't have the humidity thinking this I can't. Yeah makes all the difference. We did get some rain today barely and now the sun is out again and it's just drying it all up so I'm gonna have to go water my flowers again. Lyn if you go to help discord like help colon discord explains how to join. Yes I keep forgetting that you put that up. Steve I am not in Texas it just feels like Texas and we don't have a river nearby to go floating in so that would be fun right now. All right got anything else? I don't. You guys want to go out and get to dating? Let's do it. Okay let's we've wasted 15 minutes. 15 minutes. What if you find stories tell me message me with them or I don't know where yeah just message me from my profile. You guys most of you know where to find me. Yeah our discord would be fine give me a link. Let me know and we'll see if we can get them out here when we talk next time in. Are we doing this in two weeks? We are. It's the 25th. I keep thinking that we're closer to the connect-a-thon when we are. Nope so three more date nights until connect-a-thon. Registration will start next Wednesday for that. Yay all right you guys have a fabulous weekend thank you for coming by and we will see you for date night in two weeks but Sarah will be here tomorrow with her weekly update and on Wednesday we'll get to find out how our challenge guest Yvette Hoytink is doing or how the challenge people are doing. They have been busy and we'll get to meet the next guest star who is the winner of our Roots Tech contest so she's very excited. That'll be fun I can't wait. All right you guys we're going to sign off and we'll see you on discord. Bye!


What is going on guys welcome back to the channel, and I appreciate you being here today I am back with another fortnight video and today I bring you what in my opinion are five of the best landing spots for that easy fast loot to give you guys a Great start to your games, but before we get into that guys I'm giving away 2800 Beautiful vbooks to be with the chance of winning simply subscribe to the channel hit that bell button to turn notifications on leave a Like on this video drop a comment down below when there's a picture on a weekly basis and contacted via direct message on YouTube So good luck to those who are trying to win. Okay, so there really isn't any specific location on the map Which guarantees you amazing loot most if not all locations have a chance in dropping new loot So to me isn't really about the best spots as there really isn't any It's about the safety spots for you to go to where multi purchased spawn giving you more of a chance of getting said loot That's what these spots are about. I will say matches play out differently The bus travels in different rotations every game some games you might see people in these spots Some you want what I'd suggest is though avoid any spot I mentioned today where the bus takes a direct route over it or near it But if the bus doesn't take a route over said locations use them to your benefits. Okay, so first up We have a little place called moisty Maya This is located in the bottom left of the map now this place is a little open There ain't much buildings here for you to loot but on a good spawn you will find chests all over the place I've been here about 20 times in the past few days and almost every single time I have landed here There's always been loads of chests to loot out of now like I said you will sometimes get the odd person landing here too But if you get to the loot first it's easy pickings It really is so moisty Maya is the first spot I suggest you guys try to give yourself a great start to a match The next spot I use on a regular basis depending on where the bus travels is this little area here Just northeast of Anarchy Acres and it beholds around four houses in colors proximity and these houses can be loaded with loot Sometimes each containing one or more chests. So this is definitely a great place to come as a team You split up and go to one house each and gather that loot gather the materials and you'll give yourself a great Advantage going into the game. This is actually a spot I've used since starting playing Battle Royale and I still rarely see people come here It's definitely the place the least populated I will feature today But it is also one of the furthest points from what can sometimes be the circle if located on the other side of the map This can lead to a lot of running so keep that in mind Next up we have a spot which a while back I wouldn't have suggested you guys use as a starting area to gather loot materials But it seems as though this place has now become kind of disowned Really anyone goes here anymore and this place is junk junction now junk junction was once very popular Outside of the center areas, but nowadays every time I visit this place I really ever see anyone else here the crazy thing is those places are loaded with chests and I mean absolutely loaded What's better yet is it's also home to loads of easy metal which obviously is the best building material Now like the rest of these spots today I will play footage of certain locations these chests born in so you guys know where to look this junk Junction is also another great spot for team modes to so use it and do what you've got to do Guys look we have a little lonely place on the right side of the map called Lonely Lodge Now until recently I stayed clear of this place not because of how popular it was because it wasn't I just didn't think it offered much In terms of sources of loot, but I'm using this spot for the past week My mind has been completely changed the tower alone can hold up to three chests And it's this spot you want to head to first so search this tower then seek out of the loot from the various buildings Around this lonely large area. Honestly guys, this is one of my new favorite spots for sure It's always full of great loot whenever I visit this place Obviously though don't go here if the busses flight path goes directly over it because then this don't will be deadly and Everyone will be fighting out for that loot for sure So yeah guys check out this spot the next time you play if it's clear I'm pretty sure you will go here and love it The last spot I will show you guys is definitely one of the more dangerous ones here as it can sometimes be populated It's never too clustered But there are sometimes that are teams which will also land in here with you now This specific spot doesn't actually have an area name But you can see it via the map on screen now of exactly where it's located Just look for that orange bridge and it's basically the mountain or hilltop next to it now up here He's home to where a single house which can be hold a chest, but it's the house's surroundings Which are better here you can have up to four chests on a single time one in the basketball court One behind the basketball court and two near the bridge. There's also a loot inside the house There's plenty of loot here for sure. Now this spot me and my team always use now because of this I normally visit the house just below it which rarely anyone ever goes to So if you plan on using this spot playing solos or jewels and you see other teams landing up here Go to this house just below it. This house alone almost certainly all the time has a chest within it But there are other various spots within the small house which should be hold that juicy loot So this is a great place to start a match at these two places together the hilltop and the side building Guarantee you a great start to a game. It's also located near many popular places too such as salty springs and fatal fumes So it's a great spot to quickly farm and get straight into the action. That's what you guys like to do And guys that is it what in my opinion at the moment are some of the best places you can visit at the start of a match to Prepare yourself for the battle which awaits and on that note guys I am out. Thanks as always for stopping by if you enjoyed the video leaving a like really helps me out And hopefully people I will see you on that next one


All right, so this is super exciting for me to be here. I went to the very first AHS and I thought that it would be really neat to be one of the presenters at some point. So this is a little bit of a dream come true for me. In terms of disclosures today, I'm horrible at math. I love PD Scotch and I binge watch Netflix when my hubby's on night shifts, he's a firefighter. Sometimes drinking Scotch in the tub too. But those are probably not the kind of disclosures that you're looking for, so I don't have any funding or grants to disclose today. In terms of objectives, I'm going to describe the ABCs and Ds for triaging your client's most important health issues, help you understand how to apply the ABCs and Ds in acute care family medicine and in a primary care setting, going through some case studies to illustrate that, and then I'll help identify a step-by-step plan that you can follow with every client to ensure consistency in your practice. So in ancestral circles, it's pretty common knowledge that things like sleep, nutrition, exercise, and mental health are important, but they're not necessarily as commonly accepted within medical communities, within the medical circles. It's starting to shift, but we're not quite there yet. After working for 10 years in the fitness industry with a Bachelor of Kinesiology, I wanted to make a bigger difference and affect greater change. So I went back to university to get my Bachelor of Nursing and I've spent the last six years working in different settings as a registered nurse, often in overlapping settings. So I've spent five years working as an acute neurology nurse, working with patients with brain tumors, strokes, head injuries, things like that. Very acute setting where patients are very sick, requiring assessments from every five minutes, up to every hour, sometimes even more detailed than that. It's sort of like a step-down ICU unit. I've spent three years working as a chronic disease management nurse, giving lots of recommendations on sleep, nutrition, exercise for patients, and I've also worked in some family medicine settings in public and private clinics. So I've got a good variety of experience. Now, just like many of you, I've had more than my fair share of health challenges along the way, and it was the ancestral approach, the ancestral style of looking at things, that multifaceted approach that really transformed my health and got me back on track. So I wanted to share this fountain of youth with the world and I thought that it would be the greatest idea to share it with my nursing class. In fact, I thought that I should just ram this information down their throats and throw it at them. And what I learned is that that is absolutely not the way to get people to listen. In fact, it has the opposite effect and turns people against you. Over the past six years, I've learned how to navigate through the healthcare system and I found ways to get traditional medical practitioners on your side and at the same time, pull from the triage process that they use regularly to simplify your practice. To do this, I'll take you through some case studies and show you how to systematically prioritize your client's health, regardless of what type of a practitioner you are. So for my case studies, these are fictitious characters. However, they're built from many years of experience working with clients, seeing the same types of things come up over and over and over again. So although this could be a generic person, I've dealt with 50 Trinas, I've dealt with 100 Trinas. These are very common examples that I think many of you will be able to relate to. So Trina is in a primary care setting. She's working with a chronic disease nurse at her primary care network. She is a 56-year-old female with a primary concern of weight gain, super common at that age, although we know weight gain at that age is common, not necessarily normal. She weighs five foot seven, sorry, is five foot seven, weighs 220 pounds and most of her adult life was around 160 pounds. Majority of her weight gain has been over the past five years, specifically over the last year. So we know that this really could be any person that many of us deal with. So some more information for Trina. She works full-time as a teacher's assistant to high-need students in a high school with some behavior issues. She eats an average, standard American diet, eats pretty good, not so great in our viewpoint, but from the standard view, people think that she eats pretty average. Her alcohol consumption is beyond the safe drinking guidelines of 10 drinks per week. She does exercise occasionally, doing a little bit of running once in a while and in terms of sleep, because of her job, because of her busy lifestyle, she stays up late during the week, trying to get things done. She's up early in the morning to get to work and as a result, she sleeps in on weekends. Now we're getting a better picture of what's going on. Again, this could describe any of the hundred of Trinas that I've worked with. So let's give a little more psychosocial perspective to that to make her a bit more unique. So Trina is a chronic people pleaser. She has an adult son with a developmental disability that requires some time for her to help him out and support him, and she also has an adult son with a mental health issue that lives in another city. So between these two, Trina's got a lot on her hands between her job and her family situation, and as if that wasn't enough for her already, her husband was diagnosed with terminal cancer a year ago. So it's no surprise that Trina has minor depressive symptoms. Now when we look at this in a medical setting, we're trained to respond to clients using the A, B, Cs and Ds of triage. So our airway breathing circulation and then deadly bleed in that order. You would never see an emergency room physician dealing with a paper cut when their patient isn't breathing. Yet sometimes we use this approach in the ancestral health world. We can get tied up by our client wanting to know whether her macro should be 50, 20, 30 or 50, 25, 25. When we haven't even made sure that Trina is dealing with the acute stressors in her life, like her husband having terminal cancer or that she's actually getting a good night's sleep or that she's doing some exercise, it's super easy to get caught up chasing one aspect of health that we forget to take a step back and look at that big picture. In trying to create some consistency in my own practice, I took a look at what other healthcare practitioners are doing in all different styles of health, what they have in common with the medical system and created a similar way to follow the ABC assessment model to simplify the process and to prevent myself from chasing things down the proverbial rabbit hole. And sometimes that rabbit hole is very, very large. Now, this is something that we probably intuitively do in our practice. I've just put it into more of a formalized process. So starting with your apex, that is what's most important right now, the crux of the issue. So Trina is in for a weight loss but if her fasting blood sugar is 320 or for those of you like me from Canada, that's 20, we need to address her high blood sugar first. We can't just start dealing with what she wants to if we've got some critical numbers there. So at this stage it's really important that you validate your client's concerns. What's most important to Trina, her weight loss right now or finding out her macros may not actually be most important. So we wanna build some trust with Trina and explain why we're doing certain things. We're going to sort out her macronutrients later on. We're gonna make sure she's eating better quality food that she's sleeping, she's doing some exercise and stress management before those macros will actually make a difference to her healthcare. For our A's, what's most important right now, this is what is the single biggest factor contributing to her health. So some of you might say that Trina's biggest issue is her stress. Most of her weight gain's been over the past year so we could easily tie that to her husband's diagnosis. Perhaps seeking some counseling might help her out. Some of you might say that she needs to eat better nutrition, that's gonna be what makes the biggest difference. And some of you might say it's exercise or some other component. It's not necessarily what's right, it's more about being able to explain or justify your answer and coming up with something that will yield the greatest return for Trina. Now when we look at what is the litmus test for what's most important, there's lots of different theories within ancestral circles of how do we triage things. So I've come up with what I feel are the seven pillars, the most important factors for health. That's your sleep, nutrition, mental health, medical conditions, lifestyle factors, exercise and digestion. So for healthcare practitioners, I explain this as the center, that union is where optimal health can occur. When the circles start pulling back from that center, we lose the ability to achieve optimal health. For patients I explain this in a slightly different concept. I use the analogy of a tabletop.  Those are your four core pillars. We can get away without one of them. We think of a pregnant or a new mom. She's kind of lost her pillar of sleep. She's down to three legs. But we've all seen tables with three legs. They still stand up. Your digestion is the top that ties those legs together. It's interconnected with all of those components.  If we've got this imbalance, our pillar of sleep is missing and we have a little bit of poor nutrition happening, that table can easily fall over and we lose the ability of health. So we've addressed the most important issue of our health, our apex. We move on to the base. That is all the other factors that influence those seven pillars of health that affect your patient's health. So focusing on those seven pillars, which of those elements are most out of balance? So we know that Trina came in for weight loss, but how's her sleep or her stress level? Most of her weight gain has been over the past year. So again, it's likely connected to her husband's terminal diagnosis. She's so overwhelmed, so she rarely exercises. And so she doesn't have time to prepare healthy meals and her sleep isn't great. So we've got lots of areas that we can work with and what we wanna do is start chipping away, giving her one or two areas to work on with each of those. So for example, we can get Trina to start with a 10 minute walk every day where she just focuses on breathing and relaxing or introducing one extra serving of vegetables a day or having a hard cut off bedtime of midnight instead of the 1 a.m. or 2 a.m. where she's currently going to sleep. Now while these recommendations are far from optimal, we want to create some success for our patient. We want them to be able to feel accomplished in what they're doing and so we can easily prevent overwhelm by doing that. We've done our A's, our B's, moving on to our C's, our complimentary issues. These are the things that come all over the place. So they're not necessarily critical, but they do contribute to her health. So for Trina, things like the fact that she keeps a candy bowl at her desk at work and it's constantly staring at her and asking her to just take one little piece. The fact that she has poor self-esteem and puts other people's needs first, these are other factors that come into play. We do want to address at some point, but these are like the paper cut when your patient isn't breathing. We still want to be able to deal with the big critical issues before we start tackling these. And then instead of deadly bleed, we want to do it again. We want to repeat that process over and over and over, whether it be every week with our patient, whether it be every month. We want to repeat that process because things are going to constantly change. Is it still the same? What's most important now, that issue is going to shift over time? And we want to make sure we're doing this at least every month or two with our patients or clients to make sure that they're getting appropriate progress. They're doing what they say they're going to do because that accountability piece is key for patients. We also want to have a level of uniqueness, of customization, because all of our practices are different. We've got physicians, we've got massage therapists, we've got chiropractors, trainers, all different types of practitioners here and I expect you to work within your scope of practice. This isn't about saying, well, all of you need to address all of these pillars of health in your specific practice. You may not have the training to do that, but it's making sure that if you don't have the training to do that, that you're referring to other people because those factors still need to be addressed. Applying the concept of the ABCs to a family medicine practice. We've got Luke, who's a 65 year old male with a primary concern of type two diabetes and hypertension. Two issues that are pretty popular right now. He's got a blood sugar of 120 to 270 and in Canada we're ranging from 6.7 to 15 with an average blood glucose of 8.2 and a blood pressure of 185 on 94. He's five foot nine weighing 185 pounds and is sedentary. So Luke is also not a great sleeper. He doesn't have a great track record of sleeping. It's varied from night to night, pretty much his whole life, but now that he's getting older and starting to change even more and there is a little bit of concern with Luke for possible cognitive decline, mostly because he retired a couple of years ago and he just doesn't have a lot of stuff going on in his life. His goal was to sit at home and watch TV when he retired and I've worked with lots of Luke's as well. So in terms of his ACE, his Apex, at this point we would want to focus on treating that diabetes and hypertension, tracking those and bringing those into good control within roughly three months is obviously an ideal. We can use a combination of medications or lifestyle approaches. Some practitioners focus on one end, some on the other end, some a combined approach. If we're talking traditional medicine, we're typically talking medication only. In our circles, we're likely leaning more to the lifestyle end. Ultimately it depends on the motivation of your client and how willing they are to make changes. And then his B's, looking at those other, those base factors for things like nutrition, we can have him focus on reducing refined carbohydrates in his diet and replacing that with some nutrient dense vegetables. For his digestion, if he started on a medication like Metformin, we know that there's going to be some digestive changes with that. The side effects of diarrhea are quite common with that medication. So are they tolerable for him? Can he handle that medication? And then for exercise, similar to Trina, adding in just a little bit of activity, five to 10 minutes every day to start creating some patterns for him, having some success so that we can eventually get two or above the target of 150 minutes of exercise each week. For his sleep, he does use sleeping pills occasionally, but he hasn't had a focus on sleep hygiene before. He doesn't even really know what that term means. So teaching basic sleep principles, teaching the focus on good quality sleep versus quantity being in bed and being restless for long periods of time and possibly entertaining the idea of cognitive behavior therapy at that point as well. And then for his seas, looking at that possible cognitive decline, we're not really sure, is it not? Looking at his personality as an introverted guy, we could consider things like cognitive testing might be important, but what about other things as we age? How is his hearing? How is his vision and doing the testing to rule those out? Or we know that he's just recently retired in the past couple of years, so finding things that give him purpose and give him some pleasure that adds some stimulation into his day are very common things that we can do that I've seen have made incredible improvements in patients like this. When we apply that ABC process to acute care, we've got Thomas, who is a 25-year-old male. He's got a primary concern of a brain tumor for which he's having surgery, and so this case study is after he's had the surgery in the hospital setting, he was also born with a frontal lobe tumor and hydrocephalus, so this is a long-standing history for him having tumors, and then he's developmentally delayed. So apart from this, he's a pretty healthy guy. The brain tumor he has right now has been causing severe headaches, some vision changes, and so it was time to go in and to operate and help relieve some of those symptoms for him. For his A's, at this point, the apex is going to look very different than it would in that family medicine setting or in that primary care setting. We're gonna focus on his pillar of medical conditions. At this point, we're in the hospital, there's a lot of involvement from our neurosurgeon, from our nursing team, from our physiotherapists or occupational therapists, possibly even speech-language pathologists at that point. The biggest things for him are to focus on recovery from the surgery, focusing on pain management, the sleep, the rest, recovery part of that process. Things that we could do, not necessarily being done at least not in my setting where I work, is grouping assessments, and I know this is something that could be done easier, just a little bit more coordination of care. Rather than the resident or the physician going in and they do their assessment, I go in a little while later, I do my assessment, an hour or two later, the physio goes in, does their assessment. We can find ways to group those assessments together so we can all be on the same page rather than repeating that information with our patients. They've already been through that, they've already said their name and the date and where they are six times. Yes, it's important, we wanna make sure our patients are oriented, but making sure that we're giving our patient rest, which is the most important thing. And when we're constantly going in there at different intervals, they're not getting the rest. Shared rooms are also very common in hospital settings. So making sure that if we have patients with shared rooms that the nurse with the A bed and the nurse with the B bed are coordinating to try to have those assessments happen at the same time so that room can have a little bit more quiet time in between. When we're creating new hospitals, doing things in line with sleep hygiene, making sure there's a way for a roll shutter or a blackout blind to come down to make that room pitch black. That doesn't happen at least in my setting. And then doing things like having our IV monitors and the heart rate monitors where we can dim them to a certain point, but they never turn off completely. We still wanna obviously know those numbers. They often ring off at the desk, but things like putting a towel on top of it so that room gets a little bit darker, creating good sleep hygiene for our patients. For our Bs, at this point, we wanna focus on nutrition. Hospital nutrition is obviously not at its most optimal level. There's a lot of work we can do there. So focusing on more vegetables, more antioxidant rich foods. I don't think I've ever seen berries on a meal tray for patients in the hospital. Giving us good quality food because these are our sickest people. They need the highest quality nutrition and that's not happening. And then eliminating the high sugary snacks that are brought in. The nursing desk is a huge pile for where all of that ends up, but our patient rooms as well, the chips and the cookies and the sugary snacks that get piled up in there, making sure families understand the implications of what that's doing for that patient's recovery and healing. For mental health, we can look at things like having social supports. Social workers are a big part of the hospital system, but making sure beyond that, that your patient has visitors and that there's also scheduled nap time. Sometimes that doesn't happen where the entire room is quiet and we can just allow our patients to actually rest. So it's this delicate balance of social and rest. And then for digestion, we know that narcotics are super bad for causing constipation. We can do more teaching with our families around preventing constipation, making sure that we've got hydration, that we're adding lots of extra fiber. We're using other medications for bowel protocol to make sure they don't get constipated. And ambulation is a huge step at this point. And then exercise is going to look very different at this part of the recovery process. We're focusing more on independent ambulation, independent movement, because a lot of times when we do things like brain surgeries, balance gets thrown off. So making sure that they're able to regain that. And then Cs are complementary issues at this point. Looking for the need for supports when he goes home, would he need increased supervision for the first couple of weeks, doing cooking, laundry, those basic ADLs? Looking at a gradual return to activity, not necessarily exercise at this point, but just getting back into daily life. And then we want to do it again. So now he's been discharged from the hospital. He's at home after that initial recovery process. What do the ABCs look like at that point? So there's going to be more involvement with the family doctor at this point. A follow-up with the neurosurgeon, but less hospital involvement. So for our A's, we're still working on focusing on stabilizing that medical conditions pillar. We then want to move on to our B's, things like the rest and sleep will continue to be important, good nutrition at home, and then increasing his activity level as tolerated, with the balance of those social activities without getting overwhelmed from it, to ensure that he's getting some rest. And then regular bowel movements without straining, increasing the pressure in his head. For complimentary issues, we can look at things like not too much TV time or cell time. Those are really common after brain surgeries. We need to be able to decrease stimulation for the brain for that healing to occur. And most of us are glued to our cell phones or our computers or our televisions, and so getting away from that a little bit.  Then we would do it again. And so at a six month mark, his health is going to look very different than it did in the hospital or at home. And we're going to continue to go through this triage process over and over and over again, what are our A's, what are our B's, what are our C's, as those continue to change over time. So how to systematize the process? So using this diagram, on the one side we've got our patients, when they typically start out, they're unhealthy, they're not well, that's why they're coming to see us. Our goal is to bring them up to a state of optimal health. Along that health continuum, there's different stages of what that health looks like. On the opposite side is our stages of change model. What is their readiness and willingness to change? At the bottom again, they're typically not ready to change, moving up to the idea of actively changing and actively participating in their health recovery. At the bottom is our base, those are our key pillars, focusing on those different components. Our nutrition, our exercise, our sleep, our medical conditions. So within each of these, there's lots of different things that we can do to make sure that all of those are balanced. As we start to address them, there's going to be barriers to success that come up. Patients always have excuses. I don't have time, I don't have money, I don't have knowledge. There's always barriers that come into play. And it's pulling away from those barriers, giving our patients the ability to overcome them so that we can create patient satisfaction. Happy patients are good patients. They will refer, they will increase your business. We want to improve their biometrics that helps us prevent the health crisis that's going on and help to get it under control. And then having some successful patient outcomes. And then with eventual goal, having optimal health. And what that looks like for each of your patients will be different. Optimal health for someone who is a quadriplegic is going to look different than optimal health for an ultramarathon. These spectrums are still going to be different. And even for you on a daily basis, optimal health today might look different than optimal health next week or next year, depending on all those other factors coming into play. Now with those base pillars, there's lots of different things that we can do within those. So with our medical conditions, some of us come in and we don't have a lot of medical conditions. We come in and we are generally pretty healthy. So then we would look at your genetics. Does everyone in your family have heart disease? Does everyone in your family have cancer or diabetes? Or are they overweight? It's looking at those tendencies. We may not have the medical condition yet, but we might one day. And so it's being aware of what our predisposition is. Turning that light switch on and off. For mental health, I focus on key pillars like what I call the five P's. So people, pleasure, pauses, purpose, and positive self-talk. Having those within balance tends to help with a lot of depression, anxiety, mental health issues. Nutrition, I'm talking to the converted here. You guys are very aware of the nutrition spectrum. Good quality, healthy nutrition. Seven to nine hours of sleep a night, some form of exercise, making sure that we're keeping our bones strong, our muscles, that we're stretching, we're maintaining our balance, because those are all things that we lose over time. How you want to accomplish those? Completely up to you, but those are key fundamental areas that we need to focus on. Digestion is a huge growing area. We could put out an article today and in a week it's going to be completely outdated already. This area is growing so fast, but we know that digestion has a huge influence on our health. And then your lifestyle factors, that is literally all the other stuff that comes into play, all the other things that come on your plate. So I've been working with this model for many years. I put it together in this type of a picture over the last couple years, and then applying that ABC process to really focus on triaging my patients and going through them to have more of a systematic process. So I've pulled all of those concepts together in my book, Healthy by Choice. Really proud of this book. It's something that I talked about for 10 years, so finally made it to print here. It's coming out September 19th. So looking for anyone who might be interested in helping with a launch group, I definitely believe that by empowering our patients to patients and clients, to take charge of their health, that we can influence a bigger impact on the healthcare system, rather than just trying to tackle policy change. We're not getting anywhere with trying to change policy. So let's deal with this from a grassroots level. Let's take charge of our health, let's get our patients to take charge of their health and make a bigger difference. If you want a copy of the PowerPoint after or you're interested in being part of my launch group or you want to know more about my programs or services, definitely just write your info on your card, what you're looking for. I'm happy to connect with this, many of you as I can after the conference, and thank you so much for having me here today. Before we jump into questions, I just want to give a quick plug to the banquet tonight. I told Gil that I would. So for anyone who has not signed up for the dinner banquet tonight, there are about 30 spots remaining. I thought there were only 20, but there's about 30. So make sure that you sign up for your tickets. Can you pay at the door? That is a really good question and I don't know the answer. I would say sign up ahead of time, probably not. Okay. All right, if we have any questions, we have a little bit of time. So if you're on this side of the room, you can go to the microphone over by the stairs.  Oh, thank you for a very good talk. You mentioned a lot of behavior change and lifestyle modification and I wondered what's your take on motivation interviewing. I found it very helpful in terms of giving patients choices of what they would like to tackle next rather than basically being directive. And I think, just wanted to see if you use it in your practice. Yeah, so I love the idea of motivational interviewing. I think it's really great to say, okay, thanks for coming in today. Here's your information. This is what you need to do, bam, bam, bam, bam, bam. That approach doesn't work.  So it's absolutely motivational interviewing is getting your clients involved, getting them engaged in the process rather than me being the right person, that pyramid there, that's the foundation. That's not the right way. That's not to say for nutrition we must do this, for exercise we must do this. There's fundamental components to each of those. We know that for nutrition we need to focus on quality, we need to focus on nutrients.  So the motivational interviewing technique is great because then it involves your patient, it gets them engaged, it gets them participating in that. So absolutely, I fully support that. Thank you, we have a question over here. The amateur doctor, if I had a patient who was stressed, didn't exercise and couldn't sleep, I would get them exercising, probably something vigorous to get rid of the stress, make them tired so they can sleep. What do you think of that? Yeah, and everyone's going to have a different approach.  No. Oh, but you're right, is that everyone's going to have a different process in terms of how they go about doing that. So I've had really good success with starting patients slower to build the confidence, but some patients absolutely, they kinda need that, kick in the pants, let's go, this is what you need to do. They need to burn off some of that energy, they need to make themselves tired, they need to be able to have that endorphins released so they're able to be physically exhausted at the end of the day, able to sleep, and so absolutely, it's looking at what is your scenario, and obviously running this ABC scenario, it's absolutely impossible to come up with, this will work in every single, we have to modify it, and so that's where that customization comes in, is that in your practice with what you are doing is looking at that, okay, so in this one setting, perhaps taking the bull by the horns, jumping in and saying, this is what we're doing, then that might be a more appropriate approach for that situation, for other situations, we might say, ah, this patient just, they need it to be a little more delicate, if I do that and I come in, it's kinda like the personal trainer approach, if I have this personal trainer that's yelling in your face and they're like, push harder, let's do more, not everyone responds to that, so it's sort of reading your client and knowing what type of an approach they need, sometimes they just need a little gentle, they're there, sometimes they need the bull by the horns and let's do this. Thank you, do we have any other questions? We'll let you go again.  A question for the audience, if I may? Sure. I wondered, are there any medical doctors, residents or students in the audience? Okay, I'm just the president of the Physicians for Ancestral Health and so I wanted to connect with people who might be interested to learn more about the organization, thank you. I was just curious how you keep patients motivated, I can imagine when they first get a diagnosis or are struggling with something very intense that they're ready to go gung-ho, but people that for whom changing their diet and their lifestyle and their sleep patterns and starting to exercise doesn't come naturally, how do you keep them motivated in the long run and especially if they potentially are with families or living in communities that have the lifestyle that got to them to where they are in the first place, how do you also work with families and yeah, how do you keep them motivated? So I don't do a lot of work with families per se, I typically do a lot more one-on-ones, I'm shifting more to a group approach, but motivation is always a hard thing and anyone who works in this industry knows that, is that yes, people come in, they're keen, they're ready to, sometimes they wanna make the change, sometimes somebody sent them, so as a chronic disease nurse, I often saw that and so the lack of motivation, like I'm here because my doctor made me come and I don't really wanna be here and there's no engagement on their end, so what I found to be very effective in terms of engaging patients is finding what's been successful for change in the past. So even talking about other areas of their life, so perhaps for some people they're very financially motivated. Okay, so what got you motivated about finances? How did you get involved with saving money or paying off your mortgage faster or some people really love their cars? Okay, so what got you excited about the car and using those tidbits from other areas of their life that they're passionate about, that they're excited about and pulling that into health? I find small manageable chunks is a really big key instead of saying like these are the 20 things that you need to do for sleep hygiene and you need to hit all of these along the way, I'm gonna lose them and they're already gone. So having things that every week or every couple of weeks they can come back and say I've accomplished this, I've done this, having those goals in there and then you said the piece with community, sometimes other parts of their family are not supportive and that's a very real reality that we deal with all the time is that the family is not always on board and so unfortunately how do you make somebody change? You can't. We cannot force somebody to change. So if one person wants to change, their partner isn't willing or interested in changing, then we have to say okay, we're gonna respect what their decisions are, we're gonna focus on this person's decisions and then learning for a way for them to be able to kind of coexist and sometimes it means we have the couples come in together and I've had blowouts in my sessions where the couples are arguing and like I want this, I don't want this and you can't make me change, you have to change, like those kind of debates back and forth but it's very much, sometimes then it's shifting it to counseling, okay, this is more a counseling issue than a nutrition issue and then finding the appropriate supports for that. Does that answer? Thank you. Do we have one more question? Okay, we have time for just one more. So I'm a nutritional therapy practitioner so I'm coming at it from a non-license perspective and one of the things that I run into with my clients is that I give them all this great information and then they go to their primary care doctor or their endocrinologist or whatever and they give their doctor this information and the doctor says, yeah, okay, whatever and then my patient or my client comes back to me and says, well, my doctor didn't seem too excited about this and they really start self-doubting that they have made the right decision to start working with me. Is there something that I can do as a non-licensed practitioner to bridge that gap with the medical community and start working with them and get them more motivated to encourage their patients to work with me and see the results that I can give them but they're still a little reticent because they don't have that doctor going, yeah, this is gonna work. Absolutely, so I mean, the most important thing is we all sort of have our scope of practice or what are governing guidelines. Like I'm sure you've got some courses or certificates that you've taken that say from this program that you've taken you can do this. And so the biggest thing is that you wanna make sure you're staying within whatever your scope is. To get the buy-in from the physicians, again, you can't make that practitioner change but what you can do is you can go and meet with the physician and then have that conversation piece and really sit down and say like, I'm happy to coach you for free or I'm happy to coach you and one of your staff members for free and explain the process, get their buy-in that way, build the trust and rapport so that then they're more accepting of your practice. If your client goes to their physician and they say absolutely not, I mean, you're stuck in this difficult position where primary physician saying one thing, it's opposite of what you're saying and that does happen at times. So it's difficult to say, I give you permission to override the physician because we don't wanna do that. So it's more about how do we balance this teeter-totter of who's right, family physicians, especially if they're an older family physician, don't have a lot of the training and the knowledge on the nutrition and the sleep and the digestion and all those things if they haven't been continually working on evolving their knowledge. If they originally just started with things like Canada's food guide, my plate, food pyramid, they're lacking a lot of fundamental information. So it's making sure that the physicians that you're working with are well informed, they've got that background and they're really understanding what it is you're doing and where you're coming from rather than it being like this hokey, fluffy, weird, I don't know who this nutrition person is, really building your credibility with them. Right, and that's the, my plate is what I'm running up against. I've been a type one diabetic for 23 years now. So I did the ADA recommendations and I went to my endocrinologist at one point and he was like, kinda looked at the stuff that I had changed and my blood markers look great and he's like, okay, well, you must have done something else. It's not the nutrition. There's something else that you did and I'm like, there's nothing else. Of course it's not nutrition. I'm like, yeah, so. But yeah, thank you, it's nice to hear that. And you're not alone in that struggle. I'm sure many people in this room can relate, so. Right, thank you. Yes. I've been a practicing NTP in a red state for five years. So it's a line, it's a fine line.  So it is a line.


Before we head into our agenda, I'm going to ask Chief Jim Davis to join us at the podium and give us an update on our firefighters Good afternoon Mayor Parker members counsel mr. Cook Jim Davis the fire chief It's with been a been a long morning and with a heavy-hard I stand here to tell you that Little after 2 30 this morning.  I was involved in a single vehicle accident on the way to that run Approximately five minutes after the initial dispatch of the emergency for firefighters were transported to two hospitals Jps and Harris downtown They two of them have been discharged two of them remain hospitalized the the Families are with them the four fire departments with them There have been injuries that range from strains and sprains to fractures And there is one firefighter who is in the intensive care unit Jps in critical condition Our thoughts and prayers are with him. I have to tell you I am so pleasantly Pleased to tell you the love and support that we've received today throughout the Fort Worth community And I cannot thank the community enough for that There's a lot of people to thank so far today too outside of the community there's the police The accidents to under investigation Chief nooks and and his team obviously are leading that we will cooperate fully in that to figure out the events that happen And how this occurred the police were incredibly helpful getting This member's family to Jps. They came from out of town and They were met at the city limits to make sure that they didn't get lost getting a hospital And I want to thank chief nooks for that and his team the folks in med star the folks from care flight the Amazing work and the amazing staff at Jps both in the emergency department in the intensive care unit the trauma team there The folks over at Harris So there's a lot of people to thank there's a lot of blessings to have today But I I asked that you keep our department and these four folks in their families and your thoughts and prayers and as I say to you one of them is Really in a fight right now, so With that I will answer any questions that you have and I am I'm prepared to give you the best of the information I have at the moment Thank You chief counsel any questions for chief Davis Mayor pertin Yeah, I don't have any any questions But chief when we heard this the entire city was unalarmed because the firefighters are the ones we call When there's a problem Have you heard about the house in terms of the house of my questions to you chief? I'm sorry switching mics That is a better one Have you heard about the conditions of the people in the house that initiated the call in the first place? Yes, it's it's my understanding councilmember that there are no other injuries that were no one else was transported in there No other injuries So it's my understanding that they are okay. They're fine And what about family members who might need to stay overnight are we assisting? instructing in any kind of way so To two avenues are being dealt with the as the Situation in the morning Transpired we put together an incident management team. We put a small team together and met put them in the emergency operation center so we could make sure that city leadership and Police and fire and everybody was at the table figuring out what needed to be taken care of and that included Getting family here and making sure that arrangements were taken care of for them to be moved around the city and Hotel accommodations if necessary They have children You know they have animals that they had to bring because they're coming for several days from out of town So we've had to manage that so that's that is one thing and then and then if You know no good relationship I can't stand in front of you without saying something positive about local 440 and their Support of not just their member, but their their appreciation and their support for the hospital staff and You know things that they're trying to do to show their appreciation through Meals and things like that for the staff that are actually working hard to take care of our folks So I do think we have those two things covered and we have them cover from Two different angles to a very positive labor management relationship. Yes, ma'am Council any other questions? Chief, thank you very much. We know that you have not slept yet And so our blessings and prayers to your entire department and special thanks to JPS and THR Harris Of course as well and that trauma team that responded. Absolutely. Thank you. Thank you very much chief


Like I said, my name is Benjamin Arazu.  We are a program of TechSoup. TechSoup Connect is a global network. We have chapter all over of TechSoup. It's a nonprofit that helps all that nonprofit get, implement and use technology effectively. TechSoup has been helping a lot of nonprofits to get, implement and use technology effectively. Let's look at our values in our community. Welcome, everyone. In TechSoup Connect community, we put community first because we're here to support each other. We're not here to compete with anyone. We are here to complement each other, share ideas and help our community to be strong as they are to. We put our community first, meaning we are here to support each other. Also, we build stronger nonprofits. What does that mean? TechSoup has nonprofits to be strong in the area of providing technology tools and help them to implement it. Help the nonprofit to be proactive and effective in using technology. Also, one of the values that we invite participation, that means everyone has something to lean and to contribute. It's not just one, but everyone gets to participate in this. Let me see how I can share this. Okay, awesome. You see our values. One is that, like I said before, we are here to support each other. Secondly, we will build stronger nonprofits. Like I remember our church in Rome was in need of some softwares. We got the software very, very, very shaped through TechSoup Connect. One of the values is that TechSoup community to build stronger nonprofits. Technology is one of the tools they use in doing that. As I said, we invite participation. That means everyone has something to lean and to contribute. It's not just one man's show. Everyone has something. If you know something, you share it. That will benefit the nonprofit you share them. Also, we treat each other with kindness and respect. TechSoup also need your help. Event producers, marketing welcome crew, note takers, anyone can plan an event. If there's something you can be able to do, we'll be glad for you to assist. TechSoup connects you with connected and discounted products like software, hardware projectors, hotspots, refurbished hardware, and so much more. TechSoup has been doing that for years and they've benefited a lot of nonprofits. That's just what we do. Connect you with donated and discounted products. Like I said, a church in New York and Rome have actually benefited on software and hotspots and hardware. It helps the nonprofits to find something they needed in the area of technology. So much more in the sense that if there's a nonprofit that does not have staff that does not have ideas on how to use technology, TechSoup also have some free class and some tips and some knowledge they can pass to those staffs. Now these are the companies that TechSoup are into partnership with. One of the things that TechSoup can also help you, like we said in the previous slide, is to get a discounted price on some softwares like Microsoft, Adobe, Zoom, mobile, back on anyone, you have to reach out to us and see how we can be of any help and that has been the mindset of TechSoup. With TechSoup, a nonprofit with 10 staffs saves a lot of money, you know, if you look at the software present in the slide, you discover that look at the retail prices, it's going to be a problem to some nonprofit but with TechSoup as a nonprofit, you know, you can save a lot. You know, this program I have to tell you, this is awesome and I believe that if you are not aware of it, you know, it will be good for you to get to know it because it's going to save the organization a lot of money. TechSoup like also said that they help a lot of nonprofits, so whatever help you need, you know, you can get that from TechSoup, you know, if you need help on databases and software, as a nonprofit, digital engagement, design and web building or anything else, all from a nonprofit perspective, TechSoup, got your back, you can get those information, you know, and, you know, we'll be glad that if you can, you know, reach out to the site address, you know, forums.techsoup.com, you can get such information that will help you and also encourage you to join a TechSoup event and connect with other nonprofits and change makers who are using technology for social good.  You don't have to be in isolation, you know, if what you are looking for is not there, you know, you can also reach out to the leaders, you know, connect to the leaders and they will make it happen. Okay. Well, this is where we can stop today and like I said, TechSoup is here to help you in any of your nonprofit needs technologically, you know, we have been doing that for years and I believe, you know, you can be able to answer your question. Thank you for your time and have a present weekend.


Hi everyone, Joe for jaspyscasebrakes.com with a five box credentials hockey break This is random team break number three from jaspyscasebrakes.com All card ship in this and we comboed up right here Carolina and San Jose comboed up We only sold ten spots one spot gets you three teams So let's triple you up right there And let's roll it and randomize each list three and a three hard six and six After six times. We've got Steve Birch down to David Duffy Hard six for the teams and after six times. We've got the Arizona coyotes Down to the red wings All right, Steve Birch with the coyotes William with the wild Troy with the abs John with the stars and Islanders Jeffrey with the Canadians Troy with the lightning Michael with the blue jackets Jeff with the Senators David with the Preds William with the black Hawk Scott with the blues Troy with the ducks Scott with the Flyers William with the Bruins and the Rangers William Are with the Devils Steve with the flames William You got my Kings Troy with the Hurricanes and Sharks combo Michael with the Canucks and the Caps Troy with the Sabres Scott with the Maple Leafs Troy with the penguins Jeff with the Jeff with the Jets John with the Knights David with the Panthers Steve with the Oilers and David Duffy with the red wings All right, so let's alphabetize by by team right there and Remember I marked that credentials inner case. That's the second inner case right there. It's gonna be half this inner case right here Salad should say veteran commons veteran commons don't ship autos. Obviously ship Imagine if we didn't ship autos people would riot All right, so there's one two three four five right there All right, so one two three for the left side four five six for the right side And it's gonna be one so we're gonna do the left side right here and this side. We will say for break four All right, no no one's no one's trading right? Bama mosaic. I know for sure is dropping next week ish that I know Obsidian I'm not sure when exactly that is some of the dates might be a little mixed up here and there but but thankfully The printing presses are Reopening opened and are humming along so we're gonna have a bunch of new releases that have been delayed coming up Which I'm happy about TWC trade window closed Left the list printed out right here excellent There it is. Good luck everybody Basketball mixer coming up after this Good. Yeah after after what a month or a month or so of just no new releases We're finally gonna start to see some new releases ladies and gentlemen all over the place, so Couldn't come at a better time. I think What is a crossley digital jukebox? Is that the ones you see at bars where you can? Press the buttons and feed it money and get credit There's there's no date to groups. Yeah, never it's not gonna happen out of 299. We got Tobias your font your font Bjorn Fatt for the Kings There you go William with the Kings Nice prism cello has sold out. Excellent. We'll add that to the schedule too. That'll be after the That won't be for a while though. What does that sound that sells out? impeccable, I think there's another auto right here. That is Philips adenia for the red wings. That's gonna be for David Duffy It's a full-on jukebox, but no actual records are well. What's the point of the jukebox then? May as well and may as well just get him an iPod Remember those things? No, I want to get a jukebox where I can actually put like records in there like 45s or 78s or whatever fits in there and then collect a bunch of 45s For 78s depending on which jukebox I get.  They had it in the house moved over when she sold in the mood. Is it like big rounded ones with the neon neon tubing on around the edges Maybe some wood paneling. I wonder how much those old record playing jukeboxes cost They must be a fortune to like maintain. I guess I have to learn how to fix my own jukebox probably and those big like big push buttons that look like teeth like molars that you have to push in I Mean I may not go that old school There's our next autograph. That's Adam Fox Rangers and they'll be for William a A fox in the box And another king there's Blake Lizotte On-card autograph to 2.99 Debut ticket access autographs Jay's got pics has also got prices for me around 2k going off eBay sales for a record playing jukebox That's not so bad. That's not so bad. How much is shipping? No, I'd have that's actually not bad at all. Maybe I could find like a local There has to be someone locally here in LA that has it something like that Just put in the From the back of my car and bring it home or have it delivered Oh, it says local pickup only a message for shipping for those eBay All right, that's what I figured Well, I actually don't know if I have space in my apartment for it. It'd have to it'd have to it'd have to come to the shop I don't know where we put it. I don't even know if you have space at the shop either. How do I think about it? I don't know where we're gonna put that. I might not even I might not even have space at the shop All right, I think I felt a bit of metal. Oh, there's a metal piece right there. There it is We got Eric Brandstrom to 2.99 for the Ottawa Senators It's gonna be for Jeff and Ottawa 73 out of 99 We got Kirby Dock for the Chicago Blackhawks that's gonna be for William A Some other numbered card everything ships. So all the cards you see here are gonna are gonna ship to you A lot of different parallels and stuff like that. So Two more boxes go and then the basketball mixer. That's right Dallas is uh Is is quarantine in his garage? So he could use a an old jukebox Just kind of lean against the jukebox with like a A Miller light or something like that Play some old country and western tunes and just be like I remember when I could go outside Yeah, I would love to get that bowman chrome sold out and on the schedule Vince I don't think there's too many teams left. We should be able to do that straight up Jaspy's casebreaks.com baseball fans and look at this out of 25 alexander to shear I don't think it's to share. I say it like mark to sharra, but I don't I've been corrected on this But that's I'm going I'm going with that that'll be for the columbus bluejack. It's michael eng I like that pattern there too Nice. Um, yeah once again michael eng with the columbus bluejack. It's I don't know. I think in the old days these they used to call it country and western, right? Maybe not Dante Fabro for the preds that'll be for david duffy That's to 99 This week on the country and western music charts I don't know that movie What kind of music do you play we play both kinds country and western Sean says it's from roadhouse Roadhouse Close though says kevin. Good luck This beer looks just like last box. This is credentials random three Um second half should be up on the website shortly So check it out Oh, it's got to be blues brothers in if kevin's saying halfway there.  There's kale kale macar for the colorado avalanche choy rimmer last spot mojo. I think this guy's pretty good, right? This guy's this is a good one. I'm pretty sure There you go nice hit Definitive number two we did a few weeks ago One of one. All right, and there you have it ladies and gentlemen that was half of the inner case 2019 2020 upper deck credentials hockey from jaskiescasebreaks.com The other half should be in the store shortly so we can run that back tonight if you'd like i'm joe I'll see you next time for the next one. Bye. Bye


The study found that the trial of labour after Caesarean section rate was 69.5%, and the success rate of vaginal birth after one lower uterine transverse Caesarean section was 35.07%. Factors such as maternal age group of 21 to 30 years, prior vaginal birth after or before Caesarean section, non-recurring indication, fetal distress and malpresentation, ruptured membrane, cervical dilatation greater than or equal to 4 cm, cervical effacement greater than or equal to 50%, and low station, greater than or equal to zero, at admission were associated with successful vaginal birth after one lower uterine transverse Caesarean section. Additionally, the Flam and Geiger score at a cut point of 5 had a sensitivity and specificity of 73.6% and 86.6%, respectively.