Yo, what's up guys welcome? Hello What is up? How you guys doing? Hopefully you guys doing amazing before guys. Yo, what's up? It's a good day Okay, so for those who wanted to know I got hats now. Okay, some are plain Others have paint right and so if you want them go to the link in my bio link in the description below of this video And click the paint the paint or you can click on Pokemon because I do I do sell Pokemon But everything right now on the website is 20% off of the art 20% off Okay, and then It's everything off your order So if you put something in your cart and you go to buy it it's 20% off So some of these have are painted. They're all numbered on the website as you can see boom boom This one is a lot a lot more painted. So Look at that So I got seven of these and this is the only one that I have that has no paint on it. So 35 bucks plus 20% off so new haircut Not really a new haircut. Actually, I haven't had a haircut in like a month So I need to go get a haircut at some time some point soon. So Yeah, but I just wanted to say hi guys. How's it going? Hopefully you guys are doing awesome. And if you guys want to see a painting or a hat Let me know and I'll bring it out and show it to you guys and I think shipping is like five bucks. So pretty cheap. I Love your art. Oh, thank you. How are you? I'm doing pretty well. Thank you I like your paintings, but I stopped watching because you don't take suggestions from YouTube comments Well, I don't know why you would stop watching I mean, I don't really take suggestions from YouTube comments because I take all my video content and the comments and replies from tiktok So if you want me to see that comment and potentially do it go comment on my tiktok Show us some paintings. Julia Nelson wants to see some paintings. All right Dab There it is. Okay. Let's see here. Let me show you guys Actually, why do I have this on let's see Can you guys hear that? I should be a little bit better. Let me show you guys One painting that I do like oh, it's called the cosmos one sec. Don't go anywhere. Don't go anywhere. Okay Check this out. Okay, check this out. I do like this piece a lot. It's a 10 by 10 and It's called the cosmos and It looks so dope. I like it. Okay, check this out. How dope is that? The cosmos this is on the first page. It's a 10 by 10 and it's 25 bucks plus 20% off So if you want some Johnny Q art with a nice affordable price that now's the time to do my guy now It's time to do it. My god. Okay Maybe I'll wear a hat to show off the new hats. Let's do that. We'll show off the new hats Oh, look at that the Johnny Q hat Oh, and also it does fit any size because it has this so if you got a big head or a small head or a medium head Then it fits you because My hats fit all heads Okay, what do you guys want to see next if you want to see a painting go to the link in the description and Click on Johnny Q art and let me know which one you want to see And I'll bring it up. Are you a gamer too? I'm not I don't think I would say I'm a gamer but international shipping. Yes, I ship all over the world. So if you go and Type in where you want to ship it to it should be able to ship it where you are at Depending on your address and where your location shirts. I have shirts in the process No merch as far as shirts yet, but hopefully soon It's it's gonna be cool. I promise you and once they come out I will let you guys know and you guys can definitely buy some Okay, yes, sir. Do you like dance? I like to dance. Why not? Okay, let's see next piece that I want to show you. Oh Space Jam I can show you Space Jam. That's uh, it's a pretty cool. Actually, let me show you all the Whoa, whoa, whoa, whoa. I got him. I got him. All right. Check this out ready be Bob bone pop All right, this one sold so can't show you that one Cuz it's sold The jackpot. Oh, I do like the jackpot the jackpot's one of my favorite piece. Let me get that piece. Hold on. Hold on. Hold on What does it look like? I don't even know Is it this one? Ah Yes, bro, this one looks so sweet. Okay, this one's called the jackpot. It's an 11 by 14 piece Check that out Look at that Pretty dope, huh? I like it. That's called the jackpot. I love this piece a lot Bro, the painting behind you is so dope. Yeah, that's one of my bigger pieces. That's a 30 by 40 It's regularly 500 bucks, but it's up for 200 dollars No, excuse me. Melanie says you're awesome Thank you so much Okay, next piece. I'm gonna show you here is This one is called galaxy dream I have to 10 by 10 look at this Look at that That one's called the galaxy dream.  So there you go Can you do browns for the nfo collection? Uh, so that's I mean I could Okay, next piece. I'm gonna show you guys is Uh, wait was that not galaxy dream What did I just show you? I don't even know Oh, yeah, no that was galactic mayhem the one that I just showed you This one's called galaxy dream This one right here So the one that I just showed you was galactic mayhem and it's actually right next to this piece This one's called galaxy dream. This one's also a 10 by 10 And uh, it looks pretty dope. So this one's 25 bucks plus 20 off at checkout Link is in my bio down there in the description of this video. Okay next piece. This piece is actually pretty dope I do like this piece a lot. Let's see here Uh, where is it? Wait, did I not put this on the website? Wait, did I not put this on the website yesterday? Why is this not out here? We may have to put this on the website. I don't know why it's not on there Very interesting. All right, I'll have to put this one out for later. Oh, okay. Here's this one. This one is called Yang Yang with a gold glitter. So this one has gold glitter. It's also a 10 by 10. Check it out I don't know if you guys can see that glitter There it is So that one's yang yang I let me see. I have to order Chipotle really quick because my Wife is I don't even know my my login. Give me one. I have to order Chipotle Frick find a Chipotle I usually order on on my app on my phone, but I I guess I'm ordering Pick up from this restaurant. Okay. Um Order, how do I I don't even know I'm ordering. Do I want to yeah, I want Chipotle bowl I'm ordering Chipotle from From the website, which I've never done And hopefully it's the right thing because I don't know what I'm doing my guy.  Do you sell your artwork? Please answer me. I'd like to buy. I'm a huge fan Yes, I do sell my artwork if you just go to The link in the description of this video. You'll see Uh more links click on the Johnny Q art. It'll take it to my website and you can see everything that's available Everything right now is 20 off your entire order So if you want some Johnny Q art Go to that link right now and buy something. Okay, we'll do some lemonade Give us okay Johnny Q. Okay. I believe this is going to be my order Uh 1140 let's do 1140 Pick up info Sarah Q 36 gosh, what's what's the date? I don't even know. Can I just pay there? Oh, this is terrible right now Oh, this is terrible Sorry guys. I'm literally trying to order Chipotle right now and this is not working for me Uh, I think this is do you have a brother? I do. Let's see. Will this work? Hi guys Cats or dogs dogs? Will this work? I don't even know Love your painting. Oh, thank you so much My dog is brown. Nice. I do I do have a dog Uh, I got a corgi Anyway guys, I hope you guys are doing well. Again, I have hats available on the website Uh, I got some that are painted. I have this one as well. This one's also on the website. It's not painted Uh 1140 is pickup 1140 So here it is Boom, there's one There's one There's two There's three Somehow are painted some are not and it kind of goes by uh, just the like the number like johnny q hat number one Johnny q hat number two This one's also on the website if you guys want to get it, uh, they're all 35 bucks plus you get 20 off When you go to order so And i'll be going live. I'll be going live on Tiktok later tonight doing some live spin art. It'll probably be like Maybe five p.m. Six p.m. You want a room tour should we do a room tour of of the room right now? What do you guys think? Can you customize a shoe? Uh, yes, just send me an email and we can get it done Do you want to see a uh A room tour really quick Okay, we shall do a room tour. Let's uh, let's do it Okay Come with me if you want to see your room tour. Oh my ankle. Okay So we have to close the door to get the full effect And just get in in the groove. Where's my dog? You want to see my dog? Hi, kobe Keep taking your nap by kobe by kobe See you later kobe by kobe All right Here we go. Well, let's go into the room and do a room tour Okay, so this is one of the bathrooms that we have and that's not the real toilet That's just for the potty training.  We go into the door We open it and wow that is That's the room. So if we come in Uh, as you can see, I'm working on some pieces here We have the background and of course we have a closet in here with a bunch of stuff If you come in here, you have this background a giant 30 by 40 We got some more pieces down there. These are going to get shipped out soon and packaged or packaged and shipped And I keep the curtains closed just because it gets so hot. It's like 100 degrees outside right now So I'm just trying to keep it cool in the room We take a turn around over here. We have a giant light that I use for videos And this is one of the tables that I use to package We have the hats obviously and then you come on this side This is the main area where I kind of Have all my stuff set up and I make videos. I got monitor computer another mac keyboard I got garbage because I was doing some packaging and you know bubble wrap is in here And I try to put all my stuff and make it clean Uh, I got an iPad down there a nice chair. I have another desk is kind of just like a Whatever I put in here it kind of gets put in there or whatever, but it's just more of a desk of like Okay, that's just there And then I have oh, I forgot to turn my lights on We got to turn my lights on Boom come over here Boom and now it's lit. Ha get it. It's lit So that's there. So yeah, that is kind of the room tour of of johnny q This is the uh room tour Once it gets a little bit more cleaned up it looks a lot better. So but yeah I'm a huge fan. You're buying the hats. Oh right on.  So that is uh That's the room. I have a lot of uh other things that I want to add like I want to Do some more stuff to the room all that good stuff. So Guys if you want to support johnny q go to the link in the description below Click on johnny q or or pokemon cards if you want and go get something from johnny q Yeah Okay, so, uh, let's see. What do we do now? Should we get off live? Should we stop doing this or what? What are we doing? What are we what are we doing? Show us your hardest painting my hardest painting the one that's so hard I love repainting. Thank you. Do you like animate? Yeah, kind of what brand of dress you use what kind of dress I don't I don't wear dresses my guy Say papi moñaño What is the easy one? Uh, can we get a yes, sir? Yes, sir Yes, sir when you start making art. Tell me uh last year. I saved the kitten yesterday. Nice He saved the pussy cat. Nice. What's your zodiac sign? I'm a Libra. I'm not doing nothing I'm not saying my name. Kyle. I don't okay. It disappeared What did you eat for breakfast? Nothing, I'm a gamer girl. Nice. Can you please show us some dance moves? Chew papi moñaño. What's your favorite painting you've made? Oh, man. I can't even go into that There's so many that I love He answered my dog is brown No, I show us the room that used paintings in oh, you want to see this the you want to see the studio You want you guys want to go see the paint studio? Should we do it? Should we do it? Should we go see where I make these paintings? All right, let's uh, we'll take a quick tour We'll do a quick tour of the painting or where I where I do these paintings. So come with me Open my door. It's on the other side of the house. It's actually in the garage. So Hi, Kobe Kobe's on the couch. All right, here we go Are you ready for this? I don't know if we're ready for this Okay, here it is Well, I gotta I gotta take this Out of the picture so you don't see it one second How much for a hat?  Okay ready for this So we come in here Give me one second So this is Turn the light on This is where I do all of the paintings I have this huge tent In my garage Oh, there it is Unless I got all this all these paints There it is. I get nothing on the walls. Everything's clean. The garage stays good But all this is painted and that's fine But uh, yeah That's basically Where I do everything and then I come over here. I have a nice speaker. I do bluetooth with I get some music going and then I have my ring light And everything's good to go Boom So there you have it. That is where I do All of the uh spin art stuff Someone asked can I customize a hat? Uh At the moment, I don't have that set up because they're already kind of painted and customize themselves so Hi, Kobe Good boy. That's a good boy, Kobe Good boy Good boy, Kobe. Say hi. That's a good boy. All right.  All right, you can come As far as uh, customizing I I can't do customization on hats right now just because they're already painted So they're already kind of customized But hopefully I can actually cost get that going once these sell then we'll go from there, but These are 35 bucks. Some are painted. This one's the only one that's not that's also on the website Some of these are just lightly splattered some are more splattered like this one 35 bucks plus you get 20 off your entire order. So The uh, that's what it is Hopefully you guys grab one if you guys like them. If not, no worries Okay, so let's see here Love from India. Oh nice. Why is the house so quiet? Uh, my my wife and two kids are getting Chick-fil-A right now. So I'm just here. I'm home alone With uh with a dog. Oh Do you live alone? No, I have a wife and two kids. They're just out at Chick-fil-A It's 1240 time to get your food Yes, my wife is getting it for me. She's picking up Chipotle. Thank you for the reminder Uh, also, it's actually you must be an hour ahead. Uh, I'm at 1140 right now Love from nyc. Nice. You have kids. Yes. I have two kids I just joined. I'm a huge fan from India. Nice. Hello from India. Love from wales Nice all the way from wales. Let's go. I love it. Can you say hello, Gracie? Hello, Gracie Love from Britain. Live from Texas. Love from UK. Let's go. I love Texas. I love UK You guys are awesome Love from Iowa. Love, Iowa Iowa's great The winters suck, but hey It is what it is, right? I'm from Missouri. Me too. I live in Missouri I also live in Missouri Go Missouri Kobe, stop licking. Stop it. No. What are you licking? Stop it. No, no Stop eating that. No. Don't eat that. Don't eat it. Love from Kentucky. Nice. What time is it for you? Uh, it's 1141. Uh, love from Kansas. Nice. You're close to me Kobe stop eating that. No, no, no No, no Silencio Bruno Silencio Bruno I live in Kentucky Nice love from harsh Wow, I'm one hour ahead. Yes, you are. Texas baby. Yo, I was actually born in Texas. I was born in Eagle Pass, Texas How to donate money I get I think you can just send a super chat. I like the chiefs. Yeah, I like the chiefs too, man Chiefs are awesome Love from Illinois. Nice. It's 641 p.m. Here. Oh Nice. Good evening Very good evening. Okay Well You guys are awesome. I'll probably go live on tiktok later tonight around 5 p.m. Ish So you guys should be there if you don't have anything going on Uh, and I will see you guys later. Thanks for joining. You guys are amazing Peace out and adios How do I exit that?


Appalachian wireless proudly brings you unlimited data. Unlimited data is only $80 a month for a single line. Four lines as low as $200. Better service? Bigger savings? That's today's Appalachian wireless. An East Kentucky network company. Get a speed slow to 25 gigabytes per line to 512 kilobits for phones and tablets. And 15 gigabytes for motors. See store for more details. Eastern Kentucky as a whole has the highest number of people diagnosed with type 2 diabetes in the state. And a new program at the Pike County Health Department is taking aim at lowering that number by trying to educate men, women and children who are considered to have pre-diabetes.  So if you have an I1C of 5.7 to 6.2, that is your pre-diabetes range. That means you're getting close to the diagnosis of type 2 diabetes. The Diabetes Prevention Program is an extended program lasting 32 weeks. Diabetes coordinator at the health department Erin Mead says it's designed that way to promote a long-term, complete lifestyle change. The first 16 weeks is focused on let's lose the weight, let's get the physical activity in. And then the last 16 weeks is focused on how to maintain that weight and not gain it back. And how to, like you're going to hit a plateau, you're going to get stressed and how to keep that weight off. Mead says they want people to understand how their bodies are changing and the life-threatening complications brought about by type 2 diabetes. What I have here is blood glucose levels and what your blood looks like when your blood sugar levels are at these numbers. Blood sugar levels at 400 is very thick. It can't get through your arteries as well.  The Diabetes Prevention Program meets on Thursday at 5 p.m. at the Pike County Health Department. In Pikeville, I'm Shannon Deskins, EKB News.


And it's unfortunate on some that, you know, that we have to have an awareness month. And the one we're going to talk about today is domestic violence. It is domestic violence awareness month. So for those out there that, you know, see the purple ribbons or wearing the purple ribbons and, you know, are wondering where did all this start? Why do we have an awareness month dedicated just to domestic violence? You know, it has a long history and unfortunately so does domestic violence. Domestic violence is not just a females victim issue. Domestic violence affects males, females, different, you know, backgrounds, children. Domestic violence doesn't discriminate. When you see a co-worker's change in their lifestyle when they are withdrawn or, you know, you have a spidey sense, you know, the hair on your back of your neck goes up. You know, there is an inkling of some, you know, personal trauma going on in their life. You know, you start asking the questions just like you would when we talk about suicide prevention and other things like that. But first and foremost, domestic violence doesn't just spring up overnight. There are stressors that build up that can cause it. As children in a home with domestic violence, it can beget domestic violence and cause teen dating violence. That's kind of scary. Yeah. All domestic violence is scary but when you think of a teenager, they have even less life experience than an adult might have. Absolutely. Less life experience, how to manage stress and less life experience on how to deal with and manage being a victim of teen violence. Yeah. Whether it's dating violence or bullying violence in a domestic violence environment. But let's talk about that teen dating. You know, domestic violence isn't restricted to just a marriage. And by the way, domestic violence knows no discrimination, right? It's not discriminatory against gender, age, community.  So teen domestic violence, as you said earlier, is quite scary that it starts early on. But it's in that relationship where that oppressive, dominant stress individual in that relationship can outbreak in a domestic violence result. And so what are those triggers in domestic violence? You know, you have stressors as a teen. You have a domestic partner in that dating relationship who can't manage with the stress. Again, male or female. It could be. I mean, teens have lots of stressors too. Trouble with school. Maybe some of the university or college they're trying to get into now working out. Sports. Trouble with their parents. And their list is long. Exactly. And so when teens as children are in a home of domestic violence and they capture or have a perception that that's what a healthy relationship is. If you make me angry, I just hit you. Or I make you angry.  I've seen it work in my home. It must work in this relationship. So, you know, as parents, as adults, we must be very conscious of our surroundings and that children pick up on those kinds of things. Yeah, communication is key. You know, when you enter a relationship, it's about whether it's marriage or dating or, you know, a living environment where you have a relationship, a personal relationship with somebody. Communication is key. You know, when you enter that relationship, it's not about what can that person do for me or how can I overlord or oversee them or how can I use them, you know, to make my life better. It's about respect. It's about trust.  But if it's taking a wrong turn and you're going down that path in a domestic violence environment, you have to know that there is help out there. You are not alone. You do not need to suffer as a victim of domestic violence as an adult or a child. So, Fleet Family Support Center, your family advocacy program, your family advocacy rep at work, or Fleet Family Support Center for our spouses, for our dependents. Critical. Chaplain. Absolutely critical. Turn to your chaplain. You know, you don't have to have a religious connection to use the chaplain. They're an excellent resource for listening and helping guide you to get help. Your medical provider, military one source. When you log on to military one source, it literally is one stop shopping. And they have some phenomenal additional links, whether it's teen relationships, adult relationships, family relationships with children. They have great links such as Stay Strong, you know, LoveInspiration.org and those kinds of things that can help you build or strengthen a healthy relationship. And they can also help you find, help, you know, online if it's something that you are not locally near something where you can walk into, you know, help. You're not alone in domestic violence. Don't cower. Don't be isolated.  Don't wait for things to happen to you. Make them happen for you.


Good morning everyone my name is Sri Karthik Valluri. I'm an assistant professor of medicine at Baylor College of Medicine. I specialize in critical care medicine and work in the cardiovascular transplant and mechanical circulatory support ICU here at Baylor St. Luke's Medical Center. Today I'm going to be talking about VV ECMO management and the transition to lung transplantation. I have no disclosures, no conflicts of interest and stage lung diseases such as COPD, ILD, cystic fibrosis and various others that cause ARDS ultimately will lead to mechanical ventilation if medical therapy fails. So following mechanical ventilation these patients will ultimately require a lung transplant to survive. From 1988 where there were 33 lung transplants in the United States to the 2020 and 2021 years where there are over 2,500. Globally from 2010 to 2018 around 34,000 lung transplants have taken place. As the number of transplants have increased there's been a high demand but unfortunately a low supply and during this time patients wait for a lung transplant. Now this led to weightless mortality. Variable causes of weightless mortality were there based on what the specific disease process was. So these patients after mechanical ventilation were slowly shifted over to VV ECMO as a means to support their respiratory requirements. VV ECMO utilization over the years. In 1972 Hill et al utilized it for cardiopulmonary failure and it was successful. Following which a study by Veith showed that ECMO could be used as a bridge to transplantation. However since then the survivability ratios and the percentages dropped off so it was not favored as much. In 2009 the H1N1 pandemic showcased the utility and the benefits of VenoVenus ECMO. There showed a 21% mortality in one of the studies. Cesar trial happened in 2009. 60% survived to six months without disability. These are the patients on ECMO. More studies in 2011 about H1N1 and finally Aeolia came out which didn't really show that much benefit over regular mechanical ventilation. However time happened and we had the 2019 COVID pandemic which showcased the utility of VV ECMO for the patients with severe ARDS. And as you can see the numbers of VV ECMO over time have progressively increased. To now the patients on VV ECMO and they're not getting better. The only option we have now is lung transplantation. So how are these lungs allocated? Originally they were based on the waiting time requirement of the patient, a post-transplant survival score and ECMO patients in the past would have increased wait times and more and more complications eventually not receiving lung transplant. However in May 4, 2005 the lung allocation score was developed and this allocation was determined by urgency and the patients on ECMO were considered higher acuity and prioritized to receive lung transplantations. From 1987 to 2013 there had been a progressive increase in the utilization of VV ECMO as a bridge to transplantation. So how do these patients who were bridged to transplantation with VV ECMO do? Several center studies have showed benefit compared to patients who were not bridged with VV ECMO and this trend has progressively increased and maintained its survival percentage one year after transplant. Most recently in 2019 three papers which showed a benefit and in our institution we practice this. Now we know about the stats the numbers and the benefits of bridging to transplant with VV ECMO. Let's talk about the management of these patients as they wait for these transplants. The prime directive of an intensivist in a transplant ICU and the clinical care team associated with these patients is to optimize and maintain the patient to remain a high priority for lung transplantation. When we're in these units thousands of bits of clinical information need to be processed in a rapid manner. The entire dynamic of a transplant ICU is determined and based on by a multidisciplinary approach to taking care of these patients. The team is comprised of perfusionists, nursing, respiratory therapy, physical therapists, dieticians, wound care specialists, the cardiothoracic surgeons who do the transplants and the transplant pulmonologists who maintain these patients, interventional cardiologists who are possibly essential for cannulation, intensivists and our clinical extenders and numerous amount of consultants as needed such as nephrology, infectious diseases, endocrinology, etc. Management of these patients is based on two things managing the machine and managing the patient. Managing the machine. There are several aspects that we look at when it comes to the machine and this is where the perfusionists are crucial, cannular management, cannular placement issues, oxygenator and sweep monitoring, looking for clots, etc. Circuit and flow monitoring, anticoagulation monitoring. Is it running? Is it appropriate? Do you have any issues with the system and the circuit? Hemodynamic monitoring as well. Complication monitoring such as chattering. Is there a volume issue or is there a suckdown? Recirculation. Are the cannulas appropriately positioned and temperature regulation? There are various strategies of cannulation, femrofemoral, femorrhojugular and most essential is this dual lumen cannula because that allows us to make the patient ambulate which has been shown to have a major benefit in the outcomes. Managing the machine entails a detailed review and constant vigilance by our perfusionists. When we round on these patients that's when they give us their feedback and their input and recommendations which helps us make some of these decisions. Managing the patient. Every physiological aspect of the patient must be considered as they await long transplantation. The psychological condition. These patients are prone to anxiety, depression, PTSD, anxiety because they're in this situation, the cannulation, the medical management, waiting, depression because of their situation and PTSD because of all of the possible clinical scenarios they might have faced such as the cannulation, possible hypoxia, the inability to breathe. So we must consider consultation psychiatry and the medications we choose should be appropriate to maintain the level of activity and make sure that the patient is always alert, awake. From the neurological standpoint it's about sedation. Initially when they're cannulated the patient will be deeply sedated. There should be light anesthesia to avoid spontaneous breathing and risk for air embolisms, post cannulation and reduce the metabolic rate and avoid movement. On day two spontaneous awakening trial should take place and we should do our neuro checks and by day two or three after stabilization on the VVACMOS circuit we need to start weeding these patients. Fontaneous breathing and early mobilization are the most crucial and essential aspects of the care of a patient who's bridging to transplantation on VVACMOS. So spontaneous breathing and early mobilization reduces isomyopathy, improves functional recovery, reduces secondary infections, reduces the length of stay, the cost of treatment and it also shows improved outcomes through multiple studies I've taken a look at this. This is one of our mobilized patients in our unit and as you see we have our physical therapists, our perfusionists and even our respiratory tech and of course the patient. Other aspects we look at for managing the patient is maintaining their volumes. Initiating the VVACMOS circuit we prime them with normal saline, we dilute the overall blood and increase the chistulate component of plasma and this could lead to third spacing in DEMA. So our goal here is to maintain the blood volume, keep the right atrial pressure around five to ten to CVP, maintain the normal hematocrit as well because that reflects in our oxygen carrying capacity. So we keep checking our hemoglobin and try to maintain it above seven. Body weight, we try to avoid volume overload because of the acute inflammatory status capillary leak into the extracellular fluid in the first 12 hours. Our goal here is to return them to their normal dry weight and we can utilize diuretics judiciously or CRT if needed, try to avoid that and then we keep checking perfusion parameters such as lactic acid and SVO2. The best ways to monitor strict input and output and daily weight is essential. Cardiovascular, it's about the complication watch. We have to look out for RV failure, look at the CVP so they're going up, look for pulmonary hypertension, is there PA pressure going up and refractory hypoxemia even on VVACMO which can determine a lot of aspects. Such as either recirculation, malpositioning the cannula or worsening respiratory function. Hemodynamic instability, we do not like to see that in these patients as they wait for their transplant because it can it can protract from our overall course and in order to maintain stability we need to make sure their cardiac output is appropriately managed. Look at their heart rate. This is something we can control and will help us with our ECMO flows and our ECMO dependency. Is the heart rate caused by anxiety or is it caused by physiological issues? Consider using esmalol or beta blocker if their blood pressure can tolerate it to adjust the heart rate and we also adjust the sedation. Shock is another thing we look for. It's very bad. You have to treat the underlying cause and this shock can be caused by various things. You have to look for septic shock. Source of sepsis could be the cannulation sites, could be a skin lesion, could be a worsening pneumonia, a secondary infection from developing. Is it cardiogenic? Is the RV giving up? Is the LV giving up? These are the constant assessments we need to make sure we do on these patients. We do a bedside echo or a formal echo to make sure in case we suspect any of these things happening. From the respiratory standpoint, monitor and look for pneumonias. We do this with chest x-rays, pneumothorax. We do this with chest x-rays daily. If the patient is ventilated, it is very essential that they have lung protective strategies to prevent ventilator induced lung injury. So overall, we want to keep a low, low vent settings and the recommendation on average based on ELSO European Network Caesar and Iolia is 30, 30, 10, 10. Title volume 4 to 6 liters per kg ideal body weight, FIO 30%. The plateau pressure should be less than 30. PEEP should be 10. Respiratory rate should be 10. The goal PAO2 on these patients on the ABG should be above 50. We're okay with that. And the goal SPO2, which is above 88%, we're okay. The ultimate goal here is to try and wean the ECMO dependency if possible. The renal, electrike management. Look for AKI, nephrotoxicity by the medications we're giving them. Look for congested nephropathy in case the patient is either volume overloaded or right ventricular failure. In worst case scenario, do we need to utilize CRRT? Replacing electrolytes is essential renal function monitoring. We do that with our labs, our VMP creatinine, urine output, urine color is a clinical parameter. If AKI or renal failure does occur, we can attach the CRRT machine to the ECMO circuit directly. The hepatic function. Look at the LFTs. Make sure there's no congestive hepatopathy. Make sure we're not causing any type of drug-induced liver injury. These are essential to look at. Constant monitoring. GI and nutritional requirements. Is the patient having bowel movements? Is there an ileus? Is there an absorption issue? Chloric requirements via tube feeds are delivered, but they're essential to monitor. And the caloric requirements are maintained and looked at and monitored by our dieticians. Triglyceride levels are also important to look for in these patients, especially if they're on propofol for an extended period of time. Endocrinopathies. Glucose control is essential in these patients. Always keep an eye out for adrenal insufficiency if you have a variable blood pressure on these patients. And also make sure that they have no pre-existing thyroid conditions. So from the hematological standpoint, it's ultimately a cytopenia watch. Look for anemia, leukocytosis, leukopenia, thrombocytopenia and coagulopathy. Anemia in case of blood loss or chronic illness. Leucocytosis or leukopenia setting of sepsis. Thromocytopenia is in case of heparin-induced antibodies. And then coagulopathies for various things from DIC to bleeding to extreme clotting. And ultimately monitoring anticoagulation, whether we do it from heparin or bival. One of the key factors of this is ECMO-induced coagulopathy. It's a vicious cycle of ECMO-circuit blood interaction, inflammation, thrombogeneration, hemolysis or clotting. So this is something that needs to be constantly monitored, which is done via our nursing staff, via our perfusionists, via our pharmacists, etc. Another essential aspect of managing these patients is to always look out for sepsis. The goal is to prevent it in all cases. However, potential sources of sepsis include lines, cannula sites, skin lesions, pneumonias, superimposed. This needs to be constantly watched. Cannulation sites need to be cleaned extensively. There's device prophylaxis antibiotics that are usually paced on these patients. There's no standard policy, but it's very institutional based. The vancomycin, much levels in troughs, doxycycline, minocycline, these are the agents we use. Watch for sepsis in this patient population. There's always an ambiguous presentation. It's a distributive shock, right? So it could be vasoplegic. It could be septic. We don't know. Always err on the side of sepsis in these patients because that can truly, truly harm the patient's outcome in this setting. So where do we go from here? There are a lot of developments in technology.  So all of these things need to come together in an optimal fashion. And when they do, we can watch the patients that we all care for go into the OR and get a lung transplantation. The future is bright for this field and most importantly for our patients. Thank you all.


In India context, specifically, I keep an eye out on the digital personalization data privacy bill, the DPDP. And secondly, I would keep an eye out from a third party cookie deprecation perspective. I spoke about it in my session as well. We're an Android heavy market. We're a mobile first market. So when Google does finally start rolling this out in 2024, we're going to see a significant impact on how programmatic is running today. So that's one for brands, retailers, B2C, B2C businesses to keep an eye out. So what have we covered? We've covered data privacy. We've covered cookie deprecation. And I suppose a third one is first party data strategies. What are brands doing in terms of merging their martec side and their ad-tech side? Data typically is the domain of the martec side of a business. It doesn't really fall into the ad-tech world or come together. So the two need to come together and I suppose that's a trend to look out for.


What's up everybody? Jayz here for jazzyoverjazzbeatscasebricks.com 1920 mosaic fast break pack number 35 round of teams sold out number 36 sold out before number 35 So we already did number 36 This will be the last one we need to unlock the last 10 spots of no more basketball round of teams number 26 Don't worry about it. Say 25 Nick just forgot to change it there So good luck. Let's do the last little fast break pack here. Let's roll it Four and a five nine times Or sorry, yeah four and a five nine times one two three four five six seven eight And ninth and final time Robert down to Allen nine times here one two three four five six seven eight Magic down to the Portland Children's Robert with the magic Sean with the Raptors Allen with the Suns Travis. You have the pelicans Matthew us with the Hornets amber with the Mavericks tj Leonard with the bucks Allen with the spurs Allen with the nuggets Allen with the um 76 years niggas with the wars Allen with the Celtics T-wolves Sean with the Grizzlies Robert the wizards Sean with the Kings Sarah with the calves Robert the pistons Matthew the Rockets Pacers Oliver with the heat Robin with the nicks Allen with the Lakers Anthony with the thunder Matthew with the Clippers Allen with the Hawks Kevin with the Nets Matthew with the Jazz Uh Matthew Pua with the Jazz Matthew S with the Bulls and Allen with the Blazers All right, we're in the trailer window here start this one Nice Matthew. It'll be after this noir then but a disco sabonis Taco Iverson Jalen O'well all right switch scenes and again top ten get in after three and five eight times one two three four five six seven and eight of us Amber Robert Allen Kevin Sean Oliver Matthew Allen Anthony and Sean after eight times five and three Top ten in and coming up next is the break. Appreciate it


You've seen our first presenter on Fox News, Fox Business Network, RT America, Cheddar TV, and CBS News. She's an expert stock market analyst and she's the founder and owner of an international educational company where she teaches people how to successfully trade the stock market. Her trading methodologies based on one strategy called Golden Caps, which pinpoints institutional money in the stock market. Here to present how to short for fast profits this summer is Melissa Armo of the Stock Swoosh. Welcome back to Trader's Corner, Melissa. Hello, good morning everyone. Good afternoon. Thank you so much for having me. It's kind of a cloudy day here in New York City, so it's nice to be here and thank you for the nice introduction. And again, we're going to be talking about shorting. We're going to be talking about shorting and you mentioned the volatility in the market. One of all the things I discussed on TV, the possibility of recession, some people think we already are in a recession and also everyone knows about inflation too. So how are these things affecting the market? Well, they're affecting the market because people are scared and when people are scared, what do they do? They panic and they sell. So what I like to do pretty much every single solitary day is to short the panic selling action that's happening. And we have been doing the market and by the market, I mean the QQQs and the spy. I'm going to go over a few of those market trades that we did this past week today. But in general, I do prefer to short. I find that shorting gives me a niche. I will go long. It's not like I'll never go long and I know people actually want to or prefer to go long. Like I may have been having people ask me now, well, is this the bottom? Is this the bottom? And again, people are discussing this on TV. Don't worry about when the bottom is. Take advantage of the volatility that we're getting right now, which is what? To the downside. Okay. Don't worry about when you're going to go long if in fact, that's what you want to do and reference at least to the market. So if you have questions, you can email me at Melissathesockswish.com or call me at 9 to 9, 3200 Gap. You can also follow me on Twitter, Facebook, YouTube, and I put all my TV hits there. I do appear on TV, I've been on the CBS the most, I think the last two weeks in the morning discussing really the markets because the market has been down so many mornings and a lot of it is on bad economic data as well. But we're also going to talk about the summer. It's June, we're halfway through the month of June, more than that. It's hard to believe that July 4th and it's a couple of weeks and even though people think summer isn't a good time to trade, that's actually not true. Summer is a great time to trade at least the method that I trade, which is gaps because we're looking for the move quick and early in the morning. So for example, if you want to work in the afternoon or you have a second job or you want to go golfing in the afternoon or play with the kids, you can trade in the morning quick and be in and out in the first half hour of the day. Maybe the first hour we might hold something into 10.30, but the US stock market opens at 9.30 Eastern time. Again, I'm in New York City, so it works out good for me. I get up early, I trade in the first half an hour, run the room and then I'm done. So it does allow me time to do webinars like this and also to be on national TV. But people have a misconception that they have to sit at a desk all day trading for six and a half hours from 9.30 to four. I actually think people give money back when they trade all day. Trading is the kind of thing where it's about pinpointing it like trying to hit a bull's eye. You just need one good trade, you hit that bull's eye and you're done. You make the money and you're done. And you chunk it out to put together a week by doing that every day. And then that's how you chunk out a month and of course a year where you actually can be profitable. And I think, again, you make money in the morning, you can give it back in the afternoon. Why go through that? The chances of you hitting 10 bull's eyes a day are really slim to none. So you want to look at this as an odds game. And when you get it right and you have the right focus, you can get it right and be perfect in one trade, maybe two. But the idea of hitting 10 bull's eyes in a row in six and a half hours, that's not as likely, okay? So I'm very focused with what I do. I focused on one thing, every single day when I get up in the morning, it makes it advantageous to be in the room with me. I am focused on making money. So I call the live trades and then afterwards in the room, sometimes we go over whatever we did. But really the room is about live trading.  You have one goal when you trade, one goal to make money. All these other things that are happening right now are just background noise as far as I'm concerned with inflation and recession.  They've lost credibility in my mind because they said they were going to raise rates half a point. Now they went up to 75 basis points this week. So they're going to change their mind. You can't rely on those types of things. And even companies that are doing projections for their earnings, which start in July, earnings season begins in July, all of those things may change next month when the earnings start in July from what they said last earnings season because we're in such flux, okay? But that makes it where you really just have to be focused on what you're doing today, the quick trade, the fast trade today. And we will discuss options. I do do options too, but really I do options in a short timeframe as well. Not in one minute or two minutes or five minutes, like a day trade, like an equity trade, but I'll do the weekly options. And for a lot of people, they consider that a short timeframe to do options. I'm not doing leaps. I'm not doing things out for weeks or months. I mean, think about it. If you, if I said to you, what are you gonna have for dinner on Monday night? You know, three days from now, you have no idea. But if I said to you, what are you gonna make for dinner tonight? You probably could tell me. It's in a couple hours. So it's harder to predict the future long-term, a lot easier to predict a shorter timeframe when something's going to occur. Now, we don't have time to go over this today, but I just put the stats for this year. This is going back to the beginning of this year, January. If you risked an average risk of $2,800 a trade in the live trading room with me, and again, these are equity trades, not options. These are day trades. Year to date, we're at some nice numbers here of 373,180. These are all quick trades, fast trades. And I didn't put the trades in from Friday. Friday, we did Adobe and we actually got stopped in Adobe. And then we did target and target worked and was a win. And we had a profitable day Friday, which was the 17th. I didn't put those in here. So I don't have the Friday stats. And again, if you'd like a trial for the trading room, you can email me, but I don't have a trading room subscription separate from my class. So anyone that comes that wants to be in the room with me, has to have taken my class and learned my method. Now, I've discussed this before too. And if you've ever heard me lecture, training really requires a positive attitude. While you need more than that, you definitely need that because you may have some good days. You may have some bad days. You may have taken other classes before, before you came in and heard what I'm saying here today. And maybe you were losing in the market in order to be successful. Sometimes it's not just a straight up thing where you start out trading and immediately make money. Sometimes it's going up a ladder. It's five steps up and two steps back and 10 steps up and three steps back. Personally, my experience or I was talking about being on TV, my experience in television has been like that. Now I'm on pretty much every place and a lot and every week. And sometimes I have to say no to people that ask me because I'm busy or running the room or whatever. But it takes time to get where you want to get. It takes time and you've got to have a positive attitude to do it. It's going to help you through the ups and downs. And one of the other things that I think you need to be successful as well as you need a niche. So my niche is shorting and specifically shorting gaps. And it's one of these things where a lot of people just prefer to go long. I guess the concept of going long is easy for people. Buy something at a dollar, sell it at $2. It goes up a buck. People can wrap their head around it. But you can just as easily make money shorting. And actually I prefer shorting because short loops happen fast. And we're going to talk about that in some of the examples here today. But you know, the other niche I have is looking at gaps. A lot of people are buying all of these down moves in the market. They're buying the dips. It's not working. It hasn't worked for months. People still can't give it up. It worked in 2021 because the market was bullish all year. Made many, many new highs. It was a very bullish year in the market. That was unusual. That was an anomaly. While we've had years where the markets rallied at main new highs, 2021 was a particularly bullish year where you could have gone long, weak stocks, strong stocks, and the market and made money buying every dip. That's not working this year. And actually that doesn't work consistently to make money anyways. All right. The reality is you need a system that's going to work in any market conditions. Why we've had a good year this year, particularly so much so, is because we've had a lot of moves to the downside. And I've always shorted since I started out. I, like I said, I prefer to short. So you can make money in the market. People do it all the time, but not everyone does why. Because you're not creating something when you trade.  This is, you're taking money from somebody else when you trade. So who is the one that wins? The one that gets it right? The one that can predict the move that's going to happen next before the next person does. Okay. So we have a three-day weekend here for the market. The market's closed Monday for Juneteenth. The first federal holiday. It's a long way away for the market to open on Tuesday. And people went long the market on Friday. Will we have the follow-through? Will we fail? I mean, these, these are all the things. How do you predict it? Well, I have a method to do it. And that's what I'm going to talk about here today. Having a system to follow is essential no matter what you do. No matter what you do to succeed. And you have to follow it daily. But I find a lot of people are just back and forth willy-nilly because they'll try something that doesn't work. Then they'll flip to another thing. They'll try another thing. If you're all over the place like that, you're never going to get good at anything. And it is important to get good at something. Just like if you were playing a sport, you know, the, the Wimbledon's coming up in a couple of weeks, the tennis. I like to watch it. Those people that play, they are in that tournament. They're very good. Okay. So they've been practicing and practicing and playing tennis for years. Okay. They're not good at basketball, baseball, football. They're good at one thing, tennis. And that's how they got to the top of their craft. And you really have to look at trading like that, honing it down on the focus. And for me, it's gaps. But particularly, like I said, shorts and fast moves. And when you're focusing on the fast moves, you can take advantage of the volatility. Okay. The volatility is not something that you should be scared about. Now, while that's scaring people who have money in a 401k and retirement account, I get it. You still shouldn't be scared about that. Because if you have a plan of action where you're at in life, which depends on your age and how far away you are from retirement or whether you're in retirement, then you shouldn't be scared. Okay. You get a plan of action, you stick to it.  You can take advantage of that and make money with that. And I mentioned earlier options. You know, we just had some phenomenal options trades this year because of the volatility. Okay. And actually we could have a move like that next week. So let's talk about what happened here in the market and momentum a little bit here and what is it got? So this is a chart of the QQQs. I didn't put Friday in here. Friday we did rally. And this is going back just the last couple of days. We'll go back to last week. So last week was Monday was here, the 13th. So what happened on this day? We had momentum. This is a short. We did this as a short. We have a red bar here, which is depicting a downward move. This is a daily chart, a daily chart of the QQs. So what happened back here in the Friday before? Market close here, gap down. So what is a gap? A gap is a difference between the close and the open. Simple. So the market closed here at one price, whatever it was, $2.89 or change or whatever it was, and open the next day here on Monday under $2.80. This is a gap. It closed at one price and opened at a different price. There are also bullish gaps. We had a bullish gap up in the market here. This was the Fed Day. The market closed here, open up, open higher. People went long, bought it. So what happened in here? This was around, I don't know, $2.74, $2.75. It was an open here, $2.80. This is a green bar. Theoretically, you could have gone long here. I did not go long here though. I will tell you that. Okay. Anyways, then we had a gap down here from here to here. So this was Wednesday to Thursday. We closed at one price here, and then we open at a lower price here, get the drop. And we're going to talk about the shorts we did on the 16th. So this is all volatility and all momentum. I'm seeing questions here. Let me see if I can open up the questions or scroll back. You can make the market go up. You just short it and it goes against you. I'm not quite sure what you're saying there, Thomas. You can't make the market go up. Nobody can make the market go up. You can't make the market go up or down. No amount of you. Melissa? Yeah. Go ahead. I think he's being fresh saying, as soon as he gets short, the market tends to go up. Oh, I see. Well, he needs conviction or he needs to back off this sizing. Because the thing is, again, going back to the volatility, if you, like here, I'll just go over an example here. I'll just go over an example right now. I called shorts on options on Monday. They were down here on the 15th. Now, theoretically, I called them early enough in the morning here in the 13th. They expired on Friday the 17th. But you could have gotten out with them some profit here. But the bigger profit was Thursday or Friday. So if you're somebody that's not on Friday, if you're somebody that takes a position, then it goes against you and immediately kill it. You didn't have any conviction or know what you were doing to take the position in the first place or you wouldn't have killed it. So if you held on to it, which we did, it went poof and it went and it dropped. So the chances are you don't understand the philosophy or have a real system behind why you're shorting the market or anything else and you're not getting the timing right of it or your sizing is too great that you get scared out of it and you want to kill it right of ways.  But they go a couple of days later. So anyways, that was a good example of this actually, of what happened in the last week. So getting back to the basics here of what is a gap. A gap is a difference between the close and the open. Stocks gap lasts every single day. But not every gap is a good gap or what I call a golden gap. This is the system that I created again myself 14 years ago. I'm looking for gaps that are predictable. How do I do that? I use my gap rating system. By predictable, I'm not predicting that Tuesday we're going to go XYZ. Okay. I'm predicting that we're going to go here when I see the gap. So for example, if I get up Tuesday morning and see the market gapping, could be gapping up, could be gapping down, I will predict then on that particular day where it's going to go. Okay. So that's what I do. So I'm not predicting the gap. I'm predicting where it's going to go after I see the gap. Do you follow what I'm saying? So all of this is happening in the pre-market or the post-market. Okay. Gaps happen at night or in the morning. Again, let's go over the spy. Another tricky one here. So what happened? This was Friday to Monday, boom. Again, fell, rallied. This is the fed day here, close to your gap down, boom. Again, if you don't know what you're doing, you could have gotten tripped up in here. Like the one guy said, Thomas, you could have gone long here and then gotten killed. You could have been in a short, said, I'm going to get this. It's going to go. It's going to fall off the planet.  But again, this is why conviction helps you know what to do. And if your position sizing is good and you have a consistent system that you're using Monday, Tuesday, Wednesday, Thursday, Friday, you won't get scared out of it or not take it or not take the trade because you're scared too. So anyways, I'm looking for momentum in the gap to big money. And again, if something moves $2, $3, $4, we want a big move in something. Now I'm not trading penny stocks to low float stocks or any of that stuff. I think it's junk. We're trading all companies of stocks that you know of that you've heard of, Facebook, Amazon, Apple. And I give them market because it has big moves. It's been playable lately. And it also is something that has tens and tons of volume. And they've been great to trade as options too, although they've been a little pricey as the year has gone on. But again, momentum is a move. If you have a thousand shares of a stock and you short it and it drops a dollar, you'll make how much? $1,000. Again, the concept of shorting is so easy. I don't know why traders just can't wrap their head around it or they get scared to short. But we're doing day trades. We're in and out. We're flat by four o'clock. It's not like we're holding these positions overnight. You are going to get out of the trade in the morning. You're not going to get out of it and be in it after four and holding a position overnight short. If we do an overnight short, it is a put, okay? An option that's a put is a short. And your risk is a fixed risk, which means you can't lose any more than you risk on the option. Whether it's $500, $1,000, or whatever, okay? So it's no riskier to short than it is to go long. I'm not sure why people think that either. That's just not true, okay? If you short something at $10 and it drops to nine, what do you make? A dollar, okay? So if you have a thousand shares of a stock and you short and it drops $0.10, guess how much you'll make? $100. So which would you rather? $0.10 or a dollar? I'd rather a buck. Like I'm not even going to train something for $0.10. You know, I just don't think that's a big enough move. But the key to day trading stocks really is using a system if you want to be successful. It has to have consistent wins. This does not mean that every trade that I do works. There are some losers in the stats I had at the beginning of the webinar today. There are trades that I take that lose. I told you we lost in Adobe on Friday. It reversed because the market did, but it really was a good gap. And I'm going to actually watch that next week. It could roll over next week. But we did target then. We shorted target and that worked. So you have to be aware that some trades may lose. It's, for me, it's about an 80% win ratio. So if you come every 10 trades, eight are going to work, two, we're going to lose.  Nothing's a hundred percent. I wish that every trade that I took worked, but that's just not realistic. It's like people trying to say, well, I want the highest, highest, best exit in the trade and the lowest exit in the option for the way that it drops or whatever. If we're going to put, I want the best exit I can get. Sometimes I don't always get the perfect exit. You do the best you can. Your goal is making money. That's it. So that's very difficult too. For me, it's not difficult though to determine what stock to trade and in what direction and to get a perfect entry. As long as you can do that, where you get out then, whether you make 50%, 100% or even more, it doesn't matter if you're making money. And again, if you're taking trades where many, many of them are working way more than losing, you're going to be up. So getting back to having a positive attitude, it's somebody that signed it for the letter a week ago. He baby stepped it this week. He made money. He's like, I'm trying to get my confidence back.   What does that? I think learning, understanding what you're doing, number one and number two, making money. When you get stopped in a trade and if you understand why it didn't work, you won't hate yourself and be mad at yourself. It's the odds. It's an odds game. This is an odds game. I'm trying to increase my odds by doing a rating system to make the picks beforehand. I increase my odds as high as I can, but I'm not a psychic. Sometimes it seems like I am with the trades that I call, but I really not. And like Adobe, I understand why it didn't work. We got stopped in that line because the market rallied and it's a market stop. Otherwise, it would have worked. So there's nothing to get mad at. You put in the stop. You take it. You do another trade. All right. And any other questions here? I'll see them. Train a system that sets up daily with a high level of predictability in the directional move. Do the best you can. Get out with profit. And you've got to trade a system I think that works independently in the market. Now I'm discussing the market here. We're talking about the market because we've done some market trains this year, but it's also because of the fact that, you know, we've had bigger moves because of the market. So because the market's been in our favor this year, we've had bigger moves. But I've been shorting, like I said, for the last 14 years, even when the market was extremely bullish. But ultimately, success or failure of what you do and the money you invest in your trains has everything to do with the quality of your system. So for me, my niche in my system is shorting. And it's shorting for fast moves in the gap. If you do not have a niche, you're really just putting yourself in the pot with a lot of other people. And you've got to kind of take a step back and say, well, how am I going to get somewhere with this? I'm reading institutional money that moves stocks in the gap. That's how I'm picking the direction. Not all gaps, though, are made with institutional money. Okay? This is one reason why people are often confused when reading gap direction, meaning they will buy gaps for gap fills that does not work consistently. It works some of the time, but not more than it fails. Why? Because some of those gaps are made with institutional money. That's what I'm looking to trade with because it's big money and that's how I'm getting the momentum and the big moves that I can get in and out very quickly. It's really not confusing how to trade. It's just that many people don't know how to do it. And then when they lose, they get frustrated and then again they lose confidence like I was saying earlier. That's a big part of doing well, too. So let's take a look at this here. We did the spy. So again, this was Thursday. All right? The market gap down. It was a short. Okay? You make money shorting when the price drops. Who can short? Anyone can short. Now, if you have a retirement account, you may have to call your broker wherever you have your funds to find out if you can buy puts as an option. So you might be able to buy puts. You're not going to be able to short in equity trades in your retirement account. But if you have an active retail account set up or a prop account set up, you should be able to short or you can get it set up as a short. Or again, you can open an options account. You can buy puts. Both retail traders and professional traders can short. And again, if you don't have your account set up that way, call your broker on Monday morning, figure it out, find out how to set it up. But what I like about shorts is that it's the selling. Okay, it's pressure. It's selling pressure that comes in. What do you think we're seeing in the markets since the beginning of the year? Selling happens fast. Fast, fast, fast. Which is one of the reasons I'm done early. Now, while these trades I'm going to show you here today kept going, I was out. I was out early in the morning. I don't change what I'm doing. I'm done quick. And if you want to hold something, I was saying you can do an option. Okay, so I have an options newsletter too. You can do an option and I hold it. But for the day trades, you've got to get out by four. An option if I call a trade on a Monday, you've got essentially really till Friday to get out of it. Not that I would hold something the last day, but I'm just saying you've got to get out of the day trades pretty quick. So on the 16th, we had two big, a full gaps in the market. We did two trades that's not normal for me. We usually do one thing a day but they were there. We did it. The entry of this five was 3702. This is an equity trade. You would have had to have margin to take it. What kind of margin? Four to one at a retail broker or 10 to one at a prop broker depends where you trade. Retail brokers require 25,000. If you don't know about that, you have to call your broker in prop places usually give about a 10 to one margin. So you can open up an account at most places with 5,000. So you would have 50 grand in margin to do this trade. There are many prop places out there too to check into.  I'm not a broker. Ask questions, find out, find out what the fees are and ask what the requirements are for account setup. Okay. People think they can't trade with a small account. Even something like the spy? That's not true. And even if you took 100 shares of this or 500 shares of this, you made money. Half a position of 1,800 shares. This is an advanced trader risk of 2,844. You could have made over two grand. And this was not the low of the day exit by far. Okay. So we got out at 367.78 profit was 4,032. We shorted it. Here's the daily. I'm making the picks on the daily. Okay. And I'm taking the trade on the one minute chart. So here is what we did. So this was the one. Wednesday be closed here. Boom, gap down. I watched the rally Wednesday. I said this isn't going anywhere.  And in the trading room in the morning, I said, if you're in options and if you're worried and if you're concerned about what happens today because nobody knew what the Fed was going to say, like I said, they said something different than they said they were going to say. In the end, the market has a positive reaction. But I told everybody in the morning, even if we rally, even if we have a positive reaction today, even if we do, don't worry, it will be short lived. What do I mean by that? It could live for an hour. Could we could rally for two hours? We could rally for a day. It's going to be short lived. It didn't even last a day. Didn't even last 24 hours. We gap down the next morning, sold off. Should we shorted this here? Good to drop. Again, you could have been in this all the way until 11 o'clock. You could have held it all the way even down. See where we went here. I don't know what the low of the day was the other day. We came down here around to 365. But again, we did it. Got in, got out. Boom, fast. Get in, got out. Boom, done. So that's what I do. And I'm looking for the fast setups, the quick setups. Then we did the queues. Again, these charts look very similar. Okay, this close to your gap down dropped. This was the 16th. We shorted the queue queues 274.90, 1800 shares, risk was 30.60, ends was 272.95, profit was 35.10. So I'm looking usually one to one. So if I'm risking 3000, I'm trying to make 3000. Same thing back here with the spy. I'm trying to make one to one. We got out of these both of these trades at the same time. We made a little bit more in the spy trade. Okay. But you know, one to one is good. Even 50% is good, in my opinion. But we were in and out for this pretty quick. And again, we're talking about momentum. We're talking about selling. We're talking about gaps. Here was the mark at the day before. Close to your gap down. Open, rally, boom. We shorted it. Got the drop. Rallying up here. We stayed with it. I said, hold it, hold it, hold it. We got the drop. This was a nice move here. We held this. We didn't hold this all the way down to here. But you see where it went down there to 271. Okay. So this was Thursday. Thursday, the QQQs and the spy sold off. Any questions about that? These are fast trades. This is what we do. Now short moves happen fast. Why? Because like I was saying, panic, panic comes in. Panic is what? It's fear. All of this is emotions. It's emotions. Like think about even last year. I thought the market was crazy that it rallied as much as it did last year. I was like, this is really hilarious actually. I mean, I was like this again. It's whatever the perception is. So if the perception is that everything's good and everything's fabulous and everything's great and everything's amazing, which is what, you know, the news media and everyone, the perception, the economy last year, everything's fabulous. You know, after COVID, everything's better. You know, and the market kept rallying. That was perception. I really didn't believe it because of course inflation began way last year, you know, and it's just increasingly gotten worse actually. So now everyone is panicking, panicking, panicking. It's fear. Fear creates selling. The selling then is what pushes the price of something down. Let's go back here to this chart of the market. It pushes the price down. So we wouldn't go. Well, I'd still even go back. Let's even go back to here. This is April. This is like not a million years ago people. This isn't January. In April, two months ago, whatever, the market was at 340. Like we're not, we don't even have a three in front of the market now. Like seriously, look at that. But this is of course is why everyone's like, oh, let's buy it. Let's buy it. Let's buy it. It's going to go back there. Could we go back there? Maybe. But that's not what we're doing at this juncture. And you shouldn't concern yourself with it. Anyways, you should play on the day for whatever you're playing. The golden gap is a term, so I'm saying explain the golden gap. The golden gap is a term that I created based and called my system the golden gap because it's like finding gold in the market when you find a good gap. How I determine what is a golden gap is what I teach in my two-day course. The class is next weekend, June 24th, at 25th and 26th. That is a 16-hour course. I'm not going through all the gaps today. I charge for the class and it's 16 hours. I have 45 minutes to talk today. But this is an example of a golden gap because it's good. It's perfect. It's beautiful. And in fact, when this pushed up, some people got out of this here. I didn't. I said it's going to keep going. It's going to keep going. Hold the conviction. Hold it. And we held it. I said no chance of failure when I got up in the morning. I don't remember what time I got up. 6, 6, 30 in the morning or the other. I said no chance of failure. No chance of failure means this trade is going to work no matter what. And that's like not every day. But I mean, I was so sure of myself. Again, same thing with the trade from Monday with the options. Like 100% conviction and no chance of failure that we were going to go this week. Did I know it was going to be Monday or Tuesday or Wednesday or Thursday or Friday? No, but I knew it was there. It was just hovering and waiting to go. Let me go back here. The option newsletter results for the year I don't have in here. If you want to email me, whoever asked that question, I can send those to you. After this week, I don't know where we're at ratio-wise. You know, we were at 79% at the end of last week when ratio, I don't know where we are at the end of this week. I do know that every trade I called that worked and expired this week was a winner. You know, it's just, this is the period that we're in right now where you can't short everything. Don't leave this webinar today and start trading Tuesday morning and start shorting everything. And you can't even short every gap down, people. Clearly, some gaps reverse. I just got done telling you we shorted Adobe, it flipped. You know, but the only reason that did was because of the market. So you have to pick the best one every day and that's how I developed the system. I don't want people start to short the world here now.  Remember back in here, and this is what people have found tricky about the market. I mean, honest to God, this was back May. What was this Memorial Day week or whatever this was? I mean, this wasn't even that long ago. Remember we rally, then we based out, and everyone's like, oh my God, we're going to go higher, we're holding, we're holding, we're going to hear, this is it. And everyone, people I was on TV with, they said this was the low of the market for the year. I didn't know if it was. I didn't know. I said, I don't know. It may be, it may not be. I really don't know. And I said, I can't see that right now. So I wasn't long in here. And then we ended up shorting again and fell. We broke it. I will say we broke this pretty quickly, pretty fast. I will say that. But, you know, this was, this is why you can't just short everything every day. Because look what we did just back here. And this could go on all year. In fact, on that, in during that week, I was on Fox News and the Memorial Day. And I said, there's a chance. I'm not saying a hundred percent, like I said about the Gap the other day. And there's a chance that the market may not make a brand new Altem High at all for the rest of the year for 2022. The Q's have not at all this year. The spy made a new high to start out the year was January 4th. There is a chance. And I just said it on TV because this is what I know. There is a chance we may not. That's not a hundred percent, but there's a chance we may not make a brand new Altem High in the market for the rest of the whole year for 2022. And if we do, it will be late in the year. Look how far we are off from the year and what's going to move the market around.  It's institutional money that has to buy the market. It's not retail traders. And even though they bought the market Friday, that may or may not go anywhere. I don't know yet. We're waiting to see. Again, we're going into a three-day weekend. So how do I find the best shorts daily and how to make the picks? I do a rating system. I do it in the pre-market. I can do it sometimes in the post-market, Adobe Gap the night before. I did look at it, but I prefer to do it in the morning. I usually rate the market gaps in the morning because the market changes a lot from the night to the morning because of overseas markets. The Golden Gap rating system is a 26-point rating system I do every single day. I'm looking for 20 points or more. I don't need a perfect score. If it's 20 points or more, I will short it in the direction of the gap. And again, I prefer to short. If it's 18, 19, there's a 50-50 chance of working or failing. The rule is 20. And I'm really looking to find the best gap every day. So if I have two gaps, one rates 20, one rates 25, I'm going to do the 25 where, okay? So it really comes down to the best rating and I'm usually doing one thing at a time. But gaps are created with institutional money, large institutional money, hedge funds, big funds, big, big traders. That's what makes the gap. The professional gaps that happen and play out in stocks are formed by one thing and one thing only, large institutional money. Therefore you need a way that will help you pick the correction to play the gap and confirm that the large money will flow with it. Otherwise you're not going to get a big move, you're not going to get momentum, and you're not going to get any follow through, and you're not going to make any money. You'd be scalping everything for 10, 10, 25 cents. And while that's fine to scalp, at the end of the day, that's not going to cover your losses of the trades that don't work and then make you money to get ahead too, okay? So you have to look at something and say, I really need the good ones because otherwise, how will I cover the 20% of the ones that lose to ever get ahead, okay? So this is a rating system. It's a whole trading system that I teach in a class once a month. The class is next weekend. This is the class you would do before earnings season, which begins in July. So when we have a great earnings season, what if Apple, everything's fabulous, everything moves up, and then we rally in July. We might. I'm still going to look for specific stocks to short. I'm still going to look for specific stocks to short. I may get off short in the market. I'm not saying that for sure now. I don't know, but I'm just throwing this out there. But even still, look how far we are from the highs. And so that's the bugaboo. And so many people are trying to predict the low. It's really a disaster. And it's becoming a disaster, I think, for people's accounts. If you'd like the course outlined, you can email me at melissathestockswish.com I can send it to you this afternoon. So shorting gives me a niche. People get scared. You have no idea how many family and friends and just people that I know through television are calling me and want to know what I think about this market. Like I had somebody the other day that said, when are we going to stop going down? I said, I don't know, but not right now. So that's what I know. It's like, again, trying to predict the first snow in New York. Like, I don't know. It's 78 degrees today. I don't know when we're going to have the first snow. It's, you know, people are so worried about things that haven't even happened yet. Can we go lower? Of course. Can we go up? Yes. Is there any indication of that now? No. No, there's not. We rallied for one day on Friday. Big whoop-de-boop. I mean, we're going into a three-day weekend.  And you bet your booty that people went long that because we closed green and we closed at the highs. I mean, that's just dumb. And again, I'm on TV with many people that are telling people to buy every day. And I just kind of shake my head, like, you got to be kidding me. Like, when are people going to stop doing that? If you're here and you've been doing it, you're going to stop doing it when you're tired of losing money. That's when you're going to stop. When you've lost and lost and lost and lost and lost and lost and lost, that's when you're going to stop doing it. You know? I mean, it's just one of these things where people just continue to beat themselves up by doing things that don't work. And again, one of the gentlemen here was saying about shorting and then it didn't work and then he lost, you can't flip-flop. You can't short the long, go long, go short, do the same thing at the same stock of the same day. That's all over the place.  Okay? Someone's asking about what percentage? For my system, if the stock range 20 points or more per the 26-point rating system, that's 80 percent. 80 percent of the time it works. I told you one of the times recently it didn't, which was Adobe. And I told you why because of the market. So using my system, not how many times has something gapped down and work and go to the downside or reverse. I don't know because I'm not trading every single stock every day and I'm not rating every single stock every day. I'm not rating the market every day either. I make a small watch list of things I choose to rate and rate per my system. That is what I'm using with the stats. Not every single thing that gaps in the market. I don't have time to look at every single thing.  You only need one trade. I wouldn't worry about everything. It's applying the system. That's all that matters. The application of the rating system. If you don't know it, you can't apply it. If you know it, you apply it. If you get a rating of over 20, you do it. Know that everyone that rates over 20 has an 80 percent chance of winning. So that's all you need to know. It's not about how many work overall on the overall market because we're not rating everything every day. I mean, that would just, who has time to do that? And you'd also wouldn't have the money to be able to take them to trade. I just showed you two trades. It's set up really quick right away. It's right out of the gate.  Those things are moving fast. You know, you can't be in 10 things at once, you know, in the first 30 minutes. Like it's, whoa, you know, you got to focus on what you're doing. One or two. And I prefer one really. What we did with the market was there. So we did two. What if it's small account? Can he still short? Yes. Yes, you can. You can. You can open up an options account with $2,000 at a broker. You can open up a prop account with five grand. Your sizing, your position, and your cash risk will depend on the size of your account. Yes, it will. You can take a trade with an option and it risks $2,000 if that's all you have in the account. So, you know, you have to think about that with your risk. But you can do puts as options. We talked about this. I want to show you this with such a nice call. So on the Thursday, last week, not this past Thursday, the previous Thursday, I called the spy 409 puts that expired this past Friday. You could have been in this trade. The last day of expiration, I was not. But you could have. This, the best exit was the last day if you can even believe it. This, the 409 puts I called Thursday, more than a week ago. The cost was $575. 15 contracts with advanced trade, a risk of $8625. So I sold it at $36. Profit was $45,375. It was a 526% ROI. You could have made more.  If you had two contracts, you could have made six grand, risking $1150. How did I call this trade? Again, the chart. I called them on Thursday here. I called the 409 puts. This was Thursday. And Friday, we were down even more actually. So again, here's 409. And I didn't even get the best exit on that. It was a great call. So I mean, options can be extremely, extremely profitable with this type of volatility. I mean, really. But on average, I'm going to say one to one. I showed you a huge trade there because we are getting trades like that. And most of them, to be honest with you, lately are in the market. We've had some other big ones in some other stocks. Target, Walmart have been some, but the market trades have just been so volatile. And that's made for great trading. So again, I'm looking at 26 points when I make the decision. It's a checklist. This is what you'd come and learn in my class. And then you'd learn the entries in the class. Remember what I said, having a positive attitude is really important. Getting education is important. The introduction at the beginning of this lecture was get an education. Trading right now that an education, you're going to lose money. And that's problematic. I also think it's important to rely on a mentor, but you've got to take calculated risk when you trade, not risk for risk sake. You've all the time in the world do risk more money if you want to get serious about it and do it. And you need to create a plan of action. I'm going to do this. I'm going to risk such much money. I'm going to stop trading every day by 11 a.m. I'm going to do options. I'm going to do day trades, or I'm only going to do this. You need to create goals for yourself. I want to make $2,000 a week or $5,000 a week or whatever. By the end of the year, by January 2023, I want to have made $52,000, whatever. Then you divide the amount of weeks left.  A plan of action will help you make this whole thing real. If you never take steps towards your goal, but you could say you have a dream. You have a dream of becoming a professional trader. You have a dream of making money to market. If you never take any active steps towards creating that dream and making that dream a reality for your life, it's just a wish. It's something you wish and think about and never really do anything really about. And it never comes to fruition because you really never take any actual steps. So it's important to take steps towards our goals. And it can be scary. It can be scary risking money in the market. It can be scary signing up for a class like mine and you're not going to know what the information is until you do it and you won't. So it's scary for people to make choices and decisions to move forward and do different things with their life, but you've got to do it if you want to make active changes in your life. That's part of the process of living and part of the process of getting to the next level, to the next stage in life. If that's maybe working full-time as a trader, if that's getting to the next financial level where you are not dependent on a job and you have extra money coming in and you're not even worried about recession or inflation.  You have to get to a point where you say, I've got to take the bull by the horns. I can't control what's happening around me, but I can control the decisions I'm making in my own life and I can do something to improve my financial situation and to get to the next level. And you say, well, what can I do? What can I do? Okay, you have to find a way to make more money. That's the only way to combat inflation. People don't like to hear that answer, but quite frankly, that's what it is. You either get a second job, get a part-time job, or you can learn how to trade or invest. I mean, there's no magic bullet or solution. And when people are asking, well, when is this going to end? When is it going to stop? Probably not to the next presidential election, probably not to the 2025. Things have to change big time, and things could get much worse in the economy before they get better. So you have to take the bull by the horns yourself. What I'm looking for is a high probability of directional bias for the entire day, a big move on the day, early confirmation of the bias between 9.30 and 10, and precise centuries, which we showed here today with follow-through and a good risk to reward potential. And again, I'm not looking necessarily for the lowest point because I didn't get out of any of these trades at the lowest point. The golden gap system is a 26-point professional bearish gap rating system. The purpose of the system is to help you evaluate which gap to trade each morning using a checklist. The checklist tells you what to trade, when to trade, and in what direction, and a focus on shorts. It predicts directional bias and a stop. It's just looking at institutional money, rating it. If it gets the rating, we do the setup. I teach the setups in the class and targets as well. If you're in the room, I'm calling it live. If you want to subscribe to the options newsletter, the targets are in the letter. Just like I showed you, the letters get to your email. The room is not an options room. It's an equity day trading room. The options newsletter is the trades are emailed to you. And if you want to make money, if this is the reason you're doing it, people are making money with me. I mean, I've had the business down for 10 years. I've had people with me that long. That says a lot actually because they don't need to be with me. They've all done the class and they could be trading on their own, but they like the fact that I'm very good at what I do. So they continue to be in the room the year every year. So if you want to come and learn, the class is next weekend. June 25th and 26, 9 to 5. Class tuition is $69.99. Class is online. It can be anywhere in the world and take it. I am doing a Father's Day special. I realize you have to decide this by tomorrow, but it gives you two days to decide. The Father's Day special ends on Father's Day. If you sign up by tomorrow, you will receive a trading room and options newsletter free to Labor Day. That gives you a good period and the next earnings season, which we'll have in a lot of trades. If you sign up by tomorrow for the class, which is next weekend. I see there is some questions here that you just go through. Everything I said was correct. Thank you. Email me if you want the stops for the options. You ask me questions in the room if you're live in the room every day. What else? No, I'm not doing any of the leverages and indexes, but like I said, I will do the spy, the cues, I will do the diamonds. I do it. I have my own account. I'm not going long the inverse. Um, and I don't have a scanner. I don't have a, I don't have a scanner. I paid for a scanner a long time ago. I found it was a waste of money. If you want to get a scanner, you can get a scanner. That's up to you. I did have a scanner a long time ago and I just felt like it was duplication. So, um, and again, I'm giving the picks in the room. Any last minute questions here? I think I'm done on time. No, Melissa, you did very well. Thank you so much. You're welcome. All right. Taking short positions does make a lot of sense right now. Uh, that was all extremely relevant.


What's up everybody, Jason here for jazbyzcasebreaks.com, we just sold out 2023, the top's chrome, update, Breaker's Delight, 10 boxer, PYT number 4. Um, good question, I don't know what they would do to that. I mean, I'm sure they were to use it for concert venues, I'd assume. This is a perfect time for them to maybe renovate it if they wanted to salvage it and like, you know, still use it for something. Right? But, I have no idea, man.  And the last time I was there was 2013 when the Eagles played.  It just was horrible, dude, the stadium, the seats, really, really bad. So, I can only imagine what that stadium looks like now, like 10 years later. But I don't know what the city wants to do with it. And like I said, I went like 10 years ago and it was really bad. Gary Mitchell, Gavin Stone, Anderson, Rodriguez, and there's a Joey Ortiz. Nice little lava lamps. Number to 125. Matt Moore, and what do we... Dominance, Corbin Carroll. Breaking, sorry, can't go. Are these like super short prints? I assume they are. My first time hitting one. Damien Bax, X. How about that? Your rookie of the year right there. All right, Simon Wood Richardson. Then we have Drew Maggi with a JP France for the Astros. That's the 499. This is gonna be a good case, guys, I feel it. Start off really hot with that insert. Podai Sanga, Garborough Kelly, Tate, Ben Joyce. I have a 250, Tanner Beebe, Sam Hillier. And then behind Joey Weimer, youth quick, is Andreas Jimenez with a Fujianami. Guardians to 150. That's Ian. All right, this card is stuck right here. Duster, Garcia. Nice Josh Young for the Texas Rangers. Going to Kev. We got Matt Strom. And then Matt Reynolds, negative. Brian Rocio. Woo-hoo-hoo-hoo for the Yankees. Let's go, Tris. I don't think Tris is going to watch this in the morning replay. How about a vault for the Giants and Pizzle? Got Pizzles in this? Yeah, I know, but he got a couple spots. Only got one team, so. So he's pissed. Yeah, but he got a hit, though. 76 out of 150. Good morning, Tristan. I know, really. He's watching the morning. Good morning. Yeah, you know, it's crazy. Pizzle got this and Rex won the Orioles. What? Number one on the list. Can you believe that? They're Heidersons? Yeah. Nice work, Rex. Nice work. I want to see, let's see, let's see a one-of-one. Let's see, let's see a one-of-one Gunner Henderson. Oh, Pizzles, what about it, Rex? Murphy. Yeah, Rex, like I said earlier, bro, those are going to take over a Super Factor one-of-one. I guarantee you that guy's Super Factor one-of-one probably did not sell for more than like 500 bucks. But because it's a debut patch, people are going to pay a premium for that. Devin Williams, we got Brian and Marsh, and Israel Pineda with a Michael Massey. Nice blue for the Royals. For the Bracer 50, that's going to be excellent. We have a Kenta Maeda for the Minnesota Twins on a pack to 250. And then we have a Cooper Hummel. Beautiful color match right there for the Bears. Out of 175. Then we got a Youthquake Kodaisenga. And here's the first autograph. That's Michael Massey again. And then, oh, little teaser, Taryn Lavera to 199 for the O's. Jordan Walker, that's a blue to 150. And there we go, Rex. Finally not going to be teased. Got a Gunner-Henderson Pink to 399. Xavier Edwards for Miyami to 299. And then we got a base there. Then we have Connor Cappell. For the Angels, Ben Joyce, gold wave autograph. 8 out of 50. Angels is also going to excellent. Oakland is going to Mario. Burns coming out. We got Michael Harris. I'm going for Corbin Carroll for the Diamondbacks right there, baby. And a Jordan Walker variation for the Cardinals going to X-Line. Nice, X-Line. Corbin Carroll to 99. Tyler Freeman for the Cleveland Guardians. Oh my God, Shohei Otani. What a case. X-Line with the Angels. Orange also 24 to 25. What a case. Man, X-Line, you're murdering this now. Man, that is cool. All from a filler spot too. Yeah. She's got the Diamondbacks. She got the... Every single person who is just sitting on the Angels, thinking about the Angels, is now like... Dang. You got them straight up. I've been pulling you some good stuff, X-Line, these last few weeks. Let's do it, man. Hell yeah. Oh man, so congrats, buddy. Tristan Casas, Wade, Josh Young. We got Miguel Amaya. And we have a Radiating Rookies coming up, man. Jesus, what a case. Ooh, Dodgers. How about a little James Altman for Jason and the Dodgers? Man, what a case. This is definitely better than the case that I did yesterday. And Cubs going to Rex. Behind Oscar Colas is a Spencer Steer autograph with the Charles LeBank. All right, two more boxes, guys. Miller, Jeter Downs. Nolan Jones, Zack Neto, and a Jared Shuster. And old Nelly. Oh, Nelly. Look at this. Look, I want a Corbin Carroll. Gold. Speckle. And I think this is the variation, isn't it? Or is this the baseball? I think this is the variation. Wow, what a case, man. What a case. D-backs and Orioles were there all night, last night, and early this morning until we fillered them up before I got here, guys. Grease and Rodriguez, negative. Go get them in the next case, guys. Connor Wong. Jan Logan Allen. Lova Pugueiro for the Pirates going to X-Line. And Jordan Groeschens. That's number 250. This box here. The time that I'm strong, although this has been a massive case. Matataka Yoshida. Troy with the Red Sox. Look at that, man. Beautiful card, man. These cards are so nice. So nice. 13 out of 125. Zack Efflin. Garrett Acton. After Alman Youthquake. A Oswaldo Cabrera. On-card for the Yankees and more for Tristan. And then we're going to end it off here, guys, with a Chucky Robinson. Purple speckled at 2.99. Thank you, X-Line. Should be fun though, man. I'm excited for that game. What a case. What a case, guys. Thank you guys so much for selling it out. Do a quick little recap. Cabrera, Robinson. Matataka Yoshida. Pagrero. Groeschens. What about that Corbin Carroll? Gold. LeBlanc. Steer. Radiant and rookies. James Altman. How about the Shoel Tani? 24 out of 25. Freeman. Jordan Walker. Variation. Corbin Carroll. Colour. Capell. Joyce. Gunner Henderson. Colour. Jordan Walker. Colour. Veneta. Massey. Velar. Josh Young Colour. Volpe. The Volpe was so big early on, man. Damn. Fujinami. Jimenez. France. Magi. And look at the dominance. Oh my God. I only forgot about that part. Just take a look at this, guys. Imagine if this was like a personal case. All the colors you would have got. Variations. Autographs. Very nice, guys. So again, the next case is in the store, guys. Don't wait. Grab your spots now. And we can get another one of these going for tomorrow, guys. Appreciate it. Jaspiescasebreaks.com.


I'm a board-certified general and robotic surgeon. Most of my practice is hernias. Just to keep it simple, a hernia is an abnormal bulge. It's a bulge in your most common in your groin or in your belly button. You see a little, all of a sudden you have an Audi and that's a pretty much a hernia. One of the most common causes of hernia is chronic cough, constipation, or lifting kind of light or moderate weight in awkward positions like moving that couch around the corner, lifting up trying to put a cabinet together, or even it's a typical and crossfit type things where you're doing kettle bells and swinging them from side to side. A hernia in your belly button in your groin are what's most common or incisional hernias.  There's so many different approaches to operating on hernias. There's an open approach in the groin we can cut and put a mesh in. There's an open approach in the belly button or in the midline part of the abdomen. There's a laparoscopic approach and then there's a robotic approach. There's really three main approaches to fixing a hernia. The recovery time, so what I tell patients is I wait, I make them wait three days before they return to normal activity and I usually have them back to work in about a week and I operate on some high caliber ice hockey players and I tell them two weeks and you can be back on the ice full tilt. Technology has advanced us. Robotic surgery, if I can do your groin hernia on a Friday and you're back to work on Monday and I really limit the amount of time that you have as a downtime, I mean I operate on a lot of people that come from the city so they have a very busy schedule and you have very busy moms out there who and very busy dads who have soccer practice and this and that. I think the technology has allowed us to go to the next level with that and I think that's the most compelling thing. Robotic surgery has significantly reduced the amount of opioids in my practice. For example, I did a study of the first hundred and fifty groin hernias that I did robotically and there was some that I had to do open because they've had multiple domino surgeries so I compared the amount of opioids that were prescribed. Usually between 40 and 60 pills were taken from a person who had an open inguinal hernia repair and now in my practice of the hundred and fifty one person took more than 10 and almost everybody takes zero. I don't even prescribe opioids anymore when I do a robotic inguinal hernia. I send them home on extra strength Tylenol and no one asked me for pain meds.


More images have been released showing Ukrainian drone attacks on the plane down at Kresty airfield in Russia's Tskhov region. As can be seen from the footage spread on telegram channels, the plane exploded and caught fire after the precise strike delivered by a Kamikaze drone. It should be recalled that 21 drones belonging to the Ukrainian armed forces attacked the Kresty airfield in Tskhov region on August 30. During the attack, 7 IL-76 aircraft were disabled, two of them were completely burnt. A warehouse and an oil base also exploded as a result of the attack.