ere was a freaky school remember uh the other season put us out of the championship against them so you know we were trailing and looking game over with final minutes two goals in 23 seconds so i think we'll maybe do that we will look against dublin and i think it'd be interesting to get jerry's point of view even though people talk about the league the league you know they're more or less very close to what's going to be happening in championships so psychologically huge lift for for ladies yeah um and of course i don't want to forget and i wouldn't forget that the hurlers had a victory at the weekend as well which you'll be covering but just sticking with the football for a second um i don't know how much in terms of travel or how much of the game you got to see or or you know to judge on a personal level uh what what's your take on it i mean you know obviously we were expecting dublin to come back unfortunately um were the victims of that but yeah well i suppose dublin after beating the terrible start and after beating uh me uh truan in their own backyard last week a lot of people were a bit concerned about this because we had been playing with ourselves but really poor performance against monhan something about crow park i think lefts people and lefts the game the game's more open there's more opportunity and it's it's it's a fast playing pitch so there always seems to be a bit more action happening i mean wait a phenomenal start uh greg you know four points up but there was just something maybe a wee bit more settled and controlled about taroon we obviously kick seven ways in that first half as well we get stripped quite a few numbers of times but that's some of the young lads and they're still learning it like the core that dublin team was back in and presence there and the three or four of their top men back to who probably just had that wee bit of exes but we didn't give up it was it was probably better performance than most people yeah but 90 of the fans uh who pay their money and feel they right to have a view on this feel that it's our style of play that's frustrating them and leading to these results i mean can you understand where they're coming from it's how we're setting up how we're moving the ball around uh you know the the the the approach that we're taking to these games and of course maybe we'll carry on into the championship yeah well i think everybody's kind of playing the same way more or less we did kick but we did kick the ball more yesterday and i suppose everyone will highlight the the goal that michael got you know the rhyme the cue it was like something that seems like it could happen a lot but we never do it we don't do it enough anyway so have michael inside and seeing bits and pieces of his platform and how much he causes problems you still are three or four players who come back uh Greg you know you still had some decent performances out there and one of our biggest problem there is of course was it fall back and and brenda mccole just seems to be getting better and better and you know funny back to crow park how things can change Greg a couple of seasons ago when he made his debut he's now going to make full forward newman from meath and uh he didn't even make it to the end the first half you know my heart really went out to him that day you know but he's come back got better and better and there he is now he's one of the best full backs in the country at the minute so there's still this positive sitting there you know keen and McGonagall legs are langing um and these fellas ashing gallons you know obviously jimmy brendan not not that fit in that so the focus is i suppose getting these lads all back and fit if we have our full side i think we can we can still beat anybody in our day and of course it's coming down to this last league game now you know there's five teams can get there's a lot of variables isn't there a lot of variables the one of two variables is playing in our way i suppose is the head to head if you end up in level points um uh with the legs of throne or caldera or you've but we don't know what kind of teams people are going to put out as well either this so so even until match day we'll not know what the uh consequences of the we're playing our mob we're playing the championship so that's all of it exactly um so john kasey uh from mayo and uh kevin cassidy um of donigall of course they're going to reflect on that uh you talked about gerald d mcglachlan talking about uh donigall's uh the performance of the ladies against dublin in that league one semi final and mc mccann's on as well to talk about uh the hurling yeah this and mc mccann there's a lot of talk for years that donigall couldn't manage it and division two b and here they are now potentially going to get into uh uh you know a league final to go up to the next grade and phenomenal stuff um Gregor hurlers how much they've come on and been able to stabilize before if they ever stepped in division two b they couldn't call it now they're well able to mix it so you know huge leaps been made by them fair play at all and an interesting tie against slag a bit of a north west starby all right that and so much more besides you can watch it at your leisure that's the dl debate uh when the podcast goes live on a website and also it's going to be broadcast after the seven o'clock news this evening that's it all right brendan divany thank you very much indeed take care of yourself all right uh as i stay tuned for that that's coming up uh some of your comments as we move on in the program now we had a blow cost selling ban charlie and his fellow tds lifted it to let little analdi come into this country no one is to blame for this but our current and presumably you mean two former tds that's that one person's take on it there the media strong in pushing them on neutral agenda we win the nobel prize for our peacekeeping around the world uh joe kelly for president says uh i great man that comes in from eileen ingridor what is arland doing in the u.n the west has a lot to do with what has happened in the ukraine russia disputes of course you know the grounds for a lot of what's happening here have been set for a long time um to all those bigoted irish you can only say the more ukraines that come to live and stay here the better and hopefully influence and raise their morals i don't think it's bigoted if something a decision is made that impacts you personally you've been treated unfairly i don't think we should uh try and mute hit the mute button on these people where people are entitled to feel how they feel and they are people are fixing their texts saying that you know i understand what's going on i know we have to do something but you know people have to be able to have an ability or the freedom to speak their minds too hi we don't have a legitimate government to start with so why should we let them away with their stupidity that's what the one person thinks morning can you explain to me about census form i thought it was to see how many people that lived in arland it seems to me that the questions they're asking is to know more about us what how many of us have smoke alarms in our home or if we rent a house how much you pay a month or what kind of heating in your home what type of sewage you have like that does that what has that got to do with the census form whoever writes these questions are nosy of nothing to hide but questions are stupid i get where you're coming from but the census is far much more than how many people live in a country it it it policy it forms policies in all different levels that's how we know how many people may be still use home heating oil or who have switched to gas or who have tried to move in a greener way there would be no better way than asking that question for example as it relates to how you heat your home in terms of renting houses it would give us a true reflection of what we're doing with our housing stock so i think that's important um you know how else would you find out how many houses have smoke alarms because if we you know 40 percent of us don't then you maybe can have a targeted campaign to try and encourage smoke alarms usage and you can compare that maybe to um figures as it relates to domestic house fires or what have you so a lot of the questions in the census are important and it's important we engage with it i think because it does help us decide uh future policy and we are the ones that hopefully might benefit from that so i don't think it's nosy it's anonymous and i i get personally i get why these questions are being asked but i also get why some people might question why those type of questions are being asked at all uh dr joe is so correct we are and should remain military neutral since the beginning of time it's been proven violence only breeds more violence another uh this man has just said we uh stand with kiv as a neutral shoulder to shoulder with ewe leaders and biden surely neutral must stand between both sides well that's where the conversation stands morally we can say what is happening is wrong if that's what we believe but we can also be neutral in that we don't take up arms to get involved uh those two things can't sit in the same space another call it says why does war and murder and corruption only matter when it inconveniences the west that's um a valid question another i am a farmer costs have been going through the roof for over a year ukraine is a convenient excuse for the inflation caused by the insane response to covid come on join the dots well listen you know i mean someone who's if you you know we're invited regularly to do our research the the whole situation in ukraine uh began long before uh the invasion actually happened and that was affecting prices and it's a lot of those prices are adjusted on the stock markets they knew what was going on what could happen i don't think anyone predicted it would come to the extent it is now but sanctions were being discussed months and months and months ago uh supplies were being restricted by russia months and months and months ago a lot of political uh stuff was going on in the background so i think it would be i dare i'm not saying naive but to think that ukraine happened the day russia invaded that's not how it works that's the conversation was happening and decisions were being made sanctions were being imposed words were being said that were uh adjusting oil prices because of what was to come um so that would be my comment on that the 90 noon show is brought to you by letter kenny credit union with monster loans available up to 60 000 euro for all occasions visit letterkennycu.ie head value balibuffet has just got bigger yes we've opened store number two at samarijro bonk rana and to celebrate one lucky customer will win 1000 euro of home heating oil simply call into the store jury march and you will be entered into the draw head value are open monday to saturday 10 a.m till 6 p.m sunday 12 till 5 with fantastic offers across both stores head value your one stop shop for all your animal needs darren brown the multi award-winning master of mind control and psychological illusion is coming to darry with his brand new live show showman guaranteed to blow your mind from the 26th of april for one week only don't miss darren brown live at the millenium forum book now at milleniumforum.co.uk this march we reflect how covid has changed death and bereavement in ireland together we grieve irish hospice foundation bereavement support line is open for all of us who are grieving free phone 1800 80 70 77 to talk to someone in confidence and for a shoulder lean on the red castle oceanfront gulf and spa hotel is the perfect location for that special celebration indulge in our delicious mother's day and Easter sunday carvery make that special location magical in our two a a rosette age restaurant or have afternoon tea all with breathtaking views overlooking lock 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on thursday it begins at eight p.m audiences are loving critics are raving about it and paddy's with us now paddy good morning to you thanks for joining us again good morning gregg great to see you how are you keeping i'm okay i'm getting there two years of covet was pretty tough but this tour seems to be doing really well i'm sold out in bell fast tonight and i'm really looking forward to bali buffet this thursday yeah and you've i think it's unique the what you've come up with here in that and i don't mean this particular show but the way you do it is that you're entertained and educated at the same time you know which is which is always a good way but you could remove the comedy from this couldn't you and and not much like this has been done before in you know how you look at it how you look at the story how you research it how you present it i mean the comedy is amazing don't get me wrong and it works so well uh but this is this i mean this is something that you could get something from without that as well do you get what i'm trying to get at you know what i mean it's like absolutely i call it historical entertainment and i open with a little mini film like a paté newsreel where i give people the official history of michael collins what we're taught in schools and then the following 90 minutes really is the alternative history which is quite fascinating the reason comedy comes into it there is a little bit of comedy in it there's a couple of songs and but it's because the whole thing is so farcical the cover up of his death was a farce the newspaper reports afterwards were farcical including where he kept firing after he was mortally wounded all these kind of weird reports last words he said well there's no possible way michael collins could have had a last word so the the comedy is generated kind of in the show from the farcical nature but don't be under any illusions it's a very sad story about a brilliant Irishman who i think was a fascinating character and i try and get that across too it's a tragedy and it's a murder mystery that needs to be solved i think the comparison has been made to it's akin to the jfk mystery somewhat before but there's some similarities there well there is i mean i mean it's even worse than the jfk the guy who wants to investigate the death of michael collins ends up being shot shone hails in December and there is no ballistic evidence no forensic evidence from anything the autopsy is burned there's no inquest there's no inquiry in fact it's it's worse than the jfk assassination in that it was simply completely covered up and you know for years and years and years but people have been trying to figure out what really happened to michael collins yeah for those who haven't seen your full show pat describe how it's it's presented because it's very immersive you know between the sounds the narration of course you can see you there in your commentary the imagery as well you talked about the musical elements of it um you know maybe i've actually just described it in my question you might have something else to add well there's about there's over 300 images i mean the amazing thing about the collins era is it's the era of photography and in fact that there's quite a few mysteries solved if you look carefully at the photographs i'm a visual historian and that's essentially what i'm trying to do is is use the imagery to show people see here's what actually happened you know yeah indeed and do you think you're doing something important as well in in sort of getting this uh getting this on the record getting this story told the way you're telling it um patty patty's going to reach on us in a second i love it when someone tries to get in on the zoom call but no i'm not sure if you got the question but i'm saying like there's something important happening here is there in that this is being put on the record this is uh you know people are learning different elements of a story they thought they knew absolutely i mean we've been taught about the death of michael collins that it was a tragic you know an ambush that happened in beln the blah that the ira men and anti-tree he man might have shot him uh with a stray shot her accidentally i go through it all forensically and i show you that there's a lot more mystery to this that you know in fact sonny o'neill the man who was named we have no proof that he was a sniper at all um and yet he's been named as a sniper for over you know four decades now and there are other suspect things like the fact that you know he has 25 men meant meant to be guarding him they're his bodyguard he's the commander in chief of the country the most important Irishman alive and yet he dies and not one of them gets a scratch well one does say he gets a scratch but he when he looks for a wound pension he doesn't even get that so it's very mysterious what happened and that's why i'm trying to take everybody through and also go back to the source material because you find a lot of historians copy other history books without actually going back to the source yes and seeing what actually happened yeah and i've gone back to the source and found out all sorts of incredible detail and stuff so think of this like a live podcast but almost like i'm one of those murder mystery serial shows that you might enjoy but it's live with imagery a couple of songs and a film and stuff like that um now do you think the establishment now just accept the story that people are familiar with or is there an actual resistance maybe to discover the truth and if so why well this is why i'm trying to do it i mean Greg i mean for instance you know michael collins is buried he's in glass nevin and there have been documentaries going through all sorts of forensic and ballistic stuff like what bullets hit him and from what distance and all of this we have no proof whatsoever of any of it so it is in the hands of the state really to find out what happened and to solve this mystery a hundred years later because i mean i'd rather talk about the great achievements of michael collins and his work and his ideas but unfortunately we'll always be talking about his death for the next hundred years if we don't try to solve the mystery there is great resistance to it and the old irish thing of ah let it lie now let the poor man rest in peace when i started doing all this research and you know it was reporting the irish times the work i've done on sonny o'neill i got anonymous phone calls from people saying how would you let it lie would you would you let the poor man rest in peace my question for you is this michael collins being one of the most forensic people ever you know who himself investigated murders and who himself was trying to get to the bottom of a lot of things including spies among his own uh friends um do you think he wouldn't investigate his own murder do you think he'd let it lie do you think of let's say tito or adaturk in turkey or iva slavia have been shot eight months into their reign that there will be a massive cover-up uh that the document's pertaining to anything to do with it was burned 10 years later i mean this is a huge mystery and very few people know about it and i think it's because it's such a hard thing to talk about because he was such a great person and such an important person and i almost think it's a bit like the civil war itself brush it all under the carpet brush it down under the carpet but this year unfortunately we're going to have to remember a lot of things that a lot of people would rather forget um i've said it before uh and you know with your involvement in calin kicks i've said before that i think some of some of the um most um balanced and pointed commentary on politics in this country's done through comedy shows like that and then we have you you know open up this conversation uh in your style right um and you're a historian and and you know other people are are commentators as well but why is it and why shouldn't it but why does it take the likes of yourself or oliver calin for example to sort of maybe have the conversations have the digs or ask the questions that you know we've a lot of journalists and and historians and writers in this country and no one else is really uh doing it well i don't know i mean it sometimes it's a bit like there's a person who wrote a book about this uh the assassination michael collins s m c or some because she's irish american i think you have to have a slightly outsider's view because i think the irish get very emotional especially in the civil war terms whether whether you're an anti treaty person or a pro treaty person and i think a lot of historians are too close to it and and you know to them they're not interested in the death of michael collins they think it's just a terrible thing that just happened it was just a random event down below but i think you need to explore it oliver came to my show in dublin about two weeks ago and he really loved it because his recent stuff has been about irish history as well on tv and i think you know the reason we need to find out all this stuff is because you don't know where you're going if you don't know where you came from you know and if you don't really research history properly and if it's just brushed under the carpet and we're told oh well we'll never know it's a mystery there comes a point that that just is taken as the fact that is how history remembers something well that's it's not corrected at some point yes it's the winner's story i mean um you know we're we were told for 50 years before they come up with the sonio niel thing we were told for 50 years that he was killed by a ricochet uh which is you'd almost be winning the lotto i've had people say to me oh he was killed by a stray shot which means all the intentional shots missed and the stray one hit i mean and the ricochet of course was a great way of getting everybody off the hook because the anti-treaty side could say well we weren't really aiming at him and then the pro-treaty side could say well you know we've had the worst security failure in the history of the state 25 men are meant to protect a guy and stick him into the armored car and somehow he's 50 meters away from everybody lying dead on the ground what happened and you see and and this this element of cover-up we see it in all aspects of ira society greg and i think you know i think you know a bit of sunlight is really important in this case okay well listen um as i say audience are loving it critics are loving it uh it it's selling out all over the place um just to read a couple of the quotes maryland mcdonald uh amazing work hard history told with the light uh touch uh make od a great show patty's scholarly scholarly and entertaining scholarly and entertaining begging for the live stage superb job that comes in from eskin charters she didn't just text oh they didn't just text it in by the way i'm reading it here off a sheet of paper and so on and so forth okay uh and i think it's brilliant between yourself and the bala theater that we're getting to see shows of this quality uh in our uh area as well because there would have been people traveled from here to try and go and see you in belfast so i think it's great that we are able between yourself and the likes of the bala to host off at this level locally i think that's a great kiosk well it's it's just great to be back doing live shows and i'm really happy connor you know you know straight away was the first one to say let's put the show on so i'm really excited by bringing it back to dunny gall and spending all my old friends there all right super stuff thanks so very much indeed patty cullivan there uh historical entertainer forming musician actually as well uh and it's called the murder of michael michael collins uh in the bala theater it's on thursday the 20th of 24th of march it's at 8 p.m i've seen a short show uh that patty's done it's nothing on the scale of this and it's it's an amazing way that he presents stuff um so this is going to be a big hit i think there are some tickets available if you want to go along to the bala theater thursday night you can contact their box office there and we appreciate uh patty's time and he's joining us this morning all right oh wait 660 25 000 that's the whatsapp and text number 07491 25 000 uh we have another interesting item for you just around the corner stay right where you are the nine till noon show with letter kenny credit union now offering mortgages from 40 000 to 600 000 euro with no hidden fees or transaction charges letter kenny credit union 9102127 hit refresh on your home this spring at foyer and company in bala buffet and letter kenny create your perfect home with new arrivals and furniture and beautiful fabrics hints wallpapers rugs and wall art from brightening up your kitchen to breathing new life into your living spaces the foyer and company team will help you create the 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the odd shower temperatures of 12 to 14 degrees and i think the weather's going to improve as this week wears on all right so monday matters now we discussed the new northern island planned health care scheme it was formerly known as the cross border directive we've got two guests online with us now gareth crudden business relations manager with kingsbridge healthcare group a very good morning to you gareth thanks for joining us good morning greg thanks for having us it's our pleasure and pat harvey the former ceo of the northwestern health board who is helping kingsbridge develop private health provision in the northwest high pat hello greg how are you i am doing good it's good to have you um so talk to us pat firstly maybe you um who can access the northern island planned health health care scheme what's the advantages well first of all maria preface i've always argued that tonigal has been disadvantaged in not having an alternative to the public health system only we had been planning for private health care and so on austerity and economic times changed all of that but by good fortune we've now landed in a situation where because of the cross border scheme there is in effect an alternative private health care for all people in tonigal not just those with family health insurance but all public patients medical care patients so in effect because of the cross border scheme because of what kingsbridge have on offer both in limibad and in belfast and indeed in sligo but limibad in belfast anybody can access this service essentially free of charge there's no need for waiting this in future somebody doesn't want to be on waiting this so i do think it's a win in every sense and that's why when kingsbridge approached me for games and advice and all of this i thought my goodness this really is a godsend gareth i think sometimes some of us might not engage with the likes of this scheme firstly i'm surprised how many people didn't know about the cross border directive and its replacement but also it seems complicated you know what can can i apply can i avail of it how do i go about doing so how much will it cost how does reimbursement work all that kind of stuff but i think now with particularly with the drop in information clinics the idea is to take those concerns those worries those questions from people and provide answers absolutely great yes and at kingsbridge we've implemented a dedicated cross border team to answer all of those questions and guide any patient from their initial inquiry right through until discharge after surgery you touched on our drop-in clinics and we had one just on the 15th of march which was our first and coincidentally there was a patient indeed as you highlighted who was totally unaware of the scheme that is not universally advertised across the island of arland and it's ourselves who try to promote this no patient should be languishing on a public waiting list for any length of time giving that this scheme is open to to everyone so we have two upcoming drop-in clinics in our outpatient facility in letter kenny the first of those is this thursday on the 24th and then on the 29th of march at those we will be meeting patients on a one-to-one basis outlining how you can apply for the scheme we will discuss the specialties that are available in the treatments and also engage with the costs and level of reimbursements that are directed back to the patients what kind of typically you know what are your most popular treatments that that people are using the scheme for the most common ones greg typically be hip replacements knee replacements cataracts but generally any treatment and surgery that you can avail of publicly can be accessed by the directive so so anything from head to toe can be availed of and as I say we will guide you through the through the course of the application and provide all the information necessary and in terms of just an obvious question like do you have to be on a waiting list or you know how do you how do you know if you can avail of this like what where do you have to be in the in the system in in the republic thanks great good question and there's a popular myth that you have to be on a waiting list that is categorically not the case the only thing you require to access this scheme is a referral letter from your GP or treating consultant and that starts the process of our table will help you with the paperwork which can be it can be complicated so we've implemented the team to do that for you and as I said guide you through the entire process you and you talked waiting lists the turnaround can be quite rapid content in availing of in availing of your service I mean under the scheme you will be in to see a consultant within a number of weeks and then have your surgery depending on what specialty it is Greg it could be three weeks it could be eight or ten weeks thereafter but we're not talking to three four five years 60 months you know the kind of absolutely not we're talking three to four months possibly for for turnaround from consultation to having your surgery and being discharged from the hospital patients believe it or not are traveling from as far and wide as quark and kerry they're coming to belfast to kingsbridge belfast they've also come to kingsbridge bolly kelly to have cataracts and hips and knees done so given that we we've expanded now into the north west region with the acquisition of north west independent that is that is probably the closest in proximity to the residents of donny gall and they can avail of the scheme there as well pad I think really the blocker for those who are aware of this scheme but but are reluctant is the upfront costs that that is the biggest complication of this I mean obviously if you can bridge that much of it is reimbursed but but that is maybe the bit that's a little bit complicated for people well it might be a little bit intimidating but in fact there are many settings where credit unions for instance are familiar with the scheme with the confirmation of the refund coming from the hse and so on they can get a ready loan to fund them through this year so it's not nearly as difficult as one might imagine there's a cast iron sort of guarantee of funding from the hse and therefore it's a short term bridging loan that might be needed by some people but I mean Greg it's pretty impressive and I've been around the health service for a long time this effectively is saying that and I'm just talking about people from donny gall you don't have to wait anymore 40 minutes in the road from letter kenny to limba valley or to bali kelly that's closer than we do is to letter kenny it's 40 minutes in the road you don't have to wait there's no need to wait it just seems to be like this is uh all dreams coming through so when bali kelly has been taken over now by kingsbridge as part of the kingsbridge group it's now stepped up several levels in terms of what it provides and the complexity and so on so it's a pretty impressive scenario as far as I can see just so people are clear um the drop-ins are and the the the the kingsbridge private hospital building in letter kenny is located at scally place thursday 24th of march tuesday 29th of march you don't have consultants on hand to sort of diagnose people that's not what this is about gareth just to be clear so we don't have people waiting their time or your time for that matter people are like at what stage do you want people to be out for them to be dropping in does that make sense yeah absolutely so so people people may be on a waiting list I want to know how to access the scheme people may just want to find out more information they may have been in with their gp who has a concern etc we will we there will be no consultants there to to deal with you know uh physical queries or that we will be just outlining the the application process the costs and reimbursement timescales of when you might be seen etc now just on just on the letter kenny clinic itself we do have consultants operating out of there at the minute uh and it actually it's it'll celebrate it's one year anniversary in june but we will be gradually building the service provision um and special days within letter kenny the patients can come and see and I'm sure I just didn't want anyone turning I just didn't want anyone turning up going you know my knees playing up on me a little bit uh you know what I mean because that would be there would be no medical provision there uh at the at the drop in clinics it's purely uh information but yeah but Greg perhaps go ahead it's probably worth reinforcing for anybody who has an interest in this or wants to inquire it's just a question of contacting the center in letter kenny and then the system starts to roll from there and kingsbridge make the process easy for you make the decision making easy uh but it's your call at the end of the day in conjunction with your GP contact that's it do we do we have any idea of you know uh even anecdotally what capacity is there versus what's being used you know because I think it's very clear pat you're trying to force on the fact that this is here now and it's a fantastic service but I wonder you know and I don't mean the actual physical capacity of the kingsbridge healthcare group but you know clearly it's under use pat significantly on yeah yeah I mean if everybody who was on waiting list were to go to the kingsbridge could they cope uh which is probably the question and I imagine they couldn't but it can take very significant extra numbers from what they're doing at the moment limibaddy has or ballet kelly has a lot of capacity that they can ratchet up to so I wouldn't worry about there being a capacity issue at this stage them yeah I just think there's a lot of people languishing that don't need to be I don't understand it I can't imagine why anybody would want to language they may have some concerns about whether it's northern ireland and have they got access to their own medical cover when they come back and so on none of that's an issue people don't have their treatment there's seldom ever a post-operative issue there's post-operative care in any event if there are emergencies there can be emergencies for any reason so they just go to the local hospital but it seems to me a relatively straightforward and for people who want to go out who are very familiar with northern ireland familiar with traveling to ballet kelly familiar with traveling to belfast it's not like coming from cork and yet we have bus loads coming up from cork yeah it's like it has to be it has to be down to a lack of awareness garth because you know in terms of the bus loads coming up from cork and down the country I think a lot of that is organized you know by maybe public representatives who might assist to make all that a little bit a little bit easier but this is you know on our doorstep effectively I mean a lot of people would travel a great distance from within donningall to go to letter kenny a lot of our treatment you get referred down to gallway so it's not like we're not afraid to travel because unfortunately we've had to do it it has to be garth down to it has to be down to awareness is there a reluctance of the system in the republic to suggest this or refer this I wonder and that could be for any number of reasons which you don't really need to get into perhaps Greg it's just it's just something that hasn't been universally advertised by the HSE and it's been left to the the relevant independent hospitals in the north here just to promote the services and make it accessible to the patients there there are some advocates in dull air and who are strong believers in this scheme and and we get to do it with more just to make it aware among their constituents and the people yeah and listen it's complicated it's because it is public money going into sort of private health care and then you have to sort then have a another conversation about you know the funding in this country and how these hospitals are operated and I think that's where it all gets confusion and people have a little bit of difficulty in adopting a position that doesn't sound contradictory go ahead Pat yeah no just in case it should come across that it's an anti let it any general no it's not but that all of this all of this relieves pressure on the existing public service system so any numbers that go elsewhere relieves pressure everybody benefits as a consequence and and that's just the win-win in it all right the drop-ins take place Thursday the 24th of March between 6 p.m. and 8 p.m. which might suit you if you're working choose to the 29th of March between 4 p.m. and 6 p.m. if you're interested you can give the Kingsbridge private hospital at a Kenny's galley place Justice Walsh Road letter Kenny a call on 074976000 that's the correct number is it 976000 is that right or is it 916 I think I'll double check that because that sounds like a South Donegal number there leave that with me either way you can email as well 976000 nine it is okay that's sorry my problem yeah it's just nine sevens down up down the south of the county and and I didn't want to confuse anyone 0749760 000 that is the number I did this I had an operation in Ballikay it cost me 60 000 and I only got back 2200 is that because people aren't going in this with the rise fully wide open we are is and that's the purpose of these dropping clinics presumably it is great I guess and as I say we've now implemented a team whereby all the information will be provided firsthand including costs and reimbursement so patients having all that information to have you know that they can decide to proceed with with their treatment they can decide to withdraw from the scheme at any stage as well understood listen thank both of you very much I really do appreciate you joining us that is unfortunately where we have to leave it on the program today back with you tomorrow morning at 9 stay tuned John Bresen's coming up around the northwest the 9 till noon show with letter Kenny credit union mortgage is now available with a personalized service from your local and friendly credit union email mortgage at


Boris Johnson says that if you give him in the Tourism Majority after Thursday's General Election he'll be able to put three years of political strife to bed and get Brexit done. But is that actually true? Let's go back to the beginning. How this all started. 23rd of June 2016 we have the referendum to leave the European Union. As we all know leave one, 52% of the vote. David Cameron, who until that point was the Prime Minister, took that defeat as effectively a vote of no confidence in him as Prime Minister, although not his government. So we don't have a general election, instead we have a Tory leadership election. It's not actually a race in the end, it's a coronation. His previous Home Secretary, Theresa May, not long after, replaces him as Prime Minister. She's in the role for seven, eight months. And on the 29th of March 2017 Theresa May, Prime Minister, triggers Article 50. You've probably heard those words before. What is Article 50? Article 50 is the means by which a European Union member state, which is what Britain still is to this day, is how you leave the EU. And it's effectively the starting gun on the Brexit process. It means, however, we have to conclude the process in two years.  Like I say, that's the end of March. Very quickly in April Theresa May calls a general election. Why? Well, there's this man here, Jeremy Corbyn. He's not doing so well in the polls. She's only got a majority, it's quite a slender majority. She inherits from David Cameron, you know, 15 to 20, depends what day of the week it is. And she doesn't think that's enough to get a deal through comfortably. So she goes back to the polls and she thinks she's going to get a big, big majority to get Brexit through in time within the premise of Article 50. However, we have a big surprise in 2017. Jeremy Corbyn, his Labour Party get 40% of the popular vote. It's a hung parliament. And this creates big problems because we need to get Brexit done. But now, unlike previously, we don't even have a majority government. However, as I've already said, Article 50 has been triggered. We have to depart within two years of March 29th, 2017. We haven't got long. This is now June 2017. So we've got about 22 months to leave the EU. However, Theresa May can't go back to the people. She can't have another general election because the Tories know they'll lose. But they also haven't got a majority to get anything through. No majority equals no Brexit. However, she has to do something. The clock is ticking. Article 50 has been triggered. So we have that first meaningful vote. January 2019, earlier this year, the Tories put Theresa May's withdrawal deal to the House of Commons and it loses. It's the biggest parliamentary defeat for any government in British political history. She loses by 230 votes. She makes some changes. Again, she hasn't really got much of a choice. Goes back to the Commons, loses by 140. Not as bad as previously, but still a colossal defeat for a government. She goes back a third time. This time, we've had an extension to Article 50 because it's clear we're not going to get out in time. We're not going to get a deal pass Parliament in time. The deadline is no longer 29th of March 2019. It's now been pushed back to October. In any case, at the end of March, we have the third meaningful vote. She loses. Again, not by as large a scale as before. We've gone from 230 to 58 and that's with a few cosmetic changes, but it's not enough. And remember, Theresa May has said her premiership would be judged by her ability to get Brexit done. She inherits the majority. She lost it. She couldn't get through Brexit. She's had to extend Article 50. Theresa May resigns. Calamity made. She couldn't really get anything she claimed she could get through. She fails in every single respect. After a short leadership election in the Conservative Party, Boris Johnson, this man, replaces her as Prime Minister. He becomes leader of the Conservative Party and Prime Minister on July 24th, 2019. Now, there's lots of brinksmanship. There's lots of talk of no deal because that deadline is looming large October 31st. We have prorogation of Parliament. We have all sorts of constitutional shenanigans that some people think it's brinksmanship to scare people into voting for a deal. Others think he's very serious about a no deal Brexit. In any case, he surprises many, many people by bringing a deal back to Parliament after October 17th. That leaves him two weeks to get a deal through. We finally have a deal between these two countries which could get through. Theresa May still never looked like getting through. This could. Why? What's changed? Well, fundamentally, the relationship of Northern Ireland to both the EU and Britain is different under Boris Johnson's deal. Within Theresa May's deal, we had the issue of the backstop. Again, you've probably heard of those words a lot. What does it mean? Well, I'll try and be brief. Basically, within the backstop, Northern Ireland, its relationship, its economic relationship stayed quite close to the UK, but it also meant that Britain, Great Britain, Northern Ireland couldn't negotiate their own external trade deals with other countries. Now, for people like Jacob Rees-Smogg, the Brexiters, that was a big part of Brexit in the first place. And what Johnson's deal does, it says basically Northern Ireland's future is closer to the EU than to Britain, but Britain can negotiate its own trade deals now. So that wins over people like Jacob Rees-Smogg, the European research group, the ERG, the Tory Right. They really love that. But there's a big downside for Boris Johnson, because the DUP, the people who've basically been giving the Tories a working majority in Parliament are in foster their leader. They don't like it. Why? Because the reason they're in politics is to keep a strong relationship between Northern Ireland and the UK. They do not like Boris Johnson's deal. And that's a big issue, because, as I've said, they're giving the Tories a majority. So Johnson has a deal. It has popularity within the Tory base, among activists, and also amongst his own MPs. But he can't get it through that Parliament. So he goes back to the people. We have another extension for Article 50. It's now the end of January 20 next year, just over a month from now. And he calls a fresh set of general elections. And of course, they're going to be on December the 12th. The big advantage he now has after negotiating a deal with Brussels is he has something to actually concretely put in the manifesto and say, you give us a majority, we can get Brexit done. We can put all of this behind us. It's in the manifesto, maybe not a thousand times, but certainly getting close. And the big theme of the Tories for this general election is Brexit. Anything else is kind of a secondary issue. And even whether you agree or disagree, that's their shtick. Get Brexit done. Give us a majority. We can put three years of turmoil behind us. But things are a bit more complicated than that because Article 50 and the withdrawal agreement is actually the first step of a much longer journey. And the question is, is that actually Brexit? So if you do vote Tory next Thursday, and the Tories then get a majority, what will happen is they'll probably get Johnson's deal through Parliament by the end of December. And then we leave the European Union formally by the deadline, that extended new deadline for Article 50 by the end of January. So we've done something clearly significant. We've left the European Union. Is that getting Brexit done? Well, not quite. Why? Because we've now entered a new phase called the transitional arrangement. Transitional arrangement is meant to go from January 2020 to December 2020. And basically, even though we've left EU, we're still subject to EU regulations and so on. We have none of the freedoms which Brexiteers would like to claim we have. We don't have power over our borders, laws, etc. in this transitional arrangement. They would say that's fine, because this is only temporary. It's only for 11 months. However, there's good reason to be very skeptical about Steve Barclay, the Tory Brexit Minister, you know, the member of cabinet responsible for this stuff as recently as October, said that he thought the deadline could go to 2022 or further. Recently, in the unredacted documents that were leaked and were published by Labour, we actually know that in ongoing trade negotiations between the Americans and between the Brits, between our civil servants and theirs, the Americans are actually very keen for the process to go beyond 2020. Why? Well, Donald Trump is up for re-election. Of course, we have the presidential election next year, and he wants to be able to go back to the people for a second term in the United States, saying, look what I'm doing. It's not yet done. I can't complete this trade deal until you vote for me having a second term as US President. So it suits the Americans for this transition arrangement to actually last far longer than 2020, even if you think it's possible to negotiate a trade agreement that will be done quickly, which in reality, many don't. Many don't. We'll go back to that in a second about how long it takes to conclude trade negotiations of this magnitude. But the big problem for Britain now, we're in the transition arrangement, we're in January, February 2020, the big problem is we're dealing with two superpowers, the two biggest markets in the world, the United States and the European Union. And they are fundamentally different things. And this is why I think the transition arrangement lasts far longer than 10 months. It's far more likely to last 10 years than 10 months, because the Europeans want something from us, the Americans want something completely different. We're trying to arrive two horses at once. Not even difficult, probably impossible. Here's a quote from the unredacted documents which were published last week. USTR, United States Trade Representative, the UK-EU situation would be determinative. Now, this is a UK civil servant saying that the negotiations between the Brits and the Europeans determine what happens with the Americans. This bit is key. For the Americans, there would be all to play for an in no deal situation. But UK commitments the customs union and the single market would make a UK-US free trade agreement a non-starter. That is to say, if we conclude a deal with the Europeans, which includes the customs arrangement, single market, we have to have some kind of customs arrangement, as I've already said, because of the issue of Northern Ireland. If we do that, the Americans aren't interested in the free trade deal. What's best for the Americans in the words of our own civil servants is no deal. So the Americans ideally want no deal. The Europeans don't want no deal. So we have a very complicated situation here. And the transitional arrangement has a number of political and economic dynamics at work. Let's take a step back. How long do these things normally take? How long will it take to conclude a trade deal with the U.S. and also a long-term settlement with the EU? The last trade deal the U.S. concluded most recently, successfully, was between the United States and South Korea. And that took between 2006 and 2012. So it took six years to conclude a pretty significant trade deal. So that would be a good ballpark figure for us if we're looking at how long it's going to take to negotiate a trade agreement between Britain and the United States. As well as that, the TTIP ultimately wasn't successful. It was binned, really. That was between 2013-2019. So we have a decent sample here. We know how long it takes. It takes around six years to conclude a comprehensive trade agreement. Now, some people say, well, we can do it more quickly than that. You don't want to do it more quickly than that because we want to do this properly. It's like saying we want to create the foundations for a house in 24 hours. If you do that, the house is going to fall down. We don't want to have, for instance, conditions in there which would undermine the NHS. We don't want conditions in there which would compromise or undermine animal welfare standards, food safety standards, for instance. Now, people might say, well, that's not going to happen. If you rush something of this magnitude, it is going to happen. That's why all the trade agreements that we can make around the world, particularly those included in the US, take this long. That's for a reason. They're not doing it for fun. At the same time, at the same time as trying to ride two horses, at the same time as knowing that these things take a lot longer than 10 months, like I say, we're in this transition arrangement. It's going to take a significant amount of time before we have a longer-term partnership with both the EU and the US. There's the political context. It's not like everything else just stands still and we negotiate these different things. The United Kingdom is composed of a bunch of nations, England, Wales, Northern Ireland and, of course, Scotland. The major problem for us concluding a deal with the Europeans and with the Americans is Northern Ireland. And what we already see within Boris Johnson's deal is, effectively, the tacit admission that the future of Northern Ireland is with the Republic. There's a reason why the DUP couldn't support it. Basically, they're saying, for things like electricity, Northern Ireland and the Republic can share, you know, they can be effectively in some kind of union. Northern Ireland will enjoy similar sort of status quotes, what it presently does with the rest of the EU. What happens going forward, very difficult to predict, it would be very volatile. You could have unification. You wouldn't even need to go that far. It could stay, Northern Ireland could stay in the UK, but ultimately it has an economic relationship with Ireland, which is far more integrated. Legally, it may remain a part of the UK, but in reality, actually, it's far closer to the Republic. Long term, what does that mean? I think unification is very, very plausible. All depends on how badly negotiations go for the rest of the UK with both the EU and the US. On top of that, you've got Scotland. Scotland, of course, has an independence referendum in 2014. They lost by 45 to 55. Why? Because a vote for independence was seen as a risk. It was seen as a risk of things like pensions, the absence of their own currency, et cetera. But now Britain's not just left the EU, but we're in some strange space, a limbo, where we're negotiating different things, the US, the EU, the NHS is under threat, and the Scots in 2021, because Nicola Sturgeon's SMP get another majority at Holyrood, the Scottish Parliament, they either get a majority or they get a working majority with the Scottish Greens, determine it's time for another independence referendum. They get that in the early 2020s, either 2021, 2022. Scotland has voted for parties who aren't in the Tories since the 60s. Scotland feels we keep on voting Labour or SMP, and yet we keep on getting Tory Westminster governments. We've had enough in that second referendum, they choose, in their eyes, stability rather than chaos. So the part of the UK is they can rejoin the EU. Scotland rejoins the EU as an independent nation. What's more, it adopts the euro. Now this is really important, why? Because not only has Britain lost one of the home nations, it's now declared independence, but also it's integrated in a massive market, hundreds of millions of people, and a currency which is increasingly strong against £1 sterling. Businesses in places like Newcastle, Carlisle, they move to Scotland, they move to Glasgow to Edinburgh. These are far more stable places to run a business. Young people in the same areas, Cumbria, Northumbria, et cetera, Northumberland, they move to Scotland too. They see far greater prospects for them in a successful independent Scotland than in England, which is really in a bit of an economic pickle as it continues in long term, but very slow and gruelling trade negotiations with both the EU and the US. So things on this timeline are looking pretty bleak. 2008 crisis, you don't need to go into it, we know how bad it's been for the British economy. Since then, you've had flat lining pay in Britain between 2009 and 2019, productivity, wages, economic growth has been broadly flat 11 years. But in this timeline, because of the problems we're seeing with the transitional arrangement, that continues. That is the new normal. Now, have any countries had to engage with those kinds of economic problems, that level of inertia before? Yes. One is Italy. Another is Japan. People talked about Italy's lost decade after the early 1990s. It then suffered another one, it's present in its third lost decade. Something very similar to Japan. Basically, low to no growth society. So it's perfectly plausible that that is an image of Britain's future. However, on top of the issues of economic inertia, we've also got political instability. We're seeing the Union pull in different directions, Scottish independence, Northern Ireland throwing its lot with the EU and the Republic and Wales. Wales sees Scotland making a success of independence by the mid-2020s. They see the Northern Irish making a success of closer integration with the Republic. They say we want a part of that too, because this isn't looking good. If this is the future of England and Wales, we don't really see a future here at all. So Wales gets a referendum, let's say mid to late 2020s. It's going to be very close. No two ways about it. Whether they get independence, I don't know. They'll certainly get more devolution. And increasingly, people in Wales will see the future for them as closer to the Republic, as closer to Belfast and Dublin as to London and to England. So things are looking really tough. The political context is difficult. The constitutional settlement of Britain is breaking down and the economy is completely stagnant. But Brexit is almost done. One of the reasons being Scotland's left. Scotland's 65% of Scots wanted to remain. They're now no longer a variable. Northern Ireland had big misgivings about leaving the customs union, but of course they still want to remain with the rest of the UK. Again, not as big an issue. So Brexit is now done because the political problems are kind of going away a bit. What's more, we're now signing a trade deal with the U.S. So those two horses I was talking about can now both be ridden because Scotland and Northern Ireland, not such massive variables anymore. We sign a free trade agreement with the U.S. Let's put it to optimist. Let's say the mid to late 2020s. We sign that free trade agreement. What do we offer them in a free trade agreement? Not very much. Britain doesn't really export very much. People will say financial services, legal services. The U.S. is world class of that already. What we can offer is the NHS. It's the biggest employer in the country. It's a huge healthcare market for U.S. pharmaceuticals and healthcare providers. That's what they want and it's a huge, huge thing for them. They get that. Let's say mid 2020s to 2030. Around the same time, we conclude something with the European Union. So we have a long-term thing going on there. Brexit is almost done. What does it mean? Scotland, its economy is doing well. Population is rising. Lots of labour and capital flight from England because of course of the economic volatility around not having concluded negotiations for so long. It's doing incredibly well. Northern Ireland is benefiting from closer integration with the Republic. Let's also say that Wales has left the United Kingdom now by 2030. Britain, or at this point England, at this point has a population which has fallen from around 68 million in 2019 to around 58, 59 million. It's had economic stagnation as I've already said on the previous page. Wage stagnation, productivity stagnation and because it's got a shrinking tax base, it's seen its population fall by 10 million. That's quite significant. It can no longer engage in big prestige, global prestige projects. So things like aircraft carriers, no longer possible. The British Army is at its lowest level really in 100 years. Trident, no longer possible right now. The nuclear submarine port is in Scotland anyway. The money isn't really there though with that small population to pay for these things. Similarly the BBC has major problems because it's had to share assets with the newly independent Scotland and Wales. Obviously Northern Ireland is a bit more complex and there's fewer people to pay for it. So the big institutions we associate with British hard and soft power, the military, nuclear weapons, the BBC, a few other things too, all under threat. Meanwhile the NHS subject to American predatory multinationals. So in this situation, we're getting Brexit done. What does it look like? The United Kingdom has gone from this at the end of the 2010s to just this. Scotland's gone. Northern Ireland's gone or going. Wales has gone. Donald Trump might be president of the White House anymore but he's won a second term because of concluding a very successful trade agreement with the UK. Britain is poorer and smaller than it's been for a very long time. In terms of its vulnerability on the global stage, it's probably at its weakest since 1066. It's a small, poor country which has lost more political and diplomatic weight than any precedent really can offer in history. Arguably Venice as a major power falls this far this quickly. On the global stage it's the weakest it's been since the 1500s. It is no longer even a second order player. The top ranking players right now in global affairs, China, the United States, the second rank is Britain, France, Germany, Russia. Brexit means that we go from second to third rank. But we've got Brexit done. You know, we've lost Scotland, the home nations have declared independence. Scotland, Northern Ireland, we're poorer, smaller than we've been in hundreds of years. We're incredibly vulnerable to foreign exploitation. But 2030, I'm calling it. We've got Brexit done. If you've enjoyed this video, I think you've learned something from it, it's added value, perhaps you weren't sure about some concepts and they're a bit clearer now. Here's something you can do. You can go to support.nivaramea.com that's our logo. We're trying to offer people insight in areas where the media often neglects to inform people properly. If you want to follow us on Facebook, you can. Navarra Media, also on Twitter at Navarra Media, also on Instagram. And don't forget to click that subscribe button.


How many new agents do we have? Rule number one for new agents.  Just joking.  Wherever you are in your career, there's always an opportunity or an angle to play. And really at the end of the day, your prospects just want you to be confident. To me, new agents have so much opportunity. If a seller asks you how many properties you've sold, how long you've been in business? They're not really looking for a number, per se.  No, I haven't sold anything. That's why you want me. Because I'm going to turn around when you give me this listing and spend eight hours a day, seven days a week, on just your deal because it's the only deal I got going on. So if you want to go down to Ricky's office and ask him, he does 100 deals a year where your deal is going to be on his priority list, I guarantee you it's not going to be number one. New agents have all kinds of time. And as a new agent, you have time to watch the market like a hawk and bring that new market information to the public first, which makes you look like an expert. When I started in real estate, I was 20 years old. So I've been through, I've gone through the same thing. Anybody thinks they're too young? I was 20 years old and everybody thought I was too young. But I've always been really curious and I've always really wanted to succeed at high levels. Took the test, got my license, thought, I'm out of here dad, I'm a real estate agent now. Worked in the office for 30 days, sold absolutely zero. Had to go back to the roof. Took me eight months to make my first sale. I'm on the roof, knowing that I'm going to succeed, lot of failure, lot of rejection, and I finally made my first sale. Well, it was my grandmother's condo, I'm not even gonna lie. But I did sell another condo that wasn't my family's. On the same day, I had two closings in one day. So I sold two closings, this is in 2002. Then the market explodes. I make a lot of money. I'm a millionaire at 23. 20 years old, I get in real estate by 23, self-made million. When the market crashed, I was on top of the world and then the market crashed. I lost everything. My job today, in my mind, is to take the pressure off of you, take the worry off of you. I don't want you to worry about the market crashing. I don't want you to worry about, am I gonna succeed? I don't want you to worry about the fear of calling people or am I gonna sound dumb? Most of the training out there, what you guys get, I don't believe that the purpose of a lot of the training is what I'm about to say. But this is what most agents get out of it. They see the phone scripts that you consider selling. What you're doing is you're using it wrong. You're saying it wrong. You're intense not there. You're not being yourself.  And you're saying it in a fashion that tells them that you're just another agent looking for a deal. And they're not interested. What I want you to do is figure out what you can do for them. Reverse it. And that's what I'm teaching. I'm teaching you how to use your personalities, your strengths.


Hello, good day everybody. Welcome to our next sort of dissection some surgical dissection My name is dr. Sanjay Sanyal. I'm a professor and I'm a surgeon by profession. I'm also a neuroscientist This time we have chosen the public deal for some and we'll mention a few surgical aspects about the public force also So let's first give a quick overview of the anatomy of the public deal for some as all of you know This is a quadrangular space the back of the knee Therefore it has got a super lateral at a supermedial boundary Infra lateral inframedial boundary This is a prone cadaver and the left leg of the cadaver is being seen here This is the upper end of the cadaver. This is the lower of the foot end. This is the lateral aspect There's the middle side the cadaver is prone and there's the left side The super lateral boundary is formed by the biceps femoris tendon The supermedial boundary is formed by the semi membrane osis muscle and it is overlapped by the semi tendon osis tendon By the way, you can see the semi tendon osis tendon is getting inserted onto the medial aspect of the tibia Along with other gracilis and the sartorius which forms what is known as the best ad serenis. Okay, let's come back This is the infralateral boundary and that is formed by the medial head of the gastrocnemius And this is the Infra medial boundary which is formed by the medial head of the gastrocnemius and therefore this small quadrangular space is the public deal for some These are the boundaries What about the floor of the public deal for some for ease of understanding and divided into three parts? The upper part is the femoral part the middle portion is the capsule of the knee joint and the lower part is the tibial part So the posterior aspect of the femur is the upper part of the floor The posterior aspect of the capsule of the knee joint is the middle part of the floor and a little bit of the Populitis fascia and the populitis muscle forms the lower part of the floor now Please note that point because I'm going to come back to it again a little later What about the roof of the public deal for some the roof of the public deal for size formed by a tough fascia called the public deal fascia The public deal fascia is actually an extension of the fascia the thigh above and it continues down into the fascia crurus of the leg below This is a tough fascia and that has got a clinical significance, which I shall mention in the next slide Coming to the contents of the public deal for some apart from the usual contents fat and lymph nodes the three most content important contents are visible here Here we can see the public deal artery the public deal artery is the deepest structure in other words If you see from the public deal side, it is the deepest that means it is the most interior Then you have the political vein and we ideally we're supposed to see the tibial nerve which goes from one apex and Exits through the other apex of the public deal Quadrangle however in this particular specimen the shatic nerve is dividing low And normally the shatic nerve divides at the junction between upper two thirds in the lower one third of the thigh up above But here it is dividing low So therefore the shatic nerve is entering into the public deal for some and here in the public deal for site is dividing into the common Fibular nerve and the tibial nerve so the tibial nerve is ideally the content of the public deal for some and that also I mentioned in my clinical correlations So we have seen the important contents and finally The short syphilis vein which runs on the back of the leg It pierces through the public deal fascia between the two heads of the gastrochemias and therefore that at terminates on the Public deal vein. So the termination of the short syphilis vein is also a content of the public deal for some Now, let's see a few important clinical correlations the most basic being Palpitation of the public electric We'll mention three three aspects of it first the position of the patient the location of the palpation and what should be the position of the leg I've seen it mentions the literature where the patient is being palpated with the patient in the supine position or the Well, that is not exactly advised I would prefer that you put the patient if the patient is in a position to be moved the patient should be in a prone position Because that is the only way we can dip our fingers deeply inside Where exactly do we palpate now? I told you the public authorities rather deeply located therefore the finger has to be dipped in very deep and It cannot be possibly be palpated as such also the public authorities very difficult to palpate and on top of that It is not possible to palpate it on the posterior surface of the knee on the posterior surface of the femur So ideally it should be palpated when it is in relation to the tibia Or in relation to the property is muscle, which means it is should be palpated at the lower end of the property till fossa And then comes the important part what should be the position of the leg the legs should be flexed Because I told you there's a tough fascia here called a public facial and as long as the public facial is stretched It is impossible to dip our fingers deep inside as it's required Another important reason is when the leg is extended the semi-membranosus tendon It comes more laterally and it covers part of the public facial fossa And therefore it becomes even more difficult to palpate the populated artery for these two very good reasons The legs should be flexed and then we should give our finger deep inside We'd be the two heads the gastrocnemius in relation to the tibia and we should try to feel the public artery in On the posterior aspect of the tibia When do we feel for the public ear pulse usually it's quite difficult to feel it as I told you earlier and We try to do it not to diagnose a peripheral this thing peripheral circulatory failure or shock syndrome Because for that we have the carotid artery Here we do it when we are suspecting peripheral vascular disease of the lower limb and that is the time and even if you Don't feel it we can still try to feel the distal The dorsalis pedias or the posterior tibial artery, which will also be an indirect evidence that the public is Circulation is intact. So that's about the public palpation of the public artery Now let's take another aspect of this property lottery and that is known as a public artery entrapment syndrome Now the public artery as I told you is rather deeply located in the political fossa And there have been numerous mentions in the literature though. It's quite rare condition as the term implies It is the public lottery getting entrapped by certain structures inside the political fossa Now there are several classifications The simplest classification is that of the Heidelberg classification which states that the type one two and three Type one of the Heidelberg classification states that there's an abnormal course of the popular artery Type two an abnormal attachment of the muscle in the political fossa and type three when there is a combination of both But to go a little deeper the love and valiant classification is the one which is more detailed and that describes it into six types Type one is in the political artery is a little more Medial than its normal location. Therefore, it gets entrapped by the medial head of the gastrocnemius. That is type one in type two The medial head of the gastrocnemius is migrated more laterally and therefore it traps the political artery in Type three. There's an additional slip of the muscle of the gastrocnemius which entraps the political artery In type four when the political artery is entrapped by either a fibrous band or by the popliteus muscle Though it's a little difficult to understand how the popliteus muscle may be involved because normally the political artery runs on the surface of the popliteus muscle Then we have type five where apart from any one of those above previous features if the poplitean vein is also included in the entrapment then it is called type five and Finally, we have a type six which has been added rather Recently that is when what is known as the functional entrapment syndrome Where both the popliteal artery and the muscles are normal? However, the patient has functional symptoms suggestive of entrapment due to hypertrophied muscles And that has been described as the functional type or type six of PAES That means we do the demographics in which type of population does it seem as I told you it's rather rare and Most of the reports in the literature are case reports Obviously these abnormalities anatomical abnormalities are congenital However, they manifest themselves only in certain groups of people and they're usually seen in young muscular males or athletic males Those who play those have sports and young soldiers. It is being increasingly recognized by the military surgeons So there the abnormality underlying abnormality does exist and on top of that The muscles get hypertrophied and they compress the popliteal artery and therefore they present with all the features of Prodication and it has been recognized as one of the causes of prodigation in a young muscular male without any features of a therosclerosis and As like any other compression it can also produce a post-enotic dilatation It can produce post-enotic aneurysm thrombosis embolism and all of the complications And when it is symptomatic the only treatment is surgical if the fibrous man's or the muscle can be repositioned The artery can be repositioned then should be done. Otherwise by prose grafting is the only answer So that is about the popliteal artery entrapment syndrome in brief Now let's take a look at another aspect Because the property arteries located in relation to the femur and in relation to the tibia Any major fracture of the femur or the tibia can injure the popliteal artery and then can be severe hemorrhage Even if it's a minor injury They can be because of the close proximity between the popliteal artery and the popliteal vein There can be an artery venous fistula and as I told you it can also be the subject of aneurysm Like one of them being the popliteal artery entrapment syndrome or it can also be an aneurysm due to any other causes If there's a hemorrhage of the popliteal artery and we have to ligate it We need to ligate the femoral artery after it is given off the profunda femoris Well, we can ligate it because there's a very rich in osmosis Which is known as the genicular an osmosis given up by the popliteal artery branches five of them and a few Contributions from the femoral artery and the tibial arteries. So therefore in such cases we can ligate the femoral artery what about The aneurysm if it's a very severe aneurysm, then again bypass grafting is the only answer Or if it's an artery venous fistula, then also we have to bypass and graft it We must also remember another thing the popliteal artery also gives plenty of muscular branches The popliteal artery gives plenty of muscular branches, which has got a very rich and very clinically important an osmosis with the branches of the profunda femoris artery and Also with branches the gluteal artery. So therefore they do provide collateral circulation So that is about a few words about aneurysm archivitis fistula and hemorrhage and what does thing to be done and finally Let's take a look at this condition Which is referred to as the popliteal cyst also called the baker cyst or the modern baker cyst named after the person who described it first Here the underlying condition is something totally different compared to what we have discussed earlier Here the person is suffering from chronic Sinovitis and chronic knee joint effusion and there is always an underlying component of osteoarthritis of the knee joint As we know the gastrocnemius muscle has got a bursa in relation to it just under its attachment Similarly the semi-membrinosis muscle also has got a bursa between its insertion and the attachment of the gastrocnemius The this bursa the gastrocnemius bursa communicates with the knee joint capsic and the cavity The sign of a cavity to the knee joint. Similarly the popliteal muscle also has got a bursa under it Which also communicates with the knee joint and apart from that we know the knee joint has got many bursa all around it The most common cause of popliteal cyst is when The bursa from this burst through the capsule of the knee joint from the gastrocnemius And it presents as a swelling on the back of the knee that forms a popliteal cyst The same thing can happen when the semi-membrinosis bursa also burst through the capsule of the knee joint And it presents as a swelling or the other possibility is When any of the periarticular bursa are on the knee They release the sanomial fluid and they all collect in the knee joint and form a separate swelling and that forms a popliteal cyst Now no matter what the swelling is whether it's a popliteal cyst or whether it's an aneurysm or anything We must remember one very important aspect and that is the popliteal space is a very limited space and Whenever there is a need the need space occupying lesion as we call it The structure which is most liable to compression is the tibial nerve And the tibial nerve can get directly compressed whether it's by an aneurysm or whether it's by an enlarged lymph node or whether it is by bursa or and It can either be directly compressed or The vasin or most of the tibial nerve can be compromised and then the patient will present with all the features of tibial neuropathy and Paralysis and weakness of the muscles supplied to the tibial nerve on the back of the leg and the foot How do we differentiate an aneurysm from a lymph node swelling An aneurysm will present with an expansile pulsation on the back of the knee and a lymph node swelling Which is situated on top of the popliteal will have a transmitted pulsation Additionally, if there's a person has got an arterial venous fistula Then we will be able to feel a palpable Thrill when we palpate and we will be able to hear a continuous machinery murmur so-called bruit in the case of arterial venous fistula So these are a few words quick words about the clinical correlation surgical aspects about the popliteal region Thank you ladies and gentlemen for watching. If you have any questions or comments, please put them in the comment section below Have a nice day


Welcome back to our lecture series math 1050 college algebra for students at Southern Utah University As usual, I'll be your professor today. Dr. Andrew Missildine and lecture 35 We're almost to the end of our unit five about algebraic functions So what does one mean by an algebraic function? We basically mean all of those functions that we can build using addition, subtraction, multiplication and division and also exponents as well And so this one include the polynomial monomial power functions We've talked about already rational functions through thrown in that division there But we also have to incorporate their inverse functions, which we talked about inverse functions much earlier in this series This lecture in many ways will be a review of what we've learned about inverse functions before But we're going to use that as motivation to introduce radical functions So we're talking about things like square roots and cube roots and fourth roots and the like right Which we'll see in a moment that we can represent each of these radicals as in fact exponents and Radicals are really just going to be the inverse functions to monomial functions, which we studied earlier in chapter four here So to talk about inverse functions, there's a few things we have to remember So remember that we say a function is one to one Well a function is one to one when its graph passes the horizontal line test So for example, if we were to sketch a graph real quick So maybe we have like our x and y axes right here and let's draw one to one function. Maybe something like this Seems like a good picture and the point is whenever you draw a horizontal line It'll intersect the graph at most one place And so this is an example of a function passing the horizontal line test This is in contrast to like say your standard parabola Right which the parabola Fails the vertical line to a horizontal line test excuse me because there can be more than one place where the horizontal line hits the graph Now there is a way of sort of fixing this we'll see this a little bit later in this series in this lecture I should say here, but that's what it meant for a function of one to one Now what we learned previously is that if a function is one to one then it has an inverse function a Function which undoes the original function So you have your function f if you compose it with f inverse You'll have the property that this is just the same thing as x itself the identity function that f inverse after f The net effect is as if nothing happened whatsoever a very benign and simple example will be like if y equals x plus 2 and you have y equals x minus 2 when you put these things together When you compose these functions as if nothing happens right if you take x plus 2 and then you subtract 2 from it You just end up with x So addition subtraction these inverse operations multiplication and division are these inverse operations if I take 2x and then I divide it by 2 It's as if nothing happened right the net effect is is nothing and so what's the inverse operation when it comes to powers? So power functions which we saw at the very beginning of chapter 4 And then we generalize these as we went through polynomial and rational functions If you have something like x cubed, how do you get rid of the x cubed power? And we we've seen this already how to do this, but we want to make it much more formal in this conversation So imagine we have some type of monomial function like f of x equals x to the n or in this case We'll take x cubed and let's focus on them at the moment on the odd case All right, so n is an odd integer It could be positive like a monomial or it could be negative like the reciprocal functions We've seen before and let's just restrict our attention to the non-negative domain for a little bit zero to infinity this thing is defined For negatives as well But the main reason we want to restrict our domain from zero to infinity here is so that we can come in harmony With also the power functions where x was an even power like x squared x to the fourth x to the Negative two things like that then in this situation when we restrict our function When we restrict our function to just the domain zero to infinity both the odd case and the even case Will be invertible that as they'll be one-to-one functions. Let's take a look at that graph for a moment So if we were to again graph our x-axis and y-axis, I know I just did them backwards there I know the difference if we were to graph the function y equals x cubed This would be the standard graph, but if we just want to focus on the positive domain, we get something like this Okay, y equals x to the n like so and the reason here is that even if it was like a parabola, right? The problem the left-hand side looks a little bit different But if we ignore the left-hand side all of these functions look about the same and the bigger you make in the steeper This graph becomes right here You'll see that on this domain zero to infinity our function is in fact one-to-one it passes the horizontal line test Therefore if we were to reflect this graph Excuse me if we reflect this graph across the diagonal line y equals x We would end up with a curve that looks something like the following Here in green and this would be what we call y equals the nth root of x or in terms of exponences is denoted as x to the one over n power and So why do we use this reciprocal exponent right here? Well, the idea comes from exponent laws that if we had something like x cubed We want to raise it to a power say a so that this gives us back x But by exponent rules if you take three x to the three to the a this is the same thing as three to the a Which on the right-hand side x by itself is just x to the first This would have to mean that three a equals one that is a equals one-third Let me say that again if we take x cubed and raise it to the one-third power Then by exponent rules you multiply those together you get x to the three-thirds power Which is x to the first which is equal just to x itself So the way to undo a monomial is to take these reciprocal powers And so this nth root this nth root of x right here the nth root of x is defined to be the unique Positive number so that when you take it to the nth power you get back in x so radicals which also coincide with Rational exponents here radicals are constructed to be the inverse operations to the monomial functions. We introduced previously now in terms of domains and Domains and ranges of radical functions. Well, it does depend on whether we're even or odd in That conversation so I do need to make a few comments about that just right here right now So imagine we have some odd power So you have y equals x to the n and n is equal to some odd number So what that tells us is that well the domain of this thing is Going to be all real numbers the range of this function is also going to be all real numbers And then the graph if we were to sketch it real quick the graph of our function on This domain You know, it's basically going to look something like the following Again, the exact steepness would change based upon the power But you're gonna get a graph to look something like this which you can see that this graph does pass the horizontal line test So this function is one to one in which case then its inverse function would look like y equals the nth root The nth root of x or x to the 1 over n where again n is still an odd number In that situation you would see that it's domain One thing to remember out inverse functions is that inverse functions switch the roles of x and y So the domain becomes the range and the range becomes the domain So for these odd powers these odd radicals your domain would be all real numbers and then your range would be all real numbers In which case if you then reflect this graph across the diagonal You're gonna get a graph That looks something like the following y equals the nth root of x and this happens when n is an odd number of course In contrast If we were to do say y equals x to the n and we take n this time to be not an odd number We just did that one an even number In this situation, I'm going to restrict the domain To be zero to infinity like we saw before Okay, and then the range likewise is going to be Zero to infinity now. Let's think about the graph of this thing just for one second before we continue on with our picture here So if we just look at the left-hand side at the right-hand side of this graph again You give this picture like we saw above now if you took the whole domain You would be getting this reflection on the other side. This thing is going to be symmetric with respect to the y axis It's an even function after all this is why we call them even functions So this graph if you look at the the whole graph It's not one-to-one because of the violations we see right here So if we remove the left-hand side this violation disappears and so if we just look at the right-hand side this would then be a one-to-one function and This is the function then we invert For which we get this graph like we saw before For which we then are going to get y equals this nth root of x right here And so some important things to mention if we take if we take y to equal the nth root of x when n is an even number Then the domain and range are going to swap locations here Just like they did with the odd case and so we end up with the domain Equaling zero to infinity the range is likewise Gonna equal zero to infinity and this is an important difference We should pay attention to when we talk about even radicals versus odd radicals for example You'll notice that the domain lacks any negative numbers which agrees with what we've seen so far because if we take f of x to Equal the square root of x and then we look at f of negative one that would be the square root of negative one Which is the imaginary unit i right in terms of graphs We want to follow the domain convention that we take only real numbers in and only real numbers out So we have to restrict the domain so that the output is a well-defined real number That's why we have to kind of restrict this going in over here Likewise, we have to also restrict the domain or the range because we can only get positive numbers coming out of this thing now because we did Because we did take away half of the graph right so you take like your parabola right here Half of the graph is missing this is going to affect things as you try to solve equations involving radicals Like if you have the equation x squared equals 2 we'll do a perfect square of x squared equals 4, right? The issue you have to be aware of here is that when you take the square root on both sides to solve this equation You end up with x equals plus or minus 2 right? You have to consider the two possibilities because there's the possibility on the right There's also the possibility on the left which the inverse function doesn't look at that Because to find an inverse function we do need a one-to-one function And so in this lecture, we're going to talk some more about these these square roots these cubits these radicals This video serve as an introduction. We'll talk about the things we like to talk about with functions here We're going to talk about their graphs in just a second. We'll talk about solving equations involving radicals And we'll also talk about solving inequalities involving radicals as well


Dear students, in this topic, we shall discuss the process of tubular secretion. After ultrafiltration, when a lot of substances are filtered from the blood, the blood still contains some potentially undesirable substances. Tubular cells of the convoluted tubule secrete such substances directly into the lumen of the renal tubule into the outgoing urine. Secretion occurs in every segment of the renal tubule. However, most of it occurs in the proximal and distal convoluted tubules. First, we shall discuss the secretion at proximal convoluted tubule, which is an important site for secretion. It secretes organic acids, bases, bile salts, oxalates, urates, and catecholamines. Other than this, many end products of metabolism, harmful drugs, and toxins are also secreted. Now, we shall discuss secretion at distal convoluted tubule. It secretes ammonium ions, potassium ions, and hydrogen ions. The distal convoluted tubule actively pumps ammonium ions into the tubular fluid. The secretion of ammonium ions is through a sodium-linked counter-transport pump which absorbs sodium ions and excretes ammonium ions in return. The excess potassium ions also diffuse from tubular cells into the lumen of distal convoluted tubule through potassium leak channels. Apart from this, the secretion of potassium ions is also linked to an exchange with sodium ion reabsorption. Like ammonium ions, sodium-linked pumps are obtained which exchange sodium and potassium. The hydrogen ion secretion involves generation of carbonic acid by the enzyme carbonic anhydrase. This carbonic acid dissociates to generate hydrogen ions. Hydrogen ions are secreted in tubular fluid in exchange for sodium ions. That is, ammonium, potassium, and hydrogen ions are reabsorbed in exchange for the secretion of sodium ions. Hydrogen ion secretion contains tubular fluid Acd5 which is added to the blood pH. Hydrogen ion secretion speeds up when the pH of blood falls.


Sweet corn is synonymous with summer, but in northern climates, sweet corn is usually not ready to be buttered and enjoyed until late July or early August. But by using plastic mulches, this could change. Plastic mulches have been used worldwide to increase the root zone soil temperature and extend the growing season in cold climate regions. They are used most often for high value vegetable crops like sweet corn. Sweet corn production in this region is limited by the cold climate and short growing season. So producers are forced to grow short season crops that have a low yield potential and no competitive value on the market. Consumers therefore have to rely on produce transported from other regions of the country. The high cost of transporting produce raises the cost of the food. Therefore, finding a way to increase the root zone temperature and extend the growing season is an issue producers in cold climates have to deal with. There are many factors in crop production that can limit the yield of the crop, such as water, fertilizer, temperature and pests. Each limiting factor can affect the crop production differently. Some are easy to manage, like plant available water and crop nutrient requirements. Other factors are considered difficult or impossible to manage, like cold temperatures. One of the ways to manage cold soil temperatures is through the practice of mulching. Mulching is the process of covering the soil with a material, in this case plastic sheeting, to alter the soil energy balance. A result of altering the soil energy balance is that the soil temperature under the mulch is increased. Researchers at North Dakota State University set up this project to evaluate sweet corn growth and fresh yield differences for three types of mulches, black plastic, solar plastic and biodegradable, and a control of four planting dates, April 15th, May 1st, May 15th and June 1st, and three hybrids with different maturity rates of 65, 75 and 84 days. The goal is to achieve early and better fresh yields and profitable values in local market. The experimental design was a randomized complete block with four replications and a split plot arrangement. With three replicates for each treatment, there will be a total of 144 plots. In each plot, two thermocouple sensors will be constructed with one buried at 5 cm depth for soil temperature and the other at 10 cm above ground for air temperature measurement. A data logger and a multiplexer will be used to record and collect the soil and air temperature data in 10-minute frequencies. A weather station is located nearby on a uniform grass site that will provide air temperature, relative humidity, solar radiation, wind speed and direction, and evapotranspiration measurements. In addition, a net radiometer will be located at 1 meter above the crop canopy for each of the four mulch treatments to determine the energy balance. Plastic mulch has been used to increase root zone soil temperature and extend the growing season in other cold regions, and we hope this project will show that it will work in North Dakota as well. The importance of this project is unpredictable and the extension of mulch is revolutionary for farmers in cold regions. Plus, fresh, local produce with a better quality and taste at an affordable price will improve the overall quality of life for local residents.


It was like, okay, you're gonna die if you don't figure this out. So figure it out. So I did. Did you get close? Yeah. Oh God, yeah. Okay. Yeah, you mix meth addiction and sex addiction and love addiction altogether. That is a recipe for some serious what the hell, Dateline NBC kind of stuff. Yeah, for sure. So then, what did you do?