The following is a presentation of TFNN Trade what you see With Larry Pezzavento Call now toll free at 1-877-927-6648 or internationally at<PHONE_NUMBER> Now Larry Pezzavento Okay, folks looking good Billy Ray feeling good Lewis as I mentioned before The thing that I wanted to talk about today are three things crude oil gold and also the E-mini S&P We've been fortunate enough to be short a little bit of that Off and on during the week, you know try to scalp a few bucks here and there which is sometimes it works Sometimes it doesn't but one of our listeners ask why doesn't it work every time? Well, if it worked every time it wouldn't work any of the time because it's Process of probabilities folks and what you have to do is you have to firmly believe That what you're doing when you're doing these patterns that they work most of the time and the key word there is most I Wish it were you know if it worked all the time it would be worthless because everybody would see it, right? And yes, you can lose five six times in a row, but you can also win 10 20 Well not 20 times, but you can win 10 times in a row the odds are in your favor about 60% of the time And your payoff was going to be $1.5 for every dollar you risk that you don't get those odds in Las Vegas So that's what we're looking at now if you take a look at this crude oil chart This was our this was our trade of the week and if you remember we were looking to sell that up there at the 83 And change level it's now trading at 79 folks But what I'd like to do now is to just go into my Realm that I really like which is short-term trading and I want to show you the action in crude oil here Oh these these charts I I love these charts the problem is they don't post like I want them to so let's hopefully this will Come up, and we'll be able to talk about it folks. I will try to get this fixed Good there is the high today We sent a video out last night when the market was right here, and we said look for this ABCD to come right here This 3a2 the number was 80 to 43 and I said sell the 8241 and you can see where it's dropped here We dropped a couple of thousand dollars from that level now This is there was another one right here the 3a2 that we had here just the other day So once these things start moving in that direction you want to try to get do they always work like that? Goodness no, but remember we had one in gold remember that was the same thing in gold This was a pattern that failed and once it failed what we tried to do We don't always do this of course, but what we try to do and I'll just bring this up again so we can watch it Oh Larry Larry Larry, what are we going to do here? Okay? Let's get this together, and we'll be right back Hold on now. Just just hopefully this will be just a second And we'll be able to get this up here, and we'll be fine Al if you'd be try to contact Bart if you could please you've got his Charts, unfortunately folks. I don't know what it is. It's ensigns problem I've asked I've asked them to fix it before Whenever I posted a chart it goes directly to my desktop, and then all I have to do is click on the desktop and Put it into discord, but evidently discord is not recognizing the chart So I'm not able to bring it up. You'll have to look at some of these on your own Which is always good because as mr. 20 man says If I human nature that do the work yourself, so here's what we want to be watching We have gold moving down. We have the crude oil moving down and believe me folks We've had now from the high we've dropped five dollars a barrel from 84 to 79 Now we got a nice piece of that change I mean not all of it, but nice piece of change same thing in the s&p Remember we were selling that just the other day when it was up there at 45 What was it 45? 3545 13 and now we're at 44 37 we're you know almost that's the Key here was to you know to take take some of it off I suggested to look at it today to make sure you didn't get short after today because I really believe for firmly Because and I believe in the lunar cycles because these are from Andrew Lowe You know that in charge of financial engineering at MIT. He's a strong believer in astrophysics And he follows full moons and new moons I know that for a fact and he runs a three billion dollar hedge fund that all the profits go to cancer research And so he's a he's a really a stand-up guy a really nice fellow to have any once but you know He he these algorithms that these folks use here folks they work They'd like everything else they don't work all the time But when they do and when they do then you've got something that you can actually use in your trading So the things that I'd like for you to do today is to review the gold charts that we've been sending out And if you haven't got those you know Let me know I'll try to send them out to you and then look at the crude oil chart and then look at the stock charts Because these have been telling you they're coming down to this area right now Now we don't know that the new moons gonna mean a diddly squat today I don't know that's one of the last things on my bucket list is that someday Somebody like Andrew Lowe will be on CNBC or Bloomberg or Oxford or Cambridge Stanford Indiana State someplace like that and he'll say look folks. He these are the odds on why The astro cycles work and believe me there they're not astro cycles folks They're the same cycles that everybody look at you take an 88 day cycle It's mercury you take a 235 day cycle. It's Venus. You take a 365 day cycle. It's the earth So these are just numbers.  There's nothing, you know metaphysical about them and all that's why I had a really difficult time That's when I started doing this stuff back in 85 and 86 when dr. Miller was pointing this out at that time I was a really strongly Practicing Catholic and I did you know one of the things in the Catholic Church if you believed in astrology you were the instrument of the devil and that was a mortal sin and I was really concerned about that but eight later on when I got to go to the Vatican And I realized that golly these things are they're present everywhere You know DaVinci talked about it Galileo Plato all these dudes got and again, of course one of the smartest guys Of all and we all knew that is don't we folks Pythagoras? Isaac Newton said there was God and there was man and in between in between was Pythagoras and Somebody had to tell Pythagoras this because those formulas they had in 666 BC were also in the pyramid from about 10,000 years ago So somebody knows this stuff all I'm trying to do is take a little bit in peace out of these things to see how The markets are actually moving and that's what I'm hoping to do each day as we go through if you have any questions It's eight seven seven nine two seven six six four eight and we'll try to answer them The best we can here today now our guest was supposed to be Bart But I since he hasn't contacted me I'm almost sure that he's just gotten tied up but tomorrow Without doubt we'll have Mike Moore of more analytics and he's been telling us about this for quite a while Is to follow the crude oil and follow the and watch the how the heating oil acts and the heating oil was telling you That this thing was just close to being over and that's what had happened if you follow what we've been talking here You'll see that those things were different We'll be right back eight seven seven nine two seven six six four eight Billy Ray Valentine Kepricorn Steve Rhodes started his trading career as a student almost 20 years ago and the student has now become the master Steve won the prestigious timer of the year award in 2018 and barely missed that mark again in 2019 Finishing at number two for the year an amazing accomplishment Steve Rhodes is committed to sharing his techniques and knowledge with anyone who wants to learn and he shares his vast amount of trading knowledge Every day in his mastering probability newsletter Steve's award-winning newsletter Mastering probability is delivered every trading day with updates throughout the afternoon sign up for Steve's market newsletter mastering probability and you'll receive access to seven of Steve's educational webinars Absolutely free at TFNN all our newsletters come with a 30-day money-back guarantee So you have absolutely nothing to worry about visit TFNN.com and try mastering probability 30 days risk-free today TFNN educating investors Are you ready to take your trading to the next level? Introducing Tom O'Brien's award-winning newsletter market insights your key to successful active trading Tom O'Brien renowned for his expertise in the financial markets has designed market insights To be your daily guide to profitable trades Tom publishes his daily market insights newsletter every market day before the market open along with updates When warranted stay ahead of the game with Tom's real-time analysis and trade recommendations delivered straight to your inbox Whether you're a seasoned trader or just starting out market insights provides the edge You need to navigate the markets with confidence ready to join the ranks of successful traders head over to TFNN.com And subscribe to market insights today Don't miss out on this opportunity to supercharge your trading results market insights comes with a 30-day money-back guarantee for all new subscribers So you have nothing to risk don't miss out on this opportunity to revolutionize your trading game head over to TFNN.com Right now to join the thousands of traders who have already experienced the power of Tom O'Brien's award-winning newsletter market insights firsthand TFNN educating investors TFNN has just launched their new trading room the Tigers end hosted at discord TFNN has been educating traders for more than 20 years with live programming hosted by a variety of professional traders during market hours And now they are expanding their reach with the Tigers stand available to all Tigers and Tigris's for just one dollar for the year There's no catch or added costs when you join our community of traders in the Tigers You can look over the shoulders of Tom O'Brien and the other TFNN hosts while they analyze charts during their live Tiger TV programs and join an interactive trading community with hundreds of members exchanging Ideas interact with other Tigers and Tigris's as they share trading ideas news analysis and discuss the market action all trading day Even at night and on the weekends the Tigers den at discord is accessible on mobile or tablets as well So it's always at your reach to sign up today and become a part of this educational community of traders Just visit the front page of TFNN comm toll-free at 1-877-927-6648 internationally at<PHONE_NUMBER> Okay, folks. Give me one second here I need to let my friends here at see hold on to Al and to give give Bart a call here So give me one second and I'll get this number up here and we'll try to get moving here No, no, by the way, you remember that chart that I just posted the low of the day and that big swing was supposed to be 4434 I think that's been the low so far but chances are it's gonna go lower than that So you don't want to stand in front of that freight train boys and girls. Absolutely not Okay, let's move on here to talk a little bit About one of the other charts that we've been talking about for quite some time And that is the I want to show you the chart on the gold market on a longer-term basis And this is why it's so so very very important now. This happens to be oh, I hope this will post I will get this thing fixed folks. I will get it fixed now whether it's in my lifetime or not I'm not so sure how good. There's the weekly chart. Okay. Now. Remember we got bullish This is the August gold with gold which is spot gold right now. Okay. Now. We're below 1900 Substantially below. Okay. Now that means that we could be looking at an ABCD down here a hundred dollars lower very We don't know for a fact. We're trading in the December gold. I just saw a trade at 29 19 29 And so all we're doing now is to see whether these things are going to hold these levels or not That's that's really the bottom line and that's all we can that's all we can really do is to put the odds in our favor That's what we're really trying to do now. I'm not I'm not long me the stock indices yet. I have Covered all short. I covered my shorts way too early this morning. I covered them when they were at 40 47 I covered the shorts at 44 47 and someone asks. Yes. He's got a problem with one of his Sights or something is from what I understand. So we'll get Jim back on it another time But we will have Mike Moore on tomorrow. But getting back to the S&P, you know If you think you're going to get all the bottoms and all the tops in these markets and not going to happen folks It's just not going to happen.  I'm one of those people that really believe it and so Sometimes it doesn't work as well as I like to see it But other times it certainly does and that's that's the whole key to looking at what we're doing I had a chance to visit with Paula Webb this past weekend and we were talking about some of the things that Mark did and It was really she told me the story right before I'm not going to share it with you But someone had really did a disservice to Mark Mark said he could turn his life around if you were to listen to what Mark told him So Mark worked with him every day for six months With the idea that if the guy made all the money back that he had lost He would get a 20% bonus and it was a lot of money folks. I'm talking seven big ones and He did get it all back and then he said well, that's too much to pay I'll give you 50,000 and Mark said no keep the money and that that then Unfortunately about three weeks later not anything to do with this but Mark had passed away But he died with a nut sweet taste in his mouth Which that guy really worked hard to try to help people, you know He was just he sure helped me. I worked with him for five years And I wouldn't be anywhere near where I am and I'm not Sam where I am is any good But to me it's good, but that's what I try to do each day now today's a big day And that's the reason why is this is the day we've been looking for it's the new moon and new moons You know, they are usually pretty good It's also the anniversary the day the king died folks And I happened to be visiting with my young daughter and she was six years old at the time and I came home From Conti office and she was crying and she had my little bowl of popcorn there and my little glass of Lambrusco that I used to have in the afternoon and she says oh daddy She says someone's died. You're gonna be so sorry and I thought she said oh my god. Is it your sister? She says no dad. She says Elvis is died and that that was August the 16th of 1975 and in August the 16th in 1996 Mark and Paula moved to Tucson to work with me for five years and on that day. It was in the middle of the monsoons and we had a Belly buster and I'm sitting in front of my house with electricity out because I couldn't open the garage door Oh look electricity was gone and lightning struck the tree in front of my house And then it hit the lightning second bolt hit my house It did just under thirty five thousand dollars with the damage with water and all the other stuff But it was really something all the neighbors had to come in and it was raining so much and it filled up the house and we had a sunken living room and It was a mini disaster and you know what I did folks I just gave the key to the Recovery people and said here tell me when it's done and I left I went to California To visit my my daughter and so I stayed in California for about three weeks until it was all done And you know because these physical things look what's going on to line of folks I used to hang out in that place and I have I have two students that live there I have they've since moved away, but man that that place is a it it's unbelievable what I saw I I was shocked all of those bars and shops and everything right under water all gone And boy you stop and think when the good Lord, you know turns the wrong way You better be hoping that you're on the right side because if you don't and if you don't then you're looking at something That's going to be be pretty nasty here. So let's keep in mind. Someone's had a question About the Dow Jones e-mini on the chart that we posted earlier in the week Because I said if the market broke this it would be very very nasty and I'll try to explain why let me get this up here This is the Dow and remember we went for 11 days Shucks going to try it two more times because it's that important of a chart I put it in the newsletter because it was that important and the reason why is because these numbers When they fail and when they fail they're telling you something really big is happening. So let's hopefully this will hold Yes, there it is. You see right up in here folks. That was 10 days down from the high. Okay, and it hit the 382 Four times that was at 50,000. Okay. Now the target on this move down on the ABCD is it? 48,600 48,600 and I don't believe that the Dow Jones has done that yet I haven't checked that the recent prices. Let me let me give me one second to see it No, we're we'll we're still trading at at 44 93. We're almost a hundred points away from that So it's going to be interesting. I would see whether these things actually actually hold up or not those of you that are Efficient autos of the point 382 patterns will be very happy today because we had one in bonds We had one in crude oil. We had one in gold and we had one in soybeans and all of them worked I mean unusual that they did but they did work. So that's what we're really watching today To see how these things are, you know Coming together and we'll have some work to do when we get back from our break here Which is I think coming up here in about 42 seconds again I want to remind you that Mike Moore will be our guest tomorrow He'll go over why we saw this why he saw this move Coming in the crude oil because there was such a divergence between the natural gasoline and also the Arbob gas Arbob gasoline and then also the heating all those were telling you that Something was not right because the crude oil was lagging so badly And we'll get right back after we pay a few bills for TF&N 877 976648 The gold report as a precious metal gold is still king It continues to hold the most effective safe haven and hedging properties across the global major trading hubs of the London OTC market The US futures market and the Shanghai gold exchange the gold report Tom O'Brien publishes his weekly gold report every Monday morning for subscribers Consisting of coverage of the XAU HUI GDX the dollar bonds the South African Rand as well as 25 different mining equities with specific buy-sell recommendations The gold report New subscribers get a 30-day money back guarantee. So you have nothing to risk Subscribe to Tom O'Brien's gold report newsletter now TFNN.com Everything in the universe is governed by the Fibonacci sequence This mathematical principle is responsible for everything from the most aesthetically pleasing artwork to patterns in the stock market To stay on top of stock patterns You can take advantage of sign up for the Fibonacci 24-7 newsletter at TFNN.com when you subscribe You'll get a weekly report from veteran day trader Larry Pezzavento on stocks You need to pay attention to and you can trust Larry's analysis after all He's got 45 years experience as a day trader Larry will also provide daily charts Videos and data on the key markets that he's tracking expect notifications from Larry on market movement You need to act on at any time First-time subscribers also get a 30-day money back guarantee if you're not satisfied Let us know and you'll get a full refund within 30 days of signing up Subscribe to the Fibonacci 24-7 newsletter today TFNN.com educating investors Sharpening your skills as an investor is like getting better at playing a musical instrument You have to practice sure, but you also need excellent instruction from experts at TFNN You'll get advice and guidance from the authority and technical market analysis and it's not just dry tedious text either TFNN airs live financial content streamed live on TFNN.com and TFNN's YouTube channel with Tiger TV Live every market day from 8 30 a.m. To 4 p.m. Eastern for free Each host is an experienced trader and gives their take on the market while taking calls and questions live from around the world From the moment the market opens until the closing bell sounds Tiger TV has eight different shows with expert hosts to help You make the right moves with your money Watch online at TFNN.com or on TFNN's YouTube channel and become the investor you were born to be TFNN educating investors Don't forget you can listen to TFNN live on your mobile device 24 hours per day Go to TFNN.com then hit watch Tiger TV That's TFNN.com then hit watch Tiger TV Okay folks we're back and we have a caller I don't know how he got through but he bus mr. Lucky should buy a lottery ticket today Peter from Park City Pedro How are you doing my friend? Hey Larry, how are you? I have a question for you. It's been one. I've been bugging bugging me And I've been wanting to ask you for a long time before so let's just take a generic scenario the S&P Comes down it breaks through the 3a2 Okay, and let's say it gets down to I'll maybe close to the 5-0 and starts to bounce will you recalibrate from that point and Will I guess I know you will but does that previous 3a2? remain on the charts as upside resistance Yes, it does I leave that on there because you know we all these numbers, you know, they bounce off these That's how these algorithmic traders that put these programs together from MIT and you know all these other places they they know what these numbers are I you know and believe me if you look at their degrees the people that work for Renaissance and De Shaw and some of these other places they have degrees in mathematics astrophysics and stuff like that the astrophysics part is just you know the normal numbers in the universe that we always use you know the square roots of the numbers one two three four and five and The subfibonacci numbers are part of that so three eight two six one eight seven eight six One two seven one six one eight are the ones that I use when I see these numbers I leave them on the charts because they look like magnets many times the key to this whole thing Peter It's so God darn simple I tell it to people every single day and nobody ever listens to me and it's been Three thirty nine hundred shows over seventeen years and folks. I'm going to try it one more time Like Hurley said it's one thing a B equal CD if you think that how important a BCD is today Go to a five-minute chart and look at the a BCD on The price of Treasury bonds today it nailed the exact high at 120 10 and the market dropped a full point just a simple a BCD now there are other things there But that was the thing that triggered it Unfortunately, I got a small piece of it, but you know, that's what I do I get little bits and pieces of things and that's what I try to do leave the numbers on the chart Peter That's all I can tell you that's the key That's your answer that you're looking for we obviously off of the thing we got through that 786 on the S&P on the upside which was like 45 25 and we were all the way up to 46 34 Now that we're below it. Would you see that 45 25 the point seven eight six still is an obstacle As we rebound Yes, it certainly could be yes I just certainly do that now the thing that will tell you that it's not going to be an obstacle Peter is in the thrust if it comes out of there and like it did early this morning Everybody thought oh the bottoms in the bottoms in that's just short covering is all that was early in the morning Lasted an hour and a half and then you see the market roll back over I was involved with crude oil and gold and soybeans So I didn't get any that but I had to have a piece of it Which is small piece, which is okay, but that's what you want to be waiting for is to make sure when you see thrust That's going to be the thing that's going to say. Ah, this is this is for real We haven't seen that to the upside yet today We probably won't with only two and a half hours to go It's going to take a miracle for the market The only way the market will be up today if you see a print in the s&p at the 4450 if you see a 4450 print You do not want to be short, especially after hitting 44 34 So that's what I would be watching real closely But you know, it's hard to buy a market when it's down like this, but it's hard to sell it when it's up to it Yeah, absolutely. No, I appreciate that. I I kind of thought that was the case I will definitely make a point to Yeah, keep those Anytime you want to retest Anytime you want to talk to me you have my number just give me a jingle, but I love having you on the show, too This really helps my Flow of everything and these are the questions that I like to try to answer the folks because there's millions of questions out There on some of this stuff and you try to narrow it down to you know The whole thing is to try not to lose too much. That's the real key Exactly. No, I mean it I I'm a disciple of it. You've all I know that over so many years that You know, this does work and it just takes a little fine tuning and Continual education on it, but I am so grateful for everything you've done. I Can't even put into words. Well, thank you so you just did and thank you very much It means it means a great deal to me, especially on a day like today. It really does. Thank you so much All right. Okay, Peter. Stay safe my friend snow will be coming soon. Be patient Okay, folks, let's move on here and talk about a couple other little things Let me double-check to see what's going on in the markets today. Oh, it's held so far not much going on We got gold down at 1928. That looks like we're gonna have a Sing a triple not a triple digit, but gonna see but that below 1900 probably in the next few weeks So that's the main thing to pay attention to Oh dear my charts are all messed up here. Something's not right, but I'm not gonna worry about that right now That crude oil is now down five dollars a barrel folks from the high that we made here last Monday And I want to bring up the chart here today showing you what we were looking at on white Oh dear now, where did it go? I have it here right in front of me. I Give up. I had it right in front of me and it's disappeared. How can that possibly be? Wow Well, I'm gonna try to find it when we come up to the next break will be at about two minutes But that's the main thing. Let's take a quick look here at this picture in the German Dax because this is a one That could happen and if it does it's gonna be a beautiful You don't necessarily have to trade this but the pattern is what is really important So let me bring this up and this happens to be a German Dax Which is the German stock market and it's going to be showing you the one three five pattern that is Shut the front door, you know, sometimes if I do it twice it will give me the same It'll able it will lock in the second time why I don't know but let's get this up here And we'll be able to see it here Hang in there Forget it. Well, can't do it folks. You have any questions eight seven seven nine two seven six six four eight like I said today's a new moon and That's a very very important bottom at this bottom doesn't hold We're gonna be seeing some pretty serious stuff, but it's actually doing relatively well We're down a little bit the look where we were yesterday. We're down 50 handles You know heading down towards this number and now we're here and you know, nobody's interested in it early this morning They were interested you saw quickly the Dow Jones rally 200 points and gave it all back But that Dow Jones is still not made its target today We made the second one on the in the Nasdaq just a little while ago. We've made the one in the S&P, but the Dow Jones number is 35,000 480 4860 and that is still about 70 80 points away might still get there We might go through all of them that I don't know I'm just watching them one at a time and we'll see what goes on here All right, let me try this last one here. This is from our good friend Rich Anderson. We'll get back from the break here I'm gonna get this thing working so that you can see this comes from one of the smarter minds on Wall Street Ray Dal you at Bridgewater and I want to be able to show this chart to you folks to see you can see what's looking at So stay with us, please eight seven seven nine two seven six six four eight You might think that if you want to be successful at trading in the stock market You're going to need a crystal ball after all it's impossible to predict the future, right? Like any endeavor in life before you decide it's impossible get some advice from the experts You might find that it's not so impossible after all for daily market overviews that give you direction on the key indices Selective stocks and commodities subscribe to the opening call newsletter at TFNN.com the opening call newsletter is written by Basil Chapman Creator of the trading methodology known as the Chapman wave the Chapman wave up-down sequence gives you an edge in identifying price turns Finding the peaks and valleys in stock prices get the opening call newsletter by Basil Chapman and your inbox every day First time subscribers also get a 30-day money back guarantee if you're not satisfied Let us know and you'll get a full refund within 30 days of signing up TFNN.com educating investors Are you ready to take your trading to the next level? Introducing Tom O'Brien's award-winning newsletter market insights your key to successful active trading Tom O'Brien renowned for his expertise in the financial markets has designed market insights to be your daily guide to profitable trades Tom Publishes his daily market insights newsletter every market day before the market open along with updates when warranted stay ahead of the game with Tom's real-time analysis and trade recommendations delivered straight to your inbox whether you're a seasoned trader or just starting out market insights provides The edge you need to navigate the markets with confidence ready to join the ranks of successful traders head over to TFNN.com and subscribe to market insights today Don't miss out on this opportunity to supercharge your trading results Market insights comes with a 30-day money back guarantee for all new subscribers So you have nothing to risk don't miss out on this opportunity to revolutionize your trading game head over to TFNN.com right now to join the thousands of traders who have already experienced the power of Tom O. O'Brien's award-winning newsletter market insights firsthand TFNN educating investors Biotech is booming but for how long whether you think the Biotech bull has room to run or has run its course trade L.A.B.U. or L.A.B.D. directions daily S. and P. Biotech three times bull and bear ETFs visit direction Investments.com slash Biotech today an investor should consider the investment objectives risks charges and expenses of the direction shares carefully before investing The prospectus and summary prospectus contain this and other information about direction shares to obtain a prospectus or summary prospectus Please contact direction shares at<PHONE_NUMBER> The prospectus or summary prospectus should be read carefully before investing an investment in the funds is subject to risk Concluding the possible loss of principle the funds are designed to be utilized only by sophisticated investors such as traders and active investors distributor four-side fund services LLC This program is brought to you by Vista Gold traded on the NYSE American and TSX under the symbol VGZ Okay, folks. I posted a chart from Rich Anderson. He's a very strong believer in Ray Dalio at Bridgewater Research and he sent a 20-minute YouTube video describing this current chart folks I'm going to share it with you, but I will tell you this this does not affect anything that I do in trading Okay, this is a fundamental thing about government deficits and bond insurance Things that I don't understand and I you know, I'm not a rocket scientist, but I have I have three degrees I'm a surgical I'm a scrub surgical scrub nurse. I have a BS degree in pharmacy I've got a master in business and I was from Indiana University, but I will tell you this what I do here is real simple stuff I've worked on it for years. It's simple works for me I don't try to make any don't you know qualms about it or anything like that But I want to show you this because he sent this out in a letter to all of his customers saying that we have big problems ahead of us Because the federal government is in trouble now They have to issue more bonds and they're gonna have to issue bonds at a higher price Because interest rates are higher higher interest rates.  I've ever said other people in this business do that I can't do that. I do I do one thing folks AB equal CD it takes me to the promised land and that promised land has been with me for a long time and That's all I can tell you it just works It's all part of that mantle brought stuff with fractal analysis where the key thing is the lightning bolt and lightning bolt is nothing More than the abcd pattern what rich was trying to send rich re rich reads incessantly he Subscribes to so many services and it's unbelievable and I I met rich in 72 When I was doing was trading through pain Weber and he had just Just started as a kid. He's about 10 years younger than me and of course he comes from a ranching farmery family and Hitchcock South Dakota and basically, you know, they had been in wheat and alcatel grazing and alfalfa and a few other things He got into this business and he became a huge Broker in the business for many years and he became a big money manager and he continues that To this day, but you know when we were listening to the squawk box back in pain Weber And I would make mention something about Fibonacci. He called the office to get my number and say What do you know about this number? You're talking about so I started chatting with him back and forth There were there was no prector book or anything like that There was no books that really had Fibonacci that were related to the market at all other than some of the metaphysical books that we talk About and then all I tried to do is to show him how abcd sort of fits together You know with the stuff one thing at a time and that's what really happened So something like this I bring it to your attention because you don't really know need to know something like this to be successful in the market You you don't know that that's correct. You do just it's not necessary. We don't know So let's keep that in mind as we're looking at these things here today So we'll see what happens at the end of the day how these things finally and go But I want to share one other one that is really important and that it's important to someone in the UK And I wanted to bring it to your attention because here is a pattern that we have and God willing it's going to come up and I have Alan I know you're listening over there and if it doesn't my friend. I'll email it to you But maybe the trade. Oh my goodness the trading out. Look at this folks What you're looking at right here, and this was up today. You can see the guardly pattern forming right here There's just there's your D leg right here. You can see the a bcd. There's your Just a little beyond the 61% retracement you got in there. See at this point You've got three ratios. You've got the a bcd, and then you've got the expansion of this move It's just taking you to 1.618 plus you're at really between a 786 and a six one It looks like in between like a 707 So you've got three numbers that tell you this is where you got to take your shot, you know That that's all you have to do and that's what it looks at But look at the a bcd's on the way down on this thing folks take a look at this There's one right here a b cd, and then you've got the big one a bcd, and you got a little one in between a Bcd, and this is a daily chart now the footsie they do trade it, but it's basically Stocks in London that are domiciled other places in other words a trade on that London stock exchange But they're from Switzerland South Africa Spain all over the world and that's I don't know why they even call it the footsie in fact I've never traded it. I look at the charts because my friend Tom who guard trades it and I keep an eye on it Just to see that the same numbers on the footsie are the same numbers on the s&p So that's what we're that's what we're looking at here as we're going through some of these the Treasury bonds Treasury bonds if you just Listen to the letter that I write each week These Treasury bonds are in big trouble folks interest rates are going to go higher how much higher nobody knows But they do or there are pointed to go higher and the reasoning for that is There's too much debt out there. So the only way they can you know to take care of the debt is to issue more debt They certainly can't pay the darn thing off The only way the government could pay this off would be to sell off assets No, I E the golden Fort Knox if it exists and if they did why would they ever do that or even the land? Look at these areas of land as I was driving across the desert to get into California I was seeing the huge you go miles and miles and miles and it's nothing but government land and So they have a lot of land, but that's not it All they got to do is reduce their spending a little bit and they're going to be a hollow a lot better than that But you know once you elect somebody into an office All they want to do is spend and that's not a good thing to do Let's remind ourselves of that now. We only got another minute or so I believe in this segment so a minute two minutes to go So if you have any questions, you still have time to get in eight seven seven nine two seven six six four eight We did have a question that was emailed in to us this morning and that is about copper We've always talked about, you know, could doctor copper copper's been under a great deal of pressure recently And why not look at gold? We're getting gold is spot gold is under $1,900 folks Considerably below $1,900 December, which is a you know premium because of the the carrying charges and everything is trading at 1929 I think just a little while ago So that's why copper doesn't look that good and then you get news from China that their country-wide Savings or real estate deal is really in trouble. It's getting worse and worse. So we're getting stuff like that I mean, that's one of the reasons why the market is probably as you know sold off a bit today Who knows we'll have to wait and see we did have a little bit of rally off of that bottom We went from 34. We're up to 47 right now with two hours to go. So that's not too bad So it's least just acting pretty good if nothing else and so we'll see if some of these things I haven't told that they Nasdaq has had a pretty good run here. We we made a new low We made that number 49 88 and we're 100 almost 100 hands off the bottom So there's some kind of bottom that is formed in here. So that's the good news Let's hopefully that some of these things will come up and I'll tell you that Dow Jones is acting good We're gonna talk about that when we get back. Okay, hold on If you're looking for potential trading setups in the stock market, then rocket equities and options report is a newsletter You should try Tommy O'Brien delivers options and equity trades when the markets present them using a combination of fundamentals and Technicals sign up for rocket equities and options report today with a 30-day money-back guarantee So you have nothing to risk for all the details and to start your subscription today visit the front page of TFNN comm TFNN educating investors You might think that if you want to be successful at trading in the stock market You're going to need a crystal ball after all it's impossible to predict the future, right? 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That's TFNN.com then hit watch Tiger TV Okay folks I posted a chart of that we were talking about when the Dow Jones broke that 3-8-2 up there at 35,000 and 82 the target on that was 34,867 we got as low as 34,910 That's as low as we got we're trading at 34,990 right now now the number in the S&P was hit perfectly at Fort well so far that doesn't mean a much 44 34 I was that big ABCD It's posted there in the room if you want to take a look at it and then also the NASDAQ which I tried to post and couldn't was just under 15,000 14,980 I believe and it's rallied a hundred handles since that time and that's all this is is a you know It's a rally eight day in the markets been a bit oversold because we've been down We'll be down six or seven days now and we're down a month Well, actually that we topped on the 28th of July in the Dow Jones and here we are On the 16th of August so it's been down three weeks if you go back to look between June and July It was also down three weeks and was also Making an ABCD. So if this market would close strongly today like the S Dow Jones close above 35,100 the S&P like I mentioned close above 4750 that would be a really good sign. They were not too far It's all it's 44 84 right now. So if you can close above 4455 actually is the number we close above 4455 You have a pretty good idea that yes, this might be a major bottom here in the stock market Mainly because of this lunar cycle and all these ABCDs coming together So I hope that helps and we will have Mike Moore as our guest tomorrow You don't want to miss that because if you trade oil or gasoline or heating oil You certainly want to pay attention that young fellow because he has got his finger on the dial Live every day in an attitude of gratitude and may God bless


Well, what's up everybody on the mangoose?  Apologize for the phone video, but we had some big updates coming out of core. Haven't heard anything from core in forever. What they have decided to do, they're no longer going to make a para-zombie. They're going to use their own IP to create their own MOBA, their own third person MOBA. So kind of along the lines of what Phoenix Rising has been doing. We haven't heard a lot from Phoenix Rising either, but I think this is a great decision. They also, in the announcement, it's in their Discord. You can check out their Discord. I'll have that link in the video description below. But what they, they directed people towards Omega and predecessor if they want the Paragon experience, which is kind of cool of them to do that. But they said that they feel they could better serve the community by using their own IP, and they can make a more sustainable game going that. I love this decision. You know, core was the one that kind of split the community a little bit, even though we haven't heard from them in a long time. Now, you know, people that want a, that want that Paragon experience but don't necessarily want a complete recreation of Paragon can go towards core. And that's going to do a lot for, as far as not splitting the community up as much. Just great decision all around. Check it out for yourself on their Discord. But for now, this is the Mangoos signing off. You guys, have a good one.


Here's a question that clover asked on our discord page, and you can go to our discord chat only time you'd like We've got different folders Oops, this Doing good. I hope you're doing well. Also You can come to our chat anytime you want and just type in exclamation mark discord and Link will pop up there. The link will be in the description of this video after it's been loaded up But basically in our personal finance folder in heavy topics clover asked the following question that How interest rates arise and interest rates or is going to affect our current economic system? Interest rates is relation to in to inflation. No interest rates should be In relation to inflation to a certain degree. That's what centralized power likes to do but the way you need to think about interest rates centrally controlled interest rates is Banks capital as power centralized institutions that control monetary policy Okay of a nation Basically used interest rates to manipulate the economy to Social engineer a society Okay, as well as Participating in a crony capitalism where Certain segment of society is able to acquire Cheap money, right? Basically free money helicopter money. Some people call it or whatever it is just drop money Basically can get money at no cost and then they can take that money Okay, take that currency and put it into systems where they make Interest or at least higher interest then How much is costing them to get the money, right? So let me give you let's clarify that for a second, right? So interest rates right now function like this you have a central body That decides what the interest rates going to be Okay, this central body is controlled by banks There are different types of banks, but in general banks control this body, right? so these groups of People that are sitting on the boards of directors and a lot of large corporations and stuff like this Control the central body. Let's call this the Fed. Let's call the Federal Reserve Bank And these are privately owned institutions, right? Now. There is such a thing called government here go It's a little thing over there. No one pays it attention because the original definition of government was By the people for the people but it's not really This is this this thing here that runs a nation is basically controlled by these people here Right, so these people here control the monetary policy of this nation, right? and What happens is they set the interest rate and the interest rate basically Is the control of money, right? Yeah, I couldn't find a question here. I think it's on our discord. I looked up But basically you wanted to know how interest rate will affect our society, right? That's what we're talking about here, right? So these private institutions right control the monetary policy of a nation and that basically means How much money is in the system, right? They control the interest. So when there's low interest Other institutions, whatever these institutions might be Okay, some of them are banks Banks some of them are companies Some of them are just institutions. Some of them are people Some of them are this some of them are that they're just different Whatever is in the economy really that gets the first pick The money goes towards these guys Right, whatever the interest rate is going to be now There's a lot of people that are controlling these companies, right? Tech companies Tech companies, right? Wall Street Wall Street, right? There's a lot of people that are sitting on the board of directors of these companies or own these companies that are also On the board of directors and have stakes in these Banks that control the interest rates and vice versa. A lot of people here have Stake in all of these companies, right? So what happens is these guys decide the interest rate of a nation and that Decides how much money is going to be pumped into the system? And when the interest rates are really low, whatever they may be These people, well, whatever the interest rate might be These people get first dibs at whatever interest they're collecting, right? And then these people These might be the banks might be private investment funds or whatnot. These people filter out the money Or these institutions filter out the money into the general economy Right? me and you in terms of inflation in terms of debt Right? Hey, this problem isn't a place for this, but I unfortunately slept in and missed the live stream this morning I was planning on asking you about inflation. Oh, there it is. That's right. That's the question Oh, God. Awesome. So this was the question that was posted on our discord I was planning on asking you about inflation and the Bank of Canada planning on raising interest rates What what your opinion on all of that was and how our raising interest rate will help as they say combat inflation but What else that could affect if it's too much to type let me know Maybe I'll try to ask you next live stream so we can get your response in a video format. Awesome Hope that's so that's the one out of God. Awesome. Yeah, that's it Sorry, I stepped away and I couldn't control no problem clover. Thank you very much. I'll go for tracking it down Okay so recap These private institutions really control the Federal Reserve that is supposed to represent the government which is supposed to be a body centralized body put to put there By the people for the people but it's not because this doesn't have really have too much say regarding What the Fed does because the Fed is mainly controlled by these private institutions and organizations these guys control the money flow into the system by manipulating the interest rate, okay, and the institutions people Organizations that get first dibs on the amount of money when the money is coming out or who's being flooded with money Right because these people have a lot of debt as well So what they can do is sell the debt to the Fed right the Fed buys their crap junk, right? And then these people Their wealth goes up, right because they're getting cheap money And then they filter out the money to the people who are supposed to control the government, but they don't right these people Flood the money or pass on the money to the people, right? Now guess what? Whatever interest these guys are getting this money at This interest rate is much higher, right? So for example right now we take an extreme example if we take an extreme example Fed's fund rate. I don't know what it is in Europe. It's negative, right? Negative, right? But let's assume it's 1% right now That the Federal Reserve is making money available to these institutions, right? well The amounts the the money that these people can get From these institutions the interest rate varies depending on how good your credit is and which Institution you're dealing with, right? So the best interest The lowest interest that any of these people will ever get a chance To get money at would be their mortgage because there's Back securities on that, right?  I don't know what they are. We're not carrying mortgage, right? We don't do mortgage, right? Anywhere between let's say if you're lucky if you're absolutely lucky probably 4% 4% and if you're dealing with credit card companies, you're paying close to 28% interest, right? These institutions get interest at 1% If not lower and they give it to the people at anywhere between 4 to 28% that's a nice scam Right? One reason is to scam because these institutions are usually too big to fail So if they loan out a ton of money because there's people working here, right? There's a little little bankers and money managers and stuff working here and a lot of them Don't just make a certain set salary right their Income is also dependent on how much money they lend out, right? so they take a little cream off the top for Certain amount of money that they lend out. Okay, so there's Lots of hands in the cookie jar. They're taking scraping a little off here scraping a little off here, right? The burden falls on the people That's a huge differential There are trillions of dollars being made here, especially when you consider 40% of the money supply in the United States All time for the last 100 years was released At least 50 years was released in 2020 For 2020 2020 2021 40% of all the money out there was just released Flood pipe into here, right stocks went up land went up Inflation so what this does This thing here the flooding of the money Creates inflation. Let's put inflation here Inflation in the United States and Canada as well the accepted inflation, right? Let's read some of the banks bank get money from the bank Let's read some of the banks bank get money from the government and from regular citizens from opening account Yeah, the regular citizen opening counts This is trickle of the money they get the regular citizen opening up an account in a bank of a hundred dollars allows the bank because through fractional reserve banking to lend out at least a hundred times that amount right so Private citizens opening up bank accounts in banks is only anywhere between 1 to 10% of the actual money If that that the banks are able to play with right because these guys just print money right I hear from this former investment banker that banks profits 80% of trades they make yeah They basically never lose it's great. They do but if they lose They just hit up the government and government through the Fed just gives them a shitload of money free money right bails them out right So they're too big to fail. They make risky bets there. There's no doubt banks lose money right or they can lose money, but There's no repercussions for them. They get more money From these guys, right? Did you know that percentages are reversible 16% of 25 is the same thing as 25% of 16 25 is it I do the calculations all the time. I don't try to memorize it Yeah, because of distributive property distributive property. Yeah Yeah, yeah Ronnie cool. Thanks Joe. I like that. I gotta remember that All right, so check this out inflation in the United States right now because that's the one I'm tracking is running at 6 7% 6% and That's accepted to 7% inflation CPI consumer price index right It's much more than that by the way, it's into the double digits easy easy It's running anywhere between 15 to 25 percent. Okay What that does what this does right? makes this Mean that it's crazy free money Right because if you're getting money at 1% you could put it anywhere anywhere. I don't care where All right, and you're gonna make money because inflation is 6 to 7 percent Right investment wise anyway, right? So you could buy assets right you could buy assets and You're making money, right? Now the problem is Joe blow here That's the official they're recognizing this is the bank rate or the The interest rate for the Fed for in the institutions now if you take your money and put it into a bank, right? Savings account Savings account If you put your money into a savings account at best you're getting like 0.5 percent interest So just imagine You want to save money? You don't want to take any risk. Is that the primary? I it's it's gotta be like around 1%. I think it's around 1% depending. I'm taking an average like Your country wherever you are Figure out what the prime rate is right now, right? As far as I see a prime rates negative in many places, right? They're They're charging people Money if you put your money in a bank savings account They don't you have to pay the bank money to put money in the bank. It's crazy in Canada is 0.25 isn't They say it's going up to 7.5 End of year. Yeah, it's gonna go up like a lot of people saying they can't raise raise the interest rates because a lot of Institutions will go bankrupt and a lot of people will go bankrupt because they can't afford a Kick up an interest rates, right? Because everyone's mortgaged out Margin out to the max right margin debt right now or debt right now in Canada is The most it's ever been Right, so just imagine raising the interest rate from point to five 0.25 0.25% to 1.75% What is that going to do what is that going to do to people, right? People have mortgages at 4% right if Prime rate goes for 1% or point in Canada 0.25% To 7.1 or 1.75% What that's going to do is gonna kick up the interest that People are gonna have to pay on their debt right But these people here are Leveraged they they're maxed out Right. They're highest debt in Canadian history on Canadian citizens, right? So we're gonna get the extra money to pay this debt because that's gonna kick up, right? If this is going up by how many times? 0.5 is one time 0.75 is two times three times four times five times six times 67 times 0.25, right? It's gonna bankrupt people. There's gonna be F-sus, we need F-sus idea. Oh, yeah from Mr. Robot.  Now the their idea of raising interest rates is to calm inflation Right because they're saying oh, we're gonna raise interest rates. So what that's going to do is is stabilize inflation which is basically make things not increase in value or cost as much, right? So a Jar of honey that you're paying for, you know, if you're buying it for ten dollars, let's say If you're paying six to seven percent by the way, this was per month basis last month was seven percent in the United States I forget what it was in Canada. Okay, that's huge That's annual comes out to ridiculous amount, right? But if you're paying for Jar of honey ten dollars last year Right now it's probably you're paying around $15, right? If you raise the interest rates, their hope is that next year it's not gonna go up to 2250 or whatever it is, right? It'll stabilize around $15 or maybe go up to $16. So even though you're gonna be paying more interest in your debt you're gonna stabilize or Control inflation, so you're not paying as much for certain things, right? Let me just start a season to the reset looks like in me Okay, so That's one of the effects of inflation Stabilizing prices, which to a certain degree is good It will increase savings account interest that people get to a certain degree. It's good. Okay It will devastate those who are in debt, which is pretty bad Right, but one thing it will do it was it will help out these people make a shit little tons more money Why because these people here are sitting on a lot of assets a lot of capital Okay, as long as they're not Leveraged right and they control the money supply and they get first dibs at the money Right the differential that they're getting money at relative to what the general population gets money at is huge Right, so when these people start going bankrupt These people buy these institutions buy out that stuff, which is something we've seen in the past and it's happening right now, too They buy out all these assets, right? So for example lockdowns and what's happened to the economy in the last two years a lot of mom and pop shops are closing their doors Right a lot of private business is closing their doors And what's happening the business that the people were spending in their community the money that they were spending in their community is Going into these these institutions so these institutions are getting bigger and bigger and bigger and bigger Right and who are these institutions these institutions are the same people that control these guys right sit on the board of directors like black rock right black Rock they own shares and a lot of these companies, right? So they control these they control the money supply so wealth stays here Right wealth stays here The burden is carried here Right the burden is carried here That's what happens when centralized institutions use interest rates To control the economy of a nation or a region or the globe right it centralizes wealth because People here don't have any control of this right of the fiat currency Of this right however however right now systems are changing Where there are alternative ways of doing business inside here that severs This link Right, let's use red to do this right severs this link and says We don't need your fiat We got our own currencies Barter system cryptocurrencies different types of assets And this becomes a self contained economy Okay outside of The centralized power That is what we need right that's how people obtain their freedom Right Without being without being under the control Of interest rate manipulation, right? This could be gold silver Commodities cryptocurrencies collectibles collectibles Value your your personal Services you provide to people in here, right? And what is what is the key to for these people to Maintain their freedom, right to not become slaves to the system and really this is huge huge huge the people We have to make sure that Currency does not become 100% digital We cannot buy into essentialized digital Currency, okay, we have to make sure that cash Privacy right cash is always an option in an economy We have to make sure that every transaction does not go through the their system Right because if every transaction goes through their system, they can They can do whatever they want to your wealth anything they want to your wealth including seizing it Right digital currency our god says digital currency is slavery Right 100% digital currency is slavery Okay You need to we need to make sure that for us to be free Cash is always an option in a society I hope that's sort of a Gives you an idea of how interest rates are going to play out in this thing Sun clover That seems like a familiar pattern. Isn't that what happened during the great depression? The masses suffered and the rich bought everything up. Yeah, and that's happened in 2008 the financial collapse scam as well, right? Red cross decentralization. Oh my god, Ronnie if currency becomes digital there will be An entity that's going to have an easier time to track all of our transactions I think yeah the thing about digital is it leaves a trail it leaves a trail And they can turn it on and off anytime they want right? Oh, you didn't do what the central institution Told you to do well, you don't have access to your bank account Right oops It's pure slavery Right Yeah, that was fantastic. Thank you brother. My pleasure sun clover I hope and we could talk talk a lot about this later on and we can definitely bring in some numbers to take a look at the CPI We did the stuff in our personal finance videos by the way, right and if anybody wants to know you can go to our A censored tube channel and we have a personal finance playlist and the first eight videos are so sort of lay down A lot of the things that we talked about but a lot more detail and we're using examples especially the CPI and inflation and investments and stuff Gordo one two three. Thank you. I learned a lot in a short amount of time. Awesome. Very happy. Thank you for being here Ronny technology is always evolving. I think blockchain will become Archaic one day. Yeah, agreed. I agree clover funny. You mentioned 2008 That's around the time bank of canada lowered the rate to what it is right now. Yeah It would they flooded they flood they gave their people So much money So much I wrote a lot of articles during that time talking about what was going on And talked about the collapse that was coming in 2000. I started articles writing articles about that in 2006 and 2007 I put pieces together warning people that there was going to be a serious serious crash in the system Year and a half two two two a year in a year Preview Pre-crash, right? There's there's a lot of people that messaged me and said I saved them a lot of money Because they gave them a warning about what was was about to happen, right? Just got to follow the money if you see what's going on Hello on the snake the biggest flaw I see about digital currency is that if if the electric grid goes down How are people going to trade with the digital currency? The government can easily Do that to render us broke instantly indeed. Hello on the snake and look into cyber polygon Right that is definitely something in the works Blank 1 0 2 2. Thank you very much for twitch prime sub 15 minute warning. Wow. Wow. Wow This was a good live stream Right on right on mathematics Right on right on mathematics great questions by the way gang Uh fun times fun times. I hope you enjoyed the discussion Um fun to do we did a couple of physics questions and some economics It's fantastic math and real life. That is what is needed Gang thank you for uh being here Thank you for the follows. Thank you for subscribing For those of you that are subscribed. Thank you for the questions. Thank you for the discussion mods. Thank you for taking care of business


you as a doctor give hope and health to many each day there are many more to give hope and health to and with fuji film we are doing that together so chest x-ray behavior integrating full inspiration we will now see the cellopes so the cardiac cellope border is formed mainly by the right atrium superiorly there is a contribution of the superior vena cava and inferiorly there is contribution from the inferior vena cava while the left heart border is basically formed by the left ventricle with a superior contribution of the aortic knuckle and a small in concavity formed by the known as the pulmonary bay formed by the main pulmonary trunk the left ventricle forms the left heart border including the apex while the base of the heart is formed by the right ventricle in lateral projection if you see the anterior cellot is mainly contribution of the right heart border inferiorly by the right ventricle and superiorly by the right atrium while posteriorly it's mainly by the left chambers superiorly by the left atrium and inferiorly by the left ventricle you can see the left bronchus just posterior to the left atrium now talking of a circularity changes before birth at neonatal the deoxyne blood is carried by the two umbilical arteries to placenta for oxygenation the oxygenate blood from the placenta is carried by a single large umbilical vein through the ductus venousis which shunts the blood into two circuits the inferior vena cava circuit and the portal venous circuit from the portal venous system it again entered the inferior vena cava through the hepatic veins as it goes to the right atrium it is guarded by a instruction valve which is directs this uh oxygenate blood to the inter ethyl septum in the region of foramen oval it is the flat communication between the right atrium and the right left atrium and it goes the oxygenate blood goes from the right atrium to the left atrium from the left atrium it goes to the left ventricle and it makes it wait to the aorta for systemic circulation to supply through its branches the coronary artery and the carotid and the inamen artery for the further development for the brain and the myocardium the deoxyne blood or the desaturated blood from the right atrium also reaches the right ventricle and goes the through the pulmonary circuit to the pulmonary circulation but the pulmonary arterials are in a state of severe vasoconstriction anoxic vasoconstriction in a state of fetal physiological pulmonary arterial hypertension and they don't participate in oxygenation so the deoxyne blood is shunted to the ductus arteriosis to the descending thoracic aorta from which fervor in it is again connected by the umbilical arteries from oxygenation which makes it wait to the placenta at birth what happens is this there is as the placenta is shaded its sole supply of oxygenation there is fall in the pulmonary arterial pressure as there is fall in the pulmonary arterial pressure the pulmonary arterioles are now relatively participate in oxygenation so the desaturated blood from the right ventricle goes to the pulmonary circuit through the pulmonary artery for oxygenation the oxygenated blood reaches the left atrium through the pulmonary veins and there is a rise in pressure in the left atrium and that forces the ferment over to close from the left atrium it goes to the left ventricle makes it wait to the aorta for systemic circulation the desaturated blood from the right ventricle no longer goes to the ductus arteriosis to the descending thoracic aorta rather it makes most of them makes it wait to the pulmonary circulation so the ductus arteriosis also closes from a ligament arteriosome so the resultant is this that we have got two independent circuits the right heart and the left heart connected by pulmonary circulation giving a figure of eight pattern the primitive cardiac tube the fetal cardiac tube is a small tube but fixed at both ends it can consist of five dilatations the sinus venous dilatation the common primitive atrium the common primitive ventricle the bulbous cordies and the most cranial the common truncus arteriosis they are fixed and either the both ends actually but it's a fast developing tube so it is bound to rotate loop and twist the in common fetus it goes for dextro rotation or dextro loop the dextro looping is also seen in uncorrected transposition of great arteries while the lever loop is seen in corrected transposition of great arteries in normal population the cardiac tube rotates in such a way making the right ventricle the most anterior chamber and the left atrium the most posterior chamber the left ventricle forming the most of the left heart border and the right atrium forming the most of the right heart border so in this lecture we'll be seeing the asinotic heart disease of the congenital heart spectrum the left to right shunt the right heart obstruction and the left heart obstruction in the cyanotic spectrum we'll be seeing the tricuspid atresia the tetralogy of phallus the pulmonary arteriolar obstruction that is the isomagnetic reaction the uncorrected transposition of great arteries the total anomalous pulmonary venous drainage and the persistent common truncus arteriosus and in other spectrum we'll see the transposition of great arteries again which here we'll deal again with the corrected transposition of the great arteries the right heart abnormalities like the epsin's anomaly and accurate pulmonary heart disease like the rheumatic mitral pulmonary disease the most commonest one so we go to the ASD in ASD we see that the cardiac appears enlarged involving the right atrium and the ventricle and the heart is mildly displaced to the left there is enlargement of the main pulmonary artery with variable degrees of pulmonary pithora the costophenic septal edema is manifested as curly b-lines now you can see in chest p-radigra so we can see the enlarged cardiac this cardiomegaly with enlarged right atrial chambers and the ventricle chambers that is dilated pulmonary arteries the main pulmonary artery which I saw which we saw already forming the flow of the pulmonary bay is dilated and there is dilatation of the central lower segmental as well as peripheral pulmonary arteries with dilated right heart chamber and most importantly you rounded upward cardiac apex so talking about ASD there are three types of ASD the commonest type is the ostium secondum defect which is seen in 85 percent of the population the second type is the endocardial cushion defect seen in 10 percent of the population it is again divided into septum primum and the severe type is the persistent artery of ventricle canal defect the third type the least commonest type is the sinus venousus defect so in septum ostium primum defect the endocardial cushion defect is the milder variety the more severe variety as I told you it's a persistent atrial ventricle canal defect in this septum ostium primum defect what happens there is a misplaced often there is a misplaced mitral valve so this is a four-year-old boy this is a frontal left ventricular cardiogram showing the left ventricle with a distorted upper right lateral border of the left ventricle because of this misplaced mitral valve and the anterior left ventricle goes on to attach to the crista of the intravendicular spectrum giving rise to goo's neck deformity of the left ventricle so what happens is this is the head the rigid end flow because of this mild position mitral valve goes on the rigid end flow not only goes not it does not go to the left atrium but it goes to the right ventricle forming a goo's neck deformity one year later after this is a postoperative film all one year later when the left angiogram ventricular angiogram begin was done we see that the all the cardiac chambers here which was enlarged before has reduced in size you can see the prostatic mitral valve here in its characteristic location but the goo's neck deformity of the left ventricle still persists. Coming talking of ventricular septal defect this is the commonest of the conical anomalies occurring in isolation or as a essential component of the failure technology or a concomitant of any other cardiac anomalies like transposition of great arteries the radiographic features are the there is enlargement enlarged heart proportional to volume overload there is enlarged pulmonary arteries and in proportion to increased pulmonary blood flow to note unless the left atrium is noticeably enlarged it is very it is not possible and very difficult to differentiate the cardiac shape from ASD. So what we see here in this frontal radiograph chest x-ray we can see a dilated heart there is cadaomegaly and there is dilated pulmonary arteries there is pulmonary prithora is as well the right heart chamber is enlarged there is a convex right heart border and here what we see because of the cardiac size enlargement right right heart border enlargement we can see the retrospermorphilium and more increased contact with the sternum so this is the right ventricle enlarged right ventricle this is the right atrium the left atrium is also enlarged because we can see the left bronchus is displaced posteriorly so there is dilated left atrium and also the dilated right heart chamber. Talking of PDA the persistence of pregnancy of the doctor's results in varied manifestation being isolation or in association with VSD or co-op patient of aorta now what is this PDA it is a short conical tubular connection without faults linking the concavity of the aortic arch immediately below the origin of the left subclavian artery to the upper aspect of the main pulmonary artery at its bifurcation. The radiographic features are there is filling of the normal angle between the aortic arch and the main pulmonary artery the central pulmonary artery and the lower arteries enlarges but the segmental arteries are not as large as in ASD so we can see a vivid pulmonary plethora the enlarged lung and the dilated left main pulmonary artery which is forming the pulmonary bay here it should be concavity but we can see a prominent pulmonary bridge so speaks of dilated main pulmonary trunk. Pulmonary valuable stenosis right ventricular hypertrophy consistent with the degrees of stenosis right ventricular dilation does not occur until the right ventricular failure develops to note post-tenotic dilation of the main pulmonary trunk usually extend into the left pulmonary artery not but not into the right pulmonary artery the radiographic features are large left high lung smaller than normal right high lung mildly enlarged heart with RV apex configuration a flattened apex raised above the diaphragm right HM may cause prominent convex right head border a right sided aortic arch in pulmonary venous stenosis usually implies an associated VSD so we can see the heart here is not that enlarged but there is dilated main pulmonary trunk but here it is not extending to the left main pulmonary artery rather the lungs are mildly oligemic it is because because here Eisenmengert's reaction is already taken in and there is reversal of the sun from the left to right from right to left so the heart is not that enlarged oligemia has set in but the main pulmonary trunk is still dilated because of post-tenotic dilation. Coming talking of co-optation of aorta it is an abnormality of aortic media presents as a disc in this discrete folding in the post-relatal wall of the aorta at the level of the legamentum or ductus arteriosus. The resultant present shape membrane causes obstruction to the flow forward flow just to the ductus appropriately termed as post ductal or adult co-optation when the membrane is proximal to the ductus in early life it is known as pre ductal or infantile co-optation. The post co-optation dilation or the proximal descending aorta significant co-optation impairs blood flow into the descending thoracic aorta resisting the presence of co-optals to re-establish the blood flow. The intercostal arteries play a major collateral role resulting in rib notching in the inferior margin of the posterior ribs extending from third to eighth rib in untreated patients usually by eight to ten years of age so we will see a high aortic arch in the left border of the posterior proximal descending thoracic aorta giving rise to the sign of three a rib notching inferior aspect unilateral or bilateral as the case may be. As the case may be suggested there is an aberrant right subclavian artery so it will act as a collateral and if it inserts distal to the co-optation and then in that case the rib notching will be on the left side. If the left subclavian artery inserts distal to the co-optation it may well serve as the co-laterals then in that case there will be only left sided rib notching. So here we can see a frontal chest radiograph with high aortic arch with a indentation or duration and aortic medial duration here and there is a posterior aortic dilatation giving rise to a sign of three. We can see also see the subtle rib notching here in the posterior ribs inferior margin and the co-optals pulsating and the engorged co-laterals are responsible for this the co-laterals which participates in this rib notching are the anterior spinal lateral thoracic internal memory epigastric arteries. So this is an MR angiogram societal section showing the co-optation and internal memory arteries are serving as co-laterals. Tertilogy of phallus a major cause of sciatic heart disease maldevelopment of the cunotrachal symptom is responsible for the development of the four cardinal features that is the right ventricular hypertrophy, a large subaerotic VSD, an overriding of the aortic margin over the VSD and pulmonary vulvular stenosis. If the VSD is absent the overriding is also usually absent with a fifth entity coming into play that is the ASD and that time it is known as the trilogy of phallus. If all these four cardinal features are present along with ASD it is known as Tertilogy of phallus. So the classic wood shape that there is the core and suba is attributed to the deep concavity pulmonary vein and elevation from the diaphragm of a well rounded cardiac apex. So we can see here the right side of the aortic arch there is cardiomegaly there is deep concave pulmonary vein there is an elevated upturned cardiac apex and oligemic lung fills giving rise to a core and suba or a wood shaped heart the signatory of Tertilogy of phallus. This is an cardiac amount oblique short axis view showing the right ventricular hypertrophy and you can see outer overriding the both the right ventricular outflow tract as well as the left ventricular outflow tract. A large subaerotic VSD is also vivid here. CT angiogram shows a classic pulmonary vulva stenosis with post stenotic dilatation of the right pulmonary artery and the left pulmonary artery. Tracheotracia right heart border tends to be flat rather than convex heart lines slightly more than towards the midline than normal. The pulmonary brain is markedly concave main pulmonary trunk and the higher artery are much smaller than normal in the pulmonary oligamy. So we can see a flat right heart border which is caused by the right atrium but the right atrium is larger in size but it is not vivid here because it goes to take the place of a small right ventricular. So it is pushed medially and hence the flattening of the right heart border that is cardiomegaly and there is the oligemic lung fills virtually a classic of tricuspid atreus here. Now we will talk of Isomagros reaction pulmonary arterial obstruction. It is an important hemodynamic response to a large left to right shunt that I have already talked to you in pulmonary venous stenosis fortunately becoming much less frequent due to great success in surgical closure of the cardiac anaerotic shunts. So what we are seeing here we are seeing a dilated simple pulmonary arterials the main pulmonary trunk, the central pulmonary arteries and also the lower and the segmental arteries but the peripheral arterials are not that dilated that is because the reactive pulmonary arterial sclerosis had sets in and the shunt is reduced that is the left to right shunt is reduced and ultimately it is reversed and the heart size comes to normal. Now we will talk of total anomalous pulmonary venous trend. The more frequent variant of complete mixing of the systemic and pulmonary venous return to heart when all the pulmonary veins went directly or indirectly to the right atrium. Supracardic drainage of the pulmonary veins is the most common frequent pattern of total anomalous pulmonary venous drainage draining into the left inaminated vein. Enlarged supracardic veins alongside the enlarged pulmonary artery are contributed to the altered cardiac cellul and pulmonary plethora. Enlarged heart is due to enlarged right atrium and ventricle along with the bilateral convexity of the enlarged superior menostral cellul giving rise to snowman's figure of eight or cottage loaf of red heart which Dr. Jain has already shown me. So we will see the same x-ray giving rise to a figure of eight atmases on the heart cardiomegaly is there but a concurrent pulmonary venous stenosis is also occurring here killing a pulmonary oligamine. So what happens is this the right and left pulmonary vein they join behind the left atrium form an anomalous vertical vein which traverses and takes the left superior menostral cellul joints underneath the left inaminated vein which in turns drain into the superior vena cava. The superior vena cava is dilated and engorged which in turn drains into the right atrium causing a dilated right superior menostral cellul. The right atrium is engorged and dilated which in turn drains into the right ventricle. So the resulting picture you are getting an enlarged superior menostral cellul on either side one due to the pulmonary and anomalous vein another secondary to the engorged and dilated superior vena cava. Here there is again dilated contour because of the right atrium enlargement giving rise to a typically snowman appearance or a figure of heart appearance. Talking of persistent common truncus arteriosus a common truncus arteriosus arises collecting the total outflow from both the ventricles and invariable association is high VSD above which the truncus arises. The intercardic mixing of the blood flow results in synopsis. Enlarged heart with biventricular enlargement is the feature deep concave pulmonary bay with small hyla a rounded cardiac apex and elevated well above the diaphragm giving rise to a sitting duck appearance. So in persistent common truncus arteriosus what you see we see a enlarged heart with a deep concave pulmonary bay a rounded elevated apex small hyla and the truncal arch is on the right side a concurrent pulmonary venous stenosis is also occurring here giving rise to oligemic lung fills and ultimately the feature is this sitting duck appearance which is signatory of the persistent common truncus arteriosus. Uncorrected transposition of great arteries here that is by ventricular ventricle arterial discordance meaning right ventricle giving rise to aorta and left ventricle giving rise to pulmonary artery. Rest the systemic veins the pulmonary veins the right and the right ventricle and the right atrium left atrium on the left ventricle appears normal that is that is venous atrial concoctins and atrioventricular concoctins. This hemodynamic situation is not at all compatible with postnatal life as no oxygen will reach the aorta and the neonate will die immediately after birth. So shunt has to be established from right to left and left to right and should be established at equal volume and in all levels that is this is the normal circulation but the vena cava comes from the reaches the right atrium blood from the right atrium most right ventricle to the pulmonary circuit comes oxygenate blood to the pulmonary veins from the left atrium to the left ventricle ultimately makes it way to the aorta to systemic circulation. What happens in this incorrect position since the right ventricular ventricle gives rise to the aorta so the oxygenate blood never reaches the aorta while here the pulmonary veins reaches the left atrium goes to the left ventricle and goes to the pulmonary circuit again it is not compatible with life. So shunt has to be established either at the ductile level or at the ventricular level or at the atrial level and they should be equal and opposite. The right heart border is usually more convex and prominent than the normal due to enlargement of the right atrium. This produces an on-frontal projection a globular heart like in to an egg on its side or egg on string appearance. The superior media strand is narrow in frontal projection and wide on lateral view as both the ascending aorta anteriorly and the pulmonary artery posteriorly tend to be lie on the same midline. The pulmonary trunk here arises from the left ventricle and takes origin in the midline behind the ascending aorta and within the concavity of the aortic arch. So the it does not participate in border forming and so the highlight are hidden in the media stina instead of contributing prominent to the highlight as in normal anatomy. So here in frontal radiograph we see a lobulated a wide heart with enlarged lobulated contour of the right heart border secondary to enlarged right atrium. We can also see the narrowing of the superior media stina and we can see a bit oligomic lung fills like in to a egg on string or a egg lying on its side heart. Talking of corrected transposition of great arteries the abnormal circulation of uncorrected transposition of great arteries that is ventricular arterial discordance is corrected by a second development anomaly atrioventricular discordance. The atrioventricular discordance is due to displacement of the right ventricle to the left of left ventricle. This coronal position of two ventricles is termed as inversion of the ventricles. So what happens here from the blood from the vena cava reaches the right atrium of leoxynate blood it goes to the left ventricle from there it goes to the pulmonary artery. The pulmonary veins reaches the left atrium from there it goes to the right ventricle and it goes to the aorta. So purpose of life is established and it is compatible in real life because oxynated blood reaches the systemic circulation. Position of the ascending aorta is the take-home message here forming the slightly convex right border of the superior medial stymium forming a long convexity along the upper portion of the left cardiac border to reach the aortic arch which lies to the left of the trachea anomalous lungs usually plethora. So if you can see the cardiomegaly here in this frontal radiograph we can appreciate also a long convex border in the upper cardiac border formed by the ascending arch which is arising here and it goes to the to meet the aortic arch which lies left of the trachea forming a classic appearance of a corrected transposition of the great arteries. Talking of abstinence anomaly the septal and the posterior leaflets of the tricuspid valve are attached to the wall of the middle of the right ventricular chamber instead of the tricuspid ring at the atrium ventricular junction. Hence the proximal portion of the right cavity is atrialized. So what happens here we are seeing a enlarged glomular heart with narrow vascular pedicle and pulmonary oligene. High curved left heart border and squared apex is the hallmark of this condition producing a box shaped or a squared heart. In lateral projection there will be increased contact with the sternum and a very sharply defined almost etched cardiac outline due to reduced cardiac pulsation is the feature. So we can see our typically a box shaped heart glomular heart with sharp etched margin due to reduced cardiac pulsation and since there is utilization of the proximal right ventricle so only the distal right ventricle only can contract and there is since there is impeded ventricular contraction the there is stasis here giving rise to a box shaped heart and there is narrow vascular pedicle as well. Talking of acquired right vascular heart vascular disease that's a rheumatic vascular disease is the calmness there is selective left atrial enlargement with particular affection of the left atrial appendage. The chronology of events here the simple strengthening of the left heart border to very bulge in the characteristic characteristic side of the left atrial appendage to enlargement of the left atrium to the right. So what we see in this frontal radiograph we can see the left atrial appendage has there is enlargement there is a double contour of the heart right heart because of the left atrial chamber has dilate or enlarge to the right there is this playing of the carina and if you see nicely there is upper lower venous diversion which is the hallmark of rheumatic vascular vascular disease. Yet in another patient this is a postoperative case so where this picks up volume overdo it because of this hydrostatic pulmonary edema there is confined assina sharing in both lungs and also along with this there is the prominence of the left atrial appendage which is picks up rheumatic vascular disease.


At the meantime, adopting the use of information, communication technology, ICT, to deepen professionalism, proficient service delivery and civil service have been emphasised. These, among others, formed their discourse at the South West Heads of Service Summit held in Acuraeos State Capital. The third time had come to channel efforts towards effective resource management in line with best global practises. The taking civil service in the digital world will no doubt rub off on our 20 public services positively. The time has however come for the public service to share the tug of mere dosage machine of government pushing subject files back and forth. This addition's theme, the thinking civil service in the digital world is fitting as it builds on the deliberations of the previous edition which focussed on deepening professionalism in the civil service particularly through the delivery of quality and efficient goods and services to citizens and residents alike. In the present global digital era, productivity has been greatly enhanced by ICT in all aspects of human endeavor. The time has come, therefore, for the public service in the South West to migrate fully, not partially, from analogue or semi-analogue approach to full digitalisation of its activities. Thank you very much.