36 Burst results for "Stroke"
Fresh update on "stroke" discussed on Jason and Alexis
"Nothing but the best our favorite moments from last week's shows on my talk one of 71. That's up process. Let's talk about success. Let's talk about Let's talk about sex. And now to the people at home or in the crowd. It keeps coming up anyhow. Alright, we're going to start. We're gonna start with the P s A and A P s a Um okay. What is he gonna What? What is this? Don't have sex. No excite in this weather. No, we're taking joke. Choke Israel! Oh, whoa. Hey, you can give us a little more stroke. Joking. Oh, my gosh. Well, okay. This is it. Yeah, I know. So, um this this would be very high and a terrible way to die. A Japanese man just made it into a medical journal after You know, pleasuring masturbating so much. He gave himself an actual stroke. He was 51. He was single. He was in the habit of plain spank the monkey several times a day. His doctors knew he was right handed. For some reason, and he was finishing up a session of self love for the 17th time that day when he had 17 times. I just threw that in for flavor for flavor. He suffered a serious stroke that almost killed them. He's sure a better hospital with a severe headache. He couldn't stop throwing up, but when they did a surgery Made a full recovery. This was published in the Journal of Stroke and Cerebral, Cerebral Vascular Diseases. So the reason why young younger guys? Yes. Don't have a stroke choke right as they can. They can take all this. Yes, they can take it. Multiple. Yes, their brains. They either you're young. You got young blood vessels. They're hardy there. Whatever. But this guy just you know too much. Too much too many times a day. Too much of a good thing at anything By the time you're let's say You know, I don't know. Let's say 45. Okay, you know, moderation, little moderation. Your blood vessels, maybe are starting to just starts here And maybe about 45. I'm just thinking, you know, maybe you're making yourself do it too much because it's just a habit. You got nothing else to do. You want to make sure you're not getting prostate cancer? I don't know. Hey. Okay, You know, I know, but it is real. Well, you've seen it. I mean, yeah. I don't know how many guys that you know, like that lessons As as you know, With younger, younger age, you're masturbating way more like you probably can't even believe it. If you think about it Now, if you were to really think about it, Yeah. Oh this week, and my young cousin love him to death. He's about that age where he starts locking himself in the bathroom. And every time I'm like, where's Bennet was like he's up in the bathroom. Yeah, you know, it's going Right, Right? Yeah. You're just like, Wow. You know, then, you know, you know the girls too, but anyway, but just Yeah, those damn blood vessels. Wow, That's a story. Get older. That's a story right. Here we go. There we go. Okay. And so that way, you know, you can say, darling, you know, stroke joke is a very real thing to ask yourself. Are you doing it too much without me? Alfie is the key, right? Exactly. Okay. Um, so we have, uh, Remember how I said last week that the Olympic Games we're not going to pass out the condoms to athletes until the end of the game? Yes to discourage sex. It doesn't matter. Uh A little bird. Told me he has been at the games specifically. Okay. You're Olympic Deep throat. Yeah. Living deep throat. 92 2000. Okay, um, it doesn't matter. People are bringing their own condoms. They've always brought their own condoms, and they don't most coaches for most sports do not encourage orgasm before their event anyway. Sure. Keep all your one, especially with the covid right now. They're not allowing people even be close to each other. But once your done competing people are finding their way to each other, they don't care. They're lying to each other, They said. They're vaccinated. Whatever people are horny, they are pent up and it's going to happen. Okay, so sex is happening in the Olympic Village Laureates this avenue for telling viciously. Okay, maybe more quietly. The cardboard beds are not going to be conducive to anybody doing, you know, Dead lifts Absolutely okay or deep knee bends sex as it works as were or you know, sex where you push champagne all over your body because it'll soak the car board, right? And the next thing you know, you're both crashing down to the ground. Anyway. Yeah, like did you know that that a lot of coaches would say sex before? We've always heard? We've always heard rumors about this? Yes. Yes, that's been a lifelong But do you guys think that's a true thing? No, no, no. But do you think if you're an Olympian, and you have people have little quirks about them in little rituals that they would follow through? You hear this in hospital, right? Not even Olympics. I mean, just all of them, right? You know? Yeah, I don't know. You've heard this forever, Laurie. Yeah, Some people do some people don't Well, the this I don't know. I mean, here's 11 thing that coaches have said, is that, um, what do they say? That it will get. It will take, uh, your energy away or something like that that it's going to, you know, maybe drain you of an important extra bit is something you need. Take your focus away from getting your mental state, right? Yes, you've got to like you focus on the game. And what's at stake? Not that What You're trying to do in that very much When the competition is over. They want to release that energy and I bet they're just chasing each other all over the place, but they can't find the lead The U. S gymnastics team. They are not even at Olympic Village. No, they are. No. They're in a hotel. Yeah, hold up. Hmm. I wonder if any, um, are moving back into the village that aren't going to compete. Might as well last time around he sex is happening. Okay, what Your face says about you about your sex life. Oh, wow. They wanted to see if men I'm taking notes and women. Could tell who was more interested in casual sex. But just by looking at someone's face, okay, and, uh, it's interesting. Um This was a study that was done at the University of Australia. And they so they had people. They had photos taken of the participants. And then they showed it to other people of the opposite sex so they could judge based on looks alone if that person Had What the researchers called Socio sexuality. Okay, otherwise known as casual sex, one night stands and flings. So just so, you know, the The word that we're using, for that is socio sexuality. So if you want to practise, yeah, like blow people's minds a little bit and say you practice socio sexuality. It's a good conversation starter isn't so casual sex so they wanted to see Could people tell and Um, What was interesting is that women? Could completely tell who the men were who were interested in casual sex and the men could not tell at all. Really. So, what are the telling signs on the men? Okay, so for guys Um yeah, So the memory just not a good at judging if women were only interested in casual sex, and I think it's because they're hoping all women are absolutely interested in casual sex. But the women were really good at judging whether men were only interested in your term, uncommitted relationship, and this is a valuable skill to have Julia. Okay, um and just kind of surprised people, So here's Men with long facial features and large eyes. Um, they have higher foreheads longer noses. And, uh, women were very much able to say that guy based on how they look, He's going to be only a casual sex guy. That's all. He's going to be interesting. Interesting. Mm hmm. And then, uh,.
Moderate Drinking Linked to Lower Heart Attack Risk
"Tied to lower risk of heart attack and death in patients with heart disease. The largest benefit. 50% reduction in the risk of heart disease. Compared with nondrinkers was seen in people who drank an average of six g of alcohol per day. How much is six G? Uh, how many bottles is that? A standard unit of alcohol is eight G in the U. K, whereas the average drink in the U. S. Contains 14 G Was that of that of alcohol, I guess. Yeah. Yeah. So People who averaged eight g per day had a 27% lower risk of death from heart attack, stroke or angina. Compared to those who do not did not drink. Those who drank, drank seven g a day had a 21% lower risk of death. Due to any cause. Drinking higher amounts up to an average of 15 g of alcohol a day were linked with smaller reductions in risk.
The Blonde Leading: Britains Two Years Under Boris Johnson
"At the stroke of midnight on what was dubbed freedom day in britain last week clubbers hit the dancefloor starting what is in effect a grand epidemiological experiment watched by the world restrictions on the size of gatherings social distancing and masks all lifted this weekend a major music festival called latitude happened in the county of suffolk with forty thousand. Attendees the unlocking is powered by a belief in the strength of britain's vaccination campaign although deaths remained low and cases have fallen from a peak last week. Nearly thirty thousand people at day are still catching. Covert and five thousand. People are hospitalized. The architect of this bold plan is prime minister. Boris johnson who has as of this weekend but office for two years. The dodgers the doomsters the gloomsters. They outgained to get it wrong again. The people are british politics columnists. Adrian wooldridge hardly knows what great to give for the prime minister's performance but appropriately. He puts it in the way. Mister johnson's alma mater oxford university does alpha versus gamma. And there's plenty of work to mark. This was quite frankly extraordinary. Hectic two years he's proved parliaments for which he was rebuked by the supreme court is expelled. Twenty one grandees from the conservative party. Costea ms majority and he's being reelected with a massive majority. If you look at his life personally he's had a child he's supposed to second wife. He's marriages stood. Wi fi almost died all curve. Nineteen so there's been no
Cameron Champ Fends off Heat to Win 3M Open by 2 Strokes
"Despite struggling with heat related dehydration down the closing stretch japonesa Q. and a season changing win at the three M. open at the TPC Twin Cities I know this is the player I can be and it's allowing myself to be that player so it has nothing to do with putting stats are driving stats are iron stats the twenty six year old posted a final round five under sixty six to finish at fifteen under to secure a come from behind two shot victory of the Johnny Vegas on the south Africans Louis is Tyson and Charles what's so the victory was champs third career win on tour that's significantly turned around a very indifferent season which has seen him make the cut in just half of the events he's played on ground like us
Study Finds Excessive Coffee Shrinks Your Brain, Increases Dementia Risk
"Coffee and what it does to your body. If you drink six or more cups of coffee a day, you could be at risk of developing dementia or having a stroke and Australian study of 17,000 people found drinking that much was also associated with brain shrinkage. The researchers advised moderation and suggest we do like the Italians. And drink a small glass of water with each cup of Joe Elaine Cobb, CBS News
Why Are People on so Many Prescription Drugs?
"Hello and welcome back to health quest. Podcast i'm your host steve langford. Thanks for joining me. I'm glad you're here. I have what i think is perhaps the most important topic that i've covered that i want to convey to you that i think could have the most impact on your understanding of your health situation and how important it is to understand the medications that you're being offered by your doctor. And what is the value. The real purpose of these medications. And what can you expect from them. I think this is such an important topic. Because i encounter people frequently. Who say i have high blood pressure. I have high cholesterol and my doctor is gonna put me on these drugs and i don't know that i want to be on these drugs. A lot of people feel that way but we also don't feel like we have enough information to make that decision on our own. The statistics that we often hear about the benefits of these drugs are rather startling and they make it sound as if we are all in danger of having an episode from high blood pressure stroke heart disease brittle bone high cholesterol and heart disease. And we think that these things are imminent in our lives because we have an elevated number. Our blood pressure is elevated are bone density as low. Our cholesterol is high. And so we don't quite understand. The context in which these drugs are designed to benefit us and to what degree they will benefit us
Too Faced Just Launched Their 'Pomade In A Pencil' Brow Shaper and Filler
"To face came out with a bunch of brow products. I was also very impressed with their latest offerings. Okay so these launched this month. And i like all the products. I love the paw made in a pencil. It looks like a pen. it's ergonomic like it has a little heart at the end so it's kind of a triangle. So they try to make ergonomic for your fingers so unlike a brow pencil dot you know is meant to give you those hair strokes. I like this because it really is just about filling in bald spots. Which is my biggest problem. And sarah and i were talking about this biggest problem. Yeah exactly like. I just wanna fill in the bald spots. I actually don't want my brow to look super put together in tailored anymore. I wanted just to look really natural and fluffy and all that good stuff and I love the coasts products. Like we've laxed poetic about the coasts brow stuff like it's so so good i also turned my mom onto the coast is brow product. So yes janet like she to support a by more but this poem made it fills in nicely. You don't have to use a ton of it. It looks very natural on it comes a boatload of colors and it just gives the brow the shape that you want without having to be this like very structured brow situation that can be a little bit overwhelming with a pencil. Yes sir we're talking about this before we got on. And i don't want to speak for sarah. I personally cannot emulate brow strokes that stay all day like i can do it at the beginning of the day but then as the day wears on it starts to move with starts to bleed kind of like it just becomes more fuzzy than precise yeah. It's really really hard lake. Only jared bailey can achieve those really fine strokes with a pencil on me. I don't know if i'm just too aggressive or heavy handed or if it's just the wrong pencil that i'm using but i agree that the palm made and a pencil. It makes it very effortless to do your browse
Party Piece: China's Communists at 100
"No surprise that beijing was the site of massive. Well orchestrated celebrations today. Our beijing bureau chief david rennie. Was there herded by the foreign ministry hours before it. all began. Toews comes strokes a hundredth birthday party and they did that in tenement square. Which is the ceremonial heart of china. The crowd was handpicked. They were almost all party members. I was sitting next to members of the people's congress that the city of beijing. There's a lot of singing of communist party songs and everyone around me knew all the words those in greatest hits like without the communist party there would be no china so this mix of the very grand informal and the kind of national but also this strange kind of private family gathering of a party celebrating in the open. It's actually control of this giant country and presumably this this gathering was also very carefully controlled very interesting that this is a very confident party. But it's the chinese communist party and so there's always an element of paranoia and extreme control. Not only we rule security checked multiple times but this is also a china that is determined to have zero cases of college. Although they haven't been cases for months in beijing we all made to quarantine for twenty four hours before we set foot on the square. We want to wear face masks will call the tested. Multiple times and in fact many western ambassadors from places like europe refused to come because they were told that they too would have to spend a night in a state guesthouse in multiple covered tested. And they simply thought. I was undignified. So it was very very controlled. Very very paranoid festivity.
The History Behind the Creation of the Pride Flag
"So we all know the wonderful rainbow flag that has become a symbol for all members of the alphabet mafia. But where did it come from. So in nineteen. Seventy eight artists and designers. Gilbert baker was commissioned by san francisco city supervisor harvey milk who was one of the first openly gay elected officials in the united states to make a flag for the city's upcoming pride celebrations harvey. Milk is a lot of good information on that man out there too. I almost covered him. You were about to say strawberries. I was like oh. She would've like stumble over at five times getting louder until we're like women. Are you stroking you no. Don't worry your past the time. Line of where i needed. Okay though so baker who was a prominent gay rights activist gave a nod to the stripes of the american flag but drew inspiration from the rainbow to reflect the mini groups within the gay community. He was influenced by the flag of races. Which has five horizontal stripes red white brown yellow and black which was popular among the world. Peace and hippie movements of the nineteen sixties. The rainbow flags commissioned by the fledgling pride committee were produced by a team that included artists. lynn seager. Who is known as the fairy argyle rainbow. According to her she created the original dying process for the flags. Thirty volunteers hand dyed in stitch. The first two flags for the parade. The original flag design had eight stripes with a specific meaning assigned to each colors. They were hot pink for six read for life orange for healing yellow for sunlight green for nature blue for magic and art into gopher serenity and violet for spirit i really like. Did you not know that. The flag colors actually signified. Why did but. I don't know i didn't know what they signified. I knew they all had significance. But what they dropped the sex one after the assassination of harvey milk on november twenty seven nineteen seventy eight. The demand for the rainbow flag greatly increased in response. The paramount flag company began selling version using stock rainbow. Fabric was seven stripes. Red orange yellow. Green turquoise blue and violet as baker ramped up production of his version of the flag he to dropped the hot pink stripe because fabric in. That color was not readily available. God it makes sense. That was a manufacturing issue. Yes like you just couldn't do it easily. So he said not school would just keep the other ones. So in june of two thousand and eight designer daniel quasar released a redesign incorporating elements from both the philadelphia flag in the trans pride flag to bring focus on inclusion in progress within the community or retaining the common six stripe rainbow designs the base the called the progress flag ads variation of chevron along the hoist the features black brown light blue pink and white stripes to include the communities of marginalized people of color trans individuals and those living with hiv
Working in Partnership With Law Enforcement, ESET Cybercrime Investigations
"Thank you alexis for joining us in the podcast today. Thanks for having me. Yeah so alexis. Is your team. Had been working really hard with law enforcement in the past few years. Many years like the fbi department of justice and even europol and also singapore law enforcement in many cases. And i thought we could take a look at two of them today and gemeda and operation indigo and i understand that. Both of these are botnets operated by cybercriminals and for our listeners. Who may not be too familiar with these now web. Could you give a brief introduction and also what brought your teen's attention to these malware. Those are two different cases that awfully. I'll i'll be able to explain how they differed in terms of operations and also how it differed when we were working to tackle those two threats so andromeda. It's not one button it actually. It was multiple button. It's because andromeda was a malware that was available for sale in underground forums. So anybody could go and grab a copy of the malware and build its own button. Int- andromeda was had a few built in features a was mostly successful at stealing various credentials capturing key strokes and it was also used to download additional malware in deploy them on the infected machines and operation. Wendy go we believe it was over rated by one single group It was a very large button. Net targeting lennox servers exclusively and the goal was very different. It was basically to steal credentials. Steel s. h. credentials to expand dot net and then to make money off online advertising
Styrian Grand Prix Qualifying Report
"Qualifying stereo is done on. Match happened has taken pole position at red booze home race. Stop mustafa alongside luis. How much on the front as voucher brought asked who qualified second. We'll take a free place grid penalty for his pit lane spin yesterday got through to three on medium ties with which they start sunday's race at the end of q. Three the san set to lapse that. We're good enough for power. Ever since one point three eight four one from his fast run that clinched it landing fourth ahead of sergio perez with the jira each to be boosted one spot on the grid buck because of protesters penalty. Meanwhile gasoline with his team. At uky snowed at setting the eight fosters time however he will start the race. Eleven after receiving a penalty for impeding batas. Alpine's fernando alonzo took nine ahead of estimates and drive at launch stroke. He made it into q three despite having his final dropping youtube deleted for attract limits infringement by running wide at the final corner the end of you to george russell ended up eleven and just eight milliseconds from of q. Three appearance full williams after a lunch late improvement knocked the britain out call signs junior lost his best time in q two running to wipe out with the panova corner but he would have been behind russell in any case. One of the disappointments for the session was that of daniel carter who was only thirteen in the second mccower and was estimate alcon. He failed to make out of key one amazon seventeenth to as always. I am joined by alex. Kalinowka orcas sports x. one. Alex how are you doing very well. Thanks yes Yeah an interesting qualifying session for the syrian grand prix in keeping rabou. A hates on home turf but i didn't. I'm not sure if i really expected that. Fb three where lewis hamilton. Suddenly back head and you ever stop and go traffic. And you know it was a bit disruptive but you think things are going to be really close again. And then and i max max Breeding away and hamilton left out that his car just wasn't feeding his good. Use a bit surprised nina. Why but yeah just said. Fb three you saw a neat. Thank you three. And he just knew he wasn't up to it so yeah sets up a pretty good race tomorrow because i think the trend has been the reps fostering qualifying On the mercedes fractionally foster in the
US Hitting Encouraging Milestones on Virus Deaths and Shots
"Coated nineteen deaths have hit a level not seen since the pandemic's early days after topping out at more than thirty four hundred daily deaths in January Johns Hopkins University says the average is now about two hundred ninety three the first time it's been below three hundred since March twenty twenty last year the CDC says only heart disease and cancer killed more Americans now data suggests more are dying each day from accidents chronic lower respiratory disease strokes or Alzheimer's there are about eleven thousand four hundred new cases daily down from more than a quarter million in January the nation's approaching another vaccination miles still one hundred fifty million Americans fully vaccinated that's about forty five percent of the population Sager mag ani Washington
Episode 161: Exactly what a murderer would say
"To so max seriously on your recorder for you now you were late. You've got patriot. Supporters to keep happy now man. You can't just like skip a week or anything like that. you know. this doesn't go out live right. i know i know but This is money we're talking about. I don't fool around here you go. Here's a quarter quartering you. What were you doing out in the yard or just sending a few stakes down a little bit landscaping done. Well i mean i'm gonna do the landscaping i look at the time. I enjoy operating the machinery. Speaking of that. I do have a delivery coming. Does this involve some sort of trick to get me to go outside and do some yard work. Because i'm not on board. no. I'm doing the work myself because i enjoy it in between visits to other dimensions can be out there just doing a little landscaping operating little mini excavator. It's gonna be fun. Oh you're having an excavator delivered. Yes that's right. I'm renting one. Oh just for the week okay. So with that comes. While i'm away you can decide point. Just tell them to swinging around back rights okay. There were set up here in the lab. I'm gonna do my whole thing. I high i max. I'm an engineer and inventor and thing here is the bagel trying to thousand which i'm not gonna turn on just yet the bagel trying two thousand opens up portals to other dimensions have been traveling through these portals for over three years visited a hundred and fifty plus different dimensions. I want to say at this point. my log cured so there's been a few duplicates and Yeah it's somewhere in that ballpark. Something different worlds and yet. I'm sure i've just barely scratched the surface of all the different presumably infant dimensions. There are out there jack. Strobe here my roommate is actually from one of these other dimensions. As a the whole thing you can go back and listen to how that happened. But he's here now. And i'm looking up the on list here look right like why haven't turned the biggest two thousand yet the next patron that we want to give a shoutout to is somebody named fluker. Yes pflueger as an interesting name. It is rather unique. I hope you think nice thoughts about him. Because some of these haven't gone so well no they haven't. We did try the whole reverse psychology thinking. That went really poorly. So don't do that again. Nice thoughts so as i turn on the bagel. trying two thousand here in a minute. We're going to be saying out loud. Pflueger had thinking about our patron flu generous patron and hopefully the dimension that we go to somehow involve something good about that sound think. Someone's here. I'm gonna go check it all back in bit. Good luck on your trip. All right i'm going to turn sing on get going. We'll see when i get back. So turning on the battlefront two thousand. While i think about pflueger i'm saying pflueger and thinking good about the good things lugar googlers. Great lugar is the best. Amac's your bob. Cat is here. i'm just going to have him. Put it on the side yard. Oh yeah yeah. that's great. thanks all right. Two thousand is warming up again. He took pflueger. Puerto looks stable. All the rings the machine or nominal ready. I'm going through. Oh gosh wow okay hang on let me show my puerto here and then i'm gonna describe outdoors. Any birds die. You know. I do hear some mangy senate dogs in the distance but i appear to be in a very disgusting looking trailer park as a whole row of single wides laid out here in front of me in various states of extreme disrepair. I'm standing right in front of one heinous off. The roof is sagging a windows. I don't know if they've ever been cleaned. There's nobody around outside here. So i guess i'm just gonna head up to this closest one here and given a knock and see somebody's around you can learn a little bit about this dimension. Hopefully this whole dimension isn't like this. I don't know steps here and knock on the. Oh just just swung open okay. Anybody home hello There's no answer peaked. My head in. Here oh i think oh oh he hit it. Just hit me as a really not a great smell okay. But i'm looking inside. I think i see jack stroke. But he's is he. Hey are you. Okay hey oh. I think something may be wrong here. Okay the stroh sauce lifeless body. that's a still feels a little warm. Were where did it's not war. Remain alive but you should know. Kill them several days. Okay hollow graham jack strobe. I didn't hear you activate. No that wasn't shown. I watch the the crime. I read newer tech novels that the murderer often returns zia the crime. Not okay i for the first person i think back now. Okay therefore you are okay. And i called the rate first off not a murderer. I have never set foot in this trailer nor this entire trailer park before today before moments ago all those as our exactly whatever say. I'm sure it is okay. This is also. You appear to be strobe are you. Some kind of artificial. Intelligence officials don't l. k Are you actually gesture jober. Do you just look and sound exactly like Been hologram many of his memories as his last checkpoint which unfortunately was a month ago. But i do have most of his time doubt for mary's face plus knowledge thing. That's great. what should i call you. You can call me jack. Strove find jack strobe. I'm just gonna head out I don't think there's anything i can do here. Her the knock on the door opened up now if you ever year murderer i don't think this guy here even got murdered. Well then first of all. I'm going to need some facts first of all you name effects your name. What's your name name is max. Max max was that show for max. Essential for anything. Your names just. Max max can be bothered with more syllables. That's fine you over that one. The call yes. Jack strove the whole graham gastro as natural checks out. That's right. he's not. Actually jackson object strobe. Is this guy here. the right. So here's the thing. I was going to ask you if you had any sort of connection to the deceased but it would appear that you already. At least his name. How do you know the deceased name. Sir what'd you say. Your name was max. What's that short for. Max wait now. we did. This dance already. Haven't we the charles the hotel coup. You see what i'm saying. Pal is it. Max how do you know this. Man right yeah. How do i know this guy. When i did say earlier that i've never set foot on this trailer park nor in this very strong for yourself. That's what i told. Jester polygram here. So obviously i met jetro outside of the trailer park somewhere else. We used to work together was we were. Coworkers workers bud me first of all. Where am i. Man is second of all my name actually. This is probably seventh of all. Because i've done a few things. But since i came in here but regardless of what number it is the name is dirk dirk pflueger. Oh excellent detective pflueger perfect yet. Detective works too friendly thing. But you know what i can be bad cop. It's alright this is great a respected member of the local community. I'm so glad you're here because obviously what's happened here is this hologram has confused me for somebody else. I've never been in here before. I was coming here to meet the locals and to check out the local scene and i knocked on the door and it was open and this guy was just here unfortunately deceased so blessed with all of the deceased memories up to about a month ago it's loosely. Drew that max of jack. That's lease a lot onset. They were in a sales. I should say we were stable organization together and jack myself basically stole a bunch of clients from match max mad thing not a theft investigator or fraud investigator. Really a good thing. I'm not any of those. I only specified justin murder. So even if you confess to like any number of crimes today doesn't matter anyway. You're dead continue. So in addition to seal the number of max clients the best terms. Well nothing illegal about that. Last part i did not murder him though. Listen archie gonna like look for evidence or something. I think you'll find that. There's no evidence here that i committed any crime. Well first of all sunny. I wanna let you now something you probably already as everybody knows the first three rules of motor investigation. That's right location. Location location those the rules of real estate and your in the location that i'm in right now which means you're on the location of the dead body. I just wanted to touch base with everyone in my location before i started investigating my location. That's right rule number two location now. We'll get to number three. After i finished examining the location. Is this murder investigation. Is this real estate. It'd be surprised. I often the crossover. Now here's the thing sunny boy. I'm gonna need you to give the facts. Jack. that's right. the facts two of 'em specifically on facts. I wanted to give me something. That's not if that that's something that delight. i want to give me true truths. I don't wanna give me lie. Doesn't have to necessarily be in that order. In fact it's a lot more fun if it's not hanging you said santa boy and you also said jack are you talking. Which one of us were you talking to all right jack in the colloquial sense your jack. Not jack okay. It's also a little confusing because he keeps popping his hologram around the room. Kind of just seemingly randomly chevy stranded like throw me off balance. I appears you are armed straight. I on on low point a gun at your right now. Hey click sound that. We all heard just now wasn't enough to see new. Don't as me bro. listen. I'm gonna slowly take off my backpack through and weapons. What i would add. Is there for self defense. Only i'm setting it down. You can see had no other weapons. I'm not holes during anything we lift up my shirt. Oh wow in fact. I would've asked feed and not do that actually. Wow that's okay. well. I don't really need to see the bag now. Obviously not a threat out law to facts and in fact that's right son sunny boy sunny jack sunny. Just sorry i'll stop saying can fusing because he's jaclyn. You're jack you know what i'm saying. Third base. i'll call you jeremy. You okay with that max Short sounds great. Go ahead jeff. Okay sure fact number one. I am from the city of seattle. Sounders made up but go on fact or maybe not fact number two. I'm recording this whole conversation. That's felony Fact or possibly not fact number three is that i am a professional wrestler right. Now i'm not gonna guess which one of those is alive. Make sure that's clear. I'm just entering all of these into evidence. Now if any of this ends up being used in court and proving a detriment to the prosecution case you'll be fine and prison basically ally investigate that age. Old tactic called entrapment background. Check him and find the wasn't special wrestler. Say wow boylans like honestly can be any number of those. He's real good at this game. But here's what i wanna know maxi boy. That's right. jeremy. Mr travis boy. Here's the thing. What is that hold on the refrigerator. Handle this yeah. I see it as a smudge. A duck smudge looks like some kind of greece on the inside of the refrigerator handle jack but you know anything about this snow. I literally just walked in. Jack jack jack. The one that goes and i can see i around paper. Well that's is that it's not gonna happen any then let me just skirt that different part of the handle it all right Listen to him just showed up here. Maybe we should like. I dunno go to the neighbors and see if any of them saw anything well i was going to make a bit of a more thorough investigation. The contents of this fridge but a pretty much everything. I need to know by now. This cottage cheese shouldn't be this keller. I'm interested in knowing the neighbors of scene because they saw you coming. Maybe they saw going. You know what. I'm saying you probably. That's all right well. I'm just going to walk out the front door here. It's important to get a good smell surroundings. Hey wait a minute. That dollar game. Follow us out of the trailer. Whatever did you like activate upon his death. You knew how long he's been dead for would add as two and a half days. Couldn't have been meek. Because i just showed up. Well can you prove your absence grooving negative. That's another classic law enforcement technique. Ask him to prove a negative. They never can just like you can't right now. Say what's up nope. That's a raccoon. That's just the shoe. i think that's i'm sure that if you speak to the neighbors and the other surrounding trailers none of them will have seen me lough our next door. Who don't mind me interrupting you sir. But obviously you're man coming in and out of your neighbors house recently in the last couple of days does he have. Is this your watch. What i don't know know. I've never seen this guy before my wait a minute. You kind of millions. Talk hussein. sucks out that you look like this guy here. It's hologram year. You look a lot like him for like old wrinkly and gray suspicion seems a little suspicious itself them at. Can't you see that man in there. Who seems to be slightly transparent. It's probably just the drapes obviously has long. Yeah okay so you noticed. I think that's another hologram. Oh i just madrid. Give people the benefit of the third a bother. You say you need to your. He's a fraudster. What's reported to the landscaping crimes. Yeah that's right. This guy only does murder so there. We should be back with you in about a month now to the business at hand. This particular grizzly marta. The man inside that trailer right there. He's dead. I know crazy right now. She's still watching us through the window. I mean it's a big window. I you don't usually see bay-windows like that on mobile homes you do you. Hey you seem like you're living your best life. I don't think he's living any life. I'm telling you he's a hologram. There you can do it. Sturdy admits that he is allah. Graham who's gonna take me flesh and blood human or these holograms whole auster. That's right also. Have you taken a look at this long. It really does look needs mode does not my problem. That's landscaping crafts departments problem. Now i want you to really grasp and just take in the gravity situation. Meant that gentleman is dead. His goose is cooked. Yeah i understand. Ganders been pandered i understand. I'm the one who discovered the body. Now you just you discover the body. That is a real fun way to say it's not fun. It wasn't fun it's reached in there. I don't understand how you didn't seem to notice it at all just walked right in there. Listen here sonny. I've smelled death more times than you could ever dream okay. It's dark and it's changed me as a person. Listen we got to get ourselves back into that trailer right now and investigate the premises just a little bit more. Okay fine now really wreaks it yet. You heard mashed always gets his man and you sir. Are that man. Unless as i suspect you yourselves are in fact another hologram chest. Why why have. I just like that. Oh well that's the easy part of police works on terminating. Whether or not a person standing right in front of you is or is not a hologram. Listen i didn't murder. This guy doesn't look like he's been murdered. I don't see any evidence of actual trump shoot. I should look at the body lipstick on his collar. On my caller. What kind of color lipstick do you wear. I wear lipstick This trailer is packed to the gills with holographic projectors apparently surely there's also like some kind of cameras recording system like surveillance footage. You could just access and see what exactly what happened at good league jack here myself. Change the password since the last check was the face for this. This this this this right here. He can see that says my secret crush thoughts. I thought at every crush. I've ever had as jack in there. Were a lot of and none of them were the right answer. Well let me This is when the deductive powers that i developed over many years of training. Come into play. Hang on let me try something go that was it. Oh what do i. It was orange crush. That's not even secret. That's like the most popular flavor gone with grape strawberry. Those are secret. No one knows about those terrible hen. Man i mean i know it. Wasn't you technically orange crush. Well all right now time. For the moment of truth we're going to hit that play button and watch. That was the wrong button. That does that well the fact that you were the one who pointed me to this file tells me some you you're on the right value. Hit the wrong button. All right five like little. Try mother mom. That's a lady. I mean that's your mom or lady than you'll ever be what is happening now. Did you get the wrong file again. Somehow i guess that's our trailer jetro. I really need to call more often. Looks real excited to see jack. Oh wow oh they're just going right into it right into it. Oh berkeley i thought standards were a bit high o. k. o. But everyone seems to stop moving. She fall asleep well on top of him kissing and then moving to see my flesh twitching. I can barely see that. Most of your body is covered by mrs lugar. There ever got a romantic as. I'm starting to think not hit fast forward. Just hours of detective. Luger's mom laying on top of jack strove. She is a heavy sleeper. She moves she so slow down. Look or well. I mean how do those count is usually an presumably. They don't usually end with him. Being smothered to death. We stopped short death now. I'll be honest. I probably should have recognized that purview. When i first walked in here i've never known another woman to wear. How would you. How did you make a perfume smell in this place. I've got the nose of links or a similar creature. Obviously i did not murder this man. I reluctantly agree that this is probably go well. You would be. If i hadn't cut you in a blatant bald faced lie directly to law enforcement's that's right earlier on you told me. This whole conversation was being recorded. And i know that's a felony and you don't seem like you got the guts to actually do that sir. Unfortunately i'm going to have to take you in downtown ri- right okay. When are we just step outside. Probably yeah that's where my car is. Okay i'm good. I trust you on that. No need to restrain you. Well i guess we'll see. I'll see you later. Probably not hologram. Jack strobe justice system that Sorry about your untimely demise. But alex honestly it's kinda beautiful when you think about it not when you watch it but when you think about it sure to see active considering get your own mother. I should call him anyway. Maxima all right all right all right guys over there. It's that black and white one all pretty lights sometime all right all right here. I'll let me get in the back from the shut. That door on your there all right you be there right. There have gone one again. They're all gone. Jack leisurely stroll around to the driver's side door. Well anyway here i am. Just oh here. Is that a podcast. Podcast boy is he. I think he may be my mother to raise standards. Okay exit this seeings. That's probably a good idea to push the button on my remote here puerto goes to another dimension. Which is where i'm from. I guess i could have mentioned earlier. Would have been a pretty solid alibi anyway. I'm gonna head back to my own dimension a bit of a mess. Sorry about that. Yes i am. You've got a lot on your shoe. What was screaming allah right. You can hear that's right. Yeah you the audio portal connection there. So no how right is a porta was opening up. You told me that my excavator was here right. Uh-huh and what did you call it about. Gatt yeah i mean that is that is what it is but You shouldn't have said that as the portal was opening. Oh what did you have to fight off a giant bob cat or something. Unfortunately in the other dimension pflueger met his demise at the very large pause of a seemingly. Rabid bob cat. Oh my wow. I think we'll have to be a little more careful when we're opening the portal. You think wow yeah. I feel bad about this. You should feel bad. It was distressing. Also by the way you were dead in that other dimension. So why bob cat killed me to no. No no no. I'll tell you later anyway. Everything's all shutdown. Hopefully things go a little bit better next week. Patrons from the multi is produced by by tim. Ellis starring. jerry are willing as jack. But just the bloating strobe and tim ellis as memphis with special guest. Peter ellis as detective. Dirk pflueger the music by lv logo by age. Mit enjoying this podcast. Notice how it doesn't have any ads want to help keep it that way. Support us on patriots where you'll get exclusive. Bonus content like brainstorming sessions peaks behind the scenes sweet birch and extended additions of the show. Also be sure to follow us on twitter at dispatches at them and visit us online at dispatches dot Hello yes sorry right. Sounds like you sick call back later. How much aside. I only have so many voices see it. Sound like we've got you dead to rights and also sounds like i'm getting increasingly southern dialed outback. Orange eighties jokes. That belinda hold on now. That raccoon is back. I swear it eight that whole shoe earlier but it really seems to be eating the exact same shoe and not just like the left version of like the right shoe eight early. I swear that raccoons just fully devouring the same shoe at already. You know what maybe. There's a lot of the same shoe in the neighborhood. I'm not going to get too involved with it. Let's go back in the trailer.
Ep 50: The Church of Englands influence over education [TEST]
"One school that. I were attacked. They were little pads. On each table. Prayer jelly babies and samantha. Sorry jedi baby or all these types of things get into children and make it difficult for them to kick against the and they want to be good and they to go along with that and they want to believe that these things are true. Listening to pursued fifty of the national secular society podcast produced by the puck. If you many adults today that they would send their children to touch england's school they would probably say yes. Cb schools are often well established and have a reputation for providing high quality education often to. They're the new up shoot in commuting distance. But it's the influence of the church of england along with tila strokes and other legislation is always so benign. The evidence presented in two reports recently published by the national secular society suggests otherwise in particular syndicates that in recent years the church of england has been quietly gaining greater influence over state schools. Even those that are not fiscal. One of the nss is reports on. This topic is entitled. Religiosity inspections the case against faith-based inspections of states it studies the impact of mandatory inspections on pace goes by sponsoring religious group and presents the key arguments polishing such inspections. One of my guests on this episode. Matthew hill contributed to this report. My guest chris. Elway rachel
Phil Mickelson Becomes Oldest to Win a Major
"An epic final round of the pga championship gave us phil mickelson warding off challenges from brooks koepka and louis blues tyson yesterday and in the end mickelson from sixteen feet is work. Just a little bit from left to right. His works down the slope left to right up to the top and that stopped six inches away. But phil mickelson is going to tap in for he is going to shoot a one over seventy three in a final round but phil mickelson creates and sess professional golf history the oldest to win a major championship phil mickelson embraces. His brother tamra phil mickelson is champion of the hundred and third pga championship. Yes at fifty years. Old mickelson phil mickelson becomes the oldest golfer ever to win a major championship with a two stroke. Victory phil obviously cherish. The moment i'm old. And i look great naked with the naked it At an older age you cannot be at your best. Just takes a little more work. And i'm going to cherish this This tournament as though it's my last because it very well may be but hopefully not
Phil Mickelson Leads P.G.A. Championship After Third Round
"Fifty year. Old phil mickelson carting. A two hundred seventy on saturday. Seizing a one stroke. Advantage over books kept cup heading into sunday's final round of the pga
Fanny Durack: The First Female Olympian To Take Home Gold
"Francis durack better known as fanny was born on october. Twenty seventh eighteen eighty nine in sydney australia. She was the third daughter and sixth child in a big irish family. Her father thomas drac managed pub in town while her mother. Mary took care of fanny and her siblings. Fanny was not a natural swimmer. Her when she was nine years old fannies family went on vacation in the beachside town of coochie australia. While in the ocean. Fanny found herself fighting against the waves and struggling to get comfortable in the water instead of retreating and fear or discomfort vani made it her mission to teach yourself how to swim and she did that. Fannie trained in and mastered the breaststroke at the time that was the only style of swimming that had a championship for women when she was seventeen years old. She won her first state title as her abilities progressed. Fanny learned the trojan stroke and the australian crawl with these three styles. In her skill set she dominated the australian swimming seen her main. Competition was me no wiley. Nina beat fanny a few different events including the one hundred yard breaststroke at the australian swimming championships at rose. Bay as the nineteen twelve. Stockholm olympic games approached. There was discussion. About whether fanny and meena should attend the new south wales ladies amateur. Swimming association had a rule that forbade women to compete in arenas where men were present. The association believed it was immodest for a woman to be so scantily clad and the presence of men but fanny and meena's widespread success created enough public pressure. The association overturned the rule. Getting to the games was another hurdle. These were the first olympic games where women were allowed to compete in swimming.
The Mystery of the Treasure at Rennes-le-Château
"In nineteen fifty three eighty five year. Old marie dinar. No lay on her deathbed. She spent her entire life in a tiny hilltop village. In the south of france ren lucia cto penniless and never married. Marie had no one to care for her except the family that had bought her home years before the core booze in return. She promised them a deathbed confession for much of her life. Marie was the housekeeper of the town's former priest. Baron jay sewn year decades earlier son. Years struck it rich overnight but never disclosed the source of his sudden wealth except to his ever-present confidante marie. Marie had hinted to the core booze. That when the time was right she shared the of sonya's fortune making them rich beyond their wildest dreams. They recalled her saying quote. You're walking on gold. You could feed the village for one hundred years and they would still be some leftover sadly. Marie suffered a stroke. That left her unable. To speak or write she died on january twenty ninth nineteen fifty-three taking sauniere secret to her grave. Ever since hundreds of thousands of travelers been drawn to ren lucia toe in search of ancient mysteries and one very elusive treasure
Sharon Stone Discusses Her Autobiography in Candid Interview
"It's nearly 30 years since Sharon Stone played Catherine Tramell in the film Basic Instinct. It was a role she craved, but only managed to get after 12. Other actresses turned it down. It became a huge box of his hit on that infamous uncross ng and crossing of the legs scene remains one of the most controversial and talked about moments in film history. The movies that followed include an Oscar nomination for her role in Scorsese's casino alongside Robert DeNiro. More recently, the Laundromat with Meryl Streep on on the small screen. There was last year standout performance in the Netflix series, Ratchet. At the height of her career in 2001, having had several miscarriages on day after adopting her first child, Sharon Stone, suffered a stroke and almost died. She's now written her autobiography, the Beauty of Living twice in it. She talks about the fact that some people saw her as a very strong, difficult woman and how upsetting that's peanut times as she told the BBC's Emma Barnet. We think what it really is, is that I don't have the capacity to lie, and I think that people find that quite off putting And when I tell the truth that can seem quite offensive or the favorite Hollywood word difficulty. I do feel that in business. We're often put in positions that we didn't ever see ourselves being put in. And they're often crisis moments where we have to reconsider. I'm in this position. Now. What am I going to do with regards to the me to movement? Now are a couple of years on from that deep do you actually think Because the other thing you talk about being the only woman on set, you know men were doing your hair. Men were doing your makeup. Do you think it has got any better? Yes, because legally, they're just things that cannot be explained away anymore. You just can't say why can't she have a female dresser?
"stroke" Discussed on ANPT Stroke Special Interest Group
"Of pedophile max rate of observe heart rate for people and what types of setting and speed. And all that stuff. So we're we're hopefully hopefully going direction with podcasts as well I think you've already covered this. But the next the final recommendation was to not use robot assisted technology for training. And it sounds like the the thought processes there is you really want have people as actively engaged as possible and it just didn't really show benefit in the research. Is there anything else you'd like to to that. Now see. the we did studies in two thousand six outside of the and then an a group in belgian recently did another two studies ours ruined spinal cord and they did their stroke. But here's the plug. Here's the basic answer. You put someone in a robotic device. And you measure angie and you measure heart rate and you measure metabolic responses and you'll find that whatever body weight support whatever amount of assistance. Some of these devices can reduce level of assistance. People relax if something else does work for you. The person in the device slacks slacking factor per principle of laziness so those devices while they're helpful may be really impaired. Individuals people will will reduce their engagement and reduce their narrow mus activity. And that's not nearly as helpful as Getting them more engaged. You're getting steps. And but those steps are not metabolic cost or credit lasko demands that really indicate that you are driving In having the the cpg now how do you see this. This being applied in practice after the recommendations on keeping it around were trying to implement sur survey. Can you get through. That will show the the k- t- nauseous task force will certainly talk more about that. Which will because But it's really trying to understand in. We tried to delineate. The principals seem to be important and that was specified theme amount intensity all three combined for the first recommendation and in the second recommendation. Maybe not so much intensity. They didn't really measure heart rate but then failures. So the idea is that In the in the g we tried to limit the contributions of those principles. Sue the recommendations that we found so for intensity. Specificity amount and intensity were all important and then the second recommendation..
"stroke" Discussed on ANPT Stroke Special Interest Group
"That Is that there's four four different hurry zones and so again if somebody's heart rate is below eighty. You're gonna adjust them to one hundred twenty five watts which is really a big jump. And only you know. I've only seen like athletes and individuals be able to to do that large of a job And then there's the heart rate between eighty and ninety beats per minute And then you move to a one hundred watts from there you know there's another heart rate range Ninety one hundred and then you Started seventy five watts. And then if you're above a hundred beats per minute at the end of that three minutes. The next watts would be fifty. And that's where we see. Those last two are where most people post stroke usually end up now. There's a caveat if patients on a beta blocker in their heart rates below eighty and. They've had a stroke or really condition. Like you wouldn't want to go to one hundred twenty five watts right because they're not going to be able to do so again. There's some clinical reasoning You know we kind of go through this. When i do see you courses But so then. Each stages is three minutes in in length and the individual you're recording the heart rate At every three minute intervals and you know and you have them them. Go and give the rpd e again. You're looking at the heart rate. So let's say somebody does to stages of they finish their first. You know round of of exercise at thirty watts for three minutes. And then you move them to fifty watts. And let's say they finish that. And then the next Would be seventy five watts. And let's say they get a minute and then they say on does so you know what their threshold is and you know what their heart rate. Is that what. They're willing to go where they feel to fatigue to go on like this is my point..
"stroke" Discussed on ANPT Stroke Special Interest Group
"It can be a brisk walk. I also tell people you know you might feel short of breath. While you're doing activity might slow your heart rate go up and these are definitions of moderate intensity exercise and then just gauging. How many minutes a week You know do you feel like you meet those those those guidelines For people with stroke It really doesn't differ than what we recommend for the general population again ideas to sit less. Move more you should be physically active day then Getting the one hundred fifty minutes a week of moderate intensity exercise again just repeating netted stair climbing brisk walking Filling a little bit short of breath is is normal in that heart rate could increase if you wanna think about evaluating You know how physically active somebody is or their exercise. The six minute walk test is a good measure of of community. are walking endurance It doesn't really get it. Somebody's aerobics fitness per se. But you can certainly measure. They're they're walking endurance and that's One way to do that If you wanna be more prescriptive or really get an assessment of their their aerobic capacity and see you know Whether the extras intervention is beneficial. Or what their baseline is. You can do Conduct sub maximal exercise testing Or you can do. A graded exercise test like similar to a cart a cardiac stress test. you can do that without metabolic gas or with metabolic gas to really look at their aerobic fitness..
"stroke" Discussed on ANPT Stroke Special Interest Group
"The <Speech_Telephony_Female> care site intervention <Speech_Female> <Speech_Telephony_Female> And i started <Speech_Telephony_Female> with the idea. Everyone <Speech_Female> because the <Speech_Telephony_Female> idea originated <Speech_Telephony_Female> from my time on excite <Speech_Telephony_Female> <Speech_Female> but mostly <Speech_Music_Female> <hes> <Speech_Female> <Speech_Female> because it was really <Speech_Telephony_Female> a defined intervention. <Speech_Telephony_Female> There wasn't <Speech_Male> a black box <Speech_Telephony_Male> all really <Speech_Telephony_Male> set right <Speech_Telephony_Male> and and <Silence> both <Speech_Female> groups <Speech_Telephony_Female> strike survivors. Get <Speech_Telephony_Female> that so that <Speech_Telephony_Female> because that's not really <Speech_Telephony_Female> the question. The real question <Speech_Telephony_Female> is around <Speech_Telephony_Female> how <Speech_Telephony_Female> to what you know. <Speech_Telephony_Female> How do i <Speech_Telephony_Female> help the care partner <Speech_Telephony_Female> and can <Speech_Female> imp engaging <Speech_Female> them in <Speech_Telephony_Female> to the rehab process <Speech_Telephony_Female> improve <Speech_Telephony_Female> outcomes <Speech_Telephony_Female> as well as <Speech_Telephony_Female> a stroke survivors. <Speech_Music_Female> So we just <Speech_Telephony_Female> wrapping up <Speech_Female> a <Speech_Telephony_Female> With that and starting <Speech_Telephony_Female> our data analysis. <Speech_Female> <Advertisement> And <Speech_Telephony_Female> we're actually <Silence> <Advertisement> <Speech_Male> <Advertisement> <Speech_Male> <SpeakerChange> In the process <Silence> of <Speech_Female> <Speech_Telephony_Female> taking that in <Speech_Telephony_Female> care site and <Speech_Telephony_Female> applying it <Speech_Female> <Speech_Telephony_Female> Earlier after stroke <Speech_Telephony_Female> so <Speech_Female> the current one <Speech_Telephony_Female> is with individuals <Speech_Telephony_Male> of chronic stroke <Speech_Telephony_Female> and now we <Speech_Telephony_Female> want to explore <Speech_Telephony_Female> it with <Speech_Telephony_Female> During outpatient <Speech_Telephony_Female> traditional <Speech_Female> outpatient <Speech_Music_Female> therapy for the <Speech_Female> upper extremity <Speech_Telephony_Female> and <Speech_Female> so just a <Speech_Telephony_Female> couple of visits <Speech_Female> at home <Speech_Telephony_Female> and <Speech_Female> But also <Speech_Telephony_Female> not. <Speech_Telephony_Male> I fear traditional <Speech_Telephony_Male> opportunity <Speech_Female> <Speech_Male> <Advertisement> to see if that makes a difference <Silence> <Advertisement> and not <SpeakerChange> timeframe <Speech_Music_Male> <Advertisement> <Speech_Music_Male> <Advertisement> <Speech_Male> excited <Speech_Male> to <Speech_Male> hear your <Speech_Male> guys results <Speech_Male> with these <Speech_Male> studies. It sounds <Speech_Male> like a very <Speech_Male> interesting study. <Speech_Male> <Speech_Male> So <Speech_Male> you've <SpeakerChange> given us <Speech_Male> a lot of <Speech_Male> great information <Speech_Male> in a lot of <Speech_Male> things for me to think about <Speech_Male> <Speech_Male> <Advertisement> I'm sure many <Silence> <Advertisement> of our listeners. As well <Speech_Male> <Advertisement> <Speech_Male> <Advertisement> it's a close. <Silence> <Advertisement> Is there anything <Speech_Male> <Advertisement> you <Speech_Male> would say you know if <Speech_Male> we if we go into our practice <Speech_Male> tomorrow <Speech_Telephony_Male> and <Speech_Telephony_Male> going <Speech_Male> clank tomorrow. <Speech_Male> There's <Speech_Male> something that we could do <Speech_Male> differently in the clinic. <Speech_Male> <Speech_Male> It was just one <Silence> thing. What do you think it <Silence> would be. <SpeakerChange> <Speech_Female> <Speech_Telephony_Female> Just asking <Speech_Female> the care <Speech_Telephony_Female> partner how you're <Silence> doing <Speech_Female> <SpeakerChange> <Speech_Female> <Speech_Telephony_Female> How are you doing. <Speech_Telephony_Female> I <Speech_Male> <Speech_Telephony_Male> what concerns <Speech_Telephony_Female> you <Speech_Telephony_Female> <Speech_Telephony_Female> And what are your goals. <Speech_Female> <Speech_Telephony_Female> What are your <SpeakerChange> goals. <Speech_Telephony_Female> And your needs <Speech_Female> <Advertisement> for <Silence> therapy. <SpeakerChange> <Speech_Male> But <Speech_Telephony_Female> their pee session <Speech_Female> and <Speech_Telephony_Female> sometimes giving <Speech_Telephony_Female> it <Speech_Telephony_Female> a bit of an example <Speech_Telephony_Female> <Silence> <Speech_Female> <Speech_Female> That may <Speech_Telephony_Female> lead them down <Speech_Telephony_Female> to identify <Speech_Telephony_Female> what they want <Speech_Telephony_Female> So they <Speech_Telephony_Female> kind of understand what you're asking <Speech_Telephony_Female> but i think <Speech_Female> just really checking <Speech_Telephony_Female> in say how <Speech_Telephony_Female> they're doing. And how can <Speech_Telephony_Male> <Speech_Telephony_Female> this therapy <Speech_Male> session dress. <Speech_Telephony_Female> Some of your goals to <Speech_Music_Female> and <Speech_Music_Female> you <Speech_Female> know giving a bit of an <Speech_Telephony_Female> example. So they <Speech_Female> <Advertisement> can <Silence> <Advertisement> ponder out <Speech_Female> <Advertisement> <Speech_Female> sure. <Silence> Something then <SpeakerChange> feel heard <Speech_Male> absolutely <Speech_Male> absolutely. <Speech_Male> I know that's <Speech_Male> something. I'll definitely <Speech_Male> we try to do more <Speech_Male> of <Speech_Male> so sarah. Thank you so <Speech_Male> much for <Speech_Male> joining us to talk about <Speech_Male> care. Partners <Speech_Male> really <Speech_Male> appreciate it. <Silence> <Advertisement> Thank <SpeakerChange> you <Music> <Advertisement> <Music> <Music> <Music> <Music> <Music> <Music> <Music> <Music> <Music> <Music> <SpeakerChange> <Music> <Speech_Music_Male> and that is it guys. <Speech_Music_Male> Thank you <Speech_Music_Male> so much for <Speech_Music_Male> listening to this episode <Speech_Music_Male> special. <Speech_Music_Male> Thanks again to <Speech_Music_Male> lens for <Speech_Music_Male> taking the time to talk <Speech_Music_Male> to us about caregiving <Speech_Music_Male> care partnerships. <Speech_Music_Male> As <Speech_Music_Male> i learned today. <Speech_Music_Male> <Advertisement> Sarah <Speech_Music_Male> <Advertisement> definitely give me a lot <Speech_Music_Male> <Advertisement> to think about and hope that <Speech_Music_Male> <Advertisement> she gave you a lot to <Speech_Music_Male> think about as well. <Speech_Music_Male> <Speech_Music_Male> keep an eye out for <Speech_Music_Male> our next episodes. <Speech_Music_Male> Should be coming to <Speech_Music_Male> <Advertisement> you pretty quickly <Speech_Music_Male> <Advertisement> until then <Speech_Music_Male> <Advertisement> on your host <SpeakerChange> <Speech_Music_Male> jason ds <Speech_Music_Male> to care <Music> <Music> <Music> <Music> <Music> <Music> <Music> off.
"stroke" Discussed on ANPT Stroke Special Interest Group
"But maybe they come in and and they've done a little bit of pondering and thinking and they say well. You know what this went well last night but this didn't and on this together So yeah. I think that i can getting them if they're willing to be engaged Having them charge them with coming up with the question challenge radical for the session right like they tried to walk the dog while holding the leash and the balance you know and they had chuckle was trouble with their balance. Do you think we could address it. And i think the final piece is just really reminding them the importance of their own self care and just like one of the ladies in the in the video it said with the airline stewardess that it's important to put the oxygen mask on first and then put it on your loved one. It's the same thing so if they understand that it's important and it doesn't mean that they love their circus of our any less because they go for a walk or get a friend to help you know supervising while they go out To church or to a yoga session or something bad it's that is really Vital for sustainability. And and that you know are there ways in which you can help them. Tap into addressing their needs as it relates to exercise or attrition getting impressed stress reduction activities whether it's reading your journaling or Mindfulness Understanding that counseling could be really important aspect of that as well That it's not necessarily saying something's wrong as maybe even it's just saying how do i improve what i'm doing. I want her some strategies. I could i could Work on to take care of myself as well as with my family. Member emphasizing the importance of peer support Both with destructive ever in opportunities maybe without and And the importance for for seeking respite. Care when they and That again that not they feel guilty about that but certainly the folks that earlier study. It said that they their levels of depression and conflict. Run stroke recovery were actually associated with confidence seeking respite care So those areas of self care strategy want recommending that it's important and then just touching on what we look at our self care of exercise nutrition rask stress reduction but offering opportunities for counseling peer support and respite care in particular the caregiving role while great informational take worth means clinic. I really liked the getting back here. Partner involved in heaven and start thinking about.
"stroke" Discussed on ANPT Stroke Special Interest Group
"The That they feel empowered to communicate their own needs and goals That they're also a focus of care and for the stroke survivor. How i begin to approach it and in my In my research study is saying okay. Well I take it from perspective at me. Support of a trend size empathy. Clever to problem solving non-controlling language providing choice. So i i talk about Problem solving and task progression. And and and i starting with you know why we're helping them understand the why behind that activities so if you're trying to create an exercise plan in the If they have a bit of an understanding about neuropathy society and basically that You know doesn't have to be this complex explanation that you know what the brain can change as it gained skill. And the more you practice. It know that the more The brain changes and and can respond to treatment as she gets stronger and are able to do more. But part of What we know about Recovery is is practicing really easy. Things isn't gonna drive our plasticity like practicing at your challenge point. And what does that look like. Well that means maybe practicing eating your meal where you're making a little bit of a mess. You mostly successful you know using your fort to eat. Eat most of the meal but you might drop a little bit and that's okay and realizing that you know you're sort of prying to find that place where you're really pushing the system but having success at the same time something makes sense of it and And and so then. I get them to pull out these kind of ideas of you know wendy working their challenge for right and and then getting them to be involved in problem solving task progression adaptation. And and that really kinda fits into this functional tasks practice. So how do i approach it from turning the home into a gym right. So do you really have to just say all right. You have to spend an hour every day doing your exercises. Are there ways that we can address. Some of your. I motor coordination through eating.
"stroke" Discussed on ANPT Stroke Special Interest Group
"The exercises as part of therapy. But it kinda gets a sense of. There's some maybe it's not so much actual physical giving care but it's the conflict around getting care that happens as part of family dynamics and it's not necessarily no. We're not family counselors. But i think understanding where some of the challenges are and referring people out to support Counseling can can be a great help so you were asking a little bit about Ways i think moving forward to think about how to bettering corporate care partner into our interventions The i think that making sure that we assess have a there since of their knowledge about stroke and co Even though often times or other team members especially in patient rehab cover this In outpatient or home settings just getting a feel Of are they understanding the cause of the stroke symptoms Completing the memory paper changes do they understand about risk factors are the warning signs Because it just remembering to when you're an impatient just it's so overwhelming all the information that you get and now that they're home and circling back around certain activities just And level of care beyond a touch base and make sure some of these areas have been addressed and they feel comfortable in it I think from a rehab perspective stepping back in a broader sense and reminding them that that rehab is an ongoing process. It's not fine. I and that their natural course of ebbs and flows but it's not always that steep stretch of improvement. We initially see but once you know further down the road That it's.
"stroke" Discussed on ANPT Stroke Special Interest Group
"Can can give us a lot of information like you said just taking the time to give them voice. I like you ask them. What are their goals for. The patient Critical and i'll talk a little bit. I give example and share a little bit more about attorney. But and also i think coming back to it a little bit where we come. Think about moving forward ways to change about your practice tomorrow. i can sort of talk about some. Just simple questions like that during family and But as you as you start before we think about assessing. I think that one of the questions that you had had asked was wear our care partners. Feeling ill prepared and i think having a sense that as you go into that in two years with your with the stroke survivor and thinking okay. Well wonder how kind to state. What are the challenges and Again i go back and listening to what. The video said that They they swim in share. Were really valuable And when i tried to put them in a categories as it relates to what i've seen in the evidence and What i heard from that on the the participants in my own study Our i i'd i'd say that Barbara you know that you wanted to interview to She said exceptional work So she's a nurse doing caregiving work in stroke and just unexceptional work in qualitative analysis and and evaluating this and answering this question. So i really want our recommend. And i can send you some references to of of her work around that And but it seemed like there are these steams of i just having a sense of appreciation of the the other enormity of uncertainty and realizing that they have to make their having to make these decisions in such ambiguous and dynamic environment. I so you think about you know. And i put myself back in that role needing to help my dad and i thought great so i'm low jackley where he's going to be where they be able to walk. They'll be wheelchair bound. But i'm having to make decisions about accessibility and i don't even know what that means. And i i mean. If i'm you know i'm thinking about the lay person I have no experience thinking about practices. I so i don't quite know how to plan and therapist. Kinda give me an idea. But i don't really know what that means. And i'm trying to think about all the various changes with what would happen with Accessibility and supervision and finances and what am. I going to do how to manage all these roles. But i think even something simple. I don't put it in a ramp or not. I mean the money ask all the things. Any dummy do any renovation in normal circumstances daunting and here. You're thinking well. I don't even know.
"stroke" Discussed on ANPT Stroke Special Interest Group
"Like the libel went off and he you know. He changed his posture. He set up in his chair and he said you know. My biggest concern isn't about his arm or his leg. it's about his mood. I'm just so worried about his depression and and and and i said And i and so then. We had a discussion around his mood. And i don't know if his son had really ever said that out loud to that there's a lot of navigating that and talking through it and and i think it's it goes with how the evidence is consistent with the evidence that of Thinking about Where your partners feel ill. Prepared is navigating some of these memory and behavior changes after stroke and And so it's not only. Do they feel prepared is it. They also is some of the biggest burden and stress on them and so But i think if we can begin these conversations really just saying How are you doing What concerns you the most about your loved one. What causes you. The mace concern rings. Id or you feel is most difficult about your own. Caregiving right now. What are your goals and And so And i'll i'll say of all the individuals and i screamed for my study and enrolled over the past four years. Not one person said that. I ask everyone i said. Has anybody asked how you're doing in any and they said no. And and i you know i will say that part of and talk a little bit about how i came down this path. I had the exact same experience. And i was thinking well. Perhaps it's just because i'm a pta. And you know when. I was thinking if my dad and our maybe that's just because of it but it it really is pattern and and i think if there could be one change from the research and i'm doing or even this podcast is if you just ask the family member. How're you doing And is there anything we can do for you. And what's your biggest concern but just how you're doing and to feel heard I think would go a long way. And wow that's great advice. No i think we as therapist just get so caught up in impatient that yeah even just that one simple.
"stroke" Discussed on ANPT Stroke Special Interest Group
"To enter into that role. Caregiving so I think one lesson is often time stepping back and Being thoughtful about that perhaps Implicit bias that we might have and and so some people may even say that. Or gosh. maybe we're finally by it doing work around Caregiving you know. Are we finally giving the care partner. Voice right and But i wanna be really cognizant humble that that the care partners really have always had a voice. But i think it's we as rehab professionals. It just hasn't really been listening as well as we could have. And i think a valuable opportunity in rehabilitation is missed. if they're -peutic interventions are delivered outside of the family context That you know. I think helps professionals of all types need to we need to understand are explicitly aren't to theft skills and the willingness of the family. They have a care partners from sure. That's on definitely guilty of just assuming in just you know this person's just gonna take care of this patient and in not even stopping to think. Are they prepared to do this. You know So so how do we. How do we assess. How do we determine if care partner is is really going to be able to step up to the challenge in and take care of this patient. I think that Whip we kind of The first step Is i would really. I think is just saying how do you feel you're doing. I wanna make samples happen. Probably second to last person. I enrolled in my current study and and and it was a young man with his father had stroke and and he seems son seems to disinterested and i thought i mean it's something i've been screaming all these people's past four years the study and he kinda just sits out there and didn't he. He didn't seem engaged. Thought he just is he here. He doesn't seem to want to be here in washington part of this study and and I'm explaining this study and and and it's really a. I have ever received an intervention. But it really is about a care partner and And and he he's still kinda didn't seem like he was really engaging i thought well maybe he's just this isn't really a good fit But when i said to him how are you doing. And what is your biggest concern about your dad..
"stroke" Discussed on ANPT Stroke Special Interest Group
"Individual tani payment rules scourge us as providers to spend a lotta time commuting communicating with care partners. I mean i remember years ago. When i first started my clinical work at the rehab center here at emory and having a family conference was a key piece of before people were discharged. And i'm not sure how often teams in in In rehab get to do this. This full family conference with the entire team together with the family and a survivor to discuss plans of care but also our health insurance model is now oriented to individual coverage so And but what we're finding out with There's a large amount of literature. That often actually is mostly. I think in more on the nursing literature that that shows if these Pretty profound impacts of this role of caregiving. That they're higher rates of depression and anxiety stress lower rates of lower self ratings of health or higher rates of chronic disease Parent help people are exercising..
"stroke" Discussed on ANPT Stroke Special Interest Group
"stroke" Discussed on ANPT Stroke Special Interest Group
"Lock. You developing it up and really then you need to say just because these interventions impact of a whole package hen we could out and if we do that how can we How can we make sure we stopped tasting the interventions in a cave away so we then made to look at safety and we need to look at phase ability. It's not just a phase ability of the intervention. It's the phase ability of the whole research approach. And that's fine. That's fine too. So these really phase two studies when you're looking at safety in phase ability and then you move on from the earth that looks positive so i think you bring up some great points. i just want to recommend that the article two thousand four and stroke victim alone. I highly recommend reading that. As a mapping study and um for just just for even today's healthcare environment for people to reflect upon that that is an excellent and then can't you As you went into the standing these into the next part of understanding the variables that you chose so when you said i need to just study this and decide how i would do an intervention. I think this might help clinicians understand. Why the variables were chosen in these trials. Examples physical therapists may not feel that the modified rankin scale is the best marker and you elaborate on that on just a little bit on how you choose your models and how you choose your outcomes. Yeah but let's let's focus on mean to mention as well the protocol and united less about that because we haven't we deliberately haven't published that Because and the reason we didn't do that was because as soon as i started talking about these to the clinical world What i found was the people wanted to get hold of the protocol. Said they could implement it. And i said let's just white because we don't know that this works and so we deliberately made it what.
"stroke" Discussed on ANPT Stroke Special Interest Group
"Really make a change in their life host treatment. How much of the moment you feel as related to improvements in lost or altered vision in how much of it is substitution or adaptation to improve the functional ability. Yes is the answer the answer it depends right always i mean you. The goal is to help them return to as close to normal as possible. And then you always end up with a to some degree or another is the double vision may go away but then there might be of perceptual issues. That weren't aware of when you first started. That come up. Are there outcome measures that can document progress throughout therapy that would be valuable for. Pt's obviously we do some. That are very mobility related but are there others that that might be helpful a little bit more vision related or in terms of neuro ophthalmology. Are there things that you would like to see the pt report to you. Specifically i you know will send to the pta. And they'll have my records about what's wrong and And i just i think the pt and ot are so important Are at everybody. That has a stroke. Should see somebody to help them. Overcome their deficits and I don't know of any measures per se If they're not doing well like could. I have missed something in my exam. That i should be working on or You know do. I have the acuity the best i can get it. I mean these are things. I have to always ask myself if they're not doing well and pt and ot. I diagnosed everything. Have i got the best glasses. I got the best exam on them. That i could get in and i rely on. Pd not to say to me. You know this prison still not doing well. Could you just check recheck. That visual field or recheck. This or something like that. I i love it and i think the best outcome measure for us is just returned to function at some point. It doesn't really matter. If their vision has improved. I mean if they can go back and resumed some of the meaningful tasks that they've not been able to do some degrees you know that's really the outcome measure. Are they able to do things that they enjoy the able to continue on with their life. I know outcome measures. Kind of a big puzzle therapies right now in terms of medicine in general is a test that you can give them that shows that if improved And i think we're in the process of developing some of those. Most mark are sensitive enough to know. If there's anything like mike. My goal..
"stroke" Discussed on ANPT Stroke Special Interest Group
"To treatment. What our options for treatment for visual field loss well You know there's been all kinds of people who tried to come up with Algorithms for visual fields and putting an charging a lot of money to pay attention Again i will rely on my pt and ot for helping on the visual field. The most and really visual field is just. It's about getting that repetitive. Scanning i i like to put somebody initially when i'm doing the training like to you know. Get them looking to the affected side in elected. Set it up on a cadence so every time there right foot goes down low to the right and i just do things very very. Repetitively is even even those who have a visual field. Loss known aglet their brain tends to give the the feeling that they have a full visual field. And so it's it's you know it's neglect is more obvious than that or more difficult to overcome but even somebody that has a pretty significant field cut their brain tends to operate like no. I see everything. I'm fine and so it is just doing something very repetitive. To get him to move over to that side. Get a looking to that side and so set up all kinds of scenarios to help them learn that Recruit family. I recruit other therapists. No so i make sure that their physical therapists on the same team is doing. You know making him address. That affected side speech. Therapy know everybody needs to be on more in terms of helping somebody get consistently looking to the affected side so what are options for treatments for visual perceptual deficits of stroke. That's harder that's a lot harder And again. I think that's where. Pto can help a lot more than me. We can tell people what their issues are. There doubts a lot harder for us to deal with a i kind of called vision. Perception in this is the rocket science vision..
"stroke" Discussed on ANPT Stroke Special Interest Group
"As he loved to read at this point he really avoided reading prior to this and he didn't do very well in school but we were able to kind of get him motivated. He was working on got working on his gre. Packets are yes graduate package. Whatever they're calling for but Then he got into a locational program and so it was really fun to see him progress. You really wouldn't have tell. That tumor was removed and is visual. System was had a chance to really. He'll rebound how i find. Ot with vision specialty or a neuro ophthalmologist. If i'm a newer clinician or i'm just transitioning into neuro rehab And i'm i'm trying to find those resources for patients is there to find a neuro ophthalmologist to the north american neuro. Ophthalmology website the anos web dot org and There it says find neuro ophthalmologists. You put in where where you live. And and they give within ten miles fifty miles one hundred miles. Two hundred miles whatever but All of those are to help you find a neuro ophthalmologist unfortunate with. Ot were not organized. So we're kind of new for us to be envisioned or at work with vision. And so we're right now. Trying to take on his instances. I can give them as as as much education in terms of of occupational therapies relationship. Division as possible so there are a number of schools and sometimes that's the best way to go. I i did low vision training of alabama. And there's also envision in kansas city sometimes graduates from these programs will know where there are some resources or where people have habit. So we're really trying to get more out there but right now. Unfortunately there's not a ton of us so so moving onto prognosis now Doctor degree what is the most common visual impairment stroke. Well visual acuity. And so and. I can't stress this enough. Because let's say you have a field defect but let's say you need glasses. Got something we can do. I mean that's i. I wanted to see start visual acuity because if we get people seeing the best that they can see with what. They've got laughed. That's that's doing a great job for them. And i see. Qc is in agreement with this key. See yes.
"stroke" Discussed on ANPT Stroke Special Interest Group
"It's like Up from stat raff. It's just a like journal type of thing but it's available to health. Sciences libraries and libraries can order it. So it's a great resource both novel and this Nanos next Examination technique curriculum is is really great for your listeners of awesome. It's always great to to compile. More resources in the clinic could can be overwhelming so having those free resources is wonderful. So additional areas of concern. Post stroke are inattention and visual. Perceptual deficits is often difficult to determine concerns related to vision as opposed to something else and insights that that might be helpful for pt. On to tran. Discover some of those differences particularly for therapists who maybe are in more rural settings in have less access to a vision specialists of any kind. Well i'd say i get your exam as best you can Because that will help you at least know what the deficits are. If you can get the exam down a little bit you know the acuity the field the eye movements and then You know if they're still complaining. And i yearn just not seeing what they're complaining about them. Casey is as the master of finding out what's really going on he. He's like a magician. He goes out there and he figures it out so the i know you have lots of pearls that you can share amount won a lot of times. It's just a matter of Just i like. I like to go their homes to do it because you can figure out you know in their own environment. What's difficult for him. And then you know it's really just about cheesy now you know and and for me. It's not so much important. I like to see what how it's affecting their function and then going from there I saw recently that his vision. You described it as like looking through kaleidoscope or is it like looking out a bunch of flies all over the place and for him it just. Is you know you kinda rack. Your brain is any of his vision functional and be honest it really may not be because it's very confusing him so i i'm kind of taking a different approach that we we might just start teaching him blind techniques and see if it makes it easier for him to juicing rather than the.