Waching daily Nov 3 2018

What happens when the educational

market is distorted?

Look at state colleges and universities.

Their fees are generally very low,

paying for only a small part of the cost of schooling.

They attract serious students,

just as interested in their education as

the students at Dartmouth or other private schools,

but they also attract a great many others;

students who come because fees are low,

residential housing is good, food is good,

and above all there are lots of their peers.

It's a pleasant interlude for them.

The University of California at Los Angeles.

For those students who are here as a

pleasant interlude, going to class is a price

they pay to be here, not the product they are buying.

DARRELL DEARMONE, LECTURER: We frequently wind

up with people who cannot compete favorably with

even the average person here.

There is a magnet here for everything.

We have the best weather,

practically speaking, in the country.

Hollywood is here, Beverly Hills is here,

the social scene, the television industry

in this country is centered here.

FRIEDMAN: The justification for using tax money

to support institutions like this is

supposed to be so that every youngster,

regardless of the income or wealth of his parents,

can go to college.

A few youngsters from poor families are here,

but not very many.

For more infomation >> Free To Choose 1980 – What's Wrong with Our Schools?– Colleges - Duration: 1:46.

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Aortic Stenosis Remastered (Symptoms, murmur, aortic valve stenosis treatment) - Duration: 19:59.

and welcome to another MedCram lecture we're gonna talk about aortic stenosis

and specifically the pathology the pathophysiology and the clinical aspects

of this condition first I want to just remind you the anatomy of the heart for

those of you who are starting with us new here so we know we've got the right

atrium which then blood from the right atrium goes into the tricuspid valve

through the tricuspid valve into the right ventricle and then that goes out

through the pulmonic valve to the lungs and the lungs oxygenate it and it goes

to left atrium through the mitral valve then through the aortic valve and then

out to the body and then from there back to the right atrium the part that we

want to talk about specifically today is the aortic valve okay so the aortic

valve is the area that we're talking about we're talking specifically about a

aortic stenosis stenosis simply means closure or the inability for this valve

to open so what are the possible causes of aortic stenosis now we can kind of

break this down into those who are 30 years old or younger greater than 30

years between 30 and 70 and greater than 70 so for those who are less than 30

years of age and they get aortic stenosis that's pretty rare and the

cause of that is calcification of a uni comas ural valve now what does that mean

the valve it usually has three parts so if you were to look look at it directly

on it would look like a Mercedes Benz sign

well a unique Amish oral valve is one that only has one part going through it

okay not bicuspid but unique Homer cyril and these could become calcified and

that's what would give you calcification and stenosis before the age of 30 what's

the most common cause between 30 and 70 years of age that's bicuspid bicuspid

that would be a valve that looks like that so these become calcified very

early and they are the most common cause of

Aric stenosis overall and specifically between the ages of 30 and 70 what about

after the age of 70 here you've got a normal valve you simply get

calcification of normal valve okay but overall if they were to ask you what's

the most common cause of aortic stenosis it would be bicuspid before the age of

70 okay so what are we gonna see in this type of a situation well because there

is stenosis at this area right here we're going to start to see that the

pressure builds up inside this in this left ventricle and as a result the

muscle here is gonna get thicker than it already is

and that's going to cause what we see in terms of hypertrophy the compliance of

this area is going to go down and we know that compliance by definition is

the change in volume over the change in pressure what does that mean if the

compliance goes down then that means it's going to take a very large change

in pressure to make a very small change in the volume of this left ventricle so

what we're seeing here in other words if the compliance is going down is that

this is going to become very stiff now why is that important remember

is going to be coming in trying to go into the left ventricle now as a result

it's going to need to fill this up and if this is very stiff the pressure in

this chamber is going to go up as a result you're going to see the pressure

in the left atrium also go up that pressure is going to be transmitted back

to the lungs if you're not careful and as a result that pressure will be

transmitted back to the right ventricle so the right atrium and systemically

back to the body and you'll get systemic venous hypertension also very briefly as

a result of this stenosis here at the aortic valve there's going to be less

cardiac output and as a result of that the peripheral vasculature is going to

dilate this low compliance in the left ventricle is going to make it difficult

for these EPI pericardial blood vessels to supply blood to that area and as a

result you're going to actually get a reduction in oxygen perfusion to this

muscle over a period of time and that's even worse than you think because it's

going to take more oxygen for this muscle to contract because it has to

pump against a higher what we call after load we'll talk about after load a

little bit in some of the other lectures but after load basically is the amount

of force or it's the amount of pressure or tension that this left ventricle

needs to overcome and it's directly related to oxygen consumption so here

you have a situation where oxygen consumption is increasing because of the

pressure that needs to be overcome and yet the myocardium isn't in no position

to accept the more oxygen because it's compliance has essentially decreased now

as a result of this you get symptoms such as angina or angina this is pain

angina pectoris is essentially the same as chest pain you also get syncope

syncope is where you basically pass out you could also get dis Nia that's simply

shortness of breath that's another symptom

this a sign is something called pulsus TARDIS and also parvis this simply means

slow and late-breaking so TARDIS is late and parvis is smaller

so the thing is is that if this valve here the aortic valve is not opening as

well when the pulse finally gets through and to the peripheral vasculature when

you put your finger on that pulse it's gonna have a slower upstroke and a later

upstroke that's the pulses parvis a TARDIS and so some of the complications

that you'll see is something called sudden death where finally becomes so

bad that this valve opens so little that the heart goes into arrhythmia and you

could die so this is pretty serious let's go over the pathophysiology so as

we said it's all about the specifics of this valve because this valve doesn't

open we see a enlargement of the left ventricle and specifically we see

hypertrophy and so what we get is after load increasing so after load goes up

and you see thickening of the left ventricular wall this is called left

ventricular hypertrophy and this is one of the compensation mechanisms that is

used as we mentioned the wall becomes very stiff and as a result of that

something called left ventricular and diastolic pressure and left ventricular

end-diastolic volume increases but specifically the pressure goes up left

ventricular end diastolic pressure simply means what is the pressure in the

left ventricle right before it contracts if that pressure is very high which is

what happens in a stiff ventricle then the pressure is also going to be high in

the left atrium if that occurs the left atrial size is going to increase and the

reason is is because the left atrial wall does not have a very thick wall in

fact it's very thin it's not designed to undergo a lot of pressure that can be a

problem because if this left atrial wall becomes enlarged something can happen

called atrial fibrillation now why is that important

if this left ventricle is very stiff then it's very difficult for blood to

get in to this ventricle for it to be pumped out and you depend very

specifically on something called atrial kick it is the contraction of the atria

right before the ventricle contracts that gets just a little bit more blood

back into the left ventricle before it gets pumped out through it the aortic

valve in atrial fibrillation however you lose all of that contraction you see P

waves disappear on the EKG now there is no more what we call atrial Kick

so no atrial kick and as a result of that cardiac output drops precipitously

so if you have a patient with aortic stenosis their left ventricular starts

to increase then their left atrial size starts to increase and that causes

atrial fibrillation they could decompensate very quickly now as we said

because of the increased demand for oxygen and the fact that the compliance

of the left ventricular wall is so low you're going to get increased oxygen

demand and decreased oxygen supply that's going to cause angina we already

talked about that but and you can also get shortness of breath and you can also

get syncope we talked about that but the other thing that you'll see is a low

pulse pressure that means instead of seeing something like 120 over 80 where

this is the systolic pressure generated by the force of blood leaving the left

ventricle and going into the aorta and 80 being a sign of the diastolic

pressure you'll see that these numbers instead of being 40 apart are going to

be much closer to each other because of the stenosis at this a Orting valve and

so you might see pressures more along the lines of 110 over 90 for instance

this is not uncommon to see the other thing that you will see on your physical

examination is that when you examine the patient it is normal to listen at the

apex of the heart in this area which course

bonds to this areas here to find a maximal beat if you will when you listen

you can also feel this now normally when the heart gets enlarged for instance in

congestive heart failure when the heart becomes enlarged you'll see a direction

to the left however an aortic stenosis because the size of the heart the size

of the left ventricle itself is not increasing but only the wall thickness

you'll see that the the apex will stay around the same area the apical impulse

however will be sustained what does that mean that means that it's taking a

longer period of time to get that blood out through the aortic valve and

therefore it will beat and hold more time during the time cycle and so what

you see there is you will have a sustained apical impulse which is

unmoved you might also see something called an s4 now if you'll remember your

heart sounds you remember there is an s-1 an s-1 is simply the sound that is

first made in the cardiac cycle s1 as you recall is the closure of the

atrioventricular valves or the tricuspid valve and the mitral valve closing this

indicates systole and goes through until s2 occurs and if you recall s2 is the

closure of the semilunar valves which are the pulmonic and aortic valves so

that's the closure of those then you have s3 which apparently is blood coming

in and hitting the left ventricle usually it's a distended left ventricle

that's why it makes an s3 and so that's usually indicative of a big distended

left ventricle and then finally s4 which can be heard

specifically when the left atria contract forcing blood into a very

stiffened left ventricle and so what you can see in a aortic stenosis is

something known as an s4 and that indicates the contraction of this left

atrium assuming that you're not in a chor fibrillation if you are you will

never hear an s4 but if you do get contraction of the left atria in s4 the

blood that goes through hitting a very stiffened left ventricle

will cause an s4 and that is a low frequency sound best heard on the left

side because the systole begins here between s1 and s2 the type of murmur

that you would see is called a crescendo decrescendo and it simply is

proportional to the velocity of blood going out of the aortic valve this is

called a crescendo decrescendo murmur and it has heard best at the second

right intercostal space now as a result of the pathophysiology anything that

increases the gradient around this valve or the amount of blood in the left

ventricle is going to increase the murmur anything that decreases the

gradient or decreases the left ventricular size is going to decrease

the murmur and so what we see here is that if we decrease the blood pressure

here in the aorta with using things like amyl nitrate amyl nitrate will actually

decrease the blood pressure in the aorta which will increase the gradient and

that will increase the murmur of aortic stenosis if you do something called a

valsalva maneuver which is where you bear down that usually has the effect of

shrinking both ventricles both the right and the left as a result of that since

there is less blood in the left ventricle to pump through the aortic

stenosis doing a valsalva will decrease the murmur of aortic stenosis a few more

things in regard to symptoms specifically the three symptoms that we

talked about known as angina syncope and congestive heart failure these three

symptoms are very important as a study was done on these and it shows that

angina is one of the milder symptoms of aortic stenosis syncope is a more severe

symptom of aortic stenosis and congestive heart failure is the worst

symptom of aortic stenosis and the recent study found that if someone has

angina in air text enosis they have less than five years of life expectancy if

someone has syncope they have less than three years of life expectancy however

if someone has congestive heart failure they have less than two years of life

expectancy and knowing that order may be testable information so finally what's

the treatment well they do things called balloon

valvuloplasty where they actually put a balloon in here and try to open it up

but this is only temporary and it really doesn't work the best treatment is

actually surgery and there's two options for surgery either you can do something

called a bio prosthetic valve and bio prosthetic is either made at a pig or

cow bovine etc the nice thing about this is that it is not thrombogenic and that

you don't need to be on chronic anticoagulation so no anti coagulation

the bad thing is however is that it doesn't last long

doesn't last ten plus years so if you have less than ten years of life

expectancy then it's best to use a bio prosthetic valve if however you have

more than ten years of life expectancy than a mechanical valve is the way to go

for that however you do need anticoagulation and the standard of care

is warfarin with an INR of 2.0 23.0 generally speaking now the flow past

this valve is quite high and so the thrombogenic risk relatively is not as

bad as it would be in an area with a slow flow now this valve opens

much more and so the flow through here is much slower as a result if you had to

put a mitral valve replacement in you would be dealing with an INR of 2.5 to

3.5 but we're talking aortic it's usually pretty fast and the

recommendation is 2.0 to 3.0 generally speaking okay so that pretty much sums

it up but before I go I wanted to say one more thing and that's something that

you might see called reverse splitting of the second heart sound so what does

this mean well real quick we're talking about the second heart sound as you know

that's the closure of the aortic valve and the pulmonic valve well an actuality

the aortic valve closes first that's a two and then you get p2 okay but it

happened so quickly that it's we've group it into the second heart sound

well anything that makes the aortic valve or the left side this is the left

side here this is the right side anything that makes the left side

delayed enclosure of this a or attic valve is going to make a to go in this

direction to the point where a two is now after p2 so how would you know that

and why is this called paradoxical well when you take a deep breath in real

quickly p2 goes this way and then when you breathe out it comes back this way

this way for breathing in this way for breathing out and so as a result of that

you should see that the difference between a 2 and p2 in other words the

splitting of that second heart sound should get bigger on inspiration and

smaller on exhalation however if you run into a situation where a 2 is no longer

here and it's all the way over here this is still going to move relative to

breathing and so when it moves over here you're still going to hear this split

but instead of it being larger on inhalation it's going to be smaller on

him latian and it could be larger on exhalation this is exactly the opposite

of what you would expect and that's why it's called paradoxical or reverse

splitting of the second heart sound and it happens

because a two gets transposed on the other side of p2 so what would do that

what would cause a two to be so late in relation to p2

well it's anything that causes the left side to slow down relative to the right

side or anything that causes the right side to speed up relative to the left

side so there's two things that will cause the left side to slow down one of

them is the thing that we've been talking about today which is a artic

stenosis so a artic stenosis is one of the causes

of paradoxical splitting or reverse splitting of the second heart sound the

other thing is a left bundle branch block that's obvious why that would slow

down the left side contraction is because there's a block in the

conduction but the other thing that could cause a is tricuspid regurgitation

because tricuspid regurgitation means the right ventricle is going to pump

blood out of its ventricle faster because now it's got two places to pump

it out and so as a result of that the pulmonic valve closes much earlier and

p2 goes over here on the other side of a - and so when it moves it's going to

cause paradoxical splitting of the second heart sound I'll give a lecture

on heart sounds and splitting and that sort of thing but I just want to make

sure you knew that a Artic stenosis can cause paradoxical

subletting of the second heart sound thanks very much

you

For more infomation >> Aortic Stenosis Remastered (Symptoms, murmur, aortic valve stenosis treatment) - Duration: 19:59.

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Milkypups speedpaint - Duration: 3:18.

O w O hi

I am drawing MilkyPups

he be super cool Youtuber

i love his art

and his voice

Okkky enjoy O w O

O w O ur still here

O w O nice weather we are having

and

ever

since

that

day~

O w O how have you been

O w O am i lost?

O w O yes i am lost

O w O good bui for real

For more infomation >> Milkypups speedpaint - Duration: 3:18.

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JAWS THEME SONG 🤣😂🦈🦈🦈🐟🐟 - Duration: 1:44.

JAWS THEME SONG

For more infomation >> JAWS THEME SONG 🤣😂🦈🦈🦈🐟🐟 - Duration: 1:44.

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venez pour le mega give de pets - Duration: 39:20.

For more infomation >> venez pour le mega give de pets - Duration: 39:20.

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Como Criar Aplicativo Web Radio em Multiplataforma com Ionic 4 part 03 - Duration: 14:38.

For more infomation >> Como Criar Aplicativo Web Radio em Multiplataforma com Ionic 4 part 03 - Duration: 14:38.

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Carol Lim & Humberto Leon about "Journey" | Mercedes-Benz Fashion - Duration: 1:09.

#WeWonder about what's going to happen in 10, 20, 30 years.

And looking back ...

How can we make sure that in 20 or 30 years,

we could be proud of what we're doing today.

You constantly need to take stock of where you are, at every step ...

because these are all the things that accumulate to help navigate you to the future.

If you can always start with trying to put yourself

outside of where you stand, it will always lead to a really exciting experience.

Small random acts of kindness ...

We need a lot more of that, everyday.

Mercedes-Benz has championed young emerging talent.

Emerging creativity is super important to support.

It's the new creatives who will

lead us into the what's next.

Because they are the answer to tomorrow.

It's really about the path to the future,

and thinking about what will get us there.

For more infomation >> Carol Lim & Humberto Leon about "Journey" | Mercedes-Benz Fashion - Duration: 1:09.

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The secret to being present (WARNING this will change your life) - Duration: 6:10.

For more infomation >> The secret to being present (WARNING this will change your life) - Duration: 6:10.

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ZAMAX - I DON'T FORGET (VIDEOCLIP OFICIAL) - Duration: 3:17.

For more infomation >> ZAMAX - I DON'T FORGET (VIDEOCLIP OFICIAL) - Duration: 3:17.

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Алина ЗАГИТОВА КП 2.11.2018 GPS Rnd3 Helsinki(Finland) - Duration: 8:10.

3Lz+1Lo* 5.90 (-2.95) Invalid element

FCSp4 3.20 (1.05)

StSq4 3.90 (1.56)

StSq4 3.90 (1.56)

2A 3.30 (0.99)

LSp4 2.70 (0.93)

3F 5.83 x (1.97)

CCoSp4 3.50 (1.25)

Skating Skills:8.89 Transitions:8.93 Performance:8.86 Composition:9.04 Interpretation of the Music:9.00

КП 1st 68.90 = 33.13 + 35.77

For more infomation >> Алина ЗАГИТОВА КП 2.11.2018 GPS Rnd3 Helsinki(Finland) - Duration: 8:10.

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Aircraft Stability in 4K -- Private Pilot Flying Maneuvers - Duration: 2:38.

Alright everyone welcome back my name is Chris Palmer from AviatorTraining.com

So on the power-on stall video I promised you that I would show use the

stability of the airplane and what that has to do with stalls, alright, the

airplane's already fairly slow here I've got the carb heat in and everything's

set up. I've cleared the area I'm out here just practicing amongst these

glaciers. It's pretty amazing. So what I'm gonna do is I'm gonna show you the

stability of the airplane and why the airplane won't stall by itself alright

so I'm just gonna pull this power back all the way power is idle now and I'm

gonna come back this direction and what I'm gonna do is I'm just gonna

trim this airplane all the way back all the way back all the way back all the

way back and I'm basically gonna let go let's and see what the airplane does ok that

nose comes up and it starts to come down and the nose starts to come up again as

we gain that airspeed again or relative wind whichever way you want to look at

it and we're getting a little slow again and the nose comes back down okay

we trim all the way back the airplane will not stall so of course if you have

to trim all the way back and the power on it would so basically what I want to

show you here is that you as a pilot you are the one forcing this thing into a

stall if you do nothing else in a situation other than let go of the

controls take it out of a stall as long as you're not trimmed incorrectly

say in like a power-on stall then you're gonna be able to get out of it

alright so that is the stability of the airplane and why you really shouldn't be

worried about these airplanes it's all about that attitude flying and getting

things set up and then just yeah good luck practicing those

power on power-ups stalls and slow flight nothing

to be afraid of your instructor will teach you about spin awareness as well

alright so that is it for this video smash that subscribe button and share

this with someone else in the aviation community happy to have you here hope

you join the conversation and until next time throttle on fly on over to aviator

training.com for online ground school podcasts videos and more to become or

grow as an aviator

For more infomation >> Aircraft Stability in 4K -- Private Pilot Flying Maneuvers - Duration: 2:38.

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Nightcore - Home - (Lyrics) - Duration: 2:11.

Lyrics on the screen

For more infomation >> Nightcore - Home - (Lyrics) - Duration: 2:11.

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Letni, Chamski- "LEJ LPG" gośc. Kasia Antosz (OFICJALNY KLIP) - Duration: 3:33.

For more infomation >> Letni, Chamski- "LEJ LPG" gośc. Kasia Antosz (OFICJALNY KLIP) - Duration: 3:33.

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wegz - Tayeh I ويجز - تايه (Official Video) Prod. Rashed - Duration: 3:07.

For more infomation >> wegz - Tayeh I ويجز - تايه (Official Video) Prod. Rashed - Duration: 3:07.

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How to do the Drop, Stop & Roll Panna - EASY MAN TUTORIALS ep. 14 - Duration: 3:13.

Yo it's your boy Easy Man and Today you're watching...

Easy Man Tutorials!

And Today we're doing the...

It's just Easy man! Bang! Bang!

Step 1!

Pull the ball back and stop it with your knee.

Step 2!

Wait for the opponent to reach for the ball.

Step 3!

Drag the ball from one foot to the other between your opponent's legs.

Then you got the Drop, Stop & Roll Panna!

It's just Easy Man!

Bang! Bang!

Ladies and gentleman, boys and girls! This trick really works!

You don't believe me? Let's go!

It's your boy Easy man! Love and Respect!

Yo man what's up, you good?

You want to play some Panna against me?

Thank you! Thank you for playing!

You know how we do it!

Thank you! Thank you for playing!

You know how we do it!

Love & Respect! what's your name?

Austin.

Big shout out to Austin!

I told you this trick really works!

Like & Subscribe my channel: EasyManTv

And this is how we do it! Love & Respect!

Bang! Bang!

Like & Subscribe!!!

For more infomation >> How to do the Drop, Stop & Roll Panna - EASY MAN TUTORIALS ep. 14 - Duration: 3:13.

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SMALL PIERRE REVIEW (NYTC) - Duration: 5:09.

Chase: Hello everybody it is me, Chasey Poo! Today, I'm doing a review for you and this review is brought to you by

early to bed. You can go to early to bed dot com and

get any of the products that I've ever reviewed for them at a discount because I have a discount code.

So, use the link, because then I get commission, use the discount because you get a discount and then early to bed gets a sale.

And that goes for the same thing for FTM Essentials.

I have a discount code for you and I have an affiliate link and almost all the products that a review are on both sites.

So, that's great, then that's awesome. So, thank you early Tibet for sponsoring this video.

Today I am reviewing a toy from the New York Toy Collecting. Now - the New York Toy Collective has brought you some amazing

prosthetics in the past, like the Pierre packer and the Archer.

And also things like the Ellis and the Shiloh and all of these other - like the Sam STP - a whole bunch of stuff,

okay.

So, today I want to talk about one specific

one that I actually talked about last year in my Trans 101 series when I talked about packing for youth but I've never actually

full-on reviewed this product and I wanted to give it a proper review.

So in case people who can't watch that video are able to actually watch this one and, you know,

this one's gonna get age-restricted, even though this video is actually made for you. Hello, youth! Welcome!

I'm sorry, if you can't watch it, and then you had to lie about your age.

But here it is. This is the Mini Pierre. Okay. This is the small Pierre and

I'll go get like the regular sized one, like so that you can see what the difference is.

So Pierre was my like second best packer. Okay, this this is Pierre. Hey, baby, I got I got him used - no,

I'm kidding. I got him like as a defective

packer at the conference the first year I went because there's literally a tiny hole there -

Which I don't care about it's on the base. I really don't care and it's a little more squishy.

I think there's something up with the silicone, but I liked it better than their regular one.

And this was my packer for such a long time after the Mr.

Limpy until I graduated to something else later on. But - this is the size that I liked for me. Now,

they came out with a smaller one that looks like this. So if I show you the difference, there is a big difference.

So this one is made for youth, okay?

Or it's made for people, who are just smaller and - or - people who would like something to have smaller in their parents 'cause some people

don't like having a bigger bulge, which is fine. They just like to have feel like they have something down there.

So, something like this would be perfect for them.

So, the regular Pierre, which I have reviewed in the past and I will put that review the description below, is

$55 and then the small pair is $45, okay.

So, what's really cool about this prosthetic is that I really like that it's made for youth and it's not a sex thing.

I'm so done with people. It's like "they're making sex toys for kids." This is not a sex toy!

This is literally a prosthetic to help people with dysphoria and that - I mean - the big issue that I have with this,

honestly, is that it's long like, if there is a youth, they usually don't have a wiener

that's this long.

So it would be great if it was just a little bit smaller.

But they just wanted to model it off of their old one, which is fine.

But in terms of it being a small size for people who are smaller or younger,

it is a really great packer and it does really make you feel like there is something there and if you feel like there is

something missing, because not everyone does, but if you do, then you're able to

maybe feel a little better with something like this and I really appreciate New York Toy Collective doing

prosthetics for younger people who might need them. Especially people -

So I can't really give you like 100% the age of

when this would be appropriate for somebody.

But I feel like if somebody is like eight years old or nine or ten and up and is interested in a packer,

maybe looking into something like this, maybe even contacting a company to see like is this Packer right for my child because -

this is, you know, it's $45, not everyone has access to that money.

But maybe contacting them because they are very nice people at the New York Toy Collective company. Very very nice!

And I think that they would totally be down to kind of talk to you about that, but -

So this is a pretty short review, but I just wanted to kind of show you that this exists.

So, if you're a youth or if you're a parent of a trans youth out there or if you're just smaller and you are interested

in something like this - now, you know it exists and where to get it.

Like I said, the link will be in the description below.

I don't have much of a big review to say about this because you can also watch like the original review for this but I'll just

give you some points.

I really like like the back is flat because it kind of lays flat on you and that makes it more comfortable and it is

very easy to pack in underwear.

Just basic briefs you, - no boxer briefs 'cause it'll fly out or boxers. But in briefs it just kind of stays in place.

There are other packing pouches that you can buy that you can use. The New York Toy Collective actually has a packing pouch that i'm

gonna show you. So the packing pouch that they have here looks like this and what you would do - it's magnetized,

okay,

and you would put the prosthetic in here. And then, you put this in your pants in your underwear

and then you flip this over the

band of the underwear. And then it just it stays and it doesn't move and it just stays in place and I really appreciate that.

And I like that they made this. There are other companies that make something similar like this like the Joey. The Joey has a hole

and they have some that don't have a hole and that one is a safety pin.

So you could also take a look at that, but it's - I mean, it's up to you what you prefer

so I'm just giving you options here. All right, that's all I wanted to say.

Thank you again to Early to Bed for

sponsoring this video and being awesome and having these. A lot of people ask me where I get my shirts from - I'll put the link

in the description below. Thank you so much for joining me. I hope you have a great day

Let me know what you think in the comments below. Bye!

For more infomation >> SMALL PIERRE REVIEW (NYTC) - Duration: 5:09.

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Neovaii - The Fool - Duration: 3:35.

♪ Baby give me a second ♪

♪ 'Cause our energy's changing ♪

♪ 'Cause this ain't just a game ♪

♪ I think you feel the same ♪

♪ This feels like something more ♪

♪ 'Cause when you find something real ♪

♪ You've gotta hold on ♪

♪ Otherwise, what's it for ♪

♪ I really want you but I'm too proud to beg you to stay ♪

♪ And I don't wanna share you with anyone, is that okay ♪

♪ I think you're perfect, you're a perfect fit ♪

♪ Just don't break my heart's my only rule ♪

♪ I don't mind being teased a little bit ♪

♪ But please don't make me play the fool ♪

♪ When you tell me you need me ♪

♪ Believing is easy ♪

♪ I don't want you to change ♪

♪ I think that you're great ♪

♪ Just the way that you are ♪

♪ But are we killing time ♪

♪ Give me peace of mind ♪

♪ Before you get a piece of my heart ♪

♪ I really want you but I'm too proud to beg you to stay ♪

♪ And I don't wanna share you with anyone, is that okay ♪

♪ I think you're perfect, you're a perfect fit ♪

♪ Just don't break my heart's my only rule ♪

♪ I don't mind being teased a little bit ♪

♪ But please don't make me play the fool ♪

♪ (Please don't make me play the fool) ♪

♪ (Please don't make me play the fool) ♪

For more infomation >> Neovaii - The Fool - Duration: 3:35.

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Opération Sauver Nathan 4 + Airsoft Caritatif + Wild Trigger Scalpel 15-16/10/18 - Duration: 20:46.

For more infomation >> Opération Sauver Nathan 4 + Airsoft Caritatif + Wild Trigger Scalpel 15-16/10/18 - Duration: 20:46.

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H for Hierarchies - The A-Z of #Dhandhekibaat - Duration: 3:12.

Welcome to Dhandhekibaat! This is Alok Kejriwal.

We are doing the A to Z series. And I want to talk about the alphabet H.

I have chosen Hierarchies for this alphabet.

A lot of people have written in to me

Alok! tell me about hierarchy...

How should the heirarchy be in a company? How is it managed?

So what is hierarchy ? It's very simple.

There is a CEO, a boss

And there is a guy

who is the lowest officer in the office, let's say the office boy.

There are layers between these two people.

This is called hierarchy. That is hierarchy.

So, what is the management of hierarchy?

How is the hierarchy managed?

It's very simple.

When you are a small startup

like a very small young startup,

entrepreneurs come together

you can even meet your teams everyday

Every team member is sitting in the same room.

You know who he/she is

so, there is no hierarchy. It's flat.

Gradually the Company gets bigger,

then even bigger so the meetings are fewer...

but everyone is visible.

You move around in the office everywhere, see people.

You can still meet them.

Now the Company grows even bigger, really big.

You have offices in multiple locations.

Can you see everybody? You can't.

But you can hear everybody.

And that is the trick!

Whatever is the size of the Company, it may be multinational in 200 countries,

you must be able to hear what people are saying.

And when I say hear,

it doesnt mean you have to actually put your ear

to everyone's door and hear what they are saying.

It means there should be a system.

where you can read and hear

and understand

what the employees in your organisation are saying

So hierarchies obviously build as the company builds.

Now the question is that what is the ideal hierarchy.

How should it be?

There is no rule.

Sometimes flat hierarchies

like in Companies like ours

which are very very agile; work very very hard and fast are good.

But the disadvantage is

everybody comes to the boss for decisions.

When Companies are very large and bloated

like you look at any of the multinationals.

You send them a proposal

they respond back in 6 months.

That hierarchy is not working.

I think hierarchies are meant

A: for some kind of processing..

..of decisions and a kind of..

it protects the Company

legally also sometimes, hierarchies are important.

Otherwise if any mistake is committed, the boss goes behind the bars.

Having said that,

my belief is that a hierarchy should be flatter

and leaner than taller and fatter.

But it's a very personal kind of question.

And the more you increase your hierarchy

the more costly it becomes but

time management also gets improved.

So to be honest there is no real good or bad.

All I can is say is that measure..

the cost of hierarchy

as you layer it up

and make sure that there's a return

on every layer you add.

It's like a wedding cake you know

We make big cakes but the guests should also eat them.

And if that happens then you will be very happy

And you will have a perfect hierarchy.

So, thank you for watching Dhandhekibaat and keep giving us feedback!

For more infomation >> H for Hierarchies - The A-Z of #Dhandhekibaat - Duration: 3:12.

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মাত্র ৭ দিনে আপনার পেটের সমস্ত চর্বি গলিয়ে দিবে এই উপায়টি-১০০% পরিক্ষিত//Magical Fat Burn Remedy - Duration: 3:14.