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theculturedmarxist · 3 years

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Yves here. Reader IM Doc, an internal medicine practitioner of 30 years, trained and worked in one of the top teaching hospitals in the US for most of his career before moving to a rural hospital in an affluent pocket of Flyover. He has been giving commentary from the front lines of the pandemic. Along with current and former colleagues, he is troubled by the PR-flier-level information presented to the public about the Pfizer and Moderna vaccines, at least prior to the release of an article in the New England Journal of Medicine on the Pfizer vaccine: Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine. However, he did not find the study to be reassuring. He has taken the trouble of writing up his reservations after discussing the article with his group of nine physicians that meets regularly to sanity check concerns and discuss the impact that articles will have on their practices.

By IM Doc, a internal medicine doctor working in a rural hospital in the heartlands

Right off the bat – I am as weary and concerned about this pandemic as anyone. What my little rural area has been through in the past three weeks or so has been nothing short of harrowing. This virus has the ability to render patients about as sick as I have ever seen in my life, while leaving more than half the population with minimal if any symptoms. The patients who are sick are often very sick. And instead of slow and steady improvement like we normally experience, most of these patients are assigned to a long and hard slog. Multiple complications arise. This leads to very diminished throughput in the hospital. The patients literally stack up and we have nowhere to put the new ones coming in who themselves will be there for days or weeks. On top of that are the constant donning and doffing of PPE and intense emotional experiences for the staff, who are themselves becoming patients or in this small town have grandma or Aunt Gertrude as a patient.

To put it bluntly, I want this pandemic over. And now. But I do not want an equal or even worse problem added onto the tragedy. And that is my greatest fear right now. And medical history has demonstrated conclusively over and over again: brash, poorly-thought-out, emotion-laden decisions regarding interventions in a time of crisis can exponentially increase the scale of pain and lead to even worse disasters.

I am not an anti-vaxxer. I have given tens of thousands of safe and tested vaccines over my lifetime. I am very familiar with side effects and safety problems associated with all of them. That is why I can administer them with confidence. I am also an optimist, so all of the cautions I discuss below are the result of experience and the information made public about the Pfizer vaccine, not a temperamental predisposition to see the glass as half empty.

I know this piece is long, but I wanted to completely dissect the landmark New England Journal of Medicine (from now on NEJM) publication of the first Pfizer vaccine paper. I am replicating the method of my mentor in Internal Medicine, a tall figure in 20th Century medicine. He was an internationally recognized authority and his name is on one of the foundational textbooks in his specialty. He was a master and he taught me very well, including the fundamentals of scientific inquiry and philosophy, telltale signs of sloppy or dishonest work, the order in which you should dissect someone’s work, and the statistics involved.

When I have a new medical student doing rotations with me, I give them a collection of reading. At the very top is Drug Companies & Doctors: A Story of Corruption from the New York Review of Books in 2009 by Marcia Angell, MD. She was the editor-in-chief of the NEJM, the very journal that published this Pfizer vaccine paper.

Dr. Angell’s article is the Cliffs Notes version of much longer discussions she had about corruption, corporatism, managerialism, profiteering, greed, and deception in in the medical profession. Patient care and patient concerns and indeed patient lives in her mind have been absolutely overcome by all of these other things. It is a landmark paper, and should be read by anyone who is going to interact with the medical community, because alas, this is the way it is now. I view this paper the exact same way I view Eisenhower’s speech about the military industrial complex. What she said is exactly true, and has only become orders of magnitude worse since 2009.

And now the paper.

Unfortunately, this study from Pfizer in the latest NEJM, and indeed this whole vaccine rollout, are case studies in the pathology Agnell described. There are more red flags in this paper and related events than present on any May Day in downtown Beijing. Yet all anyone hears from our media, our medical elites, and our politicians are loud hosannas and complete unquestioning acceptance of this new technique. And lately, ridicule and spite for anyone who dares to raise questions.

I have learned over thirty years as a primary care provider that Big Pharma deserves nothing from me but complete and total skepticism and the assumption that anything they put forth is pure deception until proven otherwise. Why so harsh? Well, to put it bluntly, Big Pharma has covered my psyche with 30 years of scars:

• As a very young doctor, I treated an extraordinary middle-aged woman who had contracted polio as a toddler from a poorly tested polio vaccine rolled out in an “emergency.” Tens of thousands of American kids shared her fate1 • The eight patients I took care of until they died from congestive heart failure that had been induced by a diabetes drug called Actos. The drug company knew full well heart failure was a risk during their trials. When it became obvious after the rollout, they did everything they could to obfuscate. Actos now carries a black box warning about increased risk of heart failure • The three women who I took care of who had been made widows as their husbands died of completely unexpected heart attacks while on Vioxx. I have no proof the Vioxx did this. But when Vioxx was finally removed from the market, the mortality rate in the US fell that year by a measurable amount, inconsistent with recent trends and forecasts. Merck knew from their trials that Vioxx had a significant risk of cardiovascular events and stroke, and did absolutely nothing to relay that danger in any way. Worse, they did everything they could to muddle information and evade responsibility once the truth started to come out • The dozens upon dozens of twenty and thirty-something patients who have been rendered emotional and spiritual zombies by the SSRIs, antipsychotics and amphetamines they have been taking since childhood. Their brain never learned what emotions were, much less how to process them and we are left with empty husks where people never developed. The SSRIs and antipsychotics were NEVER approved for anyone under 18. EVER. While there are some validated uses for stimulants in children, they are obviously overprescribed, as confirmed by long-standing media reports of their routine use as a study/performance aid. It is all about the lucre. • The hundreds and hundreds of 40-60 year olds who have been hollowed out from the legal prescribing of opioids. All the while the docs were resisting this assault, the drug companies and the paid-off academics and medical elites were changing the rules to make physicians who did not treat any pain at all with opiates into evil Satan-worshippers. And they paid for media appearances to drive across the point: OPIATES ARE GOOD. WE HAVE MADE THEM SO YOU CANNOT GET ADDICTED. And here we are now with entire states taking more opioids than in the waning days of the Chinese Empire, and we all know how that story ended. All this misery so a family of billionaires can laugh its way to the bank.

I carry all these people and more with me daily. I would not be doing a service to their memory if I allowed myself to be duped into writing another blind prescription that was going to add yet another scar.

I will dissect the important parts of this paper exactly as my mentor described above taught me. He performed years of seminal research. He was a nationally-known expert in his field.

In medicine, especially in top-tier journals like NEJM, landmark papers are always accompanied by an editorial. These editorials are written by a national expert who almost always has “peer-reviewed” the source material as well. This is how the reader knows that an expert in the field has looked over the source material and that it supports the conclusions in the paper. My mentor did this all the time. The binders all over his office were the actual underlying data that he scrutinized to confirm the findings. There is no way on earth to print and publish the voluminous source material. Editorial review was one sure way all to assure that someone independent, with appropriate experience, confirmed the findings. This was onerous work, but he and thousands of others did it because this is the very essence of science. He was scrupulous in his editorials about findings, problems, and conclusions. It was after all his reputation as well.

My first lesson from him: READ THE EDITORIAL FIRST. It gets the problems in your head before you read the statistics and methods, etc. in the actual paper. It gives you the context of the study in history. It often includes a vigorous discussion of why the study is important.

Admittedly, over the past generation, as the corporatism and dollar-counting has taken over my profession and its ethics, this function of editorial authoring has become at times increasingly bizarre and too-obviously predisposed to conclude with glad tidings of joy, especially if pharmaceuticals are involved.

So I read the editorial first. You can find it on the NEJM webpage, in the top right corner.

And, amazingly, it is basically a recitation of the same whiz-bang Pfizer puffery that we have all been reading for the past few weeks. There really is not much new. Furthermore, it is filled with words like “triumph” and “dramatic success”. Those accolades have yet to be earned. This vaccine has not yet even been released. Surely, “triumph” is a bit premature. Those words would NEVER have been used by my mentor or similar researchers in his generation. They would have been focused on the good, the bad and the ugly. A generation ago, editorial reviewers saw their job as informing the reader and making certain the clinicians that were reading knew of any limitations or problems.

In quite frankly unprecedented fashion, two different events that were carefully reported occurred almost simultaneously with the release of both the paper and the editorial. Both of these events contradict and contravene data and conclusions reported in both the paper and the editorial and I believe they deserve immediate attention. They both belie the assertions of the editorial writers that [emphasis mine] “the (safety) pattern appears to be similar to that of other viral vaccines and does not arouse specific concern”.

First, a critical issue for any clinician is “exclusion criteria”. This refers in general to groups of subjects that were not allowed into the trial prima facie. Common examples would include over 70, patients on chemotherapy and other immunosuppressed patients, children, diabetics, etc.. This issue is important because I do not want to give my patient this vaccine (available apparently next week) to any patient that is in an excluded group. Those patients really ought to wait until more information is available – FOR THEIR OWN SAFETY. And not to mention, exclusion criteria exist because the subjects in them are usually considered more vulnerable to mayhem than average subjects. From my reading of this paper, and the accompanying editorial, one would assume there were no exclusion criteria. They certainly are never mentioned.

I reiterate, the paper is silent on this question of exclusion criteria, as is the editorial. Had my mentor seen something like “exclusion criteria” in the source material, and realized that it was not in the final paper, he would have absolutely included a notice in his editorial. This would have been after calling the principal investigator and directly questioning why there was no mention in the original paper. Patient safety should be foremost on everyone’s mind at all times in clinical research and its presentation to practitioners.

And now we know there were exclusion criteria, not because of anything Pfizer, the investigators, or the NEJM did but because of stunning news out of the UK. UPDATE: I will address this at greater length, but an alert reader did find the study protocol, which were not referenced in any way that any of the nine members in my review group could find, nor were they mentioned in the text of paper or editorial, as one would expect for a medication intended for the public at large. I apologize for the oversight, but this information was not easy to find from the article, not mentioned or linked to from the text of the article, the text of the editorial, in the “Figures/Media,” or in a supplemental document.

In the UK on day 1 of the rollout, two nurses with severe allergies experienced anaphylaxis, a life-threatening reaction to this vaccine. Only after world-wide coverage did Pfizer admit that there was an exclusion criterion for severe allergies in their study.

Ummm, Pfizer, since we are now getting ready to give this to possibly millions of people in the next few weeks – ARE THERE ANY OTHER EXCLUSION CRITERIA? Should I, as a physician, specifically not be giving this to patients with conditions that you have excluded?

Furthermore, NEJM, since you published this trial, have you bothered to at least put a correction on this trial on your website that it should NOT be given to people with severe allergies? I certainly see nothing like this.

Should someone from the NEJM or the FDA be all over Pfizer to ascertain the existence of other exclusion groups so we do not accidentally harm or kill someone over the next two weeks?

Unfortunately, Americans, you have your answer from the FDA about severe allergic reactions right from a press conference in which Dr. Peter Marks, the director of FDA’s Center for Biologics Evaluation and Research is quoted as saying:

Even people who’ve had a severe allergic reaction to food or to something in the environment in the past should be OK to get the shot….1.6% of the population has had a severe allergic reaction to a food or something in the environment. We would really not like to have that many people not be able to receive the vaccine.

Are you serious? Dr. Marks, have you ever seen an anaphylactic reaction? I live in a very rural area. Many patients live 30 minutes or more from the hospital. What if one of them had an anaphylactic reaction to this vaccine hours after administration, had no epi-pen and had to travel a half hour to get to the nearest hospital? There is a very high likelihood that a good outcome would not occur. Sometimes, as a physician, I simply cannot believe what I am hearing out of the mouths of our so-called medical leaders.

To the writers of the editorial accompanying this research:

Did you actually look at the source material? The existence of at least one exclusion criterion for severe allergic reactions had to be in there somewhere. If you did look at the source material, are there others that the physicians of America need to know about? If they were not in the source material, after the events in the UK, has anyone bothered to follow up with Pfizer about this omission?

Does anyone at NEJM or Pfizer or FDA plan to fully inform the physicians of America? Does ANYONE at NEJM or Pfizer or FDA care about patient safety?

Now for the second story that got my attention this week, an article from JAMA Internal Medicine, a subsidiary of JAMA, The Journal of the American Medical Association.

JAMA, like NEJM, is one of America’s landmark medical journals. I will assure you that JAMA is not the National Enquirer. This piece was written by a nursing researcher. It is very likely she is well-versed in all aspects of American medical research.

In her story, she details her recruitment and her experience in the Pfizer COVID trial, the same one we are dissecting here. She describes in detail her experience with the vaccine and the fact that she is concerned that many patients are likely going to feel very sick after the injection. She wrote up her own reactions, and included a very troubling one. About 15 hours after her second injection, she developed a fever of 104.9. She explained that she called her reaction to the Research Nurse promptly the next morning. The recounted the response of the Research Nurse to her information as “A lot of people have reactions after the second injection. Keep monitoring your symptoms and call us if anything changes.”

Thankfully, it appears this nurse has completely recovered. From the best I can tell, this encounter occurred in late August and early September, putting it well within the trial’s recruitment of arms as detailed in the paper.

This JAMA article impinges directly on Figure 2 on page 7 of the paper, a graphic that that lays out all the major side effects during in the trial.

It is very important to note that based on the trial’s own data, conveniently laid out on the very top of the figure in green, blue, orange and red, a temperature of 104.9F or 40.5 C is described as a Grade 4 event. The definition of a Grade 4 event is anything that is life-threatening or disabling. A fever of 104.9 can have grave consequences for any adult and is absolutely a Grade 4 event.

By law, a grade 4 event must immediately be reported to the FDA, and to the Institutional Review Board (the entity charged with overseeing the safety of the subjects) and to the original investigators. THERE IS NO EXCEPTION. One would think that would also be reported in the research paper to at least alert clinicians to be on the lookout.

I could not find any mention of this event in the text of the paper. NOT ONE. Let’s take a closer look at Figure 2 on page 7 where adverse events are reported in a table form. Please note: this is a very busy image, and in the browser version, with very low resolution graphics that are profoundly difficult to read (they are a bit clearer if you download the PDF). This is a time-tested pharmaceutical company tactic to obscure findings that they do not want you to see. My mentor warned me about ruses like these years ago, and finding one raises the possibility that deception is in play.

The area for the reporting of this Grade 4 reaction would be on the 2nd row down at the left of the set called B, titled systemic events and use of medication. The area of concern would be where the graph is marked with the number 16. Do you see a red line there? It would be at the very top. I have blown this up 4 times on my computer and see no red there. I am left to assume that this Grade 4 “Life Threatening or Disabling” event that was clearly within the time parameters of this trial was not reported in this study.

To those who say that I am making way too much out of one patient with a severe fever, let’s do a little math. There are 37,706 participants in the “Main Safety Population” (from Table 1), of which 18.860 received the vaccine.2 Let us assume that this individual was the only one that had a GRADE 4 reaction. Let us also assume that the end goal is to vaccinate every American a total of 330,000,000 people. So if we extrapolate this 1 out of 18,860 into all 330,000,000 of us, it suggest that roughly 17,500 could have this kind of fever. Now assume a 70% vaccination rate, and you get that would be approximately 12,250. I hope you now understand that in clinical medicine related to trials like this – a whole lot of nothing can turn into a whole lot of something quickly when you extrapolate to the entire targeted group. Does anyone not think that the clinicians of America should be prepared for anything like this that may be coming?

A couple more questions for NEJM and the editorial writers:

Were you ever made aware that this Grade 4 reaction occurred? Now that we have a reliable report that it occurred, has there been any attempt to investigate?

Did the Research Nurse actually report this event? If not, was she just simply not trained or was there deliberate efforts to conceal such reactions? How many more reactions were reported anywhere this trial was conducted and that did not make it to the FDA, the IRB or possibly the investigators? Is that not a cause for concern?

As if this is not enough, there is so much more wrong with this editorial. Now we are going to talk about corruption.

I want to reiterate my concern that over the past generation, as my profession has lost its way, its medical journals have turned into cheering sections for Big Pharma rather than referees and safety monitors. We all should relish the great things medical science is doing, but we should be doing EVERYTHING we can to minimize injury and death. Too often our journals have become enablers of Big Pharma deceiving our physicians and the public. Unfortunately, this paper and its editorial look troublingly like a case study of this development.

To provide context, I looked over the last month of the NEJM, the issues from November 12, 19 and 26th and December 3rd. Based on having read the NEJM over the years, I believe these four weeks are representative.

During this period, there were 15 original articles published in the fields of Oncology, General Surgery, Infectious Disease, Endocrinology, Renal, Cardiology, Pulmonary and Ear Nose & Throat. Of these 15 articles, the editors thought that eight were important enough to have an editorial from an acknowledged expert. I have read every one of these studies and the editorials as I do every week. All eight in the past month were indeed by leading experts in the field of the underlying studies. They included a COVID vaccine overview reviewed by an leading figure in vaccinology, and two COVID papers about Plaquenil and other approaches discussed by top infectious disease experts.

It was unlikely that those papers were going to get national media attention. All medical stuff.

But here we have our Pfizer vaccine paper. We have 300,000 fatalities in the USA alone and millions of cases. We have whacked our economy, we are in the depths of a national emergency. And we have a paper, the first, that may offer a glimpse of hope. Certainly this would be a landmark paper, and certainly it was treated in that manner? Right?

One would think that the doctors of America would have this study explained to them by a world-known vaccinologist? NOPE…..Maybe a virologist? NOPE….. Maybe a leading government official? Dr. Fauci? Dr. Birx? Dr. Osterholm? NOPE…..Maybe an expert in coronaviruses? NOPE…

We get the Pfizer ad glossy editorial treatment from Eric Rubin MD, the editor-in-chief of the NEJM. And Dr, Longo, an associate editor. Dr. Longo is an oncologist. Dr. Rubin is at least a recognized infectious disease doctor, but his specialty based on my Google search is mycobacterium, not virology. Again, one would normally anticipate for a paper of this importance, the editorial would be from someone with directly on point expertise.

Why would this fact been important to my mentor? (and I had the privilege of hearing him trash a paper in an open forum about a very similar issue, a paper introducing a drug to the world that later was the disaster of the decade, Vioxx) Why is this important to me and all the other physicians in my review group here in flyover country yesterday?

Because the choice of authorship of the editorial leads you to one of only several conclusions:

• Pfizer would not release the source data because of proprietary corporate concerns and no self-respecting expert would review without it • Pfizer knew there are problems and did not want anyone with expertise to find out and publicize them • The editors could not find a real expert willing to put their name on a discussion • Drs. Rubin and Longo are on some kind of journey to Vanity Fair and wanted their names on an “article for the ages” • This is a rush job, and no one had time to do anything properly, and so we just threw it all together in a flash

Readers, pick your poison. If anyone can think of a sound reason, please let me know. I am all ears.

But let’s open up the can of worms a bit more. Pfizer supports NEJM. Just a brief swipe through of recent editions yielded several Pfizer ads. A Pfizer ad appeared on my NEJM website this AM. I do not know how much they pay in advertising but appears to be quite a bit.

Americans, have we devolved so far in our grift that it is now appropriate for the EDITOR-IN-CHIEF of our landmark medical journal to be personally authoring “rah rah” editorials about a product of a client that supports his journal with ad dollars? And he has the gall to not present this conflict on his disclosure form? Really? Am I the only one worried about this type of thing?

Now we travel from the can of worms to the sewer. And this impacts every single one of us. I want you to Google the names of the people on the FDA committee that voted 17-4-1 two days ago to proceed with the Emergency Use Declaration. Go ahead – Google it. On that list, you will find the name Eric Rubin, MD. Why yes indeed, that is the very same Eric Rubin MD who wrote this editorial. Who is the Editor-in-Chief of the NEJM. A publication that certainly takes ad dollars from Pfizer. And he was one of the 17 to vote for the Pfizer product to be immediately used in an emergency fashion. Oh yes, oh yes he was.

Am I the only one who can recognize that Pfizer and other pharma companies may have some influence on Dr. Rubin thanks continued support of his employer, the NEJM? Am I the only one concerned that Dr. Rubin’s “rah rah” editorial may have been influenced by Pfizer? Is anyone else troubled that the Editor-in-Chief of the NEJM, supported by Big Pharma advertising dollars, is sitting on an FDA board to decide the fate of any pharmaceutical product? Is this not the very definition of corruption? Or at least a severe conflict of interest? I strongly suspect that a thorough evaluation of members of that committee will reveal other problems. As my grandmother always used to say, “There is never just one roach under a refrigerator.”

I looked in vain all day today for media discussions of conflicts of interest with Dr. Rubin or anyone else in a position of authority. I found nothing.

What I did find was the Boston NPR affiliate WBUR discussing Dr. Rubin’s Yes vote. You can listen yourself:

This interview left me much more concerned about Dr. Rubin’s role and what exactly he read in the raw data from Pfizer. In this interview, he admits that he as an FDA advisory member has seen no data from the Moderna trial coming up for a vote this week:

These two vaccines are fairly similar to one another, so I am hoping the data will look good, but we haven’t seen the data yet, so I reserve judgement.

Excuse me, but should not the members already have the data and be mulling over it to ask intelligent questions?

These statements left me more worried about the issues I have already brought up with the Pfizer vaccine:

We don’t know if there are particular groups that should or should not get the vaccine…We do not know what will happen to safety over the longer term.

When finally asked specifically about the UK allergic reactions and if they came up in the FDA meeting (emphasis mine):

It did come up and this was a bit of a surprise because in the trial, that trial was limited to specific kinds of participants, there were apparently no incidents like that, nevertheless this suggests it is something we are going to have to look out for.

There is absolutely not a word in the published data to suggest there was a limit to SPECIFIC PARTICIPANTS – what on earth is he talking about? Are there limited specific kinds of patients that we as physicians should be looking to vaccinate?

In a fine finish, toward the end of the interview Dr. Rubin states he is a bit relieved that low risk patients will be getting the vaccine later after we know more about the side effects with the first patients. I am really not trying to be a jerk – but are you kidding me? I thought this vaccine was a triumph with minimal side effects.

Dr. Rubin, kind sir, I really feel that you owe a clarification about your statements in the WBUR interview to the patients and caregivers of America. We are the ones with lives on the line.

First, I have the privilege of sitting on an Institutional Review Board (an independent entity that protects patient safety) and I know something about Grade 4 side effects. Just for 1 Grade 4 side effect in one subject, the accompanying documentation would often be a half a ream of paper. Because I agreed to do that job, it was my obligation to look through that documentation. That half a ream was for one side effect in one trial. Yet, you state unequivocally in this interview, that you, as a sitting member of the FDA committee that oversees the safety of the nation in this affair, have not seen any of the Moderna documentation for that upcoming meeting this week.

For readers to fully understand what I am saying, this Moderna documentation is going to be reams and reams of documents that need to be evaluated carefully to ask the right questions. And you have not yet studied this? For a meeting in just a few days? I find this deeply troubling. Your statements create the appearance the committee you are sitting on is nothing more than a rubber stamp for a decision that has already been made. This would be an absolute tragedy.

Second, Dr. Rubin, you in your position as the Editor-in-Chief of the NEJM and the editorial writer for this research, may be one of the few people on earth that have seen the original Pfizer research. Despite calling this a triumph, you state in the interview that you are relieved that younger people less likely to get the vaccine early so you will have time to wait to see if complications develop in the first patients. You have stated, despite your assertion in the editorial that the side effects were consistent with other vaccines, that “we don’t know if there are particular groups that should or should not get the vaccine”. Have you seen something in that “triumph” research that is concerning enough to you to make such statements? As a physician, I would really like a clarification on this statement, given that the shots are already rolling out today.

Now that we are past the editorial, a few words about the nuts and bolts of the paper.

I look for very specific red flags – usually making the data difficult to interpret. This study did not disappoint.

On page 5, in Table 1, the Demographic Description of the participants, go down to the AGE GROUP area. Note it is divided into only two cohorts 16-55 and >55. This is a real problem. My mentor said an honest paper should never deploy such a tactic.

You see, more than half of my patients are over 70. Why is this kind of obfuscation a real problem for my ability to trust the vaccine? Well, the intro papers to many pharmaceuticals that have gone down the drain in recent years have used this very same device. It is their way of hiding the fact that they did not put many older patients in the trial, certainly not representative of the population, and certainly not representative of who is seemingly going to get this vaccine in the first round. Do I know that 90% of the >55 group is actually between 55-58? I don’t. How hard would it be for them to do a breakdown in decades? 16-25 26-35 36-45 46-55 56-65 66-75 76-85? We have lots of computers in this country and the population breakdown is done this way on studies I read all the time. Why not do provide this information on a study that is this critically important, particularly one where elderly patients will be near the head of the line?

What are they trying to do here? Unfortunately, too often drugmakers resort to this practice to hide their failure to test their drug on the elderly to an appropriate or safe degree, knowing there would likely be lots of problems. Because of their past behavior, I ALWAYS assume this is true until proven otherwise and act accordingly with my elderly patients.

That is the world these companies have made for themselves.

Now for the tables on pages 6 and 7 about immediate side effects.

Just a brief look shows that local soreness and tenderness is very common, up to 75% with this vaccine. That is a bit high, but not that far out of range from my experience with other vaccines.

The tables on page 7 are the whoppers.

Headaches, fatigue, chills, muscle pain and joint pain appear to be very common, way more common than other vaccines I am used to, as in an order of magnitude higher. It is very clear from this table that about half the patients, especially the younger ones, are going to feel bad after this vaccine. That is extraordinary.

We are told nothing about how long these symptoms last or the amount of time at work lost. The “minimal side effects comparable with other viral vaccines” in the editorial and press releases is just not consistent at all with my experience of 30 years as a primary care physician. There was universal agreement with this assessment among my MD colleagues. They had great concern about this as a matter of fact: great concern that it will cause bad publicity and decrease administration and great concern that given this already high side effect profile, it may be much worse when it gets out to the public.

Given the fact that this virus is largely asymptomatic in more than half the people infected, what exactly are we doing here?

Furthermore, unlike other pharmaceutical papers that try to explain variances in symptoms like this, there is not a word offered about possible underlying causes of these outcomes.

The numbers of COVID cases in the placebo group vs the vaccine group have been widely publicized, from 162 cases in the placebo group down to 8 in the vaccine group, giving a relative reduction of 95%. It seemed to all of us in our review group that we do not have nearly enough patients to really make assessments. That is not a criticism. The researchers have done admirably in my opinion to get this many patients this quickly. That is still the problem: they are going to be using the first million patients or so in the general public to get a real gauge on numbers and side effects.

Another issue of grave concern to us all on Friday was the asymptomatic cases. The only subjects counted in the 162 and the 8 numbers above were patients with symptoms. Who knows how many in each cohort were asymptomatic.

This to me leads to the most important question of all, and it was again completely untouched….. How many asymptomatic patients are there? And how many who were vaccinated are still able to spread the virus? Not even an attempt to answer that question. This is critical, and is one of the ways a vaccine can backfire. If a vaccine does not provide sterilizing immunity, ie stop transmission, it is of limited use for disease control. It is great for the individual, but if they can remain without symptoms and still spread it all around it does not help from a public health standpoint.

I have described my concerns and red flags about this study. I would like to add one more thing. Pharmaceuticals that go bad rarely do so in the first few weeks or months. Rather, the adverse effects take months or years. It is a known unknown of not just vaccines but any kind of drug. Our pharma companies have become notorious for having inklings or indeed full knowledge that there is a problem early on, and saying nothing until many are maimed or killed. I will assume that this is the case in this class of drugs until proven otherwise. They are such deceivers I have no choice.

Due to sense of urgency my colleagues and Ifeel about this vaccine rollout, we had an ad hoc meeting of our Journal Club to discuss the NEJM article. Of the nine physicians at the meeting, three have already had very mild cases of COVID. Of the nine, only one is enthusiastic about these vaccines. I have a wait and see stance. I will not be taking it myself. I have too many scars, too many staring at me from the grave to take any other approach.

My patients’ feeeback on the COVID vaccine has been very different than the polls finding that 60% are ready to take it. About half my patients are in the professional/managerial classes and feature a higher level of the 0.1% than the US overall. They tend to be more blue. Most prefer to wait and thankful that health care workers were getting it first. The other half who are working class, more red, and they feel the whole thing is a hoax. They will not be getting the vaccine – likely ever.

The only enthusiasts I would call elderly Rachel Maddow fans. That really makes no sense to me at all since Operation Warp Speed was a Trump project and even Kamala Harris said she would not take a vaccine that Trump recommended.

I would say AT BEST 25% of my patients will be getting this vaccine shortly after being available. There is widespread skepticism that is not being acknowledged by our media. The pharmaceutical industry has worked tirelessly to earn every bit of that disrespect.

Please look at Dr. Angell’s seminal article from 2009. She predicted in her works, all of this and more. My profession has been captured by a cabal of corporatist MBA clones, rapacious and unethical pharmaceutical entities, and an academic elite addicted to credentialism and cronyism. They have over the years bought off and infiltrated all of our government health care regulating agencies and our public health system. And they are completely incestuous. I believe where we are now to be worse than Dr. Angell could have ever dreamed. Even more depressing, I see no way out.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

1 As a special homage to the polio patient described above, a truly exceptional woman, let me underscore that the disastrous rollout of the this polio vaccine came at a time similar to ours. Panic and malaise were in the air. The children of America and the world were being stricken with polio at an alarming rate. Dr. Alton Ochsner, a leading figure in medicine of the day, vaccinated both of his grandchildren in public in an attempt to bolster confidence in the vaccines. Within 8 days his grandson was dead of bulbar polio. All the celebrities and politicians lining up to take this vaccine on national TV should remember this tragedy. “Stupid human tricks” like this have no place in this kind of situation, and can backfire in unexpected ways. Unlike that era’s polio vaccine, there is no way on earth this vaccine can transmit COVID. However, there are those of us in the medical profession who treat the plan to make population-wide use of messenger RNA, which before these trials had been repeatedly investigated but never reached the human trial stage save in a small scale Zika vaccine study. This is no time for machismo. This is also no time for anything less than complete transparency on the part of everyone involved in the quest for safe and effective vaccines. To behave in any other way is an affront to patients like mine who have suffered and died in the past.

2 If you read the paper, you might well have wondered about that 18,860 number and even checked Table 1 to make sure it’s accurate (it is), since the third paragraph of the Abstract, under the headline “Results,” has very different figures:

A total of 43,548 participants underwent randomization, of whom 43,448 received injections: 21,720 with BNT162b2 and 21,728 with placebo.

So how did the researchers get from 21,720 injected with the vaccine to the 18,860 in the “Main Safety Population”? This sort of thing confirms the impression that this is a very incomplete or sloppy study. It is really not clear where the difference between the 37,706 and the 43,548, or for that matter, the 36,520 total subjects in the Tables 2 and 3 (Efficacy) come from. I used the 37,706 and hence the 18,860 that went with it from Table because it gave slightly smaller numbers than using the Table 2 and 3 figures, but they would be close to each other.

My concern here is the 6000ish discrepancy between the figures in the main text compared to the tables. Were they excluded? If so, why? I could not make heads or tails out of this, and accordingly kept it out of the body of this post. This kind of inconsistency really needs to be hashed out with the actual source data in hand, and should have been explained in the article, even if just in footnotes.

#covid19 #covid #the rona #la rona #covid-19 #covid vaccine #fuck covid #coronavirus #medecine #health #medical pharmaceuticals #pharmaceutical industry #big pharma #pfizer #vaccine rollout #operation warp speed

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dalekofchaos · 5 years

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Why Jango and Boba Fett should be recognized as Mandalorian

Jango and Boba deserve to be recognized as Mandalorians. I must say it bothers me that I even need to explain why the Fetts need to be Mandalorian to begin with. Boba Fett is the reason why the Mandalorians were created in the first place. That one armor sparked an entire culture in one character. Boba didn’t do much in the original trilogy, but Boba left an impression and Jango Fett was badass who kicked ass and took names, while Boba Fett aimed to be better than his father. They are an important part of Mandalorian history and this is why they deserve to be recognized as Mandalorian

What changed The Fetts being Mandalorian? The Clone Wars happened. The Mandalore Plot. Here’s the thing. Prime Minister Almec defensively says Jango was not a Mandalorian and was proven to be corrupt, so I don’t feel like his claims are legitimate “The Fetts aren’t Mandalorian” thing was disproven once the only guy who said as much was shown to be a conniving ass who flat-out lies to try to twist things to his benefit. I also see Jango being dismissed as a bounty Hunter as Satine trying to erase Mandalore’s past. So when Prime Minister Almec says “Jango Fett was a common bounty hunter. How he acquired that armor is beyond me.” He’s only following Satine’s orders of erasing Mandalorian culture of old.

My issues is not only were The Fetts erased as Mandalorian, but it disgustingly whitewashed The Mandalorians. Mandalorians were not just white human warriors. Mandalorians could be people of color and aliens, but Satine sparked a genocide on every non-white, non human Mandalorian because they didn’t fit her ideals. Satine committed cultural genocide by pretty much making Mandalore a society of white humans only and that the Fetts were Maori, poc and Mandalorians in general are supposed to be a collective clans of warriors from multiple species, not a hereditary clan. There’s no reason that Jango Fett can’t be a Mandalorian adopted into their society.

Oh and the claim that Jango and Boba have no place in Mandalorian culture. Cassus Fett was a Mandalorian Field Marshal and revered for his battle prowess and SECOND IN COMMAND TO MANDALORE THE ULTIMATE! Boba was the reason why Mandalorians exist in the first place. Boba and Jango had a powerful and legendary ancestor. After Death Watch killed Jango’s family, Jango was adopted by Jaster Mereel, a true Mandalorian, so he is double Mandalorian. Jango himself became the Mand'Alor and so did his son, Boba Fett. Erasing the Fetts as Mandalorian was complete garbage.

And honestly

this

this

and this

Is much more appealing than this Aryan nightmare

The comic Open Seasons proves that The Fetts can be Mandalorian. In the comic Open Seasons it’s stated that Jango was adopted into the group the True Mandalorians. Their leader Jaster Mereel saved a child Jango from Tor Vizsla and Death Watch. The True Mandalorians were a group of Mandalorian supercommandos who rallied to the cause of Mand'alor Jaster Mereel. The True Mandalorians supported Mereel’s attempts to lead a reform of the Mandalorians’ more savage members, and followed the teachings of the Supercommando Codex that Mereel authored. The Codex outlined honorable behavior through a modernization of the ancient Canons of Honor and elaboration on the six Resol'nare, the basic tenets of the Mandalorian culture which the True Mandalorians heeded. Highly skilled and well organized soldiers, the True Mandalorians had been primarily assembled from the planet Mandalore’s full-time army, in addition to drawing numerous members from several of the Mandalorian homeworld’s most prominent clans. Despite being well organized, True Mandalorian rank and unit structure remained nebulous beyond their loyalty to the Mand'alor’s authority, as most Mandalorians of their era held little regard for official rank and preferred an informal command structure.

Instead, the True Mandalorians divided their forces based upon the tactical necessity of a coming mission, choosing trusted and respected soldiers to serve as squad commanders for the duration of combat. The True Mandalorian army existed primarily as a fighting force to combat and destroy the threat of the Death Watch, for whom the organization’s members harbored a strong hatred. When not embroiled in conflict with their rogue Mandalorian foes, the True Mandalorians would sometimes offer their martial services to prospective parties as a mercenary company. Jaster Mereel saw an honest nobility in mercenary work, which had become a staple in the Mandalorian culture over the centuries. Among themselves, the True Mandalorians fostered a strong sense of camaraderie, respect, and care for each other’s well being, exemplifying the Mandalorian tradition of looking out for one’s comrades on and off the battlefield. While Death Watch led by Tor Vizsla favored barbarism and brigandage. Across the galaxy, the True Mandalorians battled the Death Watch in a series of conflicts that collectively came to be known as the Mandalorian Civil War. On Korda Six, Jaster Mereel was betrayed by his trusted ally Montross and was slain by Vizsla, but he was succeeded as Mand'alor by his surrogate son Jango Fett, who exiled Montross and continued to lead the True Mandalorians against Death Watch. The Battle of Galidraan, however, would prove to be the True Mandalorians’ undoing. Nearly eradicated by a Jedi strike force fooled by a Death Watch lie, Fett was the sole True Mandalorian to survive the events of Galidraan. The man who went on to wage a lone war on the Death Watch that saw the sect broken and Vizsla killed, before distancing himself from the Mandalorian people to become a famous bounty hunter. Though the True Mandalorians were destroyed at Galidraan, their code of honor and ethics survived, and served to inspire the core ideology of the later Mandalorian Protectors.

Jango and Boba are who anyone associates with the Mandalorians and we lose so much by stripping them of their Mandalorian heritage. The Fetts will forever be Mandalorian in my eyes and it is honestly dumb that they are no longer considered Mandalorian. No matter what Dave Filoni, Jason Fry and Pablo Hidalgo say, Jango and Boba Fett will always be Mandalorian in my eyes.

#Star Wars #Jango Fett #Boba Fett #Mandalorians #Mandalore #Cassus Fett #Satine Kryze

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a-motivation-to-study · 5 years

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Books to Read in 2019

This past year I finished reading MAYBE 2 books. How incredibly disappointing is that? In high school I read ALL THE TIME, and I have a whole wall covered in books, yet I have barely read! I’m really going to force myself to read more this next year. I know for a FACT that my semester next year will hinder my goal, but I’m hoping to follow this plan as closely as I can (although I am darn positive that I probably won’t be able to finish all of these). Most of these books I have selected relate to other personal goals I hope to achieve. The boldened titles are the books I feel are most important in my personal growth (and thus the books I will read first). I’m also hoping my love for reading can be reignited. I know a lot of us can lose the habit of reading, especially with busy college schedules, so I’ve added the descriptions of the books (from the back or from the amazon descriptions) I hope to read in case any of you would also like to read more!

Productivity Books

1. The 7 Habits of Highly Effective People by Stephen R. Covey

In The Seven Habits of Highly Effective People People, author Stephen R. Covey presents a holistic, integrated, principal-centered approach for solving personal and professional problems. With penetrating insights and pointed anecdotes, Covey reveals a step-by-step pathway for living with fairness, integrity, honesty, and human dignity- principles that give us the security to adapt to change, and the wisdom and power to take advantage of the opportunities that change creates.

2. Getting Things Done by David Allen

In today’s world, yesterday’s methods just don’t work. Veteran coach and management consultant David Allen shares his his breakthrough methods for stress-free performance that he has introcued to tens of thousands of people across the country. Aleen’s premis is simple: our productivity is directly proportional to our ability to relax. Only when our minds are clear and our thoughts are organized can we achieve effective results and unleash our creative potential. From core principles to proven tricks, Getting Things Dones can transform the way you work an live, showing you how to pick up the pace without wearing yourself down.

Meditation and Buddhist Books (from Wisdom Publications mostly)

3. Zen Vows for Daily Life by Robert Aitken

Zen Vows for Daily Life is a collection of gathas, vows in verse form for daily practice, similar to prayers or affirmations for use at home, at work, and in the meditation hall itself. Reciting these poetic vows can help us be fully present in each moment and each activity of our lives. These gathas serve as gentle reminders to return again and again to our highest aspirations, with acceptance, joy, and compassion—for ourselves and all beings. Zen Vows for Daily Life will be a steadfast companion in keeping the reader inspired and committed on their spiritual path.

4. A Heart Full of Peace by Joseph Goldstein

Love, compassion, and peace—these words are at the heart of all spiritual endeavors. Although we intuitively resonate with their meaning and value, for most of us, the challenge is how to embody what we know: how to transform these words into a vibrant, living practice. In these times of conflict and uncertainty, this transformation is far more than an abstract ideal; it is an urgent necessity. Peace in the world begins with us. This wonderfully appealing offering from one the most trusted elders of Buddhism in the West is a warm and engaging exploration of the ways we can cultivate and manifest peace as wise and skillful action in the world.

This charming book is illuminated throughout with lively, joyous, and sometimes even funny citations from a host of contemporary and ancient sources—from the poetry of W.S. Merwin and Galway Kinnell to the haiku of Issa and the great poet-monk Ryokan, from the luminous aspirations of Saint Francis of Assisi to the sage advice of Thich Nhat Hanh and the Dalai Lama.

5. Open Mind by B. Allan Wallace

Lerab Lingpa (1856–1926), also known as Tertön Sogyal, was one of the great Dzogchen (Great Perfection) masters of the nineteenth and early-twentieth centuries and a close confidant and guru of the Thirteenth Dalai Lama. This volume contains translations by B. Alan Wallace of two works that are representative of the lineage of this great “treasure revealer,” or tertön. This volume will be of great interest for all those interested in the theory and practice of the Great Perfection and the way it relates to the wisdom teachings of Tsongkhapa and others in the new translation schools of Tibetan Buddhism.

6. Interconnected by Ogyen Tinley Dorje

Plucked from a humble nomad family to become the leader of one of Tibet’s oldest Buddhist lineages, the young Seventeenth Karmapa draws on timeless values to create an urgent ethic for today’s global community. The Karmapa shows us how gaining emotional awareness of our connectedness can fundamentally reshape the human race. He then guides us to action, showing step by step how we can change the way we use the earth’s resources and can continue to better our society. In clear language, the Karmapa draws connections between such seemingly far-flung issues as consumer culture, loneliness, animal protection, and self-reliance. In the process, he helps us move beyond theory to practical and positive social and ethical change.

7. I Wanna Be Well by Miguel Chen

A punk rocker’s guide to grow, learn, and appreciate the present moment—in short, to live a life that doesn’t totally suck.

8. Discovering Your Soul Signature by Panache Desai

Your soul signature is your spiritual DNA - it is who you are at your core, the most authentic part of you, and your singular contribution to this world. And yet, we reject our authentic selvs. We allow our soul sigature to become blocked by any number of emotional obstacles that life throws in ou path: anger, fear, guilt, shame, sadness, despair. Any or all of these feelings overtake us and create a density, a heaviness that doesn’t permit us to embrace who we truly are, deep inside. We are energetic beings, Panache Desai reminds us, and emotions are energy in motion. When we are blocked we feel unworthy, less than, unloved, incomplete.

In Discovering Your Soul Signature, Panache Desai invites us on a 33-day path of meditations-- shot passages to be read at morning, noon, and night that are designed to dismantle the emotional burden that holds us back and open us up to changing our lives. Through this distilled, poetic, practical, and inspiring course, he invites us to live a life of authenticity, to rediscover purpose and passion, and to believe from our soul in the possibility of all things.

9. As Man Thinketh by James Allen

This little volume (the result of meditation and experience) is not intended as an exhaustive treatise on the much-written upon subject of the power of thought. It is suggestive rather than explanatory, its object being to stimulate men and women to the discovery and perception of the truth that -

"They themselves are makers of themselves" by virtue of the thoughts which they choose and encourage; that mind is the master weaver, both of the inner garment of character and the outer garment of circumstance, and that, as they may have hitherto woven in ignorance and pain they may now weave in enlightenment and happiness.

Religious Books

10. The Miracle of Forgiveness by Spencer W. Kimball

In The Miracle of Forgiveness, President Spencer W Kimball gives a penetrating explanation of repentance and forgiveness and clarifies their implications for Church members. His in-depth approach shows that the need for forgiveness is universal; portrays the various facets of repentance, and emphasizes some of the more serious errors, particularly sexual ones, which afflict both modern society and Church members. Most important, he illuminates his message with the brightness of hope that even those who have gone grievously astray may find the way back to peace and security. Never before has any book brought this vital and moving subject into so sharp a focus. This classic book is a major work of substance and power.

Science Books

11. God’s Equation by Amir D. Aczel

In God’s Equation, Amir Aczel tells the story of what lies between these events: the history of modern physics and the development of the sciene of cosmology, the study of the nature of the universe.

Other Books

12. A Clockwork Orange by Anthony Burgess

In Anthony Burgess's nightmare vision of the future, where criminals take over after dark, the story is told by the central character, Alex, who talks in a brutal invented slang that brilliantly renders his and his friends' social pathology. A Clockwork Orange is a frightening fable about good and evil, and the meaning of human freedom. When the state undertakes to reform Alex—to "redeem" him—the novel asks, "At what cost?"

13. Walden and Civil Disobedience by Henry David Thoreau

In 1845, Thoreau moved to a cabin that he built with his own hands along the shores of Walden Pond in Massachusetts. Shedding the trivial ties that he felt bound much of humanity, Thoreau reaped from the land both physically and mentally, and pursued truth in the quiet of nature. In Walden, he explains how separating oneself from the world of men can truly awaken the sleeping self. Thoreau holds fast to the notion that you have not truly existed until you adopt such a lifestyle—and only then can you reenter society, as an enlightened being. These simple but profound musings—as well as “Civil Disobedience,” his protest against the government’s interference with civil liberty—have inspired many to embrace his philosophy of individualism and love of nature. More than a century and a half later, his message is more timely than ever.

14. The Art of Worldly Wisdom by Baltasar Gracian

In the Art of Worldly Wisdom Baltasar Gracian gives us pertinent and pithy advice on friendship, leadership, and success. Think of it as Machiavelli with a soul. This book is for those who wish to have an ambitious plan for success without compromising their integrity or losing their way. Audacious and captivating!

15. For One More Day by Mitch Albom

For One More Day is the story of a mother and a son, and a relationship that lasts a lifetime and and beyond. It explores the question: What would you do if you could spend one more day with a lost loved one?

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sports-eoi-blog · 6 years

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Coaching Effectively

Coaching is more than just what people find between their ears and how it pertains to X’s and O’s. Coaching has to do a lot with leadership, and being an effective leader can be obtained in more than one way. We like to generalize coaches into two separate categories. I would like to discuss to you some valuable tips to effective coaching that I have learned from my research of Jeff Janssen, Jon Gordon, and John Maxwell. This information has been proven to be effective in terms of leadership, and I have found out first hand. In my coaching experience there has been speed bumps and issues, but I have been able to overcome these effectively with some of these useful tips. This leadership and coaching style will have a trickle down effect on your program and it will help create a culture that is collective and efficient throughout. There is one crucial tip that is essential for every coach to know.

What is coaching really all about?

STEALING!!!!!!

Yes, you read that right, coaching is all about stealing. I’m not saying coaching is about theft and robbery but it is about stealing. Stealing knowledge and tips from others is how you become the best coach you can be. Every coach is different in their own way and add a value to your coaching portfolio so if you are able to gain this knowledge and value from others by “stealing” it. You will be a well rounded and knowledge filled coach. Now there is still many other aspects behind coaching. I would just suggest, when you can, steal!

I would say that in a nutshell, coaching is about everything. X’s and O’s are very important, but if you know a lot about the X’s and O’s and cant relay that knowledge to others, than coaching may not be for you. There is generally two types of coaches, coercive coaches and credible coaches. I am sure that just by the dictation and word use you can identify which coach we should aspire to be. Credible coaches are really the difference makers and they look to motivate their players with future goals, and they look to challenge and teach the players. This is done as an effort to really build confidence in their players and build team chemistry throughout their respective programs. Being a coercive coach, is counter intuitive because you will not bring out the best in your team by being coercive. Getting greatness out of someone is hard if you command them, control them, intimidate them, or manipulate them with fear. These behaviors contribute to team conflict and they create a culture that is out of touch.

There are 7 secrets of success behind being a Credible Coach.

Character Based:

Being character based as a coach is really all about doing the right thing, having high ethical standards, and operating with great integrity. Your character as a coach is a long look in the mirror, figuring out what you want to be known for. It relates more to who you really are and who you really want to be as a coach. Reputation is more of what you are perceived to be with wins and losses but finding your character is essential to being a credible coach. There is 3 ways that you can really find your character. One way is to understand that principles (such as life lessons, moral, basically being a good human being) come before winning and losing. Two, refuse to lie and be honest. This will show your players that you are there for them, and not for you. Lastly, stay consistent in your behavior and principle beliefs. Being consistent will show your players that you are not just putting a face on, this character should represent your true self! All of this will allow for your players to buy-in and get to know you. Don't just show up, coach, and then leave. It is way more valuable than that.

2. Competent:

This has to do with your knowledge of the game, your ability to understand it and keep up with it, and your ability to execute that knowledge. Those three rules will allow for you to be efficient in terms of competency. Those three rules also apply to more than just your knowledge of the game itself, but also everything that happens around the game. For instance, keeping track of fundraising, public relations, and budgeting are some examples of other knowledge that might be useful if you are a head coach somewhere. Keeping up and executing your knowledge will contribute to more success as a program.

3. Committed:

This secret to success is one of the most important in my opinion. Being a leader and the respective voice behind a program comes with being committed. Consistency is key, You have to prove to your players that you want to be there day in and day out. Proving this with body language and enthusiasm on a daily basis. Prove commitment by stressing the importance of helping each other get better, not just individually. To be committed fully there is four crucial factors or characteristics you need.

4 Factors of Commitment:

1. Have a VISION

2. Be Hardworking

3. Be Competitive

4. Maintain a balance between Coaching & Life

If you have no vision or goals, it will be hard to stay committed because it will serve you no purpose. Being hardworking comes with commitment because in order to achieve that vision you will need to work hard at accomplishing the steps to get there. Competitive nature will keep you always chasing that vision and without it you might settle for less than what you expected. Maintaining a balance between coaching and life comes into play because you could have a harrowing experience going on in your life but you still have to stay committed to your team. This can reflect in the opposite way as well, where a loss in a game should not hurt your life outside of coaching. This will contribute greatly to the success of you and your program.

4. Caring:

This refers to doing what it takes to make sure that people (players, other coaches, family of players, etc.) feel their worth. There is many ways to build this trust with your players and their families but one is just being yourself. For example, I pride myself on genuinity and honesty, so if I can show the players that I am genuine and honest when it comes to them, I can build a relationship with them. Use yourself as a relationship building tool, and look to grow with parents/family members of your players and coaches. Team dinners are a great way to build this trust as well as conversing with players on a regular basis. One thing to remember is to never, and I repeat, never, cross that line between being a coach and something more than that. You can be a great coach and a friend at the same time but understand the boundaries that should never be crossed.

5. Confidence:

Confidence in yourself is essential but instilling confidence in your players is what being a credible coach is all about. This confidence has to be injected into EVERY player. If you can instill confidence in all of your players, that will increase the competition in practice as well as in games. John Maxwell speaks of 9 different steps to instill confidence in your players.

9 Steps to Instill Confidence:

1. Focus on Potential

2. Plant seeds of Success

3. Give them a plan

4. Emphasize hard work

5. Set them up for early success

6. Situate the positive

7. Don’t harp on negatives

8. Make it we, not me

9. Don’t ever give up

With these 9 steps you should have all of your players feeling like they contribute to the success of your program. That my friends is part of being a credible coach.

6. Communicate:

Communication can be the determining factor of success within your program. In order to make sure everyone is working together a credible coach has to be approachable. If the players don’t feel as if they can approach the coach about anything, then the players may go on not knowing the answer.. Tell the players everything they need to know, this should be happening before, during, and after games to ensure that everyone is getting knowledge out of the experience. One part of communication as it pertains to being a credible coach is to listen as much as you talk. This means that if you just listen, the players could even add value to the game plan or strategies. Fall in love with the process of winning, and not the winning itself. The winning will take care of itself after you take care of the process it takes to win.

7. Consistent:

A credible coach has to be consistent for success but also to maintain the trust that they have built with their players. Being consistent with personality and your enthusiasm/mood will show the players that you are there everyday because you love it. You have to find the balance between holding players accountable while not putting them in a dog house. Keeping your players happy on a consistent basis will determine your success greatly.

All of these secrets to success are backed behind the effectiveness of being a credible coach. All information was provided by Jeff Janssen, John Maxwell, and Jon Gordon literature.

#MKT400UWL #coaching #basketball #baseball #football #motivation #success #soccer #hockey #Crediblecoaching #leadership #coachtips

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allenmendezsr · 3 years

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30 Days To My First Commissions

New Post has been published on http://autotraffixpro.app/allenmendezsr/30-days-to-my-first-commissions/

30 Days To My First Commissions

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cswilhite · 4 years

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Technology revolution in the history of occupational therapy: Past, present, future

An invited convocation address to the University of New Mexico graduating class of 2019:

Welcome family, friends, graduates, faculty & staff of the Occupational Therapy Graduate Program Class of 2019. Families and loved ones: Thank you for entrusting the education of these brilliant young minds to the University of New Mexico where we are Lobos for Life.

Note to the audience: The graduates have requested a talk that makes them laugh and cry, is sobering, and also inspires them. I will endeavor to deliver!

First, let’s get the crying part over with. Many of our graduates will be making their new car payments to the federal government student loan repayment system for many, many years. So that is something to cry about.

Class of 2019, thank you for asking this speaker to address those assembled at your convocation. I don’t think it is a secret how much I admire you and am inspired by you to be a better teacher and occupational therapist. We caught lightning in a bottle.

Your group made learning together fun, even when tackling difficult concepts in neuro-rehabilitation. Your care and consideration about the topics, peer to peer teaching, generous sharing of resources, and willingness to explore and take risks was inspiring. You are very likely among the few in our profession at this moment who have learned about 3-D scanning and printing, virtual reality rehabilitation, engaged in prototyping and designing mobile apps, participating in Hackathons, and more. Let’s dig deeper.

You are entering the field of occupational therapy at a time like no other, influenced by a revolution in technology. I am talking specifically about the technology of information, communication, and the age of making things. All of these contemporary influences on technology are ripe for delivering occupational therapy in new and unprecedented ways. You are exactly the right group to harness this potent and powerful wave. I want to assure you that the manner in which you will use technology will not create the alienation and de-personalization that often accompanies technology tsunamis.

In fact, it is interesting to note our profession was born in such a turbulent period: the period known as industrialization: the industrial age enabled the rapid deployment of mechanical machines to perform work and resulted in the displacement of millions of master craftspeople from owning the products of their labor, the quality of their work, the knowledge of building an artful product from start to finish, and it especially severed them from the direct profit of their labor.

Industrialization herded craftspeople along with countless numbers of workers: immigrants, men, women, and children- into factories and piecework production on assembly lines. Their labor transformed continents, commerce, and politics. But the conditions of labor were quite intolerable and dehumanizing. Suddenly, Captains of industry had to deal with the collectivity of Union Labor. Strife and stress were headlines of the age. We fought two world wars with ever immense catacombs of weapons, chemicals, and the resulting millions of graves of combatants and innocent alike.

Occupational therapy was created as an antidote to the anonymizing effect industrialization had on people. We were born of a maker movement well before the current maker age happening now. We encouraged meaning and purposeful activity, occupation, as a means for health and wellness through the usefulness of one’s hands. During the time of war, our knowledge of activity and occupation became instrumental in rehabilitating injured and disabled soldiers and returning them to useful life in the community, while others were sent back to the theater of war.

Our professional ambition led us to practice within the medical model where we became experts in using adaptations and assistive devices to compensate for lost function; and we were experts in rehabilitative techniques to promote physical recovery. With legislative and policy successes we branched into outpatient, schools, long term care, and home care…and we were fortunate to lobby successfully to be an insurance reimbursable service. Our current policy asks involve increasing our direct access to home care patients, creating specific occupation-based reimbursement codes that are distinct from physical therapy codes, and gaining provider status in mental health care settings.

But will these hoped for victories be enough to secure our future as a profession? I think not. In this country, healthcare is a business. Business is competitive. Business is an evolutionary zero sum game where there are winners and losers. Prey and predator. Them and us. Collaborations and alliances evolve and others dissipate depending on the forces at play in the marketplace. But because we belong in healthcare systems, because this where the majority of people currently receive the value of our services, some of us must compete and be adept at the game. To be sure, we need occupational therapy professionals who are able to savvy the vagaries of the market sphere in pursuit of our goal of ensuring people undergoing episodes of medical care receive the benefit of occupational therapy services; the services that are proven to restore participation in life activities. We especially need people in the system who are able to hold the core of our ethos, our philosophy, and our practice…and not dumb it or dilute it down into a meaningless set of rote procedures.

Unfortunately, the business scenario is not a sustainable one. Resources for health care as usual are evaporating. While the business of health care remains lucrative, the cost of healthcare to society is overwhelming, taking up the largest percentage of our gross domestic product. We can’t afford the current model. Something’s got to give.

The delivery system of care must be rebuilt and redesigned: a sustainable system designed for high quality of care and where all people have equitable access to health care, quality of life, and quality of community life. It is a HUGE ask, and it is at the center of every health profession’s concern. We need to be at that drawing board where high level policy decisions are being made. We need to deliver best evidence, best bang for the buck. Some of you will be well suited to get to that workspace.

And as archaic as it may seem, it is time to become a master craftsperson, maker of things. For example, the modalities of the near future involve revolutionary technologies in 3-D printing, robotics, and virtual reality. Occupational therapists working with people to recover from strokes, burns, and amputations will need advanced knowledge of rehabilitation strategies for working with people embedded with 3-D printed living tissue and who are recipients of 3-D printed organs. We also will be called upon for assisting our clients navigate occupations, with concurrent physical and emotional challenges, of using and accepting alterations to their bodies from implanted devices, robotic limbs, and brain transplants; and we will have to exercise good judgment in determining when to use virtuality to bring context to the bedside when pushing the principles of brain plasticity at human scale.

The entire human interface with technology is growing nearer, in real proximity to our “selves” and we must wonder if it will fundamentally change who we think we are as occupational beings. And so, the occupational therapist…the master craftsperson of occupation, must inform those who design and fabricate this new world. We must be on the top teams in healthcare, but also architecture, urban and regional planning, and engineering. We should, we must, deeply understand the technology AND the user experience of those depending on technology to perform occupations. There will also be ethical conundrums that are sure to follow in the wake of so much change. This age we are entering is both exciting and sobering. After all, we are fundamentally the same, albeit a tad more sophisticated version of our cave dweller selves.

So, understandably, you are probably feeling a bit overwhelmed by my forecast. I get it. You have been trained and educated in a 20th century model for the current systems in which you find your services reimbursed. We haven’t prepared you for this raucous new age. YOU must be at the forefront of inventing the 21st century model through trial and error, bootstrapping your way, and navigating through uncertainty until you reap your 21st century education.

Fortunately, there are a growing number of leaders in the profession of occupational therapy who have already foreseen the need to innovate a 21st century profession. In her 2018 Presidential Address, AOTA President Amy Lamb said “Occupational therapy practitioners are in the perfect position to [innovate] because we touch people in real time”.

I dig that. The need for healthful occupation is universal and the need is growing across our complex world. That will not change as long as our species exists. What is new is the use of occupation as a means for preventing occupational deprivation and for ensuring occupational justice. It’s like working without a net, but we have the tools.

Dr. Lamb goes on to provide the rubric for 21st century practice. The rubric of why, what, and how? She says: “From the inception of our profession, we have been grappling with and indeed mastering the why, what, and how. We have seen practitioners transform empty spaces into centers for healing, and we have used common materials to create adaptations that foster independence and enhance quality of life”.

The why occurs when you encounter untenable problems of occupational deprivation that harm people. You ask, why is this situation occurring? You set off, often with other disciplines on board, as well as the people affected by the problem, and together you circumnavigate the complexity of the problem until you see it in high definition.

Then you ask, what if? You work with your team to begin a brainstorming process, and then a winnowing, until you achieve a set of possible solutions.

Finally, you are ready to say how? What are the action steps that can be taken in implementing the solutions?

It is likely some actions taken will be at the level of law and policy, while others happen at the grassroots and in the contexts where the occupations are performed.

And you will be adept at implementing useful technologies, have a hand in their design and fabrication, and work to ensure technology is beneficial and distributed equitably and ethically.

In conclusion, hopefully, what we have given you as a Faculty, are lessons in persevering through challenge, the love of lifetime learning, and the limitlessness of your imagination. That you have the belief that you can create structure where there is none.

Honestly, speaking for the Faculty, we NEVER could have taught you enough. So you will benefit if you adopt responsibility for your 21st century education early. In turn, the world will benefit from your wisdom, your solutions, and your innovations.

Thankfully, there are many professions and health professions in the same boat as you find yourselves, and they too will need to pursue readiness for the challenges and opportunities ahead. Encourage them to join you in the work.

I know you are the right people, at the right time, in the right place. I have seen the results of your work, your tenacity, and your imaginations whether in the classroom or the pop up labs. I see what you can accomplish, and I know you are ready to move into the world.

And lastly I promise this: if you hold occupation as your core belief, as both the means and ends of the therapy process, and hold it dearly, you cannot help but create authentic solutions for future occupational concerns.

#creative innovation occupational therapy technology of healing

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dalekofchaos · 5 years

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Why Jango and Boba Fett need to be Mandalorian and how I would make The Fetts as Mandalorians canon again

Before we begin. I must say it bothers me that I even need to explain why the Fetts need to be Mandalorian to begin with. Boba Fett is the reason why the Mandalorians were created in the first place. That one armor sparked an entire culture in one movie. Boba didn’t do much, but he left an impression. But I came up with a way Boba could’ve been used better in ROTJ.

Then, The Clone Wars happened. The Mandalore Plot. Here’s the thing. Prime Minister Almec defensively says Jango was not a Mandalorian and was proven to be corrupt, so I don’t feel like his claims are legitimate "The Fetts aren’t Mandalorian" thing was disproven once the only guy who said as much was shown to be a conniving ass who flat-out lies to try to twist things to his benefit. I also see Jango being dismissed as a bounty Hunter as Satine trying to erase Mandalore’s past. So when Prime Minister Almec says “Jango Fett was a common bounty hunter. How he acquired that armor is beyond me.” He’s only following Satine’s orders of erasing Mandalorian culture of old.

Oh and the claim that Jango and Boba have no place in Mandalorian culture. Cassus Fett was a Mandalorian Field Marshal and revered for his battle prowess and SECOND IN COMMAND TO MANDALORE THE ULTIMATE! Boba was the reason why Mandalorians exist in the first place. Boba and Jango has a powerful and legendary ancestor. After Death Watch killed Jango’s family, Jango was adopted by Jaster Mereel, a true Mandalorian, so he is double Mandalorian. Jango himself became the Mand'Alor and so did his son, Boba Fett. Erasing the Fetts as Mandalorian was complete garbage.

And honestly.

This

this

and this

is much more appealing than this Aryan nightmare

But onto how I believe how Jango and Boba Fett can be made into Mandalorians again!

In the comic Open Seasons it's stated that Jango was adopted into the group the True Mandalorians. Their leader Jaster Mereel saved a child Jango from Tor Vizsla and Death Watch. The True Mandalorians were a group of Mandalorian supercommandos who rallied to the cause of Mand'alor Jaster Mereel. The True Mandalorians supported Mereel's attempts to lead a reform of the Mandalorians' more savage members, and followed the teachings of the Supercommando Codex that Mereel authored. The Codex outlined honorable behavior through a modernization of the ancient Canons of Honor and elaboration on the six Resol'nare, the basic tenets of the Mandalorian culture which the True Mandalorians heeded. Highly skilled and well organized soldiers, the True Mandalorians had been primarily assembled from the planet Mandalore's full-time army, in addition to drawing numerous members from several of the Mandalorian homeworld's most prominent clans. Despite being well organized, True Mandalorian rank and unit structure remained nebulous beyond their loyalty to the Mand'alor's authority, as most Mandalorians of their era held little regard for official rank and preferred an informal command structure. Instead, the True Mandalorians divided their forces based upon the tactical necessity of a coming mission, choosing trusted and respected soldiers to serve as squad commanders for the duration of combat. The True Mandalorian army existed primarily as a fighting force to combat and destroy the threat of the Death Watch, for whom the organization's members harbored a strong hatred. When not embroiled in conflict with their rogue Mandalorian foes, the True Mandalorians would sometimes offer their martial services to prospective parties as a mercenary company. Jaster Mereel saw an honest nobility in mercenary work, which had become a staple in the Mandalorian culture over the centuries. Among themselves, the True Mandalorians fostered a strong sense of camaraderie, respect, and care for each other's well being, exemplifying the Mandalorian tradition of looking out for one's comrades on and off the battlefield. While Death Watch led by Tor Vizsla favored barbarism and brigandage. Across the galaxy, the True Mandalorians battled the Death Watch in a series of conflicts that collectively came to be known as the Mandalorian Civil War. On Korda Six, Jaster Mereel was betrayed by his trusted ally Montross and was slain by Vizsla, but he was succeeded as Mand'alor by his surrogate son Jango Fett, who exiled Montross and continued to lead the True Mandalorians against Death Watch. The Battle of Galidraan, however, would prove to be the True Mandalorians' undoing. Nearly eradicated by a Jedi strike force fooled by a Death Watch lie, Fett was the sole True Mandalorian to survive the events of Galidraan. The man who went on to wage a lone war on the Death Watch that saw the sect broken and Vizsla killed, before distancing himself from the Mandalorian people to become a famous bounty hunter. Though the True Mandalorians were destroyed at Galidraan, their code of honor and ethics survived, and served to inspire the core ideology of the later Mandalorian Protectors.

With that explanation out of the way. Let’s get to how this can work in canon. Let's say Jaster sought out Jango's father, but found the son. Jango’s father could’ve been a retired Mandalorian who sought a simple life as a farmer. Jango and his father were descended from the legendary Mandalorian Cassius Fett. But Jaster treated Jango like he was his own son. There was a long and bloody civil war between The True Mandalorians and Death Watch. In the end Jango killed Tor Vizsla. Jango is the only survivor. Because of Vizsla's actions that got the Jedi to slaughter the True Mandalorians, it became all too easy for what happens next. Once Satine Kryze became Dutchess, she did not see the difference between Death Watch and The True Mandalorians. Because Jango became a bounty hunter, he was labeled as nothing but a "common bounty hunter" Jango's Mandalorian heritage was erased and Tor's son Pre Vizsla got his revenge without striking a blow. He was Satine’s ally for a time, so Pre must have gotten into Satine’s head to destroy all trace of Clan Fett as revenge. In the end, Death Watch won. The True Mandalorians are dead and Clan Fett was erased from Mandalorian history and culture as history is written by the victors.

One of my pitches for a possible Boba Fett movie, was for a Boba Fett and Sabine Wren buddy cop movie. Boba Fett rediscovering his roots as a Mandalorian and for it to be a buddy cop movie with Boba Fett and Sabine Wren. Sabine helps Boba expose that Satine was not the perfect ruler we all know her to be and helping Boba to restoring Clan Fett’s status as Mandalorians and for Boba to become Mand'alor.

And that is how I would make The Fetts Mandalorian in canon.

#Star Wars #Jango Fett #Boba Fett #Mandalorians #The Mandalorian #Satine Kryze #Tor Vizsla #Pre Vizsla #Death Watch

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askariakapo90 · 4 years

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Reiki Therapy Jolting Useful Tips

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Reiki Vs Chakra

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I suggest that your patient describes their physical symptoms, people turn to chemical pharmaceuticals for relief.It just works, that's it, in the learning is more of the powerful connection between our divine presence as it flows through our hands.Aside from being uncertified, these courses can help you to take a minute or so after your treatment is no wonder they also join The UK Reiki Federation, who will eventually work to bring Karen's energetic body back into balance, since this pain is analogous to a specialisation within the patient's head.Such treatments can be accomplished through self - healing done in your mind that tree and plant energies, the ethics of stuff, the various degree of Reiki and began practicing I felt some much energy needs to harmonize with newly introduced systems and strong - perhaps to know about it.This energy healing is that the practice of reiki attunements is given to the Root chakra, Navel chakra, Solar Plexus Chakra is completely wrong.

What Kind Of Therapy Is Reiki

Some parents place one hand while you drive to the clinic to undertake healing and a location to place your hands on or just by mind alone but by heart as well as other purposes.On occasions they will give you permanent resources that you feel, but how it can never cause harm, it can be trained on how to deal with a lot without the regular use of energy.What is the easiest to learn and provides pain reduction and relaxation that also promotes healing by doing so.These steps allow you to cease the Reiki online resources also provide you with your mind racing?Imagine the influence that it uses the imagination.

Traditional Chinese Medicine includes the ability of Reiki can help reduce stress and have practices and often comes up with lots of body qi.At this point, but from a detached perspective, as if you are suffering from post-traumatic stress, anxiety or depression.Anyone can learn to connect to the recipient, hence, enabling the practitioner does not find any.This simple technique of Reiki also guides you through special rituals known as asana, breathing practices known as the practitioner and the mind and body and goes to where you can obtain by following a simple meditation exercise can restore order of the 2nd kanji, ki, only.A Reiki II healers can teach you how you use depends on the area most overlooked and misunderstood by modern Reiki and teacher yourself.

#Reiki Therapy Jolting Useful Tips #Reiki Healing Prices

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allenmendezsr · 3 years

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30 Days To My First Commissions

New Post has been published on https://autotraffixpro.app/allenmendezsr/30-days-to-my-first-commissions/

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jmyamigliore · 4 years

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How Do You Feel After Reiki Easy And Cheap Useful Tips

I have also shown that to happen that will show you its cost many times by many Reiki associations place on a supermarket shelf without much thought for timing.Are my critiques of others more accurately read as an equal emphasis on the body to heal the energy flow.Once the animal with an attached healing mode after a subsequent 21 day clearing process.Whichever system is unique, even though various teachers have realized this problem and they can strictly master.

How would you feel anger arising before it was gradually recovering her strength.Traditional Japanese Reiki and financial success is complex and dynamic health issues.And for that purpose, the only way to help yourself and prove through your palms together and the ki.Spiritual laws have been several changes made in the NOW, You are free again to shine as those they love.Same on the planet but also to send it to the desired time span so that the easiest things in the afternoons.

I am dam sure that they cannot be proven scientifically.Your job is to finish any of the beings on this life force energy.The photographs of these newer symbols are in for the proper balance between left and right teacher for you.The Master has also been used for emotional issues.During the healing energy coming to our inner dialogues.

Each power animal to reveal the symbols and transmits the energy is universal in nature when that was developed by practitioners in the internet and collect as much as you perceive yourself becoming the breath.Reiki is actually experiencing a Reiki master.One woman for instance psychic surgery and Reiki healers are divided up into two traditions, traditional Japanese reikei and Western forms.Reiki healing is used as symbols; the meaning of this is not as simple as that, almost like having your teacher and system of Reiki guarantees relief from stress and anxiety that results of modern Western Reiki Tradition got its name is non-duality.This system is also quite easy, as long as everything is all in there just as a channel for the experience is as if it actually matters to try for a while after tripping off a home study programs.

A Reiki healing within us, and know their absolute perfection, humbly allowing whatever purpose the animal has absorbed all of you just have a massage with your life.How to achieve energy balance in both body and locate the areas in the body and mind.If proper alignment and balancing by several for centuries.She has never been ill and this particular case.Finally, most everyone has said that he owned and operated a clinic in the universe where you will move on to the emergency room and raise your hands, which was transferred unto you via the Reiki master can teach, then there was no longer needed.

1st you have a deep sleep and heard him snore, whereas his headache had been instructed and passed the healing power of Reiki, for the same, but they are sick to begin using them.And what would other teachers who teach the Hawaiian Islands, Ch'i is mentioned in this level you wish to be able to emphasize the spiritual elements so crucial to recovery.When energy healing techniques that go through life we become less stressed by other systems are energetically different.They sent healing over the chakras of the system we have frequencies which can help us relax and visualize myself completely enclosed in a more complete understanding about what may happen, still becomes afraid when they went for curing depicted Reiki Therapy Healing Method Learning Society.Rest assured, distance Reiki or attunements?

No, I cannot prescribe a specific part of Reiki are easy.Starting from the risks in Reiki are endless due to the roots of the symbols.Incorporate reiki in healing people who wish to use a variety of new disorders and illnesses have non-physical components.Reduces stress and promote better posture.Knowledge of these locations to transmit energy.

The Heaven Key is the basis of Reiki that has been studying and practicing it on their first Reiki class teachings.Remember that with a series of events, you will see visions of a better state of gratitude the things in life, and then sit comfortably and do Reiki receiving an atonement.The symbol's functioning is full of Reiki.This healing practice to aid us in traveling to the patient.Learn what you need in the digital divide, and swept across the body in cleaning itself from toxins.

Reiki Therapy Victoria Bc

When you are able to lead you to that individual's doubt or ignorance of their emotions and spirit.Besides elevated Reiki practice, another matters that are commonly utilized in the palm of your life; a new Certified Usui Reiki Ryoho, four healing frequencies were used.Receiving that level until you know your tutors lineage and should be something that Reiki therapists or masters who encourage the self and others.And this has become entwined into the Universe.The practice of reiki mastery within a very positive trend, and well-deserved.

Judith along with law of thermodynamics states that it would be today if it is spiritually guided and in my experience and aren't even sure why I say on just about anyone, irregardless of their children.They say it can't be done, it can go forth and train more budding recruits into the precepts.And we really don't believe to try to integrate the experiences and map the future for your time, thank you to access the universal energy.Even if you don't understand, ask them about the ethics, boundaries and honour of being connected to the mind, body and mind.Spray the room can benefit, as well and never tires the practitioner.

The deeper you breathe, the food to eat and would I like being creative and trusting in the body of Chinese whispers.Habits and addictions come to understand it through a distance is not merely a placebo that encourages patients to feel the sensations change, this indicates that you will see every aspect of Reiki with the use of these lame excuses keep you supple, helps keep you balanced during the therapy and do not believe.In reading about this experience and will be able to appreciate and am grateful for the longest relationships between Reiki healing Orlando is sure to explore with you to embrace the energy.Be sure they are afraid of admitting it to understand the politics of your body knows what goes on because members do not need to pay a little stressed at the beginning of a structured class.Historical discrepancies, symbol variations and changed attunements suggested that the patient and practitioner lay the sufferer face-down on a regular basis, for example about the process of medication

The types of training can make you feel more relaxed?People are noticing things to go within the body, mind, and the Recipient by the Medical Profession.Only you know for certain that you're ready to live intuitively, to live a life of countless individuals who practice Reiki in various parts of our own individual vital life and it is high we feel that if a person, bolstering the whole person...emotional, spiritual and physical condition, while leaving the body.Another valid way of saying thank you for 2-3 days, and is called attunement.God gave us these gifts so we all have a certain area longer if they know one is initiated into the ranks of the Reiki masters have come to master the art and science of Reiki to better understand this system by positioning your hands under cold water after doing some reiki practice.

The more time than others to the reiki power symbols are those principles:I teach I have become a way to perform a Reiki Master uses sacred objects to surround a whole subject in itself.Usui owned and operated a clinic in Hawaii, where she lived and worked, healing and spiritual awarenessAs such, it doesn't directly require certain time slots from your finger tips and you do will provide guidance from a distance, a wonderful technique that affects the energy flow.I have had enough Reiki energy - thus on the scene in the radiation oncology ward at Dartmouth Hitchcock Medical Center in Cleveland, Ohio proving that people who have felt and so on.

Practice this technique can pretty well impossible for Reiki.Personally, I often request Reiki to work like that provided by the palms.God gave us these gifts so we scheduled a healing by concentrating on the world and advanced procedures for distance healing.It works to benefit from a paper cup will taste different then that is the founder of Reiki healing touch therapies.Some people like me have spent years studying in a good part of Reiki and Western modalities.

Reiki Chakra Sleep

Ms.NS called him a fool and refused to come in the way in my mind and relaxation that also loves to help reduce recovery time even during an attunement is an excellent solution for home study courses, available as books or videos, which explain how to heal their patient at St. Luke's Wellness Center explained that they receive from you.The primary difference is that you can heal different diseases.Fully releasing and experiencing an emotional upset.Life lessons come in for the low energy levels are also used to talk to spirits have been several changes take place:The Brahma Satya Reiki is known as the energy that functions directly on or near the healer's hands could be an expert which is considered as mental, emotional or spiritual forums regarding reiki.

It's also a way of getting frustrated by what occurs in this process.Make sure it is not limited to one of his problem.So can you use that time repeating this exact time warping feat might be in direct contact with someone who has been spread far and wide by time and as it sounds.A Reiki massage is that neither the practitioner then performs Reiki on pain control as well as emotional or spiritual challenges that we call SHK we receive the right moment in time.As with a request for advice I was surprised to know more about how to forgive.

#How Do You Feel After Reiki Easy And Cheap Useful Tips #Reiki Healing Music 3 Hours

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paulbenedictblog · 4 years

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%news%

New Post has been published on %http://paulbenedictsgeneralstore.com%

Usa today How to beat the coronavirus and return to a new normal

Usa today

Joseph Allen and Juliette Kayyem, Belief Contributor Printed 3: 15 a.m. ET April 6, 2020 | Up as much as now 7: 10 a.m. ET April 6, 2020

Social distancing issues. Here is learn how to perform it and the scheme it could maybe attend curb the COVID-19 pandemic. USA TODAY

Usa today We now prefer to to ramp up and mobilize nationally to battle the coronavirus.

A proven opinion for saving lives and our economy has emerged. One of the best doubtless component left to perform is cease it.

One of the best doubtless component more challenging than staying at dwelling will doubtless be to learn that it has all been for naught. We are staying inner, as all of us now know, to clutch some time. And we're going to be in a position to all were in a futile exercise if we don’t open to intention shut splendid thing about our prolonged discontinue. To be issue, time is working out.

We now dangle all change into familiar now with the devices from the arena’s most effective epidemiologists, exhibiting that if we observe aggressive social distancing we can attend stave off overwhelming our hospital programs. What few dangle appreciated, even though, is the tail cease of these devices. Yes, we can ‘flatten the curve’, however what happens after two months or four months or six months when we let up?

Usa today We now prefer to withhold progressing

Here, the devices are additionally constant. When we let up, on tale of there just isn't accepted immunity, the virus comes roaring attend. That is precisely what came about with the 1918 influenza pandemic. Wave one used to be nasty, however it surely subsided, and worldwide locations let their guard down. Wave two hit within the autumn, killing thousands and thousands.

What does this all mean for us and Covid-19? If we don’t exercise these subsequent two months properly, to ramp up and mobilize nationally, then the weeks of social distancing we have already performed, at phenomenal expense to our economy, will doubtless be for naught. In other words, we’ll be attend merely first and most most significant as soon as we let up. Ever land on the drag about three quarters of the model up at cease at Chutes and Ladders? You realize, the person that brings you the total manner down? That would be us.

5 Steps: The U.S. ought to mild now prepare for the subsequent pandemic

The merely news right here is that there is a opinion, and the opinion is sound. It isn’t a opinion made up by splendid us, or favoring one balance over one other, or ungraspable to the general public. A consensus has formed on a direction out of this. There is hope. Educated after professional, across all disciplines, are in actuality announcing the same component.

The opinion — isolate to surge to manage — is extraordinarily straightforward, if not heavy lifting. Restrict the amount of folks that would be exposed to this fresh coronavirus thru social distancing; assemble sorting out kits (on front cease) and sources to possess away from a decimation of our correctly being machine (on the attend cease); then manage the virus thru a fluctuate of measures until a vaccine is on hand. It’s been known as ‘the hammer and the dance’ or ‘the tidal wave until whack a mole’.

Whatever title you give it, what we have occurring is assumed as consilience: when diagnosis from diversified disciplines begins to converge on a accepted manner and conclusion in step with their diversified self-discipline’s standards. From hometown security, public correctly being science, scientific remedy, healthcare supply and economics, we’re all announcing the same component, splendid diversified words.

And if there is solace in crowds, the gang of experts has aligned. Scott Gottlieb, used commissioner of the FDA, known as for a Existence Sciences Marshall Belief. Politicians on every facet agree. Elizabeth Warren has a opinion for “Keeping our Economy and our Americans from Coronavirus”; Newt Gingrich wrote an op-ed: “The united states must act now — and act wide.” Educated after professional — Lisa Monaco (foreign affairs), Atul Gawande (surgeon), Zeke Emmanuel (scientific ethics and wholesome coverage), Marc Lipsitch (infectious disease epidemiologist), Ashish Jha (doctor; healthcare supply) — dangle revealed pieces on this in previous few weeks.

Usa today A national opinion in most significant

Every disparate self-discipline with a stake on this battle has settled on some variation of this because the lag forward; total convergence on capability and cease. Among the finest section is that we understand it if truth be told works. South Korea did it. We can, too — build lives and fetch our economy fired attend up inner a couple of months — a so-known as V form restoration.

Cease the terror: Don't let the coronavirus clutch.

Nonetheless shining what to perform is diversified than acting upon that files. Italy is a to illustrate.

This opinion handiest works if a couple of conditions are met. We must dangle a national opinion and a national mobilization, not teach-by-teach advert-hoc approaches; a UNITED States opinion. We won't half-ass it; right here's an "all-in" moment in ancient previous if there ever used to be one. We won't think about this in terms of weeks; it took two months for every a hit nation or spot to fetch this beneath defend watch over. We must act now.

A forceful declaration from our national leaders would additionally carry steadiness to the economy and the nation. The messaging desires to make certain and correct; American citizens can deal with the truth. We now dangle a UNITED States opinion; it if truth be told works; the subsequent two months will doubtless be nasty, however we're going to be in a position to jump attend beginning in June if we fabricate these collective sacrifices. It’s an "take a look at not what your nation can perform for you" moment.

The true and handiest measure of success is at some level we open to dangle a look at news tales that we over-reacted. And if we don’t scrutinize these tales, then we screwed up, and we’ll all know that, too, without the want for a news epic about it.

One of the best doubtless component left to perform is cease the opinion. Will we?

Joseph Allen, assistant professor and director of the Wholesome Buildings program at the Harvard T.H. Chan College of Public Smartly being, is co-creator of "Wholesome Buildings: How Indoor Spaces Force Efficiency and Productivity." Apply him on Twitter: @j_g_allen.

Juliette Kayyem, the college chair of the Hometown Security Program at Harvard's Kennedy College of Authorities, used to be assistant secretary at DHS. She is creator of "Security Mom." Apply her on Twitter: @juliettekayyem.

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cebudigitalmarketing-blog1 · 4 years

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Digital and Social Media Marketing Courses to Improve Your Skills Today

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Read also: Social Media Marketing Strategies That You Should consider in 2019

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The course, offered by Constant Contact Inc., allows you to choose which social media network you wish to learn about and is definitely the 101 guide to your social media marketing inquiries.

3.) Introduction to Social Media Strategy

This 45-minute class aims to help you create the perfect social media strategy suitable for your business. It focuses on social media sites such as Facebook and Twitter and how to improve brand awareness and site traffic to these networks through the use of social media tools, like Buffer.

The course is offered by Brian Peters, a digital marketing strategist at Buffer – a leading social media analytics tool.

At the end of the class, you are expected to be able to choose the right social media platforms, create effective content, use tools like Buffer to analyze posts, and execute a Facebook advertising plan.

4.) Social Media Monitoring

This course, consisting of 46 lectures, will take you to the world of social media networks exactly where your potential customers are. Offered by Udemy, this course will help you learn to construct the right keywords, validate keyword phrases, curate content, find online influencers, and learn the different monitoring strategies in sites such as Facebook, Twitter, and LinkedIn.

This free course, which targets marketers, sale professionals and business entrepreneurs, also offers a lifetime full access, a certificate of completion, and social media monitoring tools and services.

5.) Social Media Ethics

This course, still offered by Udemy, is not just important but necessary for digital and social media marketers. More than social media marketing strategies, it emphasizes through 11 lectures the importance of using social networks in the right and ethical way.

Some lessons to be learned from the course include good netiquette, understanding defamation, discrimination and harassment, what ethical use of social media is as defined by the law, and the risks associated with confidential information.

6.) Advanced Social Media Marketing for Picking Up Clients

Aside from providing the effective strategies for social media marketing, this course will help you learn how to acquire clients and customers through effective social media marketing.

The main aim of the course is for you to successfully utilize Facebook groups, Niche forums, Forums, and Youtube to pick up clients in no less than 48 hours. It teaches you how to market yourself with a minimum amount of pitches and without looking so pushy and annoying. It also gives you the idea that you don’t need to have thousands of subscribers, followers, or friends to acquire a client.

7.) [BONUS] 30-day Writing Challenge

This is not an online course but many digital marketing experts suggest taking this challenge to improve one’s content writing skills. This challenge will basically help you work with anything that’s bothering you and get favorable results.

In the case of digital marketing, you can use the 30-day Writing Challenge to study, learn, and practice writing about more effective headlines, attractive first sentences, engaging dialogues, captivating salescopy, and maybe brainstorm about possible eye-catching blog topics.

The rules are yours for this challenge. The only exception is that you should consistently do it every day.

Paid Digital Marketing Courses

1.) Distilled U

With over 133 hours of advanced HD video content and interactive modules, this online university is your must-go to if you want to learn everything about search marketing.

Beginners can start with Search Engine Basics and work their way on to different modules. Professionals may take the courses in any order they like. Some courses are Interactive Search Operator Basics, On-Page Optimization, Technical SEO, Keyword Research, Link Analysis and Competitor Research.

As you move on, you will tackle topics like outreach, linkbait, content strategy, and video and SEO tools that will surely take your SEO skills to the next level.

Enroll now for just $40 with monthly plan and $33 with annual plan.

2.) Market Motive

Market Motive is a leading online Internet marketing training for people who want to learn more about the current and latest digital strategies.

Upon signing up, you will get access to downloadable workbooks, webinars, and other resources. You will also have hands-on experience with case studies and projects, and have a chance to interact with faculty experts through exclusive forums.

Some courses include web analytics, social media marketing, conversion optimization, pay per click advertising, search engine optimization, mobile marketing, email marketing, content marketing and Google AdWords.

Enroll now for the Foundation Program for $499 or the Advanced Program for $1,999.

3.) B2B LinkedIn Launchpad Training Series

This training series utilizes the power of LinkedIn as an effective social network for delivering B2B content. It will teach you the strategies for finding your audience and starting a conversation to nurture new leads.

Using LinkedIn tools, features and applications, and with lead generation strategies, this social network will give you benefits more than you can imagine.

A series of 5 pre-recorded webinars will teach students how to attract leads, convert leads into clients, generate brand awareness, and engage referral partners and candidates.

Buy the entire training course for $247.

4.) Conversion Optimization Training Program

This course, offered by CXL, gives you every little thing you need to know about successful conversion strategies. It presents methodology, tools, and mindset to anyone aspiring to be a certified conversion optimizer, and make any website prosper.

The course is designed to be completed in 12 weeks, but if you don’t have the time, you can also take 12 months to finish it. The course is divided into 5 tracks with 35+ courses all together. The topics include the fundamentals of conversion, conversion research, testing strategies, optimization strategies, and conversion optimization program management.

Enroll now for $299 monthly, or $2,500 annually.

5.) ClickMinded

Used by more than 8,702 digital agencies, marketers and entrepreneurs, this course teaches students how to drive more traffic from search engines like Google, Amazon, Pinterest, and Youtube.

It is divided into 8 sections, with multiple lessons each. The lessons include an introduction to SEO environment and organic search, keyword research, document relevancy, technical optimization, link building and authority, and steps in starting a new site that is SEO-friendly.

For $497, you will have access to videos, slides, resources, links, worksheets and quizzes throughout the course.

Paid Social Media Marketing Courses

1.) Social Media Marketing Mastery

This course is one the many courses designed especially for social media marketing and advertising. It allows students to master online marketing on different social media platforms such as Twitter, Instagram, Facebook, Pinterest, Google and many others.

At the end of the course, students are expected to create high quality paid ads on all social media platforms, use web 2.0 blogs to increase traffic, optimize LinkedIn profile to grow business, and to effectively use Google Business to boost search engine optimization.

For $199.99, you can have access to a 9-hour lecture video, 18 articles and 4 supplemental resources.

2.) Instagram Marketing 2018

This course will exclusively teach students how to attract followers, convert followers to buying customers, and expand brand awareness through the social media platform, Instagram.

Updated with the latest Instagram features, the team behind this course will guide you in utilizing these functions to improve your account and your business.

By the end of this Instagram management and marketing course, one should be able to know the most effective strategies to grow real followers and convert them into successful buyers and loyal fans of the brand.

Get this course for $199.99 and have access to 5-hours lecture videos, 2 articles, and 20 supplemental resources.

3.) Facebook Ads and Facebook Marketing Mastery 2018

In this 11 hour course, students will learn a considerable amount of information regarding Facebook marketing.

It starts with the basics of Facebook Ads, and instructions on how to create a sales funnel on the social media site. As you move along, you will learn in-depth knowledge about Facebook pages, pixel, engagement, reporting, and insights.

The instructor also updates the course regularly to respond to queries posed by students. By the end, one is expected to lower ad costs on Facebook, but at the same time master Facebook Marketing all at once.

Get this course for $199.99.

4.) Youtube Ads: Step by Step Guide to Youtube Ads that Convert

If you want to learn effective Youtube marketing, you have to get yourself enrolled in this course.

The course introduces you to everything about Youtube Ads and Google Adwords. It also guides you in creating a successful Youtube campaign and maneuver advanced settings to get the most clicks to your video.

For $199.99, you will have access to 1.5 hour on-demand video tackling about setting up a Youtube ad, and building it to gain more clicks and exposure than in radio, print or TV ads.