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Combat of the Chiefs
Thursday, June 14, 2018 · 2:03 p.m. · 58m 22s
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but often on
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it's working okay okay no no but i've not everybody now
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we're starting now assertion which is called come bottle chip
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uh uh first of all i will introduce we i'm not too sure
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uh to share their cheer it's a me will be funded apparent
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and we have two two teams uh now i would like explain the rules of the game
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let's call it a each team prepared for question makes men depends but it cases
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description uh oh on two slides with the principles amount which is history clinical features
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pictures so as well oh other things which is important to this case
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the case or are will be shown on no no the screen or
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and they are the team need to find the solution which was over the choose on but the the there but
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the idea was not to find the best solution but you to to to get the solution on the other team
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uh and uh a you have to re enter attempts to answer your first choice second choice into a
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choice and forth if your but your first choice get right down so you get three point
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if your your second choice will be right if it was just you can
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two points and you are if you're third choice is right goals
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one which was to them by debate team you one point if you
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not of your choice use u. k. zero unless you understand it
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okay and i'm not for sure they're also use a to do marvin is possible
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no no it is possible to do just not our second choice nothing it
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in a sense if you are if it's your first choice and it's was right you get three
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it depends which level but push you you we had decided which is but you also
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use mostly close to the real won't be because we can't you can't get
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six points from each owns only marketing was free and meeting with zero and uh right
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now it's uh it it's already mentioning the word puzzles one which is i would tell you
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and i will calculate there'd be a day each points of view and
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if she it's up to each around i will announce it
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where we are because we don't have eternal point point but i will tell you will each team is going which direction that's it okay
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thank you very much ego so uh well composed team the viacom y'all it should be a little bit
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of a entertainment than show and uh i hope we have a lot of fun i think
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if you're looking at the two teams as a as a good chance that uh have fun ago that
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would like now the team captains to present their teams philly you start team friends consisting off
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filipinos line from france still with
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or for the yeah yeah yeah and uh i am pleased to uh invite really been met
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also another pretty good friends back home
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ah no the shallow that too from the french owe me uh_huh okay
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i had a okay five and know that
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the f. a. ha ha
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okay so this is the french do you think
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we get an enhanced uh english speaking team come in from all over the well
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and i yeah it is a other thought about the uh from uh florida miami fish
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oh i have to tell you i have a hard one sweat socks but that's
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why i'm late with um okay so i'm from the u. k. my caitlin
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and he has a lot of friends or rugby players so careful it and then go mikes on and off
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and uh jeff factor for most really is we have a lot very physical
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so if we if we cannot win with the cases afterwards we we we do scroll on and then you have
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that we we deliberate costumes because we were so confident to the french team is on strike for camping
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also what was also and jane casino okay so we have yes with so it's an enhanced we we had to jump you again
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colouring yeah like the player marker of right and the the female
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right to retire from you well how okay let's start
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but just not losing time philip kayak audio to present the first case at this is really permit case
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not this on it already started the birthing little no no there are
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okay first space
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oh
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all your all female patient right and they over which
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side is the greater range in my non smoking
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so she word we fry will on hand surgery the popularity for imagine k. c.
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t. gotten past medical history of instilling depends that uh that it is
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yeah it's got that one kidney disease and nobody anyway to go back in
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and the uh the off our insulin treatment for one one
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because you believe that would be responsible for our own way
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so what is your time i'm i'm what is your with it
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i got pretty easy one isn't it ha ha ah with
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yes we have a lot more difficult ah back glad to hear at that eh
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we get a wife more violence that problem i see okay who is what is going to speak of it i
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though i know this number one no no everyone presto we we also think that
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so you i know this is is is the third grade think yes they lose one point
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did you say you are crazy yeah but i am i the other opinion is a french and surgeon ah
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ha
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that's not true because we drank before we operate a okay any other solution
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my part to it again
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is also she's crazy role no i thought you had was really
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three possible solutions it's what this is most likely the figure fictitious
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is always like a real it's a really good time so
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it's
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no i it's why i get all the sound percent never system there is a lot of things that cannot cure the central nervous system
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yeah
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uh he's not the doctors off of although not run okay
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jeff i is it an an inter triangle serb
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lesion that the price of the yeah me right in the like uh uh korea at the toe says
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now how did nothing now yeah no because ended up like that rates than
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doing nothing so the third solution i don't i don't solution thought
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well the one more attempt with the solution the diagnosis or treatment will but
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both because the thing both if if yeah
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was that the the to listen as in the rest of was just to give the people so one choose one but uh
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the it's like here you know the the the treatment the treatment
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obviously you didn't give you some easily get the could instill quickly and good
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but but the supported just these boat toxicity of what is the diagnosis
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but the metabolic disorders metabolic uh whatever they're related to that died is is that it's a little
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a universal as the to lead the
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problem and uh i think you have to budget from paralysis muscles usable talks but it doesn't bother
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me but what about what about things action is a very very bad solution for this patient
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it's okay it's okay is also lotions what what did you do what is
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your solution i i agree that it's a very very difficult case
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these vacation was diners with a partial sensors sick and there it was non cable t. e. parakeet
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camera in type two diabetes with low compliance to the due to the ensuing treatment so i'll
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we just that in jackets i'm a i'm a if you inject
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some sugar because you know she i got some some uh
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uh diabetes so if you um inject should go that like you can thing
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that that you can get an input can yeah it's a big mistake
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what is important to stat the brought a a show go level in the imagine to
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you need to make sure that it is not a non get that the key
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pacing yeah that that that what you have to do is to we introduce the insulin
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and that uh this uh i i i didn't hurt without a set up
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uh and you didn't you didn't say that i notice that no this is the package can yeah
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yeah it's it's uh it be that each uh crises due to the fact it yeah
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okay well good guys i did it with is that
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we give them two point three i cry yeah
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oh i might i might have the wrong conference i don't this is a hands every conference
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i know i just only a are wouldn't pick that up and not even bother down mostly
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no no i i not educate minus points for completely inappropriate referral ah
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that my ex boyfriend in appropriate ways not time last time and yeah okay
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i know what it lacked the patient can't get but not imagine
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crazy way wrong why unilateral wise a unilateral sorry wise that unilateral
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not because it's a a natural uh of a crisis it
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be that the crisis its impartiality great yeah i i
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like i said it in the paper to our eventual now anymore i checked uh because it didn't exactly
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all the while you're at it but action because we we injected something sitting to the patient
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so they may say if you get this kind of case in u. i. magazine it send it to fill it
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okay next case coming from the uh australia new okay whatever a whole yellow
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which one want to prevent other combo that i have it come together scaring me
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if ah if
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i don't see the solution visions novices and five
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what the hell is going to uh uh ah
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the only dash and hang around for that
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there we go okay so that's forty one is one point because that's all the solution yeah yeah i'm
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but they've maybe i think with the president pick it up so quick yeah yeah ah ah
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okay so uh as you can see a um twenty party all the gangster
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uh uh from us i think that is working in a hospital care about it
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but not anymore it s. l. k. ultimately gadget when as you can see only yeah there for the big even the radius
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uh the and is uh you wrestling tactile all the rest later maybe manual there but uh
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and that's the reason didn't initially budget with external fixation and then the plastic shouldn't
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love invaded or maybe a flat propagated to the flat wall back and
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then the scheme or something but uh when we talk about it so we
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got that big effect in the radius and then all the other factor
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and uh i've been genie uh wins you'll be exalted effect the
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bucket so keen reasonable and function remote that's inside and
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and uh uh if you can simulate the victim the radius but with the smell nonunion actually isn't you're
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not at all those will so uh the question is what what would you do the functional three
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solution we could we could give us one point because i discover that maybe your
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critique on reserve label it's not exactly hand surgeries in case we provost still
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i proposed in in in term of first answer
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anne celine actually a ah ha
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so but also this case so now that's a shock that i
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needed something to the yeah yeah so now is the solution
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five four three two one thing is you have twenty then answer
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first proposition which is the second masculine technique okay
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can you explain that just for those also familiar with yes you have the void
00:15:10
you fill the void by cement the sentiments around by foreign body membrane and you have
00:15:16
the second stage procedure to fill the void created by the spacer bible on raw
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no my purse archery second chapter but uh it
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elizabeth which you can also do the uh what what what scientific when
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you go to a um a him deal with the muscular technique
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ah what length of of the food is this this is not too big for the muscular
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no in mesquite the the initial papers e. field thirty five centimetres so
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to bone harms you can find the very nice problem to use a solution so it's never too long
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oh and and the second we or is he taking and i received another
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religion so okay so the answer to that is the uh that's that's
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a lot with that was that all what we did in a lot a
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little pointer no no no yes oh yeah i have a problem
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i just wanna say that what the reason for not interested because the odd couple this is gonna be a um
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you try to get union but it's gonna be a stuff for sure it's gonna vista for all that so
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that we have not discussed where waiting for the three hours and then afterwards we can describe because it
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please mister chairman correct michael immediately
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good my friend
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yeah yeah yeah yeah yeah we're getting so sick and ah ah we or is it a meeting you know
00:16:49
the between feeding or moscow grass single single and yes but i
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have a two p. if i wore a one bone are
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so 'kay second one four seconds free people are entered is one one
00:17:04
four okay my okay your solution with your solution that is
00:17:08
i know that i will reveal does patient to the prime them because i want
00:17:13
to save him on a one to say the society of what he's done
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so i said the first edition is it let's give it a second with three people are pretty for the third one one for all
00:17:25
okay so uh what other people point to
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so often that you said that clip on top board didn't mention
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that the best was littler uh what it is about a
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bit soft tissue little option uh then the what options you played
00:17:41
all that and great one one for all uh um
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so worried about using the d. o. j. o. but then you will
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forward vision all these all the corpus a city place to put
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the corpus onto the now you've played all that um but what we did is we uh first i mean put a caucus
00:18:00
uh uh on t. v. uh on that as you can see so we
00:18:04
basically to cover the monument put the corpus discourages onto the older you
00:18:08
get the restaurant uh_huh not individual restored but it got about four to
00:18:12
commission and the second stage within mood well with the body martyred
00:18:18
uh all that on to the radius them so that his door productions regulations or about the rest
00:18:25
instead of a test one but world with no provisions universities now got a few degrees
00:18:30
of products is information whether that might be different from all the other that
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okay yeah i've got a ha ha
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i mean i think we can put one point because it's long more like one
00:18:44
one four could you could you wipe off the screen so i can uh
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i graduated without showing the solution so next is
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french to him
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now i would like channels the the we have two two point
00:19:03
four or english team and one point four range the them
00:19:08
okay one to one
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yeah yeah yeah yeah yeah i know i have a but it's where the line no i
00:19:21
okay this is a or simple this is a i am and that yeah if if
00:19:26
i had a great it's you know this is a young yeah i'm male or
00:19:32
your whole the driving is motorcycle and uh yeah i i find in their joe left hand drummer
00:19:39
who is uh quite often um
00:19:43
for a medical call ahead the um completely a free you
00:19:49
know b. q.s there is a factor on the
00:19:52
uh the masses of the first five a financial that
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the um financial and that and that um
00:20:01
proximal point if if neither drop all through the reserve
00:20:07
fracture obviate that big yet is is broken
00:20:11
the structure is uh i uh i this blast entrapped guitar factor
00:20:18
so what can you propose a as a surgical management for
00:20:23
to to take care of it and to obtain a
00:20:27
a good result without stiffness
00:20:33
oh
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oh
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don't speak together
00:20:43
in certain things when rap
00:20:49
okay what are your thoughts feel that you helped out a lot but don't forget johnson however
00:20:55
was baskets want right will say don't know this for a while right as mason
00:21:03
twenty get is when a voice of reason yeah i mean to market
00:21:07
my re that's nineteen heart rate this ah this planning and
00:21:10
therapy or would not for my first choice not operate just pointing
00:21:14
out or be second directly no no sprinting no nothing
00:21:20
yes yes yes yes that yeah okay i i
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no no way no way now that you're just one solution or you have okay uh the second solution would be to um
00:21:34
uh do this but just a menu to reduce it and then do the yeah the
00:21:39
a pro good golly you awhile to need uh_huh a really
00:21:42
cute footage monorail issue technique in the in the methadone
00:21:46
what like function a technical at the end of that to the french technique sorry
00:21:53
so i'll fully deserve
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and third solution want to stay away from the french technique
00:22:02
the larger we want right we publish the
00:22:05
larger single intimate jewelry then followed with
00:22:08
a whole bleak fixation and i would maybe consider combining with the scroll
00:22:12
to avoid this difference so you doing very aggressive signal that can be
00:22:16
a country's got ugly and then and he block okay okay
00:22:19
only basic okay first first solution not infected solution that
00:22:24
you'd the calls reduction uh and the uh
00:22:27
it could he's been in all its golden that it's open procedure with scroll just
00:22:32
to remove the novelties you inside the into doing yeah which of okay
00:22:37
okay so uh i we realised animal belies nation with traction
00:22:42
this is the south content right id the uh mom a local local region honesty is yeah on the
00:22:50
not side yeah i uh realised a reduction and after that would be kind of life you know
00:22:56
the retraction i think and uh every seven a day that i see the guy i relied again
00:23:02
the i a. yeah yeah rely the direction and uh i can show you the result you
00:23:08
get with a little bit it's a plus two it's anglo saxon technique there here yes
00:23:15
true but uh sometimes we take the point system when i got best on the
00:23:22
actual facts and uh so this is the x. ray at the final
00:23:28
and this is uh the results
00:23:31
with the movie
00:23:35
it's not too bad yeah
00:23:44
is this two or three point three point okay even so traditional already
00:23:54
okay we get it we give it three points
00:23:58
very good so next will be the anglo saxon team
00:24:05
yeah okay but the they have the two calls adoption the second one
00:24:10
but also nothing but a little enough to to the cup
00:24:17
okay okay this is a sixteen year old it from one of the
00:24:24
the islands in the caribbean running buyer parents with a slight
00:24:29
angular and rotational before we need to be i'd hear joint in her dominant ring finger mention three
00:24:36
enter her or her hobby use a uh doing trap keys so she has to grip
00:24:42
and um she handed parents are worried about the pain progressing and and a deformity in the young young lady
00:24:52
okay nice case for alyssa within a ten seconds to one that
00:24:58
which is she as she as she has a little limited motion it uh uh cheers
00:25:02
about good about eighty degrees seventy eight degrees of fortune and but the rotational deformities
00:25:09
you see the uh the the a. p. x. ray about with the the deformity in a joint
00:25:21
you can is speaking a language can nobody no yeah we can speak alone with that but yeah at okay
00:25:30
okay
00:25:32
friends solution first
00:25:36
n. tropical correction and on trust could be of the menu
00:25:45
oh now right
00:25:48
we are any sorry yeah a second i'll still control
00:25:54
graft form and the time he answered external fixation
00:26:02
oh okay right i meg okay okay let's sum it up yeah yeah first one
00:26:06
uh is scroll to move the bride the end up to push yet
00:26:12
a second one uh hit him eight yeah he can make and the third one uh he's a track
00:26:19
a lot of it is relatively traction i think direction yeah so how many how many
00:26:23
graph in a sixteen year old with perform any of most of the joint
00:26:28
but okay they can choose what it would be like i don't know what what what what
00:26:38
hi to mislead what it it well if over
00:26:45
well uh yeah he become a uh i
00:26:50
how how how many you have
00:26:57
to do that i think i forgot to ask common law too
00:27:06
now we are
00:27:08
we are uh sorry for for french team that and
00:27:12
a five for english speaking to you know
00:27:18
yeah one one yeah oh sorry now three yeah no not that just to
00:27:25
three five four
00:27:30
oh yes i actually fracture young male
00:27:36
treatment initial treatment was reduction in plaster for six weeks on end
00:27:44
don't be impressed by my yeah
00:27:48
but you see the passion that now six months
00:27:52
was this the freest
00:27:55
there is no screen or nerve complication to our push you to avoid too great an
00:28:03
so what to do
00:28:05
instead you there's no standard solution for that so
00:28:15
if a patient has pain i didn't get that yes pain and that
00:28:19
it's painful and possible to let the passion like that uh
00:28:25
okay so the angles action team what do you choose
00:28:34
six months out
00:28:40
five four three two one zero calorie has on her
00:28:48
yeah okay so example consensus number number one is artist carcasses to particular nasty
00:28:53
hardening jet also the me okay it a cough topics couple fixed reflex
00:29:00
yeah yeah probably if you're fragment this week later okay let you bleed
00:29:04
you sure okay ah i don't know what that means twenty points
00:29:16
yeah but that yeah it with the second is the the good sized
00:29:20
effects so perhaps uh morgan open technique with the bone graft
00:29:25
and and number three would be um a potentially a radial need fusion do it or you would break or not
00:29:32
i was our essays about remedies summarise for our local big uh
00:29:36
interaction with uh in surgical uh a correction and play d.
00:29:41
somehow okay and second is open procedure but correction open the joint any unknown the correction of
00:29:47
i thought one easy fusion all for a lunar already additive h. beta stapled in its gets sorry
00:29:54
uh_huh
00:29:57
here is the solution you had good proposition
00:30:02
but to be honest i there were very nice proposition
00:30:08
i don't know that i'm looking at ah probably the best solution okay i i know that yeah
00:30:18
two of the injury and you know if you go around but also my town
00:30:24
you can either read that ah ah up like the on grid graphs
00:30:30
so we overstayed arena at the junction between bone and cartilage
00:30:35
we remove the strong down and replaced it by the graph
00:30:41
this is another french dinner is it uh but he began ah yes the plus you are
00:30:50
and not use those it is that it and you're sorry for the bad quality of the the the pictures that
00:30:57
it's probably the best when you have sufficient on these two are called page that
00:31:04
too much to be reason facing all within a threatening so that presume it will use or
00:31:10
you're gonna do the or is all that you should ah zero sort of it
00:31:26
jeff it let's get on with the hammer it's really getting found more
00:31:31
so with nights checked
00:31:36
we're going with the healing hardware you'll so we get a case
00:31:40
from down under everything is just upside down you actually
00:31:47
so this is a a woman early thirties he presents with a painful dorsal swelling or rest
00:31:57
she got pain free thinker flexion and extension
00:32:01
she's got a pretty good range of martian better that's when she next meeting also flexes it it's
00:32:07
got this out but on x. for action but that's not right it's you that she
00:32:13
she got rheumatoid arthritis
00:32:16
yeah of course it and diabetes i just want to find a filament ah
00:32:27
this is what eric's right yeah no actual c. e. o.
00:32:32
not tricky it nine
00:32:35
and he is or m. r. i.
00:32:39
so which
00:32:44
or or
00:32:47
yeah these are the solution everything is paid for it
00:32:53
the way you are looking with with that doesn't look like a lot of point
00:32:59
unless in saline yeah we are thinking about uh that doesn't mention okay
00:33:09
it's got the stopwatch tip top yeah sure no
00:33:20
is there a good solution from the yeah well yeah it's up to don't laugh ha ha ha
00:33:27
ha what given away to think about the good social and uh we might want to
00:33:33
why
00:33:34
so me to one leave it
00:33:40
mm kay fitted hope so it's a remote with arthritis right right
00:33:48
but this is the solution but at least what was reading the it we
00:33:52
have a solution first solution doing only side of it to me um
00:33:59
twenty two really a relocation of the campers and do the reduce with
00:34:05
well the trooper been transitory so you don't get out again you know you know to me well after
00:34:11
a while oh months tombs okay your solution is at
00:34:16
the frame solution isn't it uh_huh total percentages
00:34:23
because she is young m. bash you would like to a preserver mobility
00:34:29
what type of implant would you will any of your status
00:34:33
labels and people to leave an overall view it
00:34:39
you know the prosthesis was inserted prosthesis with the role you you would do that in order to do oh no
00:34:46
and there's a teammate solution uh would be use of fusion
00:34:50
fusion okay now a summer also vision oppose oppose through
00:34:55
okay great a balloon it is there any other put solution from the audience
00:35:03
i did it because she's three and it's the
00:35:09
mm hum motion original motion and we'll see you just send it
00:35:13
to me just it affected me with nothing to the bone
00:35:17
okay general summarise for one set out to me and uh uh cleaning
00:35:23
uh first second is total replacement and thought about his fusion okay now what was
00:35:29
done i think the remote very good options that will be the first thing
00:35:36
is if you wanted to do assign it actively on this would be struck the m. r. i. doesn't show nissan sounded
00:35:44
it's just very very it's just fusion what yes is that was ah
00:35:50
and i had a wonderful video might saintly that maybe i can say
00:35:54
that it would just like michael 'cause my dog are rock
00:35:57
and if i could show you it is true yeah it would come back to respond
00:36:02
okay so we have a problem is how that's easily with that at all and reconstruct what she what that
00:36:10
sixty minutes on that wasn't you might well i think writing on on some are gonna do about that
00:36:17
what it is the right question receives that actual that when i use it to work
00:36:22
here the whole which sacking nice mood lighting sir is that i'll right yes
00:36:29
and voila five the slide uh yeah yeah
00:36:39
yeah but the problem is that the session as the finance that by tram
00:36:46
i will give you an extra job but for that very nice k. yeah
00:36:49
exactly where everything from how we asked deal mathematically the same level
00:36:58
yeah okay next case was going to present and feed it
00:37:07
and they don't they're they're yeah we don't have a very nice jacket yeah yeah yeah yeah
00:37:16
yes you know what ah i'm sorry for the jacket not for the how it's
00:37:21
okay i i like you but i do not to reach my gauge
00:37:26
yesterday so if anybody has a longer sleeve ah ha i feel like it
00:37:35
so a very simple very simple case for you because you i know you you can't you let it five
00:37:41
she is a lady sixties yours for it's a home domain and the race side and she
00:37:49
has a thing for re since long time and she is limited in flexion extension
00:37:57
about thirty degrees to thirty degrees she has a weakness
00:38:03
and uh if you would like to so she would like to go
00:38:07
out and she would like to uh make a good for it
00:38:12
on drink wine until i'm burgers drink one information and a good one
00:38:19
only uh and the uh so what do you propose to uh
00:38:27
ah ah ah ah
00:38:35
grips ranks used uh uh it's uh it's about thirty percent of europe
00:38:40
or the case i look at it a rate case yeah
00:38:46
to be nation predation is okay it's completely they ask in addition quite where does it hurt
00:38:52
you get the or over the all over the results and hit the phase of family fourth
00:38:59
but all over me okay so we would okay our answer it's our answer
00:39:05
what we're pretty soon i'm gonna do is amount is risk replies to
00:39:08
what's so that's what we're gonna send it back to the do we would do a p. r. c. lawn and and all last two and
00:39:16
one more time off so the p. r. c. so now now we're predicting what negative which didn't um is
00:39:25
um on this i don't know what is the drawer yeah and we don't 'cause we're going to go
00:39:29
mm amount is not all that is certainly do the l. c. and at least yeah
00:39:32
uh huh to stop it it's isn't this going for example feed the cat uh
00:39:40
with in sitting there are that that's all it on is that
00:39:46
okay because i i don't know what what was the first one i don't first on this on this
00:39:51
one does with a mom dispersed insist the prior cotton about carbon okay reg the ball football open like
00:39:59
p. s. either but you appear so you are sure that you will
00:40:03
have a damage computer age front doesn't matter no engine filled one
00:40:09
for a while you get your co workers when you when you have no patted on the head of the
00:40:17
and the third solution was an artist topic for carnival confusion okay out of total reached artist copy
00:40:25
that's what you say the new
00:40:28
i you have a chance to correct what was it right but the the head of the cavity i
00:40:33
mean it looks pretty good but it it's bad then you can do either array of biologically
00:40:38
the fashion or or a resurfacing with the with the recogniser surprise or
00:40:44
so it's not an or what's the third solo mission what arthur solution of your total folk on uh
00:40:51
too late to wait a few buttons one three two one zero at
00:40:57
related okay is that very very regularly or do they so okay
00:41:03
you agree that she has a slack released since a long time she has uh
00:41:08
uh you know couple impeachment she has a white roses here shows that capital in a
00:41:14
patrol this because she has a very big pieces and on time she has ceased
00:41:19
in uh in the is entirely night so we doing go for one trees
00:41:23
and in that case you are sure that you will not fuel
00:41:28
she would not be happy if you do a in my experience if you do a uh
00:41:35
first we'll get back to me with that image of that can't be they've been friends you are sure that you get paid on the with
00:41:44
so i agree with you that i'm on this is the solution that ah
00:41:52
no as you do that just treat it yemen does but you have not treated
00:41:57
it is thinking john okay so you have this year oh you add a little would then
00:42:03
ah thought if you do if you remove the as catholic with the on mondays
00:42:10
you will have a stable in any stable race maybe throw you out to preserve
00:42:15
really again i think for men and it is task uh for it and you have to train the eighty joint
00:42:21
as well because if you would only is that i'm against you will not treat that patient on time
00:42:26
you're we so rickles okay you can see the results and she is very happy she increase
00:42:33
ah okay i i thought back
00:42:42
i wasn't going to point to point yeah because it's was
00:42:47
not exactly but but it was to uh uh
00:42:53
okay page and it's still alive that's another point the applet if you get a courtyard no
00:43:00
south african couldn't see once a fraction two point five different fact it's possible yes
00:43:07
so what's going to present next week
00:43:14
oh yeah and that over it relates to get better and better it's exact
00:43:20
professional cricket zap wise from i. p. joint fraction to do his job
00:43:27
is the bass man if we had directed at all it's if it is
00:43:32
thought units are free yeah i cannot movies them acute injury what yeah
00:43:41
and they're playing cricket in france uh yeah it up
00:43:53
that could be a soccer players well
00:43:58
c. t. scan shows that they really is all intact central
00:44:04
now how can one but
00:44:11
okay
00:44:16
so yeah it's fresh it's acute acute it
00:44:22
i can't really started i agree
00:44:27
okay any thoughts on that case
00:44:32
the inference looks like a solution fit
00:44:36
so all yes i think you are cute it's well it's not really basically all that
00:44:50
yeah
00:44:51
i still feel whitelaw it's not going for activity i have the thought the first
00:44:59
solution is to use a small plane then we banned this be the pain
00:45:05
we introduce it from let him on uh aspect of the of a base of
00:45:11
uh is definitely three no mobile yeah then we push on the fragment
00:45:16
then we we'd really you then we inject some uh calcium fortified segment the
00:45:23
i think these uh not exactly yeah something like this a couple times
00:45:29
that's over solutions yeah second second
00:45:33
i know it's very difficult to find assignment in uh
00:45:37
there is a nurse rents in into the country so i will do the same for shooter
00:45:44
with the uh been pushing proximity the fragment and i will put the twins will sound
00:45:50
been just not below just to maintain the fragment base and use the conciliation
00:46:00
okay good solution and i do i will do the same but only with those leaned
00:46:06
in ah to a boy you will be to yeah a room free we
00:46:12
you have more letters always use as you reach reserves engine what the different because you
00:46:19
you kept it with a man's solution also the same you know what one
00:46:22
solution is based cement the other solution is uh is it with this whole if
00:46:27
that's what you're thinking okay and the thirteen okay what did they do
00:46:34
so i put a yeah k. wiring for the chip that they're very uh uh them coming down
00:46:40
through the enrolment of internal about and i just got some hot setting bones of speech you
00:46:46
squeeze k. yeah yeah ah how often a carrier ow
00:46:53
so it's a sorry if you look at israel it's got some and money to
00:47:00
nail injury and i think that's probably some thermal and crosses the now and
00:47:05
that with the cement in company and
00:47:09
it was a it was right medical and i think there's one call it nice and
00:47:14
it was is that pays it goes hard because i needed to keep that from now but that was fantastic well done guys
00:47:20
how much is it first to win by one point i
00:47:27
it's a quick apply racial cricket yeah well i i i now i would like
00:47:35
to summarise our where we are six a french team uh and seven
00:47:41
where where it was lunch other okay actually yes i do have one more case that we're yeah
00:47:54
yeah i'm okay so i don't know what we can we can use that will cases with our own cases you cannot uh
00:48:00
a different way and we put the point for uh for your ah ha ha ha
00:48:12
i'm just afraid or you know they get forgotten to the time you
00:48:17
know you don't want me to lose before so we have read
00:48:22
but now uh are we are it's it's different story i mean they're
00:48:27
got to the point you each of you get months one solution
00:48:30
and depending all four if you will get exact solution
00:48:36
you get to if you not in the right thing could you you know the two uh now we can some cases and
00:48:42
you can um for what you do what you think it will be done what was done sorry just a second
00:48:56
i don't know where is the
00:48:59
can you help me
00:49:04
if i had you can i get the point yeah oh yeah special show
00:49:10
uh_huh it so uh feely kiddie philip
00:49:16
it really we we we challenge the french team okay in the the
00:49:19
pop on the third part yeah on the slide tonight yeah
00:49:29
yep
00:49:31
twenty four years old i'm male thirty ten days that is keen skied injury i was to do what's your solution
00:49:42
one one of the
00:49:53
so maybe mike you could describe the fracture like
00:49:59
could you describe this fractured
00:50:03
so i'm just gonna fractures so there's a if a fact of the possible
00:50:09
limit which is you the bob uh uh lived a c. d.
00:50:13
and the same on the bottom rights you see the us to control the reason and fixable
00:50:18
a fragment of the blue note uh it's not coming off the discovers there's a couple to be nice
00:50:23
um and if you look at the uh the uh the to drop the ball looks completely
00:50:28
booted highly commuted impacted pretty much and fixable for each of the of the distal radius
00:50:35
i'm sorry your will but it was reasonable no no we're we okay you you you need to get so if
00:50:42
you get one one month ago so jealous try ah what i'll hold on off feeling off really use that
00:50:49
it's it's pretty much a bit would be good to up to you to try and get location usually in the city and then one of the
00:50:54
one on it it's the same thing it's all result rediscover little fusion you to do that when you do it like but uh we
00:51:01
we we we we will candidate usually around with the schools go puts
00:51:04
it okay you're onset uh yes it it's well it was our
00:51:10
it was also moves around a lot so that you you you
00:51:14
both because it's it's mike ah we we discussed before the
00:51:18
same solutions scaffold native your your you have the same answer oh
00:51:22
yeah yeah radio radio net sorry gradually yet okay okay
00:51:28
it was fixed hot a
00:51:36
they want to see the result the course of the result ah ha ha
00:51:44
you the angle the i got were were were nice round about the screwed
00:51:51
oh no no no no it it i have c. d. there
00:51:53
is this pragmatist looks like not good i mean late pregnant but the
00:51:57
function is okay it's already ten ten years after they are
00:52:03
zero zero it there's no point for none of the team so we continue this six to seven yeah
00:52:11
next case or female fifty six years old one year after the injury again where very good function
00:52:22
what what does night right movement of a knife like pain pain was to the two point was to do
00:52:33
i had a look at it
00:52:39
okay french solutions like there is no thank we build obligation to get your your what's your
00:52:44
this no treatment up were also nothing is said to attend your boss of you're right
00:52:51
was of you get to to because the it's because nothing was done
00:52:56
cool don't touch a page yeah this is uh uh uh uh yeah two
00:53:00
points to teach place this is a twenty nine years old professional boxer
00:53:06
oh well this is the uh oh video
00:53:15
he is like to reach onto boxing day the main game obvious to to return to the professional boxing
00:53:21
what's the deal oh yeah yeah it was injury but it's chronic something like boxing
00:53:27
professional boxer boxer all this while it's not unlike what it's ironic but
00:53:34
yep
00:53:37
there is a discount but get which is okay everything is very
00:53:42
no no no no no no no no really like a bit but that is not in the presentation
00:53:49
so the uh
00:53:51
oh no it's actually team has to give the answer first of all we would do with
00:53:56
spiral tina pieces and then we would protect the woodbridge plate okay for several months
00:54:02
spiral tina these is an bridge plate for how long it a three month munson
00:54:11
french solution a little relies a re attachment
00:54:16
probably of the right you skip
00:54:17
to get the the the game and uh i get uh uh uh
00:54:23
the with the how why or uh uh during six
00:54:28
weeks and after remove the collier to uh to
00:54:31
uh to realises central the position of the coppers central
00:54:37
position of the cops and okay i'm sorry
00:54:44
it was done the right thing
00:54:50
but it's it's not the final story about this guy because they you see this paper which is due soapbox
00:54:56
it was up to the fusion over eighty it but i don't want target description but it was also views
00:55:02
the the the it's now up the but it's you come back to to boxing
00:55:08
yeah it's again zero zero but all that sort of what case yeah i
00:55:13
think a lot of work part part one that one last case yeah
00:55:18
public that want a tomb where all the care was thirty four years old sojourn
00:55:27
yeah i
00:55:31
it might be requested to to be to to still to work a surgeon
00:55:37
uh_huh
00:55:41
that's not an easy thing to be okay
00:55:49
the french have to give their solution first
00:55:55
yeah it's also probably not humid because we see to be zoom was not existing it was removed and
00:56:00
it's proven that it's it's malignant or yeah no no no it's very way out you wear beaches
00:56:09
aggressive human you see it's just destroyed it's a base of t. k.
00:56:16
what happens now yeah yeah also little yeah
00:56:20
first method medical okay yeah french other solution that's the best
00:56:26
way to ponder section in saves alone replaced by cement
00:56:31
and depending on the l. season on the op see okay
00:56:38
okay respect your your opinion
00:56:45
uh_huh
00:56:49
hi hello it the last quarter
00:56:54
yeah
00:57:00
exactly that's i ha ha ha going for the same
00:57:06
what what what is our competition that is not only on
00:57:09
okay okay i think i think like they might think solution okay ah okay it was
00:57:17
a a section of the characters and the three people are uh for transfer
00:57:24
um the uh how it's looks like after the procedure
00:57:29
and it's function you money after invoking together i think if we run one i think so because and so okay
00:57:44
no no okay oh to be honest i would even say they get
00:57:49
too because they copied it they get annoying okay okay now we're
00:57:53
yeah okay which is ending up that both teams that eleven point
00:58:06
so the conclusion is this what else are we
00:58:11
i like it very much thank you everybody at least at a lot
