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    415. 80% of Homes are Fostering Chronic Illness | Dr. Scott McMahon & Dr. Ritchie Shoemaker

    Proper testing and working with professionals in mold testing and remediation are essential for addressing health issues related to mold exposure, while removing oneself from the source of exposure is crucial for treating immunologic illnesses.

    enJanuary 18, 2024

    About this Episode

    Dr. Jordan B. Peterson speaks with Dr. Scott McMahon and Dr. Ritchie Shoemaker. They discuss their potentially groundbreaking research into CIRS, or Chronic Inflammatory Response Syndrome. Backed by research, these two doctors believe that many other illnesses and syndromes such as fibromyalgia, obesity, and even depression might actually be caused by mutations in common mold as a response to our own efforts to live in a hypoallergenic world.

     

    Scott W. McMahon, MD, founder of Whole World Healthcare has been practicing pediatrics in Roswell, New Mexico, for 26 years. His interest in Chronic Inflammatory Response Syndrome (CIRS) began in 2009. Dr. McMahon first learned about CIRS after being approached by a businessman whose daughter became ill while attending a local school. The search for this child’s healing led him to Dr. Richie Shoemaker, the global expert on mold illnesses. McMahon visited Dr. Shoemaker’s practice to learn about the treatment for CIRS and saw the tremendous need for more physicians prepared to treat CIRS. He immediately opened a practice in Roswell specifically to diagnose and treat patients with CIRS, starting with 15 patients from the local school. His CIRS practice has now grown and he has seen thousands of adults and children to date.

     

    - Links -

     

    For Dr. McMahon and Dr. Shoemaker:

     

    Surviving Mold (website) https://www.survivingmold.com/legal-resources/physician-referral-information/dr-scott-w-mcmahon-bio

     

    CIRC Diagnoses https://scottmcmahon.doctor/

     

    Boot Camp: A Beginners Guide to Spiritual Warfare

    https://www.amazon.com/Boot-Camp-Beginners-Spiritual-Warfare-ebook/dp/B09QBKMP9Y/ref=sr_1_1?qid=1703614821&refinements=p_27%3ADr.+Scott+W.+McMahon&s=books&sr=1-1&text=Dr.+Scott+W.+McMahon

     

    The Art and Science of CIRS Medicine https://www.survivingmold.com/store/books/art-and-science-of-cirs

    🔑 Key Takeaways

    • CIRS, caused by exposure to biotoxins in water-damaged buildings, affects 20% of the population. Inflammation, antigen processing failure, and genetic mechanisms contribute to this condition, emphasizing the importance of addressing environmental stressors for prevention and treatment.
    • Addressing water damage in buildings is crucial to prevent chronic illnesses caused by the activation and correction of genes, including Alzheimer's, Parkinson's, fibromyalgia, and chronic fatigue syndrome.
    • Effective building practices and materials can minimize water damage and the growth of harmful organisms, especially in newer buildings constructed after 1970.
    • Certain architectural designs and materials, such as flat roofs and basements, can increase the vulnerability of buildings to water damage and mold. Understanding risk factors and susceptibility is crucial in addressing and preventing these health consequences.
    • Chronic Inflammatory Response Syndrome (CIRS) is often misdiagnosed due to its non-specific symptoms, highlighting the need for improved diagnostic methods to provide accurate treatment and address potential underlying causes.
    • Analyzing specific biomarkers can help physicians accurately diagnose conditions like chronic fatigue, irritable bowel syndrome, and fibromyalgia, leading to appropriate care and reducing the risk of misdiagnosis.
    • The visual contrast sensitivity test can serve as a reliable biomarker for inflammatory syndromes, indicating immunological malfunction and the potential for treatment to restore normal retinal function.
    • CIRS is a complex condition that can affect various body systems, leading to symptoms like chronic headaches, reduced blood flow, and brain fog. Evaluating brain function and exploring biotoxin sensitivity are important for addressing CIRS-related issues.
    • By analyzing symptoms and conducting visual tests, it is possible to identify Chronic Inflammatory Response Syndrome (CIRS) with a 98.5% likelihood. Early detection and treatment are crucial to prevent neurological degeneration.
    • Verbal fluency tests can help identify deficits in memory and processing speed, while neuroimaging technologies like NeuroQuant aid in detecting brain abnormalities and potential treatments for neurological conditions.
    • Proper testing and working with professionals in mold testing and remediation are essential for addressing health issues related to mold exposure, while removing oneself from the source of exposure is crucial for treating immunologic illnesses.
    • Using binders like cholestyramine or CCE can effectively reduce inflammation and improve symptoms in patients, but it's important to manage initial symptom worsening and adjust treatment for a successful recovery.
    • Individuals with mold sensitivity or CIRS should take precautions during travel and at other people's homes to minimize exposure to mold and consider incorporating low-dose VIP to expand their diet while reducing inflammation. Addressing underlying physiological mechanisms is crucial for effective obesity management.
    • Improved testing and awareness of underlying physiological causes in military housing can lead to significant improvements in symptoms and overall health for servicemen and their families.
    • Understanding individual genetic markers is crucial for effective treatment and management of chronic pain and fatigue illnesses related to genetic and physiological factors.
    • Defective apoptosis and genetic markers can lead to the development of brain stem abnormalities, loss of neurons, and cognitive impairment in individuals with Alzheimer's disease. Mold exposure also plays a significant role in these health issues.
    • Effective and compassionate healthcare requires healthcare professionals to prioritize patient needs, stay updated on latest research, and provide valuable knowledge and resources for specific illnesses.
    • Breaches in the blood-brain barrier can lead to low-level inflammation within the brain, resulting in cognitive problems. It is important to diagnose and treat conditions involving breaches and excessive cytokine levels to prevent illness.
    • Environmental toxicology involves more than just biotoxins, with the impact of water damage and harmful organisms affecting a significant percentage of buildings and people. Despite the complexities, there is hope through identification, treatment, and understanding.

    📝 Podcast Summary

    Understanding Chronic Inflammatory Response Syndrome (CIRS) and its Causes

    Chronic Inflammatory Response Syndrome (CIRS) may be caused by exposure to biotoxins in water-damaged buildings. This syndrome, which can lead to various neurological and behavioral issues, affects about 20% of the population. The doctors believe that inflammation plays a crucial role in this condition, particularly due to the failure of antigen processing and the resulting reduced production of antibodies. Furthermore, they have identified genetic mechanisms behind defective antigen presentation and abnormalities in metabolism, leading to molecular hypometabolism. These findings bring attention to the significance of environmental stressors and their impact on our health. The government also acknowledges the problem, especially among those living in water-damaged and mold-infested military housing. By understanding the causes and effects of CIRS, we can potentially find ways to prevent or treat this widespread issue.

    The Connection Between Water Damage and Chronic Illnesses

    There is a strong connection between water damaged buildings and chronic illnesses. The transcriptomic or gene representative theory of illness causation and correction suggests that the activation and correction of genes play a significant role in combating diseases like Alzheimer's, Parkinson's, fibromyalgia, and chronic fatigue syndrome. When people are chronically exposed to airborne pathogens in water damaged buildings, their immune systems may not produce antibodies effectively, leading to an overproduction of cytokines and flu-like symptoms. This phenomenon, often referred to as sick building syndrome, affects buildings globally regardless of location. The presence of water intrusion in buildings creates an ecosystem of organisms, with fungi, endotoxins from bacteria, and actinobacteria being the main culprits. This knowledge highlights the importance of addressing water damage in buildings to prevent and mitigate these widespread health concerns.

    The Impact of Water Damage on Buildings: From Older to Modern Structures

    Water damage is a widespread problem in buildings, affecting up to 85% of structures in the United States. This issue is not specific to any particular era of construction or type of building. Both modern and older buildings can be susceptible to water damage. However, it was found that newer buildings, especially those constructed after 1970, have a higher likelihood of toxins being present. This is due to the use of paints and sealants with antifungal chemicals, which unintentionally led to the selection of more toxic molds and organisms. The increased toxicity is a result of the fungi adapting to environmental hazards and producing toxins for predation purposes. To address this problem, it is important to consider effective building practices and materials that minimize water damage and the growth of harmful organisms.

    Water Damage and Fungal Colonization: Risks and Impacts on Buildings and Health

    Certain materials and architectural designs can make buildings more vulnerable to water damage and fungal colonization. Flat roofs, basements, and crawl spaces are particularly susceptible to water intrusions. Additionally, the widespread use of drywall in the latter half of the 20th century, combined with fungicides in paint, has contaminated a significant percentage of buildings with mold and water damage. This poses a serious health problem, especially for individuals with genetic susceptibility to immune response changes. The initial response to such damage is nearly 100% in those with individual susceptibility. Similar patterns can be observed in illnesses like COVID, where the immune response leads to chronic inflammatory and metabolic response syndromes. Understanding these risk factors and susceptibility can help prioritize actions to address water damage and its associated health consequences.

    Challenges in diagnosing and treating illnesses with overlapping symptoms

    There is a significant overlap in symptoms between different illnesses, making it difficult to accurately diagnose and treat patients. Conditions like fibromyalgia, chronic fatigue syndrome, and depression share non-specific symptoms, leading to misdiagnosis and skepticism about their existence. This is where the concept of Chronic Inflammatory Response Syndrome (CIRS) comes in. CIRS is characterized by specific biomarkers that can distinguish it from other conditions. The current approach used by physicians may not effectively identify CIRS, leading to incorrect categorization and inadequate treatment. This could be problematic as CIRS could be the root cause of various symptoms, including serious diseases like Alzheimer's. More research and evidence are needed to better understand and address the prevalence and diagnosis of CIRS.

    The Importance of Biomarker Evidence in Accurate Diagnoses.

    The accumulation of biomarker evidence in diagnosing conditions like chronic fatigue, irritable bowel syndrome, and fibromyalgia decreases the probability of false diagnoses. These conditions can often be mistaken for other ailments due to the lack of specific biomarkers. However, researchers have identified specific biomarkers for conditions such as Chronic Inflammatory Response Syndrome (CIRS). These biomarkers include individual immune responses, neurotoxicology features like visual contrast sensitivity, regulatory neuropeptides like melanocyte stimulating hormone, and inflammatory markers like TGF-beta one. By analyzing these biomarkers and their response to treatment, physicians can accurately diagnose and treat patients. This approach highlights the importance of running comprehensive tests to uncover hidden abnormalities and provide appropriate care.

    The Relationship Between Inflammatory Syndromes and Compromised Retinal Function

    There is a strong relationship between inflammatory syndromes and compromised retinal function. The visual contrast sensitivity test, which measures retinal acuity, has been found to be an effective biomarker for these syndromes. This test may seem unrelated to the symptoms experienced by individuals, but it's a reliable indicator of immunological malfunction. The compromised retinal function is a result of reduced flow of red blood cells in the capillary beds due to inflammation. Treatment has been shown to improve flow and restore normal retinal function. Additionally, prospective re-exposure to the environmental stimulus results in the same findings, further confirming the link between inflammation and retinal dysfunction. This mechanism of cytokine response is non-specific and can occur in various organs, including the brain, leading to implications for conditions like Alzheimer's. The presence of biomarkers and direct causality through re-exposure challenges skeptics and provides evidence for the existence of these syndromes.

    Understanding Chronic Inflammatory Response Syndrome (CIRS) and its Impact on the Body and Brain

    Chronic Inflammatory Response Syndrome (CIRS) can have a wide range of symptoms and affect various parts of the body. Biomarkers such as vision tests, melatonin stimulating hormone, cytokine detection, cortisol, and antidiuretic hormone can indicate the dysregulation and disruption caused by CIRS. Some common symptoms include chronic headaches, dehydration, pulmonary hypertension, and reduced blood flow to different areas of the body, including the brain. This reduced blood flow can lead to decreased energy production at a cellular level, resulting in brain fog and potential neurological illnesses. Evaluating brain function and detecting neurological damage can provide insight into the physiological basis of conditions like depression. Additionally, the role of biotoxin sensitivity in immunological troubles and food sensitivities is worth exploring further to address multi-generational issues.

    Identifying Toxin Exposure and Neurological Damage through Symptoms and Testing

    There are numerous symptoms and illnesses associated with toxin exposure and neurological damage. These symptoms include fatigue, weakness, aching and cramping, respiratory issues, eye findings, abdominal pain, joint problems, cognitive issues, changes in appetite and weight, night sweats, and temperature regulation issues. By analyzing visual contrast tests and conducting symptom analysis, it is possible to identify a 98.5% likelihood of Chronic Inflammatory Response Syndrome (CIRS). Questionnaire development oriented towards symptom identification can help further understand the cardinal symptoms and their association with biomarkers. Additionally, Finnish architectural designs have been linked to a higher risk of Alzheimer's due to increased exposure to biotoxins. Early detection and treatment is crucial to prevent the development of neurological degeneration.

    Assessing Verbal Fluency and Neuroimaging for Cognitive Interference and Neurocognitive Abnormalities

    Verbal fluency tests, such as the one assessing how many words someone can write down that begin with a certain letter in a given time frame, may serve as a useful marker for cognitive interference and neurocognitive abnormalities. These tests can help identify deficits in working memory and processing speed, which are commonly seen in patients with neurological conditions. Furthermore, studies have shown that verbal fluency performance in early adulthood can predict the likelihood of developing Alzheimer's disease later in life. Additionally, advancements in neuroimaging technologies like NeuroQuant have allowed for the detection and treatment of specific abnormalities in the brain associated with chronic inflammatory response syndrome (CIRS). This research also suggests that VIP therapy could potentially be beneficial in mitigating some neurological degenerative conditions.

    Hopeful treatment protocol for degenerative neurological diseases and cognitive issues involving VIP shows a 44% reduction in CNS degeneration in just three months.

    For individuals dealing with degenerative neurological diseases and cognitive issues, there is hope in a treatment protocol that includes VIP (Vasoactive Intestinal Polypeptide). Research has shown a reduction of 44% in basic mechanism of CNS degeneration in just three months of work. However, it is important to ensure that patients satisfy the case definition for this treatment to be applicable. Furthermore, when addressing the issue of mold exposure and its impact on health, it is crucial to first determine if the building is water damaged and contaminated with fungi or actin bacteria, as well as the presence of endotoxins. Proper testing by a reputable lab and working with knowledgeable professionals in mold testing and remediation are essential steps in addressing this problem. Finally, the first and most important step in any immunologic illness treatment is removing oneself from the source of exposure.

    Importance of Binders in Medical Treatment

    The use of a binder, such as cholestyramine or CCE, is an important step in the treatment of certain medical conditions. It has been found to be effective in reducing inflammation and improving symptoms in patients. However, it is important to note that some individuals may experience a worsening of symptoms when they first start using a binder. This intensification can be managed by pretreating with compounds that reduce inflammatory responses and gradually increasing the dose of the binder. Additionally, it is crucial to identify any preexisting conditions, such as coagulase-negative staph colonization in the nose, which can cause an intensified cytokine response. By following the prescribed protocol and adjusting the treatment accordingly, it is possible for patients to recover at least 70-90% of their previous function and capability.

    Travel and Home Precautions for Individuals with Mold Sensitivity or CIRS

    Individuals with mold sensitivity or Chronic Inflammatory Response Syndrome (CIRS) need to be cautious when traveling or visiting other people's houses. Mold spores are common in the environment, and if a person with low MSH levels (a common situation in CIRS) is exposed to mold, they can experience a relapse of symptoms within days. Travelers should consider taking medications prophylactically and use room sanitizers to minimize exposure. Additionally, individuals with CIRS who have achieved maximum improvement with a carnivore diet can consider incorporating low-dose VIP (vasoactive intestinal polypeptide) to expand their diet while reducing inflammation. There may also be a connection between CIRS and obesity, as leptin resistance and low MSH levels can contribute to weight gain. It is crucial to address these underlying physiological mechanisms to combat obesity effectively.

    The Impact of Military Housing on Servicemen's Health: A Closer Look at Hazards and Misdiagnosis

    The issue of military housing and its impact on servicemen's mental and physical health is being taken seriously. Despite initial reports being overshadowed by other news events such as President Trump's impeachment and the COVID-19 pandemic, the findings presented by Dr. Shoemaker regarding rat infestations, mold growth, and other hazardous conditions have garnered attention. These conditions have been shown to affect troop readiness and cause chronic health problems in servicemen's families. The misdiagnosis of psychological conditions in these cases is all too common, highlighting the need for better biomarker testing and awareness of the underlying physiological causes. Dr. Shoemaker's research has shown that treating the underlying condition, CIRS, can lead to significant improvements in symptoms, providing a potential solution for those suffering from chronic headaches and abdominal pain.

    Genetic and physiological factors contributing to chronic pain and fatigue illnesses.

    Chronic pain and fatigue illnesses, such as chronic headaches and abdominal pains, may be linked to genetic and physiological factors. Research suggests that individuals with genetic susceptibility, about 25% of the population, are more likely to experience symptoms when exposed to buildings affected by water damage. The mechanism of protein production within the cells plays a crucial role in cell functioning, and disruptions in this process can lead to various complications. Metabolism also plays a significant role, and abnormalities in metabolism, such as metabolic acidosis and insulin resistance, can contribute to the development of these illnesses. Proper testing and understanding of individual genetic markers are essential for effective treatment and management of symptoms.

    The Impact of Defective Apoptosis and Genetic Markers on Alzheimer's Disease and Cognitive Impairment

    Defective apoptosis and genetic markers associated with cell apoptosis interference can contribute to Alzheimer's disease and cognitive impairment. When apoptosis is defective, there is a surge of antigen load in the bloodstream, leading to the accumulation of coagulation factors and micro clots in the brain. Additionally, increased cytokines and specific causation for endotoxins further contribute to the development of brain stem abnormalities. This cascade of events, combined with disrupted microtubules and blood flow abnormalities, can lead to the loss of neurons and cognitive impairment. Mold exposure is also a significant factor in these health issues. It is crucial to acknowledge the severity and prevalence of mold-related illnesses and the challenges in diagnosis, remediation, and treatment. With resistance and lack of awareness surrounding the issue, addressing mold-related health problems can be complex and life-altering.

    Improving Patient Care Through Systematic Approach

    There is a need for a systematic approach in our healthcare system to prioritize patient care. The current time constraints placed on healthcare professionals often result in patients with complex conditions being overlooked or receiving inadequate care. This can lead to detrimental consequences for individuals with chronic illnesses or multiple symptoms. The primary care doctors and specialists who take the time to really listen to patients and understand their needs are the ones who provide effective and compassionate care. However, it is challenging for healthcare professionals to stay updated on all the latest research and treatments due to the overwhelming volume of information. For the general public seeking information on specific illnesses like Chronic Inflammatory Response Syndrome (CIRS), websites such as Surviving Mold and CIRS X provide valuable knowledge and resources.

    The Role of the Blood-Brain Barrier in Protecting the Brain

    There is a crucial role played by the blood-brain barrier in protecting the brain from harmful substances. Unlike other parts of the body, the brain does not tolerate the entry of potential toxins through breaches in the blood-brain barrier. When excess cytokines are present in the body and breaches occur, low-level inflammatory processes can occur within the brain. This can lead to various health issues, including cognitive problems. Additionally, certain areas of the brain, such as the hypothalamus, are directly exposed to cytokines due to their lack of a blood-brain barrier. These findings highlight the importance of diagnosing and treating conditions like chronic inflammatory response syndrome (CIRS) which involve breaches in the blood-brain barrier and excessive cytokine levels. By understanding these mechanisms, steps can be taken to raise awareness, train healthcare professionals, and implement preventive measures to eradicate such illness.

    The Complexities of Environmental Toxicology

    Environmental toxicology has become more complex than just biotoxins, now including other inflammatory situations and plasticizers. However, the availability of primary care physicians to lead in research and patient care is limited by a medical system that prioritizes academics and specialized university appointments. Hypothetically, 50 to 85% of buildings may be affected by harmful organisms due to water damage, with some buildings being more susceptible than others. About 25% of people are particularly vulnerable to these effects, and there are biomarkers available for diagnosis. Despite the complicated nature of the topic, there is hope as the illness is identifiable and treatable, with a standardized treatment protocol and causal sequence already established. It is important for individuals to evaluate and understand this information for themselves.

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    For Mosab Hassan Yousef:

     

    On X https://twitter.com/MosabHasanYOSEF?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor

     

    “Son of Hamas: A Gripping Account of Terror, Betrayal, Political Intrigue, and Unthinkable Choices” (book) https://www.amazon.com/Son-of-Hamas-Mosab-Hassan-Yousef-audiobook/dp/B006PJC4H2/?_encoding=UTF8&pd_rd_w=PheAV&content-id=amzn1.sym.cf86ec3a-68a6-43e9-8115-04171136930a&pf_rd_p=cf86ec3a-68a6-43e9-8115-04171136930a&pf_rd_r=138-3764402-1287437&pd_rd_wg=fLHUm&pd_rd_r=8445617a-f7bd-45ef-bcff-98e77e6b26f5&ref_=aufs_ap_sc_dsk 

    442. BILL C-63 - Everything You Need to Know | Bruce Pardy & Konstantin Kisin

    442. BILL C-63 - Everything You Need to Know | Bruce Pardy & Konstantin Kisin

    Dr. Jordan B. Peterson sits down in-person with Canadian lawyer Bruce Pardy and podcaster Konstantin Kisin. They discuss Canadian Prime Minister Justin Trudeau’s Bill C-63 (aka The Online Harms Act), what powers it gives to the government, what rights it strips from citizens, and why even Americans should be concerned.


    Bruce Pardy is executive director of Rights Probe, a law and liberty thinktank, and professor of law at Queen’s University in Kingston, Ontario, Canada. He is a lawyer, academic, columnist, and outspoken critic of the illiberal managerial state, fighting at the front lines of the culture war inside the law. Bruce writes for the National Post, Epoch Times, and the Brownstone Institute, among others, and serves as senior fellow at the Fraser Institute, the Macdonald-Laurier Institute, and the Frontier Centre for Public Policy. He has taught at law schools in Canada, the United States and New Zealand, practiced civil litigation in Toronto, and served as adjudicator and mediator on the Ontario Environmental Tribunal. The legal ground, Bruce has written, is shifting beneath our feet. The individual is losing to the collective. An ever-expanding bureaucracy regulates life from cradle to grave, including private behavior and speech, in the name of common good. The law has become discretionary, arbitrary, and unequal. The end of Western liberal civilization, as we have known it, is conceivable.
     

    Konstantin Kisin is a Russian-British satirist, social commentator, and co-host of the TRIGGERnometry Youtube show. He is also the author of “An Immigrant's Love Letter to the West,” a Sunday Times bestseller. He has written for several publications, including Quillette, The Spectator, The Daily Telegraph, and Standpoint, on issues relating to tech censorship, woke culture, comedy, and other topics, but he currently publishes articles on his popular Substack. Kisin made headlines in 2018 when he refused to sign a "safe space contract" to perform comedy at a British college and again in 2023 when he participated in an Oxford Union debate on the motion of "This House Believes Woke Culture Has Gone Too Far." His speech at the debate received viral attention and has been seen by over 100 million people around the world.

     


     

    - Links -

    2024 tour details can be found here https://jordanbpeterson.com/events   

    Peterson Academy https://petersonacademy.com/  

     

    For Bruce Pardy:

    On X https://twitter.com/pardybruce?lang=en

    Rights Probe: https://www.rightsprobe.org/


    For Konstantin Kisin:

    TRIGGERnometry Podcast    / @triggerpod  

    Substack https://konstantinkisin.substack.com/

    Twitter https://twitter.com/KonstantinKisin?r...

    441. TBD | Tor Nørretranders

    441. TBD | Tor Nørretranders

    Dr. Jordan B. Peterson sits down with author and speaker Tor Nørretranders. They discuss the entropy of emotion, the nature of pointlessness, the over-civilization of societal structures, how relationships shape perception, and why play might be the antithesis to tyranny.

     

    Tor Nørretranders is an independent author, thinker and speaker based in Denmark, serving an international audience. He has published over 30 books on topics ranging from society to human consciousness.

     

     

    - Links -

     

    2024 tour details can be found here https://jordanbpeterson.com/events  

     

    Peterson Academy https://petersonacademy.com/  

     

     

    For Tor Nørretranders:

     

    The User Illusion:

    https://www.amazon.com/User-Illusion-Cutting-Consciousness-Penguin/dp/0140230122

     

    The Generous Man:

    https://www.amazon.com/Generous-Man-Helping-Others-Sexiest/dp/B005SNMU4I

     

    Wild food and agriculture:

    https://madfeed.co/video/from-wild-to-tame-and-back-again/

    https://madfeed.co/video/we-are-here-because-we-have-appetite/

    https://madfeed.co/video/whos-got-the-guts/

     

    Website https://www.tor.dk/

     

    Article “We Are Waking Up” : https://www.tor.dk/2019/05/06/we-are-waking-up/