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Dr. Seuss musical gets a spirited production at Young People's Theatre
SEUSSICAL by Stephen Flaherty and Lynn Ahrens, based on the works of Dr. Seuss (Young People's Theatre, 165 Front East). Runs to December 30. $10-$41. See listing. 416-862-2222, youngpeoplestheatre.ca. Rating: NNNN
You can count on Young People's Theatre to put on a holiday show that's entertaining and fun for the entire family.
This year it's Lynn Ahrens and Stephen Flaherty's Seussical, a musical based on the curious creatures and inventive rhymes of Dr. Seuss. It draws on a number of Seuss kids' books, including Horton Hears A Who, McElligot's Pool, Horton Hatches An Egg and The Cat In The Hat.
That eponymous Cat (Jonathan Tan) is the show's narrator and initiator of the action. He introduces us to young Jojo (Jeigh Madjus), a resident of the tiny world of Whoville and, in the show's first song, The Thinks You Can Think, teaches Jojo that our imaginations open the door to a universe without limit.
Central to the action is Horton (Jacob MacInnis), an elephant who hears sounds from the speck of dust that is Whoville and is determined to safeguard it, despite being ridiculed by those around him, who doubt Whoville's existence. His kindness also involves Horton with Mayzie (Erin Breen), a bird determined to take a vacation despite having to hatch her newly laid egg she cons the pachyderm into egg-sitting.
Director Thom Allison's production, full of energy and jokes for adults and kids, is a winner from the start, with engaging choreography by Kimberley Rampersad and musical direction by Jeannie Wyse. The tunes range from up-tempo Latin tunes, lullabies and ballads to vaudeville numbers, torch songs and disco beats.
There are lessons along the way, too, about individuality and commitment – "a person's a person, no matter how small" and "I meant what I said and I said what I meant, an elephant's faithful one hundred per cent" – but they never overpower the production's entertainment. This is a show that stands up for outsiders of all sizes and sorts.
The cast is a strong one, with fine work by Arinea Hermans as Gertrude, a shy, one-tail-feathered bird with a crush on Horton, Grace McRae as the initially nasty Sour Kangaroo, a marsupial with a baby and a great set of pipes, and Tan's Cat, who also appears as a number of secondary figures. Also contributing to the exuberance are a pair of birds (Erica Peck and Claire Rouleau) and a trio of mischievous monkeys (Jahlen Barnes, Mike Jackson and Robert Markus).
There's lots to enjoy visually, too, with Judith Bowden's polka-dot set, bright costumes by Charlotte Dean and lighting by Jason Hand. A special treat: the bubbles and fish that fill McElligot's Pool.
If the production has a problem, it's a loss of focus partway through the second half of what was initially a two-act show (here it's 80 minutes, straight through). You know there's trouble when a restless young audience starts talking.
But they're eventually caught up again by the action, which concludes with a final vibrant dance number that draws on yet another Dr. Seuss book.


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Aspects to Prioritize When Selecting a Paving Company
If you own a home, there will be a point in time when you will want to pave your home. Paving companies usually handle a great number of task. For instance, maintenance, pathways repair, pavements as well as installation. Paving projects usually consume so much money and time. This calls for carefulness when picking a paving company. Picking a paving company can give a really hard time. Reason being there are so many paving companies out there in the market. Here are some of the aspect that you need to prioritize when selecting a paving company.
Prior to enlisting any paving company, make sure that you consider the qualifications and licensing of the paving company. Their licensing number is something that you must look at. This is in order that you may verify their licensing status. It is crucial to note that licensing is among the most crucial aspects to consider. Reason being it is evidence of the companies compliance with the law. To add that it shows that the company has undergone the needed training.
The second factor is that of competence. This is a vital factor. Prior to contracting the service of any paving company you need to make sure that you look into their competence. This is the reason why you are supposed to just work with the one that can deliver. You are supposed to conduct a background check on the company that you are considering. This will help you learn what the past customers of the company think about them. If you are looking at the correct company them you will be able to see reviews and testimonials.
It is also vital that you consider what the company specializes in before you decide to hire their services. Companies exist that have a specialty in particular services. For this reason, it is crucial that you get a company that gives each and every service that you need. This matters when it comes down to cutting back on costs. Also, this way you will be capable of saving a lot of time as well as money.
Before you finalize anything be sure that you read the given contract well. Be keen on things like cost, warranty as well as the duration that the project will take as stipulated in the contract. Keep off from companies that are too expensive or too cheap. It is also crucial to make sure that you and your chosen contractor have a good understanding of each other prior to the project commencing.
Case Study: My Experience With Services


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Here Are The Best Shows On Amazon Prime That You Need To Binge Watch Immediately
These shows are amazing.
If you really like watching good TV shows and movies and not the daily saas-bahu serials then you should actually try Amazon Prime. If you happen to watch shows when you are travelling to work/college and your weekends go on binge-watching, then this collection is surely helpful to you.
So I have been fiddling with Amazon Prime Video and they have some amazing shows that you should catch up on.
1. Person Of Interest
Do you like mystery or suspense? Then this show is for you. The show is basically about a reclusive billionaire computer programmer who develops a supercomputer for the government of the United States. The supercomputer is capable of identifying and predicting about the people who are planning terrorist acts in future.
But then he realises that the machine is capable of identifying other 'to be criminals'. But since the government considers that part of information irrelevant, he takes law into his own hands. He teams up with an ex-assassin to save lives. The AI sends them the identities of civilians involved in impending crimes. However, the details of the crimes are left as a mystery for them to solve.
2. Mr. Robot
If you like technology or a reality, this show is for you. Mr. Robot is a techno-thriller which is about cybersecurity. Have you wondered what a person can you do with the information you have shared on social media? How there is nothing called as privacy?
The show is about Elliot, a young programmer, who works as a cyber-security engineer by day and as a vigilante hacker by night. He suffers from social anxiety disorder and clinical depression but is best in his job. But suddenly he finds himself at a crossroad when the mysterious leader of an underground hacker group called "fsociety" recruits him to destroy the firm he is paid to protect.
3. The Man In The High Castle
This show is all about – 'What if'. Produced by Amazon Studios, this series is about an alternative history. These series visualize what would happen to Americans if Nazis and Allied powers had won the world war 2. It is loosely based on the novel by Philip K. Dick.
And the biggest reason to watch this is one man – Ridley Scott.
In this series, United States is divided into two puppet states: the Greater Nazi Reich and the Japanese Pacific States. The series follows characters whose destinies intertwine after coming in contact with a series of propaganda films.
4. Lore
Like the name suggests, Lore is a horror anthology series developed Aaron Mahnke. An Amazon Original, the series follows the podcast's format and each episode tells us a new story.
Lore uncovers the real-life happenings that spawned our darkest nightmares. It has only 6 episodes but each episode has the main theme – fear and beliefs.
5. Young Sheldon
If you have watched The Big Bang Theory, then this series is a must! We have enjoyed Sheldon's role and often wondered how he would be as a child. It seems we all don't need to imagine.
Young Sheldon is a spin-off prequel to The Big Bang Theory and follows the character Sheldon Cooper at the age of 9, living with his family in East Texas and going to high school.
6. The Girlfriend Experience
This is one of those unusual shows that you might not see on Indian television.
A second-year law student, Christine Reade lands an internship at the law firm of Kirkland & Allen. But she struggles to balance her work, expenses and classes. Her world is turned upside down when her close friend encourages Christine to work as an escort.
Christine eventually makes the decision to work as a GFE, women who provide "The Girlfriend Experience" – emotional and sexual relationships available through the transaction of money.
7. Startup
I am sure we all know our parents have talked about investments, finance/savings in our life. But we neither understand it nor do something about it. Don't worry, this series isn't going to teach you how to save. But this series which is another Amazon Original talks about some interesting concepts.
Starring Adam Brody and Martin Freeman, this show is about a banker from Brooklyn, a Haitian gang lord and a Cuban hacker trying to create a potential multi-billion dollar business on 'digital currency', which could revolutionise the future of money itself.
In the world of crypto-currencies and dark web, the digital growth is riddled with drug traffickers and worse.
8. This Is Us
This is the show that is much much BETTER than our daily soaps. A series about a family and their daily struggles couldn't have been portrayed any better. The series follows siblings Kate, Kevin and Randall as their lives intertwine.
The series has been nominated for Golden Globe Awards, Critics' Choice Awards, and was chosen as a Top Television Program by the American Film Institute.
This is easily the best show of 2016.
9. Suits
If you like crime based shows then this is the show that you need to watch. This show is about lawyers and their cases. Suits is a law firm in New York City. But this show is a little different.
A renowned lawyer Harvey Spector recruits a talented college dropout Mike Ross, as his law associate. What's interesting is that Mike has never attended a law school.
10. The Mentalist
Have you watched Castle? This one is equally good.
The Mentalist involves a former 'psychic' Patrick Jane who is a consultant for CBI. He helps the police solve cases using his observational skills. But his major aim is to catch a serial killer who killed his wife and daughter.
11. The Night Manager
Another mystery/suspense series, this show is starred by Tom Hiddleston and Hugh Laurie. This show is a British television serial based on the 1993 novel by John le Carré.
The Night Manager has been nominated for 36 awards and has won 11, including two Emmy Awards and three Golden Globes. Jonathan Pine, a Luxury hotel night manager and former British soldier is recruited by an intelligence operative.
Jonathan Pine tries to bring down the notorious arms dealer Richard Roper. He is described as "the worst man in the world" and is also responsible for the murder of Pine's lover, Sophie.
12. Dexter
This show is surely going to make you binge-watch the episodes. Dexter is based on the life of a forensic expert. But he is no ordinary good-guy.
Dexter Morgan is a blood spatter analyst and when he is not solving murders, he spends his free time as a serial killer.
He has urges and so, eliminates those people who have slipped through the cracks of the justice system.
So which one are you going to binge-watch?
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Blog About Japan And Life In Japan
Admission to a Japanese University for International Students2 August 2019 / Comments: 0
After graduating senior high school, student now has the option to move in to higher education. Entering University in Japan is not as complicated as one would think. With the proper documents and preparation, you will be surprised that it
Visas in Japan Explained29 July 2019 / Comments: 0
Visas in Japan
There are different types of Visa one can use to enter in Japan. Application and requirements depends on the type of Visa and country where you are from. On this page we will explain the different type of
4 Summer Activities you will enjoy in Japan13 July 2019 / Comments: 0
Here are the 4 top summer activities you can enjoy during Summer in Japan.
1. Fishing or "Tsuri"
One of the famous summer activities in Japan for locals is to go fishing every summer. You don't have to go far to see
Tips on how you can survive JLPT28 June 2019 / Comments: 0
Tips on how to survive JLPT
It's the time of the year again where learners of Japanese language will put their knowledge into test. Japanese Language Proficiency Test or JLPT for short is a widely recognized test to assess one's Japanese
6 Summer Items must Haves in Japan4 June 2019 / Comments: 0
Summer in Japan can peak at 40°C in some areas. In Tokyo, normally it will be at 35°C at the most. However, since Tokyo is a city surrounded of buildings and shops, and most of them if not everyone is
Japan is a country of Mobile Coupons6 May 2019 / Comments: 0
When I moved to study in Japan, I know there are "apps" that are only exclusive to Japan. Like the Muji app and Uniqlo Japan app.
My Iphone is from Japan however my App store and Itunes ID are not. My


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Playing slot games can be tiring and stressful too. When you are stressed out, winning becomes a lot harder and you will probably end up more frustrated.
To avoid such scenario, here are ways on how you can enjoy and get more of slot games. Malaysia is a renowned gaming hub. You are supposed to relax not the other way around.
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Borrow an Expert Launch Party
Want to learn something new, but not sure where to start? The Library is proud to introduce Borrow an Expert! Learn more, meet the experts, and enjoy complimentary brain food at our launch party on Tuesday, March 26, 6-7:30 PM.
This spring, you can borrow a staff expert specializing in subjects such as:
- Board games, card games, or video games
- Building a resume or cover letter
- Crochet & cross-stitch
- Knitting & sewing
- Food & recipes
- Graphic design using Canva
- Graphic novels
- Modern film
- Pop culture
Sign up now for an appointment
Add to Google Calendar
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Brookline Village - The Commons361 Washington Street, Brookline, MA 02445, United States
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text: DevilishClouds 20 Report post Posted September 25, 2012 I bought this brown hookah near my house from a hookah bar and can't remember where he said it was from. Anyone have any ideas on what this hookah is. Can anyone tell me how to upload pics its not working? Share this post Link to post Share on other sites


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Feniton bowlers enjoy mixed win over Ottery St Mary
PUBLISHED: 09:57 05 September 2018 | UPDATED: 09:57 05 September 2018
The men's Over-60s B team lost their final match of the season, losing 37-21 to Tiverton, writes Roger Smith.
The ladies lost their final Over-50s League match, beaten 35-25 by Heavitree.
However, the mixed team won their final East of Exe League, beaten 93-48 by Tiverton.
The winning rinks were the ones of J Q Navarro, R Lovering, R Veitch and I Veitch (32-01), T Cox, D Bowden, R Cooke and K Lovering (26-16) and V Murdoch, M Whitcombe, D Downs and G Philllips (20-13).
The mixed team enjoyed a victory over local rivals Ottery St Mary.
The friendly fixture ended 102-59 with the Feniton winning rinks being P Bright, D Downs, G Phillips and R Veitch (32-10), Bowden, J Skinner, M Whitcombe and I Veitch (28-16) and J Wheatley, A Pritchard, L Ley and A Smith (22-12).
Congratulations to Ruby Veitch, Jim Skinner and I Veitch who won their County Mixed Triples quarter-final 18-9 and will now compete in the semi-final and, hopefully, the final on Finals Day.
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text: CME: NephrologyThe ABCs of chronic kidney diseaseZuber, Kim PA-C; Davis, Jane DNPAuthor Information Kim Zuber is executive director of the American Academy of Nephrology PAs. Jane Davis practices in the Department of Nephrology at the University of Alabama at Birmingham. The authors have disclosed no potential conflicts of interest, financial or otherwise. Earn Category I CME Credit by reading both CME articles in this issue, reviewing the post-test, then taking the online test at http://cme.aapa.org. Successful completion is defined as a cumulative score of at least 70% correct. This material has been reviewed and is approved for 1 hour of clinical Category I (Preapproved) CME credit by the AAPA. The term of approval is for 1 year from the publication date of October 2018. Journal of the American Academy of Physician Assistants: October 2018 - Volume 31 - Issue 10 - p 17-25 doi: 10.1097/01.JAA.0000545065.71225.f5 Free Take the CME Test Metrics Abstract Management of patients with chronic kidney disease has evolved since the last Kidney Disease Improving Global Outcomes clinical practice guideline was published in 2012. This article reviews the most recent guidelines, common management issues in primary care, kidney risk and outcome calculators, and over-the-counter medications that may cause community-acquired acute kidney injury. CASEFigureBox 1A 63-year-old black woman new to the area presented to the office to establish care. Her past medical history includes type 2 diabetes, hypertension, obesity, and hyperlipidemia. She takes lisinopril, atorvastatin, metformin, and adult low-dose aspirin. A physical examination revealed a BP of 148/92 mm Hg, body mass index (BMI) of 39, no edema, and regular cardiac rate and rhythm without bruits. An orthopedic examination was normal. A complete metabolic panel was within normal limits except for a serum creatinine of 1.2 mg/dL (glomerular filtration rate [GFR] of 56 mL/min/1.73 m2), A1C of 8.3% (from history), cholesterol of 211 mg/dL, high-density lipoprotein level of 51 mg/dL, low-density lipoprotein level of 152 mg/dL, and triglycerides of 176 mg/dL.Box 2DISCUSSION Kidney disease is a worldwide epidemic. Researchers estimate that more than 850 million people are affected—twice the number of people with diabetes and 20 times the number of people with cancer or HIV.1 More than 30 million Americans, or about 15% of the population, have chronic kidney disease (CKD) and most do not know they have it.2 CKD is responsible for more deaths annually than breast cancer or prostate cancer.3 In 2016, the cost to Medicare for patients with CKD exceeded 20% of the entire Medicare budget.4 CKD is more common in adults over age 60 years and in women. Diabetes is the most common comorbid condition.4 In 2012, Kidney Disease Improving Global Outcomes (KDIGO) published CKD international guidelines that laid out the staging of CKD with regard to GFR and albuminuria (Figure 1).5 For the first time, guidelines directed clinicians to monitor patients' albuminuria to predict CKD progression. The introduction of ICD-10 coding further allowed clinicians to code CKD stages using the patients' urine albumin level. Often, the electronic health record in hospitals and medical systems will flag a CKD diagnosis, remind clinicians to check patients' urine, and suggest that clinicians consider aspirin therapy and/or add an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) if appropriate. Studies have shown that following these interventions, CKD is more often listed as a current procedural terminology code but after the diagnosis is made, many clinicians are unsure of the next steps.6FIGURE 1.: Stages of CKD5Urine albumin-to-creatinine ratio (UACR) is considered the gold standard for monitoring and following patients with CKD. The spot UACR has been shown to be more accurate for measuring and monitoring albuminuria than a 24-hour specimen.5 Multiple studies have shown that albuminuria occurs before a rise in serum creatinine and is predictive of CKD progression.4,5 Clinicians who do not practice nephrology may be confused about which urine study to order. For this reason, the National Kidney Foundation (NKF) has joined with laboratories around the country to initiate standardized laboratory monitoring for early CKD via a kidney profile. This includes a serum creatinine and UACR to stage kidney disease. Nephrologists believe that letting clinicians simply check a kidney profile box will simplify and increase screening and aid in patient management.7 HYPERTENSION What is the goal BP for patients with CKD? Nephrology professionals and clinicians have done themselves no favors by having multiple answers. Publication of seemingly contradictory studies specific to patients with CKD continue to crowd clinicians' inboxes. The last series of KDIGO hypertension guidelines in use are more than 6 years old.8 The goals were between 130-140/80-90 mm Hg depending on patient comorbidities. Since those guidelines were published, multiple guidelines have been published with conflicting goals.9-11 Thus, many nephrologists will accept a BP of less than 140/90 mm Hg as a treatment goal but still push to obtain a BP less than 130/80 mm Hg, particularly for patients with diabetes.12 The American Diabetes Association (ADA) has recommended a goal of less than 140/90 mm Hg for patients with diabetes.13 Individual clinicians and practices often will use one guideline to eliminate confusion and standardize care across the practice. In actuality, the story is a bit more nuanced. A 2013 Veterans Administration (VA) study showed that a diastolic BP below 80 mm Hg actually increased the risk of acute kidney injury (AKI) because the kidney needs perfusion.14 The Systolic Blood Pressure Intervention Trial (SPRINT) was a BP study that included CKD patients and monitored for increasing loss of GFR as a secondary endpoint.15 However, one of the exclusion criteria for SPRINT was diabetes, which is prevalent in patients with CKD and thus this limits our ability to state that a patient with CKD and diabetes should be at a lower BP.15,16 We simply do not know if the lower goals (less than 120 mm Hg systolic) of SPRINT would help or harm patients with CKD and diabetes.17 We do know that the incidence of AKI was increased in the strict control arm (those with the goal of systolic BP less than 120 mm Hg).15 Overall, patients in the strict control arm had reductions in death both from cardiovascular disease (CVD) and all-cause mortality, which argues for the 120 mm Hg goal, accepting the lack of peer-reviewed data in patients with diabetes. Clinicians must be cautious in pushing toward lower BPs in older patients with CKD and multiple comorbidities. Orthostatic hypotension is associated with increased incidence of falls. Patients with lower GFRs have more fragile bones and an increased risk of hip fractures. These complications often result in patient loss of independence and increased admission to long-term care facilities.18 Lowering dietary sodium intake is an often-missed yet vitally important intervention for managing hypertension. Most adults in the United States consume more than 3,500 mg of sodium daily; the recommended goal for patients with CKD is 1,500 mg/day.19 Interventions to lower sodium intake can be more effective in black patients with hypertension who are highly sodium-sensitive.20 Reducing sodium often can be as effective as adding a second hypertensive medication in all patients.21 Case patient The addition of a second hypertensive medication is warranted due to her BP of 148/92 mm Hg, no matter which guideline you use. Recent observational studies have shown that a calcium channel blocker is the safest selection for this patient.22 A discussion of limiting dietary sodium is vital. CARDIOVASCULAR DISEASE The combination of CKD and diabetes significantly raises the risk of CVD and death.23,24 This includes coronary heart disease, stroke, peripheral vascular disease, heart failure, and dysrhythmias. For women with diabetes, the risk is even higher; diabetes raises the risk of heart attacks by four times (versus two times in men) and outcomes are poorer.25 The addition of statins will reduce the risk of CVD in patients with stages 2 through 4 CKD.26,27 For patients in stage 5 or 5D (on dialysis) CKD, the benefit of statin medications is less clear-cut and statin therapy does not appear to reduce death rates.26 CKD increases the incidence of death due to cardiac dysrhythmias.28 The risks of sudden cardiac death are well documented; other common abnormalities include atrial fibrillation (AF)/atrial flutter, supraventricular tachycardia, and ventricular dysrhythmias.28 For patients with a creatinine clearance between 30 and 50 mL/min and AF, warfarin or one of the new direct oral anticoagulants (DOACs) can be used.28 DOACs have been shown to be noninferior compared with warfarin, although a recent publication stated exactly the opposite: increased bleeding with DOACs in comparison with warfarin.28,29 The safety profile of the DOACs appears to be better than warfarin.30 For patients with stage 4, 5, or 5D CKD, only observational data exist, not research data, and data are insufficient at this time to recommend any type of anticoagulation for these patients.28 A recent publication confirmed what many clinicians in nephrology have suspected for many years: treating older adults with CKD with anticoagulants significantly increases adverse reactions and may actually worsen their clinical condition.31 A study in England and Wales looked at nearly 5,000 patients with AF, all over age 65 years, and found those taking anticoagulants were 2.6 times more likely to experience a stroke and 2.4 times more likely to experience hemorrhage during a 2-year follow-up.31 Although many cardiologists treat patients with AF and more advanced CKD (GFR of less than 25 mm/min) with anticoagulants, keep in mind that patients with reduced kidney function (that is, lower GFR) are more likely to have complications, be fragile (more likely to fall), and have comorbidities.23,31 Consider not placing these patients on anticoagulants. Case patient She does not have a rhythm abnormality but a cardiac consult is warranted because of her higher risk of CVD. DIABETES Although lifestyle changes are always the first consideration, patients often also need medication management.32 Multiple new medications have been introduced for treating diabetes, raising questions about how to use them in patients with CKD. About one-third of patients with diabetes will progress to diabetic nephropathy.4,33 Diabetes continues to be the leading cause of end-stage renal disease (ESRD).4 Many clinicians know to test for albuminuria and add an ACE inhibitor or ARB to reduce the rate of CKD progression in patients with diabetes. Guidelines state that the patients with diabetes and albuminuria but without hypertension should be treated with an ACE inhibitor or ARB. Now, newer studies have shown that mortality is increased in the patients with diabetes who do not have albuminuria.34 Although treatment can reduce albuminuria and slow progression to ESRD in patients with diabetes and albuminuria, survival rates have not increased for patients with CKD and diabetes without albuminuria. How to manage these patients has yet to be determined. The dipeptidyl peptidase-4 (DPP-4) inhibitors, glucagon-like peptide (GLP), and sodium/glucose cotransporter 2 (SGLT2) inhibitors may improve survival in patients with diabetes and CKD by lowering A1C.35,36 SGLT2 inhibitors and GLP-1 receptor agonists have been shown to reduce the risk of CVD and promote weight loss in patients with CKD (Table 1).35,36 As studies are published, these recommendations will continue to evolve.TABLE 1.: Medications for diabetes in patients with CKD77,78SGLT2 inhibitors appear to be very promising for patients with CKD.37 In those with stage 3a or 3b CKD, although A1C was not improved, the decline in GFR was slowed along with a decrease in urinary albumin.38 Multiple studies have shown that SGLT2 inhibitors have renoprotective qualities, although these are secondary analyses of cardiovascular studies.36,39 The CREDENCE study was stopped early (in July 2018) and the data should be released at any time. Clinicians in nephrology hope that this will answer the questions about using SGLT2 inhibitors in patients with CKD.40 The speculation is that sodium excretion, rather than A1C reduction, is responsible for the renoprotective qualities of SGLT2 inhibitors.41 Case patient She does not have a UACR result although her A1C is high (8.3%) and she is overweight (BMI 39). An SGLT2 inhibitor would be an excellent selection and might negate the need to add a second antihypertensive. Due to the diuretic properties of SGLT2 inhibitors, her BP likely would decrease. Adverse reactions such as an increase in mycotic infections can be mitigated by encouraging the patient to wash the perineum with water or use a moist towelette after urination. OBESITY Obesity is linked to diabetes and CKD.42 Communication occurs between the gut and the kidney, and CKD contributes to alterations in the microbiome. In addition, changes in the gut have been shown to contribute to uremic symptoms of inflammation, insulin resistance, malnutrition, and CKD progression.43 Recent studies have shown that bariatric surgery slows CKD progression.42,44-46 In a long-term (18-year) control-matched study conducted in Sweden, the incidence of ESRD was half in obese patients (those with a BMI above 35) who had had gastric bypass surgery compared with those who did not have the surgery.42 Clinicians should emphasize weight loss and consider referring patients for bariatric surgery evaluation as appropriate. Case patient Her BMI (39) and comorbidities (hypertension, diabetes, CKD) are prime indications for weight loss management. THE CONTINUUM OF AKI AND CKD In the last 10 years, AKI and CKD have been recognized as being on a continuum rather than discrete entities.47 From 2000 to 2014, AKI diagnoses have increased 139% as there has been a greater spotlight on the issue.48 The international 0by25 and Think Kidneys campaigns, which aim to reduce the incidence of AKI by 2025, seem to be hitting a wall as the incidence of AKI increases.49-51 AKI can be classified as community-acquired or hospital-acquired. The incidence of community-acquired AKI is increasing and the mortality and morbidity of this disorder has surpassed that of hospital-acquired AKI.52 Many patients inadvertently increase their risk for community-acquired AKI by using frequent nonsteroidal anti-inflammatory drugs (NSAIDs) for minor aches and pains, dehydration associated with beverages containing high levels of sodium (sports drinks), patients who supplement with creatine powder and/or steroids all increase incidence of community-acquired AKI.53 The incidence is also increased in patients with diabetes or hypertension who continue to take their oral medications when sick (see the details as to what is defined as sick below), not eating, and/or vomiting/diarrhea. In Europe and Canada, sick-day rules are given to patients by pharmacists.54 These tell patients to hold their oral diabetic and hypertensive medications if they are running a fever or experiencing gastrointestinal (GI) symptoms such as vomiting or diarrhea.55 The belief is that this will reduce iatrogenic AKI. Hospital-acquired AKI has multiple causes, including IV contrast, dehydration from NPO status or reduced ambulation, sepsis, medications, and simply being in the hospital. Case patient Remind her not to take metformin if she is not eating due to sickness. She also should be advised to avoid using NSAIDs except for short periods and to consider acetaminophen for pain first. COGNITIVE FUNCTION A recent publication showed that children and adolescents with CKD have decreased cognitive function corresponding to their stage of CKD; lower neurocognitive function is associated with a lower GFR.56 In adult brains, changes in white matter and small cerebral vessel disease herald what is commonly referred to as uremic brain.57 The acute loss of kidney function in AKI causes more cognitive changes than CKD as the brain does not have time to adapt. For black patients over age 65 years, reducing hypertension also appears to reduce the incidence of dementia.58 Case patient Cognitive testing may be appropriate in the future. Her BP needs to be lowered. POLLUTION A recent observational study linking EPA and NASA data with more than 2 million VA patient medical records showed that patients who lived in areas of the country with higher pollution (more small particular matter) had a significant decline in GFR.59 For many patients, moving is not an option but clinicians who are educated about local pollution levels can identify patients at risk of CKD. Case patient She has moved from a higher pollution area to a lower pollution area, reducing her CKD risk. GENETICS Since the 2013 New England Journal of Medicine publication reporting the link between the APOL1 gene and hypertension in the sub-Saharan African population, the question of why those patients had the highest rate of CKD and ESRD in the United States is partially answered.60,61 Carrying one copy of the APOL1 gene increases the risk of hypertension and progression of CKD to ESRD; carrying two copies further increases the risk.62 However, carrying one copy of the gene is protective against the bite of the African tsetse fly, which carries African sleeping sickness. One of the most commonly missed diagnoses in patients with CKD is autosomal dominant polycystic kidney disease (ADPKD).63 Although this is a genetic disease, presentation (age, rate of loss of function, symptoms) is variable within families. Hypertension is usually the first presenting symptom. A discussion of family history for a patient newly diagnosed with hypertension, along with a high rate of suspicion, can help to diagnose ADPKD earlier in the disease, thus slowing progression to ESRD. Case patient She is at risk; however, APOL1 testing is used for screening kidney donors rather than community-wide. Because of her family history of hypertension, her previous clinician ordered a renal ultrasound, which did not show ADPKD. OTC MEDICATIONS Many over-the-counter (OTC) medications can cause AKI in stable patients with CKD (Tables 2 and 3). Many practices have developed patient education materials outlining which OTC medications patients with CKD need to take with caution.64TABLE 2.: OTC precaution medications for patients with CKDTABLE 3.: Navajo medications used in patients with CKD All teas are prepared by crushing and boiling dried plant material. Information used with permission of Eunice A. Muskett, PA-C, Navajo Indian Tribe, Gallup, N.M.Case patient Provide her with a yellow caution list of OTC medications. CAFFEINE A recent study with data collected from NHANES data showed that patients with CKD who consumed higher amounts of caffeine were 24% less likely to die of all causes, even when accounting for age, sex, race, BP, smoking, BMI, and other confounders.65 Even a small increase in the amount of caffeine consumption appeared to improve survival for patients with CKD. This is an observational study and researchers cannot state that increasing caffeine intake will reduce mortality for patients with CKD. However, the data are interesting. Case patient She drinks coffee. DENTAL AND EYE Patient with CKD and periodontal disease have a higher mortality than those with CKD and healthy gums.66 In the NHANES III study, the death rate for patients with CKD is increased if they also have gum disease.67 If simple interventions with dental health can affect patient survival, clinicians should intervene. Regular eye and dental examinations are recommended for patients with diabetes and those with CKD.68 Case patient The patient and her family are new to the area. Encourage them to find a dentist and ophthalmologist and schedule checkups. PRIMARY CARE ISSUES The usual vaccinations and preventive issues are vitally important in patients with CKD. As patients lose kidney function, their immune response decreases.69 Thus, vaccinations early in the course of the disease are more effective. All patients, regardless of risk factors, should be tested for HIV at least once during their lifetime.70 Hepatitis C testing is encouraged for patients born between 1945 and 1965.71 Hepatitis C is more prevalent among patients with CKD than the general population.72 Due to this higher incidence, patients also should be evaluated for hepatitis B antibodies; if these are low, administer hepatitis B vaccines. Tdap also is recommended for patients with CKD, especially those who are around young children.69 Case patient Although she was tested for HIV, she had not been tested for hepatitis C. She is due for her shingles, Tdap, and pneumonia vaccines but had already received her influenza vaccine for this year. PREDICTIONS In 2011, a kidney risk calculator (http://kidneyfailurerisk.com) was developed to help clinicians predict which patients would be more likely to progress to ESRD.73 This tool has since been validated nationally and internationally, and accurately predicts 1- and 5-year progression of CKD to ESRD.73 The patient's age, region (North America or not), sex, GFR, and UACR are needed to use the calculator. One of the other issues that arises when caring for patients with CKD is What is too much treatment? Everyone loses kidney function with age and older adults with multiple comorbidities may be better with medical management instead of dialysis with its multiple interventions.74 The surprise question (Would you be surprised if this patient dies within the next 6 months?) has been shown to be predictive of survival in patients with CKD and ESRD.75 Dialysis does not increase survival for patients older than age 75 years with more than two comorbid conditions.74 However, these patients have increased use of critical care medicine and increased risk of dying in the hospital or ICU. An entire subgroup of nephrology has been developed to care for these patients and to medically manage their symptoms of kidney disease.76 End-of-life discussions and goals of care should begin early in the provider-patient relationship. Patients and their loved ones need to define for themselves how they wish to live and what interventions they consider acceptable. Dialysis is not always the best choice for a patient; often for an older adult or a patient with multiple comorbidities, symptom management may improve quality of life with little sacrifice of quantity. The KDIGO calculator for CKD stages 4 and 5 (www.kdigo.org/equation) can help guide clinicians in these discussions. This calculator lets clinicians make informed decisions about patient management and can be used by primary care providers for end-of-life discussions. Case patient We need her UACR before we can use the kidney risk calculator. CONCLUSION Primary care visits often do not allow enough time to include all the nuances needed to care for patients with CKD. This means that a prioritized plan for CKD management is important. The initial visit should include a complete history and physical, social/family history along with laboratory orders (complete metabolic panel, UACR, hepatitis C, and HIV screens). Often, the initial visit is too short for the clinician and patient to discuss lifestyle changes in detail, although the National Kidney Disease Education Program (NKDEP) and the NKF offer multiple free patient education materials. Subsequent visits can focus on medication adjustments, including medications for hypertension and diabetes; discussing and administering vaccines; referrals to specialists or for tests; and monitoring for disease progression. Patient education is essential at every visit—many patients with CKD feel fine and do not fully understand that their kidneys are problematic until they are told this multiple times. Case patient Laboratory tests were ordered, family and historical data collected, and a return visit scheduled. Physical examination upon return showed a still-elevated BP of 144/94 mm Hg without obvious edema and an unchanged BMI. Her new A1C was 8%, and serum creatinine was 1.3 mg/dL (GFR, 51 mL/min). Her UACR showed 30 mg/dL of albumin, putting her at risk of CKD progression. She had made an appointment with cardiology. We decided to try to cover as many of the issues with as few medications as possible. We added an SGLT2 inhibitor to lower weight, BP, and A1C while also looking for both renal and cardiac protection. We gave the usual precautions of AKI, OTC medications, and asked her to repeat a complete metabolic panel in 4 weeks. She is scheduled to return in 3 months, at which time we will discuss vaccinations and the follow-up from cardiology.REFERENCES 1. American Society of Nephrology/ERA-EDTA/ISN. www.asn-online.org/about/press/releases/ASN_PR_20180627_Final6.26.18Press_E.pdf. Accessed July 19, 2018. Cited Here 2. Centers for Disease Control and Prevention. CKD information sheet. www.cdc.gov/diabetes/pubs/pdf/kidney_factsheet.pdf. Accessed July 19, 2018. Cited Here 3. National Kidney Foundation. 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FDA drug safety communication: FDA revises warnings regarding use of the diabetes medicine metformin in certain patients with reduced kidney function. www.fda.gov/Drugs/DrugSafety/ucm493244.htm. Accessed July 31, 2018. Keywords:chronic kidney disease; CKD; acute kidney injury (AKI); diabetes; hypertension; KDIGO Copyright © 2018 American Academy of Physician AssistantsView full article text


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What better way to round off celebrations for Carers Week (10th-16th June) than in the beautiful gardens at Beaverbrooks House for our annual Garden Party.
This year the theme is 'All the fun of the fair', with nostalgic funfair sideshows, crafts, plant stalls, games, entertainment galore and a few surprise guests along the way including the Mayor of Blackpool, it's a great way to spend a Saturday!
Mark the arrival of Summer at this FREE event for all the family.
Call Julie Holland on 01253 393748 for more information.


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Heerema Marine Contractors has been awarded the Petrofac contract for TenneT's Hollandse Kust Zuid (HKZ) Alpha project, one of the largest offshore wind farm zones being developed in the North Sea in front of the Dutch coast.
The award entails the transport and installation of the HKZ Alpha HVAC platform. This platform is a high-voltage substation, an essential component of offshore wind farms that run electricity to the mainland, in this case the Maasvlakte. The jacket (2,800 metric tonnes) for the HKZ Alpha substation will be installed in the second quarter of 2020 and the topside (3,800 metric tonnes) in the fourth quarter of 2020.
The installation will be performed by Heerema's newest vessel, Sleipnir. Sleipnir is a Semi-Submersible Crane Vessel and has the ability to also operate in shallow waters. During the tender preparations Heerema used its Simulation Center to successfully explore the feasibility of the jacket and topside installation by Sleipnir in this shallow water location close to shore.
CEO Koos-Jan van Brouwershaven: "Heerema is very excited to support Petrofac and TenneT in the development of this project in the North Sea. It also gives us the opportunity to contribute to the realization of the Dutch government's clean energy targets. Heerema is continuously seeking opportunities to strengthen its position in the international offshore market through innovation, pro-activity and reliability. This project fits Heerema's agenda to participate in innovative and sustainable projects. Our vessels are ideally suited to install the additional infrastructure needed to increase the Dutch offshore electricity production capacity."
Hollandse Kust (zuid) Alpha will go into service in 2021.
Source: Company Press Release


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After he got signed to Virgin Records UK in 2003 he gained a lot of airplay and got to be one of the best selling rap artists in Finland. Since then he has released three studio albums and toured throughout Europe with affiliated group Madcon and warming the stage for acts like D12 and Gang Starr.
After meeting him in his friends' clothing store we connected for the next day to do an interview with him about his experiences of being a part of worldwide Hip Hop culture.
Can you start by introducing yourself?
Redrama: This is Redrama, from Helsinki. I am a rapper, producer, musician. Hip Hop musician sounds really good, I think we go with that.
How did you first get into contact with Hip Hop?
Redrama: I first got into contact with Hip Hop mostly through my younger brother, when I was ten. My first touch with it was breakdance, when my mom and dad took me to see Beatstreet, a breakdance movie. As a kid I wanted to breakdance, but there weren't any good breakdance courses so I didnt take to it. Musically I listened to a lot of rock music after that, like Metallica and stuff like that while my younger brother was playing Hip Hop in his room. I kept hearing it all the time and he sort of forced it on me. I didn't hate it but I didn't really get it. I think it was Nas, Illmatic, that really hit me and from there on it just grew and grew and grew. I started writing or trying to write, really early, at 14 years old. I have been listening to a lot of other stuff too, but whatever you call Hip Hop nowadays is the music that I love the most.
What does Hip Hop as a culture mean to you?
Redrama: Basically it is pretty much my life, because I have been fortunate enough to do it professionally for a really long time. Everything has been attached and involved with Hip Hop since I was 15, 16 years old. Its hard to say really what it means to me because it means everything in a way. Of course for me it is the music, I was never a graffiti writer, I never even did tags or anything. Most of my friends did, and I was always there and saw that culture too. It's strange to say nowadays that we all know that Hip Hop has been changed and commercialised, but the underground, or whatever you call it, is still there, so for me Hip Hop is still doing good. There is still so much good music in the world that I know that I'm never gonna hear everything.
When did you start making and recording your own music?
Redrama: At 15 years old I recorded my first songs. I had a small 4-track cassette deck and I had a drum machine, so I had one track the drums, one track guitar. I played guitar already since [I was] 10 years old. The first songs I wrote I actually recorded. So I've been recording since I was 15, 16. Yea that's old school, the cassette deck with four tracks. Now everybody with a computer has 32 tracks and effects and all. But I love that it's like that, so that I don't have to do it with the cassettes anymore.
What do you think about the Finnish rap scene?
Redrama: I have been a part of the Finnish rap scene since I did my first shows around 18 years old. I performed basically everywhere I could and I got to perform like one or two songs and I just tried to get as many of those as possible.
And then there is Funkiest, the first main Hip Hop store here, or the only one. Nowadays we have a shop called Lightsaber too, but thats also funk and electro. Both are good stores, but the good thing with Juha (shout out to Juha from Funkiest!) is that whoever wanted to release and sell his own music, he did that. And that has been a big big part of the Finnish scene, those years, before the big labels got interested and before the media knew anything about Hip Hop. Without him the scene wouldn't have started as early as it did, because it was possible to record your own music and release it and sell it, he was a big part of it.
But back then, the names I remember are Ceebrolistics, that's Murmerecordings, they've been around. They started much earlier than me, they always had their own sound. Nowadays they are doing more grime and dubstep and getting really good at that. Then there was this guy who called himself Celes, nowadays he calls himself Davo, he's a good friend of mine. So there were only like four, five artists everybody knew about, and they were everywhere. At the Worldwide parties that were here in Helsinki there were open mics and stuff like that. Then Fintelligens, they got signed, I think that was around 2000. They were signed to a big record company and suddenly they had a video on MTV, on the radio and stuff and then everything blew up. That year, I was already doing my own shows and I released my EP, Only Redrama, and it sold pretty good. Fintelligens came out and it really blew up, because then the media got hold of it and the media started writing and the radio started playing, so then it happened really fast. All of a sudden you had maybe ten groups on major labels and the radio was full of Hip Hop. That was the boom, it was really fashionable doing it, so there were a lot of people doing it. Some of them are still around, but not many. Fintelligens are still around and they are basically one of the biggest names here. They have been that since they released their first album.
Thats a really long answer to your question. For me now the scene is better then ever, because it's really versatile, you have so many different sounds and lyrically they are really different too. From communist rap to the socialist, working man, questioning the political system and everything. Then you have the more commercial radio stuff, for the younger people, pop music basically. And then you have the guys that started the more electro stuff.
The only thing for me that I find a little bit sad, I like it that everybody is doing their stuff in Finnish, and most of the guys are my friends, but for me it would be cool to hear some more English rappers too. That happened in Sweden, and that was a really healthy thing. There you have both and we used to have both, but now there's some good talent and there's some good Myspace artists, but I don't see anybody rapping in English on the festivals I go to from year to year. So I'm hoping for that to happen, but I'm sure it's gonna happen soon.
How is it for you to rap in English in Finland?
Redrama: I think I've been very lucky. I've had a lot of support since I started. When I released my first album I was signed to EMI, that was a big label. It got really big, but the media stuff was a little bit annoying because they started calling me the Finnish Eminem and stuff, you should see the headlines, it was in all the newspapers. And I was really shy, and I still am, but I was really unsure of myself. I thought that everybody hated me and I didn't like it at all because there was too much hype in the media about everything. I didnt like that time, but other then that I can't complain at all, my first album sold a lot and I did a lot of shows, I got to tour in Europe with my first album and I warmed up for Gangstarr.
In which countries did you perform?
Redrama: I think it was 27 countries, it was basically every European country, except for the eastern countries, like Poland or Czech Republic, unfortunately none of those, and none of the Baltic countries.
I was still very young, looking back at it, it happened sorta fast, I wasn't really ready for that, but we just went for it and it was really cool. I had Madcon with me, the Norwegian group, who now blew up with the Beggin' track and this crossover Hip Hop they do. I worked together with them on my first album, I was working and living in Norway at the time. I had them backing me up and they were more experienced on stage so we had a blast.
It was really cool meeting Premo, I mean I felt like a little kid, you know meeting the godfather of boombap. And whenever he is here I get to see him and meet him, and you know, he fucks with me, but he's actually quite a humble guy and that's what I like about him.
Do you listen to rap in other languages, except for American / English and Finnish?
Redrama: I listen to a lot of Swedish, because I went to Swedish speaking schools and both my parents speak Swedish. Nowadays I speak more Finnish, because only 6 percent of the population in Finland is Swedish speaking. I listen to a lot of the Swedish stuff, right now more than Finnish. I listen to the Finnish stuff my friends make, but I haven't had time to check out all the new stuff that's going on, so I try to see them at shows.
Any Swedish artists we should look out for?
Redrama: Timbuktu, I love Timbuktu. And the sort of American sound in English, like Pato Pooh, Eboi, who is part of Adam Tensta's crew. He is coming out with his own music now. He is technically just one of the hardest rappers I've heard from Europe. Other people I like there are so many in Sweden. Prop Dylan, he was on my album, he's gonna be on my mixtape. He came to perform at Pipefest, which is the biggest Hip Hop festival here, with him I'm gonna work more. He's really good, more like backpacker, boombap basically.
Any Finnish artists?
Redrama: Finnish artists, my favourites would be Juno, Asa, Davo, Kemurru. That would be it, Jontti and Shaka are really good, TPH, he's really good, there's a lot of good stuff going on.
Do you see any artists as influences?
Redrama: I used to, more when I was younger. Nas was a big influence. I loved the Rawkus sound, when Rawkus Records came out. I really love Pharoahe Monch. Talib Kweli, The Roots, then also some of the 90's underground westcoast, like Hieroglyphics, Souls of Mischief, J Dilla of course. Outkast has been a big influence for me, from the beginning. I like when Andre went crazy and started singing too, and I like the new Outkast when they came with Hey Ya! Thats also good, but I really like Aquemini, ATliens, I still listen to those albums. It's the strangest thing that they still sound fresh in every way, musically, production wise, lyrically, everything is still fresh. Of course there are many more, but that's a couple.
IBMCs is all about the global aspect of Hip Hop culture. You did some international collaborations, like Alien Allies and Conscious Youths. How did these groups form?
Redrama: Alien Allies formed because I didn't get signed here in Finland. I tried to get a deal here when I did my first demos and sent it to record companies. Then a friend of mine lived in Oslo and he called me that I should come over to Oslo and meet Madcon. So I did and we got to be really good friends and I started recording with them in their studio and I was gonna move to Norway and release the album. But eventually the album didn't get released. I just pressed up the songs I thought were the best and moved back here to Finland and released those songs. And that was my first EP. We formed a group just because we became good friends and we worked a lot together. I still produced for them, on their debut album, It's all a Madcon, there are some of my beats there.
And Paleface and Promoe were also in the group?
Redrama: Paleface and me are really old friends. He came a year earlier then me with his first album, so we were the two English speaking rappers here. Then he lived in Tampere and later he moved to Helsinki, so we became really good friends. And we still are, outside the music we are best friends too. But then when we formed Conscious Youths, Nape aka Mr. Singh brought in Promoe, because he got to know him, and then I got to know Promoe through that. Conscious Youths was more a project that we did that was fun and now we are all doing our own things. I think we are gonna release an album one day again. Paleface just released a really good album in Finnish, I forgot to mention that, because it came out this week. One of my favourite rappers in Finnish is Paleface, and that's not because he's my friend, it's actually quite fucking good. I don't know if it came out on vinyl yet, but they are gonna press it. He's still a pioneer in Finland and now he switched languages. He did his first album in Finnish, it's got to be a big thing, everybody's talking about that.
Are there any international artists you still want to work with?
Redrama: So many. I would like to work with Lupe Fiasco, that would be one of my number one choices right now. J Cole, before everybody thinks they like J Cole just because its fashion, I agree that he might be one of the best rappers in a long time. The Roots, Mos Def. I would like to work with some reggae artists, like Capleton or Collie Budz. There's so many people. I like to work with Norah Jones just because she's beautiful and she sings and is really talented. There are so many people, I already feel I'm lucky I got to work with some of my heroes, like Promoe, you know. I was looking up to Looptroop a lot when I was coming out and now I'm going to the studio with Promoe.
I try not to get used to the fact that I can do that. I try to remind myself of the kid, you know, getting exited. If I get a pair of free Adidas I still feel like it's Christmas, you know. Not like of course I'm gonna get it, cause I'm Redrama and shit. To get that excitement, I think that's important. If you try to be creative it's important to get that feeling back, because some people lose it.
You talk a lot about the old school artists you were listening to when you were young. How do you see the history of Hip Hop today for upcoming artists and the young people who listen to Hip Hop?
Redrama: Thats a hard question to answer, because there are a lot of positives in the Internet and Youtube and even in downloading, because people can get the tracks really quickly. But what annoys me a little bit is that somebody takes the whole new Lil Wayne thing and they can't get an idea where it comes from, and they can't get an idea that this and that person has done this and that and then the music evolved to this. I feel like an old man telling everybody to study their history. I'm not a Hip Hop professor at all, there is a lot of knowledge I don't have, but I think with whatever music you should be interested in the history. Without the history you have nothing.
I do think everything is moving a bit too fast now, like I said it's positive that anybody in their bedroom can record a song and press enter and it's on Youtube and they can get a million hits or whatever. That's positive so that there doesn't have to be a corporate label behind it. But the negative side is that everybody releases everything and they steal everything. There is no quality control and everybody steals their beats. Everybody can download a Led Zeppelin track that they worked on in the 70's for hours and hours to mix and then they rap a fucked up verse on it, and then that's a cool thing. That's when I feel like old Hip Hop police saying stop doing that, kids.
Do you collect vinyl?
Redrama: I used to. I've been broke. The latest thing I bought was the instrumentals for J Dilla - The Shining, that's something I just have to have on vinyl. But yeah, I think I have between 500 and 700 vinyls, not that much, I haven't been DJing, I used to DJ on the radio, I haven't been club DJing ever. I still feel like I'm gonna buy a lot of vinyls when I have some money, but right now I can't do that.
So do you think vinyl is still important?
Redrama: Yeah, I think vinyl is very important. I'm gonna press my last album, The Getaway, myself, once I get the money for it. I'm gonna press a small amount and do post orders to whoever would want it wherever. The record label didn't wanna press it, so I wanna do it myself. Also because we worked so hard on the cover, I wanna see it as a vinyl, I want the people to really enjoy it, I want them to have the big vinyl with the big artwork.
Is that also one of the reasons you left your record label?
Redrama: I left my last record label, there is no big argument, but we didn't agree on a couple of things, like releasing abroad. That's a thing that's hard nowadays because people buy less albums then before. It becomes hard to convince a label that they should do a deal with another label for another country. Because the sales might be 300 and they just think it's too much work. That's why I'm gonna stay independent now, at least until I know what to do. I'm happy with everything, but for me it would be really important to be able to tour or do shows anywhere in the world where people wanna see me. It doesn't have to be the biggest venue, it can be a small club, it can be whatever, I just wanna go and travel and maybe meet some of the people. I get a lot of emails from everywhere, from Europe and from the States, and it feels like it's gonna be a shame if in five years I can't say I've been to any of these places. That's what it's about for me, I wanna go there and meet the people and do the songs live for whoever wants to hear it. Because a lot of people are doing that, and it's very possible, but if you're locked on a big label or a major label I think it's hard.
Do you have a certain message that you try to bring over in your music?
Redrama: That's the hardest question always, but I've been finding out more about that, because of what fans and people who like my music tell that they hear. I never see myself as political and I really try to stay away from that. I think the main message for me is for people to accept themselves as they are, and not think that they have to be this and that. You know the world is going so fast. Young girls who think they have to be thin and look like MTV, and young guys even think that nowadays. And in the western world, the media is demanding a lot from all of us. You have to be aware that people are suffering in Afghanistan and at the same time you have to have a nice fucking BMW and an iMac. So I think the message is confusing, to me it's confusing at least, and I think it's confusing for a lot of other people. I think that's the main message is just accepting people for what they are and never regarding to religion or race or anything like that. That's the only message that is always there. Unity.
Do you have any shout outs?
Redrama: Big shout out to IBMCs, for this is a privilege and a pleasure for me. Big shout out to Promoe, big shout out to Madcon, Paperboys and Tommy Tee from Norway. Big shout out to Gentleman from Germany. Saian Super Crew, there is so many more. Hip Hop! Thats it.
What can we expect from you in the future?
Redrama: More raw songs, raw in sound, not that much produced and finessed like my last albums were. More Hip Hop, but in my own way. A little bit more organic in the sound and also some tracks that even go back to the boombap sound. I wanna do a mix of something modern and like I said the albums I still listen to, the more classic Hip Hop sound.
Where can we follow you and your music?
Redrrama: The best place is Redrama Official on Facebook (http://www.facebook.com/redramaofficial), that's basically the only place that is always updated. The Redrama site, the new one, is not up yet, so just check the facebook.
By: Krecy and Delta9 | IBMCs on Facebook
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