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last these are the strictly strictly strictly hardcore now right this is like the 12th round of the title fight when youre just completely concussed and youre dazed and then somebody puts an ice pack on the back of your neck its like do you want to be a champion get back in there and learn about anti-coagulation i appreciate you sticking with me were going to close it out well try to make it fast and to the point all right this is how i understood the coagulation cascade in medical school right bleeding starts miracle occurs bleeding stops okay minor miracle not too far from the truth though actually as well see right because the old paradigm was this right you had the extrinsic pathway you had the intrinsic pathway you had to memorize non-ordinal cascades of numbers in order to understand this right why doesnt the clotting cascade go 10 9 8 7 6 5 4 3 2 1 right doesnt make any darn sense okay this is the new paradigm the new paradigm is all of these things are happening at once