Podcast appearances and mentions of dave clarke

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Best podcasts about dave clarke

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Latest podcast episodes about dave clarke

Missing the Point
NFL Week 6 Power Rankings: Drake Maye's Breakout, Baker Mayfield MVP Buzz, and Flacco to the Bengals

Missing the Point

Play Episode Listen Later Oct 9, 2025 81:12


NFL Week 6 Power Rankings are here. Dave Clarke, Bobby Kelly, and Mike Marcangelo bring a full breakdown of the biggest NFL stories from Week 5 and a deep look at where every team stands heading into Week 6. They open with league headlines: Joe Flacco’s trade to the Bengals, Baker Mayfield’s rising MVP odds, and growing questions about the Chiefs and Chargers. The guys dissect how Cincinnati plans to stay afloat without Joe Burrow until late November, and whether the Browns made a mistake giving up on Flacco. Then it’s time for our teams: • The Patriots (3-2) earn a statement win against the Bills, marking Drake Maye’s biggest moment yet. Mike calls it the team’s best victory since Brady left, praising Bill Belichick’s leadership, Mike Vrabel’s defensive turnaround, and Christian Gonzalez’s return.• The Cowboys (2-2-1) knock off the Jets and look better than expected. Bobby and Dave argue over their playoff chances and how much the defense can really carry them.• The Bears (2-2) hit their bye week with questions at quarterback but optimism on defense. Dave remains patient; Mike and Bobby, not so much. They also go deep on the Cross-Off segment — officially eliminating the Saints from playoff contention after another tough loss — and debate whether the Jets, Titans, Browns, and Ravens are next. Then, it’s on to the Honorable Mentions and the BK Top 10 Power Rankings, where the Jaguars, Colts, and Buccaneers continue to rise, and the Chiefs drop out of the top 10 for the first time in years. Key talking points:• Joe Flacco’s impact in Cincinnati• Baker Mayfield’s MVP candidacy• Drake Maye’s growth and Patriots’ playoff path• Chiefs’ midseason struggles and defensive breakdowns• Colts and Bucs’ surprise success• Jaguars, Lions, and Eagles continue to dominate• Which AFC teams are legit playoff threats If you want the smartest, funniest, and most passionate NFL power rankings show on the internet, this is it. Follow Us:Website: https://www.mtpshow.comYouTube: https://youtube.com/@MTPPodTwitter (X): https://twitter.com/MTP_podInstagram: https://instagram.com/MTP_podTikTok: https://tiktok.com/@MTP_podFacebook: https://facebook.com/MTPPodEmail: craig@mtpshow.com

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 138

Dave Clarke's Saga Series

Play Episode Listen Later Sep 26, 2025 69:09


Missing the Point
NFL Week 4 Power Rankings: Eagles, Bills, Chargers Top the List

Missing the Point

Play Episode Listen Later Sep 25, 2025 77:41


Missing the Point returns with your official NFL Week 4 Power Rankings episode, hosted by Dave Clarke, Bob Kelly, and Rayshawn Buchanan.  The hosts debate the top 10 teams heading into Week 4 of the 2025 NFL season, including where teams like the Eagles, Bills, Chargers, and Commanders stand in the national conversation. This episode dives deep into both offensive and defensive trends, quarterback development, and roster concerns that are already reshaping the playoff picture.

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 137

Dave Clarke's Saga Series

Play Episode Listen Later Sep 12, 2025 65:27


Missing the Point
NFL Week 1 Power Rankings: Eagles Dominate, Bears Collapse & The Biggest Surprises of 2025 So Far

Missing the Point

Play Episode Listen Later Sep 11, 2025 86:51


The 2025 NFL season is off and running—and the first week delivered shockers, statement wins, and early warning signs. On this episode of Missing the Point, Dave Clarke and Rayshawn Buchanan reveal our first official NFL Power Rankings of the year, breaking down the top 10 teams after one full slate of games. At the top, the Philadelphia Eagles looked like a team on a mission, while Josh Allen’s Buffalo Bills proved they’re still contenders. The Ravens, Packers, and Chargers all delivered major Week 1 performances to round out the top 5, while the Chiefs, Rams, and Bengals showed flashes but raised questions. Meanwhile, the Bears are in freefall, with rookie QB JJ McCarthy already generating buzz   We go deep on:

Missing the Point
2025 NFL Season Predictions: Division Winners, MVP Picks, Coach Firings, and Bold Forecasts

Missing the Point

Play Episode Listen Later Sep 1, 2025 118:52


The 2025 NFL season is almost here, and Missing the Point is back with one of our most anticipated episodes of the year: our full-season NFL prediction special. Hosts Mike Marcangelo, Dave Clarke, Robert Kelly, and Rayshawn Buchanan take you division by division, team by team, and award by award—breaking down exactly how we see the 2025 season playing out from Week 1 to the playoffs. We start with NFC and AFC win-loss projections, debating everything from the Dallas Cowboys' shocking decision to trade Micah Parsons to the Green Bay Packers, to whether Lamar Jackson is primed for an MVP season, and how  Caleb Williams will fare under pressure in Chicago. This isn’t just hot takes for clicks—every prediction is backed by roster analysis, coaching matchups, schedule strength, and the chaos only the NFL can deliver. This episode covers: Full 2025 NFL win-loss predictions for every team in all eight divisions The new “steal system” that lets us compete with the so-called NFL experts A deep dive into the Micah Parsons trade fallout and Jerry Jones' legacy Why Lamar Jackson is our consensus MVP pick T.J. Watt, Saquon Barkley, and Trey Henderson headline our award ballots Why we expect Kevin Stefanski to be the first coach fired Coaching redemption for Matt LaFleur in Green Bay A debate over the most overrated and underrated teams in 2025 Whether you're prepping for your fantasy draft, laying down your futures bets, or just want the smartest NFL takes heading into the 2025 season, this is the episode you don't want to miss.00:00 – Introduction: Meet the Missing the Point Podcast Crew & What to Expect This NFL Season 03:15 – 2025 NFL Prediction Recap: What We Got Right & Wrong 06:30 – Setting the Rules: How Our NFL Prediction Game Works 09:00 – AFC North Predictions: Ravens, Bengals, Steelers, Browns Analysis & Record Projections  18:45 – NFC North Deep Dive: Packers, Bears, Lions, Vikings – Impact of the Micah Parsons Trade 28:00 – NFC North Team-by-Team Debates: Can the Packers Dominate? Are the Bears Ready to Surprise? 36:20 – AFC South Preview: Texans, Jaguars, Titans, Colts – Rookie QBs & Coaching Changes 45:10 – NFC South Breakdown: Panthers, Falcons, Buccaneers, Saints – Who’s the Dark Horse? 54:00 – AFC East Showdown: Bills, Dolphins, Patriots, Jets – Josh Allen’s MVP Chances & Tua’s Health 1:04:30 – NFC East Predictions: Eagles, Cowboys, Giants, Commanders – Can Philly Repeat? Dallas in Trouble? 1:15:00 – AFC West Power Rankings: Chiefs, Chargers, Broncos, Raiders – Mahomes vs. the Field 1:23:00 – NFC West Analysis: 49ers, Rams, Seahawks, Cardinals – Can San Francisco Stay on Top? 1:32:00 – Bold NFL Award Picks: MVP, Offensive & Defensive Player of the Year, Rookie of the Year 1:38:00 – Hot Seat Watch: First NFL Coach Fired in 2025? 1:41:00 – Fantasy Football Implications: Sleeper Picks & Busts to Avoid 1:45:00 – Super Bowl Predictions & Playoff Bracket Breakdown 1:50:00 – Final Thoughts: Biggest Surprises, Upsets

Missing the Point
2025 NFL Power Rankings: Final 10 Teams Ranked, Debated, and Dissected

Missing the Point

Play Episode Listen Later Aug 22, 2025 87:55


The top 10 is here. In the explosive conclusion to our three-part NFL Offseason Power Rankings series, Missing the Pointhosts Dave Clarke, Bob Kelly, and Mike Marcangelo take you deep into the biggest storylines, controversies, and expectations heading into the 2025 NFL season. From the surging New England Patriots to the defending NFC Champion Philadelphia Eagles, we analyze every team in the top tier — no holds barred. Mike returns to defend his Patriots, citing the revamped offensive line and new weapons like TreVeyon Henderson as reasons for cautious optimism. But is Will Campbell the real deal? Can Josh McDaniels scheme around a shaky wide receiver room? We break it all down. You’ll also hear: Jordan Love vs. Caleb Williams: Is Green Bay’s QB the real deal, or is Chicago’s rookie already better? Can the Bengals start fast? Or will Zac Taylor’s job be on the line before October? The Buffalo Bills’ Final Chance: Is this Sean McDermott’s last season if he doesn’t reach a Super Bowl? Chiefs in Trouble? We discuss the looming Super Bowl hangover, Travis Kelce’s regression, and a defense exposed by the Eagles. Lamar Jackson’s Window: Can Baltimore finally put it all together with a fully healthy squad and MVP-level Lamar? Micah Parsons trade rumors, Detroit’s regression, and why the Eagles might be too stacked to fail. Whether you’re a diehard fantasy football player, a casual NFL fan, or someone addicted to offseason speculation, this episode is a must-listen. We rank all 32 teams across three episodes, but this is the one where it all comes together — with bold predictions, hot takes, and the groundwork for next week’s Win-Loss Record Prediction Special. Follow the show:Website: https://www.mtpshow.comInstagram: @MTP_podTwitter (X): @MTP_podTikTok: @MTP_podFacebook: facebook.com/MTPPodYouTube: youtube.com/@MTPPodEmail: craig@mtpshow.com

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 136

Dave Clarke's Saga Series

Play Episode Listen Later Aug 22, 2025 62:14


Missing the Point
NFL Offseason Power Rankings 2025, Part 2. Teams 19 to 10

Missing the Point

Play Episode Listen Later Aug 15, 2025 96:17


The gloves are off in Part 2 of our NFL offseason power rankings.Dave Clarke, Bob Kelly, and Rayshawn Buchanan pick up right where we left off last week after torching the league’s bottom 12. Now we’re getting into that middle-to-upper tier — teams that could swing either way in 2025. Contenders in the making, pretenders in disguise… we’re calling them out. We kick things off with the Seattle Seahawks at 19. Sam Darnold’s running the show, Cooper Kupp’s in town, and Mike Macdonald’s defense is going to have to keep this thing from falling apart while the offense figures it out. From there, it’s a ride through breakout candidates like Kyler Murray and Marvin Harrison Jr. in Arizona, a 49ers team that lives or dies on Christian McCaffrey’s legs, and a Pittsburgh Steelers squad that suddenly has Rodgers, Ramsey, and DK Metcalf but still has to survive that brutal schedule. We talk Caleb Williams’ rookie year in Chicago, why Houston might be better than people think (if Mixon and Nico can stay healthy), and how Kevin O’Connell somehow keeps the Vikings relevant even with a rookie QB. Denver’s defense looks terrifying, Jim Harbaugh might be the missing piece for the Chargers, and the Jordan Love debate rages on in Green Bay. You’ll hear plenty of “are you serious?” moments, QB ranking fights, and some very real questions about coaches like Kyle Shanahan and Mike Tomlin. Agree, disagree, yell at us on Twitter — it’s all part of the fun. Follow and contact:Website: https://www.mtpshow.comYouTube: https://youtube.com/@MTPPodX: https://twitter.com/MTP_podInstagram: https://instagram.com/MTP_podTikTok: https://tiktok.com/@MTP_podFacebook: https://facebook.com/MTPPodEmail: craig@mtpshow.com

Multi Story Thinking
Justine Fox

Multi Story Thinking

Play Episode Listen Later Aug 15, 2025 78:16 Transcription Available


Justine Fox is a colour design expert, writer, and speaker, specialising in creative public engagement and the positive opportunities for purposeful colour use in the built environment.  She is Creative Director of Studio Justine Fox and has worked with brands and material manufacturers for the built environment across the globe over the last 20 years, helping them to grow their audience and future-proof their collections. Justine is passionate about the psychological and physical impact of colour. She was shortlisted for The Pineapples 2023 as part of the Holdron's Green team. I spoke to Justine via Zoom in July 2025 ahead of the New Designers student exhibitions in London. In this episode, we discover how the psychological impact and symbolism of colour impacts your experience of space.  How Justine works with communities to co design their spaces.  The importance of a broad collaboration within a design team. The challenges of educating a neurodiverse cohort and how colour can help support learners. And why, when you are selecting colours, materials and finishes, you always need the spice. Links Justine on LinkedIN https://www.linkedin.com/in/studiojustinefox/ Studio Justine Fox https://justinefox.com/ Thanks to Dave Clarke from @iamthehow (http://www.iamthehow.com) for production support and invaluable advice in the setting up of this Podcast. Kay Hanson (https://www.instagram.com/kay_v_hanson/) for her planning support and co-hosting for these and our educational podcasts for the University of Plymouth Mark Frith (https://www.markfrith.uk/) for composing the music and all your support and advice along the way. I'd love like to hear feedback on the podcast.  Leave a comment or get in touch via the website or Instagram. Websitehttp://www.multistorythinking.com/contact Instagramhttps://www.instagram.com/forster_jonathan/ Thanks for listening.  Bye for now.

Missing the Point
2025 NFL Power Rankings Part 1 | Preseason Kickoff

Missing the Point

Play Episode Listen Later Aug 9, 2025 88:49


The NFL preseason is here. Missing the Point hosts Dave Clarke and Bob Kelly open Part 1 of our 2025 NFL Power Rankings and stack the league with clear tiers and firm takes. We start at the bottom with the Cleveland Browns. A crowded quarterback room, Myles Garrett trade chatter, and a roster in flux shape the outlook. We explain what a successful season looks like and why the floor matters more than the ceiling right now. Next, the New Orleans Saints. An aging core and tight cap space create real questions. We outline the path back to league average and the moves that would change their range of outcomes. Then it is Carolina and Tennessee. Bryce Young’s leadership versus Cam Ward’s upside. We weigh schedule, protection, and weapons, and set fair benchmarks for Year 1 progress. The New York Giants come next. Russell Wilson leads a reset against one of the toughest slates in the league. The defense must steal games while the offense finds itself. We set realistic expectations. We hit the Indianapolis Colts and Anthony Richardson. The ceiling is obvious. The turnover risk is, too. We map the development plan and what the coaching staff must emphasize for a jump. The New York Jets get a hard look. A top defense and Breece Hall can carry stretches. Justin Fields needs efficient answers on early downs. We define the passing benchmarks that unlock a playoff push. Miami’s range is wide. Tua Tagovailoa’s health and Mike McDaniel’s adjustments determine the story. We detail the fixes that stabilize the offense and keep them in the hunt. Jacksonville hinges on Trevor Lawrence. Protection and timing routes are the swing factors. We explain how a few small improvements flip close games. New England should look cleaner under Mike Vrabel. Fewer penalties. Better situational football. Drake Maye’s growth sets the cap on the win total. We lay out a credible band of outcomes. Dallas rounds out Part 1. Dak Prescott’s ceiling, Micah Parsons’ impact, and a reworked receiver room with George Pickens change the math. We explain how the Cowboys beat expectations. Part 2 lands next week with our Top 16 and playoff tiers. Subscribe and send us your Top 10. Website https://www.mtpshow.comYouTube https://youtube.com/@MTPPodX https://twitter.com/MTP_podInstagram https://instagram.com/MTP_podTikTok https://tiktok.com/@MTP_podFacebook https://facebook.com/MTPPodEmail craig@mtpshow.com

Illinois News Now
Wake Up Tri-Counties Dave and Ray Talk Wethersfield Trophy Sale Fundraiser on August 17, 2025

Illinois News Now

Play Episode Listen Later Aug 9, 2025 13:39


Dave Clarke and Ray Cruse joined Wake Up Tri-Counties to talk about an upcoming fundraiser by the Wethersfield Alumni Association. The Wethersfield Alumni Association is inviting community members to a unique fundraiser on August 17, 2025. Held from 11 AM to 3 PM in the Wethersfield High School gym, the event features a trophy sale where supporters can select trophies for a donation of their choosing. Nearly 500 awards, spanning from 1960 to 2007, will be on display and available for adoption in exchange for a donation to support scholarships and annual events. Attendees can browse former team trophies, plaques from sports, band, and Academic Bowl, and even take home a piece of local history. None are from state or regional championships. All proceeds benefit the association's class reunion activities and scholarships for graduating students. This special day also pays tribute to the classes of 1945 and 1975 during the annual reunion. Organizers Dave Clarke and Ray Cruse encourage alumni and residents to participate and help support future generations of Wethersfield graduates.

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 135

Dave Clarke's Saga Series

Play Episode Listen Later Aug 8, 2025 62:48


Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 135

Dave Clarke's Saga Series

Play Episode Listen Later Aug 8, 2025 62:48


Multi Story Thinking
Brian McManus from Supreme Upholstery

Multi Story Thinking

Play Episode Listen Later Aug 7, 2025 33:54 Transcription Available


Brian McManus is the Director of Supreme Upholstery, an upholstery manufacturer founded in 2016 and based in Trafford Park in Manchester in the UK. Supreme Upholstery is on a mission to provide high-quality furniture at affordable prices.  With an extensive range of sofas and armchairs, designed and manufactured on-site, they supply both the commercial and residential sectors. Brian has 50 years experience in sofa and chair design as Development Manager, and Production Director. He's worked with renowned companies such as Lyndon Design, which made furniture for Harrods, Heals, and the Crown Supplies. I chatted with Brian via Zoom in early 2025. In this episode, we discover how Brian began his career as an upholstery apprentice. The importance of quality and being transparent with your customers.  How raising awareness and developing relationships with designers and retailers helps to generate business. The significance of a well-organised production flow. And why, if you want to be a good upholsterer, you need to take care of the inside. Thanks to Kate Fox from Fox Graphics and Marketing for helping to set up the interview. https://www.linkedin.com/in/kate-fox-design/   Links Brian on LinkedInhttps://www.linkedin.com/in/brian-mcmanus-30b47b1b6/ Supreme Upholstery https://supremeupholstery.co.uk/ On Instagramhttps://www.instagram.com/supremeupholsteryltd/ Thanks to Dave Clarke from @iamthehow (http://www.iamthehow.com) for production support and invaluable advice in the setting up of this Podcast. Kay Hanson (https://www.instagram.com/kay_v_hanson/) for her planning support and co-hosting for these and our educational podcasts for the University of Plymouth Mark Frith (https://www.markfrith.uk/) for composing the music and all your support and advice along the way. I'd love like to hear feedback on the podcast.  Leave a comment or get in touch via the website or Instagram. Websitehttp://www.multistorythinking.com/contact Instagramhttps://www.instagram.com/forster_jonathan/ Thanks for listening.  Bye for now.

Multi Story Thinking
Nicole Lashae Ben

Multi Story Thinking

Play Episode Listen Later Jul 28, 2025 60:46 Transcription Available


Nicole is the CEO and Founder of Thrive In Design, a consultancy dedicated to helping interior designers and product manufacturers embrace human-centered design principles with the aim of helping design-driven brands stand out, sell effectively, and scale strategically. A graduate of Syracuse University and the Savannah College of Art and Design, she founded Thrive In Design to help interior product companies boost brand awareness and revenue. I spoke to Nicole via Zoom in June 2025. In this episode, we discover how a college research project prepared Nicole to help design companies deal with the challenges of the pandemic.  The importance of working your networks and making authentic connections.  How an entrepreneurial approach and a business mindset shifts can help develop your business. The role her podcast has as a platform for collaboration and thought leadership. And why, if you want to develop your business, you need to A.C.E. the journey. LinksNicole on LinkedIN https://www.linkedin.com/in/nicoleben/ Thrive in Design on LinkedIN https://www.linkedin.com/company/thriveindesign/posts/ Thrive in Design https://www.thriveindesign.co/ Sign up for Thrive in Design's next live training: https://training.thriveindesign.co Subscribe to Thrive in Design's email list: https://podcast.thriveindesign.co How to be a kick-ass Interior Designer. Come and join us on the Interior Design BA(Hons) course at the University of Plymouth.https://www.plymouth.ac.uk/courses/undergraduate/ba-interior-design Thanks to Dave Clarke from @iamthehow (http://www.iamthehow.com) for production support and invaluable advice in the setting up of this Podcast. Kay Hanson (https://www.instagram.com/kay_v_hanson/) for her planning support and co-hosting for these and our educational podcasts for the University of Plymouth Mark Frith (https://www.markfrith.uk/) for composing the music and all your support and advice along the way. I'd love to hear feedback on the podcast.  Leave a comment or get in touch via the website or Instagram. Websitehttp://www.multistorythinking.com/contact Instagramhttps://www.instagram.com/forster_jonathan/ Thanks for listening.  Bye for now.

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 134

Dave Clarke's Saga Series

Play Episode Listen Later Jul 25, 2025 62:14


Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 134

Dave Clarke's Saga Series

Play Episode Listen Later Jul 25, 2025 62:14


Missing the Point
What If They Never Got Hurt? Rewriting Sports History by Healing Iconic Injuries

Missing the Point

Play Episode Listen Later Jul 19, 2025 50:34


If you could heal one injury in sports history, which would you choose—and how much would it change everything? In this episode of Missing the Point, hosts Dave Clarke, Mike Marcangelo, and Bob Kelly dive headfirst into the biggest "what if" scenarios in professional sports: what happens when you undo the most devastating injuries of all time?From the NBA to the NFL, MLB to WWE, this is the ultimate alternate timeline conversation for every die-hard sports fan. We explore:What if Len Bias never died and became a Boston Celtics legend?What if Larry Bird never hurt his back—could the Celtics have taken down Jordan's Bulls?What if Kevin Garnett's knee held up—do the Celtics win three straight titles?What if Drew Bledsoe never got injured—does Tom Brady even become a GOAT?How would Derrick Rose's career look without the ACL tear?What if Tiger Woods never suffered back injuries—would he have passed Jack Nicklaus?Could Yao Ming have changed the landscape of the NBA as the league's global icon?We also dive into WWE's most tragic turning point—Bret Hart's concussion from Goldberg in 1999—and how it could have reshaped wrestling's entire Attitude Era.

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 133

Dave Clarke's Saga Series

Play Episode Listen Later Jul 11, 2025 60:19


Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 133

Dave Clarke's Saga Series

Play Episode Listen Later Jul 11, 2025 60:19


DT Radio Shows
Hypnotised Radio 108 Warren Scott Studio Mix

DT Radio Shows

Play Episode Listen Later Jul 3, 2025 60:01


This week I am back behind the controllers and in the mix, so expect to hear new releases and tracks from artists such as Planetary Assault Systems, Mark Broom, Dave Clarke, Gary Beck, Arthur Roberts. ⚡️Like the Show? Click the [Repost] ↻ button so more people can hear it!

Missing the Point
OKC Thunder Win NBA Title, Celtics Hit Reset, and the League Faces an Achilles Epidemic

Missing the Point

Play Episode Listen Later Jun 27, 2025 56:40


The NBA offseason just got a whole lot crazier. In this week's episode of Missing the Point, Dave Clarke, Mike Marcangelo, and Bob Kelly react to a whirlwind week in the NBA, starting with the Oklahoma City Thunder winning their first-ever NBA Championship; a massive statement from a young, homegrown team that might be built to dominate for years.Meanwhile in Boston, the Celtics have begun a dramatic reset. With Jayson Tatum sidelined for the entire season due to a torn Achilles, the team has reportedly traded away both Jrue Holiday and Kristaps Porzingis to create financial flexibility. Is the Celtics' title window officially closed, or is this just a temporary step back?We also dig into a growing and alarming trend across the league: the spike in Achilles tendon injuries. From Tatum to Tyrese Haliburton, players are dropping at an unprecedented rate. Is it the schedule? The shoes? The load management era? We examine what's behind the issue; and whether the NBA needs to take immediate action.Then, stay tuned as we react live to the 2025 NBA Draft, breaking down the biggest picks, surprises, and what it means for the league's future.

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 132

Dave Clarke's Saga Series

Play Episode Listen Later Jun 27, 2025 61:38


Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 132

Dave Clarke's Saga Series

Play Episode Listen Later Jun 27, 2025 61:38


Missing the Point
Pacers Stun Thunder: Tyrese Haliburton's Rise, Rick Carlisle's Coaching & NBA Finals 2025 Breakdown

Missing the Point

Play Episode Listen Later Jun 13, 2025 47:19


The 2025 NBA Finals have officially gone off-script — and the Indiana Pacers are the story of the postseason. In this episode of Missing the Point, Dave Clarke and Bob Kelly dive into how Indiana now holds a 2-1 series lead over the heavily favored Oklahoma City Thunder.We break down Tyrese Haliburton's incredible rise as the unlikely face of the NBA Finals, his clutch game-winners, and whether he's officially entered the top-10 NBA player conversation. Dave and Bob also examine how Rick Carlisle is coaching circles around the competition — drawing parallels to his 2011 Dallas Mavericks run when he shocked the world against LeBron's Heat.Beyond Haliburton, the Pacers' balanced team-first approach is on full display. We spotlight the huge performances from Andrew Nembhard, Myles Turner, Pascal Siakam, Benedict Mathurin, Obi Toppin, and TJ McConnell — and explain how Indiana's deep bench and unselfish ball movement have become the secret weapon against OKC's youth and athleticism.We also analyze the Oklahoma City Thunder's struggles as Shai Gilgeous-Alexander faces Carlisle's adjustments, Chet Holmgren gets exposed in the post, and Mark Daigneault tries to keep his young roster composed under Finals pressure. Plus, we debate whether OKC's youth and future assets could ironically work against them in this moment.Other topics include:Can Halliburton surpass Reggie Miller as the most important Pacer ever?How Indiana's basketball culture fuels this underdog run.How this NBA Finals compares to historic upsets like the 2011 Mavericks vs Heat.Joe Mazzulla's failures in contrast to Carlisle and Daigneault.Why the NBA Playoffs 2025 may end with one of the biggest Finals shocks in league history.If you're a fan of NBA Finals analysis, NBA Playoffs 2025 coverage, Tyrese Haliburton's rise, Indiana Pacers vs OKC Thunder breakdowns, and NBA history, you don't want to miss this episode.

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 131

Dave Clarke's Saga Series

Play Episode Listen Later Jun 13, 2025 68:24


Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 131

Dave Clarke's Saga Series

Play Episode Listen Later Jun 13, 2025 68:24


FG MIXES | HOUSE
FG MIX SPÉCIAL TECHNO : DAVE CLARKE

FG MIXES | HOUSE

Play Episode Listen Later Jun 13, 2025 60:07


Réécoutez le FG mix spécial techno avec Dave Clarke du jeudi 12 juin 2025

Missing the Point
Will ESPN Ruin Inside the NBA? Stephen A. Smith Debate, Knicks Fire Thibodeau

Missing the Point

Play Episode Listen Later Jun 4, 2025 47:08


On this episode of Missing the Point, Dave Clarke and Mike Marcangelo break down one of the biggest media shakeups in modern basketball: Inside the NBA is moving from TNT to ESPN. What does this mean for the most beloved sports show in TV history? Will ESPN let Charles Barkley, Ernie Johnson, Shaq, and Kenny do their thing—or will they butcher the format with hot takes and overproduced segments? The guys also debate whether Stephen A. Smith will join the cast—and if so, will he respect the legacy or hijack it?Then we dive into the Knicks' shocking firing of Tom Thibodeau after reaching the Eastern Conference Finals. Could this be about a potential Kevin Durant trade? Plus, we break down Joe Mazzulla's coaching issues in Boston, why Jayson Tatum's injury may close the Celtics' title window, and whether it's time for a rebuild.Also on the docket:Anthony Edwards' polarizing playoff performanceRudy Gobert's future in MinnesotaKevin Durant trade speculationNBA Finals preview: Thunder vs. PacersWhy Halliburton might struggle vs. OKC's lengthCan Shai Gilgeous-Alexander lead OKC to a title?This is one of our most wide-ranging and unfiltered episodes yet—no networks, no fluff, just real basketball talk.

Missing the Point
Celtics' Collapse, Thunder's Rise & Conference Finals Drama | NBA Playoffs 2025 Reaction

Missing the Point

Play Episode Listen Later May 24, 2025 73:23


On this week's episode of Missing the Point, hosts Dave Clarke, Rayshawn Buchanan, Mike Marcangelo, and Bob Kelly deliver an unfiltered and in-depth breakdown of the 2025 NBA Playoffs. From the Western Conference Finals to the Celtics' crushing playoff exit, we're covering all the biggest headlines in professional basketball.We begin in the West, where the Oklahoma City Thunder continue their incredible postseason run after a dominant Game 1 win over the Minnesota Timberwolves. With Shai Gilgeous-Alexander playing at an MVP level and key role players like Alex Caruso and Chet Holmgren stepping up, the Thunder might just be the favorites to win it all. We also evaluate Anthony Edwards' playoff struggles and what Minnesota needs to adjust to stay competitive.Over in the East, the Indiana Pacers shocked the New York Knicks with a wild Game 1 comeback. The crew discusses Tyrese Haliburton's evolution into a franchise cornerstone, the Knicks' late-game collapse, and how this thrilling series could play out.Then, it's time for a brutally honest postmortem on the Boston Celtics. Jayson Tatum's devastating ankle injury, Joe Mazzulla's controversial coaching decisions, and the looming financial pressure on Boston's roster all come under scrutiny. Is it time to blow it up or regroup for another run?Whether you're a Celtics fan, a Thunder believer, or just a diehard NBA junkie, this is the playoff reaction episode you don't want to miss.

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 130

Dave Clarke's Saga Series

Play Episode Listen Later May 23, 2025 64:35


Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 130

Dave Clarke's Saga Series

Play Episode Listen Later May 23, 2025 64:35


Missing the Point
Celtics Collapse vs. Knicks: Tatum Injured, Boston's Season on the Brink

Missing the Point

Play Episode Listen Later May 13, 2025 32:16


On this jam-packed episode of Missing the Point, hosts Dave Clarke and Rayshawn Buchanan deliver a passionate, in-depth instant reaction to the Boston Celtics' crushing Game 4 loss to the New York Knicks in the 2025 NBA Playoffs. The 121-113 defeat at Madison Square Garden puts the Celtics down 3-1 in the Eastern Conference Semifinals—and the injury to Jayson Tatum may have just ended their championship dreams.We dissect every pivotal moment of the game, from Tatum's devastating lower leg injury and what it means for his future in the NBA, to Jaylen Brown's lackluster postseason performance, and Kristaps Porzingis' inability to impact the series. With the Celtics' title hopes hanging by a thread, can they bounce back in Game 5 at TD Garden? Or is this the heartbreaking end to their 2025 playoff run?This episode also dives into Boston's long-term future: potential offseason trades, including whether Jaylen Brown should be moved, how Jrue Holiday and Derrick White fit into the big picture, and the chances of Porzingis being part of the plan going forward. We reflect on past NBA postseason injuries that changed the course of franchises and discuss whether the Celtics are witnessing the end of an era.From raw emotion to honest critique, this episode is must-listen content for any Celtics die-hard, NBA fan, or basketball junkie looking for deep playoff analysis and real-time reaction.

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 129

Dave Clarke's Saga Series

Play Episode Listen Later May 9, 2025 63:25


Missing the Point
NBA Playoffs: Nuggets Dominate, Celtics Collapse & Warriors in Trouble?

Missing the Point

Play Episode Listen Later May 7, 2025 77:34


This week on Missing the Point, hosts Dave Clarke, Michael Marcangelo, and Bob Kelly bring you an unfiltered, in-depth breakdown of the 2025 NBA Playoffs — from Nikola Jokic's dominance to the Celtics' catastrophic collapse against the Knicks.We start in the Western Conference, dissecting the Los Angeles Clippers' embarrassing Game 7 loss to the Denver Nuggets. James Harden disappears again when it matters most, while Nikola Jokic puts on a clinic with a monster 42-point, 22-rebound performance that proves why he's the best player on the planet. We also analyze Jamal Murray's resurgence and whether the Oklahoma City Thunder can find any answers for Jokic's unstoppable game. Plus, we show love to Russell Westbrook and debate if his comic relief on the court might be hiding real value in the Nuggets' playoff run.Then we preview the Timberwolves vs. Warriors showdown — Can Anthony Edwards cement his superstar status? Will Draymond Green's volatility derail Golden State? Is Steph Curry still that guy? We also assess Buddy Hield's surprising impact and Jonathan Kuminga's disappearing act.Over in the East, we react to the Boston Celtics blowing a 20-point lead to the New York Knicks. What's going on with Jayson Tatum's shot selection? Can a banged-up Jaylen Brown still lead this team? And is Kristaps Porzingis healthy enough to contribute? We also cover Donovan Mitchell's explosive playoff form in the Cavs vs. Pacers series, Evan Mobley's rise, and whether Tyrese Haliburton and the Pacers are the biggest dark horse in the Eastern Conference.If you're obsessed with NBA Playoff basketball, hot takes, and sharp analysis, this is your episode.

Missing the Point
2025 NFL Draft Grades & NBA Playoff Chaos: Celtics Surge, Lakers Collapse & Giannis' Next Team?

Missing the Point

Play Episode Listen Later May 2, 2025 83:27


In this jam-packed episode of Missing the Point, hosts Dave Clarke, Rayshawn Buchanan, and Bob Kelly dive into two of the biggest stories in sports right now: the 2025 NFL Draft and the high-stakes NBA Playoffs. We deliver a full breakdown of the New England Patriots' strong draft strategy, including the selection of offensive tackle Will Campbell, along with analysis of the Chicago Bears, Dallas Cowboys, Jacksonville Jaguars, and more. From team needs to best available talent, we cover all the key picks and assign grades with zero fluff.Then we shift to the NBA Playoffs, where the Boston Celtics have taken control after eliminating the Orlando Magic. Jason Tatum's superstar leap takes center stage, while we question Sam Hauser's playoff impact and discuss Joe Mazzulla's evolution as a coach. In the West, we analyze the Lakers' struggles (pre-elimination), assess the Timberwolves' physicality, and ask whether Anthony Edwards has arrived as a top-tier star. Is Jamal Murray's resurgence enough for Denver? Is James Harden dragging the Clippers down? And has Giannis played his final game in a Milwaukee Bucks uniform?We also debate potential trades, coaching failures, and what's next for teams like the Memphis Grizzlies and Miami Heat.Subscribe for fresh episodes every week with no-nonsense sports talk and sharp analysis.

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 128

Dave Clarke's Saga Series

Play Episode Listen Later Apr 25, 2025 60:37


Slam Radio
#SlamRadio - 642 - Terence Fixmer

Slam Radio

Play Episode Listen Later Apr 24, 2025 73:49


Terence Fixmer's music has the remarkable ability to not only set feet in motion on the dance floor but also resonate deeply with the searching soul, all while maintaining a profound musical depth and integrity. With a career spanning over two decades, he has released numerous albums and EPs on some of the most prestigious techno labels. His remixing talents have extended to tracks from industry giants like Depeche Mode, Yann Tiersen, Sven Väth, Dave Clarke, Front 242, Nitzer Ebb, Indochine, and more. Terence Fixmer is renowned for the quality of his live performances, gracing renowned clubs and festivals worldwide. Chapter 1: 1998-2007. In 1998, Terence established his own label, Planete Rouge. From 1999 to 2007, he gained worldwide recognition with the release of his debut album, "Muscle Machine," under DJ Hell's legendary International Deejay Gigolos imprint. In 2002, Fixmer joined forces with Nitzer Ebb's lead singer, Douglas McCarthy, to form Fixmer/McCarthy. Together, they released two full-length albums that pushed the boundaries of Techno EBM to the maximum. The album "Fixmer McCarthy Between the Devil" has earned its place as a revered classic, and the band has become iconic in the Techno EBM scene.Fixmer/McCarthy earned respect in the global scene for their unique way of creating truly pioneering sound fusions by elegantly blending the aggression of Techno Body Music and the sensuality of Electronica. Chapter 2: 2007-2015 Fixmer continued to expand the horizons of modern techno, releasing albums and EPs under his own name as well as various alter egos. His works found homes on highly respected techno labels such as Electric De Luxe, Prologue, Jealous God, CLR (including the "Depth Charged" album in 2014), Aufnahme + Wiedergabe. Chapter 3: 2015-2020 Terence Fixmer continued to evolve his sound in 2015. His EP "Aktion Mekanik," was reissued on Ostgut Ton, marking his entry into the Ostgut Ton family—the flagship label of Berlin's Berghain club. He subsequently released various EPs on Ostgut Ton ( Force EP, Devil May Care EP) and his album "Through the Cortex LP ." in 2017. Chapter 4: 2020- Terence produced music for Thomas Cohen (formerly singer of Scum) with tracks like "Braid" and "Chain of Love" on Mute Records.Additionally, he signed with the legendary label Mute Records, renowned for its roster of innovative and influential artists.  In 2022, he released his first album on Mute Records titled "Shifting Signals" . His music has been used by Fashion brand, such as Prada, Raf Simons, Zegna... Terence Fixmer's unwavering drive to craft experimental, mind-bending, and relentless sounds continues to transcend the boundaries of the musical mainstream, solidifying his place as a visionary within the techno and electronic music landscape. Tracklist via -Spotify: bit.ly/SRonSpotify -Reddit: www.reddit.com/r/Slam_Radio/ -Facebook: bit.ly/SlamRadioGroup Archive on Mixcloud: www.mixcloud.com/slam/   Subscribe to our podcast on -iTunes: apple.co/2RQ1xdh -Amazon Music: amzn.to/2RPYnX3 -Google Podcasts: bit.ly/SRGooglePodcasts -Deezer: bit.ly/SlamRadioDeezer   Keep up with SLAM: https://fanlink.tv/Slam  Keep up with Soma Records: https://linktr.ee/somarecords    For syndication or radio queries: harry@somarecords.com & conor@glowcast.co.uk Slam Radio is produced at www.glowcast.co.uk

Missing the Point
2025 NBA Playoffs Roundup: Thunder's Dominance, Lakers' Struggles & Celtics Injury Concerns

Missing the Point

Play Episode Listen Later Apr 23, 2025 73:45


Welcome to "Missing the Point," hosted by Dave Clarke and Michael Marcangelo! In this exciting and in-depth breakdown of the 2025 NBA Playoffs, we dive head-first into every critical first-round series, analyzing all the storylines and superstar performances. Hear our detailed reaction to the Oklahoma City Thunder's record-breaking dominance over the Memphis Grizzlies and why Shai Gilgeous-Alexander could lead them to the NBA Finals. We discuss why LeBron James, Luka Dončić, and the struggling Los Angeles Lakers are in trouble against Anthony Edwards' surging Minnesota Timberwolves. Plus, we examine Nikola Jokic's late-game troubles against Kawhi Leonard and the high-powered LA Clippers.In the Eastern Conference, we cover everything from the Boston Celtics' injury woes with stars Jayson Tatum and Jaylen Brown to how their depth can carry them against the gritty Orlando Magic. Explore detailed analyses of Donovan Mitchell's vintage performance for the Cleveland Cavaliers against Jimmy Butler's Miami Heat, why Tyrese Haliburton and the Indiana Pacers have shocked Giannis Antetokounmpo and the Milwaukee Bucks, and why the Pistons-Knicks series is quickly becoming a must-watch battle featuring Cade Cunningham and Jalen Brunson.Don't miss our expert insights, bold playoff predictions, and hot takes that set the stage for a thrilling postseason!

Dave Clarke's Saga Series
Dave Clarke's Saga Series Episode 127

Dave Clarke's Saga Series

Play Episode Listen Later Apr 11, 2025 64:20


Missing the Point
Mock Draft Madness, Bears & Patriots Scenarios, and Welcome to RadCast!

Missing the Point

Play Episode Listen Later Apr 10, 2025 61:30


We're officially on the RadCast Network, and we're celebrating by diving headfirst into some delicious NFL Draft madness. This week on Missing the Point, Dave Clarke and Michael Marcangelo break down Mel Kiper's latest mock draft, focusing on how it impacts two franchises in rebuild mode: the Chicago Bears and the New England Patriots.We explore best-case draft scenarios, wild hypotheticals (including Travis Hunter and Abdul Carter falling), and what Dave and Mike think the Pats and Bears should do at picks 4 and 10. You'll also hear strong takes on Tyler Warren, Ashton Jeanty, Cam Ward, Will Campbell, Trayveon Henderson, and why the running back renaissance may be upon us.Plus, the guys debate the end of the 49ers' title window, the Rams' draft strategy, and Dave's irrational hatred for Aaron Rodgers—especially if he ends up quarterbacking the Pittsburgh Steelers to a Super Bowl. You don't want to miss the laughs, takes, and unfiltered chaos as we prep for our upcoming Mock Draft Game Show.⚡ Subscribe now and stay ahead of the curve as the NFL Draft nears.—

Missing the Point
Are the Celtics Peaking at the Perfect Time? Tatum's MVP Surge, Jrue's Resurgence & First-Round Matchups

Missing the Point

Play Episode Listen Later Apr 1, 2025 83:24


The Boston Celtics are officially in playoff mode — riding an 8-game winning streak and going 23-4 since January 30th — and on this week's episode of Missing the Point, hosts Rayshawn Buchanan and Dave Clarke ask the question every NBA fan is thinking: Are the Celtics peaking at just the right time? We dive deep into the Celtics' recent dominance and break down the biggest storylines heading into the NBA Playoffs. From Jayson Tatum's MVP-level performance to Kristaps Porzingis' evolution into the ultimate stretch five, this episode is packed with insight, hot takes, and real analysis for Celtics fans and hoop heads alike.

Continuum Audio
Diversity and Underserved Patient Populations in Epilepsy With Dr. Dave Clarke

Continuum Audio

Play Episode Listen Later Mar 26, 2025 28:16


Despite advances in epilepsy management, disparities and lack of inclusion of many people with epilepsy are associated with increased morbidity and mortality. Improving awareness and promoting diversity in research participation can advance treatment for underserved populations and improve trust. In this episode, Teshamae Monteith, MD, PhD, FAAN speaks Dave F. Clarke, MBBS, FAES, author of the article “Diversity and Underserved Patient Populations in Epilepsy,” in the Continuum® February 2025 Epilepsy issue. Dr. Monteith is a Continuum® Audio interviewer and an associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Clarke is the Kozmetsky Family Foundation Endowed Chair of Pediatric Epilepsy and Chief or Comprehensive Pediatric Epilepsy Center, Dell Medical School at the University of Texas at Austin in Austin, Texas. Additional Resources Read the article: Diversity and Underserved Patient Populations in Epilepsy Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @HeadacheMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Monteith: This is Dr Teshamae Monteith. Today I'm interviewing Dr Dave Clarke about his article on diversity and underserved patient populations in epilepsy, which appears in the February 2025 Continuum issue on epilepsy. So why don't you introduce yourself to our audience? Dr Clarke: Sure. My name is Dr Dave Clarke, as alluded to. I'm presently at the University of Texas in Austin, originating from much farther south. I'm from Antigua, but have been here for quite a while working within the field in epilepsy surgery, but more and more getting involved in outreach, access to care, and equity of healthcare in epilepsy. Dr Monteith: And how did you get involved in this kind of work? Dr Clarke: That's an amazing question. You know, I did it in a bit of a inside out fashion. I initially started working in the field and trying to get access to persons in the Caribbean that didn't have any neurological care or investigative studies, but very quickly realized that persons around the corner here in Texas and wherever I've worked have had the exact same problems, getting access via fiscal or otherwise epilepsy care, or geographically getting access, with so few having neurologists close at hand. Therefore, I started working both on a regional, national, and it transcended to a global scale. Dr Monteith: Wow, so you're just everywhere. Dr Clarke: Well, building bridges. I've found building bridges and helping with knowledge and garnering knowledge, you can expand your reach without actually moving, which is quite helpful. Dr Monteith: Yeah. So why don't you tell us why you think this work is so important in issues of diversity, underserved populations, and of course, access to epilepsy care? Dr Clarke: Sure, not a problem. And I think every vested person in this can give you a different spiel as to why they think it's important. So, I'll add in a few facts pertaining to access, but also tell you about why I think personally that it's not only important, but it will improve care for all and improve what you believe you could do for a patient. Because the sad thing is to have a good outcome in the United States presently, we have over three hundred epilepsy centers, but they have about eight or nine states that don't have any epilepsy centers at all. And even within states themselves, people have to travel up to eight hours, i.e., in Texas, to get adequate epilepsy care. So that's one layer. Even if you have a epilepsy center around the corner, independent of just long wait times, if you have a particular race or ethnicity, we've found out that wait may be even longer or you may be referred to a general practitioner moreso than being referred to an epilepsy center. Then you add in layers of insurance or lack thereof, which is a big concern regardless of who you are; poverty, which is a big concern; and the layers just keep adding more. Culture, etcetera, etcetera. If you could just break down some of those barriers, it has been shown quite a few years ago that once you get to an epilepsy center, you can negate some of those factors. You can actually reduce time to access and you can improve care. So, that's why I'm so passionate about this, because something could potentially be done about it. Dr Monteith: That's cool. So, it sounds like you have some strategies, some strategies for us. Dr Clarke: Indeed. And you know, this is a growth and this is a learning curve for me and will be for others. But I think on a very local, one-to-one scale, the initial strategy I would suggest is you have to be a good listener. Because we don't know how, when, where or why people are coming to us for their concerns. And in order to judge someone, if they may not have had a follow-up visit or they may not have gotten to us after five medications, the onus may not have been on that person. In other words, as we learned when we were in medical school, history is extremely important, but social history, cultural history, that's also just as important when we're trying to create bridges. The second major thing that we have to learn is we can't do this alone. So, without others collaborating with us outside of even our fields, the social worker who will engage, the community worker who will discuss the translator for language; unless you treat those persons with respect and engage with those persons to help you to mitigate problems, you'll not get very far. And then we'll talk about more, but the last thing I'll say now is they have so many organizations out there, the Institute of Medicine or the International League Against Epilepsy or members of the American Epilepsy Society, that have ways, ideas, papers, and articles that can help guide you as to how better mitigate many of these problems. Dr Monteith: Great. So, you already mentioned a lot of things. What are some things that you feel absolutely the reader should take away in reading your article? You mentioned already listening skills, the importance of interdisciplinary work, including social work, and that there are strategies that we can use to help reduce some of this access issues. But give me some of the essential points and then we'll dive in. Dr Clarke: OK. I think first and foremost we have to lay the foundation in my mind and realize what exactly is happening. If you are Native American, of African descent, Hispanic, Latinx, geographically not in a region where care can be delivered, choosing one time to epilepsy surgery may be delayed twice, three, four times that of someone of white descent. If you are within certain regions in the US where they may have eight, nine, ten, fourteen epilepsy centers, you may get to that center within two to three years. But if you're in an area where they have no centers at all, or you live in the Dakotas, it may be very difficult to get to an individual that could provide that care for you. That's very, very basic. But a few things have happened a few years ago and even more recently that can help. COVID created this groundswell of ambulatory engagement and ambulatory care. I think that can help to mitigate time to get into that person and improving access. In saying that, there are many obstacles to that, but that's what we have to work towards: that virtual engagement and virtual care. That would suggest in some instances to some persons that it will take away the one-to-one care that you may get with persons coming to you. But I guarantee that you will not lose patients because of this, because there's too big a vacuum. Only 22% of persons that should actually get to epilepsy centers actually get to epilepsy centers. So, I think we can start with that foundation, and you can go to the article and learn a lot more about what the problems are. Because if you don't know what the problems are, you can't come up with solutions. Dr Monteith: Just give us a few of the most persistent inequities and epilepsy care? Dr Clarke: Time to seeing a patient, very persistent. And that's both a disparity, a deficiency, and an inequity. And if you allow me, I'll just explain the slight but subtle difference. So, we know that time to surgery in epilepsy in persons that need epilepsy surgery can be as long as seventeen years. That's for everyone, so that's a deficiency in care. I just mentioned that some sociodemographic populations may not get the same care as someone else, and that's a disparity between one versus the other. Health equity, whether it be from NIH or any other definition, suggests that you should get equitable care between one person and the other. And that brings in not only medical, medicolegal or potential bias, that we may have one person versus the other. So, there's a breakdown as to those different layers that may occur. And in that I'm telling you what some of the potential differences are. Dr Monteith: And so, you mentioned, it comes up, race and ethnicity being a major issue as well as some of the geographic factors. How does that impact diagnosis and really trying to care for our patients? Dr Clarke: So again, I'm going to this article or going to, even. prior articles. It has been shown by many, and most recently in New Jersey, that if you're black, Hispanic, Latin- Latinx, it takes you greater than two times the time to surgery. Reduced time to surgery significantly increases morbidity. It potentially increases mortality, as has been shown by a colleague of mine presently in Calgary. And independent of that, we don't look at the other things, the other socially related things. Driving, inability to work, inability to be adequately educated, the stigma related to that in various cultures, various countries. So, that deficit not only increased the probability of having seizures, but we have to look at the umbrella as to what it does. It significantly impacts quality of life of that individual and, actually, the individuals around them. Dr Monteith: So, what are some of these drivers, and how can we address them, or at least identify them, in our clinic? Dr Clarke: That's a question that's rather difficult to answer. And not because there aren't ideas about it, but there's actually mitigating those ideas or changing those ideas we're just presently trying to do. Although outlines have been given. So, in about 2013, the federal government suggested outlines to improve access and to reduce these inequities. And I'll just give you a few of them. One of those suggestions was related to language and having more improved and readily available translators. Something simple, and that could actually foster discussions and time to better management. Another suggestion was try to train more persons from underserved populations, persons of color. Reason being, it has been shown in the social sciences and it is known in the medical sciences that, if you speak to a person of similar culture, you tend to have a better rapport, you tend to be more compliant, and that track would move forward, and it reduces bias. Now we don't have that presently, and I'm not sure if we'll have that in the near future, although we're trying. So then, within your centers, if you have trainings on cultural sensitivity, or if you have engagements and lectures about how you can engage persons from different populations, those are just some very simple pearls that can improve care. This has been updated several times with the then-Institute of Medicine in 2012, 2013, they came out with, in my mind, a pretty amazing article---but I'm very biased---in which they outline a number of strategic initiatives that could be taken to improve research, improve clinical care, improve health equity through health services research, to move the field forward, and to improve overall care. They updated this in 2020, and it's a part of the 2030 federal initiative not only for epilepsy, but to improve overarching care. All of this is written in bits and pieces and referenced in the article. To add icing on top, the World Health Organization, through advocacy of neurological groups as well as the International League Against Epilepsy and the AES, came out with the Intersectoral Action Plan on Epilepsy and Other Neurological Diseases, which advocates for parallel improvement in overall global care. And the United States have signed on to it, and that have lit a fire to our member organizations like the American Epilepsy Society, American Academy of Neurology, and others, trying to create initiatives to address this here. I started off by saying this was difficult because, you know, we have debated epilepsy care through 1909 when the International League against Epilepsy was founded, and we have continually come up with ways to try and advance care. But this have been the most difficult and critical because there's social dynamics and social history and societal concerns that have negated us moving forward in this direction. But fortunately, I think we're moving in that direction presently. That's my hope. And the main thing we have to do is try to sustain that. Dr Monteith: So, you talked about the importance of these global initiatives, which is huge, and other sectors outside of neurology. Like for example, technology, you spoke about telemedicine. I think you were referring to telemedicine with COVID. What other technologies that are more specific to the field of epilepsy, some of these monitorings that maybe can be done? Dr Clarke: I was just going to just going to jump on that. Thank you so much for asking. Dr Monteith: I have no disclosures in this field. I think it's important and exciting to think how can we increase access and even access to monitoring some of these technologies. That might be expensive, which is another issue, but…. Dr Clarke: So, the main things in epilepsy diagnosis and management: you want to hear from the patient history, you want to see what the seizures look like, and then you want to find ways in which to monitor those seizures. Hearing from the patient, they have these questionnaires that have been out there, and this is local, regional, global, many of them standardized in English and Spanish. Our colleagues in Boston actually created quite a neat one in English and Spanish that some people are using. Ecuador has one. We have created someone- something analogous. And those questionnaires can be sent out virtually and you can retrieve them. But sometimes seeing is believing. So, video uploads of seizures, especially the cell phone, I think has been management-changing for the field of epilepsy. The thing you have to do however, is do that in a HIPAA-compliant way. And several studies are ongoing. In my mind, one of the better studies here was done on the East Coast, but another similar study, to be unnamed, but again, written out in the articles. When you go into these apps, you can actually type in a history and upload a video, but the feed is not only going to you, it may be going to the primary care physician. So, it not only helps in one way in you educating the patient, but you educate that primary care physician and they become extenders and providers. I must add here my colleagues, because we can't do without them. Arguably in some instances, some of the most important persons to refer patients, that's the APPs, the PAs and the nurse practitioners out there, that help to refer patients and share patients with us. So, that's the video uploads they're seeing. But then the other really cool part that we're doing now is the ambulatory world of EEGs. Ceribell, Zeto, to name of few, in which you could potentially put the EEG leads on persons with or without the EEG technologist wirelessly and utilize the clouds to review the EEGs. It's not perfect just yet, but that person that has to travel eight hours away from me, if I could do that and negate that travel when they don't have money to pay for travel or they have some potential legal issues or insurance-related issues and I could read the EEG, discuss with them via telemedicine their care, it actually improves access significantly. I'm going to throw in one small twist that, again, it's not perfect. We're now trying to monitor via autonomic features, heart rate movement and others, for seizures and alert family members, parents, because although about 100,000 people may be affected with epilepsy, we're talking about 500,000 people who are also affected that are caregivers, affiliates, husbands, wives, etcetera. Just picture it: you have a child, let's say three, four years old and every time they have a seizure- or not every time, but 80% of times when they have a seizure, it alerts you via your watch or it alerts you in your room. It actually gives that child a sense of a bit more freedom. It empowers you to do something about it because you can understand here. It potentially negates significant morbidity. I won't stretch it to say SUDEP, but hopefully the time will come when actually it can prevent not only morbidity, but may prevent death. And I think that's the direction we are going in, to use technology to our benefit, but in a HIPAA-compliant way and in a judicious way in order to make sure that we not only don't overtreat, but at the end of the day, we have the patient as number one, meaning everything is vested towards that patient and do no harm. Dr Monteith: Great. One thing you had mentioned earlier was that there are even some simple approaches, efficiency approaches that we can use to try and optimize care for all in our clinics. Give me what I need to know, or do. Give me what I need to do. Dr Clarke: Yeah, I'll get personal as to what we're trying to do here, if you don't mind. The initial thing we did, we actually audited care and time to care delivery. And then we tried to figure out what we could do to improve that access and time to care, triaging, etcetera. A very, very simple thing that can be done, but you have to look at costs, is to have somebody that actually coordinates getting persons in and out of your center. If you are a neurologist that works in private practice, that could potentially be a nurse being associated directly one-and-one with one of the major centers, a third- or fourth-level center. That coordination is key. Educate your nurses about epilepsy care and what the urgent situations are because it will take away a lot of your headache and your midnight calls because they'll be able to know what to do during the day. Video uploads, as I suggested, regardless of the EMR that you have, figure out a way that a family could potentially send a video to you, because that has significantly helped in reducing investigative studies. Triaging appropriately for us to know what patients we can and cannot see. Extenders has helped me significantly, and that's where I'll end. So, as stated, they had many neurologists and epileptologists, and utilizing appropriately trained nurse practitioners or residents, engaging with them equally, and/or social workers and coordinators, are very helpful. So hopefully that's just some low-hanging fruit that can be done to improve that care. Dr Monteith: So why don't you give us some of your major takeaways to how we can improve epilepsy care for all people? Dr Clarke: I've alluded to some already, but I like counts of threes and fives. So, I think one major thing, which in my mind is a major takeaway, is cultural sensitivity. I don't think that can go too far in improving care of persons with epilepsy. The second thing is, if you see a patient that have tried to adequately use medications and they're still having seizures, please triage them. Please send them to a third- or fourth-level epilepsy center and demand that that third- or fourth-level epilepsy center communicate with you, because that patient will eventually come back and see you. The third thing---I said three---: listen to your patients. Because those patients will actually help and tell you what is needed. And I'm not only talking about listening to them medication-wise. I know we have time constraints, but if you can somehow address some of those social needs of the patients, that will also not only improve care, but negate the multiple calls that you may get from a patient. Dr Monteith: You mentioned a lot already. This is really wonderful. But what I really want to know is what you're most hopeful about. Dr Clarke: I have grandiose hopes, I'll tell you. I'll tell you that from the beginning. My hope is when we look at this in ten years and studies are done to look at equitable care, at least when it comes to race, ethnicity, insurance, we'll be able to minimize, if not end, inequitable care. Very similar to the intersectoral action plan in epilepsy by 2030. I'll tell you something that suggests, and I think it's global and definitely regional, the plan suggests that 90% of persons with epilepsy should know about their epilepsy, 80% of persons with epilepsy should be able to receive appropriate care, and 70% of persons with epilepsy should have adequately controlled epilepsy. 90, 80, 70. If we can get close to that, that would be a significant achievement in my mind. So, when I'm chilling out in my home country on a fishing boat, reading EEGs in ten years, if I can read that, that would have been an achievement that not necessarily I would have achieved, but at least hopefully I would have played a very small part in helping to achieve. That's what I think. Dr Monteith: Awesome. Dr Clarke: I appreciate you asking me that, because I've never said it like that before. In my own mind, it actually helped with clarity. Dr Monteith: I ask great questions. Dr Clarke: There you go. Dr Monteith: Thank you so much. I really- I really appreciate your passion for this area. And the work that you do it's really important, as you mentioned, on a regional, national, and certainly on a global level, important to our patients and even some very simple concepts that we may not always think about on a day-to-day basis. Dr Clarke: Oh, I appreciate it. And you know, I'm always open to ideas. So, if others, including listeners, have ideas, please don't hesitate in reaching out. Dr Monteith: I'm sure you're going to get some messages now. Dr Clarke: Awesome. Thank you so much. Dr Monteith: Thank you. I've been interviewing Dr Dave Clarke about his article on diversity and underserved patient populations in epilepsy, which appears in the most recent issue of Continuum on epilepsy. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

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