Podcasts about episode sixteen

Hello again everyone, and welcome to Episode Sixteen!  I've been having a conversation with Daniel Dye for more than a decade, and for this segment, microphones were put into play!  Along with amphibians and reptiles, Daniel also has a great deal of knowledge and experience with insects, spiders, and other invertebrates, and fortunately for all of us, he's crafty with a camera, and so there are a number of venues where you can check out his work.  We didn't cover it in the interview, but Daniel is also a serious audiophile, and he has a home audio system that he built himself that will blow your hair back (I've been there, done that).  I get a kick out of his Facebook posts that feature a delicious breakfast and a selected album to go with it.  Jethro Tull's 'Minstrel in the Gallery' was on the turntable this morning - tasty stuff, Daniel! Be sure to check out Daniel's Florida Backyard Snakes site, which also has a corresponding Facebook Group. And you can follow Daniel on Instagram (he's @danielddyeii) and he's on Flickr as well as Daniel D. Dye II.  It was great talking with you again Daniel, and thanks for coming on the show!   And as always, thanks for listening, everyone!  Please keep the comments and suggestions coming!  The show email is somuchpingle@gmail.com, and there’s also a So Much Pingle group on Facebook, for discussion, comments, feedback, suggestions, herp confessions. product placement, tips for herping better, etc. Stay tuned for more episodes! And don’t forget to herp better! -Mike  

Episode Sixteen features Nathaniel Mary Quinn. 'Quinn’s passion for drawing began at a young age, while he was growing up on the South Side of Chicago. In ninth grade, he received a scholarship to attend Culver Academies boarding school in Indiana—but a month after arriving at the school, Quinn received news from his father that his mother had suddenly passed away. He returned to Chicago for Thanksgiving the following month, only to find that the rest of his family—his father and brothers—had abandoned his childhood home without a trace. This jarring experience further propelled Quinn’s art, and he decided to commit himself to his education, adding his mother’s name, Mary, to his name so that she would appear on all of his degrees. He received a BA in art and psychology from Wabash College, Crawfordsville, Indiana, in 2000, and an MFA from New York University in 2002.' Quinn is currently represented by Gagosian. You will enjoy this fun and invigorating talk. Photo Kyle Dorosz. Courtesy the artist. https://gagosian.com/artists/nathaniel-mary-quinn/ https://www.wsj.com/articles/the-deadpan-world-of-nathaniel-mary-quinn-11567600802 https://hyperallergic.com/484547/portraits-that-feel-like-chance-encounters-and-hazy-recollections/ https://www.rhoffmangallery.com/artists/nathaniel-mary-quinn2 https://www.vogue.com/slideshow/gagosian-quarterly-anderson-cooper-and-nathaniel-mary-quinn https://hypebeast.com/2020/2/nathaniel-mary-quinn-soil-seed-and-rain-rhona-hoffman-gallery-exhibition https://www.artnews.com/art-in-america/aia-reviews/nathaniel-mary-quinn-soil-seed-rain-rhona-hoffman-1202682453/ https://www.juxtapoz.com/news/painting/soil-seed-and-rain-nathaniel-mary-quinn-returns-to-rhona-hoffman-gallery/

Episode Sixteen of the Punk Rock Classrooms Podcast! "Shows Can Happen Anywhere!" The beauty of a punk show is that you didn’t need a fancy venue or really any venue. Shows in bowling alleys, church basements, house shows, someone’s backyard, a warehouse, an old grain silo, parking garages. It didn’t matter. If you had passion, instruments, and the drive to make it happen...a show was going to be put on. Education and learning can and should be the same. We don't have to confine what we do or where we teach our students to just the "classroom." There are so many more venues where our students can learn, connect, and grow. So lets take this show on the road! Twitter twitter.com/punkclassrooms twitter.com/educhefearnshaw twitter.com/JoshRBuckley Intro music - "Middle Name" by MXPX Outro music - "Amanecer Amanecer de los Muertos" by Leftover Crack Check out our PRC Playlist here for all of the rad tunes we use: bit.ly/PRCPlaylist

Episode SIXTEEN

Cad Motherloving Bane. This episode is more of a gush fest for the baddest bounty hunter in the galaxy as we finish up season one and dip into season two of the Clone Wars with Episode 21-25. We also talk about a celebrity run-in at PAX East, the Rise of Skywalker novelization and just what the hell is Project Maverick?! Turn up your headphones, dial back your sensibilities, and join the wretched hive of scum and villainy as we take the low road to resistance on Episode Sixteen of Force Insensitive!Send Email/Voicemail: mailto:forceinsensitive@gmail.comStart your own podcast: https://www.buzzsprout.com/?referrer_id=386Use our Amazon link: http://amzn.to/2CTdZzKFB Group: https://www.facebook.com/groups/ForceInsensitive/Twitter: http://twitter.com/ForceNSensitiveFacebook: http://facebook.com/ForceInsensitiveInstagram: http://instagram.com/ForceInsensitive

How do you come up with an idea for a startup? We find out one way in Episode 16 of the Planetary Potential! The Planetary Potential is hosted by Andrew P. Rowan and is recorded on location. This is Episode Sixteen of Season One which features 20 episodes with a common theme of Peru. For a transcript of this episode, head over to https://andrewprowan.com/episode-16-of-the-planetary-potential-with-paola-mego/. For exclusive bonus content, including extended versions of this and other interviews, head over to https://www.patreon.com/planetarypotential --- Send in a voice message: https://anchor.fm/planetary-potential/message

Chaz Brenchley reading his "Live at Maly's" which is found in the pages of Tales from the House Band v. 2 … Continue...Episode Sixteen – Live at Maly’s

Welcome to Episode Sixteen of Strange Pleasures Radio Lab. Your daily audio story podcast available through iTunes, Spotify and YouTube.Each day I will narrate a well known story in it's entirety. As a writer I will also include some narration of my own books that can be purchased through the Amazon Kindle Store, or through the Amazon Prime Kindle Unlimited subscription program.Today I will be narrating The Shooting Of Dan McGrew by Robert W. ServiceYOUTUBE: https://www.youtube.com/channel/UC8MoqBN8-vdAsaoYBZX32OA?viewas=subscriber?subconfirmation=1HOME WEBSITE https://strange-pleasures-radiolab.pinecast.co/SPOTIFY https://open.spotify.com/show/6x2VOcohjOKeJ8ZIJpvi8rAMAZON AUTHOR PAGE https://www.amazon.co.uk/Robert-Knight/e/B07WH3QCML/ref=dpbylinecontpopebooks_1ITUNES https://podcasts.apple.com/gb/podcast/strange-pleasures-radiolab/id1476208251STRANGE PLEASURES VIDEO LAB: https://youtu.be/9gwuSXroVvkSupport Strange Pleasures Radiolab by donating to their Tip Jar: https://tips.pinecast.com/jar/strange-pleasures-radiolabFind out more at https://strange-pleasures-radiolab.pinecast.coThis podcast is powered by Pinecast.

Episode 25: Interview with Veronika Noize, Part 1 Prologue: A Town by Any Other Name Main Story: Interview with Veronika Noize, Part 1 Veronika Noize: https://www.veronikanoize.com/ Dark Horse Comics: https://www.darkhorse.com/ Epilogue: The Best Time to be a Creative - Part 1 Episode Sixteen (related topic): http://atipodcast.com/ep-16-interview-with-micah-hansen Stef Conner Website: http://www.stefconner.com/ The Flood (original recording): https://www.youtube.com/watch?v=fBZb99yzoWY The Flood (Performed Live with subtitles): https://www.youtube.com/watch?v=PZRAbcE7aqE Mongolian Throat Music: https://youtu.be/p_5yt5IX38I BBC Production of Mongolian Throat Music: https://youtu.be/NQkrsdjJB2s   Music "Never Surrender" by Chasing Noise, off their album, Everything http://chasingnoise.wixsite.com/chasingnoise

Episode Sixteen of the kind of wrestling adjacent podcast by the high flying death defying luchador Lucha DS Officially sponsored by Masked Republic Follow Lucha DS on social media Facebook https://en-gb.facebook.com/luchaDS/ Twitter https://twitter.com/luchads?lang=en Instagram https://www.instagram.com/luchads/?hl=en YouTube https://www.youtube.com/channel/UC5FVmhw5098RETSkKmcOCsg

Hello, Welcome to Episode Sixteen of the the When In Yorkshire Podcast. My guest this week is Nathan Gray of Boysetsfire. I met Nathan ahead of his solo show in Leeds and he was one of the most genuinely passionate - positive people I have ever met. His energy and enthusiasm for spreading positivity was infectious! It was great to hear about his musical upbringing and his journey through life. If you haven't heard boysets fire or Nathan's solo album Feral Hymns, check out the spotify playlist for the podcast and then listen to everything you can!.

In this week’s episode of COSMOS AND THE CITY: THE SEX AND THE CITY PODCAST, your host Megan McIver will sit down with the stupendous Kim Kalish. Together these two will discuss Season Three, Episode Sixteen of SEX AND THE CITY entitled: “Frenemies”This week Megan & Kim will be talking through: Samantha’s sexy twin, Charlotte’s attempts to improve her sex life, Miranda’s date dropping dead, and Carrie teaching a dating course.Plus we’ll have all your favorite segments: Hottie of the Week, Pun of the Week, Good Big Bad Big, Who Wore What Why?, and You’re Such a _________.Will Samantha meet her match? With Charlotte finally get things going? Will Miranda find love in a hopeless place (a funeral home)? Will Carrie learn a thing or two herself? Through all the craziness Megan & Kim will share their thoughts on ABSO-FUCKING-LUTELY EVERYTHING.EPISODE SYNOPSIS: “Just when things were looking lively for Miranda, her new date Will fails to show up for three hours. Determined to fight back against the injustice of this "illegal dumping," she calls Will's home number and finds out that he is never going to show up -- he died last night. Stunned, Miranda agrees to pay her respects at the wake where she finds a very cute, but very dead Will. But all hope is not lost. At the wake, Miranda hits it off with Jim, one of Carrie's ex-boyfriends from years past. Carrie warns her that he's a jerk, but Miranda agrees to meet him for a date anyway, only to find out for herself that he really is a jerk. Carrie teaches a seminar about meeting men to a packed crowd of incredibly cynical and frustrated New York women. After a few pointed questions from the audience ("Have you ever been married?"), the class realizes Carrie may have written a lot about men and relationships, but she's still as clueless as the rest of them. Charlotte and Trey work on bringing "Schooner" and "Rebecca" into the harbor, but the wind never gets going. Over brunch the next morning, Charlotte tells the girls about her problems, and Samantha dishes out some raw sex advice which Charlotte finds offensive, but secretly useful. Meanwhile, while shopping for pashmina, Samantha finds her sexy, feisty clone, Claire Anne. They go out for a drink and meet two cute guys, but Claire Anne takes the sexual forwardness too far even for Samantha when she crawls under the table to get busy with one of the men. Meanwhile, on Samantha's advice, Charlotte makes herself more sexy for Trey by wearing revealing lingerie and touching herself -- it works! And for her second class, Carrie finds most of her students have dropped out. Instead of lecturing them, she decides to hit the bars and give them some real experience in the field.”Thanks for listening! If you wanna support our show by shopping on Amazon, use our link.Our Host: Megan McIver• Twitter• Instagram• FacebookOur Guest: Kim Kalish• Instagram• TwitterWhat We Watched:• Sex and the City Season Three Episode SixteenCosmos And The City Social... See acast.com/privacy for privacy and opt-out information.

Welcome to Episode SIXTEEN of the Loathed Strangers Podcast. Still just about delivering that one instalment per week. Phew! Ever won the League Cup? Ever beaten Roma? Ever beaten Napoli Ever beaten Juventus? Ever played alongside and against European Cup winners? Ever enjoyed beers with one of the greatest footballers of all time? No? Joe Butler has! Joe is one of Swindon Town's all-time greats and I had the absolutely pleasure of talking to him about his Town career. We talk about his journey from Newcastle United to Swindon Town: - Danny Williams - Harry Cousins & Maurice Owen - 1968-69 - The League Cup - Fred Ford - The Anglo-Italian Cup Winners Cup - The Anglo-Italian Cup - Dave Mackay - Food and Drink with a Football Legend - PLUS MORE! Please forgive me if I missed anything out. Football is great, isn't it!? All of the #LSPod guests volunteer their own time to discuss football with me and I’m very much grateful for it. Thanks, as always, for listening and I really hope you enjoy! Rich Facebook: The Loathed Strangers Twitter: @loathedstranger Instagram: @theloathedstrangers loathedstrangers@gmail.com Music by Matthew Kilford Artwork by John Daglish Producer: K.P.

In this week’s episode of COSMOS AND THE CITY: THE SEX AND THE CITY PODCAST, your host Megan McIver will sit down with the awesome David John Seltzer. Together these two will discuss Season Two, Episode Sixteen of SEX AND THE CITY entitled: “Was It Good For You?”This week Megan & David will be sorting through: Samantha agreeing to a threesome with her Gaybors, Miranda buying new sheets, Charlotte having a man fall asleep while they’re doing it, and Carrie someone is recovery.Plus we’ll have all your favorite segments: Hottie of the Week, Pun of the Week, Good Big Bad Big, Who Wore What Why?, You’re Such a _________ and our BRAND NEW SEGMENT “I Couldn’t Help But Wonder....”Will Samantha go through with it all? Will Miranda find someone to test out her new bed? Will Charlotte be able to keep her man awake? Will Carrie become her mans her addiction? Through all the madness Megan and David will share their thoughts on ABSO-FUCKING-LUTELY EVERYTHING.EPISODE SYNOPSIS: “Charlotte panics about her 'bed-manner' when her lover Dr. Bram Walker dozes off in bed once after a grueling day of surgery, so she takes a tantric sex class given in a very hands-on demonstration by a psychologist couple. Sam not only proclaims the dawn of pan-sexuality, but actually agrees to have a threesome with gay couple David and David, who lose interest in the idea just when she was running hot. Carrie bumps into (the cigarette of) very cute film composer Patrick Casey. She is puzzled how reluctantly he takes further steps until he confesses to be a recovering alcoholic, but when she is the one hitting the breaks....”Thanks for listening! If you wanna support our show by shopping on Amazon, use our link.Our Host: Megan McIver• Twitter• Instagram• FacebookOur Guest: David John Seltzer• Instagram• Twitter• WebsiteWhat We Watched:• Sex and the City Season Two Episode SixteenCosmos And The City Social Media• Instagram • Facebook• Twitter• WebsiteMusic by Jon Fredette • Website See acast.com/privacy for privacy and opt-out information.

Episode Sixteen. From Rodeax, the company that bought you Tales from Wytch Haven and In The Frame: The Film Review Podcast, now brings you; The CLASSIFIED Transmissions. A short 24 episode series. The Cronos Star liner has become over run with a deadly being known as the krill. Follow one mechanic's mission as he tried to save himself and anyone else that hasn't been met with the slaughter the krill bring with them. Created by Dan Lee & Rodeo Whiter Voiced by Dan Lee & Rodeo Whiter Introducing Phill Boobyer Produced by Rodeax Ltd.

Our guest this week has led something of a peripatetic life. Born to an Austrian father and a German mother, Christina Seilern grew up in Switzerland before moving to the United States with the intention of studying biology at Wellesley College in Massachusetts. But she soon dropped biology and switched   direction to study architecture at … Continue reading "Christina Seilern – Episode Sixteen"

Let's take things to the next level, Reis-guys and Reis-gals! Will you skate with us?? We sure hope so! Russ and Jon are back to talk about Episode Sixteen of Season Two ("Cold Feet")! A new apartment AND a proposal?! Those Buchmans move fast! Your hosts also talk all about the Rubik's Cubes of the Alt-Right, Henry Winkler's Rush Limbaugh impression, and 1994's answer to WebMD! There's an awful lot to laugh at, gang. Shout it from the windows and enjoy!

Episode Sixteen features guest Django Phillips back again with host -Captain Death- to tackle their creepy daddy himself, The Slenderman, featuring 3 top notch Slenderman CreepyPasta stories and 1 story written by yours truly. Unfortunately, we don't read any SaRLogs this episode, but Django will be back soon for more! Ft. a SURPRISE APPEARANCE at the end!The Tall Man(8:20)The Slenderman Cometh(16:16)Tall, Thin, and Faceless(36:47)The Marble Dubh(58:52)CHECK THE YOUTUBE for EPs! SUBSCRIBE @https://www.youtube.com/channel/UCxoqIN-fkfdlmGEjWujypxwFeaturing wonderful ambient music from our fam in Sweden: CryoChamber, givin' us all the ooky-spooky tunage. Follow: @cryo-chamberThank you!"Are You Afraid of the Dark closing theme," "Spooky Skeletons REMIX," and "You Reposted in the Wrong Neighborhood" are not my songs. Credit and All rights are reserved by the owners

http://hospodcast.s3.amazonaws.com/HOSEP16.mp3 Enter into a fresh odyssey of soul with the latest episode of Haus of SOL by DJ SOL Vibes. Episode Sixteen is inspired by Ziggy Funk’s track, Stop Strolling & Connect. So let’s get back to love and start connecting on a deeper level. If you like, please share and spread the love. Thanks!…

Episode Sixteen of IdeaPod. Clickbait is seen everywhere, so why not use them to brainstorm and get your mind stirring? In this episode, we will be playing the clickbait game! Category: Movie. Listen and see if you can guess them! ... Read More The post #16 10 Ways to Brainstorm Using Clickbait Lines appeared first on Bandwidth Marketing.

Episode Sixteen is Experimental I'm not even sure if this format works, but I wanted to give it a try, in editing I discovered some things that I would change if I did it again. Hosted by Richard B McLean and Steele Saldutti I've known Adam Cloud for years, and yet, never realized how in sync we are in our life's perspectives Steele and Richard talk audio from their different perspectives (This Episode Needs A Follow Up) THIS IS STEREO; Early Electronica; German, Orchestrated, Operatic, Gypsy, Rock, Cover Music Featured Media This Week: Vinyl Albums from 1959, 1970, and 1969 | Our Theme is By Sam Davis Have a question or comment that you’d like played on the air? — Please Leave a Message at (801) Sketch1 — [(801) 753-8241]

Welcome to the new home of the About Sex Podcast. We are listed on iTunes now!!!! Yay!!! That only took forver! You can reach us by going to www.aboutsexpodcast.com or you can click the little RSS button over by the share button (which you should also click) and add us to whatever podcatcher you use. Or you can just click here. This episode is called "Flirting and Initiation." How do you flirt? How do you know if someone is flirting with you? How do you know if you are CURRENTLY flirting and not aware of it (this is probably why so many people grab Josh's butt)? How do you initiate sexual relations with your partner? How do you initiate sex with a new love interest? How do you tune a carburetor on a Baby Blue 1964 Ford Mustang with custom chrome rims and leather interior...?  We answer some of these questions and more in Episode Sixteen of the About Sex Podcast. If you enjoy listening, please like, subscribe, and share. Enjoy!   - Josh and Angela Skurtu  

Episode Sixteen of the novel Hairy London

Episode Sixteen of Red Moon Radio features Ekaterinburg, Russia’s THE KAROVAS MILKSHAKE, speaking about their musical influences, vinyl listening parties, touring Russia on a train, recording in a stairwell, and some other great Russian garage and psychedelic bands! It’s another fantastic episode – check it out now! THE KAROVAS MILKSHAKE – In the Shade of the Purple Sun – When the Night Falls Interview with Albert and Seva of THE KAROVAS MILKSHAKE THE KAROVAS MILKSHAKE – In the Shade of the Purple Sun – Howl THE KAROVAS MILKSHAKE – In the Shade of the Purple Sun – Apple Pie GUEST DJ SET FROM THE KAROVAS MILKSHAKE – Pesnyary – Kosil Yas’ Konyushinu GUEST DJ SET FROM THE KAROVAS MILKSHAKE – John’s Children – Remember Thomas a Becket GUEST DJ SET FROM THE KAROVAS MILKSHAKE – High Tide – Walking Down the Outlook GUEST DJ SET FROM THE KAROVAS MILKSHAKE – Frank Zappa – Transylvania Boogie GUEST DJ SET FROM THE KAROVAS MILKSHAKE – The Kinks – Lola THE KAROVAS MILKSHAKE – Low-cow-motion – Poor & Broken Child THE KAROVAS MILKSHAKE – Freakout Factory – Freakout THE KAROVAS MILKSHAKE – In the Shade of the Purple Sun – Cryptique THE KAROVAS MILKSHAKE – In the Shade of the Purple Sun – Zombie Wok Check out THE KAROVAS MILKSHAKE online at www.karovas.com, on Facebook at www.facebook.com/karovas.milkshake, and on Twitter at www.twitter.com/thekarovas. You can also find all of THE KAROVAS MILKSHAKE’s music on their Bandcamp page at http://karovas.bandcamp.com! If you enjoyed the show, please follow Red Moon Radio on Twitter, Facebook, and subscribe to the show through Stitcher, iTunes, or here, on PodOmatic! And don’t forget, you can also now find us on 50thirdand3rd.com!

Episode Sixteen reunites Matthew and Sean as they discuss random things in today's news including: Kids crashing into fighter jets; Map sizes totally inaccurate; Federal Reserve debt; April Fools jokes; Marathon races; Bat vs Super; Suicide Squad Lite?; Teddy Cruz vs. American Muslims; and everybody's favorite topic these days: Cultural Appropriation. Be sure to check out CaligraphyDownhill.com!

The PW crew is back to continue the aftermath of the battle between Nell and Vayne. After recovering from harrowing events, Nell and his friends head down to Port Ciel to gather food and information when Nell encounters a mysterious bauplus in town. Meanwhile the Crystallania Empire's plan begins to move.

Join comedians Rachel Fairburn and Kiri Pritchard - McLean as they explore a shared passion, serial killers. Each episode the pair will talk all things murder and macabre and have a right laugh doing it. Episode Sixteen is a live show that we've decided to release. Each episode we asked a comedian to pick a killer and come on and chat about them, Ed Gamble picked Peter Sutcliffe, the Yorkshire Ripper. It's a pretty star studded episode with mentions of Jimmy Saville, Les Battersby and even Frank Bruno. Plus, a member of the audience has a very real connection to the Ripper.

Episode Sixteen. Harold joins us for a "conversation" of this most gleetful of episodes. A disfigured road agent exacerbates Dan's very bad day... Al's stones are loosened by Jewel's sonic screams... William takes his pet oatmeal for a walk... E.B. berates Richardson, chef savant, but finds himself undone by Alma's feminine intuitions... Maddie continues to confound the hoopleheads with her bizarre behavior. ... Also, Paul revisits the sordid affair of Kitty LeRoy and her husband/killer Samuel R. Curley. | Send feedback to hooplecast@gmail.com. Find our recording schedule, show notes, discussion threads, and more at hooplecast.com. | Recorded September 13, 2015. Released September 18, 2015. [Warning: Explicit Language.]

Episode 16: Getting Things Done, Procrastination, and 2015 Goals Welcome back to Episode SIXTEEN of the Writing and Publishing Erotica Podcast. I am H. K. Kiting and I am Dean Chills and we’re your hosts for the show. This is the podcast where we talk about writing and publishing in general, and include the occasional ...read more

[intro music]   Hello, and welcome to Episode Sixteen of Multiple Sclerosis Discovery, the podcast of the MS Discovery Forum. I’m your host, Dan Keller.   This week’s podcast features an interview with Dr. Revere “Rip” Kinkel about how to improve patient outreach. But to begin, here is a brief summary of some of the latest developments on the MS Discovery Forum at msdiscovery.org.   First, researchers are questioning if cognitive MS is a distinct entity. For some patients with MS, cognitive symptoms dominate over all other symptoms. Some of the symptoms could even be described as dementia. Researchers examined a small sample of this distinct subset of patients in a recent study in Clinical Neurology and Neurosurgery and found that many had severe brain atrophy and a high lesion load. While the results suggest that cognitive MS may be a distinct disease entity, the researchers are cautious not to draw any conclusions due to the small sample size and the weight of the term “dementia”.   An experimental oral agent for the treatment of relapse-remitting MS looks promising as it progresses through clinical trials. The drug, currently called RPC1063, was shown to be both safe and effective in a sample of about 200 patients. It may even be safer than fingolimod, which is currently the only oral drug FDA approved for the treatment of MS.   For women with multiple sclerosis, pregnancy is especially tricky. In a previous news synthesis, science writer and immunologist, Griselda Zuccarino-Catania, looked at many challenges for women with MS who are trying to get pregnant. But postpartum can be a tumultuous time for MS patients as well, since the risk for relapse increases after delivery. In this part of her series on pregnancy and MS, Zuccarino-Catania explores the current research on postpartum relapse risks, breast feeding, and disease-modifying therapies.   [transition music]   Now to the interview. Dr. Revere—or “Rip”—Kinkel is the director of the multiple sclerosis program at the University of California, San Diego. He is also the chief medical officer for an initiative managed by the Accelerated Cure Project, our parent organization, to establish an MS patient-powered research network. He sat down with me at the joint ACTRIMS-ECTRIMS meeting in Boston earlier this year to discuss how to improve patient outreach.   Interviewer – Dan Keller Welcome, Dr. Kinkel. You are now interested in new models of care. What do these entail, and why do we need them?   Interviewee – Revere Kinkel Well the traditional model is, of course, the patients coming into a clinic setting at a variable interval and having a diminishing amount of time to spend with a physician or any other kind of provider that they are seeing. Going forward in the future with fewer neurologists, fewer MS specialists available, we need to find ways to reach larger populations of patients. Whether that be through Internet portals, whether that be through outreach, through community clinics where we travel or whether it be through telemedicine or a combination of those things. So we are particularly interested in developing tools and models that allow us to reach patients in this way.   MSDF What are some of the ways that you reach them: go out in the community or how do you specifically reach people who would not typically be contacted?   Dr. Kinkel Currently we are doing a number of things. The first thing we have done is we have developed a virtual MS center online called HealthCareJourney.com which allows patients anywhere to sign up, ask questions relevant to their disease and the problems that they have and get answers. Both the questions and the answers are posted online for the entire community to see. We are also trying to find ways, particularly in California; this is true around the entire country, but particularly in California, to outreach to communities. What we have noticed with the transition with the Affordable Care Act is that a significant number of patients have been switched over to Medicaid programs. In our case we call it Medi-Cal in California. Many of these patients have been away from doctors for many years, off drugs for many years. They are not aware of services that are available to them. Many of them don't speak English as a primary language. We recognize the need to go out to the communities, have community outreach programs to reach these individuals, to do mini consults, tell them what kind of services are available, try to connect them to those services and then get them to come to our centers periodically and work with their local physicians.   MSDF Do they typically respond well to this, or are they at all wary of what you are doing?   Dr. Kinkel Well we haven't started doing it on a large scale basis. This is actually in the planning stages for next year. Interestingly we have kind of noticed this over time with drug company sponsored programs. So many of us will do these education programs for patients where we will go out and meet with a large group and we are always intrigued by the interactions we have one-on-one with the patients afterwards. That is when we really find out the issues they have and they start to hear about the things that are available for them and their eyebrows go up, they are interested, and you hear from them again because you can help them. That kind of setting has shown us that this kind of reaching out to communities helps. What I am talking about is going a step further; which is reaching out through community health centers, through other advocacy groups to find even less advantaged patients that might not have been even going to these kinds of programs and helping them, but also, including them in the process. Right now we have an understanding of MS that is based on a population that primarily goes to tertiary care centers, which is highly over-represented by Caucasian well-educated upper middle class individuals. We have far less of a knowledge of the needs and requirements of the less fortunate.   MSDF Have you heard it all or can you discern anything from reaching out to these people and what they tell you that is either surprising or new?   Dr. Kinkel I am totally amazed at kind of the lack of information they have. Just from basic MS-101. So you have to start there. Many of these individuals have kind of higher needs. When you have the needs of just putting food on the table and paying the rent and trying to make sure their children are safe, MS takes a back seat. Often in many of these families you see the effects of MS on the children, much as we see in all populations, but it is particularly acute on those individuals with less resources available to them. So there is a greater community need for support for these individuals both in terms of real services as well as in terms of education.   MSDF What are you getting out of PCORI? First of all can you define what it is, and what sort of resources they can provide you?   Dr. Kinkel PCORI stands for the Patient Centered Outcomes Research Institute, and the Accelerated Cure Project has a grant to develop a 20,000 patient centered research network. I am the chief medical officer for the PCORI Initiative. This will allow us to reach a large population of patients, but the challenge, much as I said a second ago, is reaching those individuals that might not even use the Internet or the web that often. So we need to find ways to not only include the traditional MS patients we see in many of the tertiary centers but also to reach out to these communities. What we intend to do with this reaching out is to get patients involved in the PCORI Initiative as one of the main things that we do when we reach out to the community. That will allow them a forum for describing their experience and potentially getting further resources available to them.    MSDF If they are not presenting to healthcare facilities, how do you reach them? Do you go to schools and get parents of kids or churches, or where do you get the word out?   Dr. Kinkel One of the advantages that we have now when the law of the land is that everybody has healthcare insurance; is that we can actually track people. It is interesting. What happens in many communities is the physicians don't accept Medicaid for instance, some don't even accept Medicare. But what they do is they will accept this when patients are acutely admitted. The scenario that we hear over and over again is these patients go to a healthcare facility when there is some kind of an acute decline in function. They get taken care of. They have a diagnosis code of 340 for MS attached to them, but then they are discharged with no followup plans. They are actually not seen again until there is another acute decline in function. Well, we can identify them as soon as they are identified as a number 340. Once that is done, then we can reach them for these community outreach initiatives.   MSDF Is this purely for diagnosis and treatment or can you do this for research? Do you get information from this?   Dr. Kinkel What we do is we outreach to patients and provide education. We do not initiate a patient physician relationship without their approval. So you reach out to those individuals. There is no problem with that. They have to make the step of following through and initiating that kind of an interaction. They also have to make the step of deciding that they are willing to participate in something like the PCORI Initiative. All we can try to do is be as persuasive as we can and educate them about the benefits to both them as well as the greater society.    MSDF Do you find that there are people who don't even recognize a symptom? They just think their arm is numb because it must have been something they did at work and pass it off?   Dr. Kinkel Oh yeah. It is an interesting phenomenon especially when things have been going on for a long time. If an individual is born blind, they don't see being blind a problem. If for the greater part of their life they have noticed that they have numbness in their feet, sometimes they don't mention it, because they don't consider it a problem. We always find that when we are seeing patients for the first time, they will describe these vague neurological symptoms that go back for many years.    MSDF Tell me about the OPT-UP project?   Dr. Kinkel So the OPT-UP project is just a part of the normal evolution of the Accelerated Cure Project. The Accelerated Cure Project was developed to have a repository of well characterized patients with their biological samples for researchers around the country. We recognize that there were issues with the repository. We didn't have good longitudinal samples; we couldn't guarantee that we had samples on patients before and after they went on drugs so we could look at biological responses. So the OPT-UP study was to address that as well as the need to begin to create an environment where we were combining clinical and research activities to get more patients involved in research activities. By that I mean we know very little about long-term outcomes in MS. Part of this is because there is no coordinated manner to collect data longitudinally that is agreed upon between all of the clinicians that are caring for these patients. So we wanted to kind of operationalize that process so that we could follow these long-term outcomes and collect them. By doing so, we can answer a lot of questions that we have. For instance, in the near term with the OPT-UP study, since the only requirement for the study is that a person be initiating a drug, whether it be for the first time or for the tenth time, they are just initiating drug. One of the things that we will learn is; what are the reasons why people start drugs, what are the reasons why they stop drugs, what are the reasons why doctors are putting them on this drug or that drug. We know very little about that. What we really do know still is that a tremendous number of patients at least 50% discontinue a drug within two years of starting it. If we don't first know exactly why this behavior exists, it is hard to keep patients on therapies for a longer period of time, and to see which therapies are going to be most beneficial.    MSDF Will this go on indefinitely?   Dr. Kinkel It is a long-term study. The duration of a study is always dependent upon a number of factors; funding, interest, but yes we are building in a number of mechanisms that allow us to follow patients for a very long time in the study. Probably the key to this is a dedicated nurse research coordinator at each site that will be responsible for entering and following patients over a period of time. And when sites exceed a certain number of patients then they hire another one, because what we have discovered in the past from the many research studies that we do is there are competing interests. Whenever we try to continue to follow people for a long time, other interests win out. There is no one there to kind of encourage the patient to continue their participation. The studies that have been more successful – a long-term study like the Nurses' Health Study – they are able to do that primarily because they put the resources into ensuring that, that experience is meaningful for the patients and that they will want to continue to contribute that data.   MSDF Will this initiative also collect general health data knowing about comorbidities and be able to correlate those with the course of the disease?   Dr. Kinkel Yes absolutely. It is one of the main things that we want to do. In fact, one of the reasons why pretty much the only inclusion criteria is, that a person be starting a drug. Most Phase III studies exclude people when they have other health conditions. This is why there is so little external validity to these studies. The way we gain that validity is to encourage those patients who do not normally contribute to clinical research to participate in the study, either because they don’t want to, they can't get to the site, or because they are excluded by the exclusion criteria.   MSDF On these topics, is there anything important to add?   Dr. Kinkel I think the most important thing to add is that we are entering into an era…we are already in an era in which technology is rapidly transforming how we reach patients, and we need to kind of embrace it. I see that many of my colleagues are reluctant to. I see it in their unwillingness to embrace electronic medical records for instance. They see it as a burden.  And it is true; there is some burdensome aspects to it. I believe, however, in a world in which they have less time to spend individually with their patients in a clinic setting, in that kind of a world, they need to find other mechanisms to reach and meet those needs of their patients. One of the ways to do that is through these kinds of technologies. Using the website. I encourage them to send their patients to the healthcarejourney.com website for instance to get general information about MS so that they can reduce the burden on their own centers and their own staff with patients calling in with questions every other second.   MSDF Very good. I appreciate it.   Dr. Kinkel Thank you.   [transition music]   Thank you for listening to Episode Sixteen of Multiple Sclerosis Discovery. This podcast was produced by the MS Discovery Forum, MSDF, the premier source of independent news and information on MS research. MSDF’s executive editor is Robert Finn. Msdiscovery.org is part of the non-profit Accelerated Cure Project for Multiple Sclerosis. Robert McBurney is our President and CEO, and Hollie Schmidt is vice president of scientific operations.    Msdiscovery.org aims to focus attention on what is known and not yet known about the causes of MS and related conditions, their pathological mechanisms, and potential ways to intervene. By communicating this information in a way that builds bridges among different disciplines, we hope to open new routes toward significant clinical advances.   We’re interested in your opinions. Please join the discussion on one of our online forums or send comments, criticisms, and suggestions to editor@msdiscovery.org.    [outro music]    

Episode SIXTEEN of the Soup Sessions Podcast with tracks from Eric Prydz, Ovnimoon and many more.

This was a fun podcast to record. It's a great conversation between Mike and Maria Keiser, and myself. We have two main takeaways for this conversation. 1) The benefit of having a trusted group of peer advisors. 2) The power of knowing your own strengths and how to play to their advantage. Have a listen to hear more! Below are the items mentioned in this episode of the podcast. MentalCompass.com Entrepreneur Circle Peak Performance Podcast Mike's Favorite Podcast Episode: Interview with NFL great, actor, & personal trainer Pete Koch Maria's Favorite Podcast Episode: Two questions you should ask yourself everyday Are you a peak Performer Assessment  Download the Intro Program Listen to the podcast by clicking the play button below! Would you prefer to read the transcript than listen to the episode? No problem! Read the transcript below! (Coming soon!) AUDIO TITLE:  Episode #16 – Mike and Maria Keiser Jenn T Grace: You are listening to the Gay Business and Marketing Made Easy Podcast, Episode Sixteen. Intro: Welcome to the Gay Business and Marketing Made Easy Podcast where you'll learn how to do business with and market to the LGBT community in an authentic and transparent way. We're talking about the $790 billion lesbian, gay, bi-sexual and transgender community. We'll help you grow your business, gain market share and impact your bottom line. And now your host - she's an entrepreneur, a marketing maven and an advocate for the LGBT business community. Jenn, with two N's, T. Grace. Jenn T Grace: Well hello and welcome to episode number sixteen of the Gay Business and Marketing Made Easy Podcast. I am your host, Jenn Grace, and today I have a really exciting interview for you. I have been talking about the Human Performance Academy and www.MentalCompass.com and Mike and Maria Keiser for a while now. And they actually sponsor this podcast. So anyone who's a loyal listener of the podcast, I'm sure you've heard the commercial from Mike Keiser of www.MentalCompass.com. And today I actually was able to sit down and talk with both Mike and Maria about the benefits and values of having a peer advisory board, and the benefits of knowing yourself, and knowing how you operate in business. So I had a great conversation with them, that I'm really pleased to be bringing you. If you hear any links in the podcast, you can find the information at www.JennTGrace.com/016, that is for episode number sixteen. So without further ado, let's dive into the interview. Okay so today I am talking with Mike and Maria Keiser. They are the- I don't even know what your titles are officially. But the founders of the Entrepreneur Circle, and also the creators of the Human Performance Academy. And for people who are listening to this right now, I'm sure you've heard me announce 1,000 times over that the Human Performance Academy is amazing, and that they are sponsors of this podcast, et cetera, et cetera. And then of course most of you will be familiar with Mike's voice, however we have Maria here as well who's somewhat the quite force behind the scenes. Maria Keiser: Hi Jenn. Jenn T Grace: There, oh look, she's already appeared. Maria Keiser: Jenn if you are wondering about a title for me, people have asked me this before and I just usually stick with Queen. Jenn T Grace: I'll take it, let's do it, 'Queen.' Alright so we have Queen Keiser and Mike. Mike Keiser: Court jester is fine. Jenn T Grace: That's actually pretty fitting based on your podcast as well. So this is my first time interviewing two people on one show, so this should be interesting to say the least. But I would love before we get into any of the nitty gritty and the details on all the different business types of endeavors that you're going on, I would love for you both to just give a really quick ov...

Welcome to Episode Sixteen of The Epic Questions Podcast!! Today is Sunday, May 12, 2013. Today I have a very special guest Hathorr from LowPopWoW and My Epic Heals! After getting to know what makes Hathorr an everyday gamer, we jump right into YOUR questions about the Auction House "Game," Easter Eggs within the Game, PVP on Low Population servers, how we come up with the names to our characters, and much more! So sit back, relax and enjoy the show!

For your delectation:Episode SixteenWherein many things get discussed probably, but we weren't really paying attention because we got sidetracked by a very stupid thought. Simon probably won, he always does, and he was exceptionally good at Article Or Farcical, as usual.