Dr. Sands is a human-companion animal practitioner. Dr. Sands gained his doctorate in ethology at the Faculty of Science at Liverpool University. In 2005 Dr. Sands received a phone call from a television director asking if dogs could commit suicide. What followed was an investigation into the dog leaping mysteries surrounding Overtoun Bridge. We spoke with him about what he learned while studying the bridge. Hosted by Ray Tarara Written & Produced by R.J. Blake and Ray Tarara Theme Music by Terra Monk Special guests: Dr. David Sands - http://www.problempets.co.uk/ (The Animal Behavioral Clinic) Additional music by: https://www.s-cheremisinov.com/ (Sergey Cheremisinov)
In this episode of Illuminate Higher Education, N2N Services CEO Kiran Kodithala speaks with Roger Sands, CEO at Wyebot.Wyebot keeps WiFi systems up and running, automatically detecting WiFi issues and providing AI-driven solutions. IT departments can now receive the aid they need while also saving them time. This technology can improve the learning experience for teachers and students in a dramatic way. Even the smallest WiFi issue can become a massive headache for some of the most critical processes, especially if you lack visibility into the problem and can't tackle it quickly.In many situations, a lot of customers Wyebot deals with will send in more complaints about network and WiFi connectivity than they will about plumbing and electricity — even when the electricity is out. They'll still be talking about the network and not being able to access their information.The goal is finding those connectivity issues before they disrupt the end user and business continuity.This episode is brought to you by N2N's Illuminate App, The iPaaS for Higher Education. Learn more at https://illuminateapp.com/web/higher-education/Subscribe and listen to more episodes at IlluminateHigherEducation.com
Joining me for this week's Table Conversation is hypnotist Doug Sands… Doug specialises in using hypnosis for weight loss. He says by focussing on the emotions behind weight gain he can help his clients achieve significant weight loss. Doug explains how he found hypnosis and how we can use it to communicate with our subconscious mind to overcome stress, anxiety and lose weight. He also dispels some of the myths about hypnosis and how our mind works with food. He shares a mini introduction to hypnosis session for you to join in and experience! You can find more from Doug Sands on Instagram @loseweighthypnosis For general information on YouTube: https://www.youtube.com/channel/UCgp0ylxhJsL2QXsU8IdmQVQ His YouTube for some free sample hypnosis sessions: https://www.youtube.com/playlist?list=PLbzFNtbacWQS3zFZlTS-rb6oH4jIKyozF His website is: www.anywherehypnosis.com
This episode talks about a recent controversy in the news regarding Dr. Allyn Walker's research on minor attraction and childhood sexual abuse. I first share the importance of this topic and its nuanced complexities, then I interview a non-offending minor attracted person named Richard Kramer, who discusses what it is like to live with these highly stigmatized desires. Other topics covered: abuse prevention, academic freedom, and stigma related stress. Ads: - 10% off and free shipping at uberlube.com with code sands - 30% off any Satisfyer https://us.satisfyer.com/us/?utm_source=Podcast&utm_medium=SANDS&utm_campaign=2H - 30 day free extended trial dipseastories.com/sands Jezebel article: https://jezebel.com/professor-on-leave-after-comments-about-people-attracte-1848089269 B4U-Act: https://www.b4uact.org/ FOLLOW US Twitter Instagram Facebook Send questions, comments, stories, rants to: SlutsAndScholars@gmail.com Sluts And Scholars is a production of sluts and scholars media.
Psalm 103 New International Version Psalm 103 Of David. 1 Praise the Lord, my soul; all my inmost being, praise his holy name. 2 Praise the Lord, my soul, and forget not all his benefits— 3 who forgives all your sins and heals all your diseases, 4 who redeems your life from the pit and crowns you with love and compassion, 5 who satisfies your desires with good things so that your youth is renewed like the eagle's. 6 The Lord works righteousness and justice for all the oppressed. 7 He made known his ways to Moses, his deeds to the people of Israel: 8 The Lord is compassionate and gracious, slow to anger, abounding in love. 9 He will not always accuse, nor will he harbor his anger forever; 10 he does not treat us as our sins deserve or repay us according to our iniquities. 11 For as high as the heavens are above the earth, so great is his love for those who fear him; 12 as far as the east is from the west, so far has he removed our transgressions from us. 13 As a father has compassion on his children, so the Lord has compassion on those who fear him; 14 for he knows how we are formed, he remembers that we are dust. 15 The life of mortals is like grass, they flourish like a flower of the field; 16 the wind blows over it and it is gone, and its place remembers it no more. 17 But from everlasting to everlasting the Lord's love is with those who fear him, and his righteousness with their children's children— 18 with those who keep his covenant and remember to obey his precepts. 19 The Lord has established his throne in heaven, and his kingdom rules over all. 20 Praise the Lord, you his angels, you mighty ones who do his bidding, who obey his word. 21 Praise the Lord, all his heavenly hosts, you his servants who do his will. 22 Praise the Lord, all his works everywhere in his dominion. Praise the Lord, my soul.
Joining us this week on JUST is https://www.genellealdred.com/ (Genelle Aldred), a journalist, author, speaker, and storyteller. She's an ambassador for https://www.sands.org.uk/ (SANDS), and author of the book https://spckpublishing.co.uk/communicate-for-change (Communicate for Change), which inspired this conversation. Tune in and enjoy! 0:00 Intro 0:43 Episode starts 1:45 Jes's check in 5:05 Rob's check in 6:48 Rob introduces Genelle to the call 7:26 Genelle joins 9:09 Rob gives Genelle's bio 10:11 What's your story? 14:58 What about the present moment makes it hard to discuss issues of injustice? 20:18 Interlude 21:32 Rob quotes from Genelle's book 23:14 What led you to model "putting down your stone"? 29:35 Why is it important to appeal to both the heart and the mind? 33:52 What is the term "activist savior"? 39:06 What advice would you give folks entering the holiday season? 44:19 Is there anything you'd like to leave listeners with? 46:09 Wrap up and goodbyes 47:22 Outro Thank you to DJ Pdogg and Producer Lo Key for our awesome music throughout the show! Follow DJ Pdogg online: http://www.djpdogg.com/ (www.djpdogg.com) https://twitter.com/DJPdogg?s=20 (Twitter) https://www.instagram.com/djpdogg/ (Instagram) Follow Producer Lo Key https://www.instagram.com/producerlokey/ (Instagram) Our sponsors: https://www.recitynetwork.org/ (ReCity Network) https://www.coastal24.com/ (Coastal Credit Union) Our hosts: Jes Averhart, cofounder of https://bwshomecoming.com/ (Black Wallstreet Homecoming) Rob Shields, executive director of the https://www.recitynetwork.org/ (Recity Network.) Our Producer: Ben Azevedo, owner of https://www.bearcaveaudio.com/ (Bear Cave Audio) Our Editor Chris Pappalardo
In episode #073, Roxanne shares her personal story of loss as well as her expertise as a trauma-informed coach for professionals. Roxanne's daughter, Kaitlyn, was stillborn in the 40th week of pregnancy in November 2018. Six months later, she experienced a miscarriage at 8 weeks. She subsequently went on to have her son toward the end of the first lockdown in the UK. Following her miscarriage, she was diagnosed with post-traumatic stress disorder (PTSD) and went through therapy for two years. Roxanne is a trained befriender with SANDS, the Stillbirth and Neonatal Death charity in the UK. She has also launched a coaching business to support people going through huge life setbacks while also trying to keep their careers on track. We discuss the importance of having mental health support during these difficult times, and Roxanne shares the differences between therapy and coaching. Topics Discussed: stillbirth, miscarriage after stillbirth, pregnancy after loss, mental health, trauma, post-traumatic stress disorder (PTSD), therapy, coaching, COVID-19 pandemic CONNECT WITH ROXANNE- www.keepsakeforkaitlyn.wordpress.com www.facebook.com/keepsakeforkaitlyn www.facebook.com/reclaimyourfuture www.instagram.com/keepsake_for_kaitlyn MISCARRIAGE HOPE DESK RESOURCES- Miscarriage Hope Desk aims to help women struggling miscarriage, pregnancy loss and recurrent miscarriages (RPL), by providing the following resources- - Library of Articles, found here- https://miscarriagehopedesk.com/library/understanding-why/ - Instagram Community- https://instagram.com/miscarriagehopedesk - Facebook Community- https://www.facebook.com/groups/1617075958466247/ - Free Miscarriage Lab Checklist- https://miscarriagehopedesk.com/labs - Free Weekly Newsletter- http://miscarriagehopedesk.com/newsletter FREE MEAL PLANS Do you need help getting healthy, tasty meals on the table? Check out our sponsor Prep Dish, PrepDish.com/mhd to get 2 weeks FREE! SHOW NOTES- https://miscarriagehopedesk.com/podcast/ Get a FREE Miscarriage Lab Testing Checklist- MiscarriageHopeDesk.com/labs
On this episode we got the bro back mr aaron sands from the premiere boyz podcast and king talk with aaron sands for the survivor series prediction episode. Mr Aaron Sands Contact Info: ig: @aaronsandspremiere @shotbysands King Talk with Aaron Sands every other fridays : https://anchor.fm/kingtalkwithsands The Premiere Boyz Podcast: www.anchor.fm/thepremiereboyzpodcast His Last Old School Show Appearance (episode 8): https://anchor.fm/kenmrgentleman/episodes/The-old-school-show-episode-8---what-happened-to-this-saturday-morning-and-afternoon-cartoons-era-part-1-with-mr-Aaron-sands-7252021-e13vlr3 my Contact Info: instagram: @ken_mrgentleman @mrgentlemanlifestylepodcast Email: firstname.lastname@example.org Website: http://mrgentlemanlifestylepodcast.com All my social media: https://linktr.ee/ken_mrgentleman Youtube channel: https://www.youtube.com/channel/UCpd6jM9ZrdHmZoLViCJ_ANw Mrgentleman Lifestyle Podcast Paid Content: https://anchor.fm/kenmrgentleman/subscribe My Guest Appearances on King Talk With Aaron Sands: episode 14: https://anchor.fm/kingtalkwithsands/episodes/Episode-14---The-Power-Of-Positivity-with-Ken-aka-MrGenteman-1152021-e19pulk/a-a4l0qpe --- Send in a voice message: https://anchor.fm/kenmrgentleman/message
Apollo Global is once again getting involved in the gaming world of Las Vegas as they swoop in to purchase Sands Corp Las Vegas properties. (Commercial at 15:17)To contact me:Bobbycapucci@protonmail.com If you enjoy my content and want to help support the podcast:paypal.me/bobbycapuccihttps://www.gofundme.com/f/the-jeffrey-epstein-showSource:https://www.google.com/amp/s/www.wsj.com/amp/articles/sands-to-sell-las-vegas-properties-for-6-25-billion-as-it-focuses-on-asia-11614776358
I narrated my first audio book in 2005, a very large and little known book called Twilight by Stephenie Meyer, a giant series to kick off my career and here I am 90 books later and I have told many stories, which I love so much. And on this episode we have guest: Jeremy Forsyth, whom we have had the pleasure of working with and I narrated his book, The Little Fairleaf. Jeremy Andrew Forsyth is a South African fantasy writer who is based in Johannesburg. Born and bred in the City Of Gold, he is working on carving his name in the literary world. He is the author of the epic fantasy, Upon the Sands, which is set in a fantastic world where mystery and magic come alive. His passion for writing all started at the tender age of 9. Forsyth's late grandmother who was also an author, would often read to him as a child, and those imaginative tales became an integral part of his life. His first writing exploits were immortalized in notebooks and his first cellular device: marking the start of what would later be his career. Forsyth continues to be inspired by authors such as C. S. Lewis, J. R. R. Tolkien, and Sharon Penman to name a few. These authors' ability to construct creative tales that translate exquisitely to the reader, embolden Forsyth to do the same. He also finds inspiration in the great outdoors, history, Medieval history - with its plot twists that, even some of the greatest writers could never conjure to fictional life - has continuously fascinated Forsyth. Forsyth's deep-set love of imaginative worlds, storytelling, reading, as well as his life lived and inspirations, have culminated in this serendipitous career path for him. In addition to “Upon the Sands”, he has also the author of The Sun, Moon, Sand, and Star series, a collection of short stories which include The Evening Tide, The Broken Rose, The Missing, The Raven Heiress, and The Little Fairleaf. All Music and Lyrics by Ilyana Kadushin and James Harrell.
Gabe has bread making powers, Anna's vibes infect the very fabric of the podcast, they both lose their tether to this physical world, and also have you ever wanted to join a Manhattan Micronation??? It's Bad!!! Find us on Twitter @badcursed, and if you want to send us some cursed audios, send them to email@example.com and we'll give them a listen! Be sure to give yourself a fancy title (and tell us your pronouns!) Bad!!! is part of the Common Unity Media podcast network! Many exciting things are happening, like a Patreon, a merch shop for your favorite shows, and special exciting bonus content! Head on over to commonunity.media to check it out and peruse the other wonderful shows on the network! The first two episodes of Bad Bites are live now for our patrons to listen to! If you want to see lists of audios and extra info about Bad!!! episodes, head over to our fan wiki, created and maintained by our lovely listeners! https://bad-cursed-podcast.fandom.com/wiki/Bad!!!_-_a_Cursed_Concepts_Podcast_Wiki
Join Lylie and me as we talk about how to begin thinking of planning your first safari. We then dive into South Africa and the incredible wildlife you will see on your journey. We also talk about the most luxurious lodges and how they compare. Although safaris are a lot about seeing wildlife, we'll also touch on the many other experiences you can have when not in the bush and the beautiful places to visit before or after your safari. Visit truvaytravel.com/30 for a video of today's show and additional resources.
If you watched the recent Goop series Sex, Love, & Goop, you may know a bit about Sexological Bodywork; tune in to learn even more. Educators Chris Maxwell Rose and Charlotte Mia Rose, aka the Pleasure Mechanics, join in for a conversation about body work, the importance of touch, how to savor more and increase your pleasure in life and sex, erotic massage, and more! Ads: - YourParade.com/sands and use code sands to get twenty percent off your first order - Everlywell.com/sands for 20% off your at-home lab test - Go to GETQUIP.com/SANDS and get your first refill FREE - Pleasure Mechanics: The Erotic Essentials free online course, rich with resources and freebies: https://pleasuremechanics.teachable.com/p/the-erotic-essentials/?affcode=160539_guqx01pi Pleasure Mechanics: https://pleasuremechanics.teachable.com/?affcode=160539_guqx01pi FOLLOW US Twitter Instagram Facebook Send questions, comments, stories, rants to: SlutsAndScholars@gmail.com Sluts And Scholars is a production of sluts and scholars media.
One of the most famous early abduction cases is that of Travis Walton in late 1975, which received a lot of attention and still fascinates many people to this day. Walton's case was investigated primarily by the Aerial Phenomena Research Organization. In the midst of that investigation, APRO was contacted by Johnny Sands, a country western singer who claimed he had encountered two humanoids in the desert outside of Las Vegas, Nevada. It is perhaps because of the attention given to the Walton case, that Sand's case has all but been forgotten. I might also be because it's seriously weird.According to Sands, in his report to APRO and in subsequent interviews with researcher Timothy Green Beckley, he was in Vegas to promote a new record with some live shows. He had been visiting the towns surrounding Las Vegas to see how much his record was being played on local radio and how many jukeboxes it was in, and on January 29, 1976 (Sands didn't recall the exact date with Beckley), he had been in Pahrump, Nevada.Read more →
This week we Travel in Time to bring you our Review of Prince of Persia, Sands of Time. Starring Mike Albertin, Vincent Goodwin, and Daniel Mellman. Some of My Friends Read Comics - https://allmyfriendsarerighthere.com/tag/some-of-my-friends-read-comics-2/ Daniels Twitter - @Snacko0 A Gamer Looks at 40 - https://feeds.buzzsprout.com/1426576.rss Helena - @HelHathFury on TikTok Patreon - https://www.patreon.com/GamesMyMomFound Follow us on Facebook. Twitter - @Mom_Found Instagram - gamesmymomfound_ YouTube - https://youtube.com/c/GamesMyMomFoundPodcast
Travel Freely (Our recommended tool for maximizing travel rewards in Vegas & beyond) Free sign-up - https://milestomemories.com/go/travel-freely-youtube/ Episode Description On this week's podcast we start by talking about the big news of the week. MGM Resorts announced Mirage is now for sale, while their biggest rival Caesars announced they are going to sell a Vegas Strip property in early 2022. Who will be buying and how will this change the Vegas landscape? This past week was also Halloween and naturally Vegas had some unique offerings for the holiday. Our favorite was the Vegas Vickie costume contest where people dressed up like the iconic neon statue for a chance to win $10,000. Many of the costumers were awesome. In other news we learned that the Strip had record gaming revenues for the 3rd quarter, taking in over $2.1 billion. That didn't stop Caesars from losing money, however things are moving in the right direction for them. In other news rents are at astronomical records in Vegas right now, KISS is out and Buble is in for residencies, the new minor league arena is disappointing and is Sands building a new casino in New York City? About the Show Each week thousands of people tune into our MtM Vegas news show at http://www.YouTube.com/milestomemories and now we bring you the MtM Vegas podcast where we can spend a little more time sharing our best Vegas info, tips, reviews and stories plus talk to some of the most interesting people in Vegas. Enjoying the podcast? Please consider leaving us a positive review on your favorite podcast platform! You can also connect with us anytime at firstname.lastname@example.org. You can subscribe on Apple Podcasts, Google Podcasts, Spotify or by searching "MtM Vegas" or "Miles to Memories" in your favorite podcast app. Don't forget to check out our travel/miles/points podcast as well!
2 Corinthians 9:6-15 (NIV) Remember this: Whoever sows sparingly will also reap sparingly, and whoever sows generously will also reap generously. Each of you should give what you have decided in your heart to give, not reluctantly or under compulsion, for God loves a cheerful giver. And God is able to bless you abundantly, so that in all things at all times, having all that you need, you will abound in every good work. As it is written: “They have freely scattered their gifts to the poor; their righteousness endures forever.” Now he who supplies seed to the sower and bread for food will also supply and increase your store of seed and will enlarge the harvest of your righteousness. You will be enriched in every way so that you can be generous on every occasion, and through us your generosity will result in thanksgiving to God. This service that you perform is not only supplying the needs of the Lord's people but is also overflowing in many expressions of thanks to God. Because of the service by which you have proved yourselves, others will praise God for the obedience that accompanies your confession of the gospel of Christ, and for your generosity in sharing with them and with everyone else. And in their prayers for you their hearts will go out to you, because of the surpassing grace God has given you. Thanks be to God for his indescribable gift!
This week features coach and author of Hookup Without Heartbreak Lia Holmgren. We talk about her new book and how to explore your sexual desires and hookups more intentionally as well as some ways to take better care of yourself, your feelings, and your boundaries during casual encounters. Ads: If you go to GETQUIP.com slash SANDS, RIGHT NOW, you'll get your first refill FREE. 10% off and free shipping when you use my code SandS at UberLube.com. Dipsea is offering an extended 30 day free trial at Dipseastories.com/sands Lia: https://liaholmgren.com/ FOLLOW US Twitter Instagram Facebook Send questions, comments, stories, rants to: SlutsAndScholars@gmail.com Sluts And Scholars is a production of sluts and scholars media.
Episode 132: Joe and Kari will discuss their recent Cancun adventures very soon in an upcoming 80's in the Sands episode, but for now, please enjoy this episode covering an event that has been talked about in passing in previous episodes. The Nelson Mandela 70th Birthday Tribute was a massive undertaking that occurred at Wembley Stadium in 1988. Diverse acts like Sting, Joan Armatrading, and Simple Minds performed. Listen to clips from the concert from these acts and more, as well as commentary from Joe and Kari.
On this bonus episode here an exclusive interview from king talk with aaron sands discussing the podcast shows, nightlife , life and many more. This Interview was recorded back in june 2021 Season 5 of Mrgentleman Lifestyle Podcast November 14th aaron sands contact info: ig: @aaronsandspremiere @shotbysands King talk with aaron sands every other fridays: https://anchor.fm/kingtalkwithsands the premiere boyz podcast: www.anchor.fm/thepremiereboyzpodcast his last old school show appearance (episode 9): https://anchor.fm/kenmrgentleman/episodes/The-old-school-show-episode-9---what-happened-to-Saturday-morning-and-afternoon-cartoon-era-part-2-with-mr-aaron-sands-8222021-e14uag1 my Contact info: instagram: @ken_mrgentleman @mrgentlemanlifestylepodcast email: email@example.com website: http://mrgentlemanlifestylepodcast.com all my social media: https://linktr.ee/ken_mrgentleman youtube channel: https://www.youtube.com/channel/UCpd6jM9ZrdHmZoLViCJ_ANw --- Send in a voice message: https://anchor.fm/kenmrgentleman/message
This week I am joined by The Funny Dom. He is a kink content creator spreading BDSM positivity from his home in Melbourne, Australia. We talk about Gomez and Morticia Addams (aka the dream couple), humor in BDSM, 24/7 kinky arrangements, and how to differentiate a toxic misogynist from a Dom or Daddy. Ads: - Everlywell.com/sands for 20% off your at-home lab test - 30% off any Satisfyer at https://us.satisfyer.com/us/?utm_source=Podcast&utm_medium=SANDS&utm_campaign=2H The Funny Dom: https://www.instagram.com/thefunnydom FOLLOW US Twitter Instagram Facebook Send questions, comments, stories, rants to: SlutsAndScholars@gmail.com Sluts And Scholars is a production of sluts and scholars media.
Subscribe to our podcast! On the season finale... Do you sometimes find it difficult to accept help from others? Do you have a delegation dilemma? In this Brain Burrow Digging Deep interview, writer and director Tony Mardon talks about the importance of accepting help from others...even if you don't always feel you deserve it. Tony Mardon is a director, writer, and actor known for Beyond Fury (2019), The Witches of the Sands, and Our Manor (2021). Follow Indie Film Cafe on Social Media: @indiefilmcafe Websites: http://sickflickproductions.com http://indiefilmcafe.reviews http://indiefilmcafe.podbean.com http://patreon.com/indiefilmcafe
Multi-hyphenate Erin Wiley Sands is an author, actress, writer, and producer. She is the author of The Dunes, an inspirational book for personal growth, as well as the creator of the online self-help course: Live More, Carry Less. Where Erin walks readers through The Dunes, using her I.R.O method to help you Identify what's holding you back, Recognize the root cause and Overcome it. Erin is also the writer producer of the award winning faith-based docu-dramedy STEM, which features true life stories of faith in the midst of adversity, and victory against all odds. Erin is the co-owner of 50 Rocks Entertainment. A production company that creates scripted and unscripted content for television, film and streaming platforms.Episode Summary -We all need to break and come out of the fixed process of leading our life what has been established long back, because of which we are just dragging ourselves, and most of us end up living an unfulfilled life.In this episode, Erin talks about the importance of shifting and transforming your life to live a fulfilled life.It's essential to do things that make you happy, not what others think is right.If you believe in yourself and enjoy what you are doing, success is bound to happen but not overnight. Every overnight success story has years of back story.“Sometimes it takes courage to go out there and put yourself in a line.”Snapshot of the Key Points discussed from the Episode:[03:32] Erin shares her journey how she shifted from a job to working from her happy place.[06:28] Erin talks about The Dunes - How a journal turned into an inspirational book and course.[10:30] Erin talks about the docu-dramedy STEM story.[13:17] What has been Erin's Proudest Moment?[15:21] What has been most challenging for Erin?[16:59] It's not about what society thinks; all it matters is what makes you happy and what you are confident on.[21:31] Erin shares the most memorable moment in her career.[22:29] Erin talks about how she has built and engaged her fan base.[24:06] How does Erin navigate her time and balance the business and her creative side?[25:29] What does working from your happy place mean to Erin?[26:53] Erin's advice for those who are starting their entrepreneurial & acting journey.How to Connect with Erin Wiley Sands:Website - https://www.erinwileysands.com/LinkedIn - https://www.linkedin.com/in/erin-wiley-sands-74039493Instagram - https://www.instagram.com/erinwileysands/?hl=enTwitter - https://twitter.com/erinwileysands?lang=enAbout the Host -Belinda Ellsworth is a Speaker, Trainer, Best-Selling Author, and PodcasterShe has been a professional speaker, mover, and shaker for more than 25 years. Having built three successful companies, she has helped thousands of entrepreneurs make better decisions, create successful systems, and build business strategies using her "Four Pillars of Success" system.Belinda has always had a passion and zest for life with the skill for turning dreams into reality. Over the last 20 years, she has been expertly building her speaking and consulting business, Step Into Success. How to Connect with Belinda:Facebook - https://www.facebook.com/stepintosuccessLinkedIn - https://www.linkedin.com/in/belindaellsworthInstagram - https://www.instagram.com/stepintosuccess/Website - www.workfromyourhappyplace.com
Jake & Trey recap the DC game that nobody saw coming, including breakdowns of all six of your favorite goals from the weekend, unpacking the tactical changes, overlaps, Maxi moves and Sands experiments that made it possible. PLUS: What does this mean for the Deila Out clan? What about the rest of the season? Are we winning the cup after all? Or were these half-dozen cracked eggs just a flash in the pan? AND: Two double weeks in rapid succession means a quick and dirty Chicago preview for Wednesday. Don't bother cleaning up - you've got Blue Balls.
ON THIS DAYOctober 21st in Pro Wrestling History3CT WRESTLER OF THE YEARWeek 28 Results#3CTQOTWWhat can WWE do to get ratings up and fans back?? CROWN JEWEL 2021Reacting to today's WWE PPVFROM SPORTS TO ENTERTAINMENTWhat major sports athlete would you like to see transition to wrestling full-time?SETTING THE STAGEAEW World Title Eliminator tournament bracket revealedMake sure you visit our website https://3countthursday.com/ Become a #Patreon supporter of #3CT & get exclusive audio content, social media shout-outs and more – visit https://www.patreon.com/3CountThursday for more info!Follow the 3Count team on twitter:@3CountThursdayJim (@BigJimSports on Twitter)Ryan (@ryneagle on Twitter)Matt (@3CTaPhilly8 on Twitter) Intern Mark (@3CountIntern on Twitter)Tim (@NotTheToolMan on Twitter)Don't forget to SUBSCRIBE to our show on ALL podcast platforms including Apple Podcasts, Spotify, Google Play & more. We are now on Amazon Music so you can follow our show there as well!Also, make sure to SUBSCRIBE to the new ‘3 Count Thursday Hot Tag' podcast as well….it's our best segment(s) of the week in easy to listen form. Available on ALL podcast platforms.Our show is part of the NGSC Sports Radio Network
ON THIS DAY October 21st in Pro Wrestling History 3CT WRESTLER OF THE YEAR Week 28 Results #3CTQOTW What can WWE do to get ratings up and fans back?? CROWN JEWEL 2021 Reacting to today's WWE PPV FROM SPORTS TO ENTERTAINMENT What major sports athlete would you like to see transition to wrestling full-time? SETTING THE STAGE AEW World Title Eliminator tournament bracket revealed Make sure you visit our website https://3countthursday.com/ Become a #Patreon supporter of #3CT & get exclusive audio content, social media shout-outs and more – visit https://www.patreon.com/3CountThursday for more info! Follow the 3Count team on twitter: @3CountThursday Jim (@BigJimSports on Twitter) Ryan (@ryneagle on Twitter) Matt (@3CTaPhilly8 on Twitter) Intern Mark (@3CountIntern on Twitter) Tim (@NotTheToolMan on Twitter) Don't forget to SUBSCRIBE to our show on ALL podcast platforms including Apple Podcasts, Spotify, Google Play & more. We are now on Amazon Music so you can follow our show there as well! Also, make sure to SUBSCRIBE to the new ‘3 Count Thursday Hot Tag' podcast as well….it's our best segment(s) of the week in easy to listen form. Available on ALL podcast platforms. Our show is part of the NGSC Sports Radio Network
This week I am joined by Tamar Samuels of Culina Health. Tamar is a Registered Dietitian Nutritionist and we talk about PCOS (Polycystic ovary syndrome), how gut health affects our whole body (sexuality included), and nutrition in relation to sexual health. Ads: 10% off and free shipping when you use my code “Sands” at UberLube.com 20% off and free shipping www.LikeAKitten.com/SandS FOLLOW US Twitter Instagram Facebook Send questions, comments, stories, rants to: SlutsAndScholars@gmail.com Sluts And Scholars is a production of sluts and scholars media.
Over the summer it's been tempting to think that the pandemic is almost over. But last night, Health Secretary Savid Javid insisted that "life is not back to normal". 49,000 people tested positive for Covid-19 yesterday - levels we haven't seen since the end of last year - and he warned that they could hit 100,000 a day over winter. But despite all this, the government has decided not to implement its so-called Plan B - which would include mandatory mask wearing, working from home and vaccine passports. Instead its encouraging people to get their booster jabs, and advising people to make their own decisions on mask wearing and socialising more outside. But will the public, who've already seen one Christmas fall into oblivion, be willing to change their behaviour for a second winter? Campaigner Rosamund Adoo-Kissi-Debrah is raising awareness of asthma and the health problems that can be caused by air pollution. Last year her daughter, Ella, became the first person in Britain to have air pollution listed as the cause of death after an inquest. She died in 2013 aged nine. Now Rosamund is calling on Boris Johnson to “set an example for the whole world” with ambitious clear air goals. The Environment Bill was debated in the House of Commons yesterday (Wednesday). Rosamund discusses her work and the changes she wants to see. Lockdowns and working from home have changed how we dress but 'fat people don't have the luxury of wearing the dressed down look'. That's according to the activist and stand-up comedian Sofie Hagen who says that society dictates that people who are over-weight have to look like they are trying. She and Emma discuss the pressures she believes exist. Mortality rates remain exceptionally high for babies from ethnically diverse backgrounds despite overall rates of stillbirth and neonatal death rates having fallen. Neonatal death rates are 73% higher than those living in the least deprived areas. With Asian babies 60% higher than white babies, and 43% greater for babies of Black ethnicity. Emma is joined by Clea Harmer, Chief Executive of SANDS, and Professor of Perinatal & Paediatric Epidemiology, Elizabeth Draper part of the MBRRACE team who collect and analyse the numbers and rates of baby deaths in the UK. After undergoing vocal chord surgery, MOBO and Brit award-winning singer songwriter Ella Eyre is back on her first headline tour in six years. She reveals how she's had to learn how to sing again - and how the experience has inspired a new musical direction. Presenter: Emma Barnett Producer: Kirsty Starkey Interviewed Guest: Harriet Baldwin Interviewed Guest: Professor Stephen Reicher Interviewed Guest: Rosamund Adoo-Kissi-Debrah Interviewed Guest: Sofie Hagen Interviewed Guest: Clea Harmer Interviewed Guest: Professor Elizabeth Draper Interviewed Guest: Ella Eyre
In this episode, Kylie & Sophie are joined by Style expert & fashion influencer, Katie Sands. Katie is the inspiring woman behind the well-known lifestyle blog, Honestly Kate. She has spent her entire career defying the influencer status quo, making sure that with each post she makes and every brand she collaborates with works towards a greater good and inspires her audience to act with kindness. With more than 287 thousand followers on Instagram, ongoing partnerships with some of the world's most coveted brands, and a gig as an On-Air Style Host for Amazon Live, Sands has seen continued success with her do-good approach to influencing, and she's only just begun. Some topics that will be covered in this stylish episode with Katie Sands include: How to become a social media influencer, how to stay authentic, transparent and engaged with followers on instagram, Katie's “Do-good” approach to influencing, what the future of influencing will look like, advice on how to develop your own personal style, fashion pieces that are worth the investment, tips for finding fashion pieces on Amazon, Katie's favorite fall wardrobe staples, where to find fashion inspo from, upcoming trends to look out for, balancing health & wellness with a busy schedule, the importance of scheduling workouts before the work day begins, how weight training has changed Katie's body, Katie's newfound passion for cooking & SO MUCH MORE! You can find more on Katie Sands by visiting her INSTAGRAM. SHOP our favorite Cured Nutrition CBD & use code SIMPLE for 10% off at checkout SHOP Nars Laguna Bronzer SHOP Apple Airpods SHOP Amazon Egg Timer CHECKOUT The Liv Method in NYC If you liked this episode, please don't forget to SUBSCRIBE on Apple podcasts. We would love it if you could leave us a rating/review to tell us about any thoughts you may have. Take a journey on over to our podcast Instagram page @TheNotSoSimpleLifePodcast. Feel free to email info@TNSSlife.com if you want to get in touch with @KylieVonnahme & @SophieLongford! FIND MORE & SHOP OUR FAVORITES ON OUR WEBSITE AT www.TNSSlife.com. NEW EPISODES EVERY TUESDAY...See ya'll then!
John 20:25-28 New International Version 25 So the other disciples told him, “We have seen the Lord!” But he said to them, “Unless I see the nail marks in his hands and put my finger where the nails were, and put my hand into his side, I will not believe.” 26 A week later his disciples were in the house again, and Thomas was with them. Though the doors were locked, Jesus came and stood among them and said, “Peace be with you!” 27 Then he said to Thomas, “Put your finger here; see my hands. Reach out your hand and put it into my side. Stop doubting and believe.” 28 Thomas said to him, “My Lord and my God!”
Vol 215, Issue 8: 18 October 2021. Dr Melanie Keep is a Senior Lecturer in Cyberpsychology and eHealth at the University of Sydney. She talks about her own experience of miscarriage and how things can be done to improve the resourcing of post-miscarriage care for both doctors and patients. With MJA news and online editor Cate Swannell. This accompanies Dr Keep's Reflection available at https://www.mja.com.au/journal/2021/215/8/silence-around-miscarriage-hurts-health-care-and-bereaved-parents ... see also PinkElephants Support Network at https://www.pinkelephants.org.au/ ... SANDS at https://www.sands.org.au/ ... and an article by Dr Jade Bilardi at https://theconversation.com/the-dos-and-donts-of-supporting-women-after-a-miscarriage-98163
Goddess KoCo Meow is a Professional Dominatrix at Atlanta Dungeon and a Fetish Esthetician/Lead Instructor at Atlanta Sissy Feminization Academy. Her signature is infusing spa treatments with BDSM & Kink. We talk about how this works, why people do it, and ways to love your body more. Ads: Satisfyer 30% off: https://us.satisfyer.com/us/?utm_source=Podcast&utm_medium=SANDS&utm_campaign=2H Dipsea extended 30 day free trial: dipseastories.com/sands KoCo Meow: https://www.kocomeow.net/ FOLLOW US Twitter Instagram Facebook Send questions, comments, stories, rants to: SlutsAndScholars@gmail.com Sluts And Scholars is a production of sluts and scholars media.
Chris hops on after spending the weekend in the RGV for his sister's wedding and Dean is at another practice. Word of the day is Ostentatious which is a characteristic of each of our hosts individuallyChris is still on "Valley TIme" RGV the Rio Grande ValleySpooky movies what are you watching? Troy and Chris get some one on one timeTv sucks- Ted Lasso finale, Troy's take on Venom, Beetlejuice is Tigerking?Tok's of the week features lunch table beats, Pinkie Rings, ho's be hoppin'Our Top 3 Childhood games (Playground Games)Support the show (https://www.facebook.com/GuDVibesPodcast)
Today we bring you the second half of Harry's conversation with Dave deBronkart, better known as E-Patient Dave for all the work he's done to help empower patients to be more involved in their own healthcare. If you missed Part 1 of our interview with Dave, we recommend that you check that out before listening to this one. In that part, we talked about how Dave's own brush with cancer in 2007 turned him from a regular patient into a kind of super-patient, doing the kind of research to find the medication that ultimately saved his life. And we heard from Dave how the healthcare system in the late 2000s was completely unprepared to help consumers like him who want to access and understand their own data.Today in Part 2, we'll talk about how all of that is gradually changing, and why new technologies and standards have the potential to open up a new era of participatory medicine – if, that is, patients are willing to do a little more work to understand their health data, if innovators can get better access to that data, and if doctors are willing to create a partnership with the patients over the process of diagnosis and treatment.Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch:1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode.3. Scroll down to find the subhead titled "Ratings & Reviews."4. Under one of the highlighted reviews, select "Write a Review."5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long.7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible.That's it! Thanks so much.Full TranscriptHarry Glorikian: Hello. I'm Harry Glorikian.Welcome to The Harry Glorikian Show, the interview podcast that explores how technology is changing everything we know about healthcare.Artificial intelligence.Big data.Predictive analytics.In fields like these, breakthroughs are happening much faster than most people realize. If you want to be proactive about your own healthcare and the healthcare of your loved ones, you'll need to some of these new tips and techniques of how medicine is changing and how you can take advantage of all the new options.Explaining this approaching world is the mission of the new book I have coming out soon, The Future You. And it's also our theme here on the show, where we'll bring you conversations with the innovators, caregivers, and patient advocates who are transforming the healthcare system and working to push it in positive directions.In the previous episode we met Dave deBronkart, better known as E-Patient Dave for all the work he's done to help empower patients to be more involved in their own healthcare. If you missed it, I'm gonna recommend that you listen to the first discussion, and then come back here.We talked about how Dave's own brush with cancer in 2007 turned him from a regular patient into a kind of super-patient, doing the kind of research to find the medication that ultimately saved his life. And we heard from Dave how the healthcare system in the late 2000s was completely unprepared to help consumers like him who want to access and understand their own data.Today in Part 2, we'll talk about how all of that is gradually changing, and why new technologies and standards have the potential to open up a new era of participatory medicine – if, that is, patients are willing to do a little more work to understand their health data, if innovators can get better access to that data, and if doctors are willing to create a partnership with the patients over the process of diagnosis and treatment.We'll pick up the conversation at a spot where we were talking about that control and the different forms it's taken over the years.Harry Glorikian: You've observed like that there's some that there's this kind of inversion going on right now where for centuries doctors had sole control over patient data and sole claims to knowledge and authority about how patients should be treated. But now patients may have more detailed, more relevant and more up to date data than your doctors does. Right. You've talked about this as a Kuhnian paradigm shift, if I remember correctly, where patients are the anomalies, helping to tear down an old paradigm, you know. Walk us through the history here. What was the old paradigm and what's the new paradigm and what are you some of your favorite examples of this paradigm shift?Dave deBronkart: Well, so I want to be clear here. I have the deepest admiration for doctors, for physicians and for licensed practitioners at all levels for the training that they went through. I don't blame any of this on any of them. I did a fair amount of study about what paradigms are Thomas Kuhn's epic book The Structure of Scientific Revolutions, like discovering that the Earth isn't the center of the solar system and things like that. The paradigm is an agreement in a scientific field about how things work. And it is the platform, the theoretical model on which all research and further study is done. And these anomalies arise when scientists operating in the field keep finding outcomes that disagree with what the paradigm says. So in the case of the planets circling the earth and the how the solar system works. They discovered that Mars and other planets all of a sudden would stop orbiting and when they would do a little loop de loop. I mean, that's what they observed. And they came up with more and more tortured explanations until finally, finally, somebody said, hey, guess what? We're all orbiting the sun. Now, the paradigm inn health care has been that the physician has important knowledge. Lord knows that's true. The physician has important knowledge and the patient doesn't and can't. Therefore, patient should do as they're told, so called compliance, and should not interfere with the doctors doing their work. Well, now along comes things like all of those things that I mentioned that the patient community told me at the beginning of my cancer. None of that is in the scientific literature. Even here, 15 years later, none of it's in the literature. What's going on here? Here's that first clunk in the paradigm. Right. And we have numerous cases of patients who assisted with the diagnosis. Patients who invented their own treatment. And the shift, the improvement in the paradigm that we have to, where just any scientific thinker -- and if you want to be a doctor and you don't want to be a scientific thinker, then please go away -- any scientific thinker has to accept is that it's now real and legitimate that the patient can be an active person in healthcare.Dave deBronkart: Yeah, I mean, you've said you don't have to be a scientist or a doctor anymore to create a better way to manage a condition. So, I mean, it's interesting, right? Because I always think that my doctor and I are partners in this together.Dave deBronkart: Good participatory medicine. Perfect.Harry Glorikian: You know, he has knowledge in certain places I definitely don't. But there are things where him and I, you know, do talk about things that were like, you know, we need to look into that further. Now, I'm lucky I've got a curious doctor. I found somebody that I can partner with and that I can think about my own health care in a sort of different way. But I mean, sometimes he doesn't have all the answers and we have to go search out something. You know, I was asking him some questions about HRV the other day that, you know, he's like, huh, let me let me ask a few cardiologists, you know, to get some input on this. So do you see that, I mean, I see that as the most desired outcome, where a patient can have their record. They're not expected to go and become a physician at that level of depth, but that the physicians who also have the record can work in a participatory way with the patient and get to a better outcome.Dave deBronkart: Exactly. And the other thing that's happened is and I've only recently in the last year come to realize we are at the end of a century that is unique in the history of humanity until science got to a certain point in the late 1800s, most doctors, as caring as they were, had no knowledge of what was going wrong in the body with different diseases. And then and that began a period of many decades where doctors really did know important things that patients had no access to. But that era has ended. All right, we now have more information coming out every day than anyone can be expected to keep up with. And we now are at a point also where we've seen stories for decades of patients who were kept alive. But at what cost? Right. Well, and we now we are now entering the point where the definition of best care cannot be made without involving the patient and their priorities. So this is the new world we're evolving into, like and Dr. Sands wears a button in clinic that says what matters to you?Harry Glorikian: So I mean, one of the other, based on where you're going with this, I think is you know, there are some movements that have been arising over the years. I don't know, maybe you could talk about one of them, which is OpenAPS. It's an unregulated, open source project to build an artificial pancreas to help people with type 1 diabetes. And I think it was Erich von Hippel's work on patient driven innovation. I talk in my book about, and I ask whether we should be training people to be better patients in the era of, say, A.I. and other technologies. What do you think could be done better to equip the average patient with to demand access to patient data, ask their doctors more important questions, get answers in plain English. You know, be more collaborative. What do you think is going to move us in that direction faster or more efficiently, let's say?Dave deBronkart: Well, I want to be careful about the word better, because I'm very clear that my preferences are not everyone's preferences. Really, you know, autonomy means every person gets to define their own priorities. And another thing is one of the big pushbacks from the hospital industry over the last 10 years as medical records, computers were shoved down their throats along with the mandate that they have to let patients see their data in the patient portal was a complaint that most patients aren't interested. Well, indeed, you know, I've got sorry news for you. You know, when I worked in the graphic arts industry, I worked in marketing, people don't change behavior or start doing something new until they've got a problem. If it's fun or sexy, you know, then they'll change, they'll start doing something new. What we need to do is make it available to people. And then when needs arise, that gets somebody's attention and they're like, holy crap, what's happening to my kid? Right. If they know that they can be involved, then they can start to take action. They can learn how to take action. It's having the infrastructure available, having the app ecosystem start to grow, and then just having plain old awareness. Who knows? Maybe someday there will be a big Hollywood movie where people where people learn about stories like that and. You know, from that I mean that I think nature will take its course.Harry Glorikian: Well, it's interesting because I recently interviewed a gentleman by the name of Matthew Might. He's a computer scientist who became a surrogate patient advocate for his son, Bertrand, who had a rare and undiagnosed genetic disorder that left him without an enzyme that breaks down junk protein in the cells. But he, you know, jumped in there. He did his own research found in over-the-counter drug, Prevacid of all drugs., that could help with Bertrand's deficiency. But, I mean, Dave, you know, Matt is a, he was a high-powered computer scientist who wasn't afraid to jump in and bathe in that, you know. Is that the type of person we need? Is that a cautionary tale, or an inspiring tale? How do you think about that?Dave deBronkart: Desperate people will bring whatever they have to the situation. And this is no different from, you know, there have been very ordinary people who had saved lives at a car crash because they got training about how to on how to stop bleeding as a Boy Scout. You know, it is a mental trap to say, "But you're different." Ok. Some people said, "Well, Dave, you're an MIT graduate, my patients aren't like you." And people say, well, yeah, but Matt Might is a brilliant PhD type guy. What you mentioned few minutes before gives the lie to all of that, the OpenAPS community. All right, now, these are people you need to know appreciate the open apps world. You need to realize that a person with type 1 diabetes can die in their sleep any particular night. You know, they can even have an alarm, even if they have a digital device connected with an alarm, their blood sugar can crash so bad that they can't even hear the alarm. And so and they got tired of waiting the industry. Year after year after year, another five years will have an artificial pancreas, another five years, and a hashtag started: #WeAreNotWaiting. Now, I am I don't know any of the individuals involved, but I'll bet that every single diabetes related executive involved in this thought something along the lines of, "What are they going to do, invent their own artificial pancreas?" Well, ha, ha, ha, folks. Because as I as I imagine, you know, the first thing that happened was this great woman, Dana Lewis, had a digital insulin pump and a CGM, continuous glucose meter, and her boyfriend, who's now her husband, watched her doing the calculation she had to do before eating a hamburger or whatever and said, "I bet I could write a program that would do that."Dave deBronkart: And so they did. And one thing led to another. His program, and she had some great slides about this, over the course of a year, got really good at predicting what her blood sugar was going to be an hour later. Right. And then they said, "Hmm, well, that's interesting. So why don't I put that in a little pocket computer, a little $35 pocket computer?" The point is, they eventually got to where they said, let's try connecting these devices. All right. And to make a long story short, they now have a system, as you said, not a product, they talked to the FDA, but it's not regulated because it's not a product. Right. But they're not saying the hell with the FDA. They're keeping them informed. What are the scientific credentials of Dana Lewis and her boyfriend, Scott? Dana is a PR professional, zero medical computer or scientific skills? Zero. The whole thing was her idea. Various other people got involved and contributed to the code. It is a trap to think that because the pioneering people had special traits, it's all bogus. Those people are lacking the vision to see what the future you is going to be. See, and the beautiful thing from a disruptive standpoint is that when the person who has the problem gains access to power to create tools, they can take it in whatever direction they want. That's one of the things that happened when typesetting was killed by desktop publishing.Harry Glorikian: Right.Dave deBronkart: In typesetting, they said "You people don't know what you're doing!" And the people said, whatever, dude, they invented Comic Sans, and they went off and did whatever they wanted and the world became more customer centered for them.Harry Glorikian: So. You know, this show is generally about, you know, data, Machine learning and trying to see where that's going to move the needle. I mean, do you see the artificial intelligence umbrella and everything that's under that playing a role to help patients do their own research and design their own treatments?Dave deBronkart: Maybe someday, maybe someday. But I've read enough -- I'm no expert on AI, but I've read enough to know that it's a field that is full of perils of just bad training data sets and also full of immense amounts of risk of the data being misused or misinterpreted. If you haven't yet encountered Cathy O'Neil, she's the author of this phenomenal book, Weapons of Math Destruction. And she said it's not just sloppy brain work. There is sloppy brain work in the mishandling of data in A.I., but there is malicious or ignorant, dangerously ignorant business conduct. For instance, when companies look at somebody who has a bad credit rating and therefore don't give them a chance to do this or this or this or this, and so and they actually cause harm, which is the opposite of what you would think intelligence would be used for.Harry Glorikian: So but then, on the opposite side, because I talk about some of these different applications and tools in in the book where, you know, something like Cardiogram is able to utilize analytics to identify, like it alerted me and said "You know, you might have sleep apnea." Right. And it can also detect an arrhythmia, just like the Apple Watch does, or what's the other one? Oh, it can also sort of alert you to potentially being prediabetic. Right. And so you are seeing, I am seeing discrete use cases where you're seeing a movement forward in the field based on the analytics that can be done on that set of data. So I think I don't want to paint the whole industry as bad, but I think it's in an evolutionary state.Dave deBronkart: Absolutely. Yes. We are at the dawn of this era, there's no question. We don't yet have much. We're just going to have to discover what pans out. Really, I. Were you referring to the Cardia, the Acor, the iPhone EKG device a moment ago?Harry Glorikian: No, there's there's actually an, I've got one here, which is the you know...Dave deBronkart: That's it. That's the mobile version. Exactly. Yeah. Now, I have a friend, a physician friend at Beth Israel Deaconess, who was I just rigidly absolutely firmly trust this guy's brain intelligence and not being pigheaded, he was at first very skeptical that anything attached to an iPhone could be clinically useful. But he's an E.R. doc and he now himself will use that in the E.R. Put the patient's fingers on those electrodes and and send it upstairs because the information, when they're admitting somebody in a crisis, the information gets up there quicker than if he puts it in the EMR.Harry Glorikian: Well, you know, I always try to tell people like these devices, you know, they always say it's not good enough, it's not good enough. And I'm like, it's not good enough today. But it's getting better tomorrow and the next day. And then they're going to improve the sensor. And, yep, you know, the speed of these changes is happening. It's not a 10 year shift. It's it's happening in days, weeks, months, maybe years. But, you know, this is a medical device on my arm as far as I'm concerned.Harry Glorikian: It's a device that does medical-related things. It certainly doesn't meet the FDA's definition of a medical device that requires certification and so on. Now, for all I know, maybe two thirds of the FDA's criteria are bogus. And we know that companies and lobbyists have gamed the system. It's an important book that I read maybe five years ago when it was new, was An American Sickness about the horrifying impacts of the money aspect of health care. And she talked about, when she was talking specifically about device certification, she talked about how some company superbly, and I don't know if they laughed over their three martini lunch or what, some company superbly got something approved by the FDA as saying, we don't need to test this because it's the same as something else.Harry Glorikian: Ok, equivalence.Dave deBronkart: And also got a patent on the same thing for being completely new. Right. Which is not possible. And yet they managed to win the argument in both cases. So but the this is not a medical device, but it is, gives me useful information. Maybe we should call it a health device.Harry Glorikian: Right. Yeah, I mean, there are certain applications that are, you know, cleared by the FDA right now, but, you know, I believe what it's done is it's allowing these companies to gather data and understand where how good the systems are and then apply for specific clearances based on when the system gets good enough, if that makes sense.Dave deBronkart: Yes. Now, one thing I do want to say, there's an important thing going on in the business world, those platforms. You know, companies like Airbnb, Uber, whatever, where they are, a big part of their business, the way they create value is to understand you better by looking at your behavior and not throwing so much irrelevant crap at you. Now, we all know this as it shows up. As you know, you buy something on Amazon and you immediately get flooded by ads on Facebook for the thing that you already bought, for heaven's sake. I mean, how stupid is that? But anyway, I think it's toxic and should be prohibited by law for people to collect health data from your apps and then monetize it. I think that should be completely unacceptable. My current day job is for this company called Pocket Health, where they collect a patient's radiology images for the patient so the patient can have 24/7 access in the cloud. And when I joined there, a friend said, oh, I gather they must make their money by selling the data. Right? And I asked one of the two founding brothers, and he was appalled. That's just not what they do. They have another part of the company. And anybody who gets any medical device, any device to track their health should make certain that the company agrees not to sell it.[musical interlude]Harry Glorikian: Let's pause the conversation for a minute to talk about one small but important thing you can do, to help keep the podcast going. And that's to make it easier for other listeners discover the show by leaving a rating and a review on Apple Podcasts.All you have to do is open the Apple Podcasts app on your smartphone, search for The Harry Glorikian Show, and scroll down to the Ratings & Reviews section. Tap the stars to rate the show, and then tap the link that says Write a Review to leave your comments. It'll only take a minute, but you'll be doing us a huge favor.And one more thing. If you like the interviews we do here on the show I know you'll like my new book, The Future You: How Artificial Intelligence Can Help You Get Healthier, Stress Less, and Live Longer.It's a friendly and accessible tour of all the ways today's information technologies are helping us diagnose diseases faster, treat them more precisely, and create personalized diet and exercise programs to prevent them in the first place.The book is now available for pre-order. Just go to Amazon and search for The Future You, Harry Glorikian.Thanks. And now back to our show.[musical interlude]Harry Glorikian: You mentioned FHIR or, you know, if I had to spell it out for people, it's Fast Healthcare Interoperability Resource standard from, I think, it's the Health Level 7 organization. What is FHIR? Where did it come from and what does it really enable?Dave deBronkart: So I'll give you my impression, which I think is pretty good, but it may not be the textbook definition. So FHIR is a software standard, very analogous to HTTP and HTML for moving data around the same way those things move data around on the Web. And this is immensely, profoundly different from the clunky, even if possible, old way of moving data between, say, an Epic system, a Cerner system, a Meditech system nd so on. And the it's a standard that was designed and started five or six years ago by an Australian guy named Graham Grieve. A wonderful man. And as he developed it, he offered it to HL7, which is a very big international standards organization, as long as they would make it free forever to everyone. And the important thing about it is that, as required now by the final rule that we were discussing, every medical record system installed at a hospital that wants to get government money for doing health care for Medicare or Medicaid, has to have what's called a FHIR endpoint. And a FHIR endpoint is basically just a plug on it where you can, or an Internet address, the same way you can go to Adobe.com and get whatever Adobe sends you, you can go to the FHIR endpoint with your login credentials and say, give me this patient's health data. That's it. It works. It already works. That's what I use in that My Patient Link app that I mentioned earlier.Harry Glorikian: So just to make it clear to someone that say that's listening, what does the average health care consumer need to know about it, if anything, other than it's accessible? And what's the part that makes you most excited about it?Harry Glorikian: Well, well, well. What people need to know about it is it's a new way. Just like when your hospital got a website, it's a new way for apps to get your data out of the hospital. So when you want it, you know that it has to be available that way. Ironically, my hospital doesn't have a FHIR endpoint yet. Beth Israel Deaconess. But they're required to by the end of the year. What makes me excited about it is that... So really, the universal principle for everything we've discussed is that knowledge is power. More precisely, knowledge enables power. You can give me a ton of knowledge and I might not know what to do with it, but without the knowledge, I'm disempowered. There's no dispute about that. So it will become possible now for software developers to create useful tools for you and your family that would not have been possible 15 years ago or five years ago without FHIR. In fact, it's ironic because one of the earliest speeches I gave in Washington, I said to innovators, data is fuel. Right. We talked about Quicken and Mint. Quicken would have no value to anybody if they couldn't get at your bank information. Right. And that's that would have prevented. So we're going to see new tools get developed that will be possible because of FHIR and the fact that the federal regulations require it.Harry Glorikian: Yeah, my first one of my first bosses actually, like the most brilliant boss, I remember him telling me one at one time, he goes, "Remember something: Knowledge is power." I must have been 19 when he told me that. And I was, you know, it took me a little while to get up to speed on what he meant by that. But so do you believe FHIR is a better foundation for accessing health records than previous attempts like Google Health or Microsoft Health Vault?Dave deBronkart: Well, those are apples and oranges. FHIR is a way of moving the data around. Several years into my "Give me my damn data" campaign, I did a blog post that was titled I Want a Health Data Spigot. I want to be able to connect the garden hose to one place and get all my data flowing. Well, that's what FHIR is now. What's at the other end of the hose? You know, different buckets, drinking glasses, whatever. That's more analogous to Google Health and Health Vault. Google Health and Health Vault might have grown into something useful if they could get all the important information out there, which it turns out was not feasible back then anyway. But that's what's going to happen.Harry Glorikian: What is the evolution you'd like to see in the relationship between the patient and the U.S. health care systems? You know, you once said the key to be would get the money managers out of the room. You know, if you had to sort of think about what you'd want it to evolve to, what would it be?Dave deBronkart: Well, so. There are at least two different issues involved in this. First of all, in terms of the practice of medicine, the paradigm of patient that I mentioned, collaboration, you know, collaboration, including training doctors and nurses on the feasibility and methods of collaboration. How do you do this differently? That won't happen fast because the you know, the I mean, the curriculum in medical schools doesn't change fast. But we do have mid career education and we have people learning practical things. So there's a whole separate issue of the financial structure of the U.S. health system, which is the only one I know in the world that is composed of thousands of individual financially separate organizations, each of which has managers who are required by law to protect their own finances. And the missing ingredient is that as all these organizations manage their own finances, nobody anywhere is accountable for whether care is achieved. Nobody can be fired or fined or put out of business for failing to get the patient taken care of as somebody should have. And so those are those are two separate problems. My ideal world is, remember a third of the US health care spending is excess and somebody a couple of years ago...Guess what? A third of the US health care spending is the insurance companies. Now, maybe the insurance companies are all of the waste. I don't know. I'm not that well-informed. But my point is there is plenty of money there already being spent that would support doctors and nurses spending more time with you and me beyond the 12 or 15 minutes that they get paid for.Harry Glorikian: So it's interesting, right? I mean, the thing that I've sort of my bully pulpit for, for a long time has been, once you digitize everything, it doesn't mean you have to do everything the same way. Which opens up, care may not have to be given in the same place. The business model may now be completely open to shift, as we've seen with the digitization of just about every other business. And so I you know, I worry that the EMRs are holding back innovation and we're seeing a lot of innovation happen outside of the existing rubric, right, the existing ivory towers, when you're seeing drug development using A.I. and machine learning, where we're seeing imaging or pathology scans. I mean, all of those are happening by companies that are accessing this digitized data and then providing it in a different format. But it's not necessarily happening inside those big buildings that are almost held captive by the EMR. Because if you can't access the data, it's really hard to take it to that next level of analytics that you'd like to take it to.Dave deBronkart: Yes, absolutely.Harry Glorikian: I mean, just throwing that out there, I know we've been talking about the system in particular, but I feel that there's the edges of the system aren't as rigid as they used to be. And I think we have a whole ecosystem that's being created outside of it.Harry Glorikian: Absolutely. And the when information can flow you get an increasing number of parties who can potentially do something useful with it, create value with it. And I'm not just talking about financial value, but achieve a cure or something like that. You know, interestingly, when the industry noticed what the open apps people were doing, all of a sudden you could no longer buy a CGM that had the ability to export the data.Harry Glorikian: Right.Dave deBronkart: Hmm. So somebody is not so happy about that. When an increasing number of people can get out data and combine it with their other ideas and skills and try things, then the net number of new innovations will come along. Dana Lewis has a really important slide that she uses in some presentations, and it ties in exactly with Erich von Hippel's user driven innovation, which of course, shows up in health care as patient driven innovation. The traditional industrial model that von Hippel talks about is if you're going to make a car, if you're going to be a company going into the car business, you start by designing the chassis and doing the wheels and designing the engine and so on and so on. And you do all that investment and you eventually get to where you've got a car. All right. Meanwhile, Dana shows a kid on a skateboard who can get somewhere on the skateboard and then somebody comes up with the idea of putting a handle on it. And now you've scooter. Right. And so on. The user driven innovations at every moment are producing value for the person who has the need.Harry Glorikian: Right. And that's why I believe that, you know, now that we've gotten to sort of that next level of of datafication of health care, that these centers have gotten cheaper, easier, more accessible. You know, like I said, I've got a CGM on my arm. Data becomes much more accessible. FHIR has made it easier to gain access to my health record. And I can share it with an app that might make that data more interpretable to me. This is what I believe is really sort of moving the needle in health care, are people like Matthew Might doing his own work where it's it's changing that. And that's truly what I try to cover in the book, is how these data [that] are now being made accessible to patients gives them the opportunity to manage their own health in a better way or more accurately and get ahead of the warning light going on before the car breaks down. But one of the things I will say is, you know, I love my doctor, but, you know, having my doctor as a partner in this is makes it even even better than rather than just me trying to do anything on my own. Dave deBronkart: Of course, of course. Dr. Sands is fond of saying "I have the medical training or diagnosis and treatment and everything, but Dave's the one who's the expert on what's happening in his life." Right. And and I'm the expert on my own priorities.Harry Glorikian: Right. Which I can't expect. I mean, my doctor has enough people to worry about, let alone like, me being his sole, the only thing he needs to think about. So, Dave, this was great. It was great having you on the show. I hope this is one of many conversations that we can have going forward, because I'm sure there's going to be different topics that we could cover. So I appreciate you taking the time and being on the show.Dave deBronkart: Well, and same to you. The this has been a very stimulating I mean, and the you've got the vision of the arriving future that is informed by where we're coming from, but not constrained by the old way of thinking. And that really matters. The reality, the emerging reality, whether anybody knows it or not, is that people with a big problem are able to act now in ways that they weren't before. I mean, another amazing example is a guy in England named Tal Golesworthy has Marfan syndrome. And one problem that people with Marfan syndrome face is aortic dissection. The walls of the aorta split open and it can be pretty quickly fatal. And he describes himself in his TED talk as a boiler engineer. And he says when we have a weak pipe, we wrap it. So he came up with the idea of exporting his CAT scan data or the MRI data of his beating heart and custom printing a fabric mesh to wrap around his aorta. And it's become and medically accepted treatment now. Harry Glorikian: That's awesome, right.Dave deBronkart: This is the data in the hands of somebody with no medical training, just. But see, that's the point. That's the point. He enabled by the data, is able to create real value, and it's now an accepted treatment that's called PEARS and it's been done hundreds of times. And, you know, here's a beautiful, it's sort of like the Dana Lewis skateboard scooter progression, years later, a subsequent scan discovered something unexpected. The mesh fabric has migrated into the wall of his aorta. So he hadn't he now has a know what doctor, what hospital, what medical device company would have ever dreamed of trying to create that? That's the beauty of liberation when data gets into the hands of the innovators.Harry Glorikian: Well, that's something that everybody can take away from today is at least thinking about their data, how it can help them manage their health better or their life better. Obviously, I always say, in cahoots with your doctor, because they have very specific knowledge, but having the data and managing yourself is better than not having the data and not understanding how to manage yourself. So on that note, Dave, thank you so much for the time today. It was great.Dave deBronkart: Thank you very much. See you next time.Harry Glorikian:That's it for this week's episode. You can find past episodes of The Harry Glorikian Show and MoneyBall Medicine at my website, glorikian.com, under the tab Podcasts.Don't forget to go to Apple Podcasts to leave a rating and review for the show.You can find me on Twitter at hglorikian. And we always love it when listeners post about the show there, or on other social media. Thanks for listening, stay healthy, and be sure to tune in two weeks from now for our next interview.
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