Podcasts about thanks andrew

On this episode, we learn all about the venomous (not poisonous) rhinoceros viper. Learn about its cool retractable fangs, the not one but TWO types of venom it has, and take a listen to Jaguar's new evolution music.  Thank you to the Regional Arts & Culture Council for our awesome new podcasting equipment! We are excited to give you better and better audio as we learn the tricks of our new equipment.  Thank you also to Nora for being our Patreon sponsor! If you would like to be a Patreon sponsor, head here: https://www.patreon.com/coolfactsaboutanimals  If you know the answer to our creature quiz or riddle, send us the answers at coolfactsaboutanimals@gmail.com or Tweet us at @coolanimalspod.  Thanks Andrew of Ear Snacks for our theme music!

This week's episode features author Shih-Chuan Chou and editorialist Alexander Sandhu discuss the article "Impact of High-Deductible Health Plans on Emergency Department Patients With Nonspecific Chest Pain and Their Subsequent Care." Dr. Carolyn Lam: Welcome to Circulation on the Run, your weekly podcast summary and backstage pass to the Journal and its editors. We are your co-hosts, I'm Dr. Carolyn Lam Associate Editor from the National Heart Center and Duke National University of Singapore. Dr. Greg Hundley: And I'm Dr. Greg Hundley Associate Editor, Director of the Pauley Heart center at VCU health in Richmond, Virginia. Dr. Carolyn Lam: Greg, I am so excited about today's feature discussion that's going to be about high deductible health plans and their impact on emergency department patients with chest pain and their subsequent care. Now, I can tell you as coming from outside of US, I learned so much from this discussion so everybody's going to want to hear it. But before we go there, let's discuss the other papers in today's issue. Greg, do you have a paper? Dr. Greg Hundley: You bet. Thanks Carolyn. So my paper is going to really evaluate a very interesting question about the role of measuring lipoproteins and their subfractions in patients, not with coronary disease, but peripheral arterial disease. And it comes to us from Dr. Scott Damrauer from the University of Pennsylvania School of Medicine. So Carolyn lipoprotein related traits have been consistently identified as risk factors for atherosclerotic cardiovascular disease, just like we said. Largely based on their role in progression of coronary artery disease, but the relative contributions of these lipoproteins to those with peripheral arterial disease really haven't been as well defined. So these authors leveraged a large scale genetic association data to investigate the effects of circulating lipoprotein related traits on peripheral arterial disease risk. Dr. Carolyn Lam: Interesting. So what did they find, Greg? Dr. Greg Hundley: Right, Carolyn. So ApoB was prioritized as the major lipoprotein fraction usually or almost causally responsible for both peripheral and coronary artery disease risk. Extra small VLDL particle concentration, we'll call that excess VLDLP was identified as the most likely subfraction associated with peripheral arterial disease risk while large LDL particle concentration was most likely the sub fraction associated with coronary artery disease risk. And genes associated with excess VLDLP and large LDL particle concentration included canonical ApoB pathway components although gene specific effects were quite variable. And then finally Carolyn, lipoprotein A was associated with increased risk of peripheral arterial disease, independent of Apo protein B. So therefore Carolyn, I think the take home message from this study is that ApoB lowering drug targets and ApoB containing lipoprotein subfractions had really diverse associations with atherosclerotic cardiovascular disease and distinct subfraction associated genes suggested that possible differences in the role of these lipoproteins really are involved in the pathogenesis of peripheral arterial as opposed to coronary arterial disease.   Dr. Carolyn Lam: Wow. Thanks Greg. Hey, it struck me that we haven't had a quiz in a long time. Okay, but we're not going to do it now. Don't choke because this one's kind of tough. I don't think I could even answer it. What is phospholamban? Dr. Greg Hundley: Well, let me guess. I remember having this, I think. Let's just... Carolyn I do not know what phospholamban is. Dr. Carolyn Lam: Let me just tell us all. Phospholamban is a critical regulator of calcium cycling and contractility in the heart. The loss of arginine at position 14 in phosphate lanvin is associated with dilated cardiomyopathy and a high prevalence of ventricular arrhythmias. But how this deletion causes dilated cardiomyopathy is still poorly understood. And there are no disease specific therapies. And hence today's paper, which comes from Dr. Karakikes and colleagues from Stanford university school of medicine. What they did is they employed human induced pluripotent stem cells and CRISPR Cas9 gene editing technologies to create an in vitro model of dilated cardiomyopathy associated with this phosphate lanvin 14 deletion mutation. Single cell RNA sequencing revealed the activation of an unfolded protein response pathway, which was also evident by significant up-regulation of marker genes in the hearts of patients with the deletion. Pharmacological and molecular modulation of this unfolded protein response pathways suggest a compensatory role in this type of dilated cardiomyopathy. Augmentation of the unfolded protein response by the small molecule BIP protein inducer X Millia rated contractile dysfunction. Dr. Greg Hundley: So Carolyn, tell me what are the clinical implications? Dr. Carolyn Lam: Well, these findings suggest a mechanistic link between proteostasis and the phospholamban 14 deletion induce pathophysiology that could be exploited to develop a therapeutic strategy for this kind of cardiomyopathy. The study also highlights how human induced pluripotent stem cells and cardiomyocyte modeling could be combined with small molecule testing as a paradigm for studying genotype, phenotype associations in heart disease. Dr. Greg Hundley: Very nice Carolyn. Well, my next paper comes to us also from the world of preclinical science. And it's from Dr. Philip Marsden from the University of Toronto. And Carolyn endothelial nitric oxide synthase or eNOS is an endothelial cell specific gene predominantly expressed in medium to large size arteries where endothelial cells experience athero-protective laminar flow with high shear stress. Now disturbed flow with lower average shear stress decreases eNOS transcription, which leads to the development of atherosclerosis especially at bifurcations and in the curvatures of arteries. So the prototypical arterial endothelial cell gene contains two distinct flow responsive SIS DNA elements in the promoter. The shear stress response element and the Kruppel-like factor or KLF element. Previous in vitro studies suggested there're positive regulatory functions on flow induce transcription of the endothelial genes, including eNOS. However, the in-vivo function of these SIS DNA elements remains unknown. Dr. Carolyn Lam: Wow. So what did these investigators do, Greg? Dr. Greg Hundley: Right. So Carolyn the authors report for the first time that the shear stress response element and the KLF elements are critical flow sensors necessary for a transcriptionally permissive hypo methylated eNOS promoter in endothelial cells under chronic shear stress in vivo. Moreover endothelial nitric oxide synthase expression is regulated by flow dependent epigenetic mechanisms, which offers novel mechanistic insight on eNOS gene regulation in atherogenesis. Dr. Carolyn Lam: Nice. Thanks Greg. Well, let's go through what else is in this week's issue. In a cardiovascular case series, Dr. Ribeiro discusses the Platypnea-Orthodeoxia Syndrome, a case of persistent hypoxemia in an elderly patient. In ECG challenge, Dr. Challenge shows a case of diffuse St. Segment elevation with idiopathic malignant ventricular arrhythmias. There's an exchange of letters between doctors Wang and Sattler regarding the article cross priming dendritic cells exacerbate immunopathology after ischemic tissue damage in the heart. And there's an On My Mind article by Dr. Mullasari Sankardas on of occlusions, inclusions and exclusions time to reclassify infarctions. So interesting. Dr. Greg Hundley: Very nice, Carolyn. So I've got a couple of things in the mail bag. There is from Professor Kunfu a Research Letter entitled PTP MT-1 is required for embryonic cardio lipid biosynthesis to regulate mitochondrial morphogenesis and heart development. And then finally our own Bridget Kuhn has a cardiology news entitled vegan diets that are culturally aligned with traditional soul food gained popularity among black individuals. Well Carolyn, I can't wait to get to your feature discussion today. Dr. Carolyn Lam: Me too. Today's feature paper is about the impact of high deductible health plans on emergency department patients with non-specific chest pain and their subsequent care. I'm so pleased to have with us the first author Dr. Andrew Chou from Brigham and Women's hospital, as well as the editorialist Dr. Alexander Sandhu from Stanford university. Welcome gentlemen, please tell us about your current study. Dr. Andrew Chou: Yeah, so I think the reason we did this study was really obviously aware of the context, but also me working as an emergency decision. So anybody in the ED will now that, there's all kinds of versions of chest discomfort that comes through the ED and they always are worried about heart attack. And we do this testing kind of day in day out, it gets kind of inundated. So a lot of people have put thought into what we should do in the emergency room. We should get ECG, we should care cardiac enzymes when we're worried about it. But what really quite remains uncertain is really what to do afterwards. We get this patient, we test them, we didn't really find heart attacks, but there's a lot of uncertainty about what to do after. Do we do stress test, do we hospitalize them to get the stress test or other testing. Dr. Andrew Chou: As a result, there's a lot of variation in care. And I think partly because of that, they're kind of the shared decision making came out of that. As a part of the solution was to involve patient via, Hey, here are your risks. Let's talk about whether or not this would make sense for you to stay, get testing among other decisions. But what's always interesting to me is that even though we have this push towards having patients have kind of needing to make these decisions because of money, we don't really talk about costs and even their sort of sense of pride about, oh, we don't want to talk about costs. We just want to be the best medical treatment for you, but cost is such a reality for the patients. So, that's kind of the motivation behind getting this study done. So the way we wanted to test it was to set it up as closely as possible to run my trial but knowing that it's not really possible in the real world to do something like that. Dr. Andrew Chou: So we had to be pretty selective about who we include as a study population. So the first thing we did was we took essentially a large national insurer and their claims database. We look at only the people who enrolled in insurance products through their employer. So employers in the US can choose what type of plan they want to offer patients. And we only chose employers that offer only one type of insurance at a time within each year of a plan. So what we did is we chose people who had essentially two years of enrollment. And in the first year, they all have to have loaded up full plans. Dr. Andrew Chou: Meaning deductibles are less than $500. It's still a lot of money, but it's less compared to... The second year either they still have low deductible plan or the experimental group is going to be a group of people who employer only offer high deductible plan, which we define as having deductible greater than $1,000. So that sort of set up a control and experimental group with a similar baseline and then a different followup period of a year. And then we also did additional matching by employer characteristics and their own, the member characteristics to kind of make them as close as possible in terms of compabilities, age, as well as employer size, which we find to be a really big factor. Because large employers tend to have lower deductibles because they can risk care a lot better among their employees where a small employers like companies with five, 10 employees tend to have high deductible plans. So we use that population to compare essentially what happens after a certain company switch to kind of calculate the effect of the high deductible plan. Dr. Carolyn Lam: Great. Very novel design. But could you please tell us your results? Dr. Andrew Chou: Yeah, so we found is that once the employees from the companies that switch, there were less ED visits that ended up with a diagnosis of chest pain. This is important to bring in also the nuance here, which is that these are ED visits that effectively are not have been seen and test it. And they don't have a severe diagnosis like a heart attack or other significant cardiac issues that were found at least during the initial ED stay. And that decreased, which sort of makes the question whether or not these decreased visits or either where they just another chest visit without really other diagnoses or are they visits that actually have diagnosis. The other thing we found was also that there's a decrease in admissions from these ED visits actually. And majority of it, even though when we did our study, we actually were looking at admissions through the 30 days after these ED visits. Dr. Andrew Chou: But we found that the majority of difference is actually the admissions directly from these initial ED visits with time is just horrible. Two more things we found was that the amount of testing that was done after the ED visits, or not really consistently decreased because of high deductible, some tests really didn't have a difference and some more invasive and expensive tests did have some differences. But if you account for the decrease in the chest pain ED visits, then they're not really that notable. But the last finding, which perhaps is the most interesting of which is that there seems to be an increase in heart attack diagnosis and admissions after these visits for chest pain and our statistics for the entire study population actually wasn't significant. But we decided to look at the subgroup patients from poor communities who presumably have lower income and found that the same findings in this group was actually statistically consistent and so we felt comfortable reporting that. So I think that was probably the most interesting finding from our study. Dr. Carolyn Lam: Right. Thanks Andrew. Alex, I have to bring you in here. I really love the editorial love that you said to go or not to go as the title. But could you put these findings in context, please? Dr. Alexander Sandhu: Yes. Happy to and thank you for having me. I think studies like this study by Andrew and colleagues are incredibly important as we make health policy decisions that have large impacts on clinical decision-making for both patients and clinicians. It's important that we study them to understand how they impact patient decision-making clinical outcomes and costs, because obviously that can have important ramifications for future design at the end detecting unintended consequences. I think this study adds to a large body of work done by Andrew and his colleagues, really helping us to understand the implications of high deductible health plans on patient decision-making and subsequent outcomes. This is an incredibly important topic because of the proliferation of high deductible health plans over time and then potentially since the advent of the Affordable Care Act with fixed premiums leading to more and more cost sharing for patients. And it's really critical that we understand how that cost sharing impacts patients. Dr. Alexander Sandhu: And I think that chest pain is a wonderful test because chest pain can be something very serious. It's almost universal that when patients have acute onset chest pain, that a clinician asks them to go to the emergency department for further evaluation. However, we also have a large body of evidence that suggests that the large majority of chest pain episodes are not serious and don't end up needing additional treatment. So it's an area that I think both you could imagine decreased utilization once you applied cost sharing to patients. But what were you very much worried about the unintended consequences of people not going to the emergency department, if it's a serious condition. I think this was a well-designed quasi experimental analysis to look at the lower risk, but majority of episodes of chest pain where they're non-specific and not resulting in acute coronary syndrome and to try to demonstrate it that the high deductible health plans do lead to reductions in those episodes. Dr. Alexander Sandhu: I think as Andrew said, one of the most fascinating findings was this increase in acute MI's it was consistently significant amongst the low-income patients, but was not related to patients that were discharged because of potentially the effects of the high deductible and then came back in with acute MI's but were actually acute MI's during the initial admission. I was wondering if Andrew could maybe both explain that nuance a little bit more, which you get into the discussion of that paper, and then also walk us through maybe some thoughts that you and your study team had for causes for that potential finding. Dr. Andrew Chou: Yeah, absolutely. Thanks for raising that. So I think going into it initially, our hypothesis was really that, but when we first saw it, our initial thought was that, oh, maybe perhaps after they're discharged, they're supposed to get testing and patients or then follow up with their doctors. So they have increased poor outcomes. And so after that thought, that's when we did the kind of subgroup analysis looking at just patients who were discharged versus those who were admitted when they were diagnosed with chest pain at their initial ED visits. And exactly what we found is that the difference is really among people who were admitted initially, which is surprising to us. So I think what that signals to us is that our initial thought was not correct in the sense that this is not really a result of lack of followup or didn't intend to the testing that they were scheduled or didn't go see their doctor afterwards. But really like patients who are showing up in the ED already are more prone to perhaps having a heart attack. Dr. Andrew Chou: And so it really points to which is what you mentioned at your program, which we totally agree as well, that more upstream factors is affecting this. Could it be that they don't tend to take their medications as they should, or they didn't go to their doctors for checkups as they should, or they could have had earlier identification of heart problems if they have more perhaps milder symptoms beforehand until before the ED visits that could have presented certain things. So, that's hard to say. I do think that there is a... One of my mentors in this paper, Dr. Wareham, who has done a ton of work in the space of high deductible plan with kind of chronic disease management, they have definitely shown a lot of differences when patients have higher cost sharing. They'd certainly defer a lot of carriers, especially in diabetics have more complications and it might be a similar scenario here that which would make the most sense and fits the best with our findings here. Dr. Carolyn Lam: So that's a great question Alex and great insight Andrew. I think at this point, I need to ask you both. So what overall do you think is the clinical implication or there'd be any practical next step that you think should follow from this? Maybe I'll let Andrew start and then Alex finish? Dr. Andrew Chou: Sure. Thank you. I think there's kind of... I think two aspects to this one is really broader policy changes. I think if anything, it's quite uncertain whether or not the reduction in ED visits for chest pain is something detrimental. It's unsure whether or not the reduce admission is detrimental. But what is certain is that especially in lower income population certainly feels the higher out-of-pocket costs a lot more. And if there is an unintended consequence, it will certainly be magnified in this population. And in fact, I think a couple of past studies who having compared really high income versus low income population has found that really, high income patients tend to do okay and they're able to pick and choose appropriately of type of care they need. Whereas low-income patients tend to have really unanticipated changes. So, really trying to minimize the impact for low-income patients is going to be important policy direction. Dr. Andrew Chou: And there are a number of ways of doing it. I think there certainly is an increasing trend for companies to fund the health savings account, which is actually a tax deferred almost like investment accounts or certain fund to help them offset some of their healthcare out-of-pocket costs. But the other aspect of it, which I think is all a bit harder to push for is really for employers and insurance to just keeping their account patient's income when they're kind of pushing forward products for a high deductible plan. So low-income patients should just not have quite as big of a deductible as the high income earners do. But a different aspect it's really clinically for clinicians. It's tough because I think insurance put this forward because they want to influence patient decisions before they even see the clinician. But after they decide to come visit clinician, I think the clinician should be aware of the financial reality for the patient when making these decisions. Dr. Andrew Chou: But it's really hard for me to think about whether or not this is going to be a good thing for the patient or not. And one of the biggest concerns for really my colleagues in the department is really whether or not if we are really talking poor patients out of certain care by reviewing their financial reality with them and by through that are we essentially discriminating against other patients. So that's really a big unknown. I think that's definitely an area that we should definitely heavily invest in research because we're just pushing forward with price discussion for care to encourage price discussion at the clinic here without really knowing what's going to happen. Dr. Carolyn Lam: Yeah. Wow. Alex? Dr. Alexander Sandhu: Yeah, I definitely agree with Andrew. I think if we want to make decisions based on cost and we want patients to make those decisions and we as clinicians, obviously should be helping them. We need more transparency around costs, current deductible status, and that has to be available at the point of care so it actually can be integrated in decision-making. But I think that's likely not enough. I mean, even for clinicians, it's hard to determine how clinically necessary it is to get emergency evaluation before you see the patient when you get a phone call. So I think, if it's hard for clinicians with all of our years of experience, it's hard to understand how we can really expect that from our patients. Dr. Alexander Sandhu: I wholly agree with Andrew that I think a critical step is it's going to be important to reduce the risk of cost sharing for low-income patients with a number of potential interventions to do that, which I think are the real policy implications here. And then more generally, I think we should make sure that deductibles aren't discouraging utilization of high value cost effective intervention. There are currently safeguards in the Affordable Care Act about that. But I think we need to think about those closely and probably expand that so we don't see high deductible health plans leading to lower stat rates or worse diabetes prevention. Dr. Carolyn Lam: Wow. Words of wisdom. I just cannot thank you both enough for publishing such a beautiful paper, important findings, as well as just a very lovely editorial in Circulation. Thank you. Learned a lot. I'm sure the audience did too. Please remember you're listening to Circulation on the Run. Please tune in again next week with Greg and I. Dr. Greg Hundley: This program is copyright of the American heart association, 2021. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American heart association. For more visit ahajournals.org.  

This week we sit down with Andrew Onermaa, founder of Ozark Gravel Cyclist. Andrew is a passionate gravel cyclist and bikepacker who has channeled energy and love into creating a hub for Arkansas gravel cyclists. Ozark Gravel Cyclists Web / Instagram Join The Ridership Support the Podcast Automated Transcription, excuse the typos. [00:00:00]Craig Dalton: [00:00:00] [00:00:00] Andrew, welcome to the show. [00:00:02] Andrew Onermaa: [00:00:02] Hey, thanks for having me, Craig, [00:00:03] Craig Dalton: [00:00:03] super excited to learn more about your project. It was our gravel cycling, but the more I've talked to you on offline, the more I want to hear about your personal journey to the bike and all the things you've been doing. [00:00:15] So why don't we start off by just a little bit of your background. As an athlete and what led you to gravel cycling? [00:00:21]Andrew Onermaa: [00:00:21] That's a great question. So the journey of the bicycle has definitely evolved a lot in the last decade. So I realized, or did riding bikes in college as a means of transportation. My vehicle died on me. [00:00:36] Okay. I can't buy another car. What are we going to do? So what's the cheapest bike you can possibly find. It's going to be a bike that has. One gear and has nothing extra on it. So got a six gear bike, cause I was starting to hear about it. I was cool. This is in 2011, 2012, and I started really getting addicted to just the motion of moving through the landscape and interacting with vehicles and people and pedestrians. [00:01:09] And I started delivering sandwiches for Jimmy John's in the middle of the night, I'd be doing a graveyard shift of 10:00 PM til three or four in the morning and just doing it all by bike. And I didn't have navigation on my phone, so I'd be printing up stuff in the shop, turn by turn navigation and using [00:01:30] that to deliver sandwiches. [00:01:32] And I ended up just spending a lot of years traveling. Out west always had a fixed gear bike. It'd be my fun way to explore, but I'd still be pursuing other things. Climbing backpacking, mountaineering skiing, really just fully embracing the outdoors. But the bike was always, there is more of just a really fun way to explore in a way to shake things up. [00:01:54] And it. Like within the last two, three years, I finally got my hands on a road bike with multiple gears brakes, and it opened up a whole new world of cycling to me that I'd never seen. I can suddenly do much, much bigger Hills. I was living in salt lake at the time I was doing these canyon passes, seeing the landscape from essentially mountaintops. [00:02:18] And I was just blown away by how much you could see in an afternoon, they didn't even have to be a full day. And so that just fully consumed me. I was doing a lot of where I would bag multiple peaks in a day via foot. And I was like, man, I can apply this to the bike instead. Let's like, how many high points can I hit? [00:02:40] And so that really opened my eyes to how much distance you can travel on the bike. And then. I started looking over and what about these dirt roads that I'm seeing? I'm getting tired of all these cars living by like ruining the vibe per se. Like I'm out in nature and [00:03:00] all of a sudden you have 20 cars blow by and one person has to roll down their window and yell something or whatever. [00:03:06] And so I started dabbling into some dirt, but I wasn't confident with the skinny tires. So I went west. On the other side of the salt lake or it's flat. And that was my introduction to gravel. It was just this big open space with these random gravel roads, no information, no signage. And I would just try and I go for awhile for as long as I felt comfortable. [00:03:31] Yeah. And then I would turn around and come back and just cross my fingers for whatever reason I was thinking now that I'm on gravel. My bike's gonna explode. Everything's gonna go wrong. And I kept having rise where it's whoa, that was actually really peaceful and enjoyable. And I was by myself the whole time. [00:03:49] And that's, I started honing in on that aspect of this is something different. This is combining a lot of years of playing outdoors and this love of the bicycle. And so that's the quick summary of bikes. Over the last, almost decade until I moved back to Arkansas and got a proper gravel bike, my first gravel bike, and it's been a little over a year having a bike that's designed for this style of riding and it's just been phenomenal. [00:04:22] And just the more I've done it, the more I've just, I don't know, absorbed as much as possible as far as learning. [00:04:30] And getting faster. [00:04:33] Craig Dalton: [00:04:33] That's a super cool journey to the bike. I, I remember in connecting with the originally, when you were talking about your passion for mountaineering and climbing and hiking it's, as you came to it from a road biking perspective, it's pretty natural that you started to see those same peaks you'd hike and say, why don't I go up a dirt road rather than the paved roads. [00:04:53] It's really cool to hear that store, that backstory about how you got into gravel cycling. [00:04:58] Andrew Onermaa: [00:04:58] Absolutely. And a lot of the hesitation initially was I felt like it was going to calm, complicate things of being out in nature in that environment. Since I always did things by foot or by skis, I, it felt very minimal. [00:05:13] And I thought, oh, now that I bring a bike, I'm going to have to bring tools in case it breaks down, I'm going to have to bring bags to carry things and it's going to have to attach the bike. So a lot of the hesitation was more so thinking is going to complicated all and take away from the joy. But it turns out and you can just cover so much more ground. [00:05:31] And for the most part things work out. So you're not getting out there and just getting flats all the time and derailers falling off or anything like that. It's, you're just doing what you love and you're doing it in a really cool. Environment. [00:05:45] Craig Dalton: [00:05:45] Yeah. You came into the sport at the perfect time, because a lot of the kinks had been worked out of the system on the bike. [00:05:51]They are super reliable and I definitely see what you're saying about hiking versus biking. I often think to myself as I'm [00:06:00] hiking with my family, we're just covering so little ground compared to what I do on a bike. We have to pick such a small section to hike, whereas that would be one eighth of what I might ride in any given day. [00:06:12] And I always feel a little bit guilty, the amount of terrain I'm able to cover versus when I'm hiking with my family. And they're just seeing this little tidbit of what's on the mountain [00:06:22]Andrew Onermaa: [00:06:22] for sure. And then one, one thing I was overlooking for a long time was the. The element of enjoyment of downhill, running, hiking, whatever going downhill is not nearly as fun my foot as it is on a bike or on skis or something like that. [00:06:39]That in itself adds a lot of extra joy on covering that terrain. Cause you get to. Experienced these crazy speeds and be making on the fly decisions and audibles to Dodge, a little boulders, or hop over ruts and things like that. So that's, it's a blast. You work, you like earn your journey is the term and skiing. [00:07:01] And I feel like it relates to gravel riding really well. Really well, [00:07:06] Craig Dalton: [00:07:06] so true. I had run into a friend of mine's wife who was out on a all day, a mountain biking trip down onto the peninsula to a great spot called Scags. And she told me, oh, I got a text from him saying he just had the time of his life. [00:07:21] And he's, she's I don't, I just don't get it. And I'm like, it's hard to explain to a non cyclist, but it brings us back to our youth. It's. It's like [00:07:30] playing video games, wrapped into working out this constant decision making that you have to do. When you clear a section you want to just high five, your friends and you just have a laugh because it's just such an exhilarating sport. [00:07:45] Andrew Onermaa: [00:07:45] Yeah. There's many times where I'm in the middle of the nowhere and those are laughing, going down a dissent or just grinning ear to ear. Cause it's. It's so much fun, [00:07:55] Craig Dalton: [00:07:55] so true. I'm smiling. Just thinking about it. So you mentioned, and that your journey took you back to Arkansas and you are new gravel cyclists at that point. [00:08:04] And the reason I was super stoked to connect with you is because I love these community based projects. So you started a group called Ozark, gravel cycling. What led you to begin that journey and put a stake in the ground and say, Hey, I'm going to be a hub for activity. Nos are in the Ozarks and try to unearth information for, would be cyclists and start a community around [00:08:26] Andrew Onermaa: [00:08:26] gravel. [00:08:26] Yeah. Yeah. That's a great question. So through fix gear riding, I honestly just spent a ton of time by myself cause it's such a very niche aspect of riding bikes that is hard to find other writers that did the same thing. And to have the same fitness or goals or schedules. So whenever I got a road bike, I was about to start racing for a team by no means was I going to be going to local crits or road races and dominating or anything, but I was just really excited on the aspect of [00:09:00] here's a group of people that love bikes and we're going to hang out and we're going to ride bikes and we're going to travel sometimes to events. [00:09:09] And do more riding bikes. So it was just this really cool group setting that got me excited. It reminded me of sports in high school, growing up junior high, middle school, things like that. It was just, I'm an adult, but also I have the shared activity that we all get to enjoy together. And so I was just really thrilled on having friends through a common activity. [00:09:38] And as soon as the pandemic happened, everything got canceled. So I never got to actually go to these races. I got to do a team camp, started doing some practice rides and then boom, everything canceled. So I was like, oh man, I was so fired up for this idea of traveling and riding bikes and checking out new spots. [00:10:02] And so when I moved back to Arkansas, one is to be closer to family. My grandparents are here. I wanted to help them with grocery shopping. I didn't want them to have to go out and do all these things by themselves. So I, one move was definitely to be around family, but the other was, Hey, things are shifting the ski resorts no longer open than I work at. [00:10:27] This seems like a good time to [00:10:30] pursue the bike a little bit more and just skip a few months of winter and jump straight to spring by moving down south. Showed up in Arkansas and I knew one guy that rode gravel in Arkansas, and that was literally it because we knew each other in college and our very first gravel ride together. [00:10:50] I basically told him, Hey, I was really excited on riding bikes with a group and trying to travel around and check out more places to ride, essentially make friends. And I told him that idea. He said, yeah, that's cool. We don't really, we have different, smaller groups, but there's no like central thing. [00:11:08] That's dedicated only to gravel right now. And so I pitched an idea of, Hey, let's. Let's do that. Me and you, we're having a good time right now, right? You probably have chief friends like this. I bet there's other people in Arkansas. We know there's other people in Arkansas that ride gravel. [00:11:23] Let's just try to connect more people. And that's really how it started was just me and one other person went on a gravel ride, had a great time together. And wanted to do it more and find other people to do it. [00:11:36] Craig Dalton: [00:11:36] So did you start off with a Facebook group? Cause I know now you have, you've got a website up and running. [00:11:40]How did you get started? [00:11:42] Andrew Onermaa: [00:11:42] Yeah, so it was whenever I first came back, I couldn't get a job when I first came back to Arkansas. So I was living with my mom and my grandparents and I was applying and trying to get jobs anywhere. Couldn't get a job. When I wasn't riding my bike, [00:12:00] I decided to make pursuing this a job per se. [00:12:04] It didn't feel like a job is I loved every single minute of it, but it's like, what can I do? I can create an Instagram account. That's like the very first thing I did create an Instagram account. Those are gravel, cyclists, boom. Here's three photos from our ride. Here's two people that like riding gravel. [00:12:22]What are some popular hashtags related to gravel? Who else in the area is riding gravel. So looking up ride Arkansas, anything I could do to try to find people through basically social media, I try to follow them and comment on their rides and be like, Hey, this is really cool. Where was this at? [00:12:42] And so it was just very genuine. Because I wasn't trying to do this Hey, this is a gravel authority and America is very, just start small, start local start focused. I didn't like, I love what's going on in the country, but I want to know what's happening right here, where I live. Yeah. Oh, I love [00:13:03] Craig Dalton: [00:13:03] that, and I've spoken to the Ohio gravel grinders and a couple other groups on the podcast and it's just so critical. [00:13:09] I think part of it seems to me that, there's. There's a challenge. Anytime you're getting out there in the wilderness. And just knowing someone did this route before you, or finding a group, that'll go do it with you. It's just so confidence inspiring. And it just accelerates that learning curve of, once you get hooked on gravel cycling, you just [00:13:30] want to explore new and different places as frequently as you can. [00:13:34] Andrew Onermaa: [00:13:34] Yeah. Hands down. And so it was that's what a lot of it was getting people together. Check out new roads that at least one person had been on it before. So we're like, cool. You've been on it. You're still alive. You're still talking to us, but let's go check that one out. And then on my days where I couldn't ride with anybody, I was scouting out new roads myself and trying to create new routes. [00:13:57] And then eventually bring people out to this other area I saw and then started adding some more consistent group prides. It was just once a month. And then it was every Thursday night and it just has grown very quickly just because. One there's a huge scene for gravel in Northwest Arkansas, but two we've just been consistent, no matter what it's been for a year straight, we've had a group of people riding gravel every single week. [00:14:27]Craig Dalton: [00:14:27] Amazing. So for the listener that may not be familiar with the Ozarks and Arkansas in general, can you just tell us where in the country Arkansas is and where are the regions that you love riding most in Arkansas? [00:14:41]Andrew Onermaa: [00:14:41] Yeah, that's great. So when I lived in Utah, it was actually one of my jokes. [00:14:46] I'd say, Hey, I'm from Arkansas named three states that border Arkansas, and a lot of people can do it. So Arkansas we're above Louisiana. We got Texas down to the Southwest. We [00:15:00] got Oklahoma, Missouri Tennessee, all these different states bordering us to we're south central and. The Ozarks themselves is I was just looking at this earlier. [00:15:14] So it's 1.2 million acres of incredible forest. It's big rolling Hills where the highest point is 2,700 feet tall. That's Mt. Magazine, and you have a ton of these scattered peaks that are. In that range of 2000 or so feet. And what happens is, as you're riding through this terrain, you get to a high point here on original line for a little bit. [00:15:43] And then you drop way down to where these rivers and creeks are, which are down at maybe 300 feet elevation, 400 feet elevation. So you constantly get. These repeating Hills of a thousand feet or so. And so it's this very engaging up and down rollercoaster you can't ever see for too far in one direction either cause the tree coverage or just cause it's so winding that it just really. [00:16:12] Pulls you in you're really engaged. You can't just stare off into the distance, that stuff, because you gotta be looking at what's in front of you. [00:16:20] Craig Dalton: [00:16:20] So my limited experience riding in Arkansas was out of Bentonville on the big sugar course, and it was the bits I did, which was only, I think about 35 [00:16:30] miles, a lot of gravel roads, wide gravel roads, wide enough for a couple of cars to go back and forth on pretty rough gravel roads. [00:16:37] As it turned out was she was a little bit surprised about. When you compare that type of writing with what you might find in the Ozark national forest, what would you, how would you describe the differences between the two? [00:16:49] Andrew Onermaa: [00:16:49] Yeah that's cool to bring that up because even a lot of people that live here, they tend to still hover around. [00:16:57]What's right by Bentonville arrived by Fayetteville and the way you describe it, I say that's a great representation of what's. Around these towns. I agree. It's pretty chunky and it can get steep and anything that you find out and those, the proper roads aren't national forest is just a more amplified version of what you experienced just outside of Bentonville. [00:17:19] So it certainly sounded like [00:17:21] Craig Dalton: [00:17:21] certain certainly sounded like the climbing in the Ozarks was, maybe 500 feet more than you might see or in and around Bentonville. [00:17:30] Andrew Onermaa: [00:17:30] Yeah. Yeah. And then just the vistas are that much more beautiful and the rivers are that much bigger. The creeks are that much bigger. [00:17:37] So it's really just like anything that's near Bentonville. It's just, I don't even know how to, it's hard to, that's why I'm so obsessed with. Getting out there and trying to develop new routes because I just think it's absolutely phenomenal. And I know how much people love the riding right by the towns we're at. [00:17:59] So if [00:18:00] you love this and you're willing to push yourself a little bit more, to go a little bit further up the hill, then you're going to get this much bigger of a reward going downhill or seeing this view. So to me, the Ozark national forest is just the. The absolute pinnacle of what Arkansas has to offer concerning gravel, riding and bike packing. [00:18:26] Craig Dalton: [00:18:26] Are you finding that the athletes that you're riding with and yourself, are you riding bigger tires because of that chunky terrain? [00:18:33] Andrew Onermaa: [00:18:33] Yeah. So some of the guys that have been here for a while and girls they I've been pushing them to go bigger and bigger tires. I've never finished a ride and been like, man, you know what? [00:18:44] I should've had a smaller tire. I should've had a smaller tire. And a lot of it stems from, of course, people coming over from the road culture and wanting to keep speed on pavement sections. So if it's your Thursday night ride out of town, there's going to be a fair share of pavement. Say we're doing pace lines. [00:19:01] People are going to want a smaller tire and go faster. But the thing is I run a 47 seat tire. All the time. It doesn't matter what, I'm doing 40 17 tire. And that's truly just because that's the biggest tire I can fit in my frame. If I could go bigger, I would honestly be looking into a 50 CC tire, potentially, especially getting out. [00:19:22] If you do a ride only in the Ozark national forest, that's where you're getting in the train of man. Maybe I want like a fully rigid mountain [00:19:30] [00:19:29] Craig Dalton: [00:19:29] bike and stuff. Yeah, no, I was thinking about the exact same thing today and I'm with you. Like I just, I. Go as fat as my bike will allow, and I never seem to regret it. [00:19:40] I was thinking about it also in the context of descending and just how much more confident I am to have a bit more fat rubber there. It's like going uphill and I've been experimenting with some really narrow tires just to test the other end of the spectrum. And it's all good going uphill. Like I'm perfectly fine. [00:19:55] But the moment it starts going downhill, I start getting nervous about, how much suspension is that tire providing? How hard can I hit this rock garden that I'm going through? And lot of times it's out of your control. You're, you get into some rough stuff going fairly fast. [00:20:10] You got to have equipment underneath you. That's going to survive the abuse. You're giving it. [00:20:14]Andrew Onermaa: [00:20:14] Absolutely. I feel like I remember whenever I listened to your podcast, like quite a few episodes in the last year or so, didn't you have a phase where you're starting to. Experiment more with six 50 B, just like you can go bigger tires. [00:20:27] Craig Dalton: [00:20:27] Yep. For sure. For sure. And yeah know, it's funny. I just posted something on Instagram this weekend, about three sets of tires and wheels that I had and which one did I choose? And it's going to be a no surprise to anybody that it was the biggest tire that I could fit that weekend. I really like, unless it's a very specialized ride oh, I want to do this. [00:20:46] Particularly longish road section, and then I'm going to go on a completely smooth, gravel climbing back. I'm definitely gonna go with the big tires and I hate to sound like a broken record on the podcast, but I think like you [00:21:00] suggested a lot of people get into the sport from the road side and start thinking, oh, like a 700 by 38. [00:21:05] That's perfect. It's way bigger than my road tire, which is true. But I think we're starting to see trends in the industry more and more. But the frames are coming with a 700 by 50 tire with capability. And I think that's a positive trend. [00:21:22] Andrew Onermaa: [00:21:22] Absolutely. And it truly, it varies by region. So when I'm talking about those are national forest, I definitely am going to be preaching a bigger tire. [00:21:31] Sounds like same thing with where you're at. And is it Marion county? Yeah. Marin county. Yep. Yeah, Marion county. You get some people maybe in Iowa. So I just, I did a race in Iowa, not too long ago. And out there I can tell, I didn't need that tire. I could have gone. A little bit skinnier, but it was what I was used to. [00:21:49] So that's part of it. I'm used to it. I know how it handles and it still felt good. I never felt like I was sacrificing speed, but definitely by region. I think that's where you see trends just coming back to the different communities. It's that there's established community in the area and their bell curve of tires, tire, width. [00:22:10] Is at a certain point. That's probably what you're going to hear recommendations for. [00:22:15] Craig Dalton: [00:22:15] Yeah. I had a similar experience to yours in Iowa when I went to Steamboat Springs and. Tire people I was talking to, you were saying, oh, you can race that course on a 38. And I was like, no way. And I did come down to a 40, which I thought was a good [00:22:30] accommodation, but at the end of the day, like I totally could have done it on a 38. [00:22:33] And I know a lot of the local guys and girls were running 30 twos because they call it champagne, gravel out there. And it's, it's not technical at all compared to what it sounds like you and I are used to. [00:22:45] Andrew Onermaa: [00:22:45] Yeah. Yeah and teach their own. I w that's what I love about gravel is that there's so many different consistencies and styles that you take a road trip and you're like, man, this is. [00:22:58] A brand new experience. Not only is it new scenery, but just the way I am riding is a completely different experience. Yeah. [00:23:06] Craig Dalton: [00:23:06] And you design your equipment for what you want to make. Maybe you're designing around a weakness, you want to climb faster. So you get a lighter set up where maybe you're not confident descending. [00:23:16] So you get something big and burly to allow you to keep up with your friends. And, as you said, it's all good. And it's fascinating to see different people's setups. [00:23:24]Andrew Onermaa: [00:23:24] Yeah. And no matter what, whatever a person brings, I'm excited for him. You're here to ride. Let's do it. And we're going to bring, to get through this ride together. [00:23:35] Hopefully there's not many mechanicals, but if there are so be it or flats, it's the fact that you can pull someone and experience something like this together. That's more important than sometimes getting into the nitty gritty of what's the right call. It's more like the fact that you have the enthusiasm to come do it. [00:23:56]Will overpower a lot of those little things with the equipment. [00:24:00] 100%. [00:24:00] Craig Dalton: [00:24:00] It's all about riding. What you've got. Like you said, when you're out there in Utah, you just had the desire to test those gravel roads out there and you just rode your road bike and it was all good. And as it became a passion of yours, you're like maybe I want to get more specialized equipment over time. [00:24:14]And you did. And now look what you're doing. Adventures all over the place. [00:24:19] Andrew Onermaa: [00:24:19] Yeah. Yeah. It's so much fun. And I'm just barely getting started. So that's definitely exciting thing. It's finally being like, all right, I've found something I'm in it for the long haul and it's going to progress a lot over time in so many different capacities and I'm going to keep doing everything I can to help the local community while I'm at it. [00:24:39] Craig Dalton: [00:24:39] That's so great. That's so great. Speaking of racing and being in it for the long haul, I can't help, but ask you about the Arkansas high country race. Now that I learned you did it and you cry, you crushed it. So was that your first ultra distance race? [00:24:56] Andrew Onermaa: [00:24:56] Yeah, that was my first ultra distance race, first gravel race. [00:25:00]So several firsts in that one outing and. Crushing it's, I don't know about crushing it. I went in with the mentality of I'm going to either pull off something crazy. I'm going to go up in planes. And I think I did a little bit of both. I did enough to where I was in the conversation with. [00:25:21]Like a caliber of an athlete of tagging. Just the fact that they kept mentioning my name for the first few days and I was around the same [00:25:30] mileage and all of that. So that was really cool. Ultimately I had never pushed that far in my life as far as my mental and physical. And so it was an awesome learning experience and sleep deprivation as well. [00:25:44] I slept. Two and a half hours in the first, like three days. It was just, yeah, it was a lot and it was exciting and a really cool way to start. So I'm definitely looking forward to more ultra distance racing. I think that's definitely the sweet spot for me personally, is just getting on the bike and living on the bike for days on end. [00:26:06]Craig Dalton: [00:26:06] How many miles was that event? [00:26:08]Andrew Onermaa: [00:26:08] That event it's right around 1,037 miles. They've still been shifting the route over the years, whether it be due to flooding or closed roads. So it's still a little bit of a dynamic route. It's not a hundred percent set in stone, but yeah, just over a thousand miles. [00:26:27] So that's a pretty substantial distance that be covering, especially just in one state. [00:26:32] Craig Dalton: [00:26:32] Oh, it's massive. And what I thought was interesting about that event, you can choose to go clockwise or counter-clockwise right? [00:26:39] Andrew Onermaa: [00:26:39] Yeah. It's wild. So it's definitely with bike packing, being newer bike, packing racing. [00:26:45] Let me say being newer in the United States, you have your classics, like the tour divide, the Colorado trail. I'd say those are when it comes to bike, packing, racing, and routes. Those are the prime examples. [00:27:00] With the most history. And it's very clear, you start at one end and you end at the other, and for the Colorado church drill, you can do it either direction. [00:27:12] And there's an SKT for both and an overall MKT with the tour divide. As far as I know, the race has always been north to south. People have done the route, both directions, but the race is north to south. And so what's a loop, right? What they've been developing here is, Hey let's shake things up with this loop. [00:27:30] You can go either direction for one, two, you can start anywhere. So we've had people start all over this route for the race. It's a mass starts. Everybody starts together. But even that in itself, that mass starts going to change every two years. So it's this crazy dynamic race where. You can go one year and then you go again three years later and you're starting in a completely different city. [00:27:56] You might even be going a different direction. The weather might be completely different. It's, there's a lot of things that they're tying together just to keep it very interesting, [00:28:06] Craig Dalton: [00:28:06] which is cool. And how did you feel about your choice of direction and what was it this year? [00:28:10]Andrew Onermaa: [00:28:10] I like the counter-clockwise direction. [00:28:13] A lot of it was strategic in the fact that starting from say a bill for last year and this year being the host community, you get the hardest stretch out of the way and the first 250 miles. Okay. So that [00:28:30] has the hardest train. So my mentality was get the hardest section out of the way right away. [00:28:35] The biggest run out of no resupply, which is, I want to say around 150 miles and no resupply, no service, barely any water, definitely no food. Just knock that out and then keep trucking along. So that makes sense. I liked that idea. I think part of the problem was I definitely didn't keep in mind that I. [00:28:57]Was covering different terrain than the leaders and the other direction. So in this case, this was taking, so he was covering different drain and I didn't need to be even with him at mile 300 I should have been behind, but instead I was even, and so it, it really does mess with your pacing strategy when you're looking at dots on a website and you're trying to base decisions on what other people are doing versus. [00:29:22]Solely on how you're feeling and what you think is the right call for you to put out your best time. [00:29:28] Craig Dalton: [00:29:28] That makes sense. And what was your sleep system and what was your sleep strategy? [00:29:33]Andrew Onermaa: [00:29:33] Sleep strategy and system went hand in hand. My strategy was sleep as little as possible, ride the bike as much as possible. [00:29:42] So I brought as little as possible when it came to sleep to ensure that I didn't give myself the choice. So I was like, whenever I get to a major town, say halfway through, get a motel sleep for four hours, get back on the [00:30:00] bike, make another huge push, occasional plopped down in a ditch in the middle of the night and put on emergency busy and all your layers and sleep for an hour. [00:30:09] That was my mentality, which that's not what I do for a tour or a fun ride. But for. Race of competing against people of that caliber. I knew that's what personally I would have to do to be able to make up that differential and fitness and experience [00:30:26] Craig Dalton: [00:30:26] you did decide to bivy in a ditch. [00:30:28]What was your body telling you? Just like I'm completely done or was it your mind? You couldn't ride a straight line anymore? [00:30:35]Andrew Onermaa: [00:30:35] The first time I slept. I was just not nodding off, but I was yawning som starting to ride slower. The hill started filling bigger and harder and I just decided, okay, go ahead and take a break, take a nap and get back after it. [00:30:56] And so Alan worked great. Second time I took a nap. I was on the wooden floor of a community church. In the middle of nowhere and luckily the doors were unlocked. So I just laid down on the ground between two pews on the hardwood floor and my knees were crazy creaky. When I got back on the bike and everything hurt terribly bad. [00:31:18] And sometimes I just, that will last for 10 minutes and then your body goes, oh, okay, here we go. Back to what we've been doing. And sometimes you're working through that for two or three hours and you're just [00:31:30] in your head nonstop. All right. Like surely this is going to change, right? It's so it's definitely a lot of mental warfare. [00:31:38] I'd say the mind is. Equally important as any other aspect when it comes to that kind of racing. Yeah. [00:31:45] Craig Dalton: [00:31:45] Yeah. And the idea that you're gonna feel so many things from throughout the day, and it's going to change you're gonna feel like everybody's going to feel like crap at a certain point during the day. [00:31:55] And the ride is so darn long that you're bound to feel better at some point, presumably. [00:32:01] Andrew Onermaa: [00:32:01] Yeah, absolutely. And which are you doing that route one kind of coming back to the whole inspiration with Ozar gravel, cyclists was having the opportunity to do that route over the summer while I was still looking for a job, I was so blown away by the terrain that it sealed the deal for me. [00:32:19] I was like, I'm definitely gonna live in Arkansas for the rest of my life. This is incredible. I'll take trips other places, but this is a great home base. And I can train here for the rest of my life and ride here for the rest of my life and be so happy. So that route gave me just so much joy and fulfillment that for one, it just got me incredibly excited on Arkansas riding, but too. [00:32:46] I knew that we were just barely dancing through this terrain, 1.2 million acres and the national forest of the Ozarks alone. And we just do one little line and through it a couple of times. [00:33:00] So what about all these other roads that we don't see on that route? And so that's been just the utter joy of. [00:33:06] Every weekend I can go sample one or two more new roads, make new connect actions, keep changing up loops. And right now my summer project is to make a new bike packing loop in Arkansas. That's around 300 miles, but it's way more. Gravel way less pavement. So 80% gravel, 90% gravel, and you're getting 32,000 feet of elevation in 300 miles. [00:33:37] And you share almost no roads with a high country. So it's just this beautiful sample of you want to know what bike packing and gravel riding is an Ozarks check this out all in the Ozarks. Exactly. And yeah. Ultimately it's to make a bunch of smaller loops within that loop. So you don't have to go do a hundred mile day. [00:34:00] I want to be able to have people here's a 25 mile route that you will love. And then you can eat a burger at the oldest cafe in Arkansas right afterwards, or something like that. I have all these friends in this community that are all stoked about it, and we're all getting out together and exploring. [00:34:16] We have this community everyone's so excited. And it's just been so uplifting for everybody. It's just the Spire and more and more people are jumping in as time goes on. [00:34:30] So it's just this beautiful snowball effect that who knows what's gonna be the scene in another year or two, but it's only getting bigger and better and more exciting. [00:34:41] Craig Dalton: [00:34:41] I love your passion for it, Andrew and it's definitely, Arkansas has definitely been coming on the map more and more over the last few years between the big bike packing race and big sugar and other events that are going on. It's truly a place that if you love off-road riding, you got to get to one of these days. [00:34:59]I think that's a good place for us to end. I really appreciate the time and truly appreciate anybody who's growing a community from the ground up. Ozark gravel cycling is such an amazing resource and I'll put a link to it in the show notes for anybody in the region. Who's looking for great routes. [00:35:16] You hear the passion in Andrew's voice for what he's doing. So go visit him, hit him up on social media and get out there and try some Arkansas gravel. [00:35:26] Andrew Onermaa: [00:35:26] I would love it. And I do get messages from people coming out of state and they want to know where to go and what to see. So it's it's very rewarding to share this with others and I'm glad to have. [00:35:39] You asked me onto the show. Cause it's just helping us reach an even broader audience that maybe one person is going to make a road trip to Arkansas. And that's because of you having me on the show. So thank you. [00:35:52] Craig Dalton: [00:35:52] I think we might be getting a rush of people to Arkansas after this. I love it. [00:35:56] Thanks Andrew. [00:35:58] Andrew Onermaa: [00:35:58] Absolutely. Thank you. [00:36:00]    

https://linktr.ee/_red_river_podcast Some of our favorite episodes consist of just us and the guest talking nothing but movies. This is one of those. And who better to play that game with than one of the producers over at CreatorVC. They are changing the long form documentary game. Thanks Andrew for stopping by and hope to see him when "In Search Of Tomorrow" is out. And special thanks to Dan Terr of Inked Up Merch for co-hosting this week. https://www.etsy.com/shop/inkedupmerch Follow Creatorvc https://www.creatorvc.com/ Follow Andrew https://www.instagram.com/mrandrewhawkins/?hl=en Follow Dark Satellite Media https://www.instagram.com/darksatellitemedia/?hl=en

Andrew Boryk is the Co-founder and CTO at Lunchbox, a next-gen digital ordering platform for restaurants to improve their relationships and retention, and one of Ovation's favorite partners. Andrew and Zack discuss why restaurants need their own ordering platforms, what loyalty looks like today, and their honest thoughts on if 3rd party DSP's are truly as "evil" as they may seem. Thanks Andrew!

Pray for America, folks. Meanwhile, Tank and Jeremy look at the weekend's NFL action. Trevor is going pro, readies for Jacksonville. The Texans have left one guy off their interview list, so far. How bout them Heels? Thanks Andrew.

Join us every Sunday at 10am for live worship and teaching at brancheshb.com/live. Connect with us @brancheshb or at brancheshb.com. Receive prayer anytime at brancheshb.com/prayer.

For our first YouTube Live ever, inventRightTV host Andrew Krauss is here to answer any and all of your questions that are inventing and licensing related! Watch Andrew fire off responses to questions about negotiating licensing deals, the patenting process, writing your own provisional patent application, prior art searching, the impact of the coronavirus, working with attorneys, prototyping, asking for money upfront, and much much more. Thanks Andrew! When should we go live on YouTube next? Thank you for watching! Start preparing your questions for next time. Bringing an invention to market? Let inventRight, the world's leading experts on product licensing, show you how. Cofounded by Stephen Key and Andrew Krauss in 1999, inventRight has since helped people from more than 60 countries license their ideas for products. Visit http://www.inventright.com for more information and to become their student. Call #1-800-701-7993 to set up an appointment with Andrew or another member of the inventRight team to discuss how we can help you license your ideas. New to licensing? Read inventRight cofounder Stephen Key's bestselling book “One Simple Idea: Turn Your Dreams Into a Licensing Goldmine While Letting Others Do the Work.” Find it here: http://amzn.to/1LGotjB. Want to learn how to license your product ideas without a patent? Stephen's book “Sell Your Ideas With or Without a Patent” explains exactly how. Find it here: http://amzn.to/1T1dOU2. Hell-bent on becoming a professional inventor? Read Stephen's new book "Become a Professional Inventor: The Insider's Guide to Companies Looking For Ideas": https://www.amazon.com/gp/product/1653786256/ inventRight, LLC. is not a law firm and does not provide legal, patent, trademark, or copyright advice. Please exercise caution when evaluating any information, including but not limited to business opportunities; links to news stories; links to services, products, or other websites. No endorsements are issued by inventRight, LLC., expressed or implied. Depiction of any trademarks/logos does not represent endorsement of inventRight, LLC, its services, or products by the trademark owner. All trademarks are registered trademarks of their respective companies.

In this episode of Joe Knows Madison I talk with Madison, WI Investment Property Owner Andrew Nebel. We hit all the major topics around how Andrew bought his first Investment property for only 3% down. We also talk about the challenges and fears he overcame as he desided to make the leap. Thanks Andrew for sharing your story with us! Enjoy!

We have Andrew from Lusso Design as our special guest and talking how important doors are when it comes to design, fabrication and install. We get right into different types of doors from steel to fiberglass to wood, discuss insert designs, insert failures, insert installs and the importance of the frame and key materials that shoud be used in today's type of doors and frame design and construction. Andrew is extremely passionate about The Construction Life and it shows in this podcast.  Andrew sheds a lot of light on the door industry and how "cheaper" over sea fabrication isn't the best way to go with a new door. Andrew has built a strong brand with Lusso Designs from years of seeing so many typical and often negative attitudes from other installers to fabricators. Listen it and we promise there is only one The Doors track that is brought up. Thanks Andrew for joining us. @lussodesigncanada www.lussodesigns.ca This is The Construction Life.

When you give thanks for what He has done, is doing, and will do it provokes your heart into a greater place of worship. Thanksgiving is more than just words, it is a gateway into the presence of the Lord. 

Oh boy. Hold on. Andrew is back on the show. These episodes with Andrew are always so fun and very raw. We couldn’t do this episode without mentioning some new knowledge that Andrew has learned about bike pumps, tire pressure, and Bluetooth compatible hardware. We love you Ben and couldn’t do this episode without mentioning you. We also talk about a candy bar for breakfast the day of, and even a trick for walking on sand that will keep your feet dry and warm that is better than flip flops on race day. Andrew also mentions some tips to first timers doing this course as well as must do tasks on race day. We finish this episode by wanting to see if I could get Craig Alexander (Crowie) on the show. I’m going to reach out and see if I can get him to talk about his recent win at IRONMAN© 70.3 Liuzhou. Thanks Andrew, I look forward to racing with you in Chattanooga.-Weather that day: 55-66Water: WSL-Age Group: M35-39Height: 6’2”Weight: 190Calories per hour: 300PSI for this course: 85.7/87.7Depth of Wheels: HED Jet disc/90mmBike Elevation Gain: 2,720ftRun Elevation Gain: 334ftSwim: 35:19T1: 4:43Bike: 2:50:57T2: 4:53Run: 1:38:16Total Race Time: 5:14:06-Gender Rank: 62Division Rank: 313Overall Rank: 355-Follow Andrew,Facebook: Andrew LewisInstagram: @andrew_lewie-Follow Coach Terry:Instagram: @PerfectRacePodcastFacebook: www.facebook.com/CoachTerryWilsonWebsite: www.CoachTerryWilson.com

Oh boy. Hold on. Andrew is back on the show. These episodes with Andrew are always so fun and very raw. We couldn’t do this episode without mentioning some new knowledge that Andrew has learned about bike pumps, tire pressure, and Bluetooth compatible hardware. We love you Ben and couldn’t do this episode without mentioning you. We also talk about a candy bar for breakfast the day of, and even a trick for walking on sand that will keep your feet dry and warm that is better than flip flops on race day. Andrew also mentions some tips to first timers doing this course as well as must do tasks on race day. We finish this episode by wanting to see if I could get Craig Alexander (Crowie) on the show. I’m going to reach out and see if I can get him to talk about his recent win at IRONMAN© 70.3 Liuzhou. Thanks Andrew, I look forward to racing with you in Chattanooga.-Weather that day: 55-66Water: WSL-Age Group: M35-39Height: 6’2”Weight: 190Calories per hour: 300PSI for this course: 85.7/87.7Depth of Wheels: HED Jet disc/90mmBike Elevation Gain: 2,720ftRun Elevation Gain: 334ftSwim: 35:19T1: 4:43Bike: 2:50:57T2: 4:53Run: 1:38:16Total Race Time: 5:14:06-Gender Rank: 62Division Rank: 313Overall Rank: 355-Follow Andrew,Facebook: Andrew LewisInstagram: @andrew_lewie-Follow Coach Terry:Instagram: @PerfectRacePodcastFacebook: www.facebook.com/CoachTerryWilsonWebsite: www.CoachTerryWilson.com

213 - IRONMAN© 70.3 Indian Wells – Andrew Lewis -Brace yourself. This episode is full of cussing, raw emotion on heavy issues, and knowledge of speed, aerodynamics, power, watts, drag coefficients, and laughs of #PC. Andrew is fun to interview, has perspectives on a lot of things and is not scared of calling people out for drafting. As he told officials at the race to give penalties for the guys drafting behind him. It should be known that it is possible to break a Pedro bike lever, goggles do break at the worst possible time, and if you don’t practice taking off wet swim booties, you can hop on the struggle bus when you get ready to take them off. Thanks Andrew for coming on the show, look forward to having you back on after Oceanside, Chattanooga, and Coeur d’ Alene. All the best.-Enjoy the show. To see pictures from their race, go to https://www.coachterrywilson.com/perfect-Weather that day: 40s- 67ishWater: 55-Age Group: M 35-39Height: 6’2”Weight: 185lbsFTP: 305Calories per hour: 300PSI for this course: 105Depth of Wheels: FLO90F/FLO disc RBike Elevation Gain: 592ftRun Elevation Gain: 425ftSwim: 36:06T1: 5:22Bike: 2:22:19T2: 3:17Run: 1:47:01Total Race Time: 4:54:01-Gender Rank: 161Division Rank: 22Overall Rank: 194-Follow Andrew,Facebook: Andrew LewisInstagram: @andrew_lewie-Follow Coach Terry:Instagram: @PerfectRacePodcastFacebook: www.facebook.com/CoachTerryWilsonWebsite: www.CoachTerryWilson.com

213 - IRONMAN© 70.3 Indian Wells – Andrew Lewis -Brace yourself. This episode is full of cussing, raw emotion on heavy issues, and knowledge of speed, aerodynamics, power, watts, drag coefficients, and laughs of #PC. Andrew is fun to interview, has perspectives on a lot of things and is not scared of calling people out for drafting. As he told officials at the race to give penalties for the guys drafting behind him. It should be known that it is possible to break a Pedro bike lever, goggles do break at the worst possible time, and if you don’t practice taking off wet swim booties, you can hop on the struggle bus when you get ready to take them off. Thanks Andrew for coming on the show, look forward to having you back on after Oceanside, Chattanooga, and Coeur d’ Alene. All the best.-Enjoy the show. To see pictures from their race, go to https://www.coachterrywilson.com/perfect-Weather that day: 40s- 67ishWater: 55-Age Group: M 35-39Height: 6’2”Weight: 185lbsFTP: 305Calories per hour: 300PSI for this course: 105Depth of Wheels: FLO90F/FLO disc RBike Elevation Gain: 592ftRun Elevation Gain: 425ftSwim: 36:06T1: 5:22Bike: 2:22:19T2: 3:17Run: 1:47:01Total Race Time: 4:54:01-Gender Rank: 161Division Rank: 22Overall Rank: 194-Follow Andrew,Facebook: Andrew LewisInstagram: @andrew_lewie-Follow Coach Terry:Instagram: @PerfectRacePodcastFacebook: www.facebook.com/CoachTerryWilsonWebsite: www.CoachTerryWilson.com

Episode #121 is brought you by these Rad Ass C10 Companies.  www.brotherstrucks.com www.azproperformance.com www.accuair.com www.dakotadigital.com Check out our sponsors, they are true to our community and provide the BEST in C10 Aftermarket products.  Episode #121 I sit down with Andrew Erichsen from Painless Wiring  www.painlessperformance.com They provide complete wiring harnesses for our trucks and the quality to re-wiring your truck is second to none.  Thanks Andrew, it was great getting to chat about all things Painless. 

I've known Andrew Gale for close to a decade now. Following his coaching journey in the sport of Basketball has always amazed me. This conversation highlights many of the characteristics and stories that Andrew has acquired over his time coaching with the University of Vermont and now at New Hampton Prep and how it parallels in the realm of strength and fitness. Andrew crushes these 3 Things and drops some serious gems that I think any coach, regardless of sport or background, will appreciate and learn from. Thanks Andrew! For more 3 Things content and past episodes, make sure to visit www.CoachCaseyLee.com!

Opening Question: Andrew from Oregon asks about who he should grab for a back up after Daniel Sorenson’s ACL. Want to leave a question for the guys? Leave a voicemail at 313-986-1473  6:35 News & Notes 20:45 Gut Check 31:28 Article dive into Greatest NFL Defenses and the Coordinators behind them Part 1 by @orangeman3142 41:54 Preseason mock draft with @ONUtyjo 1:09:30 2018 Season Preview AFC/NFC South 1:19:08 Johnny The Greek Listen to the IDP Guys for players to target for your IDP fantasy leagues! Our website is launched, take a look at www.idpguys.org. The guys start the show with a listener voicemail question from Andrew in Oregon. Thanks Andrew for calling in! Big thanks to all who have contacted us with interest in our free all IDP listener leagues. If you are interested please DM us on twitter an let us know. You can also email Nathan directly at Nathan@idpguys.org. The guys invited on Tyler Joseph from IDPGuys.org, and held a 4 man mock draft. They gave it a twist cutting off the top 10 players at each position from their rankings, to dive a bit deeper and talk about some new names. The guys go over the massive turnout for their [Gut Check] twitter polls, where hundreds of people took part for some very interesting results. Some of them correlating with what the guys said last week, some not so much. Be sure to follow the @IDPGuys on twitter to take part in the polls. We are continually looking to make the show better, and we want to connect our listeners with some of the best IDP writers creating content online. We will be breaking down the best articles we find this offseason. Let us know your favorite IDP resources and we will be sure to take a look and possibly go through an article on the show.  The guys introduce a new segment, or an old segment depending on how long you have been listening, where they go division by division in both the AFC and the NFC and predict each teams season record. Its a good way to get they hype from the guys. Make sure to follow them on Facebook and Twitter. @idpguys on Twitter and www.facebook.com/idpguys. The show is now on Stitcher, iTunes, Google play and your choice of pod catcher, so be sure to give them a 5-star review which could be read on the show! Also if you feel so inclined please help us out on www.patreon.com/idpguys and take part in our great perks for listeners. Comment your questions below on how we can improve the show. You can call and leave a voicemail at (313) 986-1473 or on Skype @IDPGuys. We are on twitter @IDPGuys or individually @natecheat, @lanny1925 and @orangeman3141. 

In Episode 79 of Space Nuts: * Life - there may be a lot more of it out there than we previously thought...it’s everywhere! * So...is it a star or a planet? Fred explains... * A listener’s question - from Andrew Mitchell. Thanks Andrew...Fred has the answer. Subscribe, rate and review Space Nuts via all good podcatcher apps, including Apple Podcasts (formerly iTunes) (featured in New & Noteworthy), Google Podcasts, Stitcher, PocketCasts, Podbean, Overcast, Tunein Radio, CastBox.fm etc. Join our mailing list at http://www.bitesz.com/join-our-mailing-list For more, follow Space Nuts on Facebook, twitter, Google+ and Spreaker : Facebook - @spacenutspodcast twitter - @spacenutspodcst Google+ - https://plus.google.com/u/2/collection/cHkPaB Spreaker - https://www.spreaker.com/show/space-nuts Enjoying what we do? Then please share with and tell your friends. Your recommendation is the best we could possibly get. Thank you... #astronomy #space #science #technology #news #podcast #astrophysics  Learn more about your ad choices. Visit megaphone.fm/adchoices See acast.com/privacy for privacy and opt-out information.

In the eighth episode of the Based on Nothing Podcast, Jacob and Spenser welcome their friend Drew Jenkins. The three of them discuss the mountain of gay porn that Jacob came across, The Wire, Kickstarter, Saturday Night Live, and much much more. Email us at info@basedonnothing.net and don't forget to subscribe to us on iTunes here. Introduction/weather - 0:00Gay porn treasure cove - 4:00The Wire - 11:00Kickstarter - 15:00Thanks, Obama - 23:15Drew's life tale/Philadelphia - 25:30Comedy! - 38:15Saturday Night Live - 44:00Gay porn part 2 - 48:00Ryan Gosling - 52:00Get On Up - 54:00Exit - 60:00

Hey everyone! Melissa John and Frankie had a chance to see the movie and sit down together to talk about what they loved and what they loved to nit pick about here on Episode 229! Enjoy! This episode was edited by Andrew Garner, Thanks Andrew!   Episode 229 — Deathly Hallows Part 1 Review Find the latest episode and explore PotterCast interviews, discussions and more at PotterCast.com Visit the-leaky-cauldron.org for the latest and greatest from Harry Potter's Wizard World.