Podcast appearances and mentions of thomas knight

In this episode, we examine the life of Thomas Knight, a man whose violent crimes kept him on death row for almost 40 years. We begin with his final moments on January 7, 2014, just before he is executed. From there, we explore the crime that brought him to death row, as well as a daring escape attempt that nearly allowed him to avoid justice.Join us for a chilling case of murder, punishment, and the relentless pursuit of justice.https://law.justia.com/cases/florida/supreme-court/1981/59741-0.htmlhttps://www.nbcmiami.com/news/local/man-who-killed-miami-couple-prison-guard-scheduled-to-die/1932136/https://www.reuters.com/article/us-usa-florida-execution/florida-death-row-inmate-wins-stay-hearing-on-new-execution-drug-idUSBRE9AH19320131118/?feedType=RSS&virtualBrandChannel=11563https://www.upi.com/Top_News/US/2014/01/07/Florida-executes-triple-killer-Thomas-Knight/58891389145075/https://www.cbsnews.com/news/fla-man-executed-killed-couple-prison-guard/#https://web.archive.org/web/20140705190715/http://www.miamiherald.com/2014/01/06/3855677/miami-killer-to-be-executed-tuesday.htmlhttps://supremecourt.flcourts.gov/content/download/364342/file/03-631_ans.pdfhttps://law.justia.com/cases/florida/supreme-court/1981/59741-0.htmhttps://www.huffingtonpost.co.uk/entry/thomas-knight-execution-florida_n_4555574?ri18n=true&guccounter=1&guce_referrer=aHR0cHM6Ly9jb25zZW50LnlhaG9vLmNvbS8&guce_referrer_sig=AQAAADmAVhyBf2AQX8st9yvshVtONlAb03KzvBzs1E-dM6R955j7m90bcnOv5uRcWHVQJ1Rec4Fazhd7AGYJnNM_SquLAjCpdKeFWSrixAJ6wvmPdEtAq19qgYdTDsTkIaHNnvAo9T34AAxKQk90z34diyok9f1obEf5SWGqaF6QuU9Yhttps://www.nbcmiami.com/news/local/man-who-killed-miami-couple-prison-guard-scheduled-to-die/1932136/https://www.findagrave.com/memorial/256677124/thomas-otis-knighthttps://murderpedia.org/male.M/m1/muhammad-askari-photos.htm

This week Johnboy tells the lads about the man who haunted a rural Maine community before his capture after 27 years of living in a frigid campsite, living solely on what he stole. His transition from myth to man in the public eye reveals challenging questions about survival, society and solitude.

Ein Mann und sein Auto kämpfen gegen das Unrecht. Ein Mann in roter Badehose ist tagsüber Rettungschwimmer und nachts Privatdetektiv. Ein Mann und sein Mikro suchen nach Freiheit.Filme in Serie huldigt dem wohl geilsten Lederjackenträger ever mit einem Hasselhoff-Spezial-Quiz proudly presented by Q.R.T.T. (Quizmaster Raphael Two Thousand), in dem Simon Buchannon und Thomas Knight den Titel des The-Hoff-Spezialisten erringen können.Folgende Themen werden dabei abgefragt oder angeschnitten: Roast of Hasselhoff, Robocop, Keine Macht den Drogen, Michael Longs Beruf, Raffaello, Knight Rider 2000, Burger, Berlin Wall, Viper, das Guiness Buch der Rekorde, Baywatch Nights, KITTS Features & Nick Fury.Titelmusik: To Grand Cinematic / from Motion Array (Free Asset)Musik nach Intro: Artur Andreevich - OST Mr. Robot - Knight Rider Theme (16 Bit Remix Cover Version) [No Copyright Music]Samples: aus der DVD Box von Universal Pictures Germany GmbHOutromusik: Disquiet / from Motion Array (Free Asset)

Here's my mix of the best new uplifting trance releases from the past month. Free download. Enjoy! X | 1  | Nothing Else (Original Mix)  | /  | Temple One | 2  | Forget Me (Extended Mix)  | /  | Thomas Knight | 3  | Made Of Stars (Extended Mix)  | /  | Aldo Henrycho | 4  | Away from You (Extended Mix)  | /  | Danny Eaton | 5  | Miracle (Ciaran McAuley Rework)  | /  | OceanLab | 6  | Saving Grace (Extended Mix)  | /  | John O'Callaghan, Deirdre McLaughlin | 7  | Oceans Depths (Extended Mix)  | /  | Trinitro | 8  | Lights (Extended Mix)  | /  | AK, Audrey Gallagher | 9  | Euphony (Extended Mix)  | /  | Aly & Fila | 10  | I Am Human (Extended Mix)  | /  | Dan Stone, Stine Grove | 11  | Dreamcatcher (Extended Mix)  | /  | Tom Exo | 12  | When Darkness Comes (Extended Mix)  | /  | John Askew, Shelby Merry | 13  | Same Sky Same Stars feat. Plumb (Extended Mix)  | /  | Ben Gold, Plumb | 14  | Raindance (Extended Mix)  | /  | Sean Tyas, David Elston | 15  | Slow Motion (Extended Mix)  | /  | David Rust | 16  | Nowhere Left To Hide (BiXX Extended Mix)  | /  | Alan Morris, Sue McLaren, La Antonia | 17  | Who We Are (Original Mix)  | /  | Metta & Glyde | 18  | Seasons Will Change (Extended Mix)  | /  | DRYM, Cari |   | 91mins  | /  | 140bpm

The past two years have made us all feel a little isolated. But this man took the concept of solitude to another level. 27 years in the woods alone, and he never once sought out human contact. He sought out other things, though, - books, food, clothes, tools, and anything else he could get his hands on. Was he an unrepentant criminal or just a guy trying to make it on his own? Please consider supporting the companies that support us! -Go to prose.com/CREEPY for your FREE in-depth hair consultation and 15% off your order Learn more about your ad choices. Visit megaphone.fm/adchoices

The past two years have made us all feel a little isolated. But this man took the concept of solitude to another level. 27 years in the woods alone, and he never once sought out human contact. He sought out other things, though, - books, food, clothes, tools, and anything else he could get his hands on. Was he an unrepentant criminal or just a guy trying to make it on his own? Please consider supporting the companies that support us! -Visit www.smartassandsass.com and use code CREEPY for 25% off your first subscription -Go to prose.com/CREEPY for your FREE in-depth hair consultation and 15% off your order -Go to athenaclub.com and enter promo code SINISTER for 20% off your first order!  -Go to drinkolipop.com/CREEPY or use code CREEPY at checkout for 20% off your order plus FREE shipping -Go to JustThriveHealth.com and use code CREEPY at checkout for 15% off your order -Visit publicgoods.com/CREEPY or use code CREEPY at checkout for $15 off your first purchase -Get your FREE LMNT Sample Pack at DrinkLMNT.com/CREEPY - This deal is not available on their regular website! Learn more about your ad choices. Visit megaphone.fm/adchoices

Charles Thomas, director of the Knight Foundation in Charlotte, talks about grassroots approaches to philanthropy, increased emphasis on racial equity and economic mobility and the foundation's roots in journalism. Host: Herb White.

Charles Thomas is the Charlotte Program Director for the Knight Foundation, whose mission is to promote democracy in America by fostering informed, engaged, and equitable communities. We talk about the Foundation's support of Charlotte's Historic West End Neighborhood and explore the concept of community as it has evolved in context of the digital age and the Covid pandemic. https://knightfoundation.org/employee/charles-thomas/ (Charles' bio) https://westendclt.com/ (Historic West End)

What's your favourite song of all time? Remember those parties we all used to go too? This week we talk to promoter, event organiser Tom E or Thomas Knight and reminisce about the good ol'rave days! How did they come about? What went into them and how you can make friends for life of the dance floor  https://instagram.com/thomasknightmusic?igshid=1adrb9c4hys76Support the show (https://www.buymeacoffee.com/LPPodcast)

Thomas Knight of New York City based label Tom Tom Fashions joins us on the podcast this week! Tom has produced clothing worn by some of the biggest stars in the world, most notably Madonna, who wore his custom Vogue/Graffiti t-shirt in the Bitch I’m Madonna video. We talk about Tom's Madonna journey and hear about his experiences designing for other pop diva's like Britney Spears and Lady Gaga and so much more! And stay tuned to the very end of the episode for another wonderful cover song from our resident podcast chanteuse, Liberty Rentrop.  Find Tom on IG: @tomtomfashions  Visit his Etsy store: etsy.me/2DVJ5LC

Today we celebrate a bishop botanist whose love of plants was second only to his love of God. We'll also learn about the botanist daughter of a key botanist in England. We celebrate the botanical entrepreneur and the creator of the influential Curtis Botanical Magazine. We also celebrate the writer who lived and worked in his incredible home called Abbotsford - complete with impressive gardens - on the banks of the River Tweed in the beautiful Scottish borders. In today's Unearthed Words, we honor an English author and poet. We Grow That Garden Library™ with a book about Gardening in Your Front Yard - it's packed with ideas and projects for big and small spaces. It's an idea of Gardening in Your Front Yard is gaining popularity and acceptance - one of the positive effects of dealing with the pandemic. And then we'll wrap things up with the story of a famous mystery writer who loved gardening and roses. But first, let's catch up on some Greetings from Gardeners around the world and today's curated news.   Subscribe Apple|Google|Spotify|Stitcher|iHeart   Gardener Greetings To participate in the Gardener Greetings segment, send your garden pics, stories, birthday wishes and so forth to Jennifer@theDailyGardener.org And, to listen to the show while you're at home, just ask Alexa or Google to play The Daily Gardener Podcast. It's that easy.   Curated News Rhodds Farm | National Garden Scheme "The garden at Rhodds Farm was started from scratch in 2005 by Cary Goode. It is a challenging site with overhanging woods on the north side and open pasture to the south. A fabulously peaceful spot with a natural garden where plants are allowed to self-seed. There are lots of mixed borders around a pond for wildlife, a formal garden leading to a brick dovecote, a courtyard garden around a water sculpture, a large gravel garden, wild-flower meadows, woodland planting and a large pond with a boardwalk at the end of the woodland. There are many unusual plants and lots of color and interest throughout the summer with an extensive range of interesting plants. The formal garden with dovecote houses 50 white doves while glorious mixed borders, double herbaceous borders of hot colors, large gravel garden, several ponds, arboretum, wildflower meadow, and 13 acres of woodland. A natural garden on a challenging site that fits the setting with magnificent views. There are also interesting and unusual trees, shrubs, and perennials in this pesticide-free haven."   Alright, that's it for today's gardening news. Now, if you'd like to check out my curated news articles and blog posts for yourself, you're in luck, because I share all of it with the Listener Community in the Free Facebook Group - The Daily Gardener Community. There's no need to take notes or search for links - the next time you're on Facebook, search for Daily Gardener Community and request to join. I'd love to meet you in the group.   Important Events 1713  Today is the anniversary of the death of the passionate plantsman Bishop Henry Compton. Compton was famous for his substantial garden at Fulham Palace, which was home to more than a thousand exotic plants. Naturally, Compton was drawn to rare plants and new specimens. And, his position as a bishop gave him access to the botanical discoveries that were being sent to England from the American colonies. For instance, we know from his correspondence, that Compton was especially intrigued about the swamp honeysuckle from Virginia. Compton sent a young priest and botanist named John Bannister to Virginia to botanize for him. Banister went on to help found the College of William and Mary in Williamsburg. Bannister proved to be an excellent contact for Compton. He sent him seeds to grow at Fulham Palace, along with detailed notes about his discoveries. Sadly, Banister's life was cut short when he was accidentally shot during an expedition. Like any avid gardener, Compton sometimes felt a little guilty about the amount of money he spent on gardening. So, as penance, he not only collected plants for his own garden, but he also was a patron to prominent botanical figures - like the Tradescants.   1794  Today is the birthday of the botanist Frances Stackhouse Acton. Frances was the daughter of Thomas Andrew Knight, who served as the second president of the Royal Horticultural Society. Thomas assumed the position at the urging of his friend Joseph A Banks. Now, Knight's inclination was always to turn inward - he was a little introverted. Banks helped him overcome that. Thomas Knight had inherited 10,000 acres of land, and he used the property to conduct all kinds of experiments on plants like strawberries, cabbages, and peas. Frances' father encouraged her to pursue her education, and she often recalled that, "the hours spent with [my father] in his study, or in his garden, as amongst [my] happiest recollections". A born pragmatist like her father, Frances assisted him with his breeding efforts, which were always designed to help make better plants to feed the masses. Francis contributed to her father's work through drawing. She illustrated many of her father's writings, and she established herself as both... "an accomplished botanist and botanical artist."   1799  Today is the anniversary of the death of the botanist and entomologist William Curtis, the creator, and publisher of the influential Curtis Botanical Magazine. William founded the magazine in 1787.  Curtis Botanical Magazine made him wealthy, and he often remarked that it had brought him "pudding and praise". William had started out life as an apothecary, but in short order, he discovered that it could not hold his interest. Sir James Edward Smith recalled that William loved being a naturalist more than working in the city. He wrote, "The Apothecary was soon swallowed up in the botanist, and the shop exchanged for a garden!" William was a founder of the Linnaean Society, and he also authored a book about the botany of London called Flora Londiniensis. In 1779, William transformed his Lambeth garden into the London Botanic Garden. William wanted his garden to be a place where visitors could learn all about plants and their uses - not just for food - but in medicine and cooking as well. William was at heart a pragmatist. When William heard from visitors that they needed a resource to help with growing the plants they were acquiring, William came up with the idea for his magazine. On February 1, 1787, the very first Curtis Botanical magazine was published, "for the youth of ... ladies, gentlemen, and gardeners ... who wish to become scientifically acquainted with the plants they cultivate." The magazine owes much of its success to William's promise to provide his readers with helpful illustrations. Artists, like James Sowerby, helped ensure the magazine's success. In addition to his legacy left by his flora and his magazine, the genus Curtisia honors William Curtis.   1832  On this day in 1832, the author and poet Sir Walter Scott arrived back at his incredible home called Abbottsford on the banks of the River Tweed in the beautiful Scottish borders. Scott's health was failing him, and he asked that a bed be set up in the dining room so that he could look out and see the river, the trees, and his magnificent gardens. Lying in that room, Scott was surrounded by portraits of his ancestors. And when he was finally near death in September of that same year - just two short months later - ever the author, Sir Walter Scott, is said to have requested a quill and some paper. And, indeed, he died with a pen in his hand. Abbotsford is impressive, and it seemed destined to become a public place. In 1853 his granddaughter Charlotte inherited the estate. Charlotte cleverly decided to add a path in the Morris Garden, which would bring visitors around to the side, keeping part of the estate and gardens private for the family. During Scott's time at Abbotsford, he added oak and pine trees. He expanded the walled gardens. And today, niches in the south and west walls still hold Scott's collection of Roman panels and other artifacts. Scott's gardener William Bogie added, "narrow beds of hollyhocks, and roses along the arcade, and a leafy, honeysuckle-covered pergola." With paths and hedging that divide the garden into four quarters, Scott's walled garden is still a sight to see.   Unearthed Words Today I'm sharing a poem by A.A. Milne, the English author and poet. He became famous for his story about Winnie the Pooh, but he also wrote this wonderful poem called "The Dormouse and the Doctor." It's a favorite among gardeners because it prominently features three favorite flowers: delphiniums, geraniums, and chrysanthemums. There once was a Dormouse who lived in a bed Of delphiniums (blue) and geraniums (red), And all the day long he'd a wonderful view Of geraniums (red) and delphiniums (blue). A Doctor came hurrying round, and he said: "Tut-tut, I am sorry to find you in bed. Just say  'Ninety-nine', while I look at your chest… Don't you find that chrysanthemums answer the best?" The Dormouse looked round at the view and replied (When he'd said "Ninety-nine") that he'd tried and he'd tried, And much the most answering things that he knew Were geraniums (red) and delphiniums (blue). The Doctor stood frowning and shaking his head, And he took up his shiny silk hat as he said: "What the patient requires is a change," and he went To see some chrysanthemum people in Kent. The Dormouse lay there, and he gazed at the view Of geraniums (red) and delphiniums (blue), And he knew there was nothing he wanted instead Of delphiniums (blue) and geraniums (red). The Doctor came back and, to show what he meant, He had brought some chrysanthemum cuttings from Kent. "Now these," he remarked, "give a much better view Than geraniums (red) and delphiniums (blue)." They took out their spades and they dug up the bed Of delphiniums (blue) and geraniums (red), And they planted chrysanthemums (yellow and white). "And now," said the Doctor, "we'll soon have you right." The Dormouse looked out, and he said with a sigh: "I suppose all these people know better than I. It was silly, perhaps, but I did like the view Of geraniums (red) and delphiniums (blue)." The Doctor came round and examined his chest, And ordered him Nourishment, Tonics, and Rest. "How very effective," he said, as he shook The thermometer, "all these chrysanthemums look!" The Dormouse turned over to shut out the sight Of the endless chrysanthemums (yellow and white). "How lovely," he thought, "to be back in a bed Of delphiniums (blue) and geraniums (red)." The Doctor said, "Tut! It's another attack!" And ordered him Milk and Massage-of-the-back, And Freedom-from-worry and Drives-in-a-car, And murmured, "How sweet your chrysanthemums are!" The Dormouse lay there with his paws to his eyes, And imagined himself such a pleasant surprise: "I'll pretend the chrysanthemums turn to a bed Of delphiniums (blue) and geraniums (red)!" The Doctor next morning was rubbing his hands, And saying, "There's nobody quite understands These cases as I do! The cure has begun! How fresh the chrysanthemums look in the sun!" The Dormouse lay happy, his eyes were so tight He could see no chrysanthemums, yellow or white. And all that he felt at the back of his head Were delphiniums (blue) and geraniums (red). And that is the reason (Aunt Emily said) If a Dormouse gets in a chrysanthemum bed, You will find (so Aunt Emily says) that he lies Fast asleep on his front with his paws to his eyes. — A.A. Milne, English author and poet, The Dormouse and the Doctor   Grow That Garden Library The Himalayan Garden by Jim Jermyn This book came out almost twenty years ago in 2001, and the fantastic subtitle is: Growing Plants from the Roof of the World. Love that subtitle. Hortus raved about this book and said, "If you are among those whose pulse-rate has been kick-started by the 'Subalpine Zone' chapter, then take care as you proceed to the one on the alpine zone: you may need oxygen to take in the contents of this high altitude chapter. . . . Packed with useful and practical advice on how to establish and maintain these plants. . . . A most useful reference, it will certainly earn its space on many a keen grower's shelves." And boy, were they right. The Himalayan Garden by Jim Jermyn is 320 pages of know-how regarding cultivating species that are native to the Himalayas. Only Jim could share these nuggets of Himalayan plant wisdom. What are some Himalayan natives? Think Euphorbia, Gentiana, Meconopsis, Primula, Rhododendron, and more. You can get a copy of The Himalayan Garden by Jim Jermyn and support the show, using the Amazon Link in today's Show Notes for around $20.   Today's Botanic Spark 1930 Today is the anniversary of the death of Sir Arthur Conan Doyle. The Spring before he died, Doyle was bedridden. However, one morning, unattended, he got up and managed to go out to his garden. Doyle much enjoyed being in his garden. He did most of his writing in the garden. He once remarked, "What a lovely thing a rose is!" But that spring morning in 1930, his family found him lying on the ground with one hand clutching his heart and the other... holding a single white snowdrop. He languished until July 7, 1930, when he passed away with his family at his bedside. His last words were to his wife. He whispered, "You are wonderful." After his death, newspaper accounts shared that, on a beautiful summer day, he was buried in the garden. The garden had been Doyle's special retreat, and the place he was buried is right next to his garden hut. After it was built, the hut was the place Doyle went to write his stories about one of the world's best-loved detectives: Sherlock Holmes. Now, history tells us that over 200 people attended Doyle's funeral.  And, on that day, so many wreaths were sent from all over the world that they were spread over the large paddock west of the home and that they covered over an acre of land with blooms. Accounts of the funeral say that when Conan Doyle's coffin was placed in the grave, "Lady Doyle kissed a rose and threw it in." Lady Jean Conan Doyle continued to live at Windlesham for another decade until her death on June 27, 1940. She was buried next to her husband in the garden.

Dr. Thomas Knight talks to Dr. Pennell about a major issue in cancer care: financial toxicity. Read the related article.   Hello, and welcome back to the ASCO Journal of Oncology Practice podcast. This is Dr. Nate Pennell, medical oncologist at the Cleveland Clinic and consultant editor for the JOP. The rising costs of medical care is on everyone's mind these days. But while policymakers or physicians tend to discuss this more of as a societal or economic problem, the real consequences of the high costs of cancer care are ultimately being felt by our patients. But how do we measure the financial burdens of cancer care? And how does this impact our patients' lives and ultimately their outcomes from treatment? Today, we're going to be talking about a new paper titled, Financial Toxicity in Adults With Cancer Adverse Outcomes in Noncompliance, published in the November 2018 JOP. Joining me for this podcast is Dr. Greg Knight, medical oncologist at the Levine Cancer Institute in Charlotte, North Carolina. Greg, thanks so much for joining me today. Thank you so much for having me. So I thought this was a really interesting paper. Can we just start with a little bit of terminology? So what do you mean when you're talking about financial toxicity? I've heard people use this term bandied about. I think it's a term that oncologists are used to dealing with. And obviously, we know that health care is expensive. But this implies that there is a harmful element to this. Yeah, sure. The term financial toxicity is still a relatively new term. We first started to use it probably around 2013. Dr. Zafar at Duke published a paper first looking at this in terms of the costs and the harm to patients. And the idea behind it is we want to be able to quantify what we're doing in terms of harm to the patient with the costs of treatment. As oncologists, one of the things that we're really good at is grading toxicities. So we worry about nausea. We worry about neuropathy. We worry about hair loss. But one of the things that we weren't very good at was also looking at the harm we were doing to patients with the costs of our treatment. And when I refer to cost of treatment, this term actually encompasses a lot, in terms of not just what we usually think of, which is offices, it's medications, hospitalizations, all those bills that they get from us, but there's other costs that go along with having a cancer diagnosis. Those are things like transportation, clothing, lost wages, child care. All of these things are impacting our patients. And we need to quantify this because it does have implications on their treatment and how they're going to do. Well, that makes perfect sense. And I think that's something relatable to everyone who's treating cancer patients today. Can you give us a little bit of an idea of the magnitude of this issue in the United States? Is there existing data before your particular study came out? There were some both small scale papers and some large database looking papers. And the general consensus was, at the time when we started this study was about 1/3 of patients are going to have severe or catastrophic financial difficulties associated with their treatment. Wow. That's a huge number. So why don't you tell me a little bit about your study and what was the intention of the study and how did you go about it. One of the things we really wanted to do with this study, which was part of a much larger study we had at the University of North Carolina, was we wanted to evaluate both prevalence of this financial toxicity. Because again, there had been some database studies. There had been some smaller scale studies. But we wanted to get actual patient reported data on the prevalence of this financial toxicity and in a wide variety of cancers. But we also really wanted to look and see other things. How did it impact health services? Basically what are targets that we could intervene on to try to improve this? And so really with this study, what we did was we went into the clinics of all of the oncology clinics at UNC, and we embedded researchers in there and approached pretty much any patient that came to the clinic. Wildly successful actually, we had over 52% of our approached individuals actually enrolled in our study. And then within two weeks of that enrollment, we had interviews conducted by our staff using basically a computer assisted telephone interview. Now as I said, this was part of a much larger project. And what we were trying to do was basically get this comprehensive database of both clinical and interview data. And then we paired that with biologic specimens and tumor tissue. However, our piece of it was we were really trying to delve down on this financial question and then look at quality of life and how it impacted their care. Are their existing instruments that look at financial toxicity? Or is this built into existing PRO surveys? At the time when we started this, there actually was not. Dr. De Souza at the University of Chicago actually developed the cost measure, basically posted that after we had started with us. Having said that, and I love the cost measure. I think it's a fantastic. It's a nine question survey basically looking at grading financial toxicity. One of the things that we really were hoping to do with our primitive attempts at this was to find maybe one question things we can do in a busy clinic to try to identify high risk populations. And so with this one what we used was actually a statement from the PSUA team, which was, you have to pay for more medical care than you can afford. And then patients were asked to respond to the statement basically strongly agree, agree, uncertain, disagree, or strongly disagree. And we dichotomized them as basically exhibiting financial toxicity if you strongly or agreed with that statement, or not exhibiting financial toxicity with any other response. That sounds like a pretty clear and straightforward question. Was there like a free form portion where they could talk about, did this affect their ability to take their medicines, or go to doctor visits, things like that? There was. And we actually did a couple of different things. So we both did standardized questionnaires, so we did things like the fact GP, which is looking at multiple facets of patient well-being. We also looked at other health related quality of life issues. We also had developed our own access to health care questionnaire, which was looking at certain things like, were you having problems getting to your appointments? Are you being able to pay for your medications? We did several questions about paying for lab tests, paying for office visits. And then also, we really wanted to make sure that we knew if the reason you were missing these things was because of cost, or if there were other reasons. Because obviously, we don't want to attribute this all to cost if that's not what's causing the harm. OK, yeah. So it sounds like a lot of information gathered. So what did you find? In our study, we had almost 2,000 participants. And we had over a quarter, so 26% agreed or strongly agreed that they had to pay more for medical care than they could afford, which is in line with other studies. I would have thought it might have been higher than that. But it sounds like this is a nice validation that your survey was a pretty accurate instrument, even with such a simple question. Unfortunately, what we found is that when you take this population, the population that tells us that they are having financial toxicity by our definition, what we were finding was much higher rates of noncompliance. And that was a very scary thing when you're talking about cancer patients. Our patients who had reported financial toxicity were much more likely to report needing but unable to afford prescriptions, over-the-counter medications. They were also reporting noncompliance due to cost concerns for medical care like doctor's visits, medical tests, mental health care. All these things for the majority of patients undergoing active chemo is a really scary thing. And there's been some really good research in this area recently. There was a recent study where they were looking at imatinib and CML, and it found that individuals who had copayments greater than $53 a month were 70% more likely to discontinue within six months. So it's real world implications of this concept. Absolutely. And were there any other factors that were associated with financial toxicity, things that you might be able to use to screen or predict for this? In terms of the predictor, we basically validated what it had been thought of before, which is that there were certain factors that seem to be more predictive for exhibiting financial toxicity. The ones that we really know of are age less than 65 years, being non-white race, less education. All of those things had been previously described. It was nice to see with a large population model that we could validate those findings that would have been found in smaller studies. But it does seem that those patients are at much higher risk for financial difficulties. Yeah, and the less than 65 is interesting to me. So I assume that that's probably related to Medicare coverage, that that somehow makes it less of a financial burden. That's what it looks like. And I think that, obviously, Medicare is a nice protection for a lot of our patients over the age of 65, in that they don't see a lot of some of the costs our younger patients, especially our underinsured patients see. However, there was a recent study where individuals with cancer that were insured by Medicare alone were incurring mean out-of-pocket costs that were 1/4 of their household income. So I would say even though they have probably less bills for a lot of those patients, they're on fixed income. There is not other income coming in. So a lot of the folks over the age of 65 are still having financial toxicity even with the better insurance coverage. Did you look at insurance coverage in this? Was that a variable in the analysis? It was not. It was one of those things that when you go back and you wish you would have done it at the time. We felt like we had covered every single base. And it actually was a thing where we thought we were going to be able to pull that data from a database. But ultimately, we were unable to do it. It's now built into every model going forward. But we unfortunately did not have that data. So you did a great job of identifying these patients and all the consequences of the financial toxicity. So what are we to take from this? Presumably, the idea would be to try to figure out a way to intervene on these patients. So what can we do? Yeah, I think that, I mean, obviously, the first step is to identify the problem. And I think that that's always an issue. There's been multiple surveys of oncologists who feel it feels very wrong to discuss costs with patients. I think that we get very wrapped up in the science. And we have the latest and greatest drug that we just know is going to work. But obviously, drugs are getting more expensive plus all the treatment time and coming to and from the hospital, and basically outpatient versus inpatient chemotherapy. All these things need to be thought of when you're thinking about your treatment plans. Having said that, once identified, if you're screening your patients for this, there are specific areas it seems like we can intervene. In our study, what we found was there were pretty interveneable reasons people were saying that they were having problems with their care. They include things like not having transportation, a lack of insurance, the inability to pay for travel. They can't take time off work. They don't have child care. These are things that are specific issues that they're having, that with foundational support, with local and community support, you can usually intervene on. But you really do need to identify them. I know our group and the group out in Washington has done some research in the use of trained financial navigators to help patients. And that group in Washington has shown fantastic results saving a lot of money annually for these patients. And in our group, we've also done things like treatment plans based on where you live. So can we get you treatment close to home? And if not, how can we get ride share? How can we get gas cards? Can we do things to help you? And then also, I mean, again, there are actually a decent amount of foundational money out there if you're looking for it. There are groups out there that are there to help. But again, like I said, a lot of times, we just miss the problem. Yeah. I mean, I know that I feel vastly unqualified to discuss costs of care with my patients. Oftentimes, I really don't even have a good idea of how much things cost. But it sounds like there ought to be a way to screen patients right up front beyond simply what their level of insurance is to see if they might benefit from these extra services. And then it's important for cancer centers to have these kind of interventions to be able to help provide with transport and identify patients who would benefit from that foundational help. So I don't know how broadly available those kinds of services. I know we have them there. And your cancer center is actually run by our old boss, who used to run our cancer center, Dr. Raghavan. So I'm not surprised that you might have those as well. Is this something that is broadly available in oncology offices throughout the country? It's not. I mean, honestly, it is not. And one of the things that I'm kind of one of my big pushes in terms of the research is that I think that everyone has their own issue that they're very passionate about. And I think that we could survey patients until the cows come home about different issues and try to identify patients at risk. And so one of things we've really tried to do is a couple of things. Number one is to identify specific questions, especially in this case and some of our other studies, one or two question surveys where we can identify patients that are at very high risk for having these difficulties and identify that subset of population. And then one of the things that we're actually also working on in association with a couple other foundations and a couple of national organizations is we are actually hoping at some point to be able to start to roll out telemedicine, tele financial counseling basically and internet and other programs. There's a pilot going on in Boston right now. There's another program we're going to be rolling out here in January, where we are trying to intervene on the problem even just from financial planning standpoint. There's a large amount of patients who it doesn't matter where you are in terms of your financial situation, financial planning is incredibly important. You could have a lot of money in the bank and good insurance, and then you get hit with a cancer diagnosis. And you're trying to figure out what you're going to do with your assets, versus a lot of our patients, which are you now can't work. And there's no money coming in. How are the bills going to be paid? How are you going to basic budget? Again, I think this is going to resonate with everyone who treats cancer, no matter where you are. Because a big segment of our patients really struggle with this. And while it might not be immediately visible, if you dig down a little bit, it's not hard to find. Well, Greg, thanks so much for talking to me today. Thank you. And I also want to thank all our listeners out there who joined us for this podcast. The full text of the paper is available online now at ASCOpubs.org/journal/jop in the November 2018 issue. This is Dr. Nate Pennell for the Journal of Oncology Practice signing off.

Authorities say a suspect admits to committing murder in Orange City while in jail in Southwest Virginia; a disabled man in a Minion suit gets attacked in Daytona Beach, and Thomas Knight sits on death row for nearly four decades after committing a highly publicized double murder in South Florida. Special guest: Miami Herald reporter David Ovalle.

01 - G Mills - Lodeon 02 - DJ Cam - Friends & Enemies 03 - Martin Hayes - Broken Memory 04 - Al Zanders - Endliffe Park 05 - Sobrero Galaxy - The Edge Of Space 06 - Knight One – Hollow (Les Loups Remix) 07 - Phil Gerus – Don’t you know I need you 08 - Maya Jane Coles Feat. Thomas Knight – When I’m in love 09 - French Touch – Papa Stomp 10 - Green Linez - Hibiscus Pacific 11 - Ashley Beedle, Lay-Far & Darren Morris - Slope (Lay-Far Upbeat Version) 12 - Waterson - Tell Me (Ashley Beedles North Street mix) 13 - Chaos In The CBD - 816 To Nunhead 14 - StudioHeist – Eden 15 - DiscoTron - Shake Dat 16 - Danny Fry & Lou Willet – Colors (Kinky Movement ReMix) 17 - James Benedict - 32 Minds 18 - Avery SunShine – Call My Name (Ananda Project Lullaby Dub) Working over the wire in January with partner in crime, Dave Wood from DeepTransmissions, this collaboration piece is well overdue becoming output. Inspired and conceived back in late 2015 to capture all that is good from a Jazzy, Disco and Hip hop pallete, nodding to a London Paris connection from a 90's era in the sound set and presentation, with diverse but integrated compilation feeding into the flow. Hope it is enjoyed far and wide..

Chris and Emma talk Barry Manilow and his wedding, plus they chat to Thomas Knight about the big red hot calender. Plus much more.

1. EDX & Daniel Portman – Darkside (EDX 5un5hine Mix) [Unreleased Digital] [00:00] 2. Daniel Portman – Something In The Air (Original Mix) [Unreleased Digital] [07:27] 3. EDX – Hoover (Adam K & Soha Mix) [Pinkstar] [12:02] 4. Airdraw – … Continue reading →

Scott Harper with Applied Air Systems submitted the topic of “Additive Packs: Compare their competitive add packs vs. our current technology.” So we grabbed Thomas Knight, our research and development chemist at Summit Industrial Products, to discuss the process and use of additive packs.

R & D chemist Thomas Knight explains the process a product goes through from idea to production.