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In this episode, Scott Becker discusses seven business headlines, including a sharp market drop, big hits to healthcare stocks like Humana and UHS, and Tesla's ongoing slide ahead of earnings.
In this episode, Scott Becker discusses seven business headlines, including a sharp market drop, big hits to healthcare stocks like Humana and UHS, and Tesla's ongoing slide ahead of earnings.
Guess the missing words from these songs! Fact of the Day: Uncombable hair syndrome (UHS) is a rare genetic hair disorder characterized by dry, frizzy, and unmanageable hair that cannot be combed. Triple Connections: Stuart, Remy, Fievel THE FIRST TRIVIA QUESTION STARTS AT 01:05 SUPPORT THE SHOW MONTHLY, LISTEN AD-FREE FOR JUST $1 A MONTH: www.Patreon.com/TriviaWithBudds INSTANT DOWNLOAD DIGITAL TRIVIA GAMES ON ETSY, GRAB ONE NOW! GET A CUSTOM EPISODE FOR YOUR LOVED ONES: Email ryanbudds@gmail.com Theme song by www.soundcloud.com/Frawsty Bed Music: "EDM Detection Mode" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 License http://creativecommons.org/licenses/by/4.0/ http://TriviaWithBudds.comhttp://Facebook.com/TriviaWithBudds http://Instagram.com/ryanbudds Book a party, corporate event, or fundraiser anytime by emailing ryanbudds@gmail.com or use the contact form here: https://www.triviawithbudds.com/contact SPECIAL THANKS TO ALL MY AMAZING PATREON SUBSCRIBERS INCLUDING: Mollie Dominic Vernon Heagy Nathalie Avelar Natasha raina leslie gerhardt Skilletbrew Yves BouyssounouseDiane White Youngblood Evan Lemons Trophy Husband Trivia Rye Josloff Lynnette Keel Lillian Campbell Jerry Loven Ansley Bennett Jamie Greig Jeremy Yoder Adam Jacoby rondell Adam Suzan Chelsea Walker Tiffany Poplin Bill Bavar Sarah Dan Katelyn Turner Keiva Brannigan Keith Martin Sue First Steve Hoeker Jessica Allen Michael Anthony White Lauren Glassman Brian Williams Henry Wagner Brett Livaudais Linda Elswick Carter A. Fourqurean KC Khoury Tonya Charles Justly Maya Brandon Lavin Kathy McHale Chuck Nealen Courtney French Nikki Long Mark Zarate Laura Palmer JT Dean Bratton Kristy Erin Burgess Chris Arneson Trenton Sullivan Jen and Nic Michele Lindemann Ben Stitzel Michael Redman Timothy Heavner Jeff Foust Richard Lefdal Myles Bagby Jenna Leatherman Albert Thomas Kimberly Brown Tracy Oldaker Sara Zimmerman Madeleine Garvey Jenni Yetter JohnB Patrick Leahy Dillon Enderby James Brown Christy Shipley Alexander Calder Ricky Carney Paul McLaughlin Casey OConnor Willy Powell Robert Casey Rich Hyjack Matthew Frost Brian Salyer Greg Bristow Megan Donnelly Jim Fields Mo Martinez Luke Mckay Simon Time Feana Nevel
Host: David Rosenblum, MD Guest: Phillip Kim, MD Date: January 24, 2025 Time: 6:30 AM Episode Summary: In this episode of the PainExam Podcast, Dr. David Rosenblum engages with Dr. Phillip Kim to discuss the Federation Pain Care Access, a newly formed organization advocating for improved access to interventional pain treatments. The episode delves into the challenges posed by restrictive insurance coverage policies and the collaborative efforts needed to address these issues effectively. Key Discussion Points: -Introduction to Federation Pain Care Access: A new entity focused on advocating for emergent and standard care in interventional pain treatments, aiming to enhance access through advocacy and legislative solutions. - Impact of Restrictive Policies: Dr. Kim highlights how insurance carriers like Evicor, AIM, and Optum impose restrictive coverage policies that harm patients and practitioners, particularly amid the ongoing opioid epidemic.AIM, Optum and Evicore are not insurance carriers. these are separate entities which oversee utilization management and prior auth requests for insurance carriers (HMO, TPA's etc) e g. BCBS plans, UHS etc. Prior Authorization Challenges: Discussion on the AMA 2022 Prior Authorization Physician Survey, which indicates significant negative impacts on patient care due to prior authorization processes. - Case Studies: Dr. Kim shares specific cases where patients faced harm due to denied claims, including issues related to medical cannabis and necessary medical equipment. - Collaboration with Medical Societies: The Federation works alongside various pain societies and stakeholders to address common concerns and push for better coverage policies. - Future Goals Plans for meetings with CMS and Medicare Administrative Contractors (MACs) regarding specific treatments like SI joint radiofrequency ablation, aiming to improve coverage and access. Fundraising and Outreach: The Federation seeks to grow its membership and funding through outreach to allied health professionals and patient care groups while launching a media campaign to raise awareness of patient struggles Legal and Advocacy Efforts: Emphasis on the need for legal considerations in advocacy efforts and the importance of public support in achieving the Federation's goals. - The No Pain Act: Discussion on recent legislation aimed at expanding access to non-opioid treatments and alternatives for chronic pain management. Guest Bio: Phillip Kim, MD is a leading advocate for pain care access and a founding member of the Federation Pain Care Access. He brings extensive experience in managing chronic pain patients and navigating healthcare policies. Resources Federation Pain Care Access Website: https://www.painfed.org # board Listeners are encouraged to support the Federation Pain Care Access by visiting their website to learn more about their initiatives and consider contributing to help advance their mission. Join Dr. Rosenblum and Dr. Kim in this vital conversation about the ongoing efforts to improve pain care access and the importance of collaboration in overcoming the challenges faced by patients and healthcare providers. Long island based anesthesiologist, David Rosenblum, MD, is one of the first interventional pain physicians in the country to integrate ultrasound guidance into his pain practice. Since 2007, he has been an international leader in the treatment of chronic pain. He has helped countless of patients suffering from back, neck, knee, shoulder, hip joint pain and has been at the forefront of regenerative pain medicine, minimally invasive pain therapies and medical education. Patients can schedule a consultation by going to www.AABPpain.com or calling: Brooklyn Office 718 436 7246 Garden City Office 516 482 7246
Host: David Rosenblum, MD Guest: Phillip Kim, MD Date: January 24, 2025 Time: 6:30 AM Episode Summary: In this episode of the PainExam Podcast, Dr. David Rosenblum engages with Dr. Phillip Kim to discuss the Federation Pain Care Access, a newly formed organization advocating for improved access to interventional pain treatments. The episode delves into the challenges posed by restrictive insurance coverage policies and the collaborative efforts needed to address these issues effectively. Key Discussion Points: -Introduction to Federation Pain Care Access: A new entity focused on advocating for emergent and standard care in interventional pain treatments, aiming to enhance access through advocacy and legislative solutions. - Impact of Restrictive Policies: Dr. Kim highlights how insurance carriers like Evicor, AIM, and Optum impose restrictive coverage policies that harm patients and practitioners, particularly amid the ongoing opioid epidemic. AIM, Optum and Evicore are not insurance carriers. these are separate entities which oversee utilization management and prior auth requests for insurance carriers (HMO, TPA's etc) e g. BCBS plans, UHS etc. Prior Authorization Challenges: Discussion on the AMA 2022 Prior Authorization Physician Survey, which indicates significant negative impacts on patient care due to prior authorization processes. - Case Studies: Dr. Kim shares specific cases where patients faced harm due to denied claims, including issues related to medical cannabis and necessary medical equipment. - Collaboration with Medical Societies: The Federation works alongside various pain societies and stakeholders to address common concerns and push for better coverage policies. - Future Goals Plans for meetings with CMS and Medicare Administrative Contractors (MACs) regarding specific treatments like SI joint radiofrequency ablation, aiming to improve coverage and access. Fundraising and Outreach: The Federation seeks to grow its membership and funding through outreach to allied health professionals and patient care groups while launching a media campaign to raise awareness of patient struggles Legal and Advocacy Efforts: Emphasis on the need for legal considerations in advocacy efforts and the importance of public support in achieving the Federation's goals. - The No Pain Act: Discussion on recent legislation aimed at expanding access to non-opioid treatments and alternatives for chronic pain management. Guest Bio: Phillip Kim, MD is a leading advocate for pain care access and a founding member of the Federation Pain Care Access. He brings extensive experience in managing chronic pain patients and navigating healthcare policies. Resources Federation Pain Care Access Website: https://www.painfed.org # board Listeners are encouraged to support the Federation Pain Care Access by visiting their website to learn more about their initiatives and consider contributing to help advance their mission. Join Dr. Rosenblum and Dr. Kim in this vital conversation about the ongoing efforts to improve pain care access and the importance of collaboration in overcoming the challenges faced by patients and healthcare providers. Long island based anesthesiologist, David Rosenblum, MD, is one of the first interventional pain physicians in the country to integrate ultrasound guidance into his pain practice. Since 2007, he has been an international leader in the treatment of chronic pain. He has helped countless of patients suffering from back, neck, knee, shoulder, hip joint pain and has been at the forefront of regenerative pain medicine, minimally invasive pain therapies and medical education. Patients can schedule a consultation by going to www.AABPpain.com or calling: Brooklyn Office 718 436 7246 Garden City Office 516 482 7246
Host: David Rosenblum, MD Guest: Phillip Kim, MD Date: January 24, 2025 Time: 6:30 AM Episode Summary: In this episode of the PainExam Podcast, Dr. David Rosenblum engages with Dr. Phillip Kim to discuss the Federation Pain Care Access, a newly formed organization advocating for improved access to interventional pain treatments. The episode delves into the challenges posed by restrictive insurance coverage policies and the collaborative efforts needed to address these issues effectively. Key Discussion Points: -Introduction to Federation Pain Care Access: A new entity focused on advocating for emergent and standard care in interventional pain treatments, aiming to enhance access through advocacy and legislative solutions. - Impact of Restrictive Policies: Dr. Kim highlights how insurance carriers like Evicor, AIM, and Optum impose restrictive coverage policies that harm patients and practitioners, particularly amid the ongoing opioid epidemic. AIM, Optum and Evicore are not insurance carriers. these are separate entities which oversee utilization management and prior auth requests for insurance carriers (HMO, TPA's etc) e g. BCBS plans, UHS etc. Prior Authorization Challenges: Discussion on the AMA 2022 Prior Authorization Physician Survey, which indicates significant negative impacts on patient care due to prior authorization processes. - Case Studies: Dr. Kim shares specific cases where patients faced harm due to denied claims, including issues related to medical cannabis and necessary medical equipment. - Collaboration with Medical Societies: The Federation works alongside various pain societies and stakeholders to address common concerns and push for better coverage policies. - Future Goals Plans for meetings with CMS and Medicare Administrative Contractors (MACs) regarding specific treatments like SI joint radiofrequency ablation, aiming to improve coverage and access. Fundraising and Outreach: The Federation seeks to grow its membership and funding through outreach to allied health professionals and patient care groups while launching a media campaign to raise awareness of patient struggles Legal and Advocacy Efforts: Emphasis on the need for legal considerations in advocacy efforts and the importance of public support in achieving the Federation's goals. - The No Pain Act: Discussion on recent legislation aimed at expanding access to non-opioid treatments and alternatives for chronic pain management. Guest Bio: Phillip Kim, MD is a leading advocate for pain care access and a founding member of the Federation Pain Care Access. He brings extensive experience in managing chronic pain patients and navigating healthcare policies. Resources Federation Pain Care Access Website: https://www.painfed.org # board Listeners are encouraged to support the Federation Pain Care Access by visiting their website to learn more about their initiatives and consider contributing to help advance their mission. Join Dr. Rosenblum and Dr. Kim in this vital conversation about the ongoing efforts to improve pain care access and the importance of collaboration in overcoming the challenges faced by patients and healthcare providers. Long island based anesthesiologist, David Rosenblum, MD, is one of the first interventional pain physicians in the country to integrate ultrasound guidance into his pain practice. Since 2007, he has been an international leader in the treatment of chronic pain. He has helped countless of patients suffering from back, neck, knee, shoulder, hip joint pain and has been at the forefront of regenerative pain medicine, minimally invasive pain therapies and medical education. Patients can schedule a consultation by going to www.AABPpain.com or calling: Brooklyn Office 718 436 7246 Garden City Office 516 482 7246
In this episode of The ASHHRA Podcast, we dive deep into the world of human resources and leadership with our esteemed guest, Maria Zangardi, Senior Vice President of Human Resources at Universal Health Services (UHS).
This piece comes from Melbourne, Australia, at the World Congress of Prehabilitation and Perioperative Medicine, held alongside the Australian ERAS+ Conference. Recorded on the conference stage before an audience of guests and delegates, hear how the World Congress came to be where it is today. Presented by Mike Grocott, and Kate Leslie with Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS), and Gerrit Slooter, MD, PhD, Surgical Oncologist, Maxima Medical Centre, The Netherlands.
Living with roommates can be one of the most fulfilling or the most challenging experiences of college life. In this episode, we are talking with Molly Willihnganz, LMFT, UHS mental health therapist and embedded provider through housing, about roommate relationships, particularly in navigating conflicts and difficult conversations. Office of Student Assistance and Support General information on Mental Health Services at UHS Let's Talk schedule and information To schedule an Access appointment, please call us at 608-265-5600, option #2 or through MyUHS portal Our intro and outro music is ‘Storybook' by Scott Holmes: scottholmesmusic.com
In this episode we chat with Serena Cisneros, MS, LPC, who is Ojibwe from the Lac Courte Oreilles, and one of the UHS embedded mental health providers at the Indigenous Student Center. Listen in to learn more about her role and services at the ISC as well as upcoming Native November events. ISC's website Native November events ISC's Instagram: @indigenous.uwmadison General information on Mental Health Services at UHS To schedule an Access appointment, please call us at 608-265-5600, option #2 or webbook through the MyUHS Our intro and outro music is ‘Storybook' by Scott Holmes: scottholmesmusic.com
Evidence Based Perioperative Medicine (EBPOM)'s annual global conference in London was a huge success this year. TopMedTalk were there and this is one of the conversations we recorded for you. The Perioperative Quality Initiative (POQI) continues to address the implementation gap between perioperative research and clinical practice, offering clinicians synthesized, accurate recommendations. Since its inception in 2016, POQI has conducted 16 conferences, focusing on various perioperative topics like fluid management, blood pressure control, and nutrition. Presented by Andy Cumpstey with his guests Andy Shaw, Chairman, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio, Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS) and Imogen Fecher-Jones, lead nurse and project manager for the Perioperative Medicine Service and Preassessment at University Hospital Southampton.
Good morning from Pharma and Biotech daily: the podcast that gives you only what's important to hear in Pharma e Biotech world. Bayer has developed a successful audience targeting strategy that drives meaningful engagement, with Crossix audience segments optimizing campaigns and aligning messaging more closely with the patient journey. This precision targeting has proven effective in reaching the most qualified audience and increasing engagement.Philips issued a fix for ventilator problems linked to injuries and deaths, Siemens Healthineers received FDA approval for a 3D mammography system, and Synchron's brain-computer interface technology met safety goals. Additionally, the wearables market is expected to see growth, while the FDA missed a target date for releasing rules on pulse oximeters. Medtech Dive provides insights on medical technology trends and top conferences in 2025.A private equity firm, TPG, is set to acquire a majority stake in e-prescribing giant Surescripts. HCA's Mission Hospital in North Carolina faces challenges after Hurricane Helene, while UHS has been forced to pay significant damages related to child sexual abuse allegations. Efforts to combat burnout among healthcare workers are highlighted, along with sponsored content on safeguarding healthcare against cybercrime.Eli Lilly is investing $4.5 billion in a new manufacturing and research center in Indiana, while Amgen faces a class action lawsuit and Johnson & Johnson invests $2 billion in a North Carolina facility. Bayer, J&J, and Pfizer are collectively laying off nearly 500 employees, with new developments in cFDNA methylation assays and royalty financing for biopharma companies. ImmunityBio is also undergoing layoffs in California.Roche is facing an $8 billion sales gap due to biosimilar competition, prompting investments in new blockbuster drugs. Kailera Therapeutics has secured funding for obesity drugs, and the cell and gene therapy industry is experiencing rapid growth. Pharmavoice covers these topics and more in their daily newsletter.2seventy Bio is close to reaching cash flow breakeven, attributing their survival to transparency and a committed staff. Pfizer's withdrawal of sickle cell therapy Oxbryta has raised questions among investors. Royalty financing has become crucial for biopharma companies as traditional fundraising methods falter. Lilly's drug pricing practices are under scrutiny compared to Novo Nordisk. Various updates on investments, layoffs, and legal actions can be found on Biospace's website.
MHS offers focused services for students with underrepresented identities who express a need to work with a provider with shared identity/cultural background or language similar to theirs. MHS has focused counseling services for students of color, LGBTQ+ students and trans and gender diverse students, and for students who speak Mandarin and/or Hindi. We talk more today with Geetanjali Deole, LPC and Mariessa Robles, PsyD about these services and what UHS has to offer. General information on Mental Health Services at UHS: https://www.uhs.wisc.edu/mental-health/ To schedule an Access appointment, please call us at 608-265-5600, option #2 or webbook through the MyUHS portal: https://myuhs.uhs.wisc.edu/ Our intro and outro music is ‘Storybook' by Scott Holmes: scottholmesmusic.com
Today we talk with Dr. Ritu Bhatnagar about Psychiatric Services at UHS and answer basic questions on what to expect in a psychiatry appointment, how to get connected to services, and more! At Psychiatric Services, we believe that medications can be a part of the answer. If you are looking only to the medications to solve your problems, you may overlook opportunities for the other 23.9 hours of your day. Here are some recommended links and resources Dr. Bhatnagar shared out: Sleep hygiene Free resources about sleep practices and guided meditations: From MIT: https://mindhandheart.mit.edu/sites/default/files/2019-05/Cheat%20Sleep_word%20format_2019.pdf From Dartmouth: https://students.dartmouth.edu/wellness-center/wellness-mindfulness/mindfulness-meditation/guided-recordings/progressive-muscle-relaxation Center for Healthy Minds has a free meditation and wellness app which also includes tools for insomnia: https://hminnovations.org/meditation-app. You can learn more about the Center for Healthy Minds and the other programs they have here: https://centerhealthyminds.org Breathing exercises: https://www.projectxfactor.com/post/the-3-most-effective-breathing-exercises-to-combat-stress Pick one and use it every morning and during the day for a week whenever you notice your thoughts taking over. General information on Mental Health Services at UHS: https://www.uhs.wisc.edu/mental-health/ To schedule an Access appointment, please call us at 608-265-5600, option #2 or webbook through the MyUHS portal: https://myuhs.uhs.wisc.edu/ Our intro and outro music is ‘Storybook' by Scott Holmes: scottholmesmusic.com
At this time a lot of students may be thinking about coming to therapy. Today we answer questions about how to know if a therapist is a good fit, what to look for, and provide some helpful tips and resources in your search for a therapist. General information on Mental Health Services at UHS: https://www.uhs.wisc.edu/mental-health/ To schedule an Access appointment, please call us at 608-265-5600, option #2 or webbook through the MyUHS portal: https://myuhs.uhs.wisc.edu/ Our intro and outro music is ‘Storybook' by Scott Holmes: scottholmesmusic.com
The work, dedication, and resilience of hospital providers and staff is centered on providing high-quality care for their patients. In this special episode of Hospitals in Focus, we spotlight two compelling stories of patient care from the frontlines, offering unique perspectives from both a health care provider and patient. Join us as we hear firsthand from Amy Capella Smith, CEO of Foundations Behavioral Health, a UHS hospital in Doylestown, Pennsylvania, as she navigates the challenges and rewards of providing behavioral health services to children, adolescents, and young adults. We also share Jenna Tanner's story, who survived what is often called the “widow maker,” a massive heart attack, while home alone. Jenna was able to call 911 and get the emergency medical help she needed at Hillcrest Hospital, an Ardent Health hospital, where she received lifesaving care. Her experience serves as a universal message about heart health and the importance of recognizing the early signs of a heart attack.
HRB, ANF, POWL, EME and UHS have value, growth, momentum, and rising earnings estimates. (1:00) - Where Should You BBe Investing Right Now Amid A Market Sell-off? (7:45) - Top Stock Picks To Add To Your Watch List (30:50) - Episode Roundup: HRB, ANF, POWL, UHS
In this episode, Scott Becker highlights nine key stories shaping the healthcare landscape, including UHS's net income surge, CFOs' top concerns like the economy and cybersecurity, and significant developments in hospital operations and expansions. Stay informed with insights on rising healthcare leaders and the financial health of major systems.
http://health.uoregon.edu This week, we revisit our discussion about University Health Services with Deb Beck, Assistant Vice President for Student Services and Enrollment Management and Executive Director of University Health Services. We'll cover the phenomenal programs and care available for students right on campus through UHS, including primary and specialty care, pharmacy, mental health coordination services, wellness center, insurance coverage options, and immunizations. Join us!
Counseling and Psychological Services has taken significant steps forward in recent years, yet there remains a “mental health crisis” in higher education. What is what we needed was a reforming of the services and the system itself. This episode explores with Dr. Peter Cornish the ways in which holistic mental health services is of the most important DEI imperatives in higher education. As well, the episodes explores with Dr. Cornish what might happen is we were to consider the holistic well-being professionals as leaders in the reforming of the entirety of higher education. Join for this informative episode. Guest Name: Peter Cornish, Director of Counseling and Psychological Services, UHS; Honorary Research Professor at the Memorial University of Newfoundland in Canada Guest LinkedIn: linkedin.com/in/peter-cornish-6b381922Guest Bio:Dr. Peter Cornish is the Director of Counseling and Psychological Services at UHS and an Honorary Research Professor at the Memorial University of Newfoundland in Canada. His clinical and research interests include online mental health, stepped-care treatments, mental health service innovations, and inter-professional team functioning.Over the past five years, Dr. Cornish has provided consultation and on-site training on his Stepped Care 2.0 model to over 150 organizations across North America. His nonprofit company, Stepped Care Solutions, is the lead partner on Wellness Together Canada (link is external), a federal COVID-19 $70M mental health program for all peoples of Canada. Dr. Cornish is the principal investigator for a $1.14M four-year research grant aimed at digitizing and evaluating Stepped Care 2.0 across two Canadian provinces. Currently, he is collaborating with colleagues in the US and Canada on a three-book series on Stepped Care 2.0. - - - -Connect With Our Co-Hosts:Mallory Willsea https://www.linkedin.com/in/mallorywillsea/https://twitter.com/mallorywillseaSeth Odell https://www.linkedin.com/in/sethodell/https://twitter.com/sethodellAbout The Enrollify Podcast Network:The Higher Ed Pulse is a part of the Enrollify Podcast Network. If you like this podcast, chances are you'll like other Enrollify shows too! Some of our favorites include Generation AI and Confessions of a Higher Education Social Media Manager.Enrollify is made possible by Element451 — the next-generation AI student engagement platform helping institutions create meaningful and personalized interactions with students. Learn more at element451.com.
The 10-year Treasury yield took a breather after two days of sharp gains. Despite losses for the major stock indexes, breadth was slightly positive on the Nasdaq and about 3-to-1 positive on the NYSE. Chubb is back in a buy zone after a low-volume pullback. ISRG tried to clear a flat base again to no avail while UHS cleared a cup-with-handle base.
A panel discussion chaired by Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS) and featuring; Andrew Davies, Consultant in upper gastro-intestinal surgery at Guy's and St Thomas' NHS Hospital Trust, Heather Gill, a vascular surgeon at McGill University and Research Chair for the Canadian Society of vascular surgery, Gerry Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Trust, Chelsia Gillis, Assistant Professor in the School of Human Nutrition in the Faculty of Agricultural and Environmental Sciences at McGill University and Liam Humphreys, Senior Research Fellow and lead of the Living Well with Chronic Disease research theme at the Advanced Wellbeing Research Centre. Liam's presentation is here: https://topmedtalk.libsyn.com/behavioural-change-vs-psychological-interventions-which-is-key-in-prehabilitation-prehabilitation-world-congress Chelsia's presentation is here: https://topmedtalk.libsyn.com/prehab-initiative-standardisation-of-screening-assessment-interventions-and-outcomes-prehabilitation-world-congress Andrew's presentation is here: https://topmedtalk.libsyn.com/should-we-delay-surgery-for-prehabilitation-prehabilitation-world-congress
March 2024 - Spartan podcast highlighting some of the efforts at UHS over the past couple of months
School Committee audio: UHS presentation from the March 2024 School Committee meeting, as we shared some successes from UHS
This is the second part of a question and answer session which was originally presented at The World Congress of Prehabilitation. Featuring Mike Grocott, TopMedTalk's co-editor in Chief and the Professor of Anaesthesia and Critical Care Medicine at the University of Southampton as well as an NIHR Senior Investigator, Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS), Franco Carli, Professor of Anesthesia at McGill University and Associate Professor in the School of Dietetics and Human Nutrition at McGill University, Gerrit Slooter, Surgical Oncologist, Maxima Medical Centre, The Netherlands and Linda Denehy, Head of the Melbourne School of Health Sciences and Professor of Physiotherapy at The University of Melbourne, Australia. If you'd like to hear part one please go here: https://topmedtalk.libsyn.com/prehabilitation-where-are-we-now-part-1-the-world-congress-of-prehabilitation If you'd like to hear the excellent talk which prompted this discussion please go here: https://topmedtalk.libsyn.com/what-is-prehabilitation-the-world-congress-of-prehabilitation TopMedTalk is the broadcasting arm of Evidence Based Perioperative Medicine (EBPOM), if you'd like to attend one of our forthcoming conferences go now to http://www.ebpom.org
Libertas International is proud to have Brandon Merrill, the founder of Utah Homicide Survivors, a nonprofit based in Provo, Utah that serves surviving families of homicide victims. Under Brandon's leadership, UHS has grown to become a leading advocate for homicide survivors in Utah, offering a wide range of services to help families navigate the aftermath of tragedy. With years of experience working in the field of victim services, Brandon is dedicated to helping survivors heal and find justice. His passion for helping others and his commitment to making a difference in the lives of those affected by homicide are a driving force behind the success of Utah Homicide Survivors.Brandon graduated from Utah Valley University in 2013, with a degree in International Politics. He moved to Vermont to attend Vermont Law School and study environmental law later that year. After taking his first environmental law class he decided that it wasn't the path for him. In order to graduate from law school he found an internship with the Never Again Foundation in Arizona, which sadly closed their doors in 2019. This organization taught him the importance of legal services for families of homicide victims and how to navigate the family through the numerous civil legal processes. After graduating from Vermont Law School in January 2016, Brandon worked as a divorce and custody mediator and a money laundering analyst while also continuing to volunteer for the Never Again Foundation. In August 2017, he took a staff position with the Never Again Foundation. In 2018, Brandon and his wife Karleigh moved to Utah to open a Utah chapter of the Never Again Foundation. In early 2019 the Never Again Foundation was hit hard with financial troubles and had to close their door permanently in March 2019. Brandon did not want to see the gap for homicide survivors re-open so he started Utah Homicide Survivors that same month where he serves as the Founder and Executive Director. Brandon details how he got started in this work, how he keeps himself sane in the work that he does and what are the factors that can lead to homicide. Here is an event that Brandon puts on every year that honors victims of homicide-https://ksltv.com/589460/families-of-utah-homicide-victims-gather-to-support-each-other-for-national-day-of-remembrance/A case Brandon was involved in involving a road rage homicide in Utah-https://www.fox13now.com/news/local-news/families-grieve-over-loved-ones-killed-in-road-rage-incidentsList of homicide victims in Utah-https://www.ksl.com/article/50567570/grim-tally-a-look-at-each-of-utahs-homicide-victims-of-2022
Howie and Harlan are joined by Yale health economist Zack Cooper to discuss his work on surprise medical bills and the impact of high healthcare costs on households, wages, and the economy. Harlan reports on Hippocratic AI's efforts to develop AI nurses. Howie looks at the global effort to eradicate tuberculosis. Links: “Hippocratic AI banks $53M backed by General Catalyst, a16z, Memorial Hermann, UHS and other health systems” “Polaris: A Safety-focused LLM Constellation Architecture for Healthcare” Yale | Eli Whitney Students Program Touching the Dragon: And Other Techniques for Surviving Life's Wars The Price Ain't Right? Hospital Prices and Health Spending on the Privately Insured “Costs Can Go Up Fast When E.R. Is in Network but the Doctors Are Not” “Bankrupt Envision Healthcare approved to split in two, cut debt” “The Company Behind Many Surprise Emergency Room Bills” Surprise! Out-of-Network Billing for Emergency Care in the United States “Medical LLM developer Hippocratic AI gets $53M at $500 valuation” The Breakthrough of Large Language Models Release for Medical Applications: 1-Year Timeline and Perspectives World Health Organization | World Tuberculosis Day Partners In Health | Tuberculosis “WHO urges investments for the scale up of tuberculosis screening and preventive treatment” “The latest twist in John Green's anti-tuberculosis story: working with governments” Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.
This question and answer session was originally presented at The World Congress of Prehabilitation. It features Mike Grocott, TopMedTalk's co-editor in Chief and the Professor of Anaesthesia and Critical Care Medicine at the University of Southampton as well as an NIHR Senior Investigator, Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS), Franco Carli, Professor of Anesthesia at McGill University and Associate Professor in the School of Dietetics and Human Nutrition at McGill University, Gerrit Slooter, Surgical Oncologist, Maxima Medical Centre, The Netherlands and Linda Denehy, Head of the Melbourne School of Health Sciences and Professor of Physiotherapy at The University of Melbourne, Australia. Although this piece works as a standalone listen, if you'd like to hear the excellent talk which prompted it please go here: https://topmedtalk.libsyn.com/what-is-prehabilitation-the-world-congress-of-prehabilitation Part two of this piece will follow soon, make sure you are subscribed to TopMedTalk to ensure you don't miss out. TopMedTalk is the broadcasting arm of Evidence Based Perioperative Medicine (EBPOM), if you'd like to attend one of our forthcoming conferences go now to http://www.ebpom.org
More from our exclusive coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) as Desiree Chappell speaks with her guests Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS) and BobbieJean Sweitzer, Systems Director of Perioperative Practices at Inova Health, Falls Church, Virginia. How has the term malnutrition evolved? Should we consider frailty in our younger patients more than we do? What are the particular challenges when caring for high risk patients with multiple co-morbidities? Where does nutrition education begin and should it ever end? And finally, what are the small simple changes we can make which will provide a meaningful impact upon patient care?
John Kelley, UHS football coach on his retirement announcement today; Tim Koenig, Fairmont St men's basketball coach; Chris Level, Texas Tech radio network on preview of Texas Tech - WVU basketball
Good morning from Pharma and Biotech Daily: the podcast that gives you only what's important to hear in Pharma and Biotech world.UnitedHealth is facing an antitrust probe by the DOJ regarding potential anticompetitive effects. Despite challenges like high labor costs, UHS, a hospital operator, saw revenue growth in 2023. Veradigm is set to delist after missing a Nasdaq deadline. Nurse leaders report burnout and turnover in their roles. A ransomware attack at an urgent care provider may have exposed personal information of over 516,000 people. Healthcare Dive provides insights for healthcare leaders, including articles on AI implementation, social determinants of health, and healthcare data breaches, covering a wide range of topics such as hospitals, payers, health IT, government policies, finances, medical groups, and telehealth. Healthcare Dive is operated by Industry Dive, providing journalism and insights for decision-makers in competitive industries.Viatris pays $350 million to acquire two drugs from Idorsia for heart attacks and lupus in phase 3 testing. Ginkgo acquires gene editing tools through the buyout of Proof Diagnostics, founded by Feng Zhang. Incannex reports that psilocybin therapy reduced anxiety in a small study. Women's health company Obseva plans to wind down operations and lay off staff. Viking's obesity drug showed promising results in a phase 2 trial, potentially rivaling drugs from Eli Lilly and Novo Nordisk. The rise of obesity drug treatments is reshaping the pharma industry with significant advancements and changes, as companies make strategic moves to enhance their portfolios and address unmet medical needs.Gatorade has unveiled Gatorade Water, their first unflavored water product, with a digital-heavy marketing campaign focused on wellness. Estee Lauder's marketing mix modeling use was discussed at the eTail Palm Springs conference, showcasing their balance between brand and performance marketing. Dick's Sporting Goods has enlisted Kathryn Hahn and Will Arnett for an ad campaign highlighting e-commerce convenience. Food and beverage brands are putting a modern spin on retro packaging to appeal to consumers' emotions. Mod Op has acquired RTO+P for more creative firepower in a competitive market. Marketing Dive explores mobile messaging's influence on consumer behavior in 2024, as well as upcoming events and industry news.The recent awarding of Johnson & Johnson's Dr. Paul Janssen Award for Biomedical Research to MIT professor and Moderna co-founder Robert Langer is discussed in the text, recognizing his impactful innovations in drug delivery. Langer's work in nanoparticle drug delivery has led to advancements in biopharma, particularly in the technology behind mRNA vaccines. The text also highlights Langer's role as a scientific advisor to a new CRO aiming to improve clinical trials through technology. Additionally, it addresses the staffing challenges faced by CROs since the pandemic and explores strategies for retaining talent in the research industry, emphasizing the importance of adapting to new technologies and approaches to enhance efficiency in clinical trials and improve patient care.
MCALLEN, Texas - Dr. Nolan Perez, MD, a Harlingen native and University of Texas System regent, spoke at the official opening of the state-of-the-art Jackson Medical Plaza on N. Jackson in McAllen. Texas Digestive Specialists (TDS), a company Perez heads, is situated on the second floor. TDS offers a full range of diagnostic and therapeutic services for diseases of the digestive tract, liver, and pancreas. It also specializes in treating the full range of diseases and disorders that affect the colon, rectum, anus, appendix and small bowel.On the first floor of the Jackson Medical Plaza is the McAllen Surgery Center, run by HCA Healthcare. Rio Grande Regional Hospital is part of HCA. Its CEO, Laura Disque, spoke at the official opening.Many hundreds of VIPs were in attendance.In his speech at the official opening, Perez pointed out that Texas does not fare well in national healthcare rankings.“Texas, not the Rio Grande Valley, ranks 45th. I'm just going to merge the numbers but… 42nd for specialists, 48th for primary care doctors, 45th for the number of physicians per capita in the United States. That's Texas, as big and as fast as we are growing. So, you can imagine how far behind we are for the Rio Grande Valley.”Perez said Texas Digestive Specialists “loves” to create partnerships. He gave some examples.“Our partnership downstairs with HCA, the McAllen Surgery Center. We partner in so many ways with other hospitals and facilities, UHS, our physicians work there. I know that UHS is now getting involved with graduate medical education. That's incredible. HCA is now getting involved with UTRGV with graduate medical education. Incredible. Down the street we're not too far from DHR and we're really proud to partner with them in many ways and help them get a liver transplant program. We desperately need a live transplant program in this region and so hopefully we'll have one soon. We partner with Prime across the Valley. Incredible facilities. And then, of course, Tenet hospitals as well. Incredible. They have a long standing tradition of supporting undergraduate and graduate medical education. I love creating partnerships and creating collective impact solutions for all the healthcare needs of our region.”Perez thanked the “amazing leaders” from the world of healthcare that attended the official opening. One of them was Matt Wolthoff, president of Driscoll's new children's hospital in Edinburg.“I told Matt Wolthoff, one of the CEOs who was here earlier… we can't stop until we can say that 99 percent of our people can get their health care in the Rio Grande Valley. In our lifetime, let's make that possible.”Here is an audio recording of Dr. Perez's remarks at the official opening of Jackson Medical Plaza in McAllen.To read the new stories and watch the news videos of the Rio Grande Guardian International News Service go to www.riograndeguardian.com.
An update regarding cell phone procedures at UHS, particularly for students and to minimize distractions during learning time.
A quick podcast with some highlights from UHS, September 2023
Amanda Blanco is the CEO of the Behavioral Hospital of Bellaire, who started her career with UHS as a Mental Health Technician over 10 years ago. In her tenure with UHS, she has successfully driven initiatives to convert a facility to seclusion free and started clinical trials on acute schizophrenic patients through MERCK, a research organization. Today, she joins the show to talk about how a personal tragedy led her into the field of mental health, advice she would give to other mental health technicians, and the improvements she hopes to see in the mental health industry.Key Takeaways01:23 – Amanda Blanco joins the show to talk about her amazing journey from mental health technician to CEO of a hospital system 06:09 – Turning tragedy into hope 07:14 – Achieving a Bachelors & Masters degree while working at UHS and what it's like working at Universal Health Services 09:59 – Advice Amanda would give to mental health technicians 13:24 – What's next for Amanda 14:31 – Amanda speaks to her hope for the evolution of mental health 17:03 – Dr. Flowers thanks Amanda for joining the show and lets listeners know where they can connect with her and the Behavioral Hospital of BellaireTweetable Quotes“It's funny because we talk about crossroads and how there's a fork in our road where you really start to see which way you're gonna go. At that time I had the interview as a mental health tech, I also had an interview as a store manager for a very big store chain. It was a lot more money, but when I did the tour at the residential treatment center for kiddos, I loved it. There was something so intriguing about it.” (05:39) (Amanda) “I started to realize, as I got deeper into case management, that I needed to do something more extreme. I needed to be at a higher level in order to make change. The people in the trenches - the case managers, the direct care staff - they do a lot of work. But a lot of change comes from the top.” (07:54) (Amanda) “I would not be at a company if I didn;'t share the same virtues, the same philosophy, the same everything as the President.” (09:01) (Amanda) “Sometimes, doing jobs or taking on responsibility that goes outside of our comfort zone, that's where you're gonna grow. That's what we do as humans, we grow. We grow from challenge. We grow from obstacles.” (10:47) (Amanda) “Right now, I want to make BHB - Behavioral Hospital of Bellaire - as successful as possible. I want patients to come in and when they leave I want them to call their parents, family and friends and say, ‘I feel better.'” (13:37) (Amanda)Resources MentionedJFlowers Health Institute – https://jflowershealth.com/JFlowers Health Institute Contact – (713) 783-6655Subscribe on your favorite player: https://understanding-the-human-condition.captivate.fm/listen Behavioral Hospital of Bellaire Website – https://bhbhospital.com/**The views and opinions expressed by our guests are those of the individual and do not necessarily reflect those of J. Flowers Health Institute. Any content provided by our co-host(s) or guests are of their opinion and are not intended to reflect the philosophy and policies of J. Flowers Health Institute itself. Nor is it intended to malign any recovery method, religion, ethnic group, club, organization, company, individual, or anyone or anything.
Amanda Blanco is the CEO of the Behavioral Hospital of Bellaire, who started her career with UHS as a Mental Health Technician over 10 years ago. In her tenure with UHS, she has successfully driven initiatives to convert a facility to seclusion free and started clinical trials on acute schizophrenic patients through MERCK, a research organization. Today, she joins the show to talk about how a personal tragedy led her into the field of mental health, advice she would give to other mental health technicians, and the improvements she hopes to see in the mental health industry.Key Takeaways01:23 – Amanda Blanco joins the show to talk about her amazing journey from mental health technician to CEO of a hospital system 06:09 – Turning tragedy into hope 07:14 – Achieving a Bachelors & Masters degree while working at UHS and what it's like working at Universal Health Services 09:59 – Advice Amanda would give to mental health technicians 13:24 – What's next for Amanda 14:31 – Amanda speaks to her hope for the evolution of mental health 17:03 – Dr. Flowers thanks Amanda for joining the show and lets listeners know where they can connect with her and the Behavioral Hospital of BellaireTweetable Quotes“It's funny because we talk about crossroads and how there's a fork in our road where you really start to see which way you're gonna go. At that time I had the interview as a mental health tech, I also had an interview as a store manager for a very big store chain. It was a lot more money, but when I did the tour at the residential treatment center for kiddos, I loved it. There was something so intriguing about it.” (05:39) (Amanda) “I started to realize, as I got deeper into case management, that I needed to do something more extreme. I needed to be at a higher level in order to make change. The people in the trenches - the case managers, the direct care staff - they do a lot of work. But a lot of change comes from the top.” (07:54) (Amanda) “I would not be at a company if I didn;'t share the same virtues, the same philosophy, the same everything as the President.” (09:01) (Amanda) “Sometimes, doing jobs or taking on responsibility that goes outside of our comfort zone, that's where you're gonna grow. That's what we do as humans, we grow. We grow from challenge. We grow from obstacles.” (10:47) (Amanda) “Right now, I want to make BHB - Behavioral Hospital of Bellaire - as successful as possible. I want patients to come in and when they leave I want them to call their parents, family and friends and say, ‘I feel better.'” (13:37) (Amanda)Resources MentionedJFlowers Health Institute – https://jflowershealth.com/JFlowers Health Institute Contact – (713) 783-6655Subscribe on your favorite player: https://understanding-the-human-condition.captivate.fm/listen Behavioral Hospital of Bellaire Website – https://bhbhospital.com/**The views and opinions expressed by our guests are those of the individual and do not necessarily reflect those of J. Flowers Health Institute. Any content provided by our co-host(s) or guests are of their opinion and are not intended to reflect the philosophy and policies of J. Flowers Health Institute itself. Nor is it intended to malign any recovery method, religion, ethnic group, club, organization, company, individual, or anyone or anything.
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Doug Marchant is a serial entrepreneur that was honored as the 2023 Master Entrepreneur by The Society of Entrepreneurs and Junior Achievement for his impact as an entrepreneur and in the community. Doug Marchant is the President/CEO of Unified Health Services (www.uhsweb.com). In 1997, he was one of the original founders of Unified Health Services. Under his leadership UHS has become a leading provider of worker's compensation claim processing services nationally, handling over 400,000 patient visits annually for hospitals and medical groups in 26 states. After graduating from Mississippi State University with a Bachelor of Science in Computer Sciences and Mathematics, Doug began as an original founder of Concord EFS which grew to become a leading provider of electronic transaction authorization, processing settlement and fund transfer services, before becoming a publicly traded company which has been acquired by First Data Corporation (NYSE: FDC). In 1996, Doug founded Electronic Physician Network (EPN) to help doctors and hospitals move medical data electronically and streamline data access. Later he sold EPN to Envoy Corporation which was acquired and expanded by WebMD. Mr. Marchant is a member of Dean's Development Council of the Bagley College of Engineering, and an advisor to the College of Engineering Entrepreneur Studies at Mississippi State University. He is also an advisor for the Crews Center of Entrepreneurship at the University of Memphis. Links to items mentioned in the interview: The Society of Entrepreneurs Crews Center for Entrepreneurship-University of Memphis Bagley College of Engineering-Mississippi State University Church Health Madonna Learning Center
This podcast is part of the historic meeting which officially announed the merging of the Perioperative Exercise Testing and Training Society (POETTS) and International Prehabilitation Society (IPS) to promote the professional practice of prehabilitatation and exercise testing. Hear how and why the society is moving forward with an international focus and an unmatched passion for prehabilitation. IPOETTS is here: https://ipoetts.org/ This piece is chaired by Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS), Gerrit Slooter, Surgical Oncologist, Maxima Medical Centre, The Netherlands and Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Trust, Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, with questions and comments from the audience. -- Denny is a popular name here on TopMedTalk, if you liked this piece why not delve into our extensive free archive - with more presentations here: POETTS – Nutrition and patient living with and beyond cancer – the Macmillan Trust | EBPOM 2021 https://www.topmedtalk.com/poetts-nutrition-and-patient-living-with-and-beyond-cancer-the-macmillan-trust-ebpom-2021/ EBPOM 2020 London | Fit for surgery with Denny Levett https://www.topmedtalk.com/ebpom-2020-london-fit-for-surgery-with-denny-levett-2/
On this week's episode, Stephen Frothingham, Editor in Chief of Bicycle Retailer & Industry News at Outside, Inc, joins Randall to share his unique perspective on bicycle industry dynamics in general and the bike shop and OEM ecosystem in particular. Steve is an industry veteran who approaches his work with a warmth and curiosity we've long appreciated, and his reporting continues to serve as an influential resource for all of us who work in the space. Episdoe sponsor: Dynamic Cyclist (Promo code THEGRAVELRIDE for 15% off) Support the Podcast Join The Ridership Automated Transcription, please excuse the typos: [00:00:00] Craig Dalton: Hello, and welcome to the gravel ride podcast, where we go deep on the sport of gravel cycling through in-depth interviews with product designers, event organizers and athletes. Who are pioneering the sport I'm your host, Craig Dalton, a lifelong cyclist who discovered gravel cycling back in 2016 and made all the mistakes you don't need to make. I approach each episode as a beginner down, unlock all the knowledge you need to become a great gravel cyclist. This week on the podcast, I'm going to hand the microphone over to my co-host Randall Jacobs. Who's got Steven Frothingham editor and chief of bicycle retailer and industry news on the show to discuss his unique perspective on bicycle industry dynamics. The general bike shop and OEM ecosystem in particular, Steve is an industry veteran who approaches his work with warmth and curiosity that is so appreciated. His reporting continues to serve as an influential resource to everyone who works in the bicycle retail space. I think you'll get a lot out of this episode, learning a little bit more of the ins and outs of the industry as it all trickles down and has an effect. On us as riders. Before we jump in, I do need to thank this week. Sponsor, dynamic cyclist. The team over at dynamic cyclist has created a video library of stretching and strengthening techniques. Specifically designed around cyclists. The founders, cyclists themselves found a niche in developing this content as it didn't exist before their efforts. They've created hundreds and hundreds of different stretching routines to focus on different parts of the body that affect your performance as a cyclist. It's something for me that has become super important. I've been following the routine since around November last year, really specifically to work on lower back strengthening, but it found that I'm much more disciplined knowing that I've got these 15 to 20 minute episodes always available to me, both streaming from their website or also available from the app. I encourage you to give it a try. They've got a free one week trial, and if it works for you, They're offering gravel ride podcast listeners, a 15% discount off monthly or annual plans. It's quite affordable. I think it's less than a hundred dollars for an entire year's worth of programming. I expect like me I'll dip in and out of it with a heavier focus in the winter, but trying to stay on it, as I realized that stretching needs to be part of my routine. If I'm going to maintain my love and active cycling lifestyle, particularly on the gravel bike, where we all tend to get roughed up a bit. Use the code, the gravel ride to get that 15% off, just put it in the coupon code box@dynamiccyclists.com. When you check out, If that sounds like it's up your alley, I hope you give it a try again. They've got that free one week trial. So why the hell not. With that said, I'm going to hand the microphone off to my co-host Randall Jacobs. And jump right into this conversation with Steven Frothingham. [00:03:11] Randall: You're an old hand in the bike industry in the journalism space. Give us a little bit of background about that. [00:03:17] steve: , know, I started at Brain, I think I was the first editor hired back in think 92. And then I left and worked for the Associated Press twice and then came back into the bike industry to work for, be News for a few years. Uh, left them, went back to Brain, and then the company that owned Be News bought Brain. I ended up back in that same company again, which became outside. So it, yeah, it kind of feels like, uh, even though I don't work for ERs again, I feel like I'm back with the same crew. Uh, I literally was in the same, same desk, same office for a little while. So, uh, that, that seems to be, seems to be the pattern in my career here. [00:03:55] Randall: Just to clarify for our listeners, brain is bicycle retailer where you are currently, uh, editor-in-chief. Correct. [00:04:01] steve: Mm-hmm. [00:04:03] Randall: Tell us a little bit about the nature of that publication. So what role does it serve in the industry? [00:04:09] steve: well, when we started it in 92, you know, the full name is Bicycle Retailer and Industry News. And, uh, the, and was important back then because the, um, the other trade magazines, and believe it or not, there were three others back then were all print magazines. We were the fourth. Um, but they had this real focus on. Kind of this old school dealer thing, like, you know, we're gonna profile this retailer this month. We're gonna do a story on, know, uh, how to hire kids for the summer. We're gonna do a story about how to display your tires. Um, and we're not really gonna write about the industry, the supplier side. So we came along and we were bicycle retailer and industry news. And we used to kinda joke that what we're doing is reporting. We're telling the retailers what the, uh, suppliers are doing to them this month. Um, which is maybe a little bit too cynical, but we, we reported on what the industry was doing. We reported the news of what the supplier side was doing for the most part, which is what the retailers want to read. Um, most retailers, they might say that they'd like to read a story about how to merchandise their tires, but that's kind of broccoli. You know what they were, what really wanna, wanna have is the, uh, the steak and potatoes of, uh, finding out what one of their suppliers, uh, just bought another company or just went bankrupt or just switched factories in Taiwan or, or something like that. And that's the kinda stuff that the, uh, the other titles we're not doing back in the nineties, which is why, uh, this is gonna bring out the competitive bike racer jerk in me. But we, we put the other three out of business in three or four years, I think. Um, it wasn't very long before Brain was the only, uh, industry title in the US and, um, to some extent we're still doing the same thing. Obviously we've had to adapt to social media and the internet, which didn't exist when, when we started the magazine. But, um, we're still doing the same thing. We, we focus on news and, um, You know, we like to do some, we like to profile important retailers once in a while, but for the most part, uh, we still report on what the supplier side is doing with the knowledge that most of our readers are, uh, are retailers independent? [00:06:37] Randall: I actually hadn't appreciated that you were on the founding team for bicycle retailer. So can you share a little bit more about that and who else was involved and how that came to be? [00:06:47] steve: Well, I didn't have an investment unfortunately. Uh, I was, I think I was 22 years old or something, so I was just the first hired gun there. Uh, mark, who still writes for us, was the founding editor, uh, and a partner early on. There was another partner named Bill Sandler, who, uh, passed away quite a few years ago now. Uh, so Mark and Bill were, were really the founders um, Uh, I think they hired a, uh, an office lady named Kathy, and then they hired me. And, uh, that was kind of the start of the fun and, um, you know, and then the company went through various different ownerships, uh, some of which happened when, after I left, when I was, uh, outside the bike world for while. Uh, sometimes I forget it went through three or four different ownerships. Uh, when I came back it was owned by Nielsen of the famous Nielsen Ratings Nielsen, which, uh, owned, uh, trade shows including interbike. And, uh, we were actually operated by the National Bicycle Dealers Association, the nonprofit dealer trade group. Um, so we were owned by Nielsen, which was kind of renamed as Emerald Expositions. Uh, so I think my paycheck came from, now my paycheck came from the Mbda a you know, we went through quite a few years of being run by a very small nonprofit trade association. And then, and then it changed hands. Uh, M BDA a had some financial problems and, uh, we were not exactly helping things. So, uh, we got handed off to, uh, what was then called Pocket Outdoor Media, the company that owned Velo News. They owned Velo Press Draft, fleet Magazine. At that point, uh, Robin Thurston was a minority investor, I believe, in pocket outdoor media. And then, uh, you know, about a year or so after, uh, brain became part of that group, became the ceo, um, started raising money to buy a whole bunch of titles, which you've probably heard about, including Pink Bike Cycling Tips, um, some, uh, some bike events in Colorado. And then eventually the big purchase was raising the money to buy outside Magazine. And, um, company Pocket Outdoor Media was, I think, I think Robin had actually hired a marketing company to come up with a new name for Pocket Outdoor Media, because people thought Pocket Outdoor Media was a billboard company. Uh, and the sales reps didn't like that. Uh, so they were, you know, doing the marketing thing of, of bouncing all these ideas off the wall, coming, trying to come up with a new idea and a new name. And then after they bought Outside magazine, they're like, well, why don't we just, you know, renamed the company outside? we became outside, which things have been moving very quickly. It's, you know, it's a big change for me moving from for a very tiny, little underfunded non-profit trade association from bicycle shops N bda, to working for this multi billion dollar startup basically a tech company. Um, change. And that's why the, the time, you know, I mean, I think back it seems like, you know, a decade ago, but it's only been like two and half years. [00:10:23] Randall: So Robin Thurston is the current c e o of outside the group. And he previously founded is it, uh, map my. [00:10:31] steve: Map my ride, map my run my companies, sold to Under Armor. [00:10:35] Randall: I think that was like 160 million acquisition or something. I remember having this number offhand because it was part of my pitch deck for another company that I was trying to raise money for. It's like, oh here's a comparison point of this company that was acquired in the space. [00:10:50] steve: Yeah, I mean map where I was kind of ahead of the curve with doing some of the stuff that Strava's doing now, and uh, now and outside. We have Gaia, which is a, mapping app that's primarily used by hikers and skiers. And then trail Forks, which was developed by Pink Bike as a mapping app mostly for mountain bikers. [00:11:12] Randall: It's quite well regarded of, of seen in some of the forums. People are very keen on that particular application in the quality of the routes there [00:11:19] steve: are really good. They do have their niches. I use Gaia for backcountry skiing and it, it works really well. And it's, uh, uh, you know, we could go way down a rabbit hole, but you know, why I choose to use Gaia when I'm skiing and why I use trail forks when I'm mountain biking and why I use, don't know what else when I'm road biking. I don't know. But, you know, each has its own, uh, its own advantages in different spaces. So, yeah. Robin, made his fortune, I think, fair to say, selling that company to, uh, under Armour. And then he worked for Under Armour for a while. I think he was the Chief Technology Officer at Under Armor, uh, left and did some other stuff, and then eventually came back to this group. [00:12:02] Randall: So you started when you were 22, essentially first hire for bicycle retailer, this fledgling industry magazine with a particular point of view that resonated with dealers. What drew you to this particular space? You studied journalism in college. Were you an avid cyclist? [00:12:18] steve: Yeah. All that. Yeah. Uh, I was a cyclist. From day one, I started in B BMX when I was a little turd. Uh, I'm definitely, I'm totally of that age now where, you know, I'm 55 now and I go to the shows and I see these retro BMX bikes that some of the companies are doing. My light up, oh, there's that red that I wanted when I was, now I buy it. I've resisted so far, but yeah, I started in bmx. I did mountain bike races back in the eighties and road racing and, and, uh, and yeah, then I, I got a journalism degree and I did work completely outside the bike world for about 10 years, the Associated Press, covering presidential politics in New Hampshire where the presidential primary is a big deal. So that was really fun. I think I covered three or four primaries in New Hampshire. Plus the usual AP stuff of plane crashes and lost hikers and syrup and lost mooses and stuff like that. [00:13:18] Track 1: Standard, Northeast Fair. [00:13:19] steve: Yeah. Typical New Hampshire stuff. [00:13:21] Track 1: And remind me where you grew up. [00:13:24] steve: in New England. Uh, I was born just a little north of where you are in Salisbury, Massachusetts. And, uh, my family moved up into New Hampshire when I was a teenager. And then when I came back, when I worked for the Associated Press, I lived in Wolfborough, New Hampshire for about 10 years. [00:13:38] Track 1: So you and I when we chat tend to go off in various tangents so, where would you like to go? Or, or we can start with the email that you sent me yesterday about shaman cues. [00:13:49] steve: yeah. I could interview you on that. What do you know? [00:13:52] Track 1: Well, you're the one, the inside line. Yeah. You saw the press release. [00:13:56] steve: the inside line yet. You know, I'm just starting my research and I'm, I'm going to Taiwan next week, so hopefully I'll learn a lot more over there. But, it looks like a fairly significant development, this cues thing. I was sitting through a, I think it was an hour long video recording from Shaman about it yesterday. And, I got antsy halfway through and started calling people and emailing people, and, uh, video was moving too slowly. So like, I need some more need. I need to check in with some people around the industry here to see what they think. [00:14:27] Track 1: For those listening, shaman released a new, not just group set, but family of group sets on their kind of entry to entry, mid-level. And, it's significant for reasons that go beyond simply, here's some new parts. They have a reputation for using constantly varying standards and interfaces and pull ratios, which is the ratio of cable pull to, gear shifting. so how much cable pulls results in how much movement of the derailer constantly varying that, not just year to year, but from group to group in order to avoid cross compatibility with third party components and even within their own groups so that brands don't mix and match. Say you want a higher end quote unquote, set of levers connected to a lower injury derail because you don't see the value in the higher end derailer. Well, they preclude that by adjusting the pull ratios from group to group. And so what they've done with cues is make it such. The pull ratio is the same across all the groups, even with different speeds. And the thing that the major differentiator between the different levels is the number of years. the cog spacing in the back is the same. , and I think that that's quite significant. and it signals something too. I think it's very much in favor of riders. And it helps shops as well. I think it helps the industry more generally, but it's also indicative of a shift in the power dynamic in the bike industry. , in many ways is the new shaman, they're in the ascendant. They have, , a number of standards that they have put out there that have gotten adoption, that they have defended through patents and, in some cases, litigation and so I, I view it in the context of, innovation and competitiveness in the bike industry. [00:16:09] steve: Yeah, that makes sense. I think even Shaman used the word realistic, meaning that the new groups, they like to say that the technology that makes them special is in the cogs. Not in the chain. not so much in the crank set or the derailer. which allows mix and match so if somebody wants to spec a cassette, whether it's, Nine, 10 or 11 speed with a different crank, with a different chain, it'll still work okay, because there's nothing, it doesn't require any kind of special chain and the, the magic isn't in the chain. It's in the cassettes. So yeah, I think it's more realistic. I mean, obviously the development of this began before the pandemic and the part shortage that was through the pandemic. But, what happened in the pandemic with all these, new third party, fourth party parts coming up, getting a second look, people taking a second look at, whether it's micro shift or, uh, tetra breaks or whatever. Anything they can get. this really kind of seals the deal. This kind of tells you that, , For the next few years, we're probably gonna see more and more of these mixed groups, at least at the lower price. this is all below 1 0 5 on the road, below Dior, 12 speed or 11 speed on the mountain bike side. So everything that was cheaper than Dior and down on the mountain bike, everything that was cheaper than 1 0 5 is now queues [00:17:39] Randall: Which is to say en entry level to, uh, lower mid-level stuff, which is also good stuff. They have, clutch derails 11 speed. It does look to be quality components. [00:17:49] steve: Yep. [00:17:50] Track 1: Yeah. [00:17:50] steve: it's not the electric shifting, it's not the 12 speed. [00:17:52] Track 1: Oh, of course not. No. That, that stuff's still locked down. So, um, in fact, uh, [00:17:58] steve: is a di two group as part of this, as the, um, more, more for the mountain bike, E mountain bike group, there's a DI two. [00:18:06] Track 1: presumably sharing a battery, I haven't dived into that yet. Um, [00:18:11] steve: the one that has the uh, uh, the front freewheeling system and the antilock brakes that they launched at Eurobike last year. [00:18:18] Track 1: got it. [00:18:19] steve: Yeah. [00:18:20] Track 1: Yeah, it's, it's interesting. You, you'll, you may recall that in the past I was looking to, uh, create an open platform for bicycle electronics, and. And was trying to corral the support of that. Um, all those third parties that, that Taiwan vendor base that was shut out of the theam shaman duopoly. Um, I think, uh, probably a little bit before its time. Uh, certainly the, the appetite wasn't there for investments. Um, there was, there was interest, but not in, not any investment dollars coming in from the Taiwan side at that time. Uh, but since then we've seen, I mean, electronic is, well now you have a protocol that you can lock down and so you don't have to vary. It used to be that you vary pull ratios or some sort of mechanical, mechanical interface between components. Now you lock down the communication protocol and the power grid, and in that way you, you constrain interoperability between components from third parties. . Uh, and then you have a lot of patents around the grifter, which is, um, I would argue the, the center, the nexus of power in the bicycle industry, um, is arguably the road grifter, the road brake shift lever. And with it now, the, you know, the, the cas and, uh, you know, with electronic, the electronic protocol, power grid, things like that. Because if you control, you know, even if you just control all, you've patented every single way that you can make a lever swing, [00:19:47] steve: Right. [00:19:48] Track 1: and you know, and that, and then now you control this lever, well, that lever dictates that the caliper has to be from the same. Producer as well, because of safety reasons. You can't mix and match a caliper with a different hydraulic brake system. And then for the electronic, same deal, you know, it controls like you, you just have a closed protocol and nobody else can connect with that. And now you control the interfaces between the levers, the cas, the derails, um, and the bike itself. And now you can dictate, you know, we, we want this particular break interface. And so we see, you know, uh, flat mounts and so on. We see the new universal derail your hangar, uh, that STR introduced, which I haven't, I haven't gone deep on the patent yet, but I, I wonder, do you know if that precludes other companies from attaching a derailer in the same way if they, if they forego that universal hangar? [00:20:45] steve: No, I think Sharon's being pretty open with, with giving licenses to it, but I dunno about other third party. I mean, and at what point are we gonna have another, you know, swam shaman lawsuit, like from back in the eighties or nineties, whenever that was, that the bundling, you know? So at what point did the electronic, um, protocols become open source because of an antitrust law? The antitrust lawsuit? I think it's unlikely. Cause I don't know who would challenge 'em at this point. [00:21:18] Track 1: it's, uh, the bike co. [00:21:20] steve: you got something planned. [00:21:21] Track 1: Um, you know, we're, we're a tiny little blip on, on the grander, um, bike industry and, uh, you know, [00:21:29] steve: 1991. [00:21:30] Track 1: yeah. Well, so is it, is it true or, or answer this however you like? Um, I have, I wasn't around, um, for. At the time that that was happening. And so I get, I have second in hand information from people who were there or were adjacent to it. And then I have what I've read, but my understanding is, um, so was originally grip shift. Grip shift had a different way, uh, twisting the grip on a flat bar lever to shift a rear dera and Shao would try to preclude compatibility by again, changing the pull ratios so that Sam's grip shift wouldn't work with their deras. But then also by having these bundling deals where they go to a bike company, an o e m, uh, original equipment manufacturer. So in this case, like thesis is a, my company is an o e em specializes an no e em truck as no em, and would say, okay, you can buy these components individually, but if you buy the complete group set I e you don't buy's thing, then you get a 20% discount. I think is, is what it was. [00:22:35] steve: Could be. [00:22:36] Track 1: yeah, and there was an antitrust suit that STR filed against Shaman, um, and STR one. And as I understand it, that essentially funded Sam's early rise. That's the reason why we have STR in many ways. [00:22:51] steve: all. I mean, I think there's some other money behind [00:22:53] Track 1: Mm-hmm. [00:22:54] steve: uh, yeah, that's always been sort of the, uh, the, uh, the urban myth. I don't know the, the STR used that money to go out and, you know, buy all, all the things that they've bought. Rock shocks, true native, um, zip [00:23:11] Track 1: Mm-hmm. [00:23:12] steve: whatever. And, uh, sax, which nobody really remembers now, but that was a pretty significant purchase. Uhs, not Richard Sax the, uh, frame builder from Connecticut, but, uh, sax of Germany, which, uh, made all the internal hubs and also made derailers and stuff, [00:23:29] Track 1: And chains too. Right? Because I think. [00:23:31] steve: chains, um, became s chains, which became Ram chains. Um, [00:23:37] Track 1: are still made in Portugal, I believe. [00:23:39] steve: I think so, [00:23:40] Track 1: Yeah. [00:23:41] steve: so yeah, they, they acquired that factory. Haven't, you know, chain factory is no small thing. And, um, anyway, that's always been the, you know, um, the rumor Yeah. Is that they used that cash settlement or, or judgment from Shaman to fund those. Uh, I don't know how true that is. Like I said, I know that there is some other money behind Swam and there still is. Um, some of those companies that they bought were, uh, pretty distressed [00:24:12] Track 1: Mm-hmm. [00:24:13] steve: You know, rock Jocks had had an IPO that, uh, were living at the top of the world there for a couple years [00:24:19] Track 1: The mountain bike. The mountain bike. Boom. [00:24:22] steve: Yeah. And then that kind of crashed and that's about when, when into the Suspension Fork business. [00:24:28] Track 1: Yeah. [00:24:30] steve: So they've been pretty savvy about the, uh, the acquisitions they made Mo most of which were back, back in the nineties. Although, what have they bought recently? They bought, [00:24:40] Track 1: Hammerhead. [00:24:42] steve: hammerhead. [00:24:43] Track 1: Yeah. [00:24:44] steve: one. [00:24:44] Track 1: Yeah. [00:24:45] steve: Yeah. And, uh, and the Power Meter company. I don't, the power tab, which they kinda put [00:24:51] Track 1: cork. [00:24:52] steve: then, [00:24:52] Track 1: Cork, um, was power meters. Um, [00:24:55] steve: power Tap, which they bought from cs, [00:24:58] Track 1: oh, that's right. [00:24:59] steve: what was [00:25:00] Track 1: Uh, shocks. [00:25:02] steve: Jacquez [00:25:03] Track 1: Yeah. [00:25:04] steve: and uh, what was the other one I was gonna say they bought something else. Oh, time pedals. [00:25:14] Track 1: Hmm. So that really gives them, you know, a lot of different, um, components and IP that they can then, uh, interconnect through that. The access, uh, protocol, which is a closed, I believe, ZigBee based, um, protocol. Um, and so, you know, getting back to, you know, open versus closed standards and ecosystems and things like that, um, it seems to be the trend in the industry as, as always to, um, to have walled gardens. [00:25:41] steve: Yeah. And that's been fun. You know, it was fun to see when, when Hammerhead, was, had had some di I two integration that Shaman shut him down [00:25:53] Track 1: Yep. [00:25:54] steve: on after Bottom, which was, um, some pretty good industry gossip right there. Um, but yeah, I mean, everybody, it's been really fun speculating about what's gonna happen, you know, with RAM owning, uh, you know, the power meter company owning a pedal company, owning a, you know, power tap, which made, which used to make power meter pedals. Um, and then owning a, a head unit GPS company on top of that. And then, like you said, the whole integration with access and, uh, it's pretty fun. [00:26:26] Track 1: Yeah, it's the full stack in a way. I mean, [00:26:28] steve: them battling, you know, setting up this not only with Shaman, but with, with, uh, with Fox Factory also. [00:26:38] Track 1: I'm waiting to, for, it seems very natural that a next step for them would to be, would be to buy, say a, a company that makes home trainers or even a company that does training software that, um, they might not want to go direct head-to-head with Swift, cuz Wif has such a dominant position in that space and they don't want to alienate them or get shut off of that platform. But, um, it seems like a natural next step to get into this burgeoning home cycling, uh, space, which granted has. Tapered off a little bit since, you know, post pandemic, but I think is still, you're, you know, there's a whole, there's a whole range of cyclists who primarily ride at home and are doing competitions in virtual worlds, and I don't think that that's going to change as the technology gets better. [00:27:22] steve: Yeah. [00:27:24] Track 1: Yeah. [00:27:24] steve: Yeah, that would make sense. I'm sure there's been all sorts of conversations and there's been a couple brands that have come and gone, um, that, uh, you know, maybe, uh, ceramic has kind of hit its lip and said, no, we're, we're not gonna bid on that one. Or we're not gonna, we're not gonna overpay for that one. I don't know. But, you know, you can look at the, the number of indoor brands that have, uh, had financial problems in the last, uh, year and a half, and, uh, even once before that, that just disappeared. Um, have you seen a kinetic trainer on the market in a couple years? I. [00:28:02] Track 1: Yeah. So what else do you see happening in the bike industry? Um, so obviously parts shortages were the big story during the pandemic. Now we have, uh, parts being, you know, liquidated through various channels and presumably is that's going to accelerate, uh, post Taipei show coming up in, uh, in Taiwan in, uh, the end of March [00:28:25] steve: Yeah, I think so. I think there's still some, some shortages I hear on the road bike component side. I guess you'd know more about that than, than I would. Um, [00:28:34] Track 1: saying group sets or. [00:28:37] steve: yeah, and, and the bikes that those group sets. Hang on. You know, I think, um, know, if you talk to dealers, it's, uh, yeah, they have all the $900 mountain bikes. They can, they can eat, uh, or even I think the 1500, $1,900 bikes, but the, um, the mid to high price mountain bikes are, are a little bit harder to get. And I think also the, um, mid to high price road bikes are hard to get. And, um, and there's kind of a shortage of, there's kind of a dearth of, of. Of really affordable road bikes. [00:29:13] Track 1: Hmm. [00:29:14] steve: I think, uh, there's not a lot of groups there, you know, I mean, tram's got and then, you know, shaman hasn't been, had a real good road group, uh, below 1 0 5 for years. So, you know, it'd be interesting and see how cues affects, affects that. [00:29:34] Track 1: Well, and their, their transition to 12 speed too. Um, and they had a, a factory catch on fire just before the pandemic, right. [00:29:43] steve: Yeah. What was that? It was a, was it like an ANOT factory or something? I know they were making some real high end stuff. Like they were making like the xtr crank, you know, when, when Xtr went to 12 speed, I think they couldn't get a crank for it for like two years. Right. [00:29:59] Track 1: Hmm. [00:29:59] steve: they were like, relabeling, theor, xt cranks. people were pissed about and Uh, yeah, I don't know. It it's, yeah. Fires in the bike in factory fires in the bike industry. That's, that's been, uh, yeah, that's been a gossipy thing going back, you know, 50 years. I think you can get some old timers telling you about famous fires and how they couldn't get such and such for, for five years after that fire. And sometimes I wonder much of it's urban myth, you know, and people just blaming things on their inability to produce stuff. They blame it on a factory fire. Didn't you hear about that? Come on. Giant factory burned out last year. And uh, I think especially before the internet, who would check, you know, it's like, ah, I don't know. I heard that like the van sneaker factory burned down last year. Didn't you hear about that? That's why I can't get those van sneakers I've been looking for. before the internet it was pretty hard to look that up. Now it's a little bit easier, you know? [00:30:55] Randall: Now you've been, so I think probably both of us have been talking to a lot of dealers lately for different reasons. Um, with, with me, we've been building out our, our dealer network for our logo spiel program. Um, and I'm curious to hear, I'll share a little bit about what I've been hearing and I'm curious how that, um, relates to, you know, some of the things that you've been hearing from dealers. So some of the things I've heard is, um, well one, you have, uh, essentially you weren't able to get product for a long time. A lot of dealers over ordered or ordered the same thing from multiple sources, hoping to get it from somewhere, um, sooner rather than later. And then all of it got dumped on the, on dealers in the fall and over the winter at exactly the time when. you know, nothing is selling generally, it's, it's the, the doldrums of the, the bike, uh, selling season and cycling season in North America anyways. But then also, you know, people, uh, with, with the country opening up post covid, um, you know, the bike boom was, was coming to an end and it wasn't clear. You know, where things will, you know, how that will level off and how much lag there will be, where everyone who got a b wanted a bike, got a bike and you know, the, you know, at at what point and, and you know, the secondhand market will start coming down in price and that'll become more compelling. So how long will it take for this lag of, of certain types of components to work its way through the space? Um, and it's been interesting too, you see, um, an ex, am I right that there's an acceleration of the big brands buying shops? [00:32:27] steve: Uh, depends on what time scale you're looking at. I, you know, I don't, I think, um, I think that's slowed down in the last six months or, or nine months. There was a big acceleration, you know, in, in 21, especially, uh, I think it was 21 when, you know, track had been buying shops left and right. Uh, specialized had not. [00:32:50] Track 1: Yep. [00:32:51] steve: um, when Mike's bikes sold to, uh, to pawn in, I think, I wanna say that was 2021. [00:32:59] Track 1: Pawn being the owner of, uh, Cervelo Santa Cruz and a handful of other brands. And Mike Spikes being a big multi-store chain, mostly in, in the NorCal, um, you know, bay Area. Yeah, [00:33:12] steve: Yeah. And they were the, I think the single biggest specialized dealer in the country and one of the, or maybe the most important markets in the country, the [00:33:19] Track 1: I think, I think Eric's was their biggest, I think Mike's bikes was number two. [00:33:24] steve: could [00:33:24] Track 1: but certainly the Bay Area is huge and a lot of, um, you see a lot of. S works, you know, $15,000 bikes rolling around the Bay Area. [00:33:35] steve: Yeah. Yeah. There's a lot more of the high end stuff than, than Eric's sell, I'm sure. [00:33:40] Track 1: Yeah. [00:33:41] steve: Um, and it did, and it did kind of seem like Specialized had all their eggs in that basket. Um, they didn't have a lot of other dealers. It was just Eric. I mean, uh, Mike's just ruled the rot anyway, so Yeah. Specialized really woke up. Uh, that was, that was the wake up call for Mike Ard was, oh my God, we're, we're losing our distribution. Um, and it came on, they lost some other big dis uh, big retail distributions like, uh, um, ables in, in, uh, hill Abel down in Austin, Texas, which was a huge specialized dealer that Trek walked in and bought, um, all of a sudden specialized, lost its biggest dealer in Austin, Texas, which is another, you know, another one of the handful of very biggest markets in the country. [00:34:27] Track 1: And growing, growing rapidly with a lot of deep pocketed folks as well who tend to buy their, their high-end stuff. Yeah. [00:34:34] steve: So all of a sudden specialized, uh, said we've gotta get into buying shops. And, uh, they were running around buying a lot of shops. Um, I think they did not have the system set up that Trekk did for, uh, processing these shops once they had acquired 'em. Uh, so it was a little bit more chaotic, whereas I think Trekk had built up to it slowly and they had, you know, from what the stories I've heard of, you know, TREKK has these SWAT teams that come in when they buy a shop. You know, there's just woo uh, you know, 20, 20 people come down from Waterloo and, and fill up the hotel rooms and whatever town that they just bought the dealership in and just handle that transition. You know, they usually shut down for a week or so, pop up some new signs, change over the website, uh, make some people some offers, and, uh, and they're, you know, kick out all the other brands and, uh, they're up and running again in a couple weeks. And, um, They've got it down to a science now and uh, I don't think specialized ever quite got to that. It was more like, uh, yeah, okay, we bought you, um, keep running. We'll talk to you in a few months when we need something from you. Uh, that was some of the impression I got anyway. I think specialized also was overpaying for some of the shops from some of the stories I heard, but, um, but I think it all slowed down a lot last, last year, I think with the, um, you know, with the economy and I think, um, the cashflow for companies like Specialized Amtrak I think became harder. And there's been a handful of acquisitions in the last nine months, but it, it really slowed down a lot um, I haven't heard it very many recently. We don't hear about 'em all cuz both, both track and specialize. Uh, tend to be really quiet when they buy a, a shop or a chain of shops. Uh, but I haven't heard many rumors in the last three or four months. [00:36:26] Track 1: I've heard, granted, I don't know the, uh, the dates on these, but as I've been talking to dealers, I've heard about offers being made, but those offers may have been made, you know, six, nine months ago, a year ago or something like that. Um, but there's definitely been a lot of, um, a lot of conversations being had along those lines over the past year, year and a half or so. Um, and it's interesting, you know, there's this long standing conversation in the bike industry about, um, you know, the dynamic between, or the balance between, uh, direct to consumer sales over the internet, which is growing for obvious reasons. And the pivotal role that the bicycle shop, particularly independent shops play, um, as a hub for the cycling community. And how do you. You know, how do you maintain this critical bit of community infrastructure, um, in a, in a world where, you know, increasingly people can buy things very conveniently over the internet and have it delivered, um, you know, directly to them. Now there's, you know, service has for a long time, um, been the bread and butter of shops. And a lot of shops pre pandemic were at least telling me, um, that they, as much as they spent a lot of their money on having bikes on the floor, most of their income, most of their net profit was coming from, um, service and parts and accessories. Uh, which is in some ways, you know, supplemental to service. Cuz when you go in for maintenance, you're getting chains and, and other service parts. Um, but how do you, how do you see that evolving over time from your vantage point? [00:38:07] steve: It's been hard. I mean, uh, when you hear that, you think, well, why don't you do a service only place? And, [00:38:15] Track 1: of folks are [00:38:17] steve: a few folks are, I'm not finding a whole lot of great examples of people that have been raging successes doing that. Um, Uh, you know, the whole, the whole mobile service thing has been at best for the last two or three years. Um, you know, I know that, um, a few people that have gone that way in, um, in the Boulder area haven't been hugely successful. I think there might be a couple that are still running, but, um, the problem is that you just lose that volume. You know, whether you make a lot of money on a bike sale or not, it's still, you know, thousand, 2000, 3000, $5,000 bike sale. You know, for some shops in Boulders, I know you were and visited some of them, you know, they pretty regularly are selling 10,000 and [00:39:08] Track 1: sure. [00:39:09] steve: uh, bikes. And, you know, the profit margin on that not be huge. And you might say, well, why does that guy even, you know, still sell mo bikes? Um, he can make more money building a wheel or, you know, just charging someone a few hundred dollars to install a new campy group on a moot spring. Um, but he nee he needs that, that dollar volume, uh, from the bike sale to pay the rent. Um, so there, there haven't been as many examples of that as you would think. you know, going back five years, going back 20, 30 years, people have been talking about, well, hey, we make all our money in service. Why don't we just do service hasn't worked for many people. Um, I think people expect bike shops to have bikes and, uh, I think the bike shops need that, that volume to make it work. Um, you know, some shops have been, have found some supplemental income doing more different types of service, whether it's, you know, whether it's bike fits, whether it's click and collect fulfillment. Or, uh, doing warranty service. You know, I know I, I talked to a guy at Caba who does warranty service for one of the better known to consumer e-bike brands. And, uh, he makes a pretty significant, high margin chunk of money, uh, just from dealing with warranty service from people that buy these bikes online and then have, have whatever troubles and the, uh, the brand reimburses him, uh, pretty generously. [00:40:46] Track 1: Yeah. [00:40:47] steve: so there's all sorts of, uh, kind of ancillary things around the edges that people fill in, but that guy, he still sound a lot of bicycles. [00:40:55] Track 1: Mm-hmm. [00:40:56] steve: Uh, he still has a warehouse full of 'em, and, uh, um, [00:41:01] Track 1: as do a lot of people right now, especially as we, we were saying on the, on the more entry level, um, in particular, [00:41:09] steve: Yeah. So I don't know. I haven't seen, there's, there's examples here and there. Yeah. Of, of the people who are, who are focusing on the service or are looking into, you know, more of the showrooming, uh, fulfillment click and collect kind of models. And there, you know, there's a million different models as you know, [00:41:27] Track 1: Mm-hmm. Well and, and click and collect and, [00:41:31] steve: not, I'm not finding, but like wholesale, you know, all the bike shops going outta business and all of a sudden we have a whole bunch of just little fulfillment showrooms around. Um, is happening, but not on a huge scale, you know, I mean, what specializes do, I don't know how many of these fulfillment centers they have. Uh, that's one of the things they did up in Northern California where, um, after they lost Mikes was opening up these little fulfillment centers. They would just rent a warehouse space in the, you know, in the business park somewhere and hire a couple people to assemble bikes and give 'em a truck, and they would run around and deliver 'em. [00:42:10] Track 1: Oh, that wa that was basically, um, velo, fix's pitch to the OEMs in the day. Yeah. Uh, Veli fix, uh, being a van based service operator, [00:42:21] steve: Yeah. [00:42:21] Track 1: I know you know this [00:42:22] steve: to be doing a better job of that than, than maybe be, was, um, [00:42:29] Track 1: velo fix. I, [00:42:30] steve: model. [00:42:30] Track 1: yeah. I had spoken with Velix a couple of times, and not only could I not understand the value to us as an o e em as a brand, but I couldn't understand a, you know, they, they required a huge upfront and, uh, investment from their franchisees to not just buy a van but outfitted a particular way and have it beli, fixed, branded. Um, and then, you know, you're paying a, uh, I think an, um, it might have been an upfront fee and then a recurring fee, and then a percentage of your income. To this company and this company, uh, is supposed to drive business to your franchise, but really in a way, they're kind of intermediating you. And at the end of the day, you know, and the co I, I'm curious, what do you think about this? Um, I, I had always talked, uh, spoken to the van based folks that I knew and said like, you know, at the end of the day, your, your brand is yourself and the quality of service and your engagement with your local community. And, you know, there's no big, um, company, uh, I think can substitute for that. And I think the bike space is, is that might be more so the case than in other spaces. Like you have this particular mechanic, uh, because the difference between a good mechanic, a skilled mechanic, a mechanic who cares, uh, and, and does a good job, um, and is engaged in, in their community. The difference between that and. Somebody who doesn't, somebody who doesn't have the skills. Somebody who, you know, it could be the difference between a safe bike and an unsafe bike amongst other things. Yeah. Um, well, so another topic that you and I have touched on in the past is, uh, you. The supply chain and risks to the supply chain. Uh, I've seen a couple of articles, I believe in your publication, uh, talking about, um, the increasing concerns about exposure to, uh, growing hostilities between, uh, the US and China over, uh, Taiwan. And I'm curious, what have you been hearing, seeing, uh, with regards to, um, any sort of changes being made on the, uh, upstream for a lot of companies, um, both, um, OEMs who are sourcing in Asia, but then also say Taiwanese companies and so on, uh, who are producing, um, you know, what, what changes are you seeing? Are people, is that accelerating at all with the, uh, increasingly hostile rhetoric? [00:45:07] steve: Uh, yeah, but you know, slower than maybe I would've expected. Um, and that, you know, that might not be due to reluctance, but just the fact that it's, it's a hard task, um, [00:45:19] Track 1: Yeah. [00:45:20] steve: setting up a, a bike factory or, uh, in a new country and building the infrastructure around it, uh, to make that work, particularly during a pandemic. [00:45:30] Track 1: Yeah, yeah. [00:45:31] steve: so, you know, going back to stories I was writing two years ago, you know, I, I think I saw just recently that Velo Saddle opened their factory in Vietnam, I think it was, [00:45:44] Track 1: Makes sense. [00:45:45] steve: that they had been working on for like three years. Um, and then they just, they were ready to turn it on when the pandemic started, and then they just, um, sat on those plans for a couple years. But yeah, Velo moving outta Taiwan supplementing their Taiwan factory with uh, a Vietnam factory is a big deal. And, um, You know, and at Eurobike last year, I had a lot of talks with people about, them setting up different factories in Eastern Europe to serve the European market. Um, but, uh, you know, we just saw investing in a new factory in Taiwan, so, uh, there's not a, there's not a mess exodus yet, and I think people are, are finding it's, um, fairly hard to operate in some of these other countries. Cambodia, I think, turned out to be more of a challenge than some people thought. [00:46:44] Track 1: Sure [00:46:45] steve: Um, you know, there's stuff moving towards Malaysia and Singapore, I think. Um, [00:46:52] Track 1: in the. [00:46:53] steve: Vietnam has been up and down. They had more covid problems than, than some areas, I think. yeah, it's a very slow movement. I think, you know, um, you know, Trek hasn't broken ground on a giant new factory in, in Waterloo, as far as I know. Or, or, or in Mexico or in, uh, Bulgaria. You know, [00:47:16] Track 1: Well, that, that's a whole, I mean, it's a related conversation, um, and a whole other can of worms that we can crack open. Um, so one, you know, we, we have looked, um, at various times over the years at what it would take, um, both for us to do more production domestically, um, but then also, um, for more production to be done domestically in a general sense. And, uh, I'll give an example. Um, recently I was looking at, uh, you know, developing and sourcing a metal frame, either steel or titanium. Um, we'll, we'll stick with steel. It's an easier example. So, um, called, uh, a few different outfits and, uh, well one, there isn't really anyone who's mass producing steel frames in the US When I say mass producing, like doing, you know, thousand of units at a go. Um, with the exception of maybe Kent. [00:48:09] steve: Detroit. [00:48:11] Track 1: Uh, Detroit bikes [00:48:13] steve: Mm-hmm. [00:48:14] Track 1: they, and they're serving as a contract manufacturer? [00:48:17] steve: Mm-hmm. [00:48:20] Track 1: Might ask for an intro at some point. Um, [00:48:22] steve: That's Tony Kirklands, [00:48:24] Track 1: oh, okay. [00:48:25] steve: who bought, um, he and his partner bought time, [00:48:30] Track 1: Mm-hmm. [00:48:30] steve: is making carbon frames in Europe somewhere. Slovenia, [00:48:36] Track 1: Okay. [00:48:36] steve: of those European companies, [00:48:37] Track 1: Yeah, [00:48:38] steve: Um, and then that company car, it's called Cardinal Bicycle Works, I think, uh, also bought Detroit. Uh, they're, they claim to be the biggest steel frame maker in the US and uh, they're making stuff under their own. Name and they're doing a couple other contract [00:48:58] Track 1: that. [00:48:58] steve: some, they made some Schwinn Varsities a couple years ago. I mean, I think that was only a few hundred units or a or so. But they actually, they brought Backy made, made Detroit? [00:49:11] Track 1: Well, one of the, the things that's great to hear, and I'm gonna follow up on that, um, one of the things that kept coming up as I was having conversations here was there are essentially two primary, um, sources, uh, brands that are selling, uh, tube sets. Unless you're sourcing factory direct outta somewhere in Asia, uh, I think you have colo. You have, uh, what Columbus some in some Reynolds. And one of, one of them has been struggling with supply and both of them are, are quite expensive in the US vis-a-vis what you can get comparable tube sets for in Asia. And so when you combine those two factors of both more expensive raw stock and the fact that you can't, you don't know it's going to be available and you only have two supply, two primary suppliers versus if I want to make, uh, a frame somewhere in Asia, I have. Countless tube suppliers now don't necessarily want to use just any of them, but even the, the higher end ones, of which there may be a handful, they still have the, all these other factories kind of nipping at their heels. And that, you know, drives innovation. That drives, uh, you know, them to build this sort of, um, you know, production facilities that can handle scale, that are responsive. Uh, they know if they can't deliver on a tight timeframe for a reasonable price, that someone else is gonna develop that capacity to do so. Um, and that goes across every single thing that you could want to source for a bicycle, whether it's something like a carbon component you want to develop. You have any number of facilities where you could co-develop that, that component. And they'll even provide the engineering, in some cases, they'll latize the tooling over the, over the units, which is to say, like, spread the cost of the tooling over the units, the, the tooling costs. You know, my tooling costs for a frame is on the order of like 8,000 bucks a size. . Um, and I could have that built into the price if I do enough volume. That's, you know, you combine all of these factors and, you know, going back to the issue of, of Taiwan, yeah, it doesn't surprise me that you're not seeing moves and mass just because you have such deep and interconnected supply chains there. And even like when you get your goods quoted, they quote it, um, not out of the factory. They deliver it to your door. And that's just expected. And when they say they're gonna deliver it, generally they're pretty on time. Um, particularly, you know, the, the, the better vendors out there, the more professional ones, the velo, uh, you know, velo makes not just saddles, but bar tape and they do most of the high-end stuff in the industry. Uh, still there are a couple competitors, but, um, and it's because they just do such a great job. Um, and that efficiency. And, uh, another example, I was sourcing stems years ago. and I was like, oh, I'm, yeah. I lived in a, I lived in China for a number of years. Uh, I bet you I can find a better deal somewhere in China. I couldn't, Taiwan had better pricing on a superior product. Um, and it's because Taiwan had, um, invested in, you know, factories like, uh, jd, um, their trade name is Trans X. [00:52:15] steve: mm-hmm. [00:52:15] Track 1: they manufacture for any number of brands. They did all of our, uh, cockpit stuff, uh, for thesis, and they just have a very well run production facility in these huge forging machines and really high quality tooling. And they can just crank out high quality 3D forg stems all day with that high quality and without a, a huge, with a less and less human intervention in that process. Um, and, you know, do it at a price that makes it such that, you know, there's no point in going somewhere else. Um, because most of the cost is not associated with the labor. [00:52:52] steve: Yeah. [00:52:53] Track 1: Um, so yeah, that, that makes sense. It'll be interesting. Uh, you know, I'm, as you know, I did my, my graduate studies in US-China relations, and so it's a situation I've been following quite closely. Um, I guess, uh, if something does happen there, uh, the availability of bike parks, it will be the, the least of everybody's issues, [00:53:13] steve: Yeah. Yeah, that's a thing. I mean, there, there won't be many parts of the economy that won't be affected, um, if something happens there. But, um, bike industry will not be an exception, [00:53:24] Track 1: now, [00:53:25] steve: um, except for maybe on the service part. Right. Still, uh, we can still maybe [00:53:31] Track 1: secondhand stuff will be, um, the secondary market will be booming, [00:53:35] steve: Yeah. [00:53:35] Track 1: so, [00:53:36] steve: up now by your, uh, by your HP cassettes now. Yeah. [00:53:43] Track 1: well, so to, you know, to wrap up here, um, what do you see going forward, um, from, and, and very open-ended question, uh, what are you excited about from a technology standpoint? What are you seeing, um, in terms of, uh, you know, innovative business models or distribution models or, uh, just trends in the, in industry more generally. [00:54:10] steve: Well, there's one word that we haven't used so far in this call. You like, [00:54:16] Track 1: Sure. [00:54:17] steve: you know, there's still, there's still some growth there, I think. Um, [00:54:21] Track 1: What do those stats look like right now? [00:54:23] steve: it's not good stats. There aren't any, I don't know. You know, you can just read the T leaves and see that, you know, there's been some discounting and there. Um, even some of the low price brands that were scaring the hell out of everybody a year ago, um, are now blowing out prices, which is not good news, but still, um, kind of suggests that the, uh, the, uh, demand has, has slowed a little bit. [00:54:51] Track 1: Mm-hmm. [00:54:52] steve: but you know, it's exciting to see, uh, the growth and the cargo bikes, you know, um, you know, I know Specialized finally did their public launch of their globe. The Globe this week. [00:55:02] Track 1: Mm-hmm. [00:55:03] steve: launched the Ecar bike a month or two ago. I think. there's some others coming around. Turn seems to be kicking ass. Um, And, uh, not to mention rad power. Um, so, you know, that's, that's still exciting. There's still growth potential there. Uh, you know, I don't think you're gonna get to European numbers where, you know, like in the Netherlands where, I don't know, or 70% of the bikes sold, there are e-bikes. Now, you know, we're in the US it's probably 12% or something. I don't know. not gonna get there. I've been saying that for years, but, you know, even if we go from 12% to 18%, that's, uh, a lot of growth. And it's also, um, you know, a high average selling price of these things. You know, [00:55:53] Track 1: Mm-hmm. [00:55:53] steve: to talk about Kent selling $89, 20, 20 inch wheel bikes to Walmart. But when you're talking about somebody, you know, when you know the low price leader is selling bikes for 1400 bucks, uh, e-bikes. [00:56:07] Track 1: Yeah. [00:56:08] steve: You know, and then, you know, and, and specialized just brought out their, you know, their discounted, affordable e cargo bike, which I think starts at 2,500 bucks or something. It's a big, it's a big difference there. [00:56:20] Track 1: Well, [00:56:22] steve: so, you know, Turin is selling these, you know, these little electric mini band bikes, uh, you know, for three, four or $5,000 regularly then, then another thousand dollars in accessories on top of it. Um, so, uh, not to be too focused on the dollars and cents here, but I am, I am from a business magazine, [00:56:43] Track 1: Sure. Yeah. [00:56:44] steve: um, so yeah, there's exciting and, uh, you know, yeah, there's, there's, it's, it's fun to see the growth in the gravel bikes. and uh, and the activity around that, uh, the way the events are going and the competition is, is really interesting. Um, [00:57:05] Track 1: And the, and the community dynamics in the gravel space too, it seems to have remained a lot more accessible even as you have more elite level events and so on, showing, showing up. You still have, you know, lots of local events and it's a, it's a version of cycling that is, well, it's a very versatile machine and it gets you off the road. Which addresses, uh, the, the thing that comes up in survey after survey as the biggest limiter, uh, for people getting on bikes, which is fear of cars, you know, the safety concerns. [00:57:39] steve: yeah, yeah. And I'm not sure what I think about that. I think it is more accessible than, you know, old school, you know, USA cycling, road racing, um, I guess, uh, but you know, last night, I mean, for me, I don't have a whole lot of interest personally in doing a lot of the events. Maybe a couple a year, but, you know, mostly I, what I like about gravel writing is just being able to go out and explore and. Um, ride by myself or with a, a couple friends, but not necessarily pin a number on. Even if I do pin a number on, it's not really to raise, it's just, uh, you know, an excuse to ride with some people and have some rest areas where I can get free food along the way, [00:58:21] Track 1: Yeah. [00:58:22] steve: of having to fill up my water bottles in a creek somewhere. So, um, but I don't know. I went to a, I went to a big gravel race, um, last spring and. It, it didn't look very accessible to me. You know, I saw a lot of people pulling up in Sprinter vans with a couple, you know, $8,000 bikes on the back bumper and, you know, the carbon wheels and, you know, there was a nice dinner out and it was during Covid, so everybody was eating outside and they had the streets blocked off. We're all sitting out on the tables on the street. And, uh, it was, it was kind of fun. It reminded me of, you know, no racing from back in the day. But, uh, but then, but then, yeah, I'm looking around and I'm seeing a lot of pretty well-healed middle class [00:59:06] Track 1: Yep. [00:59:07] steve: people with nice cars and carbon bikes, with carbon wheels and a whole lot of money invested. And I'm like, I, [00:59:15] Track 1: Well, and [00:59:16] steve: accessibility of this. [00:59:17] Track 1: well, and, and yes, that absolutely exists. And that's a, that's a perfectly fine thing. Um, you know, there's, there's a place for everybody. I, I think what I'm referring to more is, well, one, what you're describing as like going out solo or with some friends and, you know, going out on the road, leaving from your back door and then going out on adventure and like experiencing your area from a different vantage point. Um, there's also kind of along those lines, uh, the bike packing phenomenon, which to some degree is a little bit like the s u V phenomenon, that people are buying bikes that they could go bike packing with, um, but not necessarily doing it, but you, but you see more and more of that people doing an overnight or a couple days or something. [00:59:57] steve: Mm. [00:59:58] Track 1: but then lots of just, uh, at least here in New England, I've been to a few very kind of small, intimate types of events. Maybe you have a, a couple hundred people show up and there's a, a, you know, a, a wood fired, um, uh, pizza oven going and, you know, local, uh, brewery supporting, and it's to support, uh, some local cause and maybe they have a podium. Um, but, but not really. It's like, that's not the point [01:00:26] steve: Yeah. Yeah, it's interesting. I think, uh, the whole, the way the competition goes, um, you know, I don't know how many people are interested in the, and even, uh, from a spectator point of view in the racers, I, I, a few people are, I mean, we [01:00:44] Track 1: It's, it's not, it's not super interesting [01:00:47] steve: right? I mean, I, I'm a nerd. I mean, I'll, I'll, man, I, last week was, I, I was watching Melan, I mean, not Melan. Perry Neese and Toreno Rko, you know, back to back every morning. I mean, I'm a total bike race nerd. I love it. You know, I did used to be the editor of T com, uh, and I couldn't even tell you who the top gravel racers are, you know, in the US and I don't know how many people care. I know, you know, we at outside@beonnews.com and cycling tips.com. We write a bit about that. Betsy Welch is doing a great job, but, I, I don't know how many, you know, I'm, I'm interested in doing gravel events. I'm interested in the gravel equipment. when I hear about an event, I think, oh, that might be nice to go to some year. I'd like to do that and see what it's like to ride in that part of the country on those kind of roads. Uh, but do I want to read, uh, a 2000 word interview with the guy that won the pro race? Uh, maybe not. I dunno. [01:01:55] Track 1: I'm, I'm with you. I think that the, um, the more interesting story is the, the story of your own experience of the events. You know, you go and you do something that is long and maybe has some technical sections, and you are, um, linking up with different groups along the way, unlike, say, a, a cross-country race. Um, so cross-country race, you tend to be, you know, it's a, it's a time trial in which you have some people in the way sometimes, um, and road, [01:02:20] steve: in the way. [01:02:21] Track 1: yeah. and then Ro [01:02:23] steve: usually the one that's in the way of some other people, but yeah. [01:02:26] Track 1: Yeah. Um, that, that was my discipline back in the day. Uh, but with gravel, you have, I mean, uh, I know quite a few people, myself included. At this point. I'm no longer. I no longer do these events to compete, I do it as a way of connecting with folks, like being out on a ride and you end up just, uh, linking up with different groups and having this kind of shared ordeal of slogging up that hill with a group or riding into the wind with another group and, you know, making friends along the way. And those are the types of dynamics that, you know, I have, I haven't done a ton of the, um, you know, the, the big, the big banner events for, you know, gravel series and so on. Uh, but those are the dynamics that I'm seeing at the, again, these more intimate, local types of events that I think when I talk about accessibility, that's, that's where, um, my heart is, you know, things that are much more about bringing people together and, and providing a shared experience, a platform for a shared experience that people, uh, find, um, meaningful and not just a competition. [01:03:28] steve: Yeah. And just from a, you know, from an event point of view, just the practicality of it now. I mean, we're, we're, we're losing paved roads where we can have a race. I mean, even just watching, watching the two races in Europe last week, how, how many of 'em they have to go through these damn traffic circles? I mean, the, the last 10 kilometers are scary now cause there's a, there's a traffic circle every five blocks. [01:03:51] Track 1: Yeah, [01:03:52] steve: uh, all these, you know, the road furniture is just getting worse and worse. And that's been happening in the for years. You know, there's all sorts that had to be canceled just because of all the development and the traffic and road designs make it impossible. The road there anymore. [01:04:08] Track 1: yeah, [01:04:09] steve: mogul Bismark circuit outside of Boulder is just unable now. Because of all the traffic circles [01:04:16] Track 1: yeah. Um, Boulder's a very, boulder's a very particular place. Um, you've been there for how many years now? [01:04:25] steve: Uh, about 15. [01:04:27] Track 1: Yeah, uh, I haven't been going there quite that long, but, um, I did do the whole kind of dirt bag, private tier pro thing at one point. Um, so got to ride at a bunch of different places and obviously for my work, I'm traveling a fair amount and the, um, the number of strong riders you have where you are is pretty outstanding. It's kind of hard to go out on a ride and not cross paths with some past or current national champion or Olympian. Um, and you also have, um, unique in the US is some of the best bike infrastructure anywhere. And that actually to maybe we close up the conversation with, um, you know, you had talked about how. you know, we could say modal share, uh, the share of, uh, trips taken by bike or the number of bikes being sold, um, not just for recreation, but for utility. You know, e-bikes primarily fall into a utility, uh, space with the exception of, you know, some performance mountain bikes and so on. But the, uh, you were saying how Europe has seen far more adoption. Uh, what do you see as the differences between the European and US markets and, you know, the, the things that would have to happen here, uh, to see greater adoption of bicycles as a modality for, you know, not just, uh, enthusiast riders, but recreation and, and, you know, more importantly as a, I
This is part three of a three part piece. Although it works as a stand alone podcast we suggest you find time to loop back on episodes one ( here: https://topmedtalk.libsyn.com/does-increased-volume-improve-cancer-outcomes-ebpom-world-congress ) and two ( here: https://topmedtalk.libsyn.com/does-increased-volume-improve-cancer-outcomes-part-2-ebpom-world-congress ) if you've not yet had time. The topic up for discussion is; “Does increased volume improve cancer outcomes?”. On the panel: Shaman Jhanj, Head of Anaesthesia and Intensive Care Research at the Royal Marsden Hospital, Blanche Symons, patient representative, an ex patient of University Collage London Hospital, Daniel Martin, Consultant in anaesthesia and intensive care medicine, working on the intensive care unit at Derriford hospital. The piece is co-chaired by Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS) with Tim Wigmore, consultant, anesthetist and intensivist at the Royal Marsden Hospital. It was taken from the www.ebpom.org World Congress. Check out their site now and learn how you can attend a discussion like this. Also, as mentioned in the piece, here are some links to other moments we have on TopMedTalk where Vicki Morton provides more characteristically honest, incisive and occasionally challenging input: https://www.topmedtalk.com/covid-19-usa-south-carolina-vicki-morton-joins-desiree-and-monty/ https://www.topmedtalk.com/enhanced-recovery-after-cardiac-surgery-eras-is-it-really-that-different-dingle-2022/ https://www.topmedtalk.com/cardiac-eras-covid-and-beyond-ebpom/ https://www.topmedtalk.com/novel-therapies-for-perioperative-care-ebpom-dingle/
This is part two of a three part piece. Part one ( here: https://topmedtalk.libsyn.com/does-increased-volume-improve-cancer-outcomes-ebpom-world-congress ) presents a short introduction to the subject of “volume and cancer outcomes”. It's presented by Shaman Jhanj, Head of Anaesthesia and Intensive Care Research at the Royal Marsden Hospital. In this part we are joined by the rest of the panel; Blanche Symons, patient representative, ex patient of University Collage London Hospital, Daniel Martin, Consultant in anaesthesia and intensive care medicine, Derriford Hospital. The discussion, which includes audience questions, is co-chaired by Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS) and Tim Wigmore, consultant, anesthetist and intensivist at the Royal Marsden Hospital. To attend an event like this go now to www.ebpom.org and ensure you subscribe to our newsletter.
“I personally think this is a worse pandemic than the one we've just had and it's impact - if we don't do something about it - is going to be even more far reaching than COVID has been; this is about the global inactivity pandemic” This talk is a timely reminder of the importance of the value of exercise. It is presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS). The Morpheus Plenary Lecture was originally part of Evidence Based Perioperative Medicine's EBPOM London conference of 2022. To find out more about EBPOM go now to www.ebpom.org Denny is a popular name here on TopMedTalk, if you liked this piece why not delve into our extensive free archive - with more presentations here: POETTS – Nutrition and patient living with and beyond cancer – the Macmillan Trust | EBPOM 2021 https://www.topmedtalk.com/poetts-nutrition-and-patient-living-with-and-beyond-cancer-the-macmillan-trust-ebpom-2021/ EBPOM 2020 London | Fit for surgery with Denny Levett https://www.topmedtalk.com/ebpom-2020-london-fit-for-surgery-with-denny-levett-2/
Your weekly source for locksport news and sometimes interviews. Full show notes, including links, can be found at http://www.thelocksportscast.com In this week’s episode: UHS joins Automotive Keys Group Face-Recognition on your car Prove you door lock was hacked “The Three Tumblers” podcast Community updates Videos to watch Blog posts to read Products Events Meetups Sales Giveaways and more Announcements: The Locky Awards Corrections: News: UHS joins Automotive Keys Group 2023 Genesis GV60 Gets World's First Face-Recognition Tech, Rendering Keys Useless - autoevolution Hack of digital locks is insurance nightmare for residents: » There will be no coverage Community News: SE Lock and Key - YouTube Lock Noob - YouTube “The Three Tumblers” podcast The Three Tumblers - S1E1 - Learning Videos: Abloy Classic Picking Simulator tutorial Abloy Classic picking simulator (070) Hello Again - Update Ramble Venetian Double-Door Hobnail Safe, Circa 1680 | M.S. Rau Antiker Safe, Genova Italien, ca 1800 19th-Century Italian Safe circa from M.S. Rau Antiques Italian Baroque Iron Strong Box | M.S. Rau Complex Italian Floor Safe | M.S. Rau Italian Baroque Iron Strong Box from M.S. Rau Antiques Complex Italian Hobnail Safe | M.S. Rau 19th-Century Northern Italian Hobnail Safe | M.S. Rau Belgian Iron Combination Safe by L Duvilers https://twitter.com/Chirael/status/1604311602894888961 M.S. Rau - safes for sale My locksmith van was stolen! Blogs & Articles: Rediscovering Corbin Russwin Pin Segments A Brief History of the Mosler Safe Company Other Resources: Products: Key Cutter Guides for Lishi Pliers - Schlage Exclusive DALP discord server Lockpick 101 - Apps on Google Play Meetups: CactusCon H-c0n CackalackyCon CircleCityCon LPU Karate Belts: beltranking - lockpicking (reddit.com) Mentorship Monday 3: The Belt System 2: Breaking Rules and Getting the Belt All About The Lockpicking Belt Rankings System Speedlocks: Speedlocks.org Lock Stories: Criminals: Army veteran shot while confronting suspected thieves in Birmingham’s Forest Park - al.com Fundraiser by Janis La Velle : Help One of Our Own Veterans in Need. Affidavit: Weld deputies arrest woman with two bags filled with large amounts of meth, burglary tools – Greeley Tribune Sales: https://hazzertousmfg.com 25% off our selection of slate coasters. No coupon code is required! https://www.lockpickworld.com/ code GIFT22 20% off everything https://labs.ksec.co.uk/ Up to 20% off until the 31st of December. https://dalp.com.au/ code dalpisback 15% discount https://shop.multipick.com/en/x-mas MultiPick Xmas sale http://ThinkPeterson.com code A5377O8B51RNX bump hammers 50% off https://bareboneslockpicking.com/ code bones10 for 10% off store wide Cosmetically Blemished Lock Pick Tools & Accessories | SouthOrd SouthOrd Cosmetically Blemished Lock Pick Tools Law Lock tools sale - Review Guru post https://www.3dlocksport.com/ 10% off. CODE: LSCAST10 https://makolocks.com/ 15% off with code BUYMAKO Unknown exp https://uklockpickers.co.uk/ 10% off with code GIFT Giveaways and Contests: The Lock Picker 1969 - Big Lock Picker Holiday Giveaway for December 17th 2022 Big Lock Picker Holiday Giveaway for December 17th 2022 #giveaways #giveaway CLK Supplies Introducing #Lockboss Free Giveaway! Do you work with Locks & Keys or do Locksmithing? Executive Producers: Founding Executive Producers: m3ddl3r Panda-Frog Michael Gilchrist Starrylock WilliamsBrain Dave 2BDCy4D Liibans Locksport Journey Pat from Uncensored Tactical threeraccoonsinacoat Chirael (Anthony) Associate Executive Producers: DoctorHogmaster Clayton Howard (Kewltune) Co-Producers: m0g Jon Lock Ratyoke MrPickur CrankyLockPicker JHPpicking Bare Bones Lock Picking Deadbolt Cafe NWA Lockpicker Snake Paracentric ?? New Patron ?? Chief Content Producer: Chirael Content Producers: Bare Bones Lock Picking CorrectJeans Dark Arts Lock Picking I fisk Jeff Moss Joshua Gonzalez Oak City Locksport Panda-Frog septclues SiskoSpaceman Tequila Dave The Lock Picker 1969 Tony Virelli Special thanks to: Contact Information: Email: podcast@thelocksportscast.com Twitter https://twitter.com/charlescurrent Reddit: currentc57 on r/locksport Discord: Lockpickers United as Current, Extraordinary League of Pickers as Current, The Lock Sportscast as Current Join the Discord at http://discord.thelocksportscast.com The Lock Sportscast on Odysee The Lock Sportscast on Rumble Donate: http://paypal.thelocksportscast.com https://patreon.com/thelocksportscast https://www.subscribestar.com/thelocksportscast
Time for another Football Friday! We are live from University High school supporting the Cougars! We talk to their football players, cheerleaders, SGA and so much more! We also have the talent hour live out at UHS and we finish with playing the list where Johnny took the W!
Time for another Football Friday! We are live from University High school supporting the Cougars! We talk to their football players, cheerleaders, SGA and so much more! We also have the talent hour live out at UHS and we finish with playing the list where Johnny took the W!
This episode features Steven Airhart, Group CEO, Hartgrove Behavioral Health System & Garfield Park Behavioral Hospital with Universal Health Services (UHS). Here, he discusses his background & what led him to UHS, the increase of mental health disorders in youth, staffing challenges, and more.
We have all felt anger: whether as a fleeting annoyance or as full-fledged rage. Anger is a completely normal, usually healthy, human emotion. But when it gets out of control and turns destructive, it can lead to problems- problems at work, in your personal relationships and in the overall quality of your life. And it can make you feel as though you are at the mercy of an unpredictable and powerful emotion. In this episode, we focus on addressing the nature of anger and understanding the management of anger. Practical episode outcome: Learn effective tips & strategies that show you how to manage your anger. Links: https://instagram.com/youraffirmationsdaily (Practice affirmations) Calendly: https://calendly.com/ericakelechi (Book a 15-minute complimentary consultation) References · American Psychological Association, 2005. Controlling Anger- Before It Controls You. https://www.apa.org. Available at: https://www.apa.org/topics/anger/control · Berkeley Education, 2014. Understanding Anger. [online]Uhs.berkeley.edu. Available at: https://uhs.berkeley.edu/sites/default/files/understanding_anger_0.pdf · Holthaus, J.,2018. Deciphering Anger: What It's Trying To Tell You. [online] Pinterest.org. Available at: https://www.pinterest.org/deciphering-anger-blog/ · Mitts, C., 2018. Understanding anger triggers/what causes emotional triggers. [online] Counseling in Denver. Available at: https://ipseitycounselingclinic.com/2018/02/05/understanding-anger-triggers/ · Vancouver Island University, 2016. Managing Anger- Yours and Others/Managing Workplace Conflict/ Vancouver Island University/ Canada. [online] Adm.viu.ca. Available at: --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
How can pilots make smart SD card purchases and is it really worth it? Today's show is about a well discussed topic here at Drone U and also in the drone world. It's about SD cards but it's worth taking a look at SD card considering all the new developments in the tech world. Our question for today, from Tom, who would like to make smart choice on the purchase of an SD card and how pilots can make informed purchasing decisions based on the configuration of the SD card. First, we look into the most important aspect of SD cards, that of understanding and differentiating between read and write speeds and how knowing these can assist in making the right SD card purchase. Next we look into why pilots should avoid purchasing SD cards from discount marketplaces such as Costco and the experiences of pilots (including Paul) who purchased SD cards from such stores. We also look into the meaning of 'Classes' for SD cards and how SD cards are labeled for Classes. Lastly we understand why it is a good strategy to multiple SD cards for each drone application and how having sufficient backup SD cards can help drone pilots on the field. You don't want to miss this one ! Get Your Biggest and Most Common Drone Certificate Questions Answered by Downloading this FREE Part 107 PDF Make sure to get yourself the all-new Drone U landing pad! Get your questions answered: https://thedroneu.com/. If you enjoy the show, the #1 thing you can do to help us out is to subscribe to it on iTunes. Can we ask you to do that for us real quick? While you're there, leave us a 5-star review, if you're inclined to do so. Thanks! https://itunes.apple.com/us/podcast/ask-drone-u/id967352832. Become a Drone U Member. Access to over 30 courses, great resources, and our incredible community. Follow Us Site – https://thedroneu.com/ Facebook – https://www.facebook.com/droneu Instagram – https://instagram.com/thedroneu/ Twitter – https://twitter.com/thedroneu YouTube – https://www.youtube.com/c/droneu Timestamps [01:22] Learn about Drone U's experience training [02:09] Today's question on making smart SD card choice for all purpose requirements [05:15] Understanding the need to differentiate between read and write speeds [06:33] Why buying SD cards from discount marketplace are a bad choice for pilots [07:36] Class of SD cards and the markings on SD cards that matter [08:50] UHS class and their significance for reading and writing data [11:12] Buying separate SD cards and using backups for storing data reliably
This episode features Marc D. Miller, President CEO at Universal Health Services. Here, he discusses UHS, what he's learned during the COVID pandemic, and a lot more.
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