Podcasts about Vokes

Wales and Wycombe Wanderers striker Sam Vokes joins talkSPORT's Laurence Mora and host Geraint Hardy as we look back at the weekend's international football.  Wales suffered a 4-0 drubbing in Slovakia and a bore draw in Gibraltar leading many to heap the pressure on Rob Page.  Vokes and Mora answer the burning questions, should Page stay or go and is this really a transitional period for Wales?  The Wycombe striker also looks ahead to facing Wrexham next season and, with the Euros set to start, he reminices back to that header against Belgium in 2016. 

I'm Ellen Bernstein-Ellis, Program Specialist and Director Emeritus for the Aphasia Treatment Program at Cal State East Bay and a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's hosts for an episode that will feature Jocelen Hamilton and Theresa Yao from Stanford Healthcare. We will discuss how adapting the A-FROM to swallowing disorders can offer a person-centered approach to assessing and treating a person with dysphagia.   Guest Bios     Theresa Yao is a licensed speech language pathologist at Stanford healthcare and a lecturer at San Jose State University. Her clinical and research interests include head and neck cancer rehabilitation, voice disorders, dysphagia, and aphasia. She is passionate about serving people from diverse backgrounds with communication and swallowing disorders. She was a fellow for life of the Albert Schweitzer Fellowship program, and co-founded the Bay Area's Swallowing Support group. She has been actively volunteering in community groups for stroke survivors who need communication support. She has always been a strong advocate for her patients and profession. Jocelen Hamilton has practiced as a licensed speech language pathologist for 19 years. She specializes in management of communication and swallowing disorders in adults with head and neck cancer. She began her career at the University of Iowa Hospitals and Clinics, and then joined the Stanford Outpatient Head and Neck Clinic in 2020. She also previously served as a clinical assistant professor for the University of Iowa's Communication Sciences and Disorders department with a focus on supervising graduate students and helping individuals with strokes and brain injuries. Her current clinical interests center around the development of frameworks to facilitate whole person care for individuals with swallowing disorders.   Listener Take-aways Think creatively about how to apply the A-FROM to other communication disorders, like swallowing Learn how dysphagia can impact the participation, environment and personal domains Consider some PROs that help to capture the impact of dysphagia on quality of life of both the patient and the caregiver Explore some ways to adapt EMRs to incorporate A-FROM or Swal-FROM into your daily notes Show notes edited for conciseness and clarity Ellen Bernstein-Ellis So I'm excited to have both of you here today. Thank you and welcome, Theresa.   Theresa Yao  00:55 Thank you, Ellen. I'm glad to be here.   Ellen Bernstein-Ellis  00:57 And Jocelen you too.   Jocelen Hamilton  00:59 Yes. Thank you so much for having us.   Ellen Bernstein-Ellis (Interviewer)    Welcome both of you, again, to this podcast. And as our listeners get to know you, we like to open with a fun icebreaker question. I'm going to pose two different questions that you've selected for today. So, Theresa, let's start with you.   I guess for full disclosure, I want to admit that, I will share--I don't have to admit, I am sharing that I had the honor and pleasure of being your supervisor at Cal State East Bay in the Aphasia Treatment Program (ATP). So I know that may come up today. I just want to let our listeners know that we've known each other for a while. I have been really fortunate in that relationship and seeing you emerge and thrive as such a wonderful contributor to our field.   So Theresa, could you please share one experience or role that has been meaningful to you as an aphasia ambassador?   Theresa Yao  03:22 Thank you, Ellen. It was great experience when I was in the Aphasia Treatment Program at Cal State East Bay. So that's actually one of the experiences I wanted to share as an opening, because I was at the Aphasia Treatment Program as a co-director for the choir, Aphasia Tones. And that was one of the best memory in my life. And I remember one time, one of our members who had more of a severe expressive aphasia, and usually has minimum verbal output, and we all know him. But whenever he starts singing, Can't Help Falling in Love, this particular song, you can hear that those beautiful words just came out right out from his mouth, fluently, beautifully. He was always so happy every time that he heard the music, and he just enjoy singing along.   That was just a really amazing moment for me to realize that people with aphasia with minimum verbal output, they can still enjoy and participate in choir, and can still communicate that way. It's just showed me how powerful it was to use the Life Participation Approach to Aphasia. And in our choir at that time, we have all different levels of severity. All members join together, and then they all enjoy and engage in this choir experience. So that's really meaningful. Whenever I think of LPA, I think of him, I think of this song, and I think of Aphasia Tones.   Ellen Bernstein-Ellis  04:54 Thank you for sharing that. And Theresa, it was wonderful to have you as a co-director. And see you step up to the challenge of leading the choir. And you're right, we really have a strong motto of participation at every level. And you really worked hard to make sure that happened. So thank you for sharing that. And yes, that's one of my favorite topics, so I loved hearing about that.   And Jocelen, I'm also excited to ask you to share with the listeners something about one of your experiences. So would you like to share an Aphasia Access, favorite resource or moment? What comes to mind for you?   Jocelen Hamilton  05:28 Yes, well, this is really neat for me to be on this podcast, because it is this podcast that is a favorite of mine, and a major “aha” for me.   Ellen Bernstein-Ellis Well, thank you, just thank you.   Jocelen Hamilton I worked with patients with head neck cancer for about nine years. I then did a major shift and then worked in a graduate training clinic at the University of Iowa. And during that time, previously, when I was at the hospital with a very heavy caseload and working with individuals with dysphagia. And so then switching over and working with individuals with strokes and brain injuries, that was much more communication focused.   And I had this caseload I was taking over with the graduate students and learning about all the current treatment principles and treatment options and all the research that had been developed. It had been probably close to 10 years since I had worked regularly with individuals with neurogenic communication disorders.   I had knew nothing about LPAA. I knew nothing about Aphasia Access, the organization. And I was thinking about this recently, of how I even came across it. But I think probably I was searching one of these treatment modalities, and a podcast came up. So I listened to some of the other podcasts and I was like, oh my goodness, this totally resonated, LPAA. And the podcasts and other resources through the website, totally resonated with me, and helped me better understand what my frustration was within an impairment only based approach, which was in my training and my background, and things like that, to like see a whole different way. So I learned as much as I could. And I tried to share all of that with my students, we were all learning together of how to implement this. So it's really neat to now be a part of this podcast and participate.   Ellen Bernstein-Ellis  07:32 We're so glad you agreed. And I just want to thank you. If there was ever a wonderful plug for membership to Aphasia Access, I think you just gave it. Thank you so much. for that.   Well, let's dive in a little bit more to our topic of the day. We're going to be talking about how and why you both decided to adopt the A-FROM or the Framework for Outcome Measurement of Aphasia by Kagan and Simmons-Mackie to your work with head and neck cancer patients. So I know we usually focus on aphasia, but we're taking this really important tool and talking about how you adapt it. So many listeners are, of course already familiar with the A-FROM. But can you briefly describe the social model framework for our listeners?   Theresa Yao  08:16 I can start with just a brief introduction. I think everyone, if you're listening to this podcast, you are already very familiar with A-FROM, which is based on the World Health Organization's ICF model. They address a few health and social domains such as body structure, function, activities, participation and contextual factors like personal and environmental factors. And like Ellen mentioned before, Dr. Kagan and colleagues, adapted this ICF model to create a very user-friendly framework for the outcome measurement in aphasia. And this becomes the Living with Aphasia Framework Outcome Measures the A-FROM and it has the domain of aphasia severity, which is the body function or impairment level, and then also participation, environment, personal factor. So these are the core concepts of the LPA approach. Thats what we are based on using this A-FROM to adapt it to this Swallow-SWAL-FROM, we call it. The Living with Swallowing Difficulties framework of measures.   Ellen Bernstein-Ellis  09:22 So let's talk a little bit more about this. Jocelen, do you want to share your story as an SLP and how you came to introduce the A-FROM into your work at Stanford in the head and neck cancer clinic?   Jocelen Hamilton  09:37 Sure. So after about a year and a half of working with individuals with aphasia and applying LPAA and using the A-FROM with clients, I then changed gears back to working with people who had neck cancer and we moved to California and I joined the Stanford team and I was back into primarily working with individuals with dysphagia. I just kept thinking about how can I take this model the A-FROM and apply that to working with individuals with dysphagia.   How I would previously use the A-FROM is that Venn diagram. I would just draw it on a piece of paper and start writing my notes on that as I was maybe doing an intake or working with a client. I started doing some of that model just in my note taking and looking at these different domains that might be impacted. And this was just kind of over a series of months, and even a year, where I was thinking about how to apply this and shared it with my patients. Here are some of the things that I'm seeing and what you're sharing with me that shows your participation is being impacted.   Then I ended up talking with our director, Heather Starmer, about an idea of a project—like how can I move this ahead. Theresa had recently joined our team and Heather said, you might want to talk to Theresa about that. She might be interested in doing a presentation on this. And so it was great, because Theresa and I had not yet talked about our aphasia backgrounds together. It was really neat to then work together and begin to apply this with more of our patients. Initially, we kind of struggled with what the environmental domain look like for somebody with dysphagia. And it was neat to talk through different cases with each other to see how it could apply. And then that's where the Swal-FROM came from.   Ellen Bernstein-Ellis  11:39 Wow, that's wonderful that the two of you were at the right place at the right time. And I always feel that the expression “stronger together” seems really fitting in this situation. But Theresa, do you want to share how you brought a life participation perspective into your work at Stanford?   Theresa Yao  11:57 Yes, sure. Because I've always been a big fan of the ICF model. When I was a student clinician in Aphasia Treatment Program, I learned so much from this model, from LPAA, and from Ellen, you. And also, of course, our members in our Aphasia Treatment Program. And I just could see the huge benefit from the LPA approach in the client's life.   So that's why once I started working in real clinics, I always think about this model. And when I started in at Stanford, I started working with the head neck cancer patients. I just feel like so many patients, they live with long term dysphagia, or a sore throat because of the neck cancer treatment they had. And they sometimes just can't get rid of it. They have to live with it. It's just like aphasia. They live with aphasia. And then it just clicked.  I just think that it's pretty similar to the situation that you're living with aphasia, and it's that same impact on patients quality of life, on their participation.   Then I just started thinking, maybe we can do something with this model to help our patients. And then, of course, Jocelen was there, and then we were just talking about her experience with aphasia treatment and LPAA. And we just clicked. That's why we came up with this (ASHA) presentation, and this idea of how to adapt this A-FROM to our Swal-FROM. And then also, we're talking about this because I also started a support group because I feel like people wanted to get connected. They wanted to engage like aphasia group.  They wanted that community to be able to participate, to be able to share. So that's why I think this also helped me to try to initiate this project, this group, so that we can help more people so that they can, they can help each other.   Ellen Bernstein-Ellis  13:56 I really love that you saw the power of group therapy, and you then were able to bring it into a different treatment arena. I really don't remember hearing too much about separate support groups for people with swallowing disorders. I don't know how common they are. But it sounds wonderful that you started one, Theresa. So very exciting. What do we know about the incidence of dysphagia in stroke survivors, and then people in skilled nursing, and from there, head and neck cancer? The reason I ask because I think there's overlap. I mean, you're seeing the dysphagia in head and neck cancer, but we know that it occurs frequently. Do you have any numbers to share about the incidence in stroke survivors?   Jocelen Hamilton  14:39 Yes, so it's about 45% of individuals with strokes experience, some degree of dysphagia and there's been research that's shown 40 to 60% of older individuals in nursing homes have dysphagia. There's even some research out there that one in 25 adults will experience dysphagia. Then when we look at individuals with head and neck cancer, and this could be on the lower range, but one of the particular statistics is 45 to 50% of individuals with head and neck cancer experience dysphagia.   Ellen Bernstein-Ellis  15:11 The importance of considering the whole person (for dysphagia tx) is really going to affect a lot of people that we might be seeing as therapists. And the two of you saw that there was a strong impairment focus in dysphagia management.  Can you give an example?   Theresa Yao  15:27 I can talk a little bit about this. When I was in grad school, I know that most of the things we learned was how to identify the impairment of dysphagia. We learned all kinds of treatments and exercises for dysphagia. We learned like how to modify diet, how to look for aspiration, penetration. Almost everything we learned, and also what we've been practicing in our clinical practice are heavily focused on the deficit and impairments. That's basically how we trained to assess and treat the physiological changes or the deficit. It just, to me, sounds like it's really technical.   I recently just look up the ASHA NOMS, the National Outcomes Measurement System-- that's what we usually use as judgment of whether the patient is making progress or not. They use this particular functional communication measures to see there's like different levels. If you're really looking at this national measurement system, you can see that the wording and the definition of each level is pretty much impairment focus. They mention diet level, safety, efficiency of swallowing, compensatory strategies, or cues, etc. So these are really heavily focused on impairment, but you don't really see like things that relate to participation, quality of life, environment, and those factors. So the consequences that if all the clinicians are just looking at the impairments and not looking at other factors, then you are missing a lot, you're not treating the whole person.   Ellen Bernstein-Ellis  17:11 Well, that's perfect, because that leads me to my next question. Why is it important to go beyond the impairment level measurement with dysphagia?       Jocelen Hamilton  17:24 I would say, because dysphagia is more than a physical difficulty. That's our name for that physical impairment. But it influences more, just like we know, with aphasia, that it's not just how much they can say, what they understand in the different modalities, but how a change in this function in the body influences everything.   So one of the analogies that I can relate to, that I've heard before in terms of looking at accessibility, has to do with like, physical impairments. So if somebody is paralyzed, they can't move their legs, well, the physical therapists are going to look at their legs and see the range of motion, their strength and all of that. But they're also going to think about how are they going to get into their house? And how are they going to move around?   Well, sometimes what can happen with dysphagia, as Theresa already talked about, we're looking just at how does that epiglottis move? What is the airway invasion like? But then are we going to talk about well, what's going to happen? We just had the holiday with Thanksgiving and the holidays now. What are family meals going to look like? I think one of the things that sticks out to me is what would my day to day life and social life be like if I couldn't drink with ease and comfort, I couldn't eat with ease and comfort, if I needed to have special food and special liquids and special strategies? So this impacts so many things within a social realm, and personal realm as well. We'll get into that in more detail as we go. But it's not just about the change in a physical function. How does that influence the rest of our lives? And it really does. There's been research that shows about burden and quality of life and psychological health.   Ellen Bernstein-Ellis  19:08 Well, this really hits close to home for me. I'm going to share with our listeners a personal story, because I've always been very passionate about our field and an advocate for speech language pathologists, but being on the other side of the table, when my husband was diagnosed with terminal cancer, did nothing but increase my own respect and appreciation for the role we play in supporting our clients and their loved ones.   Through this process, specifically with dysphagia, and I want to give a shout out to my husband's speech pathologist at Stanford, Heather Starmer, (and another congratulations to her because she just was made a 2023 ASHA fellow), but I'll just always remember the day that we came in. I know that Heather was set with her treatment plan-- I could already guess what we needed to do for the day. And that plan went out the window because we both signaled, Steve and I, that he was just feeling an increasing burden of trying to manage all of the home tasks we were supposed to do for both PT and speech, and it was just really impacting how he was feeling. And so instead, Heather focused on the personal impact and the quality of life issues that we were bringing up. Steve wanted to be compliant. He wanted to be the best patient there was. But she really listened to him carefully. She brought her best counseling skills to the table that day, and helped us come up with a plan that we could manage in a way that would help us sustain his quality of life as best as possible.   So I really saw, personally, I mean, I saw day in and day out how his dysphagia from his head neck cancer really impacted, hugely impacted, his participation with our family, and his quality of life. I am grateful for this work that you're doing and the passion you feel for looking at the whole person as you assess and treat dysphagia. And thanks to you, I've been reading, since dysphagia is not usually in my wheelhouse as much these days, but thanks to preparing for this particular episode, I was able to read some articles by Rebecca Smith and her colleagues that showed me that there's some amazing work being done looking at this whole topic, so thank you for that. Okay, and taking a deep breath, because that's a story I've been thinking about for quite a bit.   Back into our next question. What is the speech pathologist's role in assessing and addressing health related quality of life and the associated mealtime quality of life? That seems to be talked about a lot in the literature right now. Jocelen, is that you again?   Jocelen Hamilton  21:57 I'm glad you mentioned Rebecca Smith's work. There are actually three papers, I think, that that group, she and colleagues, put out in 2022. And specifically, I'll share a few quotes from their paper The True Cost of Dysphagia and Quality of Life:  The Views of Adults with Swallowing Disability, but in a way, there's a call to action, and she's not the first to mention it. But for us to include social participation, and their overall well-being, as part of our dysphagia intervention. To make that routine, and then to also ask questions: How are you doing? How are the holidays? How are these social settings with eating? I like to ask patients and their family members, and ask them separately, not meaning like individually, within the same session: Are you participating in doing this, the same things that you did before your diagnosis? Or how is that looking? Are you going out to eat as much? What do you miss now that is different and you're experiencing changes in your swallowing.   And it's interesting, because sometimes the partner will say that they miss going out to eat, and they need to navigate feelings like, “Well, I don't feel comfortable eating this in front of my loved one who has difficulty swallowing. I feel conflicted about I get to eat ribs, and they don't.” Those kinds of things. The importance of eliciting these stories, so we can really see what are their challenges, because then we can, like LPAA teaches us, we can engage in this creative problem solving and how we can help navigate through some of these challenges. I think those are a couple of important things that we can look at to support people.   Ellen Bernstein-Ellis  23:45 Thank you. And I just wanted to let our listeners know that we're putting all these references into our show notes. I took some from your ASHA presentations that I attended. So those will all be cited in the show notes.   Well, to expand to the participation, environment, and personal domains, you started to think about using patient reported outcomes or PROs for assessment. Why don't we go through the domains and discuss potential tools and interventions to fill out this framework a little bit more. So what might it look like if you consider participation?   Jocelen Hamilton  24:24 When we're looking at participation, we're looking at these meaningful activities may or may not involve oral intake, but looking at their current levels of participation compared to their pre cancer status. So how often, and in what ways, is someone with swallowing challenges participating? I kind of already talked about that a little bit. And how are the family members doing?   Here's one of the interesting things that I've had patients share here. Sometimes, one of the swallowing strategies that a patient needs to complete is a purposeful throat clear, and a re-swallow, or some patients do naturally their throat clearing, or maybe they're coughing when they're eating and drinking. This is an area where it calls attention to them when they're doing this. And then during the pandemic, we were all super hyper aware is somebody clearing their throat? Is somebody coughing? I've had some patients where they really don't feel comfortable because it calls attention. And people ask, how are they doing?   And also, another challenge being that when swallowing is hard, talking and swallowing is extra hard. When swallowing is challenging, most people need to just do that, where we take for granted that meals are a very social time. So some of those issues can be really challenging. There's also some individuals where their difficulty with swallowing has to do with loss of the bolus coming out and so there's almost changes in appearance, where they may not feel it. Their lip, their chin might be numb, and they don't know that liquids are dripping out, or they have a piece of food sitting there. So, they might be hesitant to go out and participate in different social settings. Even sometimes we have patients where they don't feel comfortable eating with their own family members, where they will eat completely separate from their spouse.   Ellen Bernstein-Ellis  26:28 I am just really struck again about the overlap of some of the things in your head neck cancer patients with clients I see with aphasia. It's really striking. So should we take a moment and discuss how this might look if you consider the environment?   Jocelen Hamilton  26:44 I really didn't address a PRO at all.   Ellen Bernstein-Ellis  26:46 Oh, it's not too late. We can still do that.   Ellen Bernstein-Ellis  26:52 Why don't you go ahead?   Jocelen Hamilton  26:55 Sure. Okay. So we're looking in this interview, right, like gathering information, learning how these things are challenging for them. For patient reported outcomes, PROs, Theresa, and I both looked into different ones. And oh, this one has these questions. And this would fall within this domain. So I'll touch base on a few of them here. And then some of them, they have questions that actually apply to  all of the domains.   So for these, there's one the Swal-QOL, this is probably the most broad in terms of looking at all of the domains that are within this Swal-FROM. It has 10 different quality of life concepts that it has specific questions for. So for this one, there's one subset that's all about social functioning. Some of the questions, they're rating from either strongly agree five point scale to strongly disagree, One of the questions, for example, is “I do not go out to eat because of my swallowing problem.” That really tells you where they're at with that participation, or “Social gatherings like holidays or get togethers are not enjoyable because of my swallowing problem.” So that really hones in on that challenge.   Within our specific area of practice with individuals with head neck cancer, there's a scale called the Performance Status Scale Head Neck Cancer, PSS-HN. Now you might think, how might I use this? I encourage people to be open minded, even though this wasn't validated. And some of these are not validated on individuals who have dysphagia from a different cause other than head neck cancer. It doesn't mean that you can't use it as a way to gather information, engage, and perhaps re administer.   I'm also a big fan of, as people fill this out, having a conversation about their responses as they go to gather information. But with this, the Performance Status Scale, there's a specific rating scale about public eating. So zero means always eats alone. And 100 is no restriction of eating for any place food or company. So they would eat out at any opportunity. Where in-between might be one point on the scale, “eats only in the presence of selected persons and selected places”, or they would eat out but there would be another option,  “eat out, but be more selective about the diet textures and things they would consume in a social setting”, which is common. Some individuals will specifically choose different foods when they're when they're in a social setting.   There's also another PRO, the Dysphagia Handicap Index. So with this one, it's a 25 item questionnaire and it does specifically look at physical, functional and emotional aspects of dysphagia. And so a couple of questions from there that would fit with the participation domain include, “I'm embarrassed to eat in public” and “I don't socialize this much due to my swallowing problem”. Those could give some insight into these areas by selecting some of those questions.   Ellen Bernstein-Ellis  30:08 Well, I'm really glad you caught me. I think I was so struck about the overlap that, thank you for coming back and talking about those PRO's. Are we good? Can we transition to the environment next? What would this look like? What does the Swal-QOL look like if you consider the environment.   Theresa Yao  30:29 When you talk about the environment, it can be factors such as the availability of the appropriate food textures, and oral liquid consistencies across different social settings. For example, if you go out to the restaurant, are there any easier food texture that's available for people with dysphagia? And that's one of the environmental factors.   And then there's a new article from ASHA leader that just came out about dining with dysphagia. So that's actually a pilot program from University of Cincinnati that try to help restaurants to expand their menu options so that they have more choices for people with swallowing disorders.   Ellen Bernstein-Ellis That's amazing.   Theresa Yao Also, another factor that related to the environment is the attitude and level of acceptance or support the people with dysphagia can get from their family, their friends, or even just strangers in their eating situation. So just like Jocelen mentioned, if you're coughing or clearing the throat, what the reaction from other people will be like, -- if they're supportive, or if they're not so. Sometimes these factors can make a patient uncomfortable eating out because of those environmental factors. And then also, the attitude from people around usually can be impacted by culture. Which type of textures they prefer to consume, and how they consume. If you go to a different type of restaurant, they may have different types of food textures, that are specifically for that culture, so that's also another factor.   And then also, on the broader spectrum, is the attitude from the healthcare professionals or the public, because the attitude from healthcare professionals is basically, because dysphagia is invisible, and when you are in the hospital, not everyone can see it. If you have leg injury or arm injury, people can see it. But if you have dysphagia, you can't see it. And then when the health care provider is, prescribing your pills, and if you can't swallow, how can they take the pill? They probably are not aware of this, this type of disability, so they may not prescribe you the right pills.   These are the things that we can consider as environmental factors. And of course, even larger scale, there's health care policies, the service systems, that may impact the people with a dysphagia too, because insurance may not pay all the dysphagia services, or how often can people get dysphagia support or service? So those are all the environmental factors that we may consider.   Ellen Bernstein-Ellis  33:21 I think the importance of this framework is helping us as clinicians to continue to think just broader and more widely about what's impacting the person in front of us. I mean, wow, you are giving us a lot of factors, from the very personal to the broader social policy. And I want us to take a moment and also talk about personal factors, that whole domain.   Theresa Yao  33:41 Personal factors can also be very, very important. And  a lot of things can be involved. So we know that the person was dysphagia may not be the same person, have the same hobbies or same traits, as before their treatment. So that may cause anxiety, or they may feel embarrassed because of their eating habits, or the change of their eating habits. Because we know that eating and drinking is very individualized. Some people, if they're born as a slow eater, they probably are okay with their dysphagia diet or if we ask them to eat slowly and take smaller bites, that's totally fine. But if some people are born as a fast eater, they will have a huge challenge with, if you give them the strategy to eat slow, taking small bites, because that's just not them anymore. They just feel like they're a different person and then they feel disappointed or frustrated if they can't eat as fast as they used to.   And I always share this in my clinic. I  see two patients with similar procedures. One person can feel really happy with their diet. They feel okay because they're always eating soft foods or soups. And then another person just with a little bit of impairment of mouth opening, they feel like it's just really frustrating because they can't bite their sandwiches and burgers. And that just makes a huge difference. But if you're only looking at their swallow study, it's the same, they probably don't have any major impairment, but the impact on the quality of life on their participation, environment, and also personal factor. It's so different. So that's why I think considering a personal factor is really important.     Ellen Bernstein-Ellis  35:38 So you're giving us examples of the things we should be thinking about, you're giving us examples of some of the PROs that might help us measure. But if many of the EMRs, the electronic medical records are set up for impairment focused measures, how can you adapt the documentation to include these other domains? That's always a barrier, or can be maybe, not always, can be.   Jocelen Hamilton  36:00 I think sometimes it can be a barrier. If sometimes the entry is just you have to click certain things, there's not a lot of room for free text. With the EMR that we have, we can have a set template, but we can copy and paste anything in there. So what I did is I took the A-FROM--actually, in the same paper that put out the A-FROM, they put the FROM, Framework for Outcome Measurement, and actually suggest that you could use it for individuals with TBI and called it TBI-FROM.    I took that and put it into a template and have the citation for it there and then added a title. It gives a visual for other individuals reading the note of what I'm talking about. ‘Survivorship beyond body function domain: Dysphagia's impact on personal, participation, environmental domains', so I have that as a title. I have it as this set, we use epic, so I can do dot phrases (Smart Phrases). I can drop that into a note. And then as I go through and document, I have the subtitles of body function, participation, environment, personal factors in as I'm collecting this information. That's how I can organize my note.   I don't do it every single time with every single patient. Sometimes some of our sessions are more impairment focused, like we need to for safety reasons focus on this. Sometimes it's more a whole session all about how are they doing with their personal domain? I had a patient in the clinic today, and he is depressed, and we just had this quick talk of, “Okay, what do we need to do? Can you talk to your primary care doctor? This is common, many individuals with head neck cancer have depression.” But I'll organize my note, getting back to the notes, with those subtitles and putting the information in there. It also is a cue for me, because I keep needing cues and reminders to come back and broaden that focus, instead of always being in on the impairment and you monitor, document, and then monitor, as I'm reviewing back on their notes to see how they're doing across these different domains.   Ellen Bernstein-Ellis  38:19 That is a beautiful example of how you can adapt something. I'm sure a lot of our listeners really appreciate you describing it so carefully, and hopefully will inspire some of them to see what they can do to adapt their EMRs.   A little bit earlier, you mentioned the importance of getting perspective from both the client and the care partner. How does the caregiver or care partner experience fit into the Swal-FROM?   Theresa Yao  38:47 Caregiver or care partners, they play a really important role in this whole journey with individuals with dysphagia. And I'm sure Ellen, you probably were in that role before. Most of the time, it's the caregiver making the meals for the spouse. Making the meals for the patients with dysphagia can be very challenging. Because just the texture, you have to take care, and the taste. I have caregivers talking to me. They told me that they tried their best to make all the foods but the patient didn't eat at all or didn't like it at all. Then they feel super frustrated. These are all the challenges that the caregivers may face.   Dr. Samantha Shune and colleagues, they did a lot of work on this caregiver burden topic. Their study said increased caregiver burden has been associated with the degree of impact that dysphagia is having on mealtime logistics. Family members also report increased anxiety and fear and frustration, stress, embarrassment and social isolation. So these are very two critical things to consider when we're thinking about whole person care, because we can't just care for one person, the patient. But if the caregiver is also experiencing all the stress, all the anxieties, we also need to consider that factor.   Researchers in Australia, Professor Nund and colleagues, they also pointed out that this specific caregiver burden is third party disability. And it's the consequence of that person's impairment, which impacts the functioning and ability of their family members or significant others. That's why we want us to fit this caregiver experience into this Swal-FROM framework. Just adding the family caregiver in all the different domains to support patients with dysphagia. And caregiver can influence four domains. But at the same time, also, we need to take care of, examine, the four domains of the family member or the caregiver--going to check their participation, their environment, and their personal factors. Those are really important, because their health and well-being can be affected by being in the journey of taking care of people with dysphagia. So they're super tied closely. That's why we wanted to fit this framework as well.   Ellen Bernstein-Ellis  41:21 One of the clinical tools I've learned is available is a PRO measure called the CARES, developed by Shune and colleagues, and we'll again put the citation in our show notes. Theresa, could you describe that a little bit more?.   Theresa Yao  41:37 So this is a wonderful screening tool that developed by Dr. Shune and colleagues. It's full name is called Caregiver Analysis of Reported Experiences with Swallowing Disorders. It has 26 items in the questionnaire. And then there's two parts that explore a different aspect of dysphagia's impact on the caregiver. One is a checklist on the behavior and functional changes, and one is a checklist of the subjective caregiver stress. Basically, it's a simple yes/no questionnaire. You can give it to the caregiver and they can just circle yes or no. Then from that, you can figure out what area you may address as an SLP. Or you may want to refer them to a specific team or professionals to address that, because we have limited scope of practice, we can't do everything. But if we can help them to identify the issue and then point them in the right direction, to the right team. That may help a lot.   Ellen Bernstein-Ellis  42:43 In your ASHA presentation you also mentioned the Rome Foundation is a resource and another website that offers skill building around managing serious illness conversations. We're going to put both of those resources into the show notes for people, but we don't have time right now to go into them fully.   But Jocelen, can you address or share what benefits you've seen by adopting this framework? Does it help with goal setting? Does it help with acceptability of recommendations? What have you seen?   Jocelen Hamilton  43:12 I think it's helped me and I feel like it's helped patients and our families have a little more clarity about, okay, these are the areas that are challenging. And again, I'm a visual person, so if I write it out with them, and they're telling me things, and I'm explaining, I get excited about the diagram, and I'm like, you know, see, this seems like an area of challenge. Is there something that you're interested in doing in this area? Are you willing to talk with another person who's gone through this?   So I feel like it really can give clarity, I think, for myself, what you know that A-FROM does, and Swal-FROM now is to not, I professionally can get really hung up on the impairment. And I can't always change that, right? We can't always change it to the degree that we would like. Of course, we would like everybody to have complete resolution, right? And so there can be this frustration and powerlessness with that. And obviously the patients and our family members can be experiencing that also.   And with this broader view, we can say but here's what we can focus on what can we do to have you participate that would make you feel better? What can we do that would help you with your personal feelings? So I feel like it addresses things that matter and we can have more conversations about how is their day to day life being impacted? What are some small steps we can take in a direction that might help them and their families.   Ellen Bernstein-Ellis  44:43 That's beautiful. Thank you so much, Theresa and Jocelen. It has been a pleasure  and I've learned so much from both of you, listening to you apply this framework and look deeply and carefully at quality of life for people with dysphagia. I really appreciate it. Is there anything else you want to add?   Theresa Yao  45:03 I just wanted to add a little bit. So I think it's really important as clinicians to listen to our patients and caregivers, because we need to learn from their experiences, their perspective. And, like we mentioned dysphagia is invisible. I wanted to share one of the quotes from one of the dysphagia support members. He says,  “dysphagia is a label you carry with you inside.” And that's really just so true, because it's hidden. If you go outside, people see like you what you can walk, you can talk, but they don't know that this disability is hidden inside. And I think it's so important to address not just the impairment, but also listen to the patient's perspective. And then help them to address all the domains. I always think that you become a better clinician because what you learn from your patient. So that's all we need to do.   Ellen Bernstein-Ellis  46:08 I can't think of a better way to close this interview. Even though I could ask you several more questions, we could be here for another hour, I just want to thank you for bringing that patient's voice, a client's voice, into the discussion today, so beautifully. And let's end on that note of really learning from our patients' perspectives. So I want to thank you both. And I want to thank our listeners for listening today. And for the references and resources mentioned in today's show, please see our show notes. They're available on our website at www.aphasiaaccess.org. And there you can also become a member of our organization.   Jocelen Hamilton Yes, yes, Do it!   Ellen Bernstein-Ellis Thank you! Browse our growing library materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@AphasiaAccess.org For Aphasia Access Conversations, I'm Ellen Bernstein-Ellis. And thanks again for your ongoing support Aphasia Access   Resources and References Ariadne Labs: Serious Illness Care Program https://www.ariadnelabs.org/serious-illness-care/serious-illness-care-program/ The Rome Foundation https://theromefoundation.org/   Chen, A. Y., Frankowski, R., Bishop-Leone, J., Hebert, T., Leyk, S., Lewin, J., & Goepfert, H. (2001). The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the MD Anderson dysphagia inventory. Archives of Otolaryngology–Head & Neck Surgery, 127(7), 870-876. Hamilton, J., Yao, T. J. (2023). Framework to Guide Whole-Person Care for Individuals with Dysphagia. 2023 ASHA Convention, Boston, MA. Hamilton, J., Yao, T. J. (2022). Shifting to Whole-Person Care for Head Neck Cancer Survivors Living with Dysphagia. 2022 ASHA Convention, New Orleans, LA. Hickey, E. and Douglas, N. (2021) Person-Centered Memory and Communication Interventions for Dementia: A Case Study Approach. Plural Publishing, Inc. Howells, S. R., Cornwell, P. L., Ward, E. C., & Kuipers, P. (2021). Client perspectives on living with dysphagia in the community. International Journal of Speech-Language Pathology, 23(2), 201-212. Kagan, A., Simmons‐Mackie, N., Rowland, A., Huijbregts, M., Shumway, E., McEwen, S., ... & Sharp, S. (2008). Counting what counts: A framework for capturing real‐life outcomes of aphasia intervention. Aphasiology, 22(3), 258-280. List, M. A., D'Antonio, L. L., Cella, D. F., Siston, A., Mumby, P., Haraf, D., & Vokes, E. (1996). The performance status scale for head and neck cancer patients and the functional assessment of cancer therapy‐head and neck scale: a study of utility and validity. Cancer: Interdisciplinary International Journal of the American Cancer Society, 77(11), 2294-2301. McGinnis, C. M., Homan, K., Solomon, M., Taylor, J., Staebell, K., Erger, D., & Raut, N. (2019). Dysphagia: interprofessional management, impact, and patient‐centered care. Nutrition in Clinical Practice, 34(1), 80-95. McHorney, C. A., Bricker, D. E., Kramer, A. E., Rosenbek, J. C., Robbins, J., Chignell, K. A., ... & Clarke, C. (2000). The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia, 15, 115-121. Nund, R. L., Scarinci, N. A., Cartmill, B., Ward, E. C., Kuipers, P., & Porceddu, S. V. (2016). Third-party disability in carers of people with dysphagia following non-surgical management for head and neck cancer. Disability and rehabilitation, 38(5), 462–471. https://doi.org/10.3109/09638288.2015.1046563 Shune, S. Moving beyond the isolated swallow: Dysphagia in the context of the shared mealtime. https://dysphagiacafe.com/2015/03/19/moving-beyond-the-isolated-swallow-dysphagia-in-the-context-of-the-shared-mealtime/ Shune, S., Davis, C., & Namasivayam-MacDonald, A. (2021). Contributors to Dysphagia-Related Burden Among Spousal Caregivers of Stroke Survivors. Archives of Physical Medicine and Rehabilitation, 102(10), e65. Shune, S. E., & Namasivayam-MacDonald, A. (2020). Dysphagia-related caregiver burden: Moving beyond the physiological impairment. Perspectives of the ASHA Special Interest Groups, 5(5), 1282-1289. Silbergleit, A. K., Schultz, L., Jacobson, B. H., Beardsley, T., & Johnson, A. F. (2012). The dysphagia handicap index: development and validation. Dysphagia, 27, 46-52. Smith, R., Bryant, L., & Hemsley, B. (2023). The true cost of dysphagia on quality of life: The views of adults with swallowing disability. International Journal of Language & Communication Disorders, 58(2), 451-466. Smith, R., Bryant, L., & Hemsley, B. (2022). Dysphagia and quality of life, participation, and inclusion experiences and outcomes for adults and children with dysphagia: A scoping review. Perspectives of the ASHA Special Interest Groups, 7(1), 181-196.

In episode 4/ 3 of A is for Architecture, Stuart Vokes and Aaron Peters speak about their practice, Vokes & Peters, and their elegant domestic and civic buildings in the heart and hinterlands of Brisbane. Our discussion sprung from their recent book, Migrations from Memory, a collection of essays by Stuart Vokes and Aaron Peters reflecting upon twenty years of practice, published by Canalside Press in 2023. Vokes & Peters' domestic work is particularly wonderful, and rightly acclaimed, embodying a civility and civicness that is distinct and significant. There is much online about it. A quote from Stuart from the book's opening illustrates something of their approach: ‘One can be poetic about a house and describe it as a city in miniature – just like the city, one can find a range of rooms, enabling a range of events and behaviours that satisfy the spectrum of human emotions. But I am equally satisfied with the idea that a house might be considered a room of the city – a room where we feel at home, the one place left in the city where we might find real reverie and contentment. A house needn't be another public place, at least not always.' Vokes and Peter are all over the internet, but for one, there's a decent video on their Auchenflower House (pictured on the podcast image) in Brisbane from 2020 on the Architecture AU website, and you might also have a sticky at their recent Blok Stafford Heights, winner of this year's New House Under 200 Square Metres in the Houses Awards, and covered in the Guardian. Their own website features an excellent selection of written work too. Both Stuart and Aaron are on Instagram. Migrations from Memory is available on the Canalside Press website and everywhere else that's decent⁠. Listen to the podcast, and work something out. Available on Spotify, iTunes, Google Podcasts and Amazon Music. Thanks for listening. + + + + + + + + + + + + + + + Music credits: Bruno Gillick + + + + + + + + + + + + + + + aisforarchitecture.org Apple: podcasts.apple.com Spotify: open.spotify.com Google: podcasts.google.com Amazon: music.amazon.co.uk

World-renowned oncologist D. Ross Camidge, MD, PhD, sits down with guests to discuss the highs and lows, ups and downs of all those involved with cancer, cancer medicine, and cancer science across the full spectrum of life's experiences. 

Stuart Vokes and Aaron Peters are the Directors of Vokes and Peters, a Brisbane-based practice founded in 2015 that has produced a significant body of award-winning projects across Australia.In this episode, Stuart, Aaron and I discussed: Why the studio believes engaging with the profession, and immersing themselves in their passion for architecture through books, travel and teaching, have contributed to a more sustainable and quality design practice. How Aaron and Stuart value the role of the ‘caring critic' in their partnership, and why they believe it's essential to have honest feedback to continue improving and growing as an architect. Why the studio focuses on writing, essays, and an upcoming book as helpful processes for clarifying their thinking, reflecting on their work and attracting like-minded clients. The reasons the practice has lost interest in Instagram over time as the platform has moved from being a place to socialise and share ideas, to just another channel for promoting finished project images. If you'd like to learn more about Vokes and Peters, you can visit vokesandpeters.com. You can also follow Stuart on Instagram at @stuart_vokesandpeters and Aaron at @aaron_vokesandpeters. Office Talk is hosted by Dave Sharp, M.Arch—an architectural marketing expert and the director of Office D.SHARP, a practice providing specialised consultancy, marketing and PR services tailored to meet the particular needs of architects. Working as a sole practitioner, Dave employs a collaborative, conversational approach to his work, fostering long-standing relationships that yield tangible results for clients.Visit officedavesharp.com to learn more.This episode was supported by ArchiPro. ArchiPro showcases the best and latest in the architecture and building industry, and connects people with trusted trade professionals and products to suit their needs. Visit ArchiPro.com.au to learn more.

A taxi company says it's been forced to close one of its offices early, because of abuse aimed at staff by customers. Vokes Taxis used to keep its site on Station Road in Rainham open until midnight but now shuts at 6pm. Hear from reporter Amy Tregenna who has been speaking to the co-owner of the business. Also in today's podcast, an organisation that gives grants to charities in Kent has told the podcast they're hearing from an increasing number that are struggling. The voluntary sector's been hit by the cost of living crisis with more people needing support, and fewer able to make donations. We've been speaking to the Kent Community Foundation. Meantime, it's also feared the cost of living crisis is forcing families in Kent to give up hosting Ukrainian refugees. More than 1,600 hosts have come forward since the Homes for Ukraine scheme launched in March but the council says as many as 1,000 may need re-matching. Hear from the Opora charity which has concerns. Ahead of Kent getting a new chief constable, we're being asked what we'd like them to focus on. Alan Pughsley steps down from the role at the end of the week after eight years in the job. Kent's police and crime commissioner is running a survey online to find out what the new person in charge should prioritise. And finally, hear the inspirational story of a teenager who took up wheelchair racing after suffering a spinal cord injury just two years ago - and has just won her first medal. Ellis Kottas was a competitive swimmer before being left with life-changing injuries in 2020.

Welcome to the bluedot podcast.This is the third instalment of our In Conversation miniseries of talks and panels in Manchester, powered by our friends at bruntwood. In this live discussion, we pose the question 'how does culture build community?'. Hosted by bruntwood's and The Oglesby Charitable Trust's Kate Vokes, and featuring Band On The Wall's Gavin Sharp, Inga Hirst from the Royal Exchange Theatre and actor and spoken word artist Boshra Ghgam, this panel discusses Manchester's cultural milestones, and wider implications of what culture can do for a city, and vice-versa. Explore the rest of our bruntwood In Conversation miniseries on the bluedot YouTube channel or on the bluedot podcast, wherever you get your podcasts! Our GDPR privacy policy was updated on August 8, 2022. Visit acast.com/privacy for more information.

As a young footballer, often all you want is to get into the first team, get a professional contract and play at the elite level. However, it is rarely a smooth journey.You often have to be patient, grow your experience, compete for the first team position, and often have to go on loans to get more playing time.If you're not patient and ready enough, you might even miss the opportunities that may present themselves to you. WATCH THE EPISODE ON YOUTUBE HEREIn this episode, Joe Partington speaks with Sam Vokes about how you can improve your game and take on the opportunities to take your game to the next level. If you have been struggling from the bench or thinking of loan moves as a negative thing, Sam Vokes has a different perspective. Tune in to listen as he shares his journey and how he overcame different challenges from relegation to injuries and finally getting a place on the first-team squad after going out on loan at six different clubs. ⚽️  FREE 7-DAY FOOTBALL DIET PLAN ⚽️USEFUL LINKS AND RESOURCESWATCH THE EPISODE ON YOUTUBE HERESEE THE SHOW NOTES HEREFREE FOOTBALL PROGRAMS

Pottstown College Connections Experience Success Coaches Deanna Vokes and Nicole Generose talk about the program and how it can help students looking for guidance as they navigate college for the first time. Recorded by Steven Cush & John O'connellEdited by Derek Manckefrom the College's Sound Recording and Music Technology Program

Derek Peterson (Michigan) as part of the Conference - Expulsion: Uganda's Asians and the Remaking of Nationality This essay is about the management of economic liberation in Idi Amin's Uganda. The Economic War transformed petty questions about the conduct of business into thrilling matters of racial liberation. There were a great many scapegoats: first the Asian community, latterly Africans who would not, or could not, follow the official rules. The punishments were draconian: economic crimes were, after 1975, punishable by death. For people in power, the Economic War was a means of making austerity, inhumanity and brutality seem essential, a crucial aspect of their heroic leadership. Derek Peterson is Ali Mazrui Professor of History & African Studies at the University of Michigan. He's the author, most recently, of _The Unseen Archive of Idi Amin: Photographs from the Uganda Broadcasting Corporation_ (Prestel, 2021) (with R. Vokes). Peterson is presently engaged in several curatorial projects focused on the recovery and digitization of endangered film and paper archives in Uganda. He was awarded a MacArthur Fellowship in 2017.

Aaron Peters has contributed articles to a number of architectural publications and led design studios at The University of Queensland and Bond University. Vokes and Peters is currently working on a number of residential, commercial and institutional projects across Australia as well as running an (ir)regular public talk series: Garden Variety. In this episode, your host Elizabeth McIntyre and special guest, Aaron Peters have an interesting conversation which covers topics such as: His upbringing on the Sunshine Coast and his path to becoming an architect; Some of his intriguing experiences overseas; And how these shaped his career; What prompted his way of designing with brick in Queensland; His experience with the Think Brick Awards;   And much more...   This episode and many others can be found on all major platforms, Apple Podcasts, Spotify, and Google Podcasts. If you enjoyed this episode, don't forget to Rate & Subscribe to our podcast to never miss out a new episode. You can also let us know who you want to hear next and what topics we should talk about by leaving us a Review on Apple Podcasts.    Mentioned in this episode: Vokes and Peters Think Brick Awards   Social & Links Follow @ThinkBrickAustralia on Instagram, LinkedIn, and Facebook Follow @aaron_vokesandpeters on Instagram

Savannah shares about her time at LCU

Our guests in this episode are Aaron Peters from the Queensland based firm Vokes and Peters, and Andrew Scott from the New South Wales based firm Panovscott. Aaron and Andrew worked together on a submission for the 2017 National Gallery of Victoria's annual architecture commission. They share with us the benefits of collaboration, working on a 2 stage competition, and how working on competitions can feed other work even when a practice doesn't win. The interview is taken care of by Sam McQueeney who is an EmAGN committee member based in Queensland who also works at Vokes and Peters.

Stuart Vokes lives, teaches and practices architecture in Brisbane. In 2015 Stuart co-founded the architectural practice Vokes and Peters with long-time collaborator Aaron Peters to focus on projects that respond to prevailing settings, cultural narratives, human occupation and the presence of nature. In this episode, your host Elizabeth McIntyre and special guest, Stuart Vokes have an intriguing conversation which covers topics such as: His upbringing in Brisbane, and how his family home influenced his perspective of space;  Stuart's passion for fine art growing up; Studying at Queensland University of Technology;  The challenges and rewards of starting his own practice; The reasons Vokes & Peters love using brick as a building material;   And much more...  This episode and many others can be found on all major platforms, Apple Podcasts, Spotify, and Google Podcasts. If you enjoyed this episode, don't forget to Rate & Subscribe to our podcast to never miss out a new episode. You can also let us know who you want to hear next and what topics we should talk about by leaving us a Review on Apple Podcasts.     Mentioned in this episode: Brisbane Vokes & Peters  QUT  Think Brick Awards   Social & Links Follow @ThinkBrickAustralia on Instagram, LinkedIn, and Facebook Follow @stuart_vokesandpeters on Instagram

In this episode, Martin Kiernan talks to Professor Gonzalo Bearman, Chair, Division of Infectious Diseases and Hospital Epidemiologist/Medical Director of VCU Healthcare and the Richard P. Wenzel Professor of Internal Medicine at the Virginia Commonwealth University Health System (full CV here)  Following on from the increase in virtual working due to the pandemic, we discuss the potential for providing healthcare facilities in low and middle income countries with virtual support and consulting. The papers that we discuss are listed here. 1. Jones, T., Marimuthu, K., Bearman, G. Virtual Infection Prevention and Control in Low- and Middle-Income Countries, International Journal of Infectious Diseases, Volume 117, 2022, Pages 93-96, https://doi.org/10.1016/j.ijid.2022.01.065. 2. Anderson, D., Miller, B., Chen, L., Adcock, L., Cook, E., Cromer, A., . . . Sexton, D. (2011). The Network Approach for Prevention of Healthcare-Associated Infections: Long-Term Effect of Participation in the Duke Infection Control Outreach Network. Infection Control & Hospital Epidemiology, 32(4), 315-322. https://doi.org/10.1086/658940 3.Pryor, R., Vokes, R., Anderson, D., & Bearman, G. (2021). Virtual infection prevention—The next frontier. Infection Control & Hospital Epidemiology, 42(11), 1374-1375. https://doi.org/10.1017/ice.2020.1404  

In this episode, Martin Kiernan talks to Professor Gonzalo Bearman, Chair, Division of Infectious Diseases and Hospital Epidemiologist/Medical Director of VCU Healthcare and the Richard P. Wenzel Professor of Internal Medicine at the Virginia Commonwealth University Health System (full CV here)  Following on from the increase in virtual working due to the pandemic, we discuss the potential for providing healthcare facilities in low and middle income countries with virtual support and consulting. The papers that we discuss are listed here. 1. Jones, T., Marimuthu, K., Bearman, G. Virtual Infection Prevention and Control in Low- and Middle-Income Countries, International Journal of Infectious Diseases, Volume 117, 2022, Pages 93-96, https://doi.org/10.1016/j.ijid.2022.01.065. 2. Anderson, D., Miller, B., Chen, L., Adcock, L., Cook, E., Cromer, A., . . . Sexton, D. (2011). The Network Approach for Prevention of Healthcare-Associated Infections: Long-Term Effect of Participation in the Duke Infection Control Outreach Network. Infection Control & Hospital Epidemiology, 32(4), 315-322. https://doi.org/10.1086/658940 3.Pryor, R., Vokes, R., Anderson, D., & Bearman, G. (2021). Virtual infection prevention—The next frontier. Infection Control & Hospital Epidemiology, 42(11), 1374-1375. https://doi.org/10.1017/ice.2020.1404  

Rich was joined by our Paul and Paddy to quickly give their thoughts on the action packed draw against Wycombe at Adams Park this afternoon! What's the crack? ROSSCOOOOOOO - Aye he's still class.Pretty crazy game overall, but that equaliser was a bit gutting wasn't it... Are the lads over it yet?Was that a foul on young Patto for the Vokes goal?What positives can we take from that performance?All this and more! Listen in!#SAFC #EFL #LeagueOne See acast.com/privacy for privacy and opt-out information.

The Music Featured On This Weeks Episode Is From The Following Album: Howard Vokes – Tears At The Grand Ole Opry (1979) W.B. Walker’s Old Soul Radio Show Youtube Page Paypal.me/wbwalker85 Patreon.com/oldsoulradioshow (Subscribe to show on Apple device) Itunes.apple.com/us/podcast/w.b.-walkers-old-soul-radio/id632683666?mt=2 (Subscribe to show on Android device) Stitcher.com/podcast/wb-walkers-old-soul-radio-show Southboundtrucking.com Glen-simpson.com All music is used with permission.

In this 66th in a series of live discussions with Bret Weinstein and Heather Heying (both PhDs in Biology), we discuss the state of the world through an evolutionary lens. In this episode, we begin by discussing what the increasing visibility of a viable hypothesis for the origins of SARS-CoV2 says about modern science and politics. Then: Is eating red meat inflammatory? Is saying that eating red meat is inflammatory, inflammatory? What would it mean for evolutionary biologists to “stay in their lane” (and why shouldn’t we)? What does “follow the science” mean when we are being told to wear masks in National Parks? Is the New York Times punking us, or did they seriously just suggest that encrypted messaging services are dangerous because untrue things are sometimes said? What is the null hypothesis—in general, and in particular, with regard to the origins of SARS-CoV2? Does Sony’s classification system of “human, animal and bird” make any sense, and does it matter? And finally: what are sidewinders and how do they move, what are mangroves, and what on Earth could the connection possibly be?DarkHorse merchandise now available at: store.darkhorsepodcast.org Find more from us on Bret’s website (https://bretweinstein.net) or Heather’s website (http://heatherheying.com). Become a member of the DarkHorse LiveStreams, and get access to an additional Q&A livestream every month. Join at Heather's Patreon. Like this content? Subscribe to the channel, like this video, follow us on twitter (@BretWeinstein, @HeatherEHeying), and consider helping us out by contributing to either of our Patreons or Bret’s Paypal. Looking for clips from #DarkHorseLivestreams? Here are some, updated frequently: @DarkHorse Podcast Clips Theme Music: Thank you to Martin Molin of Wintergatan for providing us the rights to use their excellent music. Q&A Link: https://youtu.be/wyG5u_GR_AQ Mentioned in this episode: Luthra-Guptasarma, M. and Guptasarma, P., Inflammation begets hyper-inflammation in Covid-19: Diet-derived chronic inflammation promotes runaway acute inflammation resulting in cytokine storms. https://www.researchgate.net/profile/Purnananda_Guptasarma/publication/341411711_Inflammation_begets_hyper-inflammation_in_Covid-19_Diet-derived_chronic_inflammation_promotes_runaway_acute_inflammation_resulting_in_cytokine_storms/links/5ec1efe9458515626cb0a596/Inflammation-begets-hyper-inflammation-in-Covid-19-Diet-derived-chronic-inflammation-promotes-runaway-acute-inflammation-resulting-in-cytokine-storms.pdf Domingo, J.L. and Nadal, M., 2017. Carcinogenicity of consumption of red meat and processed meat: a review of scientific news since the IARC decision. Food and chemical toxicology, 105, pp.256-261. https://www.sciencedirect.com/science/article/abs/pii/S0278691517302053 Lindeberg, Staffan. 2010. Book: Food and Western Disease: Health and Nutrition from an Evolutionary Perspective. Executive Order, January 20, 2021. Executive Order on Protecting the Federal Workforce and Requiring Mask-Wearing: https://www.whitehouse.gov/briefing-room/presidential-actions/2021/01/20/executive-order-protecting-the-federal-workforce-and-requiring-mask-wearing/ Meltzer, D.O., Best, T.J., Zhang, H., Vokes, T., Arora, V. and Solway, J., 2020. Association of vitamin D status and other clinical characteristics with COVID-19 test results. JAMA network open, 3(9), pp.e2019722-e2019722. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2770157 The New York Times is punking us with this piece, right? Are Private Messaging Apps the Next Misinformation Hot Spot? https://www.nytimes.com/2021/02/03/technology/personaltech/telegram-signal-misinformation.html?searchResuSupport the show (https://www.patreon.com/bretweinstein)

Tom & Chris chat the 4-0 drubbing by Leicester in the cup, and discuss Stoke's approach to the future: tried and tested or young and risky? Lockdown drinks for you: beer52.com/wizards Lockdown drinks for us: Patreon.com/wizardsofdrivel

Tanya Vokes Mallory began her career in corporate human resources with roles in workforce development, recruitment and diversity and inclusion. Following her passion for advocating for women, she joined Dress for Success Pittsburgh in 2013 as Director of Programs & Operations. Since becoming CEO in 2017, she has focused on removing barriers women face in obtaining and retaining employment through the launch of mobile boutiques and virtual resources to reach women across five counties in Southwestern PA.

It's our annual game show!  Based on NPR's Wait Wait... Don't Tell Me, Stacey invites panelists to try their hand at diabetes trivia, bluff the listener and limericks. This was first presented at the Friends for Life Virtual Winter conference where the audience played along via online BINGO. Watch the show on our YouTube Channel Special thanks to our panelists: Lauren Lanning, Justin Masterson and Chelcie RIce! Check out Stacey's book: The World's Worst Diabetes Mom! Join the Diabetes Connections Facebook Group! Sign up for our newsletter here ----- Use this link to get one free download and one free month of Audible, available to Diabetes Connections listeners! ----- Get the App and listen to Diabetes Connections wherever you go! Click here for iPhone      Click here for Android Episode transcript (beta version - check back for proof read version)   Stacey Simms 0:00 Diabetes Connections is brought to you by Jeeva Chi popin the first premixed auto injector for very low blood sugar, and by dexcom take control of your diabetes and live life to the fullest with dexcom Announcer 0:16 This is Diabetes Connections with Stacey Simms. Stacey Simms 0:22 Welcome back to another week of the show. I am your host, Stacey Simms, we aim to educate and inspire about type 1 diabetes by sharing stories of connection, a different sort of episode this week, because this is one of our game shows. I do these periodically for live audiences, usually at conferences and that sort of thing. And this year, we have kind of like everybody repurposed things for virtual. And so this time around, it was friends for life and their virtual winter conference. A couple of quick things. If you prefer to watch this is on my YouTube channel for the show. It's just Diabetes Connections over on YouTube, I will put a direct link in the show notes. And while it is kind of fun to watch these things, you don't really miss that much just by listening. In the trivia section. I will say there are three questions that are show and tell. But I do describe what the guests are seeing. I think you'll easily get it even if you're just listening. As always contestants are selected at random from the Facebook group from Diabetes Connections, the group, so make sure to join me over there because we do this now a couple of times a year, especially with everything virtual and people on zoom. It's so much easier to record these than in the past. I still really love doing it live and I hope to do that someday again soon. But in the meantime on with the show, recorded in November, and played at friends for life the first weekend of December 2020. Welcome everybody to wait, wait, don't poke me the diabetes Game Show. If you have heard the NPR version of Wait, wait, don't tell me. This is our version. So we apologize to NPR in advance. In this session, you are going to meet some terrific people living with diabetes or who have diabetes in their families who have gone above and beyond to help the community and we're going to have a laugh or two, probably at their expense. Wait, wait, don't poke me. We'll feature trivia bluff the listener and much more. But before we get to the games, let's get to our panelists. We'll do a quick intro and then we will get started. So first let me bring in Justin Masterson. Justin Hi, I first met Justin, when we were talking on the podcast about his walk a mile cards and exercise and empathy, a teaching tool to help those with diabetes understand a little bit about what people with diabetes go through every day. Justin's daughter was diagnosed with type one when she was five. She was diagnosed on her birthday. Yeah, he is in charge of strategy at seek a market research firm. Fell old is your daughter now just Justin Masterson 2:55 she just turned 11. So her birthday was just a few days ago, Stacey Simms 2:58 when she was really diagnosed on her birthday. Justin Masterson 3:00 it well. She fell on her birthday, but we got there the next morning. So it was technically the day after but she's now been six years and and living very well. Stacey Simms 3:11 That's awesome. All right. Well, we will hear more from you for sure. I want to bring in Lauren laning and Lauren is a familiar name and face to many people and friends for life. She's been there usually at the first timers since the very first ffl in 2000. She used to run registration at the elementary program now she leads the moms and the first timers. Lauren's daughter Monica was diagnosed in 96. And she has been I can say first and amazing at these muffle meetups. We've been doing boring. The muffled meetups have been awesome. Thank you. Oh, I Lauren Lanning 3:45 love them. It's great. It's great being able to connect with the fit. Stacey Simms 3:50 Yeah, so your daughter was diagnosed in the 90s. How was she doing now? Lauren Lanning 3:54 She is doing great. She's 20 she'll be 27 in a couple weeks. And she's at p in PA school at Stanford right now. Gotta brag. Wow. Stacey Simms 4:04 Yeah, go for it. That's awesome. And rounding out our panel is Chelsea rice. I Chelsea, he was diagnosed with type one as an adult at the age of 25. He's been part of the diabetes community since I can remember. Chelsea is a stand up comedian who doesn't just talk about diabetes, of course, but he has been honored by diabetes forecast Magazine as one of their people to know and he has brought much needed education and humor to groups like healthy voices and Chelsea, your you've really found a talent this year for making soap. I've been seeing all this beautiful soap. Chelcie Rice 4:37 Yeah. I've been locked in the house for quite some time. And so, you know, you get stuck with the phone in your hand and you get started looking at YouTube is like, you know, you take a shower, like you make stuff. So it's I mean, and that was like I and it's something that I that I do, if I see something that I get interested in Figure out. How do you make it? So that's how I even started. That's how I started baking. barbecuing. All this stuff is just like I just, you know, try to figure out okay, how do I do this? And so it just, I just picked it up and is is really kind of easy. And the funny thing is when I started just posting pictures, I was like, hey, how can I buy something like you know what I put in his name? I'd be like, you don't even know me. Stacey Simms 5:29 The soap looks gorgeous knows. I actually thought it was I thought it was food when you were first. Chelcie Rice 5:33 Yeah, no. That's the funny thing about soap is like, I mean, people talk about it. Okay, I've joined some soap groups on Facebook. Justin Masterson 5:45 That is such a quarantine thing to say. Yeah, join some soap groups on Chelcie Rice 5:48 Facebook like and that's the thing is like people were saying like, Okay, well, you know, people are quarantine now they're at home and they learn how to cook more than like baking sourdough. Random like, wash your hands with sourdough. I can make them fortune over this. So Stacey Simms 6:03 all right, well, as we move on here, you are each playing for a contestant who has been selected by random from the Diabetes Connections Facebook group. So let me tell you, who you are playing with and for and we thank them very much. So Michelle Briggs is playing with Justin. All right, Michelle. Yeah, fi Comstock is partnered with Chelsea. And Caitlyn states is with Lauren. So no pressure. But these very loyal wonderful podcast listeners are counting on you. Alright, Caitlin. Unknown Speaker 6:40 money involved? Am I gonna, ya Stacey Simms 6:43 know, hey, look, it's all virtual be tough to get Oh, well, yeah, Unknown Speaker 6:45 you know. Stacey Simms 6:46 So we're gonna start with trivia. And each of you has five questions. I'm going to know we'll take one person at a time we'll go through the questions. Don't chime in with the answers. But feel free to chime in if you have a comment or something you'd like to add. Or if you have personal experience, these are all diabetes community questions. They're not all about diabetes, which will become clear and write it Don't worry, don't worry, it's not, you're not going to be judged. I also do have some show Intel because we're at home in my office. So I thought why not? pull some stuff off the shelves and ask you about it. Alright, so we're gonna start with Justin. Everybody ready? I would stare at the clock if I had one. But hopefully we'll just we'll we'll just let you know when you're at a time. All right. Our first question comes from the field of sports. NFL tight end Mike Moore. I'm already messing up. NFL tight and Mark Andrews has type one. And he plays for the Ravens. He keeps a strict diet around games reportedly eating for eggs before every game and the same kind of sandwich the day he plays. And the night before. This sandwich is a staple of school kids. What is it? Unknown Speaker 7:57 Oh, man. Justin Masterson 8:00 My school. We ate a lot of chicken fried steak and salsbury steak. I don't think either of those qualify as sandwiches. I'm going to say it's the school kid. It's going to be a pb&j. I mean what's better than a pb&j? Stacey Simms 8:16 It is a PB and J and he says a lot of peanut butter. Not a lot of jelly. He prefers the complex carbs that come in. But I would think that the chicken fried steak is a complex something. Yeah. Unknown Speaker 8:30 It's complex. Chelcie Rice 8:32 Complex. There's so many complex things that go in it. Yep, yep, yep. Stacey Simms 8:36 All right. Excellent. All right. Next question. There is an eternal flame at Banting house, the Canadian National historical site where Sir Frederick Banting woke up in the middle of the night with the idea that led to the discovery of insulin. The flame is meant to burn until there is a cure for diabetes. It was lit by the Queen Mother. In what year? And this is multiple choice. Wow. 1979 1989 or 1999? I don't think this was featured on the crown. So Justin Masterson 9:07 it took it took him like 50 years to get this flame idea going. Unknown Speaker 9:11 Oh yeah, well, at least Yeah. Justin Masterson 9:15 I feel like it would be I feel like it would be in the 70s that feels like it was enough time to get the Queen Mother on board. I'm going to say 1979 Stacey Simms 9:23 incorrect. At 88 which I think is weird. I would have thought it was like 1959 but Chelcie Rice 9:32 okay, was all the rage on MTV. So Stacey Simms 9:36 I just finally figured out all the Elisabeth's in the royal family because of the crown the Queen Mother and the Queen girl anyway. Okay. All right. This is a an entertainment question for you. So brec bassinger is the young actress who stars in the CW hit show star girl actually got great reviews. It's been renewed for a second season. She lives with type one and her previous series was nickelodeons Bella and the Bulldogs and your daughter might have watched this. Maybe not. What sport did the Bulldogs play this whole show centered around this team? Was it football, baseball or soccer? Justin Masterson 10:16 Sometimes my thinking sounds a lot like googling. Now, I'm gonna say it was a soccer team. It had to be the Bulldogs soccer game with Stacey Simms 10:31 the quarterback. She was the quarterback. Justin Masterson 10:36 Michelle, I'll send you something nice in the mail. I'm just sorry. Stacey Simms 10:40 Well, there's a lot of game to go. There's a lot of Don't worry, don't worry. All right. Um, here's one. You know, I, I gave this answer away in the introduction. I don't know how well everybody was listening. I do this sometimes. Alright, here's the question. How old is the friends for life conference? I mean, what year of the conference? Is this year's 2020? lorincz. Unknown Speaker 11:07 Don't say any. Okay. Justin Masterson 11:10 1999. How about that? Stacey Simms 11:15 Well, I'm gonna give it to you. Because it is the 21st year, but it started in 2000. Right. All right. But we'll give it to you. We'll give it to you. That was on the line that was on the line. Okay. And your last trivia question, or this is a show and tell. I hope I don't get in trouble for this. We love all our sponsors. Okay. In in 2018. I don't know how well you can see this. Yeah, in 2018. Can you see this? Okay. accucheck had a diabetes awareness campaign where they sent out these hands, promoted by country singer, Ben NRW. The idea was that you'd make the symbol, right. And you would upload a photo to your social media platform with this hashtag. And then their parent company would donate if they would donate a buck to diabetes, education and awareness. So here's the symbol. What was the hashtag? Was it give a book about diabetes, Buck off diabetes or go buck diabetes? Justin Masterson 12:16 I can't believe any of those are true. Unknown Speaker 12:19 I'm gonna read it again. Stacey Simms 12:25 All right, we look at the answer in just a moment. What do you think it is? But first, Diabetes Connections is brought to you by Jeeva Kibo pen had almost everyone who takes insulin has experienced a low blood sugar and that can be scary. A very low blood sugar is really scary. That's what tchibo Kupo pen comes in. Chibok is the first auto injector to treat very low blood sugar. chivo hypo pen is pre mixed and ready to go with no visible needle. That means it's easy to use. How easy is it? You pull off the red cap and push the yellow end onto bare skin and hold it for five seconds. That's it. Find out more go to Diabetes connections.com and click on the G book logo. g Vokes shouldn't be used in patients with pheochromocytoma or insulinoma. Visit Chico glucagon.com slash risk. Now back to the game and Justin is trying to guess the buck hashtag Justin Masterson 13:18 give a buck for diabetes buck off that diabetes or go buck Stacey Simms 13:24 go buck diabetes. Unknown Speaker 13:25 Oh my gosh. Justin Masterson 13:29 I'm gonna say it was a buck off. Oh, hey, if those guys ever need some marketing consulting, tell them to give me a call. I think they might be on the wrong track from well, Unknown Speaker 13:43 less. Stacey Simms 13:43 You do Chelsea? Chelcie Rice 13:44 Yeah, I do remember that when I remember seeing is like are they really going with this one? That was Stacey Simms 13:51 there. Remember that at all? Ben rule. It wasn't it was not too long ago. It was 2018. He was on the Today Show or one of the morning shows. And it was it was really cute. I think they had a bull riding thing. I mean, it was really cute. Except for the part that was alright, you did great. Chelcie Rice 14:10 I gotta say, though, when you first pull that out. I thought that was a flying finger of fate from laughing in Asia, but yeah. Which finger to show first it getting easy. We don't want to give it away. Stacey Simms 14:31 All right. So Justin, thank you. Standby. We're gonna move on to Lauren. Now for the other trivia questions. And we're starting with technology. Right this year Insulet changed the name of their hybrid closed loop system from Omni pot horizon to something else. Do you know what they changed it to? Unknown Speaker 14:51 Ah, Unknown Speaker 14:54 no, I don't it's Oh, I'm so bad. No, no, Stacey Simms 14:59 it's Omni. Hi. Lauren Lanning 15:03 I can't remember no go. Stacey Simms 15:06 Sorry, Caitlin. Anybody? No Omnipod five. I don't don't ask me what coober Omnipod five man, Unknown Speaker 15:15 yet Anyone else? No, Unknown Speaker 15:17 no. Justin Masterson 15:19 I know about the Omnipod five as a thing. It just never occurred to me you would change from horizon to five. It feels like a downgrade and Stacey Simms 15:26 it's Omnipod five powered by horizon. Unknown Speaker 15:29 Oh god. Unknown Speaker 15:30 I don't know, either. Okay. Stacey Simms 15:33 Okay, so this one is a little silly, but I enjoyed putting this one together. Major League ballplayer Adam Duvall was diagnosed in his early 20s. He's had a great season with the Atlanta Braves. But in the minors, he suited up with the August green jackets, which is just a great name. What is the mascot of the minor league baseball team? Augusta green jackets. I'll give you three choices because this really has nothing to do with diabetes, but I thought it was funny. Is it an anthropomorphic green jacket? Like you know the Masters little green jacket? Is it a fierce green insect? Or is it a little green golf caddy? Lauren Lanning 16:17 I'm going with the answer. Look for thick, Stacey Simms 16:21 green jacket. green jacket that looks like a person. Yeah, no, it's a green insect. It's the like a yellow jacket. jacket. It's got a little stinger. It's very cute. It's very cute. I had nothing to ask about Adam Duvall. Sorry. All right. Here's a here's another one. You might know this one. Eric church, just one Entertainer of the Year at the Country Music Awards. I was in attendance a couple of years ago when he gave $1 million to a local jdrf chapter at their Gala. What is his connection to diabetes? Is it Oh, go ahead. Oh, we are multiple is his connection. He's got a connection of type one. Is it his mother, his daughter or his wife? Lauren Lanning 17:08 His mother, it is his mother Unknown Speaker 17:10 act. Yeah. Excellent. Yes, his Unknown Speaker 17:12 mom got one. Yay. Stacey Simms 17:16 All right. Um, diabetes, mine ran an article earlier this year referencing how many potential cgms are in the works currently being studied or built or trademarked? How many CGM continuous glucose monitoring systems Did they say are potentially coming? 1929 or 39? Lauren Lanning 17:41 I'm going to go with 29 Unknown Speaker 17:45 it's 39. Wow, Unknown Speaker 17:48 isn't that crazy movie? Unknown Speaker 17:49 Yeah. 39. Unknown Speaker 17:53 Hey, Chelcie Rice 17:56 we really need that many choices. Stacey Simms 17:58 I don't think we're gonna get that many but let's all throw in. Chelcie Rice 18:02 I mean, 39 What are we gonna be buying cgms at like, you know, Kroger or something. Stacey Simms 18:07 People like poor Gary shiner. The You know, there's certified diabetes educator who tries every system he's gonna be covered. Justin Masterson 18:12 So let's just work through all those you can only wear for the time before it really. Stacey Simms 18:19 Unfortunately. Lauren Lanning 18:21 I was on an airplane with him. And I think we were going to London for CWT conference. And i ne had on like, a, he had on a few different pumps testing. Yo, what happens? It was it was interesting. He's Stacey Simms 18:37 amazing. All right, your last question. Great, Chelsea. Chelcie Rice 18:41 No, that was just imagining and trying to go through ATF Yoda. Unknown Speaker 18:45 All that. Unknown Speaker 18:48 Want to explain. Stacey Simms 18:52 Just I'm just beeping every two minutes. Don't mind me. Lauren, here is your show Intel. This is one of the Bibles of diabetes care, right? The Pink Panther book. This is the ninth edition from the year 2000. I think we're all very familiar with this. But the question is, when was the Pink Panther book first published? Was it 1970 1980 or 1990? Didn't didn't. Donna Lauren Lanning 19:25 nine teen. Wait a minute. Wait a minute. It's Monica's Dr. Monica used to go seek Paperchase. Oh, and I used to work for the children's diabetes foundation who publishes the that book. I know this. Ah, it's 1970 Stacey Simms 19:50 it is it is 1970 who knew I didn't know you knew that. That's a Lauren Lanning 19:55 thing. Do the math because Dana was died. Dana Davis was diagnosed And she's got this old and I have to do the math. Stacey Simms 20:04 Yeah. And Barbara Davis center of course is where that so Chelcie Rice 20:07 that free, right? Corning fiberglass marketing? Lauren Lanning 20:13 No I think they paid oh yeah they paid for all the Pink Panther or no did they? Did they pay for it? There were there were very strict rules around how to use the Pink Panther. Well, and everything has been Stacey Simms 20:30 okay in my, in my research, I found that the first two monograph printings were in the 60s created by a parent to their basement using an old army press and sent out for free. So kids gather round and learn how we used to use paper. Actual publication of the book was in 1970. But isn't that crazy? They did have to get they continue to renew the agreement to use the Pink Panther. I have asked many times, Lauren, maybe you can find out for us. What the heck does The Pink Panther have to do with anything? Why The Pink Panther and diabetes? Unknown Speaker 21:06 right why Bart? Burke? Unknown Speaker 21:09 green jacket? Unknown Speaker 21:12 The anamorphic. Stacey Simms 21:15 Yeah, and Okay, so you guys are actually tied at three points apiece Chelsea to take lead. Unknown Speaker 21:20 Oh, my gosh. All right. You're Stacey Simms 21:21 ready. Here we go. Chelcie Rice 21:22 Sure. Let's go for it. Stacey Simms 21:24 All right, the happy Bob app was released this year. It's been a very big hit. You can use it with your CGM readings, and it tells you encouraging messages. But they have since added a snarky Bob who tells you not so encouraging things, it kind of insults you a little bit. And they've added a female counterpart. What is the name of the female counterpart for happy Bob? Is it Karen, Mary Jane or Bobby? Justin Masterson 21:48 Please be Karen please be caring. Chelcie Rice 21:52 Oddly enough, I downloaded this app a few weeks ago. And in fact, it is Karen and I was very surprised that I was like, for real? Stacey Simms 22:03 It is it's the it's like your annoying, annoying neighbor. I've reached out to them. They're gonna podcast like who comes up with this stuff? I Justin Masterson 22:10 just love it. Karen would like to speak to your blood glucose manager, please. Stacey Simms 22:14 Exactly. Chelsea, the in person at the in person friends for life conferences. And they send these out now with the virtual ones as well. They're always colored bracelets. Lauren, back me up here. Right green for people with type one orange for family members. When did they add the bracelets? Was it 2002 2008 or 2012? Chelcie Rice 22:41 I'm just thinking back to when the whole bracelet thing first dropped because because you know what the lance armstrong thing? Unknown Speaker 22:51 Oh, yeah. And Chelcie Rice 22:55 I'm gonna just throw it out there and say 2002 Stacey Simms 22:59 Yes, it was 2002 had nothing to do with Lance Armstrong. Although those rubber bracelets were, you know, probably 90 Gosh, at this point. But the idea was the first couple of years. They you know, they were just trying to start things out. And then they were seeing the kids without their parents around eating. And it was like, well, who has type one and who doesn't have we've got to figure Lauren Lanning 23:22 and when you see a kid sleeping in the hallway with glucagon or et you let them sleep because he's fired. Chelcie Rice 23:31 They had to rule out the whole thing like just get into tranquilizer gun into tagging them like to do a wild kingdom. Stacey Simms 23:40 Didn't my house Anyway, when they were preschool? It's much easier. Alright Chelsea I know you're a big fan of this show. The baby sitters club was a big hit on Netflix. Season Two is coming soon. The characters the character Stacy on the baby sitters club lives with type one of course very popular book series. So at the end of the episode, there were Stacy comes to terms with her diabetes. She asks her parents for a designer diabetes item. What is it? Was it I'll give you choices here. A Gucci fanny pack for pump supplies. A Gucci branded pump clip, or a Gucci cover for her CGM receiver Chelcie Rice 24:25 shows so much Stacey Simms 24:28 It's really good. Kids are way too old but we watched it anyway. And it was very good. Chelcie Rice 24:34 We've been streaming Dexter for the past couple of days for Stacey Simms 24:38 different different audiences. Yeah, Justin Masterson 24:40 five is almost no overlap. Like Stacey Simms 24:43 Mike we're this though. You could see where it could come in handy. Chelcie Rice 24:47 I was gonna what was the first one you said Stacey Simms 24:49 a Gucci fanny pack for pump supplies. Chelcie Rice 24:52 That's what I was gonna go with a fanny pack. Stacey Simms 24:55 And that is correct. It is a Gucci fanny pack. She does not get it. But she Justin Masterson 25:01 does bedazzle the heck out of her pump though. And yeah, it's cool because for the rest of the series, you can see her pump like they leave it visible, which I think is really neat. Stacey Simms 25:10 I think they did a very good job with it. I'm very happy. Yep. All right, Justin Masterson 25:13 Stacy, did you cry when you saw that episode? Stacey Simms 25:17 No, I cried. No, I'll tell you when I cried was the other episode when the dad like the dads falling in love and they don't know if they want him like I know cuz I have a boy with diabetes a different Justin Masterson 25:30 kind of messed up. My daughter was cool as a cucumber and I was just fountains over here. It was a mess. I was Chelcie Rice 25:37 like, I'm not missing anything. Stacey Simms 25:43 All right, well, here's another one slightly different angle here. Chelsea. ominous beeping shut down the Forsyth County Courthouse. Not too far from me in North Carolina earlier this year, as law enforcement investigated a possible bomb threat. It turned out to be a diabetes device. What was it? Was it an omni pod discarded in the trash? a defense attorney with a Dexcom or a judge who let their t slim x two insulin pump run out of insulin. Chelcie Rice 26:17 I was gonna say, what was it that was in the trashcan? You said it was an omni pod. I'm gonna go with that. I'm probably in the trashcan. Because it seems like you know, anybody's going crazy and shutting the place down ahead of in something. Because like, if it was somebody was beeping, they just like get up and run away or something. Stacey Simms 26:33 Oh, yeah, you are correct. That was and that gave it away with the answers very good to see the deductive reasoning that interestingly, this was the second time in about three years that a North Carolina municipal building was shut down by an army i'd beeping. Chelcie Rice 26:48 Previously, God walked through the courthouse. Stacey Simms 26:55 That could happen. All right, our last tell our last show and tell me let me make sure there's nothing that's like, Okay. I'm not my microphone. This is our last show until a pop company had a line of toys like this, each of which was comfortable, sort of on the land or in the water. I think they also had a walrus, they had a penguin they had they would change the stuffed animal every year. The company is no longer in business. Was it? deltec Cosmo, the Animus or a Santee snap? Chelcie Rice 27:35 vaguely remember this, but I'm thinking is second want to animate? Stacey Simms 27:41 You are five for five matches? Yes. And Benny, the Bengal tiger. So of course I had to keep because my son's name is Benny. Chelcie Rice 27:50 What am I Why am I remembering that? For some reason? Stacey Simms 27:53 I don't know why you remember this thing? It's got to be seven years old. But I don't I mean, atomists went out of business officially in seventh 2017 or 2000. Chelcie Rice 28:01 I think when we I think when I was at, for instance, that you that was like the last time anybody who's seen animals that I remember after that they just pretty much is like, you know, walked off into the sunset. Justin Masterson 28:16 And we I remember animus is they went out of business the day after we signed up for an animist pump. Oh, so for my daughter, so she was finally ready to try a pump with tubes on it. And we were like, yeah, we signed up for an animist pump. Yep. And we and we took it home from the clinic and everything and we had just trained on it and they're like animals go out of business. We never took it out of the box. Stacey Simms 28:37 Wow, I'm so mad at them. We love them so much. And I actually it's a long story, but they're one of the reasons why I was able to come into the diabetes community the way that I did they like my blog and I want to speaking and writing for them. And they had this they had great studies on their hypo hyper minimiser. They were one of the first you know, hybrid closed loops that were coming and then Johnson and Johnson pulled the plug. All right, we are in excellent shape. We have Justin I'm actually keeping score which I usually forget to do. Justin Lauren are tied. Chelsea is in the lead. And now it is time to move on to the bluff the listener portion of our show, and we have a real live contestant with us. Tripp stoner is joining us and Tripp you're on the road. Thanks for thanks for jumping in. Unknown Speaker 29:22 No worries. I'm near you. Stacey Simms 29:27 I heard so you're from Atlanta, but you're passing through North Carolina. Um, let me ask you, if you don't mind, tell us a little bit about who you are your connection to diabetes and what's up with your friends for life usually, Unknown Speaker 29:38 um, I am a type one myself. I do a little bit of blogging here and there. I'm not as passionate as y'all are. But I've been with friends for life now for going on. I think four years. I'm kind of behind the scenes most people don't even know I'm on the staff which is a good thing. I'm just there to help whoever needs help. That's pretty much it. Stacey Simms 30:03 Awesome. All right bluff the listener section, you have to guess which of our panelists is telling the real story of something that happened in the diabetes community. Right back to the game in just a moment. But first Diabetes Connections is brought to you by Dexcom. And it is hard to think of something that has changed our diabetes management as much as the share and follow apps. The amazing thing to me is how it's helped us talk less about diabetes. That is the wonderful thing about share and follow as a caregiver, parent, spouse, whatever, you can help the person with diabetes manage in the way that works for your individual situation. Internet connectivity is required to access Dexcom follow separate follow app required, learn more, go to Diabetes, Connections comm and click on the Dexcom logo. Now back to the game and we are moving into bluff the listener. All right, so we're gonna take turns reading here. Our subject this year is diabetes mascots. And they are of course as we've already seen, those adorable furry friends have helped make type one a little less scary for pediatric patients. But honestly they can be a little bit weird. So Chelsea, why don't you go ahead and go first I'm going to give you the floor here let me let me do this. There we go. All right trip can hear us. Chelsea you're gonna read your story. And then after we hear from everybody triple let us know which is the real thing. So go for it. Chelsea. Cool. Chelcie Rice 31:39 Alrighty, Rufus is the adorable teddy bear that jdrf gives out to newly diagnosed families. But many don't know that the bear with diabetes is named after American Canadian singer Rufus Wainwright. As a child growing up in New York, Wainwright was hospitalized with acute appendicitis. Turns out his best friend Brian was in the same hospital receiving a type 1 diabetes diagnosis. The Wainwright recovered quickly, but Brian had to stay for two weeks. Future singer insisted on visiting every day until his friend came home. Later that year, Brian's mother worked with jdrf to create a toy to help kids learn to do shots through play. By then Wainwright's family had moved to Monterey. Also, she named the bear after him to give the boat give the boys a nice way to remember each other. Stacey Simms 32:30 Very nice. Okay, so that is our first story trip as you are listening. Keep that in mind. All right, Chelsea, I'm going to switch you out with Justin. You're up Justin, what's your mascot story? Justin Masterson 32:43 This is a nice follow up story. So after the success of Rufus from jdrf, and Medtronic, Lenny the lion, other diabetes companies decided they needed a mascot to but what animal would appeal to kids and make sense for Omni pod? In the mid 2010, the makers of that system decided to ask their customers Insulet asked kids to come up with not just their mascots name but its species. What kind of animal goes with a tubeless pod type insulin pump. They got some creative submissions such as a dolphin and a puppy named Potter. Get it? PAWD er Potter, Omni pod chose a turtle because they say the shell resembles a pod then because turtles are at home on land and in water just like their system. The trademark for turtle Potter. That's the actual trademark was issued in 2016. And Toby was a central part of omnipods teaching app launch that year. Why is he named Toby? That's only for the turtles to know. Stacey Simms 33:48 Mm hmm. Justin. Okay. And our third story for a diabetes mascot comes from Lauren take it away. Lauren Lanning 33:59 Okay, Tandem is the current sponsor of beyond type one snail mail program, which of course has a cute little snail mascot. But the makers of the T slim x two pump have been working on a separate symbol of their own instead of a fluffy friend. They've decided on a bicycle built for two. That's one meaning for the word Tandem, of course, a bicycle with seats and pedals for two riders, one behind the other. Before COVID hit, they were planning to launch this as a stationary attraction at diabetes conferences. The idea was to have fun contests like how far can you and your dad pedal in five minutes? What happens to blood sugars when you hop on the stationary bike? They were also going to have children at the conferences, decorate and even put features like eyes and smiley faces on the bikes to see if it could work as an actual mascot. All right, so Stacey Simms 34:59 trip. The question is, is the real story? Rufus Wainwright inspiring Rufus, kids picking the turtle for Toby the turtle or tandems bike extravaganza at conferences if it wasn't for COVID Unknown Speaker 35:19 um, I believe it's going to be Rufus. If I remember the story right. She eventually set up quite a few women's sewing those bears together to hand out to other children at their local Children's Hospital. Stacey Simms 35:35 Well, Chelsea, was that the real story? Chelcie Rice 35:41 Let me check your email. Unknown Speaker 35:46 No, no. Stacey Simms 35:50 The there's just enough truth in that one. Yes. There was a wonderful mom the kids name was Brian. So I apologize for sticking that in there. But Rufus Wainwright has nothing to do with Rufus the bear Justin had the real story of Toby the the turtle although I've got to say I wish and Tandem for a licensing fee you can have that idea from me for and I wish your idea was your story there was true I love that one. Justin Masterson 36:18 It does remind me of the the contest that they had to name the the boat and they named it boaty mcboatface. So I think they got a lot better with Toby the turtle they Stacey Simms 36:33 will chosen for that for fooling everybody. Chelcie Rice 36:37 They change it to Rufus our freight train Jones. Unknown Speaker 36:40 Oh, like that Chelcie Rice 36:41 real wrestling fan out there. You know? Yeah. Old School wrestling, you Stacey Simms 36:46 know. will trip. Thank you so much. That was a lot of work. I know on your part to join us. But we appreciate you dialing in and making it work. So thank you so much for playing. Unknown Speaker 36:59 Thank you. Y'all have a good day. It's great to see all of y'all. Unknown Speaker 37:03 You too safe drive and travel. Unknown Speaker 37:05 Thank you. Stacey Simms 37:08 Greet job, everybody. That was funny. All Justin Masterson 37:12 right. I love these stories. They were really well written. Stacey Simms 37:15 Good art. Thank you. That's my favorite part of doing this. The hardest part is just coming up with the object after that. It's easy. Yeah. But man, thank you. Lauren Lanning 37:24 All right. Thank you, OSU. We'll be showing you some royalties on that. How could you not Stacey Simms 37:28 do that man at the conference? That's Justin Masterson 37:31 such a great idea. Stacey Simms 37:33 I'm sure. I'm sure their marketing team has thought of it and dismissed it. Justin Masterson 37:38 Somehow buck off diabetes got through. Unknown Speaker 37:41 Yeah. Chelcie Rice 37:43 Really, really bad ones. Stacey Simms 37:53 are moments people have got a deadline people? Oh, all right. So finally, we are moving on to our limericks now I will read a Limerick to each of you. If you complete it correctly, you will get an additional point. So the topic here is people with diabetes on reality television. So the the answer and I shouldn't give you too much information here. But I think I'm a terrible Limerick writer. So I will tell you that the answer I'm looking for is the name of the show. All right, so Lauren, we're gonna start with you. I apologize in advance these are really bad. I you know, when I learned that on Wait, wait, don't tell me they have like a guy who works on this all week long. He's I don't know if you're not but he's Yeah, but that's what he does. So forgive me. There we go. All right. Remember these reality shows where people with type one appeared. More in this show could be called the CO ket. And a crowd of contestants. Well met Michael among the poor schmoes who didn't get that rose desert he said no thanks on the bachelorette. Yes on the bachelorette. I know the rose gave it away. But Michael apparently was a contestant with type 1 diabetes on a season of The Bachelor. I think it was 2013 I don't watch that one. All right, Lauren, point for you. Excellent. Chelsea, this one's for you. This show is all over the place. With contestants who rarely embrace. Matt came in first, Leo. Well, he's not worst. It's a long road for Unknown Speaker 39:37 The Amazing Race. The Amazing Race. Stacey Simms 39:39 Yes. Dr. NET strand, one that a few seasons back and Leo is currently a contestant. Hopefully by the time this airs, he will still be on the show. And not out of it yet. So and Leo has a really we talked him for the podcast he lives with type one word, exactly type one but he head was born with hyper hyper insulin ism and had to have most of his pancreas removed. And then he lived pretty normally until he was 19 when he developed diabetes, but we all spotted his Dexcom on episode one. And I tracked him down. Got him on the show. All right, Justin, this is for you. Ready? This competition for fame? features cyclones and Rams and some flames. Chris trained round the clock. Got a hug from the rock. We spotted his decks on Unknown Speaker 40:35 okay, I can do this. Stacey Simms 40:37 This is probably the hardest one sorry, Justin Masterson 40:39 the rocks on it. There are flames involved. Uh, the Titan games? Stacey Simms 40:45 The Titan games? Yeah, the right route. And yes, Chris Rutan competed. Yeah, Season One of the Titans. Justin Masterson 40:51 I remember that episode. That was like the one that my daughter called me downstairs to show Stacey Simms 40:55 me and got a big hug from the rock. Yeah, that was very nice. All right. So we have totaled up the points, which which don't matter for pride. Chelsea is the winner. But everybody gets a prize. Everybody gets a prize. It's just Justin Masterson 41:10 for Michelle, did I come in dead last? And does Michelle somehow get punished for Unknown Speaker 41:14 no actually tie Stacey Simms 41:18 it all around. So in summary, Unknown Speaker 41:23 we have Stacey Simms 41:25 Caitlyn, coming in for a tie for second with Michelle. And fee and Chelsea are the winners. So congratulate all around but it's really well done. Really, aren't we all winners though? And it comes right down to it. Justin Masterson 41:44 I'd like to think so. But some of us are technically and more accurately winners. And that's Chelsea. Stacey Simms 41:48 Well, some of us will find out for winners. If we find out if the show. In the couple of minutes that we have left. Let me just go around and say a thank you. And maybe just give you guys a little bit of a last word. Lauren, you have been amazing keeping the muffles going and everything had friends for life. How's it been for you this year? Are you enjoying it? Is it just more work for you? Lauren Lanning 42:11 I know i'd love it. I'd love the connection. I didn't think that a online would still have the same feel. But it's great connecting with my muffles every other week and hope everyone can join us. Stacey Simms 42:26 Excellent. And Justin, um, you know, I can't imagine it's easy doing this quarantine thing you know, as you were with your family and your daughter was one I know it's not easy for any of us. Anything I see a guitar in the background, what are you doing to keep busy? Justin Masterson 42:39 Yeah, I'm doing a lot of this. A lot of playing music. And I've been one of those folks who has dug into you know, a little bit of cooking and a little bit of fixing the house and I'm not making soap like Chelsea, but I'm doing my very best with what I have. And I'll put in a plug for the dads group. We love being able to run the dads group at friends for life. And if you're not already a part of it, and you're a dad, we'd love to have you I have had some of the most moving experiences of my diabetes journey at the at the men's groups and when amazing questions and amazing learning and then just a lot of camaraderie which I really appreciate. Stacey Simms 43:19 It is such a gift for all parents to be involved in things like that. It really is a gift for your child's if you're dead thinking about it. You've been reluctant because you know, are your manly man, guys don't do that. Please do that. It's wonderful. Justin, thanks for bringing that up. Unknown Speaker 43:31 But Stacey Simms 43:32 Chelsea, where can we buy your soap? I'm not kidding. Chelcie Rice 43:37 No. I mean, you can follow me on like, what Instagram type one comedian type tip number one comedian, Instagram because I'm always, you know, posting pictures on there because of just for the heck of it. I'm not really you know, trying to sell but I'm right, because I don't have like a business license or anything. And you got to have insurance when you're selling something that you're gonna rub on your body and then cause somebody like to lose, you know, you know, something, they made some organ that they may need something like that. So I'm willing to like you just pay me to ship and I'll send you some soap. It's no big, big whoop. Stacey Simms 44:13 And I have to ask you, is there anything that you've made? That's been more interesting? I've seen a couple of things that you've called disasters that I still think are beautiful. Chelcie Rice 44:21 Yeah, I mean, there was one that one of the things that happens when you you mix the lye water into the oil sometimes if you add some additives like fragrances, they react differently. And one that I put in there just like turned it didn't look like cottage cheese. And I thought it was like oh well and so but I put it into the mold anyway and I colored it with a little orange and little yellow. And when I when I when it's solidified it looked like Colby cheese. And so I mean like and the funny thing is they turned out to be really good soap is a really good hand soap. I don't know what to put in it. Oh What you know percentages, but it comes out to this really nice handsoap that doesn't leave your hands all stripped. And I was like, Okay, great. Now I don't know how to do it again. So, memories. Stacey Simms 45:14 That's a great trick, but I can only do it once. Yeah. All right. Wonderful. Well, as usual, we got off topic of diabetes. But thank you all so much for joining me on this for another edition of Wait, wait, don't poke me. And maybe we'll do it again sometime. But thank you all so much for being here. I hope you enjoyed it and had a couple of laughs Unknown Speaker 45:33 Thank you. Lauren Lanning 45:34 It was fun. Thank you. Unknown Speaker 45:41 You're listening to Diabetes Connections with Stacey Simms. Stacey Simms 45:47 I love doing the game show episodes, there's so much fun to put together. I would do it every week, if I had the time. And if I could come up with that much diabetes trivia. Anyway, you can listen to our previous weight weights at Diabetes connections.com there is a very robust search on the website with more than 340 episodes. Now, we really want to make it easy for you to find what you want. So you could just search weight weight or game show this past summer at friends for life. I did a Hollywood Squares because zoom just looked like that to me. So I did Hollywood Squares for the game show but you can find all of that and much more over at Diabetes connections.com Thank you to my editor john Buchanan. So for audio editing solutions, and thank you so much for listening. I'm Stacey Simms. I will see you back here next week. Until then, be kind to yourself. Benny 46:43 Diabetes Connections is a production of Stacey Simms Media. All rights reserved. All rounds avenged Transcribed by https://otter.ai

In this episode I talk to Aaron Peters, one half of the Australian architect duo Vokes and Peters. As a company they have designed numerous award winning houses in and around Brisbane. We talk about the recently completed project, Teneriffe House.The project can be described as a kind of greatest hits of their work so far, as it embodies so many of their principles and to approach to the design of homes and architecture in the wider sense. An existing colonial style Queensland home has been raised to sit atop a new concrete colonnaded pediment and has been extended with an angular shingle clad extension to create a stunning and varied home.There is so much going on in this project, journeying through the house is like exploring a well-designed art gallery, with contrasts in materials, in natural light, and in spaces of both prospect and refuge.At the end of the episode, I ask Aaron the three questions I ask all my podcast guests;– what really annoys him about his home?– what house has he visited that has really inspired him?– and, if he could choose anyone to design him a new house, who would he choose?You can find out more about their work at https://www.vokesandpeters.com/ and on the podcast Instagram. I hope you enjoy listening.

Professors Tess Wilkinson-Ryan and Dave Hoffman discuss a student's claim for rescission on a contract for thousands of hours of dance lessons in the 1968 case Vokes vs. Arthur Murray Dance Studios.

To say the COVID-19 pandemic has dramatically changed the world as we know it is an understatement. If anything, it has brought human, economic, and social crises of unprecedented proportions. It has also left people feeling anxious, bored, worried, and isolated. To help us make sense of it all, I’ve invited Dr. Ted Vokes, senior partner at E.M. Vokes, Ph.D. & Associates onto the podcast. Dr. Vokes has over 25 years of experience as a trainer, applied researcher, and consultant for diverse consumer-based, non-profit, profit, and government organizations. Apart from designing and facilitating over 300 process consultation interventions, Dr. Vokes also specializes in executive coaching, crisis management, conflict resolutions, leadership and culture management, and many others.In this episode, Dr. Vokes provided beneficial and interesting insights that are relevant to our current situation. More importantly, he also shared expert guidance and wisdom to help us better navigate these challenging times. Today’s episode is worth its weight in gold, so please don’t miss it!For show notes, blog posts and past guests, please visit: www.toolspodcast.comSign up for Colin's newsletter HEREInterested in sponsoring the podcast? Please fill out the form at toolspodcast.com/contactFollow Colin:Instagram, Twitter, Facebook, Youtube, LinkedIn

In the latest of a series of wide-ranging chats with Championship stars, Jonathan Oakes and Danny Higginbotham speak Stoke City pair Danny Batth and Sam Vokes about 'bouncebackability', boss Michael O'Neill, gelling as a squad, learning from past experience and much, much more!

Join Matt and Daniel on Inside The OC as they talk with Ron Vokes, the 2009 Regular All-Events champion! Vokes set a record with 30 consecutive strikes en route to the title, a record that still stands today.

On this week's Sky Sports EFL Podcast, we assess all the weekend's action, including West Brom's surprise FA Cup win at West Ham and whether that can help improve their stuttering Championship promotion push.We then look at Stoke after their impressive recent weeks over the Baggies and Swansea, and the impact Michael O'Neill has had there, before Sam Vokes answers our questions in Ten To Tackle.Attention then turns to League One and League Two sides, including all the weekend's FA Cup action after a bizarre 'home game' for Coventry against Birmingham, Shrewsbury's impressive draw with Liverpool, and Ipswich heading back to the top of the table.We also have an exclusive interview with Sunderland boss Phil Parkinson following their recent upturn in fortunes.New episodes every Monday!

Alright, tough times are inevitable, so how are you going to deal with it? Because even if you try to avoid it, that’s the way you choose to deal with it. Kristin Vokes comes back to talk about dealing with your life. Are you going to allow yourself to feel it and work with it or are you going to try to run screaming? We discuss some of our philosophy behind the back and forth of difficult days and how there are always different and still effective ways of working with your life.

Ever feel like you’re on the edge of realizing something or figuring something out but you just don’t have all the pieces yet? Then you have that one conversation that just fits it so nicely together and you walk away with this resonating “aha!” feeling. Everything makes a little more sense. It makes enough sense, anyway, that you can rest easy for a bit and gain the strength needed to make the next push into trying to further sort out how you want to function in the world. Welcome to this episode. Kristin Vokes sits down with Optimistically Depressed to dive right into the questions of how to view your life and keep moving. Enjoy the refreshment, everyone. And Happy Halloween. Listen: Spotify: https://spoti.fi/2Yi8bhw iTunes: https://apple.co/2J3WFhN Connect with Optimistically Depressed Instagram: https://www.instagram.com/optimisticallydepressed Facebook: https://www.facebook.com/optimisticallydepressed Twitter: https://twitter.com/optmlydepressed About Ruth: Ruth McMullen is the creator and host of Optimistically Depressed, a podcast where mental health, hurt, life philosophies and anything in between can be discussed without shame. Ruth is an advocate for mental health and has openly shared her journey with depression.

Jaime Vokes is the singer, guitarist and manager of covers band Hands Off. Hands Off have included many top musicians and have been playing bars, weddings and functions for twenty years. They're a full time band performing several times a week and they truly operate as a business. As well as rehearsing regularly the band juggle all aspects of the business; the promotion, admin, customer liaising and all the necessary preparation. On a recent episode we spoke about some of the frustrations bands face dealing with booking agents. Jaime wrote to us to say he knew exactly what we meant and in turn, we invited him to come on the show and talk about his experiences running a longterm professional band. Lovely guy, fun chat and lots of great tips for the music community. Enjoy!

The Music Featured On This Weeks Episode Is From The Following Albums: Howard Vokes – Tragedy & Disaster In Country Songs (1963) Patreon.com/oldsoulradioshow (Subscribe to show on Apple device) Itunes.apple.com/us/podcast/w.b.-walkers-old-soul-radio/id632683666?mt=2 (Subscribe to show on Android device) Stitcher.com/podcast/wb-walkers-old-soul-radio-show Glen-simpson.com All music is used with permission.

This week, as Nick melts down about a Vokes goal, the template is being threatened by the likes of Sterling, Sane, and the Spurs players. We take a look at the fork in the road in terms of premium assets, and think about how we might maneuver to suit the new template. Tom also did […]

On the agenda this Friday morning:Manchester United will need to make Harry Maguire the world's most expensive defender if he's to join from LeicesterA late goal from Burnley's Sam Vokes denies Aberdeen a famous win in their Europa League qualifierGary Anderson fires radio's first ever nine-darter as he reaches the World Matchplay semi-finals For information regarding your data privacy, visit acast.com/privacy

Alex & Dom look into Antonio Conte's & Chelsea's currently crisis/meltdown (whatever you want to call it) after Burnley's shock 3-2 win at the Premier League Champions' opening game of the season at Stamford Bridge. They look at why they lost, were the referee's decisions correct & what is gonna happen in this weekend's game v Spurs at Wembley. Remember to subscribe on iTunes and follow us on Twitter @TheFootballHour #Conte #Chelsea #CFC #KTBFFH #EPL #PremierLeague #BPL #Cahill #Fabregas #Morata #Luiz #Bakayoko #Matic #Burnley #BFC #Clarets #Dyche #Vokes #Ward

Waste is the word this week. No, not our show -- the Premier League football! Missed chances defined the fantasy soccer weekend, from Borja to Pogba, from Vokes to Wilshere. Dave gushes over Lee Grant while Brian tries to defend Claudio Bravo. Dave insists Koscielny wasn't offside, and Scott receives inspiration from Burnley for his limerick. You will also learn something about Belgians, Hornets, and the best Locker Room Dad ever. All that in this week's pod!

Always Cheating co-hosts Josh and Brandon reunite (after Brandon's brief stint abroad) to recap the happenings in GW2 of the #FPL. Looking ahead, this episode's key topics focus on Everton's promising fixtures, midfielder must-haves versus differentials, and the best options for your cheap third striker—which, of course, means that we are advocating strongly for the Aguero and Ibrahimovic combo. We also field your listener questions and highlight some of the crucial fixtures for success in GW3. Hail Cheaters!

Jamie and the panel talk about our first win of the season, Andre Gray's homophobic tweets, and look forward to games again Accrington and Chelsea.

GRACE is happy to present the 8th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss promising early results for treatments targeting new mutations.

GRACE is happy to present the 8th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss promising early results for treatments targeting new mutations.

GRACE is happy to present the 8th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss new trials of targeting therapies used to treat leptomeningeal carcinomatosis.

GRACE is happy to present the 8th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss new trials of targeting therapies used to treat leptomeningeal carcinomatosis.

GRACE is happy to present the 8th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss promising early results for treatments targeting new mutations.

GRACE is happy to present the 8th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss new trials of targeting therapies used to treat leptomeningeal carcinomatosis.

GRACE is happy to present the 6th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss Immuno-oncology developments - combinations and use as first-Line therapy.

GRACE is happy to present the 6th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss Immuno-oncology developments - combinations and use as first-Line therapy.

GRACE is happy to present the 6th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss Immuno-oncology developments - combinations and use as first-Line therapy.

GRACE is happy to present the 6th video in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016.   Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss whether current evidence supports favoring proton beam radiation.

GRACE is happy to present the 5th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the J-Alex trial and whether Alecensa should replace Xalkori as First-Line ALK Therapy.

GRACE is happy to present the 6th video in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016.   Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss whether current evidence supports favoring proton beam radiation.

GRACE is happy to present the 5th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the J-Alex trial and whether Alecensa should replace Xalkori as First-Line ALK Therapy.

GRACE is happy to present the 5th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the J-Alex trial and whether Alecensa should replace Xalkori as First-Line ALK Therapy.

GRACE is happy to present the 6th video in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016.   Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss whether current evidence supports favoring proton beam radiation.

GRACE is happy to present the 4th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the subject of local consolidation therapies for oligomatastases.

GRACE is happy to present the 4th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the subject of local consolidation therapies for oligomatastases.

GRACE is happy to present the 4th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the subject of local consolidation therapies for oligomatastases.

GRACE is happy to present our ASCO 2016 Lung Cancer Roundtable series, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing topics presented at ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the subject of urine or blood testing instead of lung biopsy, showing promise for finding EGFR mutations.     

GRACE is happy to present our ASCO 2016 Lung Cancer Roundtable series, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing topics presented at ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the subject of urine or blood testing instead of lung biopsy, showing promise for finding EGFR mutations.     

GRACE is happy to present our ASCO 2016 Lung Cancer Roundtable series, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing topics presented at ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the subject of urine or blood testing instead of lung biopsy, showing promise for finding EGFR mutations.     

GRACE is happy to present our ASCO 2016 Lung Cancer Roundtable series, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing topics presented at ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the subject of online patient groups and if they can help speed the development of new targeted therapies.  A subject quite important to online groups such as our own GRACE.

GRACE is happy to present our ASCO 2016 Lung Cancer Roundtable series, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing topics presented at ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the subject of online patient groups and if they can help speed the development of new targeted therapies.  A subject quite important to online groups such as our own GRACE.

GRACE is happy to present our ASCO 2016 Lung Cancer Roundtable series, Highlights and New Approaches in Lung Cancer.  Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing topics presented at ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the subject of online patient groups and if they can help speed the development of new targeted therapies.  A subject quite important to online groups such as our own GRACE.

1st Video in the GRACE ASCO 2016 Lung Cancer Roundtable series, featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD.  Dr. West moderates this roundtable discussion highlighting studies presented at ASCO 2016.  For this video, Rova-T is presented as showing promise in Small Cell Lung Cancer. 

1st Video in the GRACE ASCO 2016 Lung Cancer Roundtable series, featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD.  Dr. West moderates this roundtable discussion highlighting studies presented at ASCO 2016.  For this video, Rova-T is presented as showing promise in Small Cell Lung Cancer. 

1st Video in the GRACE ASCO 2016 Lung Cancer Roundtable series, featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD.  Dr. West moderates this roundtable discussion highlighting studies presented at ASCO 2016.  For this video, Rova-T is presented as showing promise in Small Cell Lung Cancer. 

In the sixth episode of the 1.21 Geekawatts podcast we'll discuss the upcoming virtual reality games which were announced at E3 (and are coming soon to a headset near you), and talk to comic book artist Neil Vokes ("Parliament of Justice", "Flesh and Blood") about comic books, horror movies, and his decades in the comics industry!

This week's episode of The GAR! Podcast includes discussion of the following: intro / Neil Vokes / Eagle / Death's Dark Angel / Kickstarter / inkwash and texture / Kindle / the lost ATF! Tapes / Static with Kurt Busiek / Jonny Demon / Kirbyverse collectibles / snowy late Glenn / Ninjak and Acclaim / watching your back / the Vokes-verse / Shadows over White Chapel / independent comics / Camden Comic Con / other cons / Garden State Comic Fest / Neil vs. security / we are definitely recording / more lost tapes / Bryan J.L. Glass / passion / Neil kills The Spirit / more Eagle / Michael Avon Oeming and Adam Hughes / work for hire / legacy / rewriting Superman Adventures / closing / Links: Eagle on Facebook Neil Vokes on Blogger Glenn on Eagle in 2006 Unlikely Heroes Studios All Things Fun! The All Things Fun! New Comics Vidcast American Mythology James R. Tuck Camden Comic Con Garden State Comic Fest Bryan J.L. Glass GAR with Bryan J.L. Glass 2015 Glenn on The Black Forest Glenn on Parliament of Justice Glenn on The Wicked West Biff Bam Pop! The Biff Bam Pop! Podcast Network Glenn's Twitter Ray's Twitter The Adventures of Ray The GAR! Podcast on Pinterest The GAR! Podcast on Instagram The GAR! Podcast on Stitcher The GAR! Podcast on iTunes The GAR! Podcast Group on Facebook The GAR! Podcast Page on Facebook Contact us directly here.  

Janet Vokes shares the incredible true story of the life of Dream Alliance to Amy Stevenson. An inspirational true story of when Jan Vokes, the barmaid at a local working men's club in a little mining village in Wales, overhears a regular talking about the time he owned a share of a racehorse, she decides to breed a racehorse of her own and goes into business with the regular and her husband. Together they buy a £300 thoroughbred mare and pair her with an aging stallion, then unite with 23 friends in the village who form a syndicate paying £10 a week to raise the resulting foal. Raised on a slagheap allotment, to the astonishment of the racing elite, Dream Alliance grows up to be an unlikely champion, until one day disaster strikes... Janet's story is told in the 2015 movie Dark Horse, has won numerous awards including Sundance Film Festival Award. For Exclusive Episodes of HorseHour, Subscribe to ACAST+ to hear interviews with Professionals such as Heather Bennett, Jock Paget, Backstage at Badminton Horse Trials, Tips with The Bit Expert, Advice on Equestrian Surfaces with AndrewsBowen the Olympic 2012 Supplier, PLUS hear every episode of HorseHour BEFORE everyone else! Join in the conversation on Twitter to share, advise and advertise just #HorseHour, Mondays 8pm GMT/3pm EST. Follow us @HorseHour @AmyStevenson1 See acast.com/privacy for privacy and opt-out information.

Burnley and Wales striker Sam Vokes tells the FL72 Podcast that despite a major international tournament on the horizon his focus is fully on securing Premier League football for the Clarets. Brighton's Liam Rosenior explains that he'd like nothing more than his old club Hull getting promoted alongside the Seagulls and Conor Coady takes on "10 to Tackle". Wigan chairman David Sharpe reflects on a year in charge and highlights what he's changed at the club. Plus, Sky Sports Football League expert Peter Beagrie outlines which managers have impressed him so far this season.

This week Jamie was joined by James Bird, Robbie Coppack and Becki De-Maine. They talk about the Christmas fixtures, Jay Rodriguez, Sam Vokes new contract and the opening of the transfer window. As always you can get in touch via Twitter - @nonaynevernet - or via email - blog@nonaynever.net. Thank you for listening.

A sustained interest in experience, tradition, and the suburban field have characterised the first ten years of Brisbane-based practice, Owen and Vokes and Peters. Paul Owen and Aaron Peters’ presentation will illustrate strategies for critical practice and city-making by reviewing a select number of completed works. Founded in 2003, Owen and Vokes and Peters have spent a decade renovating the suburbs. Whilst primarily engaged in small scale projects in the inner suburbs of Brisbane, the practice has also undertaken projects in regional Queensland, Sydney, Melbourne, and Perth. The practice was awarded the Robin Dods Award for Residential Architecture in 2005 for the Newmarket House, and again in 2012 for the Four Room Cottage. Paul Owen graduated from the Queensland University of Technology in 1994. He became an associate at BVN before founding Paul Owen Architect in 2001, and then a partnership with Stuart Vokes in 2003, establishing Owen and Vokes. Aaron Peters joined Owen and Vokes in 2003. He graduated from Queensland University of Technology in 2005 and was awarded the Board of Architect's of Queensland Prize along with the QIA Medallion. The following year he was awarded the AIA Glen Murcutt Student Prize for his graduate design work. In 2007 he travelled abroad, spending three years working for Allies and Morrison in London and Kerry Hill Architects in Singapore before returning to Brisbane in 2011.

Conversations with Oncology Investigators. Bridging the Gap between Research and Patient Care. Interview with Everett E Vokes, MD conducted by Neil Love, MD. Produced by Research To Practice.

ResearchToPractice.com/CaCU209 – Discussion of 65 Presentations and Posters from the 2009 Annual Oncology Meeting in Orlando, Florida. Interviews conducted by Neil Love, MD. Produced by Research To Practice.

ResearchToPractice.com/HNCU – Conversations with Oncology Investigators. Bridging the Gap between Research and Patient Care. Interviews conducted by Neil Love, MD. Produced by Research To Practice.