35 Burst results for "TEX"
The Rich Eisen Show
"tex" Discussed on The Rich Eisen Show
"Well-being, TJ don't understand what you're pointing out. I don't know. Honestly, I don't understand. I wasn't a shot I was literally wondering if everything was okay because last time I saw him play in the cold, it was definitely he looked cold. You're concerned for his well-being. Admirable. That's a famed irv tweet talking about man when we played in the cold, we was cold. I think that's what irv once tweeted out about the cold weather. No way. Will you look that up? Will you look up Michael Irvin tweets and cold? And then we'll go to a break. Just in case Kevin Hart gets through whatever technical difficulties he's going through. We'll get him on the horn here. To finish up this Friday, look up Michael Irvin, tweet and cold. Please do that. Because man, when we played in the cold, we was cold. I think that was his tweet. It's one of the greatest all time. Every now and then we'll bust that out on game day morning. Yeah, because when you guys go on the road, he really doesn't like the cold. No, no. He calls Miami weather football weather. So he hates it when people are like, oh yeah, it's 10°. It's cold out. It's slate gray sky. It's going to snow today. That's football, whether he's like, get out of here with that. I gotta say, I agree with them. Yeah, here it is from January 5th, 2014. Man, when we played in that cold weather, we was cold. There you go. All caps. All caps. That literally is one of the greatest Michael Irvin moments in the history of moments. And Michael Irvin. Man, we played in that cold weather, we was cold. Good to know. That's why I'm asking about what type of suits. Kevlar? Kevlar. Kevlar suit. I don't know. When I get hit. It's warm. It hurts. I don't know. Flannel. Gore Tex, gore Tex, gore Tex. I'm sorry. That's probably better. 8 four four two O four rich number to dial here on the rich eisen show when we come back, either Kevin Hart or you. How about
The Trish Regan Show
Can Elon Musk Really Back Out of His Twitter Deal?
"Turn to Elon Musk because this guy is killing me. Hi, I am a big Elon Musk fan. I think he's a brilliant guy. I think having him involved in this space is actually really important and a lot of good could come of it, but I don't know if he's going to get there. Actually, I do think he's going to get there. I do think he wants the company. I think he just doesn't want $54 and 20 cents a share. And it's a little bit tricky because there's that whole look. I'm buying it. I'm just buying it and that it doesn't matter what anything is. I've described this to you all before it's like, you know, you go and you see this great house that you want to buy off the street and you don't know what the bones are like, you don't know how the electricity is or how the basement is and then you buy it or you sign a paper to buy it. You say, you know what? I'm going to waive all my rights to all that stuff. There's no inspection. I'm going to buy for cash and then it turns out like basements flooded and you figure out the basements flying around like wait a second. This house is not worth what I offered to pay. So there's a little bit of that going on. It's got a little bit of buyer's remorse, so I'm going to especially look where Tex Ben since he made the initial bid and so now it's going to be kind of a contest to wills and part of me thinks that you don't want to fight Elon Musk on that one. I think that he might actually, you know, this is very unusual. This is, I will just say this because it is not often in merger deals that you would get a haircut on the price. I mean, it just doesn't happen. There's only like one time it's ever happened, and that was Tiffany. But hey, you know what? He might get it done. Only because this thing is so darn messy. I mean, think about it. If you're on the board of Twitter right now, you're like, oh, first of all, you couldn't say no to the deal because it was an amazing offer. I'm like, what are they thinking? But now that they've said yes, and now that there's all this commotion, what happens? I mean, if they say, okay, we'll take a haircut on the deal. Guess what? Twitter, shareholders will sue the board. Of course they're going to sue. There's going to be tons of litigation because they'll say, why did you do that?
Out of Bounds Podcast
"tex" Discussed on Out of Bounds Podcast
"It and pink it, as they call it. Or ideally, they just put a different top sheet on it and make it impossible to find for us for demo and impossible to find at a store, but I guess that's better than nothing because the performance at the end of the day is at least equal. Performance is there, accessibility is not. That is a very important assertion to make. I don't think I said that word properly. Anyways, yeah. That is a really, really good point. A great example is actually like the imports to New Zealand. They only import a certain level of women's outerwear and ski gear. It's very, very, very hard to find any type of advanced women skier or any gore Tex jackets for women, where the ski shop that I worked in would have like 20 different gore Tex high end jackets for men. And that's importing, like for domestic retail. I was just like, what they're like, yeah, women just aren't interested in that thing. But then working on the floor every day, the number of women that came in upset that there weren't options was a huge part of the problem. A 100%. How are they getting it this rot, like, wrong across the entire supply chain? Well, who's deciding the top of the supply chain? Men, that's why it's patriarchal. There you go. I struggle a little bit with we don't know that for sure. I don't know, and that's an assumption that I'm making. Do you have any statistics on that? We know that you're a data daddy. She has the data. When I look at what brands are actually putting out there, like things that people are buying kind of match up with what people are selling in the industry. And if anything, I feel like a lot of the times when I've talked to a handful of people and on the product side, they get a lot of pushback from stores and retailers about what they're willing to carry. I know you guys had Matt manzer on a couple of weeks ago and he was like, yep, we know that women need a boot that can charge..
AP News Radio
Leaked text suggests possible US-Russia missile arrangement
"The the the the league's league's league's league's text text text text in in in in Europe Europe Europe Europe suggests suggests suggests suggests a a a a possible possible possible possible US US US US Russia Russia Russia Russia missile missile missile missile arrangement arrangement arrangement arrangement the the the the Spanish Spanish Spanish Spanish newspaper newspaper newspaper newspaper document document document document suggests suggests suggests suggests that that that that the the the the US US US US could could could could be be be be willing willing willing willing to to to to enter enter enter enter into into into into an an an an agreement agreement agreement agreement with with with with Russia Russia Russia Russia to to to to ease ease ease ease tensions tensions tensions tensions of of of of a a a a missile missile missile missile deployments deployments deployments deployments in in in in Europe Europe Europe Europe if if if if Moscow Moscow Moscow Moscow steps steps steps steps back back back back from from from from the the the the brink brink brink brink in in in in Ukraine Ukraine Ukraine Ukraine the the the the state state state state department department department department has has has has declined declined declined declined to to to to comment comment comment comment on on on on the the the the documents documents documents documents and and and and NATO NATO NATO NATO says says says says it it it it never never never never comments comments comments comments on on on on alleged alleged alleged alleged leaks leaks leaks leaks in in in in reference reference reference reference to to to to a a a a second second second second tex tex tex tex published published published published in in in in the the the the Spanish Spanish Spanish Spanish paper paper paper paper el el el el pase pase pase pase but but but but the the the the document document document document closely closely closely closely resembles resembles resembles resembles remarks remarks remarks remarks made made made made by by by by NATO's NATO's NATO's NATO's chief chief chief chief last last last last week week week week in in in in Washington Washington Washington Washington could could could could be be be be willing willing willing willing to to to to discuss discuss discuss discuss a a a a transparency transparency transparency transparency mechanism mechanism mechanism mechanism to to to to confirm confirm confirm confirm the the the the absences absences absences absences of of of of tomahawk tomahawk tomahawk tomahawk cruise cruise cruise cruise missiles missiles missiles missiles as as as as to to to to missile missile missile missile defense defense defense defense sites sites sites sites in in in in Europe Europe Europe Europe I'm I'm I'm I'm Charles Charles Charles Charles the the the the last last last last month month month month
Post Reports
"tex" Discussed on Post Reports
"We'll be right back. This episode is sponsored by the financial times the f. t. covers all the key topics you need to know about in the us and around the world and how that impacts you and your life the t. considers what global leaders businesses and thinkers can do to create a better future not just regarding business and finance but also climate change technology inequality and in work and careers. Get the information. You need to get ahead in your career with a financial times visit. Fda dot com slash new agenda to read carefully selected free articles and save fifty percent on an annual digital subscription after spending a significant amount of time at the river and talking to people who are back and forth. I decided. I wanted to check out what was happening. Sort of on the other side of this. Which is the releases of families. Del rio is a city of about forty thousand. Thirty five to forty thousand people. They don't have an actual bus. The bus station is a gas station. So i went over to the gas station to you. Know to talk to migrants who had been recently released from custody and were about to board buses to head out to to san antonio or other destinations. And that's where i came across gear. Leanne my name is berlin. Joseph i am the co founder and executive director of the haitian would alliance and we work at the. Us mexico border foam tapachula. All the way to t- kwena right now. We are at the gas station and a we came here to see how we can help some of the migrants who will be spending the night our here with our Shelter why are they here From what i understand. They are here because they have nowhere else to go there. Is it a overnight shelter. In w and these people do not have the means to get a bus to To san antonio or boss to the nearest bigger city the end up stranded here at the gas station. I wanna take a step back and just ask. Why are so many haitians and other migrants in del rio in the first place. Can you just give me the context there del. Rio has been a popular crossing point for migrants for many many months for nine months certainly since january and prior to that part of the reason is that it's relatively shallow the water but was probably more of a factor. Is that the mexican side of this particular. Crossing point is relatively are comparatively safer and not as much cartel or criminal organizations Involvement as they are and other crossing points where you know people have been kidnapped. People have been beaten for for not paying to get across. This is a relatively safe crossing point for them. And you know when one group of migrants makes it through. They communicate to their relatives. Their friends through to other people who inquire via social networks are word of mouth. Hey go to del. Rio go to kunia. That's where you need to come through so venezuelans in particular and and cubans. These are migrants. Who generally can pay a little bit. More than some of the central american migrants will pay to be smuggled or will fly into mexico city and take buses to a kunia for that reason and what is the bat an administration doing about the people at the border so right now they've increased the number of personnel that they have down there working with the migrants I mean if if you just look past the the border fences just parking lot of all kinds of abc agencies. That are that are working with these folks. They have negotiated deportation flights back to to haiti at which is interesting because you know. Haiti isn't quite a bit of turmoil right now. They are working with mexico and it seems like they're putting pressure on mexico to step up their enforcement on their side at their southern border to keep these folks from making the journey all the way through and in some cases just doing what they can do to speed up this entire process. They brought in lots of buses to move people but in terms of sort of a complete. Oh coherent strategy That that's something that we we you know. A lot of people in this community have been asking for an and wanting to see. And i am not clear that that that has come together yet. Yeah i'm suing. People are there to seek like their legal right to come to the us and seek asylum. But that's not what's happening now. Because the biden the administration has kept in place. This title forty two which is public health order that basically gives them the power to summarily expelled people without screening them for something like you know credible fear which is the standard for asylum. You know one of the ways to request asylum in the united states is that you have to be on. Us soil and requests it. So you know what these folks are doing in crossing and then asking for asylum is completely legal and in some senses there. you know. it's a weird area of law where it's like you know you don't want across the river illegally but the port of entries are not available to you. There aren't any other options to do this. And so i'm going across the river and requests asylum on. Us soil. i think the court actually ruled and told about administration that they need to lift this order. This expulsion order but they are appealing and they. They're working in the courts to keep it in place which is something they've been. You know heavily criticized for by by immigrant advocates pro immigration outfits. People who just watch the legal back and forth of this. Yeah because i think title forty two is something that was started under the trump administration at sort of seemed like maybe it would go away. I'm wondering have you talked to migrants. Who are surprised at the bottom administration seems to be following right in the footsteps of the trump administration when it comes to this policy like did they come partially because they were expecting things to be different. Yes no that's like a. That's a complicated question. I think migrants are aware certainly of the political situations into the communities. They're coming from but it's not like you know they're reading the washington post and the new york times in and keeping tabs of every little change in policy or court case. That happens. what they're doing is talking to each other and letting them know. So while the first waves of migrants inbound like okay new administration. This seems like an opportunity for us you know. Is it specific to biden. It might be but it also just might be the change of administration. I was talking to a former border patrol agent yesterday and he was telling me you know every time. There's a change in the presidency. You know this. It looks like a window of opportunity for migrants. And there's always a little bit of an and people coming across only it usually dissipates by the summer in this case it just hasn't so i think migrants and what they've told me are aware that this is a president who has said that he would be more welcoming to immigrants that they know for a fact that other people have made it through and so they were looking for their shot as well.
Post Reports
"tex" Discussed on Post Reports
"I'm standing. In the middle of the rio grande perplex somewhat stupefied by the image in front of me. You're hearing are least hernandez who covers border immigration for the post and she's physically standing right between the us and mexico hundreds if not thousands of people are moving in front of me. Sort of trudging through a swift but low current carrying things on their head. Like boxes of food or in some cases mattresses. Today we're going to take you to the southwestern border where thousands of mostly he should migrants have crossed the grand into texas. They've made camp under an international bridge even as the us tries to deport them by the planeload from the newsroom of the washington post this is post reports. I'm emma chalk off. It's wednesday. September twenty second in del rio texas on the us border. Thousands of people have crossed over for mexico after surrendering themselves to border patrol. They're just waiting while their papers are being processed. But it's an amazing image of just thousands of people in these makeshift shelters underneath the bridge surrounded by federal and state law enforcement. That encampment is already shrinking. Immigration officials are starting to clear the area and state and federal officials are trying to keep people out. we put Hundreds of texas department of public safety cars then created a steel wall. Texas governor greg. Abbott has ordered miles of cars to try to physically block people from entering the country. A steel wall of dps vehicles. That prevented anybody from crossing. That damn seen people walk across. Walking into the state of texas there have been some surreal photos. Circulating images of border patrol agents on horseback reaching out to grab migrants slopping. The most brains driving them back into the river. The biden administration has been airlifting planeloads of people back to their countries of origin. Mostly haiti places in south america. That number is expected to double today now. There had been three or four flights that we're going out each day now. We're up to seven flights a day full of people hundreds of people on these airplanes to a country that really is in no position to be able to assist and receive these people after a series of crises had walloped the island nation in recent months. This was pretty unprecedented. The context is that camps like this exist in mexico right now with thousands of people. There's one in tijuana. There is one in three nossa and there was one until february in matamoros mexico. These are all cities that are on the other side of us cities and this is just the first time that we've seen this number this magnitude of people on the us side but this has been happening in mexico for a long time you know. Because of the various policies at the united states has employed under trump under biden. It's created sort of these like corking the bottle if you will. And how many migrants are we talking about. You know waiting there. As especially i guess. A few days ago when it was at the peak at its peak. I heard numbers as high as eighteen. Thousand is probably somewhere between fourteen thousand and eighteen thousand with more on the way that little asterisk. 'cause there again there had been dozens of reports from from mexico. That more buses were on their way right now. It seems to have been reduced to under ten thousand and like where are all these folks coming from. Why are they leaving. Why are they making this journey. Well they're coming from a variety of places but primarily at least in my experience in talking to migrants. Many of them are coming from south america. These are folks who had migrated years ago after the twenty ten earthquake. In haiti that devastated the island nation. They sought other opportunities in south. America and countries like chile and brazil. Were at first receiving these migrants and giving them identification papers they were able to work in some cases but the pandemic and the devastation. It has wreaked on some of those economies certainly pushed down pressure on these immigrants who are at the bottom rung of society in these places and it was enough the racism discrimination The joblessness to push these folks to continue northward to the united states where they have family. Can you describe a little more with. The scene is like on the ground there. Right at the border. I have not put is on the camp itself but what i can tell you and what you can see from. Various vantage points is just this. It's this huge pasture dirt. You know this is. This is brush country. This is the middle of the chihuahua. Desert the river runs through it. But this is You know high desert country essentially and so it's a patch dirt where folks are using correo. Cain which is like bamboo like sexually invasive plant. It's pretty tall. And what they're doing is taking those. The the canes stripping off like the leaves and making almost like teepee structures with them to to create shelters or to create huts. I understand from several migrants that the children are suffering. the most. there just isn't much space there it's dirty it's dusty earlier in the week when i was in the rio grande. Folks are using the river as a place to clean themselves. People were actually bathing in the river with soap. They had bought from mexico. Because this place was just so dirty hygiene is not great. You know the government has brought him portable toilets. But you know one of the migrants told me that. I mean it's just foul. I imagine thousands of people using maybe a dozen to two dozen portable toilets. I'm sure there's more than that but you know it's just not not a great place to have thousands of people and yet this was the choice that they were making. They'd rather be you know in the united states trying to go through this process. So who've you've been talking to what. What kind of stories have you heard. I heard from several folks. The i was a guy named wendy. We jam it today and wendy had traveled from from chile. He's thirty one. He's a father of a of a young daughter three-year-old. i encountered him on the spillway. In two other kunia in mexico he'd been in the camp his wife and child were still in the camp but he was there because he needed a second to just collect himself and to cry and he didn't want to cry in front of his daughter and wife. But you know it was sort of a moment of release for him because he had made this incredible journey from chile where he tried to make it work for him and his family. He's an information systems like computer engineer and had been studying law in in haiti before they were forced to leave as a family and he was just telling you know if the united states just just gave us a chance rate i would pay taxes. You know i would be buying goods and services in the united states you know our presence would be a boon. I mean he's literally going through all of this and its head trying to figure out what the best argument that can be made in order to stay and.
WLS-AM 890
"tex" Discussed on WLS-AM 890
"Is Silver s I L v E R Tex set to 95819. $25,000 payoff 25 K pay off And if you don't win this hour don't qualify this hour. It starts again Tomorrow morning with Bruce and Judy on the Bruce ST James Show here on Double D l sorry. Five minutes after five o'clock as I heard Rob, Martyr tease Chicago Alderman, Uh raises are going to go into effect 5.5% automatically on January 1st next year significant race, but six council members rejected the 5.5% pay increase. Including our next guest. A returning guest to the program. Alderman Ray Lopez joins us now on WLS. Thanks very much for your time, Alderman. So why did you forgo the race? John? I skipped out on the race this year for the same reason I refused the raised last year. You know, we're in the middle of a pandemic, where at a time when our families are struggling when many people whom I represent are fighting every day to make ends meet and to give myself The largest raised, uh, 15 years for an alderman to seems completely immoral and not the right thing to do in politically speaking, I don't know how any of my colleagues can look their residents and constituents in the eye and justify this. At a time when so many of them have been working from home or not being as accessible as we would expect them to be, and still thinking that they are deserving of nearly $7000 bump in their salary. Would you like to comment on the fact that among those accepting raises The three sitting alderman who are facing criminal charges. Alderman Thompson, Alderman Burke, Alderman Austin. They're all accepting the raises. Why? I think there's a you know, aside from just them accepting raises. There are people whose offices have been closed for nearly two years now who have been completely disconnected from their residents accepting raises, and I think that We have to really looked at why we're able to continue to get these raises. On the fly without being held accountable by even physically voting for it, Like so many other elected officials have to do. Raises shouldn't be automatic, You know, Dear listeners, my constituents don't get automatic raises every year. It's a crapshoot. If you're going to get the raising, you think you're entitled to and for any politician, least of all alder in to say, I need to make more for a part time job. Mind you, uh, it's just remarkable to me. Alderman Raymond Lopez is joining us here from the 15th Ward Your thoughts on the news, Chicago Public school CEO I wish him all the best. I wish with the city as a whole can get back to hiring Chicago into are in the thick of things. I know. He used to be here. Um, so hopefully that will help resonate. We didn't do so well with our last Texas higher in the police department, So I'm hoping the Board of Education works out a little better for us this time around. The ethics board has found probable cause that Alderman Gardner violated ethics ordinance is not once but twice. They have any comment regarding that story. We will let the ethics board issue their rulings. And if we have to take, uh, action against Alderman gardeners, So be it. Our law, our our our rules of order. Excuse me. John in the City Council allows us to center or even expel a member if the issues are created a grievous enough to do so. So we'll wait for that camp for the report from the board of At the combat matter. Mayor Lightfoot thought that his apology on the floor of the City Council fell short. Did you find it to be genuine? I believe it was genuine. Um, I wish you would have taken questions from reporters afterwards. Um, but that is his decision, not mine. But I think it's uh, very hypocritical for the mayor whom threatened to withhold $3 billion in infrastructure from the African American community of Black Alder and and support her budget. To be criticizing anyone accused of withholding city services from their constituents as well for that, and finally, Alderman Beale tried but failed to get the City Council to do away with a six mile Per hour over speed camera tickets now had he been able to bring that to the floor. It would have put other council members in the position of either choosing to get rid of tens of millions of dollars in revenue or voting in favor of continuing to issue those unpopular speeding tickets. Any comment Alderman I supported Alderman Beale's effort to bring this issue before a vote. We need to be honest with the residents of the city of Chicago as to what the purpose of those cameras are. Is it truly about safety? Or is it about revenue and in many of the locations where these cameras exist? We have not seen a decrease. India Mono Autumn Automobile accident, but what we've seen rather as an exponential increase in ticket just by the five mile per hour decrease. We need to have an honest conversation, all the meaning to be on the hook. For what? Why they are allowing these cameras and what their ultimate purpose in the neighborhoods and I think all of them Bill was correct and pushing that issue. I think the alderman had the opportunity, um, to bring it Legally, Although the mayor and many of my colleagues disagreed, and I'm hopeful that he resurrects this issue at our next possible meeting in October so that the residents can hear on the record, what their ultimate view on this matter, Alderman Ray Lopez, Thanks again for your time this afternoon, much appreciated. We'll talk again a little later on down the road. General always a pleasure for you and your listeners stand before this body to offer my sincerest apologies for the pain and insult anyone has endured as a result. I take full responsibility for my offensive words in those messages. If you miss that that is from alder Alderman gardeners apology on the City Council floor. That happened on Tuesday afternoon, and the news today is that the ethics board has found probable cause that he violated ethics. Ordinances. Not once but twice in the 45th ward, which is like family. I ran for office in the 45th ward, because this is the community that helped raise me. My neighbors have become family and my commitment to them fuels my desire to help create a thriving, welcoming, clean and safe neighborhood. Unfortunately, those comments do not reflect my values or the efforts of our team who worked to make our world a better place. And for that I am deeply sorry. So you know the vulgar text messages that were leaked out. Uh, now have stirred a lot of interest. And, according to, uh, our friend, Gregory Pratt from the Chicago Tribune. Even the FBI is interested now and then the news today that the ethic sport specifically say violated the city's governmental ethics ordinance by using his office to retaliate.
America First with Sebastian Gorka Podcast
Inside Big Tech's Battle to Erase Trump
"How do you rate the efficacy of big tex attempt to arrays the trump movement yet lead to donald trump They winning odd people pushing back his rumble getter power. Are they making a difference. How how do matters stand right now. What gives me some level of optimism about silicon valley ability to control. Things is that despite the massive amount of resources they threw at donald trump this five altering the very nature of that platform with a ready basis that flap reading voss apparatus offense oakwood misinformation purely as a way to undermine the mind donald trump supporters. They were still only able to. You know win election by By a few a few tens of thousands of This is extraordinary. When you look at the kind of things they did ahead of the election from stanford in the new york post on the biden story censoring breitbart group rule Cop right balked visibility in their search engine by ninety nine point seven percent compared to twenty sixteen almost completely a racist system and they actually did completely erased out through by homosexuals for joe biden out visibility rocky zero overnight automated algorithms thing. There's very clear. What bugles doing that So they did. All of that still only managed to win win the election by a few tens of thousands of both white
Morning Moments Matter
"tex" Discussed on Morning Moments Matter
"A three step process that you can do while. You're brewing your morning coffee. That will start your day with a positive frame of mind so you can check that out at connect or coffee. Dot link backslash m m. thanks awards for joining us today. On wednesday we look forward to our conversation with you. Each monday wednesday and friday so make plans to join us on friday. We'll be back until then remember that your best day starts this morning. State caffeinated young. No you're gonna like this day. Have a couple phrases..
The Eric Metaxas Show
Test 37:14:09 - 37:39:09
"About woody allen talk about the manson family tex watson was one of the manson disciples part of the fan. Horrible stuff. what why did you want to bring them up. It's really odd to mention that in the same breadth. Almost as woody allen who is a writer on my tv show which he'd never mentions in resume by the way. I kidded him about it. Of course you never
Zane and Health: Unfiltered
"tex" Discussed on Zane and Health: Unfiltered
"The one that the guy out on the show. do you remember looking more like flesh colored black. There was one of my uber. Drivers one time had a fake arm from the elbow down and it was touted up. It looked really yelled them. That's pretty cool really cool like tattoo artwork on it. That's pretty you know what. That's what i would do to change it up every month when you break your arm and everyone signs like to do that your mind. A cast for ace aches. Cast seem so like fifty years ago seems not year technology. Just wrap it up and just paper machine and gods and hope for that it gets hot. It smells bad you would count. And the worst is when they have to take it off the bring out that all Terrifying know. I don't know how people used to like cut them off themselves because they leave the bad ass kids off themself. Just let it heal. I'm trying to remember if mine was like. The you really gonna sling your. I wasn't a senior. I i was trying to. I was trying to figure out what they put on my arm. Because i don't wear something for like a month. I just don't remember auto broker firearm as a kid and had a glow in the dark cast. Oh oh you had money. oh yeah. Glow-in-the-dark cast with the power rangers sticker weird. Because i don't remember other kids ever having glow in the dark costs interesting. I know that you yourself when they told it to me. Do you want this color. This color. glow-in-the-dark unlike glow in the dark but then it just looked like really pale yellow. Like why did you get close. The only time. I could see it was what i was going to be. Yeah all the kids at school could see this stupid at night to try that glow in the dark. It's so funny like going out and seeing somebody in a cast like it just like oh it is. I don't know why like you just kind of get. Maybe like what happened. I don't like seeing older people in like our age. Just like you're probably a drunk mess. Did something no. They're not at the airport lounge. And the woman who was serving the bar her arms and a cast bloody mary. What do you want just like. I don't see deer and says it. I hated just telling someone in cast. I need you to move in something for me. Just the easiest thing please. It's so good you know what i just found out. And i'm kind of embarrassed by this nat- no it was a vibrant from tex- Who's texting squeaked mood. So i've always seen spider webs and you know how they go from like a tree to the top of a roof or it'll be like a really long distance. And i'm like how are they doing that. Do they. like start it. stick it down. And then they climb all the way down the climb over here and then they'll climb up and like draw like you know what i mean. Yeah that's what i would guess. That's what i've thought my life. I've always been like. How do they do it..
Wendell's World & Sports
"tex" Discussed on Wendell's World & Sports
"A try. She weighed just anticipating painting but does she ran bit. The all do might be sentimental. Know what she had hoped. Salt were the las folks soldier city thinness saw ask popped cup do..
Wendell's World & Sports
"tex" Discussed on Wendell's World & Sports
"This every once in a while because old israeli is my musical hero because how much i admire adore otis redding as far as a historical person is concerned. Because i wasn't around when he was living. I'm not that old. But since i'm definitely into otis redding the man the music and everything you know sometimes podcast. I'm one to you know let you guys know. I'll let you know how much just absolutely revere in a door in idolize the great oldest reading so as a pulling this stuff down. I'm thinking about fifty nine years ago. Today or able twenty second. Oldest railing was with the pine. Toppers are the club and macon georgia called club doing his thing. I'm thinking about otis redding fifty seven years ago april twenty second. Nineteen sixty four at the fairgrounds speedway nashville tennessee. Where he's up there. Performing supporting james brown and the famous flames solomon burke garrett mimms dionne warwick speaking about april twenty four fifty seven years ago today stemberg on in youngstown ohio. Supporting moms mabley speaking about today. April twenty fifth nineteen all sorry april twenty fifth nineteen sixty four. He's the cobo arena in detroit. Michigan support james brown and the famous flames. Solomon berg mims dionne warwick thinking about what was doing performing nineteen sixty six fifty five years ago at auburn auburn university in auburn alabama april. Twenty four th. He's at the floor. Coliseum influence atlanta. excuse me florida alabama. Do a two shows seventy nine thirty thinking about the idol figuring about the great one thing about the legend thing about my hero oldest reading fifty four years ago. Nineteen sixty seven performing at unbc. That university maryland baltimore county in baltimore. Maryland six fifty per couple to see the show. Then he was on to philadelphia pennsylvania at the philadelphia arena for the ebony soul tour with dionne warwick patti labelle and the blue bloods bluebells. That's just my guy but interesting story about club. Fifteen interesting story about what happened in nineteen sixty three at the club the summer of nineteen sixty three between james brown and joe tex and who was there that night performing mug hero oldest reading.
Wendell's World & Sports
"tex" Discussed on Wendell's World & Sports
"You know just just terrible. I should horrible nineteen old man not fair. It's not right but things happen in life. You just You just move on and you wish the family nothing but your love and support any way you can get it and this is my way of giving it to them. One does world in sports. I am near host window wallace. Glad you could be with us so let me end on this. Lebron james is tweeting game. Geez man but brom the lakers star posted in later deleted the tweet on wednesday about the fatal police shooting up michaela bryant sixteen year old black girl in columbus ohio and up series of tweets. James explain why you deleted the post. Its first tweet said that anger does not anger. Does anger does any of us. Good what does he say angered not do any of us. Any good including myself gathering all the facts and education does though by anger still. Is there for what happened that little girl my sympathy for her family and justice prevail. Why did you take that down or why. Why why you took a. I took the post down for the second tweet him. So damned tired of seeing black people killed by police Took the tweet damn because is being used create more hate. This isn't about one officer is about the entire system and they always use our worse to create more racism. I'm desperate for more accountability remember. I am i'm with you on that one. James is hometown of akron. Ohio is about one hundred. Twenty five miles northeast from columbus. Which is the state capital man. I saw that video abroad thing. Download the zapruder film. Mammon term the watching that thing look you know. I don't think this was a situation. Where again i think this was more compared than it was. Derek chauvin in terms of what happened care kim potter. What the woman who accidentally shot a dante right when she thought she was pulling out the tasers a gun so i don't think this is a situation where we can claim racism. I don't think this was a situation where this guy who shot. This guy was looking for or shot. Woman shot this girl was looking for a black person a murderer or something like that. I'm not going there. But i am outraged. I am disappointed and multitude of people on that one. Because i was taking a look at the film i was taking a look at the instance of what happened and from what i saw was the fact that when the police officer responded he immediately as soon as he got out of his car he immediately put his his hand on his holster. Okay so right there. He's looking for shit to happen because what is from the film was there. Were two females outside or two girls outside. What are the girls was talking shit. And i guess he was talking shit. In the direction of the house were michaela. bryant was so michaela in a couple of other friends. I don't know who they working out of the house to confront the girl who was talking shit and it seemed like i don't know what set her off in terms of going after but from the video from what i heard.
Wendell's World & Sports
"tex" Discussed on Wendell's World & Sports
"Released. Its annual feature of anonymous. Nfl executive skelton coaches breaking down the current quarterback class. He said several sources in the league weren't convinced that he's as good at the height mind. Indicate here's nfl. Nfc coordinator told pella cerro names. He's a trevor. Lawrence is a really good player. I don't know if he's a generational. Talent people are saying and then another. Afc co said. If he was selecting between joe burrow and trevor lawrence joe burrow with the number one pick of the cincinnati bengals last season the number one pick in the nfl draft. This afc kill said he. Would it be obvious that he would pick borough over lowest one hundred one hundred hundred times out of one hundred. He says if you don't take him out of if you don't take him if you don't take him in your jacksonville and it turns out that he was a perennial pro bowler. You'll never live it down. But i but they have to take him. I think the intangibles are there. He can throw the ball but he does not have unique rare playmaking ability. If i'm comparing last year to this year joe burrow is picked over travel one hundred times out of one hundred one. Afc quarterback coach said. He would take while us that wilson over trevor lawrence saying if i was picking the one who man that i'd be hard for me not to take him over trevor. He's not he's got real playmaking ability. He's shorted in lawrence. I get it. Police got ball all about him. He makes plays unique place. I don't know what that means though is like okay. No-one said that he's going to be a bust. No-one said that. I don't know about this guy. Man you know. I mean this guy might not have. This might not have that. I'm saying that he might be a guy where we're looking at jameis winston type. We're looking at a marcus. Mariota type where you know by his fifth or sixth year. He might be on another team because he just didn't live up to expectations. No one is saying that everyone is saying that. Well you know he might not be the generational all-time great that many people are predicting him to be all. Or i find. That doesn't mean that he's going to be a postal. I mean i. I think that he should be drafted number. One i'm not an nfl scale but you know the fact that people are saying well he's going to be very good but then an all time..
Wendell's World & Sports
"tex" Discussed on Wendell's World & Sports
"Dennis schroder the one who likes to throw out the racial epithets at kyrie irving. That's the guy you're going to be counting on kyle. Kuzma for the los angeles lakers to win again. Especially the way. Paul george i keep coming back to the los angeles clippers and i keep coming back focusing on paul george who had been playing quietly all nba basketball. Not for a couple of days. Not for a couple of weeks. Not just against the bad teams for the entire flipping season. Maybe the embarrassment a what happened to him in the bubble this past offseason this past playoff season and the way he got clowned by fellow. Nba players. Maybe that lit a fire under paul. George w like fuck all. Y'all gonna come back come back with a vengeance it. I'm going to Show you what the real pierce not. Paul paul george is all about. Maybe that was the situation. But he's been playing great basketball so he can bring that into. The playoffs has been resting quiets nursing injuries. Get him ready for the play offs. I don't know what the situation what. Patrick beverley is concerned. We do know that. Ron regime rondo always turns up his game. Tenfold wants the playoff hits especially as you go deeper into the playoffs. So there a possibility that the clippers biggest weakness on their squad point guard had been taken care of okay. He wasn't kyle lowry okay. He isn't ricky rubio. But still you take a look at how valuable in the contributions that region rondo. May for the lakers. Last year can duplicate that. Come close to that with the los angeles clippers. Paul george continues to play type of basketball. He's been playing in the regular season. Brings it over to the playoffs choir. Leonard does quite limit things. I'm taking a look at the. Los angeles lakers something or you're going to be able to beat their. If lebron james is sixty eight percent in anthony davis and seventy four point three eight seven six five four.
Wendell's World & Sports
"tex" Discussed on Wendell's World & Sports
"If New york had a decent mayor and something could be done to where we could be at a point where you could put some folks in madison square garden for a playoff game because that would be absolutely fantastic. First time to seven years you know to be that atmosphere but you know it's it's great. It's wonderful for the lincoln is also a major market in a season where the nba ratings are down and everything like that. Have new york back and play at least at the playoff team. Think also but long term. What are we going to be talking about every year. The nba sweat dream is having the new york. Knicks play the los angeles lakers in the nba championship. Wouldn't it be. Shouldn't it be the two biggest markets in the nba. I'm sorry this ain't football football. You can get away with green bay. Packers playing the pittsburgh steelers or you can get away with jacksonville. Jaguars playing the. I don't know man playing the arizona cardinals or some shit like that. Basically while i'm saying is with the super bowl you got that built in. That's going to be close to seventy five. Eighty ninety million doesn't matter doesn't matter the indianapolis colts could be playing the. I don't know who gives the fox of the nfl. In seventy five eighty million people are still gonna watch and then you have spring practice and the ratings for the spring practice of the jacksonville. Jaguars is going to probably blow away. Game seven of the nba championship between the lebron. James lead school this that and the other and the janas the coupon milwaukee bucks blah blah blah. It don't matter. Lebron james ain't gonna say the nba from juggernaut known as the nfl. There's no pro athlete. There's no pro sports. There's no sports team. That's going to save the their lead from. What is the juggernaut of sports leaks in this country. Which is the. nfl doesn't matter. You can have game. Seven of the world series between the los angeles dodgers and the new york yankees garrett cole going up against Clayton kershaw and if the cincinnati bengals decided to hold a walk through and cbs is gonna televise that nationally. That's that's going to destroy ratings. Wise interest wise game seven of and say that but basically you know what i'm getting at right that basically football supersedes everything but the nba. If you have a finals worse going to be the sacramento kings versus the indianapolis pacers. No one's gonna watch nobody except for the hardcore basketball fist. Nobody's gonna watch if you don't have lebron james if you don't have steph curry if you don't have kevin durant if you don't have james harden if you don't have janas don't have luca if you don't have those types of superstars plane in the nba. Finals nobody is going to watch except family friends. And die hearts. You need stars and you need big markets in your finals..
Wendell's World & Sports
"tex" Discussed on Wendell's World & Sports
"Windows world is sports. I'm your host one wallis. Glad that you'll be with us. Nba playoffs are starting soon. We've got some interesting. i wanna matchups. I remember my last podcast. I was speaking about the I was speaking about the new york. Knicks about for the league is good. It's great. it's awesome one nine nine zero something like that. I think is grit good rate. Awesome that the knicks making the playoffs. Fantastic wonderful but from a nick organizational standpoint is like okay we lose the first round and we look back and say you know what maybe this season okay. Small mike you know Small picture good big picture. We missed out on kate telling him. We missed out on evan mobely. We missed out on jonathan mingo. We missed out on jalen shrugs and we missed out on jalen green so this season might be nice but is this going to be consistent or is this just because of the woolly wacky season. Seventy two games very short off season not to me. Folks if any in the stands. What's what can we deduce from the season. If you're the new york knicks. Can julius randle repeat the year that he's having right now. I mean the players. How long is it going to be before. Tom timoteo. where's out. The organization is going to be two years. Is it going to be five. Years isn't going to be halfway through next year when the knicks aren't living up to expectations because let's say let's just say for instance to make the playoffs. We'll go on the assumption that the next going to be making the playoffs. All right all right all right all right all right all right. So they're going to be making the playoffs. They beat the hawks or they beat. Whoever they're going to be playing in the first round they make it to the semifinals. Hell let's say they take the seventy sixers to six hard-fought games right next season. Knick fans come on now y'all not expectations and are gonna be moving up another level. Julius wrangles is only gonna get better. Reggie bullock been unbelievable emmanuel quickly. It's only gonna get better. Derrick rose is going to be that solid guy. You know we've got some pieces here to where we should be better. So it's like the expectations for the next four. The twenty twenty four twenty twenty one twenty two season are really going to be off the charts. Start off and scuttle buddy or there's stumbling and stumbling and bumbling might sometimes i do with my podcast out the gate i mean. What's the tom. Typical feel atmosphere gonna be like that around this team next season if that happened so the whole lot deals going on here to where i'm just going to say i don't know man i mean again. I think it's great for the nba.
Wendell's World & Sports
"tex" Discussed on Wendell's World & Sports
"Sydney geo. Sorry sending i'm giving it to sydney davis letter. Spend the rest of my money when i die so get that right mckell. Dave is still living woman dead. He contam- money in sydney. Davis can have my money. If i don't have any other kids which seems was would seemed like a pretty much slam dunk this case. So yeah my beautiful wonderful magnificent awesome intelligent got dog. Or if i'm super duper rich. You didn't gonna be giving my money. To a bunch of chumps. Hell no get yourself off the streets and get your own money working. Get your own. Damn money is going to be spent by me. and when i'm dead. Sydney dave is going to be able to spend my riches course now moving back into the real world. I'm broke my gift to sydney davis is. I'm not going to include in my will. So there you go so she can breathe easier at night concerning that windows world is sports on. Your wonderwall is so glad that you could be with us. Oh yeah meme speaking about the nfl draft. Speaking about these quarterbacks are gonna be taking speaking about which teams are going to be moving up which teams are going to be. Moving down in earnest. Everybody knows that. The jaguars are going to be drafting. Trevor lawrence clemson people know for the most part that is pretty much a foregone conclusion that the new york jets are going to be selecting zak wilson so it only gets interesting. You only bring out the popcorn with the san francisco forty niners. What's going to be happening. Because depending upon the selection by the san francisco forty nine. that's domino effect. I believe is going to begin. When you're speaking about franchises. Like the atlanta falcons or the detroit lions. The denver broncos dallas cowboys the new york giants. Whether they're going to do were are they to do then. Moves down to the New england patriots the washington snyder skins the chicago. Bears are gonna do what's gonna do. Let's say for instance. I mean we know pretty much..
Chris Krok
AG Paxton Ensures Forgiveness of $29 Million in Electric Bills for Texans
"Ken Paxton says Despite filing for bankruptcy wholesale electric provider gritty will forgive $29 Million and electric bills experienced by customers as a result of last month's winter storm. Have. Williams of Arlington received $17,000 bill from gritty and says he's grateful for the work of state leaders and the government really stepped up here in the state of Texas to take care of its citizens that I'm proud and even more proud to be a Texan right now. I feel like they've been the right thing and protected its citizens. Texas Murder plan to address relief for Texans who already paid their bills, nonprofit
Morning News with Hal Jay & Brian Estridge
Travel Conditions To Be Aware Of In North Texas
"That he and their operation are this morning and Patrick. Let's dive right into it. Give us an overview of road conditions here in North Texas and what we can expect. Absolutely. Our crews have been busy working around the clock trying to keep the roadways passable. We're using our snowplows motor graters. You can see the smell that's out there. We're also trying to, uh spot street certain areas with icy patches using that sand and salt against watch we could on Lee do so much. We want to reiterate this morning that we want people to stay home if they don't have to be out there today. Patrick is that sand and salt. Is that still the go to substance? Are there other ways to fight ice and snow on overpasses and bridges now? Right now. That Brian that anti Aye, sir, that which prevents the ice trauma bonding on the road surface. That's what we're focused on right now, when it comes to our bridges and our overpasses. If you include last week's ice that caused the big wreck and all of this week, his text not ready for a stretch like that. Let me tell you. We are seeing some unprecedented events. And we have some 453 crew members working right around the clock and I want to tell people if you see our trucks out there do not attempt to pass them slow down and give them room. We're doing the best we can to simply keep the roadways passable. Patrick, Do you see? Patrick Clark is with us right now, with the text. Now, do you see assistance coming from other states in your line of work like we do When we say have power outages due to storms like we're experiencing right now. An encore will call in assistance from other states. Do you see that, too, as well in your line of work. Absolutely. And that could very well be a possibility, because, as I keep saying, we have never seen in Ah, these events or at least not not. Not in a long time. So we made very well rely on assistant. Absolutely. Just kind of an off shoot of what's going on. Patrick, if you don't mind express lanes compared to regular lanes on our interstates. Ah, lot of the express lanes. They don't have Ah pull over area to avoid accidents and stuff. How does Tex dot What do you guys talking about? Since that big accident from last week? Bright with those express lanes that is lie across the Dallas district. We have actually closed those express lanes because that gives us the time for recruits to focus on the main link, but we have made the move. Those tollway's that some people call it. We have closed our experts lanes so we can focus on the main lanes right now. All right, Patrick, I know how busy you are. We could hear your phone going off road quickly. The bottom line is If you don't have to be out in it, don't do it right. Absolutely. If you have to be out there, remember, slow down, even though you're treating the roadways. That's not a task to just, you know, rush by still slow down, drive to
Talking Tech
Robocalls back on the rise
"In january alone there were more than four billion robo calls targeting in the us tarring phones across the us. So that's a one hundred and twenty nine point five million every single day. That's an increase of three point. Seven percent over the month of december. According to you mail which is a company that provides anti-rebel call services. So we're talking about robocalls now because we're getting in the numbers from last year and everything and we're seeing that even though rebel calls were down slightly in two thousand twenty. They're still higher than they were three years ago. And what's happened is during the pandemic some robo call centers had to shut down because they didn't want her sick evidently With guess smart but they appear to be opening up. And that's why the calls you're on the rise again now. Unfortunately this robocall barrage has led me to just not want to answer the damn phone. You know about ninety. Four percent of unknown calls go unanswered. That's what higher found in. Its survey a recent survey of two thousand consumers and three hundred business professionals now. That's not good if we're not going to answer the phone that's not good for legitimate businesses. Because they just have to keep calling you know about a doctor's appointment or car servicing or whatever so anyway that so there's some weird repercussions happening with all the with the robocall situation. Speaking of the kind of scam calls you get You talked about the car. Warranty the car warranty is really is up there in the most likely scam calls. You got in twenty twenty. It's number two behind social security calls. Then there's auto warranties in credit cards bluefin then health insurance in student loan forgiveness and then calls about it's their the irs which of course they're not They're also were timely. Because of the pandemic and the and the governmental programs with that there were calls about unemployment covid nineteen and stimulus checks now. The good news is that agencies like the fcc in the tc of crackdown on big rebel. Callers and new technologies are to be implemented by call providers By june of this year. But in the meantime you know if you want to try to cut down on some of these robocalls your wireless provider has protection. You just go into your phone and figured out or go onto the website and and see pretty much. Everyone has some protection. I have verizon. And i have a call blocker and since my wife is susceptible to these kind of calls. I paid more for. Call the call filter plus services for her also online the companies. I mentioned haya. Hi and you mail both have mobile apps you can use. And they'll be links to those in story Dot usa today commented rebel calls anyway. Unfortunately you know. In the future rebel collars scammers are always going to try to pivot but maybe those apps and better technical will make us less afraid of our phones. Yeah the one thing i worry about more is the spam text. You know i. It's not as it doesn't seem as prevalent as the robo calls for myself personally. But i have noticed more now that we're getting texts spam tech's now and i start to worry that's going to be the next frontier. Where if these scammers start to get wise about people that answering their phone her robocalls getting crackdown on more aggressively than we're just gonna start getting them in text form a lot more often. Probably likely. I know i've gotten i. Don't get a lot of those. A lot. More phone calls than tex. But i do get things that look like what i assumes can be a scam and i ignore it too so yeah think you're
Lew Later
New Tech Lets You Charge From Across the Room
"Air charge. Claims it's capable of five watt wireless charging over several meters. You know people are very skeptical of this really. Yes you why i mean. People are scared enough about five g magin power just floating through the air stressed out. These people Apparently is is very difficult to do. And the reason we haven't seen it yet in a product is not that you can't do it but that if if it was to be successful in transferring power it would wouldn't be very efficient. I mean that said this people. It's still criticized. Just regular wireless charging on a charge matt saying. Hey that's less efficient. There's more power loss there than if you plug a cable in. This is another level of that especially when you see the the advertised. Five watt charge speed which is obviously not very compelling in two thousand twenty one but you would assume there would be some pretty strong technological barriers to rolling out some technology as cool nonetheless. You could play the video cool nonetheless. They're talking future talk now. You do have to have this. Big giant appliance. There in your house as well your apartment. Yeah and how cool would it be to walk and room and your phone starts charging with the animation. That's very cool. that's the future. I mean it feels. Amazing is just using like a hundred megawatts a day. Yeah your your your toes or tingling your toes. Her hair's just within a few meters. A five watt remote charged multiple devices by the way. You're just chilling your gaming whatever. You don't even have to think about it. Your devices just always charging staying charged. This is a demo will. this is a perfect scenario. Locale perfectly apartment is look at this guy. Everything is so clean. He's never even had anything. You didn't even have a pillow or a blanket on the couch and need have any garbage lane around. He charges wirelessly. Dude has got it all figured out. Yeah you have garbage. Oh yeah did you see the desk before we started rolling over here takada cups and things. Yeah but not on the ground. No not on the ground. But i'm saying he doesn't. I'm saying it's not lived in. Don't tell me that's lived in. I i know some people who have pull it off like that. But there's no personal there's no personal items true there's no knickknack or a trinket is no not personalized. They'll keep safe keepsakes. These keeping nothing. It goes straight out the door. Once he's done with this guy all you keep the me air charge So it's a huge device is important for us to say at this moment. That eight air charge is a huge device. It's about the size of a Fridge yeah many fridge. Pretty much is about the size of a mini fridge. Joe so you can have this luxury. So you've gotta find space for a mini fridge instead of just having cable. Coming out or a typical wireless charger. But you know me. I like that next technology. But i gotta tell you what. The potential drawbacks argue This story tex pop many have talked about this. The weights being advertised five watts to your device. The argument here is it. May require one thousand watts plus of input power just to get the five watts to your phone. That's an ugly figure. I don't think anybody's gonna like the. I've been dealer with watts lately. You have yeah and he got me. It's got me all stressed out. 'cause i've been trying to power some some really powerful stuff like kind of electric car type of power consumption and you need special breakers and you know you can't be going off a residential line for this stuff. I mean so to to give up now thousand watches. Okay you can plug that into a regular receptacle regular receptacle. North american eighteen hundred watts. Well i don't know if you know you signed up for what talk today. I didn't know. I didn't know i was gonna do what today but a thousand is just. It's just crazy for five. No one's going to be happy with that transaction. Certainly the environmental types are going to be very upset commenting below that particular video. Get on my face. Save the planet planet earth. Mother earth greengrass Blue ocean etc
Rick Roberts
Dallas-Based SMU Presidential Historian Says Better For Nation If Trump Attends Biden Inauguration
"To President Donald Trump's decision not to attend President elect Joe Biden's upcoming inauguration January 20th Jeffrey Angle is the director of the Center for Presidential History at S M u and says the last president not to go to his successors. Inauguration was Andrew Johnson and 18 59 3 presidents to have been impeached, refused to attend their successors Inauguration on Lee Bill Clinton was able to show up Martin Van Buren, John Adams and John Adams son John Quincy Adams for the only other presidents who sat out their successors inaugurations. Tex
850 WFTL
"tex" Discussed on 850 WFTL
"Needed to go to my favorite restaurant in the whole wide world. Rosalie, this text mixed grill Hi, it's Jennifer. It's won multiple awards. It has the greatest Tex Mex cuisine in all of South Florida. And one of the greatest things about Rosalie does. Tex Mex Grill. It's right. It's South Congress and Lantana Road. It's family owned and operated so When you go in, you'll notice that right away, You're treated just like a family member. And don't worry. They're following covert 19 protocols. So you're gonna have a great meal and you're also going to be safe. There's something for everybody on the menu at Rosa leaders Tex Mex Grill, Maybe you're looking for gluten free or vegetarian. They have complete menus for both of those. Of course, they have the regulars, tacos, enchiladas, fetus, case ideas and their specials like the Mexican crab cake dinner. Maybe you just want a burrito or a chimichanga something for everybody on the menu at Russell. This text mixed grill right in South Congress and Lantana Road ever. You fans basketball in Paradise is back. F Ew Men's basketball returns to the hard court today against conference rival Middle Tennessee. Tip off from a Bassanio court is set for four PM your every you women's basketball team opens up conference play Friday, January 8 as they take on conference for Old Dominion. Tip off set for 5 P.m.. Tickets are limited and started. Just $12 Get yours today, Call 1866 F ew out or visit After you tickets dot com Go owls. Are you a child care giver? Hi, It's Jennifer. You need to get the every parent app all one word downloaded. Create your free family profile, and then you have access to local experts.
Smart Oil and Gas
Houston Weather, Traffic Update
"With traffic and weather together. Here's traffic working on 16 south of westbound between highway to 88 Scott. No accidents, But we do see some stop traffic, adding a few minutes to your drive time. In the East Tex Freeway North North bound bound bound right right right before before before Parker, Parker, Parker, a a a disabled disabled disabled vehicle, vehicle, vehicle, blocking blocking blocking the the the right right right shoulder shoulder shoulder tight tight tight hold hold hold on on on the the the ktrh. ktrh. ktrh. Gulf Gulf Gulf Coast Coast Coast winners winners winners dot dot dot com com com 24 24 24 hour hour hour traffic traffic traffic center. center. center. Temperatures Temperatures Temperatures will will will say say say a a a few few few degrees degrees below below average average to to start start off off the the week week before before warmer warmer weather weather from from tomorrow tomorrow in in the the Monday Monday there'll there'll be be a a few few clouds clouds this this morning morning that that same same afternoon afternoon sunshine sunshine away away the the winds winds out out of of the the northwest northwest of of the the high high hitting hitting 57 57 over over by by clear clear with one's diminishing alot 36 a sunny and warmer Sunday with a high of 67. And on Monday Sunny with high close to 70 I'm meteorologist Jeff Mar from the the Weather Weather Channel. Channel.
KTRH
"tex" Discussed on KTRH
"East Tex Freeway Outbound and Lee wrote to use caution as you make your way around that I mean this Garcia and the ktrh because windows dot com 24 hour traffic center not a whole lot to talk about as far as precipitation for the first couple of days of 2021 U. N c, a mostly sunny sky on this New Year's Day. A little cool, though high struggle low fifties a good 10 degrees shy of average for this time here, most Quality Upper 34 Tonight training. Mostly sunny for your Saturday high mid fifties Sonny Low sixties on Sunday. I Mean, draws top work Weather Channel. Let's run through some of the windshields here, starting along the beachfront in Galveston. You have 43. It feels like 36. Spring. You're 30. Right? 39. That's the temperature It feels like 35 41 feels like 35 at the Ktrh Top Tax defenders 24 Hour Weather Center When we got started this morning, we did have some of those windshield factors that were below 32 degrees 901. Now our top story, Erica Rios Bell does is alive and safe and in Chicago. Officials in Cook County, Illinois, called officials in Liberty County at about two o'clock this morning to let them know that they had captured her armed kidnapper, a bell Fajardo and have arrested him bound as was abducted from her driveway in Cleveland on Tuesday evening. Ah, woman is dead and a family of five hospitalized after a three car crash on spring, Cyprus Rhodes Woman lost control of her car hit an SUV it about two o'clock this morning. She wasn't wearing a seat belt and eight year old boy and a 24 year old woman are both victims of gunshot wounds caused by New Year's Eve celebratory gunfire and a man is in surgery. After a firework exploded in his.
WTOP 24 Hour News
France's President Emmanuel Macron tests positive for coronavirus
"Leader testing positive for covert 19 this time the president of France In a brief statements, the Elysee presidential palace announced that President Emmanuel Macron had shown initial symptoms of covert 19. He took a real time PCR test, which came back positive. The palace says he will self isolate for seven days but will continue to work. Prime Minister John Kass Tex says he may be a contact case and we'll also self isolate as a precaution. Elaine CARB. CBS NEWS PARIS
Bloomberg Markets
The U.K. became the first Western country to greenlight a coronavirus vaccine
"The day. The UK is the first Western country to approve a vaccine against the coronavirus with emergency clearance of Fizer and buy on Tex shots. Prime Minister Boris Johnson the vaccine Will begin to be made available across the UK from next week, and Bloomberg Intelligence senior farmer analysts Sampas Ellie says there is no reason to think any corners were cut with approval. I understanding is that older regulated that'd be working together since a two least two maybe even earlier. Looking at these data looking at these vaccines, looking at manufacturing processes and working hand in hand with the companies to try and get this to people. Assassins possible Drug administration could follow up with its own emergency approval a week from
The Amateur Traveler Podcast
Reasons Everyone Should Visit Houston
"Should someone come to houston. texas acetate. don't really think about houston all about when they hear houston is a space center. Houston actually has i think. It's supposedly had the most restaurants per capita so there's a lot of food here. It has a really good population mix because of his proximity to mexico. You get what's called tex-mex which is a kind of mikla. Mr for mexican in texas food i guess or american footprint is quite good and there's also other large ethnic populations here so you'll find Didn't population here and there is actually some folks from other african dies poorer. That's here as well. There's really lot more to do than people think plus is all the major sports teams are here so there is quite a bit to do that. They just don't think about and all day but think about it's a space center but that's just one thing that you can do houston. I cannot verify the top ten restaurants per capita in the. Us list does not seem to have. Although strangely enough it does hit my hometown of san jose california issue. San francisco is being number one which i believe. 'cause nobody there cooks but guess. What would you recommend that somebody do when they come to houston. I actually have a huge list of things that people can do. I was bored one day and came up with. I think about forty five three things that you can do in houston for different free things. Yes no shortage of things to do in houston itself. Museum district is actually very large. Most people that come to houston they are here for oil because those are the Ahead of his hair they also come down for the medical center and when united was based here it might have been the largest employer at the time but i don't case anymore so there is a slew of museums at least eighteen or sally's eighteen free ones. Anyway we also have a lot of parks like any large city and because there's so much oil. Many in houston is a lot of people giving money to the parks into the parks action. A very well developed than really. Well kept. Well as i told you ahead of time. I'm gonna get you into more specifics. So okay where should we start all right. So can we talk about transportations. Says the airline guy. Alan guy right. He said has to year. Boy says a hobby airport. Which up until a few. I guess last week was dominated by south west but then southwest is now going to have flight sida houston intercontinental airport and in the continent airports named after george bush. Not the son but the father although the bush's actually live here in houston so transportation wise And they are actually connected to the city but by buses. Everybody drives in. Houston if you come the best thing for you to do if you really want to get around the city. I guess efficiently is to rent a car. There is a local bus service that it was like one or two that comes from it takes about him and only cost dollar twenty five cents to get from houston intercontinental downtown houston and then there is the eighty eight. I think it is now that goes from houston hobby into downtown houston and methodology and a quarter. But i would recommend getting a car because it's so easy to city is very large and getting a car is probably the best way to get around and then we're going to start. We can actually start downtown so once you get your car. You're jumping forty five and you head south into into downtown as you're driving into downtown you can see the city if you want. You can stay out by the airports airports Tells around there but if you come into houston you might as well come. Stay in the city center. You can stay downtown. Houston they have all all the major chains they here. There is actually a myriad married which has the pool in the shape of texas. So yeah i haven't gone there yet but it's actually quite cool. I've seen pictures of it and there's also the hilton which is across georgia. Lebron's convention thinkers houston is a big convention city when they have cooled show which these things anymore but when they used to have the show. You could not find a hotel room in houston and the city is about. I think we're up to seven and a half million people in houston. It is the fourth largest city in the union. So i would actually get downtown. i once. you're downtown There is discovery green and discovered green is actually a park. And it's right by the georgia brown Any literally sits between the myra one side and the hilton on the other side and off to the left of that is the minute maid park which is where the baseball team. The houston astros place. Now if one thing about maid park is if you're into trains and says very old city if you go to most of us cities you'll find a union station right right and most of them are still being used as stations while the one in houston is not it is now where when you go to the astros. That is the hall big hall that you normally have for stations. Dave turned that into the entrance to the ballpark.
Epicenter
Sam Bankman-Fried: What Sets FTX Cryptocurrency Derivatives Exchange Apart
"We'd like to thank Allah grant for their support of the PODCAST. And one of. The things I've heard about. That you know it's it's a platform that very well designed for traders and you know your product designed comes lock from your experiences running in active trading firm. What does that mean tangibly got? What are the sort of things that make FBI six different than other exchanges? Of things there and I'll just give a few examples although a lot of this is in the details your lot if they like a lot of just small tweaks in decisions that we made. What are some of the bigger things so? One thing is and maybe one of the bigger inserts like Moose you know sort of most visible things is how margin is handled. I don't know if you've like amateur of used. DRIFTS, exchanges before but I certainly the like the norm. Is. That every single merchant account is separate and what I mean by that is like you know. All right. So you WANNA trade. You know you WANNA trade bitcoin derivatives shot pope acquaintan- in marching your trade. US. Derivatives are put us in another merchant account. You WanNA trade you put Ethan. Third YOU WANNA. Trade spot put that Nina a fourth account yawn treat spot margin while there's a fifth account. And many of these places have like a hundred accounts or or something have way more than that, and it just quickly becomes like you know if you if you haven't spent like five hundred hours. Building out like a dedicated automated system to march to. A managing this it's like really hard to handle. You know like you know there's just sort of like Oh. God like I really. WanNa trade you know pch futures right now what do I need to do? Okay. Well, first of all, I need to remove some funds from whatever account there and now after us by spot pch for so why what the fuck like you're you're the whole point shrink futures not have you know they don't have to have h but now the first step of trading features buying. Tokens, and then you move them into account and then you can start trading and he each scalp position you have to reach everything's, and then you start thinking about your risk profile whereas a rick why go after by H in order to buy. Yeah. It's a really good question because a lot of these venues the margin for H. futures is H. The only thing you're allowed to post collateral is spot bitcoin cash and so I want. Bitcoin cash you need fiscal bitcoin cash. As you watch right US futures, you need fiscal us, and so you end up having to manage a spot book and all of these transfers all within the same exchange just to be able to trade the futures within it, which which served really shouldn't be necessary on and then it gets worse when you start thinking about your risk profile, do you think about liquidations and these are all independent margin accounts even though they're within the same exchange and they're all within your account? And it's what that means that they're separate liquidations. For, every single one and so you have to like manage like make sure that none of these fifty accounts you have with them. This one exchange are closed getting liquidated if they are you have to go in and like move funds around. and. So this is sort of like the extreme version of isolated margin as opposed to cross margining, and it's just like a huge pain to to manage and you know I mean it's a huge pain for a sophisticated trading firm with thoughts that move capital around automatically like you know it's so much bigger of a pain for I like manual traitor, you know who like What keep constantly checking all these things like logging onto you move around their capital do some trades so on f There's one account you can put anything in it Y- you dollars in other. Bitcoin cash east, whatever you want it all starts. And it all powers, all of the futures on it. and. You never need to reshuffle things, and so it's sort of like gets rid of that whole problem. Unless you want to and if you want to if you want to isolate margin so that you have like clean train records split up or so that you have margin on winced protected from a liquidation on the other than you can open up a different sub account and do that. So you can customize how you want like by default you don't have to. So. Serve like one example for thing where it's just a pain to use a lot of these platforms and tried to make it. As flexible as possible and and you another piece of that, which is different is that you know if tex will take a lot of different things quadral and so it's not like you have to store your clutter role in in. In in Bitcoin, you can do either and they'll they'll both payroll the future. So that's like one example for
Scientific Sense
Dr. Mark Hoffman, Research Associate Professor at the University of Missouri, Kansas City - burst 01
"Welcome to the site of accents podcast. Where we explore emerging ideas from signs, policy economics, and technology. My name is Gill eappen. We talk with woods leading academics and experts about the recent research or generally of topical interest. Scientific senses at unstructured conversation with no agenda or preparation. Be Color a wide variety of domains red new discoveries are made. and New Technologies are developed on a daily basis. The most interested in how new Ideas Affect Society? And, help educate the world how to pursue rewarding and enjoyable life rooted in signs logic at inflammation. V seek knowledge without boundaries or constraints and provide unaided content of conversations bit researchers and leaders who low what they do. A companion blog to this podcast can be found at scientific sense dot com. And displayed guest is available on over a dozen platforms and directly at scientific sense. Dot? Net. If you have suggestions for topics, guests at other ideas. Please send up to info at scientific sense dot com. And I can be reached at Gil at eappen Dot Info. Mike yesterday's Dr Mark Hoffman, who is a research associate professor in the University of Minnesota Against City. He is also chief research inflammation officer in the children's Mussa hospital in Kansas City. Kiss research interests include health data delayed indication sharing initialisation Boca Mark. Thank you for inviting me. Absolutely. So I start with one of your papers Kato you need the use by our system implementation in defy date data resource from hundred known athlete off my seasons. So Michio inflicted. Data aggregated for marketable sources provide an important resource for my medical research including digital feel typing. On. Like. Todd beat to from a single organization. Guitar data introduces a number of analysis challengers. So. So you've worked with some augmentation log and in almost all cases be used. Data coming from that single macy's listen primary care behavioral. Or specialty hospitals and I always wondered you know wouldn't be nice. Get a data set. That sort of abrogates data from the radio on-ice. Asians but a lot of different challenges around that. So you wanted to talk a bit about that. I'd be happy to the resource that we've worked with. Is primarily a called health fax data resource. It's been in operation for almost twenty years. And the the the model is that organizations who are. Using these Turner Electronic. Health. Record. Enter into an agreement was turner they agreed to provide data rights to sern are. The identifies the date of affords aggregated into this resource. And certner provides data mapping, which is really critical to this type of work. It also the aggregate the data. And for the past probably six years. Then, they provide the full data set to especially academic contributors who want to do research with that resource. And I've been on both sides of that equation Lead that group during my career there, and then now I have the opportunity to really focus research on that type of data. So before we get into the details smog so e Itar Systems. So this is. Essentially patient records. So he gets dated like demographics out family history, surgical history hats, medications, lab solves it could have physician nodes no snow. So it's it's a combination of a variety of different types of data, right? A couple of things on the examples you gave it includes demographics. Discreet Laboratory results Medication orders. Many vitals so If access the blood pressure and pulse data. It does not include text notes because those can't be. Automatically identified consistently. So. We don't have access currently to TEX notes. Out of an abundance of caution. That his Hobby Stephen, physician writes something down they could use names they could use inflammation that could then point back to their. Patients Makita Perspective been the data's aggregated, the primary issue shoe that date has completely the identified, right? Correct. So. So yeah. So the data that we receive there's eighteen identifiers. Hip requires be removed from data. And those include obvious things like name address email addresses are another example One of the. Things. That is also part of the benefit of working with this particular resource. The. Dates of clinical service are not allowed to be provided under hip. White is done with this resource that allows us to still have a longitudinal view is. For any given patient in the data set the dates are shifted by A. Consistent. Pattern that for any given patient it can be. One two three four five weeks forward or one, two, three, four or five weeks backward. But that preserves things like day of the week effect. So for example, you see -nificant increase in emergency department encounters over weekends and you don't WanNa lose. Visibility to that. but it also allows us to receive. Very, granular early time stamped events in so. We can gain visibility into the time that a blood specimen was collected, and then the time that the result was reported back. And so we're able to do very detailed analyses with this type of resource. Right right and I don't know the audience our market is fragmented. Tau himself e Amorebieta providers out there. and so two issues. One is sort of. Standardization as to how these databases are designed and structured and others even that standardization that the actual collection of the data. In itself is not standardized played. So vk CAV vk potentially lot inability coming from different systems. Correct and that's part of what the paper that you mentioned Evaluates so. Often, night you out in the field in conferences you hear. Comparisons kind of lumping all organizations using one. Vendor lumping all using another together but as you get closer to it, you quickly learn that. It's not even clear. It's within those. Vendor markets. There's variation from organization to organization in how they use the e Hr and so. Because the identities of the. Contributing organizations are blinded to those of us who work with the data. We have to be creative about how we. Infer those implementation details, and so with this paper, we describe a couple of methods that We think move things forward towards that goal. Yes. So I'm not really familiar with that. So you mentioned a couple of things here. One is the the merge network. So this initiative including electric medical records and genomics network and pc off net the national patient, centered clinical research network support. Decentralized analyses that goes disparate systems by distributing standardized quotas to site. So this is a situation where you have multiple systems sort of. Communicating with each other and this net folks at allowing to sort of quickly them In some standardized fashion. So In this type of technology, there's janitorial core models. One is the. Federated or distributed model, the other is a centralized data aggregation. So there are examples including those that are mentioned in the paper where. Queries are pushed to the organization and. They need to do significant work upfront to ensure that there are standardizing their terminologies the same way. And once they do that upfront work than they're able to perform the types of queries that are distributed through those. Federated Networks. With. Okay. So that just one click on so that the police have standardized. So all on the at Josh site, then they have like some sort of a plan slater from from Stan Day squatty do all the data structure. And in many cases, they work through an intermediate technology. that would be. In general, consider it like a data warehouse. And so the queries are running against the production electric. Health record. That has all kinds of implications on patient care where you don't want to slow down performance. By using these intermediaries They can receive queries and then Follow that mapping has occurred. Than, they're able to to run those distributed queries. Okay. And the other model is You know. You say the g through the medical quality, improvement consortium and sooner to the health facts initiative. So this says in Sodas case, for example, in swags. This is essentially picking up data from the right deals, clients and Dan standardizing and centralizing data in a single database is that that is correct. One benefit of that model is that Organizations who for example, may not be academic and don't have the. Resources to do that data mapping themselves by handing out over that task over to the vendor you get a broader diversity of the types of organizations so you can have. A safety net hospitals you can have. Critical access rural hospitals, and other venues of care that are probably under represented in some of those. More academically driven models. And clearly the focus on healthcare about I would imagine applications in pharmaceutical out indeed to right I. Don't know if it s use and bad direction there has been some were performed with these data resources to. Characterize different aspects of medications, and so it does have utility in value. In a variety of. Analytical contexts. I was thinking about you know a lot of randomized clinical trials going on into Kuwait context and One of the issues of dispatch seem development toils that are going on that one could argue the population there are not really well to percents. it may be number by Auditees, men, people that deputy existing conditions. and. So he will serve at my come out of facedly trial. granted might work for the population. Tried it minority have sufficient? more largely. So I wanted this type of well I guess we don't really have an ID there right. So clearly, you don't know who these people are but they could be some clustering type analysis that might be interesting weight from It's very useful for Health Services Research and for outcomes research for you know what I characterize digital phenotype being. they can then guide. More, more formal research. you know you can use this type of resource to. Make sure. You're asking a useful question and make sure that there's likely to be. Enough patients who qualify for given study. Maybe you're working on a clinical trial in your casting your net to narrow you can. Determine that with this type of data resource. And is the eight tiff date who has access to it typically. So for this data resource on, it's through the vendor so. You need to have some level of footprint with them. which is the case with our organization. They're definitely a broadening their strategies. So they're. Gaining access into health systems that aren't exclusively using their electronic health records so. It's exciting to be a part of that that process. and to again work with them to. Analyze the data. I think. To the example you gave a formal randomized trials. In key part of what were growing our research to focus on is because this is real world data. You learn what's happening in practice whether or not it's well aligned with guidelines or formal protocols. And doing that there's many opportunities for near-term interventions that can improve health outcomes simply by. Identifying where providers may be deviating more from. Best Practices in than taking steps through training and education to kind of get them back towards those best practices. This data is a fresh on a daily basis. It's not. It's because it's so large and bulky? Typically we've received it on a quarterly basis in since it's retrospective analysis that's not been a major barrier. But. mechanistically, on onto soon aside is data getting sort of picked up from this system that it's harvested every day and then it's aggregated bundled and distributed on A. On a different timescale. Okay okay. So. From again, going to the, it's our system designed issue and implementation You say many HR systems comprised of more news at specific clinical processes or unit such as Pharmacy Laboratory or surgery talked about that. But then then people implement them this of fashion right they they implement modules by that can be a factor or sometimes they may want. One vendor for their primary electronic health record, but another vendor for their laboratory system. and so that's where you don't see a hundred percent usage of every module and every organization. And detailed number of different you know sort of noise creating issues in data one. This is icy speech over from ICT denied ten. and I don't know history of this but this was supposed to be speech with sometime in twenty fifteen. That's correct. So there is A. You know. There's a date in October of Twenty fifteen where most organizations were expected to have completed that transition. When I see with researchers who aren't as familiar with the you know the whole policy landscape around `electronic health records that? you can imagine researchers who assumed that all data before that date in October is is nine and all data after that date would be icy the ten. While we demonstrate in this paper, is that that transition was not Nearly, that clean and it was a much more, you know there are some organizations who just It the bullet and completed in twenty fourteen, and there are other organizations that were still lagging. In. Two Thousand Sixteen. Potentially because they weren't as exposed to those incentives in other things that you know stipulated the transition so. Part of why were demonstrating with that particular part of that work was that. you know these transitions aren't always abrupt. Yeah and and and so that is one issue and then you know a lot of consistency inconsistency issues fade. So we see that in in single systems and one of the items note here as you know if you think about the disposition code for death. you could have a right your race supercenter, right? It's a death expire expedite at home hospice, and so on. if this is a problem for a single system, but then many think about aggregating data from multiple sources this this problem sort of increased exponentially. Absolutely. So one of the challenges with documenting and and finding where you know if a patient has A deceased that. There's just multiple places to put that documentation in the clinical record. The Location in the record that. We have found to be the most consistent is what's called discharge disposition. By as we show in that analysis, that field is not always used document that and so if you're doing outcomes research and one of your key. Outcome metrics is death. And there are organizations that. Aren't documenting death in a place that successful. You should filter those out of your analysis before moving forward. And so part of what we wanted to promote is the realization that. That's the type of consideration that needs to be made The four. Publishing. Your data about an outcome metrics like death that. You're not. If you're never gonNA see that outcome it doesn't mean that people are. Dying in that particular facility, it just means it's not documented in the place that successful. Right. Yeah. So you know you on your expedience. Unique Position Mark because you you look at it from the from the vendor's perspective you're in an academic setting you're also in practice in a hospital. What's your sense of these things improving the on a track of getting getting this more standardize or it's camping in the other direction I think in general there is improvement I think The. Over the past eleven years through various federal mandates, including meaningful use and so forth. Those of all incentive organizations to utilize. Standard terminologies more consistently than was the case beforehand. I think there's still plenty of room for improvement and You know it's it's a journey, not a destination, but I think things have improved substantially. I was wondering there could be some applications of artificial intelligence here to In a clearly TATECO systems and you'd like the most them pity human resource intensive Yvonne to get it completely right. So one question would be you know, could be actually used a Dick needs to get it maybe ninety nine percent white. And that the human deal with exceptions I definitely think that that's an exciting direction that You want those a algorithms to be trained with good data, and that's a big part of what's motivated us to. Put this focus on data quality and Understanding these strange nuances that are underpinning that date has so that. As we move towards a in machine learning and so forth. We have a high level of confidence in the data that's training those algorithms. Right. Yeah. I think that a huge opportunity here because it's not quite as broad as NFL, not natural language processing it is somewhat constrained. that is a good part of it. The back part of it is that is highly technical. and so. you know some of the techniques you know you can have a fault tolerance in certain dimensions such as you know, misspellings lack of gambling and things like that. But as you have Heidi technical data, you cannot apply those principles because he could have misspelling the system may not be able to. Get, sometimes, and that's where you know I think. It's totally feasible to use. Resources to you know when you're dealing with. Tens of millions of patients and billions of detailed records. Using a I'd even identify those patterns of either. Inconsistent data or missing data it's also very powerful just to. kind of flag in identified. Areas that need to be focused on to lead to a better analysis. Greg Wait Be Hefty. Use that information somehow did is a belt of information that you know and so it just filtering into decision processes that the are really losing it. So hopefully getting improving in that dimension I've jumping to another paper bittersweet interesting. So it's entitled rates and predictors of using opioids in the Emergency Department Katrina Treat Mike Dean in Young Otto's and so so this is sort of a machine learning exercise you have gone through to locate you know coup is getting prescribed. OPIOIDS water the conditions for the Democrat not Nestle demographics but different different maybe age and things like that gender. and and then ask the question desert has some effect on addiction. In the long term rights. So that project To great example of team science though. We. Assembled a team of subject matter experts in neurology pain management. And Data Science and. The neurologist and pain management experts. Identified an intriguing question that we decided to pursue with data. In their question was. Based on anecdotal observation and so we thought it'd be interesting to see how well the data supported that. Observation is that. for youth and young adults Treated or admitted into the emergency. Department. With a migraine headache that. All too often they were treated with an opioid. And so we Use the same day to resource that we were discussing earlier. To explore that. Question. And using data from a hundred and eighty distinct emergency departments. We found that on average twenty, three percent of those youth and young adults were treated with. An opioid medication while they were in the emergency department. In general, it should be almost zero percent in general. There's really Better medications to us, four people presenting with a migraine. and. So this fits into obviously the OPIOID crisis it. it demonstrates the. Scenario describing that. You know using real world data. You can identify patterns of clinical behavior that. Don't match guideline. And the good news is that the? correctable and so through. Training and communication there's great opportunity to. To, manage this. Really. Striking. So fifteen thousand or so inevitably the encounters. And nearly a quarter of this encounters you say involved inoculate. and these are not just Misha and Congress right. It is not filtered down to migraine encounters. Okay. Okay. So these fifteen thousand just might in encounters might vein being repeating disease So once you. If you make a statement and. This or not Easter conditioning issue here. So you get your pain, you go to an emergency department and you get treated with an opioid you get quick tactical relief. From pain. auditing condition expect that in the next episode. So you can say we didn't pursue that particular question, but that is Definitely key part of. Managing the OPIOID crisis is that drug seeking behavior and so Part of our goal was to quantify that and use this as an opportunity to educate providers that. You really shouldn't be treating migraines with an opioid in there are better alternatives and. So we we felt that this was an important contribution to that national dialogue, but we didn't specifically pursue the question of whether the patients we analyzed. Within. Encounter show up Subsequently. With the same symptoms. Right right. Yeah you it develop into period when problematic patterns of drug use comedy. FEST MERGE THE PREVALENCE RATE OF OPIOID misuse estimated to be two to four percent and debts in each goofy just young adult drew from overdoses are rising. and. You say that literally prescribe IOS has been slumping loose future opioid misuse by thirty three percent. Betas Mehta say really huge number. I think just validates the importance of this of this work. Interesting mark. I don't know you exploded on data. Last the question if you look at the aggregate data, it'd be flying opioid. Misuse. what percentage of the total number. Actually started from. You know some sort of medical encounter has mike or some sort of. related encounter that could be completed otherwise was three a bit opioid. in that encounter documented resulted in that misuse. So what so If you look at the active misuse problem that we have today. do you have a sense of what percentage of that goal is actually started I? Think the exciting thing about this type of research is for everyone questioned that you pursue you have. You have ten new that you can pursue. We haven't. Delved into that specific area, but it's It's very ripe for further analysis and A considerable part of where I end my colleagues and our time as. We do this type of work to get an initial analysis published. And then You know in my leadership role I just WANNA. support people like my colleagues on this paper Mark Connelly Jennifer Bickel. in in using data to. Support their research into identify those follow. I mean, he tests policy implications. So it's sweet important work. and. If you find it direct relationship here than you have to ask you know from from a medical perspective what is right intervention? maybe is not just added of care just best practice but clearly should be the bay You know things should be looked at you say you're American Academy of Neurology has included avoidance of using opioid to treat gain one of stop top flight choosing wisely recommendations. For high-value duck in this gives Really evidence to to support that. The other thing that's really intriguing is this level of variation from site to site in. Some Sun facilities are very much aligned with the guidelines. Others are at the you know well, above twenty three percent. And that gives an opportunity for a really precision. conversations about you know, where does our organization stand on that spectrum? Yeah that's a that's an interesting avenue to right. So you know one could ask he says some sort of push sliced Intervention if we can fly goal of patients who who had gone an opioid sexually don't have an addiction problem. that as you know Anna, the kofoed does. if you can fly those type of patterns than you can think about. A customized within electronic health record systems. There's. The ability to provide decisions poor. There's certainly phenomena called pop up fatigue were physicians. You know they don't like having so many pop up windows but at the same time. It's Within the capability of an e e Hr to do that if then logic if patient has. migraine medication order equals opioid. encourage the provider to pause and reconsider that. Right, right and so this is supervised machine learning type analysis where so you have. you have number features that comes directly from each else. So each sex race ethnicity. insurance type. Encounter prostate suggest duration. time of the year and so on. and you have labeled data in this case I guess you have able tater because you would know if op- inscribed on trade. Okay and so are the two questions here. One is to ask the question given a new patient and those features. you could assign a probability that that patient will be prescribed will. Definitely. Impress the data from that predictive Minds. Right and then can you so that data definitely tell you if the patient is going to progress into some sort of an addiction issue. So. Earn Predicting Substance Abuse. So. Yeah. Yeah. Yeah. There's additional diagnosis codes that document. whether a patient has a history of substance abuse disorder. and. So it would be feasible to. Identify the with those diagnosis codes in than really look at their prior history. Of What other conditions were they treated for? What medications were they give in? to develop that model. One of the things in this case that helped with this study is that just in general, it's not advised get. So there are other things that are much more of a gray area. Or whether opioid is as useful, but in this case. The really not. Considered. To be helpful for migraines compared to other options and so that help us have a fairly clear cut scenario to do this work. Yeah. This this won't be the data like you say once you do something like this, you have been other things you could. You could stop asking. So unquestioned that that been to my mind as you know, how did they hugged the actually prescribing opioids? Is it the patient asking for it all so? Off that was another scoping thing with this project is focused on what happens within the emergency. Room. So it's it's. Really, medication order in administration that happens. In that emergency room setting. Whether or not the patient. was. Requesting that you know if they came in and said, this has worked for me before. Can I have it again? we don't have visibility to that. Right. Right. And so from a practical perspective So the the analysis that you did slightly ended up with the Family Clyde power we think it is. Compelling. Pretty compelling. So as as a new patient gets into e D either high. and what I mean by that probably is if there is a history of substance abuse property. the physician has really think twice about. The use of may be the well, and in this case, even without that history. Just because it's not considered to be an effective treatment. You know encouraging them to pause in that decision making. In this particular case is as effective as wall. Right. So looking forward. In if you think about both of these issues, one is the data quality data aggregation data standardized recent problem in the the right of Utah Systems have did that the talked about? And then if we can get to a level that we can look at cross a large data set. Beacon, ask. More. US specific questions, treatment. Optimum treatment type questions. subpoenaed. US The mark big think B be hunting. Certainly, the volume and variety of data that we're able to work with will be even greater I, think the. Opportunity To. Look, holistically at how upstream data capture. Effects Downstream data. Analysis. example I frequently give is if we have a Aggregate Data said we identify. Ten patients whose way in that data such shows up as being. Something that's completely infeasible. let's say they're documented is being. Fifty year old person who weighs two pounds. Clearly air. What's important is? Creating the process to communicate that back upstream. Because that clinical decision. Support. Many drug dosing things are evaluated using weight based logic and so. That same logic that's Evaluating the appropriateness of dosage. It's going to be running against an incorrect value in that may or may not always be visible. So I really am intrigued with that holistic opportunity. In it I am I remain just we have three or four additional papers coming out. About other examples where Provider behaviors not aligned with Best Practices and I'm just excited about you know when you compare that to how long it takes to develop a new drug or how long it takes to. To a really long term research. This research has the opportunity for a pretty quick turnaround on an effective intervention. A really that. Other so much that right. Providers. been taught in a no, but they're. Not always using that in practice and so to help them. Identify, those topics in just modifying behaviors is. In the scheme of things, it's a very straightforward way to improve. So. You know the entire spectrum from essentially getting the data. Right or cleaner like you know Missa mischaracterized or miss input data like wait or something like that. To to get. Better diagnosis better treatment modalities. policies there and from a femme perspective clearly inflammation therefore clinical trials. I was even thinking about drug interaction type. Inflammation. I haven't been involved in the former de for awhile but. Typically, this type of data doesn't get back into automatic processes that fast but I think that is all I know there's strong interest in Pharma in. Working with this type of data there a again looking at real world behavior. This is an excellent resource for off label medication use at. you know where Pharma's Always interested in repurposing existing medications the. Regulatory Processes, much more straightforward for that because the safety is already been. Evaluated and so. The. Significant Opportunity With this, there's also just exciting. Patterns of you know. What are those unrecognised correlations? That's where the machine learning opportunities are really exciting where. You know we're not always asking the right question. And the data can show us what we should be. Yeah exactly. So if the machine a sort of red flags something or create hypotheses. that Cubans have missed sometimes, those types of things are extremely powerful. because maybe that sometimes it's countering tutor. and so we all look at data with an Incan bias. The beauty of machines that at least on the surface began deploy Michigan. This volume of data. Techniques like machine deep learning can recognize those subtle but consistent associations. Wait quite. Excellent. Idea this has been great mark Thanks so much time with me. I enjoyed it very much. Thank you. But
Scientific Sense
Dr. Mark Hoffman, Research Associate Professor at the University of Missouri, Kansas City - burst 01
"Welcome to the site of accents podcast. Where we explore emerging ideas from signs, policy economics, and technology. My name is Gill eappen. We talk with woods leading academics and experts about the recent research or generally of topical interest. Scientific senses at unstructured conversation with no agenda or preparation. Be Color a wide variety of domains red new discoveries are made. and New Technologies are developed on a daily basis. The most interested in how new Ideas Affect Society? And, help educate the world how to pursue rewarding and enjoyable life rooted in signs logic at inflammation. V seek knowledge without boundaries or constraints and provide unaided content of conversations bit researchers and leaders who low what they do. A companion blog to this podcast can be found at scientific sense dot com. And displayed guest is available on over a dozen platforms and directly at scientific sense. Dot? Net. If you have suggestions for topics, guests at other ideas. Please send up to info at scientific sense dot com. And I can be reached at Gil at eappen Dot Info. Mike yesterday's Dr Mark Hoffman, who is a research associate professor in the University of Minnesota Against City. He is also chief research inflammation officer in the children's Mussa hospital in Kansas City. Kiss research interests include health data delayed indication sharing initialisation Boca Mark. Thank you for inviting me. Absolutely. So I start with one of your papers Kato you need the use by our system implementation in defy date data resource from hundred known athlete off my seasons. So Michio inflicted. Data aggregated for marketable sources provide an important resource for my medical research including digital feel typing. On. Like. Todd beat to from a single organization. Guitar data introduces a number of analysis challengers. So. So you've worked with some augmentation log and in almost all cases be used. Data coming from that single macy's listen primary care behavioral. Or specialty hospitals and I always wondered you know wouldn't be nice. Get a data set. That sort of abrogates data from the radio on-ice. Asians but a lot of different challenges around that. So you wanted to talk a bit about that. I'd be happy to the resource that we've worked with. Is primarily a called health fax data resource. It's been in operation for almost twenty years. And the the the model is that organizations who are. Using these Turner Electronic. Health. Record. Enter into an agreement was turner they agreed to provide data rights to sern are. The identifies the date of affords aggregated into this resource. And certner provides data mapping, which is really critical to this type of work. It also the aggregate the data. And for the past probably six years. Then, they provide the full data set to especially academic contributors who want to do research with that resource. And I've been on both sides of that equation Lead that group during my career there, and then now I have the opportunity to really focus research on that type of data. So before we get into the details smog so e Itar Systems. So this is. Essentially patient records. So he gets dated like demographics out family history, surgical history hats, medications, lab solves it could have physician nodes no snow. So it's it's a combination of a variety of different types of data, right? A couple of things on the examples you gave it includes demographics. Discreet Laboratory results Medication orders. Many vitals so If access the blood pressure and pulse data. It does not include text notes because those can't be. Automatically identified consistently. So. We don't have access currently to TEX notes. Out of an abundance of caution. That his Hobby Stephen, physician writes something down they could use names they could use inflammation that could then point back to their. Patients Makita Perspective been the data's aggregated, the primary issue shoe that date has completely the identified, right? Correct. So. So yeah. So the data that we receive there's eighteen identifiers. Hip requires be removed from data. And those include obvious things like name address email addresses are another example One of the. Things. That is also part of the benefit of working with this particular resource. The. Dates of clinical service are not allowed to be provided under hip. White is done with this resource that allows us to still have a longitudinal view is. For any given patient in the data set the dates are shifted by A. Consistent. Pattern that for any given patient it can be. One two three four five weeks forward or one, two, three, four or five weeks backward. But that preserves things like day of the week effect. So for example, you see -nificant increase in emergency department encounters over weekends and you don't WanNa lose. Visibility to that. but it also allows us to receive. Very, granular early time stamped events in so. We can gain visibility into the time that a blood specimen was collected, and then the time that the result was reported back. And so we're able to do very detailed analyses with this type of resource. Right right and I don't know the audience our market is fragmented. Tau himself e Amorebieta providers out there. and so two issues. One is sort of. Standardization as to how these databases are designed and structured and others even that standardization that the actual collection of the data. In itself is not standardized played. So vk CAV vk potentially lot inability coming from different systems. Correct and that's part of what the paper that you mentioned Evaluates so. Often, night you out in the field in conferences you hear. Comparisons kind of lumping all organizations using one. Vendor lumping all using another together but as you get closer to it, you quickly learn that. It's not even clear. It's within those. Vendor markets. There's variation from organization to organization in how they use the e Hr and so. Because the identities of the. Contributing organizations are blinded to those of us who work with the data. We have to be creative about how we. Infer those implementation details, and so with this paper, we describe a couple of methods that We think move things forward towards that goal. Yes. So I'm not really familiar with that. So you mentioned a couple of things here. One is the the merge network. So this initiative including electric medical records and genomics network and pc off net the national patient, centered clinical research network support. Decentralized analyses that goes disparate systems by distributing standardized quotas to site. So this is a situation where you have multiple systems sort of. Communicating with each other and this net folks at allowing to sort of quickly them In some standardized fashion. So In this type of technology, there's janitorial core models. One is the. Federated or distributed model, the other is a centralized data aggregation. So there are examples including those that are mentioned in the paper where. Queries are pushed to the organization and. They need to do significant work upfront to ensure that there are standardizing their terminologies the same way. And once they do that upfront work than they're able to perform the types of queries that are distributed through those. Federated Networks. With. Okay. So that just one click on so that the police have standardized. So all on the at Josh site, then they have like some sort of a plan slater from from Stan Day squatty do all the data structure. And in many cases, they work through an intermediate technology. that would be. In general, consider it like a data warehouse. And so the queries are running against the production electric. Health record. That has all kinds of implications on patient care where you don't want to slow down performance. By using these intermediaries They can receive queries and then Follow that mapping has occurred. Than, they're able to to run those distributed queries. Okay. And the other model is You know. You say the g through the medical quality, improvement consortium and sooner to the health facts initiative. So this says in Sodas case, for example, in swags. This is essentially picking up data from the right deals, clients and Dan standardizing and centralizing data in a single database is that that is correct. One benefit of that model is that Organizations who for example, may not be academic and don't have the. Resources to do that data mapping themselves by handing out over that task over to the vendor you get a broader diversity of the types of organizations so you can have. A safety net hospitals you can have. Critical access rural hospitals, and other venues of care that are probably under represented in some of those. More academically driven models. And clearly the focus on healthcare about I would imagine applications in pharmaceutical out indeed to right I. Don't know if it s use and bad direction there has been some were performed with these data resources to. Characterize different aspects of medications, and so it does have utility in value. In a variety of. Analytical contexts. I was thinking about you know a lot of randomized clinical trials going on into Kuwait context and One of the issues of dispatch seem development toils that are going on that one could argue the population there are not really well to percents. it may be number by Auditees, men, people that deputy existing conditions. and. So he will serve at my come out of facedly trial. granted might work for the population. Tried it minority have sufficient? more largely. So I wanted this type of well I guess we don't really have an ID there right. So clearly, you don't know who these people are but they could be some clustering type analysis that might be interesting weight from It's very useful for Health Services Research and for outcomes research for you know what I characterize digital phenotype being. they can then guide. More, more formal research. you know you can use this type of resource to. Make sure. You're asking a useful question and make sure that there's likely to be. Enough patients who qualify for given study. Maybe you're working on a clinical trial in your casting your net to narrow you can. Determine that with this type of data resource. And is the eight tiff date who has access to it typically. So for this data resource on, it's through the vendor so. You need to have some level of footprint with them. which is the case with our organization. They're definitely a broadening their strategies. So they're. Gaining access into health systems that aren't exclusively using their electronic health records so. It's exciting to be a part of that that process. and to again work with them to. Analyze the data. I think. To the example you gave a formal randomized trials. In key part of what were growing our research to focus on is because this is real world data. You learn what's happening in practice whether or not it's well aligned with guidelines or formal protocols. And doing that there's many opportunities for near-term interventions that can improve health outcomes simply by. Identifying where providers may be deviating more from. Best Practices in than taking steps through training and education to kind of get them back towards those best practices. This data is a fresh on a daily basis. It's not. It's because it's so large and bulky? Typically we've received it on a quarterly basis in since it's retrospective analysis that's not been a major barrier. But. mechanistically, on onto soon aside is data getting sort of picked up from this system that it's harvested every day and then it's aggregated bundled and distributed on A. On a different timescale. Okay okay. So. From again, going to the, it's our system designed issue and implementation You say many HR systems comprised of more news at specific clinical processes or unit such as Pharmacy Laboratory or surgery talked about that. But then then people implement them this of fashion right they they implement modules by that can be a factor or sometimes they may want. One vendor for their primary electronic health record, but another vendor for their laboratory system. and so that's where you don't see a hundred percent usage of every module and every organization. And detailed number of different you know sort of noise creating issues in data one. This is icy speech over from ICT denied ten. and I don't know history of this but this was supposed to be speech with sometime in twenty fifteen. That's correct. So there is A. You know. There's a date in October of Twenty fifteen where most organizations were expected to have completed that transition. When I see with researchers who aren't as familiar with the you know the whole policy landscape around `electronic health records that? you can imagine researchers who assumed that all data before that date in October is is nine and all data after that date would be icy the ten. While we demonstrate in this paper, is that that transition was not Nearly, that clean and it was a much more, you know there are some organizations who just It the bullet and completed in twenty fourteen, and there are other organizations that were still lagging. In. Two Thousand Sixteen. Potentially because they weren't as exposed to those incentives in other things that you know stipulated the transition so. Part of why were demonstrating with that particular part of that work was that. you know these transitions aren't always abrupt. Yeah and and and so that is one issue and then you know a lot of consistency inconsistency issues fade. So we see that in in single systems and one of the items note here as you know if you think about the disposition code for death. you could have a right your race supercenter, right? It's a death expire expedite at home hospice, and so on. if this is a problem for a single system, but then many think about aggregating data from multiple sources this this problem sort of increased exponentially. Absolutely. So one of the challenges with documenting and and finding where you know if a patient has A deceased that. There's just multiple places to put that documentation in the clinical record. The Location in the record that. We have found to be the most consistent is what's called discharge disposition. By as we show in that analysis, that field is not always used document that and so if you're doing outcomes research and one of your key. Outcome metrics is death. And there are organizations that. Aren't documenting death in a place that successful. You should filter those out of your analysis before moving forward. And so part of what we wanted to promote is the realization that. That's the type of consideration that needs to be made The four. Publishing. Your data about an outcome metrics like death that. You're not. If you're never gonNA see that outcome it doesn't mean that people are. Dying in that particular facility, it just means it's not documented in the place that successful. Right. Yeah. So you know you on your expedience. Unique Position Mark because you you look at it from the from the vendor's perspective you're in an academic setting you're also in practice in a hospital. What's your sense of these things improving the on a track of getting getting this more standardize or it's camping in the other direction I think in general there is improvement I think The. Over the past eleven years through various federal mandates, including meaningful use and so forth. Those of all incentive organizations to utilize. Standard terminologies more consistently than was the case beforehand. I think there's still plenty of room for improvement and You know it's it's a journey, not a destination, but I think things have improved substantially. I was wondering there could be some applications of artificial intelligence here to In a clearly TATECO systems and you'd like the most them pity human resource intensive Yvonne to get it completely right. So one question would be you know, could be actually used a Dick needs to get it maybe ninety nine percent white. And that the human deal with exceptions I definitely think that that's an exciting direction that You want those a algorithms to be trained with good data, and that's a big part of what's motivated us to. Put this focus on data quality and Understanding these strange nuances that are underpinning that date has so that. As we move towards a in machine learning and so forth. We have a high level of confidence in the data that's training those algorithms. Right. Yeah. I think that a huge opportunity here because it's not quite as broad as NFL, not natural language processing it is somewhat constrained. that is a good part of it. The back part of it is that is highly technical. and so. you know some of the techniques you know you can have a fault tolerance in certain dimensions such as you know, misspellings lack of gambling and things like that. But as you have Heidi technical data, you cannot apply those principles because he could have misspelling the system may not be able to. Get, sometimes, and that's where you know I think. It's totally feasible to use. Resources to you know when you're dealing with. Tens of millions of patients and billions of detailed records. Using a I'd even identify those patterns of either. Inconsistent data or missing data it's also very powerful just to. kind of flag in identified. Areas that need to be focused on to lead to a better analysis. Greg Wait Be Hefty. Use that information somehow did is a belt of information that you know and so it just filtering into decision processes that the are really losing it. So hopefully getting improving in that dimension I've jumping to another paper bittersweet interesting. So it's entitled rates and predictors of using opioids in the Emergency Department Katrina Treat Mike Dean in Young Otto's and so so this is sort of a machine learning exercise you have gone through to locate you know coup is getting prescribed. OPIOIDS water the conditions for the Democrat not Nestle demographics but different different maybe age and things like that gender. and and then ask the question desert has some effect on addiction. In the long term rights. So that project To great example of team science though. We. Assembled a team of subject matter experts in neurology pain management. And Data Science and. The neurologist and pain management experts. Identified an intriguing question that we decided to pursue with data. In their question was. Based on anecdotal observation and so we thought it'd be interesting to see how well the data supported that. Observation is that. for youth and young adults Treated or admitted into the emergency. Department. With a migraine headache that. All too often they were treated with an opioid. And so we Use the same day to resource that we were discussing earlier. To explore that. Question. And using data from a hundred and eighty distinct emergency departments. We found that on average twenty, three percent of those youth and young adults were treated with. An opioid medication while they were in the emergency department. In general, it should be almost zero percent in general. There's really Better medications to us, four people presenting with a migraine. and. So this fits into obviously the OPIOID crisis it. it demonstrates the. Scenario describing that. You know using real world data. You can identify patterns of clinical behavior that. Don't match guideline. And the good news is that the? correctable and so through. Training and communication there's great opportunity to. To, manage this. Really. Striking. So fifteen thousand or so inevitably the encounters. And nearly a quarter of this encounters you say involved inoculate. and these are not just Misha and Congress right. It is not filtered down to migraine encounters. Okay. Okay. So these fifteen thousand just might in encounters might vein being repeating disease So once you. If you make a statement and. This or not Easter conditioning issue here. So you get your pain, you go to an emergency department and you get treated with an opioid you get quick tactical relief. From pain. auditing condition expect that in the next episode. So you can say we didn't pursue that particular question, but that is Definitely key part of. Managing the OPIOID crisis is that drug seeking behavior and so Part of our goal was to quantify that and use this as an opportunity to educate providers that. You really shouldn't be treating migraines with an opioid in there are better alternatives and. So we we felt that this was an important contribution to that national dialogue, but we didn't specifically pursue the question of whether the patients we analyzed. Within. Encounter show up Subsequently. With the same symptoms. Right right. Yeah you it develop into period when problematic patterns of drug use comedy. FEST MERGE THE PREVALENCE RATE OF OPIOID misuse estimated to be two to four percent and debts in each goofy just young adult drew from overdoses are rising. and. You say that literally prescribe IOS has been slumping loose future opioid misuse by thirty three percent. Betas Mehta say really huge number. I think just validates the importance of this of this work. Interesting mark. I don't know you exploded on data. Last the question if you look at the aggregate data, it'd be flying opioid. Misuse. what percentage of the total number. Actually started from. You know some sort of medical encounter has mike or some sort of. related encounter that could be completed otherwise was three a bit opioid. in that encounter documented resulted in that misuse. So what so If you look at the active misuse problem that we have today. do you have a sense of what percentage of that goal is actually started I? Think the exciting thing about this type of research is for everyone questioned that you pursue you have. You have ten new that you can pursue. We haven't. Delved into that specific area, but it's It's very ripe for further analysis and A considerable part of where I end my colleagues and our time as. We do this type of work to get an initial analysis published. And then You know in my leadership role I just WANNA. support people like my colleagues on this paper Mark Connelly Jennifer Bickel. in in using data to. Support their research into identify those follow. I mean, he tests policy implications. So it's sweet important work. and. If you find it direct relationship here than you have to ask you know from from a medical perspective what is right intervention? maybe is not just added of care just best practice but clearly should be the bay You know things should be looked at you say you're American Academy of Neurology has included avoidance of using opioid to treat gain one of stop top flight choosing wisely recommendations. For high-value duck in this gives Really evidence to to support that. The other thing that's really intriguing is this level of variation from site to site in. Some Sun facilities are very much aligned with the guidelines. Others are at the you know well, above twenty three percent. And that gives an opportunity for a really precision. conversations about you know, where does our organization stand on that spectrum? Yeah that's a that's an interesting avenue to right. So you know one could ask he says some sort of push sliced Intervention if we can fly goal of patients who who had gone an opioid sexually don't have an addiction problem. that as you know Anna, the kofoed does. if you can fly those type of patterns than you can think about. A customized within electronic health record systems. There's. The ability to provide decisions poor. There's certainly phenomena called pop up fatigue were physicians. You know they don't like having so many pop up windows but at the same time. It's Within the capability of an e e Hr to do that if then logic if patient has. migraine medication order equals opioid. encourage the provider to pause and reconsider that. Right, right and so this is supervised machine learning type analysis where so you have. you have number features that comes directly from each else. So each sex race ethnicity. insurance type. Encounter prostate suggest duration. time of the year and so on. and you have labeled data in this case I guess you have able tater because you would know if op- inscribed on trade. Okay and so are the two questions here. One is to ask the question given a new patient and those features. you could assign a probability that that patient will be prescribed will. Definitely. Impress the data from that predictive Minds. Right and then can you so that data definitely tell you if the patient is going to progress into some sort of an addiction issue. So. Earn Predicting Substance Abuse. So. Yeah. Yeah. Yeah. There's additional diagnosis codes that document. whether a patient has a history of substance abuse disorder. and. So it would be feasible to. Identify the with those diagnosis codes in than really look at their prior history. Of What other conditions were they treated for? What medications were they give in? to develop that model. One of the things in this case that helped with this study is that just in general, it's not advised get. So there are other things that are much more of a gray area. Or whether opioid is as useful, but in this case. The really not. Considered. To be helpful for migraines compared to other options and so that help us have a fairly clear cut scenario to do this work. Yeah. This this won't be the data like you say once you do something like this, you have been other things you could. You could stop asking. So unquestioned that that been to my mind as you know, how did they hugged the actually prescribing opioids? Is it the patient asking for it all so? Off that was another scoping thing with this project is focused on what happens within the emergency. Room. So it's it's. Really, medication order in administration that happens. In that emergency room setting. Whether or not the patient. was. Requesting that you know if they came in and said, this has worked for me before. Can I have it again? we don't have visibility to that. Right. Right. And so from a practical perspective So the the analysis that you did slightly ended up with the Family Clyde power we think it is. Compelling. Pretty compelling. So as as a new patient gets into e D either high. and what I mean by that probably is if there is a history of substance abuse property. the physician has really think twice about. The use of may be the well, and in this case, even without that history. Just because it's not considered to be an effective treatment. You know encouraging them to pause in that decision making. In this particular case is as effective as wall. Right. So looking forward. In if you think about both of these issues, one is the data quality data aggregation data standardized recent problem in the the right of Utah Systems have did that the talked about? And then if we can get to a level that we can look at cross a large data set. Beacon, ask. More. US specific questions, treatment. Optimum treatment type questions. subpoenaed. US The mark big think B be hunting. Certainly, the volume and variety of data that we're able to work with will be even greater I, think the. Opportunity To. Look, holistically at how upstream data capture. Effects Downstream data. Analysis. example I frequently give is if we have a Aggregate Data said we identify. Ten patients whose way in that data such shows up as being. Something that's completely infeasible. let's say they're documented is being. Fifty year old person who weighs two pounds. Clearly air. What's important is? Creating the process to communicate that back upstream. Because that clinical decision. Support. Many drug dosing things are evaluated using weight based logic and so. That same logic that's Evaluating the appropriateness of dosage. It's going to be running against an incorrect value in that may or may not always be visible. So I really am intrigued with that holistic opportunity. In it I am I remain just we have three or four additional papers coming out. About other examples where Provider behaviors not aligned with Best Practices and I'm just excited about you know when you compare that to how long it takes to develop a new drug or how long it takes to. To a really long term research. This research has the opportunity for a pretty quick turnaround on an effective intervention. A really that. Other so much that right. Providers. been taught in a no, but they're. Not always using that in practice and so to help them. Identify, those topics in just modifying behaviors is. In the scheme of things, it's a very straightforward way to improve. So. You know the entire spectrum from essentially getting the data. Right or cleaner like you know Missa mischaracterized or miss input data like wait or something like that. To to get. Better diagnosis better treatment modalities. policies there and from a femme perspective clearly inflammation therefore clinical trials. I was even thinking about drug interaction type. Inflammation. I haven't been involved in the former de for awhile but. Typically, this type of data doesn't get back into automatic processes that fast but I think that is all I know there's strong interest in Pharma in. Working with this type of data there a again looking at real world behavior. This is an excellent resource for off label medication use at. you know where Pharma's Always interested in repurposing existing medications the. Regulatory Processes, much more straightforward for that because the safety is already been. Evaluated and so. The. Significant Opportunity With this, there's also just exciting. Patterns of you know. What are those unrecognised correlations? That's where the machine learning opportunities are really exciting where. You know we're not always asking the right question. And the data can show us what we should be. Yeah exactly. So if the machine a sort of red flags something or create hypotheses. that Cubans have missed sometimes, those types of things are extremely powerful. because maybe that sometimes it's countering tutor. and so we all look at data with an Incan bias. The beauty of machines that at least on the surface began deploy Michigan. This volume of data. Techniques like machine deep learning can recognize those subtle but consistent associations. Wait quite. Excellent. Idea this has been great mark Thanks so much time with me. I enjoyed it very much. Thank you. But
Sean Hannity
What can Houston area expect from Hurricane Delta?
"From from the the Louisiana Louisiana Coast Coast is is some some of of the the outer outer bands bands or or bringing bringing rain. rain. To To the the east east of of the the east east tax tax in in our our area area and and then then east east of of the the Gulf Gulf Freeway Freeway in in the the Houston Houston area, area, so so pulling pulling up up the the radar radar right right now now looking looking looking at at at it. it. it. You You You know know know how how how radar radar radar is is is you you you get get get those those those big big big red red red areas. areas. areas. We We We don't don't don't have have have that that that everything everything everything is is in in the the green green and and the the yellow yellow and and along along the the East East Tex Tex Freeway, Freeway, you're you're kind kind of of in in the the green, green, but but it it doesn't doesn't look look like like you're you're going to really hit much rainfall until you get past. Let's say Cleveland and then if you are on the Gulf Freeway might see a little bit of rain around Pasadena. Perhaps round League City. Caroline Looks like you've got a pop up shower That's half If you're on the West side, you're really not seeing much rain at all. Today's commemorative Air Force
Glenn Beck
State Fair Preparing For First Big Tex Fair Food Drive Thru Event in Dallas
"If you need a fried food fix, you're in luck. The state fairs drive through event beginning today. They already sold out for tomorrow's event, and they have limited tickets for other times. During the next three weeks. Click Nevel is on the story. I think he just wants all the fried food. That's why he took the story. Now he's going to join us. Tell us all the details will find out if we need millions of tickets to go if we can get the tickets online