The following is a presentation of TFNN Trading Hour with your host, David White. Call now toll free at 1-877-927-6648 internationally at<PHONE_NUMBER>. Now, David White. And welcome all to another exciting edition of the Power Trading Hour with me, your humble lovable and squeezibly soft host. As always, we'd like to come to you at this time. The following takes place between 2 p.m. and 3 p.m. So what do we have going on today? Well, we're up, is that right? Four? It's been bounced around here. Let me update this. Okay, we're up four points on the S&P cash after being down around 10 on the open. Dow's up 47 Nasdaq's up 10, Russell's up three. But again, I don't put a lot of long term into these days. Either options expiration or the two days that follow it with options at rollover. Of course, this is the most important rollover season of the year as it takes us all the way through Christmas. So as they start adding on the longer term options, 30, 60, 90 days, you know, I haven't looked at leaps in about five years. I wonder if they even still have them. Those were one year options, but I think those went the way of the dodo. I'll have to check on that. I don't think that they got so expensive that it was ridiculous and I never looked at them again. I think all the people that wrote them around 2007 and eight went bankrupt and that was probably, they may still exist. I do not know. I haven't looked. I did a lot of work over the weekend trying to come up with some kind of edge for this week's of trading and I got nothing. And that's not a bad thing. At least, you know, in fact, my models may be better at predicting flat spots in the market than anything else. But certainly right now, Monday and Tuesday, we got options rollover of today's up a little bit than 80% of the time tomorrow is going to be down a little bit. Wednesday is the first day we get moving. And of course, we've got fund buying that actually starts most of the time it would start on Friday. The pattern for funds have been, though, to wait and not buy into the weekends, but wait until Monday. I think this weekend will be just that. There is a fairly decent order of battle that says you don't go into a new operation on a moonlit night. And of course, so we get to this weekend, we get to the full or the new moon and if there's going to be any kind of military action normally going to be Friday, Saturday, Sunday, probably Sunday or Saturday night. And of course, if you got stealth aircraft, it's great that you can't be seen on radar. But if you're silhouetted against the moon and not such a great deal either. So we'll imagine or I will imagine that we will know by next Monday. And if nothing happens over the weekend, I suspect we're probably going to have a big relief rally in the market. And of course, that takes us into October anyway, fund buying. We got a lot of other stuff. But the legion of people that have been predicting the end of the world, not just markets moving higher and lower, but literally all kinds of gnashing and wailing of teeth may have not gotten that quote correct. I don't see in the charts, of course, charts only show what everybody knows. They don't show what people don't know. Years ago, before the earth cooled and dinosaurs roamed the earth, there was a lot of leaks out of company earnings. Well, they put a kind of the kibosh on that starting in about 2003, because everybody was leaking everything is worse than Washington D.C. So what do we have? We've got a market that's continually gotten tighter and tighter with fewer and fewer cues as we got into options expiration. And I mean, earnings season, we're just starting to warm that up. In fact, it's at least you get a few weeks off before it was one of these things where you didn't have any time off. At least a handful or the bigger stocks are now pretty much accumulating into about a month and a half, giving us a month and a half off before they actually restart and earnest again. So we're getting just the kind of the first drops of those starting later this week and next week and into the other one. But by the first week of October at that ends, we're going to start ramping back up all the way through mid to mid November. Then we wait back and get it started all over again about mid January. So look for that six week cycle where we actually get to rest a little bit. There may be individual companies coming out with news, but there's not enough to actually move the market or set everybody up into thinking that the market's going to heaven or hell. So as we start to show off today, as I said, not much going on volume fairly weak. Again, normally we get Fridays with light volume and Mondays with light volume in the fall. All we've had so far since the three day weekend is really a light Monday. 3.2 billion shares as we start the show. And of course, when you look at some of the other stuff, it just doesn't seem like we're breaking out of the range. There was a brief window where it looked like maybe the dollar would move back down into the 96s, did it for all of a day into the high 97s and popped right back. We're about 15 cents today at 98 28. And of course, when you look at the indexes today, which I have to get back to now oils up about 40 cents. As I said, I am not a fan of being short oil as long as the Baker Hughes numbers continue to come in light and man, they came in very light on Friday, which would add additional support to the oil markets pricing, keeping them up. As we continue on, of course, natural gas, I it is hard for me to see natural gas come up to anything that I've heard where a lot of people are saying it's back going to go back up to four bucks. It could, but man, are you going to have to have some horrible conditions for a long time to get that back up both in production and in the consumption. So if you're thinking that we're going down to minus 50 all winter long, maybe there's a chance. But man, it seems to be if we hit three bucks right now, I think that's fairly high natural gas for this fall to do. What else do we have going on? Gold's up 15, 16 bucks. What is that 1531? So you got a little bounce back in here. But at the moment, I suspect we're going to consolidate for a while in gold, not a message that a lot of people want to hear if they're gold bulls up. 83 cents, almost 83 and a half cents on silver at 1868 50. Probably the worst thing that I think can happen to gold is everybody yelling about buying it. And certainly this weekend was everybody that I could find was all bullish on gold. And generally, when you get to gold really runs, it's when nobody's bullish on it. So consolidation more than likely. Copper up not even a penny today, 20 or $2 and 61 cents. We'll be back after this. If you're not currently using the Taz profile scanner when looking at setting up your trading opportunities, then your arsenal is short a mighty weapon. The Taz profile scanner is a standalone piece of software that instantly filters over 2500 global financial markets such as stocks, ETFs, commodity futures and forex. Heated by Steve Dahl, Taz understands that in today's technological world, the use of top flight software applications and technical analysis expertise is essential to successful trading in today's market. You also gain access to the webinar that Steve Dahl and Tom O'Brien just hosted, the best way to use the Taz profile scanner to profit. This webinar archive is available for all subscribers immediately upon signing up. All new subscriptions also come with a 30 day money back guarantee so you have nothing to risk. 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You can still visit us at the same TFNN.com URL, but when you do you'll see a new and improved homepage with a much simpler navigation, whether you're watching Tiger TV live in high definition or just accessing your newsletter subscriptions. We even have new pricing in six months and yearly options. Check out the new TFNN.com now and experience all the upgrades. TFNN.com educating investors. TFNN.com now toll free at 1<PHONE_NUMBER> internationally at<PHONE_NUMBER>. And well, so now we're still out here just up three points. I don't suspect a lot's going to happen. Again, pretty bad time to be trading. Wednesday probably a day where we're going to see a lot more signal than noise. As I routinely say today is a lot of noise and very little signal. You'll get just the opposite 80% of the time tomorrow. So we'll see what happens. But Wednesday, you know, I can imagine that we have consolidation all the way through the week. Maybe 2960. If we could get back down there on low volume, that probably would be another good opportunity to go long in the market. I'm pretty much all cash and pretty happy about it.  If they can just hang on though through this week, it'll be a fairly bullish signal. But we really need to wait till next week until we start seeing. I think a lot of that bullish bias in the market. What else do we have out here? Let's do a little history and then we'll move on. It is nothing but history repeating. And on this day, in fact, let's do that in 1779 the US ship Bonham Richard commanded by John Paul Jones wins a hard fought engagement against the British ships of war, Seraptus and Countess of Scarborough off the eastern coast of England with the outbreak of the American Revolution 1775. He traveled to Philadelphia and was commissioned as a senior lieutenant in the continental Navy soon distinguish himself and actions against the British ships and the bombers, the Atlantic Ocean and the English Channel. And of course, one of the battles of all time where his ship was sinking and he still decided was able to conquer two other ships, take them captive and right away with his ship and right away with their ships and his ship sunk the next day. And, you know, he ended up kind of bopping around after the that for a while. And I think it was in maybe 1905 they found his body after a huge fit by the Ambassador France dug up his body and found it and returned it to Arlington Cemetery. And one of the heroes when we had to kick the limies out of America on this day in 1779. What else is going on? I wanted to look at some charts here today. The first one, in fact, was talk about it because Friday after the bell, some new laws trying to get past in New York City that I thought were very interesting. Let's go ahead and up to this chart just in case there's any chance. We're talking about all the laws changing in California and New York already and some of the other Massachusetts about employee status for Lyft and Uber. What has changed now in New York City is that a lot of these guys drive their Uber cars around and Lyft cars around, but it's cheaper to drive them than to actually park them. So they just drive them around and at least the people from New York City say they're adding congestion in the street. I don't know how they add any more congestion in the street than cabs did before, but guess what?  Suddenly there's a lot of people with their hands out. So both Lyft and Uber finding every time they turn around a little bit more people out there with a handout. You had a little bit more of a dip today, $3206 for the low in Uber. You've got $30.67, which is the September 3rd low. You're into that candle with about a fourth and third of the volume right now. So that a lot of times may need be all you need. Chart doesn't really look that bad. I would say though that it's just something on the way to happening. And that is that these big cities are going to look at Uber and Lyft as funding mechanisms for their city long as they did as the regular cabs were before. Just a way to kind of get your hand out there, get your beak wettened as we say from the Godfather. But certainly those come under attack. There's a engineer from Facebook who was recently fired because he used social media. Imagine that. We don't like using social media. It will confuse people. They told him that he couldn't say that he worked for Facebook. So he said he was a former Google tech lead and they've canned him. Well, he's become kind of the, what's that guy Ronan digging up dirt where they do not like it for Facebook. Anyway, a lot of discussions about what's going on in Facebook. Sounds just like out of the Politburo Soviet Union. You can't speak the truth. Can't do anything. Anyway, very interesting inside look at the bureaucracy in the downright nitwitty, bat, fruit bat, crazy political factions where nothing is getting done at Facebook. Apparently at least that is his story. But it seems to be rather backed up by other folks in that same company. And of course, on Friday after the close, we heard that one of the engineers jumped off the top of the building. He says that that is just a drop in the bucket as to what's going on in the nuttiness at Facebook. Also on Friday you had Zuckerberg and maybe even Thursday and Friday talking to a lot of the congressmen and senators trying to get and find some way to not be broken apart. A rather cool reception for the head of Facebook. But not only that, a lot of demands and a court case. Of course, the most interesting part of the court case is that Facebook is no longer trying to play both sides of the fence. They are solidly saying that they are a publisher. So as a publisher, guess what? They can be sued for anything that they put on their sites and anything that others put on their site. So let the games begin. My guess is that Facebook will be one giant lawsuit after another in the near future. Much less all the federal trade commission issues and the monopoly and antitrust issues besides just being a horrible place to encourage narcissists to come around.  Not because it's the right thing to do, but because bureaucracy has taken an interesting stuff in Facebook at the time, fairly perishing. We'll be back after this. David is trading ideas each morning in his Path of Lease Resistance newsletter. 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Low or that low itself. Chewie's, we've been kind of pushing this one down on some rather rough talk on the street about Chewie. It's been down on some decent volume today. Just a doji out sideways. I don't see much on that credit Swiss gap down. And I guess there's more discussions about what's going on in all of Europe. I think what the DAX was down almost a percent today as was the Shanghai, I think. You've got two gaps that could get filled down here to about $11.75. FLIR, which is a forward looking infrared radar. Did I do that right? Yeah, floor systems. Getting back up to this gap. They announced a whole series of cameras for people on pleasure boats and actually on full size shipping lanes that can see through fog, that kind of stuff. Kind of an interesting application anywhere from seven grand at the bottom to about 25 grand. So these should be some nice cameras to add to their already pretty huge system for airplanes and static systems in the military. This kind of adds a new level for people, boats like me, or boaters like me that would like. Seven grand is kind of steep, but probably much better than running a ground or into another ship. And it's nice that you can see through fog. Anyway, this is going back into this huge gap down with two and a half million chairs back from July 24th. And of course, that two and a half million chairs just hasn't had much of a push. Even today, just 222,000 chairs so far today. Lulu, some kind of upgrade downgrade thing didn't seem to go very far. This actually looked fairly good yet a good gap higher on the 6th of August. It's the 6th of September with 11 million chairs. You've been filling that gap over a number of days. He went into that with a fourth of the volume of 2.4 million chairs on Friday. Today you have a little bounce, but the volume is not really following it so far. Sam's beer. Just slow, slow, slow. Come on. Can't we get the volume going? There we go. Not much of a bounce on this one either, although it's its previous support level of 350. 3 got to 344. 86 on Friday. It's back into the trading range. Doesn't look that bad. And of course, nothing better than cereal malt beverages. Some very vicious downgrades today in Slack. W-O-R-K is the symbol for that one. I'm not exactly sure why everything is moving so slowly today, but it certainly is. We talked with Tom O'Brien in the Tech Insider Hour when this came out, how you have to separate a very good product from the company and its ability to actually make money or monetize what it's doing. The only good thing down here is you're back into the previous low at $23.93. That had 30 million shares. You're into it with 5.3 million shares today. Now, it looks like you could close below that. We'll have to see how the day ends. But any close back above $23.93 actually suggests that there may be some kind of short-term low in Slack. The problem I have about shorting it after this is the possibility of a buyout which does exist. So if you shorted this thing at the IPO at about $40 and you got down to $24, congratulations. Here's where the risk really starts picking up, and that is this desk of a low on-lighter volume. And you're basically through... When's the lockup period? Let's take a look at that because we want to talk about it. Let me find it here. That's not what I wanted. I wanted a lockup date. See when this thing actually gets out of it. Come on, where are you at? Let's just see if we can't get it on this. Because they've changed the NASDAQ website. They used to have... What is it? A lockup date. They received, okay, 180 days from May 31st. So that's six months. So that'd be the end of the year. Here it is. Finally got it, $12.17. Okay, so that gets you far enough into Christmas that it's going to be pretty tough. That's a good time to start an IPO because then your lockups happen where not many people around in the market are fairly thin. It makes it very hard for insiders to sell. It makes it very hard for outsiders to short. But yeah, that's pretty much it. $12.17. You probably would not look at a buyout before the lockup expiration. But after that, it becomes problematic. Let's see what they have for short interest. And because that new stuff came out. Because I think everybody's been all over this and they have... We've had days of one out of four trades being short. So fairly high short interest. See if we've got anything else. And they're not really publishing it quite yet. But the daily data does suggest fairly high short interest. At some days, it's been 32% back on the 6th of August. So you're going to be building a fairly large short interest in Slack. If you can find the right low, kind of like Snap, you can make some fairly decent money. Take a look at Snap here. I've been waiting for you to speak about the huge climate initiatives. I don't know what you want me to comment on. You've got to say something more. And we're going to break. Maybe we'll follow up that question with a little bit more detail. If you're in the CD market and looking for a secure investment, the Tiger First Mortgage Program may work for you. The security for these first mortgages are building lots in the tax opportunity zone in St. Petersburg, Florida. The Tax Act of 2018 set up tax-free zones across the country where you can build and hold for 10 years and pay no tax on the profits, which makes these lots valuable. The investment is anywhere from 30,000 to 75,000. The interest paid is 7% yearly paid on a monthly basis. According to bankrate.com, the best rate for a four-year CD in the country as of February 20th is 3.1%. A $50,000 investment at a normal four-year CD rate of 3.1% would give you income of $1,550 per year, or $6,200 over the four-year period. 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Distributor Four Side Fund Services, LLC. In the upper left corner of the screen is the Tampius. That's a couple of things to do. Just see if there's anything moving out here. Okay, well, we're right back to it. 29.95, up three points on the S&P cash volume is a light at 3.5 billion shares. So if nothing happens before the end of the day to get going, we're going to have a slightly higher day, up three points. Again, I'm not putting a lot of weight to tell us is going to be very important. Of course, the markets really don't get moving again to Wednesday. Most of the time, if today's an update, then generally tomorrow is a down day of equal or around equal performance. So that would say fairly light. Wednesday, the stock market kind of gets back into gear after rolling off all the options that expired from last week and putting on and adding and starting to sell options all the way through Christmas. So just kind of a quiet couple of days most of the time. A lot of times, it's a lot of noise that people attribute signal to if I would say that. I got another question. Do I still suspect that Warren has an 80% chance of winning the Democratic Nonna nomination? I think it went to 90 or 95 over the weekend. I think it's hers to lose now by a long margin. And no big deal other than elections have consequences. And if we can all sanely discuss not what's right and wrong, but higher and lower prices based on whatever issues that come out of politics. So we'll take a deep breath, just my opinion, but probably opinion based on some experience. Okay, what else do we have in the questions? Question over the weekend about 5G and, of course, a lot of morons and all this column flat out morons in Europe running around saying 5G is going to hurt us. It's an issue. Well, I know those folks didn't even make it through high school physics or they would understand the difference between ionizing radiation and non-ionizing radiation. And basically the theory is that if I had a spitball and shot it at a locomotive, I could knock it over. That's basically the argument that people against 5G have right now. And that is that some incredibly small amount of non-ionizing radiation could actually cause problems. The truth of the matter is that the water in your skin is enough to stop it. It's not going to get into you or cause any problems. But you know what? As I said a little earlier in the day to somebody, I think the world's just gone fruit-bat crazy. And I wanted to use another word, but I'll use fruit-bat crazy. It's black helicopter time all the time. It's nutty beliefs and predictions of the end. It's just these things eventually wear themselves out when everybody gets tired after about the tenth time of saying that the apocalypse is tomorrow or that everything else is going to go to hell on handbag. But not new. People feel powerless and they express themselves in ways that don't make either economic or any kind of rational, non-minally ill way. Let me put it that way. So that's easy. Anyway, we can go that. Anyway, we looked at everything I wanted to look at. So let's go ahead and look at some of the other stuff. NFLX didn't win some Emmys. And of course I have one in my wonderful, what do you call them? Lockbox at the bank, where I keep mine. But I would not watch the shows anymore, just too depressing. But mine's a technical Emmy given the week before that the regular Emmys are given. So I never got to do that. The only good part was that Jerry Lewis gave me mine. Because he won one back in like 1968 or five or something. He was the first person to put a TV camera on a movie camera so that he could watch everything that happened in his, all the movies he made in the sixties. And I think he was the first one. They opened up that category, DIST to give it, which is a technical Emmy, adding to the production and production values of that. So that's what my Emmy for my product, the personal animation recorder, and all the products that came after that in the nineties, kind of a, what would you call it? It's like a Tivo for animators. A way to get computer animation and video out of a computer and onto, at that time, analog tape. But we've moved very far since then. So what do we have in Netflix? Down 11 million shares compared to 24 million share on Friday. I thought that gap would potentially hold. Some people saying, as I said, I quit subscribing to them. There just wasn't a lot on here that I wanted to watch it. I thought the stuff on Amazon was better. And of course, Amazon did walk away with a few more Emmys last night than most people thought. That may be for a little bit of the weakness. You don't have a lot of volume today. That does still open up the 231 23 low and with Hulu and Disney and everybody else coming into this space that never really had a big moat. I was always worried about what you could do at that high and you had a fairly good decent test of the 385 99 high that had 10 million shares. You got into it with less than seven. That was the May 1st compared to the July 9th high. So you had a test of top. You did on lighter volume. You're coming back down now. Is the energy any, uh, any higher than the December 26, 2018 up to the May high? No, it's actually just the last, but you've had some fairly decent gaps back down. Kind of reminds me of the Tesla chart where you had Tesla coming up to 379 back on December 7th, a day that will live in infamy 2018. That 380 high with 11 million shares never really got tested. He got into close to it on 352 on January 26. And that's about all she wrote. Um, we were short. I think that's the first time we shorted it at 345 in that area in the tech insider and wrote it down to about, uh, to what was it? 230 240 something like that. Um, I think this is going to have another 100 point move down. It's just win. I like this thing to go sideways for a while in the meantime. Hang on. We'll be back in a minute. tools as well as provide great market calls to sign up today. David White's newsletter, the technology insider is focused like a laser on finding the next big things in technology. If you had invested only $10,000 in Microsoft in 1986, you'd have been a millionaire by 2000 disruptive technology like Microsoft's is the key to these massive long term profits. And the tech insider is the vehicle from TF and then to capitalize on these opportunities. This is the go to newsletter that identifies monitors and profits on mostly little known cutting edge companies with great long term prospects. David's experience is as an inventor of Emmy winning animation products for TV and Hollywood that propelled a company public match that with 14 years as a full time trader, and he's uniquely qualified to guide you through the light speed world of ever evolving high tech. If you're ready to ride the next big technology bull market for less than $40 per month, log on to TFNN.com and get your two week free trial to the technology insider. Get in on the ground floor of the next big thing today. Since 1984, Basil Chapman has been using the Chapman wave methodology to advise traders of his expert market opinion. While originally hand drawing charts from the late 1970s into the 1980s, Basil noticed that prices under most circumstances virtually always had a certain number of legs to the upside before declining sharply. Later, Basil found the computer software which included the standard market technical indicators enhance the degree of accuracy and calling price turns as well as market trend calls. Thus was born the Chapman wave sequence. Using the Chapman wave methodology along with other indicators, Basil Chapman advises his subscribers of his expert market opinion each market day with his opening call newsletter. Right now you can get a two week free trial to the opening call Basil's daily trading newsletter by visiting the front page of TFNN.com. Cancel at any time during that trial and pay absolutely nothing. Get your two week free trial to Basil's newsletter the opening call today by visiting TFNN.com. Catch Tom O'Brien, professional trader and educator, founder of TFNN. Also a special guest on CNBC. Tom will bisect and dissect the markets. The Tom O'Brien Show next on TFNN. Got our last little segment here. Make sure and give me a call tomorrow. It's been a quiet day. Maybe you've got some questions that are percolating in your fine brains. And of course you can call me at<PHONE_NUMBER>. But thanks for some questions. I think tomorrow's probably going to be kind of a light day too. Wednesday we're probably going to get back to a steel cage grudge match in the market. It goes against the bears. But until then start thinking of some questions for tomorrow. Gold's up $16.80. Oil up 47 cents. Again, not much has happened in there. Kind of slowing down. Got a kind of question about TLT coming in via email, which I think is just a fad. TLT. Fad of 40 years. TLT. Yeah, you're getting back up to the movements down. You didn't get much into today. You know, I just like to see that half the gap gets filled. So probably maximum resistance level is about 146 in the TLT. And that's where I would look. It could fail right now. It came down with massive volume. But the risk reward really doesn't come in till about 145-ish, 146-ish. You'd like it to get up there with no volume. Like on the 10th of September you were down on 13.9 million shares. You got about 11 million shares, so not all that bad. But you need to get into some of these gaps that had 15 and get 15.9 million shares on the 9th of September. So close. But my guess is this is where you're going to start having a lot of people jump up and down and think they'll be able to get out of this bronking bowl. You've got two highs. You don't need any more. You tested the previous high with 50% lighter volume on August 28th. That's everything you need to know about that. This is an A market that is at best consolidating and worst-heading much lower. We'll be back tomorrow. St. Bat Channel, St. Bat.


In this video, we will provide the solution to question number 9 for practice exam number 3 for Math 1060, in which case a package is pushed across the floor, a distance of 52 feet, this is something like this, 52 feet. And this is accomplished by exerting a force of 15 pounds downward at an angle of 30 degrees. And this is with respect to the horizontal, so we're saying like this, with respect to the horizontal, this is 30 degrees. So how much work is done? Well, the formula we've learned previously is that the work is equal to the magnitude of the force times cosine of the angle between them times by the distance traveled here. So we have this information, we have 15 pounds of force, it was traveling or it moved 52 feet, and then this happened to be cosine of 30 degrees. We're going to have to do this without a calculator here. Cosine of 30 degrees, of course, is going to be root 3 over 2. So we have 15 times 52 times root 3 over 2. Right? You can of course divide 2 into 52, like so, square root of 3. Do a little bit of arithmetic. I mean, I confess that you don't have a calculator here, but it's not the worst arithmetic one could do. You know, we could multiply 2 digit numbers by scratch. And in the end, we're going to end up with 390 times the square root of 3 foot pounds, in which case then the correct answer we see is choice D.


Hey, this is Brett and this 2014 Ford Mustang Shelby GT500 is stock number 12875Z. We are here at Summit Automotive in Fond du Lac, Wisconsin, you're new and use sports car headquarters. This 2014 Ford Mustang Shelby GT500 has the 5.8 liter supercharged V8 engine, 662 horse power. This car has been fully safety and inspected by our service shop has a fresh oil and filter change. All the fluids have been checked and topped off and this car is 100% ready to go. We are going to go all the way around on this car inside, started up, take a look in the trunk, go through all the options on this car and I actually have the build numbers for the 2014 GT500 so I'm going to go over some of the main options and the rarity of this car in this video. Oxford White is the color and we shoot all of our videos in 4K so if you have HD capabilities on your computer, tablet, smartphone or television I highly recommend turning them on right now because it is your best way to check out the quality, condition, options and cleanliness of the car before seeing it in person. And if you like the video and how we do things here at Summit Automotive in the lower right hand part of the screen is a subscribe button to our YouTube channel. Click that and then click the bell notifications and you'll get updates on the videos that we do each and every day here at Summit Automotive. So very clean down this side. First off I'm going to show you, I have this build production numbers so everything highlighted in orange is this car and I'm going to go just through some of this stuff here. I'm going to see if I can link this picture in the description below so definitely check that out. So first off this one comes with the SVT performance package and the SVT performance package they made 558 of these in Oxford White in the coupes. So this is one of 558 with the SVT package. Comes with the Goodyear Eagle F1 26540 ZR19 tires in the front and I would say these tires have probably about half the tread left on them. I didn't see any scuffs or scrapes on this rim and it does come with the Brembo brakes. I didn't see any dents or dings on the front fender. It does have the HID headlamps and the factory fog lights. Front bumper is in very nice shape. I didn't see any dents, dings or scuffs on that with the open air grille. Cobra logo looks good and this one does have the black center stripes. So with the black center stripes this car had, well 611 of them came with the racing stripes. I don't have how many were black. I did want to point out there is on the bottom valence here there is a couple little scuffs. Now you can order these pieces separate from Ford to replace those but they're not very expensive and they're easy to replace. Anyways the hood is in excellent condition. I didn't see any dents or dings on there. And coming around to the passenger side no dents or dings on that fender. passenger side rim no major scuffs or scrapes is in very nice condition. And as you go down this side of the car take note of how clean the body is, how reflective and mirror like that paint is. And we take these HD videos so if you are far away or even if you're close by and just cannot make the trip down but you're still interested in purchasing the car you can see the car, hear the car and have confidence in the vehicle that you're looking at before you even get here. So the big option and rare thing about this car is that it has the glass roof. Now they only made 87 white GT500s with the glass roof. So this is a one of 87 white GT500s in 2014 with the glass roof. So that's a pretty rare option making this a highly desirable car. Just because the glass roof is a neat option anyways. This back rim is in excellent condition as well no scuffs or scrapes and the back tires have just about as much tread as the front tires. So the other option on this car that it has that's not very common is the track pack. So if you look up there there's the rear diff. There is your rear diff cooler line. If it has that line the car has the track pack. So that's part of the heavy duty or the super cooling as they call it on here engine super cooling system and they only made 467 in white with the track pack. So that's well over half of the white coupes had the track pack so it's a common option for the white ones but not really always a common option on the GT500s. Anyways you get the quad tipped dual rear exhaust. The back stripes are in excellent shape. I didn't see any scuffs or scrapes on that rear bumper. The black fascia on the trunk lid is in nice shape, the GT500 logo looks good and the stripes on the deck lid are in excellent shape as well. All the glass is in very nice condition on this car. So we'll open the trunk here. Back storage area is very clean. So this one did not come with the factory car cover but it does come with an aftermarket car cover and you'll notice that it has the shaker pro audio system. So the shaker pro audio system this was one of 400 looks like 446 or 416 white coupes with the shaker pro audio. So that's another kind of rare option to get under here. There's your tire inflator kit. You can see just how nice and clean everything is back here. Going around to the driver's side just as clean as a passenger side. Rear quarter looks really good and for full disclosure this back rim is just as nice as the rest. I didn't see any scuffs or scrapes on any of the rims. They are in very nice condition as you go down the driver's side door here. I didn't see any dents, I didn't see any dings. The edges of the doors all look really good. The stripes all look really good and the side stripes were an option as well and only 156 white coupes had the side stripes. So that's kind of a rare option on them. This one also has the black rikaro seats which were an option and there were 149 2014's made with the black rikaro seats. There are no rips or tears. It does have the driver's seat height adjuster, factory floor mats, has launch control, the steering options there, auto headlamps, power windows, power locks, power mirrors. We'll hop inside, check out the miles, radio and everything that this car has to offer on the interior. So you can see that this one has 13,772 miles. Instrument cluster is very nice and clean. You get the suede and leather wrapped steering wheel, Bluetooth and audio controls on the right, cruise controls and information center controls on the left. You get the Shelby logo right there. This is the suede part, the leather is on top. That is in very nice condition. This is the shaker sound system, AM-FM single CD and that was an option as well. I don't have that one. Oh yeah, I do. So this was one of 133 that just had the normal radio without the electronics package. AM-FM and Serious Satellite Radio capabilities. You get your GT500 shifter stability control, your trunk release and then the cup holders have the ambient lighting in there. You can change that color through the cluster as well as the color down by your feet. Passengers side floor mat and seat are in excellent condition. No rips or tears, smells very clean inside this car and you do get that glass roof. Home link system for your garage door security systems and lighting systems and map lights up there. So this does have a sun shade so if you wanted a little bit of shade you can do that. That works really nice. Sometimes those don't always roll back as nicely as they should. So what I'm going to do now is we'll start it up. We'll take a look under the hood and listen to it run it and everything. Those are pretty much all the options that were on the car. Starts right up. Back engine lights or anything like that. Always love how the GT500 sounds. I would personally like to thank you for checking out the video today and hopefully from this HD video you'll be able to verify the quality and condition, looks, styling and of course the options on this car inside and out. HID headlamps, LED running lights, very nice condition. Under the hood we have the 5.8 liter supercharged V8 engine. Engine bay is very clean, runs very smooth. Once again this car has been fully safety and inspected by our service shop. Has a fresh oil and filter change all the foods have been checked and topped off. These they etched their names so this was made by Larry McCow and Derek Dublin maybe. Has the cold air intake, JLT performance, carbon fiber wrapped intake as well. Engine bay is very clean, runs very smooth. There is your emissions sticker. And yeah this car is 100% ready to go, very very good looking car. And I would highly recommend this 2014 Ford Mustang Shelby GT500 from a quality and condition standpoint. And to see more pictures of this car or one of our other 450 new and used cars, trucks, SUVs, minivans, wranglers, halftons, 3 quarter tons, one tons, GT500s, Corvettes, Camaros, Challengers, Chargers, you name it, we got to go to that website right there, summitauto.com. Full pictures and descriptions of every single vehicle from two locations all at summitauto.com. And if you'd like to check out more HD videos you can go to youtube.com slash summitauto. Remember to like, subscribe and share on this video and all the videos that you see there. Click the bell notifications you'll get updates on the videos we do each and every day here at Summit Automotive. In fact any second you will see a link to subscribe to our YouTube channel on the upper left, a link to more GT500 videos like this one on the upper right, a link to this vehicle on our website on the lower left, any link to one of our latest YouTube videos in the lower right. Remember I'm going to put that link to this picture for these numbers in the description so check those out. Thanks again for checking out the video, remember to like, subscribe and share and we really look forward to helping you with this ultra clean 2014 Ford Mustang Shelby GT500 in Oxford white. Thanks again for checking out the video, remember to like, subscribe and share.


Hi everyone happy draft night NFL draft night coming out with an NHL break 2021 NHL will have an expansion draft at some point too. That should be exciting 2020 2021 upper deck SP game use hockey five box random team break number four one spot gets you three Random teams all card ship ducks coyotes comboed big. Thanks to this group of people right here for knocking this out Where'd that go? control z Control Z maybe I'll just grab those names again Control C control V two three there you go Thanks to that group people for getting in there the teams right there. There's the combo. Let's roll it. Let's randomize it Six and a three nine times Jaguars on the clock four minutes. We know who they're taking right unless Let's say why I make this day crazy Erin Rogers requesting to trade Jaguars not taking Trevor Lawrence. That'd be wild six and a three nine times Her names and teams one two three four five six seven eight And ninth and final time after nine. We've got Steve all the way down to Brian six and a three nine times for the teams one two three seven Eight and ninth and final time after nine. We've got the abs all the way down to the islanders All right, so Steve right with the Colorado avalanche mark with the Bruins Brian with the senators and the hurricanes Walter with the blues Mark with the blue jackets Brian with the lightning Walter with the wild and the Sabres Douglas with the Canadian Steve with the Flyers Walter with the Kings Mark with the combo ducks and coyotes Walter with the Blackhawks Douglas with the Caps Walter with the Preds and Penguins Steve with the stars Walter with the Rangers Brian with the Panthers and sharks Steve with the Maple Leafs Brian with the Red Wings and Jets Douglas with the Golden Knights Steve right with the New Jersey Devils Steve Burch with the Canucks Walter with the flames Brian with the Oilers and the New York Islanders All right, so let's sort by team right here any trades And remember here are the boxes right here. I marked them With the four right here, so we know that for a random team number of four Less than two minutes for the Jaguars. We know where they're taking Why the clock changed 10? Can you get extra time? Can you request extra time? No, the pick is it Little glitch That's all. All right trade window going once trade window going twice and TWC trade window closed Reprinting yes, we're printing. All right behind Brandon Hagel is Is a Maxine Lettunov To 84 and then our first autograph Jonas Johansson There you go authentic rookies autograph for the Sabres Buffalo And that's for you Walter. There you go. Thank you for getting in. There's the final print out and a randomizer here There's Nathan McKinnon on the left side Jack Eichel on the right side. There it is locked in Trevor Lawrence Jaguars fans are happy Trevor Lawrence knew what was happening. There's a delay at their home's TV. There he is He's got his big smile on his face There's a few Gatorades on the coffee table for Trevor Lawrence's family. So we'll Gatorade sponsorship already We got Lucas Carlson authentic rookie relic for the Blackhawks Walter and we've got Nikita Kudroff There you go. That's Distinctions Jersey material distinctions That's for Tampa Bay. That's gonna be for Brian Croft Now the Jets on the clock 645 6 minutes 43 seconds now left for the Jets Sounds like they're gonna go They're gonna go Zach Wilson right unless they blow things up Trevor Lawrence to Tim Tebow, right? Tim Tebow, I mean Tebow should have made that made that change to tie it in like years ago Let's see what he has left in the tank. All right. We got Miro Heiskenin To 265 for Dallas. That's gonna be for Steve behind Eric Stahl is a Jersey and auto Colton Parriaco 12 out of 15. I hope he's a good player because this card looks really cool That'll go to St. Louis. That will be for Walter. I guess that's why they call it the blues Nice relic there nice autograph And then should be relics after this is for Toronto. There's Timothy little Jegrin Toronto that'll be for Steve right and we got Alex Belzeal For the Canadians Douglas and we've got Brendan Gallagher Also for the Canadians that'll be for Douglas Yeah, all of her thinking wetter urban Meyer is definitely gonna make Tebow a starter at some point Maybe not a starter. Maybe maybe at least at least some games. He'll he'll I guess Tebow will be out there All right, we got Heinrich Zetterberg To 235. I don't know if there's been anything big here rex. My hockey knowledge is not very strong I'm pulling some some things that visually look nice. They're Sydney Crosby I think the autograph is always in the same spot, right? I noticed Sydney Crosby relic For Walter and the penguins We got a dual relic right here Seth Jones Blue Jackets defenseman going to mark by Oliver you think they'll they'll have Tebow run out there for a For some option stuff. That would be wild. There's Ian Cole For the abs two-color dual relic And that will be for Steve right and we've got Josh Bailey for the Islanders It's Brian Croft and the auto is Jersey and autograph Alexander Barbanov Barabanov Barabanov 49 out of 65 going to Steve right and the Toronto Maple Leafs and there's Philip Kuroshev For Chicago, that'll be for Walter two more boxes to go the Jets pick is in and stick with us all night long folks We'll be we'll be we'll be watching the draft together. We'll be breaking down the picks See if there's any surprises Aaron Rodgers get traded tonight. Who knows? Could be crazy There's Dylan Cousins to 199 That's for yes. He's a Saber buffalo Walter. All right. We got Connor McDavid relic nice For Edmonton, that's gonna be for Brian Croft. It is Zach Wilson official These frameworks cards are pretty cool Jack Eichel another one for Buffalo another one for Walter There is Zach Wilson's there. I got Drew Dowdy for the Kings That'll be for Walter. Yep Jaguars Jets so far gonna be the most expensive Most expensive teams in 2021 football product to save up Jags fans and Jets fans and collectors There's Brandon Hagel Chicago Blackhawks Walter Jaspie's Miami stickers. We're gonna sell hit packs out there. Nice The Niners make a trade here. All right. We got Jonathan Druin to 265 That must be cool like being being like the fan sitting in the seat and Then being like hey, I just took a picture with like the number one overall the first pick for my team That's gotta be cool. So that's the auto right there. Here's banner year David Pasternak for the Bruins Mark with the Boston Bruins All right, as I've been mentioning in almost every break remember do the top loader shortage We have been having to use larger top loaders Putting blue painters tape right here, so it doesn't rattle around but in case you remove it or in case it doesn't have it for Whatever reason just be careful when you get these cards and you're unpacking them There's Calvin Thurkhoff For Columbus that's gonna go to mark and there's Connor Halibut for the Jets another all-star game relic It's for Winnipeg. That's gonna be for Brian Croft and the last one here is There's a no autograph I guess this one didn't give us an autograph or was it this? Anyway You can watch it. We can watch the tape six out of 25 Ryan gets left for the Ducks coyotes combo going to mark 342 left for the Niners. Are they gonna trade the pick? What's gonna happen here? Oh, I guess we'll see All right, let's do a randomizer really quick for this one. Thanks everyone for getting into the break This one's between Buffalo and Colorado All right, here's some new dice Let's get Buffalo Colorado here. All right, and let's roll it Let's randomize it two and a two for the hard way team on top gets the dual relic card one two three Goes to Buffalo after four times So that'll be for Walter There you go. Thanks for watching everybody. I'll see you next time for the next one. Enjoy the NFL draft. Bye


Hello everybody, welcome back to another video with me, Thomas Henley, on Asperger's growth YouTube channel. The thing that you're on right now, watch me. Hi. Today we're going to be talking about how to get support at university. This is going out to anybody who is on the spectrum or has any sort of mental health difficulties. I'm going to tell you about the best ways to go about getting support at university both academically and in your personal life. I'm going to cover how you can get disability support, how you can build a relationship both with your personal advisor and with your support officer which is going to be your main point of contact for times when you are struggling at university, struggling with revising and then I'm also going to touch on how to submit mitigating circumstances which is the document that you put in, you give some evidence for and it helps the university decide what grade they're going to give you based on the circumstances that you're facing at university. Hey, so let's get into the first point, disability services. When you sign up to go to a university they'll often ask you if you have any disabilities that you want to state. It's a good idea to state your disabilities when you go to university. It's not going to affect you in any sort of negative way if you do this because once you put down that you have a disability you have priority over who knows in the academic world. Sure the support office and the disability service will know about it but the people that you're around, the people that teach you will not necessarily know about it unless you give them sort of the green light to tell these people. They'll usually give you a sort of form when you come to university, you'll put down that you have some form of disability, some classified form of disability and they'll give you a few emails about their disability service. I recommend that you try and get that sorted out as soon as possible. Maybe get to university maybe one or two weeks beforehand, go to these assessments and pitch what you think will help you in university life. This can be anything from setting up counselling appointments to giving you some extra time in exams but also to give you some rest breaks if you need it during your exams as well and to give you a bit more leniency in the the deadlines for coursework. One of the things that my university and my previous university in Manchester did was they give you an automatic one week extension onto your projects and it's just a little bit of time but it definitely does help with your university life just alleviating the stress a little bit so that you can you can stay on track and you can keep up with people who don't have any sort of disabilities. Your next port of call is the support office so I'm guessing that most universities have a support office. They can usually take the form of maybe like HRs or human resources and they'll generally be a set of people who work there who are quite friendly, maybe some of them won't be but they're generally they're quite friendly and nice to go to. During my first years I went to the support office and I got talking to someone who for the long run throughout my university course has been a really great supportive person to help me out with submitting mitigating certain circumstances but also for helping me organise counselling appointments appointments with Das talking to my personal advisors and giving me a lot more help in solidifying any any problems that I had to some of the more academic people that I was interacting with. The best way to do this is to just to go and talk to talk to a few people if you find someone's not very helpful go to another person ask if there's anyone else that you can speak to you don't have to say it directly on the spot if you're having a talk with one of the people from the support office but if you after that if you send them an email and you say oh I'd like to talk to someone else they'll be very happy for that I mean they have to because it's part of their job but it's good to find someone that can anchor you in in in the university life like a support office person who has links to anyone that you would need to talk to and anyone that you need to try and convince that you need some extra help. The next important person to consider is your personal advisor when you go to university you are assigned a tutor which is a person who teaches you sort of scientific skills dissects research papers gives you some exam help helps you with your coursework it's sort of a group where everybody comes in from different disciplines in the same sort of school so around the same sort of subject and this person is different to your personal advisor your personal advisor is someone that you meet with maybe two or three times per semester or two or three times per year and they are responsible for keeping a track on how you're doing both mentally personally and also how you're doing in your academics giving you advice helping you get through the year. It's important to develop a good relationship with this person because they have a big say in how you're doing and they can give evidence to to other people just like the support office and considering that you're going to be seeing them quite a lot it's good to really tell them what you've been struggling with what you found helpful what you sound too much and they can give you a lot of good advice and they can help you find the people you need to need to find when it comes to finding jobs getting the right modules finding ones that aren't too stressful finding ones with more coursework a very good person to develop a good relationship with before you start your university life. If you find that you just don't get on with this person maybe they don't understand your disability maybe they're not very empathetic or nice or friendly you can always ask for a new one if you go to your support office if you go to anyone within the faculty that's related to overall supervising personal advisors you will be able to find a new one if they're not they're not doing it for you find a new one don't just live with it you you really need to find someone that's going to help you in your university life. The last thing is mitigating circumstances now if you're having a particularly bad period of time whether it be due to mental health due to other events in your life mitigating circumstances is a form that you can fill out and on the form you can give you can give an idea of what you're struggling with and why and you can also give the units the the unit codes and the modules that you've done that have been affected during this period and when you submit this they will take into account the the low scores that you have and they will change change your grades in in a positive way whether it's removing modules whether it's lowering grade boundaries they will help you get the best marks so if you ever submit a mitigating circumstances form and it works and that you get the all clear you will always get a better result from this so if you are going for a bad period maybe you've you're going for a really bad slump of depression and anxiety and you just can't work and it's affecting your studies mitigating circumstances don't feel any shame about it a lot of people don't have to deal with mental health problems and that helps them in their university degree for us we do suffer we we do suffer a lot and we often need the extra support it's not a case of doing this to get a better grade it's it's a case of doing this because you have a lower grade because of the circumstances that you're in and therefore they will help you a little bit with that you will need to get some evidence for this uh evidence can come from many different services number one being doctor make sure that you try and get as many doctor appointments as you can in a short period of time to talk about your mental health talk about how they can help you and then if you go to the doctors and you ask for some evidence um covering firstly covering the time frame that you want so you need to tell them how how long it's been affected you affecting you and then you also have to say how much it's affecting you and and if they agree to it agree to making a letter they will usually take a payment it's not always the best thing usually between 20 and 30 pounds and once you get that letter you can submit it with the mitigating circumstances and that will sort of solidify any any sort of problems that you've explained to them in the the form that you fill down another good place to get evidence from is Das it's good to set up Das appointments when you're having a tough time just so that they can get it on the system you just want to spray out all the problems that you've had make sure that they understand just how horrible it is make sure you explain why explain maybe explain why autism is affecting you in this way why these events affected this and why you're having such a strong reaction to these these problems that you're having you could also have an issue with some family members passing or anything like that is definitely a very important thing to put on a mitigating circumstances it's very important to get it through the GP and through the Das make sure that they know about it just in that circumstances where stuff like that happens even people without mental problems they can get mitigating for that the last thing that you might need to consider is if there is a problem where you've been involved in some kind of uh police type thing you've been either someone's committed a crime against you you've been injured you've been hurt you're very sort of mentally sensitive to to life in general because of this event that is also an important thing to put on your mitigating circumstances form although it is rare you will need to get a police report as well to submit with your mitigating circumstances just to give that evidence just to make sure that you you've got all you've got all the evidence behind it so that they take you seriously when it comes to analyzing your case at the end of the year that's the end of this video uh i've covered Das or i mean Das is my my disability service disability service support office personal advisor mitigating circumstances those are all very important things to consider if you're going into university with a disability or it be autism mental health problems anything like that if if you need support for it or you would feel like it would benefit you get it done very helpful it's been incredibly helpful for me especially the relationships that i've built with the support office and my personal advisor thank you very much for watching if you have any more questions about any of the things that i've covered please drop them in the comments or go over to my facebook page at asperger's growth drop me a message and i'll try and get back to you as soon as possible if you like the video and you found it helpful please like it because then i know that i'm doing something good um and if you didn't like obviously you can do a dislike but don't do that just just just ignore don't don't press don't press that button don't you don't stop and if you want to see some more autism mental health self-help related content make sure hey how was that make sure to hit that subscribe button and hit the notification bell the little ding ding bell on the side and then you will get notifications when my very irregular videos come out and it will make sure that you stay up to date with all the asperger's growth related content thank you very much for watching you've been lovely you look beautiful today i hope you're having a wonderful day and i'll see you in the next video see you later


Hello, thank you for joining me today. We're in Weymouth and the reason we're here if you look behind me You can see a class 33 locomotive pulling out the station 33 207 This is a scene that they've been common up until they electrified the railway class 33 pulling out the station They've been pulling trains to Waterloo where They were electric multiple units running with no power So they've been hauled by a class 33 to Bournemouth where they'd have continued to Waterloo now Today's train is the empty stop movement of the Dorset Coast Express Which was hauled by Gallatier, which we're going to see in a minute The locomotive is just down there. I am currently on the rear of the train so you can see the coaches are passing us now and Here we are here Jubilee pass locomotive number 45699 Gallatier It's a Binkham tunnel and the class 33 will haul the passenger train to Bournemouth and onto south


Live from Cambridge, Massachusetts, it's theCUBE at the MIT Chief Data Officer and Information Quality Symposium with hosts Dave Vellante and Paul Gillin. Hi everybody, welcome back to Cambridge, Massachusetts. We're at the MIT Chief Data Officer Forum, MIT IQ Information Quality. Behind us is all the logos of the participants in this, a lot of MIT collaborators and of course theCUBE is here for the second year in a row. I'm Dave Vellante with Paul Gillin. John Holomka is here, he's the CIO of Beth Israel Deaconess. John, thanks for taking time out and coming to theCUBE. You're very happy to be here. So, you know, I've, I've from a distance followed your career for a while. You've always been a pretty, viewed as a pretty innovative CIO technology leader. We were talking off camera about what you call SMAC. Right. What is SMAC? So if you look at healthcare in 2014, the data is no longer just what doctors are entering into in the health record. It's patient data, it's telemetry from your Fitbit. It's really kind of a social way of gathering data. So, S of SMAC, of course, is social media. You know, your mood might be more reflected on your Facebook page than in your medical record. We need to mine structured and unstructured data, bringing it together from a multitude of sources in kind of a social media way. Mobile, 80% of all of the Beth Israel Deaconess medical information is accessed by patients via mobile devices. The laptop is pretty much dying. The desktop is just dead. And so, our doctors, our nurses, our patients, they've all gravitated to mobile platforms, whether that's the iPhone, the iPad, the Android device, Google Glass, this is the way people are consuming information. So, mobile, very important. What percent of the docs are wearing Google Glass? Well, our whole emergency department is Google Glass-based. So, since December, we have been live on Google Glass. A doc walks into the room wearing Glass and sees the data about you and spends time looking at you instead of looking at their keyboard. So, that's been actually a great improvement in patient satisfaction. Big data and analytics, the A, of course, we have three petabytes of data. I'm not sure if that's big, but it is challenging to turn data into wisdom. And so, analytic platforms that enable us to query, what were the last 10,000 patients like you? How were they treated? What were their outcomes? That's increasingly important. And the cloud, well, I believe that the role of the CIO, the role of the IT department has fundamentally changed, that I am now the enabler of services. I don't necessarily need to provision the services. It really doesn't matter where they are hosted. I have many of my services offered from the West Coast. The doctors don't know that. I just enable them. So, cloud is actually a big part of what we're doing today. Oh, let me ask you a question on cloud. So, let me say cloud. We're talking public cloud, private cloud, combination. Is public cloud a bad word in your world? And of course, the answer is both private and public. So, I host 300 docs, electronic health records, and my private cloud. And those cloud technologies very similar to what an Amazon or others would use. It's just I host them, and they're in three data centers, geographically dispersed. Did that in 2008, because back then, public cloud, oh, that just sounds evil and unstable. And I said, no, no, no, it's not a cloud. It's just a multi-tenancy off-site hosted model. Oh, that sounds fine then. We'll take one of those. Yeah, whereas the public cloud is actually being used in ways you may not even know. When you have a disease, the Centers for Disease Control gets information about your symptoms. And where is that hosted? Amazon. Yes, the Centers for Disease Control of the United States puts 100% of the syndromic surveillance data for our country in the Amazon cloud. And that's okay. CIA's doing it, why not? Why not? Yes, the answer is we use public cloud technologies for a variety of applications, including public health. It should just pick the right technology which has the right reliability and security, business associate agreements, policies, and that sort of thing. It's fine. So earlier, actually yesterday, one of your colleagues, we talked about this a little bit, Jim Noga from Partners was on. And we were asking about the role of the CIO. So we want to ask you, very innovative. The scene is an innovative CIO, somebody who is a mover and shaker in that world. He basically put forth the premise that the CIO role in 10 years might disappear and essentially morph into a COO, CTO, CDO type of structure. What do you think about that? And so I would agree with Jim. So I have been the CIO at Beth Israel Degnes since 1996. And in 1996, I wrote code. I was doing architecture. I was doing scalability, reliability, security. I have an MIT degree which really helped write in the code. Do you think CIOs in 2014 are writing code? Probably not. Right, so what you're doing is budgets, strategy, getting the business owners engaged, governance. But I look at my role today and I oversee 22,000 customers, a million patient records, 83 different locations. It's actually getting to the point where one person can't actually do everything. So you actually break the role onto, well who's the guy doing strategy? Who's the person doing data curation? Who's the person who's making sure the services are reliable enough? Who's doing security? So you could imagine this office of the, what do you call it, the CIO, or technology services or whatever that's broken into these multiple component parts. Very reasonable assertion. So what do you think about that? Well what has happened to your responsibilities, the way you allocate your time since then? Presumably in 96 you hosted everything on site. You provisioned all the apps yourself. Now so much of that has moved to the cloud is not your problem anymore. How has that changed the way you spend your time? So oddly enough, most of my time is spent on governance. And that is no matter what your budget is in IT, it's too low. And so that implies you cannot possibly do all the things that are requested of you. And so what you have to do is gather all your stakeholders together and say, guys, here's the fixed amount of resource. Here is the fixed amount of time. Our only lever is scope. And I can't be the guy that decides on scope. It has to be the business owners of the institution. And so I have governance committees over various domains, lab, radiology, ICU, and an overall governance committee that helps weigh all these various requests. So in effect, my job is to keep customer satisfaction high by balancing priorities and constantly doing mid-course correction. Now if bad stuff happens in the cloud, I am held accountable. If a privacy breach occurs, I am held accountable. So I am the one throat to choke. But much of my time is spent on customer service, priority setting, and strategy, not technology. Now these days in many ways, in many areas, customers can provision their own services if they want. I'm sure not in some of your more specialized disciplines. But what governance principles do you have in mind? Do you have in place for that, for whether someone could just go out and provision their service in the cloud without even telling you? Right, so we do have very strict policy, which says it's not that it's a bad thing to provision your own services in the cloud, but if you were to do it at some, oh, I'll make this up, xyz.com. It's hosted in Beijing, it's great. Maybe that's not a place you're gonna put patient-identified data. So what our policy states is you will not utilize one of these external services unless a business associate agreement has been signed and approval has been granted by the institution for that service, not your instance of the service, but for the general use of that service. Give you an example, Dropbox. Dropbox is a fine company. It just turns out that Dropbox will not sign a business associate agreement to guarantee the privacy and integrity of patient data placed on Dropbox. Box, however, will. So what I've said to our community is, you know, you need to use Box? Totally fine, do what you want. We've already put the protections in place. Dropbox, well, it's fine for some things, but don't ever put person-identified data there because it doesn't meet our federal and state requirements. And are you answerable to the compliance authorities for that? I mean, is that something that you have to approve with a regulator? We do. So in fact, it could be argued that the placement of patient-identified data in Dropbox is actually a violation of federal law because at the moment they're not signing these business associate agreements and therefore HIPAA says that if we're using these third parties to host whatever services, storage, data exchange, et cetera, there really needs to be those legal protections, roles and responsibilities in place. So yes, I am responsible to the Office of Civil Rights and the Attorney General for keeping data integrity and safety, respecting patient privacy preference. So you have to have the policy in place, but you also have to enforce that policy. So how do you do that? Does technology help you do that? And so we have a variety of data loss prevention technologies. So suppose I want to email my medical record to you on your Gmail account. Well, you know, if this was actually a patient-consented action, that would actually, from a hip-hop perspective, be okay. But we don't know that. So we actually put these DLP or data loss prevention technologies in place that say, oh, patient-identified data, leaving secure network on its way to Gmail. Stop. Morning, Will Robinson. Exactly. So yes, I have had to employ a multi-layered defense to contain the data to the institution and ensure it flows to trusted parties. I want to talk about data standards. It's a question that's come up a lot, a conversation we've had a lot this week. What's going on in healthcare? What are you doing within your organization to promote data standards? Talk about that challenge and what the future looks like. Sure. So I don't know if you guys have ever worked in standards development organizations, but there are people who see the forest. There are people who see the trees. Standards, folks, in general, I love them, are bark people, right? We could spend hours debating on the relative value of ampersand versus a comma. And so the challenge is, it's hard to get consensus on any standard for any purpose. So the country over the last several years at a national level through what's called the HIT Standards Committee has brought together all the stakeholders in a public forum to set priorities and to work through what are the standards most applicable for a given purpose. If I want to send content, if I want to use a vocabulary or ontology, if I want to use a transport mechanism, what is the best standard for that purpose? And then those are written into federal regulation. So the Meaningful Use Regulation, the Obama Stimulus Program, actually mandates the use of very specific standards for very specific purposes. So it made a lot of traction over the last couple years. Yeah, so traction in terms of within your organization, within your industry. Oh, it's a country. So we talk about Meaningful Use, talk about, I think, of adoption of these technologies. So where are we with Meaningful Use? Again, generally in the industry and specifically within your organization. Sure, so across the country, we've moved from 20% adoption of electronic health records to 80% adoption of electronic health records. And by definition, those are certified electronic health records, which means they include certain types of standards baked right in. So, wow, over the course of this whole stimulus period, we now have such things as labs are recorded such that when you say hematocrit, it actually means the same thing and it's comparable. So we talk about big data analytics, we're actually now using control vocabularies on problems, meds, labs, allergies, and other terms. So across different vendor systems and different hospitals, they're finally comparable. So that's actually good. Are we done? Of course not. But have we laid a foundation that now enables the kind of analytics across vendors and hospital systems? Yes, 2014's up. Looking pretty good. And how has that affected the quality of patient care and how do you believe it will affect the quality of patient care as organizations, as he's moving to the mainstream and organizations will learn how to use EHR? Well, let me give you some case examples. So two Mondays ago, my father-in-law, who's 83, had a stroke. Now he has records like many of us, scattered all over multiple hospitals and multiple doctor's offices. He came into the emergency department at Needham Hospital with the blood pressure of 180,000. And the doctor said, God, I wonder if this is normal for him. So because of the standards-based electronic health records we have in the Boston community, he was able to reach across to the primary care provider system and actually see the last six blood pressure measurements for the last six months of visits. Say, oh, well, he's normally 120 over 80s. Today's 180 over 90. This is totally strange for him. That level of care coordination was enabled by the meaningful use standards. Would not have been possible a year or two ago. I want to ask you about a couple of promising technologies that big data-related that could radically change your profession. And one is genome sequencing, which has fallen from $2 million per sequence to about $500, I believe, in the last eight years. And so pretty soon everyone will have their genome sequence and you'll be storing that information presumably or that data will be stored in such a way that you can use it. How is that going to change what you do? Sure, well, let me give you the case example. Since I'm the second human sequenced in the human genome project, I know my three billion base pairs and the challenge is, well, I was in the higher end of the cost of sequencing. Today with the $500 genome, it's not hard to sequence. It's just devilishly difficult to interpret. It's still a million dollar interpretation. What do you do with those base pairs once you've got them? So I have researchers throughout the world on a daily basis looking at my genome since it's in the public domain and looking at what disease states I am likely to develop. Now, how have I used this personally? So when I will go to my primary care doc, I actually am aware of various biomarkers and risks and probabilities of disease. So we can actually make decisions on diagnostic tests to be done on me based on my likelihood of developing a disease. My doc would have no use for the three billion base pairs.  But if I say, you know, I'm twice as likely as the average male to develop prostate cancer. Well, while we were a PSA today, that's probably a good thing to do. So what will happen is we'll store biomarkers, probably not the raw data. The raw data is 750 megs per patient. That is just the interpretation that's gonna give you decision support and effect care. But doesn't the real leverage come when you combine a very large number of genomes and you can begin to look for patterns that are not clearly evident? Certain characteristics of people of red hair are more likely to develop something in it. I mean, that's a big data issue. Well, it is. We're not quite there yet. I would tell you, I mean, SNP analysis of saying you have red hair and you have diabetes. Therefore, all people with red hair have diabetes. Probably not a valid thing to do. If you look at 100 million genomes. It's a little iffy. Causality is hard to infer. Whereas if you say, ah, I have a mutation. This T was replaced by a G. Ah, the protein folds funny. Ah, I know now why you have that disease today. You got causality. So you are right. What could happen in the future is that we could use the experience of many patients' genomes to customize the care, sort of ultimately personalize the chemotherapy regimen. Or how are you likely to be cured over the course of a disease because of this genome and evidence we have as to how people respond to treatment with that genome. So that is true. That's coming. But again, it's still probably gonna be at the level of biomarkers because three billion base pairs doesn't give you a whole lot of wisdom. Right. So if you get to that point where you can infer it's still very, very expensive. It is. We're just still in the point of building those tools that are going to allow doctors to the point of care to say, oh, your genome was sequenced. Your tumor was sequenced. And here's the therapy we're gonna order because on the last 10,000 patients, it worked well. Not quite there. Another technology I wanna ask you is IBM Watson, which is being, IBM is heavily pushing it toward medical applications, this idea of combing through very large numbers of records and looking for patterns that humans can't spot. Do you see a lot of potential in that? So I'll use Watson as a class of technologies. So natural language processing with subject predicated, object analysis is a reasonable idea. So what if I can look at the unstructured text in an electronic health record and say, you know, I have just discovered that in my two million patients that actually there are a hundred thousand people who have depression that's untreated. Because you know the word sad, moody, down actually appears in these unstructured texts. So I think we all believe that the future is gonna actually find more rich data in unstructured text analysis than the highly structured text we enter in problems, meds, allergies, and other places. And this is something that, historically, that's how data has been captured, right? So about 50% of our record is unstructured text. But of course there's another way to look at it, which is Facebook is unstructured text and your email is unstructured text and your tweets are unstructured text. And maybe I can actually learn more about your activities of daily living from your Twitter stream than from your medical record. Are you working on that problem or are you waiting for others to solve that problem and you apply it? Oh, I am working on that problem. I have already looked to a third party firm in Palo Alto to do the natural language processing on our unstructured text as it's written. And then come back with knowledge, metadata around that unstructured text. What are you doing? One phenomenon I hear from docs all the time is the patients come in now and they're very well informed. They're researching everything on the internet. They may not know the right information but they think they know the right information. So you're dealing with patients now who come in with much more specific questions, often a higher level of knowledge about what afflicts them. Has this been a good thing or a problem? Well, we're level. Having patient engagement is great. And so one of the things we've done is shared every note written about you with you. So our medical record is totally transparent to the patient, electronically available, online as it's being generated. So that works well. We try to curate knowledge resources because if you search on the internet, there is no editor. There is no curation. You're as likely to get the, say, Bulgarian Journal of Irreproducible Results as the New England Journal of Medicine. So we use a variety. If you subscribe to the Bulgarian Journal. Oh, it's a fabulous journal. B-J-I-O. Yeah. So we tend to say, here is your information and here is curated knowledge from experts about it. That's a lot more effective than a blank internet search. So curation is a service that you guys are providing? We is. It's a human service? Well, we have licensed content from third party providers who specialize in this area, as well as my medical librarians. We rename the whole department the Department of Knowledge Services. So they're not actually just retrieving papers and books and that sort of thing. They're actually organizing knowledge and ontologies to deliver it to patients in a form they can understand. And then inserting those into radical records so the patient can see them and access them. That's right. Do you have an initiative to become a publisher, to become an information provider, such as what Mayo Clinic has done, with a vast library of podcasts and documents? We do not have a specific initiative of that nature. But the idea of using a constellation of services we build and services we buy to help that cloud of knowledge of decision support that informs decision making at the point of care is absolutely something we've been building. And is that a marketing initiative? To safety initiatives, because doctors like me are trained as apprentices. I learned 25 years ago what antibiotic you need. Now that may be a totally wrong assertion, because remember, 50% of what I learned in medical school is wrong. I just don't know which 50%. So that's patient safety and quality should be informed by evidence. And cloud-hosted decision support systems provide that evidence. So John, we promised we'd have you out of here by the end of the hour. Pass that a little bit. You're still OK for your next one. My last question. You're excited about a lot of things. So could have summarized that excitement. What's exciting you these days? You travel around a lot. You probably spent a lot of time in Silicon Valley. Right. And so what are you excited about? So the next project, which I blogged about yesterday, is that as more and more individuals are wearing telemetry, devices in the home. We find out more about your activities of daily living, your diet, your sleep patterns. We could even discover glaucoma, blood pressure, or other body parameters. That needs to inform the medical record between doctor visits. Health is continuous. Not, oh, I see a doctor once a year and I have data points every 365 days. I'm now being paid, as we are in Boston, based on wellness rather than sickness. And therefore, we need these novel sources of data, especially patient-generated data, in order to keep you healthy. That's the next body work. I'm excited about that, too. That's a great vision. All right, John, thanks very much for coming on the queue. Really a pleasure. Happy to be here. Thanks so much. Thank you. Keep it right there, everybody. Absolutely. Back to wrap up right after this.