Hello, I'm Stacey, I'm a GIS analyst with a natural capital project, and I'm glad that you've joined me to learn some techniques for working with the geo spatial data that is used by the invest ecosystem services modeling toolkit. A reminder that this series is not an introduction to GIS in general, nor is it an introduction to GIS software, but it does cover specific topics that are useful for working with invest models. This episode provides an introduction to working with biophysical tables. To get the most out of this tutorial, I highly recommend following along in your own GIS session. In this video we will demonstrate techniques in QGIS, and we'll be working with some sample data. The web page for this video provides a link to the sample data that we'll be using. So if you haven't already, now is a good time to pause this video, download the sample data, unzip it, and bring up a QGIS session before continuing. In this episode, we're looking at the biophysical table that most invest models require, and specifically how it relates to a land use and land cover map. Many invest models use a land use and land cover map. So we will focus on that for this tutorial. The models that don't use land use have an equivalent input such as habitat, which is also mapped to a table of parameter values and the same principles will apply. Here's a list of just a few of the invest models that have biophysical tables linked to a land use map. There are others as well, like the rest of the freshwater models that aren't listed here. You can see that this covers a range of services, even blue carbon, and these land use parameters are very important for modeling. So it's important to understand how to create these tables to work well with the spatial data that they are mapped to. Now let's go to our GIS and start by looking at the land cover map. If you don't already have the sample data in your GIS session, let's navigate to the sample data folder called biophysical table data QGIS and drag in the layer, LULCESANapal.tif. The first thing we need to do is determine which land cover classes are in our land cover map. Unfortunately, QGIS does not yet support raster attribute tables, so we can't look at the attribute table directly, and we'll have to do some workarounds. So let's right click on the land cover layer and select properties and then symbology. Under render type, we can choose palleted slash unique values.  This will create a list of all of the unique integer values in the land cover raster. Each of these integer values corresponds to a particular land cover type like forest, agriculture, or urban. Now if you worked through the symbology tutorial in QGIS, you may have the land cover classes labeled with their descriptions in the symbology table. If you didn't do the symbology tutorial, you won't, you will only see the integer ID values and that's okay. The main thing we need to do here is know how to find the integer values contained in our land cover raster. And we can see that there are quite a few of them ranging from values 10 up to value 220. So whatever your symbology is, it's probably be different than mine, click OK to apply the symbology. Now if we click on the arrow next to the land use layer, we'll see a list of all of the land use codes in the raster. The way the model works is to do a table join between this land cover raster and the biophysical table, based on the values that you see here. And then it assigns values from the biophysical table to the raster's land use classes, so they can use those values and subsequent modeling calculations. Because of this, every one of these integer values must have an entry in the model's biophysical table or the model will produce an error. So let's see how to create the biophysical table to include everything that you need. For example, the European Space Agency provides a table that contains codes and descriptions for all of their land cover types. So we can use that as the basis for our biophysical table. Now personally, I find it much easier to edit tables in Excel rather than within a GIS. So let's go to the sample data folder, which is biophysical table data QGIS, and open the file, LULCESALegend.csv. Now I'm going to open it in Excel, but you may use a different spreadsheet program if you prefer, we won't be doing anything complicated, and it should be easy to follow along. In order to use this table in an invest model, we must make sure that this table has all of the columns that are required for the model. The Invest User Guide describes the requirements for each model. So let's do an example using the sediment or SDR model and open its user guide page. On this video's webpage, you will see a link that goes directly to the SDR data needs section of the user guide. You can click on that link. Each model's chapter of the user guide has a data needs section. This describes all of the inputs for the model, what format is required, and what their units are, as well as any special formatting or naming conventions. When using a new model, it is critical to consult the data needs section to understand what is required. We also provide sample data for each model, and that gives you an example and a template for formatting your own data. And I highly recommend also using those when you're learning a new model. Right now we're going to keep it simple and just use the user guide. If you need section for SDR, let's read the land use and land cover entry. The description here emphasizes that all values in this raster must have corresponding entries in the biophysical table. So next, let's see what's required in the biophysical table for SDR. The physical table entry says that the format of the table is .csv and again emphasizes that all LULC classes in the LULC raster must have corresponding values in this table. Now each row in the table corresponds to one land cover class, and there are three required columns. The first required column is LULC. This is the column that contains all of the unique integer land cover class values that are in your land cover raster. So these correspond to the value column in the raster, and they correspond to those values that we saw in the symbology table. So here's a reminder that the land cover raster will be joined to the biophysical table using this LULC column. The other two required columns are USLEC and USLEP. And these are both floating point values between zero and one. Without going into any detail about the SDR model, these are sediment related factors that are assigned to each land cover class. The US model will have its own specific parameters that are required. These two are just for SDR. So now we know that the table must have three columns, and they must be named LULC, USLEC, and USLEP. Your table may have additional columns, but Invest will just ignore them. Now that we know that, let's go back to our sample data in Excel. In this ESA table, the column NB underscore LAB contains the land use codes, and this corresponds to the LULC column for Invest. So we can simply change the name of this column from NB lab to LULC. So let's do that. One thing to note at this point is that if this kind of table is not available from your data provider, you will need to populate the biophysical table with land use codes and descriptions on your own, based on whatever documentation is provided, as well as the list of land use codes that you see in the raster symbology table. So there will be a lot more manual work if you don't have this information provided in a table like ESA has. Right now, actually, let's compare the list of land use codes in the table with a list of codes in the QGIS symbology table. So let's go side by side to check that all of the values in the raster are also in the CSV table. It looks like there are actually more entries in the ESA table than appear in the Nepal raster. This is because the ESA table contains all of the land use codes used over the whole world, and not all of them will apply in Nepal. So let's take a moment now to delete the entries in the CSV table that do not appear in the raster symbology table. Now that we've done that, we must add two new columns to the biophysical table. USLEC contains these extra entries, but we certainly don't want to spend time doing a literature search for values that aren't in our study area, and if the table doesn't match the raster, it gets confusing to work with. So we must add two new columns to the biophysical table. USLEC and USLEP. So I will add USLE underscore C and USLE underscore P. For the model to run successfully, every row in this table must have a valid value for both USLEC and USLEP. Right now, we're not concerned about the values themselves, just the formatting of the table. As the user guide said, the values must be floating point and between zero and one. So for now, for this example, let's assign a value of 0.5 to all of the rows for USLEC and assign a value of one for all of the rows for USLEP. I want to emphasize that these values are not what you would use in an actual analysis. They are only for the purposes of this tutorial. When you're doing your own analysis, you will be doing a literature search to find the best value for each individual land cover class in your study area. This can be and usually is a very time consuming process, but it's also very important since the models are typically quite sensitive to the parameters in this biophysical table. Now let's make sure that we're saving this table in the format required for invest. We can click on file and then save as now I am going to put this in the same folder that the sample data is in biophysical table data QGIS you may need to navigate somewhere else on your computer. I'm going to name this file biophysical table underscore Nepal. CSV. Now underneath the file name, if your screen is like mine. Excel will already show it as being of type CSV comma delimited. And this is correct. This is exactly the right, the right format that we want. That's not the same for you. You can find this option in the drop down list. If we click on the drop down list, you see that there are several other CSV types, but we don't want any of those. The one that we want is CSV comma delimited. It's possible that some of those other CSV file types might cause problems with invest. So again, we're going to choose CSV comma delimited for our file type. All right now click the save button. So this table that we created should work fine in invest, but what if it doesn't. It's very common to get errors that are related to biophysical tables. So let's look at some of them and how to troubleshoot them. These common errors happen because there are integer values in the land cover raster that are not included in the biophysical table. The model will determine this while it is running, and you'll get an error message like you see here. An error is very helpful in telling you what went wrong. In this example, invest found that the values 1020 and 40 are present in the land cover raster, but they are not present in the biophysical table. So if you get an error like that, you'll need to edit your biophysical table to add entries for values 1020 and 40, and then try running the model again. The biophysical table is missing a required field like LU code or US LEP invest will give an error when you enter the table into the user interface. If this happens, you will see red X's next to the biophysical table entry, as well as in the red button, like you see in the screen here. When you click on the red X, there is a message that will tell you which required field is missing. So if you get this error, you'll need to go back and edit the biophysical table to add this field and then populate it with values for every land cover class, then try running the model again. Okay, that's enough for this session. You might want to save your QGIS session so you can keep using it for later episodes. If you have any questions or comments about this episode, we'd love to hear from you on our community forum. There's a link to the forum in this video's webpage where you can search for previous posts and create a new post under the category of training. I and other techies at NACAP will see your post and respond as soon as we can. Thanks for following along.


Live from Las Vegas, Nevada, it's theCUBE. Covering Knowledge 15, brought to you by ServiceNow. Okay, welcome back everyone. We are here live in Las Vegas for ServiceNow, Knowledge 15, hashtag no15. This is theCUBE, our flagship program. We go out to the events and extract the sounds and noise. We've got two great guests here, practitioners and IT, talking, breaking down all the trends. We have Jay Yella, VP of IT and Matthew Chambers, CIO of Baylor Scott, White Health. Welcome to theCUBE. Thanks. Thanks for having us. One of the things I love about ServiceNow, like a lot of the startups that grew out of the web, web 2.0 generation are now public companies and have to file all their earnings and get all that stuff done. But they actually got to scale their business. So ServiceNow is doing that, Frank Slubin was on earlier. And so they're talking about all the things that need to get done in tech. So I got to ask you guys, kind of check their story with you. Is the transformation underway to digital? Is it in progress? Is this service-oriented architecture and web services? That was 10 years, over 10 years ago, in process? Yeah, I'll take a first shot at what's happening in healthcare specifically. And I think Jay's far more qualified to talk about what we're doing around our service management functions. Healthcare is transforming to a digital architecture unlike any other industry vertical in the world right now. With some of the government mandates and incentives around meaningful use of electronic health records in our plans in the United States to reduce the cost of care from, now it's roughly 19% of the GDP, digitization of health records and a meaningful exchange of health records to provide a more holistic form of care throughout healthcare is the way that we're going to do that. So we've seen a massive influx of technology into healthcare over the past couple of years. And now I think what we're seeing is, okay, we've got all this new technology. We've got these practitioners and these care providers that are using it. How do we serve them when something goes wrong? And so that's Jay's unenviable task of how do you keep roughly 4,000 doctors happy 24-7? Yeah, I think of it as we used to deliver technology. I used to bring somebody a thing, right? And make them happy. Here's your laptop. Here's your desktop. Here's your new whatever. We're really trying to change the paradigm and start thinking of these things as services and delivering services. And it's both a cultural shift from both our employees as IT employees but also our employees, our customers, the employees that we're servicing, whether it's a doctor who's used to just seeing the IT guy that delivers something to understanding that we're not here just to deliver a thing. We're here to make sure that his service is provided uninterrupted. So I got to ask the question, because that's healthcare. Is the technology an aspirin or a vitamin or a vaccine? And how would you, and which technologies would you, because I think it needs a lot, right? It depends on who you ask. Someone called a plague, you know? So healthcare has been largely unchanged in the way that we deliver it. Now, there's been huge advances in terms of technology adopted for patient care, direct patient care, you know? Implants and vaccines and things of that nature. But the process of documenting your care, I'm sure, you know, we're probably roughly the same age. When you went into a doctor's office up until the past couple of years ago, they had racks and stacks and racks of paper files. One of the last businesses, and so people don't really love change as much as we'd like for them to sometime. So let's take a step back. So healthcare was in need of some disruption and it still does, and you guys are looking at this. Some of us think so. Some of us think so. Yeah, it's right for it.  Right. Some say it was protecting privacy, but yet not letting data be used in a way. And so I asked the question to aspirin, what is the pain, and where's the opportunity to apply technology in healthcare? What do you guys see? What's your view on that for a minute? Using information and being a CIO, how do you look at that? Do you look at it that way, or is it more of, okay, critical path here, investment areas here? We've absolutely changed the way that we look at the adoption of technology in healthcare, excuse me. The role of the CIO in healthcare delivery has become far more strategic over the past couple of years because what you're seeing, the main cost increases that we've seen is duplication of care, not efficient care, not effective care. And the way that we're combating that now is a more holistic, full scale, full cycle method of care. So let's say, heaven forbid, you were in a traumatic accident here in Las Vegas, you'd be admitted into an ED. Once you were stabilized, you might be admitted into a med surge here at a hospital here.  In the past, there was no way to get that data back and forth. Now, what we're trying to do is make that far more holistic. So from the time you were admitted into the ED to the time you're stabilized, to the time you go back and see your primary care doctor, they know what meds you're on, which is very, very important for patient safety. They know what tests you've run. Allergies, that sort of thing. The other thing that we're seeing too is that as a Gen Xer, I'm going to drive five more miles to a more advanced clinic than clinic A that I just passed up. He's not really a Gen Xer, he's a baby boomer. He's just trying to pass this up on. Because the further away clinic, I can get my labs two days after I take my test on my iPad versus the first clinic that's still maybe on paper. But it's the consumerization of healthcare, where as a patient, I care about those things more than I used to. Yeah, and we were talking before you came on, you had a pebble on the top of the eye watch. Wearables will certainly play a factor into healthcare that day. The data on these things is going to be huge. It's going to be immensely valuable. The internet of things is people too, people of things. Right. I read a book, Thing One, Thing Two to My Kids Years ago. So we know it's out there. But so I got to ask them about service management. What's unique about healthcare? What specifically is the innovations on the service management side? Because when they almost think about the emergency room, all these notifications going off, there's so many alarms and what's more important.  So when something breaks in healthcare, it's always a P1. It's always a priority one. That's probably the single biggest challenge that we face. The second thing I'll say that we face a lot of is that our customers are very highly educated, very highly compensated. And what they want, regardless of standards and standardization and some of the other trends we see in healthcare, they think they're immune to it. So we often times, we struggle with that, right? Because we- Here's an iPad, make it work. Yeah, right. Or, yeah. Exactly. I want my MacBook to work in a Microsoft shop or whatever, right? So we struggle with how to make them happy, but also to try to stay on the right side of safety and compliance and everything else. How about outside of IT? What is this stuff? Because you mentioned the business side of it. You're getting more involved in the strategic piece. That's really outside IT. That's more of kind of business outcomes in this case, healthcare outcomes. Well, for instance, here at this conference, we've brought several people from outside of IT to come explore the possibilities of using the cloud outside of traditional, where you would think you'd use the cloud, whether it's HR, it's a supply chain or other hospitality type things. They're all functions that, at the end of the day, those functions aren't unique to IT. They're still delivering a service. That's the thing, service management is not that different if it's IT or payroll or accounting or what have you, and healthcare is probably one of the last industries that didn't go through that whole disruption of shared services and globalization over the past couple of years. There's reason some things will never be globalized in our lifetimes perhaps. But Jay's right, it's not that dissimilar to here's our HR help desk, here's our IT service desk, here's our payroll service desk, and what economies of scale can we drive now that you're seeing consolidation in healthcare? So everything as a service really speaks to that microservices trend, I mean Silicon Valley, it's all they talk about is microservices gets down to the granularity of the app level, not necessarily the silo or the monolithic original purpose. You guys seen that same thing, and what examples could you give around those innovations? Well, I'll tell you that I think one of the aspirations that I know that I have for Baylor, Scott, and White Health would be eventually to get to the point where our service delivery is agnostic to the type of service we're trying to deliver. So if you need your light bulb changed, or if you need a new laptop, or whatever you need, we ought to be able to handle that centrally, and take advantage of some of those economies of scale that Matt was just talking about. I don't know if that's certainly not probably not a 12 month journey, I don't know if it's a five year journey, but that's the aspiration. So anything that we can chip away at along the journey, that's what I'm after right now. The vision that we were talking about this last night at dinner is our executives and our board ask us, what's going to be the Uber of healthcare? Uber's been such a huge disruption. Everybody gets that as a disruptive business. And the technology is a small piece of it, right? It's the business model. And so they say, well, what's going to be the Uber of business or the Uber of healthcare? We're defining that right now for kind of the digital consumer experience, but also internally our employees, the one button of I need something. Like Jay said, the trash can needs emptying, the server needs rebooting, my paycheck is gone, whatever it is. And we want to make that so much easier because what's critical to understand is those folks that call us, sometimes it is a life or death situation. They need to get back to work. Yeah, and again, the internet of things he's mentioned, Lightbulb, it's not about the services have to apply. So service management isn't just an IT function per se. I mean, a lightbulb to do surgery is pretty important if you need to redo that. But I got to ask the question about investment versus operating expense. You look at healthcare and education, some will say the most archaic verticals, needing the most help right now and the opportunity when government to a throw in their government education, so what happened to government? They're actually moving really, really fast. So what's happening is interesting is the slowest to move or actually have the biggest lever with the new technology versus say the pure enterprise. So with that being said, what percentage of new investments coming? It used to be like, oh, operating budget was pretty much what was going on. Can you comment on that dynamic of percentage of operating budget versus new investment? Yeah, we're trying to leverage that late mover advantage as you talked about, right? I mean, if you look at electricity around the globe, United States had a first, we're 110, everywhere else you go 220. Sometimes there's a late mover advantage and you're right. We're finding that now with an operating model, a hosted model, a cloud model, we find much more predictability, obviously in our cost versus a capital refresh. What we've also found that we really enjoy is there's several things that we move to the cloud and I'm going to do a product endorsement here, but some of the things that we see is when a vendor has a new technology or new functionality for us to get that, it's our time, our labor, our capital investment to get the latest release, to get a new hardware. With a hosted cloud model, as long as we're ready to go, we can train the team and do the testing to minimize the impact, we get it. And that's a huge, huge satisfier. And it's an opportunity to create that. So I want to ask you guys to kind of, buzz word bingo kind of round here, lightning round. Hold on, let me get my score down. We used to have a different term for that, I think. You can do a shot every time we buzz word. So I want you to comment on the following phrases. API economy, fully asynchronous, always connected. What does that mean to your business and how you go out? Because really those are the mega trends that everyone's kind of a buzz word talking about. API economy, meaning services. What is your take on those three areas? I'll take a shot. And how would you explain that to the person who's actually a normal out there? Yeah, so I'll take a shot at it and then I'll let Jay correct me. But what I'd say is, the whole asynchronous service management function, we've seen that for years. As we talked about earlier, as I mentioned earlier, if you've got a healthcare provider that has an issue, they're not going to sit and wait for you to resolve an issue. I've spoken to doctors about this, if this PC is down and I need to order medication for this patient, I'm going to go find another PC that's up. So most of our service management is asynchronous. So we've got to get used to that as kind of a steady state. We want to resolve things real time, but there's a percentage of those things that we never will. So those are asynchronous. You can't cash an answer that's needed in healthcare now. I mean, that's basically what it comes down to. The old ways to be copious. Sometimes you can, but we don't always do a good job of capturing the knowledge and making it available. But I'll add one more thing to what Matt was saying, is that specific to our industry, a lot of what we're being forced and asked to support is outside of our environment, our normal environment, charting from home. How do I make dictation work from home? That's, you know, from an asian because of support or an asian because of support. Is it through the public cloud?  I mean, I get to imagine that. When somebody solves that one, let us know, right? So what about things like flash storage, all flash arrays from EMC? These companies are rolling out faster, faster. We hear trends like unlimited compute is in our future. The challenge is, you know, have me explain to my CFO that this thing that we implemented two years ago is now, you know, it's out of date. It's not fully depreciated. I'm not going to unplug all the spin and disc that I've got my data center just because there's something that's sexy or better, faster, you know. So I think over time, what we are doing is we are adopting, obviously, flashes as we can. We think it's a better option. There's trade-offs too. I mean, the media, if it's a lot of volume, a lot of transaction, you can wear and tear. Right. You know, so that- But for our growth, our spikes, we have spikes in healthcare, you know. We don't see the computing spikes like you do in retail industry around the holiday season, right? But what we do see is when we've got development projects, we don't want to build out that development capability. So we're staying in the stuff to the cloud now. We're looking at one of the big trends that you hear in healthcare now is called a V&A or a vendor neutral archive. If you think about the stuff that consumes the most disc space, it's all these images.  This thing just burns disc in an incredible rate. So now we're looking at the cloud for a more commoditized, you know, vendor agnostic way to store that. So it's something that we're adopting pretty rapidly. You mentioned strategic before. I want to come back to that. I want to ask you about, again, the role of the CIO, one of the topics of our talk here within an organization. How does an organization, if they had to do a self-assessment, be self-aware, how do I know whether I'm strategic or not on the business side of it? Because, you know, Dave Vellante, who's not here, we always talk about this. You're either spending money or investing money. So just because you're spending doesn't mean you're investing. So that's the kind of the balance. So how do I look at myself in the mirror and decide if I'm good or not? Or I'm doing the right things or going down the right road. So, you know, my point of view is, if you're not bringing thought leadership to your team, if you don't have a seat at the table, which I know is one of the most overused cliches for CIOs, but I found it to be true. I'm fortunate in my organization is that I do sit at the leadership table, you know, our CEO, COO, CFO. And the thing that's more important is not just, you know, being able to be there for the conversation, but it's really influencing the conversation because now what we've got is, like we talked about, you know, the root for healthcare, the patient-digital experience, people want it to be just as easy to go see their physician as it is to get a taxi or to get a restaurant reservation. And who's the strategist who's driving that? Right now it's the CIO. And so that's an incredibly exciting time to talk about, here's how we want to drive our consumer engagement channel. So I don't know if you can add anything. The only thing I'm going to add is, you know, when you talk about am I good or am I bad, depending on whether I'm investing or spending, is, you know, you've got to layer on the fact that we're in an environment of declining reimbursements. You know, so it's all about doing more with less. So advice for CIOs out there, what would you say to them in terms of going forward, doing the transformation? What's some of the things that you can see? You know, the first thing I'd say is you've got to cover your table stakes. Since, you know, since we're in Vegas, I'll use that term. You can't have a seat at the table and talk about strategic transformation if your systems are not, if you're not managing issues, if you don't do a good job of covering your table stakes. So you have to be very transparent about that as well. You know, I've got a five column IS scorecard that I showed my boss, my CEO, and he says we want to be one of the top three healthcare systems of the United States. And I say, well, I want to be the best IT shop in the United States, bar none. And if I'm all green on these five areas, that's when I can look in the eye and say I'm the best. We're not yet. But so I think it's a balance of doing those things that you got to do. So spending money, right? Keeping the lights on. And then coming to them with thought leadership. And you do really need to engage building relationships. And a lot of this stuff is the cliches you've heard time and time again. But the CIOs do need to have the relationship to be able to go to, you know, the leader in marketing and the leader in finance and say, hey, this is some technology. Would you see some benefit in this? There's build out involved. I mean, it's like construction project. So you got to kind of take a holistic approach and saying, hey, you know, we're going to essentially transform our business.  So that's what you say. I mean, it's not like a, you know, department over there doing this thing. You've got to do the easy things. The easy things well, right? Before you can gain credibility and say that you want to go spend, you know, a hundred million dollars on a major capital project. But yet, you know, the stuff that you've got in the data center right now is running, you've got to get in. Otherwise, no one's going to listen to you. All right, guys, really appreciate Jay and Matthew from the trenches. They're in their practice. They're the ones implementing the technology, making it happen in a great disruption environment where the innovation is needed and it's happening, healthcare. This is theCUBE bringing you all the significant noise here in Las Vegas. We'll be right back with our next guest after this short break.


Felly, mae'n dod y Cymru, mae yma'r ysgawdd yw'r gweithio'n gweithio. I fedriw'r gweithio yma ar y dyfodol y maen nhw'n ffordd ym Gŵr Tom Steinberg. Felly, mae'r gweithio ar y cyfnod o'r cyfrannu sosial, a mae gennym am y 12 yr ysgawdd a'n ddifrif i ddweud ymyn mwynd y gweithio. Mae'r cyfrannu digital ar gyfer ei gweithio, ar y dymlwys, ar y dymlwys i, ac ar y gweithio'r cyfrannu better. Over the past 12 years we've built up a really fantastic portfolio of different services which give citizens influence over those with power in each of these three areas. So we use digital channels and digital services to either identify an issue and try and unpack it in a way that makes it easier to understand for the citizen. And we try and develop strategies and tools that allow the citizen to actually maybe change the relationship with that particular issue or maybe get something done, bring some focus that didn't exist previously and actually try and make their community or their relationship with government just improved on a number of different levels. I think trying to determine what impact our work actually has, you really need to start with the citizen and what they're trying to achieve and have you measurably improved your situation? Have you given them more influence over the situation? Have you been able to resolve an issue that was maybe previously difficult to resolve and tractable in some way? Have you given them permission to speak out? A big thing that we find is that there's many groups who are excluded from government who don't feel they have access to be able to raise their hand, ask a question, maybe draw attention to something in their community and demand better. So that's a really big area of emphasis for us, is really trying to understand how can we use digital tools to improve that situation, often in a small way but sometimes in a much bigger extent you have to have tens of thousands or hundreds of thousands of people actually achieving a goal they collectively want to see.


So, I'd like to echo the sentiments and thank the organizers for selecting this abstract. It's my great privilege to present the work of BC Cancer Agency in an exciting project I hope you'll agree in precision medicine or personalized oncogenomics. Just a little background about the BC Cancer Agency. The population of British Columbia is 4.5 million but live in an area about twice the size of California. We're in quite a unique setting in that we can offer a provincial population-wide cancer control program and this reaches from prevention, screening, diagnosis through treatment. The scope of the POG project, this personalized oncogenomics, is to bridge the gap really between genomics research and clinical practice at the center. We aim to identify tumor-specific therapeutic targets in cancer patients and in this POG phase one project with late-stage metastatic disease. So the process is outlined in the flow diagram. At the bottom begins with, of course, a patient consult and consent process. We typically collect tumor biopsies, we'll also request an archival FFPE block and match peripheral blood for that patient. And then we construct PCR-free whole genome libraries of the tumor and the peripheral blood normal. We'll also perform transcriptome sequencing as trans-specific RNA-seq. We sequence on the alumina high-seq instruments and then once a week we meet with the referring clinicians, discuss the relevant findings and of course submit a report for their attention with recommendations. This is a very busy slide and I don't intend you to take a lot from it other than the fact that this is, it is complex but it is also structured and the color coding indicates the sub-departments within our bioinformatics department that are analyzing this data. And I've highlighted just a few of the areas in which TCGA data is actively contributing towards this project. So these include the comparison to expression database and I'll show you a few examples of that in case studies, the variant calling, algorithms both from transcriptome and from the genome to help filter our calls for somatic mutations. And of course all of this feed from samples, feed through this process to a final report. The study has thus far enrolled 83 patients, eight of these are pediatric cases. We've performed 69 biopsies to date, representing 28 tumor types and the frequency of those tumor types are shown in the bar plot. You can see there's a bias towards a collection of breast cancer samples, primarily down to the very active participation of breast cancer clinicians within the BCCA. We generate over 90x coverage of the tumor genomes and almost 50x coverage of the archival and matched normal genomes and over 300 million reads on average for a transcriptome library. Importantly we've reported 50 cases and counting and the average time thus far is 38 days from biopsy to the report. So here are some of just four of the areas in which POG has guided treatment decision making. I won't have time to go over all but we'll give case studies for the top two. So providing directed cytotoxic chemotherapy and of course the targeted therapeutic options were available. And the second one on the list is the complimenting or even correcting FDA approved clinical tests. We also can identify cases of change diagnosis or provide a diagnosis where previously the primary tumor was unknown. So jumping to our first case study, we call POG 3, it was a squamous cell carcinoma of the skin. This gentleman arrived in 2007 having had a red rash on his upper chest. He had actually been living with this rash for well over a year maybe even two years and when he presented was had bleeding ulcerations. It was diagnosed with squamous cell carcinoma and he began multiple lines of chemotherapy and radiotherapy began in 2007 and persisted through to about 2012 when a new node near his right ear appeared, the pre-oracular node. Both this node and his chest mass were growing throughout the course of 2012 to a degree where the ear node was really preventing his hearing and causing extreme pain. So in September 2012 both the node and the chest lesion were biopsied for this study. The somatic mutation status of the tumors is illustrated in the Venn diagrams here and strikingly not only are there many somatic variants as one might expect from cancers that have been developing and subjected to a number of rounds of therapies. So they're in the high thousands but there was very little overlap between these two lesions. They looked at really very different cancers indeed and no overlap when we looked at the small indels. Likewise when we look at the copy number profiles for these two tumors the chest is shown in the circost plot in the outer ring and the pre-oracular node on the inner ring and you can see that there's really relatively little commonality between these two tumors at the copy number level. If we just highlight chromosome 16 and take a look at the copy number plots again the break point regions are few and far between. There are areas of gain at 16Q that are not apparently gained in the chest lesion loss including a homozygous loss on chromosome 16. And so we could put this data together in the form of pathway analyses and so this is integrating now the genome and the transcriptome data. And this is looking at the chest tumor again and you can see that there are many rearrangements consistent with DNA repair defects that were detected. But importantly and highlight here both loss of P10 both in copy number and decreased expression and concomitant increase in AKT expression and a gain of copy number. And so this was suggestive of treatment options. Contrast that with the pre-oracular tumor you can see now that we have very elevated EGFR amplicons so both in expression and again copy number amplifications. Just to name a few. But these ones suggest and I apologize for the screamers in the orders. These two suggested treatment options of course. And so in the pre-oracular tumor the over expression of EGFR suggested a lot and the P10 homozygous loss and AKT gain for the chest lesion suggested treatment with everolimus. The patient was treated initially with both agents but exhibited quite a lot of toxic effects and so was taken off everolimus initially. The ear tumor responded incredibly well to a lot nib and decreased from just after biopsy very angry and red inflamed area and the clinicians tell me that this is really dramatic progress. The involution of the tumor was really recovering after three short weeks and also his hearing recovered in that right in that right ear. The pre-oracular tumor did progress sadly and a second biopsy was performed and in this biopsy the analysis showed even further extreme amplification of EGFR. So now to 55 copies of the gene and extreme gene expression level as indicated by the red line. This is now compared to all of the TCGA data and was the most extreme express of this that we've identified across the whole of those TCGA 8,000 plus samples. Turning to the second case study to finish, this was a 68-year-old Asian male lifelong never smoker who was diagnosed with non-small-cell lung adenocarcinoma in January of 2013. He had the approved clinical tests for EGFR and ALC through break apart fish probes and these were negative in the clinic. Subsequently had multiple lines of radiation and chemotherapeutic therapy between March and July of 2013 but continued to progress with the disease. And so in August we took the same node out for biopsy. Almost immediately the data the data yelled the transcriptome fusion between EML4 exons 1 to 13 and ALC exons 20 to 29 a really pretty canonical fusion for non-small-cell lung cancer patients. And yet I just told you that the clinical test had been a negative with only 3% of the cells exhibiting break apart. Closer inspection of the sequence both of the genomic level and the transcriptome level revealed that not only did the inversion that gives rise to this gene fusion exist but a much larger inversion of chromosome 2 and subsequent insertion into the chromosome 12 locus had prevented one of the vice's fish probes from binding adequately and hence the negative result in the clinical assay. If we look at the expression level as a consequence of this oncogenic fusion we see that again it's an extreme this particular patient is an extreme expressive for ALC here on the right 99th percentile of all expression compared to the TCJ long adenocarcinoma data set and ROS1 which is a second target for chrysotinib again was a high express in the 94th centile and so this course did suggest that the chrysotinib should be administered happily the patient was just well enough to receive chrysotinib within a day of the report being given to the to the clinician and the tumor responded really dramatically with it so within less than three months the tumors that you can see highlighted with the red arrows had really began to shrink away and in fact we're not visible for this this lower lesion and so to summarize the the overall Pog results for this for this phase one study phase one of this study for each patient we've sequenced three or more genomes and a transcriptome 80 83 content of patients now actually with advanced cancer have been enrolled 74 biopsies attempted some of them have failed giving us 69 biopsy materials we have full data available for those 50 patients and importantly they've been clinically evaluated in 38 cases and going back to the clinician the referring clinicians and asking can they ascribe actionable or treatable information from this genomic and transcript transcriptome data they report that in 87% of those cases there was action or treatment possible and it was offered into to 55% of those 33 cases of course a number of patients as in a late-stage setting had died during or shortly after the analysis and what's next for the personalized oncogenomics well we've we've just had approval for 5,000 cases and we intend to achieve these 5,000 cases within the next five years this will take us from about one patient a week on average currently to greater than one patient per day in the coming years we'll continue in emphasis on genome and transcriptome sequencing but we will include a more elaborate anchor panel for rapid turnaround time and a first look at these of these tumors when they arrive and we will bring forward from late-stage disease to fresh diagnostic biopsies and of course it increase always aim to increase our speed and accuracy of the sequence analysis and the report generation and and importantly we'll be verifying actionable results and continue to verify actionable results in a clinical lab prior to the treatment of the patient and finally just leave me to thank that the large multi disciplinary team at the BC Cancer Agency expertly led by on the clinical side Janessa Laskin and on the research side Marco Mara I'm very grateful to all the colleagues and most in particular the the patients and their families and the BC Cancer Foundation for funding this project and I have had to race through this a little and so I'll be happy to see you at poster number 10 if you have specific questions we can't address in the time left here but thank you for his attention what if any are the plans to make these data public so we obviously we need to be very careful about the confidentiality of of these individuals and we will we certainly need to discuss this more in depth there's no immediate plans to release the state it just is a lost opportunity and we should try to figure out all this wonderful sequencing helping patients we need to then use it to help all the patients and learn more absolutely so I mean of course there are the publications there's one publication in press currently but I mean it's the mining yes sure yeah one question very simple so do you worry about a tumor heterogeneity when you analyze your data yes we do and and so so one of the one of the aspects idea I didn't touch on this is that we require tumor tumor content of of over 40% before we will progress with all this deep genome and transcriptome sequencing heterogeneity certainly plays a big part and and in the analysis we we we try and tease apart as much of that heterogeneity as possible but a lot of it comes down to the sequence depth we're able to achieve with deep sequencing so for the time of interest let us move to the next speaker so for TCGA we face the same data but we use a different algorithm to interpret the data this particular highlighted by mutation calling so recently the SCGC and TCGA organized the dream challenge so that I see the speak from Dr. Paul Boros from the OIRC OICR talk about the summary from the first round SCGC TCGA dream challenge about mutation calling


There are a lot of diets out there, a lot of people talking about this, that, and other things, what you can do and what you can't do. But today we're going to talk about what we eat on our low carb, actually, carnivore, light diet. Hey there, NJRoot22.com here with another low carb keto carnivore chat. And today we're going to talk about what we eat. It's not a weekly meal plan. It's not what we eat for breakfast, lunch, and dinner because it's usually one meal a day and maybe a few bites within a short period, maybe six or eight hour window a day. I sometimes just do one meal a day. But in a little history here, we were super low carb 10 years ago and then we dabbled and messed up and gluten free screwed us up and we learned over time what to do and what not to do. But our new rule is not about what can we eat and what can't we eat. It really literally is don't raise your blood sugar. And when you start with that mindset and you start looking at the types of foods you start to say to yourself, well, that vegetable I thought was fine or that piece of fruit I thought was fine starts taking a different definition because the most of the people in this country when they say, oh, I'm going to eat healthy. I'm going to have fruits and vegetables. What they're doing is eating fructose. And we did a little story about it recently about fructose and it's just not good for your body. And fructose, in fact, they did some studies on ancient cavemen. I don't know how they can do this, by the way, that this is what they said. But a million years ago that the cavemen had some sort of, they morphed. And in order to survive over like six month periods of time, they would eat a ton of fruit and fatten up during the lean season when they couldn't get much food. And they somehow made it. I don't know how. I guess they just drank water for six months. And then when the things started growing again, they were able to eat. But 95% of the people out there think having a salad is healthy or eating a bowl of fruit is healthier. Eating an apple is healthy. To us, we don't believe that anymore, even though it's a natural food and it's definitely a better two beds and one is better than the other is not really good. It's just the least worse. But having an apple is probably better than eating some crackers or potato chips. However, I don't even know if that's true anymore because the sugar, raising your blood sugar levels just not good. And basically once you have the mindset that you're not going to raise your blood sugar, then you sort of get kind of funneled into going to almost carnivore type diet. I'm making sure my mic is on. And the hardcore carnivore people out there just eat practically raw meat, salt and water, which is probably one of the most ideal diets you can have because there's zero room for a mess up there. And while that can be considered boring, some people just don't want to do that. I may go there one of these days, but we're carnivore light. So we also include other tasty things such as bacon, eggs and other dairy products like cheese and cream. I basically just gave away my whole diet here. But carnivore light people sometimes may dabble into an avocado every now and then, which is a high fat fruit and some other things. But you'll realize that after you keep experimenting that dabbling off the carnivore regimen it always leads to some sort of discomfort or pain. So here's what we eat every week, every month. And the main thing I eat is ground beef. Why? Because it's versatile, it's inexpensive, it's available everywhere. We don't care about grass fed. And I'm sure some people say there's some sort of difference I don't think there is yet. But I'll buy some higher quality meats sometimes and there's butchers I go to that get really high quality meats for not too much money. Six bucks a pound is usually the most I like to pay for ground beef. And I'll go down as low as two bucks a pound. When you go to Aldi you can get a five pound log of meat. And I think it's pretty damn good as long as you cook it medium rare at the most. I like to cook it a little bit higher because I'm not quite sure about the low end meats. So I like to give it a little bit of a protection in there. But the minute you cook it medium well or worse it loses all its flavor and all the fat drains out. It's no good. But when you cook it medium rare the burgers come out very good even if they're low priced meats. And we'll do a steak every now and then one of my current favorite cuts is the Delmonico cut. I'll go down to the Amish mark and you sear it three minutes on each side. Stick the pan in the oven about 450 for about five minutes or so. And then let it tent it and let it rest for 10 minutes and it's delicious. It's not filet mignon but it's certainly like 12 bucks a pound. You get a nice big 16, 18 ounce steak for about $13. It's nice to mix up the steak and I eat every bit of it, every fatty edge and so on. But we also like bacon and sausage because it's really affordable and I don't really wanna spend a lot of money on food. I'm not gonna pay $50 for like Japanese Kobe filet mignon. I just don't wanna do it. I don't sit there and make love to my fork. I just wanna eat and move along. But bacon and sausage, I try to get cheap ones. Sometimes I'll spring for a higher end cut but if you watch this vlog or read njrew22.com and all you'll see that I talk about bacon a lot. And it really, it almost doesn't matter and then nitrates and all that, we don't care. I sometimes go to Walmart and I try to find the Walmart brand sausage when it's like two days before expiration because how can sausage expire? It's filled with all sorts of additives but I buy the sausage like a buck 25 for a pound of sausage and it's exactly the same. I can't even taste the difference. And eggs, eggs are probably one of the most perfect foods. If you can find a local farmer that sells their eggs that they're a lot fresher, the egg yolks are so ridiculously yellow. You could buy the most expensive organic eggs at its supermarket and sometimes the eggs are so pale which means from what I understand that they have been laid a long time or usually a month or longer. I get eggs sometimes that were laid that morning and the quality of the yolks and the taste is phenomenal. So see if you can get local eggs and very soon after they were laid. But there, and I also take the whites out. A lot of times when I make an omelet, I'll take four, say I make a five egg omelet, I'll remove two of the egg whites and just have five egg yolks and three egg whites. I like that better, your mileage may vary. But also, and we do cream and cheese. I don't drink any milk like skim milk, 1%, 2% whole milk. I try to stay away from that. The worst I'll do is either a half and half or a light cream if I can't find inexpensive heavy cream. I buy the shitty heavy cream at either Aldi or Walmart. I think they're made by the same company. It's usually about $3.40 a quart.  Organic is often $10 or more a quart. I really don't know the difference. They say carrageenan is all that bad. I've heard conflicting reports. Until it makes me grow a third arm, I'm not gonna worry about it. And we do things like ricotta cheese too. I'll make a ricotta cheese bake, which is extremely filling. You throw an egg in there, some mozzarella, and you put some spices, not too many. And you could throw some meat in, even a pepperoni thing. You can make like a calzone without the dough, which is fun. And that's it, that's all I really eat. I really, I don't even dabble into the nuts too much anymore. Sometimes we'll have, as a snack, if I'm really, I don't know, I get bored or something happens to me. But I'll toast some sliced almonds. You mix it with coconut oil and throw some sea salt in there, bake it until they turn semi-brown. So you can make them darker if you like that. The people in my house don't like the smell that comes from the burning almonds. But those are some snacks. But I try not to go too hardcore on it. Nuts are really not supposed to be eaten. So that's it. And then lastly, some people say, hey, don't you get bored? And that's, people get bored easily on the old standard American diet, because A, they're constantly in the state of hunger because their blood sugar is going up and down. And that's why they feel the need to eat. It's just a thing, it's a real thing. When you do carnivore, the aspect, the whole concept of boredom is a non-factor.  And you're not hungry when you do carnivore and low carb. If you do get hungry, it's a very slow, even ramp up to hunger. It's not like, oh, I'm starving. I need to open the refrigerator in the cabinet and look for something to eat now, now, now. It's not like that. There's just no boredom. Your life is no longer focused or centered around eating. There's no hunger, pangs, no cravings, none of that stuff, none of it.  Excuse me. And like I said, we eat usually one major meal a day. I rarely eat breakfast. It's usually after noon when we start eating, sometimes two or three or four or five. I'll have my first meal of the night and that works out pretty good. Sometimes I'll keep my eating window only open for three hours. And the alcohol, like we just discussed a few days ago about the crooked marker and stuff that, I have a little of a review. I'm doing a long-term test on my own body about how alcohol affects weight and I'm still trying to figure it out but we'll talk about that later. We spend probably a total of 15 minutes in the state of eating a day, if that, maybe less. And it's nice to not have that obsession with eating.   So that's it. That's what we eat on a low carb, Kikido, carnivore diet here at njrew22.com and if you like what we've rambled about, please hit the like and subscribe and I'll see you next video.


Hey friends tonight, we are hanging out in Disney Springs for the very first time in 2023 There's lots of new things to show you Including the new cookie of the month at Gideon's Bakehouse And then also I want to grab lunch at what I believe is the best restaurant to eat in Disney Springs So we're gonna buy some cookies eat some food and have a beautiful Disney Springs kind of night Anyhoo's let's go do this It is a beautiful January day here at Disney Springs And I'm so excited to be coming here for 2023. That's our first visit and our first cookie of the year If you guys don't know Gideon's is a bakehouse here at Disney Springs And they have a monthly cookie that they do every single month And I have tried every single cookie for just about two years now And I'm so excited to continue doing it for 2023 starting off today with the January cookie of the month It can get incredibly busy though here at Gideon's bakehouse And the wait time could be anywhere from 10 minutes till I think the highest I've seen was like five hours But the good news is if it's a long wait, it's a virtual wait So you put your name in on the list and then you get to go shopping and no texture when it's time to come Get the cookies Looks like it's just about an hour wait and I grabbed myself a menu so I can go over the cookie of the month And it's funny because earlier I was talking about how I was coming here for just about two years and coming up in January In just a couple of days. It's gonna be the two-year anniversary that Gideon's actually opened So how cool is that? I still remember the first cookie I ever got was the pistachio toffee and I was like, okay I think I'm gonna like these Here is a look at the menu for January and I love the artwork It actually looks really cool the moon holds strange powers and so do the pajamas of a girl called butterscotch And it's so fun The actual cookie of the month is the cookie butter butterscotch cookie And then they also have a special cold brew and it's a cookie butter butterscotch cold brew And I think we're gonna get both of them Like I said, we got to try every single cookie of the month in 2022 and hands down my favorite cookie was the chocolate chip banana bread I loved it so much the crisp crinkle comes in at a close second So I'm excited to see what the butterscotch cookie is gonna be like and then also I mentioned before I wanted to go for lunch At my favorite restaurant Disney Springs and that is the boathouse So we're gonna see if we can get in because I've been craving some of their shrimp And here we go, it's just about our time delicious things await inside Look at that grand reveal right there love it Wow, it always smells so good when you first walk in All right, we have obtained the goods. I got the cookie and the cold brew so we're gonna dive right on in All right, here it is and here is the cookie butter butterscotch cookie It looks like a good cookie lots of like crumbs on top there or sugar And I can't wait to drive into the butterscotch cold brew. I think the combination is just gonna be great Of course, we have to actually break the cookie in half and it's actually really soft and it's almost falling apart But here we go Look at that that looks good. So go first bite This is definitely one of the softest cookies I think I've had at Gideon's before and he could really taste the butterscotch in there Especially with the butter because it's butterscotch chocolate chips. I would believe but I like this a lot I mean, it's not like a top contender for me, but it's a good start to the new year One of the reasons I like Gideon's cookies so much is because they Aren't like overly sweet they always have like a good balance and I always love that sometimes they're salty and savory So now we're gonna try it with the coffee. So I'm gonna take up. We're gonna take well first. Let's try the coffee in its own Coffee's good now. We gotta try the combo Much too good Believe it or not, I have never had a coffee cookie combination before I tried Gideon's and now I just think coffee goes great With cookies. I think it's awesome and that's why you get to come and try all the flavors It's hard for me to pick my favorite coffee though. Probably a pumpkin. I love pumpkin coffee But I mean overall, this is a great start to the year. The cookie is good. Don't get me wrong It's just not like, you know, one of my top three contenders like not not not be in the banana bread But still a very good good cookie. I like the way it stacks too. Look at that. It's like a cookie sandwich no cookie sandwich Enough for the cookie business. Let's go explore around Disney Springs a little bit I do want to go to the world of Disney and then also maybe stop in the amaretts Oh, and I have to get crazy pup cups. Of course. I have to get her those Right here is the restaurant I want to bring you guys to a little bit later on But like I said, I love it here The boat house is one of the best places to actually come eat In fact, this is one of the busiest restaurants in the country and it is so good So we're definitely gonna be stopping back a little later on but I want to explore the springs a little bit. I Have a couple of go-to items that I always get at the boat house Including the full-aid sliders and then they have amazing coconut shrimp and then a quartet shrimp. That's so good So that's probably what we're gonna get. I usually stick to the things that I love As I'm making my way up to the world of Disney I wanted to stop at wonder maid gourmet marshmallows to see if they have any unique flavors They always have cool things in here Honestly, these are some of the most like kind of clever Marshmallows, I think I've ever seen they have peppermint swirl marshmallows. They have a stout beer marshmallow. Look at this stout beer Lavender sugar cookie gingerbread Key lime pie bourbon marshmallows fireball marshmallows, which I don't even know how that would taste actually They have churro marshmallows Cookies and cream s'mores. These are actually really really cool I mean they have a lot of them I'm just showing you some of them with the pictures on like they have waffle and syrup over there and or even gold champagne I've had a lot of their marshmallows in the past like the S'mores marshmallow, which was fantastic. I even tried the gold champagne one too I didn't see any of them that I would like right now. There was a bovine one, which is like that hot wine It's like very cinnamon-y spicy, but I'm not too sure how that would be marshmallow wise I mean, I'd love to get all of these and actually make s'mores with them because that's probably got to be phenomenal But it's still fun just showing you guys But now we have made our way up to the world of Disney and we just want to do a little browsing around do a little shopping See if they got anything new. I'm sure they're still in the holiday spirit lots of Christmas stuff But maybe some new 2023 items that we haven't seen yet It's honestly funny how much I have come to recognize merchandise in Disney and notice when something's new Like this Cheshire cat or the Cheshire cat. I don't know why I always say Cheshire It's pretty much Cheshire, but look at this. Is this like a bath mat or is it a kitchen mat? I'm not even sure but I like it and then they have a Marie wall clock right here, too That's actually really nifty. I wonder how much the wall clock is 59.99 for that. Holy moly. I wonder how much the rug is though. I mean, that's interesting I don't know where I would put it. Maybe somewhere in my new house, but I don't see any prices for it There's not a tag on there. It's still very interesting though. Oh, yeah, here it is. Oh 34.99 so the gigantic rug is cheaper than the wall cat It also looks like they have tons of the Disney 100 items including the Starbucks drink cup right here I don't even know what this is. Oh This is $50. These are more expensive than the Marie clock and the the rug itself And then they got some ornaments and some hats. I Kind of like the hat a little bit It's kind of fancy. Look at Mickey here. He does look very fancy for the hundredth. I Have to say I wasn't the biggest fan of the 50th anniversary merchandise I just didn't like the coloring with it. The hundred years looks a little bit better I'm gonna wait and see as they put out more stuff because I mean they're still releasing 50th anniversary stuff Like it's been a like long like 15 months. I feel like 14 months or whatever it's been I Really do hope that there is a meet and greet would make me dressed up like this though because I think that would be so cool Looking they actually reminds me of Epcot a little bit. Oh mini too. Look at that They have a little figurines and then the little lounge fly here. I do like it a little bit Take a look at this it looks like we got a little sale going on the 50th anniversary Castle which used to be like a hundred and twenty five dollars and selling for seventy five dollars and the monorail set This is actually selling for seventy five dollars, too, and that's used to be a hundred and twenty five So I wonder what the discount would be with my annual pass. I mean that's super cheap. I Kind of considered getting that Disney 100 hat because I'm sure of most of you guys heard on my New Year's Eve video I kind of want to switch up my look for 2023 a little bit I've been wearing a lot more baseball caps instead of my regular fedora and I think that's kind of cool So maybe I might get it But I'm gonna wait and see because they might come up with a better Disney 100 hat Like I said, they're gonna be releasing stuff throughout the whole entire year and the hats that I'm wearing now These are from shop lbv.com. This is a duck Donald and the other one I was wearing the other night was mouse Mickey That's Maria and Chris's shop and I kind of like these. I like the flat firm ones I think they're really cool looking and of course, I'll still be wearing the Roosevelt I got a garden to the galaxy one on right now. Look at Groot. This one is really fancy Now that we've done some shopping, I think it's time to make our way back down to the boat house and Grab ourselves something to eat super crowded right here though. Holy moly I think it's all the popularity of the Lego dragon He definitely makes everyone want to stop and get photos of them though. Look at that. How do they keep it clean? I mean you can see like a little bit of it like kind of like the color changing there But like they do a good job keeping this dragon clean. I Don't have a reservation for the boat house So I'm gonna try sitting at the bar or on the outside because that's first come first serve and it's really beautiful back There's a perfect day to dine outside Like I mentioned before the boat house is one of the busiest restaurants in the country And here are some of their stats for 2022. It looks like they ranked number two number two And they have so much meals served almost a million annual sales is almost 40 million that is so crazy and we're gonna go eat here. I bet you 2023. They're gonna take the number one spot I mean, it's just inevitable. It's so cool here and I absolutely love it Most people don't even realize how good the food is here because they're Distracted by the ampere cars that they have off front and we've done those before in the past I took my mom and sister on it But like that's the first thing you notice when you walk by is this car is just driving straight into the water Or in this case you can see the car driving out of the water. Look at this It's actually gonna drive right out of the water and drive up here There it comes It's so nifty Minds me of James Bond Just like I thought the outdoor dock is all first come first serve So we're just gonna walk right down grab a table and someone's gonna come up and take care of us Look at how beautiful it is to dine out here. I love it so much. You got all the boats and the ducks You get to watch the sunset This is really nice. Oh, look at all the boats going by. This is a good time right here a good time. I tell you I Can honestly tell you this restaurant is probably my most Visited restaurant and Disney property. I come here all the time In fact, I had my birthday party here this past year My friends threw me a big surprise party because they knew how much I loved it here and it was amazing So I'm so happy that I'm coming here and showing you guys today because a lot of times I don't make videos. I just kind of enjoy my days off and just kind of hang out and do the things I normally would do like it's kind of funny But like the things I normally would do when I'm not making a video are the things that I do when I make videos. I Always thought that it would be so cool if you can actually eat in some of these boats though Like look at this boat right here How cool would it be if they just had like a little step up and you actually sit down and you eat kind of like sci-fi dine in this is a fancy boat holy moly except where it's got some cocky poopy over there something on the On the seat there, but it's a very fancy boat. I want to get a boat. I want to go on a boat What are these for? What are these things for? Are these like child harnesses? Here is a look at the menu and like I said, I already know what I want My go-to is the filet sliders right here and they're only $16 and you can actually order one So that's what I'm gonna do. I'm only gonna order one of them It's eight dollars and then I'm gonna upgrade the fries to the truffle fries And then also I'm gonna get the hand breaded coconut shrimp, which is like a little appetizer It's very good and then I'm gonna get one Cortez shrimp wild caught sea of Cortez shrimp They're $4 and 25 cents a piece, but this menu is massive. They have tons of the Gibson heritage steaks $59 for the filet $47 for the bonus ribeye lots of good stuff.  I'm on a boat dock So it does get a little choppy it moves around a little bit if you get motion sick There are seating like they're seating up on top and where it's more stationary But down here is first come first serve those ones you actually have to put your name in and when I checked There wasn't much of a wait, but still I'd rather sit down here because I like it a lot more This boat right here is the globe and it's from 1951. Look at Some more bird poop though in there. Oh You see a lot of bird poop in there. Holy moly The birds are having a field day. Oh, and it's rotten out on the bottom there. That's a little sad I mean, it's old though 1951, but I wouldn't trust it in the water I don't think it's actually in the water though. It looks like it's just standing there. I Always knew you can add on a slider for $8, but I didn't know you can get just one of them Like $8 for this little meal right here. It's gonna be the best value you will find on property I cannot wait to show you like this is incredible All right, looks like some of the food has come out already First up is the slider the filet slider. Look at that That's a filet right there and then some truffle fries. These fries are amazing I love this so much and this whole thing was just $8 and then here is the coconut shrimp You get just about six shrimp and these are really good shrimp and also I have one more thing that I got I got the sea of quartet shrimp though These are massive and these are cold it comes from the raw bar I think they're going to bring it right now, but that is one of the best shrimps. I've ever had in my life All right, let's dive on in to the filet slider first look at this Nothing on here with just some nice butter and steak Just the way that it is So good Honestly, there is not a better meal in Walt Disney World for under $10 if you guys know or something Let me know in the comments, but you can't beat this no way and then here comes my little Quartet shrimp look at the size of this shrimp. This is $4 for the shrimp, but it is massive That is huge. Look at it compared to this shrimp This is one of the the coconut shrimps and then that is the quartet shrimp. That's impressive. Isn't it? The reason I like the coconut shrimp here is because it's hand breaded and it's not like overly breaded either It's very good. The coconut is very tasty, and I love it. It's very good coconut shrimp. Probably the best coconut shrimp I've ever had All right, I'm not for the coconut shrimp. Let's get to this bad boy right here I'm just always so impressed with this and it's so funny because it goes all the way down to the tail Like they take out that outside.  This was this is almost the same price as my own entire filet sliders meal there Just this one shrimp, but it is so good Totally worth $4 and 25 cents. I would actually get like four of them It'd be a nice little like a under $20 meal.  Like I said, it's a lot I mean, it's it's so big and it's so good The food was absolutely amazing and now it's starting to get dark out and they turn these nice little blue lights on by the water So it looks really cool And my waiter brought over a little drink for me, and it's the duck duck rad. Look at that Isn't that so fancy? Look at a little duck on there This is one of the boat houses signature drinks here and you get to keep the duck a little duck duck rad And it's very fancy too. And trust me, you drink a couple of these, they'll creep up on you fast So cheers to the boat house Oh, so good Seriously, just take a look at how beautiful this sunset is right now Wow This could be a picture and I would put it on my fridge Because it's just beautiful. I can't even get over it and you can see the boats are actually Oh, one boat is coming down and the other boat is coming up. Oh, wow. This is so cool that this is happening right now Look at that That is so awesome. I love doing the boats here. They are incredible What can I say? I love the boat house and now I got to start making my way over to sprinkles I don't want to forget about getting Gracie her little doggie Pupcakes and then uh, yeah, we'll see what else what's got what else is going on down at the springs It's so funny how there's almost nobody inside sprinkles But a line to use the cupcake atm. I mean, I like the atm too But I'd rather just walk in and order the pup cakes and then leave Normally I don't look to see what the flavors are but they have some really good ones a pop top a pop part A pop top a part top a part part a pop tart and it actually comes with a little pop tart on top of it Okay, of course the sprinkle is like the go-to but they have some good ones salt the caramel triple cinnamon lemon blueberry But we're looking for Where's she at that's frosting Oh, there we go a nice three pack. It's all we need today There we go the pup cakes have been obtained and we'll give her one when we get home So you guys can see what she loves these. They're so cool Something that is new sosa family cigar company right here. This is the cigar shop right next to amc Is actually closing today is the last day that it's open. It's closing And they've been here for 25 years Look at this. It's so busy in here last date. If you ever want to get a cigar at disney springs Looks like a lot of people are smoking them today It's actually crazy to think 25 years the cigar company has been here Like this is back pleasure island days And I don't know what I'm gonna feel like when I walk to the movie theater again and not smell the cigars when I walk by I mean, it's pretty pungent like when you walk by you can smell cigars basically all especially tonight because it's crowded in there Like they're going out tonight is the last night and there is a line to get in there. It's a party Seriously just look at it in there I mean, I always thought it was kind of crazy that I was here in disney springs But I don't know what they're gonna put in there. Maybe they'll put another Soccer store or maybe a lids some hat store maybe I'm sure it's not cheap to have like a store inside disney springs So they were probably paying a lot of money to actually sell cigars there I'm sure disney didn't want it there either But they were probably getting by by selling packs of cigarettes. They do they do sell cigarettes in there too But um, I'm sure they're like really jacked up like, you know, $15 20 a pack probably That's probably how they survived this long and maybe things are just uh Not going so good or maybe disney decided to end the the relationship. But like I said 25 years Something else that's pretty shocking is the line of people waiting to get into zara because they're actually doing a sale And look at the the line is going all the way around the building I've never shopped here before but it looks like it must be a really good sale Now, I guess maybe we should just start heading home Go home give Gracie her a little cupcake and uh settle in for the night I feel like, you know, we usually get a lot more done at disney springs I thought there would be a lot more newer things But I guess they're gonna wait a couple of days after like into january Disney springs is very strange with that getting since the only one that's prompt at like doing their specials or monthly things Because they always do it the first of the month. Uh, the rest of the time It's always like five or six days afterwards, which I don't understand doesn't make any sense to me So we'll come back and see if anything else is going on now We're just gonna go home and like I said give Gracie her a little cupcake For the longest time I've only ever parked in Orange garage because that's the way I would drive to go home and now It's a tale of two cities now. I'm heading to lawn garage Now, this is my garage. This is going to be the one that I come to all the time I don't think I like it so much. It seems very crowded and busier over on my garage I'm team orange garage at heart, but This is the way In a shock twist of events I decided to stop at animal kingdom and do a last-minute ride on expedition Everest It's only 20 minutes until the park closes So I think we have enough time to make it over there, but look at the trail life coming awake right now What a timing It's so awesome to just be like, you know what? Let's just stop in the animal kingdom and go on expedition Everest real quick. It's on the way home I love that feeling You know, I could really laugh at myself if I get all the way over there and then find out the ride is down Because you know, I've been having tough luck with riding expedition Everest recently, but that would be my luck Honestly, I wouldn't be upset. I think it would just be so funny. I don't think so though. I can hear the screams I see it going Looks like we are all clear and it's only a 15 minute wait. So we're just going for it The music is nice. I think everyone that's in line now are just people that are hopping off to ride and they're running back through Gotta ring the bells I did good there There we go Look at that. We walked right on. I think we're gonna wait for front row though I think front row is the way to be Here it comes Our night train I love riding expedition Everest that night Oh, yes That look at that view first ride of 2023 and I finally got to ride expedition Everest I mean it was really quick like I got here and got over here with like just two minutes to spare So I'm I'm real lucky now the park slows down. We have to leave now. We're going home getting greasy her pup cup There she is. What are you doing? Guess what I got for you. I got cupcakes. Yes Look, she smells the bag already. She's like, what's going on there dad? What's in there? Huh?  You want one now?   Huh? Sit Good girl. You ready?  Yes, you are Yes, look at that cupcake. It doesn't stay to chance And with that I think we are done here today. It was a nice little day out at disney springs We got to try the cookie of the month got to go to the boat house and do some shopping I might go back and get that hat. I kind of didn't like it But uh, yeah, the boat house was amazing. The cookie was good I love coming out and going to these places. I plan on hitting up most of the parts for the next couple week Uh, next couple of week And uh, just checking out everything it's 2023. I'm so excited. There's a lot to do A lot of big things a lot of big trips that we're going to be going on I can't wait to share with you guys like I'm going places I never thought I would ever go in my life and I'm so excited for that and uh, I hope you guys enjoyed the video I enjoyed making it. We'll see you next time Bye


If I wasn't going to bed at 9.30 or 10, like I intended to, to wake up at 4.30 fully refreshed, I should have been okay with delaying my wake-up time to make sure that I was the most energized when I did wake up. On the flip side, I definitely wish I ate more. One thing that I'm still struggling with now isn't as a full-time position, it's just fighting those cravings that we all naturally have. I love sugar, I love little snacks, and sometimes training for a marathon, as I'm doing now, makes it a little bit easier to consume those extra calories. But I do think that if you're going to be in the medical journey, you have to be a good representation of what healthy looks like. You don't have to have a six-pack, you don't have to be able to run a marathon, but if you're going to tell your patients XYZ is what you need to do, you have to be able to take your own medicine from time to time. And so I definitely wish I had started the foundation building as a medical student, as a resident, on how to eat and sleep better, especially if I was going to give that advice to my future patients and definitely my current ones. And lastly, anyone who is turning 30 as I'm about to in a few months is, I wish I had stretched more.


Hi, I'm Liz Welch and I'm the president of Amherst Neighbors. I'm inviting you to the Amherst Neighbors kickoff event. Amherst Neighbors is a new organization serving older adults in Amherst and Pellum. We will offer free volunteer services, programs, and events. All of this is by and for older adults and those who care about them. Come celebrate Amherst Neighbors going live. Our launch event is Sunday, March 29th at 3 o'clock at the Red Barn at Hampshire College. We hope to see you. Bring your friends and family. Do you have any questions? Please call or email the number or address below.


Oh, what's up everybody once again, it's Brandman Sean and I got a snippet. I had a good talk with TJ Chapman, he's the manager for BOB, Strat Beckham and he's done a lot of great things, but this particular snippet right here is about his content strategy when he releases music. And I think it's something useful for a lot of artists to think about. And with the social media it's all about content and back in the day I could just post one video or one whatever and people, it would stick with people, but nowadays I can't. So if I'm releasing a single, I'm trying to figure out a way that I can have at least three weeks of content built up so every day I can keep dropping something with that record so they keep hearing. And so that's content that I create. So now I'm jumping back to the challenges. The challenges are content with your music or whatever your product is, this is content generated by fans and users. This is content that you don't have to create, it's created for free. And so they're posting it on their stuff or they're using an app like Triller which is great for challenges, it's man. Triller, like T-R-I-L-L-E-R. Yeah, and you see all these people make videos with Triller. Okay. Triller man, man, shout out Triller man, I love y'all. You know, like just say the new single we did and we got the challenge going. But on Triller's the feature challenge, I think it's 900 plus videos. I need to look again. It might even be more now. But it was a few million views, it was 3.4 million views of the challenge videos. So there's 3.4 million times that people heard the song, whether they was trying to hear the song or not. And so all these things are helping you get people, you know what I'm saying, familiar. So the challenge is you just repost their content, you know what I'm saying? So now you're showing love to the fans and so they're loving you because you're posting their stuff. So when you post, they're going to repost it again in their stories at least. But this is all content now that you have every day from other people that you can just post at your own song. Boom, boom, boom, boom. And so it's just sticking. You know, so okay, so now we hop from that side. You about to say something? No, yeah, I was just saying dope because one thing I hear constantly from you is really I break it down into active and passive listening, like that active, like they're going to the song or the videos, the content might focus on the music, but then still hearing it subliminally in all these other ways too. So it sticks like and I know it works because I remember the first time like you said that artist did. First time I realized that happened to me with the song was actually like ushers. Like if you're feeling your body, like somebody like the like just on the radio when I was a kid and I looked saying the whole song through and I was like, I even all right, now he goes deeper into his strategy actually in the full interview and I'll put a link to that in the description below. It will be active after the interview drops and the link isn't active. That means it's not available yet. And the most important thing that I think there is to discuss when it comes to this video is just the fact that he says he drops content for three weeks straight after dropping a song video, whatever he's trying to promote. What's more important is the mentality that goes behind that and understanding that once something is out, you have to keep pushing and pushing to get people's attention. Number one, but also it's after the thing is out. This isn't that teaser content or things like that, especially when you're a younger artist or just coming up, not just younger age wise, but just you're earlier on in your come up. You likely aren't going to get much out of teasing. You don't have enough fans to care or to tease. So you need to rely on post promo because when you promo and you actually have that attention, now people can act on that promo and see the content. If I see that there's something that comes out and it looks like it might have been good, but it's not available yet. I'm probably not going to remember. I'm not going to go save and wait for this comment. I'm not going to write a note in my phone. I'm not going to be looking out for it. I'm going to forget about it completely. How much energy and how much content are you creating for how long of a period? If he's doing that for his artists like B.O.B and Trap Becum, and I think Trap Becum might be on Def Jam, don't quote me on that, but they definitely do have resources. If he's doing three weeks, then how long should you be doing it for? I would love in the comment section below if you guys could share a strategy of yours that's helping your post promo as far as how long it was. If you use influencers or things like that, we don't need all the fine details, just something to start a conversation and maybe allow somebody else to ask. I try to encourage you as much as possible. We'll look to create some kind of forum where you guys can really get deeper in a conversation at some point. For now, stay tuned for that TJ's DJ interview. If you liked this video, go ahead and like it, but if you like it, mind as well, share it and if you're not subscribed, you know what to do.