{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":10.769,"endTime":13.349,"body":"Welcome to the"},{"speaker":"Charles Goldfarb","startTime":10.769,"endTime":13.349,"body":"upper hand, where Chuck and"},{"speaker":"Charles Goldfarb","startTime":13.349,"endTime":14.489,"body":"Chris talk hand surgery."},{"speaker":"Chris Dy","startTime":14.81,"endTime":16.58,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":14.81,"endTime":16.58,"body":"surgeons at Washington"},{"speaker":"Chris Dy","startTime":16.58,"endTime":19.67,"body":"University in St. Louis here to"},{"speaker":"Chris Dy","startTime":16.58,"endTime":19.67,"body":"talk about all aspects of hand"},{"speaker":"Chris Dy","startTime":19.67,"endTime":21.5,"body":"surgery from technical to"},{"speaker":"Chris Dy","startTime":19.67,"endTime":21.5,"body":"personal."},{"speaker":"Charles Goldfarb","startTime":22.07,"endTime":24.35,"body":"Thank you for"},{"speaker":"Charles Goldfarb","startTime":22.07,"endTime":24.35,"body":"subscribing wherever you get"},{"speaker":"Charles Goldfarb","startTime":24.35,"endTime":25.25,"body":"your podcasts."},{"speaker":"Chris Dy","startTime":25.46,"endTime":27.68,"body":"And be sure to leave a"},{"speaker":"Chris Dy","startTime":25.46,"endTime":27.68,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":27.68,"endTime":28.22,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":29.9,"endTime":30.68,"body":"Oh, hey,"},{"speaker":"Charles Goldfarb","startTime":29.9,"endTime":30.68,"body":"Chris."},{"speaker":"Chris Dy","startTime":31.25,"endTime":32.03,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":31.25,"endTime":32.03,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":32.45,"endTime":34.52,"body":"I'm really"},{"speaker":"Charles Goldfarb","startTime":32.45,"endTime":34.52,"body":"well, how are you today?"},{"speaker":"Chris Dy","startTime":34.85,"endTime":37.79,"body":"I'm doing really well."},{"speaker":"Chris Dy","startTime":34.85,"endTime":37.79,"body":"Too excited. It's a nice, it's"},{"speaker":"Chris Dy","startTime":37.79,"endTime":41.33,"body":"gonna be a nice day here in St."},{"speaker":"Chris Dy","startTime":37.79,"endTime":41.33,"body":"Louis. Got the Pool Heater going"},{"speaker":"Chris Dy","startTime":41.33,"endTime":44.27,"body":"this morning. So the kids are"},{"speaker":"Chris Dy","startTime":41.33,"endTime":44.27,"body":"going to be excited. I still"},{"speaker":"Chris Dy","startTime":44.27,"endTime":48.65,"body":"haven't really paid too much"},{"speaker":"Chris Dy","startTime":44.27,"endTime":48.65,"body":"attention to my to my bill. But"},{"speaker":"Chris Dy","startTime":49.43,"endTime":54.71,"body":"it was oh, man, the kids have"},{"speaker":"Chris Dy","startTime":49.43,"endTime":54.71,"body":"loved the kids loved the pool."},{"speaker":"Charles Goldfarb","startTime":55.46,"endTime":57.8,"body":"And you know,"},{"speaker":"Charles Goldfarb","startTime":55.46,"endTime":57.8,"body":"we've talked about this a pool"},{"speaker":"Charles Goldfarb","startTime":57.8,"endTime":60.89,"body":"is a great investment if you can"},{"speaker":"Charles Goldfarb","startTime":57.8,"endTime":60.89,"body":"afford it as a parent, because"},{"speaker":"Charles Goldfarb","startTime":60.89,"endTime":64.01,"body":"it makes your house a"},{"speaker":"Charles Goldfarb","startTime":60.89,"endTime":64.01,"body":"congregating point. And there's"},{"speaker":"Charles Goldfarb","startTime":64.04,"endTime":65.27,"body":"such value in that."},{"speaker":"Chris Dy","startTime":65.75,"endTime":69.14,"body":"Yes, absolutely. We're"},{"speaker":"Chris Dy","startTime":65.75,"endTime":69.14,"body":"actually my daughter is turning."},{"speaker":"Chris Dy","startTime":69.86,"endTime":72.32,"body":"Well, by the time this has"},{"speaker":"Chris Dy","startTime":69.86,"endTime":72.32,"body":"aired, my daughter will have"},{"speaker":"Chris Dy","startTime":72.32,"endTime":77.06,"body":"turned four. And we're having a"},{"speaker":"Chris Dy","startTime":72.32,"endTime":77.06,"body":"pool party. And actually one of"},{"speaker":"Chris Dy","startTime":77.06,"endTime":79.82,"body":"our partner's kids is going to"},{"speaker":"Chris Dy","startTime":77.06,"endTime":79.82,"body":"be the lifeguard which is going"},{"speaker":"Chris Dy","startTime":79.82,"endTime":83.63,"body":"to be fun. But a lot of people"},{"speaker":"Chris Dy","startTime":79.82,"endTime":83.63,"body":"coming over for the pool party."},{"speaker":"Chris Dy","startTime":83.66,"endTime":85.34,"body":"So we're trying to figure out"},{"speaker":"Chris Dy","startTime":83.66,"endTime":85.34,"body":"how to use our space"},{"speaker":"Chris Dy","startTime":85.34,"endTime":88.43,"body":"appropriately in terms of, you"},{"speaker":"Chris Dy","startTime":85.34,"endTime":88.43,"body":"know, setting up all the stuff."},{"speaker":"Charles Goldfarb","startTime":88.82,"endTime":90.92,"body":"That will be"},{"speaker":"Charles Goldfarb","startTime":88.82,"endTime":90.92,"body":"fantastic. That will be"},{"speaker":"Charles Goldfarb","startTime":90.92,"endTime":96.35,"body":"fantastic. Yeah, those those"},{"speaker":"Charles Goldfarb","startTime":90.92,"endTime":96.35,"body":"days are long gone for me. We"},{"speaker":"Charles Goldfarb","startTime":96.35,"endTime":100.46,"body":"had my daughter's 17th birthday"},{"speaker":"Charles Goldfarb","startTime":96.35,"endTime":100.46,"body":"party, my youngest had her 17th"},{"speaker":"Charles Goldfarb","startTime":100.46,"endTime":105.74,"body":"a week ago and she went out to"},{"speaker":"Charles Goldfarb","startTime":100.46,"endTime":105.74,"body":"dinner, we it's interesting. We"},{"speaker":"Charles Goldfarb","startTime":105.74,"endTime":109.49,"body":"went out to dinner. And 10 of"},{"speaker":"Charles Goldfarb","startTime":105.74,"endTime":109.49,"body":"her friends joined us, Talia and"},{"speaker":"Charles Goldfarb","startTime":109.49,"endTime":114.17,"body":"I sat in a different area at a"},{"speaker":"Charles Goldfarb","startTime":109.49,"endTime":114.17,"body":"table for two, which was fun."},{"speaker":"Charles Goldfarb","startTime":114.35,"endTime":117.05,"body":"And the girls had a great time"},{"speaker":"Charles Goldfarb","startTime":114.35,"endTime":117.05,"body":"at their table."},{"speaker":"Chris Dy","startTime":117.5,"endTime":119.03,"body":"And they picked up"},{"speaker":"Chris Dy","startTime":117.5,"endTime":119.03,"body":"your bill, right?"},{"speaker":"Charles Goldfarb","startTime":119.09,"endTime":123.41,"body":"Yeah, it was"},{"speaker":"Charles Goldfarb","startTime":119.09,"endTime":123.41,"body":"funny. I was like, you want to"},{"speaker":"Charles Goldfarb","startTime":123.41,"endTime":128.12,"body":"take out how many people? Can't"},{"speaker":"Charles Goldfarb","startTime":123.41,"endTime":128.12,"body":"you narrow the group down? And"},{"speaker":"Charles Goldfarb","startTime":128.12,"endTime":130.46,"body":"she's like, Dad, just pay for"},{"speaker":"Charles Goldfarb","startTime":128.12,"endTime":130.46,"body":"dinner."},{"speaker":"Chris Dy","startTime":131.51,"endTime":135.11,"body":"Well, so it's"},{"speaker":"Chris Dy","startTime":131.51,"endTime":135.11,"body":"interesting. So when, when I was"},{"speaker":"Chris Dy","startTime":136.13,"endTime":138.62,"body":"when we were in high school, we"},{"speaker":"Chris Dy","startTime":136.13,"endTime":138.62,"body":"would like go out to like"},{"speaker":"Chris Dy","startTime":138.68,"endTime":141.44,"body":"dinners for people's birthday,"},{"speaker":"Chris Dy","startTime":138.68,"endTime":141.44,"body":"kind of like that parents"},{"speaker":"Chris Dy","startTime":141.44,"endTime":144.38,"body":"wouldn't come. But then we would"},{"speaker":"Chris Dy","startTime":141.44,"endTime":144.38,"body":"argue over who would pay because"},{"speaker":"Chris Dy","startTime":144.38,"endTime":148.19,"body":"like it was like well, is are"},{"speaker":"Chris Dy","startTime":144.38,"endTime":148.19,"body":"you paying for the birthday"},{"speaker":"Chris Dy","startTime":148.19,"endTime":150.86,"body":"person? Or is the birthday"},{"speaker":"Chris Dy","startTime":148.19,"endTime":150.86,"body":"person taking everybody out?"},{"speaker":"Chris Dy","startTime":150.86,"endTime":153.74,"body":"Because you know, my parents"},{"speaker":"Chris Dy","startTime":150.86,"endTime":153.74,"body":"grew up in the Philippines. And"},{"speaker":"Chris Dy","startTime":153.74,"endTime":155.81,"body":"the tradition in the Philippines"},{"speaker":"Chris Dy","startTime":153.74,"endTime":155.81,"body":"was that the birthday person"},{"speaker":"Chris Dy","startTime":155.81,"endTime":158.96,"body":"took everybody out. But then it"},{"speaker":"Chris Dy","startTime":155.81,"endTime":158.96,"body":"seemed over. You know, when I"},{"speaker":"Chris Dy","startTime":158.96,"endTime":160.85,"body":"was growing up, I was like, oh,"},{"speaker":"Chris Dy","startTime":158.96,"endTime":160.85,"body":"no, you got to pay for the"},{"speaker":"Chris Dy","startTime":160.85,"endTime":161.51,"body":"birthday person."},{"speaker":"Charles Goldfarb","startTime":162.29,"endTime":164.42,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":162.29,"endTime":164.42,"body":"it's a great question. And"},{"speaker":"Charles Goldfarb","startTime":164.42,"endTime":167.36,"body":"obviously, in this setting, it"},{"speaker":"Charles Goldfarb","startTime":164.42,"endTime":167.36,"body":"was clear and my sister actually"},{"speaker":"Charles Goldfarb","startTime":167.36,"endTime":170.66,"body":"gave me grief for going but we"},{"speaker":"Charles Goldfarb","startTime":167.36,"endTime":170.66,"body":"wanted to kind of see what was"},{"speaker":"Charles Goldfarb","startTime":170.66,"endTime":175.58,"body":"going on. And you know, it was"},{"speaker":"Charles Goldfarb","startTime":170.66,"endTime":175.58,"body":"good. A few weeks back, I"},{"speaker":"Charles Goldfarb","startTime":175.58,"endTime":181.16,"body":"mentioned a webinar that I"},{"speaker":"Charles Goldfarb","startTime":175.58,"endTime":181.16,"body":"really enjoyed and it was done."},{"speaker":"Charles Goldfarb","startTime":181.37,"endTime":184.94,"body":"recently. It was put on by the"},{"speaker":"Charles Goldfarb","startTime":181.37,"endTime":184.94,"body":"Academy, the orthopedic Academy"},{"speaker":"Charles Goldfarb","startTime":184.94,"endTime":188.84,"body":"and the hand society really run"},{"speaker":"Charles Goldfarb","startTime":184.94,"endTime":188.84,"body":"by the Academy. It was organized"},{"speaker":"Charles Goldfarb","startTime":188.84,"endTime":194.78,"body":"by Jeff Yao and Sanj Kakar, Glen"},{"speaker":"Charles Goldfarb","startTime":188.84,"endTime":194.78,"body":"Gaston and myself. Were the"},{"speaker":"Charles Goldfarb","startTime":194.81,"endTime":198.05,"body":"speakers along with Jeff and we"},{"speaker":"Charles Goldfarb","startTime":194.81,"endTime":198.05,"body":"talked about the black box of"},{"speaker":"Charles Goldfarb","startTime":198.05,"endTime":202.52,"body":"the ulnar wrist and I know you"},{"speaker":"Charles Goldfarb","startTime":198.05,"endTime":202.52,"body":"love the ulnar wrist and the"},{"speaker":"Charles Goldfarb","startTime":202.52,"endTime":207.74,"body":"arthroscopy often utilized to"},{"speaker":"Charles Goldfarb","startTime":202.52,"endTime":207.74,"body":"assess it. It was a really good"},{"speaker":"Charles Goldfarb","startTime":207.74,"endTime":212.75,"body":"webinar and it's available for"},{"speaker":"Charles Goldfarb","startTime":207.74,"endTime":212.75,"body":"free if as long as you have an"},{"speaker":"Charles Goldfarb","startTime":212.75,"endTime":218.54,"body":"AAOS login. So super fun. And,"},{"speaker":"Charles Goldfarb","startTime":212.75,"endTime":218.54,"body":"you know, yes, webinars are"},{"speaker":"Charles Goldfarb","startTime":218.66,"endTime":223.19,"body":"getting a little old. But the"},{"speaker":"Charles Goldfarb","startTime":218.66,"endTime":223.19,"body":"format's just too easy not to"},{"speaker":"Charles Goldfarb","startTime":223.19,"endTime":224.36,"body":"continue to make use of it."},{"speaker":"Chris Dy","startTime":224.96,"endTime":227.09,"body":"Right, right."},{"speaker":"Chris Dy","startTime":224.96,"endTime":227.09,"body":"Absolutely. Well, what was some"},{"speaker":"Chris Dy","startTime":227.12,"endTime":229.4,"body":"what was your favorite thing"},{"speaker":"Chris Dy","startTime":227.12,"endTime":229.4,"body":"that either you taught or you"},{"speaker":"Chris Dy","startTime":229.4,"endTime":232.49,"body":"learned in, you know, because"},{"speaker":"Chris Dy","startTime":229.4,"endTime":232.49,"body":"those are some great, very"},{"speaker":"Chris Dy","startTime":232.49,"endTime":235.73,"body":"bright people and thinkers. So"},{"speaker":"Chris Dy","startTime":232.49,"endTime":235.73,"body":"you know, I'm sure that you've"},{"speaker":"Chris Dy","startTime":235.73,"endTime":237.8,"body":"imparted a lot of knowledge, but"},{"speaker":"Chris Dy","startTime":235.73,"endTime":237.8,"body":"maybe picks them up to two."},{"speaker":"Charles Goldfarb","startTime":238.46,"endTime":241.22,"body":"I would say"},{"speaker":"Charles Goldfarb","startTime":238.46,"endTime":241.22,"body":"this, and I've become really,"},{"speaker":"Charles Goldfarb","startTime":241.25,"endTime":245.81,"body":"really sensitized to this. It's"},{"speaker":"Charles Goldfarb","startTime":241.25,"endTime":245.81,"body":"all about anatomy, which sounds"},{"speaker":"Charles Goldfarb","startTime":245.81,"endTime":247.76,"body":"like a stupid thing for a hand"},{"speaker":"Charles Goldfarb","startTime":245.81,"endTime":247.76,"body":"surgeon to say because, of"},{"speaker":"Charles Goldfarb","startTime":247.76,"endTime":250.88,"body":"course, it's all about anatomy."},{"speaker":"Charles Goldfarb","startTime":247.76,"endTime":250.88,"body":"But to me, it's about"},{"speaker":"Charles Goldfarb","startTime":250.88,"endTime":255.05,"body":"recognizing pathologic anatomy,"},{"speaker":"Charles Goldfarb","startTime":250.88,"endTime":255.05,"body":"in the wrist, and especially on"},{"speaker":"Charles Goldfarb","startTime":255.05,"endTime":258.59,"body":"wrist arthroscopy, and I do not"},{"speaker":"Charles Goldfarb","startTime":255.05,"endTime":258.59,"body":"believe there's consensus. And"},{"speaker":"Charles Goldfarb","startTime":258.59,"endTime":262.55,"body":"so that's going to drive some of"},{"speaker":"Charles Goldfarb","startTime":258.59,"endTime":262.55,"body":"my research in this space moving"},{"speaker":"Charles Goldfarb","startTime":262.55,"endTime":266.03,"body":"forward. But each of the"},{"speaker":"Charles Goldfarb","startTime":262.55,"endTime":266.03,"body":"speakers had had really"},{"speaker":"Charles Goldfarb","startTime":266.03,"endTime":269.84,"body":"interesting things to say and"},{"speaker":"Charles Goldfarb","startTime":266.03,"endTime":269.84,"body":"you know, Sanj Kakar talks a lot"},{"speaker":"Charles Goldfarb","startTime":269.87,"endTime":274.76,"body":"about the split tears between"},{"speaker":"Charles Goldfarb","startTime":269.87,"endTime":274.76,"body":"the ulnar carpal ligaments that"},{"speaker":"Charles Goldfarb","startTime":274.76,"endTime":278.51,"body":"is the ulnar lunate and ulnar"},{"speaker":"Charles Goldfarb","startTime":274.76,"endTime":278.51,"body":"triquetral ligaments. Many of us"},{"speaker":"Charles Goldfarb","startTime":278.51,"endTime":282.2,"body":"don't see that as regularly as"},{"speaker":"Charles Goldfarb","startTime":278.51,"endTime":282.2,"body":"he does, although it may see us"},{"speaker":"Charles Goldfarb","startTime":282.77,"endTime":283.64,"body":"anyways, good."},{"speaker":"Chris Dy","startTime":283.64,"endTime":285.14,"body":"Are you buying it? Are"},{"speaker":"Chris Dy","startTime":283.64,"endTime":285.14,"body":"you buying it? Come on."},{"speaker":"Charles Goldfarb","startTime":286.04,"endTime":288.65,"body":"No, not to the"},{"speaker":"Charles Goldfarb","startTime":286.04,"endTime":288.65,"body":"level that Sanj buys it."},{"speaker":"Chris Dy","startTime":288.65,"endTime":291.23,"body":"All right, so it's a"},{"speaker":"Chris Dy","startTime":288.65,"endTime":291.23,"body":"you Mayo trainees that listen, I"},{"speaker":"Chris Dy","startTime":291.23,"endTime":295.07,"body":"know some of you do. Chuck just"},{"speaker":"Chris Dy","startTime":291.23,"endTime":295.07,"body":"called out Sanj. Maybe we should"},{"speaker":"Chris Dy","startTime":295.07,"endTime":296.96,"body":"have Sanj on to defend himself."},{"speaker":"Chris Dy","startTime":295.07,"endTime":296.96,"body":"Come on."},{"speaker":"Charles Goldfarb","startTime":297.29,"endTime":299.21,"body":"Yeah, we"},{"speaker":"Charles Goldfarb","startTime":297.29,"endTime":299.21,"body":"probably should he'll be calm."},{"speaker":"Chris Dy","startTime":299.0,"endTime":301.61,"body":"I cannot think of a"},{"speaker":"Chris Dy","startTime":299.0,"endTime":301.61,"body":"topic I would like to talk about"},{"speaker":"Chris Dy","startTime":301.61,"endTime":303.95,"body":"less. To be very honest with"},{"speaker":"Chris Dy","startTime":301.61,"endTime":303.95,"body":"you."},{"speaker":"Charles Goldfarb","startTime":303.98,"endTime":306.05,"body":"Well, speaking"},{"speaker":"Charles Goldfarb","startTime":303.98,"endTime":306.05,"body":"of topics you'd like to talk"},{"speaker":"Charles Goldfarb","startTime":306.05,"endTime":307.73,"body":"about, I believe we have a case"},{"speaker":"Charles Goldfarb","startTime":306.05,"endTime":307.73,"body":"submission."},{"speaker":"Chris Dy","startTime":308.18,"endTime":310.37,"body":"Well, well, I will I"},{"speaker":"Chris Dy","startTime":308.18,"endTime":310.37,"body":"will get to the case. But I will"},{"speaker":"Chris Dy","startTime":310.37,"endTime":313.85,"body":"say multiple people have"},{"speaker":"Chris Dy","startTime":310.37,"endTime":313.85,"body":"commented about how helpful that"},{"speaker":"Chris Dy","startTime":313.85,"endTime":317.87,"body":"ECU episode was that we did a"},{"speaker":"Chris Dy","startTime":313.85,"endTime":317.87,"body":"couple of weeks ago. So a couple"},{"speaker":"Chris Dy","startTime":317.87,"endTime":321.56,"body":"of trainees, and actually I"},{"speaker":"Chris Dy","startTime":317.87,"endTime":321.56,"body":"cited it and I was like, we're"},{"speaker":"Chris Dy","startTime":321.56,"endTime":325.4,"body":"talking about ECU stuff and in"},{"speaker":"Chris Dy","startTime":321.56,"endTime":325.4,"body":"clinic and I was like, just go"},{"speaker":"Chris Dy","startTime":325.4,"endTime":329.66,"body":"listen to that podcast. Chuck,"},{"speaker":"Chris Dy","startTime":325.4,"endTime":329.66,"body":"Chuck Todd, a lot of stuff. Just"},{"speaker":"Chris Dy","startTime":329.66,"endTime":332.75,"body":"listen to that. But uh, you"},{"speaker":"Chris Dy","startTime":329.66,"endTime":332.75,"body":"know, one of our mica Sinclair"},{"speaker":"Chris Dy","startTime":332.75,"endTime":336.23,"body":"is actually coming to visit our"},{"speaker":"Chris Dy","startTime":332.75,"endTime":336.23,"body":"team. And she talked about how"},{"speaker":"Chris Dy","startTime":336.23,"endTime":338.63,"body":"much he liked and she's like,"},{"speaker":"Chris Dy","startTime":336.23,"endTime":338.63,"body":"this is perfectly time because I"},{"speaker":"Chris Dy","startTime":338.63,"endTime":341.0,"body":"needed to hear about this"},{"speaker":"Chris Dy","startTime":338.63,"endTime":341.0,"body":"somehow you guys know that we?"},{"speaker":"Chris Dy","startTime":341.69,"endTime":345.56,"body":"We'd like to that I needed to"},{"speaker":"Chris Dy","startTime":341.69,"endTime":345.56,"body":"hear about that. So yes, kudos"},{"speaker":"Chris Dy","startTime":345.56,"endTime":348.38,"body":"to you for really driving that"},{"speaker":"Chris Dy","startTime":345.56,"endTime":348.38,"body":"one. That episode. It was great."},{"speaker":"Charles Goldfarb","startTime":348.86,"endTime":352.49,"body":"Well, you"},{"speaker":"Charles Goldfarb","startTime":348.86,"endTime":352.49,"body":"know, it's all fun. And you"},{"speaker":"Charles Goldfarb","startTime":352.49,"endTime":356.3,"body":"know, it does bear repeating"},{"speaker":"Charles Goldfarb","startTime":352.49,"endTime":356.3,"body":"this is self evident. But Chris,"},{"speaker":"Charles Goldfarb","startTime":356.3,"endTime":360.32,"body":"and I share our opinions. It"},{"speaker":"Charles Goldfarb","startTime":356.3,"endTime":360.32,"body":"doesn't make it fact, and we"},{"speaker":"Charles Goldfarb","startTime":360.32,"endTime":365.18,"body":"have our own set of biases, and"},{"speaker":"Charles Goldfarb","startTime":360.32,"endTime":365.18,"body":"our own set of passions, but"},{"speaker":"Charles Goldfarb","startTime":365.21,"endTime":366.17,"body":"glad to hear it's helpful."},{"speaker":"Chris Dy","startTime":366.41,"endTime":368.42,"body":"I disagree, actually"},{"speaker":"Chris Dy","startTime":366.41,"endTime":368.42,"body":"listened to a different podcast"},{"speaker":"Chris Dy","startTime":368.42,"endTime":373.55,"body":"that has a segment called My"},{"speaker":"Chris Dy","startTime":368.42,"endTime":373.55,"body":"opinion is fact. But when the"},{"speaker":"Chris Dy","startTime":373.55,"endTime":375.95,"body":"when the host contradicts their"},{"speaker":"Chris Dy","startTime":373.55,"endTime":375.95,"body":"prior opinions, it's called My"},{"speaker":"Chris Dy","startTime":375.95,"endTime":376.82,"body":"opinion is fluid."},{"speaker":"Charles Goldfarb","startTime":378.11,"endTime":379.46,"body":"I like that, I"},{"speaker":"Charles Goldfarb","startTime":378.11,"endTime":379.46,"body":"like that."},{"speaker":"Chris Dy","startTime":380.54,"endTime":384.68,"body":"Andy Nelson is a hand"},{"speaker":"Chris Dy","startTime":380.54,"endTime":384.68,"body":"surgeon in practice in"},{"speaker":"Chris Dy","startTime":384.68,"endTime":387.92,"body":"Connecticut. And he has been"},{"speaker":"Chris Dy","startTime":384.68,"endTime":387.92,"body":"kind enough to share about our"},{"speaker":"Chris Dy","startTime":387.92,"endTime":390.77,"body":"podcasts on the hand society"},{"speaker":"Chris Dy","startTime":387.92,"endTime":390.77,"body":"listserv. So thank you, Andy,"},{"speaker":"Chris Dy","startTime":390.77,"endTime":393.59,"body":"for that. I know you're"},{"speaker":"Chris Dy","startTime":390.77,"endTime":393.59,"body":"listening. We talked about this"},{"speaker":"Chris Dy","startTime":393.59,"endTime":396.77,"body":"case that you had emailed me"},{"speaker":"Chris Dy","startTime":393.59,"endTime":396.77,"body":"about and you said it was okay"},{"speaker":"Chris Dy","startTime":396.77,"endTime":399.26,"body":"to share it. So Chuck, I'm gonna"},{"speaker":"Chris Dy","startTime":396.77,"endTime":399.26,"body":"throw you a case here before we"},{"speaker":"Chris Dy","startTime":399.26,"endTime":404.93,"body":"get to our main segment. A, an"},{"speaker":"Chris Dy","startTime":399.26,"endTime":404.93,"body":"elderly woman who fell in the"},{"speaker":"Chris Dy","startTime":404.93,"endTime":412.31,"body":"bathroom and had a hand versus"},{"speaker":"Chris Dy","startTime":404.93,"endTime":412.31,"body":"glass fixture and was seen in an"},{"speaker":"Chris Dy","startTime":412.67,"endTime":418.01,"body":"ER, and sent out and is at the"},{"speaker":"Chris Dy","startTime":412.67,"endTime":418.01,"body":"surgeon's office three days"},{"speaker":"Chris Dy","startTime":418.01,"endTime":422.6,"body":"later, after having the skin"},{"speaker":"Chris Dy","startTime":418.01,"endTime":422.6,"body":"closed. The assessment is that"},{"speaker":"Chris Dy","startTime":422.6,"endTime":426.95,"body":"the FCU the radial artery, the"},{"speaker":"Chris Dy","startTime":422.6,"endTime":426.95,"body":"ulnar nerve in the FDP ring and"},{"speaker":"Chris Dy","startTime":426.95,"endTime":430.67,"body":"small, have been lacerated. So-"},{"speaker":"Charles Goldfarb","startTime":430.76,"endTime":432.05,"body":"Repeat that"},{"speaker":"Charles Goldfarb","startTime":430.76,"endTime":432.05,"body":"one more time."},{"speaker":"Chris Dy","startTime":432.41,"endTime":435.14,"body":"So you got FCU and"},{"speaker":"Chris Dy","startTime":432.41,"endTime":435.14,"body":"radial artery or out hand is"},{"speaker":"Chris Dy","startTime":435.14,"endTime":438.14,"body":"perfused. But the FCU and the"},{"speaker":"Chris Dy","startTime":435.14,"endTime":438.14,"body":"radial artery out the ulnar"},{"speaker":"Chris Dy","startTime":438.14,"endTime":442.61,"body":"nerve is completely lacerated."},{"speaker":"Chris Dy","startTime":438.14,"endTime":442.61,"body":"And the ring and small finger"},{"speaker":"Chris Dy","startTime":442.61,"endTime":448.49,"body":"are, are also lacerated. And for"},{"speaker":"Chris Dy","startTime":442.61,"endTime":448.49,"body":"the purposes of this injury,"},{"speaker":"Chris Dy","startTime":448.49,"endTime":450.08,"body":"actually, he didn't tell me"},{"speaker":"Chris Dy","startTime":448.49,"endTime":450.08,"body":"exactly where it was, but let's"},{"speaker":"Chris Dy","startTime":450.08,"endTime":453.05,"body":"just say it's at the wrist"},{"speaker":"Chris Dy","startTime":450.08,"endTime":453.05,"body":"crease, or just proximal the"},{"speaker":"Chris Dy","startTime":453.05,"endTime":453.56,"body":"wrist crease."},{"speaker":"Charles Goldfarb","startTime":453.98,"endTime":455.66,"body":"Yes. What's"},{"speaker":"Charles Goldfarb","startTime":453.98,"endTime":455.66,"body":"your question?"},{"speaker":"Chris Dy","startTime":456.56,"endTime":459.65,"body":"Timing. So what's"},{"speaker":"Chris Dy","startTime":456.56,"endTime":459.65,"body":"what's, what's the timing of"},{"speaker":"Chris Dy","startTime":459.65,"endTime":463.13,"body":"this? Is this something like,"},{"speaker":"Chris Dy","startTime":459.65,"endTime":463.13,"body":"you know, do it, say it walks"},{"speaker":"Chris Dy","startTime":463.13,"endTime":465.05,"body":"into the office, the patient"},{"speaker":"Chris Dy","startTime":463.13,"endTime":465.05,"body":"walks into the office, you do"},{"speaker":"Chris Dy","startTime":465.05,"endTime":468.02,"body":"this ASAP? Like, Hey, let's go"},{"speaker":"Chris Dy","startTime":465.05,"endTime":468.02,"body":"to the OR when we're done with"},{"speaker":"Chris Dy","startTime":468.02,"endTime":472.85,"body":"clinic, or is this let's book it"},{"speaker":"Chris Dy","startTime":468.02,"endTime":472.85,"body":"for your next elective day?"},{"speaker":"Charles Goldfarb","startTime":473.3,"endTime":474.98,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":473.3,"endTime":474.98,"body":"it's a great question. I think"},{"speaker":"Charles Goldfarb","startTime":474.98,"endTime":477.8,"body":"that's what you know, that's"},{"speaker":"Charles Goldfarb","startTime":474.98,"endTime":477.8,"body":"part of the struggle of"},{"speaker":"Charles Goldfarb","startTime":477.8,"endTime":481.55,"body":"transition to your own practice"},{"speaker":"Charles Goldfarb","startTime":477.8,"endTime":481.55,"body":"is how to prioritize it is one"},{"speaker":"Charles Goldfarb","startTime":481.55,"endTime":484.1,"body":"of the things we don't you know,"},{"speaker":"Charles Goldfarb","startTime":481.55,"endTime":484.1,"body":"trainees don't necessarily think"},{"speaker":"Charles Goldfarb","startTime":484.1,"endTime":487.1,"body":"about other than get frustrated"},{"speaker":"Charles Goldfarb","startTime":484.1,"endTime":487.1,"body":"with attendings who push things."},{"speaker":"Charles Goldfarb","startTime":487.1,"endTime":491.09,"body":"And I think this is one given"},{"speaker":"Charles Goldfarb","startTime":487.1,"endTime":491.09,"body":"this already been three days, it"},{"speaker":"Charles Goldfarb","startTime":491.09,"endTime":497.15,"body":"is not emergent. I think it's"},{"speaker":"Charles Goldfarb","startTime":491.09,"endTime":497.15,"body":"urgent in the sense of within"},{"speaker":"Charles Goldfarb","startTime":497.15,"endTime":497.81,"body":"five days."},{"speaker":"Chris Dy","startTime":498.47,"endTime":500.9,"body":"Five days and when it"},{"speaker":"Chris Dy","startTime":498.47,"endTime":500.9,"body":"comes to you? Or five days from"},{"speaker":"Chris Dy","startTime":501.23,"endTime":501.83,"body":"the injury."},{"speaker":"Charles Goldfarb","startTime":501.86,"endTime":503.3,"body":"Yeah, if it"},{"speaker":"Charles Goldfarb","startTime":501.86,"endTime":503.3,"body":"comes to me, if I see the"},{"speaker":"Charles Goldfarb","startTime":503.3,"endTime":507.98,"body":"patient on a Monday, I want to"},{"speaker":"Charles Goldfarb","startTime":503.3,"endTime":507.98,"body":"get it done that week. If it"},{"speaker":"Charles Goldfarb","startTime":507.98,"endTime":510.59,"body":"comes in on a Friday, I probably"},{"speaker":"Charles Goldfarb","startTime":507.98,"endTime":510.59,"body":"wouldn't do it over the weekend,"},{"speaker":"Charles Goldfarb","startTime":510.59,"endTime":512.09,"body":"what we're trying to do it early"},{"speaker":"Charles Goldfarb","startTime":510.59,"endTime":512.09,"body":"the next week."},{"speaker":"Chris Dy","startTime":513.83,"endTime":518.18,"body":"Is it. So the question"},{"speaker":"Chris Dy","startTime":513.83,"endTime":518.18,"body":"was does the the ultimate result"},{"speaker":"Chris Dy","startTime":518.21,"endTime":520.7,"body":"changed by waiting a few extra"},{"speaker":"Chris Dy","startTime":518.21,"endTime":520.7,"body":"days? Like, you know, because"},{"speaker":"Chris Dy","startTime":520.7,"endTime":524.27,"body":"the practical aspect is you"},{"speaker":"Chris Dy","startTime":520.7,"endTime":524.27,"body":"canceled clinic or do you cancel"},{"speaker":"Chris Dy","startTime":524.27,"endTime":526.94,"body":"other cases, even if you're"},{"speaker":"Chris Dy","startTime":524.27,"endTime":526.94,"body":"trying to get it done within,"},{"speaker":"Chris Dy","startTime":526.97,"endTime":528.41,"body":"you know, save the next day or"},{"speaker":"Chris Dy","startTime":526.97,"endTime":528.41,"body":"so?"},{"speaker":"Charles Goldfarb","startTime":528.8,"endTime":530.84,"body":"Yeah. And"},{"speaker":"Charles Goldfarb","startTime":528.8,"endTime":530.84,"body":"that's why it's so great having"},{"speaker":"Charles Goldfarb","startTime":530.84,"endTime":535.07,"body":"a big group like ours, where we"},{"speaker":"Charles Goldfarb","startTime":530.84,"endTime":535.07,"body":"can leverage each other to try"},{"speaker":"Charles Goldfarb","startTime":535.07,"endTime":537.44,"body":"to avoid impacting other"},{"speaker":"Charles Goldfarb","startTime":535.07,"endTime":537.44,"body":"patients. And then that's one"},{"speaker":"Charles Goldfarb","startTime":537.44,"endTime":541.58,"body":"thing I hate, I hate canceling."},{"speaker":"Charles Goldfarb","startTime":537.44,"endTime":541.58,"body":"And it's not about me, it's"},{"speaker":"Charles Goldfarb","startTime":541.58,"endTime":545.9,"body":"about other people, other"},{"speaker":"Charles Goldfarb","startTime":541.58,"endTime":545.9,"body":"patients. I don't want to cancel"},{"speaker":"Charles Goldfarb","startTime":545.9,"endTime":549.32,"body":"anything. And occasionally"},{"speaker":"Charles Goldfarb","startTime":545.9,"endTime":549.32,"body":"that's required, but not often."},{"speaker":"Charles Goldfarb","startTime":549.32,"endTime":551.72,"body":"So I would try to avoid"},{"speaker":"Charles Goldfarb","startTime":549.32,"endTime":551.72,"body":"canceling get it done. And"},{"speaker":"Charles Goldfarb","startTime":551.75,"endTime":555.86,"body":"within a few days, but not"},{"speaker":"Charles Goldfarb","startTime":551.75,"endTime":555.86,"body":"today, necessarily, or tomorrow"},{"speaker":"Charles Goldfarb","startTime":555.86,"endTime":556.55,"body":"necessarily."},{"speaker":"Chris Dy","startTime":556.96,"endTime":559.3,"body":"And I agree with you,"},{"speaker":"Chris Dy","startTime":556.96,"endTime":559.3,"body":"it is about the patient"},{"speaker":"Chris Dy","startTime":559.33,"endTime":563.53,"body":"logistically for your team. It"},{"speaker":"Chris Dy","startTime":559.33,"endTime":563.53,"body":"is really, really a nightmare to"},{"speaker":"Chris Dy","startTime":563.53,"endTime":566.71,"body":"cancel a clinic. Actually"},{"speaker":"Chris Dy","startTime":563.53,"endTime":566.71,"body":"canceling surgeries is a little"},{"speaker":"Chris Dy","startTime":566.71,"endTime":568.84,"body":"bit easier. It's less people,"},{"speaker":"Chris Dy","startTime":566.71,"endTime":568.84,"body":"but people plan their lives"},{"speaker":"Chris Dy","startTime":568.84,"endTime":572.62,"body":"around surgery. So you know, as"},{"speaker":"Chris Dy","startTime":568.84,"endTime":572.62,"body":"much as you can avoid canceling"},{"speaker":"Chris Dy","startTime":572.62,"endTime":575.29,"body":"I agree with you entirely. I"},{"speaker":"Chris Dy","startTime":572.62,"endTime":575.29,"body":"mean, I'm actually scrolling"},{"speaker":"Chris Dy","startTime":575.29,"endTime":578.23,"body":"down in Andy's email and looking"},{"speaker":"Chris Dy","startTime":575.29,"endTime":578.23,"body":"at the laceration. It is just"},{"speaker":"Chris Dy","startTime":578.23,"endTime":580.36,"body":"proximal maybe like three"},{"speaker":"Chris Dy","startTime":578.23,"endTime":580.36,"body":"centimeters approximately wrist"},{"speaker":"Chris Dy","startTime":580.36,"endTime":582.64,"body":"crease. And I think he meant to"},{"speaker":"Chris Dy","startTime":580.36,"endTime":582.64,"body":"write on their artery, not"},{"speaker":"Chris Dy","startTime":582.64,"endTime":584.71,"body":"radial artery, just you know,"},{"speaker":"Chris Dy","startTime":582.64,"endTime":584.71,"body":"because it'd be really hard to"},{"speaker":"Chris Dy","startTime":584.71,"endTime":587.83,"body":"Knock. Knock the radial artery"},{"speaker":"Chris Dy","startTime":584.71,"endTime":587.83,"body":"out without getting everything"},{"speaker":"Chris Dy","startTime":587.83,"endTime":591.19,"body":"in between the ulnar nerve,"},{"speaker":"Chris Dy","startTime":587.83,"endTime":591.19,"body":"ulnar artery. Are you going to"},{"speaker":"Chris Dy","startTime":591.19,"endTime":595.72,"body":"fix the ulnar artery? Hand is"},{"speaker":"Chris Dy","startTime":591.19,"endTime":595.72,"body":"perfused Yeah, I guess you're"},{"speaker":"Chris Dy","startTime":595.72,"endTime":597.58,"body":"probably about a week out now"},{"speaker":"Chris Dy","startTime":595.72,"endTime":597.58,"body":"from the injury."},{"speaker":"Charles Goldfarb","startTime":599.65,"endTime":601.66,"body":"I'm not"},{"speaker":"Charles Goldfarb","startTime":599.65,"endTime":601.66,"body":"against fixing the ulnar artery"},{"speaker":"Charles Goldfarb","startTime":601.66,"endTime":605.14,"body":"but typically No, not in this"},{"speaker":"Charles Goldfarb","startTime":601.66,"endTime":605.14,"body":"situation, some would argue for"},{"speaker":"Charles Goldfarb","startTime":605.14,"endTime":610.87,"body":"MRB maximum resident benefit? I"},{"speaker":"Charles Goldfarb","startTime":605.14,"endTime":610.87,"body":"don't know, I don't. There there"},{"speaker":"Charles Goldfarb","startTime":610.87,"endTime":613.87,"body":"is an argument to be made to"},{"speaker":"Charles Goldfarb","startTime":610.87,"endTime":613.87,"body":"doing it. But I probably would"},{"speaker":"Charles Goldfarb","startTime":613.87,"endTime":614.77,"body":"not, would you?"},{"speaker":"Chris Dy","startTime":615.55,"endTime":619.27,"body":"I think MRB is huge. I"},{"speaker":"Chris Dy","startTime":615.55,"endTime":619.27,"body":"mean, this is a great vessel to"},{"speaker":"Chris Dy","startTime":619.27,"endTime":622.15,"body":"work on as a resident and as a"},{"speaker":"Chris Dy","startTime":619.27,"endTime":622.15,"body":"fellow. I mean, you're getting"},{"speaker":"Chris Dy","startTime":622.18,"endTime":625.33,"body":"almost not elective, but you're"},{"speaker":"Chris Dy","startTime":622.18,"endTime":625.33,"body":"getting daytime micro, and"},{"speaker":"Chris Dy","startTime":625.33,"endTime":628.84,"body":"you're doing a huge artery. I"},{"speaker":"Chris Dy","startTime":625.33,"endTime":628.84,"body":"mean, I think that then the"},{"speaker":"Chris Dy","startTime":628.84,"endTime":632.32,"body":"clinical benefit, I think, is"},{"speaker":"Chris Dy","startTime":628.84,"endTime":632.32,"body":"potentially for things like, you"},{"speaker":"Chris Dy","startTime":632.32,"endTime":635.77,"body":"know, avoiding cold ischemia,"},{"speaker":"Chris Dy","startTime":632.32,"endTime":635.77,"body":"things like that. I think it's"},{"speaker":"Chris Dy","startTime":635.77,"endTime":638.53,"body":"worth doing, personally, but I"},{"speaker":"Chris Dy","startTime":635.77,"endTime":638.53,"body":"don't think it's required as you"},{"speaker":"Chris Dy","startTime":638.53,"endTime":641.56,"body":"state. How do you counsel the 71"},{"speaker":"Chris Dy","startTime":638.53,"endTime":641.56,"body":"year old say, you get nice"},{"speaker":"Chris Dy","startTime":641.56,"endTime":646.06,"body":"tendon repairs plus minus on the"},{"speaker":"Chris Dy","startTime":641.56,"endTime":646.06,"body":"artery? Are you going to tell"},{"speaker":"Chris Dy","startTime":646.06,"endTime":649.78,"body":"her I can repair your nerve? Are"},{"speaker":"Chris Dy","startTime":646.06,"endTime":649.78,"body":"you putting in a graft? Are"},{"speaker":"Chris Dy","startTime":649.78,"endTime":651.01,"body":"there other things you would do?"},{"speaker":"Charles Goldfarb","startTime":652.63,"endTime":655.87,"body":"So I think we"},{"speaker":"Charles Goldfarb","startTime":652.63,"endTime":655.87,"body":"can expect a reasonable outcome"},{"speaker":"Charles Goldfarb","startTime":655.87,"endTime":658.6,"body":"from the tendon repairs at that"},{"speaker":"Charles Goldfarb","startTime":655.87,"endTime":658.6,"body":"level, there should be a really"},{"speaker":"Charles Goldfarb","startTime":658.6,"endTime":662.59,"body":"good outcome, honestly, the"},{"speaker":"Charles Goldfarb","startTime":658.6,"endTime":662.59,"body":"nerve is the trick. And I would"},{"speaker":"Charles Goldfarb","startTime":662.59,"endTime":667.51,"body":"tell the patient that I hope"},{"speaker":"Charles Goldfarb","startTime":662.59,"endTime":667.51,"body":"that she regains protective"},{"speaker":"Charles Goldfarb","startTime":667.51,"endTime":670.81,"body":"sensation plus meaning much"},{"speaker":"Charles Goldfarb","startTime":667.51,"endTime":670.81,"body":"better than protective"},{"speaker":"Charles Goldfarb","startTime":670.81,"endTime":674.41,"body":"sensation, but not normal"},{"speaker":"Charles Goldfarb","startTime":670.81,"endTime":674.41,"body":"viewpoint. By any stretch, I"},{"speaker":"Charles Goldfarb","startTime":674.41,"endTime":677.71,"body":"would be really satisfied if and"},{"speaker":"Charles Goldfarb","startTime":674.41,"endTime":677.71,"body":"I'm talking a little out of my"},{"speaker":"Charles Goldfarb","startTime":677.71,"endTime":681.01,"body":"area of expertise. But I would"},{"speaker":"Charles Goldfarb","startTime":677.71,"endTime":681.01,"body":"say if she got eight millimeter"},{"speaker":"Charles Goldfarb","startTime":681.01,"endTime":685.87,"body":"two point discrimination, I"},{"speaker":"Charles Goldfarb","startTime":681.01,"endTime":685.87,"body":"would be happy. And I would plan"},{"speaker":"Charles Goldfarb","startTime":685.87,"endTime":690.01,"body":"a primary repair with an"},{"speaker":"Charles Goldfarb","startTime":685.87,"endTime":690.01,"body":"appropriate resection given that"},{"speaker":"Charles Goldfarb","startTime":690.01,"endTime":691.36,"body":"this is a sharp laceration."},{"speaker":"Chris Dy","startTime":692.47,"endTime":694.33,"body":"What would you expect"},{"speaker":"Chris Dy","startTime":692.47,"endTime":694.33,"body":"in terms of intrinsics? Because"},{"speaker":"Chris Dy","startTime":694.33,"endTime":697.9,"body":"you're in the area where the"},{"speaker":"Chris Dy","startTime":694.33,"endTime":697.9,"body":"ulnar motor and sensory, they"},{"speaker":"Chris Dy","startTime":697.9,"endTime":700.45,"body":"run together as part of the"},{"speaker":"Chris Dy","startTime":697.9,"endTime":700.45,"body":"ulnar nerve, but they are easily"},{"speaker":"Chris Dy","startTime":700.45,"endTime":702.37,"body":"separable and identifiable at"},{"speaker":"Chris Dy","startTime":700.45,"endTime":702.37,"body":"this level."},{"speaker":"Charles Goldfarb","startTime":702.79,"endTime":704.5,"body":"Yeah, thanks"},{"speaker":"Charles Goldfarb","startTime":702.79,"endTime":704.5,"body":"for pointing that out. I, you"},{"speaker":"Charles Goldfarb","startTime":704.5,"endTime":707.77,"body":"know, I think this is a group"},{"speaker":"Charles Goldfarb","startTime":704.5,"endTime":707.77,"body":"acicular repair, whereas, or at"},{"speaker":"Charles Goldfarb","startTime":707.77,"endTime":713.38,"body":"least a darn per perfect"},{"speaker":"Charles Goldfarb","startTime":707.77,"endTime":713.38,"body":"alignment of the epithelium, as"},{"speaker":"Charles Goldfarb","startTime":713.41,"endTime":717.13,"body":"you know, using the microscope,"},{"speaker":"Charles Goldfarb","startTime":713.41,"endTime":717.13,"body":"probably for that reason, not"},{"speaker":"Charles Goldfarb","startTime":717.13,"endTime":719.65,"body":"because you need a microscope to"},{"speaker":"Charles Goldfarb","startTime":717.13,"endTime":719.65,"body":"repair this nerve, because you"},{"speaker":"Charles Goldfarb","startTime":719.65,"endTime":723.73,"body":"do not in my opinion, but trying"},{"speaker":"Charles Goldfarb","startTime":719.65,"endTime":723.73,"body":"to get the alignment perfect is"},{"speaker":"Charles Goldfarb","startTime":723.73,"endTime":731.14,"body":"an important goal. And I would"},{"speaker":"Charles Goldfarb","startTime":723.73,"endTime":731.14,"body":"be really, I don't think she's"},{"speaker":"Charles Goldfarb","startTime":731.14,"endTime":736.69,"body":"gonna get her first di back at"},{"speaker":"Charles Goldfarb","startTime":731.14,"endTime":736.69,"body":"all, I would hope that perhaps"},{"speaker":"Charles Goldfarb","startTime":736.69,"endTime":740.59,"body":"she can get a little bit of the"},{"speaker":"Charles Goldfarb","startTime":736.69,"endTime":740.59,"body":"intrinsics otherwise, I don't"},{"speaker":"Charles Goldfarb","startTime":740.59,"endTime":742.09,"body":"know what's what's your"},{"speaker":"Charles Goldfarb","startTime":740.59,"endTime":742.09,"body":"prediction?"},{"speaker":"Chris Dy","startTime":743.05,"endTime":746.71,"body":"No, I I wonder whether"},{"speaker":"Chris Dy","startTime":743.05,"endTime":746.71,"body":"you can get this primarily"},{"speaker":"Chris Dy","startTime":746.71,"endTime":750.13,"body":"repaired. You know, after"},{"speaker":"Chris Dy","startTime":746.71,"endTime":750.13,"body":"trimming back, that is one"},{"speaker":"Chris Dy","startTime":750.13,"endTime":752.59,"body":"argument potentially to go"},{"speaker":"Chris Dy","startTime":750.13,"endTime":752.59,"body":"sooner is that the more days you"},{"speaker":"Chris Dy","startTime":752.59,"endTime":755.23,"body":"wait, potentially, if things are"},{"speaker":"Chris Dy","startTime":752.59,"endTime":755.23,"body":"retracting, you know, maybe"},{"speaker":"Chris Dy","startTime":755.53,"endTime":759.25,"body":"that's consideration. Would you"},{"speaker":"Chris Dy","startTime":755.53,"endTime":759.25,"body":"flex the wrist to get a repair?"},{"speaker":"Charles Goldfarb","startTime":760.51,"endTime":763.39,"body":"I don't mind."},{"speaker":"Charles Goldfarb","startTime":760.51,"endTime":763.39,"body":"I don't mind flexing the wrist"},{"speaker":"Charles Goldfarb","startTime":763.39,"endTime":767.02,"body":"as long as when I flex the wrist"},{"speaker":"Charles Goldfarb","startTime":763.39,"endTime":767.02,"body":"is still not under the repairs"},{"speaker":"Charles Goldfarb","startTime":767.02,"endTime":771.85,"body":"do not under undue tension."},{"speaker":"Charles Goldfarb","startTime":767.02,"endTime":771.85,"body":"That's the difference between"},{"speaker":"Charles Goldfarb","startTime":771.85,"endTime":775.27,"body":"some tension versus no tension."},{"speaker":"Charles Goldfarb","startTime":771.85,"endTime":775.27,"body":"Sure. Flex at 20 degrees. No"},{"speaker":"Charles Goldfarb","startTime":775.27,"endTime":775.63,"body":"problem."},{"speaker":"Chris Dy","startTime":777.34,"endTime":779.35,"body":"Yeah, no, I like"},{"speaker":"Chris Dy","startTime":777.34,"endTime":779.35,"body":"flexing the wrist here. I've"},{"speaker":"Chris Dy","startTime":779.35,"endTime":782.05,"body":"actually used ultrasound to"},{"speaker":"Chris Dy","startTime":779.35,"endTime":782.05,"body":"monitor some of the repairs I've"},{"speaker":"Chris Dy","startTime":782.05,"endTime":786.25,"body":"done in this particular setting."},{"speaker":"Chris Dy","startTime":782.05,"endTime":786.25,"body":"Ultrasound I think is good to"},{"speaker":"Chris Dy","startTime":786.25,"endTime":788.95,"body":"tell you that it is not"},{"speaker":"Chris Dy","startTime":786.25,"endTime":788.95,"body":"ruptured. It's not good to tell"},{"speaker":"Chris Dy","startTime":788.95,"endTime":792.43,"body":"you that you know anything"},{"speaker":"Chris Dy","startTime":788.95,"endTime":792.43,"body":"beyond that, at least in my"},{"speaker":"Chris Dy","startTime":792.43,"endTime":795.79,"body":"limited experience with it. I"},{"speaker":"Chris Dy","startTime":792.43,"endTime":795.79,"body":"think if you have to use a graft"},{"speaker":"Chris Dy","startTime":795.82,"endTime":799.48,"body":"I think for me, this is an"},{"speaker":"Chris Dy","startTime":795.82,"endTime":799.48,"body":"autographed this is probably"},{"speaker":"Chris Dy","startTime":799.48,"endTime":802.87,"body":"sural mainly for the motor"},{"speaker":"Chris Dy","startTime":799.48,"endTime":802.87,"body":"component. You know, there was"},{"speaker":"Chris Dy","startTime":802.87,"endTime":805.09,"body":"some way that the motor was"},{"speaker":"Chris Dy","startTime":802.87,"endTime":805.09,"body":"preserved but the sensory was"},{"speaker":"Chris Dy","startTime":805.09,"endTime":808.0,"body":"out then I think on all our"},{"speaker":"Chris Dy","startTime":805.09,"endTime":808.0,"body":"graph will be fine. I agree with"},{"speaker":"Chris Dy","startTime":808.0,"endTime":811.12,"body":"you. I don't think she's gonna"},{"speaker":"Chris Dy","startTime":808.0,"endTime":811.12,"body":"get back her FDI especially at"},{"speaker":"Chris Dy","startTime":811.12,"endTime":817.3,"body":"that age, you know, being an"},{"speaker":"Chris Dy","startTime":811.12,"endTime":817.3,"body":"older patient. I am intrigued by"},{"speaker":"Chris Dy","startTime":817.3,"endTime":822.76,"body":"brutalities description of using"},{"speaker":"Chris Dy","startTime":817.3,"endTime":822.76,"body":"a transfer from the opponents"},{"speaker":"Chris Dy","startTime":823.12,"endTime":826.99,"body":"and transferring it to the"},{"speaker":"Chris Dy","startTime":823.12,"endTime":826.99,"body":"branch to the FDI. I have not"},{"speaker":"Chris Dy","startTime":826.99,"endTime":829.99,"body":"used it a ton because I'm kind"},{"speaker":"Chris Dy","startTime":826.99,"endTime":829.99,"body":"of waiting more for the right"},{"speaker":"Chris Dy","startTime":829.99,"endTime":832.96,"body":"patients. But you know, the"},{"speaker":"Chris Dy","startTime":829.99,"endTime":832.96,"body":"limited experience I've had I've"},{"speaker":"Chris Dy","startTime":832.96,"endTime":836.41,"body":"really liked it. But we've"},{"speaker":"Chris Dy","startTime":832.96,"endTime":836.41,"body":"talked about this for on the pod"},{"speaker":"Chris Dy","startTime":836.41,"endTime":839.71,"body":"like it's a challenging surgery."},{"speaker":"Chris Dy","startTime":836.41,"endTime":839.71,"body":"That's one that you get in the"},{"speaker":"Chris Dy","startTime":839.71,"endTime":844.12,"body":"lab to do just because it is a"},{"speaker":"Chris Dy","startTime":839.71,"endTime":844.12,"body":"small small nerve."},{"speaker":"Charles Goldfarb","startTime":845.02,"endTime":848.05,"body":"Yeah, love"},{"speaker":"Charles Goldfarb","startTime":845.02,"endTime":848.05,"body":"that and I it's one that I have"},{"speaker":"Charles Goldfarb","startTime":848.05,"endTime":852.1,"body":"encountered with some of the"},{"speaker":"Charles Goldfarb","startTime":848.05,"endTime":852.1,"body":"congenital work I do and and"},{"speaker":"Charles Goldfarb","startTime":852.64,"endTime":856.54,"body":"recently encountered it. You"},{"speaker":"Charles Goldfarb","startTime":852.64,"endTime":856.54,"body":"would love this case and"},{"speaker":"Charles Goldfarb","startTime":856.54,"endTime":859.99,"body":"excision of an arteriovenous"},{"speaker":"Charles Goldfarb","startTime":856.54,"endTime":859.99,"body":"malformation and a 10 year old"},{"speaker":"Charles Goldfarb","startTime":860.56,"endTime":864.37,"body":"that involve all the thenar"},{"speaker":"Charles Goldfarb","startTime":860.56,"endTime":864.37,"body":"muscles was massive and we tried"},{"speaker":"Charles Goldfarb","startTime":864.37,"endTime":867.55,"body":"to preserve muscle and"},{"speaker":"Charles Goldfarb","startTime":864.37,"endTime":867.55,"body":"dissecting this AVM tricky case"},{"speaker":"Charles Goldfarb","startTime":868.72,"endTime":873.22,"body":"exposed all those damn nerves"},{"speaker":"Charles Goldfarb","startTime":868.72,"endTime":873.22,"body":"and saved all of them I think."},{"speaker":"Chris Dy","startTime":874.63,"endTime":877.09,"body":"Beautiful. Now the"},{"speaker":"Chris Dy","startTime":874.63,"endTime":877.09,"body":"last question before we get to"},{"speaker":"Chris Dy","startTime":877.09,"endTime":880.69,"body":"our other topic for today is"},{"speaker":"Chris Dy","startTime":877.09,"endTime":880.69,"body":"ease and this is from Andy what"},{"speaker":"Chris Dy","startTime":880.69,"endTime":883.57,"body":"kind of would you wrap this"},{"speaker":"Chris Dy","startTime":880.69,"endTime":883.57,"body":"nerve after you've repaired it"},{"speaker":"Chris Dy","startTime":883.63,"endTime":884.35,"body":"or grafted it?"},{"speaker":"Charles Goldfarb","startTime":885.04,"endTime":887.35,"body":"I would not I"},{"speaker":"Charles Goldfarb","startTime":885.04,"endTime":887.35,"body":"would not my goal would be"},{"speaker":"Charles Goldfarb","startTime":887.35,"endTime":891.94,"body":"primary repair no wrap secondary"},{"speaker":"Charles Goldfarb","startTime":887.35,"endTime":891.94,"body":"option would be graft no rap."},{"speaker":"Charles Goldfarb","startTime":892.15,"endTime":892.87,"body":"What about you?"},{"speaker":"Chris Dy","startTime":893.47,"endTime":896.74,"body":"I would not rap it. I"},{"speaker":"Chris Dy","startTime":893.47,"endTime":896.74,"body":"mean my bias is been made very"},{"speaker":"Chris Dy","startTime":896.74,"endTime":900.76,"body":"clear on against the wraps both"},{"speaker":"Chris Dy","startTime":896.74,"endTime":900.76,"body":"in literature and on the"},{"speaker":"Chris Dy","startTime":900.76,"endTime":901.42,"body":"podcast."},{"speaker":"Charles Goldfarb","startTime":901.72,"endTime":904.6,"body":"But to be"},{"speaker":"Charles Goldfarb","startTime":901.72,"endTime":904.6,"body":"clear, your repair technique is"},{"speaker":"Charles Goldfarb","startTime":904.6,"endTime":910.54,"body":"a combination of this would"},{"speaker":"Charles Goldfarb","startTime":904.6,"endTime":910.54,"body":"probably be 8-0 nylon. And"},{"speaker":"Charles Goldfarb","startTime":911.14,"endTime":911.56,"body":"tisseel?"},{"speaker":"Chris Dy","startTime":911.59,"endTime":914.71,"body":"Probably I probably"},{"speaker":"Chris Dy","startTime":911.59,"endTime":914.71,"body":"use 9-0 nylon and augment it"},{"speaker":"Chris Dy","startTime":914.71,"endTime":919.51,"body":"with fibrin glue. I would not"},{"speaker":"Chris Dy","startTime":914.71,"endTime":919.51,"body":"wrap this nerve. I think the"},{"speaker":"Chris Dy","startTime":919.51,"endTime":924.58,"body":"wraps. I will say the I think"},{"speaker":"Chris Dy","startTime":919.51,"endTime":924.58,"body":"the wraps do not do what they're"},{"speaker":"Chris Dy","startTime":924.58,"endTime":928.87,"body":"reported to do. They may"},{"speaker":"Chris Dy","startTime":924.58,"endTime":928.87,"body":"actually be bad. And we've"},{"speaker":"Chris Dy","startTime":928.87,"endTime":931.72,"body":"talked about that before. I"},{"speaker":"Chris Dy","startTime":928.87,"endTime":931.72,"body":"think a lot of people are going"},{"speaker":"Chris Dy","startTime":931.72,"endTime":934.24,"body":"to ask me on this one, but I"},{"speaker":"Chris Dy","startTime":931.72,"endTime":934.24,"body":"don't like the wraps."},{"speaker":"Charles Goldfarb","startTime":935.37,"endTime":937.53,"body":"Point taken."},{"speaker":"Charles Goldfarb","startTime":935.37,"endTime":937.53,"body":"I've never used them. I don't"},{"speaker":"Charles Goldfarb","startTime":937.53,"endTime":940.92,"body":"think I ever will. But at least"},{"speaker":"Charles Goldfarb","startTime":937.53,"endTime":940.92,"body":"that's one thing we agree on."},{"speaker":"Charles Goldfarb","startTime":940.95,"endTime":945.24,"body":"All right. I'm excited about our"},{"speaker":"Charles Goldfarb","startTime":940.95,"endTime":945.24,"body":"non hand surgery topic today."},{"speaker":"Chris Dy","startTime":945.72,"endTime":949.35,"body":"Okay, so this is this"},{"speaker":"Chris Dy","startTime":945.72,"endTime":949.35,"body":"is about generational"},{"speaker":"Chris Dy","startTime":949.35,"endTime":953.85,"body":"differences in work. And"},{"speaker":"Chris Dy","startTime":949.35,"endTime":953.85,"body":"interesting. We pick this HBR"},{"speaker":"Chris Dy","startTime":953.85,"endTime":958.26,"body":"article. It's called How Gen Y"},{"speaker":"Chris Dy","startTime":953.85,"endTime":958.26,"body":"and boomers will reshape your"},{"speaker":"Chris Dy","startTime":958.26,"endTime":962.61,"body":"agenda. The first author is"},{"speaker":"Chris Dy","startTime":958.26,"endTime":962.61,"body":"Hewlett, I didn't realize it's a"},{"speaker":"Chris Dy","startTime":962.61,"endTime":965.82,"body":"great article was from 2009. So"},{"speaker":"Chris Dy","startTime":962.61,"endTime":965.82,"body":"it's even before everybody"},{"speaker":"Chris Dy","startTime":965.82,"endTime":968.37,"body":"started hating on the"},{"speaker":"Chris Dy","startTime":965.82,"endTime":968.37,"body":"millennials, Gen Y millennials."},{"speaker":"Chris Dy","startTime":968.91,"endTime":971.79,"body":"So I think it's really"},{"speaker":"Chris Dy","startTime":968.91,"endTime":971.79,"body":"interesting that this came out"},{"speaker":"Chris Dy","startTime":972.03,"endTime":973.02,"body":"14 years ago."},{"speaker":"Charles Goldfarb","startTime":973.41,"endTime":975.66,"body":"And I would"},{"speaker":"Charles Goldfarb","startTime":973.41,"endTime":975.66,"body":"just I'll defer, everyone's"},{"speaker":"Charles Goldfarb","startTime":975.66,"endTime":980.76,"body":"always been hating on the"},{"speaker":"Charles Goldfarb","startTime":975.66,"endTime":980.76,"body":"millennials. So a couple of"},{"speaker":"Charles Goldfarb","startTime":980.76,"endTime":983.85,"body":"premises number one, I may have"},{"speaker":"Charles Goldfarb","startTime":980.76,"endTime":983.85,"body":"mentioned this on the pod before"},{"speaker":"Charles Goldfarb","startTime":983.85,"endTime":990.0,"body":"my first the first discussion of"},{"speaker":"Charles Goldfarb","startTime":983.85,"endTime":990.0,"body":"generations that I remember, is"},{"speaker":"Charles Goldfarb","startTime":990.0,"endTime":993.51,"body":"Peter Stern's presidential"},{"speaker":"Charles Goldfarb","startTime":990.0,"endTime":993.51,"body":"lecture for the hand side. And"},{"speaker":"Charles Goldfarb","startTime":993.54,"endTime":997.38,"body":"in case I didn't mention it, I"},{"speaker":"Charles Goldfarb","startTime":993.54,"endTime":997.38,"body":"will never forget when he"},{"speaker":"Charles Goldfarb","startTime":997.77,"endTime":1002.54,"body":"basically sided when he"},{"speaker":"Charles Goldfarb","startTime":997.77,"endTime":1002.54,"body":"discussed with his his"},{"speaker":"Charles Goldfarb","startTime":1002.54,"endTime":1007.07,"body":"grandfather. And when he"},{"speaker":"Charles Goldfarb","startTime":1002.54,"endTime":1007.07,"body":"discussed with his daughter, the"},{"speaker":"Charles Goldfarb","startTime":1007.07,"endTime":1011.96,"body":"meaning of the term mailbox. And"},{"speaker":"Charles Goldfarb","startTime":1007.07,"endTime":1011.96,"body":"that was early in the days of"},{"speaker":"Charles Goldfarb","startTime":1011.96,"endTime":1016.1,"body":"AOL, etc. The term mailbox meant"},{"speaker":"Charles Goldfarb","startTime":1011.96,"endTime":1016.1,"body":"different things to different"},{"speaker":"Charles Goldfarb","startTime":1016.1,"endTime":1018.89,"body":"people. And I thought that was"},{"speaker":"Charles Goldfarb","startTime":1016.1,"endTime":1018.89,"body":"just that's a great example."},{"speaker":"Charles Goldfarb","startTime":1019.73,"endTime":1025.61,"body":"generations are important."},{"speaker":"Charles Goldfarb","startTime":1019.73,"endTime":1025.61,"body":"They're important to us in our"},{"speaker":"Charles Goldfarb","startTime":1025.61,"endTime":1029.72,"body":"clinic conversations, they're"},{"speaker":"Charles Goldfarb","startTime":1025.61,"endTime":1029.72,"body":"important to understanding what"},{"speaker":"Charles Goldfarb","startTime":1029.72,"endTime":1035.99,"body":"the patient wants, this article"},{"speaker":"Charles Goldfarb","startTime":1029.72,"endTime":1035.99,"body":"gets to employees, and how can"},{"speaker":"Charles Goldfarb","startTime":1035.99,"endTime":1039.05,"body":"we create an ideal work"},{"speaker":"Charles Goldfarb","startTime":1035.99,"endTime":1039.05,"body":"environment, something I deal"},{"speaker":"Charles Goldfarb","startTime":1039.05,"endTime":1043.16,"body":"with every day? We all do. But"},{"speaker":"Charles Goldfarb","startTime":1039.05,"endTime":1043.16,"body":"from management level, I deal"},{"speaker":"Charles Goldfarb","startTime":1043.16,"endTime":1045.98,"body":"with it every day. And I think"},{"speaker":"Charles Goldfarb","startTime":1043.16,"endTime":1045.98,"body":"it's fascinating. I think it's"},{"speaker":"Charles Goldfarb","startTime":1045.98,"endTime":1046.64,"body":"fascinating."},{"speaker":"Chris Dy","startTime":1046.0,"endTime":1050.17,"body":"So yeah, so I mean, I"},{"speaker":"Chris Dy","startTime":1046.0,"endTime":1050.17,"body":"agree, I think we should talk"},{"speaker":"Chris Dy","startTime":1050.17,"endTime":1052.78,"body":"about this through the lens of,"},{"speaker":"Chris Dy","startTime":1050.17,"endTime":1052.78,"body":"you know, workplace and teams as"},{"speaker":"Chris Dy","startTime":1052.78,"endTime":1057.58,"body":"opposed to relating to patients."},{"speaker":"Chris Dy","startTime":1052.78,"endTime":1057.58,"body":"So I am technically a"},{"speaker":"Chris Dy","startTime":1057.58,"endTime":1060.01,"body":"millennial. I am a Gen Y."},{"speaker":"Charles Goldfarb","startTime":1060.28,"endTime":1062.05,"body":"Let's define"},{"speaker":"Charles Goldfarb","startTime":1060.28,"endTime":1062.05,"body":"them all. Let's define them all."},{"speaker":"Chris Dy","startTime":1062.05,"endTime":1066.7,"body":"So they say here that,"},{"speaker":"Chris Dy","startTime":1062.05,"endTime":1066.7,"body":"let's see, Gen Y millennial is"},{"speaker":"Chris Dy","startTime":1066.73,"endTime":1074.11,"body":"1979 through 1994, in terms of"},{"speaker":"Chris Dy","startTime":1066.73,"endTime":1074.11,"body":"birth year, Gen X being 1965"},{"speaker":"Chris Dy","startTime":1074.11,"endTime":1079.57,"body":"through 78, and the boomers 1946"},{"speaker":"Chris Dy","startTime":1074.11,"endTime":1079.57,"body":"through 1964. So I know that we"},{"speaker":"Chris Dy","startTime":1079.57,"endTime":1083.5,"body":"have a broad range of listeners."},{"speaker":"Chris Dy","startTime":1079.57,"endTime":1083.5,"body":"I'm not I know that we've got"},{"speaker":"Chris Dy","startTime":1083.5,"endTime":1085.9,"body":"boomers listening, I know we've"},{"speaker":"Chris Dy","startTime":1083.5,"endTime":1085.9,"body":"got Gen Xers I know we've got"},{"speaker":"Chris Dy","startTime":1085.9,"endTime":1090.01,"body":"millennials. So I'm Gen Y,"},{"speaker":"Chris Dy","startTime":1085.9,"endTime":1090.01,"body":"although I don't classically"},{"speaker":"Chris Dy","startTime":1090.01,"endTime":1093.85,"body":"identify, I think with how the"},{"speaker":"Chris Dy","startTime":1090.01,"endTime":1093.85,"body":"millennials are portrayed in the"},{"speaker":"Chris Dy","startTime":1093.85,"endTime":1095.14,"body":"popular media."},{"speaker":"Charles Goldfarb","startTime":1095.63,"endTime":1099.77,"body":"Right. So I, I"},{"speaker":"Charles Goldfarb","startTime":1095.63,"endTime":1099.77,"body":"agree, and I'm definitely Gen X."},{"speaker":"Charles Goldfarb","startTime":1100.1,"endTime":1104.72,"body":"What I did in preparation for"},{"speaker":"Charles Goldfarb","startTime":1100.1,"endTime":1104.72,"body":"this is I pulled I did a search,"},{"speaker":"Charles Goldfarb","startTime":1104.72,"endTime":1110.06,"body":"just a Google search on"},{"speaker":"Charles Goldfarb","startTime":1104.72,"endTime":1110.06,"body":"essentially stereotypes around"},{"speaker":"Charles Goldfarb","startTime":1110.06,"endTime":1112.64,"body":"our generation. So let me let me"},{"speaker":"Charles Goldfarb","startTime":1110.06,"endTime":1112.64,"body":"share some of those with you if"},{"speaker":"Charles Goldfarb","startTime":1112.64,"endTime":1117.02,"body":"you're okay with that. Change"},{"speaker":"Charles Goldfarb","startTime":1112.64,"endTime":1117.02,"body":"that plan so, so baby boomers,"},{"speaker":"Charles Goldfarb","startTime":1119.15,"endTime":1124.88,"body":"the quote me generation born"},{"speaker":"Charles Goldfarb","startTime":1119.15,"endTime":1124.88,"body":"hippies, they don't embrace"},{"speaker":"Charles Goldfarb","startTime":1124.88,"endTime":1130.46,"body":"technology. They're too old to"},{"speaker":"Charles Goldfarb","startTime":1124.88,"endTime":1130.46,"body":"have fun. And they caused a lot"},{"speaker":"Charles Goldfarb","startTime":1130.46,"endTime":1134.84,"body":"of problems that have impacted"},{"speaker":"Charles Goldfarb","startTime":1130.46,"endTime":1134.84,"body":"generations that followed. I"},{"speaker":"Charles Goldfarb","startTime":1134.84,"endTime":1135.47,"body":"will say remember."},{"speaker":"Chris Dy","startTime":1135.5,"endTime":1137.78,"body":"You are the gener-"},{"speaker":"Chris Dy","startTime":1135.5,"endTime":1137.78,"body":"boomers, you are the generation"},{"speaker":"Chris Dy","startTime":1137.78,"endTime":1139.4,"body":"that raised millennials. Okay."},{"speaker":"Charles Goldfarb","startTime":1140.6,"endTime":1140.96,"body":"That's right."},{"speaker":"Chris Dy","startTime":1140.96,"endTime":1141.8,"body":"Just keep that in"},{"speaker":"Chris Dy","startTime":1140.96,"endTime":1141.8,"body":"mind."},{"speaker":"Charles Goldfarb","startTime":1142.19,"endTime":1146.27,"body":"That's exactly"},{"speaker":"Charles Goldfarb","startTime":1142.19,"endTime":1146.27,"body":"right. I would say my perception"},{"speaker":"Charles Goldfarb","startTime":1146.27,"endTime":1150.59,"body":"has always been the boomers work"},{"speaker":"Charles Goldfarb","startTime":1146.27,"endTime":1150.59,"body":"pretty hard. And that certainly"},{"speaker":"Charles Goldfarb","startTime":1150.59,"endTime":1153.95,"body":"in medicine, that's what you and"},{"speaker":"Charles Goldfarb","startTime":1150.59,"endTime":1153.95,"body":"I have seen is that generation"},{"speaker":"Charles Goldfarb","startTime":1154.22,"endTime":1158.36,"body":"was raised in a medical system"},{"speaker":"Charles Goldfarb","startTime":1154.22,"endTime":1158.36,"body":"that expected and rewarded head"},{"speaker":"Charles Goldfarb","startTime":1158.36,"endTime":1159.47,"body":"down hard work."},{"speaker":"Chris Dy","startTime":1160.07,"endTime":1162.62,"body":"Yeah, that that was,"},{"speaker":"Chris Dy","startTime":1160.07,"endTime":1162.62,"body":"you know, era of still a"},{"speaker":"Chris Dy","startTime":1162.62,"endTime":1165.5,"body":"pyramidal residencies in terms"},{"speaker":"Chris Dy","startTime":1162.62,"endTime":1165.5,"body":"of you know, if you didn't cut"},{"speaker":"Chris Dy","startTime":1165.5,"endTime":1168.65,"body":"it you were out. There was no"},{"speaker":"Chris Dy","startTime":1165.5,"endTime":1168.65,"body":"coddling of the medical"},{"speaker":"Chris Dy","startTime":1168.65,"endTime":1171.62,"body":"professionals. There was no talk"},{"speaker":"Chris Dy","startTime":1168.65,"endTime":1171.62,"body":"about wellness or burnout. It"},{"speaker":"Chris Dy","startTime":1171.62,"endTime":1175.13,"body":"was about doing the work and"},{"speaker":"Chris Dy","startTime":1171.62,"endTime":1175.13,"body":"shut up and don't complain."},{"speaker":"Charles Goldfarb","startTime":1175.46,"endTime":1179.66,"body":"Yep. Gen X, in"},{"speaker":"Charles Goldfarb","startTime":1175.46,"endTime":1179.66,"body":"which I fall squarely in the"},{"speaker":"Charles Goldfarb","startTime":1179.66,"endTime":1185.78,"body":"middle. Maybe perceived as"},{"speaker":"Charles Goldfarb","startTime":1179.66,"endTime":1185.78,"body":"slackers, mediocre parents,"},{"speaker":"Charles Goldfarb","startTime":1185.96,"endTime":1189.56,"body":"focused on self and money."},{"speaker":"Charles Goldfarb","startTime":1185.96,"endTime":1189.56,"body":"Spoiled."},{"speaker":"Chris Dy","startTime":1191.93,"endTime":1195.5,"body":"Interesting. I can I"},{"speaker":"Chris Dy","startTime":1191.93,"endTime":1195.5,"body":"will say, I don't think you fall"},{"speaker":"Chris Dy","startTime":1195.5,"endTime":1196.34,"body":"into any of that."},{"speaker":"Charles Goldfarb","startTime":1196.88,"endTime":1197.45,"body":"Thank you."},{"speaker":"Chris Dy","startTime":1198.47,"endTime":1200.27,"body":"I guess I have to be"},{"speaker":"Chris Dy","startTime":1198.47,"endTime":1200.27,"body":"polite and saying that right."},{"speaker":"Charles Goldfarb","startTime":1202.909,"endTime":1207.499,"body":"Yeah. And then"},{"speaker":"Charles Goldfarb","startTime":1202.909,"endTime":1207.499,"body":"millennials, we are not hard"},{"speaker":"Charles Goldfarb","startTime":1207.499,"endTime":1211.729,"body":"working when everything handed"},{"speaker":"Charles Goldfarb","startTime":1207.499,"endTime":1211.729,"body":"to us entitled and overpraised."},{"speaker":"Charles Goldfarb","startTime":1212.419,"endTime":1214.609,"body":"We don't care about"},{"speaker":"Charles Goldfarb","startTime":1212.419,"endTime":1214.609,"body":"relationships. We love"},{"speaker":"Charles Goldfarb","startTime":1214.609,"endTime":1220.279,"body":"electronics. We can't figure out"},{"speaker":"Charles Goldfarb","startTime":1214.609,"endTime":1220.279,"body":"how to be adults. We can't we're"},{"speaker":"Charles Goldfarb","startTime":1220.279,"endTime":1223.819,"body":"behind in life because we focus"},{"speaker":"Charles Goldfarb","startTime":1220.279,"endTime":1223.819,"body":"on ourselves for so long that we"},{"speaker":"Charles Goldfarb","startTime":1223.819,"endTime":1227.089,"body":"delayed the important stuff. I"},{"speaker":"Charles Goldfarb","startTime":1223.819,"endTime":1227.089,"body":"can't see me that you either."},{"speaker":"Chris Dy","startTime":1227.12,"endTime":1230.69,"body":"No, no, that's me."},{"speaker":"Chris Dy","startTime":1227.12,"endTime":1230.69,"body":"That's me. That's definitely me."},{"speaker":"Chris Dy","startTime":1230.9,"endTime":1235.04,"body":"I think that I'm identify, I"},{"speaker":"Chris Dy","startTime":1230.9,"endTime":1235.04,"body":"think more isn't what I've seen,"},{"speaker":"Chris Dy","startTime":1235.04,"endTime":1238.16,"body":"the term is x ideal in terms of,"},{"speaker":"Chris Dy","startTime":1235.04,"endTime":1238.16,"body":"you know, kind of being close to"},{"speaker":"Chris Dy","startTime":1238.16,"endTime":1241.61,"body":"the transition that people talk"},{"speaker":"Chris Dy","startTime":1238.16,"endTime":1241.61,"body":"about, you know, the tail ends"},{"speaker":"Chris Dy","startTime":1241.61,"endTime":1245.51,"body":"of five years, you know, I feel"},{"speaker":"Chris Dy","startTime":1241.61,"endTime":1245.51,"body":"less like a millennial. But I"},{"speaker":"Chris Dy","startTime":1245.51,"endTime":1247.85,"body":"know that I'm going to be"},{"speaker":"Chris Dy","startTime":1245.51,"endTime":1247.85,"body":"attributed as a millennial"},{"speaker":"Chris Dy","startTime":1247.85,"endTime":1252.29,"body":"anyway. So I think that the"},{"speaker":"Chris Dy","startTime":1247.85,"endTime":1252.29,"body":"article is really interesting,"},{"speaker":"Chris Dy","startTime":1252.29,"endTime":1256.07,"body":"because it talks about how the"},{"speaker":"Chris Dy","startTime":1252.29,"endTime":1256.07,"body":"boomers and the millennials are"},{"speaker":"Chris Dy","startTime":1256.07,"endTime":1259.46,"body":"not that different in terms of"},{"speaker":"Chris Dy","startTime":1256.07,"endTime":1259.46,"body":"their values and what they want."},{"speaker":"Chris Dy","startTime":1259.49,"endTime":1262.25,"body":"Although the generations are"},{"speaker":"Chris Dy","startTime":1259.49,"endTime":1262.25,"body":"kind of pitted against each"},{"speaker":"Chris Dy","startTime":1262.25,"endTime":1265.22,"body":"other. It's kind of like people"},{"speaker":"Chris Dy","startTime":1262.25,"endTime":1265.22,"body":"fighting against their, with"},{"speaker":"Chris Dy","startTime":1265.22,"endTime":1267.44,"body":"their parents. But they're not"},{"speaker":"Chris Dy","startTime":1265.22,"endTime":1267.44,"body":"that different."},{"speaker":"Charles Goldfarb","startTime":1268.22,"endTime":1270.95,"body":"This is a"},{"speaker":"Charles Goldfarb","startTime":1268.22,"endTime":1270.95,"body":"fascinating article. And it for"},{"speaker":"Charles Goldfarb","startTime":1270.95,"endTime":1274.34,"body":"anyone who thinks about these"},{"speaker":"Charles Goldfarb","startTime":1270.95,"endTime":1274.34,"body":"kinds of things, it really is"},{"speaker":"Charles Goldfarb","startTime":1274.34,"endTime":1279.89,"body":"almost, it's an impassioned plea"},{"speaker":"Charles Goldfarb","startTime":1274.34,"endTime":1279.89,"body":"to figure out how to make this"},{"speaker":"Charles Goldfarb","startTime":1279.89,"endTime":1282.95,"body":"work, because the generations"},{"speaker":"Charles Goldfarb","startTime":1279.89,"endTime":1282.95,"body":"are synergistic in so many"},{"speaker":"Charles Goldfarb","startTime":1282.95,"endTime":1286.28,"body":"different ways. And one can help"},{"speaker":"Charles Goldfarb","startTime":1282.95,"endTime":1286.28,"body":"the other, and the other can"},{"speaker":"Charles Goldfarb","startTime":1286.28,"endTime":1289.22,"body":"help. The first it's really an"},{"speaker":"Charles Goldfarb","startTime":1286.28,"endTime":1289.22,"body":"interesting, interesting"},{"speaker":"Charles Goldfarb","startTime":1289.22,"endTime":1290.78,"body":"article. Let's dive in."},{"speaker":"Chris Dy","startTime":1291.44,"endTime":1294.14,"body":"So do you feel like"},{"speaker":"Chris Dy","startTime":1291.44,"endTime":1294.14,"body":"one of the concepts they talk"},{"speaker":"Chris Dy","startTime":1294.14,"endTime":1298.67,"body":"about here is mentoring in both"},{"speaker":"Chris Dy","startTime":1294.14,"endTime":1298.67,"body":"directions? Do you feel like"},{"speaker":"Chris Dy","startTime":1298.67,"endTime":1302.48,"body":"you're learning a lot from your"},{"speaker":"Chris Dy","startTime":1298.67,"endTime":1302.48,"body":"like, so you're not a boomer."},{"speaker":"Chris Dy","startTime":1302.48,"endTime":1305.06,"body":"But you know, do you learn a"},{"speaker":"Chris Dy","startTime":1302.48,"endTime":1305.06,"body":"lot? Or do you see boomers"},{"speaker":"Chris Dy","startTime":1305.09,"endTime":1307.13,"body":"learning a lot from people that"},{"speaker":"Chris Dy","startTime":1305.09,"endTime":1307.13,"body":"are in Gen Y?"},{"speaker":"Charles Goldfarb","startTime":1308.63,"endTime":1315.44,"body":"I hope that's"},{"speaker":"Charles Goldfarb","startTime":1308.63,"endTime":1315.44,"body":"the case. I think it used to be"},{"speaker":"Charles Goldfarb","startTime":1315.47,"endTime":1318.98,"body":"that knowledge flowed one"},{"speaker":"Charles Goldfarb","startTime":1315.47,"endTime":1318.98,"body":"direction, right? That that's"},{"speaker":"Charles Goldfarb","startTime":1318.98,"endTime":1323.39,"body":"sort of me is the boomer ism of"},{"speaker":"Charles Goldfarb","startTime":1318.98,"endTime":1323.39,"body":"this all is that I am going to"},{"speaker":"Charles Goldfarb","startTime":1323.39,"endTime":1326.09,"body":"teach you, you have nothing to"},{"speaker":"Charles Goldfarb","startTime":1323.39,"endTime":1326.09,"body":"teach me and that was my"},{"speaker":"Charles Goldfarb","startTime":1326.09,"endTime":1330.86,"body":"residency. Let's be honest, if I"},{"speaker":"Charles Goldfarb","startTime":1326.09,"endTime":1330.86,"body":"chimed in with a thought I was"},{"speaker":"Charles Goldfarb","startTime":1330.86,"endTime":1334.28,"body":"quickly told you don't have"},{"speaker":"Charles Goldfarb","startTime":1330.86,"endTime":1334.28,"body":"enough experience or aren't"},{"speaker":"Charles Goldfarb","startTime":1334.28,"endTime":1337.88,"body":"smart enough to have a thought"},{"speaker":"Charles Goldfarb","startTime":1334.28,"endTime":1337.88,"body":"just learn from me. I think"},{"speaker":"Charles Goldfarb","startTime":1337.88,"endTime":1344.36,"body":"today, that theory doesn't hold"},{"speaker":"Charles Goldfarb","startTime":1337.88,"endTime":1344.36,"body":"in is just wrong. And I think"},{"speaker":"Charles Goldfarb","startTime":1344.36,"endTime":1348.02,"body":"one of the joys I get out of"},{"speaker":"Charles Goldfarb","startTime":1344.36,"endTime":1348.02,"body":"mentoring is that two way flow"},{"speaker":"Charles Goldfarb","startTime":1348.02,"endTime":1350.12,"body":"of information and perspective."},{"speaker":"Chris Dy","startTime":1351.53,"endTime":1354.17,"body":"Yeah, great. I mean, I"},{"speaker":"Chris Dy","startTime":1351.53,"endTime":1354.17,"body":"was listening to you, when we"},{"speaker":"Chris Dy","startTime":1354.17,"endTime":1357.35,"body":"did that podcast a few weeks"},{"speaker":"Chris Dy","startTime":1354.17,"endTime":1357.35,"body":"ago, the grab bag episode"},{"speaker":"Chris Dy","startTime":1357.38,"endTime":1360.08,"body":"hearing you talk about, you"},{"speaker":"Chris Dy","startTime":1357.38,"endTime":1360.08,"body":"know, the first rule of your"},{"speaker":"Chris Dy","startTime":1360.08,"endTime":1364.1,"body":"rotation was that, you know,"},{"speaker":"Chris Dy","startTime":1360.08,"endTime":1364.1,"body":"people have to speak up. If"},{"speaker":"Chris Dy","startTime":1364.1,"endTime":1366.92,"body":"something either, you know, is"},{"speaker":"Chris Dy","startTime":1364.1,"endTime":1366.92,"body":"not, if you don't think it's the"},{"speaker":"Chris Dy","startTime":1366.92,"endTime":1369.02,"body":"right thing, or if you're just"},{"speaker":"Chris Dy","startTime":1366.92,"endTime":1369.02,"body":"you have a question, right?"},{"speaker":"Chris Dy","startTime":1369.02,"endTime":1372.83,"body":"Like, why are we doing it this"},{"speaker":"Chris Dy","startTime":1369.02,"endTime":1372.83,"body":"way? And that was definitely not"},{"speaker":"Chris Dy","startTime":1372.83,"endTime":1375.77,"body":"embraced in prior years of"},{"speaker":"Chris Dy","startTime":1372.83,"endTime":1375.77,"body":"training. I think it's kind of"},{"speaker":"Chris Dy","startTime":1375.77,"endTime":1377.81,"body":"the way we have to be known."},{"speaker":"Chris Dy","startTime":1375.77,"endTime":1377.81,"body":"It's the way we should be."},{"speaker":"Charles Goldfarb","startTime":1378.74,"endTime":1381.11,"body":"Yeah, yeah, I"},{"speaker":"Charles Goldfarb","startTime":1378.74,"endTime":1381.11,"body":"think so in it, it's just so"},{"speaker":"Charles Goldfarb","startTime":1381.41,"endTime":1385.94,"body":"it's so much more impactful and"},{"speaker":"Charles Goldfarb","startTime":1381.41,"endTime":1385.94,"body":"meaningful. And if I go into a"},{"speaker":"Charles Goldfarb","startTime":1385.94,"endTime":1390.11,"body":"relationship thinking that, that"},{"speaker":"Charles Goldfarb","startTime":1385.94,"endTime":1390.11,"body":"it's only me giving, and I have"},{"speaker":"Charles Goldfarb","startTime":1390.11,"endTime":1394.94,"body":"nothing to receive, in that I'm"},{"speaker":"Charles Goldfarb","startTime":1390.11,"endTime":1394.94,"body":"not interested, that"},{"speaker":"Charles Goldfarb","startTime":1394.94,"endTime":1398.78,"body":"relationship can't succeed in"},{"speaker":"Charles Goldfarb","startTime":1394.94,"endTime":1398.78,"body":"this day and age, I don't think."},{"speaker":"Chris Dy","startTime":1399.71,"endTime":1401.99,"body":"Right, right. I agree"},{"speaker":"Chris Dy","startTime":1399.71,"endTime":1401.99,"body":"with you entirely. You know,"},{"speaker":"Chris Dy","startTime":1401.99,"endTime":1405.38,"body":"they talk in this article about"},{"speaker":"Chris Dy","startTime":1401.99,"endTime":1405.38,"body":"different characteristics. So"},{"speaker":"Chris Dy","startTime":1405.41,"endTime":1409.76,"body":"like you said, you know, the,"},{"speaker":"Chris Dy","startTime":1405.41,"endTime":1409.76,"body":"the stereotypes, but they"},{"speaker":"Chris Dy","startTime":1409.76,"endTime":1413.48,"body":"actually did some research here."},{"speaker":"Chris Dy","startTime":1409.76,"endTime":1413.48,"body":"And they, they did a survey of"},{"speaker":"Chris Dy","startTime":1413.48,"endTime":1417.89,"body":"four large employers, let's see"},{"speaker":"Chris Dy","startTime":1413.48,"endTime":1417.89,"body":"who they surveyed here. It was"},{"speaker":"Chris Dy","startTime":1418.01,"endTime":1423.2,"body":"Booz Allen Hamilton, Ernst and"},{"speaker":"Chris Dy","startTime":1418.01,"endTime":1423.2,"body":"Young, Time Warner and UBS. So"},{"speaker":"Chris Dy","startTime":1423.23,"endTime":1428.93,"body":"looks like 4000, almost 4000"},{"speaker":"Chris Dy","startTime":1423.23,"endTime":1428.93,"body":"employed college graduates. So a"},{"speaker":"Chris Dy","startTime":1428.93,"endTime":1431.93,"body":"pretty big sample, and they"},{"speaker":"Chris Dy","startTime":1428.93,"endTime":1431.93,"body":"looked at the portrait of Gen Y."},{"speaker":"Chris Dy","startTime":1431.93,"endTime":1434.72,"body":"And then they looked at a"},{"speaker":"Chris Dy","startTime":1431.93,"endTime":1434.72,"body":"portrait of the boomers. And"},{"speaker":"Chris Dy","startTime":1434.75,"endTime":1438.26,"body":"this was interesting to me"},{"speaker":"Chris Dy","startTime":1434.75,"endTime":1438.26,"body":"loyalty versus quest. So 45% of"},{"speaker":"Chris Dy","startTime":1438.26,"endTime":1441.26,"body":"Gen wires expect to work for"},{"speaker":"Chris Dy","startTime":1438.26,"endTime":1441.26,"body":"their current employer for their"},{"speaker":"Chris Dy","startTime":1441.26,"endTime":1446.87,"body":"entire career. So are you going"},{"speaker":"Chris Dy","startTime":1441.26,"endTime":1446.87,"body":"to be somebody like a, you know,"},{"speaker":"Chris Dy","startTime":1446.9,"endTime":1449.15,"body":"a Kobe or an MJ who plays for"},{"speaker":"Chris Dy","startTime":1446.9,"endTime":1449.15,"body":"the same team, your whole"},{"speaker":"Chris Dy","startTime":1449.15,"endTime":1451.01,"body":"career? Are you gonna be LeBron"},{"speaker":"Chris Dy","startTime":1449.15,"endTime":1451.01,"body":"just kind of hopping around?"},{"speaker":"Charles Goldfarb","startTime":1452.12,"endTime":1455.06,"body":"It's a"},{"speaker":"Charles Goldfarb","startTime":1452.12,"endTime":1455.06,"body":"fascinating question. And, you"},{"speaker":"Charles Goldfarb","startTime":1455.06,"endTime":1461.24,"body":"know, I think the stereotype of"},{"speaker":"Charles Goldfarb","startTime":1455.06,"endTime":1461.24,"body":"academia up to now has been"},{"speaker":"Charles Goldfarb","startTime":1461.48,"endTime":1467.48,"body":"moved to advance your career."},{"speaker":"Charles Goldfarb","startTime":1461.48,"endTime":1467.48,"body":"The challenge with that is that"},{"speaker":"Charles Goldfarb","startTime":1467.63,"endTime":1472.16,"body":"many of us, and I might say most"},{"speaker":"Charles Goldfarb","startTime":1467.63,"endTime":1472.16,"body":"of us today, don't want to do"},{"speaker":"Charles Goldfarb","startTime":1472.16,"endTime":1474.92,"body":"that. We don't want to uproot"},{"speaker":"Charles Goldfarb","startTime":1472.16,"endTime":1474.92,"body":"our family to advance our"},{"speaker":"Charles Goldfarb","startTime":1474.92,"endTime":1478.94,"body":"personal career, because I think"},{"speaker":"Charles Goldfarb","startTime":1474.92,"endTime":1478.94,"body":"they, it's just not something"},{"speaker":"Charles Goldfarb","startTime":1478.94,"endTime":1482.03,"body":"that's a priority for most and"},{"speaker":"Charles Goldfarb","startTime":1478.94,"endTime":1482.03,"body":"I'm not being judgmental for"},{"speaker":"Charles Goldfarb","startTime":1482.03,"endTime":1485.81,"body":"those who choose to do that. But"},{"speaker":"Charles Goldfarb","startTime":1482.03,"endTime":1485.81,"body":"I hear that over and over and"},{"speaker":"Charles Goldfarb","startTime":1485.81,"endTime":1493.76,"body":"over again, if I can continue to"},{"speaker":"Charles Goldfarb","startTime":1485.81,"endTime":1493.76,"body":"be engaged with my only employer"},{"speaker":"Charles Goldfarb","startTime":1493.76,"endTime":1496.46,"body":"which has been watched you."},{"speaker":"Charles Goldfarb","startTime":1493.76,"endTime":1496.46,"body":"Absolutely. I'll stay here"},{"speaker":"Charles Goldfarb","startTime":1496.46,"endTime":1501.71,"body":"forever. But the risk is that"},{"speaker":"Charles Goldfarb","startTime":1496.46,"endTime":1501.71,"body":"you start bumping into ceilings"},{"speaker":"Charles Goldfarb","startTime":1501.74,"endTime":1506.27,"body":"of what you can accomplish and"},{"speaker":"Charles Goldfarb","startTime":1501.74,"endTime":1506.27,"body":"what you need from work. And"},{"speaker":"Charles Goldfarb","startTime":1506.27,"endTime":1509.12,"body":"maybe that sounds self"},{"speaker":"Charles Goldfarb","startTime":1506.27,"endTime":1509.12,"body":"indulgent. But I think that's"},{"speaker":"Charles Goldfarb","startTime":1509.12,"endTime":1509.63,"body":"the risk."},{"speaker":"Chris Dy","startTime":1509.63,"endTime":1513.89,"body":"You sound like a"},{"speaker":"Chris Dy","startTime":1509.63,"endTime":1513.89,"body":"millennial. But I mean, I think"},{"speaker":"Chris Dy","startTime":1513.89,"endTime":1519.23,"body":"that plays into, you know, I"},{"speaker":"Chris Dy","startTime":1513.89,"endTime":1519.23,"body":"think that my generation likes"},{"speaker":"Chris Dy","startTime":1519.23,"endTime":1522.44,"body":"to feel valued. And that's the,"},{"speaker":"Chris Dy","startTime":1519.23,"endTime":1522.44,"body":"you know, like you're the"},{"speaker":"Chris Dy","startTime":1522.44,"endTime":1524.87,"body":"stereotype you talked about,"},{"speaker":"Chris Dy","startTime":1522.44,"endTime":1524.87,"body":"like constantly being praised"},{"speaker":"Chris Dy","startTime":1524.87,"endTime":1528.14,"body":"and positive feedback, etc. But"},{"speaker":"Chris Dy","startTime":1524.87,"endTime":1528.14,"body":"I think that that's reality that"},{"speaker":"Chris Dy","startTime":1528.14,"endTime":1532.28,"body":"employers have to understand is"},{"speaker":"Chris Dy","startTime":1528.14,"endTime":1532.28,"body":"that people want to feel valued,"},{"speaker":"Chris Dy","startTime":1532.34,"endTime":1535.22,"body":"they're not going to as much"},{"speaker":"Chris Dy","startTime":1532.34,"endTime":1535.22,"body":"just kind of take it on the chin"},{"speaker":"Chris Dy","startTime":1535.22,"endTime":1539.24,"body":"for the for the team. And I"},{"speaker":"Chris Dy","startTime":1535.22,"endTime":1539.24,"body":"think that while there is some"},{"speaker":"Chris Dy","startTime":1539.3,"endTime":1543.17,"body":"interest in kind of the"},{"speaker":"Chris Dy","startTime":1539.3,"endTime":1543.17,"body":"Wanderlust, etc, many of us like"},{"speaker":"Chris Dy","startTime":1543.17,"endTime":1544.85,"body":"you're saying, like, we'd like"},{"speaker":"Chris Dy","startTime":1543.17,"endTime":1544.85,"body":"to stay in the same place as"},{"speaker":"Chris Dy","startTime":1544.85,"endTime":1549.44,"body":"long as we feel valued. And I"},{"speaker":"Chris Dy","startTime":1544.85,"endTime":1549.44,"body":"will correct myself, I have"},{"speaker":"Chris Dy","startTime":1549.44,"endTime":1554.93,"body":"blacked out the period where MJ"},{"speaker":"Chris Dy","startTime":1549.44,"endTime":1554.93,"body":"played for the wizards. But I'm"},{"speaker":"Chris Dy","startTime":1554.93,"endTime":1557.03,"body":"pretty sure Kobe played for only"},{"speaker":"Chris Dy","startTime":1554.93,"endTime":1557.03,"body":"one team."},{"speaker":"Charles Goldfarb","startTime":1557.39,"endTime":1563.27,"body":"Haven't we"},{"speaker":"Charles Goldfarb","startTime":1557.39,"endTime":1563.27,"body":"all. Yeah, and I love there's,"},{"speaker":"Charles Goldfarb","startTime":1563.3,"endTime":1567.47,"body":"there's this example, which I"},{"speaker":"Charles Goldfarb","startTime":1563.3,"endTime":1567.47,"body":"thought was really impactful, of"},{"speaker":"Charles Goldfarb","startTime":1567.5,"endTime":1572.18,"body":"an employee that was had an"},{"speaker":"Charles Goldfarb","startTime":1567.5,"endTime":1572.18,"body":"employment offer from UBS. And"},{"speaker":"Charles Goldfarb","startTime":1572.18,"endTime":1575.78,"body":"ultimately, the UBS gave him an"},{"speaker":"Charles Goldfarb","startTime":1572.18,"endTime":1575.78,"body":"opportunity to defer the start"},{"speaker":"Charles Goldfarb","startTime":1575.78,"endTime":1580.22,"body":"of employment with some salary"},{"speaker":"Charles Goldfarb","startTime":1575.78,"endTime":1580.22,"body":"support, and went off and, you"},{"speaker":"Charles Goldfarb","startTime":1580.22,"endTime":1585.98,"body":"know, participated in under"},{"speaker":"Charles Goldfarb","startTime":1580.22,"endTime":1585.98,"body":"basically spending a gap year in"},{"speaker":"Charles Goldfarb","startTime":1585.98,"endTime":1591.26,"body":"India with a nonprofit, and came"},{"speaker":"Charles Goldfarb","startTime":1585.98,"endTime":1591.26,"body":"back better interested and able"},{"speaker":"Charles Goldfarb","startTime":1591.26,"endTime":1594.68,"body":"to start work. And I guess part"},{"speaker":"Charles Goldfarb","startTime":1591.26,"endTime":1594.68,"body":"of me, is what this article"},{"speaker":"Charles Goldfarb","startTime":1594.68,"endTime":1599.42,"body":"calls, a hard nosed manager"},{"speaker":"Charles Goldfarb","startTime":1594.68,"endTime":1599.42,"body":"might say, It smacks of self"},{"speaker":"Charles Goldfarb","startTime":1599.45,"endTime":1604.1,"body":"indulgent behavior, paying"},{"speaker":"Charles Goldfarb","startTime":1599.45,"endTime":1604.1,"body":"people to find themselves Sun"},{"speaker":"Charles Goldfarb","startTime":1604.1,"endTime":1609.74,"body":"themselves and surf the net. I"},{"speaker":"Charles Goldfarb","startTime":1604.1,"endTime":1609.74,"body":"get that perspective. But I"},{"speaker":"Charles Goldfarb","startTime":1609.74,"endTime":1616.25,"body":"don't think that perspective"},{"speaker":"Charles Goldfarb","startTime":1609.74,"endTime":1616.25,"body":"holds in 2020 to 2009, when this"},{"speaker":"Charles Goldfarb","startTime":1616.25,"endTime":1618.92,"body":"article is written, must not"},{"speaker":"Charles Goldfarb","startTime":1616.25,"endTime":1618.92,"body":"have held either medicines"},{"speaker":"Charles Goldfarb","startTime":1618.92,"endTime":1622.82,"body":"different, though, you know, I"},{"speaker":"Charles Goldfarb","startTime":1618.92,"endTime":1622.82,"body":"think it has to be about giving"},{"speaker":"Charles Goldfarb","startTime":1622.82,"endTime":1626.84,"body":"people the chance to engage"},{"speaker":"Charles Goldfarb","startTime":1622.82,"endTime":1626.84,"body":"however they want to engage, as"},{"speaker":"Charles Goldfarb","startTime":1626.84,"endTime":1630.38,"body":"well as getting the work done."},{"speaker":"Charles Goldfarb","startTime":1626.84,"endTime":1630.38,"body":"That's the tricky part for me."},{"speaker":"Chris Dy","startTime":1631.61,"endTime":1633.2,"body":"Well, I mean, I think"},{"speaker":"Chris Dy","startTime":1631.61,"endTime":1633.2,"body":"that, you know, they talk about"},{"speaker":"Chris Dy","startTime":1633.2,"endTime":1639.92,"body":"here, the importance of, you"},{"speaker":"Chris Dy","startTime":1633.2,"endTime":1639.92,"body":"know, taking time for pursuing"},{"speaker":"Chris Dy","startTime":1639.92,"endTime":1643.94,"body":"opportunities and passions, and"},{"speaker":"Chris Dy","startTime":1639.92,"endTime":1643.94,"body":"they say, 53% of Gen Y's and 49%"},{"speaker":"Chris Dy","startTime":1643.94,"endTime":1647.06,"body":"of boomers would like to"},{"speaker":"Chris Dy","startTime":1643.94,"endTime":1647.06,"body":"temporarily step away from work."},{"speaker":"Chris Dy","startTime":1647.54,"endTime":1649.85,"body":"Now, you talked about it in your"},{"speaker":"Chris Dy","startTime":1647.54,"endTime":1649.85,"body":"example of on the front end, but"},{"speaker":"Chris Dy","startTime":1649.85,"endTime":1653.45,"body":"we have a visiting professor"},{"speaker":"Chris Dy","startTime":1649.85,"endTime":1653.45,"body":"coming from Stanford, where they"},{"speaker":"Chris Dy","startTime":1653.45,"endTime":1658.76,"body":"have sabbaticals for their"},{"speaker":"Chris Dy","startTime":1653.45,"endTime":1658.76,"body":"medical faculty. So I mean, I"},{"speaker":"Chris Dy","startTime":1658.76,"endTime":1662.21,"body":"think that's great. If you can"},{"speaker":"Chris Dy","startTime":1658.76,"endTime":1662.21,"body":"pull it off, clearly, there's"},{"speaker":"Chris Dy","startTime":1662.21,"endTime":1664.37,"body":"going to be a, I would think"},{"speaker":"Chris Dy","startTime":1662.21,"endTime":1664.37,"body":"that there would be opportunity"},{"speaker":"Chris Dy","startTime":1664.37,"endTime":1667.49,"body":"costs in terms of how you're"},{"speaker":"Chris Dy","startTime":1664.37,"endTime":1667.49,"body":"compensated. And then making"},{"speaker":"Chris Dy","startTime":1667.49,"endTime":1671.48,"body":"sure that you have enough people"},{"speaker":"Chris Dy","startTime":1667.49,"endTime":1671.48,"body":"on the team to provide patient"},{"speaker":"Chris Dy","startTime":1671.48,"endTime":1674.0,"body":"care. But what are your thoughts"},{"speaker":"Chris Dy","startTime":1671.48,"endTime":1674.0,"body":"about a sabbatical?"},{"speaker":"Charles Goldfarb","startTime":1674.87,"endTime":1679.1,"body":"I've always"},{"speaker":"Charles Goldfarb","startTime":1674.87,"endTime":1679.1,"body":"envied that. You know, there's"},{"speaker":"Charles Goldfarb","startTime":1679.1,"endTime":1682.43,"body":"two issues to the sabbatical."},{"speaker":"Charles Goldfarb","startTime":1679.1,"endTime":1682.43,"body":"One, there is no doubt it would"},{"speaker":"Charles Goldfarb","startTime":1682.46,"endTime":1686.36,"body":"recharge me, you all of us,"},{"speaker":"Charles Goldfarb","startTime":1682.46,"endTime":1686.36,"body":"there's no doubt it would have"},{"speaker":"Charles Goldfarb","startTime":1686.36,"endTime":1694.1,"body":"to. The second thing, though,"},{"speaker":"Charles Goldfarb","startTime":1686.36,"endTime":1694.1,"body":"is, you know, pursuing something"},{"speaker":"Charles Goldfarb","startTime":1694.13,"endTime":1697.76,"body":"during that, I think six months"},{"speaker":"Charles Goldfarb","startTime":1694.13,"endTime":1697.76,"body":"is what Stanford gets. That"},{"speaker":"Charles Goldfarb","startTime":1697.76,"endTime":1701.81,"body":"makes you a better person, more"},{"speaker":"Charles Goldfarb","startTime":1697.76,"endTime":1701.81,"body":"qualified researcher, whatever."},{"speaker":"Charles Goldfarb","startTime":1701.96,"endTime":1704.15,"body":"What are you going to do during"},{"speaker":"Charles Goldfarb","startTime":1701.96,"endTime":1704.15,"body":"that six months? That's a big"},{"speaker":"Charles Goldfarb","startTime":1704.15,"endTime":1708.56,"body":"question. But wow, what an"},{"speaker":"Charles Goldfarb","startTime":1704.15,"endTime":1708.56,"body":"opportunity. But I have no"},{"speaker":"Charles Goldfarb","startTime":1708.56,"endTime":1710.24,"body":"concept of how that works"},{"speaker":"Charles Goldfarb","startTime":1708.56,"endTime":1710.24,"body":"practically."},{"speaker":"Chris Dy","startTime":1711.77,"endTime":1713.9,"body":"Well, I know that we"},{"speaker":"Chris Dy","startTime":1711.77,"endTime":1713.9,"body":"do have some listeners from"},{"speaker":"Chris Dy","startTime":1713.9,"endTime":1716.12,"body":"Stanford, our buddy, Jeff. Yeah,"},{"speaker":"Chris Dy","startTime":1713.9,"endTime":1716.12,"body":"I was listening. So maybe, Jeff,"},{"speaker":"Chris Dy","startTime":1716.12,"endTime":1720.05,"body":"you can enlighten us on how that"},{"speaker":"Chris Dy","startTime":1716.12,"endTime":1720.05,"body":"works. At your wonderful"},{"speaker":"Chris Dy","startTime":1720.05,"endTime":1723.71,"body":"institution? What was something"},{"speaker":"Chris Dy","startTime":1720.05,"endTime":1723.71,"body":"that you picked up about the"},{"speaker":"Chris Dy","startTime":1723.71,"endTime":1728.42,"body":"boomers, they talked about, you"},{"speaker":"Chris Dy","startTime":1723.71,"endTime":1728.42,"body":"know, you know, how long people"},{"speaker":"Chris Dy","startTime":1728.42,"endTime":1731.33,"body":"want to work for, and that"},{"speaker":"Chris Dy","startTime":1728.42,"endTime":1731.33,"body":"boomers are still a big presence"},{"speaker":"Chris Dy","startTime":1731.33,"endTime":1731.99,"body":"in the workforce?"},{"speaker":"Charles Goldfarb","startTime":1732.8,"endTime":1734.84,"body":"Yeah, that's"},{"speaker":"Charles Goldfarb","startTime":1732.8,"endTime":1734.84,"body":"one of the criticisms, you know,"},{"speaker":"Charles Goldfarb","startTime":1734.84,"endTime":1740.3,"body":"they're still hanging around."},{"speaker":"Charles Goldfarb","startTime":1734.84,"endTime":1740.3,"body":"They 42% say they're gonna keep"},{"speaker":"Charles Goldfarb","startTime":1740.3,"endTime":1743.51,"body":"working past 65. We've seen that"},{"speaker":"Charles Goldfarb","startTime":1740.3,"endTime":1743.51,"body":"in medicine, haven't we, I mean,"},{"speaker":"Charles Goldfarb","startTime":1743.51,"endTime":1751.82,"body":"my gosh. And the, they also want"},{"speaker":"Charles Goldfarb","startTime":1743.51,"endTime":1751.82,"body":"to do more than just work and"},{"speaker":"Charles Goldfarb","startTime":1751.82,"endTime":1755.36,"body":"they want to work. But they want"},{"speaker":"Charles Goldfarb","startTime":1751.82,"endTime":1755.36,"body":"to do work outside of their"},{"speaker":"Charles Goldfarb","startTime":1755.36,"endTime":1759.83,"body":"official job capacity. And they"},{"speaker":"Charles Goldfarb","startTime":1755.36,"endTime":1759.83,"body":"need work flexibility to do"},{"speaker":"Charles Goldfarb","startTime":1759.83,"endTime":1763.25,"body":"that. I think about that, in our"},{"speaker":"Charles Goldfarb","startTime":1759.83,"endTime":1763.25,"body":"practice, I think about how we"},{"speaker":"Charles Goldfarb","startTime":1763.25,"endTime":1766.28,"body":"can engage, you know, instead"},{"speaker":"Charles Goldfarb","startTime":1763.25,"endTime":1766.28,"body":"of, you know, we recently had a"},{"speaker":"Charles Goldfarb","startTime":1766.28,"endTime":1770.84,"body":"senior faculty member retire,"},{"speaker":"Charles Goldfarb","startTime":1766.28,"endTime":1770.84,"body":"who really brought a lot to the"},{"speaker":"Charles Goldfarb","startTime":1770.84,"endTime":1774.14,"body":"department and there were"},{"speaker":"Charles Goldfarb","startTime":1770.84,"endTime":1774.14,"body":"conversations of how to continue"},{"speaker":"Charles Goldfarb","startTime":1774.14,"endTime":1777.23,"body":"an engagement, and ultimately,"},{"speaker":"Charles Goldfarb","startTime":1774.14,"endTime":1777.23,"body":"it didn't work out. I think"},{"speaker":"Charles Goldfarb","startTime":1777.23,"endTime":1781.64,"body":"that's a that's a loss. That's a"},{"speaker":"Charles Goldfarb","startTime":1777.23,"endTime":1781.64,"body":"missed opportunity to figure out"},{"speaker":"Charles Goldfarb","startTime":1781.64,"endTime":1783.71,"body":"how we can keep people engaged."},{"speaker":"Chris Dy","startTime":1784.19,"endTime":1786.26,"body":"Right, right. I mean,"},{"speaker":"Chris Dy","startTime":1784.19,"endTime":1786.26,"body":"I think that, you know, there"},{"speaker":"Chris Dy","startTime":1786.26,"endTime":1790.73,"body":"are definitely places where they"},{"speaker":"Chris Dy","startTime":1786.26,"endTime":1790.73,"body":"do it better in terms of"},{"speaker":"Chris Dy","startTime":1790.76,"endTime":1794.45,"body":"keeping, you know, faculty who"},{"speaker":"Chris Dy","startTime":1790.76,"endTime":1794.45,"body":"have a ton to share that may not"},{"speaker":"Chris Dy","startTime":1794.45,"endTime":1798.02,"body":"want to be as clinically active."},{"speaker":"Chris Dy","startTime":1794.45,"endTime":1798.02,"body":"I think there's a way to do it."},{"speaker":"Chris Dy","startTime":1798.17,"endTime":1801.92,"body":"And we talked earlier about you"},{"speaker":"Chris Dy","startTime":1798.17,"endTime":1801.92,"body":"know, How you're valued. I"},{"speaker":"Chris Dy","startTime":1801.92,"endTime":1803.84,"body":"brought it up earlier. And one"},{"speaker":"Chris Dy","startTime":1801.92,"endTime":1803.84,"body":"of the things they talked about"},{"speaker":"Chris Dy","startTime":1803.84,"endTime":1806.69,"body":"in this article is that it seems"},{"speaker":"Chris Dy","startTime":1803.84,"endTime":1806.69,"body":"like for both Gen Y and"},{"speaker":"Chris Dy","startTime":1806.69,"endTime":1810.65,"body":"Millennials and Boomers, it's"},{"speaker":"Chris Dy","startTime":1806.69,"endTime":1810.65,"body":"not just about compensation"},{"speaker":"Chris Dy","startTime":1810.65,"endTime":1814.61,"body":"financially. It is about being"},{"speaker":"Chris Dy","startTime":1810.65,"endTime":1814.61,"body":"valued in different ways. So"},{"speaker":"Chris Dy","startTime":1814.61,"endTime":1817.01,"body":"they talk about a great team"},{"speaker":"Chris Dy","startTime":1814.61,"endTime":1817.01,"body":"challenging assignments, a range"},{"speaker":"Chris Dy","startTime":1817.01,"endTime":1820.61,"body":"of new experiences and explicit"},{"speaker":"Chris Dy","startTime":1817.01,"endTime":1820.61,"body":"performance evaluation and"},{"speaker":"Chris Dy","startTime":1820.61,"endTime":1823.4,"body":"recognition. As women in"},{"speaker":"Chris Dy","startTime":1820.61,"endTime":1823.4,"body":"particular, both generations"},{"speaker":"Chris Dy","startTime":1823.4,"endTime":1826.04,"body":"place high importance on"},{"speaker":"Chris Dy","startTime":1823.4,"endTime":1826.04,"body":"receiving recognition for a job"},{"speaker":"Chris Dy","startTime":1826.04,"endTime":1829.82,"body":"well done. How do you think"},{"speaker":"Chris Dy","startTime":1826.04,"endTime":1829.82,"body":"about that, as your greedy money"},{"speaker":"Chris Dy","startTime":1829.82,"endTime":1835.22,"body":"grubbing Gen X personality? Is"},{"speaker":"Chris Dy","startTime":1829.82,"endTime":1835.22,"body":"Gen X more more consumed with"},{"speaker":"Chris Dy","startTime":1835.22,"endTime":1836.48,"body":"compensation financially?"},{"speaker":"Charles Goldfarb","startTime":1838.37,"endTime":1842.9,"body":"I would say"},{"speaker":"Charles Goldfarb","startTime":1838.37,"endTime":1842.9,"body":"yes. But I don't think that Gen"},{"speaker":"Charles Goldfarb","startTime":1842.9,"endTime":1849.23,"body":"Y is compensation agnostic by"},{"speaker":"Charles Goldfarb","startTime":1842.9,"endTime":1849.23,"body":"any stretch. In fact, there's"},{"speaker":"Charles Goldfarb","startTime":1849.23,"endTime":1853.16,"body":"some signs in what I see on a"},{"speaker":"Charles Goldfarb","startTime":1849.23,"endTime":1853.16,"body":"regular basis that that it's"},{"speaker":"Charles Goldfarb","startTime":1853.16,"endTime":1856.28,"body":"actually the opposite, that some"},{"speaker":"Charles Goldfarb","startTime":1853.16,"endTime":1856.28,"body":"Gen Y really does focus on"},{"speaker":"Charles Goldfarb","startTime":1856.28,"endTime":1861.2,"body":"compensation, but totally agree"},{"speaker":"Charles Goldfarb","startTime":1856.28,"endTime":1861.2,"body":"it's about recognition for a job"},{"speaker":"Charles Goldfarb","startTime":1861.2,"endTime":1865.28,"body":"well done. And Gen Y needs it"},{"speaker":"Charles Goldfarb","startTime":1861.2,"endTime":1865.28,"body":"more than Gen X stood out to me,"},{"speaker":"Charles Goldfarb","startTime":1865.31,"endTime":1870.05,"body":"that is a fundamental difference"},{"speaker":"Charles Goldfarb","startTime":1865.31,"endTime":1870.05,"body":"that impacts my leadership"},{"speaker":"Charles Goldfarb","startTime":1870.14,"endTime":1870.65,"body":"daily."},{"speaker":"Chris Dy","startTime":1871.52,"endTime":1874.25,"body":"I mean, as a non"},{"speaker":"Chris Dy","startTime":1871.52,"endTime":1874.25,"body":"enough being part of the"},{"speaker":"Chris Dy","startTime":1874.25,"endTime":1877.49,"body":"leadership for, you know, for"},{"speaker":"Chris Dy","startTime":1874.25,"endTime":1877.49,"body":"the department or anything like"},{"speaker":"Chris Dy","startTime":1877.49,"endTime":1884.57,"body":"that, I think that it seems like"},{"speaker":"Chris Dy","startTime":1877.49,"endTime":1884.57,"body":"Gen Y wants compensation enough"},{"speaker":"Chris Dy","startTime":1884.57,"endTime":1888.2,"body":"to feel like they're valued. And"},{"speaker":"Chris Dy","startTime":1884.57,"endTime":1888.2,"body":"then once they start questioning"},{"speaker":"Chris Dy","startTime":1888.2,"endTime":1891.32,"body":"value, then maybe it becomes"},{"speaker":"Chris Dy","startTime":1888.2,"endTime":1891.32,"body":"paying more attention to"},{"speaker":"Chris Dy","startTime":1892.31,"endTime":1895.55,"body":"compensation. But I think people"},{"speaker":"Chris Dy","startTime":1892.31,"endTime":1895.55,"body":"I mean, my understanding is that"},{"speaker":"Chris Dy","startTime":1895.55,"endTime":1897.74,"body":"people want to be compensated"},{"speaker":"Chris Dy","startTime":1895.55,"endTime":1897.74,"body":"enough where they don't have to"},{"speaker":"Chris Dy","startTime":1897.74,"endTime":1900.23,"body":"worry about things and that they"},{"speaker":"Chris Dy","startTime":1897.74,"endTime":1900.23,"body":"feel valued. And then maybe"},{"speaker":"Chris Dy","startTime":1900.23,"endTime":1901.49,"body":"they're not going to question"},{"speaker":"Chris Dy","startTime":1900.23,"endTime":1901.49,"body":"the rest of it."},{"speaker":"Charles Goldfarb","startTime":1902.51,"endTime":1904.61,"body":"I think that's"},{"speaker":"Charles Goldfarb","startTime":1902.51,"endTime":1904.61,"body":"well said. I hope that's"},{"speaker":"Charles Goldfarb","startTime":1904.61,"endTime":1909.11,"body":"accurate. I hope it's accurate."},{"speaker":"Charles Goldfarb","startTime":1904.61,"endTime":1909.11,"body":"Let you want to go through the,"},{"speaker":"Charles Goldfarb","startTime":1909.47,"endTime":1912.83,"body":"what they call the new workplace"},{"speaker":"Charles Goldfarb","startTime":1909.47,"endTime":1912.83,"body":"initiatives. I like these, these"},{"speaker":"Charles Goldfarb","startTime":1912.83,"endTime":1913.73,"body":"are towards the end."},{"speaker":"Chris Dy","startTime":1914.18,"endTime":1917.06,"body":"Yeah. So the first one"},{"speaker":"Chris Dy","startTime":1914.18,"endTime":1917.06,"body":"they talk about is modularity."},{"speaker":"Chris Dy","startTime":1917.09,"endTime":1919.85,"body":"So chunking of work that allows"},{"speaker":"Chris Dy","startTime":1917.09,"endTime":1919.85,"body":"Boomers to scale back their"},{"speaker":"Chris Dy","startTime":1919.85,"endTime":1922.22,"body":"hours and their breath and"},{"speaker":"Chris Dy","startTime":1919.85,"endTime":1922.22,"body":"control but still tackle these"},{"speaker":"Chris Dy","startTime":1922.22,"endTime":1924.86,"body":"sophisticated tasks and their"},{"speaker":"Chris Dy","startTime":1922.22,"endTime":1924.86,"body":"years of experience that their"},{"speaker":"Chris Dy","startTime":1924.86,"endTime":1928.67,"body":"years of experience equip them"},{"speaker":"Chris Dy","startTime":1924.86,"endTime":1928.67,"body":"to handle? I don't know. But I"},{"speaker":"Chris Dy","startTime":1928.67,"endTime":1932.66,"body":"mean, I don't know that I don't"},{"speaker":"Chris Dy","startTime":1928.67,"endTime":1932.66,"body":"know how that applies to"},{"speaker":"Chris Dy","startTime":1932.66,"endTime":1935.15,"body":"medicine, to be perfectly honest"},{"speaker":"Chris Dy","startTime":1932.66,"endTime":1935.15,"body":"with you, unless you're at a"},{"speaker":"Chris Dy","startTime":1935.15,"endTime":1939.14,"body":"say, alright. So you are"},{"speaker":"Chris Dy","startTime":1935.15,"endTime":1939.14,"body":"teaching faculty, we are going"},{"speaker":"Chris Dy","startTime":1939.14,"endTime":1943.61,"body":"to expect that you spend more"},{"speaker":"Chris Dy","startTime":1939.14,"endTime":1943.61,"body":"time with residents, fellows,"},{"speaker":"Chris Dy","startTime":1943.64,"endTime":1945.68,"body":"and you're going to we"},{"speaker":"Chris Dy","startTime":1943.64,"endTime":1945.68,"body":"understand you're going to do"},{"speaker":"Chris Dy","startTime":1945.95,"endTime":1947.6,"body":"less cases, but you're really"},{"speaker":"Chris Dy","startTime":1945.95,"endTime":1947.6,"body":"going to maximize their"},{"speaker":"Chris Dy","startTime":1947.6,"endTime":1948.14,"body":"education."},{"speaker":"Charles Goldfarb","startTime":1948.95,"endTime":1951.05,"body":"Yeah, and we"},{"speaker":"Charles Goldfarb","startTime":1948.95,"endTime":1951.05,"body":"have a couple of examples of"},{"speaker":"Charles Goldfarb","startTime":1951.05,"endTime":1955.49,"body":"that in our department. It's"},{"speaker":"Charles Goldfarb","startTime":1951.05,"endTime":1955.49,"body":"tricky in medicine. It's not"},{"speaker":"Charles Goldfarb","startTime":1955.49,"endTime":1958.88,"body":"easy in medicine, because of"},{"speaker":"Charles Goldfarb","startTime":1955.49,"endTime":1958.88,"body":"malpractice and just practical"},{"speaker":"Charles Goldfarb","startTime":1958.88,"endTime":1963.74,"body":"stuff. It's doable, and but not"},{"speaker":"Charles Goldfarb","startTime":1958.88,"endTime":1963.74,"body":"in a way that other traditional"},{"speaker":"Charles Goldfarb","startTime":1963.74,"endTime":1969.23,"body":"businesses think about it."},{"speaker":"Charles Goldfarb","startTime":1963.74,"endTime":1969.23,"body":"flexibilities number two, you"},{"speaker":"Charles Goldfarb","startTime":1969.23,"endTime":1973.43,"body":"know, how can we consider"},{"speaker":"Charles Goldfarb","startTime":1969.23,"endTime":1973.43,"body":"alternative work arrangements?"},{"speaker":"Chris Dy","startTime":1973.52,"endTime":1976.55,"body":"Again, I think the"},{"speaker":"Chris Dy","startTime":1973.52,"endTime":1976.55,"body":"pandemic really kind of put that"},{"speaker":"Chris Dy","startTime":1976.55,"endTime":1980.15,"body":"into full view, but much harder"},{"speaker":"Chris Dy","startTime":1976.55,"endTime":1980.15,"body":"to do when you're, you know,"},{"speaker":"Chris Dy","startTime":1980.15,"endTime":1981.14,"body":"patient facing."},{"speaker":"Charles Goldfarb","startTime":1981.71,"endTime":1984.2,"body":"Right. And so"},{"speaker":"Charles Goldfarb","startTime":1981.71,"endTime":1984.2,"body":"we we've continued to embrace"},{"speaker":"Charles Goldfarb","startTime":1984.2,"endTime":1987.77,"body":"that as we can exactly as you"},{"speaker":"Charles Goldfarb","startTime":1984.2,"endTime":1987.77,"body":"said, if you're patient facing"},{"speaker":"Charles Goldfarb","startTime":1987.77,"endTime":1991.55,"body":"is much harder, but you know,"},{"speaker":"Charles Goldfarb","startTime":1987.77,"endTime":1991.55,"body":"business side, people in our"},{"speaker":"Charles Goldfarb","startTime":1991.55,"endTime":1995.87,"body":"department and even research"},{"speaker":"Charles Goldfarb","startTime":1991.55,"endTime":1995.87,"body":"support people can can, you"},{"speaker":"Charles Goldfarb","startTime":1995.87,"endTime":1998.21,"body":"know, really have a hybrid"},{"speaker":"Charles Goldfarb","startTime":1995.87,"endTime":1998.21,"body":"arrangement, which is great."},{"speaker":"Charles Goldfarb","startTime":1998.45,"endTime":2002.44,"body":"It's just harder. I mean, yes,"},{"speaker":"Charles Goldfarb","startTime":1998.45,"endTime":2002.44,"body":"telehealth does open some doors,"},{"speaker":"Charles Goldfarb","startTime":2002.44,"endTime":2005.35,"body":"I don't think any of us are sold"},{"speaker":"Charles Goldfarb","startTime":2002.44,"endTime":2005.35,"body":"that telehealth and orthopedics"},{"speaker":"Charles Goldfarb","startTime":2005.35,"endTime":2006.4,"body":"are a perfect match."},{"speaker":"Chris Dy","startTime":2007.12,"endTime":2009.34,"body":"So opportunities to"},{"speaker":"Chris Dy","startTime":2007.12,"endTime":2009.34,"body":"give back because of next one."},{"speaker":"Chris Dy","startTime":2010.48,"endTime":2014.5,"body":"Do you feel like that is"},{"speaker":"Chris Dy","startTime":2010.48,"endTime":2014.5,"body":"something of importance as that"},{"speaker":"Chris Dy","startTime":2014.5,"endTime":2016.99,"body":"an employer should be sponsoring"},{"speaker":"Chris Dy","startTime":2014.5,"endTime":2016.99,"body":"because I feel like most of us,"},{"speaker":"Chris Dy","startTime":2017.92,"endTime":2023.56,"body":"in patient care settings, our"},{"speaker":"Chris Dy","startTime":2017.92,"endTime":2023.56,"body":"hand therapists or surgeons, we"},{"speaker":"Chris Dy","startTime":2023.56,"endTime":2026.05,"body":"give a lot to our patients. We"},{"speaker":"Chris Dy","startTime":2023.56,"endTime":2026.05,"body":"feel like we give a lot to our"},{"speaker":"Chris Dy","startTime":2026.05,"endTime":2029.02,"body":"communities already. And I think"},{"speaker":"Chris Dy","startTime":2026.05,"endTime":2029.02,"body":"that the person my personal"},{"speaker":"Chris Dy","startTime":2029.02,"endTime":2031.51,"body":"feeling is that the choice to"},{"speaker":"Chris Dy","startTime":2029.02,"endTime":2031.51,"body":"give back should be of an"},{"speaker":"Chris Dy","startTime":2031.51,"endTime":2033.97,"body":"individual choice if you want to"},{"speaker":"Chris Dy","startTime":2031.51,"endTime":2033.97,"body":"spend your weekends doing"},{"speaker":"Chris Dy","startTime":2033.97,"endTime":2037.12,"body":"something. But do you think an"},{"speaker":"Chris Dy","startTime":2033.97,"endTime":2037.12,"body":"employer should have more of a"},{"speaker":"Chris Dy","startTime":2037.12,"endTime":2037.63,"body":"role in that?"},{"speaker":"Charles Goldfarb","startTime":2038.44,"endTime":2040.81,"body":"It's a really"},{"speaker":"Charles Goldfarb","startTime":2038.44,"endTime":2040.81,"body":"tough question. I do think the"},{"speaker":"Charles Goldfarb","startTime":2040.81,"endTime":2045.37,"body":"general philosophy is that we as"},{"speaker":"Charles Goldfarb","startTime":2040.81,"endTime":2045.37,"body":"physicians do a lot of work for"},{"speaker":"Charles Goldfarb","startTime":2045.37,"endTime":2050.74,"body":"our community. But are we doing"},{"speaker":"Charles Goldfarb","startTime":2045.37,"endTime":2050.74,"body":"enough? That's ultimately the"},{"speaker":"Charles Goldfarb","startTime":2050.74,"endTime":2053.5,"body":"question and what's the"},{"speaker":"Charles Goldfarb","startTime":2050.74,"endTime":2053.5,"body":"employers role in helping that?"},{"speaker":"Charles Goldfarb","startTime":2053.74,"endTime":2056.8,"body":"I don't know very mixed"},{"speaker":"Charles Goldfarb","startTime":2053.74,"endTime":2056.8,"body":"feelings. I think it's personal."},{"speaker":"Charles Goldfarb","startTime":2057.49,"endTime":2061.63,"body":"I don't think we should push"},{"speaker":"Charles Goldfarb","startTime":2057.49,"endTime":2061.63,"body":"people to do this. I think if"},{"speaker":"Charles Goldfarb","startTime":2061.63,"endTime":2066.01,"body":"people have interest, then we"},{"speaker":"Charles Goldfarb","startTime":2061.63,"endTime":2066.01,"body":"should help them to foster"},{"speaker":"Charles Goldfarb","startTime":2066.01,"endTime":2068.53,"body":"Here's one. Here's an example"},{"speaker":"Charles Goldfarb","startTime":2066.01,"endTime":2068.53,"body":"that I don't know the easiest"},{"speaker":"Charles Goldfarb","startTime":2068.53,"endTime":2071.8,"body":"solution. So in a couple weeks,"},{"speaker":"Charles Goldfarb","startTime":2068.53,"endTime":2071.8,"body":"I'm doing a mini mission trip"},{"speaker":"Charles Goldfarb","startTime":2071.8,"endTime":2075.85,"body":"where it's just a couple of"},{"speaker":"Charles Goldfarb","startTime":2071.8,"endTime":2075.85,"body":"clinics, no surgery, so flying"},{"speaker":"Charles Goldfarb","startTime":2075.85,"endTime":2082.36,"body":"down to southern Caribbean to a"},{"speaker":"Charles Goldfarb","startTime":2075.85,"endTime":2082.36,"body":"underserved area. Hopefully I'll"},{"speaker":"Charles Goldfarb","startTime":2082.36,"endTime":2085.78,"body":"see 40 or 50 kids and then fly"},{"speaker":"Charles Goldfarb","startTime":2082.36,"endTime":2085.78,"body":"back. So it's a long weekend."},{"speaker":"Charles Goldfarb","startTime":2086.92,"endTime":2090.88,"body":"That's vacation time. The way"},{"speaker":"Charles Goldfarb","startTime":2086.92,"endTime":2090.88,"body":"our department rules are, is"},{"speaker":"Charles Goldfarb","startTime":2090.88,"endTime":2094.81,"body":"that right? I don't know. I"},{"speaker":"Charles Goldfarb","startTime":2090.88,"endTime":2094.81,"body":"don't know. But it's an example"},{"speaker":"Charles Goldfarb","startTime":2094.81,"endTime":2097.0,"body":"of the how tricky this can be."},{"speaker":"Chris Dy","startTime":2097.78,"endTime":2100.66,"body":"Right? Right. Exactly."},{"speaker":"Chris Dy","startTime":2097.78,"endTime":2100.66,"body":"And you Be very clear, like we"},{"speaker":"Chris Dy","startTime":2100.66,"endTime":2103.6,"body":"talked about, you know how we"},{"speaker":"Chris Dy","startTime":2100.66,"endTime":2103.6,"body":"give a lot and we're compensated"},{"speaker":"Chris Dy","startTime":2103.6,"endTime":2106.12,"body":"well, for that amount of time"},{"speaker":"Chris Dy","startTime":2103.6,"endTime":2106.12,"body":"that we're giving. But you know,"},{"speaker":"Chris Dy","startTime":2106.12,"endTime":2108.82,"body":"in terms of the emotional, you"},{"speaker":"Chris Dy","startTime":2106.12,"endTime":2108.82,"body":"know, the time and then the"},{"speaker":"Chris Dy","startTime":2108.82,"endTime":2112.39,"body":"emotional capacity to keep"},{"speaker":"Chris Dy","startTime":2108.82,"endTime":2112.39,"body":"giving, I think some of us try"},{"speaker":"Chris Dy","startTime":2112.39,"endTime":2115.3,"body":"to draw a line somewhere. But I"},{"speaker":"Chris Dy","startTime":2112.39,"endTime":2115.3,"body":"think your point about, you"},{"speaker":"Chris Dy","startTime":2115.3,"endTime":2118.3,"body":"know, whether that should be"},{"speaker":"Chris Dy","startTime":2115.3,"endTime":2118.3,"body":"vacation time, or whether that"},{"speaker":"Chris Dy","startTime":2118.3,"endTime":2120.88,"body":"should not count as vacation"},{"speaker":"Chris Dy","startTime":2118.3,"endTime":2120.88,"body":"time. Let's be honest, Chuck,"},{"speaker":"Chris Dy","startTime":2120.88,"endTime":2124.69,"body":"you're not taking all your"},{"speaker":"Chris Dy","startTime":2120.88,"endTime":2124.69,"body":"vacation time anyways. That's"},{"speaker":"Chris Dy","startTime":2124.69,"endTime":2129.46,"body":"true. And then the next one is"},{"speaker":"Chris Dy","startTime":2124.69,"endTime":2129.46,"body":"progressive policies. So for"},{"speaker":"Chris Dy","startTime":2129.46,"endTime":2133.36,"body":"example, you know, should"},{"speaker":"Chris Dy","startTime":2129.46,"endTime":2133.36,"body":"employers be more engaged on"},{"speaker":"Chris Dy","startTime":2133.39,"endTime":2137.02,"body":"things that are of greater"},{"speaker":"Chris Dy","startTime":2133.39,"endTime":2137.02,"body":"importance to society? Like, I"},{"speaker":"Chris Dy","startTime":2137.02,"endTime":2138.4,"body":"don't know, climate change or"},{"speaker":"Chris Dy","startTime":2137.02,"endTime":2138.4,"body":"something?"},{"speaker":"Charles Goldfarb","startTime":2140.05,"endTime":2141.64,"body":"I think"},{"speaker":"Charles Goldfarb","startTime":2140.05,"endTime":2141.64,"body":"there's a role for that in"},{"speaker":"Charles Goldfarb","startTime":2141.64,"endTime":2145.48,"body":"medicine. And again, it's also"},{"speaker":"Charles Goldfarb","startTime":2141.64,"endTime":2145.48,"body":"about personal choices. But I"},{"speaker":"Charles Goldfarb","startTime":2145.48,"endTime":2150.67,"body":"think you and I both thought"},{"speaker":"Charles Goldfarb","startTime":2145.48,"endTime":2150.67,"body":"about this, I was involved in in"},{"speaker":"Charles Goldfarb","startTime":2151.36,"endTime":2156.04,"body":"opening our outpatient center"},{"speaker":"Charles Goldfarb","startTime":2151.36,"endTime":2156.04,"body":"voc. We started work that opened"},{"speaker":"Charles Goldfarb","startTime":2156.04,"endTime":2159.25,"body":"in 2007. But it's a green"},{"speaker":"Charles Goldfarb","startTime":2156.04,"endTime":2159.25,"body":"building. And that's largely"},{"speaker":"Charles Goldfarb","startTime":2159.25,"endTime":2162.58,"body":"because we pushed hard for that,"},{"speaker":"Charles Goldfarb","startTime":2159.25,"endTime":2162.58,"body":"that feels good. That was the"},{"speaker":"Charles Goldfarb","startTime":2162.58,"endTime":2164.8,"body":"right thing to do. And you and"},{"speaker":"Charles Goldfarb","startTime":2162.58,"endTime":2164.8,"body":"I've talked about the"},{"speaker":"Charles Goldfarb","startTime":2164.8,"endTime":2168.64,"body":"environmental impact on surgical"},{"speaker":"Charles Goldfarb","startTime":2164.8,"endTime":2168.64,"body":"supplies and, and the local only"},{"speaker":"Charles Goldfarb","startTime":2168.67,"endTime":2172.9,"body":"kit you built that matters. So"},{"speaker":"Charles Goldfarb","startTime":2168.67,"endTime":2172.9,"body":"there are little things like"},{"speaker":"Charles Goldfarb","startTime":2172.9,"endTime":2175.15,"body":"that, that add up. There's"},{"speaker":"Charles Goldfarb","startTime":2172.9,"endTime":2175.15,"body":"bigger things, which might be"},{"speaker":"Charles Goldfarb","startTime":2175.15,"endTime":2177.31,"body":"trickier, but I think it's"},{"speaker":"Charles Goldfarb","startTime":2175.15,"endTime":2177.31,"body":"important."},{"speaker":"Chris Dy","startTime":2177.69,"endTime":2179.7,"body":"Yeah, there's a lot of"},{"speaker":"Chris Dy","startTime":2177.69,"endTime":2179.7,"body":"really good grassroots movements"},{"speaker":"Chris Dy","startTime":2179.7,"endTime":2182.55,"body":"and ermine, a few articles and"},{"speaker":"Chris Dy","startTime":2179.7,"endTime":2182.55,"body":"JHS, you know, greening the OR?"},{"speaker":"Chris Dy","startTime":2182.55,"endTime":2186.84,"body":"I mean, whatever we can do, I"},{"speaker":"Chris Dy","startTime":2182.55,"endTime":2186.84,"body":"think that that's appropriate."},{"speaker":"Chris Dy","startTime":2187.41,"endTime":2191.43,"body":"You know, I think that it as"},{"speaker":"Chris Dy","startTime":2187.41,"endTime":2191.43,"body":"long as it clearly feels"},{"speaker":"Chris Dy","startTime":2191.43,"endTime":2193.62,"body":"relevant to your day to day"},{"speaker":"Chris Dy","startTime":2191.43,"endTime":2193.62,"body":"life, you know, so green"},{"speaker":"Chris Dy","startTime":2193.62,"endTime":2196.08,"body":"buildings. Fantastic. You know,"},{"speaker":"Chris Dy","startTime":2193.62,"endTime":2196.08,"body":"I think that that is that is a"},{"speaker":"Chris Dy","startTime":2196.08,"endTime":2198.3,"body":"huge thing. And I know that we"},{"speaker":"Chris Dy","startTime":2196.08,"endTime":2198.3,"body":"try to be as environmentally"},{"speaker":"Chris Dy","startTime":2198.3,"endTime":2201.81,"body":"conscious as we can. I think"},{"speaker":"Chris Dy","startTime":2198.3,"endTime":2201.81,"body":"that we could do much better"},{"speaker":"Chris Dy","startTime":2201.81,"endTime":2202.05,"body":"too."},{"speaker":"Charles Goldfarb","startTime":2203.56,"endTime":2206.23,"body":"Yeah, of"},{"speaker":"Charles Goldfarb","startTime":2203.56,"endTime":2206.23,"body":"course we can. And, again, in"},{"speaker":"Charles Goldfarb","startTime":2206.23,"endTime":2209.32,"body":"medicine, there's so many"},{"speaker":"Charles Goldfarb","startTime":2206.23,"endTime":2209.32,"body":"challenges that I don't know,"},{"speaker":"Charles Goldfarb","startTime":2209.32,"endTime":2212.65,"body":"that's not always number one."},{"speaker":"Charles Goldfarb","startTime":2209.32,"endTime":2212.65,"body":"Their fifth point is sort of the"},{"speaker":"Charles Goldfarb","startTime":2212.65,"endTime":2215.56,"body":"easiest one intergenerational"},{"speaker":"Charles Goldfarb","startTime":2212.65,"endTime":2215.56,"body":"mentoring, which we've already"},{"speaker":"Charles Goldfarb","startTime":2215.56,"endTime":2218.83,"body":"discussed in the back and forth,"},{"speaker":"Charles Goldfarb","startTime":2215.56,"endTime":2218.83,"body":"the generations can provide to"},{"speaker":"Charles Goldfarb","startTime":2218.83,"endTime":2224.26,"body":"one another incredibly valuable."},{"speaker":"Charles Goldfarb","startTime":2218.83,"endTime":2224.26,"body":"And, you know, mentoring is"},{"speaker":"Charles Goldfarb","startTime":2224.26,"endTime":2230.02,"body":"something that every new hire"},{"speaker":"Charles Goldfarb","startTime":2224.26,"endTime":2230.02,"body":"once more of, and they're right."},{"speaker":"Charles Goldfarb","startTime":2230.2,"endTime":2233.29,"body":"You know, there, we have not"},{"speaker":"Charles Goldfarb","startTime":2230.2,"endTime":2233.29,"body":"done a good job with mentoring"},{"speaker":"Charles Goldfarb","startTime":2233.29,"endTime":2235.96,"body":"even though we've given it lip"},{"speaker":"Charles Goldfarb","startTime":2233.29,"endTime":2235.96,"body":"service. So I think this is"},{"speaker":"Charles Goldfarb","startTime":2235.96,"endTime":2236.47,"body":"vital."},{"speaker":"Chris Dy","startTime":2237.49,"endTime":2240.76,"body":"When When do you feel"},{"speaker":"Chris Dy","startTime":2237.49,"endTime":2240.76,"body":"like a mentoring relationship"},{"speaker":"Chris Dy","startTime":2240.76,"endTime":2243.25,"body":"should be assigned versus"},{"speaker":"Chris Dy","startTime":2240.76,"endTime":2243.25,"body":"organic?"},{"speaker":"Charles Goldfarb","startTime":2244.54,"endTime":2248.71,"body":"I think it has"},{"speaker":"Charles Goldfarb","startTime":2244.54,"endTime":2248.71,"body":"to be both. Because the organic"},{"speaker":"Charles Goldfarb","startTime":2248.71,"endTime":2254.08,"body":"processes take time. And time, I"},{"speaker":"Charles Goldfarb","startTime":2248.71,"endTime":2254.08,"body":"don't want to say it's our enemy"},{"speaker":"Charles Goldfarb","startTime":2254.08,"endTime":2258.64,"body":"here. But But giving this too"},{"speaker":"Charles Goldfarb","startTime":2254.08,"endTime":2258.64,"body":"much time is can be"},{"speaker":"Charles Goldfarb","startTime":2258.64,"endTime":2261.97,"body":"counterproductive. So an organic"},{"speaker":"Charles Goldfarb","startTime":2258.64,"endTime":2261.97,"body":"mentorship relationship will"},{"speaker":"Charles Goldfarb","startTime":2262.0,"endTime":2265.27,"body":"absolutely develop for almost"},{"speaker":"Charles Goldfarb","startTime":2262.0,"endTime":2265.27,"body":"all of us. But there's more to"},{"speaker":"Charles Goldfarb","startTime":2265.27,"endTime":2265.78,"body":"it than that."},{"speaker":"Chris Dy","startTime":2266.29,"endTime":2268.66,"body":"Do you think Boomers"},{"speaker":"Chris Dy","startTime":2266.29,"endTime":2268.66,"body":"and Gen Xers wants to be"},{"speaker":"Chris Dy","startTime":2269.2,"endTime":2272.8,"body":"mentored as much as millennials"},{"speaker":"Chris Dy","startTime":2269.2,"endTime":2272.8,"body":"feel the need to be mentored?"},{"speaker":"Charles Goldfarb","startTime":2274.15,"endTime":2275.95,"body":"I think"},{"speaker":"Charles Goldfarb","startTime":2274.15,"endTime":2275.95,"body":"everyone wants to be mentored,"},{"speaker":"Charles Goldfarb","startTime":2276.73,"endTime":2279.01,"body":"even if they don't call it that,"},{"speaker":"Charles Goldfarb","startTime":2276.73,"endTime":2279.01,"body":"either. They don't see it that"},{"speaker":"Charles Goldfarb","startTime":2279.01,"endTime":2282.46,"body":"way. And if you don't ask that"},{"speaker":"Charles Goldfarb","startTime":2279.01,"endTime":2282.46,"body":"the shame on you."},{"speaker":"Chris Dy","startTime":2282.97,"endTime":2284.83,"body":"But I mean, you talked"},{"speaker":"Chris Dy","startTime":2282.97,"endTime":2284.83,"body":"about it. It's subtle. But you"},{"speaker":"Chris Dy","startTime":2284.83,"endTime":2288.19,"body":"talked about how this is what"},{"speaker":"Chris Dy","startTime":2284.83,"endTime":2288.19,"body":"the current generation of people"},{"speaker":"Chris Dy","startTime":2288.19,"endTime":2291.88,"body":"that you're hiring, this is what"},{"speaker":"Chris Dy","startTime":2288.19,"endTime":2291.88,"body":"they want, they explicitly asked"},{"speaker":"Chris Dy","startTime":2291.88,"endTime":2296.95,"body":"for mentor me, as opposed to"},{"speaker":"Chris Dy","startTime":2291.88,"endTime":2296.95,"body":"that was something where I was"},{"speaker":"Chris Dy","startTime":2296.95,"endTime":2299.71,"body":"more active in seeking that"},{"speaker":"Chris Dy","startTime":2296.95,"endTime":2299.71,"body":"relationship out and making that"},{"speaker":"Chris Dy","startTime":2299.71,"endTime":2302.2,"body":"arrangement. I think the people"},{"speaker":"Chris Dy","startTime":2299.71,"endTime":2302.2,"body":"that we're hiring now are saying"},{"speaker":"Chris Dy","startTime":2302.23,"endTime":2303.76,"body":"no, you have to do that, for me."},{"speaker":"Charles Goldfarb","startTime":2304.329,"endTime":2307.989,"body":"Totally fair,"},{"speaker":"Charles Goldfarb","startTime":2304.329,"endTime":2307.989,"body":"totally true. Totally a point of"},{"speaker":"Charles Goldfarb","startTime":2308.049,"endTime":2308.889,"body":"generations."},{"speaker":"Chris Dy","startTime":2309.73,"endTime":2312.07,"body":"Well, because I"},{"speaker":"Chris Dy","startTime":2309.73,"endTime":2312.07,"body":"remember I started mentoring,"},{"speaker":"Chris Dy","startTime":2312.43,"endTime":2315.88,"body":"Ken Yamaguchi was my mentor and"},{"speaker":"Chris Dy","startTime":2312.43,"endTime":2315.88,"body":"still as a mentor, but we had no"},{"speaker":"Chris Dy","startTime":2315.88,"endTime":2320.29,"body":"actual, like monthly meetings"},{"speaker":"Chris Dy","startTime":2315.88,"endTime":2320.29,"body":"when I started, and I remember"},{"speaker":"Chris Dy","startTime":2320.29,"endTime":2322.84,"body":"seeing him in the hallway one"},{"speaker":"Chris Dy","startTime":2320.29,"endTime":2322.84,"body":"day, and it was literally my"},{"speaker":"Chris Dy","startTime":2322.84,"endTime":2325.12,"body":"first month and he had met me"},{"speaker":"Chris Dy","startTime":2322.84,"endTime":2325.12,"body":"when I was a fellow and"},{"speaker":"Chris Dy","startTime":2325.12,"endTime":2329.44,"body":"everything. And he's like Chris,"},{"speaker":"Chris Dy","startTime":2325.12,"endTime":2329.44,"body":"who are your mentors? And I was"},{"speaker":"Chris Dy","startTime":2329.44,"endTime":2331.81,"body":"like, oh, you know, no, he's"},{"speaker":"Chris Dy","startTime":2329.44,"endTime":2331.81,"body":"been assigned to me. He's like,"},{"speaker":"Chris Dy","startTime":2331.81,"endTime":2335.29,"body":"Chris, nobody assigns you a"},{"speaker":"Chris Dy","startTime":2331.81,"endTime":2335.29,"body":"mentor, you go find your"},{"speaker":"Chris Dy","startTime":2335.29,"endTime":2337.96,"body":"mentors. So then I was on a"},{"speaker":"Chris Dy","startTime":2335.29,"endTime":2337.96,"body":"schedule for a monthly meeting"},{"speaker":"Chris Dy","startTime":2338.32,"endTime":2341.05,"body":"next month. But that struck me"},{"speaker":"Chris Dy","startTime":2338.32,"endTime":2341.05,"body":"and I think that's the"},{"speaker":"Chris Dy","startTime":2341.05,"endTime":2344.98,"body":"difference. You know, I now I've"},{"speaker":"Chris Dy","startTime":2341.05,"endTime":2344.98,"body":"been much more active because I"},{"speaker":"Chris Dy","startTime":2344.98,"endTime":2347.77,"body":"have that kind of a wake up call"},{"speaker":"Chris Dy","startTime":2344.98,"endTime":2347.77,"body":"from Ken, like, Hey, you got to"},{"speaker":"Chris Dy","startTime":2347.8,"endTime":2350.83,"body":"do this. But you know, I think"},{"speaker":"Chris Dy","startTime":2347.8,"endTime":2350.83,"body":"that it's different. Maybe I was"},{"speaker":"Chris Dy","startTime":2350.83,"endTime":2353.92,"body":"falling into the millennial trap"},{"speaker":"Chris Dy","startTime":2350.83,"endTime":2353.92,"body":"of wanting to be coddled and"},{"speaker":"Chris Dy","startTime":2353.95,"endTime":2355.54,"body":"waiting for somebody to assign"},{"speaker":"Chris Dy","startTime":2353.95,"endTime":2355.54,"body":"me a mentor."},{"speaker":"Charles Goldfarb","startTime":2356.32,"endTime":2358.45,"body":"I think that's"},{"speaker":"Charles Goldfarb","startTime":2356.32,"endTime":2358.45,"body":"a great example. It is a"},{"speaker":"Charles Goldfarb","startTime":2358.45,"endTime":2361.3,"body":"difference. I think a lot of the"},{"speaker":"Charles Goldfarb","startTime":2358.45,"endTime":2361.3,"body":"generational differences are"},{"speaker":"Charles Goldfarb","startTime":2361.3,"endTime":2365.53,"body":"overplayed. But there are real"},{"speaker":"Charles Goldfarb","startTime":2361.3,"endTime":2365.53,"body":"differences. And a you know,"},{"speaker":"Charles Goldfarb","startTime":2365.56,"endTime":2368.35,"body":"more than ever, we've talked"},{"speaker":"Charles Goldfarb","startTime":2365.56,"endTime":2368.35,"body":"about workplace environment,"},{"speaker":"Charles Goldfarb","startTime":2368.35,"endTime":2371.8,"body":"workplace culture, engaging this"},{"speaker":"Charles Goldfarb","startTime":2368.35,"endTime":2371.8,"body":"is not only obviously"},{"speaker":"Charles Goldfarb","startTime":2371.8,"endTime":2376.21,"body":"physicians, this is every"},{"speaker":"Charles Goldfarb","startTime":2371.8,"endTime":2376.21,"body":"employee, and we want to engage"},{"speaker":"Charles Goldfarb","startTime":2376.57,"endTime":2379.57,"body":"employees, we want people to"},{"speaker":"Charles Goldfarb","startTime":2376.57,"endTime":2379.57,"body":"stay we want people to spend"},{"speaker":"Charles Goldfarb","startTime":2379.57,"endTime":2383.77,"body":"their career here, because that"},{"speaker":"Charles Goldfarb","startTime":2379.57,"endTime":2383.77,"body":"makes our operations better."},{"speaker":"Chris Dy","startTime":2385.55,"endTime":2388.4,"body":"I mean, you know, I"},{"speaker":"Chris Dy","startTime":2385.55,"endTime":2388.4,"body":"think that it's, there are some"},{"speaker":"Chris Dy","startTime":2388.4,"endTime":2390.44,"body":"that would be tempted to just"},{"speaker":"Chris Dy","startTime":2388.4,"endTime":2390.44,"body":"kind of put their head down and"},{"speaker":"Chris Dy","startTime":2390.44,"endTime":2392.66,"body":"do it the way that they've"},{"speaker":"Chris Dy","startTime":2390.44,"endTime":2392.66,"body":"always done it but you're not"},{"speaker":"Chris Dy","startTime":2392.66,"endTime":2396.95,"body":"going to recruit and retain the"},{"speaker":"Chris Dy","startTime":2392.66,"endTime":2396.95,"body":"best talent if you don't at"},{"speaker":"Chris Dy","startTime":2396.95,"endTime":2400.22,"body":"least adapt to the ways of the"},{"speaker":"Chris Dy","startTime":2396.95,"endTime":2400.22,"body":"you know, the current generation"},{"speaker":"Chris Dy","startTime":2400.22,"endTime":2402.14,"body":"or understand the current"},{"speaker":"Chris Dy","startTime":2400.22,"endTime":2402.14,"body":"generation."},{"speaker":"Charles Goldfarb","startTime":2402.89,"endTime":2405.53,"body":"Totally agree."},{"speaker":"Charles Goldfarb","startTime":2402.89,"endTime":2405.53,"body":"Exactly right. All right, that"},{"speaker":"Charles Goldfarb","startTime":2405.53,"endTime":2405.95,"body":"was fun."},{"speaker":"Chris Dy","startTime":2406.73,"endTime":2410.39,"body":"Well, I think that you"},{"speaker":"Chris Dy","startTime":2406.73,"endTime":2410.39,"body":"have plenty to, to apply in your"},{"speaker":"Chris Dy","startTime":2410.39,"endTime":2412.25,"body":"job as our Executive Vice Chair."},{"speaker":"Charles Goldfarb","startTime":2412.88,"endTime":2414.17,"body":"There is no"},{"speaker":"Charles Goldfarb","startTime":2412.88,"endTime":2414.17,"body":"doubt."},{"speaker":"Chris Dy","startTime":2414.86,"endTime":2416.84,"body":"Aside from your whole"},{"speaker":"Chris Dy","startTime":2414.86,"endTime":2416.84,"body":"hand surgery thing that you do,"},{"speaker":"Chris Dy","startTime":2416.84,"endTime":2417.05,"body":"too."},{"speaker":"Charles Goldfarb","startTime":2419.12,"endTime":2421.37,"body":"All right."},{"speaker":"Charles Goldfarb","startTime":2419.12,"endTime":2421.37,"body":"Thank you."},{"speaker":"Chris Dy","startTime":2422.12,"endTime":2423.26,"body":"Thank you have a"},{"speaker":"Chris Dy","startTime":2422.12,"endTime":2423.26,"body":"wonderful day."},{"speaker":"Charles Goldfarb","startTime":2423.47,"endTime":2427.52,"body":"You too. Hey,"},{"speaker":"Charles Goldfarb","startTime":2423.47,"endTime":2427.52,"body":"Chris. That was fun. Let's do it"},{"speaker":"Charles Goldfarb","startTime":2427.52,"endTime":2428.27,"body":"again real soon."},{"speaker":"Chris Dy","startTime":2428.51,"endTime":2431.03,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":2428.51,"endTime":2431.03,"body":"sure to check us out on Twitter"},{"speaker":"Chris Dy","startTime":2431.18,"endTime":2433.46,"body":"@handpodcast. Hey, Chuck, what's"},{"speaker":"Chris Dy","startTime":2431.18,"endTime":2433.46,"body":"your Twitter handle?"},{"speaker":"Charles Goldfarb","startTime":2433.79,"endTime":2436.64,"body":"Mine is"},{"speaker":"Charles Goldfarb","startTime":2433.79,"endTime":2436.64,"body":"@congenitalhand. What about you?"},{"speaker":"Chris Dy","startTime":2436.79,"endTime":2440.27,"body":"Mine is @ChrisDyMD"},{"speaker":"Chris Dy","startTime":2436.79,"endTime":2440.27,"body":"spelled dy. And if you'd like to"},{"speaker":"Chris Dy","startTime":2440.27,"endTime":2444.02,"body":"email us, you can reach us at"},{"speaker":"Chris Dy","startTime":2440.27,"endTime":2444.02,"body":"handpodcast@gmail.com."},{"speaker":"Charles Goldfarb","startTime":2444.62,"endTime":2446.75,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":2444.62,"endTime":2446.75,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":2446.75,"endTime":2447.83,"body":"get your podcasts."},{"speaker":"Chris Dy","startTime":2447.86,"endTime":2450.08,"body":"And be sure to leave a"},{"speaker":"Chris Dy","startTime":2447.86,"endTime":2450.08,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":2450.08,"endTime":2450.5,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":2450.89,"endTime":2453.17,"body":"Special thanks"},{"speaker":"Charles Goldfarb","startTime":2450.89,"endTime":2453.17,"body":"to Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":2453.17,"endTime":2457.16,"body":"music. And remember, keep the"},{"speaker":"Charles Goldfarb","startTime":2453.17,"endTime":2457.16,"body":"upper hand. Come back next time."}]}