{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":3.6,"endTime":6.0,"body":"Welcome to the"},{"speaker":"Charles Goldfarb","startTime":3.6,"endTime":6.0,"body":"upper hand podcast where Chuck"},{"speaker":"Charles Goldfarb","startTime":6.0,"endTime":7.56,"body":"and Chris talk hand surgery."},{"speaker":"Chris Dy","startTime":7.89,"endTime":9.72,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":7.89,"endTime":9.72,"body":"surgeons at Washington"},{"speaker":"Chris Dy","startTime":9.72,"endTime":12.36,"body":"University in St. Louis here to"},{"speaker":"Chris Dy","startTime":9.72,"endTime":12.36,"body":"talk about all things hand"},{"speaker":"Chris Dy","startTime":12.36,"endTime":14.64,"body":"surgery related from technical"},{"speaker":"Chris Dy","startTime":12.36,"endTime":14.64,"body":"to personal."},{"speaker":"Charles Goldfarb","startTime":15.33,"endTime":17.43,"body":"Please"},{"speaker":"Charles Goldfarb","startTime":15.33,"endTime":17.43,"body":"subscribe, wherever you get your"},{"speaker":"Charles Goldfarb","startTime":17.43,"endTime":18.18,"body":"podcasts."},{"speaker":"Chris Dy","startTime":18.96,"endTime":21.3,"body":"And thank you in"},{"speaker":"Chris Dy","startTime":18.96,"endTime":21.3,"body":"advance for leaving a review and"},{"speaker":"Chris Dy","startTime":21.3,"endTime":23.58,"body":"leaving a rating wherever you"},{"speaker":"Chris Dy","startTime":21.3,"endTime":23.58,"body":"get your podcast."},{"speaker":"Charles Goldfarb","startTime":25.17,"endTime":26.01,"body":"Oh, hey,"},{"speaker":"Charles Goldfarb","startTime":25.17,"endTime":26.01,"body":"Chris."},{"speaker":"Chris Dy","startTime":26.58,"endTime":27.75,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":26.58,"endTime":27.75,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":28.08,"endTime":30.24,"body":"I'm good. It"},{"speaker":"Charles Goldfarb","startTime":28.08,"endTime":30.24,"body":"feels like we haven't been"},{"speaker":"Charles Goldfarb","startTime":30.24,"endTime":33.54,"body":"together like this in a long"},{"speaker":"Charles Goldfarb","startTime":30.24,"endTime":33.54,"body":"time."},{"speaker":"Chris Dy","startTime":34.14,"endTime":36.78,"body":"Yeah, we're back on"},{"speaker":"Chris Dy","startTime":34.14,"endTime":36.78,"body":"Zoom. And we have some more"},{"speaker":"Chris Dy","startTime":36.78,"endTime":41.31,"body":"video to power or ever so"},{"speaker":"Chris Dy","startTime":36.78,"endTime":41.31,"body":"popular YouTube feed. You know,"},{"speaker":"Chris Dy","startTime":41.31,"endTime":44.46,"body":"I think some of the comments are"},{"speaker":"Chris Dy","startTime":41.31,"endTime":44.46,"body":"from bots. But there are some"},{"speaker":"Chris Dy","startTime":44.46,"endTime":46.32,"body":"really nice comments in there,"},{"speaker":"Chris Dy","startTime":44.46,"endTime":46.32,"body":"too. We'll read one of them"},{"speaker":"Charles Goldfarb","startTime":46.0,"endTime":50.62,"body":"Love it. Yep."},{"speaker":"Charles Goldfarb","startTime":46.0,"endTime":50.62,"body":"We have both been traveling a"},{"speaker":"Charles Goldfarb","startTime":46.32,"endTime":46.68,"body":"later."},{"speaker":"Charles Goldfarb","startTime":50.62,"endTime":53.83,"body":"lot. And I'll tell you one thing"},{"speaker":"Charles Goldfarb","startTime":50.62,"endTime":53.83,"body":"which you may or may not have"},{"speaker":"Charles Goldfarb","startTime":53.83,"endTime":56.44,"body":"heard, which I think is pretty"},{"speaker":"Charles Goldfarb","startTime":53.83,"endTime":56.44,"body":"funny. I though don't have the"},{"speaker":"Charles Goldfarb","startTime":56.44,"endTime":60.97,"body":"details, we may have to report"},{"speaker":"Charles Goldfarb","startTime":56.44,"endTime":60.97,"body":"back to the pod. You know, our"},{"speaker":"Charles Goldfarb","startTime":61.06,"endTime":65.44,"body":"residents did their annual"},{"speaker":"Charles Goldfarb","startTime":61.06,"endTime":65.44,"body":"roast. You may know more about"},{"speaker":"Charles Goldfarb","startTime":65.44,"endTime":69.7,"body":"this than I as you're laughing."},{"speaker":"Charles Goldfarb","startTime":65.44,"endTime":69.7,"body":"So the residents get together,"},{"speaker":"Charles Goldfarb","startTime":69.73,"endTime":74.41,"body":"which is a great tradition. 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Because"},{"speaker":"Chris Dy","startTime":112.81,"endTime":116.53,"body":"I'm sure there'll be some kind"},{"speaker":"Chris Dy","startTime":116.53,"endTime":118.0,"body":"of reaction video that'll be"},{"speaker":"Chris Dy","startTime":116.53,"endTime":118.0,"body":"filmed."},{"speaker":"Charles Goldfarb","startTime":118.66,"endTime":121.57,"body":"I am all in"},{"speaker":"Charles Goldfarb","startTime":118.66,"endTime":121.57,"body":"and I think it's very creative,"},{"speaker":"Charles Goldfarb","startTime":121.9,"endTime":125.38,"body":"which you know, is not"},{"speaker":"Charles Goldfarb","startTime":121.9,"endTime":125.38,"body":"necessarily my strength, and I'm"},{"speaker":"Charles Goldfarb","startTime":125.38,"endTime":126.4,"body":"really sorry, I missed it."},{"speaker":"Chris Dy","startTime":127.12,"endTime":130.57,"body":"Yeah, well, I'm missed"},{"speaker":"Chris Dy","startTime":127.12,"endTime":130.57,"body":"it because I was traveling as"},{"speaker":"Chris Dy","startTime":130.57,"endTime":134.98,"body":"part of my ASSH Gelberman"},{"speaker":"Chris Dy","startTime":130.57,"endTime":134.98,"body":"Fellowship, which a trip to the"},{"speaker":"Chris Dy","startTime":134.98,"endTime":139.27,"body":"Mayo Clinic, which was delayed"},{"speaker":"Chris Dy","startTime":134.98,"endTime":139.27,"body":"from 2020 Only by two years"},{"speaker":"Chris Dy","startTime":139.27,"endTime":143.29,"body":"because of COVID. And finally"},{"speaker":"Chris Dy","startTime":139.27,"endTime":143.29,"body":"was back able to get back on the"},{"speaker":"Chris Dy","startTime":143.29,"endTime":146.8,"body":"road. So as as we were being"},{"speaker":"Chris Dy","startTime":143.29,"endTime":146.8,"body":"roasted, I was sitting in the"},{"speaker":"Chris Dy","startTime":146.8,"endTime":148.84,"body":"hotel room getting ready for"},{"speaker":"Chris Dy","startTime":146.8,"endTime":148.84,"body":"this trip."},{"speaker":"Charles Goldfarb","startTime":149.89,"endTime":152.95,"body":"And to show"},{"speaker":"Charles Goldfarb","startTime":149.89,"endTime":152.95,"body":"how kind of distant I feel from"},{"speaker":"Charles Goldfarb","startTime":152.95,"endTime":156.73,"body":"you. The only reason I knew"},{"speaker":"Charles Goldfarb","startTime":152.95,"endTime":156.73,"body":"about that was your post on"},{"speaker":"Charles Goldfarb","startTime":156.73,"endTime":161.38,"body":"Instagram. And so it looked like"},{"speaker":"Charles Goldfarb","startTime":156.73,"endTime":161.38,"body":"you had a good time in"},{"speaker":"Charles Goldfarb","startTime":161.38,"endTime":162.79,"body":"Rochester, Minnesota."},{"speaker":"Chris Dy","startTime":163.11,"endTime":165.63,"body":"Yeah, it was great."},{"speaker":"Chris Dy","startTime":163.11,"endTime":165.63,"body":"You know, so, you know,"},{"speaker":"Chris Dy","startTime":165.63,"endTime":169.35,"body":"actually, surprisingly, when I"},{"speaker":"Chris Dy","startTime":165.63,"endTime":169.35,"body":"offered to my wife, you know,"},{"speaker":"Chris Dy","startTime":169.35,"endTime":173.07,"body":"hey, I'm gonna go up to Mayo,"},{"speaker":"Chris Dy","startTime":169.35,"endTime":173.07,"body":"from Sunday to Thursday morning."},{"speaker":"Chris Dy","startTime":173.1,"endTime":176.73,"body":"Do you guys want to come for the"},{"speaker":"Chris Dy","startTime":173.1,"endTime":176.73,"body":"weekend before to Minneapolis,"},{"speaker":"Chris Dy","startTime":176.73,"endTime":180.9,"body":"she actually took us took me up"},{"speaker":"Chris Dy","startTime":176.73,"endTime":180.9,"body":"on that. So my wife and my two"},{"speaker":"Chris Dy","startTime":180.9,"endTime":184.11,"body":"kids came to or we all went up."},{"speaker":"Chris Dy","startTime":180.9,"endTime":184.11,"body":"We flew up to Minneapolis on"},{"speaker":"Chris Dy","startTime":184.11,"endTime":188.25,"body":"Friday night, and had a great"},{"speaker":"Chris Dy","startTime":184.11,"endTime":188.25,"body":"time up there. Ate a lot of"},{"speaker":"Chris Dy","startTime":188.25,"endTime":191.19,"body":"really good food. I had no idea"},{"speaker":"Chris Dy","startTime":188.25,"endTime":191.19,"body":"there was such fantastic food in"},{"speaker":"Chris Dy","startTime":191.19,"endTime":194.07,"body":"Minneapolis. So shout out to"},{"speaker":"Chris Dy","startTime":191.19,"endTime":194.07,"body":"anybody up and in the Twin"},{"speaker":"Chris Dy","startTime":194.07,"endTime":198.36,"body":"Cities. And so they took a"},{"speaker":"Chris Dy","startTime":194.07,"endTime":198.36,"body":"flight home, I took a car to"},{"speaker":"Chris Dy","startTime":198.36,"endTime":201.33,"body":"Rochester, Minnesota and had a"},{"speaker":"Chris Dy","startTime":198.36,"endTime":201.33,"body":"great time there."},{"speaker":"Charles Goldfarb","startTime":201.93,"endTime":204.03,"body":"I love it."},{"speaker":"Charles Goldfarb","startTime":201.93,"endTime":204.03,"body":"That is awesome. You guys are"},{"speaker":"Charles Goldfarb","startTime":204.03,"endTime":209.91,"body":"really good about getting out"},{"speaker":"Charles Goldfarb","startTime":204.03,"endTime":209.91,"body":"there and not just recovering on"},{"speaker":"Charles Goldfarb","startTime":209.91,"endTime":213.54,"body":"weekends. And you guys are"},{"speaker":"Charles Goldfarb","startTime":209.91,"endTime":213.54,"body":"really good. I admire how"},{"speaker":"Charles Goldfarb","startTime":213.54,"endTime":216.69,"body":"engaged you are and the travels"},{"speaker":"Charles Goldfarb","startTime":213.54,"endTime":216.69,"body":"you guys take as a family."},{"speaker":"Chris Dy","startTime":217.29,"endTime":220.2,"body":"We're trying"},{"speaker":"Chris Dy","startTime":217.29,"endTime":220.2,"body":"obviously, it's been hard for"},{"speaker":"Chris Dy","startTime":220.2,"endTime":222.57,"body":"the last couple of years to get"},{"speaker":"Chris Dy","startTime":220.2,"endTime":222.57,"body":"out there. So it's almost like"},{"speaker":"Chris Dy","startTime":222.6,"endTime":224.97,"body":"just like a lot of people around"},{"speaker":"Chris Dy","startTime":222.6,"endTime":224.97,"body":"the country. It's this bolus of"},{"speaker":"Chris Dy","startTime":224.97,"endTime":229.26,"body":"travel, trying to get as much as"},{"speaker":"Chris Dy","startTime":224.97,"endTime":229.26,"body":"you can in. Right now I really"},{"speaker":"Chris Dy","startTime":229.26,"endTime":232.68,"body":"feel like I need a weekend to"},{"speaker":"Chris Dy","startTime":229.26,"endTime":232.68,"body":"recharge but no rest for the"},{"speaker":"Chris Dy","startTime":232.68,"endTime":233.1,"body":"weary."},{"speaker":"Charles Goldfarb","startTime":234.06,"endTime":235.32,"body":"So what's"},{"speaker":"Charles Goldfarb","startTime":234.06,"endTime":235.32,"body":"next?"},{"speaker":"Chris Dy","startTime":237.12,"endTime":239.88,"body":"Yeah, so I am actually"},{"speaker":"Chris Dy","startTime":237.12,"endTime":239.88,"body":"I have a short work week this"},{"speaker":"Chris Dy","startTime":239.88,"endTime":243.18,"body":"week. So we're recording this in"},{"speaker":"Chris Dy","startTime":239.88,"endTime":243.18,"body":"the week of July 4. So obviously"},{"speaker":"Chris Dy","startTime":243.18,"endTime":246.78,"body":"Monday was a holiday for all of"},{"speaker":"Chris Dy","startTime":243.18,"endTime":246.78,"body":"us. And then I am taking"},{"speaker":"Chris Dy","startTime":246.78,"endTime":247.59,"body":"tomorrow off."},{"speaker":"Charles Goldfarb","startTime":248.58,"endTime":250.92,"body":"And what are"},{"speaker":"Charles Goldfarb","startTime":248.58,"endTime":250.92,"body":"you doing with tomorrow off?"},{"speaker":"Chris Dy","startTime":250.0,"endTime":252.64,"body":"I don't know if I"},{"speaker":"Chris Dy","startTime":250.0,"endTime":252.64,"body":"should be telling this to our"},{"speaker":"Chris Dy","startTime":252.64,"endTime":257.02,"body":"Executive Vice Chair. But I am"},{"speaker":"Chris Dy","startTime":252.64,"endTime":257.02,"body":"taking a personal day because"},{"speaker":"Chris Dy","startTime":257.05,"endTime":261.76,"body":"one of the tips from our partner"},{"speaker":"Chris Dy","startTime":257.05,"endTime":261.76,"body":"Marty Boyer was to really"},{"speaker":"Chris Dy","startTime":261.76,"endTime":267.43,"body":"prioritize your kids' birthdays."},{"speaker":"Chris Dy","startTime":261.76,"endTime":267.43,"body":"So while the kids are still"},{"speaker":"Chris Dy","startTime":267.43,"endTime":269.95,"body":"young enough, obviously now it's"},{"speaker":"Chris Dy","startTime":267.43,"endTime":269.95,"body":"summertime, and we'll be pulling"},{"speaker":"Chris Dy","startTime":269.95,"endTime":272.83,"body":"them out of camp. But I've taken"},{"speaker":"Chris Dy","startTime":269.95,"endTime":272.83,"body":"the day off on my kids'"},{"speaker":"Chris Dy","startTime":272.83,"endTime":273.34,"body":"birthdays."},{"speaker":"Charles Goldfarb","startTime":274.529,"endTime":277.169,"body":"Wow. And what"},{"speaker":"Charles Goldfarb","startTime":274.529,"endTime":277.169,"body":"are you going to do on this? Or"},{"speaker":"Charles Goldfarb","startTime":277.169,"endTime":278.219,"body":"how are you going to celebrate?"},{"speaker":"Chris Dy","startTime":278.54,"endTime":281.36,"body":"So on back in May when"},{"speaker":"Chris Dy","startTime":278.54,"endTime":281.36,"body":"it was my daughter's fourth"},{"speaker":"Chris Dy","startTime":281.36,"endTime":284.54,"body":"birthday it they both happen to"},{"speaker":"Chris Dy","startTime":281.36,"endTime":284.54,"body":"fall on Fridays this year. So"},{"speaker":"Chris Dy","startTime":284.96,"endTime":289.58,"body":"you know, I cancelled my clinic"},{"speaker":"Chris Dy","startTime":284.96,"endTime":289.58,"body":"and we had a daddy and daughter"},{"speaker":"Chris Dy","startTime":289.58,"endTime":293.45,"body":"day. We did all sorts of stuff"},{"speaker":"Chris Dy","startTime":289.58,"endTime":293.45,"body":"including the zoo and pizza and"},{"speaker":"Chris Dy","startTime":293.9,"endTime":297.71,"body":"various treats of sorts. And it"},{"speaker":"Chris Dy","startTime":293.9,"endTime":297.71,"body":"was it was really really fun."},{"speaker":"Chris Dy","startTime":298.67,"endTime":301.49,"body":"She probably will never remember"},{"speaker":"Chris Dy","startTime":298.67,"endTime":301.49,"body":"it, but I have great memories."},{"speaker":"Chris Dy","startTime":302.0,"endTime":305.87,"body":"And then tomorrow I'm taking the"},{"speaker":"Chris Dy","startTime":302.0,"endTime":305.87,"body":"day off. And my son has planned"},{"speaker":"Chris Dy","startTime":305.87,"endTime":308.54,"body":"out an entire day and we had to"},{"speaker":"Chris Dy","startTime":305.87,"endTime":308.54,"body":"whittle down the list, but it"},{"speaker":"Chris Dy","startTime":308.54,"endTime":312.65,"body":"includes going to the zoo, going"},{"speaker":"Chris Dy","startTime":308.54,"endTime":312.65,"body":"to the aquarium, going to the"},{"speaker":"Chris Dy","startTime":312.65,"endTime":316.91,"body":"Science Museum, getting pizza,"},{"speaker":"Chris Dy","startTime":312.65,"endTime":316.91,"body":"getting treats, and I had to"},{"speaker":"Chris Dy","startTime":316.91,"endTime":321.29,"body":"actually take the bowling alley"},{"speaker":"Chris Dy","startTime":316.91,"endTime":321.29,"body":"arcade and Top Golf and move it"},{"speaker":"Chris Dy","startTime":321.29,"endTime":326.27,"body":"to Saturday, because it was just"},{"speaker":"Chris Dy","startTime":321.29,"endTime":326.27,"body":"too much. That's just cannot do"},{"speaker":"Chris Dy","startTime":326.27,"endTime":328.73,"body":"it actually. Really wanted to"},{"speaker":"Chris Dy","startTime":326.27,"endTime":328.73,"body":"put a cards game in there at the"},{"speaker":"Chris Dy","startTime":328.73,"endTime":331.55,"body":"end of the evening. But my wife"},{"speaker":"Chris Dy","startTime":328.73,"endTime":331.55,"body":"said she had a hard no on that"},{"speaker":"Charles Goldfarb","startTime":331.0,"endTime":334.39,"body":"So is Tiffany"},{"speaker":"Charles Goldfarb","startTime":331.0,"endTime":334.39,"body":"also taking a day off, or is"},{"speaker":"Charles Goldfarb","startTime":331.55,"endTime":331.79,"body":"one."},{"speaker":"Charles Goldfarb","startTime":334.39,"endTime":335.38,"body":"this just the dad?"},{"speaker":"Chris Dy","startTime":335.41,"endTime":337.81,"body":"No, she's she, you"},{"speaker":"Chris Dy","startTime":335.41,"endTime":337.81,"body":"know, this is this is my thing,"},{"speaker":"Chris Dy","startTime":337.81,"endTime":341.74,"body":"apparently, for better or worse."},{"speaker":"Chris Dy","startTime":337.81,"endTime":341.74,"body":"But."},{"speaker":"Charles Goldfarb","startTime":342.2,"endTime":346.22,"body":"Yeah, so I was"},{"speaker":"Charles Goldfarb","startTime":342.2,"endTime":346.22,"body":"gonna say Rafi has, I guess it's"},{"speaker":"Charles Goldfarb","startTime":346.22,"endTime":349.46,"body":"not such an uncommon"},{"speaker":"Charles Goldfarb","startTime":346.22,"endTime":349.46,"body":"perspective. I mean, why limit a"},{"speaker":"Charles Goldfarb","startTime":349.46,"endTime":353.84,"body":"birthday celebration to a day."},{"speaker":"Charles Goldfarb","startTime":349.46,"endTime":353.84,"body":"My wife has a big birthday"},{"speaker":"Charles Goldfarb","startTime":353.84,"endTime":356.66,"body":"coming up. She would kill me if"},{"speaker":"Charles Goldfarb","startTime":353.84,"endTime":356.66,"body":"I said exactly what birthday"},{"speaker":"Charles Goldfarb","startTime":356.66,"endTime":360.83,"body":"that was. But she has a big"},{"speaker":"Charles Goldfarb","startTime":356.66,"endTime":360.83,"body":"birthday coming up. And it's not"},{"speaker":"Charles Goldfarb","startTime":360.83,"endTime":366.71,"body":"a day. It's not a weekend, week"},{"speaker":"Charles Goldfarb","startTime":360.83,"endTime":366.71,"body":"or a month. It's the Year of"},{"speaker":"Charles Goldfarb","startTime":366.71,"endTime":371.78,"body":"Talia. And, and she was inspired"},{"speaker":"Charles Goldfarb","startTime":366.71,"endTime":371.78,"body":"by a good friend of ours who"},{"speaker":"Charles Goldfarb","startTime":371.96,"endTime":375.56,"body":"made it the year of David and"},{"speaker":"Charles Goldfarb","startTime":371.96,"endTime":375.56,"body":"lots of travels. So I have some"},{"speaker":"Charles Goldfarb","startTime":375.56,"endTime":377.93,"body":"pressure coming my way to be"},{"speaker":"Charles Goldfarb","startTime":375.56,"endTime":377.93,"body":"available."},{"speaker":"Chris Dy","startTime":377.93,"endTime":378.62,"body":"Yes, you do."},{"speaker":"Charles Goldfarb","startTime":378.68,"endTime":381.74,"body":"And we have"},{"speaker":"Charles Goldfarb","startTime":378.68,"endTime":381.74,"body":"big plans. We've never been to"},{"speaker":"Charles Goldfarb","startTime":381.74,"endTime":384.47,"body":"professional tennis tournament,"},{"speaker":"Charles Goldfarb","startTime":381.74,"endTime":384.47,"body":"and she really wants to get to"},{"speaker":"Charles Goldfarb","startTime":384.47,"endTime":389.81,"body":"US Open. And there's some other"},{"speaker":"Charles Goldfarb","startTime":384.47,"endTime":389.81,"body":"crazy stuff. So I feel your"},{"speaker":"Charles Goldfarb","startTime":389.81,"endTime":391.31,"body":"pain. And it's a good day."},{"speaker":"Chris Dy","startTime":391.73,"endTime":394.46,"body":"US Open is amazing. I"},{"speaker":"Chris Dy","startTime":391.73,"endTime":394.46,"body":"remember going there, I think"},{"speaker":"Chris Dy","startTime":394.46,"endTime":397.64,"body":"the last two years of residency"},{"speaker":"Chris Dy","startTime":394.46,"endTime":397.64,"body":"in Manhattan going out to"},{"speaker":"Chris Dy","startTime":398.39,"endTime":401.51,"body":"Queens. And it's an amazing"},{"speaker":"Chris Dy","startTime":398.39,"endTime":401.51,"body":"thing. If you don't have great"},{"speaker":"Chris Dy","startTime":401.51,"endTime":404.9,"body":"seats. It's just such a fun"},{"speaker":"Chris Dy","startTime":401.51,"endTime":404.9,"body":"experience. Yeah, you guys are"},{"speaker":"Chris Dy","startTime":404.9,"endTime":406.46,"body":"gonna love that. It's tons of"},{"speaker":"Chris Dy","startTime":404.9,"endTime":406.46,"body":"fun."},{"speaker":"Charles Goldfarb","startTime":406.86,"endTime":409.41,"body":"Yeah, I don't"},{"speaker":"Charles Goldfarb","startTime":406.86,"endTime":409.41,"body":"know that I can sit for multiple"},{"speaker":"Charles Goldfarb","startTime":409.41,"endTime":413.58,"body":"days like she can. But it'll be"},{"speaker":"Charles Goldfarb","startTime":409.41,"endTime":413.58,"body":"fun. Nonetheless, it'll be fun."},{"speaker":"Chris Dy","startTime":414.02,"endTime":417.26,"body":"Well, so I'm curious."},{"speaker":"Chris Dy","startTime":414.02,"endTime":417.26,"body":"So if you have to cancel a"},{"speaker":"Chris Dy","startTime":417.26,"endTime":420.38,"body":"clinic day, it actually really"},{"speaker":"Chris Dy","startTime":417.26,"endTime":420.38,"body":"bothers me to cancel the clinic"},{"speaker":"Chris Dy","startTime":420.38,"endTime":424.49,"body":"day, especially when my other"},{"speaker":"Chris Dy","startTime":420.38,"endTime":424.49,"body":"clinic days already gone for a"},{"speaker":"Chris Dy","startTime":425.24,"endTime":427.73,"body":"for a holiday. So I actually"},{"speaker":"Chris Dy","startTime":425.24,"endTime":427.73,"body":"ended up putting on a clinic"},{"speaker":"Chris Dy","startTime":427.73,"endTime":432.11,"body":"yesterday, which was not my"},{"speaker":"Chris Dy","startTime":427.73,"endTime":432.11,"body":"normal clinic day. And our hand"},{"speaker":"Chris Dy","startTime":432.11,"endTime":434.45,"body":"therapist said, one of the hand"},{"speaker":"Chris Dy","startTime":432.11,"endTime":434.45,"body":"therapists that works with me,"},{"speaker":"Chris Dy","startTime":434.45,"endTime":437.06,"body":"she was like, remember when you"},{"speaker":"Chris Dy","startTime":434.45,"endTime":437.06,"body":"just used to take a day off to"},{"speaker":"Chris Dy","startTime":437.06,"endTime":439.82,"body":"take a day off? I was like, No,"},{"speaker":"Chris Dy","startTime":437.06,"endTime":439.82,"body":"I kind of got obligations, I"},{"speaker":"Chris Dy","startTime":439.82,"endTime":443.18,"body":"kind of have to keep this thing"},{"speaker":"Chris Dy","startTime":439.82,"endTime":443.18,"body":"going. So I really need to be"},{"speaker":"Chris Dy","startTime":443.18,"endTime":447.26,"body":"better about truly taking a day"},{"speaker":"Chris Dy","startTime":443.18,"endTime":447.26,"body":"off and not just filling in some"},{"speaker":"Charles Goldfarb","startTime":447.0,"endTime":451.14,"body":"So it's a"},{"speaker":"Charles Goldfarb","startTime":447.0,"endTime":451.14,"body":"great point. For our listeners,"},{"speaker":"Charles Goldfarb","startTime":447.26,"endTime":447.86,"body":"other time."},{"speaker":"Charles Goldfarb","startTime":451.14,"endTime":453.69,"body":"I'd be curious if any of you"},{"speaker":"Charles Goldfarb","startTime":451.14,"endTime":453.69,"body":"guys want to reach out and share"},{"speaker":"Charles Goldfarb","startTime":453.69,"endTime":458.43,"body":"your philosophy, because like"},{"speaker":"Charles Goldfarb","startTime":453.69,"endTime":458.43,"body":"Chris, I miss my big Monday"},{"speaker":"Charles Goldfarb","startTime":458.43,"endTime":461.25,"body":"clinic. And so I thought well, I"},{"speaker":"Charles Goldfarb","startTime":458.43,"endTime":461.25,"body":"should probably just do a quick"},{"speaker":"Charles Goldfarb","startTime":461.25,"endTime":464.73,"body":"post op clinic today, which is"},{"speaker":"Charles Goldfarb","startTime":461.25,"endTime":464.73,"body":"Thursday. And that was the plan"},{"speaker":"Charles Goldfarb","startTime":464.73,"endTime":467.22,"body":"that you know, like 10-12"},{"speaker":"Charles Goldfarb","startTime":464.73,"endTime":467.22,"body":"patients, that I just needed to"},{"speaker":"Charles Goldfarb","startTime":467.22,"endTime":471.99,"body":"see. Well, that ballooned in the"},{"speaker":"Charles Goldfarb","startTime":467.22,"endTime":471.99,"body":"half day to 30 patients with a"},{"speaker":"Charles Goldfarb","startTime":471.99,"endTime":476.82,"body":"bunch of news. And thankfully,"},{"speaker":"Charles Goldfarb","startTime":471.99,"endTime":476.82,"body":"it went smoothly. And a number"},{"speaker":"Charles Goldfarb","startTime":476.82,"endTime":479.19,"body":"of surgeries came in and"},{"speaker":"Charles Goldfarb","startTime":476.82,"endTime":479.19,"body":"including some you would like."},{"speaker":"Charles Goldfarb","startTime":480.06,"endTime":484.2,"body":"But yeah, I was just enjoying"},{"speaker":"Charles Goldfarb","startTime":480.06,"endTime":484.2,"body":"the fourth and not trying to"},{"speaker":"Charles Goldfarb","startTime":484.2,"endTime":484.95,"body":"make up for it."},{"speaker":"Chris Dy","startTime":485.399,"endTime":488.459,"body":"Yeah, I told I think"},{"speaker":"Chris Dy","startTime":485.399,"endTime":488.459,"body":"it's a total pathology. So then"},{"speaker":"Chris Dy","startTime":488.459,"endTime":490.229,"body":"I complain about it. And then"},{"speaker":"Chris Dy","startTime":488.459,"endTime":490.229,"body":"somebody says, Well, you"},{"speaker":"Chris Dy","startTime":490.229,"endTime":493.019,"body":"actually chose to do this. You"},{"speaker":"Chris Dy","startTime":490.229,"endTime":493.019,"body":"know what, you know, you're"},{"speaker":"Chris Dy","startTime":493.019,"endTime":496.559,"body":"right. I'm trying to jam a five"},{"speaker":"Chris Dy","startTime":493.019,"endTime":496.559,"body":"day work week in three days."},{"speaker":"Chris Dy","startTime":496.919,"endTime":501.239,"body":"And, you know, it's just busy."},{"speaker":"Chris Dy","startTime":496.919,"endTime":501.239,"body":"But that's okay. I did ask for"},{"speaker":"Chris Dy","startTime":501.239,"endTime":505.559,"body":"it. Yeah, I'd be curious to hear"},{"speaker":"Chris Dy","startTime":501.239,"endTime":505.559,"body":"what other people do. I was"},{"speaker":"Chris Dy","startTime":505.559,"endTime":509.669,"body":"told, I think maybe by you that,"},{"speaker":"Chris Dy","startTime":505.559,"endTime":509.669,"body":"you know, it's much easier to"},{"speaker":"Chris Dy","startTime":509.669,"endTime":512.969,"body":"cancel a day of cases because"},{"speaker":"Chris Dy","startTime":509.669,"endTime":512.969,"body":"it's just less people. As"},{"speaker":"Chris Dy","startTime":512.969,"endTime":515.189,"body":"opposed to when you're canceling"},{"speaker":"Chris Dy","startTime":512.969,"endTime":515.189,"body":"clinic. And and obviously,"},{"speaker":"Chris Dy","startTime":515.219,"endTime":517.469,"body":"changing a clinic has"},{"speaker":"Chris Dy","startTime":515.219,"endTime":517.469,"body":"implications on your practice"},{"speaker":"Chris Dy","startTime":517.469,"endTime":519.809,"body":"building, etc. So when you're at"},{"speaker":"Chris Dy","startTime":517.469,"endTime":519.809,"body":"my phase, and it's still, I"},{"speaker":"Chris Dy","startTime":519.809,"endTime":524.189,"body":"think, pretty critical. I still"},{"speaker":"Chris Dy","startTime":519.809,"endTime":524.189,"body":"like to have a clinic at least"},{"speaker":"Chris Dy","startTime":524.189,"endTime":526.979,"body":"once a week, if I can, if I'm"},{"speaker":"Chris Dy","startTime":524.189,"endTime":526.979,"body":"not out the entire week."},{"speaker":"Charles Goldfarb","startTime":527.25,"endTime":529.95,"body":"Yeah. And"},{"speaker":"Charles Goldfarb","startTime":527.25,"endTime":529.95,"body":"look, one of the other wise"},{"speaker":"Charles Goldfarb","startTime":529.95,"endTime":534.24,"body":"things my wife has, is that"},{"speaker":"Charles Goldfarb","startTime":529.95,"endTime":534.24,"body":"look, if you ask for something,"},{"speaker":"Charles Goldfarb","startTime":534.24,"endTime":537.9,"body":"or you asked for a position, you"},{"speaker":"Charles Goldfarb","startTime":534.24,"endTime":537.9,"body":"know, she'll listen to me gripe"},{"speaker":"Charles Goldfarb","startTime":537.9,"endTime":541.77,"body":"occasionally or just, you know,"},{"speaker":"Charles Goldfarb","startTime":537.9,"endTime":541.77,"body":"whine, but ultimately, it's, you"},{"speaker":"Charles Goldfarb","startTime":541.77,"endTime":543.21,"body":"know, we make our own choices."},{"speaker":"Chris Dy","startTime":543.6,"endTime":547.8,"body":"Exactly, exactly. So"},{"speaker":"Chris Dy","startTime":543.6,"endTime":547.8,"body":"listeners are getting insight"},{"speaker":"Chris Dy","startTime":547.8,"endTime":553.83,"body":"into who we are, and the"},{"speaker":"Chris Dy","startTime":547.8,"endTime":553.83,"body":"decisions we make. But yeah, we"},{"speaker":"Chris Dy","startTime":553.83,"endTime":556.47,"body":"can so we should talk about the"},{"speaker":"Chris Dy","startTime":553.83,"endTime":556.47,"body":"visit, and the Gelberman travels"},{"speaker":"Chris Dy","startTime":556.47,"endTime":559.26,"body":"at a different point. And"},{"speaker":"Chris Dy","startTime":556.47,"endTime":559.26,"body":"because I think there's a lot"},{"speaker":"Chris Dy","startTime":559.26,"endTime":563.37,"body":"I've enjoyed and learned about"},{"speaker":"Chris Dy","startTime":559.26,"endTime":563.37,"body":"before we have a cool, really"},{"speaker":"Chris Dy","startTime":563.37,"endTime":565.59,"body":"cool episode today. We've gotten"},{"speaker":"Chris Dy","startTime":563.37,"endTime":565.59,"body":"some really great emails in the"},{"speaker":"Chris Dy","startTime":565.59,"endTime":568.26,"body":"last month or so from listeners."},{"speaker":"Chris Dy","startTime":565.59,"endTime":568.26,"body":"So thank you to everybody for"},{"speaker":"Chris Dy","startTime":568.26,"endTime":572.61,"body":"sending in those emails. Before"},{"speaker":"Chris Dy","startTime":568.26,"endTime":572.61,"body":"we get into mostly non clinical"},{"speaker":"Chris Dy","startTime":572.61,"endTime":574.95,"body":"topics. I was wondering, Chuck,"},{"speaker":"Chris Dy","startTime":572.61,"endTime":574.95,"body":"if there's an interesting case"},{"speaker":"Chris Dy","startTime":574.95,"endTime":577.5,"body":"you wanted to share that might"},{"speaker":"Chris Dy","startTime":574.95,"endTime":577.5,"body":"be a nice way to get started?"},{"speaker":"Charles Goldfarb","startTime":578.11,"endTime":580.69,"body":"Yeah, I did"},{"speaker":"Charles Goldfarb","startTime":578.11,"endTime":580.69,"body":"have an interesting case. And I"},{"speaker":"Charles Goldfarb","startTime":580.69,"endTime":584.98,"body":"want to just be a little vague"},{"speaker":"Charles Goldfarb","startTime":580.69,"endTime":584.98,"body":"about it. But they had a very"},{"speaker":"Charles Goldfarb","startTime":584.98,"endTime":594.16,"body":"nice lady who, several years ago"},{"speaker":"Charles Goldfarb","startTime":584.98,"endTime":594.16,"body":"I excised a fibrous lesion from"},{"speaker":"Charles Goldfarb","startTime":595.15,"endTime":601.66,"body":"the volar surface of the finger."},{"speaker":"Charles Goldfarb","startTime":595.15,"endTime":601.66,"body":"It came back benign. And it"},{"speaker":"Charles Goldfarb","startTime":601.75,"endTime":606.7,"body":"recurred. And it was palpable,"},{"speaker":"Charles Goldfarb","startTime":601.75,"endTime":606.7,"body":"nothing dramatic on clinical"},{"speaker":"Charles Goldfarb","startTime":606.7,"endTime":611.35,"body":"exam. I didn't image it. But"},{"speaker":"Charles Goldfarb","startTime":606.7,"endTime":611.35,"body":"what was interesting is, it was"},{"speaker":"Charles Goldfarb","startTime":611.35,"endTime":614.95,"body":"volar. It was adjacent to the"},{"speaker":"Charles Goldfarb","startTime":611.35,"endTime":614.95,"body":"flexor sheath originally but"},{"speaker":"Charles Goldfarb","startTime":614.95,"endTime":618.58,"body":"didn't really impact the sheath."},{"speaker":"Charles Goldfarb","startTime":614.95,"endTime":618.58,"body":"And when she came back, you"},{"speaker":"Charles Goldfarb","startTime":618.58,"endTime":622.15,"body":"know, it was recurrent in a"},{"speaker":"Charles Goldfarb","startTime":618.58,"endTime":622.15,"body":"similar location, and she"},{"speaker":"Charles Goldfarb","startTime":622.15,"endTime":625.06,"body":"developed a significant swan"},{"speaker":"Charles Goldfarb","startTime":622.15,"endTime":625.06,"body":"neck deformity. So we took her"},{"speaker":"Charles Goldfarb","startTime":625.06,"endTime":629.98,"body":"to the OR and did a much more"},{"speaker":"Charles Goldfarb","startTime":625.06,"endTime":629.98,"body":"extensive volar approach. And"},{"speaker":"Charles Goldfarb","startTime":629.98,"endTime":636.1,"body":"this lesion, still appeared"},{"speaker":"Charles Goldfarb","startTime":629.98,"endTime":636.1,"body":"benign, was multi lobular, and"},{"speaker":"Charles Goldfarb","startTime":636.1,"endTime":640.87,"body":"had significantly affected the"},{"speaker":"Charles Goldfarb","startTime":636.1,"endTime":640.87,"body":"FDP tendon. It was still at"},{"speaker":"Charles Goldfarb","startTime":640.87,"endTime":644.59,"body":"least 50% intact, but it did not"},{"speaker":"Charles Goldfarb","startTime":640.87,"endTime":644.59,"body":"look good. So I debride it"},{"speaker":"Charles Goldfarb","startTime":644.59,"endTime":648.07,"body":"extensively. I opened a four and"},{"speaker":"Charles Goldfarb","startTime":644.59,"endTime":648.07,"body":"a five pulleys left everything"},{"speaker":"Charles Goldfarb","startTime":648.07,"endTime":652.12,"body":"else intact. Sent it to"},{"speaker":"Charles Goldfarb","startTime":648.07,"endTime":652.12,"body":"methodology, of course again,"},{"speaker":"Charles Goldfarb","startTime":652.42,"endTime":656.5,"body":"and then I went ahead and"},{"speaker":"Charles Goldfarb","startTime":652.42,"endTime":656.5,"body":"treated the the swan neck"},{"speaker":"Charles Goldfarb","startTime":656.5,"endTime":659.02,"body":"deformity with a lateral band"},{"speaker":"Charles Goldfarb","startTime":656.5,"endTime":659.02,"body":"transfer, which is a procedure I"},{"speaker":"Charles Goldfarb","startTime":659.02,"endTime":664.18,"body":"love, where one takes one of the"},{"speaker":"Charles Goldfarb","startTime":659.02,"endTime":664.18,"body":"lateral bands, and brings it"},{"speaker":"Charles Goldfarb","startTime":664.18,"endTime":667.96,"body":"forward to the axis of rotation"},{"speaker":"Charles Goldfarb","startTime":664.18,"endTime":667.96,"body":"that PIP joint to help prevent"},{"speaker":"Charles Goldfarb","startTime":667.96,"endTime":671.92,"body":"that hyperextension of the PIP"},{"speaker":"Charles Goldfarb","startTime":667.96,"endTime":671.92,"body":"joint. And patients generally do"},{"speaker":"Charles Goldfarb","startTime":671.92,"endTime":675.07,"body":"really well with it. So it was"},{"speaker":"Charles Goldfarb","startTime":671.92,"endTime":675.07,"body":"just super interesting. And I"},{"speaker":"Charles Goldfarb","startTime":675.07,"endTime":678.22,"body":"haven't seen anything quite like"},{"speaker":"Charles Goldfarb","startTime":675.07,"endTime":678.22,"body":"this. I'm not, it'll be"},{"speaker":"Charles Goldfarb","startTime":678.22,"endTime":681.73,"body":"interesting to see if the"},{"speaker":"Charles Goldfarb","startTime":678.22,"endTime":681.73,"body":"lateral band transfer helps the"},{"speaker":"Charles Goldfarb","startTime":681.73,"endTime":685.0,"body":"distal joint. I think it'll help"},{"speaker":"Charles Goldfarb","startTime":681.73,"endTime":685.0,"body":"the PIP joint. But some of this"},{"speaker":"Charles Goldfarb","startTime":685.0,"endTime":687.94,"body":"is just pathology related to the"},{"speaker":"Charles Goldfarb","startTime":685.0,"endTime":687.94,"body":"FDP tendon. So super"},{"speaker":"Charles Goldfarb","startTime":687.94,"endTime":688.39,"body":"interesting."},{"speaker":"Chris Dy","startTime":689.77,"endTime":691.96,"body":"Interesting, two"},{"speaker":"Chris Dy","startTime":689.77,"endTime":691.96,"body":"things, as you would say,"},{"speaker":"Chris Dy","startTime":693.13,"endTime":696.19,"body":"lateral band transfer, is that"},{"speaker":"Chris Dy","startTime":693.13,"endTime":696.19,"body":"better performed the way? And"},{"speaker":"Chris Dy","startTime":696.19,"endTime":700.12,"body":"how instantaneously do you see"},{"speaker":"Chris Dy","startTime":696.19,"endTime":700.12,"body":"an improved improvement in at"},{"speaker":"Chris Dy","startTime":700.12,"endTime":701.89,"body":"least that PIJ hyperextension?"},{"speaker":"Charles Goldfarb","startTime":702.58,"endTime":704.83,"body":"I've never"},{"speaker":"Charles Goldfarb","startTime":702.58,"endTime":704.83,"body":"done it awake, it's often in a"},{"speaker":"Charles Goldfarb","startTime":704.83,"endTime":709.12,"body":"younger age group for me. And"},{"speaker":"Charles Goldfarb","startTime":704.83,"endTime":709.12,"body":"sometimes CP patients, I haven't"},{"speaker":"Charles Goldfarb","startTime":709.12,"endTime":714.37,"body":"had trouble balancing it because"},{"speaker":"Charles Goldfarb","startTime":709.12,"endTime":714.37,"body":"part of the trick is in the OR"},{"speaker":"Charles Goldfarb","startTime":714.64,"endTime":718.75,"body":"achieving a resting posture and"},{"speaker":"Charles Goldfarb","startTime":714.64,"endTime":718.75,"body":"slight flexion with the ability"},{"speaker":"Charles Goldfarb","startTime":718.75,"endTime":723.01,"body":"to passively extend fully, but"},{"speaker":"Charles Goldfarb","startTime":718.75,"endTime":723.01,"body":"just to kind of spring back"},{"speaker":"Charles Goldfarb","startTime":723.13,"endTime":727.84,"body":"mechanism. And then our therapy"},{"speaker":"Charles Goldfarb","startTime":723.13,"endTime":727.84,"body":"colleagues are key. And so I"},{"speaker":"Charles Goldfarb","startTime":727.84,"endTime":730.63,"body":"generally let them rest for a"},{"speaker":"Charles Goldfarb","startTime":727.84,"endTime":730.63,"body":"couple of weeks. And then at"},{"speaker":"Charles Goldfarb","startTime":730.63,"endTime":733.87,"body":"about two weeks, I put them in a"},{"speaker":"Charles Goldfarb","startTime":730.63,"endTime":733.87,"body":"dorsal block splint like we"},{"speaker":"Charles Goldfarb","startTime":733.87,"endTime":738.4,"body":"might do for a PIP dislocation."},{"speaker":"Charles Goldfarb","startTime":733.87,"endTime":738.4,"body":"And I block them and about 10"},{"speaker":"Charles Goldfarb","startTime":738.4,"endTime":740.77,"body":"degrees of flexion. And when all"},{"speaker":"Charles Goldfarb","startTime":738.4,"endTime":740.77,"body":"said and done, they end up"},{"speaker":"Charles Goldfarb","startTime":740.77,"endTime":744.49,"body":"between zero and 10 degrees."},{"speaker":"Charles Goldfarb","startTime":740.77,"endTime":744.49,"body":"It's pretty reliable. But I like"},{"speaker":"Charles Goldfarb","startTime":744.49,"endTime":746.65,"body":"the way you think and I think in"},{"speaker":"Charles Goldfarb","startTime":744.49,"endTime":746.65,"body":"the right patient, that would be"},{"speaker":"Charles Goldfarb","startTime":746.65,"endTime":748.03,"body":"a good choice to local only."},{"speaker":"Chris Dy","startTime":748.57,"endTime":755.86,"body":"Do you think that the"},{"speaker":"Chris Dy","startTime":748.57,"endTime":755.86,"body":"do you leave the DIP joint free"},{"speaker":"Chris Dy","startTime":755.86,"endTime":760.24,"body":"in that dorsal blocking splint"},{"speaker":"Chris Dy","startTime":755.86,"endTime":760.24,"body":"to allow that DIJ to cycle and"},{"speaker":"Chris Dy","startTime":760.27,"endTime":764.17,"body":"hopefully get rid of that"},{"speaker":"Chris Dy","startTime":760.27,"endTime":764.17,"body":"flexion posture at the DIJ and"},{"speaker":"Chris Dy","startTime":764.17,"endTime":767.08,"body":"use those lateral bands almost"},{"speaker":"Chris Dy","startTime":764.17,"endTime":767.08,"body":"like a because it sounds like"},{"speaker":"Chris Dy","startTime":767.08,"endTime":770.11,"body":"you're recreating an oblique"},{"speaker":"Chris Dy","startTime":767.08,"endTime":770.11,"body":"retinacular ligament or creating"},{"speaker":"Chris Dy","startTime":770.11,"endTime":772.81,"body":"one because the ORL may or may"},{"speaker":"Chris Dy","startTime":770.11,"endTime":772.81,"body":"not exist."},{"speaker":"Charles Goldfarb","startTime":773.38,"endTime":775.03,"body":"Yeah, you're"},{"speaker":"Charles Goldfarb","startTime":773.38,"endTime":775.03,"body":"definitely that's exactly what"},{"speaker":"Charles Goldfarb","startTime":775.03,"endTime":777.58,"body":"you're doing. Because for those"},{"speaker":"Charles Goldfarb","startTime":775.03,"endTime":777.58,"body":"of you who aren't familiar with"},{"speaker":"Charles Goldfarb","startTime":777.58,"endTime":782.11,"body":"this mysterious anatomy of the"},{"speaker":"Charles Goldfarb","startTime":777.58,"endTime":782.11,"body":"ORL, I've never seen one despite"},{"speaker":"Charles Goldfarb","startTime":782.11,"endTime":785.71,"body":"doing lots of anatomical"},{"speaker":"Charles Goldfarb","startTime":782.11,"endTime":785.71,"body":"dissections, and in old school"},{"speaker":"Charles Goldfarb","startTime":785.71,"endTime":788.86,"body":"treatment for this was actually"},{"speaker":"Charles Goldfarb","startTime":785.71,"endTime":788.86,"body":"literally a tendon graft"},{"speaker":"Charles Goldfarb","startTime":788.86,"endTime":791.38,"body":"reconstruction. I don't think"},{"speaker":"Charles Goldfarb","startTime":788.86,"endTime":791.38,"body":"anybody Well, shouldn't anyway,"},{"speaker":"Charles Goldfarb","startTime":791.38,"endTime":795.4,"body":"and most people don't do that"},{"speaker":"Charles Goldfarb","startTime":791.38,"endTime":795.4,"body":"anymore. I like the idea. And we"},{"speaker":"Charles Goldfarb","startTime":795.4,"endTime":798.97,"body":"do get the distal joint moving"},{"speaker":"Charles Goldfarb","startTime":795.4,"endTime":798.97,"body":"early. Yes, that's exactly"},{"speaker":"Charles Goldfarb","startTime":798.97,"endTime":803.5,"body":"right. What's your second point?"},{"speaker":"Charles Goldfarb","startTime":798.97,"endTime":803.5,"body":"Or maybe that was it?"},{"speaker":"Chris Dy","startTime":804.01,"endTime":807.85,"body":"So the second one is."},{"speaker":"Chris Dy","startTime":804.01,"endTime":807.85,"body":"How often do you image finger"},{"speaker":"Chris Dy","startTime":807.85,"endTime":811.45,"body":"masses because this comes my way"},{"speaker":"Chris Dy","startTime":807.85,"endTime":811.45,"body":"quite a bit. And if it for me,"},{"speaker":"Chris Dy","startTime":811.45,"endTime":814.9,"body":"if it doesn't look like a"},{"speaker":"Chris Dy","startTime":811.45,"endTime":814.9,"body":"classic, you know, a retinacular"},{"speaker":"Chris Dy","startTime":814.9,"endTime":819.46,"body":"cyst or a mucus type variant, I"},{"speaker":"Chris Dy","startTime":814.9,"endTime":819.46,"body":"have a low threshold to image"},{"speaker":"Chris Dy","startTime":819.61,"endTime":821.77,"body":"just because I don't like"},{"speaker":"Chris Dy","startTime":819.61,"endTime":821.77,"body":"surprises. And I think it helps"},{"speaker":"Chris Dy","startTime":821.77,"endTime":822.43,"body":"them with counseling."},{"speaker":"Charles Goldfarb","startTime":823.54,"endTime":826.6,"body":"I would"},{"speaker":"Charles Goldfarb","startTime":823.54,"endTime":826.6,"body":"estimate that I do fewer than"},{"speaker":"Charles Goldfarb","startTime":826.6,"endTime":830.17,"body":"you I don't aggressively image"},{"speaker":"Charles Goldfarb","startTime":826.6,"endTime":830.17,"body":"especially if it seems like I'm"},{"speaker":"Charles Goldfarb","startTime":830.17,"endTime":834.52,"body":"going to be performing an"},{"speaker":"Charles Goldfarb","startTime":830.17,"endTime":834.52,"body":"incisional biopsy. So like, you"},{"speaker":"Charles Goldfarb","startTime":834.52,"endTime":837.67,"body":"know, some are classic, and"},{"speaker":"Charles Goldfarb","startTime":834.52,"endTime":837.67,"body":"neither of us would image I"},{"speaker":"Charles Goldfarb","startTime":837.67,"endTime":841.39,"body":"don't tend to image if if the"},{"speaker":"Charles Goldfarb","startTime":837.67,"endTime":841.39,"body":"patient wants it out. And it"},{"speaker":"Charles Goldfarb","startTime":841.39,"endTime":844.72,"body":"doesn't seem alarming. And it's"},{"speaker":"Charles Goldfarb","startTime":841.39,"endTime":844.72,"body":"the you know, the presence of"},{"speaker":"Charles Goldfarb","startTime":844.72,"endTime":848.38,"body":"pain or rapid growth. If those"},{"speaker":"Charles Goldfarb","startTime":844.72,"endTime":848.38,"body":"factors are lacking, I tend to"},{"speaker":"Charles Goldfarb","startTime":848.38,"endTime":851.26,"body":"just perform an excisional"},{"speaker":"Charles Goldfarb","startTime":848.38,"endTime":851.26,"body":"biopsy. If I really just feel"},{"speaker":"Charles Goldfarb","startTime":851.26,"endTime":854.65,"body":"uncomfortable, then I agree with"},{"speaker":"Charles Goldfarb","startTime":851.26,"endTime":854.65,"body":"you. Imaging would be helpful in"},{"speaker":"Charles Goldfarb","startTime":854.65,"endTime":858.28,"body":"this case it was recurrent. So I"},{"speaker":"Charles Goldfarb","startTime":854.65,"endTime":858.28,"body":"really wasn't necessarily"},{"speaker":"Charles Goldfarb","startTime":858.28,"endTime":861.46,"body":"worried about what it was. I"},{"speaker":"Charles Goldfarb","startTime":858.28,"endTime":861.46,"body":"don't think it would have"},{"speaker":"Charles Goldfarb","startTime":861.46,"endTime":865.45,"body":"changed my treatment. So I don't"},{"speaker":"Charles Goldfarb","startTime":861.46,"endTime":865.45,"body":"think I missed an opportunity."},{"speaker":"Charles Goldfarb","startTime":865.99,"endTime":867.85,"body":"But it's again a fair point."},{"speaker":"Chris Dy","startTime":868.63,"endTime":871.45,"body":"And then when do you"},{"speaker":"Chris Dy","startTime":868.63,"endTime":871.45,"body":"send the specimen for pathology?"},{"speaker":"Charles Goldfarb","startTime":873.25,"endTime":878.08,"body":"The only time"},{"speaker":"Charles Goldfarb","startTime":873.25,"endTime":878.08,"body":"I don't is if I it really unless"},{"speaker":"Charles Goldfarb","startTime":878.08,"endTime":881.59,"body":"there's a ganglion cyst. Even"},{"speaker":"Charles Goldfarb","startTime":878.08,"endTime":881.59,"body":"for clear giant cell tumors and"},{"speaker":"Charles Goldfarb","startTime":881.59,"endTime":884.53,"body":"tendon sheath, I just think it's"},{"speaker":"Charles Goldfarb","startTime":881.59,"endTime":884.53,"body":"the right thing to do. I don't"},{"speaker":"Charles Goldfarb","startTime":884.53,"endTime":891.52,"body":"ever send ganglion cysts. But I"},{"speaker":"Charles Goldfarb","startTime":884.53,"endTime":891.52,"body":"don't want to be caught without"},{"speaker":"Charles Goldfarb","startTime":891.52,"endTime":894.7,"body":"having done it. Do you have the"},{"speaker":"Charles Goldfarb","startTime":891.52,"endTime":894.7,"body":"same approach?"},{"speaker":"Chris Dy","startTime":895.53,"endTime":899.1,"body":"Pretty much if it's if"},{"speaker":"Chris Dy","startTime":895.53,"endTime":899.1,"body":"if it isn't exactly what I"},{"speaker":"Chris Dy","startTime":899.1,"endTime":902.34,"body":"expect it to be, which"},{"speaker":"Chris Dy","startTime":899.1,"endTime":902.34,"body":"Typically, it's a ganglion type"},{"speaker":"Chris Dy","startTime":902.34,"endTime":905.79,"body":"variant, I will send it. And I"},{"speaker":"Chris Dy","startTime":902.34,"endTime":905.79,"body":"have been surprised every now"},{"speaker":"Chris Dy","startTime":905.79,"endTime":909.27,"body":"and then. And I think it does"},{"speaker":"Chris Dy","startTime":905.79,"endTime":909.27,"body":"help in counseling afterwards."},{"speaker":"Chris Dy","startTime":909.27,"endTime":911.7,"body":"And I think there are obviously"},{"speaker":"Chris Dy","startTime":909.27,"endTime":911.7,"body":"other reasons to do it."},{"speaker":"Charles Goldfarb","startTime":912.65,"endTime":914.54,"body":"I want to"},{"speaker":"Charles Goldfarb","startTime":912.65,"endTime":914.54,"body":"share another quick story slash"},{"speaker":"Charles Goldfarb","startTime":914.57,"endTime":917.75,"body":"case, the case is not"},{"speaker":"Charles Goldfarb","startTime":914.57,"endTime":917.75,"body":"interesting, particularly, but"},{"speaker":"Charles Goldfarb","startTime":918.02,"endTime":922.01,"body":"one of our partners and I will"},{"speaker":"Charles Goldfarb","startTime":918.02,"endTime":922.01,"body":"leave that person nameless did a"},{"speaker":"Charles Goldfarb","startTime":922.28,"endTime":928.46,"body":"carpal tunnel release. And that"},{"speaker":"Charles Goldfarb","startTime":922.28,"endTime":928.46,"body":"partner injected, it was a wide"},{"speaker":"Charles Goldfarb","startTime":928.46,"endTime":933.2,"body":"awake, injected in the operating"},{"speaker":"Charles Goldfarb","startTime":928.46,"endTime":933.2,"body":"room and immediately started"},{"speaker":"Charles Goldfarb","startTime":933.29,"endTime":937.52,"body":"cutting as the patient described"},{"speaker":"Charles Goldfarb","startTime":933.29,"endTime":937.52,"body":"to me. And she was okay and you"},{"speaker":"Charles Goldfarb","startTime":937.52,"endTime":939.29,"body":"know, a little uncomfortable and"},{"speaker":"Charles Goldfarb","startTime":937.52,"endTime":939.29,"body":"asked for a little more"},{"speaker":"Charles Goldfarb","startTime":939.29,"endTime":944.12,"body":"medication and did fine. And"},{"speaker":"Charles Goldfarb","startTime":939.29,"endTime":944.12,"body":"really wanted to get the second"},{"speaker":"Charles Goldfarb","startTime":944.12,"endTime":949.85,"body":"side done. So I agreed to do it."},{"speaker":"Charles Goldfarb","startTime":944.12,"endTime":949.85,"body":"And did what I usually do, which"},{"speaker":"Charles Goldfarb","startTime":949.85,"endTime":953.0,"body":"is what you do, I believe, which"},{"speaker":"Charles Goldfarb","startTime":949.85,"endTime":953.0,"body":"is in the pre op holding area,"},{"speaker":"Charles Goldfarb","startTime":953.03,"endTime":956.12,"body":"inject a little lidocaine with"},{"speaker":"Charles Goldfarb","startTime":953.03,"endTime":956.12,"body":"epinephrine, and then it's the"},{"speaker":"Charles Goldfarb","startTime":956.12,"endTime":961.31,"body":"wide awake local anesthetic, no"},{"speaker":"Charles Goldfarb","startTime":956.12,"endTime":961.31,"body":"tourniquet. And she's like, This"},{"speaker":"Charles Goldfarb","startTime":961.31,"endTime":963.23,"body":"is crazy. I don't feel anything."},{"speaker":"Chris Dy","startTime":965.45,"endTime":965.96,"body":"Refreshing."},{"speaker":"Charles Goldfarb","startTime":966.23,"endTime":971.06,"body":"You let the"},{"speaker":"Charles Goldfarb","startTime":966.23,"endTime":971.06,"body":"numbing medicine set up. So"},{"speaker":"Charles Goldfarb","startTime":971.06,"endTime":974.27,"body":"funny. We were joking in the"},{"speaker":"Charles Goldfarb","startTime":971.06,"endTime":974.27,"body":"operating room. It was so funny."},{"speaker":"Charles Goldfarb","startTime":974.27,"endTime":976.67,"body":"I'm like, Oh, I care about, is"},{"speaker":"Charles Goldfarb","startTime":974.27,"endTime":976.67,"body":"you have a better outcome on"},{"speaker":"Charles Goldfarb","startTime":976.67,"endTime":977.24,"body":"this side."},{"speaker":"Chris Dy","startTime":977.87,"endTime":981.92,"body":"Right. Exactly. For so"},{"speaker":"Chris Dy","startTime":977.87,"endTime":981.92,"body":"many reasons. Yeah, no, I think"},{"speaker":"Chris Dy","startTime":981.92,"endTime":986.72,"body":"that the the heart one of the"},{"speaker":"Chris Dy","startTime":981.92,"endTime":986.72,"body":"hardest parts for me early on in"},{"speaker":"Chris Dy","startTime":986.72,"endTime":990.71,"body":"setting up the wide awake local"},{"speaker":"Chris Dy","startTime":986.72,"endTime":990.71,"body":"anesthesia tourniquet program"},{"speaker":"Chris Dy","startTime":990.74,"endTime":993.26,"body":"was just figuring out how to"},{"speaker":"Chris Dy","startTime":990.74,"endTime":993.26,"body":"make it work to get out to the"},{"speaker":"Chris Dy","startTime":993.26,"endTime":996.26,"body":"holding area to do blocks. And"},{"speaker":"Chris Dy","startTime":993.26,"endTime":996.26,"body":"so if you listened to the master"},{"speaker":"Chris Dy","startTime":996.29,"endTime":999.32,"body":"Don Lalonde talk. Sounds like he"},{"speaker":"Chris Dy","startTime":996.29,"endTime":999.32,"body":"gets everybody there. And I"},{"speaker":"Chris Dy","startTime":999.32,"endTime":1001.87,"body":"don't think he's doing the"},{"speaker":"Chris Dy","startTime":999.32,"endTime":1001.87,"body":"block, either is nurse or"},{"speaker":"Chris Dy","startTime":1001.87,"endTime":1003.52,"body":"somebody else is doing the"},{"speaker":"Chris Dy","startTime":1001.87,"endTime":1003.52,"body":"block, they're all just sitting"},{"speaker":"Chris Dy","startTime":1003.52,"endTime":1006.16,"body":"there blocked, like 10 or 12"},{"speaker":"Chris Dy","startTime":1003.52,"endTime":1006.16,"body":"patients in a row. And I'm like,"},{"speaker":"Chris Dy","startTime":1006.16,"endTime":1010.39,"body":"that sounds great. I don't have"},{"speaker":"Chris Dy","startTime":1006.16,"endTime":1010.39,"body":"that. And, you know, I tried to"},{"speaker":"Chris Dy","startTime":1010.39,"endTime":1013.42,"body":"do my best to have our trainees"},{"speaker":"Chris Dy","startTime":1010.39,"endTime":1013.42,"body":"kind of focused on the surgical"},{"speaker":"Chris Dy","startTime":1013.42,"endTime":1016.36,"body":"part of things. So just like"},{"speaker":"Chris Dy","startTime":1013.42,"endTime":1016.36,"body":"you, I'm like doing discharge"},{"speaker":"Chris Dy","startTime":1016.36,"endTime":1019.9,"body":"orders, paperwork, etc. And then"},{"speaker":"Chris Dy","startTime":1016.36,"endTime":1019.9,"body":"going out and putting on a face"},{"speaker":"Chris Dy","startTime":1019.9,"endTime":1022.69,"body":"out in the holding area to you"},{"speaker":"Chris Dy","startTime":1019.9,"endTime":1022.69,"body":"know, get everybody ready for"},{"speaker":"Chris Dy","startTime":1022.69,"endTime":1025.75,"body":"surgery. And sometimes that"},{"speaker":"Chris Dy","startTime":1022.69,"endTime":1025.75,"body":"includes many times that"},{"speaker":"Chris Dy","startTime":1025.75,"endTime":1026.89,"body":"includes doing the block."},{"speaker":"Charles Goldfarb","startTime":1027.83,"endTime":1030.41,"body":"Yeah, is same"},{"speaker":"Charles Goldfarb","startTime":1027.83,"endTime":1030.41,"body":"same problem here. And I usually"},{"speaker":"Charles Goldfarb","startTime":1030.41,"endTime":1035.06,"body":"have two or three local onlys"},{"speaker":"Charles Goldfarb","startTime":1030.41,"endTime":1035.06,"body":"each day, I have evolved in this"},{"speaker":"Charles Goldfarb","startTime":1035.06,"endTime":1039.68,"body":"is a whole nother topic. But I"},{"speaker":"Charles Goldfarb","startTime":1035.06,"endTime":1039.68,"body":"have evolved, I push now for"},{"speaker":"Charles Goldfarb","startTime":1039.68,"endTime":1043.37,"body":"local only for carpal tunnels"},{"speaker":"Charles Goldfarb","startTime":1039.68,"endTime":1043.37,"body":"for triggers. Those are the two"},{"speaker":"Charles Goldfarb","startTime":1043.37,"endTime":1046.7,"body":"that I really push on. I discuss"},{"speaker":"Charles Goldfarb","startTime":1043.37,"endTime":1046.7,"body":"it occasionally with other"},{"speaker":"Charles Goldfarb","startTime":1046.7,"endTime":1049.61,"body":"things. But those two I push and"},{"speaker":"Charles Goldfarb","startTime":1046.7,"endTime":1049.61,"body":"I did not use to push I used to"},{"speaker":"Charles Goldfarb","startTime":1049.61,"endTime":1051.29,"body":"accept if they wanted that."},{"speaker":"Chris Dy","startTime":1051.0,"endTime":1054.63,"body":"Yeah, I mean, I think"},{"speaker":"Chris Dy","startTime":1051.0,"endTime":1054.63,"body":"that it's all about how you"},{"speaker":"Chris Dy","startTime":1054.63,"endTime":1056.91,"body":"frame it. Right? So the"},{"speaker":"Chris Dy","startTime":1054.63,"endTime":1056.91,"body":"anchoring bias, but I mean, I"},{"speaker":"Chris Dy","startTime":1056.91,"endTime":1061.65,"body":"tell him, I do this surgery on"},{"speaker":"Chris Dy","startTime":1056.91,"endTime":1061.65,"body":"your local. And that's, that's"},{"speaker":"Chris Dy","startTime":1061.68,"endTime":1064.56,"body":"the default. Now that I know"},{"speaker":"Chris Dy","startTime":1061.68,"endTime":1064.56,"body":"there are some surgeons who say"},{"speaker":"Chris Dy","startTime":1064.56,"endTime":1066.51,"body":"I only do it on the local and"},{"speaker":"Chris Dy","startTime":1064.56,"endTime":1066.51,"body":"I'm gonna send you to somebody"},{"speaker":"Chris Dy","startTime":1066.51,"endTime":1069.99,"body":"else if you want it done under"},{"speaker":"Chris Dy","startTime":1066.51,"endTime":1069.99,"body":"sedation, which maybe because"},{"speaker":"Chris Dy","startTime":1069.99,"endTime":1071.88,"body":"they do an office space, which"},{"speaker":"Chris Dy","startTime":1069.99,"endTime":1071.88,"body":"obviously would make a"},{"speaker":"Chris Dy","startTime":1071.88,"endTime":1075.03,"body":"difference. But I don't take"},{"speaker":"Chris Dy","startTime":1071.88,"endTime":1075.03,"body":"that hard line. Honestly, if"},{"speaker":"Chris Dy","startTime":1075.03,"endTime":1077.25,"body":"somebody wants to go to sleep,"},{"speaker":"Chris Dy","startTime":1075.03,"endTime":1077.25,"body":"I'm not going to fight them on"},{"speaker":"Chris Dy","startTime":1077.25,"endTime":1081.72,"body":"it. I try to tell them that the"},{"speaker":"Chris Dy","startTime":1077.25,"endTime":1081.72,"body":"convenience part of it you can"},{"speaker":"Chris Dy","startTime":1081.75,"endTime":1084.45,"body":"drive yourself or your drive"},{"speaker":"Chris Dy","startTime":1081.75,"endTime":1084.45,"body":"yourself home no IV no fasting"},{"speaker":"Chris Dy","startTime":1084.45,"endTime":1086.85,"body":"and that usually sets the stage"},{"speaker":"Chris Dy","startTime":1084.45,"endTime":1086.85,"body":"up pretty well. But there's just"},{"speaker":"Chris Dy","startTime":1086.85,"endTime":1089.25,"body":"some patients who are just too"},{"speaker":"Chris Dy","startTime":1086.85,"endTime":1089.25,"body":"nervous about the whole thing."},{"speaker":"Chris Dy","startTime":1089.58,"endTime":1092.52,"body":"And I've I used to kind of push"},{"speaker":"Chris Dy","startTime":1089.58,"endTime":1092.52,"body":"a little bit back but I don't"},{"speaker":"Chris Dy","startTime":1092.52,"endTime":1093.21,"body":"push anymore."},{"speaker":"Charles Goldfarb","startTime":1093.6,"endTime":1096.18,"body":"No, me either."},{"speaker":"Charles Goldfarb","startTime":1093.6,"endTime":1096.18,"body":"Hey, Chris, did you notice my"},{"speaker":"Charles Goldfarb","startTime":1096.18,"endTime":1096.57,"body":"shirt?"},{"speaker":"Chris Dy","startTime":1097.2,"endTime":1099.96,"body":"Oh, is that wow, it's"},{"speaker":"Chris Dy","startTime":1097.2,"endTime":1099.96,"body":"been a long time. I feel like"},{"speaker":"Chris Dy","startTime":1099.96,"endTime":1101.85,"body":"the you know, you're wearing"},{"speaker":"Chris Dy","startTime":1099.96,"endTime":1101.85,"body":"your Golden State Warriors"},{"speaker":"Chris Dy","startTime":1101.85,"endTime":1105.6,"body":"shirt. And I feel like the NBA"},{"speaker":"Chris Dy","startTime":1101.85,"endTime":1105.6,"body":"Finals were a long, long time"},{"speaker":"Chris Dy","startTime":1105.6,"endTime":1106.02,"body":"ago."},{"speaker":"Charles Goldfarb","startTime":1106.32,"endTime":1108.81,"body":"Never stopped"},{"speaker":"Charles Goldfarb","startTime":1106.32,"endTime":1108.81,"body":"summer leagues on and it's"},{"speaker":"Charles Goldfarb","startTime":1108.81,"endTime":1111.93,"body":"great. But I had the I feel"},{"speaker":"Charles Goldfarb","startTime":1108.81,"endTime":1111.93,"body":"like, I don't know if I should"},{"speaker":"Charles Goldfarb","startTime":1111.93,"endTime":1115.08,"body":"share this or not. But hey, this"},{"speaker":"Charles Goldfarb","startTime":1111.93,"endTime":1115.08,"body":"is the upper hand podcast. I got"},{"speaker":"Charles Goldfarb","startTime":1115.08,"endTime":1118.11,"body":"to I went to Game Six of the NBA"},{"speaker":"Charles Goldfarb","startTime":1115.08,"endTime":1118.11,"body":"Finals."},{"speaker":"Chris Dy","startTime":1119.68,"endTime":1122.32,"body":"So uh, you haven't"},{"speaker":"Chris Dy","startTime":1119.68,"endTime":1122.32,"body":"shared it with anybody. But you"},{"speaker":"Chris Dy","startTime":1122.32,"endTime":1125.83,"body":"shared it with me because my"},{"speaker":"Chris Dy","startTime":1122.32,"endTime":1125.83,"body":"flight out of Providence that"},{"speaker":"Chris Dy","startTime":1125.83,"endTime":1130.06,"body":"night was canceled and I was"},{"speaker":"Chris Dy","startTime":1125.83,"endTime":1130.06,"body":"scrambling trying to get a"},{"speaker":"Chris Dy","startTime":1130.06,"endTime":1132.91,"body":"flight. I was like, oh, yeah, I"},{"speaker":"Chris Dy","startTime":1130.06,"endTime":1132.91,"body":"could fly out of Boston. And"},{"speaker":"Chris Dy","startTime":1132.91,"endTime":1135.07,"body":"then I was like, I need to get"},{"speaker":"Chris Dy","startTime":1132.91,"endTime":1135.07,"body":"into Boston tonight. How do I"},{"speaker":"Chris Dy","startTime":1135.07,"endTime":1137.65,"body":"get in Boston? So Oh, yeah,"},{"speaker":"Chris Dy","startTime":1135.07,"endTime":1137.65,"body":"Chuck's going to Boston, maybe"},{"speaker":"Chris Dy","startTime":1137.65,"endTime":1141.34,"body":"I'll catch a ride with him to"},{"speaker":"Chris Dy","startTime":1137.65,"endTime":1141.34,"body":"watch the game and you and you"},{"speaker":"Chris Dy","startTime":1141.34,"endTime":1144.01,"body":"were long gone. So how was Game"},{"speaker":"Chris Dy","startTime":1141.34,"endTime":1144.01,"body":"Six?"},{"speaker":"Charles Goldfarb","startTime":1145.53,"endTime":1148.44,"body":"A couple of"},{"speaker":"Charles Goldfarb","startTime":1145.53,"endTime":1148.44,"body":"you know statements number one"},{"speaker":"Charles Goldfarb","startTime":1148.44,"endTime":1152.55,"body":"I've never seen Steph Curry play"},{"speaker":"Charles Goldfarb","startTime":1148.44,"endTime":1152.55,"body":"in person. I'm I'm a big fan of"},{"speaker":"Charles Goldfarb","startTime":1152.55,"endTime":1156.99,"body":"his and the team and the team"},{"speaker":"Charles Goldfarb","startTime":1152.55,"endTime":1156.99,"body":"dynamic. Number two. So I love"},{"speaker":"Charles Goldfarb","startTime":1156.99,"endTime":1159.27,"body":"the Warriors. I just liked the"},{"speaker":"Charles Goldfarb","startTime":1156.99,"endTime":1159.27,"body":"way they play basketball. I grew"},{"speaker":"Charles Goldfarb","startTime":1159.27,"endTime":1161.76,"body":"up a Celtic fan. Now that's a"},{"speaker":"Charles Goldfarb","startTime":1159.27,"endTime":1161.76,"body":"little weird growing up in"},{"speaker":"Charles Goldfarb","startTime":1161.76,"endTime":1164.82,"body":"Alabama, but my uncle was a"},{"speaker":"Charles Goldfarb","startTime":1161.76,"endTime":1164.82,"body":"Celtics fan and there was not"},{"speaker":"Charles Goldfarb","startTime":1164.82,"endTime":1168.3,"body":"much professional basketball in"},{"speaker":"Charles Goldfarb","startTime":1164.82,"endTime":1168.3,"body":"Alabama. So it really was my two"},{"speaker":"Charles Goldfarb","startTime":1168.3,"endTime":1171.66,"body":"teams and I really was hoping"},{"speaker":"Charles Goldfarb","startTime":1168.3,"endTime":1171.66,"body":"the Celtics Win Game Six which"},{"speaker":"Charles Goldfarb","startTime":1171.66,"endTime":1174.12,"body":"would make it was in Boston and"},{"speaker":"Charles Goldfarb","startTime":1171.66,"endTime":1174.12,"body":"it would make for a more"},{"speaker":"Charles Goldfarb","startTime":1174.12,"endTime":1177.3,"body":"exciting atmosphere and then go"},{"speaker":"Charles Goldfarb","startTime":1174.12,"endTime":1177.3,"body":"back to Golden State and see"},{"speaker":"Charles Goldfarb","startTime":1177.3,"endTime":1179.88,"body":"what happens and it didn't"},{"speaker":"Charles Goldfarb","startTime":1177.3,"endTime":1179.88,"body":"happen that way. The first five"},{"speaker":"Charles Goldfarb","startTime":1179.88,"endTime":1183.54,"body":"minutes. Golden State didn't"},{"speaker":"Charles Goldfarb","startTime":1179.88,"endTime":1183.54,"body":"look good. Boston was all over"},{"speaker":"Charles Goldfarb","startTime":1183.54,"endTime":1188.52,"body":"them and the arena was going"},{"speaker":"Charles Goldfarb","startTime":1183.54,"endTime":1188.52,"body":"crazy. And then it was over. But"},{"speaker":"Charles Goldfarb","startTime":1188.58,"endTime":1192.87,"body":"even the warm ups were good. It"},{"speaker":"Charles Goldfarb","startTime":1188.58,"endTime":1192.87,"body":"was it was really super fun."},{"speaker":"Chris Dy","startTime":1193.32,"endTime":1195.12,"body":"Did you get to catch"},{"speaker":"Chris Dy","startTime":1193.32,"endTime":1195.12,"body":"the, did you get to catch the"},{"speaker":"Chris Dy","startTime":1195.12,"endTime":1195.48,"body":"routine?"},{"speaker":"Charles Goldfarb","startTime":1196.83,"endTime":1198.15,"body":"That Steph"},{"speaker":"Charles Goldfarb","startTime":1196.83,"endTime":1198.15,"body":"warm up routine."},{"speaker":"Chris Dy","startTime":1198.18,"endTime":1198.78,"body":"Yeah."},{"speaker":"Charles Goldfarb","startTime":1198.81,"endTime":1200.1,"body":"Yeah, yeah, it"},{"speaker":"Charles Goldfarb","startTime":1198.81,"endTime":1200.1,"body":"was great."},{"speaker":"Chris Dy","startTime":1201.36,"endTime":1203.49,"body":"What's what's the deal"},{"speaker":"Chris Dy","startTime":1201.36,"endTime":1203.49,"body":"about, what is that?"},{"speaker":"Charles Goldfarb","startTime":1204.08,"endTime":1207.17,"body":"I think it's"},{"speaker":"Charles Goldfarb","startTime":1204.08,"endTime":1207.17,"body":"become, you know, it's become a"},{"speaker":"Charles Goldfarb","startTime":1207.17,"endTime":1210.11,"body":"huge if you're a Curry and"},{"speaker":"Charles Goldfarb","startTime":1207.17,"endTime":1210.11,"body":"Golden State fan then you get"},{"speaker":"Charles Goldfarb","startTime":1210.11,"endTime":1213.92,"body":"there early he does, but it's"},{"speaker":"Charles Goldfarb","startTime":1210.11,"endTime":1213.92,"body":"just really impressive shooting"},{"speaker":"Charles Goldfarb","startTime":1213.92,"endTime":1216.86,"body":"and I don't know what it's"},{"speaker":"Charles Goldfarb","startTime":1213.92,"endTime":1216.86,"body":"evolved from but he goes through"},{"speaker":"Charles Goldfarb","startTime":1216.89,"endTime":1220.1,"body":"shooting in different spots with"},{"speaker":"Charles Goldfarb","startTime":1216.89,"endTime":1220.1,"body":"a defender. And then one of the"},{"speaker":"Charles Goldfarb","startTime":1220.1,"endTime":1223.31,"body":"cooler things he does is he"},{"speaker":"Charles Goldfarb","startTime":1220.1,"endTime":1223.31,"body":"starts at the free throw line"},{"speaker":"Charles Goldfarb","startTime":1223.31,"endTime":1227.57,"body":"and you know, every shot's a"},{"speaker":"Charles Goldfarb","startTime":1223.31,"endTime":1227.57,"body":"swish, and he steps back he goes"},{"speaker":"Charles Goldfarb","startTime":1227.57,"endTime":1233.81,"body":"from the free throw line to the"},{"speaker":"Charles Goldfarb","startTime":1227.57,"endTime":1233.81,"body":"three point line to maybe three"},{"speaker":"Charles Goldfarb","startTime":1233.81,"endTime":1238.43,"body":"or four feet behind the three"},{"speaker":"Charles Goldfarb","startTime":1233.81,"endTime":1238.43,"body":"point line to kind of halfway"},{"speaker":"Charles Goldfarb","startTime":1238.43,"endTime":1241.1,"body":"between the three point line and"},{"speaker":"Charles Goldfarb","startTime":1238.43,"endTime":1241.1,"body":"halfcourt and then closer to"},{"speaker":"Charles Goldfarb","startTime":1241.1,"endTime":1244.1,"body":"midcourt, and then midcourt,"},{"speaker":"Charles Goldfarb","startTime":1241.1,"endTime":1244.1,"body":"hits all those shots, and then"},{"speaker":"Charles Goldfarb","startTime":1244.1,"endTime":1247.22,"body":"turns around and goes back the"},{"speaker":"Charles Goldfarb","startTime":1244.1,"endTime":1247.22,"body":"other way. And when I was"},{"speaker":"Charles Goldfarb","startTime":1247.22,"endTime":1250.85,"body":"watching he hit all of them but"},{"speaker":"Charles Goldfarb","startTime":1247.22,"endTime":1250.85,"body":"one, but the skill level is just"},{"speaker":"Charles Goldfarb","startTime":1250.85,"endTime":1253.64,"body":"insane. He usually shoots one"},{"speaker":"Charles Goldfarb","startTime":1250.85,"endTime":1253.64,"body":"from the tunnel. He didn't do"},{"speaker":"Charles Goldfarb","startTime":1253.64,"endTime":1257.6,"body":"that before game six, but he"},{"speaker":"Charles Goldfarb","startTime":1253.64,"endTime":1257.6,"body":"often makes those it's"},{"speaker":"Charles Goldfarb","startTime":1257.6,"endTime":1258.05,"body":"something."},{"speaker":"Chris Dy","startTime":1258.98,"endTime":1261.17,"body":"One last comment"},{"speaker":"Chris Dy","startTime":1258.98,"endTime":1261.17,"body":"before we actually get to our"},{"speaker":"Chris Dy","startTime":1261.17,"endTime":1266.06,"body":"topic, do you you you are old"},{"speaker":"Chris Dy","startTime":1261.17,"endTime":1266.06,"body":"enough. And I am young enough"},{"speaker":"Chris Dy","startTime":1266.09,"endTime":1268.67,"body":"and to remember this and"},{"speaker":"Chris Dy","startTime":1266.09,"endTime":1268.67,"body":"listeners, maybe somewhere in"},{"speaker":"Chris Dy","startTime":1268.67,"endTime":1271.04,"body":"between or completely younger"},{"speaker":"Chris Dy","startTime":1268.67,"endTime":1271.04,"body":"than me. But do you remember"},{"speaker":"Chris Dy","startTime":1271.04,"endTime":1273.92,"body":"when MTV had their celebrity"},{"speaker":"Chris Dy","startTime":1271.04,"endTime":1273.92,"body":"basketball game on the regular"},{"speaker":"Chris Dy","startTime":1274.22,"endTime":1277.37,"body":"and one of one of the it was"},{"speaker":"Chris Dy","startTime":1274.22,"endTime":1277.37,"body":"like crazy that you would shoot"},{"speaker":"Chris Dy","startTime":1277.37,"endTime":1279.95,"body":"from that far back and try to"},{"speaker":"Chris Dy","startTime":1277.37,"endTime":1279.95,"body":"make it and now it's like"},{"speaker":"Chris Dy","startTime":1279.95,"endTime":1281.0,"body":"totally routine."},{"speaker":"Charles Goldfarb","startTime":1282.23,"endTime":1283.82,"body":"Part of the"},{"speaker":"Charles Goldfarb","startTime":1282.23,"endTime":1283.82,"body":"game, part of the flow."},{"speaker":"Chris Dy","startTime":1284.63,"endTime":1287.54,"body":"Unbelievable. I'm glad"},{"speaker":"Chris Dy","startTime":1284.63,"endTime":1287.54,"body":"you have your Warriors shirt on."},{"speaker":"Chris Dy","startTime":1287.54,"endTime":1291.65,"body":"I'm sorry that your Celtics lost"},{"speaker":"Chris Dy","startTime":1287.54,"endTime":1291.65,"body":"Game Six. But what an incredible"},{"speaker":"Chris Dy","startTime":1291.65,"endTime":1292.34,"body":"experience."},{"speaker":"Charles Goldfarb","startTime":1292.64,"endTime":1294.8,"body":"For sure. And"},{"speaker":"Charles Goldfarb","startTime":1292.64,"endTime":1294.8,"body":"you've had more flight trouble"},{"speaker":"Charles Goldfarb","startTime":1294.8,"endTime":1297.98,"body":"than I have. I've really gotten"},{"speaker":"Charles Goldfarb","startTime":1294.8,"endTime":1297.98,"body":"lucky. And I know that our"},{"speaker":"Charles Goldfarb","startTime":1297.98,"endTime":1301.04,"body":"listeners will sympathize."},{"speaker":"Charles Goldfarb","startTime":1297.98,"endTime":1301.04,"body":"Flying is like rolling the dice"},{"speaker":"Charles Goldfarb","startTime":1301.04,"endTime":1305.57,"body":"these days. And trying to fly in"},{"speaker":"Charles Goldfarb","startTime":1301.04,"endTime":1305.57,"body":"last minute. It may be a thing"},{"speaker":"Charles Goldfarb","startTime":1305.57,"endTime":1307.1,"body":"of the past I don't know."},{"speaker":"Chris Dy","startTime":1307.55,"endTime":1310.82,"body":"Well I think I paid my"},{"speaker":"Chris Dy","startTime":1307.55,"endTime":1310.82,"body":"penance going to London, on the"},{"speaker":"Chris Dy","startTime":1310.82,"endTime":1315.11,"body":"way back from Providence because"},{"speaker":"Chris Dy","startTime":1310.82,"endTime":1315.11,"body":"knock on wood. This is crazy."},{"speaker":"Chris Dy","startTime":1315.11,"endTime":1318.74,"body":"But when I was coming back from"},{"speaker":"Chris Dy","startTime":1315.11,"endTime":1318.74,"body":"Mayo, I actually took a flight"},{"speaker":"Chris Dy","startTime":1318.74,"endTime":1321.62,"body":"that was their first flight of"},{"speaker":"Chris Dy","startTime":1318.74,"endTime":1321.62,"body":"the day was gonna land at nine"},{"speaker":"Chris Dy","startTime":1321.62,"endTime":1325.31,"body":"something and I put a clinic on"},{"speaker":"Chris Dy","startTime":1321.62,"endTime":1325.31,"body":"in the afternoon, really rolled"},{"speaker":"Chris Dy","startTime":1325.31,"endTime":1328.4,"body":"the dice on that one and I"},{"speaker":"Chris Dy","startTime":1325.31,"endTime":1328.4,"body":"nailed it. I got home, I got"},{"speaker":"Chris Dy","startTime":1328.4,"endTime":1332.09,"body":"home, I got home in time to get"},{"speaker":"Chris Dy","startTime":1328.4,"endTime":1332.09,"body":"some work done, got a quick"},{"speaker":"Chris Dy","startTime":1332.09,"endTime":1334.31,"body":"workout in and went to clinic."},{"speaker":"Chris Dy","startTime":1332.09,"endTime":1334.31,"body":"And it was amazing."},{"speaker":"Charles Goldfarb","startTime":1334.91,"endTime":1337.58,"body":"That is a feel"},{"speaker":"Charles Goldfarb","startTime":1334.91,"endTime":1337.58,"body":"good story if there ever was"},{"speaker":"Chris Dy","startTime":1337.49,"endTime":1340.221,"body":"Again, again, the"},{"speaker":"Chris Dy","startTime":1337.49,"endTime":1340.221,"body":"pathology of not being able to"},{"speaker":"Chris Dy","startTime":1337.58,"endTime":1337.67,"body":"one."},{"speaker":"Chris Dy","startTime":1339.22,"endTime":1423.97,"body":"I'd be happy to after I say"},{"speaker":"Chris Dy","startTime":1339.22,"endTime":1423.97,"body":"thank you for the very kind"},{"speaker":"Chris Dy","startTime":1340.278,"endTime":1343.807,"body":"stop having clinic I don't know"},{"speaker":"Chris Dy","startTime":1340.278,"endTime":1343.807,"body":"what's wrong with me. There we"},{"speaker":"Chris Dy","startTime":1343.863,"endTime":1347.05,"body":"go. So So one thing that I"},{"speaker":"Chris Dy","startTime":1343.863,"endTime":1347.05,"body":"wanted to do is start to look"},{"speaker":"Chris Dy","startTime":1347.107,"endTime":1350.579,"body":"through our YouTube comments."},{"speaker":"Chris Dy","startTime":1347.107,"endTime":1350.579,"body":"And we have a great review from"},{"speaker":"Chris Dy","startTime":1350.636,"endTime":1354.278,"body":"from Paulvalery Roulette. And he"},{"speaker":"Chris Dy","startTime":1350.636,"endTime":1354.278,"body":"actually watched the episode on"},{"speaker":"Chris Dy","startTime":1354.335,"endTime":1357.92,"body":"previewing the annual meeting in"},{"speaker":"Chris Dy","startTime":1354.335,"endTime":1357.92,"body":"which our friends Glenn Gaston"},{"speaker":"Chris Dy","startTime":1357.977,"endTime":1361.449,"body":"and Peter Rhee joined us and he"},{"speaker":"Chris Dy","startTime":1357.977,"endTime":1361.449,"body":"says, May I quote five stars."},{"speaker":"Chris Dy","startTime":1361.506,"endTime":1365.148,"body":"This is my first listen because"},{"speaker":"Chris Dy","startTime":1361.506,"endTime":1365.148,"body":"you had my mentor Dr. Gaston on."},{"speaker":"Chris Dy","startTime":1365.205,"endTime":1368.733,"body":"I already love the flow of the"},{"speaker":"Chris Dy","startTime":1365.205,"endTime":1368.733,"body":"hosts and this will be saved to"},{"speaker":"Chris Dy","startTime":1368.79,"endTime":1372.318,"body":"my Spotify for future listening."},{"speaker":"Chris Dy","startTime":1368.79,"endTime":1372.318,"body":"Keep up the good work. I also"},{"speaker":"Chris Dy","startTime":1372.375,"endTime":1375.676,"body":"agree hand therapists are our"},{"speaker":"Chris Dy","startTime":1372.375,"endTime":1375.676,"body":"biggest fan when it comes to"},{"speaker":"Chris Dy","startTime":1375.733,"endTime":1379.261,"body":"online media from us - Doctor"},{"speaker":"Chris Dy","startTime":1375.733,"endTime":1379.261,"body":"Roulette. So Dr. Roulette, thank"},{"speaker":"Chris Dy","startTime":1379.318,"endTime":1382.961,"body":"you for leaving that comment on"},{"speaker":"Chris Dy","startTime":1379.318,"endTime":1382.961,"body":"YouTube, we've actually got some"},{"speaker":"Chris Dy","startTime":1383.017,"endTime":1386.546,"body":"more some more great reviews on"},{"speaker":"Chris Dy","startTime":1383.017,"endTime":1386.546,"body":"iTunes to read as well. So I'm"},{"speaker":"Chris Dy","startTime":1386.603,"endTime":1389.448,"body":"sure we got roasted on the"},{"speaker":"Chris Dy","startTime":1386.603,"endTime":1389.448,"body":"resident podcast or the"},{"speaker":"Chris Dy","startTime":1389.505,"endTime":1392.806,"body":"residents roast about reading"},{"speaker":"Chris Dy","startTime":1389.505,"endTime":1392.806,"body":"our reviews. I can't wait to"},{"speaker":"Chris Dy","startTime":1392.863,"endTime":1396.334,"body":"hear that part of it. But, you"},{"speaker":"Chris Dy","startTime":1392.863,"endTime":1396.334,"body":"know, one of the things that I"},{"speaker":"Chris Dy","startTime":1396.391,"endTime":1399.578,"body":"did talk about when I was in"},{"speaker":"Chris Dy","startTime":1396.391,"endTime":1399.578,"body":"Rochester, at Mayo was, you"},{"speaker":"Chris Dy","startTime":1399.635,"endTime":1402.993,"body":"know, the podcast, and it's"},{"speaker":"Chris Dy","startTime":1399.635,"endTime":1402.993,"body":"amazing. People listen, and you"},{"speaker":"Chris Dy","startTime":1403.05,"endTime":1406.351,"body":"know, it's one way to reach a"},{"speaker":"Chris Dy","startTime":1403.05,"endTime":1406.351,"body":"lot of folks. And we're very"},{"speaker":"Chris Dy","startTime":1406.407,"endTime":1409.594,"body":"fortunate for people leaving"},{"speaker":"Chris Dy","startTime":1406.407,"endTime":1409.594,"body":"reviews and giving us great"},{"speaker":"Chris Dy","startTime":1409.651,"endTime":1412.838,"body":"topics to discuss. So I have a"},{"speaker":"Chris Dy","startTime":1409.651,"endTime":1412.838,"body":"topic and an email if you"},{"speaker":"Chris Dy","startTime":1412.895,"endTime":1416.196,"body":"wouldn't mind Chuck I'd like you"},{"speaker":"Chris Dy","startTime":1412.895,"endTime":1416.196,"body":"to answer this young hand"},{"speaker":"Chris Dy","startTime":1416.253,"endTime":1419.554,"body":"surgeon in practice and maybe"},{"speaker":"Chris Dy","startTime":1416.253,"endTime":1419.554,"body":"give some advice from an old"},{"speaker":"Chris Dy","startTime":1419.611,"endTime":1420.92,"body":"man. What do you think?"},{"speaker":"Chris Dy","startTime":1423.97,"endTime":1426.88,"body":"review. We are grateful. And"},{"speaker":"Chris Dy","startTime":1423.97,"endTime":1426.88,"body":"Chris and I sometimes have"},{"speaker":"Chris Dy","startTime":1426.88,"endTime":1430.36,"body":"existential crises around what"},{"speaker":"Chris Dy","startTime":1426.88,"endTime":1430.36,"body":"the podcast should look like and"},{"speaker":"Chris Dy","startTime":1430.81,"endTime":1433.75,"body":"balance. And Chris has got a"},{"speaker":"Chris Dy","startTime":1430.81,"endTime":1433.75,"body":"much tougher gig than I because"},{"speaker":"Chris Dy","startTime":1433.75,"endTime":1437.17,"body":"he has little kids in his life."},{"speaker":"Chris Dy","startTime":1433.75,"endTime":1437.17,"body":"And I have old kids in my life."},{"speaker":"Chris Dy","startTime":1437.17,"endTime":1441.91,"body":"And we that that is as we've"},{"speaker":"Chris Dy","startTime":1437.17,"endTime":1441.91,"body":"said before, that is our fuel."},{"speaker":"Chris Dy","startTime":1441.91,"endTime":1442.57,"body":"So thank you."},{"speaker":"Chris Dy","startTime":1443.2,"endTime":1447.4,"body":"Yes, absolutely. And Chuck has"},{"speaker":"Chris Dy","startTime":1443.2,"endTime":1447.4,"body":"the task of being the executive"},{"speaker":"Chris Dy","startTime":1447.4,"endTime":1449.74,"body":"vice chair of a very big"},{"speaker":"Chris Dy","startTime":1447.4,"endTime":1449.74,"body":"department. So he's got a lot"},{"speaker":"Chris Dy","startTime":1449.74,"endTime":1454.09,"body":"going on too, don't be too"},{"speaker":"Chris Dy","startTime":1449.74,"endTime":1454.09,"body":"modest. So this is a great email"},{"speaker":"Chris Dy","startTime":1454.09,"endTime":1459.16,"body":"from Chase Kunker. And he has"},{"speaker":"Chris Dy","startTime":1454.09,"endTime":1459.16,"body":"actually written us before and"},{"speaker":"Chris Dy","startTime":1459.16,"endTime":1462.4,"body":"we know he listens. So thanks"},{"speaker":"Chris Dy","startTime":1459.16,"endTime":1462.4,"body":"chase for listening. He wrote"},{"speaker":"Chris Dy","startTime":1462.4,"endTime":1466.06,"body":"enjoying the podcast, what about"},{"speaker":"Chris Dy","startTime":1462.4,"endTime":1466.06,"body":"an episode on passing oral"},{"speaker":"Chris Dy","startTime":1466.06,"endTime":1469.63,"body":"boards, tips and tricks, horror"},{"speaker":"Chris Dy","startTime":1466.06,"endTime":1469.63,"body":"stories over the years, what not"},{"speaker":"Chris Dy","startTime":1469.63,"endTime":1472.63,"body":"to do et cetera and just look"},{"speaker":"Chris Dy","startTime":1469.63,"endTime":1472.63,"body":"just in time for those taking it"},{"speaker":"Chris Dy","startTime":1472.63,"endTime":1475.36,"body":"this year. Well, it looks like"},{"speaker":"Chris Dy","startTime":1472.63,"endTime":1475.36,"body":"that's actually around the"},{"speaker":"Chris Dy","startTime":1475.36,"endTime":1477.82,"body":"corner and this episodes gonna"},{"speaker":"Chris Dy","startTime":1475.36,"endTime":1477.82,"body":"drop just a week or two before"},{"speaker":"Chris Dy","startTime":1477.82,"endTime":1478.72,"body":"the oral boards."},{"speaker":"Charles Goldfarb","startTime":1479.44,"endTime":1482.23,"body":"Wow, we should"},{"speaker":"Charles Goldfarb","startTime":1479.44,"endTime":1482.23,"body":"thank you Chase. We should have"},{"speaker":"Charles Goldfarb","startTime":1482.23,"endTime":1485.62,"body":"come up with that one. I was"},{"speaker":"Charles Goldfarb","startTime":1482.23,"endTime":1485.62,"body":"actually reviewing a few cases"},{"speaker":"Charles Goldfarb","startTime":1485.62,"endTime":1490.36,"body":"with a former fellow you might"},{"speaker":"Charles Goldfarb","startTime":1485.62,"endTime":1490.36,"body":"have done the same and it's a"},{"speaker":"Charles Goldfarb","startTime":1490.36,"endTime":1494.98,"body":"skill set. You know, I I've"},{"speaker":"Charles Goldfarb","startTime":1490.36,"endTime":1494.98,"body":"actually never examined because"},{"speaker":"Charles Goldfarb","startTime":1494.98,"endTime":1499.66,"body":"traditionally I go to New"},{"speaker":"Charles Goldfarb","startTime":1494.98,"endTime":1499.66,"body":"Hampshire the last week around"},{"speaker":"Charles Goldfarb","startTime":1499.66,"endTime":1503.17,"body":"the last Week of July, I think"},{"speaker":"Charles Goldfarb","startTime":1499.66,"endTime":1503.17,"body":"is probably in my future because"},{"speaker":"Charles Goldfarb","startTime":1503.17,"endTime":1508.78,"body":"it sounds super fun. But there's"},{"speaker":"Charles Goldfarb","startTime":1503.17,"endTime":1508.78,"body":"absolutely a skill set. And I do"},{"speaker":"Charles Goldfarb","startTime":1508.78,"endTime":1511.6,"body":"think there's some tips that you"},{"speaker":"Charles Goldfarb","startTime":1508.78,"endTime":1511.6,"body":"and I can go back and forth on."},{"speaker":"Charles Goldfarb","startTime":1511.6,"endTime":1512.77,"body":"Does that. Does that sound okay?"},{"speaker":"Chris Dy","startTime":1513.46,"endTime":1516.76,"body":"Yeah, I mean, so I"},{"speaker":"Chris Dy","startTime":1513.46,"endTime":1516.76,"body":"took my boards not that long ago"},{"speaker":"Chris Dy","startTime":1516.76,"endTime":1522.28,"body":"since I'm a youngish hand"},{"speaker":"Chris Dy","startTime":1516.76,"endTime":1522.28,"body":"surgeon, I think I took them, I"},{"speaker":"Chris Dy","startTime":1522.28,"endTime":1527.14,"body":"guess, five years ago, five"},{"speaker":"Chris Dy","startTime":1522.28,"endTime":1527.14,"body":"years ago, I think. And we were"},{"speaker":"Chris Dy","startTime":1527.14,"endTime":1529.66,"body":"in person at the time. And I"},{"speaker":"Chris Dy","startTime":1527.14,"endTime":1529.66,"body":"know this year, they're back in"},{"speaker":"Chris Dy","startTime":1529.66,"endTime":1533.14,"body":"person doing in person exams."},{"speaker":"Chris Dy","startTime":1529.66,"endTime":1533.14,"body":"And it seems to be at least for"},{"speaker":"Chris Dy","startTime":1533.14,"endTime":1536.65,"body":"those thinking, the ortho oral"},{"speaker":"Chris Dy","startTime":1533.14,"endTime":1536.65,"body":"boards, not plastics, but"},{"speaker":"Chris Dy","startTime":1537.22,"endTime":1539.68,"body":"plastics is a different"},{"speaker":"Chris Dy","startTime":1537.22,"endTime":1539.68,"body":"experience. But if they do this"},{"speaker":"Chris Dy","startTime":1539.68,"endTime":1541.6,"body":"in Chicago, at the Palmer House"},{"speaker":"Chris Dy","startTime":1539.68,"endTime":1541.6,"body":"Hotel."},{"speaker":"Charles Goldfarb","startTime":1542.41,"endTime":1545.77,"body":"Yeah, it's a"},{"speaker":"Charles Goldfarb","startTime":1542.41,"endTime":1545.77,"body":"it's a seen as an experience I,"},{"speaker":"Charles Goldfarb","startTime":1546.73,"endTime":1551.29,"body":"I have not five years out, I"},{"speaker":"Charles Goldfarb","startTime":1546.73,"endTime":1551.29,"body":"have, I've done my I guess,"},{"speaker":"Charles Goldfarb","startTime":1551.32,"endTime":1555.85,"body":"re-cert once, and I'm in the"},{"speaker":"Charles Goldfarb","startTime":1551.32,"endTime":1555.85,"body":"process of doing it a second"},{"speaker":"Charles Goldfarb","startTime":1555.85,"endTime":1559.75,"body":"time. So I did have to collect"},{"speaker":"Charles Goldfarb","startTime":1555.85,"endTime":1559.75,"body":"cases and the like, but that"},{"speaker":"Charles Goldfarb","startTime":1559.75,"endTime":1564.43,"body":"experience of preparing for oral"},{"speaker":"Charles Goldfarb","startTime":1559.75,"endTime":1564.43,"body":"boards is one that you never"},{"speaker":"Charles Goldfarb","startTime":1564.43,"endTime":1568.03,"body":"forget. And it's about"},{"speaker":"Charles Goldfarb","startTime":1564.43,"endTime":1568.03,"body":"preparation, it's about"},{"speaker":"Charles Goldfarb","startTime":1568.03,"endTime":1573.28,"body":"practice, it's about really"},{"speaker":"Charles Goldfarb","startTime":1568.03,"endTime":1573.28,"body":"mastering those cases, and"},{"speaker":"Charles Goldfarb","startTime":1573.34,"endTime":1576.22,"body":"putting the work in, and then"},{"speaker":"Charles Goldfarb","startTime":1573.34,"endTime":1576.22,"body":"generally, the results are going"},{"speaker":"Charles Goldfarb","startTime":1576.22,"endTime":1577.48,"body":"to be very, very good."},{"speaker":"Chris Dy","startTime":1578.17,"endTime":1581.02,"body":"So for those of you"},{"speaker":"Chris Dy","startTime":1578.17,"endTime":1581.02,"body":"that are unfamiliar with the"},{"speaker":"Chris Dy","startTime":1581.02,"endTime":1583.69,"body":"process, at least in"},{"speaker":"Chris Dy","startTime":1581.02,"endTime":1583.69,"body":"orthopedics, when you start"},{"speaker":"Chris Dy","startTime":1583.69,"endTime":1587.17,"body":"practice, you've got six months"},{"speaker":"Chris Dy","startTime":1583.69,"endTime":1587.17,"body":"to get started, then six months"},{"speaker":"Chris Dy","startTime":1587.17,"endTime":1591.25,"body":"of case collection in which you"},{"speaker":"Chris Dy","startTime":1587.17,"endTime":1591.25,"body":"know, the second that last half"},{"speaker":"Chris Dy","startTime":1591.25,"endTime":1594.61,"body":"of your first year, every case"},{"speaker":"Chris Dy","startTime":1591.25,"endTime":1594.61,"body":"gets sent, you have to send to"},{"speaker":"Chris Dy","startTime":1594.61,"endTime":1598.09,"body":"the ABOS, the American Board of"},{"speaker":"Chris Dy","startTime":1594.61,"endTime":1598.09,"body":"orthopedic surgery, and you have"},{"speaker":"Chris Dy","startTime":1598.09,"endTime":1602.38,"body":"to list pretty detailed data"},{"speaker":"Chris Dy","startTime":1598.09,"endTime":1602.38,"body":"about the patient and what"},{"speaker":"Chris Dy","startTime":1602.38,"endTime":1605.47,"body":"surgery you did. And then you"},{"speaker":"Chris Dy","startTime":1602.38,"endTime":1605.47,"body":"have to talk about"},{"speaker":"Chris Dy","startTime":1605.5,"endTime":1608.68,"body":"complications, at least that's"},{"speaker":"Chris Dy","startTime":1605.5,"endTime":1608.68,"body":"what it was back. Earlier, I"},{"speaker":"Chris Dy","startTime":1608.68,"endTime":1611.02,"body":"don't know if they've may have"},{"speaker":"Chris Dy","startTime":1608.68,"endTime":1611.02,"body":"changed it in terms of what data"},{"speaker":"Chris Dy","startTime":1611.26,"endTime":1614.83,"body":"you need to include. And then"},{"speaker":"Chris Dy","startTime":1611.26,"endTime":1614.83,"body":"from you know, that list, you"},{"speaker":"Chris Dy","startTime":1614.83,"endTime":1618.88,"body":"submit, an orthopedic surgeon"},{"speaker":"Chris Dy","startTime":1614.83,"endTime":1618.88,"body":"actually goes through and picks"},{"speaker":"Chris Dy","startTime":1618.91,"endTime":1621.88,"body":"cases for further discussion."},{"speaker":"Chris Dy","startTime":1618.91,"endTime":1621.88,"body":"And then you get a list of I"},{"speaker":"Chris Dy","startTime":1621.88,"endTime":1624.67,"body":"think it's about 12 cases that"},{"speaker":"Chris Dy","startTime":1621.88,"endTime":1624.67,"body":"could be brought up, and you"},{"speaker":"Chris Dy","startTime":1624.67,"endTime":1628.96,"body":"have to prepare your tail off"},{"speaker":"Chris Dy","startTime":1624.67,"endTime":1628.96,"body":"and get ready to defend your"},{"speaker":"Chris Dy","startTime":1628.96,"endTime":1632.26,"body":"actions in front of two senior"},{"speaker":"Chris Dy","startTime":1628.96,"endTime":1632.26,"body":"orthopedic surgeons, at least,"},{"speaker":"Chris Dy","startTime":1632.29,"endTime":1635.2,"body":"you know, I remember I some of"},{"speaker":"Chris Dy","startTime":1632.29,"endTime":1635.2,"body":"the surgeons that examine me are"},{"speaker":"Chris Dy","startTime":1635.2,"endTime":1639.1,"body":"some of the names that we know,"},{"speaker":"Chris Dy","startTime":1635.2,"endTime":1639.1,"body":"throughout our world of hand"},{"speaker":"Chris Dy","startTime":1639.1,"endTime":1642.67,"body":"surgery. So that's the process."},{"speaker":"Chris Dy","startTime":1639.1,"endTime":1642.67,"body":"One thing that I think you know,"},{"speaker":"Chris Dy","startTime":1642.67,"endTime":1644.53,"body":"this isn't going to help those"},{"speaker":"Chris Dy","startTime":1642.67,"endTime":1644.53,"body":"sitting for the Board's in the"},{"speaker":"Chris Dy","startTime":1644.53,"endTime":1648.19,"body":"next couple of weeks. But your"},{"speaker":"Chris Dy","startTime":1644.53,"endTime":1648.19,"body":"data collection process needs to"},{"speaker":"Chris Dy","startTime":1648.19,"endTime":1651.76,"body":"be set from the first few months"},{"speaker":"Chris Dy","startTime":1648.19,"endTime":1651.76,"body":"of your practice, if not from"},{"speaker":"Chris Dy","startTime":1651.79,"endTime":1655.45,"body":"day one of your practice."},{"speaker":"Chris Dy","startTime":1651.79,"endTime":1655.45,"body":"Because you need to be ready to"},{"speaker":"Chris Dy","startTime":1655.45,"endTime":1657.67,"body":"roll when it's actually time to"},{"speaker":"Chris Dy","startTime":1655.45,"endTime":1657.67,"body":"send the data in."},{"speaker":"Charles Goldfarb","startTime":1658.75,"endTime":1661.48,"body":"Yeah, for"},{"speaker":"Charles Goldfarb","startTime":1658.75,"endTime":1661.48,"body":"sure. For sure. And again,"},{"speaker":"Charles Goldfarb","startTime":1661.51,"endTime":1665.77,"body":"careful preparation. And I don't"},{"speaker":"Charles Goldfarb","startTime":1661.51,"endTime":1665.77,"body":"know the exact format today, you"},{"speaker":"Charles Goldfarb","startTime":1665.77,"endTime":1667.99,"body":"know, I had no books for each"},{"speaker":"Charles Goldfarb","startTime":1665.77,"endTime":1667.99,"body":"case, I don't think that's the"},{"speaker":"Charles Goldfarb","startTime":1667.99,"endTime":1673.66,"body":"current. It's more electronic."},{"speaker":"Charles Goldfarb","startTime":1667.99,"endTime":1673.66,"body":"Today, but yeah, you have to be"},{"speaker":"Charles Goldfarb","startTime":1673.66,"endTime":1676.54,"body":"prepared, you have to have all"},{"speaker":"Charles Goldfarb","startTime":1673.66,"endTime":1676.54,"body":"the data there, you have to look"},{"speaker":"Charles Goldfarb","startTime":1676.54,"endTime":1680.41,"body":"like you own the material. And"},{"speaker":"Charles Goldfarb","startTime":1676.54,"endTime":1680.41,"body":"that's the first step. If you"},{"speaker":"Charles Goldfarb","startTime":1680.41,"endTime":1684.4,"body":"look like you're sloppy with"},{"speaker":"Charles Goldfarb","startTime":1680.41,"endTime":1684.4,"body":"your preparation, you're behind"},{"speaker":"Charles Goldfarb","startTime":1684.4,"endTime":1685.96,"body":"the eight ball before it even"},{"speaker":"Charles Goldfarb","startTime":1684.4,"endTime":1685.96,"body":"starts."},{"speaker":"Chris Dy","startTime":1686.2,"endTime":1690.55,"body":"Yeah, those sharks can"},{"speaker":"Chris Dy","startTime":1686.2,"endTime":1690.55,"body":"smell blood, it's it's pretty"},{"speaker":"Chris Dy","startTime":1690.55,"endTime":1695.41,"body":"obvious. So you mentioned going"},{"speaker":"Chris Dy","startTime":1690.55,"endTime":1695.41,"body":"through cases with a former"},{"speaker":"Chris Dy","startTime":1695.41,"endTime":1699.1,"body":"fellow, I actually think I'll be"},{"speaker":"Chris Dy","startTime":1695.41,"endTime":1699.1,"body":"doing the same thing with that"},{"speaker":"Chris Dy","startTime":1699.1,"endTime":1704.44,"body":"fellow in a couple of days. And,"},{"speaker":"Chris Dy","startTime":1699.1,"endTime":1704.44,"body":"you know, it's, it's important"},{"speaker":"Chris Dy","startTime":1704.44,"endTime":1707.17,"body":"to engage with your mentors from"},{"speaker":"Chris Dy","startTime":1704.44,"endTime":1707.17,"body":"fellowship from training."},{"speaker":"Chris Dy","startTime":1707.77,"endTime":1710.02,"body":"Because oftentimes, not only do"},{"speaker":"Chris Dy","startTime":1707.77,"endTime":1710.02,"body":"you get the practice, you can"},{"speaker":"Chris Dy","startTime":1710.02,"endTime":1712.75,"body":"blame a lot of stuff on them."},{"speaker":"Chris Dy","startTime":1710.02,"endTime":1712.75,"body":"How they taught you."},{"speaker":"Charles Goldfarb","startTime":1713.53,"endTime":1716.47,"body":"Well, that's"},{"speaker":"Charles Goldfarb","startTime":1713.53,"endTime":1716.47,"body":"one of the pearls for sure."},{"speaker":"Charles Goldfarb","startTime":1717.52,"endTime":1721.18,"body":"Yeah, this is you can prepare on"},{"speaker":"Charles Goldfarb","startTime":1717.52,"endTime":1721.18,"body":"your own, and you can do just"},{"speaker":"Charles Goldfarb","startTime":1721.18,"endTime":1726.25,"body":"fine. But if you can run through"},{"speaker":"Charles Goldfarb","startTime":1721.18,"endTime":1726.25,"body":"cases, with a mentor who has"},{"speaker":"Charles Goldfarb","startTime":1726.25,"endTime":1731.38,"body":"some skill with, you know,"},{"speaker":"Charles Goldfarb","startTime":1726.25,"endTime":1731.38,"body":"pimping and really tracking down"},{"speaker":"Charles Goldfarb","startTime":1731.38,"endTime":1734.32,"body":"the issues, identifying the"},{"speaker":"Charles Goldfarb","startTime":1731.38,"endTime":1734.32,"body":"issues and tracking them down"},{"speaker":"Charles Goldfarb","startTime":1734.32,"endTime":1738.01,"body":"with you. It's there's a lot of"},{"speaker":"Charles Goldfarb","startTime":1734.32,"endTime":1738.01,"body":"value. So let's, let's start"},{"speaker":"Charles Goldfarb","startTime":1738.01,"endTime":1741.34,"body":"there, let's come up with, I"},{"speaker":"Charles Goldfarb","startTime":1738.01,"endTime":1741.34,"body":"don't know, five pearls. So the"},{"speaker":"Charles Goldfarb","startTime":1741.34,"endTime":1746.5,"body":"first Pearl is, don't be afraid"},{"speaker":"Charles Goldfarb","startTime":1741.34,"endTime":1746.5,"body":"to of course, you want to cite"},{"speaker":"Charles Goldfarb","startTime":1746.5,"endTime":1749.59,"body":"the literature to defend your"},{"speaker":"Charles Goldfarb","startTime":1746.5,"endTime":1749.59,"body":"actions or defend your choices."},{"speaker":"Charles Goldfarb","startTime":1750.52,"endTime":1753.52,"body":"But, you know, some of what we"},{"speaker":"Charles Goldfarb","startTime":1750.52,"endTime":1753.52,"body":"do is level five evidence,"},{"speaker":"Charles Goldfarb","startTime":1753.52,"endTime":1757.45,"body":"meaning it's expert opinion, and"},{"speaker":"Charles Goldfarb","startTime":1753.52,"endTime":1757.45,"body":"if you trained with experts, you"},{"speaker":"Charles Goldfarb","startTime":1757.45,"endTime":1761.5,"body":"should feel comfortable saying,"},{"speaker":"Charles Goldfarb","startTime":1757.45,"endTime":1761.5,"body":"here is why I chose this course"},{"speaker":"Charles Goldfarb","startTime":1761.5,"endTime":1766.69,"body":"of action. And then and then"},{"speaker":"Charles Goldfarb","startTime":1761.5,"endTime":1766.69,"body":"add, you know, I trained at"},{"speaker":"Charles Goldfarb","startTime":1766.69,"endTime":1770.32,"body":"Washington University, and the"},{"speaker":"Charles Goldfarb","startTime":1766.69,"endTime":1770.32,"body":"attendings there appreciated"},{"speaker":"Charles Goldfarb","startTime":1770.32,"endTime":1772.66,"body":"this approach. Now, you don't"},{"speaker":"Charles Goldfarb","startTime":1770.32,"endTime":1772.66,"body":"want to be arrogant about that."},{"speaker":"Charles Goldfarb","startTime":1772.84,"endTime":1775.48,"body":"And you don't want to throw that"},{"speaker":"Charles Goldfarb","startTime":1772.84,"endTime":1775.48,"body":"in anyone's face. But it is a"},{"speaker":"Charles Goldfarb","startTime":1775.48,"endTime":1779.38,"body":"reasonable explanation if it can"},{"speaker":"Charles Goldfarb","startTime":1775.48,"endTime":1779.38,"body":"be defended, in fact, and in"},{"speaker":"Charles Goldfarb","startTime":1779.38,"endTime":1779.98,"body":"principle."},{"speaker":"Chris Dy","startTime":1780.43,"endTime":1782.44,"body":"Yeah, I absolutely"},{"speaker":"Chris Dy","startTime":1780.43,"endTime":1782.44,"body":"agree with that. I mean, I think"},{"speaker":"Chris Dy","startTime":1782.44,"endTime":1786.28,"body":"all of us rely on a lot of what"},{"speaker":"Chris Dy","startTime":1782.44,"endTime":1786.28,"body":"we do is not necessarily based"},{"speaker":"Chris Dy","startTime":1786.28,"endTime":1789.43,"body":"on the highest level evidence"},{"speaker":"Chris Dy","startTime":1786.28,"endTime":1789.43,"body":"and a lot of what we do is how"},{"speaker":"Chris Dy","startTime":1789.43,"endTime":1793.42,"body":"we were taught for better or"},{"speaker":"Chris Dy","startTime":1789.43,"endTime":1793.42,"body":"worse and, you know, as long as"},{"speaker":"Chris Dy","startTime":1793.42,"endTime":1798.04,"body":"you can cite that in a you know,"},{"speaker":"Chris Dy","startTime":1793.42,"endTime":1798.04,"body":"thoughtful and gracious way. I"},{"speaker":"Chris Dy","startTime":1798.04,"endTime":1800.02,"body":"think you're ahead of the game"},{"speaker":"Chris Dy","startTime":1798.04,"endTime":1800.02,"body":"and like you said you want to be"},{"speaker":"Chris Dy","startTime":1800.05,"endTime":1802.06,"body":"We'll have a command of the"},{"speaker":"Chris Dy","startTime":1800.05,"endTime":1802.06,"body":"literature, but you also don't"},{"speaker":"Chris Dy","startTime":1802.06,"endTime":1804.52,"body":"want to throw that in people's"},{"speaker":"Chris Dy","startTime":1802.06,"endTime":1804.52,"body":"face and come across come across"},{"speaker":"Chris Dy","startTime":1804.52,"endTime":1808.24,"body":"as professorial. Because again,"},{"speaker":"Chris Dy","startTime":1804.52,"endTime":1808.24,"body":"that doesn't come across the"},{"speaker":"Chris Dy","startTime":1808.24,"endTime":1811.66,"body":"right way. You know, so I think"},{"speaker":"Chris Dy","startTime":1808.24,"endTime":1811.66,"body":"that is an important one, too."},{"speaker":"Chris Dy","startTime":1812.71,"endTime":1813.7,"body":"To mention for sure."},{"speaker":"Charles Goldfarb","startTime":1814.15,"endTime":1816.04,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":1814.15,"endTime":1816.04,"body":"the second one I'll just build"},{"speaker":"Charles Goldfarb","startTime":1816.04,"endTime":1820.84,"body":"on what you said is humility,"},{"speaker":"Charles Goldfarb","startTime":1816.04,"endTime":1820.84,"body":"you know, you're gonna have it"},{"speaker":"Charles Goldfarb","startTime":1820.84,"endTime":1824.14,"body":"don't always pick your cases"},{"speaker":"Charles Goldfarb","startTime":1820.84,"endTime":1824.14,"body":"with complications. But it's not"},{"speaker":"Charles Goldfarb","startTime":1824.14,"endTime":1828.4,"body":"just the cases you're defending,"},{"speaker":"Charles Goldfarb","startTime":1824.14,"endTime":1828.4,"body":"which require that we be humble,"},{"speaker":"Charles Goldfarb","startTime":1828.43,"endTime":1831.49,"body":"you know, medicine requires that"},{"speaker":"Charles Goldfarb","startTime":1828.43,"endTime":1831.49,"body":"we be humble, because just, when"},{"speaker":"Charles Goldfarb","startTime":1831.49,"endTime":1833.89,"body":"you're patting yourself on the"},{"speaker":"Charles Goldfarb","startTime":1831.49,"endTime":1833.89,"body":"back and thinking, you're so"},{"speaker":"Charles Goldfarb","startTime":1833.89,"endTime":1836.44,"body":"great, you're guaranteed to get"},{"speaker":"Charles Goldfarb","startTime":1833.89,"endTime":1836.44,"body":"a complication or challenging"},{"speaker":"Charles Goldfarb","startTime":1836.44,"endTime":1840.31,"body":"patients, but just the way you"},{"speaker":"Charles Goldfarb","startTime":1836.44,"endTime":1840.31,"body":"interact with questions and"},{"speaker":"Charles Goldfarb","startTime":1840.31,"endTime":1843.91,"body":"answers, and, you know,"},{"speaker":"Charles Goldfarb","startTime":1840.31,"endTime":1843.91,"body":"admitting that you do not have"},{"speaker":"Charles Goldfarb","startTime":1843.91,"endTime":1847.21,"body":"all the answers, and perhaps you"},{"speaker":"Charles Goldfarb","startTime":1843.91,"endTime":1847.21,"body":"should have considered a"},{"speaker":"Charles Goldfarb","startTime":1847.21,"endTime":1850.96,"body":"different track, or different"},{"speaker":"Charles Goldfarb","startTime":1847.21,"endTime":1850.96,"body":"course, you know, that's, that's"},{"speaker":"Charles Goldfarb","startTime":1850.96,"endTime":1854.38,"body":"really important, because the"},{"speaker":"Charles Goldfarb","startTime":1850.96,"endTime":1854.38,"body":"examiners do not want to see"},{"speaker":"Charles Goldfarb","startTime":1854.38,"endTime":1859.21,"body":"arrogance, and a refusal to"},{"speaker":"Charles Goldfarb","startTime":1854.38,"endTime":1859.21,"body":"accept that there is a different"},{"speaker":"Charles Goldfarb","startTime":1859.21,"endTime":1861.1,"body":"way that might have achieved a"},{"speaker":"Charles Goldfarb","startTime":1859.21,"endTime":1861.1,"body":"different outcome."},{"speaker":"Chris Dy","startTime":1861.73,"endTime":1864.28,"body":"Absolutely, I"},{"speaker":"Chris Dy","startTime":1861.73,"endTime":1864.28,"body":"completely agree with that. I"},{"speaker":"Chris Dy","startTime":1864.28,"endTime":1867.07,"body":"think one pearl I would have is"},{"speaker":"Chris Dy","startTime":1864.28,"endTime":1867.07,"body":"to be self critical. But don't"},{"speaker":"Chris Dy","startTime":1867.07,"endTime":1871.09,"body":"bash yourself. You need to have"},{"speaker":"Chris Dy","startTime":1867.07,"endTime":1871.09,"body":"really thought about what you"},{"speaker":"Chris Dy","startTime":1871.09,"endTime":1873.91,"body":"could do differently. But you"},{"speaker":"Chris Dy","startTime":1871.09,"endTime":1873.91,"body":"also need you need to own up to"},{"speaker":"Chris Dy","startTime":1873.91,"endTime":1876.94,"body":"any mistakes that you made."},{"speaker":"Chris Dy","startTime":1873.91,"endTime":1876.94,"body":"Think about, you know, how would"},{"speaker":"Chris Dy","startTime":1876.94,"endTime":1879.46,"body":"I have done this differently"},{"speaker":"Chris Dy","startTime":1876.94,"endTime":1879.46,"body":"even for cases that went? Well?"},{"speaker":"Chris Dy","startTime":1880.51,"endTime":1883.51,"body":"Always think about that. I mean,"},{"speaker":"Chris Dy","startTime":1880.51,"endTime":1883.51,"body":"in Yes, of course, during board"},{"speaker":"Chris Dy","startTime":1883.51,"endTime":1886.6,"body":"collection, during your oral"},{"speaker":"Chris Dy","startTime":1883.51,"endTime":1886.6,"body":"boards, you're going to be at"},{"speaker":"Chris Dy","startTime":1886.6,"endTime":1889.51,"body":"the peak of that. But that's"},{"speaker":"Chris Dy","startTime":1886.6,"endTime":1889.51,"body":"still something where every case"},{"speaker":"Chris Dy","startTime":1889.54,"endTime":1892.87,"body":"that doesn't go exactly how I"},{"speaker":"Chris Dy","startTime":1889.54,"endTime":1892.87,"body":"wanted to and I do this as a"},{"speaker":"Chris Dy","startTime":1892.87,"endTime":1895.12,"body":"teaching exercise to at the end"},{"speaker":"Chris Dy","startTime":1892.87,"endTime":1895.12,"body":"of the case with our trainees,"},{"speaker":"Chris Dy","startTime":1895.12,"endTime":1898.45,"body":"I'm like, how could that have"},{"speaker":"Chris Dy","startTime":1895.12,"endTime":1898.45,"body":"gone better? Even today, just"},{"speaker":"Chris Dy","startTime":1898.45,"endTime":1901.63,"body":"thinking about cases? How could"},{"speaker":"Chris Dy","startTime":1898.45,"endTime":1901.63,"body":"that have flowed better? So I"},{"speaker":"Chris Dy","startTime":1901.63,"endTime":1905.14,"body":"think being able to, you know,"},{"speaker":"Chris Dy","startTime":1901.63,"endTime":1905.14,"body":"if somebody asks you at the end,"},{"speaker":"Chris Dy","startTime":1905.14,"endTime":1908.83,"body":"what you learned from that case,"},{"speaker":"Chris Dy","startTime":1905.14,"endTime":1908.83,"body":"having some good pearls, when"},{"speaker":"Chris Dy","startTime":1908.83,"endTime":1911.29,"body":"you, when you get ready for your"},{"speaker":"Chris Dy","startTime":1908.83,"endTime":1911.29,"body":"boards for each case."},{"speaker":"Charles Goldfarb","startTime":1912.11,"endTime":1914.27,"body":"I think that's"},{"speaker":"Charles Goldfarb","startTime":1912.11,"endTime":1914.27,"body":"really well said, I mean, our"},{"speaker":"Charles Goldfarb","startTime":1914.45,"endTime":1918.65,"body":"practice of medicine is just"},{"speaker":"Charles Goldfarb","startTime":1914.45,"endTime":1918.65,"body":"that. And not to get too, you"},{"speaker":"Charles Goldfarb","startTime":1918.65,"endTime":1922.25,"body":"know, philosophical, but every"},{"speaker":"Charles Goldfarb","startTime":1918.65,"endTime":1922.25,"body":"day is a learning opportunity"},{"speaker":"Charles Goldfarb","startTime":1922.25,"endTime":1924.77,"body":"for us. And if you're not trying"},{"speaker":"Charles Goldfarb","startTime":1922.25,"endTime":1924.77,"body":"to engage in that learning"},{"speaker":"Charles Goldfarb","startTime":1924.77,"endTime":1927.5,"body":"process, then you're missing an"},{"speaker":"Charles Goldfarb","startTime":1924.77,"endTime":1927.5,"body":"opportunity. And that can be"},{"speaker":"Charles Goldfarb","startTime":1927.5,"endTime":1931.28,"body":"reflected in the boards. The"},{"speaker":"Charles Goldfarb","startTime":1927.5,"endTime":1931.28,"body":"other the next pro, I would say"},{"speaker":"Charles Goldfarb","startTime":1931.28,"endTime":1935.45,"body":"is, you know, as you're"},{"speaker":"Charles Goldfarb","startTime":1931.28,"endTime":1935.45,"body":"preparing, so, for example,"},{"speaker":"Charles Goldfarb","startTime":1935.63,"endTime":1939.86,"body":"there was a teenager with a"},{"speaker":"Charles Goldfarb","startTime":1935.63,"endTime":1939.86,"body":"distal radius fracture, which"},{"speaker":"Charles Goldfarb","startTime":1939.86,"endTime":1943.07,"body":"was displaced a bit treated in a"},{"speaker":"Charles Goldfarb","startTime":1939.86,"endTime":1943.07,"body":"cast patient came back three"},{"speaker":"Charles Goldfarb","startTime":1943.07,"endTime":1946.4,"body":"weeks later, and it was markedly"},{"speaker":"Charles Goldfarb","startTime":1943.07,"endTime":1946.4,"body":"displaced. And just the simplest"},{"speaker":"Charles Goldfarb","startTime":1946.4,"endTime":1952.37,"body":"little decision points may not"},{"speaker":"Charles Goldfarb","startTime":1946.4,"endTime":1952.37,"body":"be ones that you are thinking"},{"speaker":"Charles Goldfarb","startTime":1952.37,"endTime":1956.03,"body":"about as an a, as a, someone"},{"speaker":"Charles Goldfarb","startTime":1952.37,"endTime":1956.03,"body":"who's about to take the test or"},{"speaker":"Charles Goldfarb","startTime":1956.03,"endTime":1961.79,"body":"present. And so you know, the"},{"speaker":"Charles Goldfarb","startTime":1956.03,"endTime":1961.79,"body":"fellow chose to go volar. And"},{"speaker":"Charles Goldfarb","startTime":1961.79,"endTime":1965.06,"body":"that is perfectly appropriate."},{"speaker":"Charles Goldfarb","startTime":1961.79,"endTime":1965.06,"body":"But I asked why didn't go"},{"speaker":"Charles Goldfarb","startTime":1965.06,"endTime":1969.11,"body":"dorsal. And we got into a nice"},{"speaker":"Charles Goldfarb","startTime":1965.06,"endTime":1969.11,"body":"discussion about pros and cons."},{"speaker":"Charles Goldfarb","startTime":1969.11,"endTime":1972.41,"body":"And that is a very simple"},{"speaker":"Charles Goldfarb","startTime":1969.11,"endTime":1972.41,"body":"example. But as you're preparing"},{"speaker":"Charles Goldfarb","startTime":1972.41,"endTime":1977.03,"body":"for the test, the decisions that"},{"speaker":"Charles Goldfarb","startTime":1972.41,"endTime":1977.03,"body":"seem obvious to you might be"},{"speaker":"Charles Goldfarb","startTime":1977.03,"endTime":1979.97,"body":"different than the decision"},{"speaker":"Charles Goldfarb","startTime":1977.03,"endTime":1979.97,"body":"making process for the examiner."},{"speaker":"Charles Goldfarb","startTime":1979.97,"endTime":1984.32,"body":"So you have to be prepared to a"},{"speaker":"Charles Goldfarb","startTime":1979.97,"endTime":1984.32,"body":"defend your choice and be"},{"speaker":"Charles Goldfarb","startTime":1984.35,"endTime":1987.56,"body":"understand why someone might do"},{"speaker":"Charles Goldfarb","startTime":1984.35,"endTime":1987.56,"body":"it differently. And that's part"},{"speaker":"Charles Goldfarb","startTime":1987.56,"endTime":1988.91,"body":"of test taking skills."},{"speaker":"Chris Dy","startTime":1989.66,"endTime":1992.72,"body":"Right? Absolutely. And"},{"speaker":"Chris Dy","startTime":1989.66,"endTime":1992.72,"body":"I'd like to think that, you"},{"speaker":"Chris Dy","startTime":1992.72,"endTime":1994.82,"body":"know, all I know, are the two"},{"speaker":"Chris Dy","startTime":1992.72,"endTime":1994.82,"body":"training programs I did for my"},{"speaker":"Chris Dy","startTime":1994.82,"endTime":1998.24,"body":"residency and fellowship, and at"},{"speaker":"Chris Dy","startTime":1994.82,"endTime":1998.24,"body":"least those programs prepared me"},{"speaker":"Chris Dy","startTime":1998.24,"endTime":2001.42,"body":"for the verbal sparring that"},{"speaker":"Chris Dy","startTime":1998.24,"endTime":2001.42,"body":"sparring is probably not the"},{"speaker":"Chris Dy","startTime":2001.42,"endTime":2004.15,"body":"right word. But I mean, you"},{"speaker":"Chris Dy","startTime":2001.42,"endTime":2004.15,"body":"know, that exercise of like,"},{"speaker":"Chris Dy","startTime":2004.6,"endTime":2008.2,"body":"thinking like somebody's coming"},{"speaker":"Chris Dy","startTime":2004.6,"endTime":2008.2,"body":"at you in conference, and in a"},{"speaker":"Chris Dy","startTime":2008.2,"endTime":2011.62,"body":"nice way, well, not always nice,"},{"speaker":"Chris Dy","startTime":2008.2,"endTime":2011.62,"body":"but being able to defend your"},{"speaker":"Chris Dy","startTime":2011.62,"endTime":2014.08,"body":"actions and think on your feet."},{"speaker":"Chris Dy","startTime":2011.62,"endTime":2014.08,"body":"And I think that, you know, we"},{"speaker":"Chris Dy","startTime":2014.08,"endTime":2017.08,"body":"talk about generational"},{"speaker":"Chris Dy","startTime":2014.08,"endTime":2017.08,"body":"differences, I admit that we are"},{"speaker":"Chris Dy","startTime":2017.08,"endTime":2021.1,"body":"gentler in conference than we"},{"speaker":"Chris Dy","startTime":2017.08,"endTime":2021.1,"body":"used to be. And I don't know if"},{"speaker":"Chris Dy","startTime":2021.1,"endTime":2022.93,"body":"that's a good thing or a bad"},{"speaker":"Chris Dy","startTime":2021.1,"endTime":2022.93,"body":"thing, because maybe then you"},{"speaker":"Chris Dy","startTime":2022.93,"endTime":2025.81,"body":"come across a border examiner"},{"speaker":"Chris Dy","startTime":2022.93,"endTime":2025.81,"body":"who may not be as gentle. Now,"},{"speaker":"Chris Dy","startTime":2025.81,"endTime":2027.67,"body":"maybe they're being instructed"},{"speaker":"Chris Dy","startTime":2025.81,"endTime":2027.67,"body":"to be gentle, though, I don't"},{"speaker":"Chris Dy","startTime":2027.67,"endTime":2031.03,"body":"know. But you know, it may not"},{"speaker":"Chris Dy","startTime":2027.67,"endTime":2031.03,"body":"come across that way. And you"},{"speaker":"Chris Dy","startTime":2031.03,"endTime":2033.28,"body":"need to be ready to think under"},{"speaker":"Chris Dy","startTime":2031.03,"endTime":2033.28,"body":"stress."},{"speaker":"Charles Goldfarb","startTime":2033.54,"endTime":2036.75,"body":"Yeah, that's"},{"speaker":"Charles Goldfarb","startTime":2033.54,"endTime":2036.75,"body":"really, really well said. And"},{"speaker":"Charles Goldfarb","startTime":2036.78,"endTime":2042.63,"body":"what do we do when we stress?"},{"speaker":"Charles Goldfarb","startTime":2036.78,"endTime":2042.63,"body":"Most of us tend to just talk,"},{"speaker":"Charles Goldfarb","startTime":2043.02,"endTime":2046.68,"body":"right, if I get stressed? And"},{"speaker":"Charles Goldfarb","startTime":2043.02,"endTime":2046.68,"body":"maybe if I'm stressed, because I"},{"speaker":"Charles Goldfarb","startTime":2046.68,"endTime":2049.41,"body":"don't know the answer. If they"},{"speaker":"Charles Goldfarb","startTime":2046.68,"endTime":2049.41,"body":"asked me to cite the literature,"},{"speaker":"Charles Goldfarb","startTime":2049.41,"endTime":2054.27,"body":"not sure most of us respond by"},{"speaker":"Charles Goldfarb","startTime":2049.41,"endTime":2054.27,"body":"battling, and that's on the"},{"speaker":"Charles Goldfarb","startTime":2054.27,"endTime":2059.37,"body":"ward, or that's in the OR, or"},{"speaker":"Charles Goldfarb","startTime":2054.27,"endTime":2059.37,"body":"that's during a test. And so"},{"speaker":"Charles Goldfarb","startTime":2059.4,"endTime":2063.27,"body":"that was one of the pearls I"},{"speaker":"Charles Goldfarb","startTime":2059.4,"endTime":2063.27,"body":"gave to our former fellow, which"},{"speaker":"Charles Goldfarb","startTime":2063.27,"endTime":2068.64,"body":"is don't over talk because all"},{"speaker":"Charles Goldfarb","startTime":2063.27,"endTime":2068.64,"body":"you do when you over answer, or"},{"speaker":"Charles Goldfarb","startTime":2068.64,"endTime":2072.06,"body":"try to add additional"},{"speaker":"Charles Goldfarb","startTime":2068.64,"endTime":2072.06,"body":"information is you give the"},{"speaker":"Charles Goldfarb","startTime":2072.06,"endTime":2074.73,"body":"examiner another line of"},{"speaker":"Charles Goldfarb","startTime":2072.06,"endTime":2074.73,"body":"questioning and you may not have"},{"speaker":"Charles Goldfarb","startTime":2074.73,"endTime":2078.27,"body":"said exactly what you wanted to"},{"speaker":"Charles Goldfarb","startTime":2074.73,"endTime":2078.27,"body":"say. And so you want to answer"},{"speaker":"Charles Goldfarb","startTime":2078.27,"endTime":2082.92,"body":"questions directly. You want to"},{"speaker":"Charles Goldfarb","startTime":2078.27,"endTime":2082.92,"body":"give substance and you want to"},{"speaker":"Charles Goldfarb","startTime":2082.95,"endTime":2087.15,"body":"cite when it's appropriate. But"},{"speaker":"Charles Goldfarb","startTime":2082.95,"endTime":2087.15,"body":"answer the question in stop."},{"speaker":"Charles Goldfarb","startTime":2087.69,"endTime":2090.3,"body":"There's no crime and silence is"},{"speaker":"Charles Goldfarb","startTime":2087.69,"endTime":2090.3,"body":"not a crime."},{"speaker":"Chris Dy","startTime":2091.02,"endTime":2093.57,"body":"Right. Well, I mean,"},{"speaker":"Chris Dy","startTime":2091.02,"endTime":2093.57,"body":"it's it's not a deposition, but"},{"speaker":"Chris Dy","startTime":2093.57,"endTime":2095.94,"body":"you almost have to treat it like"},{"speaker":"Chris Dy","startTime":2093.57,"endTime":2095.94,"body":"a deposition. Many most people"},{"speaker":"Chris Dy","startTime":2095.94,"endTime":2099.45,"body":"who are in oral boards probably"},{"speaker":"Chris Dy","startTime":2095.94,"endTime":2099.45,"body":"haven't done many depos, but you"},{"speaker":"Chris Dy","startTime":2099.45,"endTime":2101.28,"body":"know, that's the way Do you"},{"speaker":"Chris Dy","startTime":2099.45,"endTime":2101.28,"body":"think about like fracture"},{"speaker":"Chris Dy","startTime":2101.28,"endTime":2103.74,"body":"conference, like in most places"},{"speaker":"Chris Dy","startTime":2101.28,"endTime":2103.74,"body":"fracture conference was usually"},{"speaker":"Chris Dy","startTime":2103.74,"endTime":2108.18,"body":"the way that type of questioning"},{"speaker":"Chris Dy","startTime":2103.74,"endTime":2108.18,"body":"and, you know, yeah, don't,"},{"speaker":"Chris Dy","startTime":2108.39,"endTime":2110.46,"body":"don't give them any more than"},{"speaker":"Chris Dy","startTime":2108.39,"endTime":2110.46,"body":"they need to have."},{"speaker":"Charles Goldfarb","startTime":2111.09,"endTime":2113.22,"body":"They have"},{"speaker":"Charles Goldfarb","startTime":2111.09,"endTime":2113.22,"body":"plenty of fodder. Don't, don't"},{"speaker":"Charles Goldfarb","startTime":2113.22,"endTime":2114.09,"body":"give them any more."},{"speaker":"Chris Dy","startTime":2114.72,"endTime":2116.79,"body":"So one additional"},{"speaker":"Chris Dy","startTime":2114.72,"endTime":2116.79,"body":"pearl that we've kind of"},{"speaker":"Chris Dy","startTime":2116.79,"endTime":2121.89,"body":"mentioned. But practice, like,"},{"speaker":"Chris Dy","startTime":2116.79,"endTime":2121.89,"body":"you know, practice everything,"},{"speaker":"Chris Dy","startTime":2121.92,"endTime":2124.92,"body":"be ready to, you know, have your"},{"speaker":"Chris Dy","startTime":2121.92,"endTime":2124.92,"body":"X rays up like it's in a"},{"speaker":"Chris Dy","startTime":2124.92,"endTime":2127.29,"body":"PowerPoint, like, they're going"},{"speaker":"Chris Dy","startTime":2124.92,"endTime":2127.29,"body":"to essentially have a PowerPoint"},{"speaker":"Chris Dy","startTime":2127.29,"endTime":2130.29,"body":"type program in the exam room,"},{"speaker":"Chris Dy","startTime":2127.29,"endTime":2130.29,"body":"you'll have to work through your"},{"speaker":"Chris Dy","startTime":2130.29,"endTime":2133.53,"body":"images, practice presenting the"},{"speaker":"Chris Dy","startTime":2130.29,"endTime":2133.53,"body":"case, practice presenting the"},{"speaker":"Chris Dy","startTime":2133.53,"endTime":2136.59,"body":"image, practice it on your own,"},{"speaker":"Chris Dy","startTime":2133.53,"endTime":2136.59,"body":"practice it with other people"},{"speaker":"Chris Dy","startTime":2136.59,"endTime":2138.99,"body":"that are taking the boards that"},{"speaker":"Chris Dy","startTime":2136.59,"endTime":2138.99,"body":"year, and then practice it with"},{"speaker":"Chris Dy","startTime":2138.99,"endTime":2142.53,"body":"your mentors. I remember sitting"},{"speaker":"Chris Dy","startTime":2138.99,"endTime":2142.53,"body":"in your dining room, which I"},{"speaker":"Chris Dy","startTime":2142.53,"endTime":2144.84,"body":"still cannot sit in your dining"},{"speaker":"Chris Dy","startTime":2142.53,"endTime":2144.84,"body":"room, because there's too many"},{"speaker":"Chris Dy","startTime":2144.84,"endTime":2150.27,"body":"memories of prior prior"},{"speaker":"Chris Dy","startTime":2144.84,"endTime":2150.27,"body":"educational experiences, to put"},{"speaker":"Chris Dy","startTime":2150.27,"endTime":2153.96,"body":"it nicely, sitting across the"},{"speaker":"Chris Dy","startTime":2150.27,"endTime":2153.96,"body":"table for you, and Marty, and"},{"speaker":"Chris Dy","startTime":2153.96,"endTime":2156.84,"body":"going through all of my cases."},{"speaker":"Chris Dy","startTime":2153.96,"endTime":2156.84,"body":"And that was an incredibly"},{"speaker":"Chris Dy","startTime":2156.84,"endTime":2159.84,"body":"helpful experience to me."},{"speaker":"Chris Dy","startTime":2156.84,"endTime":2159.84,"body":"Because I knew if anybody could"},{"speaker":"Chris Dy","startTime":2159.84,"endTime":2163.53,"body":"bring out lines of questioning"},{"speaker":"Chris Dy","startTime":2159.84,"endTime":2163.53,"body":"that were out of left field, and"},{"speaker":"Chris Dy","startTime":2163.53,"endTime":2165.87,"body":"obviously appropriate and"},{"speaker":"Chris Dy","startTime":2163.53,"endTime":2165.87,"body":"appropriate, it would be the two"},{"speaker":"Chris Dy","startTime":2165.87,"endTime":2170.07,"body":"of you. And that was super"},{"speaker":"Chris Dy","startTime":2165.87,"endTime":2170.07,"body":"helpful. So obviously, in the"},{"speaker":"Chris Dy","startTime":2170.07,"endTime":2173.4,"body":"era of zoom and FaceTime,"},{"speaker":"Chris Dy","startTime":2170.07,"endTime":2173.4,"body":"there's no reason you can't do a"},{"speaker":"Chris Dy","startTime":2173.43,"endTime":2177.18,"body":"reasonable job getting. Getting"},{"speaker":"Chris Dy","startTime":2173.43,"endTime":2177.18,"body":"with your mentors, I think, you"},{"speaker":"Chris Dy","startTime":2177.18,"endTime":2179.43,"body":"know, sometimes former fellows"},{"speaker":"Chris Dy","startTime":2177.18,"endTime":2179.43,"body":"would fly back here to do that"},{"speaker":"Chris Dy","startTime":2179.46,"endTime":2181.95,"body":"in past years, just to like, you"},{"speaker":"Chris Dy","startTime":2179.46,"endTime":2181.95,"body":"know, do an exam."},{"speaker":"Charles Goldfarb","startTime":2182.37,"endTime":2185.61,"body":"For sure, for"},{"speaker":"Charles Goldfarb","startTime":2182.37,"endTime":2185.61,"body":"sure. My last pearl, you may"},{"speaker":"Charles Goldfarb","startTime":2185.61,"endTime":2189.9,"body":"have one more. But my last Pearl"},{"speaker":"Charles Goldfarb","startTime":2185.61,"endTime":2189.9,"body":"is don't be defensive. All of"},{"speaker":"Charles Goldfarb","startTime":2189.9,"endTime":2192.45,"body":"the examiners have had"},{"speaker":"Charles Goldfarb","startTime":2189.9,"endTime":2192.45,"body":"complications, and they've had"},{"speaker":"Charles Goldfarb","startTime":2192.45,"endTime":2196.02,"body":"worse complications than you're"},{"speaker":"Charles Goldfarb","startTime":2192.45,"endTime":2196.02,"body":"presenting guaranteed, we all"},{"speaker":"Charles Goldfarb","startTime":2196.02,"endTime":2200.22,"body":"experienced that. And so don't"},{"speaker":"Charles Goldfarb","startTime":2196.02,"endTime":2200.22,"body":"you know, you have to defend"},{"speaker":"Charles Goldfarb","startTime":2200.22,"endTime":2204.75,"body":"your choices. Some complications"},{"speaker":"Charles Goldfarb","startTime":2200.22,"endTime":2204.75,"body":"could have been avoided, many"},{"speaker":"Charles Goldfarb","startTime":2204.75,"endTime":2208.08,"body":"complications could not have"},{"speaker":"Charles Goldfarb","startTime":2204.75,"endTime":2208.08,"body":"been avoided. But don't get"},{"speaker":"Charles Goldfarb","startTime":2208.08,"endTime":2212.07,"body":"defensive, the factual, you"},{"speaker":"Charles Goldfarb","startTime":2208.08,"endTime":2212.07,"body":"know, almost approach the case"},{"speaker":"Charles Goldfarb","startTime":2212.07,"endTime":2217.47,"body":"as an outsider. So that you can"},{"speaker":"Charles Goldfarb","startTime":2212.07,"endTime":2217.47,"body":"be objective as you respond to"},{"speaker":"Charles Goldfarb","startTime":2217.47,"endTime":2220.68,"body":"questions. And if you get"},{"speaker":"Charles Goldfarb","startTime":2217.47,"endTime":2220.68,"body":"defensive, that's when again,"},{"speaker":"Charles Goldfarb","startTime":2220.98,"endTime":2223.26,"body":"the examiners will see the blood"},{"speaker":"Charles Goldfarb","startTime":2220.98,"endTime":2223.26,"body":"in the water, and they'll"},{"speaker":"Charles Goldfarb","startTime":2223.29,"endTime":2224.85,"body":"they'll get more aggressive"},{"speaker":"Charles Goldfarb","startTime":2223.29,"endTime":2224.85,"body":"guarantee."},{"speaker":"Chris Dy","startTime":2226.5,"endTime":2228.42,"body":"The last thing I'll"},{"speaker":"Chris Dy","startTime":2226.5,"endTime":2228.42,"body":"say is something that we alluded"},{"speaker":"Chris Dy","startTime":2228.42,"endTime":2236.34,"body":"to earlier, arrive early. Arrive"},{"speaker":"Chris Dy","startTime":2228.42,"endTime":2236.34,"body":"the night before, try to don't"},{"speaker":"Chris Dy","startTime":2236.34,"endTime":2239.19,"body":"try to thread the needle. This"},{"speaker":"Chris Dy","startTime":2236.34,"endTime":2239.19,"body":"is one in which you just have to"},{"speaker":"Chris Dy","startTime":2239.19,"endTime":2242.07,"body":"give, give it and enjoy the"},{"speaker":"Chris Dy","startTime":2239.19,"endTime":2242.07,"body":"extra night in Chicago or"},{"speaker":"Chris Dy","startTime":2242.07,"endTime":2246.33,"body":"wherever you take your oral"},{"speaker":"Chris Dy","startTime":2242.07,"endTime":2246.33,"body":"boards. And it's the worst"},{"speaker":"Chris Dy","startTime":2246.33,"endTime":2249.42,"body":"though it was the worst I"},{"speaker":"Chris Dy","startTime":2246.33,"endTime":2249.42,"body":"remember being ushered into that"},{"speaker":"Chris Dy","startTime":2249.45,"endTime":2253.74,"body":"ballroom, and then just having"},{"speaker":"Chris Dy","startTime":2249.45,"endTime":2253.74,"body":"to wait, that was the worst. And"},{"speaker":"Chris Dy","startTime":2253.74,"endTime":2257.34,"body":"you get the whole talk about the"},{"speaker":"Chris Dy","startTime":2253.74,"endTime":2257.34,"body":"ABOS. Blah, blah, blah. It's"},{"speaker":"Chris Dy","startTime":2257.37,"endTime":2260.28,"body":"It's nobody's thinking about"},{"speaker":"Chris Dy","startTime":2257.37,"endTime":2260.28,"body":"anything else other than getting"},{"speaker":"Chris Dy","startTime":2260.28,"endTime":2261.6,"body":"through the darn exam."},{"speaker":"Charles Goldfarb","startTime":2261.63,"endTime":2262.53,"body":"Survival."},{"speaker":"Chris Dy","startTime":2263.04,"endTime":2265.89,"body":"So yeah arrive, arrive"},{"speaker":"Chris Dy","startTime":2263.04,"endTime":2265.89,"body":"early, celebrate when you're"},{"speaker":"Chris Dy","startTime":2265.89,"endTime":2268.89,"body":"done, and then cross your"},{"speaker":"Chris Dy","startTime":2265.89,"endTime":2268.89,"body":"fingers until you get scores"},{"speaker":"Chris Dy","startTime":2268.89,"endTime":2269.37,"body":"back."},{"speaker":"Charles Goldfarb","startTime":2269.97,"endTime":2272.94,"body":"So true. All"},{"speaker":"Charles Goldfarb","startTime":2269.97,"endTime":2272.94,"body":"right. Well, that was"},{"speaker":"Charles Goldfarb","startTime":2272.94,"endTime":2273.93,"body":"interesting, that was kind of"},{"speaker":"Charles Goldfarb","startTime":2272.94,"endTime":2273.93,"body":"fun."},{"speaker":"Chris Dy","startTime":2274.62,"endTime":2277.26,"body":"Indeed. So with that"},{"speaker":"Chris Dy","startTime":2274.62,"endTime":2277.26,"body":"we have some other listener grab"},{"speaker":"Chris Dy","startTime":2277.26,"endTime":2279.87,"body":"bag, things to get to in coming"},{"speaker":"Chris Dy","startTime":2277.26,"endTime":2279.87,"body":"episodes. We've had some great"},{"speaker":"Chris Dy","startTime":2279.87,"endTime":2282.6,"body":"suggestions, little clinical"},{"speaker":"Chris Dy","startTime":2279.87,"endTime":2282.6,"body":"pearls questions, follow up"},{"speaker":"Chris Dy","startTime":2282.6,"endTime":2287.58,"body":"questions about prior episodes."},{"speaker":"Chris Dy","startTime":2282.6,"endTime":2287.58,"body":"So look forward to discussing"},{"speaker":"Chris Dy","startTime":2287.58,"endTime":2288.57,"body":"those in the future."},{"speaker":"Charles Goldfarb","startTime":2289.11,"endTime":2290.79,"body":"Yeah, that'll"},{"speaker":"Charles Goldfarb","startTime":2289.11,"endTime":2290.79,"body":"be that'd be great. Yeah, a"},{"speaker":"Charles Goldfarb","startTime":2290.79,"endTime":2294.21,"body":"second part of this conversation"},{"speaker":"Charles Goldfarb","startTime":2290.79,"endTime":2294.21,"body":"would be fun. And then we will"},{"speaker":"Charles Goldfarb","startTime":2294.21,"endTime":2297.03,"body":"jump back in more of our"},{"speaker":"Charles Goldfarb","startTime":2294.21,"endTime":2297.03,"body":"routine. But it's good to see"},{"speaker":"Charles Goldfarb","startTime":2297.03,"endTime":2299.88,"body":"you back on our turf. And"},{"speaker":"Charles Goldfarb","startTime":2297.03,"endTime":2299.88,"body":"hopefully life calms down a"},{"speaker":"Charles Goldfarb","startTime":2299.88,"endTime":2305.67,"body":"little bit for you, but have a"},{"speaker":"Charles Goldfarb","startTime":2299.88,"endTime":2305.67,"body":"good Rafi birthday day off."},{"speaker":"Chris Dy","startTime":2305.94,"endTime":2308.73,"body":"I hope I survive."},{"speaker":"Chris Dy","startTime":2305.94,"endTime":2308.73,"body":"It'll be like running two rooms"},{"speaker":"Chris Dy","startTime":2308.73,"endTime":2312.96,"body":"and pace will be fast all day."},{"speaker":"Chris Dy","startTime":2308.73,"endTime":2312.96,"body":"And to anybody taking the boards"},{"speaker":"Chris Dy","startTime":2312.96,"endTime":2316.23,"body":"out there. Good luck. We'll be"},{"speaker":"Chris Dy","startTime":2312.96,"endTime":2316.23,"body":"thinking about you guys. And"},{"speaker":"Chris Dy","startTime":2316.68,"endTime":2318.87,"body":"we'd love to hear your"},{"speaker":"Chris Dy","startTime":2316.68,"endTime":2318.87,"body":"experiences this year. So feel"},{"speaker":"Chris Dy","startTime":2318.87,"endTime":2322.86,"body":"free to send us an email or hit"},{"speaker":"Chris Dy","startTime":2318.87,"endTime":2322.86,"body":"us up on social media. So good"},{"speaker":"Chris Dy","startTime":2322.86,"endTime":2323.19,"body":"luck."},{"speaker":"Charles Goldfarb","startTime":2323.85,"endTime":2329.31,"body":"Good luck."},{"speaker":"Charles Goldfarb","startTime":2323.85,"endTime":2329.31,"body":"Thanks, all. Hey, Chris, that"},{"speaker":"Charles Goldfarb","startTime":2329.31,"endTime":2330.93,"body":"was fun. Let's do it again real"},{"speaker":"Charles Goldfarb","startTime":2329.31,"endTime":2330.93,"body":"soon."},{"speaker":"Chris Dy","startTime":2331.2,"endTime":2333.72,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":2331.2,"endTime":2333.72,"body":"sure to check us out on Twitter"},{"speaker":"Chris Dy","startTime":2333.84,"endTime":2336.12,"body":"@handpodcast. Hey, Chuck, what's"},{"speaker":"Chris Dy","startTime":2333.84,"endTime":2336.12,"body":"your Twitter handle?"},{"speaker":"Charles Goldfarb","startTime":2336.48,"endTime":2339.3,"body":"Mine is"},{"speaker":"Charles Goldfarb","startTime":2336.48,"endTime":2339.3,"body":"@congenitalhand. What about you?"},{"speaker":"Chris Dy","startTime":2339.48,"endTime":2342.96,"body":"Mine is @ChrisDyMD"},{"speaker":"Chris Dy","startTime":2339.48,"endTime":2342.96,"body":"spelled dy. And if you'd like to"},{"speaker":"Chris Dy","startTime":2342.96,"endTime":2346.35,"body":"email us, you can reach us at"},{"speaker":"Chris Dy","startTime":2342.96,"endTime":2346.35,"body":"handpodcast@gmail.com."},{"speaker":"Charles Goldfarb","startTime":2347.31,"endTime":2349.44,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":2347.31,"endTime":2349.44,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":2349.44,"endTime":2350.52,"body":"get your podcasts."},{"speaker":"Chris Dy","startTime":2350.55,"endTime":2352.77,"body":"And be sure to leave a"},{"speaker":"Chris Dy","startTime":2350.55,"endTime":2352.77,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":2352.77,"endTime":2353.16,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":2353.54,"endTime":2355.85,"body":"Special thanks"},{"speaker":"Charles Goldfarb","startTime":2353.54,"endTime":2355.85,"body":"to Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":2355.85,"endTime":2359.84,"body":"music. And remember, keep the"},{"speaker":"Charles Goldfarb","startTime":2355.85,"endTime":2359.84,"body":"upper hand. Come back next time."}]}