{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":3.63,"endTime":5.97,"body":"Welcome to the"},{"speaker":"Charles Goldfarb","startTime":3.63,"endTime":5.97,"body":"upper hand podcast where Chuck"},{"speaker":"Charles Goldfarb","startTime":6.0,"endTime":7.53,"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":12.33,"body":"University in St. Louis here to"},{"speaker":"Chris Dy","startTime":9.72,"endTime":12.33,"body":"talk about all things hand"},{"speaker":"Chris Dy","startTime":12.33,"endTime":14.64,"body":"surgery related from technical"},{"speaker":"Chris Dy","startTime":12.33,"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":18.93,"endTime":21.3,"body":"And thank you in"},{"speaker":"Chris Dy","startTime":18.93,"endTime":21.3,"body":"advance for leaving a review and"},{"speaker":"Chris Dy","startTime":21.3,"endTime":23.55,"body":"leaving a rating wherever you"},{"speaker":"Chris Dy","startTime":21.3,"endTime":23.55,"body":"get your podcasts."},{"speaker":"Charles Goldfarb","startTime":24.24,"endTime":24.84,"body":"Oh, hey,"},{"speaker":"Charles Goldfarb","startTime":24.24,"endTime":24.84,"body":"Chris."},{"speaker":"Chris Dy","startTime":25.41,"endTime":26.37,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":25.41,"endTime":26.37,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":26.73,"endTime":28.29,"body":"I am well how"},{"speaker":"Charles Goldfarb","startTime":26.73,"endTime":28.29,"body":"are you?"},{"speaker":"Chris Dy","startTime":28.53,"endTime":31.05,"body":"I'm good. You're busy."},{"speaker":"Chris Dy","startTime":28.53,"endTime":31.05,"body":"Man. You got your alerts going?"},{"speaker":"Chris Dy","startTime":31.05,"endTime":33.24,"body":"Notifications are going off"},{"speaker":"Chris Dy","startTime":31.05,"endTime":33.24,"body":"right when you're about to start"},{"speaker":"Chris Dy","startTime":33.24,"endTime":34.08,"body":"recording the pod."},{"speaker":"Charles Goldfarb","startTime":34.38,"endTime":36.18,"body":"I know. I feel"},{"speaker":"Charles Goldfarb","startTime":34.38,"endTime":36.18,"body":"like I'm insulting you with"},{"speaker":"Charles Goldfarb","startTime":36.18,"endTime":37.62,"body":"that. I silenced it."},{"speaker":"Chris Dy","startTime":37.8,"endTime":40.05,"body":"That that's that's"},{"speaker":"Chris Dy","startTime":37.8,"endTime":40.05,"body":"okay. We all know you're in"},{"speaker":"Chris Dy","startTime":40.05,"endTime":40.56,"body":"demand."},{"speaker":"Charles Goldfarb","startTime":42.27,"endTime":46.35,"body":"Yeah, I'll"},{"speaker":"Charles Goldfarb","startTime":42.27,"endTime":46.35,"body":"good i, the week feels you know,"},{"speaker":"Charles Goldfarb","startTime":46.35,"endTime":48.84,"body":"I'm gonna regret saying this."},{"speaker":"Charles Goldfarb","startTime":46.35,"endTime":48.84,"body":"Because it's so interesting."},{"speaker":"Charles Goldfarb","startTime":48.84,"endTime":53.52,"body":"Like, I will feel on top of"},{"speaker":"Charles Goldfarb","startTime":48.84,"endTime":53.52,"body":"things. And then 24 hours later,"},{"speaker":"Charles Goldfarb","startTime":53.52,"endTime":56.01,"body":"I feel like I'm drowning. It's"},{"speaker":"Charles Goldfarb","startTime":53.52,"endTime":56.01,"body":"really interesting. I don't know"},{"speaker":"Charles Goldfarb","startTime":56.01,"endTime":57.69,"body":"how it's changing that fast."},{"speaker":"Chris Dy","startTime":57.84,"endTime":60.63,"body":"You've mentioned that"},{"speaker":"Chris Dy","startTime":57.84,"endTime":60.63,"body":"before. And I feel like I've had"},{"speaker":"Chris Dy","startTime":60.63,"endTime":64.98,"body":"the longest two days a week"},{"speaker":"Chris Dy","startTime":60.63,"endTime":64.98,"body":"ever. Of course. I mean, you"},{"speaker":"Chris Dy","startTime":64.98,"endTime":69.12,"body":"know what, I'm sure everybody"},{"speaker":"Chris Dy","startTime":64.98,"endTime":69.12,"body":"who is in some kind of practice,"},{"speaker":"Chris Dy","startTime":69.12,"endTime":72.6,"body":"whether surgical or therapy"},{"speaker":"Chris Dy","startTime":69.12,"endTime":72.6,"body":"knows that when you're out, you"},{"speaker":"Chris Dy","startTime":72.6,"endTime":74.76,"body":"tend to pay for it right before"},{"speaker":"Chris Dy","startTime":72.6,"endTime":74.76,"body":"you leave and pay for it right"},{"speaker":"Chris Dy","startTime":74.76,"endTime":77.34,"body":"when you get back unless you're"},{"speaker":"Chris Dy","startTime":74.76,"endTime":77.34,"body":"very kind to yourself and play"},{"speaker":"Chris Dy","startTime":77.34,"endTime":82.26,"body":"defense against it. In this, you"},{"speaker":"Chris Dy","startTime":77.34,"endTime":82.26,"body":"know, coming back. This wasn't"},{"speaker":"Chris Dy","startTime":82.26,"endTime":87.36,"body":"my first week back, but I got"},{"speaker":"Chris Dy","startTime":82.26,"endTime":87.36,"body":"slammed in clinic yesterday. And"},{"speaker":"Chris Dy","startTime":87.36,"endTime":90.27,"body":"it's just a lot of a lot of"},{"speaker":"Chris Dy","startTime":87.36,"endTime":90.27,"body":"people and a lot of people with"},{"speaker":"Chris Dy","startTime":90.3,"endTime":92.64,"body":"like really cool and interesting"},{"speaker":"Chris Dy","startTime":90.3,"endTime":92.64,"body":"stuff that I totally dug. I"},{"speaker":"Chris Dy","startTime":92.64,"endTime":97.62,"body":"enjoyed the process of seeing"},{"speaker":"Chris Dy","startTime":92.64,"endTime":97.62,"body":"them. But you know, obviously"},{"speaker":"Chris Dy","startTime":97.62,"endTime":100.26,"body":"makes for slightly longer visits"},{"speaker":"Chris Dy","startTime":97.62,"endTime":100.26,"body":"and more of a stack of"},{"speaker":"Chris Dy","startTime":100.26,"endTime":103.14,"body":"dictations to do at the end of"},{"speaker":"Chris Dy","startTime":100.26,"endTime":103.14,"body":"the day. So I came home wiped"},{"speaker":"Chris Dy","startTime":103.14,"endTime":108.9,"body":"yesterday. And then I had a an"},{"speaker":"Chris Dy","startTime":103.14,"endTime":108.9,"body":"our day today and it was to room"},{"speaker":"Chris Dy","startTime":108.9,"endTime":110.97,"body":"day and things were humming"},{"speaker":"Chris Dy","startTime":108.9,"endTime":110.97,"body":"along. I was actually ahead of"},{"speaker":"Chris Dy","startTime":110.97,"endTime":114.06,"body":"schedule, I was cutting dry,"},{"speaker":"Chris Dy","startTime":110.97,"endTime":114.06,"body":"congratulating myself for being"},{"speaker":"Chris Dy","startTime":114.06,"endTime":116.37,"body":"ahead of schedule. To the point"},{"speaker":"Chris Dy","startTime":114.06,"endTime":116.37,"body":"I was like, oh, we should call"},{"speaker":"Chris Dy","startTime":116.37,"endTime":121.08,"body":"some people in early. Oh, yeah."},{"speaker":"Chris Dy","startTime":116.37,"endTime":121.08,"body":"But I've learned here's what"},{"speaker":"Chris Dy","startTime":121.08,"endTime":125.01,"body":"I've learned, okay. I've learned"},{"speaker":"Chris Dy","startTime":121.08,"endTime":125.01,"body":"about six months ago that I"},{"speaker":"Chris Dy","startTime":125.01,"endTime":127.65,"body":"cannot be in charge of the"},{"speaker":"Chris Dy","startTime":125.01,"endTime":127.65,"body":"schedule, like last minute"},{"speaker":"Chris Dy","startTime":127.65,"endTime":130.89,"body":"adjustments as scheduled."},{"speaker":"Chris Dy","startTime":127.65,"endTime":130.89,"body":"Because not only do I exaggerate"},{"speaker":"Chris Dy","startTime":130.89,"endTime":133.92,"body":"in my mind how good I am at"},{"speaker":"Chris Dy","startTime":130.89,"endTime":133.92,"body":"getting things kind of perfectly"},{"speaker":"Chris Dy","startTime":133.95,"endTime":138.66,"body":"threading the needle like you"},{"speaker":"Chris Dy","startTime":133.95,"endTime":138.66,"body":"do. I don't like disturbing"},{"speaker":"Chris Dy","startTime":138.66,"endTime":141.18,"body":"patients on the day of surgery"},{"speaker":"Chris Dy","startTime":138.66,"endTime":141.18,"body":"with changing something about"},{"speaker":"Chris Dy","startTime":141.18,"endTime":143.31,"body":"their arrival, because it's"},{"speaker":"Chris Dy","startTime":141.18,"endTime":143.31,"body":"already a stressful thing to"},{"speaker":"Chris Dy","startTime":143.31,"endTime":146.07,"body":"have surgery and to have to"},{"speaker":"Chris Dy","startTime":143.31,"endTime":146.07,"body":"arrive at a certain time and"},{"speaker":"Chris Dy","startTime":146.07,"endTime":150.45,"body":"etc. So I told myself that I"},{"speaker":"Chris Dy","startTime":146.07,"endTime":150.45,"body":"would not make those decisions."},{"speaker":"Chris Dy","startTime":150.45,"endTime":153.66,"body":"And I would have whoever was the"},{"speaker":"Chris Dy","startTime":150.45,"endTime":153.66,"body":"charge nurse and the or that day"},{"speaker":"Chris Dy","startTime":153.66,"endTime":156.03,"body":"make the decisions. So whenever"},{"speaker":"Chris Dy","startTime":153.66,"endTime":156.03,"body":"anybody's like you want me to"},{"speaker":"Chris Dy","startTime":156.03,"endTime":158.22,"body":"call them in early, I'm like,"},{"speaker":"Chris Dy","startTime":156.03,"endTime":158.22,"body":"nope, I've learned not to make"},{"speaker":"Chris Dy","startTime":158.22,"endTime":162.36,"body":"that decision. You need to go as"},{"speaker":"Chris Dy","startTime":158.22,"endTime":162.36,"body":"so. And so. So I had them go so"},{"speaker":"Chris Dy","startTime":162.36,"endTime":164.88,"body":"and so and she said no, we'll be"},{"speaker":"Chris Dy","startTime":162.36,"endTime":164.88,"body":"fine. We'll be fine. Like if"},{"speaker":"Chris Dy","startTime":164.88,"endTime":167.91,"body":"they arrive right when they're"},{"speaker":"Chris Dy","startTime":164.88,"endTime":167.91,"body":"supposed to. They did but then"},{"speaker":"Chris Dy","startTime":167.91,"endTime":170.94,"body":"they got delayed at registration"},{"speaker":"Chris Dy","startTime":167.91,"endTime":170.94,"body":"by 30 minutes. And it just the"},{"speaker":"Chris Dy","startTime":170.94,"endTime":175.68,"body":"whole thing fell apart. Chuck,"},{"speaker":"Chris Dy","startTime":170.94,"endTime":175.68,"body":"on a two room day, I had an hour"},{"speaker":"Chris Dy","startTime":175.71,"endTime":180.51,"body":"between my cases. I was like, no"},{"speaker":"Chris Dy","startTime":175.71,"endTime":180.51,"body":"matter what I do, I'm gonna end"},{"speaker":"Chris Dy","startTime":180.51,"endTime":183.0,"body":"at the same time even though I"},{"speaker":"Chris Dy","startTime":180.51,"endTime":183.0,"body":"was really efficient."},{"speaker":"Charles Goldfarb","startTime":183.54,"endTime":187.26,"body":"I haven't had"},{"speaker":"Charles Goldfarb","startTime":183.54,"endTime":187.26,"body":"that experience. Where does that"},{"speaker":"Chris Dy","startTime":187.26,"endTime":188.55,"body":"because you're because"},{"speaker":"Chris Dy","startTime":187.26,"endTime":188.55,"body":"you're better because you're"},{"speaker":"Chris Dy","startTime":188.55,"endTime":189.21,"body":"better than I have"},{"speaker":"Charles Goldfarb","startTime":190.83,"endTime":192.96,"body":"the same"},{"speaker":"Charles Goldfarb","startTime":190.83,"endTime":192.96,"body":"issues like occasionally you get"},{"speaker":"Charles Goldfarb","startTime":192.96,"endTime":195.18,"body":"enough ahead or a case cancels"},{"speaker":"Charles Goldfarb","startTime":192.96,"endTime":195.18,"body":"or whatever. And you're like,"},{"speaker":"Charles Goldfarb","startTime":195.18,"endTime":198.99,"body":"Should I call him in and I like"},{"speaker":"Charles Goldfarb","startTime":195.18,"endTime":198.99,"body":"you try to stay out of it. And"},{"speaker":"Charles Goldfarb","startTime":198.99,"endTime":202.65,"body":"just let them call patience. And"},{"speaker":"Charles Goldfarb","startTime":198.99,"endTime":202.65,"body":"my problem is, if they do call"},{"speaker":"Charles Goldfarb","startTime":202.65,"endTime":205.38,"body":"someone in early and disrupt"},{"speaker":"Charles Goldfarb","startTime":202.65,"endTime":205.38,"body":"their day, like you said, it's a"},{"speaker":"Charles Goldfarb","startTime":205.38,"endTime":207.57,"body":"stressful day, they may have"},{"speaker":"Charles Goldfarb","startTime":205.38,"endTime":207.57,"body":"stuff going on before the case."},{"speaker":"Charles Goldfarb","startTime":207.57,"endTime":211.83,"body":"But then if we're slow or we're"},{"speaker":"Charles Goldfarb","startTime":207.57,"endTime":211.83,"body":"not ready when we're supposed to"},{"speaker":"Charles Goldfarb","startTime":211.83,"endTime":213.87,"body":"be ready, it adds a layer of"},{"speaker":"Charles Goldfarb","startTime":211.83,"endTime":213.87,"body":"stress to me because I really"},{"speaker":"Charles Goldfarb","startTime":213.87,"endTime":218.22,"body":"prioritize in clinic in the or"},{"speaker":"Charles Goldfarb","startTime":213.87,"endTime":218.22,"body":"being on time. And and that's"},{"speaker":"Charles Goldfarb","startTime":218.25,"endTime":222.42,"body":"that's not a it's a it's about"},{"speaker":"Charles Goldfarb","startTime":218.25,"endTime":222.42,"body":"my perception of other people's"},{"speaker":"Charles Goldfarb","startTime":223.62,"endTime":227.13,"body":"sensitivities. But it's just"},{"speaker":"Charles Goldfarb","startTime":223.62,"endTime":227.13,"body":"important to me, it's really"},{"speaker":"Charles Goldfarb","startTime":227.13,"endTime":229.8,"body":"important to me, and it's makes"},{"speaker":"Charles Goldfarb","startTime":227.13,"endTime":229.8,"body":"me stressed when I can't"},{"speaker":"Charles Goldfarb","startTime":229.8,"endTime":230.79,"body":"accomplish that goal."},{"speaker":"Chris Dy","startTime":231.6,"endTime":234.15,"body":"Yeah, and I think that"},{"speaker":"Chris Dy","startTime":231.6,"endTime":234.15,"body":"people that are in private"},{"speaker":"Chris Dy","startTime":234.15,"endTime":236.85,"body":"practice are going to scoff at"},{"speaker":"Chris Dy","startTime":234.15,"endTime":236.85,"body":"this because clearly in big"},{"speaker":"Chris Dy","startTime":236.85,"endTime":240.72,"body":"systems in academics, we don't"},{"speaker":"Chris Dy","startTime":236.85,"endTime":240.72,"body":"really have the the nimbleness"},{"speaker":"Chris Dy","startTime":240.72,"endTime":243.66,"body":"that that smaller places do. But"},{"speaker":"Chris Dy","startTime":240.72,"endTime":243.66,"body":"we still for patients who are"},{"speaker":"Chris Dy","startTime":243.66,"endTime":246.12,"body":"having general anesthesia or any"},{"speaker":"Chris Dy","startTime":243.66,"endTime":246.12,"body":"kind of anesthesia, aside from"},{"speaker":"Chris Dy","startTime":246.12,"endTime":249.09,"body":"local they arrive hour and a"},{"speaker":"Chris Dy","startTime":246.12,"endTime":249.09,"body":"half to two hours before their"},{"speaker":"Chris Dy","startTime":249.09,"endTime":253.74,"body":"surgery time. And because we we"},{"speaker":"Chris Dy","startTime":249.09,"endTime":253.74,"body":"were following that even for"},{"speaker":"Chris Dy","startTime":253.74,"endTime":255.93,"body":"locals, but because we had so"},{"speaker":"Chris Dy","startTime":253.74,"endTime":255.93,"body":"many people that were like why"},{"speaker":"Chris Dy","startTime":255.93,"endTime":260.07,"body":"am I here just waiting for"},{"speaker":"Chris Dy","startTime":255.93,"endTime":260.07,"body":"nothing, not even seeing an"},{"speaker":"Chris Dy","startTime":260.07,"endTime":263.13,"body":"anesthesiologist or getting an"},{"speaker":"Chris Dy","startTime":260.07,"endTime":263.13,"body":"IV or whatever, we change our"},{"speaker":"Chris Dy","startTime":263.13,"endTime":266.7,"body":"local arrival time to one hour"},{"speaker":"Chris Dy","startTime":263.13,"endTime":266.7,"body":"beforehand, which usually is"},{"speaker":"Chris Dy","startTime":266.7,"endTime":270.3,"body":"more than enough, but it still"},{"speaker":"Chris Dy","startTime":266.7,"endTime":270.3,"body":"still bites me sometimes because"},{"speaker":"Chris Dy","startTime":270.3,"endTime":273.24,"body":"I like to just kind of have"},{"speaker":"Chris Dy","startTime":270.3,"endTime":273.24,"body":"things ready and teed up and"},{"speaker":"Chris Dy","startTime":273.27,"endTime":275.91,"body":"knock it all out and get done"},{"speaker":"Chris Dy","startTime":273.27,"endTime":275.91,"body":"early if possible. But that's"},{"speaker":"Chris Dy","startTime":275.91,"endTime":280.89,"body":"that's not that is not always in"},{"speaker":"Chris Dy","startTime":275.91,"endTime":280.89,"body":"line with the patient experience"},{"speaker":"Chris Dy","startTime":280.89,"endTime":281.37,"body":"agenda."},{"speaker":"Charles Goldfarb","startTime":281.79,"endTime":284.85,"body":"Yeah, that's"},{"speaker":"Charles Goldfarb","startTime":281.79,"endTime":284.85,"body":"right. It is a it is a lot to"},{"speaker":"Charles Goldfarb","startTime":284.85,"endTime":289.35,"body":"balance and figure out and I'm"},{"speaker":"Charles Goldfarb","startTime":284.85,"endTime":289.35,"body":"sorry, your day went to hell."},{"speaker":"Chris Dy","startTime":290.28,"endTime":292.02,"body":"You know what, it was"},{"speaker":"Chris Dy","startTime":290.28,"endTime":292.02,"body":"fine. I got a lot of stuff done."},{"speaker":"Chris Dy","startTime":292.02,"endTime":294.99,"body":"I mean, I've tried to just"},{"speaker":"Chris Dy","startTime":292.02,"endTime":294.99,"body":"embrace the downtime and it's"},{"speaker":"Chris Dy","startTime":294.99,"endTime":298.11,"body":"not like I ran over. I actually"},{"speaker":"Chris Dy","startTime":294.99,"endTime":298.11,"body":"probably looks like my"},{"speaker":"Chris Dy","startTime":298.11,"endTime":301.47,"body":"utilization was great today. So"},{"speaker":"Chris Dy","startTime":298.11,"endTime":301.47,"body":"I hope they don't dock me for"},{"speaker":"Chris Dy","startTime":301.47,"endTime":305.49,"body":"the hour where I wasn't doing a"},{"speaker":"Chris Dy","startTime":301.47,"endTime":305.49,"body":"case, but it happens. So I mean,"},{"speaker":"Chris Dy","startTime":305.49,"endTime":308.52,"body":"that's the trials and"},{"speaker":"Chris Dy","startTime":305.49,"endTime":308.52,"body":"tribulations of being in"},{"speaker":"Chris Dy","startTime":308.52,"endTime":309.12,"body":"practice."},{"speaker":"Charles Goldfarb","startTime":309.24,"endTime":313.26,"body":"That's exactly"},{"speaker":"Charles Goldfarb","startTime":309.24,"endTime":313.26,"body":"right. So any cool cases or"},{"speaker":"Charles Goldfarb","startTime":313.38,"endTime":316.2,"body":"clinical quandaries? Well,"},{"speaker":"Chris Dy","startTime":316.26,"endTime":321.18,"body":"I often wonder, what"},{"speaker":"Chris Dy","startTime":316.26,"endTime":321.18,"body":"is your worst experience that"},{"speaker":"Chris Dy","startTime":321.18,"endTime":324.87,"body":"you can remember and talk about"},{"speaker":"Chris Dy","startTime":321.18,"endTime":324.87,"body":"removing hardware,"},{"speaker":"Charles Goldfarb","startTime":324.96,"endTime":326.85,"body":"we've said on"},{"speaker":"Charles Goldfarb","startTime":324.96,"endTime":326.85,"body":"this show, and everyone knows"},{"speaker":"Charles Goldfarb","startTime":326.85,"endTime":331.89,"body":"the old adage, no one looks good"},{"speaker":"Charles Goldfarb","startTime":326.85,"endTime":331.89,"body":"taking on hardware. And I"},{"speaker":"Charles Goldfarb","startTime":331.89,"endTime":334.71,"body":"certainly have had my share of"},{"speaker":"Charles Goldfarb","startTime":331.89,"endTime":334.71,"body":"challenging experiences, the one"},{"speaker":"Charles Goldfarb","startTime":334.71,"endTime":341.7,"body":"I can remember, most is taking"},{"speaker":"Charles Goldfarb","startTime":334.71,"endTime":341.7,"body":"out a volere distal radius"},{"speaker":"Charles Goldfarb","startTime":341.7,"endTime":348.63,"body":"plate, and an elderly, frail"},{"speaker":"Charles Goldfarb","startTime":341.7,"endTime":348.63,"body":"woman. And I was taking out for"},{"speaker":"Charles Goldfarb","startTime":348.63,"endTime":350.97,"body":"a very specific reason, I don't"},{"speaker":"Charles Goldfarb","startTime":348.63,"endTime":350.97,"body":"recall what it was, whether it"},{"speaker":"Charles Goldfarb","startTime":350.97,"endTime":355.53,"body":"was a tenant issue or whatever."},{"speaker":"Charles Goldfarb","startTime":350.97,"endTime":355.53,"body":"And it was not a plate I'd put"},{"speaker":"Charles Goldfarb","startTime":355.53,"endTime":360.75,"body":"in, and several of the screws"},{"speaker":"Charles Goldfarb","startTime":355.53,"endTime":360.75,"body":"were stripped. And sometimes I"},{"speaker":"Charles Goldfarb","startTime":360.75,"endTime":365.49,"body":"get impatient, and I did what I"},{"speaker":"Charles Goldfarb","startTime":360.75,"endTime":365.49,"body":"could, I had all the right"},{"speaker":"Charles Goldfarb","startTime":365.49,"endTime":369.12,"body":"equipment there and was still"},{"speaker":"Charles Goldfarb","startTime":365.49,"endTime":369.12,"body":"failing, and ended up taking an"},{"speaker":"Charles Goldfarb","startTime":369.12,"endTime":373.95,"body":"Ostia tome. And you're using ice"},{"speaker":"Charles Goldfarb","startTime":369.12,"endTime":373.95,"body":"jam to try to break the screws"},{"speaker":"Charles Goldfarb","startTime":373.95,"endTime":382.98,"body":"off flush. And that was going"},{"speaker":"Charles Goldfarb","startTime":373.95,"endTime":382.98,"body":"okay until I labored. And there"},{"speaker":"Charles Goldfarb","startTime":382.98,"endTime":386.97,"body":"was a kind of fracture the volar"},{"speaker":"Charles Goldfarb","startTime":382.98,"endTime":386.97,"body":"cortex. Now, the dorsal cortex"},{"speaker":"Charles Goldfarb","startTime":386.97,"endTime":390.42,"body":"remained intact, it wasn't that"},{"speaker":"Charles Goldfarb","startTime":386.97,"endTime":390.42,"body":"big a deal. But, you know,"},{"speaker":"Charles Goldfarb","startTime":390.45,"endTime":393.45,"body":"dealing with bony overgrowth,"},{"speaker":"Charles Goldfarb","startTime":390.45,"endTime":393.45,"body":"dealing with stripped screws,"},{"speaker":"Charles Goldfarb","startTime":393.72,"endTime":399.21,"body":"and dealing with again, precise"},{"speaker":"Charles Goldfarb","startTime":393.72,"endTime":399.21,"body":"schedule, can put the heat on"},{"speaker":"Charles Goldfarb","startTime":399.21,"endTime":399.45,"body":"you."},{"speaker":"Chris Dy","startTime":400.68,"endTime":402.09,"body":"Yeah, it's"},{"speaker":"Chris Dy","startTime":400.68,"endTime":402.09,"body":"interesting, because I had a"},{"speaker":"Chris Dy","startTime":402.09,"endTime":406.71,"body":"case that on the list recently,"},{"speaker":"Chris Dy","startTime":402.09,"endTime":406.71,"body":"that I thought was going to be a"},{"speaker":"Chris Dy","startTime":406.71,"endTime":411.06,"body":"bear to remove the hardware. So"},{"speaker":"Chris Dy","startTime":406.71,"endTime":411.06,"body":"I overbooked the case that I"},{"speaker":"Chris Dy","startTime":411.06,"endTime":414.0,"body":"didn't have to enter that. I"},{"speaker":"Chris Dy","startTime":411.06,"endTime":414.0,"body":"didn't have the wherewithal to"},{"speaker":"Chris Dy","startTime":414.0,"endTime":417.72,"body":"put it absolutely at the end of"},{"speaker":"Chris Dy","startTime":414.0,"endTime":417.72,"body":"the day, for whatever reason. So"},{"speaker":"Chris Dy","startTime":417.72,"endTime":419.88,"body":"then I ended up with a bunch of"},{"speaker":"Chris Dy","startTime":417.72,"endTime":419.88,"body":"extra time, but I was just"},{"speaker":"Chris Dy","startTime":419.88,"endTime":422.43,"body":"worried because it was a plate"},{"speaker":"Chris Dy","startTime":419.88,"endTime":422.43,"body":"that again, I had not put in"},{"speaker":"Chris Dy","startTime":423.03,"endTime":426.6,"body":"screws were fractured. It's not"},{"speaker":"Chris Dy","startTime":423.03,"endTime":426.6,"body":"my favorite material. It's"},{"speaker":"Chris Dy","startTime":426.6,"endTime":430.14,"body":"titanium, which I know is more"},{"speaker":"Chris Dy","startTime":426.6,"endTime":430.14,"body":"prone to stripping screw heads."},{"speaker":"Chris Dy","startTime":431.16,"endTime":433.62,"body":"But it all came out really"},{"speaker":"Chris Dy","startTime":431.16,"endTime":433.62,"body":"nicely. But I was just mad at"},{"speaker":"Chris Dy","startTime":433.62,"endTime":436.38,"body":"myself for not getting the"},{"speaker":"Chris Dy","startTime":433.62,"endTime":436.38,"body":"booking time. Right. But again,"},{"speaker":"Chris Dy","startTime":436.38,"endTime":439.95,"body":"like you said, it could be so"},{"speaker":"Chris Dy","startTime":436.38,"endTime":439.95,"body":"much worse. Do you ever endeavor"},{"speaker":"Chris Dy","startTime":439.95,"endTime":442.92,"body":"to take out screw shafts that"},{"speaker":"Chris Dy","startTime":439.95,"endTime":442.92,"body":"are stuck in bone after you've"},{"speaker":"Chris Dy","startTime":442.92,"endTime":444.51,"body":"already taken out the fractured"},{"speaker":"Chris Dy","startTime":442.92,"endTime":444.51,"body":"head,"},{"speaker":"Charles Goldfarb","startTime":445.44,"endTime":447.3,"body":"have no"},{"speaker":"Charles Goldfarb","startTime":445.44,"endTime":447.3,"body":"problem leaving and there's two"},{"speaker":"Charles Goldfarb","startTime":447.3,"endTime":451.47,"body":"issues one, you have to let the"},{"speaker":"Charles Goldfarb","startTime":447.3,"endTime":451.47,"body":"patient know, obviously. And"},{"speaker":"Charles Goldfarb","startTime":451.5,"endTime":454.02,"body":"they need to be aware if they"},{"speaker":"Charles Goldfarb","startTime":451.5,"endTime":454.02,"body":"get an MRI or something like"},{"speaker":"Charles Goldfarb","startTime":454.02,"endTime":460.74,"body":"that. And to some of them have"},{"speaker":"Charles Goldfarb","startTime":454.02,"endTime":460.74,"body":"what I would consider a reaction"},{"speaker":"Charles Goldfarb","startTime":460.74,"endTime":464.67,"body":"that is magnified compared to"},{"speaker":"Charles Goldfarb","startTime":460.74,"endTime":464.67,"body":"what it should be. And they just"},{"speaker":"Charles Goldfarb","startTime":464.67,"endTime":468.09,"body":"really disliked the concept of"},{"speaker":"Charles Goldfarb","startTime":464.67,"endTime":468.09,"body":"having that broken screw in"},{"speaker":"Charles Goldfarb","startTime":468.09,"endTime":471.75,"body":"their bone. And as long as you"},{"speaker":"Charles Goldfarb","startTime":468.09,"endTime":471.75,"body":"can do about it, and you I tend"},{"speaker":"Charles Goldfarb","startTime":471.75,"endTime":473.91,"body":"to try to explain I could have"},{"speaker":"Charles Goldfarb","startTime":471.75,"endTime":473.91,"body":"gotten it out but I would have"},{"speaker":"Charles Goldfarb","startTime":473.91,"endTime":476.37,"body":"destroyed your bone in doing so."},{"speaker":"Charles Goldfarb","startTime":473.91,"endTime":476.37,"body":"But that's happened to me on"},{"speaker":"Charles Goldfarb","startTime":476.37,"endTime":477.99,"body":"more than one occasion for sure."},{"speaker":"Chris Dy","startTime":478.59,"endTime":482.79,"body":"Do you are you"},{"speaker":"Chris Dy","startTime":478.59,"endTime":482.79,"body":"believer in the the anecdote"},{"speaker":"Chris Dy","startTime":482.79,"endTime":485.1,"body":"that some surgeons say that"},{"speaker":"Chris Dy","startTime":482.79,"endTime":485.1,"body":"everybody feels better when the"},{"speaker":"Chris Dy","startTime":485.1,"endTime":485.7,"body":"plates out?"},{"speaker":"Charles Goldfarb","startTime":487.68,"endTime":490.667,"body":"No, I don't"},{"speaker":"Charles Goldfarb","startTime":487.68,"endTime":490.667,"body":"think so. Obviously, I'm biased"},{"speaker":"Charles Goldfarb","startTime":490.737,"endTime":494.975,"body":"because I only take the plates"},{"speaker":"Charles Goldfarb","startTime":490.737,"endTime":494.975,"body":"out if there's a reason to you"},{"speaker":"Charles Goldfarb","startTime":495.045,"endTime":499.075,"body":"know- when I was in training"},{"speaker":"Charles Goldfarb","startTime":495.045,"endTime":499.075,"body":"Chris many, many decades ago."},{"speaker":"Charles Goldfarb","startTime":499.144,"endTime":503.313,"body":"You know, in pediatrics, we were"},{"speaker":"Charles Goldfarb","startTime":499.144,"endTime":503.313,"body":"taken out plates, just as a"},{"speaker":"Charles Goldfarb","startTime":503.383,"endTime":507.413,"body":"matter of course, you put a"},{"speaker":"Charles Goldfarb","startTime":503.383,"endTime":507.413,"body":"plate in you take a plate out,"},{"speaker":"Charles Goldfarb","startTime":507.482,"endTime":511.373,"body":"and maybe early on and our"},{"speaker":"Charles Goldfarb","startTime":507.482,"endTime":511.373,"body":"metals, we needed to do that."},{"speaker":"Charles Goldfarb","startTime":511.443,"endTime":515.89,"body":"But we don't, to my knowledge in"},{"speaker":"Charles Goldfarb","startTime":511.443,"endTime":515.89,"body":"2022. And there is never a plan"},{"speaker":"Charles Goldfarb","startTime":515.959,"endTime":520.267,"body":"to take a plate out unless it is"},{"speaker":"Charles Goldfarb","startTime":515.959,"endTime":520.267,"body":"required based on positioning"},{"speaker":"Charles Goldfarb","startTime":520.336,"endTime":523.95,"body":"and concern of complications. Is"},{"speaker":"Charles Goldfarb","startTime":520.336,"endTime":523.95,"body":"that your approach?"},{"speaker":"Chris Dy","startTime":524.58,"endTime":526.05,"body":"Yeah, it's my"},{"speaker":"Chris Dy","startTime":524.58,"endTime":526.05,"body":"approach. I mean, you know, I"},{"speaker":"Chris Dy","startTime":526.05,"endTime":529.11,"body":"worked with a trauma surgeon and"},{"speaker":"Chris Dy","startTime":526.05,"endTime":529.11,"body":"residency that, you know, I"},{"speaker":"Chris Dy","startTime":529.11,"endTime":531.93,"body":"think one of the things they"},{"speaker":"Chris Dy","startTime":529.11,"endTime":531.93,"body":"would do is like start the"},{"speaker":"Chris Dy","startTime":531.93,"endTime":534.66,"body":"second room of the day with an"},{"speaker":"Chris Dy","startTime":531.93,"endTime":534.66,"body":"elective hardware removal just"},{"speaker":"Chris Dy","startTime":534.75,"endTime":538.17,"body":"to kind of allow clearances. You"},{"speaker":"Chris Dy","startTime":534.75,"endTime":538.17,"body":"know, patients get cleared and"},{"speaker":"Chris Dy","startTime":538.17,"endTime":542.19,"body":"stuff for traumas. And I don't"},{"speaker":"Chris Dy","startTime":538.17,"endTime":542.19,"body":"know the how loose the or tight"},{"speaker":"Chris Dy","startTime":542.19,"endTime":544.44,"body":"the indications were to remove"},{"speaker":"Chris Dy","startTime":542.19,"endTime":544.44,"body":"the hardware, but we were taken"},{"speaker":"Chris Dy","startTime":544.44,"endTime":549.33,"body":"out a lot of hardware. That was"},{"speaker":"Chris Dy","startTime":544.44,"endTime":549.33,"body":"that was the chief's room. Was"},{"speaker":"Chris Dy","startTime":549.33,"endTime":552.66,"body":"not. It's not always fun, but"},{"speaker":"Chris Dy","startTime":549.33,"endTime":552.66,"body":"you got it done. So"},{"speaker":"Charles Goldfarb","startTime":553.38,"endTime":554.91,"body":"yeah, there's"},{"speaker":"Charles Goldfarb","startTime":553.38,"endTime":554.91,"body":"lots of reasons to your"},{"speaker":"Charles Goldfarb","startTime":554.91,"endTime":556.14,"body":"hardware, I guess."},{"speaker":"Chris Dy","startTime":557.4,"endTime":559.74,"body":"There's some there's"},{"speaker":"Chris Dy","startTime":557.4,"endTime":559.74,"body":"some countries in which the it's"},{"speaker":"Chris Dy","startTime":559.74,"endTime":562.35,"body":"routine to put a plate in, take"},{"speaker":"Chris Dy","startTime":559.74,"endTime":562.35,"body":"a plate out like you're saying"},{"speaker":"Chris Dy","startTime":562.35,"endTime":565.14,"body":"so I think it's different. I'd"},{"speaker":"Chris Dy","startTime":562.35,"endTime":565.14,"body":"love to hear from listeners"},{"speaker":"Chris Dy","startTime":565.14,"endTime":567.54,"body":"around the world. You know, what"},{"speaker":"Chris Dy","startTime":565.14,"endTime":567.54,"body":"their thoughts are about whether"},{"speaker":"Chris Dy","startTime":567.54,"endTime":570.33,"body":"you take a plate out if you"},{"speaker":"Chris Dy","startTime":567.54,"endTime":570.33,"body":"automatically take one out if"},{"speaker":"Chris Dy","startTime":570.33,"endTime":572.64,"body":"you put it in? Because"},{"speaker":"Chris Dy","startTime":570.33,"endTime":572.64,"body":"everybody's a little bit"},{"speaker":"Chris Dy","startTime":572.64,"endTime":573.06,"body":"different."},{"speaker":"Charles Goldfarb","startTime":573.69,"endTime":576.122,"body":"Yeah, totally"},{"speaker":"Charles Goldfarb","startTime":573.69,"endTime":576.122,"body":"agree. Yeah, and you're exactly"},{"speaker":"Charles Goldfarb","startTime":576.176,"endTime":579.635,"body":"right distal radius plates are a"},{"speaker":"Charles Goldfarb","startTime":576.176,"endTime":579.635,"body":"great example of sometimes they"},{"speaker":"Charles Goldfarb","startTime":579.689,"endTime":582.175,"body":"automatically come out to"},{"speaker":"Charles Goldfarb","startTime":579.689,"endTime":582.175,"body":"decrease the risk of"},{"speaker":"Charles Goldfarb","startTime":582.229,"endTime":585.418,"body":"complications. I get that."},{"speaker":"Charles Goldfarb","startTime":582.229,"endTime":585.418,"body":"Awesome. Well, do you like this?"},{"speaker":"Charles Goldfarb","startTime":585.472,"endTime":587.58,"body":"Should I send you my hardware removals?"},{"speaker":"Chris Dy","startTime":588.45,"endTime":591.09,"body":"You know what I'm"},{"speaker":"Chris Dy","startTime":588.45,"endTime":591.09,"body":"okay. You know, I'm good on my"},{"speaker":"Chris Dy","startTime":591.09,"endTime":594.12,"body":"current frequency of hardware"},{"speaker":"Chris Dy","startTime":591.09,"endTime":594.12,"body":"removal. Although I am a team"},{"speaker":"Chris Dy","startTime":594.12,"endTime":597.09,"body":"player and if you want to send"},{"speaker":"Chris Dy","startTime":594.12,"endTime":597.09,"body":"me those, I will send you all of"},{"speaker":"Chris Dy","startTime":597.09,"endTime":601.08,"body":"the sportsy vague ulnar sided"},{"speaker":"Chris Dy","startTime":597.09,"endTime":601.08,"body":"wrist pain I don't particularly"},{"speaker":"Chris Dy","startTime":601.08,"endTime":603.63,"body":"enjoy taking care of so we got"},{"speaker":"Chris Dy","startTime":601.08,"endTime":603.63,"body":"to deal"},{"speaker":"Charles Goldfarb","startTime":604.08,"endTime":606.104,"body":"one plate two"},{"speaker":"Charles Goldfarb","startTime":604.08,"endTime":606.104,"body":"ulnar nerves, we'll figure it"},{"speaker":"Charles Goldfarb","startTime":606.151,"endTime":608.27,"body":"out, we'll figure out a good"},{"speaker":"Charles Goldfarb","startTime":606.151,"endTime":608.27,"body":"referral system."},{"speaker":"Chris Dy","startTime":608.7,"endTime":611.548,"body":"So we had a, we had an"},{"speaker":"Chris Dy","startTime":608.7,"endTime":611.548,"body":"interesting recent episode with,"},{"speaker":"Chris Dy","startTime":611.6,"endTime":614.552,"body":"with Jen Barna from, from"},{"speaker":"Chris Dy","startTime":611.6,"endTime":614.552,"body":"DocWorking, always nice to talk"},{"speaker":"Chris Dy","startTime":614.603,"endTime":617.711,"body":"to a fellow podcaster. And if"},{"speaker":"Chris Dy","startTime":614.603,"endTime":617.711,"body":"you're a podcast or listening,"},{"speaker":"Chris Dy","startTime":617.762,"endTime":620.766,"body":"and he wants to talk with us"},{"speaker":"Chris Dy","startTime":617.762,"endTime":620.766,"body":"about, you know, potentially,"},{"speaker":"Chris Dy","startTime":620.818,"endTime":623.925,"body":"you know, collaborating and"},{"speaker":"Chris Dy","startTime":620.818,"endTime":623.925,"body":"stuff, please feel free to reach"},{"speaker":"Chris Dy","startTime":623.977,"endTime":627.188,"body":"out, you know, she's doing some"},{"speaker":"Chris Dy","startTime":623.977,"endTime":627.188,"body":"really important work with her"},{"speaker":"Chris Dy","startTime":627.24,"endTime":630.399,"body":"partners. But I wanted to see if"},{"speaker":"Chris Dy","startTime":627.24,"endTime":630.399,"body":"maybe you could bring this a"},{"speaker":"Chris Dy","startTime":630.45,"endTime":633.713,"body":"little closer to home in terms"},{"speaker":"Chris Dy","startTime":630.45,"endTime":633.713,"body":"of understanding this concept of"},{"speaker":"Chris Dy","startTime":633.765,"endTime":636.613,"body":"coaching, because, you know, I"},{"speaker":"Chris Dy","startTime":633.765,"endTime":636.613,"body":"remember I was at, I was"},{"speaker":"Chris Dy","startTime":636.665,"endTime":639.565,"body":"lecturing at the clinician"},{"speaker":"Chris Dy","startTime":636.665,"endTime":639.565,"body":"scientist development program"},{"speaker":"Chris Dy","startTime":639.617,"endTime":642.621,"body":"for the RAF, and a fellow"},{"speaker":"Chris Dy","startTime":639.617,"endTime":642.621,"body":"panelist who is now a chair at a"},{"speaker":"Chris Dy","startTime":642.672,"endTime":645.935,"body":"program in California, mentioned"},{"speaker":"Chris Dy","startTime":642.672,"endTime":645.935,"body":"to me, you know, why don't you"},{"speaker":"Chris Dy","startTime":645.987,"endTime":649.042,"body":"have a coach? I was like, I"},{"speaker":"Chris Dy","startTime":645.987,"endTime":649.042,"body":"don't know, like, she was like,"},{"speaker":"Chris Dy","startTime":649.094,"endTime":652.305,"body":"Don't you want to get better? I"},{"speaker":"Chris Dy","startTime":649.094,"endTime":652.305,"body":"was like, Yeah, I do. But it's"},{"speaker":"Chris Dy","startTime":652.357,"endTime":655.309,"body":"just so not part of the normal."},{"speaker":"Chris Dy","startTime":652.357,"endTime":655.309,"body":"Like you mentioned in the"},{"speaker":"Chris Dy","startTime":655.36,"endTime":658.571,"body":"episode, it's not part of the"},{"speaker":"Chris Dy","startTime":655.36,"endTime":658.571,"body":"normal track. And it's a concept"},{"speaker":"Chris Dy","startTime":658.623,"endTime":661.523,"body":"that feels a little, a little"},{"speaker":"Chris Dy","startTime":658.623,"endTime":661.523,"body":"foreign to most practicing"},{"speaker":"Chris Dy","startTime":661.575,"endTime":664.786,"body":"surgeons. Some of its persona of"},{"speaker":"Chris Dy","startTime":661.575,"endTime":664.786,"body":"how you become a surgeon. For"},{"speaker":"Chris Dy","startTime":664.838,"endTime":668.049,"body":"most people, others, it's like,"},{"speaker":"Chris Dy","startTime":664.838,"endTime":668.049,"body":"well, why why would I take the"},{"speaker":"Chris Dy","startTime":668.1,"endTime":671.467,"body":"time to do this? Why would I pay"},{"speaker":"Chris Dy","startTime":668.1,"endTime":671.467,"body":"for summer? Why would have my IT"},{"speaker":"Chris Dy","startTime":671.518,"endTime":674.16,"body":"department pay for somebody?"},{"speaker":"Chris Dy","startTime":671.518,"endTime":674.16,"body":"Like what's the point?"},{"speaker":"Charles Goldfarb","startTime":675.0,"endTime":677.451,"body":"Yeah, so I"},{"speaker":"Charles Goldfarb","startTime":675.0,"endTime":677.451,"body":"think it's a really interesting"},{"speaker":"Charles Goldfarb","startTime":677.509,"endTime":680.66,"body":"question. And Jen and"},{"speaker":"Charles Goldfarb","startTime":677.509,"endTime":680.66,"body":"DocWorking, is really offering a"},{"speaker":"Charles Goldfarb","startTime":680.719,"endTime":684.279,"body":"really interesting service. I"},{"speaker":"Charles Goldfarb","startTime":680.719,"endTime":684.279,"body":"mean, the podcasts, I think, is"},{"speaker":"Charles Goldfarb","startTime":684.337,"endTime":687.78,"body":"their way of sharing some of"},{"speaker":"Charles Goldfarb","startTime":684.337,"endTime":687.78,"body":"their work, but also promoting"},{"speaker":"Charles Goldfarb","startTime":687.838,"endTime":691.34,"body":"the opportunity to work with"},{"speaker":"Charles Goldfarb","startTime":687.838,"endTime":691.34,"body":"them for coaching. Here's how I"},{"speaker":"Charles Goldfarb","startTime":691.398,"endTime":695.075,"body":"think about coaching, I'd love"},{"speaker":"Charles Goldfarb","startTime":691.398,"endTime":695.075,"body":"to briefly talk about burnout as"},{"speaker":"Charles Goldfarb","startTime":695.133,"endTime":698.693,"body":"well. And obviously, the two"},{"speaker":"Charles Goldfarb","startTime":695.133,"endTime":698.693,"body":"issues are linked. It used to be"},{"speaker":"Charles Goldfarb","startTime":698.751,"endTime":702.136,"body":"first of all that coaches were"},{"speaker":"Charles Goldfarb","startTime":698.751,"endTime":702.136,"body":"were just not something you"},{"speaker":"Charles Goldfarb","startTime":702.195,"endTime":705.871,"body":"talked about. Because if you had"},{"speaker":"Charles Goldfarb","startTime":702.195,"endTime":705.871,"body":"a coach, it was not for a good"},{"speaker":"Charles Goldfarb","startTime":705.93,"endTime":709.606,"body":"reason. I think today, in a very"},{"speaker":"Charles Goldfarb","startTime":705.93,"endTime":709.606,"body":"simplistic way, coaching falls"},{"speaker":"Charles Goldfarb","startTime":709.665,"endTime":712.758,"body":"into two categories. One is"},{"speaker":"Charles Goldfarb","startTime":709.665,"endTime":712.758,"body":"coaching, because of an a"},{"speaker":"Charles Goldfarb","startTime":712.816,"endTime":716.434,"body":"demonstrated need to improve."},{"speaker":"Charles Goldfarb","startTime":712.816,"endTime":716.434,"body":"And whatever that means, whether"},{"speaker":"Charles Goldfarb","startTime":716.493,"endTime":720.286,"body":"it's interpersonal, whether it's"},{"speaker":"Charles Goldfarb","startTime":716.493,"endTime":720.286,"body":"you know, causing disruptions in"},{"speaker":"Charles Goldfarb","startTime":720.344,"endTime":723.321,"body":"the operating room, not you"},{"speaker":"Charles Goldfarb","startTime":720.344,"endTime":723.321,"body":"know, just whatever the"},{"speaker":"Charles Goldfarb","startTime":723.379,"endTime":726.764,"body":"challenge is, a coach could"},{"speaker":"Charles Goldfarb","startTime":723.379,"endTime":726.764,"body":"hopefully help you get through"},{"speaker":"Charles Goldfarb","startTime":726.822,"endTime":730.324,"body":"it. And that's the one that"},{"speaker":"Charles Goldfarb","startTime":726.822,"endTime":730.324,"body":"might kill still carry a stigma."},{"speaker":"Charles Goldfarb","startTime":730.382,"endTime":733.475,"body":"But I would argue, it really"},{"speaker":"Charles Goldfarb","startTime":730.382,"endTime":733.475,"body":"doesn't in 2022, because"},{"speaker":"Charles Goldfarb","startTime":733.533,"endTime":736.918,"body":"coaching is also as you just"},{"speaker":"Charles Goldfarb","startTime":733.533,"endTime":736.918,"body":"said, just to make it better."},{"speaker":"Charles Goldfarb","startTime":736.976,"endTime":740.711,"body":"And so as I said in the previous"},{"speaker":"Charles Goldfarb","startTime":736.976,"endTime":740.711,"body":"podcast, there is a requirement"},{"speaker":"Charles Goldfarb","startTime":740.77,"endTime":743.746,"body":"for department chairs to have"},{"speaker":"Charles Goldfarb","startTime":740.77,"endTime":743.746,"body":"coaches at Washington"},{"speaker":"Charles Goldfarb","startTime":743.804,"endTime":747.014,"body":"University. And many, many"},{"speaker":"Charles Goldfarb","startTime":743.804,"endTime":747.014,"body":"others have coaches as well."},{"speaker":"Charles Goldfarb","startTime":747.073,"endTime":750.807,"body":"I've considered a coach and I'm,"},{"speaker":"Charles Goldfarb","startTime":747.073,"endTime":750.807,"body":"I am fortunate I may I say this"},{"speaker":"Charles Goldfarb","startTime":750.866,"endTime":754.367,"body":"very seriously, not tongue in"},{"speaker":"Charles Goldfarb","startTime":750.866,"endTime":754.367,"body":"cheek, my wife is trained as a"},{"speaker":"Charles Goldfarb","startTime":754.426,"endTime":757.869,"body":"therapist, and, you know, is"},{"speaker":"Charles Goldfarb","startTime":754.426,"endTime":757.869,"body":"great to talk to, and helps me"},{"speaker":"Charles Goldfarb","startTime":757.927,"endTime":761.429,"body":"talk through things. But it's"},{"speaker":"Charles Goldfarb","startTime":757.927,"endTime":761.429,"body":"not always perfect to use your"},{"speaker":"Charles Goldfarb","startTime":761.487,"endTime":765.105,"body":"spouse in this role. So I think"},{"speaker":"Charles Goldfarb","startTime":761.487,"endTime":765.105,"body":"there's so much benefit. And I"},{"speaker":"Charles Goldfarb","startTime":765.164,"endTime":768.373,"body":"think about a coach to help me"},{"speaker":"Charles Goldfarb","startTime":765.164,"endTime":768.373,"body":"talk through career path"},{"speaker":"Charles Goldfarb","startTime":768.432,"endTime":772.167,"body":"opportunities, what do I really"},{"speaker":"Charles Goldfarb","startTime":768.432,"endTime":772.167,"body":"want, but when you've considered"},{"speaker":"Charles Goldfarb","startTime":772.225,"endTime":775.96,"body":"coaching, what what, what would"},{"speaker":"Charles Goldfarb","startTime":772.225,"endTime":775.96,"body":"be the most important priorities"},{"speaker":"Charles Goldfarb","startTime":776.018,"endTime":778.47,"body":"for you, if you were to work"},{"speaker":"Charles Goldfarb","startTime":776.018,"endTime":778.47,"body":"with a coach,"},{"speaker":"Chris Dy","startTime":779.1,"endTime":781.89,"body":"I think that if you"},{"speaker":"Chris Dy","startTime":779.1,"endTime":781.89,"body":"were to ask me a couple years"},{"speaker":"Chris Dy","startTime":781.89,"endTime":784.68,"body":"ago would be the same kind of,"},{"speaker":"Chris Dy","startTime":781.89,"endTime":784.68,"body":"you know, career planning career"},{"speaker":"Chris Dy","startTime":784.68,"endTime":787.59,"body":"trajectory, at least talking"},{"speaker":"Chris Dy","startTime":784.68,"endTime":787.59,"body":"through what you think you want,"},{"speaker":"Chris Dy","startTime":787.59,"endTime":791.58,"body":"and confirming that that truly"},{"speaker":"Chris Dy","startTime":787.59,"endTime":791.58,"body":"is compatible with your, you"},{"speaker":"Chris Dy","startTime":791.58,"endTime":795.12,"body":"know, your value compass. I"},{"speaker":"Chris Dy","startTime":791.58,"endTime":795.12,"body":"think that to be very honest"},{"speaker":"Chris Dy","startTime":795.12,"endTime":797.82,"body":"with you since taking on the"},{"speaker":"Chris Dy","startTime":795.12,"endTime":797.82,"body":"role of fellowship director,"},{"speaker":"Chris Dy","startTime":798.0,"endTime":801.42,"body":"although about 18 months ago,"},{"speaker":"Chris Dy","startTime":798.0,"endTime":801.42,"body":"I've learned that my one of the"},{"speaker":"Chris Dy","startTime":801.42,"endTime":805.41,"body":"things I need to work on is, is"},{"speaker":"Chris Dy","startTime":801.42,"endTime":805.41,"body":"interpersonal, you know, and I"},{"speaker":"Chris Dy","startTime":805.41,"endTime":808.92,"body":"see that all the time now that"},{"speaker":"Chris Dy","startTime":805.41,"endTime":808.92,"body":"I'm focused more on how I"},{"speaker":"Chris Dy","startTime":808.92,"endTime":814.38,"body":"interact with others, how I, how"},{"speaker":"Chris Dy","startTime":808.92,"endTime":814.38,"body":"I perceive their reactions, how"},{"speaker":"Chris Dy","startTime":814.38,"endTime":816.42,"body":"they're really reacting and"},{"speaker":"Chris Dy","startTime":814.38,"endTime":816.42,"body":"trying to understand, you know,"},{"speaker":"Chris Dy","startTime":816.42,"endTime":820.83,"body":"how I can be a more effective"},{"speaker":"Chris Dy","startTime":816.42,"endTime":820.83,"body":"communicator and leader. And,"},{"speaker":"Chris Dy","startTime":820.86,"endTime":823.89,"body":"you know, taking over the"},{"speaker":"Chris Dy","startTime":820.86,"endTime":823.89,"body":"fellowship role, to be honest"},{"speaker":"Chris Dy","startTime":823.89,"endTime":826.23,"body":"with you a little bit earlier"},{"speaker":"Chris Dy","startTime":823.89,"endTime":826.23,"body":"than I had thought I would have"},{"speaker":"Chris Dy","startTime":826.26,"endTime":829.8,"body":"wanted to kind of thrust that"},{"speaker":"Chris Dy","startTime":826.26,"endTime":829.8,"body":"upon me, and it's something I'm"},{"speaker":"Chris Dy","startTime":829.8,"endTime":831.9,"body":"trying to actively work on. And"},{"speaker":"Chris Dy","startTime":829.8,"endTime":831.9,"body":"I think that's something I'd"},{"speaker":"Chris Dy","startTime":831.9,"endTime":835.35,"body":"probably would want to work on"},{"speaker":"Chris Dy","startTime":831.9,"endTime":835.35,"body":"with the coach. You know, on top"},{"speaker":"Chris Dy","startTime":835.35,"endTime":838.2,"body":"of the kind of the career"},{"speaker":"Chris Dy","startTime":835.35,"endTime":838.2,"body":"trajectory stuff that that you"},{"speaker":"Chris Dy","startTime":838.2,"endTime":838.62,"body":"mentioned."},{"speaker":"Charles Goldfarb","startTime":839.46,"endTime":842.04,"body":"Yeah, look, I"},{"speaker":"Charles Goldfarb","startTime":839.46,"endTime":842.04,"body":"mean, anyone who says they can't"},{"speaker":"Charles Goldfarb","startTime":842.04,"endTime":846.21,"body":"be better and do better is"},{"speaker":"Charles Goldfarb","startTime":842.04,"endTime":846.21,"body":"deceiving themselves. But not"},{"speaker":"Charles Goldfarb","startTime":846.21,"endTime":849.45,"body":"everyone, you know, has a"},{"speaker":"Charles Goldfarb","startTime":846.21,"endTime":849.45,"body":"pressing need for a coach, but I"},{"speaker":"Charles Goldfarb","startTime":849.45,"endTime":855.12,"body":"think someone who is honest with"},{"speaker":"Charles Goldfarb","startTime":849.45,"endTime":855.12,"body":"you about things, and someone"},{"speaker":"Charles Goldfarb","startTime":855.12,"endTime":860.07,"body":"you can bounce ideas off of and"},{"speaker":"Charles Goldfarb","startTime":855.12,"endTime":860.07,"body":"someone who can pull, you know,"},{"speaker":"Charles Goldfarb","startTime":860.07,"endTime":862.86,"body":"information out of you. I just"},{"speaker":"Charles Goldfarb","startTime":860.07,"endTime":862.86,"body":"think it's really important. And"},{"speaker":"Charles Goldfarb","startTime":862.86,"endTime":866.07,"body":"I there should be no stigma. I"},{"speaker":"Charles Goldfarb","startTime":862.86,"endTime":866.07,"body":"mean, that just shouldn't be."},{"speaker":"Chris Dy","startTime":866.07,"endTime":868.941,"body":"Yeah, and you know, I"},{"speaker":"Chris Dy","startTime":866.07,"endTime":868.941,"body":"feel like there were probably"},{"speaker":"Chris Dy","startTime":868.997,"endTime":872.206,"body":"some people that were seeking"},{"speaker":"Chris Dy","startTime":868.997,"endTime":872.206,"body":"that we're getting what you"},{"speaker":"Chris Dy","startTime":872.263,"endTime":875.81,"body":"should get from a coach. Other"},{"speaker":"Chris Dy","startTime":872.263,"endTime":875.81,"body":"ways. You know, I remember early"},{"speaker":"Chris Dy","startTime":875.866,"endTime":879.357,"body":"on, I think the first four or"},{"speaker":"Chris Dy","startTime":875.866,"endTime":879.357,"body":"five years of my practice, I met"},{"speaker":"Chris Dy","startTime":879.413,"endTime":882.791,"body":"monthly with either Richard"},{"speaker":"Chris Dy","startTime":879.413,"endTime":882.791,"body":"Gelberman and Ken Yamaguchi. And"},{"speaker":"Chris Dy","startTime":882.847,"endTime":886.169,"body":"that was some of that, yes, was"},{"speaker":"Chris Dy","startTime":882.847,"endTime":886.169,"body":"largely research focused in"},{"speaker":"Chris Dy","startTime":886.225,"endTime":889.491,"body":"terms of mentoring for career"},{"speaker":"Chris Dy","startTime":886.225,"endTime":889.491,"body":"development award. But there"},{"speaker":"Chris Dy","startTime":889.547,"endTime":892.982,"body":"were times where it was mainly"},{"speaker":"Chris Dy","startTime":889.547,"endTime":892.982,"body":"about, you know, Dr. Gelberman"},{"speaker":"Chris Dy","startTime":893.038,"endTime":896.247,"body":"telling me specifically what"},{"speaker":"Chris Dy","startTime":893.038,"endTime":896.247,"body":"nobody else would tell me. I"},{"speaker":"Chris Dy","startTime":896.303,"endTime":899.569,"body":"remember him saying that he was"},{"speaker":"Chris Dy","startTime":896.303,"endTime":899.569,"body":"going to be my mirror. For"},{"speaker":"Chris Dy","startTime":899.625,"endTime":903.116,"body":"better or worse, and he told me"},{"speaker":"Chris Dy","startTime":899.625,"endTime":903.116,"body":"stuff that I think I needed to"},{"speaker":"Chris Dy","startTime":903.172,"endTime":906.494,"body":"hear. Now whether you're gonna"},{"speaker":"Chris Dy","startTime":903.172,"endTime":906.494,"body":"get that same kind of candor"},{"speaker":"Chris Dy","startTime":906.55,"endTime":909.928,"body":"from a lot of people in this day"},{"speaker":"Chris Dy","startTime":906.55,"endTime":909.928,"body":"and age is different. But I"},{"speaker":"Chris Dy","startTime":909.985,"endTime":913.419,"body":"think that that, at that point"},{"speaker":"Chris Dy","startTime":909.985,"endTime":913.419,"body":"in my career was an important,"},{"speaker":"Chris Dy","startTime":913.475,"endTime":916.572,"body":"important thing for me to have."},{"speaker":"Chris Dy","startTime":913.475,"endTime":916.572,"body":"And I think that that's"},{"speaker":"Chris Dy","startTime":916.628,"endTime":920.175,"body":"something that I would probably"},{"speaker":"Chris Dy","startTime":916.628,"endTime":920.175,"body":"move on to have now. I guess, I"},{"speaker":"Chris Dy","startTime":920.231,"endTime":923.497,"body":"the question you asked, you"},{"speaker":"Chris Dy","startTime":920.231,"endTime":923.497,"body":"know, in the last episode was,"},{"speaker":"Chris Dy","startTime":923.553,"endTime":926.762,"body":"what kind of background? does"},{"speaker":"Chris Dy","startTime":923.553,"endTime":926.762,"body":"this person need to have to"},{"speaker":"Chris Dy","startTime":926.819,"endTime":929.972,"body":"truly be a great coach? I mean,"},{"speaker":"Chris Dy","startTime":926.819,"endTime":929.972,"body":"because I honestly think"},{"speaker":"Chris Dy","startTime":930.028,"endTime":933.406,"body":"somebody like Dr. Gelberman"},{"speaker":"Chris Dy","startTime":930.028,"endTime":933.406,"body":"would be a really good coach for"},{"speaker":"Chris Dy","startTime":933.462,"endTime":936.728,"body":"the right person in the right"},{"speaker":"Chris Dy","startTime":933.462,"endTime":936.728,"body":"mindset, because of his just"},{"speaker":"Chris Dy","startTime":936.784,"endTime":940.05,"body":"deep familiarity with or the"},{"speaker":"Chris Dy","startTime":936.784,"endTime":940.05,"body":"context of academic medicine."},{"speaker":"Charles Goldfarb","startTime":941.01,"endTime":943.516,"body":"Yeah, it's,"},{"speaker":"Charles Goldfarb","startTime":941.01,"endTime":943.516,"body":"it's a good point. And I, what"},{"speaker":"Charles Goldfarb","startTime":943.576,"endTime":947.456,"body":"I've hesitated on is I really, I"},{"speaker":"Charles Goldfarb","startTime":943.576,"endTime":947.456,"body":"guess, I need sort of a sounding"},{"speaker":"Charles Goldfarb","startTime":947.515,"endTime":951.276,"body":"board or someone who can push me"},{"speaker":"Charles Goldfarb","startTime":947.515,"endTime":951.276,"body":"to be honest with myself about"},{"speaker":"Charles Goldfarb","startTime":951.335,"endTime":955.215,"body":"things. And, and also understand"},{"speaker":"Charles Goldfarb","startTime":951.335,"endTime":955.215,"body":"the landscape. That's my concern"},{"speaker":"Charles Goldfarb","startTime":955.275,"endTime":958.975,"body":"right now. Right. And I think"},{"speaker":"Charles Goldfarb","startTime":955.275,"endTime":958.975,"body":"that coaches are obviously every"},{"speaker":"Charles Goldfarb","startTime":959.035,"endTime":962.497,"body":"coach is different, brings"},{"speaker":"Charles Goldfarb","startTime":959.035,"endTime":962.497,"body":"different backgrounds. And, and"},{"speaker":"Charles Goldfarb","startTime":962.556,"endTime":966.317,"body":"so I think that it would not be"},{"speaker":"Charles Goldfarb","startTime":962.556,"endTime":966.317,"body":"unlikely to be the first coach,"},{"speaker":"Charles Goldfarb","startTime":966.376,"endTime":969.838,"body":"I would talk to you that I would"},{"speaker":"Charles Goldfarb","startTime":966.376,"endTime":969.838,"body":"choose. But you're right,"},{"speaker":"Charles Goldfarb","startTime":969.898,"endTime":973.658,"body":"someone like Dr. Gelberman could"},{"speaker":"Charles Goldfarb","startTime":969.898,"endTime":973.658,"body":"be a good coach, I don't think"},{"speaker":"Charles Goldfarb","startTime":973.718,"endTime":977.418,"body":"it'd be a multi dimensional, you"},{"speaker":"Charles Goldfarb","startTime":973.718,"endTime":977.418,"body":"know, Coach, but certainly in"},{"speaker":"Charles Goldfarb","startTime":977.478,"endTime":981.0,"body":"one day one, or one or two"},{"speaker":"Charles Goldfarb","startTime":977.478,"endTime":981.0,"body":"domains can be really effective."},{"speaker":"Chris Dy","startTime":981.42,"endTime":983.49,"body":"So now we're going"},{"speaker":"Chris Dy","startTime":981.42,"endTime":983.49,"body":"from having a coach to having a"},{"speaker":"Chris Dy","startTime":983.58,"endTime":988.02,"body":"staff of coaches, you've got the"},{"speaker":"Chris Dy","startTime":983.58,"endTime":988.02,"body":"GM, you've got the offensive"},{"speaker":"Chris Dy","startTime":988.02,"endTime":991.38,"body":"coordinator. Exactly. But"},{"speaker":"Chris Dy","startTime":988.02,"endTime":991.38,"body":"special teams?"},{"speaker":"Charles Goldfarb","startTime":992.009,"endTime":994.349,"body":"Yeah. Well,"},{"speaker":"Charles Goldfarb","startTime":992.009,"endTime":994.349,"body":"we've talked about I mean, other"},{"speaker":"Charles Goldfarb","startTime":994.349,"endTime":997.979,"body":"ways to improve ourselves. I"},{"speaker":"Charles Goldfarb","startTime":994.349,"endTime":997.979,"body":"mean, if someone had the time to"},{"speaker":"Charles Goldfarb","startTime":997.979,"endTime":1002.689,"body":"spend with me and the or and"},{"speaker":"Charles Goldfarb","startTime":997.979,"endTime":1002.689,"body":"critique, how I teach and how I"},{"speaker":"Charles Goldfarb","startTime":1002.929,"endTime":1007.099,"body":"operate and what I can be more"},{"speaker":"Charles Goldfarb","startTime":1002.929,"endTime":1007.099,"body":"efficient in, there's no doubt"},{"speaker":"Charles Goldfarb","startTime":1007.099,"endTime":1009.739,"body":"that would be valuable. There's"},{"speaker":"Charles Goldfarb","startTime":1007.099,"endTime":1009.739,"body":"zero doubt that I could learn"},{"speaker":"Charles Goldfarb","startTime":1009.739,"endTime":1013.069,"body":"from that. But our system in the"},{"speaker":"Charles Goldfarb","startTime":1009.739,"endTime":1013.069,"body":"United States is just not set up"},{"speaker":"Charles Goldfarb","startTime":1013.069,"endTime":1013.399,"body":"that way."},{"speaker":"Chris Dy","startTime":1014.089,"endTime":1015.859,"body":"Yeah, I remember"},{"speaker":"Chris Dy","startTime":1014.089,"endTime":1015.859,"body":"reading a New Yorker article. I"},{"speaker":"Chris Dy","startTime":1015.859,"endTime":1018.859,"body":"don't remember the specifics,"},{"speaker":"Chris Dy","startTime":1015.859,"endTime":1018.859,"body":"but I'm reading it in residency,"},{"speaker":"Chris Dy","startTime":1018.889,"endTime":1023.299,"body":"Atul Gawande wrote about himself"},{"speaker":"Chris Dy","startTime":1018.889,"endTime":1023.299,"body":"having a technical coach and er,"},{"speaker":"Chris Dy","startTime":1023.299,"endTime":1025.969,"body":"and I think about that all the"},{"speaker":"Chris Dy","startTime":1023.299,"endTime":1025.969,"body":"time, actually almost ended up"},{"speaker":"Chris Dy","startTime":1025.969,"endTime":1028.969,"body":"embarking on a, on a research"},{"speaker":"Chris Dy","startTime":1025.969,"endTime":1028.969,"body":"project with one of our former"},{"speaker":"Chris Dy","startTime":1028.969,"endTime":1032.809,"body":"residents, on the technical"},{"speaker":"Chris Dy","startTime":1028.969,"endTime":1032.809,"body":"aspects of coaching because I"},{"speaker":"Chris Dy","startTime":1032.809,"endTime":1035.869,"body":"think it'd be fascinating and"},{"speaker":"Chris Dy","startTime":1032.809,"endTime":1035.869,"body":"Please, somebody take this idea"},{"speaker":"Chris Dy","startTime":1035.869,"endTime":1040.099,"body":"because it's not mine, but to"},{"speaker":"Chris Dy","startTime":1035.869,"endTime":1040.099,"body":"you know, watch tape of"},{"speaker":"Chris Dy","startTime":1040.189,"endTime":1043.309,"body":"residents operating and fellows"},{"speaker":"Chris Dy","startTime":1040.189,"endTime":1043.309,"body":"operating and surgeons, you"},{"speaker":"Chris Dy","startTime":1043.309,"endTime":1045.649,"body":"know, attending surgeons"},{"speaker":"Chris Dy","startTime":1043.309,"endTime":1045.649,"body":"operating, and just go through"},{"speaker":"Chris Dy","startTime":1045.649,"endTime":1048.379,"body":"the tape, we have the technology"},{"speaker":"Chris Dy","startTime":1045.649,"endTime":1048.379,"body":"now, it's not that much, you"},{"speaker":"Chris Dy","startTime":1048.379,"endTime":1052.159,"body":"know, that difficult to get."},{"speaker":"Chris Dy","startTime":1048.379,"endTime":1052.159,"body":"Because I know even there are"},{"speaker":"Chris Dy","startTime":1052.159,"endTime":1053.989,"body":"studies in the general surgery"},{"speaker":"Chris Dy","startTime":1052.159,"endTime":1053.989,"body":"literature and what you would"},{"speaker":"Chris Dy","startTime":1053.989,"endTime":1057.559,"body":"send in your your laparoscopic"},{"speaker":"Chris Dy","startTime":1053.989,"endTime":1057.559,"body":"cholecystectomy video, and as"},{"speaker":"Chris Dy","startTime":1057.559,"endTime":1060.589,"body":"part of board certification, you"},{"speaker":"Chris Dy","startTime":1057.559,"endTime":1060.589,"body":"know, you would get judged for"},{"speaker":"Chris Dy","startTime":1060.589,"endTime":1064.699,"body":"efficiency for safety. I think"},{"speaker":"Chris Dy","startTime":1060.589,"endTime":1064.699,"body":"that'd be great. Because as"},{"speaker":"Chris Dy","startTime":1064.699,"endTime":1067.849,"body":"somebody who I, personally am"},{"speaker":"Chris Dy","startTime":1064.699,"endTime":1067.849,"body":"always trying to hone my craft"},{"speaker":"Chris Dy","startTime":1067.849,"endTime":1071.569,"body":"and the skill that comes with"},{"speaker":"Chris Dy","startTime":1067.849,"endTime":1071.569,"body":"it, I think it'd be fantastic."},{"speaker":"Chris Dy","startTime":1071.629,"endTime":1075.769,"body":"I, I hope that I would be good"},{"speaker":"Chris Dy","startTime":1071.629,"endTime":1075.769,"body":"at receiving the feedback,"},{"speaker":"Chris Dy","startTime":1075.769,"endTime":1079.669,"body":"although I sometimes maybe I"},{"speaker":"Chris Dy","startTime":1075.769,"endTime":1079.669,"body":"wouldn't be. But you know, I"},{"speaker":"Chris Dy","startTime":1079.669,"endTime":1082.219,"body":"think that's that's, you know,"},{"speaker":"Chris Dy","startTime":1079.669,"endTime":1082.219,"body":"that's that's part of it. And I"},{"speaker":"Chris Dy","startTime":1082.219,"endTime":1085.999,"body":"think that the technical aspects"},{"speaker":"Chris Dy","startTime":1082.219,"endTime":1085.999,"body":"of coaching, and then the"},{"speaker":"Chris Dy","startTime":1086.329,"endTime":1089.329,"body":"coaching about teaching, you"},{"speaker":"Chris Dy","startTime":1086.329,"endTime":1089.329,"body":"know, because that's one thing"},{"speaker":"Chris Dy","startTime":1089.329,"endTime":1093.109,"body":"that I still constantly have to"},{"speaker":"Chris Dy","startTime":1089.329,"endTime":1093.109,"body":"work on is meeting the learner"},{"speaker":"Chris Dy","startTime":1093.109,"endTime":1095.779,"body":"where they are, because, you"},{"speaker":"Chris Dy","startTime":1093.109,"endTime":1095.779,"body":"know, we see such a variety of"},{"speaker":"Chris Dy","startTime":1095.779,"endTime":1098.959,"body":"trainees, you know, not only"},{"speaker":"Chris Dy","startTime":1095.779,"endTime":1098.959,"body":"Junior residents, senior"},{"speaker":"Chris Dy","startTime":1098.959,"endTime":1103.969,"body":"resident fellow, but then also"},{"speaker":"Chris Dy","startTime":1098.959,"endTime":1103.969,"body":"medical students, how do you"},{"speaker":"Chris Dy","startTime":1103.969,"endTime":1106.129,"body":"make sure that they have the"},{"speaker":"Chris Dy","startTime":1103.969,"endTime":1106.129,"body":"experience that's appropriate"},{"speaker":"Chris Dy","startTime":1106.129,"endTime":1108.739,"body":"for their level, and not only"},{"speaker":"Chris Dy","startTime":1106.129,"endTime":1108.739,"body":"their level, but their"},{"speaker":"Chris Dy","startTime":1108.739,"endTime":1112.999,"body":"personality? Because they're not"},{"speaker":"Chris Dy","startTime":1108.739,"endTime":1112.999,"body":"going to change? We're the"},{"speaker":"Chris Dy","startTime":1113.059,"endTime":1114.859,"body":"variable that needs to change to"},{"speaker":"Chris Dy","startTime":1113.059,"endTime":1114.859,"body":"meet them."},{"speaker":"Charles Goldfarb","startTime":1115.789,"endTime":1119.239,"body":"Yeah. And I"},{"speaker":"Charles Goldfarb","startTime":1115.789,"endTime":1119.239,"body":"agree with everything you said,"},{"speaker":"Charles Goldfarb","startTime":1119.239,"endTime":1122.119,"body":"as you were talking, I was"},{"speaker":"Charles Goldfarb","startTime":1119.239,"endTime":1122.119,"body":"thinking about our therapy"},{"speaker":"Charles Goldfarb","startTime":1122.119,"endTime":1125.659,"body":"colleagues. And, you know, a lot"},{"speaker":"Charles Goldfarb","startTime":1122.119,"endTime":1125.659,"body":"of times the setup, and I can"},{"speaker":"Charles Goldfarb","startTime":1125.659,"endTime":1128.719,"body":"really only speak to the setups"},{"speaker":"Charles Goldfarb","startTime":1125.659,"endTime":1128.719,"body":"that I've seen, obviously, are"},{"speaker":"Charles Goldfarb","startTime":1128.719,"endTime":1133.909,"body":"conducive to interactions and"},{"speaker":"Charles Goldfarb","startTime":1128.719,"endTime":1133.909,"body":"perhaps, collaboration. You"},{"speaker":"Charles Goldfarb","startTime":1133.909,"endTime":1137.719,"body":"know, the way our therapist work"},{"speaker":"Charles Goldfarb","startTime":1133.909,"endTime":1137.719,"body":"is, there's multiple therapists"},{"speaker":"Charles Goldfarb","startTime":1137.719,"endTime":1140.749,"body":"in a room, working with"},{"speaker":"Charles Goldfarb","startTime":1137.719,"endTime":1140.749,"body":"different patients, and I know"},{"speaker":"Charles Goldfarb","startTime":1140.749,"endTime":1143.629,"body":"they get up and interact with"},{"speaker":"Charles Goldfarb","startTime":1140.749,"endTime":1143.629,"body":"one another. And I wonder maybe"},{"speaker":"Charles Goldfarb","startTime":1143.629,"endTime":1146.959,"body":"if their culture might be more"},{"speaker":"Charles Goldfarb","startTime":1143.629,"endTime":1146.959,"body":"conducive to not necessarily"},{"speaker":"Charles Goldfarb","startTime":1146.959,"endTime":1149.959,"body":"coaching as we're talking about"},{"speaker":"Charles Goldfarb","startTime":1146.959,"endTime":1149.959,"body":"it, but at least support and"},{"speaker":"Charles Goldfarb","startTime":1149.959,"endTime":1153.349,"body":"discussion and optimization of"},{"speaker":"Charles Goldfarb","startTime":1149.959,"endTime":1153.349,"body":"their technical process perhaps"},{"speaker":"Charles Goldfarb","startTime":1153.349,"endTime":1154.159,"body":"better than us."},{"speaker":"Chris Dy","startTime":1155.049,"endTime":1157.838,"body":"Agree. And, you know,"},{"speaker":"Chris Dy","startTime":1155.049,"endTime":1157.838,"body":"we talked in that episode about"},{"speaker":"Chris Dy","startTime":1157.891,"endTime":1160.944,"body":"things that bring us that"},{"speaker":"Chris Dy","startTime":1157.891,"endTime":1160.944,"body":"fulfill us at work and you know,"},{"speaker":"Chris Dy","startTime":1160.996,"endTime":1164.049,"body":"you talked about you know,"},{"speaker":"Chris Dy","startTime":1160.996,"endTime":1164.049,"body":"collaborating with Lindley Wall"},{"speaker":"Chris Dy","startTime":1164.102,"endTime":1167.365,"body":"at the Shriners and I know you"},{"speaker":"Chris Dy","startTime":1164.102,"endTime":1167.365,"body":"guys do clinic together and you"},{"speaker":"Chris Dy","startTime":1167.418,"endTime":1170.418,"body":"operate together and you know,"},{"speaker":"Chris Dy","startTime":1167.418,"endTime":1170.418,"body":"when David Brogan and I do"},{"speaker":"Chris Dy","startTime":1170.471,"endTime":1173.471,"body":"complex nerve planning together,"},{"speaker":"Chris Dy","startTime":1170.471,"endTime":1173.471,"body":"when it works out I love"},{"speaker":"Chris Dy","startTime":1173.524,"endTime":1176.945,"body":"watching him examine somebody or"},{"speaker":"Chris Dy","startTime":1173.524,"endTime":1176.945,"body":"counseling somebody together and"},{"speaker":"Chris Dy","startTime":1176.998,"endTime":1180.156,"body":"just kind of learning from each"},{"speaker":"Chris Dy","startTime":1176.998,"endTime":1180.156,"body":"other and being collegial in"},{"speaker":"Chris Dy","startTime":1180.209,"endTime":1183.314,"body":"that way. And that's that's the"},{"speaker":"Chris Dy","startTime":1180.209,"endTime":1183.314,"body":"best system that work and I"},{"speaker":"Chris Dy","startTime":1183.367,"endTime":1186.63,"body":"think especially for somebody"},{"speaker":"Chris Dy","startTime":1183.367,"endTime":1186.63,"body":"has come something as complex as"},{"speaker":"Chris Dy","startTime":1186.683,"endTime":1190.052,"body":"what you see at the Shriners and"},{"speaker":"Chris Dy","startTime":1186.683,"endTime":1190.052,"body":"perhaps what we're doing in the"},{"speaker":"Chris Dy","startTime":1190.104,"endTime":1190.789,"body":"nerve clinic."},{"speaker":"Charles Goldfarb","startTime":1191.329,"endTime":1195.049,"body":"Yeah, totally"},{"speaker":"Charles Goldfarb","startTime":1191.329,"endTime":1195.049,"body":"agree. Totally agree. I, I think"},{"speaker":"Charles Goldfarb","startTime":1195.049,"endTime":1197.539,"body":"we should I want to talk a"},{"speaker":"Charles Goldfarb","startTime":1195.049,"endTime":1197.539,"body":"little bit more about what you"},{"speaker":"Charles Goldfarb","startTime":1197.539,"endTime":1199.969,"body":"and I do to combat burnout. I"},{"speaker":"Charles Goldfarb","startTime":1197.539,"endTime":1199.969,"body":"don't want to beat a dead horse."},{"speaker":"Charles Goldfarb","startTime":1199.999,"endTime":1202.309,"body":"So we talked a little about it"},{"speaker":"Charles Goldfarb","startTime":1199.999,"endTime":1202.309,"body":"the last, but it feels like we"},{"speaker":"Charles Goldfarb","startTime":1202.309,"endTime":1207.049,"body":"should come up with at least"},{"speaker":"Charles Goldfarb","startTime":1202.309,"endTime":1207.049,"body":"seven, seven ways we fight"},{"speaker":"Charles Goldfarb","startTime":1207.049,"endTime":1210.019,"body":"burnout is that I think we get"},{"speaker":"Charles Goldfarb","startTime":1207.049,"endTime":1210.019,"body":"way more than seven. But what do"},{"speaker":"Charles Goldfarb","startTime":1210.019,"endTime":1210.469,"body":"you think?"},{"speaker":"Chris Dy","startTime":1211.46,"endTime":1215.09,"body":"We can try? I mean,"},{"speaker":"Chris Dy","startTime":1211.46,"endTime":1215.09,"body":"yeah, it's, at this point in my"},{"speaker":"Chris Dy","startTime":1215.09,"endTime":1218.45,"body":"life with the podcast and all"},{"speaker":"Chris Dy","startTime":1215.09,"endTime":1218.45,"body":"the other various venues and my,"},{"speaker":"Chris Dy","startTime":1218.84,"endTime":1221.63,"body":"I guess, becoming more"},{"speaker":"Chris Dy","startTime":1218.84,"endTime":1221.63,"body":"comfortable with self, I feel"},{"speaker":"Chris Dy","startTime":1221.63,"endTime":1223.94,"body":"like I'm an open book, there are"},{"speaker":"Chris Dy","startTime":1221.63,"endTime":1223.94,"body":"a lot of things that people know"},{"speaker":"Chris Dy","startTime":1223.94,"endTime":1227.57,"body":"about me on the podcast that"},{"speaker":"Chris Dy","startTime":1223.94,"endTime":1227.57,"body":"they probably wouldn't or"},{"speaker":"Chris Dy","startTime":1227.57,"endTime":1231.68,"body":"shouldn't another in other"},{"speaker":"Chris Dy","startTime":1227.57,"endTime":1231.68,"body":"contexts. You know, and this is"},{"speaker":"Chris Dy","startTime":1231.68,"endTime":1234.41,"body":"no secret for me, I think"},{"speaker":"Chris Dy","startTime":1231.68,"endTime":1234.41,"body":"starting the day, if possible"},{"speaker":"Chris Dy","startTime":1234.41,"endTime":1239.51,"body":"with with exercise is important"},{"speaker":"Chris Dy","startTime":1234.41,"endTime":1239.51,"body":"to me, that fulfills me and you"},{"speaker":"Chris Dy","startTime":1239.51,"endTime":1242.78,"body":"know, I wake up early to do it,"},{"speaker":"Chris Dy","startTime":1239.51,"endTime":1242.78,"body":"it's the only time I truly get"},{"speaker":"Chris Dy","startTime":1242.78,"endTime":1248.21,"body":"to myself, which is important."},{"speaker":"Chris Dy","startTime":1242.78,"endTime":1248.21,"body":"And I remember trying to do the"},{"speaker":"Chris Dy","startTime":1248.24,"endTime":1251.3,"body":"workout at the end of the day"},{"speaker":"Chris Dy","startTime":1248.24,"endTime":1251.3,"body":"thing, and once you know, you"},{"speaker":"Chris Dy","startTime":1251.3,"endTime":1253.91,"body":"know, the kids came, that was"},{"speaker":"Chris Dy","startTime":1251.3,"endTime":1253.91,"body":"impossible, because I would try"},{"speaker":"Chris Dy","startTime":1253.91,"endTime":1256.61,"body":"to go to the gym at the end of"},{"speaker":"Chris Dy","startTime":1253.91,"endTime":1256.61,"body":"clinic or at the end of the or,"},{"speaker":"Chris Dy","startTime":1256.61,"endTime":1258.44,"body":"and I would feel guilty. I"},{"speaker":"Chris Dy","startTime":1256.61,"endTime":1258.44,"body":"wasn't spending time with my"},{"speaker":"Chris Dy","startTime":1258.44,"endTime":1263.3,"body":"kids. You know, so that's one"},{"speaker":"Chris Dy","startTime":1258.44,"endTime":1263.3,"body":"thing for me that that is"},{"speaker":"Chris Dy","startTime":1263.3,"endTime":1266.12,"body":"important. So everybody's going"},{"speaker":"Chris Dy","startTime":1263.3,"endTime":1266.12,"body":"to have their own routine and"},{"speaker":"Chris Dy","startTime":1266.12,"endTime":1268.58,"body":"how they do it when they do and"},{"speaker":"Chris Dy","startTime":1266.12,"endTime":1268.58,"body":"how frequently they do what they"},{"speaker":"Chris Dy","startTime":1268.58,"endTime":1271.82,"body":"do. But you know, some kind of"},{"speaker":"Chris Dy","startTime":1268.58,"endTime":1271.82,"body":"physical activity that you know,"},{"speaker":"Chris Dy","startTime":1271.82,"endTime":1275.51,"body":"gives you the time you need for"},{"speaker":"Chris Dy","startTime":1271.82,"endTime":1275.51,"body":"yourself and the endorphins and"},{"speaker":"Chris Dy","startTime":1275.54,"endTime":1276.98,"body":"the actual health benefits too."},{"speaker":"Charles Goldfarb","startTime":1277.19,"endTime":1279.98,"body":"So I totally"},{"speaker":"Charles Goldfarb","startTime":1277.19,"endTime":1279.98,"body":"agree. And I second that I my my"},{"speaker":"Charles Goldfarb","startTime":1279.98,"endTime":1283.16,"body":"story is interesting, at least"},{"speaker":"Charles Goldfarb","startTime":1279.98,"endTime":1283.16,"body":"for me. It used to be"},{"speaker":"Charles Goldfarb","startTime":1283.16,"endTime":1286.37,"body":"basketball, and I had some some"},{"speaker":"Charles Goldfarb","startTime":1283.16,"endTime":1286.37,"body":"early games and I had some"},{"speaker":"Charles Goldfarb","startTime":1286.37,"endTime":1289.88,"body":"weekend games. And what I loved"},{"speaker":"Charles Goldfarb","startTime":1286.37,"endTime":1289.88,"body":"about basketball, and I know"},{"speaker":"Charles Goldfarb","startTime":1289.88,"endTime":1292.61,"body":"I've talked about this is when"},{"speaker":"Charles Goldfarb","startTime":1289.88,"endTime":1292.61,"body":"you play basketball, you can't"},{"speaker":"Charles Goldfarb","startTime":1292.61,"endTime":1295.52,"body":"think of anything other than"},{"speaker":"Charles Goldfarb","startTime":1292.61,"endTime":1295.52,"body":"basketball. When you jog or"},{"speaker":"Charles Goldfarb","startTime":1295.52,"endTime":1298.19,"body":"bike. Sometimes your mind"},{"speaker":"Charles Goldfarb","startTime":1295.52,"endTime":1298.19,"body":"wanders back to work, which is"},{"speaker":"Charles Goldfarb","startTime":1298.19,"endTime":1301.7,"body":"counterproductive. I don't, I'm"},{"speaker":"Charles Goldfarb","startTime":1298.19,"endTime":1301.7,"body":"not playing ball anymore,"},{"speaker":"Charles Goldfarb","startTime":1301.94,"endTime":1306.35,"body":"because I'm old. But what I am"},{"speaker":"Charles Goldfarb","startTime":1301.94,"endTime":1306.35,"body":"doing is I'm riding my bike to"},{"speaker":"Charles Goldfarb","startTime":1306.35,"endTime":1310.7,"body":"work about five miles. And I"},{"speaker":"Charles Goldfarb","startTime":1306.35,"endTime":1310.7,"body":"have to say it's early. I'm"},{"speaker":"Charles Goldfarb","startTime":1310.7,"endTime":1314.9,"body":"running in the dark most days"},{"speaker":"Charles Goldfarb","startTime":1310.7,"endTime":1314.9,"body":"and I come home. It's fantastic."},{"speaker":"Charles Goldfarb","startTime":1315.02,"endTime":1317.9,"body":"And five miles you know, you"},{"speaker":"Charles Goldfarb","startTime":1315.02,"endTime":1317.9,"body":"could argue guys not very far"},{"speaker":"Charles Goldfarb","startTime":1317.9,"endTime":1322.76,"body":"it's not. But it's far enough. I"},{"speaker":"Charles Goldfarb","startTime":1317.9,"endTime":1322.76,"body":"get a little you know, heavy"},{"speaker":"Charles Goldfarb","startTime":1322.76,"endTime":1324.92,"body":"breathing and then coming home."},{"speaker":"Charles Goldfarb","startTime":1322.76,"endTime":1324.92,"body":"It's more uphill, which is"},{"speaker":"Charles Goldfarb","startTime":1324.92,"endTime":1329.09,"body":"convenient. Because that's what"},{"speaker":"Charles Goldfarb","startTime":1324.92,"endTime":1329.09,"body":"more and I love it. I really"},{"speaker":"Charles Goldfarb","startTime":1329.09,"endTime":1331.91,"body":"love it. So that's filling that"},{"speaker":"Charles Goldfarb","startTime":1329.09,"endTime":1331.91,"body":"same void for me."},{"speaker":"Chris Dy","startTime":1332.779,"endTime":1335.719,"body":"What do you do in the"},{"speaker":"Chris Dy","startTime":1332.779,"endTime":1335.719,"body":"winter? Still do it? Well,"},{"speaker":"Charles Goldfarb","startTime":1335.75,"endTime":1338.81,"body":"last year I"},{"speaker":"Charles Goldfarb","startTime":1335.75,"endTime":1338.81,"body":"when it gets ridiculously cold"},{"speaker":"Charles Goldfarb","startTime":1338.81,"endTime":1343.16,"body":"now now, but pretty flexible."},{"speaker":"Charles Goldfarb","startTime":1338.81,"endTime":1343.16,"body":"I'll do it down into the third"},{"speaker":"Charles Goldfarb","startTime":1343.16,"endTime":1349.82,"body":"high 30s. Low 40s. And the heat"},{"speaker":"Charles Goldfarb","startTime":1343.16,"endTime":1349.82,"body":"never bothered me. So as hot as"},{"speaker":"Charles Goldfarb","startTime":1349.82,"endTime":1352.46,"body":"it was, you know it can be but"},{"speaker":"Charles Goldfarb","startTime":1349.82,"endTime":1352.46,"body":"yeah, if it gets too cold."},{"speaker":"Chris Dy","startTime":1353.27,"endTime":1355.733,"body":"No. And then what"},{"speaker":"Chris Dy","startTime":1353.27,"endTime":1355.733,"body":"about the Chesterfield days or"},{"speaker":"Chris Dy","startTime":1355.784,"endTime":1358.761,"body":"the I mean, so the Shrine, you"},{"speaker":"Chris Dy","startTime":1355.784,"endTime":1358.761,"body":"can do the test field days?"},{"speaker":"Chris Dy","startTime":1358.812,"endTime":1359.48,"body":"Probably not."},{"speaker":"Charles Goldfarb","startTime":1359.569,"endTime":1362.089,"body":"I can do three"},{"speaker":"Charles Goldfarb","startTime":1359.569,"endTime":1362.089,"body":"days a week, if you know. And"},{"speaker":"Charles Goldfarb","startTime":1362.089,"endTime":1366.289,"body":"then like Thursday, I have a 6am"},{"speaker":"Charles Goldfarb","startTime":1362.089,"endTime":1366.289,"body":"meeting. So that requires"},{"speaker":"Charles Goldfarb","startTime":1366.529,"endTime":1369.439,"body":"putting an earlier start than"},{"speaker":"Charles Goldfarb","startTime":1366.529,"endTime":1369.439,"body":"normal getting on the bike a"},{"speaker":"Charles Goldfarb","startTime":1369.439,"endTime":1372.589,"body":"little earlier than I would"},{"speaker":"Charles Goldfarb","startTime":1369.439,"endTime":1372.589,"body":"probably prefer, but I think I'm"},{"speaker":"Charles Goldfarb","startTime":1372.589,"endTime":1373.189,"body":"still going to do it."},{"speaker":"Chris Dy","startTime":1373.819,"endTime":1377.059,"body":"And when you travel"},{"speaker":"Chris Dy","startTime":1373.819,"endTime":1377.059,"body":"for meetings or travel for fun,"},{"speaker":"Chris Dy","startTime":1377.149,"endTime":1380.299,"body":"or you still wake up, you know,"},{"speaker":"Chris Dy","startTime":1377.149,"endTime":1380.299,"body":"do something in the morning guy"},{"speaker":"Chris Dy","startTime":1380.329,"endTime":1382.069,"body":"are you kind of let that routine"},{"speaker":"Chris Dy","startTime":1380.329,"endTime":1382.069,"body":"slide"},{"speaker":"Charles Goldfarb","startTime":1382.249,"endTime":1384.619,"body":"the routine"},{"speaker":"Charles Goldfarb","startTime":1382.249,"endTime":1384.619,"body":"slides I find a way to work out"},{"speaker":"Charles Goldfarb","startTime":1384.649,"endTime":1387.409,"body":"but not not in that typical"},{"speaker":"Charles Goldfarb","startTime":1384.649,"endTime":1387.409,"body":"routine. It may be you know,"},{"speaker":"Charles Goldfarb","startTime":1387.409,"endTime":1390.409,"body":"doing whether it's walking on"},{"speaker":"Charles Goldfarb","startTime":1387.409,"endTime":1390.409,"body":"the beach or finding another"},{"speaker":"Charles Goldfarb","startTime":1390.409,"endTime":1393.439,"body":"time to bike or run or"},{"speaker":"Charles Goldfarb","startTime":1390.409,"endTime":1393.439,"body":"something. Yeah, the get up"},{"speaker":"Charles Goldfarb","startTime":1393.439,"endTime":1395.269,"body":"early to exercise is not"},{"speaker":"Charles Goldfarb","startTime":1393.439,"endTime":1395.269,"body":"required. Why do you still have"},{"speaker":"Charles Goldfarb","startTime":1395.269,"endTime":1396.349,"body":"to get up early to exercise?"},{"speaker":"Chris Dy","startTime":1397.13,"endTime":1400.01,"body":"I do. Because if I"},{"speaker":"Chris Dy","startTime":1397.13,"endTime":1400.01,"body":"guess I kind of like I don't."},{"speaker":"Chris Dy","startTime":1400.4,"endTime":1404.09,"body":"I'm a knight as my favorite"},{"speaker":"Chris Dy","startTime":1400.4,"endTime":1404.09,"body":"instructor says we're nicer"},{"speaker":"Chris Dy","startTime":1404.09,"endTime":1408.08,"body":"people after we exercise and I"},{"speaker":"Chris Dy","startTime":1404.09,"endTime":1408.08,"body":"truly am. So it's almost like"},{"speaker":"Chris Dy","startTime":1408.08,"endTime":1411.95,"body":"coffee to me, they kind of go"},{"speaker":"Chris Dy","startTime":1408.08,"endTime":1411.95,"body":"hand in hand. Let's say I tend"},{"speaker":"Chris Dy","startTime":1411.95,"endTime":1414.71,"body":"to still get up early, because"},{"speaker":"Chris Dy","startTime":1411.95,"endTime":1414.71,"body":"then I know it's done. And I'm"},{"speaker":"Chris Dy","startTime":1414.71,"endTime":1417.05,"body":"not worried about it. Because"},{"speaker":"Chris Dy","startTime":1414.71,"endTime":1417.05,"body":"I've never tably I won't worry"},{"speaker":"Chris Dy","startTime":1417.05,"endTime":1418.43,"body":"about it. That's just my"},{"speaker":"Chris Dy","startTime":1417.05,"endTime":1418.43,"body":"personality."},{"speaker":"Charles Goldfarb","startTime":1418.7,"endTime":1420.41,"body":"So what does"},{"speaker":"Charles Goldfarb","startTime":1418.7,"endTime":1420.41,"body":"cooking do for you?"},{"speaker":"Chris Dy","startTime":1422.24,"endTime":1426.44,"body":"I have found so much"},{"speaker":"Chris Dy","startTime":1422.24,"endTime":1426.44,"body":"joy in that it's not only the"},{"speaker":"Chris Dy","startTime":1426.59,"endTime":1430.25,"body":"it's the process of cooking,"},{"speaker":"Chris Dy","startTime":1426.59,"endTime":1430.25,"body":"it's more of the sharing. And"},{"speaker":"Chris Dy","startTime":1430.25,"endTime":1433.37,"body":"it's however I think it makes me"},{"speaker":"Chris Dy","startTime":1430.25,"endTime":1433.37,"body":"feel about you know, taking care"},{"speaker":"Chris Dy","startTime":1433.37,"endTime":1436.76,"body":"of friends and family. Like, for"},{"speaker":"Chris Dy","startTime":1433.37,"endTime":1436.76,"body":"example like weekend's that's"},{"speaker":"Chris Dy","startTime":1436.76,"endTime":1439.4,"body":"kind of the bigger deal of like,"},{"speaker":"Chris Dy","startTime":1436.76,"endTime":1439.4,"body":"you know, okay, we can like"},{"speaker":"Chris Dy","startTime":1439.4,"endTime":1442.22,"body":"actually get together and let's"},{"speaker":"Chris Dy","startTime":1439.4,"endTime":1442.22,"body":"do something bigger. And I enjoy"},{"speaker":"Chris Dy","startTime":1442.22,"endTime":1445.82,"body":"the process of like, in the"},{"speaker":"Chris Dy","startTime":1442.22,"endTime":1445.82,"body":"kitchen planning everything out."},{"speaker":"Chris Dy","startTime":1445.82,"endTime":1448.49,"body":"And you know, it's all stressful"},{"speaker":"Chris Dy","startTime":1445.82,"endTime":1448.49,"body":"at times. But you know, it's"},{"speaker":"Chris Dy","startTime":1448.49,"endTime":1452.99,"body":"fun. And, you know, the having"},{"speaker":"Chris Dy","startTime":1448.49,"endTime":1452.99,"body":"everybody enjoy it. If it's"},{"speaker":"Chris Dy","startTime":1452.99,"endTime":1456.53,"body":"good, it's all the better. For"},{"speaker":"Chris Dy","startTime":1452.99,"endTime":1456.53,"body":"some reason I'm really fanatical"},{"speaker":"Chris Dy","startTime":1456.53,"endTime":1460.16,"body":"about the Week, the weekly menu"},{"speaker":"Chris Dy","startTime":1456.53,"endTime":1460.16,"body":"planning, we haven't gone the"},{"speaker":"Chris Dy","startTime":1460.16,"endTime":1462.68,"body":"route that some families do of"},{"speaker":"Chris Dy","startTime":1460.16,"endTime":1462.68,"body":"like completely prepping"},{"speaker":"Chris Dy","startTime":1462.68,"endTime":1466.52,"body":"everything out at the beginning"},{"speaker":"Chris Dy","startTime":1462.68,"endTime":1466.52,"body":"of the week. We you know, I love"},{"speaker":"Chris Dy","startTime":1466.55,"endTime":1469.04,"body":"on the weekend, and I actually"},{"speaker":"Chris Dy","startTime":1466.55,"endTime":1469.04,"body":"look forward to this. So sitting"},{"speaker":"Chris Dy","startTime":1469.04,"endTime":1473.15,"body":"down and making a menu and"},{"speaker":"Chris Dy","startTime":1469.04,"endTime":1473.15,"body":"making a plan like looking at"},{"speaker":"Chris Dy","startTime":1473.15,"endTime":1475.46,"body":"like, Okay, here's what's going"},{"speaker":"Chris Dy","startTime":1473.15,"endTime":1475.46,"body":"on these nights of the week I"},{"speaker":"Chris Dy","startTime":1475.46,"endTime":1478.04,"body":"can do this tip is doing that,"},{"speaker":"Chris Dy","startTime":1475.46,"endTime":1478.04,"body":"you know, the kids have this"},{"speaker":"Chris Dy","startTime":1478.04,"endTime":1480.47,"body":"going on. And I was like let's"},{"speaker":"Chris Dy","startTime":1478.04,"endTime":1480.47,"body":"come up with something that's"},{"speaker":"Chris Dy","startTime":1480.47,"endTime":1483.62,"body":"going to work and whether it's"},{"speaker":"Chris Dy","startTime":1480.47,"endTime":1483.62,"body":"something simple or a little"},{"speaker":"Chris Dy","startTime":1483.62,"endTime":1486.11,"body":"less simple. The week that stuff"},{"speaker":"Chris Dy","startTime":1483.62,"endTime":1486.11,"body":"tends to be pretty"},{"speaker":"Chris Dy","startTime":1486.11,"endTime":1488.57,"body":"straightforward, but I still"},{"speaker":"Chris Dy","startTime":1486.11,"endTime":1488.57,"body":"like that and it makes me feel"},{"speaker":"Chris Dy","startTime":1488.57,"endTime":1491.9,"body":"better. At least I think that my"},{"speaker":"Chris Dy","startTime":1488.57,"endTime":1491.9,"body":"kids see the process of like,"},{"speaker":"Chris Dy","startTime":1492.17,"endTime":1495.89,"body":"something being made and that"},{"speaker":"Chris Dy","startTime":1492.17,"endTime":1495.89,"body":"you know, whatever they are"},{"speaker":"Chris Dy","startTime":1495.92,"endTime":1500.33,"body":"eating is not just out of you"},{"speaker":"Chris Dy","startTime":1495.92,"endTime":1500.33,"body":"know, automatically gets You"},{"speaker":"Chris Dy","startTime":1500.33,"endTime":1503.75,"body":"know, appears out of nowhere."},{"speaker":"Chris Dy","startTime":1500.33,"endTime":1503.75,"body":"And I'm not judging those that"},{"speaker":"Chris Dy","startTime":1503.75,"endTime":1505.88,"body":"do that. Because I think that"},{"speaker":"Chris Dy","startTime":1503.75,"endTime":1505.88,"body":"that's a reality in a lot of"},{"speaker":"Chris Dy","startTime":1505.88,"endTime":1509.3,"body":"ways. But I personally find joy"},{"speaker":"Chris Dy","startTime":1505.88,"endTime":1509.3,"body":"in that process of being able to"},{"speaker":"Chris Dy","startTime":1509.57,"endTime":1512.36,"body":"thread the needle of getting"},{"speaker":"Chris Dy","startTime":1509.57,"endTime":1512.36,"body":"home making something that is"},{"speaker":"Chris Dy","startTime":1512.72,"endTime":1516.53,"body":"reasonably healthy and delicious"},{"speaker":"Chris Dy","startTime":1512.72,"endTime":1516.53,"body":"and enjoying it together."},{"speaker":"Charles Goldfarb","startTime":1517.489,"endTime":1521.419,"body":"Yeah, I hear"},{"speaker":"Charles Goldfarb","startTime":1517.489,"endTime":1521.419,"body":"you, and I realize how important"},{"speaker":"Charles Goldfarb","startTime":1521.419,"endTime":1525.079,"body":"it is to you, I have to say, I'm"},{"speaker":"Charles Goldfarb","startTime":1521.419,"endTime":1525.079,"body":"starting to understand it a"},{"speaker":"Charles Goldfarb","startTime":1525.079,"endTime":1529.159,"body":"little bit in the sense that"},{"speaker":"Charles Goldfarb","startTime":1525.079,"endTime":1529.159,"body":"there are times when I partake,"},{"speaker":"Charles Goldfarb","startTime":1529.159,"endTime":1533.179,"body":"and but food is just different"},{"speaker":"Charles Goldfarb","startTime":1529.159,"endTime":1533.179,"body":"for me. And so it's not, it'll"},{"speaker":"Charles Goldfarb","startTime":1533.179,"endTime":1538.039,"body":"never be my priority, I guess I"},{"speaker":"Charles Goldfarb","startTime":1533.179,"endTime":1538.039,"body":"would say, my replacement or,"},{"speaker":"Charles Goldfarb","startTime":1538.099,"endTime":1541.939,"body":"you know, something important to"},{"speaker":"Charles Goldfarb","startTime":1538.099,"endTime":1541.939,"body":"me is reading. I read every day,"},{"speaker":"Charles Goldfarb","startTime":1542.059,"endTime":1545.149,"body":"not as much as I would like, I"},{"speaker":"Charles Goldfarb","startTime":1542.059,"endTime":1545.149,"body":"usually am reading multiple"},{"speaker":"Charles Goldfarb","startTime":1545.149,"endTime":1549.079,"body":"different books I attend at the"},{"speaker":"Charles Goldfarb","startTime":1545.149,"endTime":1549.079,"body":"end of the day, to read some"},{"speaker":"Charles Goldfarb","startTime":1549.079,"endTime":1552.109,"body":"type of either historically"},{"speaker":"Charles Goldfarb","startTime":1549.079,"endTime":1552.109,"body":"based fiction, or just stupid"},{"speaker":"Charles Goldfarb","startTime":1552.109,"endTime":1558.109,"body":"fiction. And it just puts me in"},{"speaker":"Charles Goldfarb","startTime":1552.109,"endTime":1558.109,"body":"a good place. On the weekends, I"},{"speaker":"Charles Goldfarb","startTime":1558.109,"endTime":1561.499,"body":"try to read nonfiction, whatever"},{"speaker":"Charles Goldfarb","startTime":1558.109,"endTime":1561.499,"body":"my brain may may tolerate it. My"},{"speaker":"Charles Goldfarb","startTime":1561.499,"endTime":1563.869,"body":"dad used to say, when I was"},{"speaker":"Charles Goldfarb","startTime":1561.499,"endTime":1563.869,"body":"growing up, I used to ask why he"},{"speaker":"Charles Goldfarb","startTime":1563.869,"endTime":1566.869,"body":"didn't read serious books. And"},{"speaker":"Charles Goldfarb","startTime":1563.869,"endTime":1566.869,"body":"he goes, Well, you know, my job"},{"speaker":"Charles Goldfarb","startTime":1566.869,"endTime":1570.019,"body":"is serious. And, you know, I"},{"speaker":"Charles Goldfarb","startTime":1566.869,"endTime":1570.019,"body":"need to escape not not dive"},{"speaker":"Charles Goldfarb","startTime":1570.019,"endTime":1572.629,"body":"deep. And I get that, I totally"},{"speaker":"Charles Goldfarb","startTime":1570.019,"endTime":1572.629,"body":"get that."},{"speaker":"Chris Dy","startTime":1573.619,"endTime":1575.899,"body":"I wish I could, I wish"},{"speaker":"Chris Dy","startTime":1573.619,"endTime":1575.899,"body":"I could read more. My problem is"},{"speaker":"Chris Dy","startTime":1575.899,"endTime":1579.319,"body":"that you're in a lab, but like,"},{"speaker":"Chris Dy","startTime":1575.899,"endTime":1579.319,"body":"as soon as I start to read"},{"speaker":"Chris Dy","startTime":1579.319,"endTime":1580.939,"body":"something, I usually fall"},{"speaker":"Chris Dy","startTime":1579.319,"endTime":1580.939,"body":"asleep."},{"speaker":"Charles Goldfarb","startTime":1582.26,"endTime":1584.42,"body":"But that's"},{"speaker":"Charles Goldfarb","startTime":1582.26,"endTime":1584.42,"body":"fine. That's fine. I do too."},{"speaker":"Charles Goldfarb","startTime":1584.42,"endTime":1585.14,"body":"Sometimes."},{"speaker":"Chris Dy","startTime":1585.89,"endTime":1588.17,"body":"I don't want to say"},{"speaker":"Chris Dy","startTime":1585.89,"endTime":1588.17,"body":"it's chronic fatigue. But you"},{"speaker":"Chris Dy","startTime":1588.17,"endTime":1591.77,"body":"know, I, I know that I know, my"},{"speaker":"Chris Dy","startTime":1588.17,"endTime":1591.77,"body":"body. I know, my energy levels."},{"speaker":"Chris Dy","startTime":1591.8,"endTime":1595.13,"body":"As soon as you know something."},{"speaker":"Chris Dy","startTime":1591.8,"endTime":1595.13,"body":"As soon as I start to do"},{"speaker":"Chris Dy","startTime":1595.13,"endTime":1597.86,"body":"something where I'm completely"},{"speaker":"Chris Dy","startTime":1595.13,"endTime":1597.86,"body":"sedentary, and the room gets"},{"speaker":"Chris Dy","startTime":1597.86,"endTime":1601.34,"body":"darker, I know what's going to"},{"speaker":"Chris Dy","startTime":1597.86,"endTime":1601.34,"body":"happen. I've managed to learn"},{"speaker":"Chris Dy","startTime":1601.34,"endTime":1604.34,"body":"kind of how much sleep I need,"},{"speaker":"Chris Dy","startTime":1601.34,"endTime":1604.34,"body":"you know, how much sleep is"},{"speaker":"Chris Dy","startTime":1604.37,"endTime":1607.97,"body":"ideal, how much sleep is"},{"speaker":"Chris Dy","startTime":1604.37,"endTime":1607.97,"body":"tolerable? And just the sleeping"},{"speaker":"Chris Dy","startTime":1607.97,"endTime":1611.18,"body":"is something that, you know, to"},{"speaker":"Chris Dy","startTime":1607.97,"endTime":1611.18,"body":"the point where there was a"},{"speaker":"Chris Dy","startTime":1611.18,"endTime":1614.78,"body":"moment where I had multiple"},{"speaker":"Chris Dy","startTime":1611.18,"endTime":1614.78,"body":"books on my on my bedside table,"},{"speaker":"Chris Dy","startTime":1615.23,"endTime":1618.35,"body":"and Tiff would just tell me"},{"speaker":"Chris Dy","startTime":1615.23,"endTime":1618.35,"body":"which one of your sleeping books"},{"speaker":"Chris Dy","startTime":1618.35,"endTime":1623.42,"body":"are you going to read tonight?"},{"speaker":"Chris Dy","startTime":1618.35,"endTime":1623.42,"body":"She knows. Yeah, so yeah, yeah,"},{"speaker":"Chris Dy","startTime":1623.42,"endTime":1625.55,"body":"I don't I wish I could. I wish I"},{"speaker":"Chris Dy","startTime":1623.42,"endTime":1625.55,"body":"could read more, though, I think"},{"speaker":"Chris Dy","startTime":1625.55,"endTime":1629.24,"body":"that's, that's super important."},{"speaker":"Chris Dy","startTime":1625.55,"endTime":1629.24,"body":"So I think that'd be great. If"},{"speaker":"Chris Dy","startTime":1629.27,"endTime":1632.69,"body":"you know, anybody wants to share"},{"speaker":"Chris Dy","startTime":1629.27,"endTime":1632.69,"body":"how they have addressed, you"},{"speaker":"Chris Dy","startTime":1632.69,"endTime":1636.47,"body":"know, you know, their strategies"},{"speaker":"Chris Dy","startTime":1632.69,"endTime":1636.47,"body":"for, I won't, I don't want to"},{"speaker":"Chris Dy","startTime":1636.47,"endTime":1638.3,"body":"say just for burnout, addressing"},{"speaker":"Chris Dy","startTime":1636.47,"endTime":1638.3,"body":"burnout, I want to say"},{"speaker":"Chris Dy","startTime":1638.3,"endTime":1642.26,"body":"fulfillment, because you know,"},{"speaker":"Chris Dy","startTime":1638.3,"endTime":1642.26,"body":"making sure that you're you are"},{"speaker":"Chris Dy","startTime":1642.29,"endTime":1644.78,"body":"getting the most out of you"},{"speaker":"Chris Dy","startTime":1642.29,"endTime":1644.78,"body":"know, what she wants to, you"},{"speaker":"Chris Dy","startTime":1644.78,"endTime":1649.76,"body":"know, to see on a daily basis."},{"speaker":"Chris Dy","startTime":1644.78,"endTime":1649.76,"body":"And I think that probably, there"},{"speaker":"Chris Dy","startTime":1649.76,"endTime":1651.98,"body":"are some things that we could"},{"speaker":"Chris Dy","startTime":1649.76,"endTime":1651.98,"body":"talk about in a future episode"},{"speaker":"Chris Dy","startTime":1651.98,"endTime":1655.67,"body":"about just strategies to make"},{"speaker":"Chris Dy","startTime":1651.98,"endTime":1655.67,"body":"your life more either more"},{"speaker":"Chris Dy","startTime":1655.67,"endTime":1658.7,"body":"efficient, or more pleasurable"},{"speaker":"Chris Dy","startTime":1655.67,"endTime":1658.7,"body":"at work."},{"speaker":"Charles Goldfarb","startTime":1659.84,"endTime":1662.0,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":1659.84,"endTime":1662.0,"body":"we should talk we've touched on"},{"speaker":"Charles Goldfarb","startTime":1662.0,"endTime":1664.97,"body":"those topics, certainly. But I"},{"speaker":"Charles Goldfarb","startTime":1662.0,"endTime":1664.97,"body":"think it's always worth"},{"speaker":"Charles Goldfarb","startTime":1665.0,"endTime":1667.31,"body":"revisiting. Because, you know,"},{"speaker":"Charles Goldfarb","startTime":1665.0,"endTime":1667.31,"body":"we're evolving, obviously. And"},{"speaker":"Charles Goldfarb","startTime":1667.31,"endTime":1671.51,"body":"what I said two years ago might"},{"speaker":"Charles Goldfarb","startTime":1667.31,"endTime":1671.51,"body":"not be what I say today. And I"},{"speaker":"Charles Goldfarb","startTime":1671.51,"endTime":1675.08,"body":"love that I love the topic."},{"speaker":"Charles Goldfarb","startTime":1671.51,"endTime":1675.08,"body":"Efficiency is something I take"},{"speaker":"Charles Goldfarb","startTime":1675.08,"endTime":1678.5,"body":"pride in and but can always can"},{"speaker":"Charles Goldfarb","startTime":1675.08,"endTime":1678.5,"body":"always be better. So this was"},{"speaker":"Charles Goldfarb","startTime":1678.5,"endTime":1682.25,"body":"this was fun. I think we're both"},{"speaker":"Charles Goldfarb","startTime":1678.5,"endTime":1682.25,"body":"evolving in this in this area"},{"speaker":"Charles Goldfarb","startTime":1682.25,"endTime":1686.48,"body":"and how we consider coaching. We"},{"speaker":"Charles Goldfarb","startTime":1682.25,"endTime":1686.48,"body":"certainly consider burnout and"},{"speaker":"Charles Goldfarb","startTime":1686.6,"endTime":1692.09,"body":"and really pertinent topic, and"},{"speaker":"Charles Goldfarb","startTime":1686.6,"endTime":1692.09,"body":"in August of 2022, I guess this"},{"speaker":"Charles Goldfarb","startTime":1692.09,"endTime":1695.87,"body":"will drop in September of 2022."},{"speaker":"Charles Goldfarb","startTime":1692.09,"endTime":1695.87,"body":"But it'll still be pertinent."},{"speaker":"Chris Dy","startTime":1696.26,"endTime":1697.91,"body":"Well, let's see who"},{"speaker":"Chris Dy","startTime":1696.26,"endTime":1697.91,"body":"has a coach in the year."},{"speaker":"Chris Dy","startTime":1698.48,"endTime":1699.02,"body":"Exactly."},{"speaker":"Charles Goldfarb","startTime":1699.02,"endTime":1701.3,"body":"Right. All"},{"speaker":"Charles Goldfarb","startTime":1699.02,"endTime":1701.3,"body":"right. Thank you very much."},{"speaker":"Chris Dy","startTime":1701.359,"endTime":1702.349,"body":"All right. Have a good"},{"speaker":"Chris Dy","startTime":1701.359,"endTime":1702.349,"body":"evening."},{"speaker":"Charles Goldfarb","startTime":1702.38,"endTime":1705.53,"body":"You too. Hey,"},{"speaker":"Charles Goldfarb","startTime":1702.38,"endTime":1705.53,"body":"Chris. That was fun. Let's do it"},{"speaker":"Charles Goldfarb","startTime":1705.53,"endTime":1706.25,"body":"again real soon."},{"speaker":"Chris Dy","startTime":1706.52,"endTime":1709.04,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":1706.52,"endTime":1709.04,"body":"sure to check us out on Twitter"},{"speaker":"Chris Dy","startTime":1709.04,"endTime":1711.44,"body":"at Han podcast. Hey, Chuck,"},{"speaker":"Chris Dy","startTime":1709.04,"endTime":1711.44,"body":"what's your Twitter handle?"},{"speaker":"Charles Goldfarb","startTime":1711.799,"endTime":1714.65,"body":"Mine is"},{"speaker":"Charles Goldfarb","startTime":1711.799,"endTime":1714.65,"body":"@congenitalhand. What about you?"},{"speaker":"Chris Dy","startTime":1714.799,"endTime":1718.252,"body":"Mine is @ChrisDyMD"},{"speaker":"Chris Dy","startTime":1714.799,"endTime":1718.252,"body":"spelled d-y. And if you'd like"},{"speaker":"Chris Dy","startTime":1718.323,"endTime":1722.059,"body":"to email us, you can reach us @handpodcast@gmail.com."},{"speaker":"Charles Goldfarb","startTime":1722.599,"endTime":1724.759,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":1722.599,"endTime":1724.759,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":1724.759,"endTime":1725.839,"body":"get your podcast"},{"speaker":"Chris Dy","startTime":1725.869,"endTime":1728.089,"body":"and be sure to leave a"},{"speaker":"Chris Dy","startTime":1725.869,"endTime":1728.089,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":1728.089,"endTime":1728.479,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":1728.869,"endTime":1731.179,"body":"Special thanks"},{"speaker":"Charles Goldfarb","startTime":1728.869,"endTime":1731.179,"body":"to Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":1731.179,"endTime":1735.139,"body":"music. And remember, keep the"},{"speaker":"Charles Goldfarb","startTime":1731.179,"endTime":1735.139,"body":"upper hand. Come back next time"}]}