{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":3.6,"endTime":5.97,"body":"Welcome to the"},{"speaker":"Charles Goldfarb","startTime":3.6,"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":9.69,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":7.89,"endTime":9.69,"body":"surgeons at Washington"},{"speaker":"Chris Dy","startTime":9.69,"endTime":12.33,"body":"University in St. Louis here to"},{"speaker":"Chris Dy","startTime":9.69,"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":18.0,"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":23.58,"body":"leaving a rating wherever you"},{"speaker":"Chris Dy","startTime":21.3,"endTime":23.58,"body":"get your podcast."},{"speaker":"Charles Goldfarb","startTime":24.57,"endTime":25.44,"body":"Oh, hey,"},{"speaker":"Charles Goldfarb","startTime":24.57,"endTime":25.44,"body":"Chris."},{"speaker":"Chris Dy","startTime":25.71,"endTime":26.73,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":25.71,"endTime":26.73,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":27.21,"endTime":29.49,"body":"I am doing"},{"speaker":"Charles Goldfarb","startTime":27.21,"endTime":29.49,"body":"really well. Really well. What"},{"speaker":"Charles Goldfarb","startTime":29.49,"endTime":29.91,"body":"about you?"},{"speaker":"Chris Dy","startTime":30.39,"endTime":33.66,"body":"I am fantastic. I feel"},{"speaker":"Chris Dy","startTime":30.39,"endTime":33.66,"body":"like an old guy just had 10"},{"speaker":"Chris Dy","startTime":33.66,"endTime":37.32,"body":"minutes of it to it supports"},{"speaker":"Chris Dy","startTime":33.66,"endTime":37.32,"body":"myself to try to set up"},{"speaker":"Chris Dy","startTime":37.47,"endTime":39.93,"body":"bluetooth headphones, because"},{"speaker":"Chris Dy","startTime":37.47,"endTime":39.93,"body":"for some reason wasn't working."},{"speaker":"Chris Dy","startTime":39.93,"endTime":43.17,"body":"And then I'm trying to figure"},{"speaker":"Chris Dy","startTime":39.93,"endTime":43.17,"body":"out whether I switch to a Mac or"},{"speaker":"Chris Dy","startTime":43.17,"endTime":44.55,"body":"not. And it's a mess."},{"speaker":"Charles Goldfarb","startTime":44.79,"endTime":46.68,"body":"Well, it's the"},{"speaker":"Charles Goldfarb","startTime":44.79,"endTime":46.68,"body":"latter point, you definitely"},{"speaker":"Charles Goldfarb","startTime":46.68,"endTime":51.09,"body":"should switch to a Mac. But I,"},{"speaker":"Charles Goldfarb","startTime":46.68,"endTime":51.09,"body":"my children make fun of my"},{"speaker":"Charles Goldfarb","startTime":51.09,"endTime":55.35,"body":"wired, old school Bose"},{"speaker":"Charles Goldfarb","startTime":51.09,"endTime":55.35,"body":"headphones that are you know,"},{"speaker":"Charles Goldfarb","startTime":55.35,"endTime":59.82,"body":"earbuds. But man, they are"},{"speaker":"Charles Goldfarb","startTime":55.35,"endTime":59.82,"body":"completely reliable. And I do"},{"speaker":"Charles Goldfarb","startTime":59.82,"endTime":63.03,"body":"need some some wireless. I know,"},{"speaker":"Charles Goldfarb","startTime":59.82,"endTime":63.03,"body":"but these are reliable and"},{"speaker":"Charles Goldfarb","startTime":63.03,"endTime":63.45,"body":"great."},{"speaker":"Chris Dy","startTime":64.41,"endTime":66.15,"body":"Yeah, you know,"},{"speaker":"Chris Dy","startTime":64.41,"endTime":66.15,"body":"apparently there is some kind of"},{"speaker":"Chris Dy","startTime":66.15,"endTime":69.06,"body":"lag if you use wireless or"},{"speaker":"Chris Dy","startTime":66.15,"endTime":69.06,"body":"Bluetooth. So I think that a"},{"speaker":"Chris Dy","startTime":69.06,"endTime":72.09,"body":"purist and audiophile would say"},{"speaker":"Chris Dy","startTime":69.06,"endTime":72.09,"body":"that you have to use something"},{"speaker":"Chris Dy","startTime":72.09,"endTime":75.78,"body":"wired. I was actually shopping"},{"speaker":"Chris Dy","startTime":72.09,"endTime":75.78,"body":"for a sound bar this week for"},{"speaker":"Chris Dy","startTime":75.78,"endTime":79.41,"body":"our TV. Because, you know,"},{"speaker":"Chris Dy","startTime":75.78,"endTime":79.41,"body":"apparently that's the thing. And"},{"speaker":"Chris Dy","startTime":80.97,"endTime":83.7,"body":"I was all about trying to Yeah,"},{"speaker":"Chris Dy","startTime":80.97,"endTime":83.7,"body":"we did, I was trying to all"},{"speaker":"Chris Dy","startTime":83.7,"endTime":86.22,"body":"about trying to hide, you know,"},{"speaker":"Chris Dy","startTime":83.7,"endTime":86.22,"body":"go wireless fully, and the guy"},{"speaker":"Chris Dy","startTime":86.22,"endTime":89.43,"body":"at the store was trying to talk"},{"speaker":"Chris Dy","startTime":86.22,"endTime":89.43,"body":"me out of it. Till honestly, it"},{"speaker":"Chris Dy","startTime":89.43,"endTime":92.37,"body":"just ruins the aesthetic for the"},{"speaker":"Chris Dy","startTime":89.43,"endTime":92.37,"body":"TV that we have. So"},{"speaker":"Charles Goldfarb","startTime":92.91,"endTime":93.81,"body":"what did you"},{"speaker":"Charles Goldfarb","startTime":92.91,"endTime":93.81,"body":"get?"},{"speaker":"Chris Dy","startTime":94.68,"endTime":97.23,"body":"We have, we have one"},{"speaker":"Chris Dy","startTime":94.68,"endTime":97.23,"body":"of those frame TVs that looks"},{"speaker":"Chris Dy","startTime":97.23,"endTime":99.27,"body":"all artsy and whatnot. So I"},{"speaker":"Chris Dy","startTime":97.23,"endTime":99.27,"body":"ended up getting the matching"},{"speaker":"Chris Dy","startTime":99.27,"endTime":102.12,"body":"soundbar for that. And it does"},{"speaker":"Chris Dy","startTime":99.27,"endTime":102.12,"body":"have a completely wireless"},{"speaker":"Chris Dy","startTime":102.12,"endTime":104.55,"body":"capability with the exception of"},{"speaker":"Chris Dy","startTime":102.12,"endTime":104.55,"body":"power. And you think they"},{"speaker":"Chris Dy","startTime":104.55,"endTime":107.04,"body":"figured out some kind of solar"},{"speaker":"Chris Dy","startTime":104.55,"endTime":107.04,"body":"system so that you didn't need a"},{"speaker":"Chris Dy","startTime":107.04,"endTime":109.32,"body":"power cord. But we got to do"},{"speaker":"Chris Dy","startTime":107.04,"endTime":109.32,"body":"that at least."},{"speaker":"Charles Goldfarb","startTime":109.65,"endTime":111.93,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":109.65,"endTime":111.93,"body":"soundbar makes a difference. But"},{"speaker":"Charles Goldfarb","startTime":111.96,"endTime":115.68,"body":"um, no audio file. So you know,"},{"speaker":"Charles Goldfarb","startTime":111.96,"endTime":115.68,"body":"all works. Okay,"},{"speaker":"Chris Dy","startTime":115.71,"endTime":117.54,"body":"so you're not in your"},{"speaker":"Chris Dy","startTime":115.71,"endTime":117.54,"body":"basement right now. Where are"},{"speaker":"Chris Dy","startTime":117.54,"endTime":117.66,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":117.69,"endTime":119.1,"body":"I was"},{"speaker":"Charles Goldfarb","startTime":117.69,"endTime":119.1,"body":"wondering if you're gonna"},{"speaker":"Charles Goldfarb","startTime":119.1,"endTime":123.96,"body":"notice. I am in St. Vincent,"},{"speaker":"Charles Goldfarb","startTime":119.1,"endTime":123.96,"body":"we're wrapping up a week long"},{"speaker":"Charles Goldfarb","startTime":123.96,"endTime":125.97,"body":"mission trip, which has been"},{"speaker":"Charles Goldfarb","startTime":123.96,"endTime":125.97,"body":"remarkable."},{"speaker":"Chris Dy","startTime":126.48,"endTime":128.34,"body":"Well, I think we're"},{"speaker":"Chris Dy","startTime":126.48,"endTime":128.34,"body":"going to spend the time this"},{"speaker":"Chris Dy","startTime":128.34,"endTime":132.99,"body":"week talking about that on the"},{"speaker":"Chris Dy","startTime":128.34,"endTime":132.99,"body":"pod. So if you want to jump"},{"speaker":"Chris Dy","startTime":132.99,"endTime":135.96,"body":"right in and tell us about the"},{"speaker":"Chris Dy","startTime":132.99,"endTime":135.96,"body":"trip, and kind of how you ended"},{"speaker":"Chris Dy","startTime":135.96,"endTime":138.63,"body":"up there, and this ain't your"},{"speaker":"Chris Dy","startTime":135.96,"endTime":138.63,"body":"first rodeo there. So"},{"speaker":"Charles Goldfarb","startTime":139.2,"endTime":142.2,"body":"yeah, I guess"},{"speaker":"Charles Goldfarb","startTime":139.2,"endTime":142.2,"body":"I should start by saying that we"},{"speaker":"Charles Goldfarb","startTime":142.23,"endTime":146.67,"body":"have a great team. And that's,"},{"speaker":"Charles Goldfarb","startTime":142.23,"endTime":146.67,"body":"it's a team sport. And so we"},{"speaker":"Charles Goldfarb","startTime":146.67,"endTime":152.07,"body":"have one of our fellows, David"},{"speaker":"Charles Goldfarb","startTime":146.67,"endTime":152.07,"body":"Wright, who has been absolutely"},{"speaker":"Charles Goldfarb","startTime":152.07,"endTime":155.16,"body":"incredible on this trip, you"},{"speaker":"Charles Goldfarb","startTime":152.07,"endTime":155.16,"body":"know, some of the things that we"},{"speaker":"Charles Goldfarb","startTime":155.16,"endTime":159.57,"body":"value in, I guess I would say"},{"speaker":"Charles Goldfarb","startTime":155.16,"endTime":159.57,"body":"normal life are accentuated in a"},{"speaker":"Charles Goldfarb","startTime":159.57,"endTime":163.14,"body":"place that is, you know, can be"},{"speaker":"Charles Goldfarb","startTime":159.57,"endTime":163.14,"body":"a little challenging. And so"},{"speaker":"Charles Goldfarb","startTime":163.14,"endTime":166.65,"body":"David has been just incredible"},{"speaker":"Charles Goldfarb","startTime":163.14,"endTime":166.65,"body":"doing anything and everything to"},{"speaker":"Charles Goldfarb","startTime":166.65,"endTime":169.86,"body":"make the trip a success, been"},{"speaker":"Charles Goldfarb","startTime":166.65,"endTime":169.86,"body":"fun to hang out. So I think he's"},{"speaker":"Charles Goldfarb","startTime":169.86,"endTime":172.11,"body":"enjoyed it, even though"},{"speaker":"Charles Goldfarb","startTime":169.86,"endTime":172.11,"body":"congenital is probably not in"},{"speaker":"Charles Goldfarb","startTime":172.11,"endTime":175.65,"body":"his future. But there was a lot"},{"speaker":"Charles Goldfarb","startTime":172.11,"endTime":175.65,"body":"of post traumatic and, and"},{"speaker":"Charles Goldfarb","startTime":175.65,"endTime":178.56,"body":"spasticity and things like that,"},{"speaker":"Charles Goldfarb","startTime":175.65,"endTime":178.56,"body":"which we'll get to. So David has"},{"speaker":"Charles Goldfarb","startTime":178.56,"endTime":182.94,"body":"been great. Betsy, who's"},{"speaker":"Charles Goldfarb","startTime":178.56,"endTime":182.94,"body":"remarkable, or nurse Michelle,"},{"speaker":"Charles Goldfarb","startTime":182.94,"endTime":187.71,"body":"who's remarkable occupational"},{"speaker":"Charles Goldfarb","startTime":182.94,"endTime":187.71,"body":"therapist, we had Mike Montana,"},{"speaker":"Charles Goldfarb","startTime":187.71,"endTime":190.74,"body":"who is an anesthesiologist at"},{"speaker":"Charles Goldfarb","startTime":187.71,"endTime":190.74,"body":"Children's who has been awesome."},{"speaker":"Charles Goldfarb","startTime":190.98,"endTime":196.17,"body":"And then we had a scribe. So"},{"speaker":"Charles Goldfarb","startTime":190.98,"endTime":196.17,"body":"really great group, and this has"},{"speaker":"Charles Goldfarb","startTime":196.17,"endTime":197.46,"body":"made the trip a success."},{"speaker":"Chris Dy","startTime":198.63,"endTime":200.67,"body":"How did you assemble"},{"speaker":"Chris Dy","startTime":198.63,"endTime":200.67,"body":"that team? Because I feel like"},{"speaker":"Chris Dy","startTime":200.7,"endTime":205.38,"body":"most people who go on trips like"},{"speaker":"Chris Dy","startTime":200.7,"endTime":205.38,"body":"this, don't have that big of a"},{"speaker":"Chris Dy","startTime":205.38,"endTime":208.11,"body":"team, or perhaps they do and"},{"speaker":"Chris Dy","startTime":205.38,"endTime":208.11,"body":"that's the way you should do it."},{"speaker":"Charles Goldfarb","startTime":208.59,"endTime":212.52,"body":"Yeah, I guess"},{"speaker":"Charles Goldfarb","startTime":208.59,"endTime":212.52,"body":"it depends on the trip. I know"},{"speaker":"Charles Goldfarb","startTime":212.52,"endTime":216.03,"body":"that the hand society has a"},{"speaker":"Charles Goldfarb","startTime":212.52,"endTime":216.03,"body":"touching hand strip right now, I"},{"speaker":"Charles Goldfarb","startTime":216.03,"endTime":221.37,"body":"want to say is in Guatemala,"},{"speaker":"Charles Goldfarb","startTime":216.03,"endTime":221.37,"body":"where there's 30 People now"},{"speaker":"Charles Goldfarb","startTime":221.37,"endTime":223.71,"body":"those are not all surgeons, and"},{"speaker":"Charles Goldfarb","startTime":221.37,"endTime":223.71,"body":"I don't know exactly the"},{"speaker":"Charles Goldfarb","startTime":223.71,"endTime":226.32,"body":"breakdown, but there were at"},{"speaker":"Charles Goldfarb","startTime":223.71,"endTime":226.32,"body":"least six or eight surgeons"},{"speaker":"Charles Goldfarb","startTime":226.59,"endTime":228.69,"body":"included in that group. So I"},{"speaker":"Charles Goldfarb","startTime":226.59,"endTime":228.69,"body":"don't know what their ratios"},{"speaker":"Charles Goldfarb","startTime":228.69,"endTime":233.1,"body":"were. So I guess I should say, I"},{"speaker":"Charles Goldfarb","startTime":228.69,"endTime":233.1,"body":"appreciate the support of the"},{"speaker":"Charles Goldfarb","startTime":233.1,"endTime":236.04,"body":"hand society for our trip as"},{"speaker":"Charles Goldfarb","startTime":233.1,"endTime":236.04,"body":"well. The touching hands project"},{"speaker":"Charles Goldfarb","startTime":236.04,"endTime":239.31,"body":"help support this trip. But step"},{"speaker":"Charles Goldfarb","startTime":236.04,"endTime":239.31,"body":"was really put on by the world"},{"speaker":"Charles Goldfarb","startTime":239.31,"endTime":242.64,"body":"pediatric project, which I"},{"speaker":"Charles Goldfarb","startTime":239.31,"endTime":242.64,"body":"believe we talked about. And you"},{"speaker":"Charles Goldfarb","startTime":242.64,"endTime":245.07,"body":"certainly know my close"},{"speaker":"Charles Goldfarb","startTime":242.64,"endTime":245.07,"body":"relationship with the world"},{"speaker":"Charles Goldfarb","startTime":245.07,"endTime":248.13,"body":"pediatric project, and they do"},{"speaker":"Charles Goldfarb","startTime":245.07,"endTime":248.13,"body":"trips for multiple different"},{"speaker":"Charles Goldfarb","startTime":248.13,"endTime":252.24,"body":"specialties, and Eastern"},{"speaker":"Charles Goldfarb","startTime":248.13,"endTime":252.24,"body":"Caribbean and Central American"},{"speaker":"Charles Goldfarb","startTime":252.24,"endTime":255.18,"body":"trips, and this is Eastern, and"},{"speaker":"Charles Goldfarb","startTime":252.24,"endTime":255.18,"body":"really southern Caribbean trips."},{"speaker":"Charles Goldfarb","startTime":255.18,"endTime":259.2,"body":"So for this trip, that's what we"},{"speaker":"Charles Goldfarb","startTime":255.18,"endTime":259.2,"body":"need. Those are the people that"},{"speaker":"Charles Goldfarb","startTime":259.2,"endTime":262.11,"body":"we need to make it a success and"},{"speaker":"Charles Goldfarb","startTime":259.2,"endTime":262.11,"body":"success it was"},{"speaker":"Chris Dy","startTime":262.86,"endTime":264.96,"body":"now I think we've"},{"speaker":"Chris Dy","startTime":262.86,"endTime":264.96,"body":"talked about the world"},{"speaker":"Chris Dy","startTime":264.96,"endTime":269.49,"body":"paediatric project on past"},{"speaker":"Chris Dy","startTime":264.96,"endTime":269.49,"body":"podcast, but for those that"},{"speaker":"Chris Dy","startTime":269.49,"endTime":271.77,"body":"didn't listen to that those"},{"speaker":"Chris Dy","startTime":269.49,"endTime":271.77,"body":"episodes, can you tell us just a"},{"speaker":"Chris Dy","startTime":271.77,"endTime":273.66,"body":"little bit about the project? I"},{"speaker":"Chris Dy","startTime":271.77,"endTime":273.66,"body":"know that you're involved"},{"speaker":"Chris Dy","startTime":273.66,"endTime":275.34,"body":"probably at a leadership or a"},{"speaker":"Chris Dy","startTime":273.66,"endTime":275.34,"body":"board level, right?"},{"speaker":"Charles Goldfarb","startTime":275.819,"endTime":278.459,"body":"Yes, I have"},{"speaker":"Charles Goldfarb","startTime":275.819,"endTime":278.459,"body":"recently gotten involved in last"},{"speaker":"Charles Goldfarb","startTime":278.459,"endTime":281.339,"body":"year. So yeah, the world"},{"speaker":"Charles Goldfarb","startTime":278.459,"endTime":281.339,"body":"pediatric project was founded in"},{"speaker":"Charles Goldfarb","startTime":281.339,"endTime":286.169,"body":"Richmond, Virginia, in about"},{"speaker":"Charles Goldfarb","startTime":281.339,"endTime":286.169,"body":"2011 joined with a group called"},{"speaker":"Charles Goldfarb","startTime":286.169,"endTime":288.239,"body":"Healing the children in St."},{"speaker":"Charles Goldfarb","startTime":286.169,"endTime":288.239,"body":"Louis to really make a"},{"speaker":"Charles Goldfarb","startTime":288.239,"endTime":291.659,"body":"remarkable organization which"},{"speaker":"Charles Goldfarb","startTime":288.239,"endTime":291.659,"body":"actually has come out of the"},{"speaker":"Charles Goldfarb","startTime":291.659,"endTime":295.589,"body":"pandemic stronger, and it's"},{"speaker":"Charles Goldfarb","startTime":291.659,"endTime":295.589,"body":"relatively well funded. Its"},{"speaker":"Charles Goldfarb","startTime":295.589,"endTime":300.119,"body":"impact is incredible. It used to"},{"speaker":"Charles Goldfarb","startTime":295.589,"endTime":300.119,"body":"be primarily we'd bring kids to"},{"speaker":"Charles Goldfarb","startTime":300.119,"endTime":303.149,"body":"the states for really"},{"speaker":"Charles Goldfarb","startTime":300.119,"endTime":303.149,"body":"complicated care. And now their"},{"speaker":"Charles Goldfarb","startTime":303.149,"endTime":308.819,"body":"mission trips going out"},{"speaker":"Charles Goldfarb","startTime":303.149,"endTime":308.819,"body":"regularly, one to two a month or"},{"speaker":"Charles Goldfarb","startTime":308.819,"endTime":312.329,"body":"more. And some of these are"},{"speaker":"Charles Goldfarb","startTime":308.819,"endTime":312.329,"body":"operative. And while we were"},{"speaker":"Charles Goldfarb","startTime":312.329,"endTime":316.109,"body":"down here, there's actually a"},{"speaker":"Charles Goldfarb","startTime":312.329,"endTime":316.109,"body":"NICU team educating the local"},{"speaker":"Charles Goldfarb","startTime":316.109,"endTime":319.259,"body":"doctors and working with some"},{"speaker":"Charles Goldfarb","startTime":316.109,"endTime":319.259,"body":"sick kids. So that's been that's"},{"speaker":"Charles Goldfarb","startTime":319.259,"endTime":320.009,"body":"been fun to see."},{"speaker":"Chris Dy","startTime":321.209,"endTime":323.639,"body":"So how does a trip"},{"speaker":"Chris Dy","startTime":321.209,"endTime":323.639,"body":"like this work logistically?"},{"speaker":"Charles Goldfarb","startTime":325.37,"endTime":328.88,"body":"in Barbados"},{"speaker":"Charles Goldfarb","startTime":325.37,"endTime":328.88,"body":"for a long weekend, which may"},{"speaker":"Charles Goldfarb","startTime":329.03,"endTime":334.58,"body":"sound nice, I promise you it was"},{"speaker":"Charles Goldfarb","startTime":329.03,"endTime":334.58,"body":"all work and a lot of travel. I"},{"speaker":"Charles Goldfarb","startTime":334.58,"endTime":339.98,"body":"left on a Friday came back on a"},{"speaker":"Charles Goldfarb","startTime":334.58,"endTime":339.98,"body":"Sunday and with a partner of"},{"speaker":"Charles Goldfarb","startTime":339.98,"endTime":344.75,"body":"mine saw 100 patients in clinic"},{"speaker":"Charles Goldfarb","startTime":339.98,"endTime":344.75,"body":"and those many of those patients"},{"speaker":"Charles Goldfarb","startTime":344.75,"endTime":348.05,"body":"came over. Those Barbados"},{"speaker":"Charles Goldfarb","startTime":344.75,"endTime":348.05,"body":"patients are supported by the"},{"speaker":"Charles Goldfarb","startTime":348.05,"endTime":351.17,"body":"Sandy Lane Charitable Trust and"},{"speaker":"Charles Goldfarb","startTime":348.05,"endTime":351.17,"body":"for those sophisticates in the"},{"speaker":"Charles Goldfarb","startTime":351.17,"endTime":354.74,"body":"audience, Sandy Lane is a really"},{"speaker":"Charles Goldfarb","startTime":351.17,"endTime":354.74,"body":"high end hotel, one of the best"},{"speaker":"Charles Goldfarb","startTime":354.74,"endTime":358.4,"body":"in the world. And they do a lot"},{"speaker":"Charles Goldfarb","startTime":354.74,"endTime":358.4,"body":"for the island. So anyways, I"},{"speaker":"Charles Goldfarb","startTime":358.4,"endTime":360.77,"body":"was in Barbados, so a bunch of"},{"speaker":"Charles Goldfarb","startTime":358.4,"endTime":360.77,"body":"kids, many of those came over"},{"speaker":"Charles Goldfarb","startTime":360.77,"endTime":364.64,"body":"for surgery on this trip. I've"},{"speaker":"Charles Goldfarb","startTime":360.77,"endTime":364.64,"body":"done a lot of zoom, and"},{"speaker":"Charles Goldfarb","startTime":364.64,"endTime":368.72,"body":"reviewing patient files, all in"},{"speaker":"Charles Goldfarb","startTime":364.64,"endTime":368.72,"body":"preparation for this meeting for"},{"speaker":"Charles Goldfarb","startTime":368.72,"endTime":372.47,"body":"this trip. And in actuality, we"},{"speaker":"Charles Goldfarb","startTime":368.72,"endTime":372.47,"body":"had attended surgical plan now,"},{"speaker":"Charles Goldfarb","startTime":372.68,"endTime":375.53,"body":"that sort of flew out the window"},{"speaker":"Charles Goldfarb","startTime":372.68,"endTime":375.53,"body":"when we got here. But so we"},{"speaker":"Charles Goldfarb","startTime":375.53,"endTime":380.03,"body":"traveled on Saturday. On Sunday,"},{"speaker":"Charles Goldfarb","startTime":375.53,"endTime":380.03,"body":"we saw 55 patients then after"},{"speaker":"Charles Goldfarb","startTime":380.03,"endTime":383.66,"body":"clinic, we spent a lot of time"},{"speaker":"Charles Goldfarb","startTime":380.03,"endTime":383.66,"body":"piecing together the surgical"},{"speaker":"Charles Goldfarb","startTime":383.66,"endTime":386.99,"body":"schedule for the week. And we"},{"speaker":"Charles Goldfarb","startTime":383.66,"endTime":386.99,"body":"scheduled and performed 18"},{"speaker":"Charles Goldfarb","startTime":387.02,"endTime":389.69,"body":"surgeries over the course of the"},{"speaker":"Charles Goldfarb","startTime":387.02,"endTime":389.69,"body":"week. And we're coming back"},{"speaker":"Charles Goldfarb","startTime":389.75,"endTime":393.56,"body":"today, which is Saturday, the"},{"speaker":"Charles Goldfarb","startTime":389.75,"endTime":393.56,"body":"day before the podcast drops. So"},{"speaker":"Charles Goldfarb","startTime":393.59,"endTime":395.99,"body":"you know, really remarkable week"},{"speaker":"Charles Goldfarb","startTime":393.59,"endTime":395.99,"body":"very, you know, we were"},{"speaker":"Charles Goldfarb","startTime":395.99,"endTime":399.89,"body":"efficient as heck, it was really"},{"speaker":"Charles Goldfarb","startTime":395.99,"endTime":399.89,"body":"impressive how turnover times"},{"speaker":"Charles Goldfarb","startTime":399.89,"endTime":403.88,"body":"were low. And Betsy had done a"},{"speaker":"Charles Goldfarb","startTime":399.89,"endTime":403.88,"body":"remarkable job planning for what"},{"speaker":"Charles Goldfarb","startTime":403.88,"endTime":407.12,"body":"we needed. So there's so many"},{"speaker":"Charles Goldfarb","startTime":403.88,"endTime":407.12,"body":"logistical things that go into"},{"speaker":"Charles Goldfarb","startTime":407.12,"endTime":410.45,"body":"the success of a trip like this."},{"speaker":"Charles Goldfarb","startTime":407.12,"endTime":410.45,"body":"But we can talk about some of"},{"speaker":"Charles Goldfarb","startTime":410.45,"endTime":413.21,"body":"the principles of what success"},{"speaker":"Charles Goldfarb","startTime":410.45,"endTime":413.21,"body":"looks like, but really great."},{"speaker":"Chris Dy","startTime":414.06,"endTime":417.87,"body":"So two things. One,"},{"speaker":"Chris Dy","startTime":414.06,"endTime":417.87,"body":"I'm not surprised by your"},{"speaker":"Chris Dy","startTime":417.87,"endTime":421.02,"body":"efficiency. I think anybody that"},{"speaker":"Chris Dy","startTime":417.87,"endTime":421.02,"body":"knows the chuck Goldfarb brand"},{"speaker":"Chris Dy","startTime":421.02,"endTime":423.42,"body":"would not be surprised by that."},{"speaker":"Chris Dy","startTime":421.02,"endTime":423.42,"body":"But that's incredible. The"},{"speaker":"Chris Dy","startTime":423.42,"endTime":426.6,"body":"second thing is before we dive"},{"speaker":"Chris Dy","startTime":423.42,"endTime":426.6,"body":"into the clinical content and"},{"speaker":"Chris Dy","startTime":426.6,"endTime":429.3,"body":"the cases you did and how you"},{"speaker":"Chris Dy","startTime":426.6,"endTime":429.3,"body":"made it so efficient, we do have"},{"speaker":"Chris Dy","startTime":429.3,"endTime":432.21,"body":"to talk about our friend"},{"speaker":"Chris Dy","startTime":429.3,"endTime":432.21,"body":"practice like"},{"speaker":"Charles Goldfarb","startTime":432.66,"endTime":436.77,"body":"and we should,"},{"speaker":"Charles Goldfarb","startTime":432.66,"endTime":436.77,"body":"they are our friends and and we"},{"speaker":"Charles Goldfarb","startTime":436.77,"endTime":439.86,"body":"should, you know, I think it's"},{"speaker":"Charles Goldfarb","startTime":436.77,"endTime":439.86,"body":"been an interesting process and"},{"speaker":"Charles Goldfarb","startTime":439.86,"endTime":443.31,"body":"certainly, identification of the"},{"speaker":"Charles Goldfarb","startTime":439.86,"endTime":443.31,"body":"perfect job is is a really"},{"speaker":"Charles Goldfarb","startTime":443.31,"endTime":447.42,"body":"important step for any young"},{"speaker":"Charles Goldfarb","startTime":443.31,"endTime":447.42,"body":"physician or surgeon. Well,"},{"speaker":"Chris Dy","startTime":447.0,"endTime":450.84,"body":"you know, when you get"},{"speaker":"Chris Dy","startTime":447.0,"endTime":450.84,"body":"back, Chuck, I have a variety of"},{"speaker":"Chris Dy","startTime":450.84,"endTime":454.65,"body":"practicing hats for you to pick"},{"speaker":"Chris Dy","startTime":450.84,"endTime":454.65,"body":"from. Ken Alman has provided us"},{"speaker":"Chris Dy","startTime":454.65,"endTime":457.56,"body":"swag. My son Raphael already"},{"speaker":"Chris Dy","startTime":454.65,"endTime":457.56,"body":"picked the blue one but there's"},{"speaker":"Chris Dy","startTime":457.56,"endTime":460.11,"body":"a white a gray and a black"},{"speaker":"Chris Dy","startTime":457.56,"endTime":460.11,"body":"Practice Link hat for you to"},{"speaker":"Chris Dy","startTime":460.11,"endTime":462.84,"body":"rock when you get home. I love"},{"speaker":"Chris Dy","startTime":460.11,"endTime":462.84,"body":"the up the Upper Hand is"},{"speaker":"Chris Dy","startTime":462.84,"endTime":465.9,"body":"sponsored by Practicelink.com"},{"speaker":"Chris Dy","startTime":462.84,"endTime":465.9,"body":"The most widely used physician"},{"speaker":"Chris Dy","startTime":465.9,"endTime":468.54,"body":"job search and career"},{"speaker":"Chris Dy","startTime":465.9,"endTime":468.54,"body":"advancement resource. Becoming a"},{"speaker":"Chris Dy","startTime":468.54,"endTime":471.36,"body":"physician is hard. Finding the"},{"speaker":"Chris Dy","startTime":468.54,"endTime":471.36,"body":"right job does not have to be"},{"speaker":"Charles Goldfarb","startTime":471.78,"endTime":473.79,"body":"Join practice"},{"speaker":"Charles Goldfarb","startTime":471.78,"endTime":473.79,"body":"link for free today at"},{"speaker":"Charles Goldfarb","startTime":473.79,"endTime":478.77,"body":"www.practicelink.com  and check"},{"speaker":"Charles Goldfarb","startTime":473.79,"endTime":478.77,"body":"our show notes for the link as"},{"speaker":"Charles Goldfarb","startTime":478.77,"endTime":483.63,"body":"well. Yeah, so good partnership."},{"speaker":"Charles Goldfarb","startTime":478.77,"endTime":483.63,"body":"And it's a pleasure to work with"},{"speaker":"Charles Goldfarb","startTime":483.63,"endTime":484.26,"body":"Practice Link."},{"speaker":"Chris Dy","startTime":484.74,"endTime":486.63,"body":"Yes, you will need"},{"speaker":"Chris Dy","startTime":484.74,"endTime":486.63,"body":"that hat when you get back to"},{"speaker":"Chris Dy","startTime":486.63,"endTime":490.02,"body":"St. Louis because it is frigid."},{"speaker":"Chris Dy","startTime":486.63,"endTime":490.02,"body":"Here it is. I think it's 20"},{"speaker":"Chris Dy","startTime":490.02,"endTime":492.9,"body":"degrees outside which is crazy"},{"speaker":"Chris Dy","startTime":490.02,"endTime":492.9,"body":"because it was 74 on Wednesday."},{"speaker":"Charles Goldfarb","startTime":492.9,"endTime":496.02,"body":"So we were"},{"speaker":"Charles Goldfarb","startTime":492.9,"endTime":496.02,"body":"having a we were having a team"},{"speaker":"Charles Goldfarb","startTime":496.02,"endTime":498.42,"body":"dinner last night discussing"},{"speaker":"Charles Goldfarb","startTime":496.02,"endTime":498.42,"body":"what surprised us about this"},{"speaker":"Charles Goldfarb","startTime":498.42,"endTime":502.08,"body":"trip. And in I've been here"},{"speaker":"Charles Goldfarb","startTime":498.42,"endTime":502.08,"body":"before it's and nothing really,"},{"speaker":"Charles Goldfarb","startTime":502.11,"endTime":506.55,"body":"you know, surprise me other than"},{"speaker":"Charles Goldfarb","startTime":502.11,"endTime":506.55,"body":"it is rained an incredible"},{"speaker":"Charles Goldfarb","startTime":506.61,"endTime":509.73,"body":"amount. And thankfully this"},{"speaker":"Charles Goldfarb","startTime":506.61,"endTime":509.73,"body":"morning we don't leave till a"},{"speaker":"Charles Goldfarb","startTime":509.73,"endTime":511.89,"body":"little later today. But this"},{"speaker":"Charles Goldfarb","startTime":509.73,"endTime":511.89,"body":"morning is beautiful. So"},{"speaker":"Charles Goldfarb","startTime":511.89,"endTime":513.93,"body":"hopefully we'll get to enjoy a"},{"speaker":"Charles Goldfarb","startTime":511.89,"endTime":513.93,"body":"little nice weather before we"},{"speaker":"Charles Goldfarb","startTime":513.93,"endTime":514.35,"body":"head home."},{"speaker":"Chris Dy","startTime":515.22,"endTime":517.62,"body":"Well, I'm glad you get"},{"speaker":"Chris Dy","startTime":515.22,"endTime":517.62,"body":"to enjoy that. I will say I did"},{"speaker":"Chris Dy","startTime":517.62,"endTime":520.53,"body":"look up in Celsius for our"},{"speaker":"Chris Dy","startTime":517.62,"endTime":520.53,"body":"international listeners what"},{"speaker":"Chris Dy","startTime":520.53,"endTime":523.26,"body":"that is it is currently minus"},{"speaker":"Chris Dy","startTime":520.53,"endTime":523.26,"body":"two degrees Celsius in good ol"},{"speaker":"Chris Dy","startTime":523.26,"endTime":527.88,"body":"St. Louis, Missouri, USA. But"},{"speaker":"Chris Dy","startTime":523.26,"endTime":527.88,"body":"alright, anyway, tell us tell us"},{"speaker":"Chris Dy","startTime":527.91,"endTime":530.82,"body":"you said 18 cases in a week on"},{"speaker":"Chris Dy","startTime":527.91,"endTime":530.82,"body":"an international trip. That's"},{"speaker":"Chris Dy","startTime":530.82,"endTime":533.07,"body":"pretty phenomenal. So how many"},{"speaker":"Chris Dy","startTime":530.82,"endTime":533.07,"body":"days of the week? Are you doing"},{"speaker":"Chris Dy","startTime":533.07,"endTime":536.1,"body":"surgery? Was it every day? And"},{"speaker":"Chris Dy","startTime":533.07,"endTime":536.1,"body":"then tell us a little about what"},{"speaker":"Chris Dy","startTime":536.1,"endTime":536.94,"body":"kind of cases you did."},{"speaker":"Charles Goldfarb","startTime":537.06,"endTime":540.51,"body":"We operated"},{"speaker":"Charles Goldfarb","startTime":537.06,"endTime":540.51,"body":"Monday through Thursday and it"},{"speaker":"Charles Goldfarb","startTime":540.51,"endTime":543.66,"body":"was we were really good we"},{"speaker":"Charles Goldfarb","startTime":540.51,"endTime":543.66,"body":"scheduled things nicely so we"},{"speaker":"Charles Goldfarb","startTime":543.66,"endTime":549.81,"body":"would leave the hotel early in"},{"speaker":"Charles Goldfarb","startTime":543.66,"endTime":549.81,"body":"the morning 6:30- 6:45 fight a"},{"speaker":"Charles Goldfarb","startTime":549.81,"endTime":552.96,"body":"little traffic get to the the"},{"speaker":"Charles Goldfarb","startTime":549.81,"endTime":552.96,"body":"really the only hospital on the"},{"speaker":"Charles Goldfarb","startTime":552.96,"endTime":556.41,"body":"island and Milton Kaito"},{"speaker":"Charles Goldfarb","startTime":552.96,"endTime":556.41,"body":"hospital. The world pediatric"},{"speaker":"Charles Goldfarb","startTime":556.41,"endTime":560.16,"body":"project essentially owns one of"},{"speaker":"Charles Goldfarb","startTime":556.41,"endTime":560.16,"body":"their own cars employs staff on"},{"speaker":"Charles Goldfarb","startTime":560.16,"endTime":565.08,"body":"the ground to keep the operation"},{"speaker":"Charles Goldfarb","startTime":560.16,"endTime":565.08,"body":"running 365 days a year. And so"},{"speaker":"Charles Goldfarb","startTime":565.08,"endTime":568.26,"body":"then we would start operating"},{"speaker":"Charles Goldfarb","startTime":565.08,"endTime":568.26,"body":"about eight 815 And every day we"},{"speaker":"Charles Goldfarb","startTime":568.26,"endTime":571.95,"body":"got back to the place around"},{"speaker":"Charles Goldfarb","startTime":568.26,"endTime":571.95,"body":"630. So long days, not not"},{"speaker":"Charles Goldfarb","startTime":571.95,"endTime":576.9,"body":"incredibly long days, but long"},{"speaker":"Charles Goldfarb","startTime":571.95,"endTime":576.9,"body":"days. But busy days a lot of you"},{"speaker":"Charles Goldfarb","startTime":576.9,"endTime":583.56,"body":"know hard work to keep things"},{"speaker":"Charles Goldfarb","startTime":576.9,"endTime":583.56,"body":"moving. Our cases were a mix of"},{"speaker":"Charles Goldfarb","startTime":583.59,"endTime":588.33,"body":"some congenital but mostly not"},{"speaker":"Charles Goldfarb","startTime":583.59,"endTime":588.33,"body":"some post traumatic for an"},{"speaker":"Charles Goldfarb","startTime":588.33,"endTime":592.95,"body":"example. We had a patient with a"},{"speaker":"Charles Goldfarb","startTime":588.33,"endTime":592.95,"body":"bad burn with with serious"},{"speaker":"Charles Goldfarb","startTime":592.95,"endTime":597.6,"body":"contractures which we treated a"},{"speaker":"Charles Goldfarb","startTime":592.95,"endTime":597.6,"body":"post traumatic fracture with a"},{"speaker":"Charles Goldfarb","startTime":597.6,"endTime":601.8,"body":"subsequent tendon right I'm sure"},{"speaker":"Charles Goldfarb","startTime":597.6,"endTime":601.8,"body":"they'd have been treated here on"},{"speaker":"Charles Goldfarb","startTime":601.8,"endTime":606.66,"body":"the island, and a remarkable"},{"speaker":"Charles Goldfarb","startTime":601.8,"endTime":606.66,"body":"number of cerebral palsy kids."},{"speaker":"Charles Goldfarb","startTime":607.8,"endTime":611.94,"body":"And lastly, perhaps to bring it"},{"speaker":"Charles Goldfarb","startTime":607.8,"endTime":611.94,"body":"home for you plenty of brachial"},{"speaker":"Charles Goldfarb","startTime":611.94,"endTime":617.01,"body":"plexus palsy. So we did a couple"},{"speaker":"Charles Goldfarb","startTime":611.94,"endTime":617.01,"body":"of Proximal Humerus osteotomies,"},{"speaker":"Charles Goldfarb","startTime":617.01,"endTime":619.44,"body":"which these were older kids"},{"speaker":"Charles Goldfarb","startTime":617.01,"endTime":619.44,"body":"within us. That's the right"},{"speaker":"Charles Goldfarb","startTime":619.44,"endTime":622.77,"body":"approach. One of them was"},{"speaker":"Charles Goldfarb","startTime":619.44,"endTime":622.77,"body":"revision. And that was might"},{"speaker":"Charles Goldfarb","startTime":622.77,"endTime":624.6,"body":"have been one of the tougher"},{"speaker":"Charles Goldfarb","startTime":622.77,"endTime":624.6,"body":"cases on the trip."},{"speaker":"Chris Dy","startTime":625.35,"endTime":627.03,"body":"Do you have"},{"speaker":"Chris Dy","startTime":625.35,"endTime":627.03,"body":"flouroscopy during the case?"},{"speaker":"Charles Goldfarb","startTime":627.54,"endTime":630.66,"body":"we do, there's"},{"speaker":"Charles Goldfarb","startTime":627.54,"endTime":630.66,"body":"one large c-arm, which is"},{"speaker":"Charles Goldfarb","startTime":630.66,"endTime":634.89,"body":"shared. And thankfully, we"},{"speaker":"Charles Goldfarb","startTime":630.66,"endTime":634.89,"body":"really didn't need it much for"},{"speaker":"Charles Goldfarb","startTime":634.89,"endTime":638.55,"body":"anything, but it's nice to"},{"speaker":"Charles Goldfarb","startTime":634.89,"endTime":638.55,"body":"check. At the end, it was it was"},{"speaker":"Charles Goldfarb","startTime":638.55,"endTime":641.52,"body":"not a lot of bony work, do I"},{"speaker":"Charles Goldfarb","startTime":638.55,"endTime":641.52,"body":"felt more like a plastic surgeon"},{"speaker":"Charles Goldfarb","startTime":641.52,"endTime":644.4,"body":"than an orthopedic surgeon?"},{"speaker":"Charles Goldfarb","startTime":641.52,"endTime":644.4,"body":"Which is, you know, obviously,"},{"speaker":"Charles Goldfarb","startTime":644.4,"endTime":647.88,"body":"great. But we did have that"},{"speaker":"Charles Goldfarb","startTime":644.4,"endTime":647.88,"body":"available to us?"},{"speaker":"Chris Dy","startTime":648.66,"endTime":651.36,"body":"Well, I mean, I think"},{"speaker":"Chris Dy","startTime":648.66,"endTime":651.36,"body":"that in a resource resource"},{"speaker":"Chris Dy","startTime":651.36,"endTime":654.45,"body":"challenge environment, at times,"},{"speaker":"Chris Dy","startTime":651.36,"endTime":654.45,"body":"it probably is best not to rely"},{"speaker":"Chris Dy","startTime":654.45,"endTime":658.05,"body":"on the, you know, doing doing"},{"speaker":"Chris Dy","startTime":654.45,"endTime":658.05,"body":"cases that rely on a lot of, you"},{"speaker":"Chris Dy","startTime":658.05,"endTime":661.47,"body":"know, either resources like"},{"speaker":"Chris Dy","startTime":658.05,"endTime":661.47,"body":"implants, or the technology that"},{"speaker":"Chris Dy","startTime":661.47,"endTime":663.12,"body":"we use in the operating, we're"},{"speaker":"Chris Dy","startTime":661.47,"endTime":663.12,"body":"fortunate enough to have in the"},{"speaker":"Chris Dy","startTime":663.12,"endTime":665.37,"body":"operating room. So it's great"},{"speaker":"Chris Dy","startTime":663.12,"endTime":665.37,"body":"that you're able to find a bunch"},{"speaker":"Chris Dy","startTime":665.37,"endTime":667.41,"body":"of cases, you could just, you"},{"speaker":"Chris Dy","startTime":665.37,"endTime":667.41,"body":"know, rely on your loops and"},{"speaker":"Chris Dy","startTime":667.41,"endTime":667.89,"body":"your hands,"},{"speaker":"Charles Goldfarb","startTime":668.16,"endTime":670.74,"body":"for sure. And"},{"speaker":"Charles Goldfarb","startTime":668.16,"endTime":670.74,"body":"we you know, ortho pediatrics is"},{"speaker":"Charles Goldfarb","startTime":670.74,"endTime":673.29,"body":"a company that has supported"},{"speaker":"Charles Goldfarb","startTime":670.74,"endTime":673.29,"body":"this, these trips, and they"},{"speaker":"Charles Goldfarb","startTime":673.29,"endTime":677.19,"body":"supported us as well, we had, we"},{"speaker":"Charles Goldfarb","startTime":673.29,"endTime":677.19,"body":"use their small fragment trays a"},{"speaker":"Charles Goldfarb","startTime":677.19,"endTime":680.97,"body":"couple of times, but had other"},{"speaker":"Charles Goldfarb","startTime":677.19,"endTime":680.97,"body":"options, including risk fusion,"},{"speaker":"Charles Goldfarb","startTime":681.18,"endTime":683.88,"body":"we thought we might do a risk"},{"speaker":"Charles Goldfarb","startTime":681.18,"endTime":683.88,"body":"fusion and the reality was, we"},{"speaker":"Charles Goldfarb","startTime":683.88,"endTime":687.87,"body":"didn't do it. But the other"},{"speaker":"Charles Goldfarb","startTime":683.88,"endTime":687.87,"body":"interesting thing on this island"},{"speaker":"Charles Goldfarb","startTime":687.87,"endTime":691.11,"body":"is not a lot of pain medication,"},{"speaker":"Charles Goldfarb","startTime":687.87,"endTime":691.11,"body":"you know, reminds me how"},{"speaker":"Charles Goldfarb","startTime":691.14,"endTime":695.01,"body":"differently our physicians"},{"speaker":"Charles Goldfarb","startTime":691.14,"endTime":695.01,"body":"approach post surgical care in"},{"speaker":"Charles Goldfarb","startTime":695.01,"endTime":698.73,"body":"the United States, and how"},{"speaker":"Charles Goldfarb","startTime":695.01,"endTime":698.73,"body":"different patient expectations"},{"speaker":"Charles Goldfarb","startTime":698.76,"endTime":699.27,"body":"are"},{"speaker":"Chris Dy","startTime":700.59,"endTime":702.24,"body":"Will you change your"},{"speaker":"Chris Dy","startTime":700.59,"endTime":702.24,"body":"practice at all, when you come"},{"speaker":"Chris Dy","startTime":702.24,"endTime":703.02,"body":"back to the States?"},{"speaker":"Charles Goldfarb","startTime":703.05,"endTime":704.55,"body":"Well, I'm"},{"speaker":"Charles Goldfarb","startTime":703.05,"endTime":704.55,"body":"going to be practicing in the"},{"speaker":"Charles Goldfarb","startTime":704.55,"endTime":708.21,"body":"States. So I don't think like,"},{"speaker":"Charles Goldfarb","startTime":704.55,"endTime":708.21,"body":"you know, when we when you have"},{"speaker":"Charles Goldfarb","startTime":708.21,"endTime":712.77,"body":"a 15 year old kid, where you do"},{"speaker":"Charles Goldfarb","startTime":708.21,"endTime":712.77,"body":"a painful humerus osteotomy, and"},{"speaker":"Charles Goldfarb","startTime":712.89,"endTime":716.82,"body":"you give them maybe one dose of"},{"speaker":"Charles Goldfarb","startTime":712.89,"endTime":716.82,"body":"narcotics, and they're fine with"},{"speaker":"Charles Goldfarb","startTime":716.82,"endTime":719.22,"body":"Tylenol and Motrin, it's really"},{"speaker":"Charles Goldfarb","startTime":716.82,"endTime":719.22,"body":"crazy."},{"speaker":"Chris Dy","startTime":720.03,"endTime":723.12,"body":"It's a very different"},{"speaker":"Chris Dy","startTime":720.03,"endTime":723.12,"body":"societal expectations. You know,"},{"speaker":"Chris Dy","startTime":723.15,"endTime":726.33,"body":"like the current fellow that's"},{"speaker":"Chris Dy","startTime":723.15,"endTime":726.33,"body":"with me, Jess Billig has done a"},{"speaker":"Chris Dy","startTime":726.33,"endTime":729.93,"body":"ton of research in the health"},{"speaker":"Chris Dy","startTime":726.33,"endTime":729.93,"body":"services space, including on"},{"speaker":"Chris Dy","startTime":729.93,"endTime":734.4,"body":"opiates. And she's pushing me to"},{"speaker":"Chris Dy","startTime":729.93,"endTime":734.4,"body":"try to decrease the amount that"},{"speaker":"Chris Dy","startTime":734.4,"endTime":736.26,"body":"I prescribe. And I actually"},{"speaker":"Chris Dy","startTime":734.4,"endTime":736.26,"body":"think I'm pretty good already."},{"speaker":"Chris Dy","startTime":737.07,"endTime":740.22,"body":"But it certainly is good to"},{"speaker":"Chris Dy","startTime":737.07,"endTime":740.22,"body":"reexamine our processes. But I"},{"speaker":"Chris Dy","startTime":740.22,"endTime":742.5,"body":"think there's a certain"},{"speaker":"Chris Dy","startTime":740.22,"endTime":742.5,"body":"expectation and our, you know,"},{"speaker":"Chris Dy","startTime":742.83,"endTime":746.46,"body":"in this little microcosm of St."},{"speaker":"Chris Dy","startTime":742.83,"endTime":746.46,"body":"Louis, that, you know, there"},{"speaker":"Chris Dy","startTime":746.49,"endTime":749.4,"body":"there are some narcotics"},{"speaker":"Chris Dy","startTime":746.49,"endTime":749.4,"body":"prescribed after every surgery,"},{"speaker":"Chris Dy","startTime":749.7,"endTime":750.3,"body":"right or wrong."},{"speaker":"Charles Goldfarb","startTime":751.05,"endTime":753.42,"body":"Oh, for sure."},{"speaker":"Charles Goldfarb","startTime":751.05,"endTime":753.42,"body":"For sure. Yeah, a couple"},{"speaker":"Charles Goldfarb","startTime":753.42,"endTime":755.73,"body":"interesting things. So, you"},{"speaker":"Charles Goldfarb","startTime":753.42,"endTime":755.73,"body":"know, Betsy did a great job of"},{"speaker":"Charles Goldfarb","startTime":755.73,"endTime":758.16,"body":"putting, you know, the trip"},{"speaker":"Charles Goldfarb","startTime":755.73,"endTime":758.16,"body":"together and making sure we had"},{"speaker":"Charles Goldfarb","startTime":758.16,"endTime":760.8,"body":"all the equipment, we brought a"},{"speaker":"Charles Goldfarb","startTime":758.16,"endTime":760.8,"body":"lot of what we needed, and we'll"},{"speaker":"Charles Goldfarb","startTime":760.8,"endTime":763.38,"body":"take take it back. And there's"},{"speaker":"Charles Goldfarb","startTime":760.8,"endTime":763.38,"body":"certainly equipment here on the"},{"speaker":"Charles Goldfarb","startTime":763.38,"endTime":767.49,"body":"ground. And that's he had"},{"speaker":"Charles Goldfarb","startTime":763.38,"endTime":767.49,"body":"literally everything or knew"},{"speaker":"Charles Goldfarb","startTime":767.49,"endTime":770.67,"body":"everything was available. But"},{"speaker":"Charles Goldfarb","startTime":767.49,"endTime":770.67,"body":"certainly like a privilege"},{"speaker":"Charles Goldfarb","startTime":770.67,"endTime":774.06,"body":"surgeon from the States, you"},{"speaker":"Charles Goldfarb","startTime":770.67,"endTime":774.06,"body":"know, a pair of ads and pickups"},{"speaker":"Charles Goldfarb","startTime":774.3,"endTime":777.84,"body":"is not the same as a pair of ads"},{"speaker":"Charles Goldfarb","startTime":774.3,"endTime":777.84,"body":"and pickups and they're very"},{"speaker":"Charles Goldfarb","startTime":777.84,"endTime":781.68,"body":"significant differences, and"},{"speaker":"Charles Goldfarb","startTime":777.84,"endTime":781.68,"body":"dissecting series, which we know"},{"speaker":"Charles Goldfarb","startTime":781.68,"endTime":785.22,"body":"are important vary tremendously."},{"speaker":"Charles Goldfarb","startTime":781.68,"endTime":785.22,"body":"And so we were actually trying"},{"speaker":"Charles Goldfarb","startTime":785.22,"endTime":788.76,"body":"to pick our trays based on the"},{"speaker":"Charles Goldfarb","startTime":785.22,"endTime":788.76,"body":"case up as a more technical"},{"speaker":"Charles Goldfarb","startTime":788.76,"endTime":790.68,"body":"case, well, I need that pair of"},{"speaker":"Charles Goldfarb","startTime":788.76,"endTime":790.68,"body":"scissors or for the less"},{"speaker":"Charles Goldfarb","startTime":790.68,"endTime":793.89,"body":"technical case, well, that tray"},{"speaker":"Charles Goldfarb","startTime":790.68,"endTime":793.89,"body":"with a crappy Addisons will be"},{"speaker":"Charles Goldfarb","startTime":793.89,"endTime":796.65,"body":"fine. It's just those little"},{"speaker":"Charles Goldfarb","startTime":793.89,"endTime":796.65,"body":"things because they really do"},{"speaker":"Charles Goldfarb","startTime":796.65,"endTime":799.98,"body":"matter even though I consider"},{"speaker":"Charles Goldfarb","startTime":796.65,"endTime":799.98,"body":"myself a pretty flexible surgeon"},{"speaker":"Charles Goldfarb","startTime":799.98,"endTime":802.26,"body":"and we knew we were gonna get"},{"speaker":"Charles Goldfarb","startTime":799.98,"endTime":802.26,"body":"through the case but it just is"},{"speaker":"Charles Goldfarb","startTime":802.26,"endTime":805.89,"body":"more enjoyable and more"},{"speaker":"Charles Goldfarb","startTime":802.26,"endTime":805.89,"body":"simplistic with the right stuff."},{"speaker":"Chris Dy","startTime":807.72,"endTime":810.51,"body":"One thing I noticed"},{"speaker":"Chris Dy","startTime":807.72,"endTime":810.51,"body":"when the my last trip I was in"},{"speaker":"Chris Dy","startTime":810.51,"endTime":813.21,"body":"Brazil, and certainly not a"},{"speaker":"Chris Dy","startTime":810.51,"endTime":813.21,"body":"resource challenge environment"},{"speaker":"Chris Dy","startTime":813.24,"endTime":816.24,"body":"relative to where you are, but"},{"speaker":"Chris Dy","startTime":813.24,"endTime":816.24,"body":"you know, the surgeon there that"},{"speaker":"Chris Dy","startTime":816.24,"endTime":819.63,"body":"was missing, had to own he owned"},{"speaker":"Chris Dy","startTime":816.24,"endTime":819.63,"body":"all of his instruments. And he"},{"speaker":"Chris Dy","startTime":819.63,"endTime":822.96,"body":"had to bring them he and his"},{"speaker":"Chris Dy","startTime":819.63,"endTime":822.96,"body":"nurse or Tech had to bring them"},{"speaker":"Chris Dy","startTime":822.99,"endTime":825.84,"body":"over to Oregon and she was"},{"speaker":"Chris Dy","startTime":822.99,"endTime":825.84,"body":"responsible for bringing that to"},{"speaker":"Chris Dy","startTime":825.84,"endTime":828.45,"body":"all the different or so, you"},{"speaker":"Chris Dy","startTime":825.84,"endTime":828.45,"body":"know, he was buying his own"},{"speaker":"Chris Dy","startTime":828.45,"endTime":831.9,"body":"instruments online. And then you"},{"speaker":"Chris Dy","startTime":828.45,"endTime":831.9,"body":"know, having them shipped to"},{"speaker":"Chris Dy","startTime":831.9,"endTime":834.75,"body":"Brazil and he was responsible"},{"speaker":"Chris Dy","startTime":831.9,"endTime":834.75,"body":"for transporting them cleaning"},{"speaker":"Chris Dy","startTime":834.75,"endTime":838.44,"body":"them sterilizing them all that"},{"speaker":"Chris Dy","startTime":834.75,"endTime":838.44,"body":"which is just very different"},{"speaker":"Chris Dy","startTime":838.95,"endTime":841.86,"body":"than what we're used to and I'm"},{"speaker":"Chris Dy","startTime":838.95,"endTime":841.86,"body":"sure that you were missing your"},{"speaker":"Chris Dy","startTime":842.28,"endTime":845.58,"body":"your tonight dummies and your"},{"speaker":"Chris Dy","startTime":842.28,"endTime":845.58,"body":"wonderful forceps and you know I"},{"speaker":"Chris Dy","startTime":845.58,"endTime":847.89,"body":"was just a children's just you"},{"speaker":"Chris Dy","startTime":845.58,"endTime":847.89,"body":"know rolling around and old the"},{"speaker":"Chris Dy","startTime":847.89,"endTime":848.67,"body":"Goldfarb trace"},{"speaker":"Charles Goldfarb","startTime":849.66,"endTime":851.58,"body":"Yeah, you get"},{"speaker":"Charles Goldfarb","startTime":849.66,"endTime":851.58,"body":"used to the stuff you have and"},{"speaker":"Charles Goldfarb","startTime":851.58,"endTime":853.68,"body":"you want you want your stuff"},{"speaker":"Charles Goldfarb","startTime":851.58,"endTime":853.68,"body":"that makes you feel comfortable."},{"speaker":"Charles Goldfarb","startTime":853.68,"endTime":859.86,"body":"But again, all went well. I had"},{"speaker":"Charles Goldfarb","startTime":853.68,"endTime":859.86,"body":"I had fun with I think I think I"},{"speaker":"Charles Goldfarb","startTime":859.86,"endTime":862.38,"body":"smell good on the podcast. But"},{"speaker":"Charles Goldfarb","startTime":859.86,"endTime":862.38,"body":"at the end Saturday I went to"},{"speaker":"Charles Goldfarb","startTime":862.38,"endTime":865.86,"body":"this, you know, a great meeting"},{"speaker":"Charles Goldfarb","startTime":862.38,"endTime":865.86,"body":"about international work. And it"},{"speaker":"Charles Goldfarb","startTime":865.86,"endTime":869.34,"body":"was recommended that we buy some"},{"speaker":"Charles Goldfarb","startTime":865.86,"endTime":869.34,"body":"little wireless mics for the"},{"speaker":"Charles Goldfarb","startTime":869.34,"endTime":874.08,"body":"iPhone. I did purchase those."},{"speaker":"Charles Goldfarb","startTime":869.34,"endTime":874.08,"body":"They're inexpensive, and oh,"},{"speaker":"Charles Goldfarb","startTime":874.08,"endTime":876.27,"body":"nice and use looks like you're"},{"speaker":"Charles Goldfarb","startTime":874.08,"endTime":876.27,"body":"showing me that you have some."},{"speaker":"Charles Goldfarb","startTime":876.57,"endTime":880.59,"body":"And I brought them with me and I"},{"speaker":"Charles Goldfarb","startTime":876.57,"endTime":880.59,"body":"interviewed a number of the kids"},{"speaker":"Charles Goldfarb","startTime":880.62,"endTime":884.37,"body":"and parents before the surgery"},{"speaker":"Charles Goldfarb","startTime":880.62,"endTime":884.37,"body":"was part of the kind of flow and"},{"speaker":"Charles Goldfarb","startTime":884.4,"endTime":888.0,"body":"the day. It was fantastic. First"},{"speaker":"Charles Goldfarb","startTime":884.4,"endTime":888.0,"body":"of all, the mics are awesome."},{"speaker":"Charles Goldfarb","startTime":888.0,"endTime":891.09,"body":"And it does make the video more"},{"speaker":"Charles Goldfarb","startTime":888.0,"endTime":891.09,"body":"powerful. But just talking to"},{"speaker":"Charles Goldfarb","startTime":891.09,"endTime":894.27,"body":"the families and getting a sense"},{"speaker":"Charles Goldfarb","startTime":891.09,"endTime":894.27,"body":"of kind of what are their"},{"speaker":"Charles Goldfarb","startTime":894.27,"endTime":897.54,"body":"expectations and talking through"},{"speaker":"Charles Goldfarb","startTime":894.27,"endTime":897.54,"body":"what are reasonable expectations"},{"speaker":"Charles Goldfarb","startTime":897.78,"endTime":899.97,"body":"was really fun and obviously"},{"speaker":"Charles Goldfarb","startTime":897.78,"endTime":899.97,"body":"important."},{"speaker":"Chris Dy","startTime":900.0,"endTime":901.59,"body":"So what are you gonna"},{"speaker":"Chris Dy","startTime":900.0,"endTime":901.59,"body":"do with that footage"},{"speaker":"Charles Goldfarb","startTime":902.429,"endTime":905.579,"body":"I shared it"},{"speaker":"Charles Goldfarb","startTime":902.429,"endTime":905.579,"body":"with so that the families have"},{"speaker":"Charles Goldfarb","startTime":905.579,"endTime":907.979,"body":"all signed off on social media"},{"speaker":"Charles Goldfarb","startTime":905.579,"endTime":907.979,"body":"use. And I don't know that I"},{"speaker":"Charles Goldfarb","startTime":907.979,"endTime":910.589,"body":"will personally use it. But I"},{"speaker":"Charles Goldfarb","startTime":907.979,"endTime":910.589,"body":"shared it with the handset and"},{"speaker":"Charles Goldfarb","startTime":910.589,"endTime":914.369,"body":"the world pediatric project"},{"speaker":"Charles Goldfarb","startTime":910.589,"endTime":914.369,"body":"because they hopefully will find"},{"speaker":"Charles Goldfarb","startTime":914.369,"endTime":918.809,"body":"it useful. I did keep a daily"},{"speaker":"Charles Goldfarb","startTime":914.369,"endTime":918.809,"body":"blog for both organizations as"},{"speaker":"Charles Goldfarb","startTime":918.809,"endTime":922.799,"body":"well, and shared some some"},{"speaker":"Charles Goldfarb","startTime":918.809,"endTime":922.799,"body":"pictures with them. So Dave, and"},{"speaker":"Charles Goldfarb","startTime":922.799,"endTime":925.919,"body":"I were laughing last night, that"},{"speaker":"Charles Goldfarb","startTime":922.799,"endTime":925.919,"body":"we hadn't taken a lot of"},{"speaker":"Charles Goldfarb","startTime":925.919,"endTime":928.379,"body":"pictures together. There were"},{"speaker":"Charles Goldfarb","startTime":925.919,"endTime":928.379,"body":"some group pictures and some of"},{"speaker":"Charles Goldfarb","startTime":928.379,"endTime":930.929,"body":"our pictures, but we were"},{"speaker":"Charles Goldfarb","startTime":928.379,"endTime":930.929,"body":"worried Dave was worried that"},{"speaker":"Charles Goldfarb","startTime":930.929,"endTime":933.509,"body":"you would be angry with him"},{"speaker":"Charles Goldfarb","startTime":930.929,"endTime":933.509,"body":"without a good picture to"},{"speaker":"Charles Goldfarb","startTime":933.509,"endTime":935.549,"body":"document the trip. So he took a"},{"speaker":"Charles Goldfarb","startTime":933.509,"endTime":935.549,"body":"bunch last night."},{"speaker":"Chris Dy","startTime":936.029,"endTime":938.639,"body":"Wonderful, the wash"},{"speaker":"Chris Dy","startTime":936.029,"endTime":938.639,"body":"your hand, Instagram account is"},{"speaker":"Chris Dy","startTime":938.639,"endTime":942.359,"body":"going to be very happy with that"},{"speaker":"Chris Dy","startTime":938.639,"endTime":942.359,"body":"it social media director will be"},{"speaker":"Chris Dy","startTime":942.359,"endTime":945.359,"body":"very happy as well. So thank you"},{"speaker":"Chris Dy","startTime":942.359,"endTime":945.359,"body":"for that. Yeah, two questions to"},{"speaker":"Chris Dy","startTime":945.359,"endTime":949.649,"body":"bring it to a close. So what do"},{"speaker":"Chris Dy","startTime":945.359,"endTime":949.649,"body":"you think is the most rewarding"},{"speaker":"Chris Dy","startTime":949.649,"endTime":953.009,"body":"part about this particular trip?"},{"speaker":"Chris Dy","startTime":949.649,"endTime":953.009,"body":"And then also, if one wants to"},{"speaker":"Chris Dy","startTime":953.009,"endTime":954.809,"body":"get started in doing this kind"},{"speaker":"Chris Dy","startTime":953.009,"endTime":954.809,"body":"of work? Because I'm sure you're"},{"speaker":"Chris Dy","startTime":954.809,"endTime":957.719,"body":"peaking a lot of interested"},{"speaker":"Chris Dy","startTime":954.809,"endTime":957.719,"body":"listeners? How does one get"},{"speaker":"Chris Dy","startTime":957.719,"endTime":958.079,"body":"started?"},{"speaker":"Charles Goldfarb","startTime":958.799,"endTime":960.719,"body":"Maybe I'll"},{"speaker":"Charles Goldfarb","startTime":958.799,"endTime":960.719,"body":"answer the second question."},{"speaker":"Charles Goldfarb","startTime":960.779,"endTime":966.479,"body":"First. For hand surgeons, the"},{"speaker":"Charles Goldfarb","startTime":960.779,"endTime":966.479,"body":"touching hands project is a"},{"speaker":"Charles Goldfarb","startTime":966.479,"endTime":969.869,"body":"remarkable resource from the"},{"speaker":"Charles Goldfarb","startTime":966.479,"endTime":969.869,"body":"hand side. So you know, reach"},{"speaker":"Charles Goldfarb","startTime":969.869,"endTime":972.179,"body":"out to them with your interest."},{"speaker":"Charles Goldfarb","startTime":969.869,"endTime":972.179,"body":"And they'll try to figure out"},{"speaker":"Charles Goldfarb","startTime":972.179,"endTime":974.519,"body":"how to make it happen. And"},{"speaker":"Charles Goldfarb","startTime":972.179,"endTime":974.519,"body":"usually, as I mentioned, their"},{"speaker":"Charles Goldfarb","startTime":974.519,"endTime":977.279,"body":"trips are larger. So you go with"},{"speaker":"Charles Goldfarb","startTime":974.519,"endTime":977.279,"body":"experienced surgeons and figure"},{"speaker":"Charles Goldfarb","startTime":977.279,"endTime":980.369,"body":"it out. Jim Chang is the Medical"},{"speaker":"Charles Goldfarb","startTime":977.279,"endTime":980.369,"body":"Director for Research"},{"speaker":"Charles Goldfarb","startTime":980.369,"endTime":983.489,"body":"International, another"},{"speaker":"Charles Goldfarb","startTime":980.369,"endTime":983.489,"body":"remarkable organization that"},{"speaker":"Charles Goldfarb","startTime":983.489,"endTime":987.089,"body":"does really great trips. And so"},{"speaker":"Charles Goldfarb","startTime":983.489,"endTime":987.089,"body":"I think the key is, at least"},{"speaker":"Charles Goldfarb","startTime":987.179,"endTime":991.349,"body":"from my simplistic approach is"},{"speaker":"Charles Goldfarb","startTime":987.179,"endTime":991.349,"body":"find an organization that is"},{"speaker":"Charles Goldfarb","startTime":991.349,"endTime":994.079,"body":"doing this has done this and"},{"speaker":"Charles Goldfarb","startTime":991.349,"endTime":994.079,"body":"learn from them, partner with"},{"speaker":"Charles Goldfarb","startTime":994.079,"endTime":996.929,"body":"them. And then you can figure"},{"speaker":"Charles Goldfarb","startTime":994.079,"endTime":996.929,"body":"out if you want to go in a"},{"speaker":"Charles Goldfarb","startTime":996.929,"endTime":1000.559,"body":"different direction. So I think"},{"speaker":"Charles Goldfarb","startTime":996.929,"endTime":1000.559,"body":"partnering with the right"},{"speaker":"Charles Goldfarb","startTime":1000.559,"endTime":1005.269,"body":"organization, number one helps"},{"speaker":"Charles Goldfarb","startTime":1000.559,"endTime":1005.269,"body":"helps assure success, and to"},{"speaker":"Charles Goldfarb","startTime":1005.269,"endTime":1008.869,"body":"just, you know, smooths the path"},{"speaker":"Charles Goldfarb","startTime":1005.269,"endTime":1008.869,"body":"in front of you significantly."},{"speaker":"Chris Dy","startTime":1009.35,"endTime":1011.6,"body":"Is there often a hand"},{"speaker":"Chris Dy","startTime":1009.35,"endTime":1011.6,"body":"therapist that comes with you on"},{"speaker":"Chris Dy","startTime":1011.6,"endTime":1013.82,"body":"these trips? And was your"},{"speaker":"Chris Dy","startTime":1011.6,"endTime":1013.82,"body":"therapist in DLR with you on"},{"speaker":"Chris Dy","startTime":1013.82,"endTime":1014.48,"body":"this trip? Or?"},{"speaker":"Charles Goldfarb","startTime":1014.809,"endTime":1016.699,"body":"Yeah, so"},{"speaker":"Charles Goldfarb","startTime":1014.809,"endTime":1016.699,"body":"there's every trip I've done,"},{"speaker":"Charles Goldfarb","startTime":1016.699,"endTime":1019.459,"body":"there's been a hand therapist,"},{"speaker":"Charles Goldfarb","startTime":1016.699,"endTime":1019.459,"body":"whether it's, you know, seeing"},{"speaker":"Charles Goldfarb","startTime":1019.459,"endTime":1023.749,"body":"patients in clinic or operating."},{"speaker":"Charles Goldfarb","startTime":1019.459,"endTime":1023.749,"body":"And yes, and Michelle Berg, who"},{"speaker":"Charles Goldfarb","startTime":1023.749,"endTime":1026.929,"body":"I've known forever from the"},{"speaker":"Charles Goldfarb","startTime":1023.749,"endTime":1026.929,"body":"shrine came with us. So during"},{"speaker":"Charles Goldfarb","startTime":1026.929,"endTime":1032.269,"body":"clinic, she would see patients"},{"speaker":"Charles Goldfarb","startTime":1026.929,"endTime":1032.269,"body":"and, and, you know, talk to him"},{"speaker":"Charles Goldfarb","startTime":1032.269,"endTime":1034.969,"body":"about surgery or non surgical"},{"speaker":"Charles Goldfarb","startTime":1032.269,"endTime":1034.969,"body":"care. And then every day during"},{"speaker":"Charles Goldfarb","startTime":1034.969,"endTime":1037.489,"body":"the week, she had a full day of"},{"speaker":"Charles Goldfarb","startTime":1034.969,"endTime":1037.489,"body":"clinic, and some of those were"},{"speaker":"Charles Goldfarb","startTime":1037.489,"endTime":1039.079,"body":"pre op, some of those were"},{"speaker":"Charles Goldfarb","startTime":1037.489,"endTime":1039.079,"body":"posted up, some of those are"},{"speaker":"Charles Goldfarb","startTime":1039.079,"endTime":1042.319,"body":"just purely non operative care."},{"speaker":"Charles Goldfarb","startTime":1039.079,"endTime":1042.319,"body":"So for the hand surgeon, among"},{"speaker":"Charles Goldfarb","startTime":1042.319,"endTime":1047.779,"body":"my God, it's an incredible"},{"speaker":"Charles Goldfarb","startTime":1042.319,"endTime":1047.779,"body":"resource to have. And then your"},{"speaker":"Charles Goldfarb","startTime":1047.779,"endTime":1050.179,"body":"first question was around, you"},{"speaker":"Charles Goldfarb","startTime":1047.779,"endTime":1050.179,"body":"know, what we find most"},{"speaker":"Charles Goldfarb","startTime":1050.179,"endTime":1053.299,"body":"enjoyable, most valuable, most"},{"speaker":"Charles Goldfarb","startTime":1050.179,"endTime":1053.299,"body":"rewarding about a trip like"},{"speaker":"Charles Goldfarb","startTime":1053.299,"endTime":1058.849,"body":"this. And I would say that so"},{"speaker":"Charles Goldfarb","startTime":1053.299,"endTime":1058.849,"body":"much, from a personal level,"},{"speaker":"Charles Goldfarb","startTime":1058.849,"endTime":1064.069,"body":"that the team, you know, is"},{"speaker":"Charles Goldfarb","startTime":1058.849,"endTime":1064.069,"body":"really great. And that bonding"},{"speaker":"Charles Goldfarb","startTime":1064.069,"endTime":1067.249,"body":"that you get where, you know, in"},{"speaker":"Charles Goldfarb","startTime":1064.069,"endTime":1067.249,"body":"St. Louis, you know, you do your"},{"speaker":"Charles Goldfarb","startTime":1067.249,"endTime":1069.589,"body":"surgery, and you're running off"},{"speaker":"Charles Goldfarb","startTime":1067.249,"endTime":1069.589,"body":"to a meeting or running off to"},{"speaker":"Charles Goldfarb","startTime":1069.589,"endTime":1072.859,"body":"talk or do this or running home."},{"speaker":"Charles Goldfarb","startTime":1069.589,"endTime":1072.859,"body":"And here, it's all about the"},{"speaker":"Charles Goldfarb","startTime":1072.859,"endTime":1075.889,"body":"team, it's all about the the"},{"speaker":"Charles Goldfarb","startTime":1072.859,"endTime":1075.889,"body":"mission, and that's great. And"},{"speaker":"Charles Goldfarb","startTime":1075.889,"endTime":1080.269,"body":"that's great, the ability to"},{"speaker":"Charles Goldfarb","startTime":1075.889,"endTime":1080.269,"body":"provide care that otherwise"},{"speaker":"Charles Goldfarb","startTime":1080.269,"endTime":1085.189,"body":"would not be provided is also"},{"speaker":"Charles Goldfarb","startTime":1080.269,"endTime":1085.189,"body":"remarkable. And the families, I"},{"speaker":"Charles Goldfarb","startTime":1085.189,"endTime":1087.529,"body":"don't want to say they are more"},{"speaker":"Charles Goldfarb","startTime":1085.189,"endTime":1087.529,"body":"grateful or differently"},{"speaker":"Charles Goldfarb","startTime":1087.529,"endTime":1089.629,"body":"grateful, they're grateful,"},{"speaker":"Charles Goldfarb","startTime":1087.529,"endTime":1089.629,"body":"they're grateful for the"},{"speaker":"Charles Goldfarb","startTime":1089.629,"endTime":1092.479,"body":"opportunity to chicharon, and a"},{"speaker":"Charles Goldfarb","startTime":1089.629,"endTime":1092.479,"body":"lot of them are traveling to get"},{"speaker":"Charles Goldfarb","startTime":1092.479,"endTime":1097.399,"body":"this care. And, and it's it's,"},{"speaker":"Charles Goldfarb","startTime":1092.479,"endTime":1097.399,"body":"you know, it really is quite"},{"speaker":"Charles Goldfarb","startTime":1097.399,"endTime":1103.729,"body":"satisfying. The technical part,"},{"speaker":"Charles Goldfarb","startTime":1097.399,"endTime":1103.729,"body":"it's fun to, you know, working"},{"speaker":"Charles Goldfarb","startTime":1103.729,"endTime":1108.199,"body":"closely with Dave, to do these"},{"speaker":"Charles Goldfarb","startTime":1103.729,"endTime":1108.199,"body":"surgeries, and do them in a"},{"speaker":"Charles Goldfarb","startTime":1108.199,"endTime":1111.409,"body":"super high quality way. You"},{"speaker":"Charles Goldfarb","startTime":1108.199,"endTime":1111.409,"body":"know, we don't have a lot of"},{"speaker":"Charles Goldfarb","startTime":1111.409,"endTime":1114.949,"body":"capacity for complications, or"},{"speaker":"Charles Goldfarb","startTime":1111.409,"endTime":1114.949,"body":"adverse events, and thankfully,"},{"speaker":"Charles Goldfarb","startTime":1114.949,"endTime":1119.659,"body":"we had none, making sure the"},{"speaker":"Charles Goldfarb","startTime":1114.949,"endTime":1119.659,"body":"cast are perfect, because we're"},{"speaker":"Charles Goldfarb","startTime":1119.659,"endTime":1123.739,"body":"gonna be gone. So a lot of that"},{"speaker":"Charles Goldfarb","startTime":1119.659,"endTime":1123.739,"body":"kind of stuff, but I guess, you"},{"speaker":"Charles Goldfarb","startTime":1123.739,"endTime":1129.499,"body":"know, it really is an ability to"},{"speaker":"Charles Goldfarb","startTime":1123.739,"endTime":1129.499,"body":"focus and help a population that"},{"speaker":"Charles Goldfarb","startTime":1129.499,"endTime":1133.819,"body":"would not otherwise likely"},{"speaker":"Charles Goldfarb","startTime":1129.499,"endTime":1133.819,"body":"receive this care. That makes it"},{"speaker":"Charles Goldfarb","startTime":1133.819,"endTime":1136.099,"body":"rewarding. Primarily."},{"speaker":"Chris Dy","startTime":1137.42,"endTime":1139.82,"body":"That's fantastic. You"},{"speaker":"Chris Dy","startTime":1137.42,"endTime":1139.82,"body":"know, I think that, you know,"},{"speaker":"Chris Dy","startTime":1139.85,"endTime":1142.7,"body":"there are probably a couple of"},{"speaker":"Chris Dy","startTime":1139.85,"endTime":1142.7,"body":"things that I still want to ask"},{"speaker":"Chris Dy","startTime":1142.7,"endTime":1146.72,"body":"you, you know, one what is how"},{"speaker":"Chris Dy","startTime":1142.7,"endTime":1146.72,"body":"does follow up care work? You"},{"speaker":"Chris Dy","startTime":1146.72,"endTime":1149.21,"body":"kind of touched on it. And then"},{"speaker":"Chris Dy","startTime":1146.72,"endTime":1149.21,"body":"when will you be back?"},{"speaker":"Charles Goldfarb","startTime":1150.29,"endTime":1153.38,"body":"Yeah, so the,"},{"speaker":"Charles Goldfarb","startTime":1150.29,"endTime":1153.38,"body":"you know, the concept of fly in"},{"speaker":"Charles Goldfarb","startTime":1153.38,"endTime":1157.46,"body":"fly out missions are, are really"},{"speaker":"Charles Goldfarb","startTime":1153.38,"endTime":1157.46,"body":"no more, right. I mean, they"},{"speaker":"Charles Goldfarb","startTime":1157.46,"endTime":1160.94,"body":"shouldn't be those are the, you"},{"speaker":"Charles Goldfarb","startTime":1157.46,"endTime":1160.94,"body":"know, like, you just have to"},{"speaker":"Charles Goldfarb","startTime":1160.94,"endTime":1164.96,"body":"assure education, and you have"},{"speaker":"Charles Goldfarb","startTime":1160.94,"endTime":1164.96,"body":"to share follow up care. So we"},{"speaker":"Charles Goldfarb","startTime":1164.96,"endTime":1167.99,"body":"worked with, there's a medical"},{"speaker":"Charles Goldfarb","startTime":1164.96,"endTime":1167.99,"body":"school on the islands. So we"},{"speaker":"Charles Goldfarb","startTime":1167.99,"endTime":1171.02,"body":"worked with a metal some medical"},{"speaker":"Charles Goldfarb","startTime":1167.99,"endTime":1171.02,"body":"students, we work with some of"},{"speaker":"Charles Goldfarb","startTime":1171.02,"endTime":1174.98,"body":"the interns and surgeons in the"},{"speaker":"Charles Goldfarb","startTime":1171.02,"endTime":1174.98,"body":"hospital, just to share what we"},{"speaker":"Charles Goldfarb","startTime":1174.98,"endTime":1177.89,"body":"were doing and how we approach"},{"speaker":"Charles Goldfarb","startTime":1174.98,"endTime":1177.89,"body":"things. Now, I don't know that"},{"speaker":"Charles Goldfarb","startTime":1177.92,"endTime":1181.01,"body":"that type of more complicated"},{"speaker":"Charles Goldfarb","startTime":1177.92,"endTime":1181.01,"body":"cases that we do will be done by"},{"speaker":"Charles Goldfarb","startTime":1181.01,"endTime":1184.79,"body":"others. But that kind of"},{"speaker":"Charles Goldfarb","startTime":1181.01,"endTime":1184.79,"body":"relationship building was really"},{"speaker":"Charles Goldfarb","startTime":1184.79,"endTime":1189.92,"body":"nice. And then the follow up"},{"speaker":"Charles Goldfarb","startTime":1184.79,"endTime":1189.92,"body":"care, again, critical to make"},{"speaker":"Charles Goldfarb","startTime":1189.92,"endTime":1194.18,"body":"sure that is taken care of the"},{"speaker":"Charles Goldfarb","startTime":1189.92,"endTime":1194.18,"body":"WPP works with different"},{"speaker":"Charles Goldfarb","startTime":1194.18,"endTime":1197.12,"body":"surgeons who will agree to see"},{"speaker":"Charles Goldfarb","startTime":1194.18,"endTime":1197.12,"body":"the patients we have a very"},{"speaker":"Charles Goldfarb","startTime":1197.12,"endTime":1200.12,"body":"comprehensive plan for each"},{"speaker":"Charles Goldfarb","startTime":1197.12,"endTime":1200.12,"body":"child. And then on Monday Have"},{"speaker":"Charles Goldfarb","startTime":1200.12,"endTime":1203.21,"body":"all 24/7 by email and I expect"},{"speaker":"Charles Goldfarb","startTime":1200.12,"endTime":1203.21,"body":"there's only a few that are"},{"speaker":"Charles Goldfarb","startTime":1203.21,"endTime":1206.54,"body":"ordered X rays on but I hope to"},{"speaker":"Charles Goldfarb","startTime":1203.21,"endTime":1206.54,"body":"see those x rays you know in six"},{"speaker":"Charles Goldfarb","startTime":1206.54,"endTime":1208.64,"body":"to eight weeks and can make sure"},{"speaker":"Charles Goldfarb","startTime":1206.54,"endTime":1208.64,"body":"things are going in the right"},{"speaker":"Charles Goldfarb","startTime":1208.64,"endTime":1211.43,"body":"direction. And then we'll see"},{"speaker":"Charles Goldfarb","startTime":1208.64,"endTime":1211.43,"body":"them when we're back. So Lindley"},{"speaker":"Charles Goldfarb","startTime":1211.43,"endTime":1217.7,"body":"wall and I sort of have a deal"},{"speaker":"Charles Goldfarb","startTime":1211.43,"endTime":1217.7,"body":"that we will alternate surgical"},{"speaker":"Charles Goldfarb","startTime":1217.7,"endTime":1222.8,"body":"trips. And so we think the right"},{"speaker":"Charles Goldfarb","startTime":1217.7,"endTime":1222.8,"body":"cadence is once a year, although"},{"speaker":"Charles Goldfarb","startTime":1222.8,"endTime":1227.15,"body":"if the WPP post pandemic, you"},{"speaker":"Charles Goldfarb","startTime":1222.8,"endTime":1227.15,"body":"know, I hate to use the word but"},{"speaker":"Charles Goldfarb","startTime":1227.6,"endTime":1230.87,"body":"markets that are availability,"},{"speaker":"Charles Goldfarb","startTime":1227.6,"endTime":1230.87,"body":"it may be more frequent than"},{"speaker":"Charles Goldfarb","startTime":1230.87,"endTime":1233.84,"body":"that, but right now we will"},{"speaker":"Charles Goldfarb","startTime":1230.87,"endTime":1233.84,"body":"trade off and it works well. And"},{"speaker":"Charles Goldfarb","startTime":1233.84,"endTime":1238.25,"body":"she's I went 18 to St. Vincent,"},{"speaker":"Charles Goldfarb","startTime":1233.84,"endTime":1238.25,"body":"she went and 19 pandemic hit."},{"speaker":"Charles Goldfarb","startTime":1238.4,"endTime":1240.5,"body":"And this is our first trip back."},{"speaker":"Charles Goldfarb","startTime":1238.4,"endTime":1240.5,"body":"But I think we have plenty of"},{"speaker":"Charles Goldfarb","startTime":1240.5,"endTime":1243.05,"body":"volume, we check to make sure"},{"speaker":"Charles Goldfarb","startTime":1240.5,"endTime":1243.05,"body":"the different islands are aware"},{"speaker":"Charles Goldfarb","startTime":1243.05,"endTime":1243.86,"body":"of our presence."},{"speaker":"Chris Dy","startTime":1245.54,"endTime":1249.02,"body":"Well, congrats on"},{"speaker":"Chris Dy","startTime":1245.54,"endTime":1249.02,"body":"another fantastic trip and have"},{"speaker":"Chris Dy","startTime":1249.02,"endTime":1252.02,"body":"some safe travels home and I"},{"speaker":"Chris Dy","startTime":1249.02,"endTime":1252.02,"body":"hope you brought something to"},{"speaker":"Chris Dy","startTime":1252.02,"endTime":1253.97,"body":"wherever you get off plane"},{"speaker":"Chris Dy","startTime":1252.02,"endTime":1253.97,"body":"because it is frigid."},{"speaker":"Charles Goldfarb","startTime":1254.96,"endTime":1256.67,"body":"Um, thank you."},{"speaker":"Charles Goldfarb","startTime":1254.96,"endTime":1256.67,"body":"I'm not looking forward to that."},{"speaker":"Charles Goldfarb","startTime":1256.7,"endTime":1259.76,"body":"But I am looking forward to"},{"speaker":"Charles Goldfarb","startTime":1256.7,"endTime":1259.76,"body":"being home. And you as you know,"},{"speaker":"Charles Goldfarb","startTime":1259.97,"endTime":1262.55,"body":"is going to be is going to come"},{"speaker":"Charles Goldfarb","startTime":1259.97,"endTime":1262.55,"body":"with a bang on Monday morning."},{"speaker":"Charles Goldfarb","startTime":1262.88,"endTime":1266.27,"body":"But thank you and, and I look"},{"speaker":"Charles Goldfarb","startTime":1262.88,"endTime":1266.27,"body":"forward to talking to when I get"},{"speaker":"Charles Goldfarb","startTime":1266.27,"endTime":1267.68,"body":"back. All right. Sounds"},{"speaker":"Chris Dy","startTime":1267.68,"endTime":1268.1,"body":"good."},{"speaker":"Charles Goldfarb","startTime":1269.0,"endTime":1270.98,"body":"Hey, Chris."},{"speaker":"Charles Goldfarb","startTime":1269.0,"endTime":1270.98,"body":"That was fun. Let's do it again"},{"speaker":"Charles Goldfarb","startTime":1270.98,"endTime":1271.49,"body":"real soon."},{"speaker":"Chris Dy","startTime":1271.75,"endTime":1274.27,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":1271.75,"endTime":1274.27,"body":"sure to check us out on Twitter"},{"speaker":"Chris Dy","startTime":1274.42,"endTime":1276.7,"body":"@handpodcast. Hey, Chuck, what's"},{"speaker":"Chris Dy","startTime":1274.42,"endTime":1276.7,"body":"your Twitter handle?"},{"speaker":"Charles Goldfarb","startTime":1277.03,"endTime":1279.88,"body":"Mine is"},{"speaker":"Charles Goldfarb","startTime":1277.03,"endTime":1279.88,"body":"@congenitalhand. What about you?"},{"speaker":"Chris Dy","startTime":1280.03,"endTime":1283.42,"body":"Mine is @chrisDyMD"},{"speaker":"Chris Dy","startTime":1280.03,"endTime":1283.42,"body":"spelled d-y. And if you'd like"},{"speaker":"Chris Dy","startTime":1283.42,"endTime":1287.23,"body":"to email us, you can reach us at"},{"speaker":"Chris Dy","startTime":1283.42,"endTime":1287.23,"body":"handpodcast@gmail.com."},{"speaker":"Charles Goldfarb","startTime":1287.84,"endTime":1290.0,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":1287.84,"endTime":1290.0,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":1290.0,"endTime":1291.08,"body":"get your podcast"},{"speaker":"Chris Dy","startTime":1291.11,"endTime":1293.33,"body":"and be sure to leave a"},{"speaker":"Chris Dy","startTime":1291.11,"endTime":1293.33,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":1293.33,"endTime":1293.72,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":1294.11,"endTime":1296.42,"body":"Special thanks"},{"speaker":"Charles Goldfarb","startTime":1294.11,"endTime":1296.42,"body":"to Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":1296.42,"endTime":1300.38,"body":"music. And remember, keep the"},{"speaker":"Charles Goldfarb","startTime":1296.42,"endTime":1300.38,"body":"upper hand. Come back next time"}]}