{"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":18.18,"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":23.58,"body":"leaving a rating wherever you"},{"speaker":"Chris Dy","startTime":21.3,"endTime":23.58,"body":"get your podcasts."},{"speaker":"Charles Goldfarb","startTime":24.87,"endTime":25.86,"body":"Oh, hey,"},{"speaker":"Charles Goldfarb","startTime":24.87,"endTime":25.86,"body":"Chris."},{"speaker":"Chris Dy","startTime":26.07,"endTime":27.06,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":26.07,"endTime":27.06,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":27.54,"endTime":29.67,"body":"Hi, I'm doing"},{"speaker":"Charles Goldfarb","startTime":27.54,"endTime":29.67,"body":"really well. It's Friday"},{"speaker":"Charles Goldfarb","startTime":29.67,"endTime":30.27,"body":"afternoon."},{"speaker":"Chris Dy","startTime":30.81,"endTime":32.94,"body":"Yeah, and you should"},{"speaker":"Chris Dy","startTime":30.81,"endTime":32.94,"body":"have more energy. I mean, it's"},{"speaker":"Chris Dy","startTime":32.94,"endTime":36.06,"body":"been two weeks since our last"},{"speaker":"Chris Dy","startTime":32.94,"endTime":36.06,"body":"episode drops. So you've had a"},{"speaker":"Chris Dy","startTime":36.06,"endTime":37.29,"body":"lot of time to recharge."},{"speaker":"Charles Goldfarb","startTime":37.62,"endTime":39.93,"body":"I've missed"},{"speaker":"Charles Goldfarb","startTime":37.62,"endTime":39.93,"body":"you. I've missed you. This is"},{"speaker":"Charles Goldfarb","startTime":39.93,"endTime":40.86,"body":"gonna be hard on me."},{"speaker":"Chris Dy","startTime":41.13,"endTime":44.16,"body":"I'm sure you'll get"},{"speaker":"Chris Dy","startTime":41.13,"endTime":44.16,"body":"by. I think you'll be okay. But"},{"speaker":"Chris Dy","startTime":44.16,"endTime":46.98,"body":"you know, for all of the loyal"},{"speaker":"Chris Dy","startTime":44.16,"endTime":46.98,"body":"listeners out there checking I"},{"speaker":"Chris Dy","startTime":46.98,"endTime":49.71,"body":"have missed each other. You"},{"speaker":"Chris Dy","startTime":46.98,"endTime":49.71,"body":"know, even though we're in the"},{"speaker":"Chris Dy","startTime":49.71,"endTime":52.11,"body":"same building on the same floor,"},{"speaker":"Chris Dy","startTime":49.71,"endTime":52.11,"body":"we're still choosing to do this"},{"speaker":"Chris Dy","startTime":52.11,"endTime":52.62,"body":"over zoom."},{"speaker":"Charles Goldfarb","startTime":54.75,"endTime":57.45,"body":"Well, is that"},{"speaker":"Charles Goldfarb","startTime":54.75,"endTime":57.45,"body":"you're at your desk, and I'm in"},{"speaker":"Charles Goldfarb","startTime":57.45,"endTime":58.11,"body":"my desk."},{"speaker":"Chris Dy","startTime":59.01,"endTime":61.68,"body":"That's right. That's"},{"speaker":"Chris Dy","startTime":59.01,"endTime":61.68,"body":"right. So what's new?"},{"speaker":"Charles Goldfarb","startTime":62.64,"endTime":66.81,"body":"Oh, pretty"},{"speaker":"Charles Goldfarb","startTime":62.64,"endTime":66.81,"body":"much same old, same old. I had a"},{"speaker":"Charles Goldfarb","startTime":66.81,"endTime":71.82,"body":"couple of good cases I can share"},{"speaker":"Charles Goldfarb","startTime":66.81,"endTime":71.82,"body":"with you and did a did a really"},{"speaker":"Charles Goldfarb","startTime":71.82,"endTime":75.27,"body":"interesting hand society webinar"},{"speaker":"Charles Goldfarb","startTime":71.82,"endTime":75.27,"body":"recently talking about that."},{"speaker":"Charles Goldfarb","startTime":75.3,"endTime":76.08,"body":"What about yourself?"},{"speaker":"Chris Dy","startTime":76.32,"endTime":79.02,"body":"Yeah, so we had an"},{"speaker":"Chris Dy","startTime":76.32,"endTime":79.02,"body":"interesting hand society"},{"speaker":"Chris Dy","startTime":79.02,"endTime":81.36,"body":"fellowship debate webinar, too."},{"speaker":"Chris Dy","startTime":79.02,"endTime":81.36,"body":"So why don't we talk about your"},{"speaker":"Chris Dy","startTime":81.36,"endTime":83.7,"body":"webinar, I could talk about it,"},{"speaker":"Chris Dy","startTime":81.36,"endTime":83.7,"body":"what I talked about, you know,"},{"speaker":"Chris Dy","startTime":83.7,"endTime":86.64,"body":"the topics that came up in ours,"},{"speaker":"Chris Dy","startTime":83.7,"endTime":86.64,"body":"and then we could do a quick,"},{"speaker":"Chris Dy","startTime":87.03,"endTime":89.07,"body":"you know, the HBR article we"},{"speaker":"Chris Dy","startTime":87.03,"endTime":89.07,"body":"talked about,"},{"speaker":"Charles Goldfarb","startTime":89.52,"endTime":92.97,"body":"that would be"},{"speaker":"Charles Goldfarb","startTime":89.52,"endTime":92.97,"body":"awesome. So our webinar was a"},{"speaker":"Charles Goldfarb","startTime":92.97,"endTime":101.13,"body":"few weeks ago, it was put on by"},{"speaker":"Charles Goldfarb","startTime":92.97,"endTime":101.13,"body":"the hand society. And it was"},{"speaker":"Charles Goldfarb","startTime":101.58,"endTime":105.99,"body":"just about interest arthroscopy."},{"speaker":"Charles Goldfarb","startTime":101.58,"endTime":105.99,"body":"So we had a great, a great"},{"speaker":"Charles Goldfarb","startTime":105.99,"endTime":111.96,"body":"panel, we had soSanj Kakar, who"},{"speaker":"Charles Goldfarb","startTime":105.99,"endTime":111.96,"body":"was talking about arthroscopic"},{"speaker":"Charles Goldfarb","startTime":111.96,"endTime":116.01,"body":"scapholunate reconstruction,"},{"speaker":"Charles Goldfarb","startTime":111.96,"endTime":116.01,"body":"which I'm intrigued by, I"},{"speaker":"Charles Goldfarb","startTime":116.01,"endTime":119.22,"body":"haven't done a lot of but I"},{"speaker":"Charles Goldfarb","startTime":116.01,"endTime":119.22,"body":"think I will, at least, you"},{"speaker":"Charles Goldfarb","startTime":119.22,"endTime":124.08,"body":"know, do some more work in that"},{"speaker":"Charles Goldfarb","startTime":119.22,"endTime":124.08,"body":"area. We had Jeff Yao, talking"},{"speaker":"Charles Goldfarb","startTime":124.11,"endTime":128.04,"body":"about tips and pearls, which"},{"speaker":"Charles Goldfarb","startTime":124.11,"endTime":128.04,"body":"were really interesting. Lauren"},{"speaker":"Charles Goldfarb","startTime":128.04,"endTime":132.15,"body":"Shapiro, from UCSF, for those of"},{"speaker":"Charles Goldfarb","startTime":128.04,"endTime":132.15,"body":"you who don't know, Lauren, who"},{"speaker":"Charles Goldfarb","startTime":132.15,"endTime":135.42,"body":"trained with Jeff was really"},{"speaker":"Charles Goldfarb","startTime":132.15,"endTime":135.42,"body":"fantastic reviewing some of the"},{"speaker":"Charles Goldfarb","startTime":135.42,"endTime":140.22,"body":"literature because many sports"},{"speaker":"Charles Goldfarb","startTime":135.42,"endTime":140.22,"body":"topics get, you know, may not be"},{"speaker":"Charles Goldfarb","startTime":140.22,"endTime":143.64,"body":"as scientifically based as, as"},{"speaker":"Charles Goldfarb","startTime":140.22,"endTime":143.64,"body":"exciting things like nerve."},{"speaker":"Chris Dy","startTime":144.99,"endTime":147.09,"body":"I thought you're gonna"},{"speaker":"Chris Dy","startTime":144.99,"endTime":147.09,"body":"say that a lot of sports stuff"},{"speaker":"Chris Dy","startTime":147.09,"endTime":151.65,"body":"ends up in different art"},{"speaker":"Chris Dy","startTime":147.09,"endTime":151.65,"body":"journals, not just JHS. I'm not"},{"speaker":"Chris Dy","startTime":151.65,"endTime":154.71,"body":"gonna argue. So what you're"},{"speaker":"Chris Dy","startTime":151.65,"endTime":154.71,"body":"saying? Yeah."},{"speaker":"Charles Goldfarb","startTime":155.97,"endTime":158.16,"body":"And so we had"},{"speaker":"Charles Goldfarb","startTime":155.97,"endTime":158.16,"body":"a great conversation, and I"},{"speaker":"Charles Goldfarb","startTime":158.16,"endTime":161.52,"body":"talked a little about TFCC. So"},{"speaker":"Charles Goldfarb","startTime":158.16,"endTime":161.52,"body":"it was really fun, and pretty"},{"speaker":"Charles Goldfarb","startTime":161.52,"endTime":163.41,"body":"good attendance, you know, those"},{"speaker":"Charles Goldfarb","startTime":161.52,"endTime":163.41,"body":"things are always hard to judge,"},{"speaker":"Charles Goldfarb","startTime":163.41,"endTime":168.39,"body":"I think we had about 100 people"},{"speaker":"Charles Goldfarb","startTime":163.41,"endTime":168.39,"body":"on, but the post webinar viewing"},{"speaker":"Charles Goldfarb","startTime":168.39,"endTime":171.06,"body":"usually is much higher. So it"},{"speaker":"Charles Goldfarb","startTime":168.39,"endTime":171.06,"body":"was it was very successful."},{"speaker":"Chris Dy","startTime":171.42,"endTime":173.64,"body":"That's great. That's a"},{"speaker":"Chris Dy","startTime":171.42,"endTime":173.64,"body":"pretty solid number for"},{"speaker":"Chris Dy","startTime":173.64,"endTime":177.12,"body":"weeknights. And, you know, for"},{"speaker":"Chris Dy","startTime":173.64,"endTime":177.12,"body":"a, for a webinar, especially in"},{"speaker":"Chris Dy","startTime":177.12,"endTime":179.97,"body":"the, you know, the height of the"},{"speaker":"Chris Dy","startTime":177.12,"endTime":179.97,"body":"pandemic things were, you know,"},{"speaker":"Chris Dy","startTime":179.97,"endTime":182.13,"body":"much better attended, but those"},{"speaker":"Chris Dy","startTime":179.97,"endTime":182.13,"body":"are pretty solid numbers."},{"speaker":"Charles Goldfarb","startTime":182.43,"endTime":184.47,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":182.43,"endTime":184.47,"body":"post pandemic those are very"},{"speaker":"Charles Goldfarb","startTime":184.47,"endTime":187.74,"body":"solid numbers. What about what"},{"speaker":"Charles Goldfarb","startTime":184.47,"endTime":187.74,"body":"about the fellow debate series"},{"speaker":"Charles Goldfarb","startTime":187.74,"endTime":188.73,"body":"on cubital tunnel"},{"speaker":"Chris Dy","startTime":188.85,"endTime":191.07,"body":"before you before we"},{"speaker":"Chris Dy","startTime":188.85,"endTime":191.07,"body":"get to that? I mean, what are"},{"speaker":"Chris Dy","startTime":191.1,"endTime":193.59,"body":"are there a couple of things"},{"speaker":"Chris Dy","startTime":191.1,"endTime":193.59,"body":"that you took away that maybe"},{"speaker":"Chris Dy","startTime":193.59,"endTime":195.9,"body":"you could share? You're gonna"},{"speaker":"Chris Dy","startTime":193.59,"endTime":195.9,"body":"make everybody actually go log"},{"speaker":"Chris Dy","startTime":195.9,"endTime":199.62,"body":"in and listen to? I will listen"},{"speaker":"Chris Dy","startTime":195.9,"endTime":199.62,"body":"to get your pad your stats."},{"speaker":"Charles Goldfarb","startTime":199.8,"endTime":202.65,"body":"Yeah, what my"},{"speaker":"Charles Goldfarb","startTime":199.8,"endTime":202.65,"body":"stats up? Are you kidding? My"},{"speaker":"Charles Goldfarb","startTime":202.65,"endTime":207.09,"body":"takeaways are that there really"},{"speaker":"Charles Goldfarb","startTime":202.65,"endTime":207.09,"body":"is expertise in wrist"},{"speaker":"Charles Goldfarb","startTime":207.09,"endTime":210.51,"body":"arthroscopy, and I think with"},{"speaker":"Charles Goldfarb","startTime":207.09,"endTime":210.51,"body":"experience comes valuable"},{"speaker":"Charles Goldfarb","startTime":210.51,"endTime":215.43,"body":"teachings. And I really am"},{"speaker":"Charles Goldfarb","startTime":210.51,"endTime":215.43,"body":"intrigued about arthroscopic"},{"speaker":"Charles Goldfarb","startTime":215.43,"endTime":219.69,"body":"scapholunate repair and the"},{"speaker":"Charles Goldfarb","startTime":215.43,"endTime":219.69,"body":"concept is really, almost an"},{"speaker":"Charles Goldfarb","startTime":219.69,"endTime":224.46,"body":"arthroscopic capsulardesis can"},{"speaker":"Charles Goldfarb","startTime":219.69,"endTime":224.46,"body":"have a role. When people talk"},{"speaker":"Charles Goldfarb","startTime":224.46,"endTime":227.79,"body":"about arthroscopic"},{"speaker":"Charles Goldfarb","startTime":224.46,"endTime":227.79,"body":"reconstruction soon as they are"},{"speaker":"Charles Goldfarb","startTime":228.06,"endTime":230.88,"body":"thinking about really difficult"},{"speaker":"Charles Goldfarb","startTime":228.06,"endTime":230.88,"body":"things that had been proposed"},{"speaker":"Charles Goldfarb","startTime":230.88,"endTime":234.78,"body":"out of Hong Kong, by PC Ho and"},{"speaker":"Charles Goldfarb","startTime":230.88,"endTime":234.78,"body":"others where you're taking a"},{"speaker":"Charles Goldfarb","startTime":234.78,"endTime":239.52,"body":"tendon graft and doing a weave."},{"speaker":"Charles Goldfarb","startTime":234.78,"endTime":239.52,"body":"That, to me sounds challenging."},{"speaker":"Charles Goldfarb","startTime":240.48,"endTime":243.72,"body":"But these techniques, the newer"},{"speaker":"Charles Goldfarb","startTime":240.48,"endTime":243.72,"body":"techniques really are pretty"},{"speaker":"Charles Goldfarb","startTime":243.72,"endTime":248.28,"body":"slick. And I think they probably"},{"speaker":"Charles Goldfarb","startTime":243.72,"endTime":248.28,"body":"have a nice role to play. I've"},{"speaker":"Charles Goldfarb","startTime":248.28,"endTime":253.2,"body":"harped on this before, but I'll"},{"speaker":"Charles Goldfarb","startTime":248.28,"endTime":253.2,"body":"say it again, the incidence of"},{"speaker":"Charles Goldfarb","startTime":253.2,"endTime":257.94,"body":"phobias TFCC tears, with owner"},{"speaker":"Charles Goldfarb","startTime":253.2,"endTime":257.94,"body":"side risk pain is higher than I"},{"speaker":"Charles Goldfarb","startTime":257.94,"endTime":261.45,"body":"ever expected. And so being"},{"speaker":"Charles Goldfarb","startTime":257.94,"endTime":261.45,"body":"aware of that pathology, looking"},{"speaker":"Charles Goldfarb","startTime":261.45,"endTime":264.66,"body":"for that pathology and treating"},{"speaker":"Charles Goldfarb","startTime":261.45,"endTime":264.66,"body":"it appropriately and when found,"},{"speaker":"Charles Goldfarb","startTime":264.9,"endTime":270.84,"body":"it's really important. And those"},{"speaker":"Charles Goldfarb","startTime":264.9,"endTime":270.84,"body":"are the biggest two but I would"},{"speaker":"Charles Goldfarb","startTime":270.84,"endTime":274.71,"body":"say that we are slowly making"},{"speaker":"Charles Goldfarb","startTime":270.84,"endTime":274.71,"body":"progress and understanding of"},{"speaker":"Charles Goldfarb","startTime":274.92,"endTime":278.1,"body":"risk pathology to how to treat"},{"speaker":"Charles Goldfarb","startTime":274.92,"endTime":278.1,"body":"it in a minimally invasive and"},{"speaker":"Charles Goldfarb","startTime":278.1,"endTime":278.91,"body":"effective way."},{"speaker":"Chris Dy","startTime":279.48,"endTime":282.3,"body":"Very nice. Is there"},{"speaker":"Chris Dy","startTime":279.48,"endTime":282.3,"body":"any any newer techniques in"},{"speaker":"Chris Dy","startTime":282.3,"endTime":284.85,"body":"terms of stabilizing those"},{"speaker":"Chris Dy","startTime":282.3,"endTime":284.85,"body":"foveal tears aside from what"},{"speaker":"Chris Dy","startTime":284.85,"endTime":287.58,"body":"you've been doing the last"},{"speaker":"Chris Dy","startTime":284.85,"endTime":287.58,"body":"couple of years with the older"},{"speaker":"Chris Dy","startTime":287.58,"endTime":288.63,"body":"tunnel type technique?"},{"speaker":"Charles Goldfarb","startTime":289.35,"endTime":291.66,"body":"There aren't"},{"speaker":"Charles Goldfarb","startTime":289.35,"endTime":291.66,"body":"that I'm aware of, but there"},{"speaker":"Charles Goldfarb","startTime":291.66,"endTime":297.75,"body":"probably do need to be the the"},{"speaker":"Charles Goldfarb","startTime":291.66,"endTime":297.75,"body":"owner tunnel is good. I've"},{"speaker":"Charles Goldfarb","startTime":297.75,"endTime":300.69,"body":"honestly had a few failures,"},{"speaker":"Charles Goldfarb","startTime":297.75,"endTime":300.69,"body":"although I've had many excesses."},{"speaker":"Charles Goldfarb","startTime":300.9,"endTime":304.89,"body":"So there and I do sometimes do a"},{"speaker":"Charles Goldfarb","startTime":300.9,"endTime":304.89,"body":"variation where I really like,"},{"speaker":"Charles Goldfarb","startTime":305.52,"endTime":308.22,"body":"this is going to date me. But I"},{"speaker":"Charles Goldfarb","startTime":305.52,"endTime":308.22,"body":"really liked the meniscus"},{"speaker":"Charles Goldfarb","startTime":308.22,"endTime":311.94,"body":"meander two set which is made by"},{"speaker":"Charles Goldfarb","startTime":308.22,"endTime":311.94,"body":"Smith and Nephew, which was the"},{"speaker":"Charles Goldfarb","startTime":311.94,"endTime":313.53,"body":"original one,"},{"speaker":"Chris Dy","startTime":313.53,"endTime":316.26,"body":"they still make it Are"},{"speaker":"Chris Dy","startTime":313.53,"endTime":316.26,"body":"they still selling down the"},{"speaker":"Chris Dy","startTime":316.8,"endTime":319.05,"body":"supply that they made back in"},{"speaker":"Chris Dy","startTime":316.8,"endTime":319.05,"body":"1982"},{"speaker":"Charles Goldfarb","startTime":320.4,"endTime":324.0,"body":"the latter,"},{"speaker":"Charles Goldfarb","startTime":320.4,"endTime":324.0,"body":"but it's what I only used to use"},{"speaker":"Charles Goldfarb","startTime":324.0,"endTime":327.72,"body":"for outside in repairs. But I do"},{"speaker":"Charles Goldfarb","startTime":324.0,"endTime":327.72,"body":"use that to supplement sometimes"},{"speaker":"Charles Goldfarb","startTime":327.72,"endTime":330.27,"body":"that phobia repairs because you"},{"speaker":"Charles Goldfarb","startTime":327.72,"endTime":330.27,"body":"can slip that needle either"},{"speaker":"Charles Goldfarb","startTime":330.27,"endTime":332.79,"body":"through your tunnel or right"},{"speaker":"Charles Goldfarb","startTime":330.27,"endTime":332.79,"body":"around the the ulnar styloid."},{"speaker":"Charles Goldfarb","startTime":332.79,"endTime":335.94,"body":"And it's inexpensive and it"},{"speaker":"Charles Goldfarb","startTime":332.79,"endTime":335.94,"body":"works really well. But I think"},{"speaker":"Charles Goldfarb","startTime":335.94,"endTime":338.04,"body":"there probably are still"},{"speaker":"Charles Goldfarb","startTime":335.94,"endTime":338.04,"body":"advances to be made with"},{"speaker":"Charles Goldfarb","startTime":338.04,"endTime":340.14,"body":"effectiveness and durability of"},{"speaker":"Charles Goldfarb","startTime":338.04,"endTime":340.14,"body":"repair."},{"speaker":"Chris Dy","startTime":340.59,"endTime":343.41,"body":"Now, not to hold you"},{"speaker":"Chris Dy","startTime":340.59,"endTime":343.41,"body":"to this at a scientific peer"},{"speaker":"Chris Dy","startTime":343.41,"endTime":346.47,"body":"reviewed level. But anecdotally,"},{"speaker":"Chris Dy","startTime":343.41,"endTime":346.47,"body":"what are the reasons why you"},{"speaker":"Chris Dy","startTime":346.47,"endTime":349.47,"body":"think some of the other tunnel"},{"speaker":"Chris Dy","startTime":346.47,"endTime":349.47,"body":"repairs fail?"},{"speaker":"Charles Goldfarb","startTime":350.61,"endTime":355.23,"body":"I suppose it"},{"speaker":"Charles Goldfarb","startTime":350.61,"endTime":355.23,"body":"is because well, we can reattach"},{"speaker":"Charles Goldfarb","startTime":355.29,"endTime":360.18,"body":"through this tunnel with a nice"},{"speaker":"Charles Goldfarb","startTime":355.29,"endTime":360.18,"body":"solid suture, the TFCC back down"},{"speaker":"Charles Goldfarb","startTime":360.18,"endTime":363.93,"body":"to the owner, we're asking a"},{"speaker":"Charles Goldfarb","startTime":360.18,"endTime":363.93,"body":"lot. And so if that doesn't have"},{"speaker":"Charles Goldfarb","startTime":363.93,"endTime":368.37,"body":"the chance to really heal, back"},{"speaker":"Charles Goldfarb","startTime":363.93,"endTime":368.37,"body":"to bone, the TFC back to bone."},{"speaker":"Charles Goldfarb","startTime":368.61,"endTime":372.54,"body":"And again, I think we're asking"},{"speaker":"Charles Goldfarb","startTime":368.61,"endTime":372.54,"body":"a lot it, it can fail. And I"},{"speaker":"Charles Goldfarb","startTime":372.54,"endTime":374.97,"body":"think it's that simple. So"},{"speaker":"Charles Goldfarb","startTime":372.54,"endTime":374.97,"body":"that's why someone has applet to"},{"speaker":"Charles Goldfarb","startTime":374.97,"endTime":378.0,"body":"sutures hoping to minimize that."},{"speaker":"Charles Goldfarb","startTime":374.97,"endTime":378.0,"body":"But there may be better"},{"speaker":"Charles Goldfarb","startTime":378.0,"endTime":380.82,"body":"techniques out there. The trick,"},{"speaker":"Charles Goldfarb","startTime":378.0,"endTime":380.82,"body":"of course, is you don't want to"},{"speaker":"Charles Goldfarb","startTime":380.82,"endTime":384.51,"body":"just plaster the TFC down to the"},{"speaker":"Charles Goldfarb","startTime":380.82,"endTime":384.51,"body":"head of the ulna because then"},{"speaker":"Charles Goldfarb","startTime":384.51,"endTime":387.9,"body":"you'll lose rotation. So it is a"},{"speaker":"Charles Goldfarb","startTime":384.51,"endTime":387.9,"body":"little bit of a trick of secure"},{"speaker":"Charles Goldfarb","startTime":387.9,"endTime":390.09,"body":"fixation without limitation of"},{"speaker":"Charles Goldfarb","startTime":387.9,"endTime":390.09,"body":"motion."},{"speaker":"Chris Dy","startTime":390.63,"endTime":393.06,"body":"Right. And do you"},{"speaker":"Chris Dy","startTime":390.63,"endTime":393.06,"body":"think it's how much of that is"},{"speaker":"Chris Dy","startTime":393.06,"endTime":397.65,"body":"tunneled placement versus you"},{"speaker":"Chris Dy","startTime":393.06,"endTime":397.65,"body":"know, postdoc protocols? Or just"},{"speaker":"Chris Dy","startTime":397.68,"endTime":400.38,"body":"maybe you don't ever get it down"},{"speaker":"Chris Dy","startTime":397.68,"endTime":400.38,"body":"enough?"},{"speaker":"Charles Goldfarb","startTime":401.49,"endTime":404.01,"body":"All fair? I"},{"speaker":"Charles Goldfarb","startTime":401.49,"endTime":404.01,"body":"don't think we have. That's why"},{"speaker":"Charles Goldfarb","startTime":404.01,"endTime":407.37,"body":"one of the reasons I'm excited"},{"speaker":"Charles Goldfarb","startTime":404.01,"endTime":407.37,"body":"about the work that you are"},{"speaker":"Charles Goldfarb","startTime":407.37,"endTime":411.45,"body":"aware of that. One of our"},{"speaker":"Charles Goldfarb","startTime":407.37,"endTime":411.45,"body":"fellows, Dr. Wright and I are"},{"speaker":"Charles Goldfarb","startTime":411.45,"endTime":415.56,"body":"getting ready to embark on"},{"speaker":"Charles Goldfarb","startTime":411.45,"endTime":415.56,"body":"looking at DRUJ stability and"},{"speaker":"Charles Goldfarb","startTime":415.56,"endTime":419.94,"body":"trying to quantify it in a way"},{"speaker":"Charles Goldfarb","startTime":415.56,"endTime":419.94,"body":"that the knee surgeons quantify"},{"speaker":"Charles Goldfarb","startTime":420.09,"endTime":423.6,"body":"translation of the tibia on the"},{"speaker":"Charles Goldfarb","startTime":420.09,"endTime":423.6,"body":"femur, I think it has real"},{"speaker":"Charles Goldfarb","startTime":423.6,"endTime":428.01,"body":"potential to really providing"},{"speaker":"Charles Goldfarb","startTime":423.6,"endTime":428.01,"body":"some data regarding stability"},{"speaker":"Charles Goldfarb","startTime":428.01,"endTime":431.16,"body":"because we right now it's all"},{"speaker":"Charles Goldfarb","startTime":428.01,"endTime":431.16,"body":"sense of feel and we are"},{"speaker":"Charles Goldfarb","startTime":431.16,"endTime":432.0,"body":"terrible at"},{"speaker":"Chris Dy","startTime":432.9,"endTime":436.29,"body":"I remember when this"},{"speaker":"Chris Dy","startTime":432.9,"endTime":436.29,"body":"will date me. But when I was a"},{"speaker":"Chris Dy","startTime":436.29,"endTime":439.26,"body":"medical student working on"},{"speaker":"Chris Dy","startTime":436.29,"endTime":439.26,"body":"projects in medical school, one"},{"speaker":"Chris Dy","startTime":439.26,"endTime":442.17,"body":"of the things that was going on"},{"speaker":"Chris Dy","startTime":439.26,"endTime":442.17,"body":"in that lab was trying to use"},{"speaker":"Chris Dy","startTime":442.44,"endTime":446.1,"body":"you know, tech scan sensors on"},{"speaker":"Chris Dy","startTime":442.44,"endTime":446.1,"body":"the skin and assessing and"},{"speaker":"Chris Dy","startTime":446.1,"endTime":450.57,"body":"quantifying DRUJ stability and"},{"speaker":"Chris Dy","startTime":446.1,"endTime":450.57,"body":"on the carpal stability and"},{"speaker":"Chris Dy","startTime":450.57,"endTime":453.15,"body":"trying to get a handle on that."},{"speaker":"Chris Dy","startTime":450.57,"endTime":453.15,"body":"So I'm glad that the field has"},{"speaker":"Chris Dy","startTime":453.15,"endTime":455.46,"body":"advanced substantially in the"},{"speaker":"Chris Dy","startTime":453.15,"endTime":455.46,"body":"you know, three or four years"},{"speaker":"Chris Dy","startTime":455.46,"endTime":456.6,"body":"since I graduated med school."},{"speaker":"Charles Goldfarb","startTime":456.96,"endTime":459.3,"body":"You're not as"},{"speaker":"Charles Goldfarb","startTime":456.96,"endTime":459.3,"body":"young as you like to make"},{"speaker":"Charles Goldfarb","startTime":459.3,"endTime":461.04,"body":"yourself out to be anymore. Dr."},{"speaker":"Charles Goldfarb","startTime":459.3,"endTime":461.04,"body":"Dy."},{"speaker":"Chris Dy","startTime":461.37,"endTime":463.86,"body":"One of the one of our"},{"speaker":"Chris Dy","startTime":461.37,"endTime":463.86,"body":"fellows asked me today what year"},{"speaker":"Chris Dy","startTime":463.86,"endTime":467.64,"body":"I graduated high school, which"},{"speaker":"Chris Dy","startTime":463.86,"endTime":467.64,"body":"is like oh, oh, I didn't ask her"},{"speaker":"Chris Dy","startTime":467.64,"endTime":470.34,"body":"when she graduated high school."},{"speaker":"Chris Dy","startTime":467.64,"endTime":470.34,"body":"And I was like I graduated from"},{"speaker":"Chris Dy","startTime":470.34,"endTime":471.0,"body":"med school that year."},{"speaker":"Charles Goldfarb","startTime":473.55,"endTime":476.61,"body":"So wait, so"},{"speaker":"Charles Goldfarb","startTime":473.55,"endTime":476.61,"body":"your attempts to quantify"},{"speaker":"Charles Goldfarb","startTime":476.64,"endTime":479.61,"body":"DRUJtranslation were"},{"speaker":"Charles Goldfarb","startTime":476.64,"endTime":479.61,"body":"unsuccessful all those years"},{"speaker":"Charles Goldfarb","startTime":479.61,"endTime":479.97,"body":"ago."},{"speaker":"Chris Dy","startTime":480.3,"endTime":485.7,"body":"They were unpublished."},{"speaker":"Chris Dy","startTime":480.3,"endTime":485.7,"body":"There is quantification. But"},{"speaker":"Chris Dy","startTime":485.7,"endTime":488.07,"body":"there is a lot of challenges in"},{"speaker":"Chris Dy","startTime":485.7,"endTime":488.07,"body":"getting you know, it wasn't a"},{"speaker":"Chris Dy","startTime":488.07,"endTime":490.44,"body":"project I was involved in but I"},{"speaker":"Chris Dy","startTime":488.07,"endTime":490.44,"body":"was heard about it during the"},{"speaker":"Chris Dy","startTime":490.44,"endTime":494.01,"body":"lab meeting. So I was like, Man,"},{"speaker":"Chris Dy","startTime":490.44,"endTime":494.01,"body":"that project still around. Oh,"},{"speaker":"Chris Dy","startTime":494.22,"endTime":496.59,"body":"sure. There's there's a there's"},{"speaker":"Chris Dy","startTime":494.22,"endTime":496.59,"body":"a wealth of data out there that"},{"speaker":"Chris Dy","startTime":496.59,"endTime":499.68,"body":"might beat you and David Wright"},{"speaker":"Chris Dy","startTime":496.59,"endTime":499.68,"body":"to the scoop. Scoop you guys"},{"speaker":"Chris Dy","startTime":499.68,"endTime":500.52,"body":"beat to the punch."},{"speaker":"Charles Goldfarb","startTime":500.66,"endTime":502.34,"body":"We'll keep it"},{"speaker":"Charles Goldfarb","startTime":500.66,"endTime":502.34,"body":"on the down low we won't talk"},{"speaker":"Charles Goldfarb","startTime":502.34,"endTime":503.72,"body":"about on a podcast or anything."},{"speaker":"Chris Dy","startTime":503.99,"endTime":507.2,"body":"Exactly, he won't tell"},{"speaker":"Chris Dy","startTime":503.99,"endTime":507.2,"body":"1000s and 1000s of your loyal"},{"speaker":"Chris Dy","startTime":507.2,"endTime":509.54,"body":"listeners and fans Chuck"},{"speaker":"Chris Dy","startTime":507.2,"endTime":509.54,"body":"Goldfarb"},{"speaker":"Charles Goldfarb","startTime":509.9,"endTime":511.79,"body":"Thats right."},{"speaker":"Charles Goldfarb","startTime":509.9,"endTime":511.79,"body":"Well tell me about your webinar."},{"speaker":"Chris Dy","startTime":513.65,"endTime":516.35,"body":"Well, before I do, we"},{"speaker":"Chris Dy","startTime":513.65,"endTime":516.35,"body":"have to thank our sponsors"},{"speaker":"Chris Dy","startTime":516.35,"endTime":519.95,"body":"because we oftentimes forget and"},{"speaker":"Chris Dy","startTime":516.35,"endTime":519.95,"body":"sometimes have to go back and re"},{"speaker":"Chris Dy","startTime":519.95,"endTime":523.73,"body":"insert some new copy. But the"},{"speaker":"Chris Dy","startTime":519.95,"endTime":523.73,"body":"upper hand is sponsored by"},{"speaker":"Chris Dy","startTime":523.73,"endTime":527.3,"body":"practice link.com The most"},{"speaker":"Chris Dy","startTime":523.73,"endTime":527.3,"body":"widely used physician job search"},{"speaker":"Chris Dy","startTime":527.3,"endTime":528.89,"body":"and career advancement resource."},{"speaker":"Charles Goldfarb","startTime":529.19,"endTime":531.71,"body":"Becoming a"},{"speaker":"Charles Goldfarb","startTime":529.19,"endTime":531.71,"body":"physician is hard. Finding the"},{"speaker":"Charles Goldfarb","startTime":531.71,"endTime":534.74,"body":"right job doesn't have to be"},{"speaker":"Charles Goldfarb","startTime":531.71,"endTime":534.74,"body":"joined practice link for free"},{"speaker":"Charles Goldfarb","startTime":534.74,"endTime":540.62,"body":"today at www.practicelink.com /"},{"speaker":"Charles Goldfarb","startTime":534.74,"endTime":540.62,"body":"the upper hand. And I think you"},{"speaker":"Charles Goldfarb","startTime":540.62,"endTime":544.94,"body":"and I were planning to"},{"speaker":"Charles Goldfarb","startTime":540.62,"endTime":544.94,"body":"potentially meet with the owner"},{"speaker":"Charles Goldfarb","startTime":544.94,"endTime":547.43,"body":"and discuss some different"},{"speaker":"Charles Goldfarb","startTime":544.94,"endTime":547.43,"body":"strategies that might be helpful"},{"speaker":"Charles Goldfarb","startTime":547.43,"endTime":551.51,"body":"from building their network of"},{"speaker":"Charles Goldfarb","startTime":547.43,"endTime":551.51,"body":"physicians that are interested"},{"speaker":"Charles Goldfarb","startTime":551.51,"endTime":554.15,"body":"because I really do you believe"},{"speaker":"Charles Goldfarb","startTime":551.51,"endTime":554.15,"body":"in in what they are doing and"},{"speaker":"Charles Goldfarb","startTime":554.15,"endTime":556.16,"body":"within the goals of the"},{"speaker":"Charles Goldfarb","startTime":554.15,"endTime":556.16,"body":"organization."},{"speaker":"Chris Dy","startTime":556.52,"endTime":558.95,"body":"Absolutely. And just"},{"speaker":"Chris Dy","startTime":556.52,"endTime":558.95,"body":"for those you that are"},{"speaker":"Chris Dy","startTime":558.95,"endTime":561.38,"body":"listening, I think this episode"},{"speaker":"Chris Dy","startTime":558.95,"endTime":561.38,"body":"is going to drop about three"},{"speaker":"Chris Dy","startTime":561.38,"endTime":565.94,"body":"weeks before the AAOS meeting in"},{"speaker":"Chris Dy","startTime":561.38,"endTime":565.94,"body":"Las Vegas. I believe practice"},{"speaker":"Chris Dy","startTime":565.94,"endTime":568.58,"body":"Lake will have a presence there"},{"speaker":"Chris Dy","startTime":565.94,"endTime":568.58,"body":"on the floor. Because they did"},{"speaker":"Chris Dy","startTime":568.58,"endTime":571.37,"body":"ask if you and I wanted to"},{"speaker":"Chris Dy","startTime":568.58,"endTime":571.37,"body":"record live Chuck told them I"},{"speaker":"Chris Dy","startTime":571.37,"endTime":573.5,"body":"don't think we're both available"},{"speaker":"Chris Dy","startTime":571.37,"endTime":573.5,"body":"at the same time because I don't"},{"speaker":"Chris Dy","startTime":573.5,"endTime":576.8,"body":"think we are but they did say"},{"speaker":"Chris Dy","startTime":573.5,"endTime":576.8,"body":"something about having Chuck"},{"speaker":"Chris Dy","startTime":576.8,"endTime":579.86,"body":"Goldfarb where you're practicing"},{"speaker":"Chris Dy","startTime":576.8,"endTime":579.86,"body":"cat and signing some kind of"},{"speaker":"Chris Dy","startTime":579.89,"endTime":584.18,"body":"swag. So if if those of you that"},{"speaker":"Chris Dy","startTime":579.89,"endTime":584.18,"body":"are listening are going to be at"},{"speaker":"Chris Dy","startTime":584.18,"endTime":587.9,"body":"the AAOS and want to start a"},{"speaker":"Chris Dy","startTime":584.18,"endTime":587.9,"body":"petition to get chuck to have"},{"speaker":"Chris Dy","startTime":587.9,"endTime":590.87,"body":"some autograph time. Please,"},{"speaker":"Chris Dy","startTime":587.9,"endTime":590.87,"body":"please reach out hand"},{"speaker":"Chris Dy","startTime":590.87,"endTime":595.43,"body":"podcast@gmail.com I'll sign the"},{"speaker":"Chris Dy","startTime":590.87,"endTime":595.43,"body":"petition. Check some stuff"},{"speaker":"Chris Dy","startTime":595.43,"endTime":595.88,"body":"decide,"},{"speaker":"Charles Goldfarb","startTime":596.18,"endTime":598.52,"body":"oh Lord, I am"},{"speaker":"Charles Goldfarb","startTime":596.18,"endTime":598.52,"body":"going to be in Vegas. But"},{"speaker":"Charles Goldfarb","startTime":598.52,"endTime":600.83,"body":"honestly I'm not really planning"},{"speaker":"Charles Goldfarb","startTime":598.52,"endTime":600.83,"body":"to attend the meeting I have"},{"speaker":"Charles Goldfarb","startTime":600.83,"endTime":603.2,"body":"some other things going on. But"},{"speaker":"Chris Dy","startTime":603.65,"endTime":605.75,"body":"oh man has other"},{"speaker":"Chris Dy","startTime":603.65,"endTime":605.75,"body":"things going on"},{"speaker":"Charles Goldfarb","startTime":607.55,"endTime":609.98,"body":"Wednesdays and"},{"speaker":"Charles Goldfarb","startTime":607.55,"endTime":609.98,"body":"what happens in Vegas, you know"},{"speaker":"Charles Goldfarb","startTime":609.98,"endTime":611.93,"body":"the old saying Dr. Dy Oh, yes."},{"speaker":"Chris Dy","startTime":611.93,"endTime":614.51,"body":"Well, there is the"},{"speaker":"Chris Dy","startTime":611.93,"endTime":614.51,"body":"American Orthopedic Association"},{"speaker":"Chris Dy","startTime":614.51,"endTime":617.51,"body":"has that executive committee"},{"speaker":"Chris Dy","startTime":614.51,"endTime":617.51,"body":"meeting that I'm sure you will"},{"speaker":"Chris Dy","startTime":617.51,"endTime":621.95,"body":"be attending as well. So, yes,"},{"speaker":"Chris Dy","startTime":617.51,"endTime":621.95,"body":"very excited about that trip. I"},{"speaker":"Chris Dy","startTime":621.95,"endTime":625.91,"body":"think it will be a fun a fun"},{"speaker":"Chris Dy","startTime":621.95,"endTime":625.91,"body":"meeting. But anyway, yeah, so we"},{"speaker":"Chris Dy","startTime":625.91,"endTime":631.52,"body":"had the, we had the fellowship"},{"speaker":"Chris Dy","startTime":625.91,"endTime":631.52,"body":"debate series latest edition was"},{"speaker":"Chris Dy","startTime":631.52,"endTime":635.03,"body":"on cubital tunnel syndrome. That"},{"speaker":"Chris Dy","startTime":631.52,"endTime":635.03,"body":"was just last night. Our"},{"speaker":"Chris Dy","startTime":635.03,"endTime":638.63,"body":"fellowship was well represented"},{"speaker":"Chris Dy","startTime":635.03,"endTime":638.63,"body":"by our own David Wright, who"},{"speaker":"Chris Dy","startTime":638.66,"endTime":640.76,"body":"apparently is all over the place"},{"speaker":"Chris Dy","startTime":638.66,"endTime":640.76,"body":"because he's working with you."},{"speaker":"Chris Dy","startTime":641.75,"endTime":645.05,"body":"But he gave a great talk last"},{"speaker":"Chris Dy","startTime":641.75,"endTime":645.05,"body":"night, and he was mentored by"},{"speaker":"Chris Dy","startTime":645.05,"endTime":648.74,"body":"our partner David Brogan. There"},{"speaker":"Chris Dy","startTime":645.05,"endTime":648.74,"body":"was a representative from the"},{"speaker":"Chris Dy","startTime":648.74,"endTime":652.25,"body":"Hospital for Special Surgery."},{"speaker":"Chris Dy","startTime":648.74,"endTime":652.25,"body":"Aaron Kim was mentored by Dan"},{"speaker":"Chris Dy","startTime":652.25,"endTime":657.32,"body":"Osei or former partner and Leigh"},{"speaker":"Chris Dy","startTime":652.25,"endTime":657.32,"body":"Osterman's group from Philly"},{"speaker":"Chris Dy","startTime":657.32,"endTime":661.52,"body":"Hand Center was represented by"},{"speaker":"Chris Dy","startTime":657.32,"endTime":661.52,"body":"Tristan Weir and Jeremy Reduka"},{"speaker":"Chris Dy","startTime":661.55,"endTime":664.97,"body":"was representing Duke and"},{"speaker":"Chris Dy","startTime":661.55,"endTime":664.97,"body":"mentored by Sahil Madani. So it"},{"speaker":"Chris Dy","startTime":664.97,"endTime":668.9,"body":"was good talk, each of them"},{"speaker":"Chris Dy","startTime":664.97,"endTime":668.9,"body":"presented their data science"},{"speaker":"Chris Dy","startTime":668.9,"endTime":673.43,"body":"topics, I presented a revision"},{"speaker":"Chris Dy","startTime":668.9,"endTime":673.43,"body":"cubital tunnel case, and there"},{"speaker":"Chris Dy","startTime":673.43,"endTime":676.55,"body":"is a discussion about why it"},{"speaker":"Chris Dy","startTime":673.43,"endTime":676.55,"body":"should be an intramuscular"},{"speaker":"Chris Dy","startTime":677.0,"endTime":679.43,"body":"transposition, there is one"},{"speaker":"Chris Dy","startTime":677.0,"endTime":679.43,"body":"about why you should do the"},{"speaker":"Chris Dy","startTime":679.43,"endTime":682.64,"body":"added professional flap, which"},{"speaker":"Chris Dy","startTime":679.43,"endTime":682.64,"body":"I'm sure you are all about. They"},{"speaker":"Chris Dy","startTime":682.64,"endTime":685.64,"body":"do it a little differently at"},{"speaker":"Chris Dy","startTime":682.64,"endTime":685.64,"body":"Duke than they do, then how"},{"speaker":"Chris Dy","startTime":685.64,"endTime":691.55,"body":"rosenwasser described it. And"},{"speaker":"Chris Dy","startTime":685.64,"endTime":691.55,"body":"then David talked about why we"},{"speaker":"Chris Dy","startTime":691.55,"endTime":694.46,"body":"shouldn't rap nerves, which I"},{"speaker":"Chris Dy","startTime":691.55,"endTime":694.46,"body":"think was super interesting. I"},{"speaker":"Chris Dy","startTime":694.46,"endTime":697.61,"body":"know that we do have some of our"},{"speaker":"Chris Dy","startTime":694.46,"endTime":697.61,"body":"industry partners that listen to"},{"speaker":"Chris Dy","startTime":697.61,"endTime":700.55,"body":"this. It was a balanced"},{"speaker":"Chris Dy","startTime":697.61,"endTime":700.55,"body":"discussion, I promise about the"},{"speaker":"Chris Dy","startTime":700.55,"endTime":703.76,"body":"pros and cons of rapping, but"},{"speaker":"Chris Dy","startTime":700.55,"endTime":703.76,"body":"ended up that many of the"},{"speaker":"Chris Dy","startTime":703.79,"endTime":708.71,"body":"faculty on surgeons on the call"},{"speaker":"Chris Dy","startTime":703.79,"endTime":708.71,"body":"do not use raps widely. And then"},{"speaker":"Chris Dy","startTime":708.71,"endTime":711.77,"body":"there was a discussion about"},{"speaker":"Chris Dy","startTime":708.71,"endTime":711.77,"body":"supercharging and the argument"},{"speaker":"Chris Dy","startTime":711.83,"endTime":715.04,"body":"to supercharge and when it's"},{"speaker":"Chris Dy","startTime":711.83,"endTime":715.04,"body":"appropriate. So there's some"},{"speaker":"Chris Dy","startTime":715.04,"endTime":717.44,"body":"good topics that came up. I"},{"speaker":"Chris Dy","startTime":715.04,"endTime":717.44,"body":"mean, one of the you know, at"},{"speaker":"Chris Dy","startTime":717.44,"endTime":719.45,"body":"the end, we were having a"},{"speaker":"Chris Dy","startTime":717.44,"endTime":719.45,"body":"discussion, and one of them was"},{"speaker":"Chris Dy","startTime":719.45,"endTime":722.84,"body":"about how to minimize"},{"speaker":"Chris Dy","startTime":719.45,"endTime":722.84,"body":"postoperative scarring or"},{"speaker":"Chris Dy","startTime":722.84,"endTime":726.29,"body":"adhesions around the nerve,"},{"speaker":"Chris Dy","startTime":722.84,"endTime":726.29,"body":"especially in a revision"},{"speaker":"Chris Dy","startTime":726.29,"endTime":729.02,"body":"setting. So Chuck, do you have"},{"speaker":"Chris Dy","startTime":726.29,"endTime":729.02,"body":"any pearls on that I can share"},{"speaker":"Chris Dy","startTime":729.02,"endTime":731.6,"body":"some of the stuff that was"},{"speaker":"Chris Dy","startTime":729.02,"endTime":731.6,"body":"shared by the faculty."},{"speaker":"Charles Goldfarb","startTime":732.23,"endTime":734.72,"body":"You know, it's"},{"speaker":"Charles Goldfarb","startTime":732.23,"endTime":734.72,"body":"a really interesting question,"},{"speaker":"Charles Goldfarb","startTime":734.75,"endTime":738.02,"body":"which I know your life is one"},{"speaker":"Charles Goldfarb","startTime":734.75,"endTime":738.02,"body":"dimensional is nerve nerve"},{"speaker":"Charles Goldfarb","startTime":738.02,"endTime":740.66,"body":"nerve. But I will say that, you"},{"speaker":"Charles Goldfarb","startTime":738.02,"endTime":740.66,"body":"know, we talked about it and"},{"speaker":"Charles Goldfarb","startTime":740.66,"endTime":744.92,"body":"congenital hand surgery, and not"},{"speaker":"Charles Goldfarb","startTime":740.66,"endTime":744.92,"body":"to put a plug in but I am going"},{"speaker":"Charles Goldfarb","startTime":744.92,"endTime":748.01,"body":"to put a plug in, we have this"},{"speaker":"Charles Goldfarb","startTime":744.92,"endTime":748.01,"body":"major meeting, international"},{"speaker":"Charles Goldfarb","startTime":748.01,"endTime":750.59,"body":"meeting, which happens once"},{"speaker":"Charles Goldfarb","startTime":748.01,"endTime":750.59,"body":"every three years. It is in May"},{"speaker":"Charles Goldfarb","startTime":750.59,"endTime":755.51,"body":"in Minneapolis. So we're we're"},{"speaker":"Charles Goldfarb","startTime":750.59,"endTime":755.51,"body":"hosting the entire world. And at"},{"speaker":"Charles Goldfarb","startTime":755.51,"endTime":759.35,"body":"this meeting, there's going to"},{"speaker":"Charles Goldfarb","startTime":755.51,"endTime":759.35,"body":"be some really interesting"},{"speaker":"Charles Goldfarb","startTime":759.35,"endTime":764.48,"body":"talks, and one of our keynotes,"},{"speaker":"Charles Goldfarb","startTime":759.35,"endTime":764.48,"body":"is by a physician named Michelle"},{"speaker":"Charles Goldfarb","startTime":764.96,"endTime":769.73,"body":"Griffin. And actually, she's a"},{"speaker":"Charles Goldfarb","startTime":764.96,"endTime":769.73,"body":"PhD on the role of mechanics in"},{"speaker":"Charles Goldfarb","startTime":769.73,"endTime":774.95,"body":"skin wound repair and fibrosis."},{"speaker":"Charles Goldfarb","startTime":769.73,"endTime":774.95,"body":"And there is progress with"},{"speaker":"Charles Goldfarb","startTime":774.95,"endTime":778.67,"body":"controlling scar formation. And"},{"speaker":"Charles Goldfarb","startTime":774.95,"endTime":778.67,"body":"it is much needed, because the"},{"speaker":"Charles Goldfarb","startTime":778.67,"endTime":781.52,"body":"only thing that I know to do is"},{"speaker":"Charles Goldfarb","startTime":778.67,"endTime":781.52,"body":"moved patients. I don't know"},{"speaker":"Charles Goldfarb","startTime":781.52,"endTime":784.49,"body":"what else to do. But I hope"},{"speaker":"Charles Goldfarb","startTime":781.52,"endTime":784.49,"body":"you're going to enlighten me"},{"speaker":"Charles Goldfarb","startTime":784.52,"endTime":785.51,"body":"right now."},{"speaker":"Chris Dy","startTime":786.2,"endTime":788.39,"body":"Well, that's actually"},{"speaker":"Chris Dy","startTime":786.2,"endTime":788.39,"body":"where well first off, that's a"},{"speaker":"Chris Dy","startTime":788.39,"endTime":790.88,"body":"great meeting. Here's Chuck,"},{"speaker":"Chris Dy","startTime":788.39,"endTime":790.88,"body":"again, plugging his own"},{"speaker":"Chris Dy","startTime":790.88,"endTime":795.35,"body":"programming, by the way. That"},{"speaker":"Chris Dy","startTime":790.88,"endTime":795.35,"body":"will be a great meeting that was"},{"speaker":"Chris Dy","startTime":795.38,"endTime":797.57,"body":"that was delayed once because of"},{"speaker":"Chris Dy","startTime":795.38,"endTime":797.57,"body":"the pandemic, right?"},{"speaker":"Charles Goldfarb","startTime":797.87,"endTime":800.99,"body":"Yeah, so the"},{"speaker":"Charles Goldfarb","startTime":797.87,"endTime":800.99,"body":"it happened. I've been in 2012"},{"speaker":"Charles Goldfarb","startTime":801.38,"endTime":806.66,"body":"2015 2018. We got delayed from"},{"speaker":"Charles Goldfarb","startTime":801.38,"endTime":806.66,"body":"2021 to 2023. And so there's"},{"speaker":"Charles Goldfarb","startTime":806.66,"endTime":809.45,"body":"pent up demand for congenital"},{"speaker":"Charles Goldfarb","startTime":806.66,"endTime":809.45,"body":"content Dr D."},{"speaker":"Chris Dy","startTime":809.45,"endTime":811.85,"body":"Triannual Congress of"},{"speaker":"Chris Dy","startTime":809.45,"endTime":811.85,"body":"sorts, as well as what we're"},{"speaker":"Chris Dy","startTime":811.85,"endTime":812.33,"body":"calling this"},{"speaker":"Charles Goldfarb","startTime":812.33,"endTime":814.13,"body":"Absolutely"},{"speaker":"Charles Goldfarb","startTime":812.33,"endTime":814.13,"body":"Thank you for making it. So."},{"speaker":"Chris Dy","startTime":816.65,"endTime":818.33,"body":"I'm sure it's gonna be"},{"speaker":"Chris Dy","startTime":816.65,"endTime":818.33,"body":"great. One of our fellows,"},{"speaker":"Chris Dy","startTime":818.33,"endTime":821.0,"body":"Kelsey Overman is going to be"},{"speaker":"Chris Dy","startTime":818.33,"endTime":821.0,"body":"attending, she's totally jazzed"},{"speaker":"Chris Dy","startTime":821.0,"endTime":827.0,"body":"about it. So I brought up the"},{"speaker":"Chris Dy","startTime":821.0,"endTime":827.0,"body":"motion thing. And I was very"},{"speaker":"Chris Dy","startTime":827.0,"endTime":829.73,"body":"surprised that that, you know,"},{"speaker":"Chris Dy","startTime":827.0,"endTime":829.73,"body":"some of the surgeons in the"},{"speaker":"Chris Dy","startTime":829.73,"endTime":832.67,"body":"group, you know, move their"},{"speaker":"Chris Dy","startTime":829.73,"endTime":832.67,"body":"patients very early. So there"},{"speaker":"Chris Dy","startTime":832.67,"endTime":835.46,"body":"was one surgeon who said soft"},{"speaker":"Chris Dy","startTime":832.67,"endTime":835.46,"body":"dressing move the day of"},{"speaker":"Chris Dy","startTime":835.46,"endTime":839.63,"body":"surgery. The other one said that"},{"speaker":"Chris Dy","startTime":835.46,"endTime":839.63,"body":"they also moved the day of"},{"speaker":"Chris Dy","startTime":839.63,"endTime":842.51,"body":"surgery, although they use the"},{"speaker":"Chris Dy","startTime":839.63,"endTime":842.51,"body":"splint and got them out of the"},{"speaker":"Chris Dy","startTime":842.51,"endTime":846.62,"body":"splint. I'm at the three day"},{"speaker":"Chris Dy","startTime":842.51,"endTime":846.62,"body":"mark, which I think, you know, I"},{"speaker":"Chris Dy","startTime":846.62,"endTime":850.1,"body":"think we've talked about on the"},{"speaker":"Chris Dy","startTime":846.62,"endTime":850.1,"body":"podcast before. And then there"},{"speaker":"Chris Dy","startTime":850.1,"endTime":853.52,"body":"are others who are a little bit"},{"speaker":"Chris Dy","startTime":850.1,"endTime":853.52,"body":"slower to move patients. So I"},{"speaker":"Chris Dy","startTime":853.52,"endTime":855.8,"body":"think that, you know, there's a"},{"speaker":"Chris Dy","startTime":853.52,"endTime":855.8,"body":"lot of variability there. But"},{"speaker":"Chris Dy","startTime":855.8,"endTime":858.65,"body":"that's probably one of the big"},{"speaker":"Chris Dy","startTime":855.8,"endTime":858.65,"body":"things that's going to help or"},{"speaker":"Chris Dy","startTime":858.65,"endTime":862.64,"body":"there was discussion about"},{"speaker":"Chris Dy","startTime":858.65,"endTime":862.64,"body":"whether using a rap of various"},{"speaker":"Chris Dy","startTime":862.64,"endTime":864.68,"body":"sorts, you know, there was"},{"speaker":"Chris Dy","startTime":862.64,"endTime":864.68,"body":"definitely I don't think we're"},{"speaker":"Chris Dy","startTime":864.68,"endTime":867.26,"body":"lumping all the RAPs into one. I"},{"speaker":"Chris Dy","startTime":864.68,"endTime":867.26,"body":"think that you know, certainly"},{"speaker":"Chris Dy","startTime":867.26,"endTime":872.72,"body":"autologous is different than a a"},{"speaker":"Chris Dy","startTime":867.26,"endTime":872.72,"body":"synthetic wrap like a PGA or a"},{"speaker":"Chris Dy","startTime":872.75,"endTime":877.07,"body":"bovine or porcine product. And"},{"speaker":"Chris Dy","startTime":872.75,"endTime":877.07,"body":"then the amniotic wraps may have"},{"speaker":"Chris Dy","startTime":877.07,"endTime":879.41,"body":"an interesting role, too. I know"},{"speaker":"Chris Dy","startTime":877.07,"endTime":879.41,"body":"one of our listeners and friends"},{"speaker":"Chris Dy","startTime":879.41,"endTime":884.09,"body":"Rob gray reports some very"},{"speaker":"Chris Dy","startTime":879.41,"endTime":884.09,"body":"enthusiastic anecdotal evidence"},{"speaker":"Chris Dy","startTime":884.09,"endTime":887.99,"body":"with anecdotal evidence"},{"speaker":"Chris Dy","startTime":884.09,"endTime":887.99,"body":"anecdotes, regarding the"},{"speaker":"Chris Dy","startTime":887.99,"endTime":895.04,"body":"amniotic amniotic wrap, so I"},{"speaker":"Chris Dy","startTime":887.99,"endTime":895.04,"body":"think that is an option. I"},{"speaker":"Chris Dy","startTime":895.04,"endTime":897.95,"body":"certainly have not seen enough"},{"speaker":"Chris Dy","startTime":895.04,"endTime":897.95,"body":"data to convince me to use that"},{"speaker":"Chris Dy","startTime":897.98,"endTime":900.32,"body":"but the one thing that really"},{"speaker":"Chris Dy","startTime":897.98,"endTime":900.32,"body":"came up and people really"},{"speaker":"Chris Dy","startTime":900.32,"endTime":902.45,"body":"resonated was the importance of"},{"speaker":"Chris Dy","startTime":900.32,"endTime":902.45,"body":"hemostasis."},{"speaker":"Charles Goldfarb","startTime":903.8,"endTime":906.17,"body":"That that is a"},{"speaker":"Charles Goldfarb","startTime":903.8,"endTime":906.17,"body":"really good point. And it's"},{"speaker":"Charles Goldfarb","startTime":906.17,"endTime":910.58,"body":"really fair. I know that at"},{"speaker":"Charles Goldfarb","startTime":906.17,"endTime":910.58,"body":"least one of our partners places"},{"speaker":"Charles Goldfarb","startTime":910.58,"endTime":915.02,"body":"a drain with ulnar nerve"},{"speaker":"Charles Goldfarb","startTime":910.58,"endTime":915.02,"body":"transposition. I did."},{"speaker":"Chris Dy","startTime":915.44,"endTime":916.97,"body":"That's me. That's me."},{"speaker":"Chris Dy","startTime":915.44,"endTime":916.97,"body":"Oh."},{"speaker":"Charles Goldfarb","startTime":921.02,"endTime":922.16,"body":"I'm so sorry"},{"speaker":"Charles Goldfarb","startTime":921.02,"endTime":922.16,"body":"for your"},{"speaker":"Chris Dy","startTime":923.36,"endTime":925.31,"body":"So there's some really"},{"speaker":"Chris Dy","startTime":923.36,"endTime":925.31,"body":"great episodes. Oh, cubital"},{"speaker":"Chris Dy","startTime":925.31,"endTime":927.53,"body":"tunnel. Chuck, I don't know if"},{"speaker":"Chris Dy","startTime":925.31,"endTime":927.53,"body":"you know that there's a podcast"},{"speaker":"Chris Dy","startTime":927.53,"endTime":931.01,"body":"about hand surgery. Most"},{"speaker":"Chris Dy","startTime":927.53,"endTime":931.01,"body":"downloaded episodes are about"},{"speaker":"Chris Dy","startTime":931.01,"endTime":931.58,"body":"Cubital Tunnel."},{"speaker":"Charles Goldfarb","startTime":931.61,"endTime":936.71,"body":"I just assumed"},{"speaker":"Charles Goldfarb","startTime":931.61,"endTime":936.71,"body":"you'd moved on from there. Now,"},{"speaker":"Charles Goldfarb","startTime":937.07,"endTime":942.02,"body":"all right. So the i i totally"},{"speaker":"Charles Goldfarb","startTime":937.07,"endTime":942.02,"body":"agree hematoms has are bad. And"},{"speaker":"Charles Goldfarb","startTime":942.02,"endTime":946.04,"body":"I'm very meticulous on the way"},{"speaker":"Charles Goldfarb","startTime":942.02,"endTime":946.04,"body":"in, but I do not let down the"},{"speaker":"Charles Goldfarb","startTime":946.04,"endTime":950.33,"body":"tourniquet or place a drain. And"},{"speaker":"Charles Goldfarb","startTime":946.04,"endTime":950.33,"body":"I don't to my knowledge in the"},{"speaker":"Charles Goldfarb","startTime":950.33,"endTime":953.3,"body":"last few years, and I can't"},{"speaker":"Charles Goldfarb","startTime":950.33,"endTime":953.3,"body":"remember much past that. I"},{"speaker":"Charles Goldfarb","startTime":953.3,"endTime":956.45,"body":"haven't had a major hematoma."},{"speaker":"Charles Goldfarb","startTime":953.3,"endTime":956.45,"body":"But I think it's a very fair"},{"speaker":"Charles Goldfarb","startTime":956.45,"endTime":959.9,"body":"statement and maybe worth"},{"speaker":"Charles Goldfarb","startTime":956.45,"endTime":959.9,"body":"considering a change in practice"},{"speaker":"Charles Goldfarb","startTime":959.9,"endTime":960.26,"body":"for me."},{"speaker":"Chris Dy","startTime":961.22,"endTime":963.59,"body":"Yeah, you'll consider"},{"speaker":"Chris Dy","startTime":961.22,"endTime":963.59,"body":"and then you'll see no good."},{"speaker":"Chris Dy","startTime":964.4,"endTime":969.17,"body":"Exactly. Yeah, no, I think it's"},{"speaker":"Chris Dy","startTime":964.4,"endTime":969.17,"body":"an personally I think it's an"},{"speaker":"Chris Dy","startTime":969.17,"endTime":972.68,"body":"important thing. You know, I"},{"speaker":"Chris Dy","startTime":969.17,"endTime":972.68,"body":"like to, to get a sense of how"},{"speaker":"Chris Dy","startTime":972.68,"endTime":974.72,"body":"things are looking once the"},{"speaker":"Chris Dy","startTime":972.68,"endTime":974.72,"body":"transposition is done. I don't"},{"speaker":"Chris Dy","startTime":974.72,"endTime":977.87,"body":"do it for a subcutaneous"},{"speaker":"Chris Dy","startTime":974.72,"endTime":977.87,"body":"transposition, though. You know,"},{"speaker":"Chris Dy","startTime":977.87,"endTime":981.62,"body":"I think that it's more likely to"},{"speaker":"Chris Dy","startTime":977.87,"endTime":981.62,"body":"have kind of that continuous"},{"speaker":"Chris Dy","startTime":981.65,"endTime":984.71,"body":"oozing after you've worked"},{"speaker":"Chris Dy","startTime":981.65,"endTime":984.71,"body":"through the flexor pronator."},{"speaker":"Chris Dy","startTime":984.74,"endTime":988.01,"body":"Mass. If you do some muscular"},{"speaker":"Chris Dy","startTime":984.74,"endTime":988.01,"body":"transposition, even if you do an"},{"speaker":"Chris Dy","startTime":988.01,"endTime":989.66,"body":"intra muscular effect, you're"},{"speaker":"Chris Dy","startTime":988.01,"endTime":989.66,"body":"working through some of the"},{"speaker":"Chris Dy","startTime":989.66,"endTime":994.22,"body":"muscle. And then you tend to get"},{"speaker":"Chris Dy","startTime":989.66,"endTime":994.22,"body":"those those really pesky vessels"},{"speaker":"Chris Dy","startTime":994.37,"endTime":997.7,"body":"by the septum too, if you're not"},{"speaker":"Chris Dy","startTime":994.37,"endTime":997.7,"body":"careful if you're doing any"},{"speaker":"Chris Dy","startTime":997.7,"endTime":1002.05,"body":"transposition, but yeah, I think"},{"speaker":"Chris Dy","startTime":997.7,"endTime":1002.05,"body":"hemostasis as one of my former"},{"speaker":"Chris Dy","startTime":1002.05,"endTime":1005.41,"body":"mentors and a current tumor"},{"speaker":"Chris Dy","startTime":1002.05,"endTime":1005.41,"body":"surgeon, I believe she's at"},{"speaker":"Chris Dy","startTime":1005.41,"endTime":1008.77,"body":"Hopkins. Now Carol Morris says"},{"speaker":"Chris Dy","startTime":1005.41,"endTime":1008.77,"body":"\"hemostasis starts with the"},{"speaker":"Chris Dy","startTime":1008.77,"endTime":1013.15,"body":"approach\". And that's a surgical"},{"speaker":"Chris Dy","startTime":1008.77,"endTime":1013.15,"body":"principle. Principle I live by"},{"speaker":"Chris Dy","startTime":1013.15,"endTime":1014.92,"body":"since a trading with Dr. Morris."},{"speaker":"Charles Goldfarb","startTime":1015.49,"endTime":1017.05,"body":"I love that."},{"speaker":"Charles Goldfarb","startTime":1015.49,"endTime":1017.05,"body":"And I haven't actually heard it"},{"speaker":"Charles Goldfarb","startTime":1017.05,"endTime":1019.72,"body":"stated that way. But it is"},{"speaker":"Charles Goldfarb","startTime":1017.05,"endTime":1019.72,"body":"certainly a truism"},{"speaker":"Chris Dy","startTime":1020.2,"endTime":1023.05,"body":"that I feel like I"},{"speaker":"Chris Dy","startTime":1020.2,"endTime":1023.05,"body":"feel like orthopedic oncologist,"},{"speaker":"Chris Dy","startTime":1023.08,"endTime":1025.72,"body":"maybe it's too or surgeons in"},{"speaker":"Chris Dy","startTime":1023.08,"endTime":1025.72,"body":"general just have such great one"},{"speaker":"Chris Dy","startTime":1025.72,"endTime":1027.97,"body":"liners and aphorisms, and that"},{"speaker":"Chris Dy","startTime":1025.72,"endTime":1027.97,"body":"was one of them."},{"speaker":"Charles Goldfarb","startTime":1029.05,"endTime":1031.18,"body":"It's good."},{"speaker":"Charles Goldfarb","startTime":1029.05,"endTime":1031.18,"body":"It's definitely good. Well, it's"},{"speaker":"Charles Goldfarb","startTime":1031.18,"endTime":1033.31,"body":"a great webinar. Yeah, it"},{"speaker":"Chris Dy","startTime":1033.31,"endTime":1035.83,"body":"was really, it was"},{"speaker":"Chris Dy","startTime":1033.31,"endTime":1035.83,"body":"really fun. You know, I think it"},{"speaker":"Chris Dy","startTime":1035.83,"endTime":1038.53,"body":"honestly the conversation could"},{"speaker":"Chris Dy","startTime":1035.83,"endTime":1038.53,"body":"have carried on a lot longer, we"},{"speaker":"Chris Dy","startTime":1038.53,"endTime":1040.72,"body":"started to get into the"},{"speaker":"Chris Dy","startTime":1038.53,"endTime":1040.72,"body":"discussion about whether"},{"speaker":"Chris Dy","startTime":1040.72,"endTime":1043.42,"body":"ultrasound is helpful for"},{"speaker":"Chris Dy","startTime":1040.72,"endTime":1043.42,"body":"revision cases and what the role"},{"speaker":"Chris Dy","startTime":1043.42,"endTime":1046.63,"body":"of that is, and then the role of"},{"speaker":"Chris Dy","startTime":1043.42,"endTime":1046.63,"body":"the the old role of the insight"},{"speaker":"Chris Dy","startTime":1046.63,"endTime":1049.66,"body":"to decompression. There's a lot"},{"speaker":"Chris Dy","startTime":1046.63,"endTime":1049.66,"body":"of talk about the real revision"},{"speaker":"Chris Dy","startTime":1049.66,"endTime":1052.9,"body":"rate after that, and it's very"},{"speaker":"Chris Dy","startTime":1049.66,"endTime":1052.9,"body":"different. You know, Lee claims"},{"speaker":"Chris Dy","startTime":1052.9,"endTime":1056.8,"body":"to have a 2% Revision rate based"},{"speaker":"Chris Dy","startTime":1052.9,"endTime":1056.8,"body":"on the paper that he wrote, We"},{"speaker":"Chris Dy","startTime":1056.8,"endTime":1060.01,"body":"know Dan's paper from here"},{"speaker":"Chris Dy","startTime":1056.8,"endTime":1060.01,"body":"demonstrated a 20%. And if you"},{"speaker":"Chris Dy","startTime":1060.01,"endTime":1062.86,"body":"look at the end, we know the"},{"speaker":"Chris Dy","startTime":1060.01,"endTime":1062.86,"body":"paper you originally wrote with"},{"speaker":"Chris Dy","startTime":1062.86,"endTime":1066.88,"body":"Dr. Manske was around 7%. So we"},{"speaker":"Chris Dy","startTime":1062.86,"endTime":1066.88,"body":"know that the populations are"},{"speaker":"Chris Dy","startTime":1066.88,"endTime":1070.06,"body":"very different in each of those"},{"speaker":"Chris Dy","startTime":1066.88,"endTime":1070.06,"body":"papers. Yeah, so I think it's,"},{"speaker":"Chris Dy","startTime":1070.15,"endTime":1074.11,"body":"you know, it's not apples to"},{"speaker":"Chris Dy","startTime":1070.15,"endTime":1074.11,"body":"apples to apples, but the"},{"speaker":"Chris Dy","startTime":1074.11,"endTime":1077.83,"body":"revision rates, probably"},{"speaker":"Chris Dy","startTime":1074.11,"endTime":1077.83,"body":"somewhere in between. Let's talk"},{"speaker":"Chris Dy","startTime":1077.83,"endTime":1080.59,"body":"about this HBR article that you"},{"speaker":"Chris Dy","startTime":1077.83,"endTime":1080.59,"body":"emailed me probably at some"},{"speaker":"Chris Dy","startTime":1080.59,"endTime":1084.94,"body":"ungodly hour in the morning, but"},{"speaker":"Chris Dy","startTime":1080.59,"endTime":1084.94,"body":"it's called how to work with a"},{"speaker":"Chris Dy","startTime":1084.94,"endTime":1090.1,"body":"workaholic colleague, the author"},{"speaker":"Chris Dy","startTime":1084.94,"endTime":1090.1,"body":"is Melody Wilding. And I don't"},{"speaker":"Chris Dy","startTime":1090.1,"endTime":1093.7,"body":"have the HBR reprint number in"},{"speaker":"Chris Dy","startTime":1090.1,"endTime":1093.7,"body":"front of me, but for some reason"},{"speaker":"Chris Dy","startTime":1093.7,"endTime":1097.39,"body":"included here, but it was"},{"speaker":"Chris Dy","startTime":1093.7,"endTime":1097.39,"body":"published on February 1 of this"},{"speaker":"Chris Dy","startTime":1097.39,"endTime":1097.66,"body":"year."},{"speaker":"Charles Goldfarb","startTime":1099.01,"endTime":1101.704,"body":"Yeah, the"},{"speaker":"Charles Goldfarb","startTime":1099.01,"endTime":1101.704,"body":"title caught me because some,"},{"speaker":"Charles Goldfarb","startTime":1101.774,"endTime":1106.058,"body":"you know, might confuse me for"},{"speaker":"Charles Goldfarb","startTime":1101.774,"endTime":1106.058,"body":"one of those workaholics Dr Dy."},{"speaker":"Charles Goldfarb","startTime":1106.127,"endTime":1109.789,"body":"And I thought maybe I could"},{"speaker":"Charles Goldfarb","startTime":1106.127,"endTime":1109.789,"body":"learn something, but also"},{"speaker":"Charles Goldfarb","startTime":1109.859,"endTime":1114.005,"body":"thought there will be practical"},{"speaker":"Charles Goldfarb","startTime":1109.859,"endTime":1114.005,"body":"advice. And there is I think"},{"speaker":"Charles Goldfarb","startTime":1114.074,"endTime":1118.358,"body":"it's a very, it's not a complex"},{"speaker":"Charles Goldfarb","startTime":1114.074,"endTime":1118.358,"body":"topic, but in the sense of how"},{"speaker":"Charles Goldfarb","startTime":1118.427,"endTime":1122.435,"body":"do you deal with a workaholic"},{"speaker":"Charles Goldfarb","startTime":1118.427,"endTime":1122.435,"body":"colleague, but I think it's,"},{"speaker":"Charles Goldfarb","startTime":1122.504,"endTime":1126.72,"body":"it's, it's useful, because in"},{"speaker":"Charles Goldfarb","startTime":1122.504,"endTime":1126.72,"body":"medicine, whether it be private"},{"speaker":"Charles Goldfarb","startTime":1126.789,"endTime":1131.004,"body":"practice or academic practice,"},{"speaker":"Charles Goldfarb","startTime":1126.789,"endTime":1131.004,"body":"there will be varying efforts."},{"speaker":"Charles Goldfarb","startTime":1131.073,"endTime":1135.288,"body":"And certainly, you know, the old"},{"speaker":"Charles Goldfarb","startTime":1131.073,"endTime":1135.288,"body":"school classic surgeon, that"},{"speaker":"Charles Goldfarb","startTime":1135.357,"endTime":1137.5,"body":"overworks is, exist everywhere."},{"speaker":"Chris Dy","startTime":1138.11,"endTime":1140.51,"body":"Yeah, absolutely, for"},{"speaker":"Chris Dy","startTime":1138.11,"endTime":1140.51,"body":"sure. And I think probably to"},{"speaker":"Chris Dy","startTime":1140.51,"endTime":1143.27,"body":"set the stage I will read the"},{"speaker":"Chris Dy","startTime":1140.51,"endTime":1143.27,"body":"first paragraph of the article,"},{"speaker":"Chris Dy","startTime":1143.84,"endTime":1147.23,"body":"because I think it's a good way"},{"speaker":"Chris Dy","startTime":1143.84,"endTime":1147.23,"body":"to set it up. So it says, Your"},{"speaker":"Chris Dy","startTime":1147.23,"endTime":1149.72,"body":"colleague is the first one and"},{"speaker":"Chris Dy","startTime":1147.23,"endTime":1149.72,"body":"the last one to leave, they"},{"speaker":"Chris Dy","startTime":1149.72,"endTime":1152.81,"body":"volunteer to take on every"},{"speaker":"Chris Dy","startTime":1149.72,"endTime":1152.81,"body":"additional task that comes your"},{"speaker":"Chris Dy","startTime":1152.81,"endTime":1155.93,"body":"team's way and they respond to"},{"speaker":"Chris Dy","startTime":1152.81,"endTime":1155.93,"body":"emails within minutes. They're"},{"speaker":"Chris Dy","startTime":1155.93,"endTime":1159.08,"body":"working all the time, whether"},{"speaker":"Chris Dy","startTime":1155.93,"endTime":1159.08,"body":"from the office or from home. In"},{"speaker":"Chris Dy","startTime":1159.08,"endTime":1162.32,"body":"short, you're dealing with a"},{"speaker":"Chris Dy","startTime":1159.08,"endTime":1162.32,"body":"workaholic. While it's tough"},{"speaker":"Chris Dy","startTime":1162.32,"endTime":1165.05,"body":"reporting to a workaholic boss,"},{"speaker":"Chris Dy","startTime":1162.32,"endTime":1165.05,"body":"having a hard driving peer who"},{"speaker":"Chris Dy","startTime":1165.05,"endTime":1168.83,"body":"seems married to the job can be"},{"speaker":"Chris Dy","startTime":1165.05,"endTime":1168.83,"body":"equally frustrating. So let's"},{"speaker":"Chris Dy","startTime":1168.83,"endTime":1172.7,"body":"say it's not your boss, or your"},{"speaker":"Chris Dy","startTime":1168.83,"endTime":1172.7,"body":"executive vice chair, but it's"},{"speaker":"Chris Dy","startTime":1172.7,"endTime":1178.43,"body":"your partner and somebody at"},{"speaker":"Chris Dy","startTime":1172.7,"endTime":1178.43,"body":"work who just seems to always be"},{"speaker":"Chris Dy","startTime":1178.97,"endTime":1182.06,"body":"working. How does that strike"},{"speaker":"Chris Dy","startTime":1178.97,"endTime":1182.06,"body":"you? I mean, like you said, you"},{"speaker":"Chris Dy","startTime":1182.06,"endTime":1186.08,"body":"know, I think many of us in"},{"speaker":"Chris Dy","startTime":1182.06,"endTime":1186.08,"body":"surgery, medicine, therapy,"},{"speaker":"Chris Dy","startTime":1186.08,"endTime":1189.5,"body":"health care, you know, you're"},{"speaker":"Chris Dy","startTime":1186.08,"endTime":1189.5,"body":"clearly driven to a certain"},{"speaker":"Chris Dy","startTime":1189.5,"endTime":1197.21,"body":"point to get to this stage. And"},{"speaker":"Chris Dy","startTime":1189.5,"endTime":1197.21,"body":"those habits don't die hard, or"},{"speaker":"Chris Dy","startTime":1197.21,"endTime":1203.18,"body":"don't die easily, or hard to"},{"speaker":"Chris Dy","startTime":1197.21,"endTime":1203.18,"body":"die. So how do you divorce like"},{"speaker":"Chris Dy","startTime":1203.18,"endTime":1205.88,"body":"the, you know, what got you"},{"speaker":"Chris Dy","startTime":1203.18,"endTime":1205.88,"body":"here? And what's going to get"},{"speaker":"Chris Dy","startTime":1205.88,"endTime":1206.87,"body":"you to the next place?"},{"speaker":"Charles Goldfarb","startTime":1206.96,"endTime":1208.85,"body":"You know, I"},{"speaker":"Charles Goldfarb","startTime":1206.96,"endTime":1208.85,"body":"think the one advantage that we"},{"speaker":"Charles Goldfarb","startTime":1208.85,"endTime":1214.55,"body":"have in our complex worlds, is"},{"speaker":"Charles Goldfarb","startTime":1208.85,"endTime":1214.55,"body":"we really don't have line of"},{"speaker":"Charles Goldfarb","startTime":1214.55,"endTime":1219.32,"body":"sight into each other's lives."},{"speaker":"Charles Goldfarb","startTime":1214.55,"endTime":1219.32,"body":"And I think that's a good like,"},{"speaker":"Charles Goldfarb","startTime":1219.32,"endTime":1222.59,"body":"I have no idea when you came"},{"speaker":"Charles Goldfarb","startTime":1219.32,"endTime":1222.59,"body":"into work this morning, I have"},{"speaker":"Charles Goldfarb","startTime":1222.59,"endTime":1224.57,"body":"no idea when you're going home"},{"speaker":"Charles Goldfarb","startTime":1222.59,"endTime":1224.57,"body":"and what you're going to"},{"speaker":"Charles Goldfarb","startTime":1224.57,"endTime":1227.24,"body":"accomplish during this day. I,"},{"speaker":"Charles Goldfarb","startTime":1224.57,"endTime":1227.24,"body":"you know, at the end of the"},{"speaker":"Charles Goldfarb","startTime":1227.24,"endTime":1232.01,"body":"year, I certainly see metrics"},{"speaker":"Charles Goldfarb","startTime":1227.24,"endTime":1232.01,"body":"but but I, you know, that's not"},{"speaker":"Charles Goldfarb","startTime":1232.01,"endTime":1235.64,"body":"something I really live by, as"},{"speaker":"Charles Goldfarb","startTime":1232.01,"endTime":1235.64,"body":"opposed to an office setting"},{"speaker":"Charles Goldfarb","startTime":1236.33,"endTime":1239.24,"body":"where people are coming and"},{"speaker":"Charles Goldfarb","startTime":1236.33,"endTime":1239.24,"body":"going. So I think our medical"},{"speaker":"Charles Goldfarb","startTime":1239.24,"endTime":1242.99,"body":"world is different than, than"},{"speaker":"Charles Goldfarb","startTime":1239.24,"endTime":1242.99,"body":"some of the other worlds. But,"},{"speaker":"Charles Goldfarb","startTime":1243.23,"endTime":1246.98,"body":"you know, you kind of see, you"},{"speaker":"Charles Goldfarb","startTime":1243.23,"endTime":1246.98,"body":"know, emails, and we can talk"},{"speaker":"Charles Goldfarb","startTime":1246.98,"endTime":1250.61,"body":"about the appropriateness of"},{"speaker":"Charles Goldfarb","startTime":1246.98,"endTime":1250.61,"body":"seeing, sending after our emails"},{"speaker":"Charles Goldfarb","startTime":1250.61,"endTime":1253.01,"body":"and weekend emails. I've thought"},{"speaker":"Charles Goldfarb","startTime":1250.61,"endTime":1253.01,"body":"a lot about that, and we've"},{"speaker":"Charles Goldfarb","startTime":1253.01,"endTime":1258.26,"body":"talked about it, but you know, I"},{"speaker":"Charles Goldfarb","startTime":1253.01,"endTime":1258.26,"body":"think it's, the bottom line is,"},{"speaker":"Charles Goldfarb","startTime":1258.59,"endTime":1261.08,"body":"you have to just try to do your"},{"speaker":"Charles Goldfarb","startTime":1258.59,"endTime":1261.08,"body":"own thing. But that can be"},{"speaker":"Charles Goldfarb","startTime":1261.08,"endTime":1262.22,"body":"easier said than done?"},{"speaker":"Chris Dy","startTime":1262.999,"endTime":1265.129,"body":"Well, I think that's"},{"speaker":"Chris Dy","startTime":1262.999,"endTime":1265.129,"body":"one of the take homes of the"},{"speaker":"Chris Dy","startTime":1265.129,"endTime":1268.639,"body":"article is really understanding"},{"speaker":"Chris Dy","startTime":1265.129,"endTime":1268.639,"body":"that they're doing their thing,"},{"speaker":"Chris Dy","startTime":1268.639,"endTime":1271.849,"body":"and you're doing your thing, and"},{"speaker":"Chris Dy","startTime":1268.639,"endTime":1271.849,"body":"you need to not be lulled into,"},{"speaker":"Chris Dy","startTime":1272.149,"endTime":1275.269,"body":"well, I've got to be like"},{"speaker":"Chris Dy","startTime":1272.149,"endTime":1275.269,"body":"they're being because you know,"},{"speaker":"Chris Dy","startTime":1275.299,"endTime":1278.449,"body":"workaholic, may be a workaholic"},{"speaker":"Chris Dy","startTime":1275.299,"endTime":1278.449,"body":"for a number of different"},{"speaker":"Chris Dy","startTime":1278.449,"endTime":1280.939,"body":"reasons. And it doesn't"},{"speaker":"Chris Dy","startTime":1278.449,"endTime":1280.939,"body":"necessarily mean that they're"},{"speaker":"Chris Dy","startTime":1280.939,"endTime":1284.599,"body":"trying to one up you or put you"},{"speaker":"Chris Dy","startTime":1280.939,"endTime":1284.599,"body":"down, you just need to lean into"},{"speaker":"Chris Dy","startTime":1284.599,"endTime":1287.569,"body":"the fact that that's not your"},{"speaker":"Chris Dy","startTime":1284.599,"endTime":1287.569,"body":"choice. And that's not how you"},{"speaker":"Chris Dy","startTime":1287.569,"endTime":1291.169,"body":"want to approach work, and just"},{"speaker":"Chris Dy","startTime":1287.569,"endTime":1291.169,"body":"say aye, these are my"},{"speaker":"Chris Dy","startTime":1291.169,"endTime":1293.629,"body":"boundaries, this is what I'm"},{"speaker":"Chris Dy","startTime":1291.169,"endTime":1293.629,"body":"going to do, I'm not going to do"},{"speaker":"Chris Dy","startTime":1293.869,"endTime":1297.379,"body":"certain things off hours, and"},{"speaker":"Chris Dy","startTime":1293.869,"endTime":1297.379,"body":"you know, I'm not going to have"},{"speaker":"Chris Dy","startTime":1297.379,"endTime":1300.829,"body":"the same behaviors, which"},{"speaker":"Chris Dy","startTime":1297.379,"endTime":1300.829,"body":"honestly can be very hard,"},{"speaker":"Chris Dy","startTime":1300.829,"endTime":1303.349,"body":"because I think that, you know,"},{"speaker":"Chris Dy","startTime":1300.829,"endTime":1303.349,"body":"I, when I read this article, it"},{"speaker":"Chris Dy","startTime":1303.349,"endTime":1309.529,"body":"reminded me of residency, you"},{"speaker":"Chris Dy","startTime":1303.349,"endTime":1309.529,"body":"know, and having to, you know,"},{"speaker":"Chris Dy","startTime":1309.619,"endTime":1313.519,"body":"keep up with a very, you know,"},{"speaker":"Chris Dy","startTime":1309.619,"endTime":1313.519,"body":"very talented, and driven and"},{"speaker":"Chris Dy","startTime":1313.519,"endTime":1317.479,"body":"smart and competitive group of"},{"speaker":"Chris Dy","startTime":1313.519,"endTime":1317.479,"body":"peers who I love. And we had a"},{"speaker":"Chris Dy","startTime":1317.479,"endTime":1319.579,"body":"great bond, but it was a tough"},{"speaker":"Chris Dy","startTime":1317.479,"endTime":1319.579,"body":"group to keep up with."},{"speaker":"Charles Goldfarb","startTime":1320.36,"endTime":1323.36,"body":"Yeah, there's"},{"speaker":"Charles Goldfarb","startTime":1320.36,"endTime":1323.36,"body":"some value, especially if it's"},{"speaker":"Charles Goldfarb","startTime":1323.36,"endTime":1327.05,"body":"a, you know, during residency,"},{"speaker":"Charles Goldfarb","startTime":1323.36,"endTime":1327.05,"body":"for example, you know, driving"},{"speaker":"Charles Goldfarb","startTime":1327.05,"endTime":1330.29,"body":"you to be your best, maybe"},{"speaker":"Charles Goldfarb","startTime":1327.05,"endTime":1330.29,"body":"pushing too hard. But once it"},{"speaker":"Charles Goldfarb","startTime":1330.29,"endTime":1333.95,"body":"becomes the rest of your life,"},{"speaker":"Charles Goldfarb","startTime":1330.29,"endTime":1333.95,"body":"that's difficult, I'm gonna read"},{"speaker":"Charles Goldfarb","startTime":1333.95,"endTime":1337.64,"body":"a little bit more. There's a"},{"speaker":"Charles Goldfarb","startTime":1333.95,"endTime":1337.64,"body":"difference between working hard"},{"speaker":"Charles Goldfarb","startTime":1337.67,"endTime":1341.09,"body":"and being emotionally dependent"},{"speaker":"Charles Goldfarb","startTime":1337.67,"endTime":1341.09,"body":"on your job. Motivation"},{"speaker":"Charles Goldfarb","startTime":1341.09,"endTime":1345.26,"body":"separates a co worker who's"},{"speaker":"Charles Goldfarb","startTime":1341.09,"endTime":1345.26,"body":"engaged from one who's obsessed,"},{"speaker":"Charles Goldfarb","startTime":1345.65,"endTime":1348.68,"body":"workaholics field and internal"},{"speaker":"Charles Goldfarb","startTime":1345.65,"endTime":1348.68,"body":"compulsion to give the business"},{"speaker":"Charles Goldfarb","startTime":1348.68,"endTime":1352.61,"body":"they're all and can't turn off."},{"speaker":"Charles Goldfarb","startTime":1348.68,"endTime":1352.61,"body":"Instead, they think about"},{"speaker":"Charles Goldfarb","startTime":1352.61,"endTime":1356.15,"body":"professional matters off hours"},{"speaker":"Charles Goldfarb","startTime":1352.61,"endTime":1356.15,"body":"at the expense of their personal"},{"speaker":"Charles Goldfarb","startTime":1356.15,"endTime":1359.72,"body":"life, and relationships. That's"},{"speaker":"Charles Goldfarb","startTime":1356.15,"endTime":1359.72,"body":"the danger. Right?"},{"speaker":"Chris Dy","startTime":1360.41,"endTime":1364.73,"body":"Right. Absolutely. I"},{"speaker":"Chris Dy","startTime":1360.41,"endTime":1364.73,"body":"mean, I think that as something"},{"speaker":"Chris Dy","startTime":1364.73,"endTime":1367.1,"body":"I've been thinking about a lot"},{"speaker":"Chris Dy","startTime":1364.73,"endTime":1367.1,"body":"recently is kind of the like,"},{"speaker":"Chris Dy","startTime":1367.37,"endTime":1370.04,"body":"existential question of like,"},{"speaker":"Chris Dy","startTime":1367.37,"endTime":1370.04,"body":"what's what's worth it in your"},{"speaker":"Chris Dy","startTime":1370.04,"endTime":1374.9,"body":"life? Like, what's, you know,"},{"speaker":"Chris Dy","startTime":1370.04,"endTime":1374.9,"body":"when do you what role should"},{"speaker":"Chris Dy","startTime":1374.9,"endTime":1379.07,"body":"work be in your fulfillment? And"},{"speaker":"Chris Dy","startTime":1374.9,"endTime":1379.07,"body":"obviously, that's not, you know,"},{"speaker":"Chris Dy","startTime":1379.07,"endTime":1383.81,"body":"a, something that, you know, is"},{"speaker":"Chris Dy","startTime":1379.07,"endTime":1383.81,"body":"binary, it's certainly something"},{"speaker":"Chris Dy","startTime":1383.81,"endTime":1386.36,"body":"that has, you know, a spectrum"},{"speaker":"Chris Dy","startTime":1383.81,"endTime":1386.36,"body":"in terms of, you know, you'll"},{"speaker":"Chris Dy","startTime":1386.36,"endTime":1389.87,"body":"need to be able to turn it on"},{"speaker":"Chris Dy","startTime":1386.36,"endTime":1389.87,"body":"and off at certain amounts, as"},{"speaker":"Chris Dy","startTime":1389.87,"endTime":1393.38,"body":"you progress in your career and"},{"speaker":"Chris Dy","startTime":1389.87,"endTime":1393.38,"body":"as your family life changes. But"},{"speaker":"Chris Dy","startTime":1393.38,"endTime":1396.77,"body":"it it is, you know, having being"},{"speaker":"Chris Dy","startTime":1393.38,"endTime":1396.77,"body":"always on and having, you know,"},{"speaker":"Chris Dy","startTime":1396.8,"endTime":1400.67,"body":"work be a heavy part of your"},{"speaker":"Chris Dy","startTime":1396.8,"endTime":1400.67,"body":"emotional fulfillment, you know,"},{"speaker":"Chris Dy","startTime":1400.67,"endTime":1403.13,"body":"it's certainly a recipe for you"},{"speaker":"Chris Dy","startTime":1400.67,"endTime":1403.13,"body":"know, what we talk about a lot,"},{"speaker":"Chris Dy","startTime":1403.13,"endTime":1403.79,"body":"which is burnout,"},{"speaker":"Charles Goldfarb","startTime":1404.69,"endTime":1407.24,"body":"right? And I'm"},{"speaker":"Charles Goldfarb","startTime":1404.69,"endTime":1407.24,"body":"in an interesting stage not to"},{"speaker":"Charles Goldfarb","startTime":1407.24,"endTime":1411.08,"body":"get too personal when, you know,"},{"speaker":"Charles Goldfarb","startTime":1407.24,"endTime":1411.08,"body":"it's the everyone talks about"},{"speaker":"Charles Goldfarb","startTime":1411.08,"endTime":1414.2,"body":"the classic midlife crisis,"},{"speaker":"Charles Goldfarb","startTime":1411.08,"endTime":1414.2,"body":"which really may have always"},{"speaker":"Charles Goldfarb","startTime":1414.2,"endTime":1418.43,"body":"meant burnout. And when your"},{"speaker":"Charles Goldfarb","startTime":1414.2,"endTime":1418.43,"body":"kids go off to college, you have"},{"speaker":"Charles Goldfarb","startTime":1418.43,"endTime":1421.37,"body":"an empty nest, and it's time to"},{"speaker":"Charles Goldfarb","startTime":1418.43,"endTime":1421.37,"body":"reassess things. That, you know,"},{"speaker":"Charles Goldfarb","startTime":1421.37,"endTime":1423.53,"body":"that's what you look at, you"},{"speaker":"Charles Goldfarb","startTime":1421.37,"endTime":1423.53,"body":"look at kind of what is your"},{"speaker":"Charles Goldfarb","startTime":1423.53,"endTime":1427.4,"body":"work life balance and, and"},{"speaker":"Charles Goldfarb","startTime":1423.53,"endTime":1427.4,"body":"friends and all those kinds of"},{"speaker":"Charles Goldfarb","startTime":1427.4,"endTime":1431.24,"body":"things. And, and, you know, we"},{"speaker":"Charles Goldfarb","startTime":1427.4,"endTime":1431.24,"body":"can we can talk at nauseam about"},{"speaker":"Charles Goldfarb","startTime":1431.24,"endTime":1434.27,"body":"those things, but trying to find"},{"speaker":"Charles Goldfarb","startTime":1431.24,"endTime":1434.27,"body":"the right balance and your"},{"speaker":"Charles Goldfarb","startTime":1434.27,"endTime":1437.63,"body":"balance and my balance and the"},{"speaker":"Charles Goldfarb","startTime":1434.27,"endTime":1437.63,"body":"next person's balance is going"},{"speaker":"Charles Goldfarb","startTime":1437.63,"endTime":1442.07,"body":"to look different. And that's"},{"speaker":"Charles Goldfarb","startTime":1437.63,"endTime":1442.07,"body":"okay. And again, that's one of"},{"speaker":"Charles Goldfarb","startTime":1442.07,"endTime":1443.42,"body":"the central take home messages."},{"speaker":"Chris Dy","startTime":1444.14,"endTime":1446.75,"body":"Right. I think it's"},{"speaker":"Chris Dy","startTime":1444.14,"endTime":1446.75,"body":"interesting that you reframe the"},{"speaker":"Chris Dy","startTime":1446.75,"endTime":1449.24,"body":"midlife crisis as burnout."},{"speaker":"Chris Dy","startTime":1446.75,"endTime":1449.24,"body":"Because I think, you know, it's"},{"speaker":"Chris Dy","startTime":1449.24,"endTime":1452.3,"body":"probably is a better way of"},{"speaker":"Chris Dy","startTime":1449.24,"endTime":1452.3,"body":"looking at it. You know,"},{"speaker":"Chris Dy","startTime":1453.11,"endTime":1455.09,"body":"generationally, things have"},{"speaker":"Chris Dy","startTime":1453.11,"endTime":1455.09,"body":"certainly changed, but I don't"},{"speaker":"Chris Dy","startTime":1455.09,"endTime":1460.88,"body":"think that's one. I think that's"},{"speaker":"Chris Dy","startTime":1455.09,"endTime":1460.88,"body":"also important to recognize that"},{"speaker":"Chris Dy","startTime":1460.91,"endTime":1465.23,"body":"the, you know, everybody's"},{"speaker":"Chris Dy","startTime":1460.91,"endTime":1465.23,"body":"balance or rhythm is different"},{"speaker":"Chris Dy","startTime":1465.23,"endTime":1470.45,"body":"in terms of work and personal"},{"speaker":"Chris Dy","startTime":1465.23,"endTime":1470.45,"body":"life, but also your own rhythm"},{"speaker":"Chris Dy","startTime":1470.45,"endTime":1474.32,"body":"will change. And it's about"},{"speaker":"Chris Dy","startTime":1470.45,"endTime":1474.32,"body":"recognizing that you are"},{"speaker":"Chris Dy","startTime":1474.32,"endTime":1476.78,"body":"evolving, you're changing over"},{"speaker":"Chris Dy","startTime":1474.32,"endTime":1476.78,"body":"time, and that's something that"},{"speaker":"Chris Dy","startTime":1476.78,"endTime":1479.81,"body":"you need to pay attention to."},{"speaker":"Chris Dy","startTime":1476.78,"endTime":1479.81,"body":"And that's, you know, I think"},{"speaker":"Chris Dy","startTime":1479.81,"endTime":1483.62,"body":"that is an honest assessment and"},{"speaker":"Chris Dy","startTime":1479.81,"endTime":1483.62,"body":"reappraisal, you know, tempting"},{"speaker":"Chris Dy","startTime":1483.62,"endTime":1485.42,"body":"to do at the beginning of the"},{"speaker":"Chris Dy","startTime":1483.62,"endTime":1485.42,"body":"year because of the new year"},{"speaker":"Chris Dy","startTime":1485.42,"endTime":1488.21,"body":"stuff, but you know, or an"},{"speaker":"Chris Dy","startTime":1485.42,"endTime":1488.21,"body":"academic year, but I think"},{"speaker":"Chris Dy","startTime":1488.21,"endTime":1490.49,"body":"that's an important thing to do"},{"speaker":"Chris Dy","startTime":1488.21,"endTime":1490.49,"body":"and something that I'm trying to"},{"speaker":"Chris Dy","startTime":1490.49,"endTime":1491.84,"body":"rededicate myself towards."},{"speaker":"Charles Goldfarb","startTime":1492.559,"endTime":1497.419,"body":"Yeah, it is it"},{"speaker":"Charles Goldfarb","startTime":1492.559,"endTime":1497.419,"body":"is not easy and and you know, it"},{"speaker":"Charles Goldfarb","startTime":1497.419,"endTime":1500.449,"body":"is I certainly will say I feel"},{"speaker":"Charles Goldfarb","startTime":1497.419,"endTime":1500.449,"body":"like it is okay. Need to work"},{"speaker":"Charles Goldfarb","startTime":1500.449,"endTime":1503.359,"body":"really hard, it is okay to put"},{"speaker":"Charles Goldfarb","startTime":1500.449,"endTime":1503.359,"body":"in a lot of hours. But if you"},{"speaker":"Charles Goldfarb","startTime":1503.359,"endTime":1508.339,"body":"have a family, the trick is"},{"speaker":"Charles Goldfarb","startTime":1503.359,"endTime":1508.339,"body":"being 100% on when you're with"},{"speaker":"Charles Goldfarb","startTime":1508.339,"endTime":1511.999,"body":"your family. And as we again"},{"speaker":"Charles Goldfarb","startTime":1508.339,"endTime":1511.999,"body":"have also discussed, when do you"},{"speaker":"Charles Goldfarb","startTime":1511.999,"endTime":1515.329,"body":"find time for yourself outside"},{"speaker":"Charles Goldfarb","startTime":1511.999,"endTime":1515.329,"body":"of work and outside of family."},{"speaker":"Charles Goldfarb","startTime":1515.629,"endTime":1518.089,"body":"And you know, that may be"},{"speaker":"Charles Goldfarb","startTime":1515.629,"endTime":1518.089,"body":"getting up early to exercise"},{"speaker":"Charles Goldfarb","startTime":1518.089,"endTime":1521.149,"body":"which I swore I'd never do. And"},{"speaker":"Charles Goldfarb","startTime":1518.089,"endTime":1521.149,"body":"I was on the peloton way too"},{"speaker":"Charles Goldfarb","startTime":1521.149,"endTime":1525.049,"body":"early this morning. And that's"},{"speaker":"Charles Goldfarb","startTime":1521.149,"endTime":1525.049,"body":"okay, though it gives me energy"},{"speaker":"Charles Goldfarb","startTime":1525.049,"endTime":1529.549,"body":"instead of taking energy away."},{"speaker":"Charles Goldfarb","startTime":1525.049,"endTime":1529.549,"body":"And so you, you we all of us can"},{"speaker":"Charles Goldfarb","startTime":1529.549,"endTime":1532.729,"body":"make it work. It's just"},{"speaker":"Charles Goldfarb","startTime":1529.549,"endTime":1532.729,"body":"depending on finding a way to be"},{"speaker":"Charles Goldfarb","startTime":1533.029,"endTime":1535.879,"body":"on in all your activities."},{"speaker":"Chris Dy","startTime":1536.42,"endTime":1538.1,"body":"Right. And that's,"},{"speaker":"Chris Dy","startTime":1536.42,"endTime":1538.1,"body":"that's one of the things that's"},{"speaker":"Chris Dy","startTime":1538.1,"endTime":1540.95,"body":"easier said than done in terms"},{"speaker":"Chris Dy","startTime":1538.1,"endTime":1540.95,"body":"of, you know, when you're with"},{"speaker":"Chris Dy","startTime":1540.95,"endTime":1543.89,"body":"family being completely with"},{"speaker":"Chris Dy","startTime":1540.95,"endTime":1543.89,"body":"family being completely present,"},{"speaker":"Chris Dy","startTime":1543.89,"endTime":1546.86,"body":"because he has one of the things"},{"speaker":"Chris Dy","startTime":1543.89,"endTime":1546.86,"body":"about this workaholic article is"},{"speaker":"Chris Dy","startTime":1546.86,"endTime":1551.27,"body":"that the workaholic lets those"},{"speaker":"Chris Dy","startTime":1546.86,"endTime":1551.27,"body":"work related things seep into"},{"speaker":"Chris Dy","startTime":1551.3,"endTime":1555.8,"body":"all parts of their life and is"},{"speaker":"Chris Dy","startTime":1551.3,"endTime":1555.8,"body":"pervasive. And honestly, it is"},{"speaker":"Chris Dy","startTime":1555.8,"endTime":1560.09,"body":"really hard to turn it off. When"},{"speaker":"Chris Dy","startTime":1555.8,"endTime":1560.09,"body":"you're when you're, when you're"},{"speaker":"Chris Dy","startTime":1560.12,"endTime":1563.33,"body":"not at work. And you're supposed"},{"speaker":"Chris Dy","startTime":1560.12,"endTime":1563.33,"body":"to be with family and doing your"},{"speaker":"Chris Dy","startTime":1563.33,"endTime":1567.8,"body":"self care time, whatever it is."},{"speaker":"Chris Dy","startTime":1563.33,"endTime":1567.8,"body":"But I think it is trying to find"},{"speaker":"Chris Dy","startTime":1567.8,"endTime":1572.21,"body":"some way to do that. But it's"},{"speaker":"Chris Dy","startTime":1567.8,"endTime":1572.21,"body":"super hard to do. I certainly"},{"speaker":"Chris Dy","startTime":1572.21,"endTime":1575.06,"body":"don't have any. I can't say I'm"},{"speaker":"Chris Dy","startTime":1572.21,"endTime":1575.06,"body":"an expert at it."},{"speaker":"Charles Goldfarb","startTime":1576.32,"endTime":1578.39,"body":"Yeah, I guess"},{"speaker":"Charles Goldfarb","startTime":1576.32,"endTime":1578.39,"body":"I'd be interested in your"},{"speaker":"Charles Goldfarb","startTime":1578.39,"endTime":1583.01,"body":"strategy. So you know, we work"},{"speaker":"Charles Goldfarb","startTime":1578.39,"endTime":1583.01,"body":"hard here, not passing judgment"},{"speaker":"Charles Goldfarb","startTime":1583.01,"endTime":1586.31,"body":"and other institutions. But you"},{"speaker":"Charles Goldfarb","startTime":1583.01,"endTime":1586.31,"body":"know, put in a long day, I'm"},{"speaker":"Charles Goldfarb","startTime":1586.31,"endTime":1589.07,"body":"trying to be better about you"},{"speaker":"Charles Goldfarb","startTime":1586.31,"endTime":1589.07,"body":"know, I try to finish my email"},{"speaker":"Charles Goldfarb","startTime":1589.07,"endTime":1592.58,"body":"before I go home. And then I may"},{"speaker":"Charles Goldfarb","startTime":1589.07,"endTime":1592.58,"body":"have a few more to clean up. I'm"},{"speaker":"Charles Goldfarb","startTime":1592.58,"endTime":1596.39,"body":"trying to do my research"},{"speaker":"Charles Goldfarb","startTime":1592.58,"endTime":1596.39,"body":"activities during the daytime at"},{"speaker":"Charles Goldfarb","startTime":1596.39,"endTime":1599.75,"body":"work, or at selective hours on"},{"speaker":"Charles Goldfarb","startTime":1596.39,"endTime":1599.75,"body":"the weekend, typically, before"},{"speaker":"Charles Goldfarb","startTime":1599.75,"endTime":1603.53,"body":"the family wakes up, trying to"},{"speaker":"Charles Goldfarb","startTime":1599.75,"endTime":1603.53,"body":"avoid going home and just"},{"speaker":"Charles Goldfarb","startTime":1603.53,"endTime":1606.74,"body":"opening the computer, which I"},{"speaker":"Charles Goldfarb","startTime":1603.53,"endTime":1606.74,"body":"have been guilty of, but but try"},{"speaker":"Charles Goldfarb","startTime":1606.74,"endTime":1607.61,"body":"to control."},{"speaker":"Chris Dy","startTime":1608.48,"endTime":1610.97,"body":"Yeah, I've really"},{"speaker":"Chris Dy","startTime":1608.48,"endTime":1610.97,"body":"tried to avoid that. And"},{"speaker":"Chris Dy","startTime":1610.97,"endTime":1612.95,"body":"obviously there are going to be"},{"speaker":"Chris Dy","startTime":1610.97,"endTime":1612.95,"body":"exceptions to that, like when"},{"speaker":"Chris Dy","startTime":1612.95,"endTime":1616.1,"body":"you're doing a webinar or"},{"speaker":"Chris Dy","startTime":1612.95,"endTime":1616.1,"body":"something you don't have to. But"},{"speaker":"Chris Dy","startTime":1616.13,"endTime":1619.91,"body":"yeah, I've tried to be tried to"},{"speaker":"Chris Dy","startTime":1616.13,"endTime":1619.91,"body":"be good about that. But there"},{"speaker":"Chris Dy","startTime":1619.91,"endTime":1622.28,"body":"are just times where, especially"},{"speaker":"Chris Dy","startTime":1619.91,"endTime":1622.28,"body":"with like, you know, the"},{"speaker":"Chris Dy","startTime":1622.28,"endTime":1624.98,"body":"pandemic and you know, during"},{"speaker":"Chris Dy","startTime":1622.28,"endTime":1624.98,"body":"that work from home time and"},{"speaker":"Chris Dy","startTime":1624.98,"endTime":1628.04,"body":"more flexibility and stuff for"},{"speaker":"Chris Dy","startTime":1624.98,"endTime":1628.04,"body":"those of us that do academic"},{"speaker":"Chris Dy","startTime":1628.04,"endTime":1631.79,"body":"work, and you know, those lines"},{"speaker":"Chris Dy","startTime":1628.04,"endTime":1631.79,"body":"just get very blurred, it was"},{"speaker":"Chris Dy","startTime":1631.79,"endTime":1634.61,"body":"much easier before to draw a"},{"speaker":"Chris Dy","startTime":1631.79,"endTime":1634.61,"body":"very clear line. But there are"},{"speaker":"Chris Dy","startTime":1634.61,"endTime":1636.8,"body":"times where I would just rather"},{"speaker":"Chris Dy","startTime":1634.61,"endTime":1636.8,"body":"be home and around. But then"},{"speaker":"Chris Dy","startTime":1636.8,"endTime":1639.44,"body":"also I know that being home and"},{"speaker":"Chris Dy","startTime":1636.8,"endTime":1639.44,"body":"around, there's the expectation"},{"speaker":"Chris Dy","startTime":1639.44,"endTime":1642.65,"body":"that I am home, and I am there"},{"speaker":"Chris Dy","startTime":1639.44,"endTime":1642.65,"body":"with them not necessarily"},{"speaker":"Chris Dy","startTime":1642.65,"endTime":1646.73,"body":"working. It's kind of hard to"},{"speaker":"Chris Dy","startTime":1642.65,"endTime":1646.73,"body":"explain that, to at least at"},{"speaker":"Chris Dy","startTime":1646.73,"endTime":1648.53,"body":"this stage, a seven year old and"},{"speaker":"Chris Dy","startTime":1646.73,"endTime":1648.53,"body":"a four year old."},{"speaker":"Charles Goldfarb","startTime":1649.07,"endTime":1652.34,"body":"Yeah, for"},{"speaker":"Charles Goldfarb","startTime":1649.07,"endTime":1652.34,"body":"sure. Should we It won't take"},{"speaker":"Charles Goldfarb","startTime":1652.34,"endTime":1655.01,"body":"long, but you want to go through"},{"speaker":"Charles Goldfarb","startTime":1652.34,"endTime":1655.01,"body":"some of the specific recommended"},{"speaker":"Charles Goldfarb","startTime":1655.01,"endTime":1655.76,"body":"actions."},{"speaker":"Chris Dy","startTime":1655.97,"endTime":1658.121,"body":"Yeah, they talked"},{"speaker":"Chris Dy","startTime":1655.97,"endTime":1658.121,"body":"about D personalizing the"},{"speaker":"Chris Dy","startTime":1658.171,"endTime":1660.973,"body":"actions of your workaholic"},{"speaker":"Chris Dy","startTime":1658.171,"endTime":1660.973,"body":"colleague, they use some very"},{"speaker":"Chris Dy","startTime":1661.023,"endTime":1663.825,"body":"fancy social psychology term"},{"speaker":"Chris Dy","startTime":1661.023,"endTime":1663.825,"body":"here called the fundamental"},{"speaker":"Chris Dy","startTime":1663.875,"endTime":1667.027,"body":"attribution error. And I'll skip"},{"speaker":"Chris Dy","startTime":1663.875,"endTime":1667.027,"body":"their definition of it. But it"},{"speaker":"Chris Dy","startTime":1667.077,"endTime":1669.929,"body":"says here, in other words, your"},{"speaker":"Chris Dy","startTime":1667.077,"endTime":1669.929,"body":"colleague is probably not"},{"speaker":"Chris Dy","startTime":1669.98,"endTime":1673.232,"body":"overworking to intimidate or one"},{"speaker":"Chris Dy","startTime":1669.98,"endTime":1673.232,"body":"up you. And debias your thinking"},{"speaker":"Chris Dy","startTime":1673.282,"endTime":1676.334,"body":"by considering other reasons for"},{"speaker":"Chris Dy","startTime":1673.282,"endTime":1676.334,"body":"their behavior. Perhaps your"},{"speaker":"Chris Dy","startTime":1676.384,"endTime":1679.036,"body":"colleague is going through"},{"speaker":"Chris Dy","startTime":1676.384,"endTime":1679.036,"body":"something personally or is"},{"speaker":"Chris Dy","startTime":1679.086,"endTime":1682.138,"body":"throwing themselves into work as"},{"speaker":"Chris Dy","startTime":1679.086,"endTime":1682.138,"body":"an escape, or maybe they are"},{"speaker":"Chris Dy","startTime":1682.188,"endTime":1683.99,"body":"reacting to a past workplace trauma."},{"speaker":"Charles Goldfarb","startTime":1684.92,"endTime":1688.1,"body":"There's a lot"},{"speaker":"Charles Goldfarb","startTime":1684.92,"endTime":1688.1,"body":"there. But the bottom artists,"},{"speaker":"Charles Goldfarb","startTime":1688.22,"endTime":1691.49,"body":"let them do their thing, and you"},{"speaker":"Charles Goldfarb","startTime":1688.22,"endTime":1691.49,"body":"do yours."},{"speaker":"Chris Dy","startTime":1691.88,"endTime":1694.52,"body":"And there's probably a"},{"speaker":"Chris Dy","startTime":1691.88,"endTime":1694.52,"body":"reason why. Right. And I think"},{"speaker":"Chris Dy","startTime":1694.52,"endTime":1697.19,"body":"that we and and you and I have"},{"speaker":"Chris Dy","startTime":1694.52,"endTime":1697.19,"body":"talked about this, I think"},{"speaker":"Chris Dy","startTime":1697.19,"endTime":1700.55,"body":"personally not necessarily in"},{"speaker":"Chris Dy","startTime":1697.19,"endTime":1700.55,"body":"the context of the podcast, we"},{"speaker":"Chris Dy","startTime":1700.55,"endTime":1702.53,"body":"don't give other people the"},{"speaker":"Chris Dy","startTime":1700.55,"endTime":1702.53,"body":"benefit of the doubt enough."},{"speaker":"Chris Dy","startTime":1703.19,"endTime":1705.74,"body":"Like maybe they just have some"},{"speaker":"Chris Dy","startTime":1703.19,"endTime":1705.74,"body":"stuff they're going through, and"},{"speaker":"Chris Dy","startTime":1705.74,"endTime":1707.9,"body":"they just need to throw"},{"speaker":"Chris Dy","startTime":1705.74,"endTime":1707.9,"body":"themselves into work to ignore"},{"speaker":"Chris Dy","startTime":1707.9,"endTime":1710.72,"body":"everything else that's going on."},{"speaker":"Chris Dy","startTime":1707.9,"endTime":1710.72,"body":"And this is their way of coping,"},{"speaker":"Chris Dy","startTime":1710.93,"endTime":1713.96,"body":"and they're not trying to put"},{"speaker":"Chris Dy","startTime":1710.93,"endTime":1713.96,"body":"you down by working more hours"},{"speaker":"Chris Dy","startTime":1713.96,"endTime":1717.5,"body":"or doing whatever else. This is"},{"speaker":"Chris Dy","startTime":1713.96,"endTime":1717.5,"body":"just what they need right now."},{"speaker":"Chris Dy","startTime":1718.67,"endTime":1722.66,"body":"And we just assume that other"},{"speaker":"Chris Dy","startTime":1718.67,"endTime":1722.66,"body":"people, we assume that we"},{"speaker":"Chris Dy","startTime":1722.66,"endTime":1725.69,"body":"understand their intentions, and"},{"speaker":"Chris Dy","startTime":1722.66,"endTime":1725.69,"body":"we probably have no idea,"},{"speaker":"Charles Goldfarb","startTime":1726.65,"endTime":1729.143,"body":"And I think I"},{"speaker":"Charles Goldfarb","startTime":1726.65,"endTime":1729.143,"body":"have learned that lesson and"},{"speaker":"Charles Goldfarb","startTime":1729.202,"endTime":1732.704,"body":"then had to relearn it and"},{"speaker":"Charles Goldfarb","startTime":1729.202,"endTime":1732.704,"body":"relearn it and relearn it and is"},{"speaker":"Charles Goldfarb","startTime":1732.763,"endTime":1736.503,"body":"give people the benefit of the"},{"speaker":"Charles Goldfarb","startTime":1732.763,"endTime":1736.503,"body":"doubt and assume best intentions"},{"speaker":"Charles Goldfarb","startTime":1736.562,"endTime":1740.005,"body":"and make them prove you're"},{"speaker":"Charles Goldfarb","startTime":1736.562,"endTime":1740.005,"body":"really wrong before you give up"},{"speaker":"Charles Goldfarb","startTime":1740.065,"endTime":1740.54,"body":"on that."},{"speaker":"Chris Dy","startTime":1741.14,"endTime":1744.2,"body":"Right? Wait, I'm sure"},{"speaker":"Chris Dy","startTime":1741.14,"endTime":1744.2,"body":"that's probably a leadership"},{"speaker":"Chris Dy","startTime":1744.2,"endTime":1746.63,"body":"lesson that you have to live"},{"speaker":"Chris Dy","startTime":1744.2,"endTime":1746.63,"body":"every day."},{"speaker":"Charles Goldfarb","startTime":1747.56,"endTime":1750.86,"body":"Well, we all"},{"speaker":"Charles Goldfarb","startTime":1747.56,"endTime":1750.86,"body":"should remember to avoid"},{"speaker":"Charles Goldfarb","startTime":1750.86,"endTime":1755.54,"body":"glorifying the behavior. That's"},{"speaker":"Charles Goldfarb","startTime":1750.86,"endTime":1755.54,"body":"a little tricky, because you"},{"speaker":"Charles Goldfarb","startTime":1755.54,"endTime":1759.32,"body":"want to be a good partner, you"},{"speaker":"Charles Goldfarb","startTime":1755.54,"endTime":1759.32,"body":"want to be a good co worker. But"},{"speaker":"Charles Goldfarb","startTime":1759.32,"endTime":1761.66,"body":"the example is if you know your"},{"speaker":"Charles Goldfarb","startTime":1759.32,"endTime":1761.66,"body":"colleague stayed up all night,"},{"speaker":"Charles Goldfarb","startTime":1761.66,"endTime":1764.36,"body":"creating a presentation, for"},{"speaker":"Charles Goldfarb","startTime":1761.66,"endTime":1764.36,"body":"example, complimenting their"},{"speaker":"Charles Goldfarb","startTime":1764.36,"endTime":1768.77,"body":"sacrifice can be"},{"speaker":"Charles Goldfarb","startTime":1764.36,"endTime":1768.77,"body":"counterproductive. Interesting,"},{"speaker":"Charles Goldfarb","startTime":1768.8,"endTime":1770.45,"body":"I mean, if it's a good"},{"speaker":"Charles Goldfarb","startTime":1768.8,"endTime":1770.45,"body":"presentation is a good"},{"speaker":"Charles Goldfarb","startTime":1770.45,"endTime":1773.33,"body":"presentation. But I understand"},{"speaker":"Charles Goldfarb","startTime":1770.45,"endTime":1773.33,"body":"the point."},{"speaker":"Chris Dy","startTime":1774.2,"endTime":1775.73,"body":"Yeah, I understand the"},{"speaker":"Chris Dy","startTime":1774.2,"endTime":1775.73,"body":"point. I think that that's"},{"speaker":"Chris Dy","startTime":1775.73,"endTime":1779.66,"body":"probably outside of the context"},{"speaker":"Chris Dy","startTime":1775.73,"endTime":1779.66,"body":"of what what we do deal with in"},{"speaker":"Chris Dy","startTime":1779.66,"endTime":1783.62,"body":"kind of a health care, you know,"},{"speaker":"Chris Dy","startTime":1779.66,"endTime":1783.62,"body":"setting. But you know, I think"},{"speaker":"Chris Dy","startTime":1783.62,"endTime":1786.74,"body":"that there are there are times"},{"speaker":"Chris Dy","startTime":1783.62,"endTime":1786.74,"body":"where we can monitor our own"},{"speaker":"Chris Dy","startTime":1786.74,"endTime":1789.92,"body":"behavior. And even if we're"},{"speaker":"Chris Dy","startTime":1786.74,"endTime":1789.92,"body":"criticizing somebody for"},{"speaker":"Chris Dy","startTime":1789.92,"endTime":1794.18,"body":"something, we shouldn't be doing"},{"speaker":"Chris Dy","startTime":1789.92,"endTime":1794.18,"body":"the same thing. So it talks to"},{"speaker":"Chris Dy","startTime":1794.18,"endTime":1797.48,"body":"the next paragraph about, you"},{"speaker":"Chris Dy","startTime":1794.18,"endTime":1797.48,"body":"know, if you're criticizing"},{"speaker":"Chris Dy","startTime":1797.48,"endTime":1799.07,"body":"somebody about being a"},{"speaker":"Chris Dy","startTime":1797.48,"endTime":1799.07,"body":"workaholic, maybe you shouldn't"},{"speaker":"Chris Dy","startTime":1799.07,"endTime":1802.22,"body":"be sending emails on Saturday"},{"speaker":"Chris Dy","startTime":1799.07,"endTime":1802.22,"body":"night at 10pm, for example, and"},{"speaker":"Chris Dy","startTime":1802.22,"endTime":1805.01,"body":"even if you're clearing out your"},{"speaker":"Chris Dy","startTime":1802.22,"endTime":1805.01,"body":"in that inbox, because you think"},{"speaker":"Chris Dy","startTime":1805.01,"endTime":1808.07,"body":"that's a good thing for you,"},{"speaker":"Chris Dy","startTime":1805.01,"endTime":1808.07,"body":"maybe time your messages to go"},{"speaker":"Chris Dy","startTime":1808.07,"endTime":1811.16,"body":"out on Monday morning, which"},{"speaker":"Chris Dy","startTime":1808.07,"endTime":1811.16,"body":"I've often thought about, but"},{"speaker":"Chris Dy","startTime":1811.16,"endTime":1813.26,"body":"I've never quite figured out"},{"speaker":"Chris Dy","startTime":1811.16,"endTime":1813.26,"body":"exactly how to do."},{"speaker":"Charles Goldfarb","startTime":1813.74,"endTime":1817.16,"body":"So I'll be"},{"speaker":"Charles Goldfarb","startTime":1813.74,"endTime":1817.16,"body":"honest, I've thought a lot about"},{"speaker":"Charles Goldfarb","startTime":1817.16,"endTime":1819.86,"body":"it. Because especially when I'm"},{"speaker":"Charles Goldfarb","startTime":1817.16,"endTime":1819.86,"body":"eating, I mean, I don't think"},{"speaker":"Charles Goldfarb","startTime":1819.89,"endTime":1822.14,"body":"I'll maybe I should, I think"},{"speaker":"Charles Goldfarb","startTime":1819.89,"endTime":1822.14,"body":"should think about what every"},{"speaker":"Charles Goldfarb","startTime":1822.14,"endTime":1825.56,"body":"email but I think more about it"},{"speaker":"Charles Goldfarb","startTime":1822.14,"endTime":1825.56,"body":"with staff and, and I don't want"},{"speaker":"Charles Goldfarb","startTime":1826.34,"endTime":1829.34,"body":"people to feel like they have to"},{"speaker":"Charles Goldfarb","startTime":1826.34,"endTime":1829.34,"body":"respond. It's not the sending of"},{"speaker":"Charles Goldfarb","startTime":1829.34,"endTime":1833.15,"body":"the email. And I'm certainly not"},{"speaker":"Charles Goldfarb","startTime":1829.34,"endTime":1833.15,"body":"trying to send any messaging"},{"speaker":"Charles Goldfarb","startTime":1833.39,"endTime":1838.76,"body":"about my work hours, but I think"},{"speaker":"Charles Goldfarb","startTime":1833.39,"endTime":1838.76,"body":"is the probably, and I don't"},{"speaker":"Charles Goldfarb","startTime":1838.76,"endTime":1842.33,"body":"expect a return email. And I've"},{"speaker":"Charles Goldfarb","startTime":1838.76,"endTime":1842.33,"body":"actually seen by lines and"},{"speaker":"Charles Goldfarb","startTime":1842.33,"endTime":1846.56,"body":"emails saying the timing of this"},{"speaker":"Charles Goldfarb","startTime":1842.33,"endTime":1846.56,"body":"email does not reflect an"},{"speaker":"Charles Goldfarb","startTime":1846.56,"endTime":1851.03,"body":"expectation to respond. But the"},{"speaker":"Charles Goldfarb","startTime":1846.56,"endTime":1851.03,"body":"point is, should we just time"},{"speaker":"Charles Goldfarb","startTime":1851.03,"endTime":1854.03,"body":"our emails actually, Outlook"},{"speaker":"Charles Goldfarb","startTime":1851.03,"endTime":1854.03,"body":"makes it super simple. I do it"},{"speaker":"Charles Goldfarb","startTime":1854.03,"endTime":1858.2,"body":"occasionally. And maybe he just"},{"speaker":"Charles Goldfarb","startTime":1854.03,"endTime":1858.2,"body":"shouldn't send emails after 6pm?"},{"speaker":"Charles Goldfarb","startTime":1858.2,"endTime":1861.23,"body":"Or, or on the weekends, maybe"},{"speaker":"Charles Goldfarb","startTime":1858.2,"endTime":1861.23,"body":"just time?"},{"speaker":"Chris Dy","startTime":1862.52,"endTime":1865.79,"body":"Yeah, no, I think"},{"speaker":"Chris Dy","startTime":1862.52,"endTime":1865.79,"body":"that, you know, we have a sense,"},{"speaker":"Chris Dy","startTime":1866.75,"endTime":1869.6,"body":"we want to clear our head clear"},{"speaker":"Chris Dy","startTime":1866.75,"endTime":1869.6,"body":"our inbox when you know, a lot"},{"speaker":"Chris Dy","startTime":1869.6,"endTime":1875.51,"body":"of us use our inbox as our to do"},{"speaker":"Chris Dy","startTime":1869.6,"endTime":1875.51,"body":"list. And so what I do, but it's"},{"speaker":"Chris Dy","startTime":1875.51,"endTime":1877.97,"body":"also like, you know, somebody's"},{"speaker":"Chris Dy","startTime":1875.51,"endTime":1877.97,"body":"going to read something, and"},{"speaker":"Chris Dy","startTime":1877.97,"endTime":1881.87,"body":"it's going to have even a split"},{"speaker":"Chris Dy","startTime":1877.97,"endTime":1881.87,"body":"second effect on them. And"},{"speaker":"Chris Dy","startTime":1881.87,"endTime":1884.69,"body":"sometimes there is that little"},{"speaker":"Chris Dy","startTime":1881.87,"endTime":1884.69,"body":"dopamine hit of just like"},{"speaker":"Chris Dy","startTime":1884.93,"endTime":1887.99,"body":"replying and being done with it."},{"speaker":"Chris Dy","startTime":1884.93,"endTime":1887.99,"body":"But it's like that repetitive"},{"speaker":"Chris Dy","startTime":1887.99,"endTime":1890.75,"body":"dopamine hit just keeps adding"},{"speaker":"Chris Dy","startTime":1887.99,"endTime":1890.75,"body":"up and adding up and then all of"},{"speaker":"Chris Dy","startTime":1890.75,"endTime":1892.79,"body":"a sudden, you're no longer"},{"speaker":"Chris Dy","startTime":1890.75,"endTime":1892.79,"body":"watching your kids soccer game."},{"speaker":"Chris Dy","startTime":1895.13,"endTime":1897.8,"body":"It's, it's, it's human nature."},{"speaker":"Charles Goldfarb","startTime":1898.729,"endTime":1902.029,"body":"It's human"},{"speaker":"Charles Goldfarb","startTime":1898.729,"endTime":1902.029,"body":"nature. The next one is resist"},{"speaker":"Charles Goldfarb","startTime":1902.029,"endTime":1902.359,"body":"appear"},{"speaker":"Chris Dy","startTime":1902.48,"endTime":1904.85,"body":"fairly timing your"},{"speaker":"Chris Dy","startTime":1902.48,"endTime":1904.85,"body":"emails is very simple. So I"},{"speaker":"Chris Dy","startTime":1904.85,"endTime":1906.5,"body":"should probably try a little"},{"speaker":"Chris Dy","startTime":1904.85,"endTime":1906.5,"body":"harder."},{"speaker":"Charles Goldfarb","startTime":1906.86,"endTime":1911.66,"body":"It is simple,"},{"speaker":"Charles Goldfarb","startTime":1906.86,"endTime":1911.66,"body":"you should play with it. The"},{"speaker":"Charles Goldfarb","startTime":1911.66,"endTime":1916.58,"body":"next one is resist peer"},{"speaker":"Charles Goldfarb","startTime":1911.66,"endTime":1916.58,"body":"pressure. You know, and I think"},{"speaker":"Charles Goldfarb","startTime":1916.58,"endTime":1919.79,"body":"that's, that's the real danger"},{"speaker":"Charles Goldfarb","startTime":1916.58,"endTime":1919.79,"body":"here. You know, trying to keep"},{"speaker":"Charles Goldfarb","startTime":1919.79,"endTime":1926.6,"body":"up trying to avoid questioning"},{"speaker":"Charles Goldfarb","startTime":1919.79,"endTime":1926.6,"body":"your work effort. I think that a"},{"speaker":"Charles Goldfarb","startTime":1926.6,"endTime":1929.6,"body":"lot of that depends on if you"},{"speaker":"Charles Goldfarb","startTime":1926.6,"endTime":1929.6,"body":"have a boss, what how you're,"},{"speaker":"Charles Goldfarb","startTime":1929.69,"endTime":1933.65,"body":"you know how your boss may see"},{"speaker":"Charles Goldfarb","startTime":1929.69,"endTime":1933.65,"body":"your work effort being validated"},{"speaker":"Charles Goldfarb","startTime":1933.65,"endTime":1936.53,"body":"and how you're handling things"},{"speaker":"Charles Goldfarb","startTime":1933.65,"endTime":1936.53,"body":"would help with that. But that's"},{"speaker":"Charles Goldfarb","startTime":1936.53,"endTime":1937.64,"body":"the trickier for me."},{"speaker":"Chris Dy","startTime":1938.45,"endTime":1942.11,"body":"Yeah, I think it is"},{"speaker":"Chris Dy","startTime":1938.45,"endTime":1942.11,"body":"really knowing thyself, and"},{"speaker":"Chris Dy","startTime":1942.44,"endTime":1945.44,"body":"setting your own, you know, talk"},{"speaker":"Chris Dy","startTime":1942.44,"endTime":1945.44,"body":"next about setting boundaries,"},{"speaker":"Chris Dy","startTime":1945.44,"endTime":1948.62,"body":"but it's knowing what you want"},{"speaker":"Chris Dy","startTime":1945.44,"endTime":1948.62,"body":"to do what you're willing to do,"},{"speaker":"Chris Dy","startTime":1948.65,"endTime":1951.62,"body":"and just saying, look, like,"},{"speaker":"Chris Dy","startTime":1948.65,"endTime":1951.62,"body":"that's what you do. This is what"},{"speaker":"Chris Dy","startTime":1951.62,"endTime":1955.1,"body":"I do. And that's it. That can be"},{"speaker":"Chris Dy","startTime":1951.62,"endTime":1955.1,"body":"hard at times, if you especially"},{"speaker":"Chris Dy","startTime":1955.1,"endTime":1958.16,"body":"if you're early on in your"},{"speaker":"Chris Dy","startTime":1955.1,"endTime":1958.16,"body":"career. You know, it's hard to"},{"speaker":"Chris Dy","startTime":1958.16,"endTime":1962.72,"body":"understand how you can maintain"},{"speaker":"Chris Dy","startTime":1958.16,"endTime":1962.72,"body":"your confidence, but also still"},{"speaker":"Chris Dy","startTime":1962.99,"endTime":1965.9,"body":"feel like you're gonna be valued"},{"speaker":"Chris Dy","startTime":1962.99,"endTime":1965.9,"body":"in the same way."},{"speaker":"Charles Goldfarb","startTime":1966.71,"endTime":1968.99,"body":"Yeah, love it."},{"speaker":"Charles Goldfarb","startTime":1966.71,"endTime":1968.99,"body":"Love it. Yeah, so the setting"},{"speaker":"Charles Goldfarb","startTime":1968.99,"endTime":1972.68,"body":"boundaries is hard. I think it's"},{"speaker":"Charles Goldfarb","startTime":1968.99,"endTime":1972.68,"body":"a matter of, certainly if"},{"speaker":"Charles Goldfarb","startTime":1972.68,"endTime":1975.83,"body":"there's a power differential, it"},{"speaker":"Charles Goldfarb","startTime":1972.68,"endTime":1975.83,"body":"can be really hard to set"},{"speaker":"Charles Goldfarb","startTime":1975.83,"endTime":1981.65,"body":"boundaries. But I think that is"},{"speaker":"Charles Goldfarb","startTime":1975.83,"endTime":1981.65,"body":"an admirable goal. And as the"},{"speaker":"Charles Goldfarb","startTime":1981.65,"endTime":1984.74,"body":"author mentions, it may"},{"speaker":"Charles Goldfarb","startTime":1981.65,"endTime":1984.74,"body":"initially be met with"},{"speaker":"Charles Goldfarb","startTime":1984.74,"endTime":1989.03,"body":"resistance, but hopefully over"},{"speaker":"Charles Goldfarb","startTime":1984.74,"endTime":1989.03,"body":"time, you know, your colleague"},{"speaker":"Charles Goldfarb","startTime":1989.03,"endTime":1989.87,"body":"will understand."},{"speaker":"Chris Dy","startTime":1991.19,"endTime":1993.38,"body":"Yeah, for sure. I"},{"speaker":"Chris Dy","startTime":1991.19,"endTime":1993.38,"body":"think that is, for example, one"},{"speaker":"Chris Dy","startTime":1993.38,"endTime":1995.96,"body":"of the things is like if"},{"speaker":"Chris Dy","startTime":1993.38,"endTime":1995.96,"body":"somebody sends you a paper and"},{"speaker":"Chris Dy","startTime":1995.96,"endTime":1998.81,"body":"says, I need this back by"},{"speaker":"Chris Dy","startTime":1995.96,"endTime":1998.81,"body":"tomorrow, if you want to be an"},{"speaker":"Chris Dy","startTime":1998.81,"endTime":2002.26,"body":"author, that's just not"},{"speaker":"Chris Dy","startTime":1998.81,"endTime":2002.26,"body":"reasonable. And I think that"},{"speaker":"Chris Dy","startTime":2002.26,"endTime":2004.63,"body":"most people, you know, if they"},{"speaker":"Chris Dy","startTime":2002.26,"endTime":2004.63,"body":"were stepped back from the"},{"speaker":"Chris Dy","startTime":2004.63,"endTime":2007.48,"body":"situation would say, that's"},{"speaker":"Chris Dy","startTime":2004.63,"endTime":2007.48,"body":"completely unreasonable. It's"},{"speaker":"Chris Dy","startTime":2007.48,"endTime":2010.39,"body":"just a matter of feeling like"},{"speaker":"Chris Dy","startTime":2007.48,"endTime":2010.39,"body":"you have the ability to say,"},{"speaker":"Chris Dy","startTime":2010.42,"endTime":2013.63,"body":"Okay, next time, like, I'm happy"},{"speaker":"Chris Dy","startTime":2010.42,"endTime":2013.63,"body":"to do this, I need a little more"},{"speaker":"Chris Dy","startTime":2013.63,"endTime":2015.91,"body":"time. And the next time I need"},{"speaker":"Chris Dy","startTime":2013.63,"endTime":2015.91,"body":"at least a certain amount of"},{"speaker":"Chris Dy","startTime":2015.91,"endTime":2020.08,"body":"time, you know, three days a"},{"speaker":"Chris Dy","startTime":2015.91,"endTime":2020.08,"body":"week or whatever, in order to do"},{"speaker":"Chris Dy","startTime":2020.08,"endTime":2024.16,"body":"that. I mean, I think there's a"},{"speaker":"Chris Dy","startTime":2020.08,"endTime":2024.16,"body":"way to do that. And to do it"},{"speaker":"Chris Dy","startTime":2024.55,"endTime":2028.12,"body":"intentionally, but still very in"},{"speaker":"Chris Dy","startTime":2024.55,"endTime":2028.12,"body":"a very collegial way."},{"speaker":"Charles Goldfarb","startTime":2028.11,"endTime":2030.537,"body":"Yes, a good"},{"speaker":"Charles Goldfarb","startTime":2028.11,"endTime":2030.537,"body":"example. It's a very good"},{"speaker":"Charles Goldfarb","startTime":2030.603,"endTime":2034.671,"body":"example. This has been fun. I"},{"speaker":"Charles Goldfarb","startTime":2030.603,"endTime":2034.671,"body":"missed our HBR discussions. It's"},{"speaker":"Charles Goldfarb","startTime":2034.737,"endTime":2035.59,"body":"been a while."},{"speaker":"Chris Dy","startTime":2035.95,"endTime":2039.49,"body":"Yes, it's a hit. In"},{"speaker":"Chris Dy","startTime":2035.95,"endTime":2039.49,"body":"terms of when people talk about,"},{"speaker":"Chris Dy","startTime":2039.49,"endTime":2042.55,"body":"you know, what they like about"},{"speaker":"Chris Dy","startTime":2039.49,"endTime":2042.55,"body":"the podcast. You know, whenever"},{"speaker":"Chris Dy","startTime":2042.55,"endTime":2045.43,"body":"I see some of our fans and"},{"speaker":"Chris Dy","startTime":2042.55,"endTime":2045.43,"body":"meetings, I asked them what they"},{"speaker":"Chris Dy","startTime":2045.43,"endTime":2048.31,"body":"liked about the podcast, and"},{"speaker":"Chris Dy","startTime":2045.43,"endTime":2048.31,"body":"they say, Chuck, and then they"},{"speaker":"Chris Dy","startTime":2048.31,"endTime":2051.13,"body":"say sports. And then they say,"},{"speaker":"Chris Dy","startTime":2048.31,"endTime":2051.13,"body":"oh, yeah, the HBr articles are"},{"speaker":"Chris Dy","startTime":2051.13,"endTime":2051.58,"body":"pretty good."},{"speaker":"Charles Goldfarb","startTime":2052.24,"endTime":2055.42,"body":"You are funny."},{"speaker":"Charles Goldfarb","startTime":2052.24,"endTime":2055.42,"body":"You're funny. All right. Well,"},{"speaker":"Charles Goldfarb","startTime":2055.42,"endTime":2060.04,"body":"this has been fun. And I'd like"},{"speaker":"Charles Goldfarb","startTime":2055.42,"endTime":2060.04,"body":"to talk again soon, but I'll try"},{"speaker":"Charles Goldfarb","startTime":2060.04,"endTime":2063.64,"body":"to wait a full two weeks before"},{"speaker":"Charles Goldfarb","startTime":2060.04,"endTime":2063.64,"body":"getting back together with you."},{"speaker":"Charles Goldfarb","startTime":2064.27,"endTime":2064.72,"body":"Yeah, I"},{"speaker":"Chris Dy","startTime":2064.72,"endTime":2066.52,"body":"think we should do"},{"speaker":"Chris Dy","startTime":2064.72,"endTime":2066.52,"body":"that. And I expect fully expect"},{"speaker":"Chris Dy","startTime":2066.52,"endTime":2069.16,"body":"to see another Saturday 5am"},{"speaker":"Chris Dy","startTime":2066.52,"endTime":2069.16,"body":"email from you. So"},{"speaker":"Charles Goldfarb","startTime":2071.35,"endTime":2073.986,"body":"I've learned"},{"speaker":"Charles Goldfarb","startTime":2071.35,"endTime":2073.986,"body":"I'm learning Dr Dy. I'm always"},{"speaker":"Charles Goldfarb","startTime":2074.048,"endTime":2077.849,"body":"learning. I may look old, but"},{"speaker":"Charles Goldfarb","startTime":2074.048,"endTime":2077.849,"body":"I'm not too old to learn. I have"},{"speaker":"Charles Goldfarb","startTime":2077.911,"endTime":2081.835,"body":"a good one. You too. Hey, Chris."},{"speaker":"Charles Goldfarb","startTime":2077.911,"endTime":2081.835,"body":"That was fun. Let's do it again"},{"speaker":"Charles Goldfarb","startTime":2081.896,"endTime":2082.51,"body":"real soon."},{"speaker":"Chris Dy","startTime":2082.51,"endTime":2085.075,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":2082.51,"endTime":2085.075,"body":"sure to check us out on Twitter"},{"speaker":"Chris Dy","startTime":2085.124,"endTime":2087.69,"body":"@handpodcast. Hey, Chuck, what's"},{"speaker":"Chris Dy","startTime":2085.124,"endTime":2087.69,"body":"your Twitter handle?"},{"speaker":"Charles Goldfarb","startTime":2088.029,"endTime":2090.9,"body":"Mine is"},{"speaker":"Charles Goldfarb","startTime":2088.029,"endTime":2090.9,"body":"@congenitalhand. What about you?"},{"speaker":"Chris Dy","startTime":2091.029,"endTime":2094.464,"body":"Mine is @ChrisDyMD"},{"speaker":"Chris Dy","startTime":2091.029,"endTime":2094.464,"body":"spelled d-y. And if you'd like"},{"speaker":"Chris Dy","startTime":2094.534,"endTime":2098.32,"body":"to email us, you can reach us at"},{"speaker":"Chris Dy","startTime":2094.534,"endTime":2098.32,"body":"handpodcast@gmail.com"},{"speaker":"Charles Goldfarb","startTime":2098.32,"endTime":2101.007,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":2098.32,"endTime":2101.007,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":2101.07,"endTime":2102.07,"body":"get your podcast"},{"speaker":"Chris Dy","startTime":2102.13,"endTime":2104.35,"body":"and be sure to leave a"},{"speaker":"Chris Dy","startTime":2102.13,"endTime":2104.35,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":2104.35,"endTime":2105.94,"body":"word out. Special thanks"},{"speaker":"Charles Goldfarb","startTime":2105.94,"endTime":2107.89,"body":"to Peter"},{"speaker":"Charles Goldfarb","startTime":2105.94,"endTime":2107.89,"body":"Martin for the amazing music."},{"speaker":"Charles Goldfarb","startTime":2108.13,"endTime":2111.4,"body":"And remember, keep the upper"},{"speaker":"Charles Goldfarb","startTime":2108.13,"endTime":2111.4,"body":"hand. Come back next time"}]}