{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":1.11,"endTime":2.13,"body":"Hey, Chris."},{"speaker":"Chris Dy","startTime":2.28,"endTime":3.45,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":2.28,"endTime":3.45,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":3.72,"endTime":5.22,"body":"I'm great. How"},{"speaker":"Charles Goldfarb","startTime":3.72,"endTime":5.22,"body":"are you?"},{"speaker":"Chris Dy","startTime":5.0,"endTime":8.6,"body":"Its 2024, first"},{"speaker":"Chris Dy","startTime":5.0,"endTime":8.6,"body":"episode of the new year."},{"speaker":"Charles Goldfarb","startTime":8.88,"endTime":11.43,"body":"It's an"},{"speaker":"Charles Goldfarb","startTime":8.88,"endTime":11.43,"body":"exciting time. Absolutely. This"},{"speaker":"Charles Goldfarb","startTime":11.43,"endTime":13.17,"body":"is year number"},{"speaker":"Chris Dy","startTime":15.179,"endTime":16.259,"body":"into our fourth year,"},{"speaker":"Charles Goldfarb","startTime":16.62,"endTime":17.28,"body":"fifth year,"},{"speaker":"Chris Dy","startTime":17.34,"endTime":19.83,"body":"fifth year. No. Oh,"},{"speaker":"Chris Dy","startTime":17.34,"endTime":19.83,"body":"yeah. into our fifth year. It's"},{"speaker":"Chris Dy","startTime":19.83,"endTime":22.23,"body":"our four year anniversary coming"},{"speaker":"Chris Dy","startTime":19.83,"endTime":22.23,"body":"up later this month. It was"},{"speaker":"Chris Dy","startTime":23.58,"endTime":25.65,"body":"totally timed around some other"},{"speaker":"Chris Dy","startTime":23.58,"endTime":25.65,"body":"world events."},{"speaker":"Charles Goldfarb","startTime":26.55,"endTime":28.89,"body":"Yes. Like"},{"speaker":"Charles Goldfarb","startTime":26.55,"endTime":28.89,"body":"COVID. For those of you not in"},{"speaker":"Charles Goldfarb","startTime":28.89,"endTime":30.42,"body":"the know. Oh,"},{"speaker":"Chris Dy","startTime":30.42,"endTime":34.83,"body":"man. Yeah, no, that"},{"speaker":"Chris Dy","startTime":30.42,"endTime":34.83,"body":"was that was a crazy time. Yeah,"},{"speaker":"Chris Dy","startTime":34.83,"endTime":38.13,"body":"so it. Let's hope nothing like"},{"speaker":"Chris Dy","startTime":34.83,"endTime":38.13,"body":"that happens anytime soon."},{"speaker":"Charles Goldfarb","startTime":38.58,"endTime":41.16,"body":"Yeah, did you?"},{"speaker":"Charles Goldfarb","startTime":38.58,"endTime":41.16,"body":"Did you have a good holiday with"},{"speaker":"Charles Goldfarb","startTime":41.16,"endTime":42.3,"body":"the family? Yeah,"},{"speaker":"Chris Dy","startTime":42.3,"endTime":45.0,"body":"holidays were good. I"},{"speaker":"Chris Dy","startTime":42.3,"endTime":45.0,"body":"traveled back and saw a family"},{"speaker":"Chris Dy","startTime":45.0,"endTime":47.46,"body":"in Florida. Actually, when we"},{"speaker":"Chris Dy","startTime":45.0,"endTime":47.46,"body":"left St. Louis. It was the same"},{"speaker":"Chris Dy","startTime":47.46,"endTime":49.83,"body":"temperature in St. Louis than it"},{"speaker":"Chris Dy","startTime":47.46,"endTime":49.83,"body":"was in Florida. But then"},{"speaker":"Chris Dy","startTime":49.83,"endTime":53.34,"body":"quickly, things plummeted back"},{"speaker":"Chris Dy","startTime":49.83,"endTime":53.34,"body":"home here in St. Louis. So I had"},{"speaker":"Chris Dy","startTime":53.34,"endTime":56.1,"body":"to remind myself that it's"},{"speaker":"Chris Dy","startTime":53.34,"endTime":56.1,"body":"actually January outside. And"},{"speaker":"Chris Dy","startTime":56.1,"endTime":58.89,"body":"it's reasonable that it's this"},{"speaker":"Chris Dy","startTime":56.1,"endTime":58.89,"body":"cold right now. Yeah,"},{"speaker":"Charles Goldfarb","startTime":58.92,"endTime":62.16,"body":"must have been"},{"speaker":"Charles Goldfarb","startTime":58.92,"endTime":62.16,"body":"fun on the behind we, we got"},{"speaker":"Charles Goldfarb","startTime":62.16,"endTime":67.59,"body":"away to Charleston, with the"},{"speaker":"Charles Goldfarb","startTime":62.16,"endTime":67.59,"body":"family and for my family, what"},{"speaker":"Charles Goldfarb","startTime":67.59,"endTime":73.29,"body":"kids rolled or we have to go"},{"speaker":"Charles Goldfarb","startTime":67.59,"endTime":73.29,"body":"somewhere to be together. And it"},{"speaker":"Charles Goldfarb","startTime":73.29,"endTime":76.8,"body":"was great. It was it was really"},{"speaker":"Charles Goldfarb","startTime":73.29,"endTime":76.8,"body":"great. It's a cool town, and we"},{"speaker":"Charles Goldfarb","startTime":76.8,"endTime":77.4,"body":"had a blast."},{"speaker":"Chris Dy","startTime":77.76,"endTime":80.64,"body":"Great food hadn't been"},{"speaker":"Chris Dy","startTime":77.76,"endTime":80.64,"body":"there in a while. But we need to"},{"speaker":"Chris Dy","startTime":80.64,"endTime":83.31,"body":"go back. It's It's been a while."},{"speaker":"Chris Dy","startTime":80.64,"endTime":83.31,"body":"Yeah, great"},{"speaker":"Charles Goldfarb","startTime":83.31,"endTime":85.47,"body":"food beaches"},{"speaker":"Charles Goldfarb","startTime":83.31,"endTime":85.47,"body":"are amazing. And we were walking"},{"speaker":"Charles Goldfarb","startTime":85.47,"endTime":90.75,"body":"on the beach, it was 55 or 60"},{"speaker":"Charles Goldfarb","startTime":85.47,"endTime":90.75,"body":"degrees. And the architecture is"},{"speaker":"Charles Goldfarb","startTime":90.75,"endTime":93.33,"body":"really amazing. The homes are"},{"speaker":"Charles Goldfarb","startTime":90.75,"endTime":93.33,"body":"beautiful. It's a really, it was"},{"speaker":"Charles Goldfarb","startTime":93.33,"endTime":96.0,"body":"a good, you know, three day"},{"speaker":"Charles Goldfarb","startTime":93.33,"endTime":96.0,"body":"visit. So"},{"speaker":"Chris Dy","startTime":96.0,"endTime":100.32,"body":"you survived the end"},{"speaker":"Chris Dy","startTime":96.0,"endTime":100.32,"body":"of 2021 or 2023. Excuse me, I'm"},{"speaker":"Chris Dy","startTime":100.32,"endTime":101.46,"body":"really missing hairs here."},{"speaker":"Charles Goldfarb","startTime":102.75,"endTime":106.5,"body":"I did had a"},{"speaker":"Charles Goldfarb","startTime":102.75,"endTime":106.5,"body":"good, had a good last couple of"},{"speaker":"Charles Goldfarb","startTime":106.5,"endTime":109.59,"body":"months. Actually. I looked at"},{"speaker":"Charles Goldfarb","startTime":106.5,"endTime":109.59,"body":"our division numbers for the"},{"speaker":"Charles Goldfarb","startTime":109.59,"endTime":113.73,"body":"last couple of months. And of"},{"speaker":"Charles Goldfarb","startTime":109.59,"endTime":113.73,"body":"course he did. And you know, it"},{"speaker":"Charles Goldfarb","startTime":113.73,"endTime":115.89,"body":"was a good month for the hand"},{"speaker":"Charles Goldfarb","startTime":113.73,"endTime":115.89,"body":"division. I'd say the last two"},{"speaker":"Charles Goldfarb","startTime":115.89,"endTime":119.1,"body":"months, were both super strong"},{"speaker":"Charles Goldfarb","startTime":115.89,"endTime":119.1,"body":"as we would expect. And what's"},{"speaker":"Charles Goldfarb","startTime":119.1,"endTime":122.01,"body":"interesting is, the numbers are"},{"speaker":"Charles Goldfarb","startTime":119.1,"endTime":122.01,"body":"yeah, there's differences"},{"speaker":"Charles Goldfarb","startTime":122.01,"endTime":123.84,"body":"between us, but we're all pretty"},{"speaker":"Charles Goldfarb","startTime":122.01,"endTime":123.84,"body":"darn busy."},{"speaker":"Chris Dy","startTime":124.65,"endTime":127.23,"body":"Yeah, yeah, no, I'm"},{"speaker":"Chris Dy","startTime":124.65,"endTime":127.23,"body":"definitely feeling that I've got"},{"speaker":"Chris Dy","startTime":127.23,"endTime":130.41,"body":"a rough couple of clinics coming"},{"speaker":"Chris Dy","startTime":127.23,"endTime":130.41,"body":"up. You know, I've had the"},{"speaker":"Chris Dy","startTime":130.41,"endTime":133.53,"body":"unfortunate, you know, every"},{"speaker":"Chris Dy","startTime":130.41,"endTime":133.53,"body":"year it's weird, like either you"},{"speaker":"Chris Dy","startTime":133.53,"endTime":135.69,"body":"lose our days, or you lose"},{"speaker":"Chris Dy","startTime":133.53,"endTime":135.69,"body":"clinic days based on the"},{"speaker":"Chris Dy","startTime":135.69,"endTime":139.74,"body":"holidays. And I've lost a few"},{"speaker":"Chris Dy","startTime":135.69,"endTime":139.74,"body":"clinic days this month because"},{"speaker":"Chris Dy","startTime":139.74,"endTime":142.83,"body":"of either holidays or travel."},{"speaker":"Chris Dy","startTime":139.74,"endTime":142.83,"body":"And I'm going to be feeling that"},{"speaker":"Chris Dy","startTime":142.86,"endTime":144.57,"body":"in the remaining clinics."},{"speaker":"Charles Goldfarb","startTime":145.079,"endTime":147.569,"body":"Yeah, next"},{"speaker":"Charles Goldfarb","startTime":145.079,"endTime":147.569,"body":"year, I'll lose or days and I'm"},{"speaker":"Charles Goldfarb","startTime":147.569,"endTime":150.419,"body":"always convinced it's better to"},{"speaker":"Charles Goldfarb","startTime":147.569,"endTime":150.419,"body":"lose our days because we have to"},{"speaker":"Charles Goldfarb","startTime":150.419,"endTime":153.959,"body":"find room for the cases you'll"},{"speaker":"Charles Goldfarb","startTime":150.419,"endTime":153.959,"body":"find it but it's tricky. It's"},{"speaker":"Charles Goldfarb","startTime":153.959,"endTime":154.349,"body":"tricky."},{"speaker":"Chris Dy","startTime":154.65,"endTime":157.11,"body":"Yeah, absolutely."},{"speaker":"Chris Dy","startTime":154.65,"endTime":157.11,"body":"Well, I guess you know, I old me"},{"speaker":"Chris Dy","startTime":157.14,"endTime":160.95,"body":"2023 me would be stressing about"},{"speaker":"Chris Dy","startTime":157.14,"endTime":160.95,"body":"which days I'm missing. But 2020"},{"speaker":"Chris Dy","startTime":160.95,"endTime":162.3,"body":"For me, it's just gonna go with"},{"speaker":"Chris Dy","startTime":160.95,"endTime":162.3,"body":"it."},{"speaker":"Charles Goldfarb","startTime":162.63,"endTime":164.64,"body":"You'll say"},{"speaker":"Charles Goldfarb","startTime":162.63,"endTime":164.64,"body":"that now? Yeah."},{"speaker":"Chris Dy","startTime":165.479,"endTime":168.929,"body":"Exactly. Any, any"},{"speaker":"Chris Dy","startTime":165.479,"endTime":168.929,"body":"resolutions, or affirmations, as"},{"speaker":"Chris Dy","startTime":168.929,"endTime":171.359,"body":"they call them now, New Year's"},{"speaker":"Chris Dy","startTime":168.929,"endTime":171.359,"body":"affirmations that you want to"},{"speaker":"Chris Dy","startTime":171.359,"endTime":173.909,"body":"put out into the airspace."},{"speaker":"Charles Goldfarb","startTime":175.08,"endTime":178.56,"body":"You know,"},{"speaker":"Charles Goldfarb","startTime":175.08,"endTime":178.56,"body":"Talia had asked our family to"},{"speaker":"Charles Goldfarb","startTime":178.74,"endTime":183.75,"body":"each come up with a word that"},{"speaker":"Charles Goldfarb","startTime":178.74,"endTime":183.75,"body":"kind of summarizes what we want"},{"speaker":"Charles Goldfarb","startTime":183.75,"endTime":185.52,"body":"to do differently for the year,"},{"speaker":"Charles Goldfarb","startTime":183.75,"endTime":185.52,"body":"which I thought was kind of"},{"speaker":"Charles Goldfarb","startTime":185.52,"endTime":191.46,"body":"cute. Toys was, you know, be"},{"speaker":"Charles Goldfarb","startTime":185.52,"endTime":191.46,"body":"present. When you're present and"},{"speaker":"Charles Goldfarb","startTime":191.46,"endTime":195.51,"body":"all aspects of my word was,"},{"speaker":"Charles Goldfarb","startTime":191.46,"endTime":195.51,"body":"listen, be a better listener."},{"speaker":"Charles Goldfarb","startTime":196.41,"endTime":199.86,"body":"You know, what's interesting is,"},{"speaker":"Charles Goldfarb","startTime":196.41,"endTime":199.86,"body":"especially as you're, you know,"},{"speaker":"Charles Goldfarb","startTime":199.89,"endTime":202.86,"body":"in meetings, and we're all doing"},{"speaker":"Charles Goldfarb","startTime":199.89,"endTime":202.86,"body":"all these zoom meetings, and"},{"speaker":"Charles Goldfarb","startTime":202.86,"endTime":205.38,"body":"hopefully, you know, hopefully I"},{"speaker":"Charles Goldfarb","startTime":202.86,"endTime":205.38,"body":"am focused on the meeting and"},{"speaker":"Charles Goldfarb","startTime":205.38,"endTime":207.3,"body":"that multitasking, but if I'm"},{"speaker":"Charles Goldfarb","startTime":205.38,"endTime":207.3,"body":"focused on the meeting,"},{"speaker":"Charles Goldfarb","startTime":207.51,"endTime":211.08,"body":"sometimes I'm trying to figure"},{"speaker":"Charles Goldfarb","startTime":207.51,"endTime":211.08,"body":"out what I'm going to say in"},{"speaker":"Charles Goldfarb","startTime":211.08,"endTime":214.68,"body":"response, and that makes me a"},{"speaker":"Charles Goldfarb","startTime":211.08,"endTime":214.68,"body":"bad listener. So I'm trying to"},{"speaker":"Charles Goldfarb","startTime":214.68,"endTime":219.03,"body":"do better with being present"},{"speaker":"Charles Goldfarb","startTime":214.68,"endTime":219.03,"body":"like Thalia, but also listening,"},{"speaker":"Charles Goldfarb","startTime":219.03,"endTime":220.41,"body":"really listening to people."},{"speaker":"Chris Dy","startTime":222.3,"endTime":225.63,"body":"I mean, I think that"},{"speaker":"Chris Dy","startTime":222.3,"endTime":225.63,"body":"your Word of the Year actually"},{"speaker":"Chris Dy","startTime":225.63,"endTime":229.02,"body":"corresponds with two of my New"},{"speaker":"Chris Dy","startTime":225.63,"endTime":229.02,"body":"Year's resolutions here,"},{"speaker":"Chris Dy","startTime":229.32,"endTime":233.37,"body":"actually went from I didn't make"},{"speaker":"Chris Dy","startTime":229.32,"endTime":233.37,"body":"I was telling our fellow Emily's"},{"speaker":"Chris Dy","startTime":233.37,"endTime":236.07,"body":"older sister the other day, I"},{"speaker":"Chris Dy","startTime":233.37,"endTime":236.07,"body":"was not a New Year's resolution"},{"speaker":"Chris Dy","startTime":236.07,"endTime":240.33,"body":"guy until the year I was a"},{"speaker":"Chris Dy","startTime":236.07,"endTime":240.33,"body":"fellow. And I was so rundown, as"},{"speaker":"Chris Dy","startTime":240.33,"endTime":243.03,"body":"they would say, Now burnt out in"},{"speaker":"Chris Dy","startTime":240.33,"endTime":243.03,"body":"the middle of fellowship year,"},{"speaker":"Chris Dy","startTime":243.06,"endTime":248.28,"body":"but I, I made my only New Year's"},{"speaker":"Chris Dy","startTime":243.06,"endTime":248.28,"body":"resolution to that date, which"},{"speaker":"Chris Dy","startTime":248.28,"endTime":251.49,"body":"was to work out three times a"},{"speaker":"Chris Dy","startTime":248.28,"endTime":251.49,"body":"week, because I was just getting"},{"speaker":"Chris Dy","startTime":251.49,"endTime":255.66,"body":"crushed as if it's different."},{"speaker":"Chris Dy","startTime":251.49,"endTime":255.66,"body":"Now. We've got more fellows,"},{"speaker":"Chris Dy","startTime":255.69,"endTime":259.38,"body":"different faculty composition,"},{"speaker":"Chris Dy","startTime":255.69,"endTime":259.38,"body":"but that year actually stuck to"},{"speaker":"Chris Dy","startTime":259.38,"endTime":262.47,"body":"and haven't missed a week since"},{"speaker":"Chris Dy","startTime":259.38,"endTime":262.47,"body":"then. And have actually elevated"},{"speaker":"Chris Dy","startTime":262.47,"endTime":264.69,"body":"that number. But that was my"},{"speaker":"Chris Dy","startTime":262.47,"endTime":264.69,"body":"first ever New Year's"},{"speaker":"Chris Dy","startTime":264.69,"endTime":269.04,"body":"resolution. But this year, I"},{"speaker":"Chris Dy","startTime":264.69,"endTime":269.04,"body":"went, I have some aspirational"},{"speaker":"Chris Dy","startTime":269.07,"endTime":271.71,"body":"kind of immeasurable ones like"},{"speaker":"Chris Dy","startTime":269.07,"endTime":271.71,"body":"you, but then also a couple of"},{"speaker":"Chris Dy","startTime":271.71,"endTime":276.18,"body":"measurable ones. I said that I"},{"speaker":"Chris Dy","startTime":271.71,"endTime":276.18,"body":"was going to listen more, it's"},{"speaker":"Chris Dy","startTime":276.18,"endTime":280.26,"body":"actually number one. And then"},{"speaker":"Chris Dy","startTime":276.18,"endTime":280.26,"body":"also to think before I act or"},{"speaker":"Chris Dy","startTime":280.26,"endTime":283.56,"body":"speak, so it kind of combines"},{"speaker":"Chris Dy","startTime":280.26,"endTime":283.56,"body":"those two kind of matches what"},{"speaker":"Chris Dy","startTime":283.56,"endTime":287.91,"body":"you were saying. I need to leave"},{"speaker":"Chris Dy","startTime":283.56,"endTime":287.91,"body":"a little more slack in the day."},{"speaker":"Chris Dy","startTime":288.78,"endTime":292.17,"body":"Just for my overall stress"},{"speaker":"Chris Dy","startTime":288.78,"endTime":292.17,"body":"level. You know, it's funny,"},{"speaker":"Chris Dy","startTime":292.2,"endTime":295.02,"body":"trying to you know, feeling like"},{"speaker":"Chris Dy","startTime":292.2,"endTime":295.02,"body":"you're doing well in a lot of"},{"speaker":"Chris Dy","startTime":295.02,"endTime":297.78,"body":"ways professionally but then"},{"speaker":"Chris Dy","startTime":295.02,"endTime":297.78,"body":"realizing maybe to sustain I"},{"speaker":"Chris Dy","startTime":297.78,"endTime":302.88,"body":"need to do a little less So"},{"speaker":"Chris Dy","startTime":297.78,"endTime":302.88,"body":"that's a tough pill to swallow."},{"speaker":"Chris Dy","startTime":303.63,"endTime":306.93,"body":"So we'll see how that goes made"},{"speaker":"Chris Dy","startTime":303.63,"endTime":306.93,"body":"here. And my measurable goals"},{"speaker":"Chris Dy","startTime":306.93,"endTime":311.16,"body":"are kind of silly, but it's,"},{"speaker":"Chris Dy","startTime":306.93,"endTime":311.16,"body":"it's to do yoga, to stretch and"},{"speaker":"Chris Dy","startTime":311.16,"endTime":314.49,"body":"to do leg day consistently once"},{"speaker":"Chris Dy","startTime":311.16,"endTime":314.49,"body":"a week each. So we'll see how"},{"speaker":"Chris Dy","startTime":314.49,"endTime":317.04,"body":"that goes. That's measurable."},{"speaker":"Chris Dy","startTime":314.49,"endTime":317.04,"body":"And that's something I can"},{"speaker":"Chris Dy","startTime":317.04,"endTime":318.51,"body":"actually check. Check off."},{"speaker":"Charles Goldfarb","startTime":318.78,"endTime":321.09,"body":"Now that those"},{"speaker":"Charles Goldfarb","startTime":318.78,"endTime":321.09,"body":"are those are excellent. I like"},{"speaker":"Charles Goldfarb","startTime":321.09,"endTime":323.7,"body":"both the aspirational and the"},{"speaker":"Charles Goldfarb","startTime":321.09,"endTime":323.7,"body":"measurable. I might have"},{"speaker":"Charles Goldfarb","startTime":323.7,"endTime":327.57,"body":"resolution guy I will say"},{"speaker":"Charles Goldfarb","startTime":323.7,"endTime":327.57,"body":"though, I don't know when I"},{"speaker":"Charles Goldfarb","startTime":327.57,"endTime":331.14,"body":"started, but I really have been"},{"speaker":"Charles Goldfarb","startTime":327.57,"endTime":331.14,"body":"good about exercising. I think"},{"speaker":"Charles Goldfarb","startTime":331.14,"endTime":334.41,"body":"you've motivated me in part,"},{"speaker":"Charles Goldfarb","startTime":331.14,"endTime":334.41,"body":"whether I'm having my knee"},{"speaker":"Charles Goldfarb","startTime":334.41,"endTime":338.31,"body":"replaced in one month, partially"},{"speaker":"Charles Goldfarb","startTime":334.41,"endTime":338.31,"body":"or partially replaced. Thank"},{"speaker":"Charles Goldfarb","startTime":338.31,"endTime":339.81,"body":"you. And one month, that's"},{"speaker":"Chris Dy","startTime":339.81,"endTime":341.7,"body":"the total knee in"},{"speaker":"Chris Dy","startTime":339.81,"endTime":341.7,"body":"denial surgery."},{"speaker":"Charles Goldfarb","startTime":343.11,"endTime":346.2,"body":"No, I just"},{"speaker":"Charles Goldfarb","startTime":343.11,"endTime":346.2,"body":"have medial arthrosis. But, but"},{"speaker":"Charles Goldfarb","startTime":346.23,"endTime":349.08,"body":"I I've been really good about"},{"speaker":"Charles Goldfarb","startTime":346.23,"endTime":349.08,"body":"working out and I've actually"},{"speaker":"Charles Goldfarb","startTime":349.08,"endTime":353.01,"body":"been lifting over the last kind"},{"speaker":"Charles Goldfarb","startTime":349.08,"endTime":353.01,"body":"of 10 months and I at least"},{"speaker":"Charles Goldfarb","startTime":353.01,"endTime":355.98,"body":"three times a week. I've been"},{"speaker":"Charles Goldfarb","startTime":353.01,"endTime":355.98,"body":"pretty consistent. I think I'll"},{"speaker":"Charles Goldfarb","startTime":355.98,"endTime":359.13,"body":"stick to it. Hopefully the knee"},{"speaker":"Charles Goldfarb","startTime":355.98,"endTime":359.13,"body":"was surgery done set me back."},{"speaker":"Chris Dy","startTime":359.16,"endTime":361.5,"body":"That's great. Good for"},{"speaker":"Chris Dy","startTime":359.16,"endTime":361.5,"body":"you. Is that something you was"},{"speaker":"Chris Dy","startTime":361.5,"endTime":364.41,"body":"your son at the age or you guys"},{"speaker":"Chris Dy","startTime":361.5,"endTime":364.41,"body":"live together? Or your daughters"},{"speaker":"Chris Dy","startTime":364.41,"endTime":366.36,"body":"Fred instance? Well,"},{"speaker":"Charles Goldfarb","startTime":366.39,"endTime":368.91,"body":"Kylie, My"},{"speaker":"Charles Goldfarb","startTime":366.39,"endTime":368.91,"body":"middle child, who's the"},{"speaker":"Charles Goldfarb","startTime":368.91,"endTime":372.69,"body":"collegiate runner is really"},{"speaker":"Charles Goldfarb","startTime":368.91,"endTime":372.69,"body":"disciplined, like incredibly"},{"speaker":"Charles Goldfarb","startTime":372.69,"endTime":375.48,"body":"disciplined. And she was talking"},{"speaker":"Charles Goldfarb","startTime":372.69,"endTime":375.48,"body":"about how she, I think bench is"},{"speaker":"Charles Goldfarb","startTime":375.48,"endTime":380.58,"body":"120 which is pretty awesome as a"},{"speaker":"Charles Goldfarb","startTime":375.48,"endTime":380.58,"body":"runner, and she's defined. My"},{"speaker":"Charles Goldfarb","startTime":380.58,"endTime":384.93,"body":"son is not a big lifter. So this"},{"speaker":"Charles Goldfarb","startTime":380.58,"endTime":384.93,"body":"is we kind of, it's gonna sound"},{"speaker":"Charles Goldfarb","startTime":384.93,"endTime":388.35,"body":"more impressive than it probably"},{"speaker":"Charles Goldfarb","startTime":384.93,"endTime":388.35,"body":"is. We put a home gym in. When"},{"speaker":"Charles Goldfarb","startTime":388.35,"endTime":392.19,"body":"my wife sold her business. She"},{"speaker":"Charles Goldfarb","startTime":388.35,"endTime":392.19,"body":"has the my cell belts business,"},{"speaker":"Charles Goldfarb","startTime":392.19,"endTime":395.82,"body":"which was wonderful for 20"},{"speaker":"Charles Goldfarb","startTime":392.19,"endTime":395.82,"body":"years. We took the belt room in"},{"speaker":"Charles Goldfarb","startTime":395.82,"endTime":398.88,"body":"the basement and turn it into a"},{"speaker":"Charles Goldfarb","startTime":395.82,"endTime":398.88,"body":"gym, we put mirrors in a padded"},{"speaker":"Charles Goldfarb","startTime":398.88,"endTime":403.08,"body":"floor. It's really motivating. I"},{"speaker":"Charles Goldfarb","startTime":398.88,"endTime":403.08,"body":"was surprised how motivating it"},{"speaker":"Charles Goldfarb","startTime":403.08,"endTime":404.07,"body":"is. So that's been awesome."},{"speaker":"Chris Dy","startTime":404.37,"endTime":407.4,"body":"One of our partners"},{"speaker":"Chris Dy","startTime":404.37,"endTime":407.4,"body":"has a really slick home gym. I"},{"speaker":"Chris Dy","startTime":407.4,"endTime":409.95,"body":"don't know if you've seen Ryan"},{"speaker":"Chris Dy","startTime":407.4,"endTime":409.95,"body":"Cathy's gym is pretty sick."},{"speaker":"Charles Goldfarb","startTime":410.37,"endTime":412.05,"body":"No, I did not"},{"speaker":"Charles Goldfarb","startTime":410.37,"endTime":412.05,"body":"know that."},{"speaker":"Chris Dy","startTime":412.11,"endTime":414.36,"body":"I've only seen"},{"speaker":"Chris Dy","startTime":412.11,"endTime":414.36,"body":"pictures. It looks pretty"},{"speaker":"Chris Dy","startTime":414.36,"endTime":417.33,"body":"awesome. So, you know, hashtag"},{"speaker":"Chris Dy","startTime":414.36,"endTime":417.33,"body":"goals. Well,"},{"speaker":"Charles Goldfarb","startTime":418.169,"endTime":419.969,"body":"it looks like"},{"speaker":"Charles Goldfarb","startTime":418.169,"endTime":419.969,"body":"he works out. But let's invite"},{"speaker":"Charles Goldfarb","startTime":419.969,"endTime":421.229,"body":"ourselves over for a lift."},{"speaker":"Chris Dy","startTime":421.32,"endTime":424.65,"body":"Ya know, Ryan's gonna"},{"speaker":"Chris Dy","startTime":421.32,"endTime":424.65,"body":"embarrass me in another way too."},{"speaker":"Chris Dy","startTime":424.65,"endTime":428.88,"body":"So, anyway, why don't we thank"},{"speaker":"Chris Dy","startTime":424.65,"endTime":428.88,"body":"our first sponsor, and then we"},{"speaker":"Chris Dy","startTime":428.88,"endTime":431.7,"body":"can check in with a new review"},{"speaker":"Chris Dy","startTime":428.88,"endTime":431.7,"body":"and then talk about kind of the"},{"speaker":"Chris Dy","startTime":431.7,"endTime":433.32,"body":"year in summary for our"},{"speaker":"Chris Dy","startTime":431.7,"endTime":433.32,"body":"podcasts,"},{"speaker":"Charles Goldfarb","startTime":433.62,"endTime":435.03,"body":"that would be"},{"speaker":"Charles Goldfarb","startTime":433.62,"endTime":435.03,"body":"great. The upper hand is"},{"speaker":"Charles Goldfarb","startTime":435.03,"endTime":438.57,"body":"sponsored by practice link.com,"},{"speaker":"Charles Goldfarb","startTime":435.03,"endTime":438.57,"body":"the most widely used position"},{"speaker":"Charles Goldfarb","startTime":438.57,"endTime":441.3,"body":"job search and career"},{"speaker":"Charles Goldfarb","startTime":438.57,"endTime":441.3,"body":"advancement resource."},{"speaker":"Chris Dy","startTime":441.9,"endTime":444.81,"body":"Becoming a physician"},{"speaker":"Chris Dy","startTime":441.9,"endTime":444.81,"body":"is hard. Finding the right job"},{"speaker":"Chris Dy","startTime":444.81,"endTime":447.87,"body":"doesn't have to be joined"},{"speaker":"Chris Dy","startTime":444.81,"endTime":447.87,"body":"practice link for free today at"},{"speaker":"Chris Dy","startTime":447.87,"endTime":453.48,"body":"www dot practise lync.com/the"},{"speaker":"Chris Dy","startTime":447.87,"endTime":453.48,"body":"upper hand. Alright, so"},{"speaker":"Charles Goldfarb","startTime":453.48,"endTime":455.43,"body":"I think it's"},{"speaker":"Charles Goldfarb","startTime":453.48,"endTime":455.43,"body":"backslash. We"},{"speaker":"Chris Dy","startTime":455.43,"endTime":458.22,"body":"always are, you know,"},{"speaker":"Chris Dy","startTime":455.43,"endTime":458.22,"body":"practicing my locution, and I"},{"speaker":"Chris Dy","startTime":458.22,"endTime":460.62,"body":"didn't get the backslash. I"},{"speaker":"Chris Dy","startTime":458.22,"endTime":460.62,"body":"don't know which one it was."},{"speaker":"Chris Dy","startTime":461.22,"endTime":465.3,"body":"Anyway, we have a new review."},{"speaker":"Chris Dy","startTime":461.22,"endTime":465.3,"body":"And, you know, guys, it's the"},{"speaker":"Chris Dy","startTime":465.3,"endTime":468.87,"body":"first review in many months. So"},{"speaker":"Chris Dy","startTime":465.3,"endTime":468.87,"body":"thank you to Amy Pereira for"},{"speaker":"Chris Dy","startTime":468.87,"endTime":472.71,"body":"leaving a review five stars, of"},{"speaker":"Chris Dy","startTime":468.87,"endTime":472.71,"body":"course, the only option. And the"},{"speaker":"Chris Dy","startTime":472.71,"endTime":476.52,"body":"issue, the title of her review"},{"speaker":"Chris Dy","startTime":472.71,"endTime":476.52,"body":"is five plus, plus, plus stars."},{"speaker":"Chris Dy","startTime":476.94,"endTime":480.3,"body":"And Amy, thank you for writing"},{"speaker":"Chris Dy","startTime":476.94,"endTime":480.3,"body":"is a fantastic entertaining and"},{"speaker":"Chris Dy","startTime":480.3,"endTime":483.33,"body":"highly educational podcast,"},{"speaker":"Chris Dy","startTime":480.3,"endTime":483.33,"body":"thank you for taking the time to"},{"speaker":"Chris Dy","startTime":483.33,"endTime":486.18,"body":"do this. It is invaluable to me,"},{"speaker":"Chris Dy","startTime":483.33,"endTime":486.18,"body":"and it's helped my practice in"},{"speaker":"Chris Dy","startTime":486.21,"endTime":487.2,"body":"all aspects."},{"speaker":"Charles Goldfarb","startTime":488.25,"endTime":489.33,"body":"So nice."},{"speaker":"Chris Dy","startTime":490.769,"endTime":494.159,"body":"So nice. We're glad to"},{"speaker":"Chris Dy","startTime":490.769,"endTime":494.159,"body":"help. You know, it's it's fun to"},{"speaker":"Chris Dy","startTime":494.159,"endTime":497.189,"body":"talk about this stuff to talk"},{"speaker":"Chris Dy","startTime":494.159,"endTime":497.189,"body":"about hand surgery and you know,"},{"speaker":"Chris Dy","startTime":497.249,"endTime":499.499,"body":"randomly have gotten some"},{"speaker":"Chris Dy","startTime":497.249,"endTime":499.499,"body":"emails, just you know, from"},{"speaker":"Chris Dy","startTime":499.499,"endTime":502.559,"body":"people saying, you know, thanks"},{"speaker":"Chris Dy","startTime":499.499,"endTime":502.559,"body":"for doing the pod is really"},{"speaker":"Chris Dy","startTime":502.559,"endTime":505.679,"body":"helpful. In some of them. Some"},{"speaker":"Chris Dy","startTime":502.559,"endTime":505.679,"body":"of them are patients. So you"},{"speaker":"Chris Dy","startTime":505.679,"endTime":508.439,"body":"know, I think that that's an"},{"speaker":"Chris Dy","startTime":505.679,"endTime":508.439,"body":"interesting component of what we"},{"speaker":"Chris Dy","startTime":508.439,"endTime":512.249,"body":"do. You know, obviously, make"},{"speaker":"Chris Dy","startTime":508.439,"endTime":512.249,"body":"sure that we have to keep things"},{"speaker":"Chris Dy","startTime":512.279,"endTime":515.639,"body":"on the up and up in terms of"},{"speaker":"Chris Dy","startTime":512.279,"endTime":515.639,"body":"what we say. But you know, some"},{"speaker":"Chris Dy","startTime":515.639,"endTime":518.159,"body":"of the stuff I think for you,"},{"speaker":"Chris Dy","startTime":515.639,"endTime":518.159,"body":"too, comes pretty easy just to"},{"speaker":"Chris Dy","startTime":518.159,"endTime":520.529,"body":"talk about what we do on a daily"},{"speaker":"Chris Dy","startTime":518.159,"endTime":520.529,"body":"basis and what we're passionate"},{"speaker":"Chris Dy","startTime":520.529,"endTime":520.859,"body":"about."},{"speaker":"Charles Goldfarb","startTime":521.429,"endTime":523.799,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":521.429,"endTime":523.799,"body":"you and I can kind of both"},{"speaker":"Charles Goldfarb","startTime":524.009,"endTime":527.609,"body":"relate to the fact that this has"},{"speaker":"Charles Goldfarb","startTime":524.009,"endTime":527.609,"body":"been a labor of love and reviews"},{"speaker":"Charles Goldfarb","startTime":527.609,"endTime":530.849,"body":"like that, as we have continued"},{"speaker":"Charles Goldfarb","startTime":527.609,"endTime":530.849,"body":"to say really helped to inspire"},{"speaker":"Charles Goldfarb","startTime":530.849,"endTime":534.809,"body":"us to keep doing this. And you"},{"speaker":"Charles Goldfarb","startTime":530.849,"endTime":534.809,"body":"and I feel the same way. It's"},{"speaker":"Charles Goldfarb","startTime":534.809,"endTime":538.889,"body":"always hard to, you know, find"},{"speaker":"Charles Goldfarb","startTime":534.809,"endTime":538.889,"body":"the time to do this. But once we"},{"speaker":"Charles Goldfarb","startTime":538.889,"endTime":540.899,"body":"start, it's always super fun."},{"speaker":"Chris Dy","startTime":541.2,"endTime":543.3,"body":"Yeah, absolutely. So"},{"speaker":"Chris Dy","startTime":541.2,"endTime":543.3,"body":"you know, those of you that are"},{"speaker":"Chris Dy","startTime":543.3,"endTime":546.03,"body":"listening should know that Chuck"},{"speaker":"Chris Dy","startTime":543.3,"endTime":546.03,"body":"and I did our annual check in"},{"speaker":"Chris Dy","startTime":546.03,"endTime":549.6,"body":"and I've convinced him to re up"},{"speaker":"Chris Dy","startTime":546.03,"endTime":549.6,"body":"for another at least year. So"},{"speaker":"Chris Dy","startTime":549.6,"endTime":553.59,"body":"we'll see how that goes. But"},{"speaker":"Chris Dy","startTime":549.6,"endTime":553.59,"body":"speaking of the podcast that our"},{"speaker":"Chris Dy","startTime":553.83,"endTime":558.06,"body":"publisher Buzzsprout sends us a"},{"speaker":"Chris Dy","startTime":553.83,"endTime":558.06,"body":"yearly and urine summary with"},{"speaker":"Chris Dy","startTime":558.06,"endTime":561.12,"body":"some stats. So pretty cool. So"},{"speaker":"Chris Dy","startTime":558.06,"endTime":561.12,"body":"Chuck, will you really did you"},{"speaker":"Chris Dy","startTime":561.12,"endTime":563.88,"body":"realize we recorded 31 episodes"},{"speaker":"Chris Dy","startTime":561.12,"endTime":563.88,"body":"last year?"},{"speaker":"Charles Goldfarb","startTime":564.81,"endTime":566.4,"body":"That's"},{"speaker":"Charles Goldfarb","startTime":564.81,"endTime":566.4,"body":"interesting because we had gone"},{"speaker":"Charles Goldfarb","startTime":566.4,"endTime":568.95,"body":"bi weekly. So we"},{"speaker":"Chris Dy","startTime":569.16,"endTime":571.83,"body":"by month by monthly bi"},{"speaker":"Chris Dy","startTime":569.16,"endTime":571.83,"body":"weekly, I always get confused."},{"speaker":"Chris Dy","startTime":574.02,"endTime":575.16,"body":"Every other week,"},{"speaker":"Charles Goldfarb","startTime":577.08,"endTime":578.64,"body":"which is the"},{"speaker":"Charles Goldfarb","startTime":577.08,"endTime":578.64,"body":"first year we've done that, but"},{"speaker":"Charles Goldfarb","startTime":578.64,"endTime":582.24,"body":"I have to say it has made it. I"},{"speaker":"Charles Goldfarb","startTime":578.64,"endTime":582.24,"body":"think each episodes a little"},{"speaker":"Charles Goldfarb","startTime":582.24,"endTime":586.95,"body":"more special and meaningful and"},{"speaker":"Charles Goldfarb","startTime":582.24,"endTime":586.95,"body":"hopefully energetic. So 31"},{"speaker":"Charles Goldfarb","startTime":586.95,"endTime":588.81,"body":"episodes, let's go. Yeah,"},{"speaker":"Chris Dy","startTime":588.81,"endTime":591.87,"body":"absolutely. And we are"},{"speaker":"Chris Dy","startTime":588.81,"endTime":591.87,"body":"in the top 10% of all Buzzsprout"},{"speaker":"Chris Dy","startTime":591.87,"endTime":596.22,"body":"podcasts. That's I think pretty."},{"speaker":"Chris Dy","startTime":591.87,"endTime":596.22,"body":"Pretty impressive given our"},{"speaker":"Chris Dy","startTime":596.22,"endTime":597.12,"body":"humble setup here."},{"speaker":"Charles Goldfarb","startTime":597.78,"endTime":599.61,"body":"Yeah, I've"},{"speaker":"Charles Goldfarb","startTime":597.78,"endTime":599.61,"body":"thought a lot about that. You"},{"speaker":"Charles Goldfarb","startTime":599.61,"endTime":604.02,"body":"know, we have I have a obviously"},{"speaker":"Charles Goldfarb","startTime":599.61,"endTime":604.02,"body":"a wonderful audience. That is"},{"speaker":"Charles Goldfarb","startTime":604.02,"endTime":608.1,"body":"far more than and surgeons or"},{"speaker":"Charles Goldfarb","startTime":604.02,"endTime":608.1,"body":"trainees and there's therapists."},{"speaker":"Charles Goldfarb","startTime":608.1,"endTime":610.83,"body":"And there's patients, as you"},{"speaker":"Charles Goldfarb","startTime":608.1,"endTime":610.83,"body":"said, and, and there's some that"},{"speaker":"Charles Goldfarb","startTime":610.83,"endTime":614.34,"body":"just listen randomly, but it's"},{"speaker":"Charles Goldfarb","startTime":610.83,"endTime":614.34,"body":"not as if we have an audience it"},{"speaker":"Charles Goldfarb","startTime":614.34,"endTime":618.69,"body":"is, you know, is as large as one"},{"speaker":"Charles Goldfarb","startTime":614.34,"endTime":618.69,"body":"can imagine. So we do have a"},{"speaker":"Charles Goldfarb","startTime":618.69,"endTime":621.09,"body":"finite number of people who"},{"speaker":"Charles Goldfarb","startTime":618.69,"endTime":621.09,"body":"might be interested. And I think"},{"speaker":"Charles Goldfarb","startTime":621.09,"endTime":625.77,"body":"the fact that we continue to"},{"speaker":"Charles Goldfarb","startTime":621.09,"endTime":625.77,"body":"have great download numbers 2000"},{"speaker":"Charles Goldfarb","startTime":625.77,"endTime":627.96,"body":"plus a week is really awesome."},{"speaker":"Charles Goldfarb","startTime":625.77,"endTime":627.96,"body":"So"},{"speaker":"Chris Dy","startTime":627.96,"endTime":630.36,"body":"it but I totally"},{"speaker":"Chris Dy","startTime":627.96,"endTime":630.36,"body":"agree. But if you're our one of"},{"speaker":"Chris Dy","startTime":630.39,"endTime":633.57,"body":"a sponsor, or a potential"},{"speaker":"Chris Dy","startTime":630.39,"endTime":633.57,"body":"sponsor, our audience is not"},{"speaker":"Chris Dy","startTime":633.57,"endTime":639.6,"body":"finite and will continue to"},{"speaker":"Chris Dy","startTime":633.57,"endTime":639.6,"body":"grow. So, speaking of audience,"},{"speaker":"Chris Dy","startTime":639.78,"endTime":643.95,"body":"Chuck, where do you think our"},{"speaker":"Chris Dy","startTime":639.78,"endTime":643.95,"body":"our podcast was most downloaded"},{"speaker":"Chris Dy","startTime":643.95,"endTime":645.99,"body":"in 2023? City wise?"},{"speaker":"Charles Goldfarb","startTime":647.52,"endTime":649.77,"body":"Well,"},{"speaker":"Charles Goldfarb","startTime":647.52,"endTime":649.77,"body":"traditionally, I know the answer"},{"speaker":"Charles Goldfarb","startTime":649.77,"endTime":651.57,"body":"has been St. Louis, Missouri."},{"speaker":"Chris Dy","startTime":653.19,"endTime":656.1,"body":"But you would be"},{"speaker":"Chris Dy","startTime":653.19,"endTime":656.1,"body":"surprised that Chicago is"},{"speaker":"Chris Dy","startTime":656.1,"endTime":658.98,"body":"actually our most popular City,"},{"speaker":"Chris Dy","startTime":656.1,"endTime":658.98,"body":"St. Louis, coming in number two,"},{"speaker":"Chris Dy","startTime":659.34,"endTime":663.6,"body":"Sydney, New South Wales, in as"},{"speaker":"Chris Dy","startTime":659.34,"endTime":663.6,"body":"number three, good old New York."},{"speaker":"Chris Dy","startTime":663.93,"endTime":666.81,"body":"Number four. And I actually"},{"speaker":"Chris Dy","startTime":663.93,"endTime":666.81,"body":"don't know where number five is."},{"speaker":"Chris Dy","startTime":666.81,"endTime":669.96,"body":"I'm gonna embarrass myself. But"},{"speaker":"Chris Dy","startTime":666.81,"endTime":669.96,"body":"where's Omar?"},{"speaker":"Charles Goldfarb","startTime":670.92,"endTime":672.87,"body":"I don't know"},{"speaker":"Charles Goldfarb","startTime":670.92,"endTime":672.87,"body":"the answer that there must be"},{"speaker":"Chris Dy","startTime":673.89,"endTime":677.04,"body":"a big no, no, that's"},{"speaker":"Chris Dy","startTime":673.89,"endTime":677.04,"body":"somebody who's really into the"},{"speaker":"Chris Dy","startTime":677.04,"endTime":680.52,"body":"podcast, just, you know, just"},{"speaker":"Chris Dy","startTime":677.04,"endTime":680.52,"body":"listening over and over and over"},{"speaker":"Chris Dy","startTime":680.52,"endTime":680.88,"body":"again."},{"speaker":"Charles Goldfarb","startTime":681.54,"endTime":682.83,"body":"Thank you,"},{"speaker":"Charles Goldfarb","startTime":681.54,"endTime":682.83,"body":"Chicago."},{"speaker":"Chris Dy","startTime":682.86,"endTime":685.02,"body":"Yeah. Thank you,"},{"speaker":"Chris Dy","startTime":682.86,"endTime":685.02,"body":"Chicago. Thank you, New York."},{"speaker":"Chris Dy","startTime":685.02,"endTime":689.13,"body":"Thank you, Sydney. We love"},{"speaker":"Chris Dy","startTime":685.02,"endTime":689.13,"body":"having everybody listen. And"},{"speaker":"Chris Dy","startTime":689.13,"endTime":692.52,"body":"let's just run down our top five"},{"speaker":"Chris Dy","startTime":689.13,"endTime":692.52,"body":"episodes in terms of downloads."},{"speaker":"Chris Dy","startTime":692.58,"endTime":696.6,"body":"One number one was with Amy"},{"speaker":"Chris Dy","startTime":692.58,"endTime":696.6,"body":"Morin DOM power about why mess"},{"speaker":"Chris Dy","startTime":696.6,"endTime":698.94,"body":"with a good thing, diagnosis and"},{"speaker":"Chris Dy","startTime":696.6,"endTime":698.94,"body":"treatment of carpal tunnel"},{"speaker":"Chris Dy","startTime":698.94,"endTime":702.75,"body":"syndrome or collaboration with"},{"speaker":"Chris Dy","startTime":698.94,"endTime":702.75,"body":"the British society. And number"},{"speaker":"Chris Dy","startTime":702.75,"endTime":706.56,"body":"two was discussion a claw hand"},{"speaker":"Chris Dy","startTime":702.75,"endTime":706.56,"body":"number three was habit times are"},{"speaker":"Chris Dy","startTime":706.56,"endTime":710.49,"body":"changing. Number four was mallet"},{"speaker":"Chris Dy","startTime":706.56,"endTime":710.49,"body":"finger made more exciting,"},{"speaker":"Chris Dy","startTime":710.52,"endTime":713.88,"body":"pretty sure that was with Macy."},{"speaker":"Chris Dy","startTime":710.52,"endTime":713.88,"body":"And then the fifth was the"},{"speaker":"Chris Dy","startTime":713.88,"endTime":716.97,"body":"What's New enhanced surgery"},{"speaker":"Chris Dy","startTime":713.88,"endTime":716.97,"body":"episode. So super cool to see"},{"speaker":"Chris Dy","startTime":716.97,"endTime":718.23,"body":"what what everybody's into."},{"speaker":"Charles Goldfarb","startTime":718.83,"endTime":720.45,"body":"You know what,"},{"speaker":"Charles Goldfarb","startTime":718.83,"endTime":720.45,"body":"when we go back to what you said"},{"speaker":"Charles Goldfarb","startTime":720.45,"endTime":722.85,"body":"before, because you were right,"},{"speaker":"Charles Goldfarb","startTime":720.45,"endTime":722.85,"body":"when I said our audience numbers"},{"speaker":"Charles Goldfarb","startTime":722.85,"endTime":726.9,"body":"are potentially finite. What"},{"speaker":"Charles Goldfarb","startTime":722.85,"endTime":726.9,"body":"makes this podcast different is"},{"speaker":"Charles Goldfarb","startTime":726.9,"endTime":731.07,"body":"the engagement. And I think that"},{"speaker":"Charles Goldfarb","startTime":726.9,"endTime":731.07,"body":"really does distinguish this"},{"speaker":"Charles Goldfarb","startTime":731.07,"endTime":736.59,"body":"podcast and sort of the maybe"},{"speaker":"Charles Goldfarb","startTime":731.07,"endTime":736.59,"body":"I'd call it a family of podcast"},{"speaker":"Charles Goldfarb","startTime":736.86,"endTime":740.46,"body":"listeners. And I think that's"},{"speaker":"Charles Goldfarb","startTime":736.86,"endTime":740.46,"body":"why our sponsors really do"},{"speaker":"Charles Goldfarb","startTime":740.49,"endTime":741.66,"body":"appreciate what we're doing"},{"speaker":"Chris Dy","startTime":741.66,"endTime":743.67,"body":"here. Yeah,"},{"speaker":"Chris Dy","startTime":741.66,"endTime":743.67,"body":"absolutely. And, you know, I"},{"speaker":"Chris Dy","startTime":743.7,"endTime":746.94,"body":"think that we, we joke about the"},{"speaker":"Chris Dy","startTime":743.7,"endTime":746.94,"body":"sponsor thing, but it is"},{"speaker":"Chris Dy","startTime":746.94,"endTime":751.47,"body":"something that enables, you"},{"speaker":"Chris Dy","startTime":746.94,"endTime":751.47,"body":"know, a whole group to, to be"},{"speaker":"Chris Dy","startTime":751.47,"endTime":755.34,"body":"reached and to be spoken to, but"},{"speaker":"Chris Dy","startTime":751.47,"endTime":755.34,"body":"also for us, you know, it's I"},{"speaker":"Chris Dy","startTime":755.34,"endTime":758.25,"body":"have to say we probably still"},{"speaker":"Chris Dy","startTime":755.34,"endTime":758.25,"body":"will be we would still be doing"},{"speaker":"Chris Dy","startTime":758.25,"endTime":760.95,"body":"it even without the sponsors,"},{"speaker":"Chris Dy","startTime":758.25,"endTime":760.95,"body":"but it certainly makes it a"},{"speaker":"Chris Dy","startTime":760.95,"endTime":764.13,"body":"little more exciting to read,"},{"speaker":"Chris Dy","startTime":760.95,"endTime":764.13,"body":"copy and do all those sorts of"},{"speaker":"Chris Dy","startTime":764.13,"endTime":772.77,"body":"things. And I'll close with one"},{"speaker":"Chris Dy","startTime":764.13,"endTime":772.77,"body":"stat 124 25.9 1000 downloads, so"},{"speaker":"Chris Dy","startTime":772.77,"endTime":775.02,"body":"125,900 downloads,"},{"speaker":"Charles Goldfarb","startTime":775.5,"endTime":780.33,"body":"or 2023 2023"},{"speaker":"Charles Goldfarb","startTime":775.5,"endTime":780.33,"body":"Thank you to everyone listening."},{"speaker":"Charles Goldfarb","startTime":780.33,"endTime":782.22,"body":"That's amazing. I really, it's"},{"speaker":"Charles Goldfarb","startTime":780.33,"endTime":782.22,"body":"amazing."},{"speaker":"Chris Dy","startTime":782.49,"endTime":784.95,"body":"Yeah, it's pretty"},{"speaker":"Chris Dy","startTime":782.49,"endTime":784.95,"body":"cool. I it's one of those things"},{"speaker":"Chris Dy","startTime":784.95,"endTime":788.88,"body":"where it's continues to grow and"},{"speaker":"Chris Dy","startTime":784.95,"endTime":788.88,"body":"it continues to be fun. Well,"},{"speaker":"Chris Dy","startTime":788.88,"endTime":792.6,"body":"speaking of stuff, that's fun. I"},{"speaker":"Chris Dy","startTime":788.88,"endTime":792.6,"body":"will mention our next sponsor,"},{"speaker":"Chris Dy","startTime":792.6,"endTime":794.28,"body":"because the message is really"},{"speaker":"Chris Dy","startTime":792.6,"endTime":794.28,"body":"cool."},{"speaker":"Charles Goldfarb","startTime":795.0,"endTime":799.59,"body":"Can I do the"},{"speaker":"Charles Goldfarb","startTime":795.0,"endTime":799.59,"body":"honors? Yeah, absolutely. I"},{"speaker":"Charles Goldfarb","startTime":799.59,"endTime":803.1,"body":"respond sponsor, checkpoint"},{"speaker":"Charles Goldfarb","startTime":799.59,"endTime":803.1,"body":"surgical is supporting the"},{"speaker":"Charles Goldfarb","startTime":803.1,"endTime":809.31,"body":"Washington University inaugural"},{"speaker":"Charles Goldfarb","startTime":803.1,"endTime":809.31,"body":"peripheral nerve course April 5,"},{"speaker":"Charles Goldfarb","startTime":809.34,"endTime":813.33,"body":"and sixth here in St. Louis."},{"speaker":"Charles Goldfarb","startTime":809.34,"endTime":813.33,"body":"Faculty of this course will"},{"speaker":"Charles Goldfarb","startTime":813.33,"endTime":818.82,"body":"include Yours truly, Dr. D. Dr."},{"speaker":"Charles Goldfarb","startTime":813.33,"endTime":818.82,"body":"Mitchell, pet from plastic"},{"speaker":"Charles Goldfarb","startTime":818.82,"endTime":822.21,"body":"surgery and Dr. Wilson ray from"},{"speaker":"Charles Goldfarb","startTime":818.82,"endTime":822.21,"body":"neurosurgery to say combined"},{"speaker":"Charles Goldfarb","startTime":822.24,"endTime":828.93,"body":"ortho neuro plastic surgery"},{"speaker":"Charles Goldfarb","startTime":822.24,"endTime":828.93,"body":"nerve course, you can register"},{"speaker":"Charles Goldfarb","startTime":829.17,"endTime":832.05,"body":"at the link in the podcast"},{"speaker":"Charles Goldfarb","startTime":829.17,"endTime":832.05,"body":"description or on nerve"},{"speaker":"Charles Goldfarb","startTime":832.05,"endTime":835.68,"body":"master.com. We really hope to"},{"speaker":"Charles Goldfarb","startTime":832.05,"endTime":835.68,"body":"see you here because this course"},{"speaker":"Charles Goldfarb","startTime":835.68,"endTime":840.24,"body":"is excellent. I've seen the"},{"speaker":"Charles Goldfarb","startTime":835.68,"endTime":840.24,"body":"syllabus and the speakers. It's"},{"speaker":"Charles Goldfarb","startTime":840.24,"endTime":843.21,"body":"fantastic. This is not part of"},{"speaker":"Charles Goldfarb","startTime":840.24,"endTime":843.21,"body":"the copy. But you got to be"},{"speaker":"Charles Goldfarb","startTime":843.21,"endTime":844.26,"body":"here. I"},{"speaker":"Chris Dy","startTime":844.26,"endTime":846.21,"body":"think it's Thank you"},{"speaker":"Chris Dy","startTime":844.26,"endTime":846.21,"body":"for saying that. And thank you"},{"speaker":"Chris Dy","startTime":846.21,"endTime":849.36,"body":"for offering to read that I'm"},{"speaker":"Chris Dy","startTime":846.21,"endTime":849.36,"body":"super excited about it. You"},{"speaker":"Chris Dy","startTime":849.36,"endTime":852.54,"body":"know, Mitch and Zack and I have"},{"speaker":"Chris Dy","startTime":849.36,"endTime":852.54,"body":"been working hard to put this"},{"speaker":"Chris Dy","startTime":852.54,"endTime":856.26,"body":"together. Our keynote is none"},{"speaker":"Chris Dy","startTime":852.54,"endTime":856.26,"body":"other than Dr. Susan McKinnon"},{"speaker":"Chris Dy","startTime":856.71,"endTime":859.29,"body":"would have had no other way for"},{"speaker":"Chris Dy","startTime":856.71,"endTime":859.29,"body":"the inaugural WashU portfolio of"},{"speaker":"Chris Dy","startTime":859.29,"endTime":862.59,"body":"course, and hopefully this is"},{"speaker":"Chris Dy","startTime":859.29,"endTime":862.59,"body":"something that resonates and"},{"speaker":"Chris Dy","startTime":862.59,"endTime":866.31,"body":"finds an audience we've had a"},{"speaker":"Chris Dy","startTime":862.59,"endTime":866.31,"body":"lot of industry partners step up"},{"speaker":"Chris Dy","startTime":866.31,"endTime":868.86,"body":"to, to sponsor it knowing that"},{"speaker":"Chris Dy","startTime":866.31,"endTime":868.86,"body":"it's going to be a great event."},{"speaker":"Chris Dy","startTime":868.86,"endTime":872.04,"body":"And I'm super excited to be a"},{"speaker":"Chris Dy","startTime":868.86,"endTime":872.04,"body":"combination of didactics"},{"speaker":"Chris Dy","startTime":872.67,"endTime":876.03,"body":"lectures and interactive"},{"speaker":"Chris Dy","startTime":872.67,"endTime":876.03,"body":"sessions as well as cadaver"},{"speaker":"Chris Dy","startTime":876.03,"endTime":879.54,"body":"dissections the opportunity to"},{"speaker":"Chris Dy","startTime":876.03,"endTime":879.54,"body":"to do to do your own dissections"},{"speaker":"Chris Dy","startTime":879.54,"endTime":883.89,"body":"to see processions done by by"},{"speaker":"Chris Dy","startTime":879.54,"endTime":883.89,"body":"the faculty and it's pretty"},{"speaker":"Chris Dy","startTime":883.89,"endTime":887.16,"body":"cool. All the faculty are either"},{"speaker":"Chris Dy","startTime":883.89,"endTime":887.16,"body":"current washing faculty members"},{"speaker":"Chris Dy","startTime":887.16,"endTime":889.92,"body":"or alumni in some way one of the"},{"speaker":"Chris Dy","startTime":887.16,"endTime":889.92,"body":"peripheral nerve programs."},{"speaker":"Charles Goldfarb","startTime":890.52,"endTime":892.8,"body":"Yeah, it"},{"speaker":"Charles Goldfarb","startTime":890.52,"endTime":892.8,"body":"really is. I'm super excited to"},{"speaker":"Charles Goldfarb","startTime":892.8,"endTime":896.52,"body":"see how this goes and expect"},{"speaker":"Charles Goldfarb","startTime":892.8,"endTime":896.52,"body":"wonderful things and expect it"},{"speaker":"Charles Goldfarb","startTime":896.52,"endTime":898.47,"body":"to become part of our yearly"},{"speaker":"Charles Goldfarb","startTime":896.52,"endTime":898.47,"body":"calendar."},{"speaker":"Chris Dy","startTime":898.71,"endTime":901.83,"body":"Yes, let's hope so. So"},{"speaker":"Chris Dy","startTime":898.71,"endTime":901.83,"body":"why don't we get to talking"},{"speaker":"Chris Dy","startTime":901.83,"endTime":905.91,"body":"about some cases, or at least a"},{"speaker":"Chris Dy","startTime":901.83,"endTime":905.91,"body":"clinical topic, whenever we we"},{"speaker":"Chris Dy","startTime":906.54,"endTime":909.78,"body":"see fans on the road, they talk"},{"speaker":"Chris Dy","startTime":906.54,"endTime":909.78,"body":"about how much they want"},{"speaker":"Chris Dy","startTime":909.87,"endTime":914.37,"body":"technique and detail episodes."},{"speaker":"Chris Dy","startTime":909.87,"endTime":914.37,"body":"And I had a case recently that"},{"speaker":"Chris Dy","startTime":914.37,"endTime":916.89,"body":"it reminded me of, we haven't"},{"speaker":"Chris Dy","startTime":914.37,"endTime":916.89,"body":"covered kind of the nuts and"},{"speaker":"Chris Dy","startTime":916.89,"endTime":919.92,"body":"bolts of key inbox, and some of"},{"speaker":"Chris Dy","startTime":916.89,"endTime":919.92,"body":"the surgical techniques that"},{"speaker":"Chris Dy","startTime":919.92,"endTime":922.74,"body":"come along with it. So why don't"},{"speaker":"Chris Dy","startTime":919.92,"endTime":922.74,"body":"we do that?"},{"speaker":"Charles Goldfarb","startTime":923.19,"endTime":924.66,"body":"I think that's"},{"speaker":"Charles Goldfarb","startTime":923.19,"endTime":924.66,"body":"great. I think it's great. We"},{"speaker":"Charles Goldfarb","startTime":924.66,"endTime":928.32,"body":"have taken some deep dives, and"},{"speaker":"Charles Goldfarb","startTime":924.66,"endTime":928.32,"body":"we can sort of hit on things. We"},{"speaker":"Charles Goldfarb","startTime":928.32,"endTime":930.69,"body":"don't want to be overly"},{"speaker":"Charles Goldfarb","startTime":928.32,"endTime":930.69,"body":"repetitive. But I think an"},{"speaker":"Charles Goldfarb","startTime":930.69,"endTime":934.74,"body":"overview is a wonderful idea. So"},{"speaker":"Charles Goldfarb","startTime":930.69,"endTime":934.74,"body":"let's do it. Tell us a little"},{"speaker":"Charles Goldfarb","startTime":934.74,"endTime":935.46,"body":"about your case."},{"speaker":"Chris Dy","startTime":936.0,"endTime":941.55,"body":"Yeah, so Dubya, let's"},{"speaker":"Chris Dy","startTime":936.0,"endTime":941.55,"body":"say, mid 40s. woman who's had"},{"speaker":"Chris Dy","startTime":941.7,"endTime":947.22,"body":"wrist pain for years, yes, a"},{"speaker":"Chris Dy","startTime":941.7,"endTime":947.22,"body":"very, very young young woman has"},{"speaker":"Chris Dy","startTime":947.22,"endTime":950.01,"body":"had wrist pain for you know, a"},{"speaker":"Chris Dy","startTime":947.22,"endTime":950.01,"body":"couple of years on and off. But"},{"speaker":"Chris Dy","startTime":950.01,"endTime":952.38,"body":"it's really started to get worse"},{"speaker":"Chris Dy","startTime":950.01,"endTime":952.38,"body":"in the last couple of months."},{"speaker":"Chris Dy","startTime":952.86,"endTime":958.5,"body":"She comes in has some plain"},{"speaker":"Chris Dy","startTime":952.86,"endTime":958.5,"body":"films taken. And their suspicion"},{"speaker":"Chris Dy","startTime":958.5,"endTime":962.94,"body":"for key inbox disease based on"},{"speaker":"Chris Dy","startTime":958.5,"endTime":962.94,"body":"some sclerosis at at the lunate,"},{"speaker":"Chris Dy","startTime":962.94,"endTime":967.41,"body":"which is pretty much diagnostic."},{"speaker":"Chris Dy","startTime":962.94,"endTime":967.41,"body":"She had also come in with an MRI"},{"speaker":"Chris Dy","startTime":967.41,"endTime":971.49,"body":"which was confirmatory before"},{"speaker":"Chris Dy","startTime":967.41,"endTime":971.49,"body":"that I saw her. So I think you"},{"speaker":"Chris Dy","startTime":971.49,"endTime":974.31,"body":"know, how do you start to think"},{"speaker":"Chris Dy","startTime":971.49,"endTime":974.31,"body":"about that patient both in terms"},{"speaker":"Chris Dy","startTime":974.31,"endTime":976.38,"body":"of you know, you've kind of"},{"speaker":"Chris Dy","startTime":974.31,"endTime":976.38,"body":"gotten to a diagnosis, but"},{"speaker":"Chris Dy","startTime":976.38,"endTime":979.71,"body":"physical exam, what do you do?"},{"speaker":"Chris Dy","startTime":976.38,"endTime":979.71,"body":"And then how do you scrutinize"},{"speaker":"Chris Dy","startTime":979.71,"endTime":982.53,"body":"the radiographs and the imaging"},{"speaker":"Chris Dy","startTime":979.71,"endTime":982.53,"body":"to help kind of guide what you"},{"speaker":"Chris Dy","startTime":982.53,"endTime":983.22,"body":"do next?"},{"speaker":"Charles Goldfarb","startTime":984.39,"endTime":989.64,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":984.39,"endTime":989.64,"body":"it's, you know, we often have"},{"speaker":"Charles Goldfarb","startTime":989.64,"endTime":994.26,"body":"patients come in with wrist"},{"speaker":"Charles Goldfarb","startTime":989.64,"endTime":994.26,"body":"pain, but it's not common, that"},{"speaker":"Charles Goldfarb","startTime":994.26,"endTime":999.57,"body":"the complaint is central dorsal"},{"speaker":"Charles Goldfarb","startTime":994.26,"endTime":999.57,"body":"wrist pain. And so when we have"},{"speaker":"Charles Goldfarb","startTime":999.57,"endTime":1001.91,"body":"that patient, you know,"},{"speaker":"Charles Goldfarb","startTime":999.57,"endTime":1001.91,"body":"initially I'm like, Well, how"},{"speaker":"Charles Goldfarb","startTime":1001.91,"endTime":1003.95,"body":"could this be king bucks,"},{"speaker":"Charles Goldfarb","startTime":1001.91,"endTime":1003.95,"body":"because even in our practices,"},{"speaker":"Charles Goldfarb","startTime":1003.95,"endTime":1007.43,"body":"keybox is not all that common. I"},{"speaker":"Charles Goldfarb","startTime":1003.95,"endTime":1007.43,"body":"probably see five or six"},{"speaker":"Charles Goldfarb","startTime":1007.43,"endTime":1010.7,"body":"patients a year, maybe more, I"},{"speaker":"Charles Goldfarb","startTime":1007.43,"endTime":1010.7,"body":"don't I don't think dramatically"},{"speaker":"Charles Goldfarb","startTime":1010.7,"endTime":1015.11,"body":"more patients with keen box. And"},{"speaker":"Charles Goldfarb","startTime":1010.7,"endTime":1015.11,"body":"so that central dorsal pain for"},{"speaker":"Charles Goldfarb","startTime":1015.11,"endTime":1017.9,"body":"me is the hallmark. And you can"},{"speaker":"Charles Goldfarb","startTime":1015.11,"endTime":1017.9,"body":"almost put your thumb on the"},{"speaker":"Charles Goldfarb","startTime":1017.9,"endTime":1023.84,"body":"Luminate. So distal, and owner"},{"speaker":"Charles Goldfarb","startTime":1017.9,"endTime":1023.84,"body":"to listeners tubercle. And pain"},{"speaker":"Charles Goldfarb","startTime":1023.84,"endTime":1027.68,"body":"there. I won't say it's"},{"speaker":"Charles Goldfarb","startTime":1023.84,"endTime":1027.68,"body":"pathognomonic. But it really has"},{"speaker":"Charles Goldfarb","startTime":1027.68,"endTime":1029.48,"body":"to get us thinking about"},{"speaker":"Charles Goldfarb","startTime":1027.68,"endTime":1029.48,"body":"canines."},{"speaker":"Chris Dy","startTime":1029.63,"endTime":1032.03,"body":"Yeah, to me, one of"},{"speaker":"Chris Dy","startTime":1029.63,"endTime":1032.03,"body":"the things that you taught me"},{"speaker":"Chris Dy","startTime":1032.03,"endTime":1034.4,"body":"when I was in training and Dr."},{"speaker":"Chris Dy","startTime":1032.03,"endTime":1034.4,"body":"guldmann, same thing, I mean,"},{"speaker":"Chris Dy","startTime":1034.4,"endTime":1036.62,"body":"point tenderness over the"},{"speaker":"Chris Dy","startTime":1034.4,"endTime":1036.62,"body":"Luminate is keen box until"},{"speaker":"Chris Dy","startTime":1036.62,"endTime":1039.14,"body":"proven otherwise, then the"},{"speaker":"Chris Dy","startTime":1036.62,"endTime":1039.14,"body":"isolation the absence of any"},{"speaker":"Chris Dy","startTime":1039.14,"endTime":1040.16,"body":"other clinical findings."},{"speaker":"Charles Goldfarb","startTime":1040.55,"endTime":1042.98,"body":"Along with"},{"speaker":"Charles Goldfarb","startTime":1040.55,"endTime":1042.98,"body":"that I try to you know, better"},{"speaker":"Charles Goldfarb","startTime":1042.98,"endTime":1045.86,"body":"understand the integrity of this"},{"speaker":"Charles Goldfarb","startTime":1042.98,"endTime":1045.86,"body":"case linen and linen trek,"},{"speaker":"Charles Goldfarb","startTime":1045.86,"endTime":1049.88,"body":"Rachel ligaments, I always check"},{"speaker":"Charles Goldfarb","startTime":1045.86,"endTime":1049.88,"body":"impaction testing, because what"},{"speaker":"Charles Goldfarb","startTime":1049.88,"endTime":1053.36,"body":"we know that's been proven in"},{"speaker":"Charles Goldfarb","startTime":1049.88,"endTime":1053.36,"body":"the literature, is there can be"},{"speaker":"Charles Goldfarb","startTime":1053.36,"endTime":1056.96,"body":"associated soft tissue"},{"speaker":"Charles Goldfarb","startTime":1053.36,"endTime":1056.96,"body":"conditions such as SL, LT or"},{"speaker":"Charles Goldfarb","startTime":1056.96,"endTime":1061.13,"body":"TFC. Pathology, but generally,"},{"speaker":"Charles Goldfarb","startTime":1056.96,"endTime":1061.13,"body":"it's isolated dorsal central"},{"speaker":"Charles Goldfarb","startTime":1061.13,"endTime":1062.24,"body":"resting. Yeah,"},{"speaker":"Chris Dy","startTime":1062.3,"endTime":1065.15,"body":"absolutely. I mean, I"},{"speaker":"Chris Dy","startTime":1062.3,"endTime":1065.15,"body":"think that the, the issues with"},{"speaker":"Chris Dy","startTime":1065.15,"endTime":1069.11,"body":"the with the inner carpal"},{"speaker":"Chris Dy","startTime":1065.15,"endTime":1069.11,"body":"ligaments are secondary, or the"},{"speaker":"Chris Dy","startTime":1069.11,"endTime":1071.84,"body":"sequela of the main issue at the"},{"speaker":"Chris Dy","startTime":1069.11,"endTime":1071.84,"body":"lunate. But certainly something"},{"speaker":"Chris Dy","startTime":1071.84,"endTime":1075.74,"body":"that you should appreciate"},{"speaker":"Chris Dy","startTime":1071.84,"endTime":1075.74,"body":"either in terms of how it guides"},{"speaker":"Chris Dy","startTime":1075.74,"endTime":1080.15,"body":"your treatment, or how it"},{"speaker":"Chris Dy","startTime":1075.74,"endTime":1080.15,"body":"portends a prognosis. So I mean,"},{"speaker":"Chris Dy","startTime":1080.15,"endTime":1083.78,"body":"what's the for you somebody"},{"speaker":"Chris Dy","startTime":1080.15,"endTime":1083.78,"body":"that's, you know, say you look"},{"speaker":"Chris Dy","startTime":1083.78,"endTime":1086.54,"body":"at their X rays, and they don't"},{"speaker":"Chris Dy","startTime":1083.78,"endTime":1086.54,"body":"have a lot of, you know,"},{"speaker":"Chris Dy","startTime":1086.54,"endTime":1089.15,"body":"eventually with this condition,"},{"speaker":"Chris Dy","startTime":1086.54,"endTime":1089.15,"body":"the illuminate will start to"},{"speaker":"Chris Dy","startTime":1089.15,"endTime":1092.66,"body":"collapse. And as illuminate"},{"speaker":"Chris Dy","startTime":1089.15,"endTime":1092.66,"body":"starts to collapse, you may see"},{"speaker":"Chris Dy","startTime":1092.66,"endTime":1095.27,"body":"some loss of the carpal height,"},{"speaker":"Chris Dy","startTime":1092.66,"endTime":1095.27,"body":"and there a couple different"},{"speaker":"Chris Dy","startTime":1095.27,"endTime":1099.11,"body":"ways to measure that. But, you"},{"speaker":"Chris Dy","startTime":1095.27,"endTime":1099.11,"body":"know, as you start to see these"},{"speaker":"Chris Dy","startTime":1099.11,"endTime":1102.32,"body":"patients, if they have a"},{"speaker":"Chris Dy","startTime":1099.11,"endTime":1102.32,"body":"relatively maintained carpal"},{"speaker":"Chris Dy","startTime":1102.32,"endTime":1105.08,"body":"height, does that guide your"},{"speaker":"Chris Dy","startTime":1102.32,"endTime":1105.08,"body":"treatment? Does that change your"},{"speaker":"Chris Dy","startTime":1105.08,"endTime":1108.26,"body":"treatment more than if they have"},{"speaker":"Chris Dy","startTime":1105.08,"endTime":1108.26,"body":"started to collapse? Yeah,"},{"speaker":"Charles Goldfarb","startTime":1108.26,"endTime":1110.57,"body":"if I may, I"},{"speaker":"Charles Goldfarb","startTime":1108.26,"endTime":1110.57,"body":"want to take one step back, not"},{"speaker":"Charles Goldfarb","startTime":1110.57,"endTime":1112.88,"body":"for too long. So first of all,"},{"speaker":"Charles Goldfarb","startTime":1110.57,"endTime":1112.88,"body":"just make sure we're all on the"},{"speaker":"Charles Goldfarb","startTime":1112.88,"endTime":1116.09,"body":"same page. keybox is unexplained"},{"speaker":"Charles Goldfarb","startTime":1112.88,"endTime":1116.09,"body":"a bachelor in a process of"},{"speaker":"Charles Goldfarb","startTime":1116.09,"endTime":1119.57,"body":"illuminate it can be the entire"},{"speaker":"Charles Goldfarb","startTime":1116.09,"endTime":1119.57,"body":"unit, and usually is or"},{"speaker":"Charles Goldfarb","startTime":1119.57,"endTime":1123.71,"body":"sometimes it's not quite the"},{"speaker":"Charles Goldfarb","startTime":1119.57,"endTime":1123.71,"body":"entire unit. And it may be"},{"speaker":"Charles Goldfarb","startTime":1123.92,"endTime":1127.76,"body":"radiographically difficult to"},{"speaker":"Charles Goldfarb","startTime":1123.92,"endTime":1127.76,"body":"diagnose. And that's where an"},{"speaker":"Charles Goldfarb","startTime":1127.76,"endTime":1130.52,"body":"early MRI can sometimes be"},{"speaker":"Charles Goldfarb","startTime":1127.76,"endTime":1130.52,"body":"helpful. As you said, you can"},{"speaker":"Charles Goldfarb","startTime":1130.52,"endTime":1133.91,"body":"see a sclerotic line, and you"},{"speaker":"Charles Goldfarb","startTime":1130.52,"endTime":1133.91,"body":"can see collapse of the"},{"speaker":"Charles Goldfarb","startTime":1133.91,"endTime":1137.72,"body":"Luminate. And eventually, you"},{"speaker":"Charles Goldfarb","startTime":1133.91,"endTime":1137.72,"body":"see collapse of the corpus and"},{"speaker":"Charles Goldfarb","startTime":1137.72,"endTime":1140.9,"body":"arthritis. And so the case"},{"speaker":"Charles Goldfarb","startTime":1137.72,"endTime":1140.9,"body":"you're presenting sounds like a"},{"speaker":"Charles Goldfarb","startTime":1140.9,"endTime":1144.92,"body":"pretty maintained Luminate"},{"speaker":"Charles Goldfarb","startTime":1140.9,"endTime":1144.92,"body":"morphology, without dramatic"},{"speaker":"Charles Goldfarb","startTime":1144.92,"endTime":1148.7,"body":"collapse, but with pain and MRI"},{"speaker":"Charles Goldfarb","startTime":1144.92,"endTime":1148.7,"body":"changes. And so what we worry"},{"speaker":"Charles Goldfarb","startTime":1148.7,"endTime":1151.19,"body":"about is natural history. Now,"},{"speaker":"Charles Goldfarb","startTime":1148.7,"endTime":1151.19,"body":"to my knowledge, there's no"},{"speaker":"Charles Goldfarb","startTime":1151.19,"endTime":1154.1,"body":"wonderful natural history"},{"speaker":"Charles Goldfarb","startTime":1151.19,"endTime":1154.1,"body":"studies, but in this patient"},{"speaker":"Charles Goldfarb","startTime":1154.1,"endTime":1159.35,"body":"with pain, presumably a period"},{"speaker":"Charles Goldfarb","startTime":1154.1,"endTime":1159.35,"body":"of non operative intervention,"},{"speaker":"Charles Goldfarb","startTime":1159.35,"endTime":1162.62,"body":"which has failed to resolve the"},{"speaker":"Charles Goldfarb","startTime":1159.35,"endTime":1162.62,"body":"pain than I do think about"},{"speaker":"Charles Goldfarb","startTime":1162.62,"endTime":1165.17,"body":"surgery. Is that sort of where"},{"speaker":"Charles Goldfarb","startTime":1162.62,"endTime":1165.17,"body":"you are with this patient? Are"},{"speaker":"Charles Goldfarb","startTime":1165.17,"endTime":1167.9,"body":"there non operative steps we"},{"speaker":"Charles Goldfarb","startTime":1165.17,"endTime":1167.9,"body":"should discuss?"},{"speaker":"Chris Dy","startTime":1168.14,"endTime":1170.72,"body":"I actually tried"},{"speaker":"Chris Dy","startTime":1168.14,"endTime":1170.72,"body":"casting her because I thought"},{"speaker":"Chris Dy","startTime":1170.72,"endTime":1172.88,"body":"that there might be a role of"},{"speaker":"Chris Dy","startTime":1170.72,"endTime":1172.88,"body":"addressing the symptoms, we"},{"speaker":"Chris Dy","startTime":1172.88,"endTime":1176.96,"body":"didn't have any signs of"},{"speaker":"Chris Dy","startTime":1172.88,"endTime":1176.96,"body":"collapse. And at that time, the"},{"speaker":"Chris Dy","startTime":1176.96,"endTime":1179.6,"body":"other thing that needs to be"},{"speaker":"Chris Dy","startTime":1176.96,"endTime":1179.6,"body":"noted is whether there's any"},{"speaker":"Chris Dy","startTime":1179.6,"endTime":1183.65,"body":"sagittal instability in terms of"},{"speaker":"Chris Dy","startTime":1179.6,"endTime":1183.65,"body":"the Scaife illuminate interval,"},{"speaker":"Chris Dy","startTime":1183.65,"endTime":1187.01,"body":"as you mentioned, the SL"},{"speaker":"Chris Dy","startTime":1183.65,"endTime":1187.01,"body":"ligament can be compromised as"},{"speaker":"Chris Dy","startTime":1187.01,"endTime":1191.54,"body":"Luminate starts to start to"},{"speaker":"Chris Dy","startTime":1187.01,"endTime":1191.54,"body":"structurally deteriorate. And"},{"speaker":"Chris Dy","startTime":1191.54,"endTime":1194.39,"body":"you actually have written a nice"},{"speaker":"Chris Dy","startTime":1191.54,"endTime":1194.39,"body":"paper about the position of the"},{"speaker":"Chris Dy","startTime":1194.39,"endTime":1199.43,"body":"scaphoid. I know that we all"},{"speaker":"Chris Dy","startTime":1194.39,"endTime":1199.43,"body":"used to measure kind of the the"},{"speaker":"Chris Dy","startTime":1199.46,"endTime":1202.34,"body":"SLA But for this, it probably is"},{"speaker":"Chris Dy","startTime":1199.46,"endTime":1202.34,"body":"more important to measure the"},{"speaker":"Chris Dy","startTime":1202.34,"endTime":1204.02,"body":"radius skateboard angles that"},{"speaker":"Chris Dy","startTime":1202.34,"endTime":1204.02,"body":"not right?"},{"speaker":"Charles Goldfarb","startTime":1212.84,"endTime":1216.08,"body":"It's hard. And"},{"speaker":"Charles Goldfarb","startTime":1212.84,"endTime":1216.08,"body":"so having a measurement of the"},{"speaker":"Charles Goldfarb","startTime":1216.11,"endTime":1220.31,"body":"the radius to the skate void is"},{"speaker":"Charles Goldfarb","startTime":1216.11,"endTime":1220.31,"body":"much easier to measure, we sort"},{"speaker":"Charles Goldfarb","startTime":1220.31,"endTime":1222.41,"body":"of have a break point of about"},{"speaker":"Charles Goldfarb","startTime":1220.31,"endTime":1222.41,"body":"60 degrees. So if your"},{"speaker":"Charles Goldfarb","startTime":1222.41,"endTime":1225.89,"body":"skateboard is flexed more than"},{"speaker":"Charles Goldfarb","startTime":1222.41,"endTime":1225.89,"body":"60 degrees, to us, it indicates"},{"speaker":"Charles Goldfarb","startTime":1225.89,"endTime":1229.7,"body":"inter carpal collapse, and then"},{"speaker":"Charles Goldfarb","startTime":1225.89,"endTime":1229.7,"body":"your real risk of arthritis. And"},{"speaker":"Charles Goldfarb","startTime":1229.7,"endTime":1232.88,"body":"so one thing that I know you and"},{"speaker":"Charles Goldfarb","startTime":1229.7,"endTime":1232.88,"body":"I agree on is we don't want to"},{"speaker":"Charles Goldfarb","startTime":1232.88,"endTime":1236.81,"body":"watch a patient go down that"},{"speaker":"Charles Goldfarb","startTime":1232.88,"endTime":1236.81,"body":"pathway. And so we know we want"},{"speaker":"Charles Goldfarb","startTime":1236.81,"endTime":1240.95,"body":"to do a couple of things. One,"},{"speaker":"Charles Goldfarb","startTime":1236.81,"endTime":1240.95,"body":"we want to address pain. And"},{"speaker":"Charles Goldfarb","startTime":1240.95,"endTime":1245.69,"body":"two, we want to hopefully change"},{"speaker":"Charles Goldfarb","startTime":1240.95,"endTime":1245.69,"body":"what is potentially the natural"},{"speaker":"Charles Goldfarb","startTime":1245.69,"endTime":1248.9,"body":"history of going down a wrong,"},{"speaker":"Charles Goldfarb","startTime":1245.69,"endTime":1248.9,"body":"you know, or unfortunate"},{"speaker":"Charles Goldfarb","startTime":1248.9,"endTime":1252.17,"body":"pathway. And, and I love the"},{"speaker":"Charles Goldfarb","startTime":1248.9,"endTime":1252.17,"body":"idea of casting first, because,"},{"speaker":"Charles Goldfarb","startTime":1252.38,"endTime":1256.46,"body":"you know, is this situation"},{"speaker":"Charles Goldfarb","startTime":1252.38,"endTime":1256.46,"body":"where surgical treatment is not"},{"speaker":"Charles Goldfarb","startTime":1256.46,"endTime":1260.57,"body":"always a slam dunk, I think"},{"speaker":"Charles Goldfarb","startTime":1256.46,"endTime":1260.57,"body":"trying to exhaust those options."},{"speaker":"Charles Goldfarb","startTime":1261.65,"endTime":1263.63,"body":"As long as we don't take too"},{"speaker":"Charles Goldfarb","startTime":1261.65,"endTime":1263.63,"body":"long and exhausting those"},{"speaker":"Charles Goldfarb","startTime":1263.63,"endTime":1265.37,"body":"options, I think that is really"},{"speaker":"Charles Goldfarb","startTime":1263.63,"endTime":1265.37,"body":"important."},{"speaker":"Chris Dy","startTime":1265.85,"endTime":1268.25,"body":"Yeah, for me, you"},{"speaker":"Chris Dy","startTime":1265.85,"endTime":1268.25,"body":"know, for a patient without, you"},{"speaker":"Chris Dy","startTime":1268.25,"endTime":1272.96,"body":"know, any, you know, substantial"},{"speaker":"Chris Dy","startTime":1268.25,"endTime":1272.96,"body":"carpal collapse in without any,"},{"speaker":"Chris Dy","startTime":1272.99,"endTime":1275.54,"body":"you know, an advanced radio"},{"speaker":"Chris Dy","startTime":1272.99,"endTime":1275.54,"body":"escape would angle that to me,"},{"speaker":"Chris Dy","startTime":1275.54,"endTime":1277.55,"body":"as a patient, I'm going to try"},{"speaker":"Chris Dy","startTime":1275.54,"endTime":1277.55,"body":"to go a little bit slower"},{"speaker":"Chris Dy","startTime":1278.12,"endTime":1280.31,"body":"understanding fully that I'm"},{"speaker":"Chris Dy","startTime":1278.12,"endTime":1280.31,"body":"probably not going to alter the"},{"speaker":"Chris Dy","startTime":1280.31,"endTime":1282.08,"body":"natural history of this"},{"speaker":"Chris Dy","startTime":1280.31,"endTime":1282.08,"body":"condition. But like you said,"},{"speaker":"Chris Dy","startTime":1282.08,"endTime":1285.02,"body":"there is no really good natural"},{"speaker":"Chris Dy","startTime":1282.08,"endTime":1285.02,"body":"history. So I didn't know when"},{"speaker":"Chris Dy","startTime":1285.02,"endTime":1287.99,"body":"that carpal collapse is going to"},{"speaker":"Chris Dy","startTime":1285.02,"endTime":1287.99,"body":"reach a tipping point. And"},{"speaker":"Chris Dy","startTime":1287.99,"endTime":1291.5,"body":"you're going to see, you know,"},{"speaker":"Chris Dy","startTime":1287.99,"endTime":1291.5,"body":"the accelerated path have"},{"speaker":"Chris Dy","startTime":1291.5,"endTime":1296.12,"body":"arthritis. So I mean, tried"},{"speaker":"Chris Dy","startTime":1291.5,"endTime":1296.12,"body":"casting, and, you know, still"},{"speaker":"Chris Dy","startTime":1296.12,"endTime":1298.91,"body":"persistent pain after, you know,"},{"speaker":"Chris Dy","startTime":1296.12,"endTime":1298.91,"body":"a couple of months of casting."},{"speaker":"Chris Dy","startTime":1298.94,"endTime":1303.92,"body":"So we have, we had a decision to"},{"speaker":"Chris Dy","startTime":1298.94,"endTime":1303.92,"body":"make there. As you mentioned,"},{"speaker":"Chris Dy","startTime":1303.95,"endTime":1305.96,"body":"you know, there are a lot of"},{"speaker":"Chris Dy","startTime":1303.95,"endTime":1305.96,"body":"different ways to treat this"},{"speaker":"Chris Dy","startTime":1305.96,"endTime":1308.93,"body":"surgically, I think our original"},{"speaker":"Chris Dy","startTime":1305.96,"endTime":1308.93,"body":"understanding of treating this"},{"speaker":"Chris Dy","startTime":1308.93,"endTime":1311.36,"body":"surgically was based on some"},{"speaker":"Chris Dy","startTime":1308.93,"endTime":1311.36,"body":"observations about the ulnar"},{"speaker":"Chris Dy","startTime":1311.36,"endTime":1315.47,"body":"variance in some of these"},{"speaker":"Chris Dy","startTime":1311.36,"endTime":1315.47,"body":"patients. So what's what's your"},{"speaker":"Chris Dy","startTime":1315.47,"endTime":1318.14,"body":"understanding of, you know, that"},{"speaker":"Chris Dy","startTime":1315.47,"endTime":1318.14,"body":"literature in the past, and"},{"speaker":"Chris Dy","startTime":1318.14,"endTime":1320.42,"body":"maybe how that thinking has"},{"speaker":"Chris Dy","startTime":1318.14,"endTime":1320.42,"body":"changed or has not changed?"},{"speaker":"Chris Dy","startTime":1321.14,"endTime":1321.44,"body":"Yeah,"},{"speaker":"Charles Goldfarb","startTime":1321.44,"endTime":1325.19,"body":"I would say"},{"speaker":"Charles Goldfarb","startTime":1321.44,"endTime":1325.19,"body":"the single most, I'll say"},{"speaker":"Charles Goldfarb","startTime":1325.19,"endTime":1327.59,"body":"important, the single most"},{"speaker":"Charles Goldfarb","startTime":1325.19,"endTime":1327.59,"body":"important radiographic parameter"},{"speaker":"Charles Goldfarb","startTime":1327.59,"endTime":1332.09,"body":"for me, in assessing these"},{"speaker":"Charles Goldfarb","startTime":1327.59,"endTime":1332.09,"body":"patients is and remains on their"},{"speaker":"Charles Goldfarb","startTime":1332.09,"endTime":1335.75,"body":"variants. And so if the owner"},{"speaker":"Charles Goldfarb","startTime":1332.09,"endTime":1335.75,"body":"variance is negative, that is,"},{"speaker":"Charles Goldfarb","startTime":1335.75,"endTime":1339.59,"body":"the radius is longer than the"},{"speaker":"Charles Goldfarb","startTime":1335.75,"endTime":1339.59,"body":"all nine, and we are treating"},{"speaker":"Charles Goldfarb","startTime":1339.59,"endTime":1345.89,"body":"pain, then we have a very good,"},{"speaker":"Charles Goldfarb","startTime":1339.59,"endTime":1345.89,"body":"reliable surgical option, which"},{"speaker":"Charles Goldfarb","startTime":1345.89,"endTime":1349.55,"body":"changes the loading patterns"},{"speaker":"Charles Goldfarb","startTime":1345.89,"endTime":1349.55,"body":"through the carpus. And that is"},{"speaker":"Charles Goldfarb","startTime":1349.55,"endTime":1353.0,"body":"shortening the radius. And if I"},{"speaker":"Charles Goldfarb","startTime":1349.55,"endTime":1353.0,"body":"had to pick one surgery that I"},{"speaker":"Charles Goldfarb","startTime":1353.0,"endTime":1356.63,"body":"thought was most reliable, that"},{"speaker":"Charles Goldfarb","startTime":1353.0,"endTime":1356.63,"body":"would absolutely be it. If your"},{"speaker":"Charles Goldfarb","startTime":1356.63,"endTime":1360.56,"body":"owner is neutral or longer than"},{"speaker":"Charles Goldfarb","startTime":1356.63,"endTime":1360.56,"body":"your radius, further shortening"},{"speaker":"Charles Goldfarb","startTime":1360.56,"endTime":1364.19,"body":"the radius is probably not"},{"speaker":"Charles Goldfarb","startTime":1360.56,"endTime":1364.19,"body":"ideal. They're done different"},{"speaker":"Charles Goldfarb","startTime":1364.19,"endTime":1367.43,"body":"ways to try to change carpal"},{"speaker":"Charles Goldfarb","startTime":1364.19,"endTime":1367.43,"body":"loading, so such as capitate,"},{"speaker":"Charles Goldfarb","startTime":1368.6,"endTime":1372.62,"body":"shortening or other options that"},{"speaker":"Charles Goldfarb","startTime":1368.6,"endTime":1372.62,"body":"I can name a bunch, but they're"},{"speaker":"Charles Goldfarb","startTime":1372.62,"endTime":1376.37,"body":"not really relevant. But for me,"},{"speaker":"Charles Goldfarb","startTime":1372.62,"endTime":1376.37,"body":"if there is older negative"},{"speaker":"Charles Goldfarb","startTime":1376.37,"endTime":1380.03,"body":"variants, shortening the radius"},{"speaker":"Charles Goldfarb","startTime":1376.37,"endTime":1380.03,"body":"is my first choice for sure."},{"speaker":"Chris Dy","startTime":1380.66,"endTime":1382.94,"body":"Yeah, no, no, that was"},{"speaker":"Chris Dy","startTime":1380.66,"endTime":1382.94,"body":"originally described by none"},{"speaker":"Chris Dy","startTime":1382.94,"endTime":1385.04,"body":"other than the doctor"},{"speaker":"Chris Dy","startTime":1382.94,"endTime":1385.04,"body":"government, I believe. And I"},{"speaker":"Chris Dy","startTime":1385.04,"endTime":1387.26,"body":"think there have been some"},{"speaker":"Chris Dy","startTime":1385.04,"endTime":1387.26,"body":"papers otherwise, that have"},{"speaker":"Chris Dy","startTime":1387.26,"endTime":1390.11,"body":"said, you know, perhaps that's"},{"speaker":"Chris Dy","startTime":1387.26,"endTime":1390.11,"body":"not as strong of an association."},{"speaker":"Chris Dy","startTime":1390.26,"endTime":1392.51,"body":"But certainly, I think that's"},{"speaker":"Chris Dy","startTime":1390.26,"endTime":1392.51,"body":"what the experience that most"},{"speaker":"Chris Dy","startTime":1392.51,"endTime":1395.18,"body":"hand surgeons have is that it is"},{"speaker":"Chris Dy","startTime":1392.51,"endTime":1395.18,"body":"the patient with all their"},{"speaker":"Chris Dy","startTime":1395.18,"endTime":1398.54,"body":"negative variants. And the idea"},{"speaker":"Chris Dy","startTime":1395.18,"endTime":1398.54,"body":"of shortening the radius, just"},{"speaker":"Chris Dy","startTime":1398.54,"endTime":1401.15,"body":"to reiterate, what you said, is"},{"speaker":"Chris Dy","startTime":1398.54,"endTime":1401.15,"body":"to take some of that pressure"},{"speaker":"Chris Dy","startTime":1401.15,"endTime":1403.67,"body":"off of the lunation you know,"},{"speaker":"Chris Dy","startTime":1401.15,"endTime":1403.67,"body":"where that interaction that the"},{"speaker":"Chris Dy","startTime":1403.67,"endTime":1407.24,"body":"lunate fossa is, and perhaps by"},{"speaker":"Chris Dy","startTime":1403.67,"endTime":1407.24,"body":"shortening the radius to load"},{"speaker":"Chris Dy","startTime":1407.24,"endTime":1410.9,"body":"the on the carpal joint more,"},{"speaker":"Chris Dy","startTime":1407.24,"endTime":1410.9,"body":"and altra kind of the natural"},{"speaker":"Chris Dy","startTime":1410.9,"endTime":1414.23,"body":"or, you know, the pre surgical"},{"speaker":"Chris Dy","startTime":1410.9,"endTime":1414.23,"body":"distribution for that particular"},{"speaker":"Chris Dy","startTime":1414.23,"endTime":1415.46,"body":"wrist. Yeah,"},{"speaker":"Charles Goldfarb","startTime":1415.49,"endTime":1417.32,"body":"that's exactly"},{"speaker":"Charles Goldfarb","startTime":1415.49,"endTime":1417.32,"body":"right. It used to be said that"},{"speaker":"Charles Goldfarb","startTime":1417.32,"endTime":1420.65,"body":"you can consider that option for"},{"speaker":"Charles Goldfarb","startTime":1417.32,"endTime":1420.65,"body":"stage one, two and three A that"},{"speaker":"Charles Goldfarb","startTime":1420.65,"endTime":1424.94,"body":"is those without carpal collabs,"},{"speaker":"Charles Goldfarb","startTime":1420.65,"endTime":1424.94,"body":"but in three B or pan arthritis,"},{"speaker":"Charles Goldfarb","startTime":1424.94,"endTime":1429.05,"body":"stage four, you wouldn't I think"},{"speaker":"Charles Goldfarb","startTime":1424.94,"endTime":1429.05,"body":"people and there's an article"},{"speaker":"Charles Goldfarb","startTime":1429.05,"endTime":1432.32,"body":"out of here in HSS that really"},{"speaker":"Charles Goldfarb","startTime":1429.05,"endTime":1432.32,"body":"suggests that even in three B's"},{"speaker":"Charles Goldfarb","startTime":1432.38,"endTime":1436.1,"body":"absolutely can be considered"},{"speaker":"Charles Goldfarb","startTime":1432.38,"endTime":1436.1,"body":"especially when that radius is"},{"speaker":"Charles Goldfarb","startTime":1436.1,"endTime":1441.05,"body":"longer than the older so that is"},{"speaker":"Charles Goldfarb","startTime":1436.1,"endTime":1441.05,"body":"always on my mind is a"},{"speaker":"Charles Goldfarb","startTime":1441.05,"endTime":1441.8,"body":"personalized treatment."},{"speaker":"Chris Dy","startTime":1442.4,"endTime":1445.49,"body":"Yeah, you're reminds"},{"speaker":"Chris Dy","startTime":1442.4,"endTime":1445.49,"body":"me of something I was telling"},{"speaker":"Chris Dy","startTime":1445.49,"endTime":1449.42,"body":"Emily or fellow in the operating"},{"speaker":"Chris Dy","startTime":1445.49,"endTime":1449.42,"body":"room for this case, because I"},{"speaker":"Chris Dy","startTime":1449.42,"endTime":1452.3,"body":"have you know, it's not a common"},{"speaker":"Chris Dy","startTime":1449.42,"endTime":1452.3,"body":"thing to do. I actually took out"},{"speaker":"Chris Dy","startTime":1452.3,"endTime":1456.05,"body":"my notes from fellowship which"},{"speaker":"Chris Dy","startTime":1452.3,"endTime":1456.05,"body":"are stored in a handy Google Doc"},{"speaker":"Chris Dy","startTime":1456.41,"endTime":1458.81,"body":"and I was reviewing them and"},{"speaker":"Chris Dy","startTime":1456.41,"endTime":1458.81,"body":"then I was talking to Emily"},{"speaker":"Chris Dy","startTime":1458.81,"endTime":1461.9,"body":"about the condition and sort of"},{"speaker":"Chris Dy","startTime":1458.81,"endTime":1461.9,"body":"the you know your paper about"},{"speaker":"Chris Dy","startTime":1461.9,"endTime":1464.39,"body":"the raid escape one angle Ryan"},{"speaker":"Chris Dy","startTime":1461.9,"endTime":1464.39,"body":"coffees paper that she mentioned"},{"speaker":"Chris Dy","startTime":1464.39,"endTime":1468.17,"body":"about potentially treating three"},{"speaker":"Chris Dy","startTime":1464.39,"endTime":1468.17,"body":"bees with radial shortening. And"},{"speaker":"Chris Dy","startTime":1468.92,"endTime":1471.17,"body":"I was like, Do you know who"},{"speaker":"Chris Dy","startTime":1468.92,"endTime":1471.17,"body":"wrote those papers? She nailed"},{"speaker":"Chris Dy","startTime":1471.17,"endTime":1475.82,"body":"it. In the classic Goldfarb."},{"speaker":"Chris Dy","startTime":1471.17,"endTime":1475.82,"body":"contribution to literature like"},{"speaker":"Chris Dy","startTime":1475.85,"endTime":1478.76,"body":"one of our listeners send a pass"},{"speaker":"Chris Dy","startTime":1475.85,"endTime":1478.76,"body":"like a workman hammering nails"},{"speaker":"Chris Dy","startTime":1478.76,"endTime":1482.93,"body":"just continuing to have an"},{"speaker":"Chris Dy","startTime":1478.76,"endTime":1482.93,"body":"impact on our current generation"},{"speaker":"Chris Dy","startTime":1482.93,"endTime":1484.58,"body":"of learners. Well,"},{"speaker":"Charles Goldfarb","startTime":1484.58,"endTime":1486.17,"body":"I'm flattered"},{"speaker":"Charles Goldfarb","startTime":1484.58,"endTime":1486.17,"body":"and love that, you know,"},{"speaker":"Charles Goldfarb","startTime":1486.38,"endTime":1488.69,"body":"thinking back to our"},{"speaker":"Charles Goldfarb","startTime":1486.38,"endTime":1488.69,"body":"conversation with Steve Moran,"},{"speaker":"Charles Goldfarb","startTime":1489.08,"endTime":1493.37,"body":"one of the things that's"},{"speaker":"Charles Goldfarb","startTime":1489.08,"endTime":1493.37,"body":"frustrating about this diagnosis"},{"speaker":"Charles Goldfarb","startTime":1493.37,"endTime":1496.82,"body":"and treatment is part of the"},{"speaker":"Charles Goldfarb","startTime":1493.37,"endTime":1496.82,"body":"problem and defining the best"},{"speaker":"Charles Goldfarb","startTime":1496.82,"endTime":1501.86,"body":"treatment is treatment is not"},{"speaker":"Charles Goldfarb","startTime":1496.82,"endTime":1501.86,"body":"always I insulated. And so we"},{"speaker":"Charles Goldfarb","startTime":1501.86,"endTime":1507.26,"body":"often combined treatments, and I"},{"speaker":"Charles Goldfarb","startTime":1501.86,"endTime":1507.26,"body":"am guilty as charged. And so"},{"speaker":"Charles Goldfarb","startTime":1507.53,"endTime":1511.31,"body":"let's take your patient, if you"},{"speaker":"Charles Goldfarb","startTime":1507.53,"endTime":1511.31,"body":"have a 45 year old, young female"},{"speaker":"Charles Goldfarb","startTime":1511.34,"endTime":1514.73,"body":"who is older negative, and you"},{"speaker":"Charles Goldfarb","startTime":1511.34,"endTime":1514.73,"body":"say, I have a solution for you,"},{"speaker":"Charles Goldfarb","startTime":1514.73,"endTime":1518.72,"body":"I'm going to shorten your"},{"speaker":"Charles Goldfarb","startTime":1514.73,"endTime":1518.72,"body":"radius, I will often add a"},{"speaker":"Charles Goldfarb","startTime":1518.72,"endTime":1524.99,"body":"vascularized grabbed four or"},{"speaker":"Charles Goldfarb","startTime":1518.72,"endTime":1524.99,"body":"five vascularized graft. I think"},{"speaker":"Charles Goldfarb","startTime":1524.99,"endTime":1530.21,"body":"it is not a negative in any way"},{"speaker":"Charles Goldfarb","startTime":1524.99,"endTime":1530.21,"body":"and bringing the vascularity can"},{"speaker":"Charles Goldfarb","startTime":1530.21,"endTime":1531.71,"body":"be helpful. Yeah, no, I"},{"speaker":"Chris Dy","startTime":1531.71,"endTime":1534.83,"body":"think it would be nice"},{"speaker":"Chris Dy","startTime":1531.71,"endTime":1534.83,"body":"to approach this truly"},{"speaker":"Chris Dy","startTime":1534.83,"endTime":1538.13,"body":"scientifically and do one"},{"speaker":"Chris Dy","startTime":1534.83,"endTime":1538.13,"body":"procedure at a time. But I think"},{"speaker":"Chris Dy","startTime":1538.13,"endTime":1541.25,"body":"the you only got a certain"},{"speaker":"Chris Dy","startTime":1538.13,"endTime":1541.25,"body":"number of procedures in the can"},{"speaker":"Chris Dy","startTime":1541.25,"endTime":1545.54,"body":"for this patient and any patient"},{"speaker":"Chris Dy","startTime":1541.25,"endTime":1545.54,"body":"really. And, again, while you"},{"speaker":"Chris Dy","startTime":1545.54,"endTime":1548.6,"body":"want to wear your, you know,"},{"speaker":"Chris Dy","startTime":1545.54,"endTime":1548.6,"body":"academic scientific hat and say,"},{"speaker":"Chris Dy","startTime":1548.6,"endTime":1550.34,"body":"Alright, well, let's do this."},{"speaker":"Chris Dy","startTime":1548.6,"endTime":1550.34,"body":"And if this doesn't work, we'll"},{"speaker":"Chris Dy","startTime":1550.34,"endTime":1554.63,"body":"do that. I agree, I think this,"},{"speaker":"Chris Dy","startTime":1550.34,"endTime":1554.63,"body":"this tends to be a condition in"},{"speaker":"Chris Dy","startTime":1554.63,"endTime":1557.12,"body":"which we combine treatments,"},{"speaker":"Chris Dy","startTime":1554.63,"endTime":1557.12,"body":"because we don't have a firm"},{"speaker":"Chris Dy","startTime":1557.12,"endTime":1560.21,"body":"grasp of you know, which one"},{"speaker":"Chris Dy","startTime":1557.12,"endTime":1560.21,"body":"really works. And we're not"},{"speaker":"Chris Dy","startTime":1560.21,"endTime":1563.06,"body":"honestly that study is never"},{"speaker":"Chris Dy","startTime":1560.21,"endTime":1563.06,"body":"going to happen, you know, in"},{"speaker":"Chris Dy","startTime":1563.06,"endTime":1566.36,"body":"terms of getting it done from a"},{"speaker":"Chris Dy","startTime":1563.06,"endTime":1566.36,"body":"rigorous perspective. So I think"},{"speaker":"Chris Dy","startTime":1566.36,"endTime":1569.36,"body":"we end up combining treatments a"},{"speaker":"Chris Dy","startTime":1566.36,"endTime":1569.36,"body":"lot. Before we jump into the"},{"speaker":"Chris Dy","startTime":1569.36,"endTime":1572.96,"body":"surgical options a little more."},{"speaker":"Chris Dy","startTime":1569.36,"endTime":1572.96,"body":"Is there any role for injection"},{"speaker":"Chris Dy","startTime":1573.02,"endTime":1574.55,"body":"steroid injections in this"},{"speaker":"Chris Dy","startTime":1573.02,"endTime":1574.55,"body":"patient?"},{"speaker":"Charles Goldfarb","startTime":1576.38,"endTime":1579.41,"body":"You know, if"},{"speaker":"Charles Goldfarb","startTime":1576.38,"endTime":1579.41,"body":"the patient said to me that she"},{"speaker":"Charles Goldfarb","startTime":1579.44,"endTime":1582.92,"body":"needed to do X, Y, or Z and"},{"speaker":"Charles Goldfarb","startTime":1579.44,"endTime":1582.92,"body":"couldn't think about surgery for"},{"speaker":"Charles Goldfarb","startTime":1582.92,"endTime":1587.18,"body":"six months and was having pain,"},{"speaker":"Charles Goldfarb","startTime":1582.92,"endTime":1587.18,"body":"sure. But as far as altering the"},{"speaker":"Charles Goldfarb","startTime":1587.18,"endTime":1590.78,"body":"course of the disease process,"},{"speaker":"Charles Goldfarb","startTime":1587.18,"endTime":1590.78,"body":"no, not whatsoever. So it's not"},{"speaker":"Charles Goldfarb","startTime":1590.78,"endTime":1594.77,"body":"usually something I offer,"},{"speaker":"Charles Goldfarb","startTime":1590.78,"endTime":1594.77,"body":"unless the patient has a real"},{"speaker":"Charles Goldfarb","startTime":1594.77,"endTime":1596.06,"body":"need to delay intervention."},{"speaker":"Chris Dy","startTime":1596.36,"endTime":1598.25,"body":"Right. And I think"},{"speaker":"Chris Dy","startTime":1596.36,"endTime":1598.25,"body":"that's, you know, something that"},{"speaker":"Chris Dy","startTime":1598.58,"endTime":1601.85,"body":"notes same way I would approach"},{"speaker":"Chris Dy","startTime":1598.58,"endTime":1601.85,"body":"it. Before we dive into some"},{"speaker":"Chris Dy","startTime":1601.88,"endTime":1605.15,"body":"technique details for the"},{"speaker":"Chris Dy","startTime":1601.88,"endTime":1605.15,"body":"surgeries that I think we both"},{"speaker":"Chris Dy","startTime":1605.15,"endTime":1608.21,"body":"would choose for this patient."},{"speaker":"Chris Dy","startTime":1605.15,"endTime":1608.21,"body":"What do you think about like"},{"speaker":"Chris Dy","startTime":1608.21,"endTime":1611.81,"body":"core decompression of the distal"},{"speaker":"Chris Dy","startTime":1608.21,"endTime":1611.81,"body":"radius? is, you know, there's"},{"speaker":"Chris Dy","startTime":1611.81,"endTime":1613.94,"body":"been some interesting results"},{"speaker":"Chris Dy","startTime":1611.81,"endTime":1613.94,"body":"particularly coming out of South"},{"speaker":"Chris Dy","startTime":1613.94,"endTime":1615.38,"body":"America for that. Yeah,"},{"speaker":"Charles Goldfarb","startTime":1615.38,"endTime":1617.09,"body":"I think"},{"speaker":"Charles Goldfarb","startTime":1615.38,"endTime":1617.09,"body":"there's three procedures we"},{"speaker":"Charles Goldfarb","startTime":1617.09,"endTime":1619.37,"body":"should briefly discuss"},{"speaker":"Charles Goldfarb","startTime":1617.09,"endTime":1619.37,"body":"coordinate compression is one"},{"speaker":"Charles Goldfarb","startTime":1619.37,"endTime":1622.61,"body":"and and to be very clear,"},{"speaker":"Charles Goldfarb","startTime":1619.37,"endTime":1622.61,"body":"quality compression is a"},{"speaker":"Charles Goldfarb","startTime":1623.0,"endTime":1626.45,"body":"minimally invasive procedure"},{"speaker":"Charles Goldfarb","startTime":1623.0,"endTime":1626.45,"body":"where we simply it's almost like"},{"speaker":"Charles Goldfarb","startTime":1626.45,"endTime":1630.11,"body":"harvesting a distillery is Bo"},{"speaker":"Charles Goldfarb","startTime":1626.45,"endTime":1630.11,"body":"Graf is the way I think about"},{"speaker":"Charles Goldfarb","startTime":1630.11,"endTime":1632.57,"body":"it. So you could take off"},{"speaker":"Charles Goldfarb","startTime":1630.11,"endTime":1632.57,"body":"listers to Brickell music"},{"speaker":"Charles Goldfarb","startTime":1632.57,"endTime":1636.5,"body":"correct, remove some cancellous"},{"speaker":"Charles Goldfarb","startTime":1632.57,"endTime":1636.5,"body":"bone sub Luminate in the distal"},{"speaker":"Charles Goldfarb","startTime":1636.5,"endTime":1640.58,"body":"radius, and whether that changes"},{"speaker":"Charles Goldfarb","startTime":1636.5,"endTime":1640.58,"body":"loading patterns or leads to"},{"speaker":"Charles Goldfarb","startTime":1640.58,"endTime":1645.26,"body":"increase vascularity in the"},{"speaker":"Charles Goldfarb","startTime":1640.58,"endTime":1645.26,"body":"area? I don't know. But reports"},{"speaker":"Charles Goldfarb","startTime":1645.26,"endTime":1645.98,"body":"are pretty strong."},{"speaker":"Chris Dy","startTime":1647.18,"endTime":1648.71,"body":"Yeah, and I think"},{"speaker":"Chris Dy","startTime":1647.18,"endTime":1648.71,"body":"that's the kind of thing where"},{"speaker":"Chris Dy","startTime":1648.71,"endTime":1654.41,"body":"if done in a, you know, a very"},{"speaker":"Chris Dy","startTime":1648.71,"endTime":1654.41,"body":"thoughtful and deliberate way"},{"speaker":"Chris Dy","startTime":1654.47,"endTime":1659.63,"body":"can be done relatively quickly,"},{"speaker":"Chris Dy","startTime":1654.47,"endTime":1659.63,"body":"with with leaving opportunities"},{"speaker":"Chris Dy","startTime":1659.63,"endTime":1661.85,"body":"for other surgeries down the"},{"speaker":"Chris Dy","startTime":1659.63,"endTime":1661.85,"body":"line in terms of not creating a"},{"speaker":"Chris Dy","startTime":1661.85,"endTime":1665.12,"body":"ton of scarring and allowing a"},{"speaker":"Chris Dy","startTime":1661.85,"endTime":1665.12,"body":"quicker recovery. Yeah,"},{"speaker":"Charles Goldfarb","startTime":1665.18,"endTime":1668.72,"body":"totally agree."},{"speaker":"Charles Goldfarb","startTime":1665.18,"endTime":1668.72,"body":"The second surgery, I would say"},{"speaker":"Charles Goldfarb","startTime":1668.72,"endTime":1673.37,"body":"is interesting is arthroscopy."},{"speaker":"Charles Goldfarb","startTime":1668.72,"endTime":1673.37,"body":"And of course, you know, it's my"},{"speaker":"Charles Goldfarb","startTime":1673.4,"endTime":1677.18,"body":"it's in my toolbox, and I enjoy"},{"speaker":"Charles Goldfarb","startTime":1673.4,"endTime":1677.18,"body":"arthroscopy. It's a big part of"},{"speaker":"Charles Goldfarb","startTime":1677.18,"endTime":1681.05,"body":"what I do. I have to say the"},{"speaker":"Charles Goldfarb","startTime":1677.18,"endTime":1681.05,"body":"jury's out a little bit for me."},{"speaker":"Charles Goldfarb","startTime":1681.65,"endTime":1686.27,"body":"I think it's a certainly easy"},{"speaker":"Charles Goldfarb","startTime":1681.65,"endTime":1686.27,"body":"wrist to scope. Information is"},{"speaker":"Charles Goldfarb","startTime":1686.27,"endTime":1689.3,"body":"helpful. We learn about the SL"},{"speaker":"Charles Goldfarb","startTime":1686.27,"endTime":1689.3,"body":"LT ligaments TFCC, as we said,"},{"speaker":"Charles Goldfarb","startTime":1689.3,"endTime":1692.69,"body":"we learn about the status of the"},{"speaker":"Charles Goldfarb","startTime":1689.3,"endTime":1692.69,"body":"cartilage. If there's a fracture"},{"speaker":"Charles Goldfarb","startTime":1692.69,"endTime":1695.45,"body":"of the lunation, that coronal"},{"speaker":"Charles Goldfarb","startTime":1692.69,"endTime":1695.45,"body":"plane, we can see it we could"},{"speaker":"Charles Goldfarb","startTime":1695.45,"endTime":1699.14,"body":"theoretically guide screw"},{"speaker":"Charles Goldfarb","startTime":1695.45,"endTime":1699.14,"body":"placement, but I don't know that"},{"speaker":"Charles Goldfarb","startTime":1699.14,"endTime":1702.74,"body":"it's a definitive treatment. I"},{"speaker":"Charles Goldfarb","startTime":1699.14,"endTime":1702.74,"body":"think it could be an adjunct."},{"speaker":"Charles Goldfarb","startTime":1703.58,"endTime":1707.45,"body":"But it's it doesn't really stand"},{"speaker":"Charles Goldfarb","startTime":1703.58,"endTime":1707.45,"body":"alone for me for most patients."},{"speaker":"Charles Goldfarb","startTime":1707.45,"endTime":1709.97,"body":"Do you think about it"},{"speaker":"Charles Goldfarb","startTime":1707.45,"endTime":1709.97,"body":"differently? No,"},{"speaker":"Chris Dy","startTime":1709.97,"endTime":1713.57,"body":"I, I don't use it."},{"speaker":"Chris Dy","startTime":1709.97,"endTime":1713.57,"body":"Part of it probably is the fact"},{"speaker":"Chris Dy","startTime":1713.57,"endTime":1716.27,"body":"that I use it less frequently in"},{"speaker":"Chris Dy","startTime":1713.57,"endTime":1716.27,"body":"general than you in terms of"},{"speaker":"Chris Dy","startTime":1716.36,"endTime":1719.93,"body":"general arthroscopy. I think you"},{"speaker":"Chris Dy","startTime":1716.36,"endTime":1719.93,"body":"mentioned one thing that I think"},{"speaker":"Chris Dy","startTime":1719.93,"endTime":1723.05,"body":"is super important that coronal"},{"speaker":"Chris Dy","startTime":1719.93,"endTime":1723.05,"body":"plane shear fracture or that"},{"speaker":"Chris Dy","startTime":1723.05,"endTime":1726.23,"body":"coronal split, not always a"},{"speaker":"Chris Dy","startTime":1723.05,"endTime":1726.23,"body":"shear, but that splitting the"},{"speaker":"Chris Dy","startTime":1726.23,"endTime":1729.62,"body":"body of the lunette can be kind"},{"speaker":"Chris Dy","startTime":1726.23,"endTime":1729.62,"body":"of challenging, and not knowing"},{"speaker":"Chris Dy","startTime":1729.62,"endTime":1732.14,"body":"about that ahead of time can"},{"speaker":"Chris Dy","startTime":1729.62,"endTime":1732.14,"body":"make surgical treatment quite"},{"speaker":"Chris Dy","startTime":1732.14,"endTime":1734.75,"body":"tricky. I usually get that"},{"speaker":"Chris Dy","startTime":1732.14,"endTime":1734.75,"body":"information on advanced imaging"},{"speaker":"Chris Dy","startTime":1734.75,"endTime":1738.14,"body":"before surgery. So fortunately,"},{"speaker":"Chris Dy","startTime":1734.75,"endTime":1738.14,"body":"this patient, you know, prior to"},{"speaker":"Chris Dy","startTime":1738.14,"endTime":1741.86,"body":"coming already had an MRI. So"},{"speaker":"Chris Dy","startTime":1738.14,"endTime":1741.86,"body":"that was helpful to know that"},{"speaker":"Chris Dy","startTime":1741.86,"endTime":1743.63,"body":"that wasn't there, at least at"},{"speaker":"Chris Dy","startTime":1741.86,"endTime":1743.63,"body":"that time."},{"speaker":"Charles Goldfarb","startTime":1745.1,"endTime":1747.32,"body":"Yeah, really"},{"speaker":"Charles Goldfarb","startTime":1745.1,"endTime":1747.32,"body":"well said I couldn't couldn't"},{"speaker":"Charles Goldfarb","startTime":1747.32,"endTime":1751.28,"body":"say it any better. And so I do I"},{"speaker":"Charles Goldfarb","startTime":1747.32,"endTime":1751.28,"body":"have mixed feelings on screw"},{"speaker":"Charles Goldfarb","startTime":1751.28,"endTime":1755.06,"body":"placement for that coronal"},{"speaker":"Charles Goldfarb","startTime":1751.28,"endTime":1755.06,"body":"fracture. I think it's just"},{"speaker":"Charles Goldfarb","startTime":1755.06,"endTime":1758.81,"body":"tough to think of nonvascular"},{"speaker":"Charles Goldfarb","startTime":1755.06,"endTime":1758.81,"body":"eyes Luminate is going to heal,"},{"speaker":"Charles Goldfarb","startTime":1759.02,"endTime":1762.11,"body":"but I have put screws in they"},{"speaker":"Charles Goldfarb","startTime":1759.02,"endTime":1762.11,"body":"never failed. I'm not convinced"},{"speaker":"Charles Goldfarb","startTime":1762.11,"endTime":1766.97,"body":"it always leads to healing. And"},{"speaker":"Charles Goldfarb","startTime":1762.11,"endTime":1766.97,"body":"then the final option, which I"},{"speaker":"Charles Goldfarb","startTime":1767.0,"endTime":1770.51,"body":"really, really, really want to"},{"speaker":"Charles Goldfarb","startTime":1767.0,"endTime":1770.51,"body":"hear your opinion on, because"},{"speaker":"Charles Goldfarb","startTime":1770.51,"endTime":1775.91,"body":"I've sent you a patient recently"},{"speaker":"Charles Goldfarb","startTime":1770.51,"endTime":1775.91,"body":"is what's the role for basically"},{"speaker":"Charles Goldfarb","startTime":1775.94,"endTime":1780.92,"body":"addressing the nerves of the"},{"speaker":"Charles Goldfarb","startTime":1775.94,"endTime":1780.92,"body":"carpus in a patient like this,"},{"speaker":"Charles Goldfarb","startTime":1780.92,"endTime":1786.02,"body":"so if you can do a neuro"},{"speaker":"Charles Goldfarb","startTime":1780.92,"endTime":1786.02,"body":"ablation procedure for keybox"},{"speaker":"Charles Goldfarb","startTime":1786.02,"endTime":1787.88,"body":"Have you done it? What do you"},{"speaker":"Charles Goldfarb","startTime":1786.02,"endTime":1787.88,"body":"think about it?"},{"speaker":"Chris Dy","startTime":1788.09,"endTime":1790.4,"body":"Yeah, I haven't done"},{"speaker":"Chris Dy","startTime":1788.09,"endTime":1790.4,"body":"it in particular for Kean box,"},{"speaker":"Chris Dy","startTime":1790.4,"endTime":1793.19,"body":"but I think it depends on how"},{"speaker":"Chris Dy","startTime":1790.4,"endTime":1793.19,"body":"you do it and the the way you"},{"speaker":"Chris Dy","startTime":1793.19,"endTime":1796.91,"body":"set up expectations, you know,"},{"speaker":"Chris Dy","startTime":1793.19,"endTime":1796.91,"body":"so you know if you do purely a"},{"speaker":"Chris Dy","startTime":1796.91,"endTime":1800.45,"body":"PIO and Ayaan neurectomy I don't"},{"speaker":"Chris Dy","startTime":1796.91,"endTime":1800.45,"body":"know if you're gonna get At the"},{"speaker":"Chris Dy","startTime":1800.45,"endTime":1803.93,"body":"complete true deactivation of"},{"speaker":"Chris Dy","startTime":1800.45,"endTime":1803.93,"body":"the wrist that you're looking"},{"speaker":"Chris Dy","startTime":1803.93,"endTime":1809.0,"body":"for, but it might be enough to"},{"speaker":"Chris Dy","startTime":1803.93,"endTime":1809.0,"body":"buy some time, in a way that's"},{"speaker":"Chris Dy","startTime":1809.03,"endTime":1810.77,"body":"similar to the core"},{"speaker":"Chris Dy","startTime":1809.03,"endTime":1810.77,"body":"decompression, I mean, you could"},{"speaker":"Chris Dy","startTime":1810.77,"endTime":1813.56,"body":"do that in a pretty relatively"},{"speaker":"Chris Dy","startTime":1810.77,"endTime":1813.56,"body":"quick and minimally invasive"},{"speaker":"Chris Dy","startTime":1813.56,"endTime":1816.5,"body":"manner. And, and allow the"},{"speaker":"Chris Dy","startTime":1813.56,"endTime":1816.5,"body":"patient to move on and maybe you"},{"speaker":"Chris Dy","startTime":1816.5,"endTime":1819.02,"body":"get some good bang for your"},{"speaker":"Chris Dy","startTime":1816.5,"endTime":1819.02,"body":"buck, you know, fully expecting"},{"speaker":"Chris Dy","startTime":1819.02,"endTime":1821.39,"body":"that at some point, you're,"},{"speaker":"Chris Dy","startTime":1819.02,"endTime":1821.39,"body":"you'll be back for a more"},{"speaker":"Chris Dy","startTime":1821.39,"endTime":1823.67,"body":"definitive surgery, but maybe"},{"speaker":"Chris Dy","startTime":1821.39,"endTime":1823.67,"body":"the timing isn't right for that"},{"speaker":"Chris Dy","startTime":1823.67,"endTime":1827.78,"body":"patient to have the bigger the"},{"speaker":"Chris Dy","startTime":1823.67,"endTime":1827.78,"body":"bigger surgery. Um, you know, my"},{"speaker":"Chris Dy","startTime":1827.78,"endTime":1831.14,"body":"understanding of the results, at"},{"speaker":"Chris Dy","startTime":1827.78,"endTime":1831.14,"body":"least, you know, from the Mayo"},{"speaker":"Chris Dy","startTime":1831.14,"endTime":1834.32,"body":"series was interesting, you"},{"speaker":"Chris Dy","startTime":1831.14,"endTime":1834.32,"body":"know, denervation in that manner"},{"speaker":"Chris Dy","startTime":1834.32,"endTime":1837.5,"body":"of AI NPI and neurectomy, a"},{"speaker":"Chris Dy","startTime":1834.32,"endTime":1837.5,"body":"partial generation did best for"},{"speaker":"Chris Dy","startTime":1837.77,"endTime":1842.09,"body":"slack and snack was less"},{"speaker":"Chris Dy","startTime":1837.77,"endTime":1842.09,"body":"predictable for kidbox. So, you"},{"speaker":"Chris Dy","startTime":1842.09,"endTime":1846.65,"body":"know, that gives me a little bit"},{"speaker":"Chris Dy","startTime":1842.09,"endTime":1846.65,"body":"of a little bit of pause in"},{"speaker":"Chris Dy","startTime":1846.65,"endTime":1849.47,"body":"terms of how to utilize that"},{"speaker":"Chris Dy","startTime":1846.65,"endTime":1849.47,"body":"surgery. But again, for the"},{"speaker":"Chris Dy","startTime":1849.47,"endTime":1852.32,"body":"right patient is another thing"},{"speaker":"Chris Dy","startTime":1849.47,"endTime":1852.32,"body":"to have in your toolbox. Is"},{"speaker":"Charles Goldfarb","startTime":1852.32,"endTime":1854.54,"body":"it more"},{"speaker":"Charles Goldfarb","startTime":1852.32,"endTime":1854.54,"body":"therefore have a salvage type"},{"speaker":"Charles Goldfarb","startTime":1854.54,"endTime":1857.06,"body":"procedure for you? So in other"},{"speaker":"Charles Goldfarb","startTime":1854.54,"endTime":1857.06,"body":"words, let's say you go through"},{"speaker":"Charles Goldfarb","startTime":1857.06,"endTime":1859.73,"body":"everything we're about to talk"},{"speaker":"Charles Goldfarb","startTime":1857.06,"endTime":1859.73,"body":"to patients still a lot better,"},{"speaker":"Charles Goldfarb","startTime":1859.76,"endTime":1863.51,"body":"I might consider a PRC as a"},{"speaker":"Charles Goldfarb","startTime":1859.76,"endTime":1863.51,"body":"salvage procedure, would you"},{"speaker":"Charles Goldfarb","startTime":1863.51,"endTime":1865.58,"body":"instead consider a denervation?"},{"speaker":"Charles Goldfarb","startTime":1863.51,"endTime":1865.58,"body":"I"},{"speaker":"Chris Dy","startTime":1865.58,"endTime":1867.38,"body":"don't think it's a"},{"speaker":"Chris Dy","startTime":1865.58,"endTime":1867.38,"body":"salvage I think it's a bridge."},{"speaker":"Chris Dy","startTime":1867.92,"endTime":1871.7,"body":"And, you know, I probably would"},{"speaker":"Chris Dy","startTime":1867.92,"endTime":1871.7,"body":"do the D innovation as part of"},{"speaker":"Chris Dy","startTime":1871.7,"endTime":1875.42,"body":"the PRC, kind of a belt and"},{"speaker":"Chris Dy","startTime":1871.7,"endTime":1875.42,"body":"suspenders approach, or the"},{"speaker":"Chris Dy","startTime":1875.42,"endTime":1878.72,"body":"degeneration is part of one of"},{"speaker":"Chris Dy","startTime":1875.42,"endTime":1878.72,"body":"the, you know, carpus preserving"},{"speaker":"Chris Dy","startTime":1878.72,"endTime":1881.87,"body":"surgeries, like a radial"},{"speaker":"Chris Dy","startTime":1878.72,"endTime":1881.87,"body":"shortening or a four plus five."},{"speaker":"Charles Goldfarb","startTime":1882.89,"endTime":1884.75,"body":"Excellent,"},{"speaker":"Charles Goldfarb","startTime":1882.89,"endTime":1884.75,"body":"excellent. So if we're going to"},{"speaker":"Charles Goldfarb","startTime":1884.75,"endTime":1887.36,"body":"talk about so why don't we, if"},{"speaker":"Charles Goldfarb","startTime":1884.75,"endTime":1887.36,"body":"it's okay, why don't we briefly"},{"speaker":"Charles Goldfarb","startTime":1887.36,"endTime":1890.51,"body":"talk about radial shortening."},{"speaker":"Charles Goldfarb","startTime":1887.36,"endTime":1890.51,"body":"And we can say a few words about"},{"speaker":"Charles Goldfarb","startTime":1890.51,"endTime":1893.18,"body":"the basketballs grafting, but I"},{"speaker":"Charles Goldfarb","startTime":1890.51,"endTime":1893.18,"body":"think we've covered that pretty"},{"speaker":"Charles Goldfarb","startTime":1893.18,"endTime":1898.07,"body":"well in the past. So when you"},{"speaker":"Charles Goldfarb","startTime":1893.18,"endTime":1898.07,"body":"shorten, I'd love to know,"},{"speaker":"Charles Goldfarb","startTime":1898.1,"endTime":1903.77,"body":"dorsal or volar, hardware"},{"speaker":"Charles Goldfarb","startTime":1898.1,"endTime":1903.77,"body":"choice. Expected healing time,"},{"speaker":"Charles Goldfarb","startTime":1903.8,"endTime":1906.92,"body":"any tips or tricks to your to"},{"speaker":"Charles Goldfarb","startTime":1903.8,"endTime":1906.92,"body":"your treatment? Yeah,"},{"speaker":"Chris Dy","startTime":1906.92,"endTime":1909.62,"body":"I mean, for me,"},{"speaker":"Chris Dy","startTime":1906.92,"endTime":1909.62,"body":"because I was coupling list with"},{"speaker":"Chris Dy","startTime":1909.62,"endTime":1913.49,"body":"a four plus five vascularized"},{"speaker":"Chris Dy","startTime":1909.62,"endTime":1913.49,"body":"bone flap, I went ahead and did"},{"speaker":"Chris Dy","startTime":1913.52,"endTime":1917.48,"body":"the dorsal, dorsal osteotomy and"},{"speaker":"Chris Dy","startTime":1913.52,"endTime":1917.48,"body":"dorsal plating to keep it all"},{"speaker":"Chris Dy","startTime":1917.48,"endTime":1921.44,"body":"through one approach. You know,"},{"speaker":"Chris Dy","startTime":1917.48,"endTime":1921.44,"body":"I remember very vividly doing"},{"speaker":"Chris Dy","startTime":1921.44,"endTime":1923.99,"body":"these cases in fellowship, and"},{"speaker":"Chris Dy","startTime":1921.44,"endTime":1923.99,"body":"some of my notes were from a"},{"speaker":"Chris Dy","startTime":1923.99,"endTime":1927.11,"body":"radial shortening with Dr."},{"speaker":"Chris Dy","startTime":1923.99,"endTime":1927.11,"body":"gelderman. And kind of doing it"},{"speaker":"Chris Dy","startTime":1927.11,"endTime":1930.02,"body":"from the bowler side, getting"},{"speaker":"Chris Dy","startTime":1927.11,"endTime":1930.02,"body":"out the three five LCP plate"},{"speaker":"Chris Dy","startTime":1930.02,"endTime":1933.89,"body":"kind of more Diaphyseal as"},{"speaker":"Chris Dy","startTime":1930.02,"endTime":1933.89,"body":"opposed to metabo seal. But"},{"speaker":"Chris Dy","startTime":1933.89,"endTime":1937.58,"body":"clearly, this could be done with"},{"speaker":"Chris Dy","startTime":1933.89,"endTime":1937.58,"body":"a volar locking plate, utilizing"},{"speaker":"Chris Dy","startTime":1937.58,"endTime":1941.45,"body":"that oblong screw hole to help"},{"speaker":"Chris Dy","startTime":1937.58,"endTime":1941.45,"body":"you dial in your shortening. You"},{"speaker":"Chris Dy","startTime":1941.45,"endTime":1944.06,"body":"know, but for me, it was the"},{"speaker":"Chris Dy","startTime":1941.45,"endTime":1944.06,"body":"convenience of already being on"},{"speaker":"Chris Dy","startTime":1944.06,"endTime":1947.21,"body":"the dorsal side, I want to end"},{"speaker":"Chris Dy","startTime":1944.06,"endTime":1947.21,"body":"to this from dorsal, how do you"},{"speaker":"Chris Dy","startTime":1947.21,"endTime":1949.43,"body":"typically decide what you're"},{"speaker":"Chris Dy","startTime":1947.21,"endTime":1949.43,"body":"going to do? Which approach?"},{"speaker":"Chris Dy","startTime":1950.06,"endTime":1950.45,"body":"Yeah,"},{"speaker":"Charles Goldfarb","startTime":1950.45,"endTime":1954.02,"body":"I have"},{"speaker":"Charles Goldfarb","startTime":1950.45,"endTime":1954.02,"body":"separated my incision. So I go"},{"speaker":"Charles Goldfarb","startTime":1954.05,"endTime":1961.76,"body":"volar I place a relatively"},{"speaker":"Charles Goldfarb","startTime":1954.05,"endTime":1961.76,"body":"distal DCP, I've definitely done"},{"speaker":"Charles Goldfarb","startTime":1962.09,"endTime":1966.98,"body":"volar locking plate, shortening"},{"speaker":"Charles Goldfarb","startTime":1962.09,"endTime":1966.98,"body":"osteotomies I have to say"},{"speaker":"Charles Goldfarb","startTime":1966.98,"endTime":1969.62,"body":"they're just not that"},{"speaker":"Charles Goldfarb","startTime":1966.98,"endTime":1969.62,"body":"satisfying. And so I get more"},{"speaker":"Charles Goldfarb","startTime":1969.62,"endTime":1975.65,"body":"joy out of using a DCP, six, oh,"},{"speaker":"Charles Goldfarb","startTime":1969.62,"endTime":1975.65,"body":"easily 3.5, maybe a 2.7 DCP"},{"speaker":"Charles Goldfarb","startTime":1975.68,"endTime":1978.26,"body":"getting good compression. And"},{"speaker":"Charles Goldfarb","startTime":1975.68,"endTime":1978.26,"body":"you're shortening usually a"},{"speaker":"Charles Goldfarb","startTime":1978.26,"endTime":1983.12,"body":"millimeter too. So it's not it's"},{"speaker":"Charles Goldfarb","startTime":1978.26,"endTime":1983.12,"body":"not challenging to shorten. And"},{"speaker":"Charles Goldfarb","startTime":1983.12,"endTime":1990.29,"body":"I just I like it and therefore I"},{"speaker":"Charles Goldfarb","startTime":1983.12,"endTime":1990.29,"body":"prefer to go volar my caveat is"},{"speaker":"Charles Goldfarb","startTime":1990.29,"endTime":1994.13,"body":"healing takes forever"},{"speaker":"Charles Goldfarb","startTime":1990.29,"endTime":1994.13,"body":"radiographic healing takes for"},{"speaker":"Charles Goldfarb","startTime":1994.16,"endTime":1997.25,"body":"ever in these patients. Yeah,"},{"speaker":"Chris Dy","startTime":1997.28,"endTime":2000.37,"body":"you know, I think that"},{"speaker":"Chris Dy","startTime":1997.28,"endTime":2000.37,"body":"I'm more looking at and feeling"},{"speaker":"Chris Dy","startTime":2000.37,"endTime":2003.07,"body":"the illuminate and checking for"},{"speaker":"Chris Dy","startTime":2000.37,"endTime":2003.07,"body":"whether there are any changes in"},{"speaker":"Chris Dy","startTime":2003.07,"endTime":2006.85,"body":"that more than anything else. I,"},{"speaker":"Chris Dy","startTime":2003.07,"endTime":2006.85,"body":"you know, I think if you're"},{"speaker":"Chris Dy","startTime":2006.85,"endTime":2009.64,"body":"going to go the volar route and"},{"speaker":"Chris Dy","startTime":2006.85,"endTime":2009.64,"body":"use the, you know, that six old"},{"speaker":"Chris Dy","startTime":2009.64,"endTime":2012.19,"body":"DCP make sure that you've got a"},{"speaker":"Chris Dy","startTime":2009.64,"endTime":2012.19,"body":"tabletop vendor, because not"},{"speaker":"Chris Dy","startTime":2012.19,"endTime":2015.13,"body":"everybody's got the forums of"},{"speaker":"Chris Dy","startTime":2012.19,"endTime":2015.13,"body":"Chuck Goldfarb, and convened a"},{"speaker":"Chris Dy","startTime":2015.13,"endTime":2019.18,"body":"three five plate manually. So"},{"speaker":"Chris Dy","startTime":2015.13,"endTime":2019.18,"body":"via the table dot vendors"},{"speaker":"Chris Dy","startTime":2019.18,"endTime":2020.65,"body":"helpful? For"},{"speaker":"Charles Goldfarb","startTime":2020.65,"endTime":2022.27,"body":"sure."},{"speaker":"Charles Goldfarb","startTime":2020.65,"endTime":2022.27,"body":"Absolutely. Good point. And"},{"speaker":"Charles Goldfarb","startTime":2022.27,"endTime":2025.24,"body":"yeah, but you can do it dorsal"},{"speaker":"Charles Goldfarb","startTime":2022.27,"endTime":2025.24,"body":"you can do it volar, you can use"},{"speaker":"Charles Goldfarb","startTime":2025.24,"endTime":2028.81,"body":"hardware of choice. Thankfully,"},{"speaker":"Charles Goldfarb","startTime":2025.24,"endTime":2028.81,"body":"the radius metathesis, or even"},{"speaker":"Charles Goldfarb","startTime":2028.81,"endTime":2032.71,"body":"distal diathesis will heal. And"},{"speaker":"Charles Goldfarb","startTime":2028.81,"endTime":2032.71,"body":"so that's not part of the worry."},{"speaker":"Charles Goldfarb","startTime":2032.71,"endTime":2035.86,"body":"It's just how much do you"},{"speaker":"Charles Goldfarb","startTime":2032.71,"endTime":2035.86,"body":"shorten. And again, I don't know"},{"speaker":"Charles Goldfarb","startTime":2035.86,"endTime":2038.8,"body":"that anyone has the answer dirty"},{"speaker":"Charles Goldfarb","startTime":2035.86,"endTime":2038.8,"body":"shortening going for neutral"},{"speaker":"Charles Goldfarb","startTime":2038.8,"endTime":2043.9,"body":"variants, or you just shortening"},{"speaker":"Charles Goldfarb","startTime":2038.8,"endTime":2043.9,"body":"a bit. I tend to shorten a"},{"speaker":"Charles Goldfarb","startTime":2043.9,"endTime":2046.45,"body":"couple of millimeters, but"},{"speaker":"Charles Goldfarb","startTime":2043.9,"endTime":2046.45,"body":"taking care of not to over"},{"speaker":"Charles Goldfarb","startTime":2046.45,"endTime":2046.87,"body":"shorten,"},{"speaker":"Chris Dy","startTime":2047.23,"endTime":2048.73,"body":"right certainly don't"},{"speaker":"Chris Dy","startTime":2047.23,"endTime":2048.73,"body":"want to overshoot, and I"},{"speaker":"Chris Dy","startTime":2048.73,"endTime":2052.6,"body":"wouldn't want to go into a"},{"speaker":"Chris Dy","startTime":2048.73,"endTime":2052.6,"body":"positive situation. And for me,"},{"speaker":"Chris Dy","startTime":2052.6,"endTime":2055.78,"body":"this patient was we were"},{"speaker":"Chris Dy","startTime":2052.6,"endTime":2055.78,"body":"shooting for neutral. The one"},{"speaker":"Chris Dy","startTime":2055.78,"endTime":2059.41,"body":"thing I like about doing this"},{"speaker":"Chris Dy","startTime":2055.78,"endTime":2059.41,"body":"dorsally also is that my worry"},{"speaker":"Chris Dy","startTime":2059.41,"endTime":2061.69,"body":"is that, you know, when we're"},{"speaker":"Chris Dy","startTime":2059.41,"endTime":2061.69,"body":"using our saw, we're not in a"},{"speaker":"Chris Dy","startTime":2061.69,"endTime":2066.07,"body":"fracture situation. You know, so"},{"speaker":"Chris Dy","startTime":2061.69,"endTime":2066.07,"body":"I worry about what's going on on"},{"speaker":"Chris Dy","startTime":2066.07,"endTime":2068.95,"body":"the far end is that blade has"},{"speaker":"Chris Dy","startTime":2066.07,"endTime":2068.95,"body":"come in through the the far"},{"speaker":"Chris Dy","startTime":2068.95,"endTime":2072.82,"body":"cortex, I have more control of"},{"speaker":"Chris Dy","startTime":2068.95,"endTime":2072.82,"body":"things going from dorsal volar,"},{"speaker":"Chris Dy","startTime":2072.82,"endTime":2075.37,"body":"in terms of I've got my pronator"},{"speaker":"Chris Dy","startTime":2072.82,"endTime":2075.37,"body":"quadratus buffering me on the"},{"speaker":"Chris Dy","startTime":2075.37,"endTime":2079.45,"body":"volar side, you know, so I can I"},{"speaker":"Chris Dy","startTime":2075.37,"endTime":2079.45,"body":"know exactly where my extensor"},{"speaker":"Chris Dy","startTime":2079.45,"endTime":2082.27,"body":"tendons are because I'm doing it"},{"speaker":"Chris Dy","startTime":2079.45,"endTime":2082.27,"body":"from dorsal, and I have the PQ"},{"speaker":"Chris Dy","startTime":2082.27,"endTime":2085.75,"body":"on the volar side. So, you know,"},{"speaker":"Chris Dy","startTime":2082.27,"endTime":2085.75,"body":"honestly, even when I do it a"},{"speaker":"Chris Dy","startTime":2085.75,"endTime":2089.05,"body":"volere approach for a distal"},{"speaker":"Chris Dy","startTime":2085.75,"endTime":2089.05,"body":"radius malunion. So a different"},{"speaker":"Chris Dy","startTime":2089.05,"endTime":2093.22,"body":"indication but if I'm doing a"},{"speaker":"Chris Dy","startTime":2089.05,"endTime":2093.22,"body":"male union correction, I tend to"},{"speaker":"Chris Dy","startTime":2093.22,"endTime":2095.65,"body":"be a bit of a chicken and I make"},{"speaker":"Chris Dy","startTime":2093.22,"endTime":2095.65,"body":"the dorsal Cateran session to"},{"speaker":"Chris Dy","startTime":2095.65,"endTime":2098.17,"body":"look at my EPL and get it out of"},{"speaker":"Chris Dy","startTime":2095.65,"endTime":2098.17,"body":"the way and you know, just"},{"speaker":"Chris Dy","startTime":2098.17,"endTime":2100.0,"body":"because I know that you've got"},{"speaker":"Chris Dy","startTime":2098.17,"endTime":2100.0,"body":"to fully release every"},{"speaker":"Chris Dy","startTime":2100.0,"endTime":2104.26,"body":"periosteum cows, etc. In that"},{"speaker":"Chris Dy","startTime":2100.0,"endTime":2104.26,"body":"setting to to fully get that"},{"speaker":"Chris Dy","startTime":2104.26,"endTime":2106.0,"body":"thing hinged so you get the"},{"speaker":"Chris Dy","startTime":2104.26,"endTime":2106.0,"body":"correction you want."},{"speaker":"Charles Goldfarb","startTime":2106.54,"endTime":2108.22,"body":"I think that's"},{"speaker":"Charles Goldfarb","startTime":2106.54,"endTime":2108.22,"body":"really well said and for the"},{"speaker":"Charles Goldfarb","startTime":2108.22,"endTime":2111.67,"body":"younger either you know,"},{"speaker":"Charles Goldfarb","startTime":2108.22,"endTime":2111.67,"body":"residents or fellows or younger"},{"speaker":"Charles Goldfarb","startTime":2111.67,"endTime":2114.13,"body":"attendings, I think that's"},{"speaker":"Charles Goldfarb","startTime":2111.67,"endTime":2114.13,"body":"really good advice. When you"},{"speaker":"Charles Goldfarb","startTime":2114.13,"endTime":2117.43,"body":"leave the or you need to be"},{"speaker":"Charles Goldfarb","startTime":2114.13,"endTime":2117.43,"body":"absolutely comfortable that"},{"speaker":"Charles Goldfarb","startTime":2117.43,"endTime":2121.0,"body":"you've done things in a way"},{"speaker":"Charles Goldfarb","startTime":2117.43,"endTime":2121.0,"body":"where you're confident you've"},{"speaker":"Charles Goldfarb","startTime":2121.0,"endTime":2125.41,"body":"done them, right. You do not"},{"speaker":"Charles Goldfarb","startTime":2121.0,"endTime":2125.41,"body":"want to lose sleep over, did I"},{"speaker":"Charles Goldfarb","startTime":2125.44,"endTime":2128.23,"body":"satisfactorily protect the"},{"speaker":"Charles Goldfarb","startTime":2125.44,"endTime":2128.23,"body":"tendons, there's plenty of"},{"speaker":"Charles Goldfarb","startTime":2128.23,"endTime":2131.02,"body":"things that are gonna cause you"},{"speaker":"Charles Goldfarb","startTime":2128.23,"endTime":2131.02,"body":"to lose sleep, don't let small"},{"speaker":"Charles Goldfarb","startTime":2131.02,"endTime":2133.12,"body":"technical things do that. And if"},{"speaker":"Charles Goldfarb","startTime":2131.02,"endTime":2133.12,"body":"you need to make a counter"},{"speaker":"Charles Goldfarb","startTime":2133.12,"endTime":2135.34,"body":"incision, make the frickin"},{"speaker":"Charles Goldfarb","startTime":2133.12,"endTime":2135.34,"body":"counter incision. And it's no"},{"speaker":"Charles Goldfarb","startTime":2135.34,"endTime":2136.24,"body":"big deal, right?"},{"speaker":"Chris Dy","startTime":2136.24,"endTime":2138.01,"body":"It's not like it's a"},{"speaker":"Chris Dy","startTime":2136.24,"endTime":2138.01,"body":"formal dorsal approach to the"},{"speaker":"Chris Dy","startTime":2138.01,"endTime":2141.25,"body":"wrist. You know, it is, you"},{"speaker":"Chris Dy","startTime":2138.01,"endTime":2141.25,"body":"know, and I warn patients, if"},{"speaker":"Chris Dy","startTime":2141.25,"endTime":2143.71,"body":"I'm doing things, mainly from"},{"speaker":"Chris Dy","startTime":2141.25,"endTime":2143.71,"body":"bowler that they might have a"},{"speaker":"Chris Dy","startTime":2143.71,"endTime":2146.92,"body":"counter incision, certainly add"},{"speaker":"Chris Dy","startTime":2143.71,"endTime":2146.92,"body":"some swelling. But you can do"},{"speaker":"Chris Dy","startTime":2146.92,"endTime":2149.95,"body":"things in a way that, you know,"},{"speaker":"Chris Dy","startTime":2146.92,"endTime":2149.95,"body":"allows you to feel comfortable."},{"speaker":"Chris Dy","startTime":2150.55,"endTime":2152.47,"body":"There was something interesting"},{"speaker":"Chris Dy","startTime":2150.55,"endTime":2152.47,"body":"in this case, as we did our"},{"speaker":"Chris Dy","startTime":2152.47,"endTime":2155.41,"body":"approach. There was and I think"},{"speaker":"Chris Dy","startTime":2152.47,"endTime":2155.41,"body":"you've probably noticed this,"},{"speaker":"Chris Dy","startTime":2155.41,"endTime":2158.86,"body":"there's so much baggy synovitis"},{"speaker":"Chris Dy","startTime":2155.41,"endTime":2158.86,"body":"in the capsule, when we're"},{"speaker":"Chris Dy","startTime":2158.86,"endTime":2162.1,"body":"approaching our illuminate. And"},{"speaker":"Chris Dy","startTime":2158.86,"endTime":2162.1,"body":"then, of course, by the time"},{"speaker":"Chris Dy","startTime":2162.1,"endTime":2164.92,"body":"that we have gotten to the or"},{"speaker":"Chris Dy","startTime":2162.1,"endTime":2164.92,"body":"when we were taking our initial"},{"speaker":"Chris Dy","startTime":2164.92,"endTime":2168.43,"body":"x rays, there is a you know,"},{"speaker":"Chris Dy","startTime":2164.92,"endTime":2168.43,"body":"flexion of the skateboard. You"},{"speaker":"Chris Dy","startTime":2168.43,"endTime":2171.07,"body":"know, that ring sign and our"},{"speaker":"Chris Dy","startTime":2168.43,"endTime":2171.07,"body":"radius skateboard angle was"},{"speaker":"Chris Dy","startTime":2171.07,"endTime":2175.51,"body":"elevated. You know, how do you"},{"speaker":"Chris Dy","startTime":2171.07,"endTime":2175.51,"body":"at this point, do you prioritize"},{"speaker":"Chris Dy","startTime":2175.51,"endTime":2179.14,"body":"correcting the position to the"},{"speaker":"Chris Dy","startTime":2175.51,"endTime":2179.14,"body":"scaphoid? Before you do anything"},{"speaker":"Chris Dy","startTime":2179.14,"endTime":2180.37,"body":"else? And how do you maintain"},{"speaker":"Chris Dy","startTime":2179.14,"endTime":2180.37,"body":"that?"},{"speaker":"Charles Goldfarb","startTime":2181.299,"endTime":2184.029,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":2181.299,"endTime":2184.029,"body":"it depends on why so it is an"},{"speaker":"Charles Goldfarb","startTime":2184.029,"endTime":2187.899,"body":"ESA is an SL pathology? Usually"},{"speaker":"Charles Goldfarb","startTime":2184.029,"endTime":2187.899,"body":"not, there's not usually a frank"},{"speaker":"Charles Goldfarb","startTime":2187.899,"endTime":2190.539,"body":"tear that can be as we've"},{"speaker":"Charles Goldfarb","startTime":2187.899,"endTime":2190.539,"body":"discussed, is it really the"},{"speaker":"Charles Goldfarb","startTime":2190.539,"endTime":2193.359,"body":"collapse of the loonie. And so"},{"speaker":"Charles Goldfarb","startTime":2190.539,"endTime":2193.359,"body":"if you believe Steve Moran and"},{"speaker":"Charles Goldfarb","startTime":2193.359,"endTime":2197.019,"body":"Steve's a friend, and you, thank"},{"speaker":"Charles Goldfarb","startTime":2193.359,"endTime":2197.019,"body":"you, when you when you open up"},{"speaker":"Charles Goldfarb","startTime":2197.049,"endTime":2203.469,"body":"the illuminate from dorsal, can"},{"speaker":"Charles Goldfarb","startTime":2197.049,"endTime":2203.469,"body":"you basically expand it to"},{"speaker":"Charles Goldfarb","startTime":2203.499,"endTime":2207.489,"body":"accept your graft? And will that"},{"speaker":"Charles Goldfarb","startTime":2203.499,"endTime":2207.489,"body":"help correct the SL angle? I"},{"speaker":"Charles Goldfarb","startTime":2207.489,"endTime":2210.579,"body":"honestly believe that wants to"},{"speaker":"Charles Goldfarb","startTime":2207.489,"endTime":2210.579,"body":"skateboards flex, I'm not sure I"},{"speaker":"Charles Goldfarb","startTime":2210.579,"endTime":2215.799,"body":"can do something to permanently"},{"speaker":"Charles Goldfarb","startTime":2210.579,"endTime":2215.799,"body":"put it back in position. Unless"},{"speaker":"Charles Goldfarb","startTime":2215.829,"endTime":2219.639,"body":"there's a tear. And I treat"},{"speaker":"Charles Goldfarb","startTime":2215.829,"endTime":2219.639,"body":"that, but I thankfully have not"},{"speaker":"Charles Goldfarb","startTime":2219.639,"endTime":2221.379,"body":"had to do that. Yeah,"},{"speaker":"Chris Dy","startTime":2221.38,"endTime":2223.42,"body":"no, I think it's"},{"speaker":"Chris Dy","startTime":2221.38,"endTime":2223.42,"body":"challenging. I mean, for me, we"},{"speaker":"Chris Dy","startTime":2223.42,"endTime":2225.97,"body":"went ahead and put a joystick in"},{"speaker":"Chris Dy","startTime":2223.42,"endTime":2225.97,"body":"the skateboard, got it out of"},{"speaker":"Chris Dy","startTime":2225.97,"endTime":2230.14,"body":"flexion. And I put a pin across"},{"speaker":"Chris Dy","startTime":2225.97,"endTime":2230.14,"body":"the distal skateboard into the"},{"speaker":"Chris Dy","startTime":2230.14,"endTime":2232.96,"body":"capitate, to secure things and"},{"speaker":"Chris Dy","startTime":2230.14,"endTime":2232.96,"body":"then kind of worked from there."},{"speaker":"Charles Goldfarb","startTime":2233.29,"endTime":2236.71,"body":"So I love that"},{"speaker":"Charles Goldfarb","startTime":2233.29,"endTime":2236.71,"body":"solution. I recently did a cane"},{"speaker":"Charles Goldfarb","startTime":2236.71,"endTime":2241.81,"body":"box in a 13 year old. And I"},{"speaker":"Charles Goldfarb","startTime":2236.71,"endTime":2241.81,"body":"always pin the carpus in those"},{"speaker":"Charles Goldfarb","startTime":2241.81,"endTime":2243.34,"body":"patients, because what you're"},{"speaker":"Charles Goldfarb","startTime":2241.81,"endTime":2243.34,"body":"doing, you're getting the"},{"speaker":"Charles Goldfarb","startTime":2243.34,"endTime":2246.43,"body":"skateboard back up if it's flex,"},{"speaker":"Charles Goldfarb","startTime":2243.34,"endTime":2246.43,"body":"but what you're also doing is"},{"speaker":"Charles Goldfarb","startTime":2246.43,"endTime":2249.43,"body":"you're unloading the Luminate,"},{"speaker":"Charles Goldfarb","startTime":2246.43,"endTime":2249.43,"body":"during the healing process. And"},{"speaker":"Charles Goldfarb","startTime":2249.43,"endTime":2252.91,"body":"so I think that's a very, very"},{"speaker":"Charles Goldfarb","startTime":2249.43,"endTime":2252.91,"body":"good technique and very"},{"speaker":"Charles Goldfarb","startTime":2252.91,"endTime":2253.87,"body":"reasonable approach."},{"speaker":"Chris Dy","startTime":2254.229,"endTime":2256.269,"body":"But it's a good thing."},{"speaker":"Chris Dy","startTime":2254.229,"endTime":2256.269,"body":"I learned it in fellowship, I"},{"speaker":"Chris Dy","startTime":2256.269,"endTime":2257.559,"body":"went back and looked at all my"},{"speaker":"Chris Dy","startTime":2256.269,"endTime":2257.559,"body":"notes."},{"speaker":"Charles Goldfarb","startTime":2258.16,"endTime":2262.03,"body":"So let's"},{"speaker":"Charles Goldfarb","startTime":2258.16,"endTime":2262.03,"body":"briefly talk about the four or"},{"speaker":"Charles Goldfarb","startTime":2262.03,"endTime":2264.91,"body":"five graphed I assume user four"},{"speaker":"Charles Goldfarb","startTime":2262.03,"endTime":2264.91,"body":"or five, yeah, four or five for"},{"speaker":"Charles Goldfarb","startTime":2264.91,"endTime":2267.61,"body":"this one. Yeah, my one complaint"},{"speaker":"Charles Goldfarb","startTime":2264.91,"endTime":2267.61,"body":"about the four or five, I do"},{"speaker":"Charles Goldfarb","startTime":2267.61,"endTime":2272.2,"body":"think it's a better graph than"},{"speaker":"Charles Goldfarb","startTime":2267.61,"endTime":2272.2,"body":"the one two. Because it seems to"},{"speaker":"Charles Goldfarb","startTime":2272.2,"endTime":2274.63,"body":"be just more durable. The"},{"speaker":"Charles Goldfarb","startTime":2272.2,"endTime":2274.63,"body":"problem with the four or five in"},{"speaker":"Charles Goldfarb","startTime":2274.63,"endTime":2277.78,"body":"my experience is it's very"},{"speaker":"Charles Goldfarb","startTime":2274.63,"endTime":2277.78,"body":"older. And so I'm usually"},{"speaker":"Charles Goldfarb","startTime":2277.78,"endTime":2282.49,"body":"finding I'm taking cortical bone"},{"speaker":"Charles Goldfarb","startTime":2277.78,"endTime":2282.49,"body":"on the owner side from the owner"},{"speaker":"Charles Goldfarb","startTime":2282.49,"endTime":2286.69,"body":"side of the radius. And so but"},{"speaker":"Charles Goldfarb","startTime":2282.49,"endTime":2286.69,"body":"there's usually good cancer"},{"speaker":"Charles Goldfarb","startTime":2286.69,"endTime":2292.39,"body":"cells bone, the the blood"},{"speaker":"Charles Goldfarb","startTime":2286.69,"endTime":2292.39,"body":"vessels are welded nicely to the"},{"speaker":"Charles Goldfarb","startTime":2292.39,"endTime":2295.36,"body":"bone. And I usually feel pretty"},{"speaker":"Charles Goldfarb","startTime":2292.39,"endTime":2295.36,"body":"good about it once I've elevated"},{"speaker":"Charles Goldfarb","startTime":2295.36,"endTime":2296.23,"body":"it. Yeah,"},{"speaker":"Chris Dy","startTime":2296.23,"endTime":2298.18,"body":"to me, it's the"},{"speaker":"Chris Dy","startTime":2296.23,"endTime":2298.18,"body":"elevation usually feels pretty"},{"speaker":"Chris Dy","startTime":2298.18,"endTime":2301.21,"body":"good that the inset is the less"},{"speaker":"Chris Dy","startTime":2298.18,"endTime":2301.21,"body":"satisfying part of it. In terms"},{"speaker":"Chris Dy","startTime":2301.21,"endTime":2303.88,"body":"of you know, as you're trying to"},{"speaker":"Chris Dy","startTime":2301.21,"endTime":2303.88,"body":"delicately put this thing in,"},{"speaker":"Chris Dy","startTime":2304.3,"endTime":2306.58,"body":"you feel like you're probably"},{"speaker":"Chris Dy","startTime":2304.3,"endTime":2306.58,"body":"being a little rough with it."},{"speaker":"Chris Dy","startTime":2306.91,"endTime":2310.84,"body":"But for this one, you know, the"},{"speaker":"Chris Dy","startTime":2306.91,"endTime":2310.84,"body":"elevation went went well, well"},{"speaker":"Chris Dy","startTime":2310.84,"endTime":2313.9,"body":"defined blood vessels, it was"},{"speaker":"Chris Dy","startTime":2310.84,"endTime":2313.9,"body":"owner, like you said, which"},{"speaker":"Chris Dy","startTime":2313.9,"endTime":2316.81,"body":"obviously can affect the way you"},{"speaker":"Chris Dy","startTime":2313.9,"endTime":2316.81,"body":"how you can swing that and drop"},{"speaker":"Chris Dy","startTime":2316.81,"endTime":2320.56,"body":"it in. But do you have any"},{"speaker":"Chris Dy","startTime":2316.81,"endTime":2320.56,"body":"tricks on how you inset it and"},{"speaker":"Chris Dy","startTime":2320.56,"endTime":2321.46,"body":"how you secure it?"},{"speaker":"Charles Goldfarb","startTime":2322.09,"endTime":2323.59,"body":"Yeah, I have"},{"speaker":"Charles Goldfarb","startTime":2322.09,"endTime":2323.59,"body":"to say, when I first started"},{"speaker":"Charles Goldfarb","startTime":2323.59,"endTime":2327.28,"body":"doing this procedure, I would"},{"speaker":"Charles Goldfarb","startTime":2323.59,"endTime":2327.28,"body":"try to take the dorsal cortical"},{"speaker":"Charles Goldfarb","startTime":2327.28,"endTime":2332.74,"body":"bone with blood vessel and lay"},{"speaker":"Charles Goldfarb","startTime":2327.28,"endTime":2332.74,"body":"it in dorsally. So that all of"},{"speaker":"Charles Goldfarb","startTime":2332.74,"endTime":2337.57,"body":"the original dorsal cortical"},{"speaker":"Charles Goldfarb","startTime":2332.74,"endTime":2337.57,"body":"bone was sitting dorsally on the"},{"speaker":"Charles Goldfarb","startTime":2337.57,"endTime":2341.17,"body":"illuminate, I don't do it that"},{"speaker":"Charles Goldfarb","startTime":2337.57,"endTime":2341.17,"body":"way anymore. I generally inset"},{"speaker":"Charles Goldfarb","startTime":2341.17,"endTime":2346.54,"body":"it so that I kind of dunk it"},{"speaker":"Charles Goldfarb","startTime":2341.17,"endTime":2346.54,"body":"into the lunate bone. And"},{"speaker":"Charles Goldfarb","startTime":2346.54,"endTime":2350.44,"body":"ideally, I've dug a nice trough"},{"speaker":"Charles Goldfarb","startTime":2346.54,"endTime":2350.44,"body":"and in fact, as far as I can go"},{"speaker":"Charles Goldfarb","startTime":2350.44,"endTime":2353.65,"body":"vote early. And so I can really"},{"speaker":"Charles Goldfarb","startTime":2350.44,"endTime":2353.65,"body":"instead it nicely with the"},{"speaker":"Charles Goldfarb","startTime":2353.65,"endTime":2358.09,"body":"cortical strat, proximal to"},{"speaker":"Charles Goldfarb","startTime":2353.65,"endTime":2358.09,"body":"distal, and I think it sits"},{"speaker":"Charles Goldfarb","startTime":2358.09,"endTime":2361.69,"body":"better. I think it does provide"},{"speaker":"Charles Goldfarb","startTime":2358.09,"endTime":2361.69,"body":"a strat, I think it's more"},{"speaker":"Charles Goldfarb","startTime":2361.69,"endTime":2365.74,"body":"likely to stay in place. And I"},{"speaker":"Charles Goldfarb","startTime":2361.69,"endTime":2365.74,"body":"might add a little capsular"},{"speaker":"Charles Goldfarb","startTime":2365.74,"endTime":2368.8,"body":"indication over the top to"},{"speaker":"Charles Goldfarb","startTime":2365.74,"endTime":2368.8,"body":"minimize the chance of it"},{"speaker":"Charles Goldfarb","startTime":2368.8,"endTime":2371.23,"body":"popping out. But that's how I do"},{"speaker":"Charles Goldfarb","startTime":2368.8,"endTime":2371.23,"body":"it. How did you How do you"},{"speaker":"Charles Goldfarb","startTime":2371.23,"endTime":2371.68,"body":"handle it?"},{"speaker":"Chris Dy","startTime":2372.279,"endTime":2374.829,"body":"I didn't like the way"},{"speaker":"Chris Dy","startTime":2372.279,"endTime":2374.829,"body":"that you initially described it"},{"speaker":"Chris Dy","startTime":2374.829,"endTime":2377.499,"body":"in terms of laying it on"},{"speaker":"Chris Dy","startTime":2374.829,"endTime":2377.499,"body":"dorsally. And, you know, to me,"},{"speaker":"Chris Dy","startTime":2377.499,"endTime":2380.619,"body":"it was like, well, it's sitting"},{"speaker":"Chris Dy","startTime":2377.499,"endTime":2380.619,"body":"there pretty nicely. Again, this"},{"speaker":"Chris Dy","startTime":2380.619,"endTime":2383.949,"body":"wasn't a case, fortunately,"},{"speaker":"Chris Dy","startTime":2380.619,"endTime":2383.949,"body":"where we had coronal fracture,"},{"speaker":"Chris Dy","startTime":2383.949,"endTime":2385.989,"body":"and we didn't have a substantial"},{"speaker":"Chris Dy","startTime":2383.949,"endTime":2385.989,"body":"amount of collapse. So we don't"},{"speaker":"Chris Dy","startTime":2385.989,"endTime":2389.349,"body":"really try to jack out to"},{"speaker":"Chris Dy","startTime":2385.989,"endTime":2389.349,"body":"illuminate that much. So I mean,"},{"speaker":"Chris Dy","startTime":2389.349,"endTime":2392.049,"body":"overall, pretty satisfied with"},{"speaker":"Chris Dy","startTime":2389.349,"endTime":2392.049,"body":"how everything went. And then we"},{"speaker":"Chris Dy","startTime":2392.049,"endTime":2396.729,"body":"did our shortening after that,"},{"speaker":"Chris Dy","startTime":2392.049,"endTime":2396.729,"body":"and, you know, yeah, I'm curious"},{"speaker":"Chris Dy","startTime":2396.729,"endTime":2400.659,"body":"to see how you would handle the"},{"speaker":"Chris Dy","startTime":2396.729,"endTime":2400.659,"body":"postop protocol. On terms of"},{"speaker":"Chris Dy","startTime":2400.689,"endTime":2404.739,"body":"length of normalization, and you"},{"speaker":"Chris Dy","startTime":2400.689,"endTime":2404.739,"body":"know, when you would talk to the"},{"speaker":"Chris Dy","startTime":2404.739,"endTime":2407.169,"body":"patient about when to expect"},{"speaker":"Chris Dy","startTime":2404.739,"endTime":2407.169,"body":"something to change, either in"},{"speaker":"Chris Dy","startTime":2407.169,"endTime":2409.449,"body":"terms of how they're feeling"},{"speaker":"Chris Dy","startTime":2407.169,"endTime":2409.449,"body":"what their wrist or you know,"},{"speaker":"Chris Dy","startTime":2409.449,"endTime":2411.309,"body":"healing of that, that osteotomy."},{"speaker":"Charles Goldfarb","startTime":2412.0,"endTime":2414.43,"body":"Yeah, you"},{"speaker":"Charles Goldfarb","startTime":2412.0,"endTime":2414.43,"body":"know, with vascularized graft,"},{"speaker":"Charles Goldfarb","startTime":2414.43,"endTime":2416.68,"body":"it's an automatic six weeks of"},{"speaker":"Charles Goldfarb","startTime":2414.43,"endTime":2416.68,"body":"casting for me, you don't need"},{"speaker":"Charles Goldfarb","startTime":2416.68,"endTime":2420.82,"body":"it for the fixation of your"},{"speaker":"Charles Goldfarb","startTime":2416.68,"endTime":2420.82,"body":"shortening, obviously, but for"},{"speaker":"Charles Goldfarb","startTime":2420.82,"endTime":2424.21,"body":"me, I do feel comfortable with"},{"speaker":"Charles Goldfarb","startTime":2420.82,"endTime":2424.21,"body":"six weeks of casting and then"},{"speaker":"Charles Goldfarb","startTime":2424.24,"endTime":2427.75,"body":"out of the cast is six weeks,"},{"speaker":"Charles Goldfarb","startTime":2424.24,"endTime":2427.75,"body":"and either some home therapy or"},{"speaker":"Charles Goldfarb","startTime":2427.75,"endTime":2431.44,"body":"some formal therapy with a"},{"speaker":"Charles Goldfarb","startTime":2427.75,"endTime":2431.44,"body":"removable wrist brace, usually"},{"speaker":"Charles Goldfarb","startTime":2431.44,"endTime":2436.18,"body":"for eight to nine weeks. It's"},{"speaker":"Charles Goldfarb","startTime":2431.44,"endTime":2436.18,"body":"interesting, I don't know if"},{"speaker":"Charles Goldfarb","startTime":2436.18,"endTime":2439.78,"body":"that's how you handle it at all."},{"speaker":"Charles Goldfarb","startTime":2436.18,"endTime":2439.78,"body":"But I'm pretty happy by the time"},{"speaker":"Charles Goldfarb","startTime":2439.78,"endTime":2443.08,"body":"they come out of the cast and"},{"speaker":"Charles Goldfarb","startTime":2439.78,"endTime":2443.08,"body":"start moving. I think we're"},{"speaker":"Charles Goldfarb","startTime":2443.08,"endTime":2444.1,"body":"heading in the right direction."},{"speaker":"Chris Dy","startTime":2444.79,"endTime":2446.8,"body":"Yeah, no, that's been"},{"speaker":"Chris Dy","startTime":2444.79,"endTime":2446.8,"body":"my experience. And and, you"},{"speaker":"Chris Dy","startTime":2446.8,"endTime":2450.31,"body":"know, I'm not focusing overly on"},{"speaker":"Chris Dy","startTime":2446.8,"endTime":2450.31,"body":"radiographs. You know, I'm kind"},{"speaker":"Chris Dy","startTime":2450.31,"endTime":2453.13,"body":"of palpating illuminates and I"},{"speaker":"Chris Dy","startTime":2450.31,"endTime":2453.13,"body":"remember being taught that that"},{"speaker":"Chris Dy","startTime":2453.13,"endTime":2456.55,"body":"was, you know, the biggest"},{"speaker":"Chris Dy","startTime":2453.13,"endTime":2456.55,"body":"measure of whether you have"},{"speaker":"Chris Dy","startTime":2456.55,"endTime":2460.33,"body":"succeeded is whether you can"},{"speaker":"Chris Dy","startTime":2456.55,"endTime":2460.33,"body":"take that point tenders over the"},{"speaker":"Chris Dy","startTime":2460.33,"endTime":2462.16,"body":"illuminates and and take it"},{"speaker":"Chris Dy","startTime":2460.33,"endTime":2462.16,"body":"down."},{"speaker":"Charles Goldfarb","startTime":2463.21,"endTime":2465.61,"body":"Love it. Yeah,"},{"speaker":"Charles Goldfarb","startTime":2463.21,"endTime":2465.61,"body":"I'm glad this I think this is a"},{"speaker":"Charles Goldfarb","startTime":2465.61,"endTime":2470.65,"body":"fun episode to talk about. You"},{"speaker":"Charles Goldfarb","startTime":2465.61,"endTime":2470.65,"body":"and I had mentioned talking"},{"speaker":"Charles Goldfarb","startTime":2470.65,"endTime":2472.87,"body":"about owner shortening"},{"speaker":"Charles Goldfarb","startTime":2470.65,"endTime":2472.87,"body":"osteotomy. I think that's a"},{"speaker":"Charles Goldfarb","startTime":2472.87,"endTime":2475.93,"body":"topic we need to hit on. I think"},{"speaker":"Charles Goldfarb","startTime":2472.87,"endTime":2475.93,"body":"it's a great topic, partly"},{"speaker":"Charles Goldfarb","startTime":2475.93,"endTime":2479.23,"body":"because it's probably one of my"},{"speaker":"Charles Goldfarb","startTime":2475.93,"endTime":2479.23,"body":"top five singular favorite"},{"speaker":"Charles Goldfarb","startTime":2479.23,"endTime":2481.24,"body":"procedures that I do. I'm"},{"speaker":"Chris Dy","startTime":2481.239,"endTime":2483.369,"body":"glad you like it. I"},{"speaker":"Chris Dy","startTime":2481.239,"endTime":2483.369,"body":"enjoy it too. But I'm glad it's"},{"speaker":"Chris Dy","startTime":2483.369,"endTime":2485.619,"body":"in your top five. I have some"},{"speaker":"Chris Dy","startTime":2483.369,"endTime":2485.619,"body":"others I'd put my top five we"},{"speaker":"Chris Dy","startTime":2485.619,"endTime":2488.349,"body":"should actually do a little. You"},{"speaker":"Chris Dy","startTime":2485.619,"endTime":2488.349,"body":"know, just a quick rundown of"},{"speaker":"Chris Dy","startTime":2488.349,"endTime":2491.499,"body":"our top five favorite surgeries."},{"speaker":"Chris Dy","startTime":2488.349,"endTime":2491.499,"body":"I'm sure we've done it at some"},{"speaker":"Chris Dy","startTime":2491.499,"endTime":2492.669,"body":"point, but maybe they've"},{"speaker":"Chris Dy","startTime":2491.499,"endTime":2492.669,"body":"changed."},{"speaker":"Charles Goldfarb","startTime":2492.91,"endTime":2495.04,"body":"Yeah, we used"},{"speaker":"Charles Goldfarb","startTime":2492.91,"endTime":2495.04,"body":"to do a lot more than numbers up"},{"speaker":"Charles Goldfarb","startTime":2495.04,"endTime":2497.8,"body":"top five, top seven. So like"},{"speaker":"Charles Goldfarb","startTime":2495.04,"endTime":2497.8,"body":"those kind of said, We gotta do"},{"speaker":"Charles Goldfarb","startTime":2497.8,"endTime":2499.6,"body":"more of that and 2024, baby."},{"speaker":"Chris Dy","startTime":2499.84,"endTime":2502.48,"body":"All right, sounds"},{"speaker":"Chris Dy","startTime":2499.84,"endTime":2502.48,"body":"good. Well, I hope that you"},{"speaker":"Chris Dy","startTime":2502.48,"endTime":2506.23,"body":"enjoy the rest of your evening"},{"speaker":"Chris Dy","startTime":2502.48,"endTime":2506.23,"body":"and I look forward to talking"},{"speaker":"Chris Dy","startTime":2506.23,"endTime":2507.94,"body":"again soon. Thank you everybody"},{"speaker":"Chris Dy","startTime":2506.23,"endTime":2507.94,"body":"for listening."},{"speaker":"Charles Goldfarb","startTime":2508.3,"endTime":2509.11,"body":"Thanks,"},{"speaker":"Charles Goldfarb","startTime":2508.3,"endTime":2509.11,"body":"everybody."}]}