{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":5.25,"endTime":7.44,"body":"Welcome to the"},{"speaker":"Charles Goldfarb","startTime":5.25,"endTime":7.44,"body":"upper hand podcast where Chuck"},{"speaker":"Charles Goldfarb","startTime":7.47,"endTime":8.85,"body":"and Chris talk hand surgery."},{"speaker":"Chris Dy","startTime":9.51,"endTime":11.43,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":9.51,"endTime":11.43,"body":"surgeons at Washington"},{"speaker":"Chris Dy","startTime":11.43,"endTime":14.37,"body":"University in St. Louis here to"},{"speaker":"Chris Dy","startTime":11.43,"endTime":14.37,"body":"talk about all things hand"},{"speaker":"Chris Dy","startTime":14.37,"endTime":16.59,"body":"surgery related from technical"},{"speaker":"Chris Dy","startTime":14.37,"endTime":16.59,"body":"to personal."},{"speaker":"Charles Goldfarb","startTime":17.13,"endTime":19.02,"body":"Please"},{"speaker":"Charles Goldfarb","startTime":17.13,"endTime":19.02,"body":"subscribe wherever you get your"},{"speaker":"Charles Goldfarb","startTime":19.02,"endTime":19.8,"body":"podcasts"},{"speaker":"Chris Dy","startTime":20.31,"endTime":22.8,"body":"And thank you in"},{"speaker":"Chris Dy","startTime":20.31,"endTime":22.8,"body":"advance for leaving a review and"},{"speaker":"Chris Dy","startTime":22.8,"endTime":26.01,"body":"rating that helps us get the"},{"speaker":"Chris Dy","startTime":22.8,"endTime":26.01,"body":"word out. You can email us at"},{"speaker":"Chris Dy","startTime":26.04,"endTime":29.46,"body":"Handpodcast@gmail.com. So let's"},{"speaker":"Chris Dy","startTime":26.04,"endTime":29.46,"body":"get to the episode."},{"speaker":"Charles Goldfarb","startTime":30.36,"endTime":31.35,"body":"Oh hey, Chris."},{"speaker":"Chris Dy","startTime":31.98,"endTime":33.0,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":31.98,"endTime":33.0,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":33.36,"endTime":35.55,"body":"I'm good. I'm"},{"speaker":"Charles Goldfarb","startTime":33.36,"endTime":35.55,"body":"kicking back at home."},{"speaker":"Chris Dy","startTime":35.88,"endTime":37.41,"body":"Yeah, why are you at"},{"speaker":"Chris Dy","startTime":35.88,"endTime":37.41,"body":"home?"},{"speaker":"Charles Goldfarb","startTime":37.68,"endTime":39.96,"body":"Yes, the"},{"speaker":"Charles Goldfarb","startTime":37.68,"endTime":39.96,"body":"middle of the day. It's what is"},{"speaker":"Charles Goldfarb","startTime":39.99,"endTime":40.74,"body":"what is today? I don't"},{"speaker":"Chris Dy","startTime":40.74,"endTime":42.87,"body":"don't know what so"},{"speaker":"Chris Dy","startTime":40.74,"endTime":42.87,"body":"Wednesdays usually your to room"},{"speaker":"Chris Dy","startTime":42.87,"endTime":45.54,"body":"our day. So a little staycation"},{"speaker":"Chris Dy","startTime":42.87,"endTime":45.54,"body":"action? What's going on there?"},{"speaker":"Charles Goldfarb","startTime":45.57,"endTime":47.37,"body":"Oh, that pains"},{"speaker":"Charles Goldfarb","startTime":45.57,"endTime":47.37,"body":"me that you had to bring that"},{"speaker":"Charles Goldfarb","startTime":47.37,"endTime":52.98,"body":"up. I'm in I'm in the throes of"},{"speaker":"Charles Goldfarb","startTime":47.37,"endTime":52.98,"body":"recovery. I had my unique knee"},{"speaker":"Charles Goldfarb","startTime":52.98,"endTime":57.18,"body":"replacement eight days ago. And"},{"speaker":"Charles Goldfarb","startTime":52.98,"endTime":57.18,"body":"let's just say it's more than a"},{"speaker":"Charles Goldfarb","startTime":57.18,"endTime":57.84,"body":"carpal tunnel."},{"speaker":"Chris Dy","startTime":58.35,"endTime":60.84,"body":"Ah, okay. partial knee"},{"speaker":"Chris Dy","startTime":58.35,"endTime":60.84,"body":"replacement. So young man"},{"speaker":"Chris Dy","startTime":60.84,"endTime":65.13,"body":"surgery so to say. Good for you."},{"speaker":"Chris Dy","startTime":60.84,"endTime":65.13,"body":"But yes, well, it's more than a"},{"speaker":"Chris Dy","startTime":65.13,"endTime":67.56,"body":"carpal tunnel. I usually I mean,"},{"speaker":"Chris Dy","startTime":65.13,"endTime":67.56,"body":"this is probably a gross over"},{"speaker":"Chris Dy","startTime":67.56,"endTime":69.51,"body":"estimate. But when patients"},{"speaker":"Chris Dy","startTime":67.56,"endTime":69.51,"body":"asked me how much things are"},{"speaker":"Chris Dy","startTime":69.51,"endTime":74.01,"body":"going to hurt, I kind of use"},{"speaker":"Chris Dy","startTime":69.51,"endTime":74.01,"body":"drilling in bone as a as a as a"},{"speaker":"Chris Dy","startTime":74.01,"endTime":76.74,"body":"threshold for you know how much"},{"speaker":"Chris Dy","startTime":74.01,"endTime":76.74,"body":"pain you're going to be in and"},{"speaker":"Chris Dy","startTime":76.74,"endTime":78.24,"body":"you certainly had some bone work"},{"speaker":"Chris Dy","startTime":76.74,"endTime":78.24,"body":"done."},{"speaker":"Charles Goldfarb","startTime":78.93,"endTime":81.84,"body":"Yeah it I"},{"speaker":"Charles Goldfarb","startTime":78.93,"endTime":81.84,"body":"haven't taken much in the way of"},{"speaker":"Charles Goldfarb","startTime":81.84,"endTime":85.32,"body":"narcotics I took Tramadol is it"},{"speaker":"Charles Goldfarb","startTime":81.84,"endTime":85.32,"body":"is super interesting. The whole"},{"speaker":"Charles Goldfarb","startTime":85.32,"endTime":88.02,"body":"process was interesting. It was"},{"speaker":"Charles Goldfarb","startTime":85.32,"endTime":88.02,"body":"the computer navigated blah,"},{"speaker":"Charles Goldfarb","startTime":88.02,"endTime":92.58,"body":"blah, blah, outpatient, I was"},{"speaker":"Charles Goldfarb","startTime":88.02,"endTime":92.58,"body":"home by 12:30. All that was"},{"speaker":"Charles Goldfarb","startTime":92.58,"endTime":98.61,"body":"fantastic. The block last 48"},{"speaker":"Charles Goldfarb","startTime":92.58,"endTime":98.61,"body":"hours. And so you feel like wow,"},{"speaker":"Charles Goldfarb","startTime":98.64,"endTime":101.16,"body":"this is nothing but they did"},{"speaker":"Charles Goldfarb","startTime":98.64,"endTime":101.16,"body":"warn me that the block would"},{"speaker":"Charles Goldfarb","startTime":101.16,"endTime":105.09,"body":"wear off as we we all know in"},{"speaker":"Charles Goldfarb","startTime":101.16,"endTime":105.09,"body":"upper extremity surgery. And it"},{"speaker":"Charles Goldfarb","startTime":105.09,"endTime":107.61,"body":"was tough on the block or off. I"},{"speaker":"Charles Goldfarb","startTime":105.09,"endTime":107.61,"body":"took Tramadol and hated that"},{"speaker":"Charles Goldfarb","startTime":107.61,"endTime":112.47,"body":"feeling. It took like two pills."},{"speaker":"Charles Goldfarb","startTime":107.61,"endTime":112.47,"body":"And then I took a couple of oxys"},{"speaker":"Charles Goldfarb","startTime":112.47,"endTime":116.79,"body":"at night and then just haven't"},{"speaker":"Charles Goldfarb","startTime":112.47,"endTime":116.79,"body":"just been taking Tylenol and"},{"speaker":"Charles Goldfarb","startTime":116.94,"endTime":120.39,"body":"anti inflammatory. And"},{"speaker":"Charles Goldfarb","startTime":116.94,"endTime":120.39,"body":"interestingly, I've been taking"},{"speaker":"Charles Goldfarb","startTime":120.39,"endTime":125.73,"body":"pregabalin, they do that for two"},{"speaker":"Charles Goldfarb","startTime":120.39,"endTime":125.73,"body":"weeks twice a day. And I don't"},{"speaker":"Charles Goldfarb","startTime":125.73,"endTime":128.13,"body":"have any nerve symptoms. Thank"},{"speaker":"Charles Goldfarb","startTime":125.73,"endTime":128.13,"body":"God and I guess this is"},{"speaker":"Charles Goldfarb","startTime":128.13,"endTime":128.7,"body":"preventative."},{"speaker":"Chris Dy","startTime":130.44,"endTime":132.9,"body":"Great way to stay"},{"speaker":"Chris Dy","startTime":130.44,"endTime":132.9,"body":"ahead of it, I guess multimodal"},{"speaker":"Chris Dy","startTime":133.02,"endTime":138.42,"body":"pain management, as they say, as"},{"speaker":"Chris Dy","startTime":133.02,"endTime":138.42,"body":"long acting, you know, all the"},{"speaker":"Chris Dy","startTime":138.48,"endTime":141.06,"body":"different types of medications."},{"speaker":"Chris Dy","startTime":138.48,"endTime":141.06,"body":"So I'm glad you're you're"},{"speaker":"Chris Dy","startTime":141.06,"endTime":142.68,"body":"filling up for at least"},{"speaker":"Chris Dy","startTime":141.06,"endTime":142.68,"body":"recording a podcast. I know"},{"speaker":"Chris Dy","startTime":142.68,"endTime":144.69,"body":"you've been on some meetings."},{"speaker":"Chris Dy","startTime":142.68,"endTime":144.69,"body":"super interesting. We're all"},{"speaker":"Chris Dy","startTime":144.69,"endTime":146.94,"body":"waiting to hear if you're going"},{"speaker":"Chris Dy","startTime":144.69,"endTime":146.94,"body":"to say something crazy because"},{"speaker":"Chris Dy","startTime":146.94,"endTime":147.93,"body":"you're hopped up on something."},{"speaker":"Charles Goldfarb","startTime":148.41,"endTime":150.42,"body":"Well, I'm a"},{"speaker":"Charles Goldfarb","startTime":148.41,"endTime":150.42,"body":"little worried because I was"},{"speaker":"Charles Goldfarb","startTime":150.42,"endTime":154.11,"body":"yelling at me not to email. But"},{"speaker":"Charles Goldfarb","startTime":150.42,"endTime":154.11,"body":"this is the last day because"},{"speaker":"Charles Goldfarb","startTime":154.11,"endTime":159.27,"body":"tomorrow be school. And then I"},{"speaker":"Charles Goldfarb","startTime":154.11,"endTime":159.27,"body":"go back on Monday in my light"},{"speaker":"Charles Goldfarb","startTime":159.27,"endTime":165.03,"body":"reentry half day is now up to 39"},{"speaker":"Charles Goldfarb","startTime":159.27,"endTime":165.03,"body":"patients and why that is not a"},{"speaker":"Charles Goldfarb","startTime":165.03,"endTime":166.71,"body":"half day. Oh my god."},{"speaker":"Chris Dy","startTime":167.1,"endTime":171.39,"body":"Yeah, that's so just"},{"speaker":"Chris Dy","startTime":167.1,"endTime":171.39,"body":"out of curiosity. Did you just"},{"speaker":"Chris Dy","startTime":171.39,"endTime":174.24,"body":"kind of let that happen by"},{"speaker":"Chris Dy","startTime":171.39,"endTime":174.24,"body":"saying yes to things or just"},{"speaker":"Chris Dy","startTime":174.24,"endTime":177.6,"body":"kind of, you know, your nurse"},{"speaker":"Chris Dy","startTime":174.24,"endTime":177.6,"body":"kind of knew that you wouldn't"},{"speaker":"Chris Dy","startTime":177.6,"endTime":178.59,"body":"say no"},{"speaker":"Charles Goldfarb","startTime":179.31,"endTime":181.74,"body":"I think it was"},{"speaker":"Charles Goldfarb","startTime":179.31,"endTime":181.74,"body":"one of those creep things where"},{"speaker":"Charles Goldfarb","startTime":181.74,"endTime":184.62,"body":"it started too high. And then"},{"speaker":"Charles Goldfarb","startTime":181.74,"endTime":184.62,"body":"you had to add a few people on."},{"speaker":"Charles Goldfarb","startTime":184.83,"endTime":188.58,"body":"My mistake was I should have"},{"speaker":"Charles Goldfarb","startTime":184.83,"endTime":188.58,"body":"said I will see 20 patients or"},{"speaker":"Charles Goldfarb","startTime":188.58,"endTime":191.79,"body":"whatever the whatever the number"},{"speaker":"Charles Goldfarb","startTime":188.58,"endTime":191.79,"body":"was job a light day. And I"},{"speaker":"Charles Goldfarb","startTime":191.79,"endTime":193.26,"body":"didn't do that. I just said"},{"speaker":"Charles Goldfarb","startTime":191.79,"endTime":193.26,"body":"haptic"},{"speaker":"Chris Dy","startTime":194.1,"endTime":197.22,"body":"so yes, he didn't put"},{"speaker":"Chris Dy","startTime":194.1,"endTime":197.22,"body":"the appropriate guardrails"},{"speaker":"Chris Dy","startTime":197.22,"endTime":198.54,"body":"around it. Yeah,"},{"speaker":"Charles Goldfarb","startTime":198.6,"endTime":202.26,"body":"we I do. So,"},{"speaker":"Charles Goldfarb","startTime":198.6,"endTime":202.26,"body":"you know, I usually I don't know"},{"speaker":"Charles Goldfarb","startTime":202.26,"endTime":205.2,"body":"about you, I usually see a"},{"speaker":"Charles Goldfarb","startTime":202.26,"endTime":205.2,"body":"patient, I dictate the resonance"},{"speaker":"Charles Goldfarb","startTime":205.2,"endTime":208.26,"body":"bells don't dictate. I used to"},{"speaker":"Charles Goldfarb","startTime":205.2,"endTime":208.26,"body":"do it almost after every"},{"speaker":"Charles Goldfarb","startTime":208.26,"endTime":210.6,"body":"patient, or maybe after every"},{"speaker":"Charles Goldfarb","startTime":208.26,"endTime":210.6,"body":"three or four patients because I"},{"speaker":"Charles Goldfarb","startTime":210.6,"endTime":213.75,"body":"like to stay ahead, stay on time"},{"speaker":"Charles Goldfarb","startTime":210.6,"endTime":213.75,"body":"and get meditations done. I"},{"speaker":"Charles Goldfarb","startTime":213.75,"endTime":216.99,"body":"don't think that can happen on"},{"speaker":"Charles Goldfarb","startTime":213.75,"endTime":216.99,"body":"Monday with me hobbling around."},{"speaker":"Charles Goldfarb","startTime":217.59,"endTime":222.9,"body":"But I did mention the faculty"},{"speaker":"Charles Goldfarb","startTime":217.59,"endTime":222.9,"body":"meeting this morning, that this"},{"speaker":"Charles Goldfarb","startTime":222.9,"endTime":227.64,"body":"new AI generated note option is"},{"speaker":"Charles Goldfarb","startTime":222.9,"endTime":227.64,"body":"super interesting. And there's"},{"speaker":"Charles Goldfarb","startTime":227.64,"endTime":231.15,"body":"probably listeners who are ahead"},{"speaker":"Charles Goldfarb","startTime":227.64,"endTime":231.15,"body":"of us on this. But essentially"},{"speaker":"Charles Goldfarb","startTime":231.15,"endTime":234.93,"body":"the one we're trying now, use"},{"speaker":"Charles Goldfarb","startTime":231.15,"endTime":234.93,"body":"your phone is sort of a quarter"},{"speaker":"Charles Goldfarb","startTime":234.93,"endTime":238.38,"body":"of the conversation turns your"},{"speaker":"Charles Goldfarb","startTime":234.93,"endTime":238.38,"body":"conversation and you have to be"},{"speaker":"Charles Goldfarb","startTime":238.38,"endTime":242.76,"body":"a little you know, funny about"},{"speaker":"Charles Goldfarb","startTime":238.38,"endTime":242.76,"body":"how you talk and to share what"},{"speaker":"Charles Goldfarb","startTime":242.76,"endTime":247.35,"body":"you're doing when you do stuff."},{"speaker":"Charles Goldfarb","startTime":242.76,"endTime":247.35,"body":"But it does a great HPI physical"},{"speaker":"Charles Goldfarb","startTime":247.35,"endTime":249.78,"body":"exam is plus minus and the"},{"speaker":"Charles Goldfarb","startTime":247.35,"endTime":249.78,"body":"assessment plan is plus or"},{"speaker":"Charles Goldfarb","startTime":249.78,"endTime":253.05,"body":"minus. But if I just do that for"},{"speaker":"Charles Goldfarb","startTime":249.78,"endTime":253.05,"body":"every patient, then at the end"},{"speaker":"Charles Goldfarb","startTime":253.05,"endTime":255.42,"body":"of the day, I'll remember the"},{"speaker":"Charles Goldfarb","startTime":253.05,"endTime":255.42,"body":"patients and can populate the"},{"speaker":"Charles Goldfarb","startTime":255.42,"endTime":255.69,"body":"note."},{"speaker":"Chris Dy","startTime":256.709,"endTime":259.379,"body":"Do you see this as a"},{"speaker":"Chris Dy","startTime":256.709,"endTime":259.379,"body":"replacement to the human scribe"},{"speaker":"Charles Goldfarb","startTime":259.829,"endTime":264.269,"body":"100% It is"},{"speaker":"Charles Goldfarb","startTime":259.829,"endTime":264.269,"body":"definitely not there yet. But it"},{"speaker":"Charles Goldfarb","startTime":264.269,"endTime":268.169,"body":"is 100% of replacement. And it's"},{"speaker":"Charles Goldfarb","startTime":264.269,"endTime":268.169,"body":"fast like from the time that you"},{"speaker":"Charles Goldfarb","startTime":268.169,"endTime":271.019,"body":"leave the room. And then I go"},{"speaker":"Charles Goldfarb","startTime":268.169,"endTime":271.019,"body":"back to the main computer in the"},{"speaker":"Charles Goldfarb","startTime":271.019,"endTime":273.779,"body":"hallway. It's done the notes"},{"speaker":"Charles Goldfarb","startTime":271.019,"endTime":273.779,"body":"there."},{"speaker":"Chris Dy","startTime":274.65,"endTime":277.17,"body":"That's impressive. I"},{"speaker":"Chris Dy","startTime":274.65,"endTime":277.17,"body":"mean, I'm still striving I like"},{"speaker":"Chris Dy","startTime":277.17,"endTime":280.08,"body":"to leave myself room to grow and"},{"speaker":"Chris Dy","startTime":277.17,"endTime":280.08,"body":"improve. So I'm still striving"},{"speaker":"Chris Dy","startTime":280.08,"endTime":283.92,"body":"for Chuck Goldfarb levels of"},{"speaker":"Chris Dy","startTime":280.08,"endTime":283.92,"body":"efficiency. I do ask our"},{"speaker":"Chris Dy","startTime":283.92,"endTime":286.62,"body":"residents and fellows to start"},{"speaker":"Chris Dy","startTime":283.92,"endTime":286.62,"body":"the notes for the patients that"},{"speaker":"Chris Dy","startTime":286.62,"endTime":290.07,"body":"they see. And I still you know,"},{"speaker":"Chris Dy","startTime":286.62,"endTime":290.07,"body":"I entered my clinic a little bit"},{"speaker":"Chris Dy","startTime":290.07,"endTime":291.96,"body":"earlier in terms of patient"},{"speaker":"Chris Dy","startTime":290.07,"endTime":291.96,"body":"slots because I didn't know how"},{"speaker":"Chris Dy","startTime":291.96,"endTime":294.27,"body":"long it takes me to dictate and"},{"speaker":"Chris Dy","startTime":291.96,"endTime":294.27,"body":"be out of there by the time that"},{"speaker":"Chris Dy","startTime":294.27,"endTime":297.33,"body":"I want to be out of there. So"},{"speaker":"Chris Dy","startTime":294.27,"endTime":297.33,"body":"perhaps as I you know, turn the"},{"speaker":"Chris Dy","startTime":297.33,"endTime":300.99,"body":"corner and become wiser in my"},{"speaker":"Chris Dy","startTime":297.33,"endTime":300.99,"body":"practice. I will lot eventually"},{"speaker":"Chris Dy","startTime":301.32,"endTime":303.66,"body":"do all the notes by myself, but"},{"speaker":"Chris Dy","startTime":301.32,"endTime":303.66,"body":"I'm not there yet."},{"speaker":"Charles Goldfarb","startTime":304.17,"endTime":306.03,"body":"Well I would"},{"speaker":"Charles Goldfarb","startTime":304.17,"endTime":306.03,"body":"just ask, if there are any"},{"speaker":"Charles Goldfarb","startTime":306.03,"endTime":310.2,"body":"listeners who have this down or"},{"speaker":"Charles Goldfarb","startTime":306.03,"endTime":310.2,"body":"have been using AI, we would"},{"speaker":"Charles Goldfarb","startTime":310.2,"endTime":311.04,"body":"love to hear from you."},{"speaker":"Chris Dy","startTime":312.0,"endTime":313.2,"body":"Right And I know there"},{"speaker":"Chris Dy","startTime":312.0,"endTime":313.2,"body":"are a lot of people that have"},{"speaker":"Chris Dy","startTime":313.2,"endTime":315.78,"body":"experienced with, with scribes,"},{"speaker":"Chris Dy","startTime":313.2,"endTime":315.78,"body":"I was talking with our hand"},{"speaker":"Chris Dy","startTime":315.78,"endTime":319.32,"body":"travel club, you know, they're"},{"speaker":"Chris Dy","startTime":315.78,"endTime":319.32,"body":"basically convinced me that I"},{"speaker":"Chris Dy","startTime":319.32,"endTime":321.87,"body":"need a scribe, and I've actually"},{"speaker":"Chris Dy","startTime":319.32,"endTime":321.87,"body":"even had it on my to do list to"},{"speaker":"Chris Dy","startTime":321.87,"endTime":325.47,"body":"talk to you about getting a"},{"speaker":"Chris Dy","startTime":321.87,"endTime":325.47,"body":"scribe. So we'll see, you know,"},{"speaker":"Chris Dy","startTime":325.47,"endTime":328.35,"body":"supposedly, the numbers that"},{"speaker":"Chris Dy","startTime":325.47,"endTime":328.35,"body":"they were talking about, it pays"},{"speaker":"Chris Dy","startTime":328.35,"endTime":330.75,"body":"for itself, it pays for itself"},{"speaker":"Chris Dy","startTime":328.35,"endTime":330.75,"body":"after a certain number of"},{"speaker":"Chris Dy","startTime":330.75,"endTime":334.71,"body":"patients. So obviously, AI could"},{"speaker":"Chris Dy","startTime":330.75,"endTime":334.71,"body":"be an even more cost efficient"},{"speaker":"Chris Dy","startTime":334.71,"endTime":336.0,"body":"solution. And once it gets"},{"speaker":"Chris Dy","startTime":334.71,"endTime":336.0,"body":"there."},{"speaker":"Charles Goldfarb","startTime":336.57,"endTime":338.79,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":336.57,"endTime":338.79,"body":"scribes do quickly pay for"},{"speaker":"Charles Goldfarb","startTime":338.79,"endTime":341.13,"body":"themselves. If you add on two"},{"speaker":"Charles Goldfarb","startTime":338.79,"endTime":341.13,"body":"patients a day or something like"},{"speaker":"Charles Goldfarb","startTime":341.13,"endTime":344.91,"body":"that. The problem, of course, is"},{"speaker":"Charles Goldfarb","startTime":341.13,"endTime":344.91,"body":"that scribes are, you know, come"},{"speaker":"Charles Goldfarb","startTime":344.91,"endTime":347.58,"body":"and go, and you spent a lot of"},{"speaker":"Charles Goldfarb","startTime":344.91,"endTime":347.58,"body":"time training someone and then"},{"speaker":"Charles Goldfarb","startTime":347.58,"endTime":349.95,"body":"they go, and it's, you know,"},{"speaker":"Charles Goldfarb","startTime":347.58,"endTime":349.95,"body":"develop relationships. It's"},{"speaker":"Charles Goldfarb","startTime":349.95,"endTime":350.34,"body":"hard."},{"speaker":"Chris Dy","startTime":350.91,"endTime":353.07,"body":"Yep, absolutely. All"},{"speaker":"Chris Dy","startTime":350.91,"endTime":353.07,"body":"the better if your scribe is,"},{"speaker":"Chris Dy","startTime":353.43,"endTime":356.28,"body":"you know, Siri or whatever,"},{"speaker":"Chris Dy","startTime":353.43,"endTime":356.28,"body":"whatever artificial intelligence"},{"speaker":"Chris Dy","startTime":356.28,"endTime":360.12,"body":"thing, we're using that bar"},{"speaker":"Chris Dy","startTime":356.28,"endTime":360.12,"body":"Exactly. Right. So we have a"},{"speaker":"Chris Dy","startTime":360.12,"endTime":362.7,"body":"couple of things to go through"},{"speaker":"Chris Dy","startTime":360.12,"endTime":362.7,"body":"today. Right, we've got, we've"},{"speaker":"Chris Dy","startTime":362.7,"endTime":366.06,"body":"got a fantastic HBR article that"},{"speaker":"Chris Dy","startTime":362.7,"endTime":366.06,"body":"I think is pretty relevant. We"},{"speaker":"Chris Dy","startTime":366.06,"endTime":367.83,"body":"don't need to go into the"},{"speaker":"Chris Dy","startTime":366.06,"endTime":367.83,"body":"details of the article, but"},{"speaker":"Chris Dy","startTime":367.83,"endTime":369.72,"body":"really talk about the broad"},{"speaker":"Chris Dy","startTime":367.83,"endTime":369.72,"body":"strokes, and we've got a few"},{"speaker":"Chris Dy","startTime":369.72,"endTime":372.12,"body":"cases. But first, we probably"},{"speaker":"Chris Dy","startTime":369.72,"endTime":372.12,"body":"should thank our friends over a"},{"speaker":"Chris Dy","startTime":372.12,"endTime":372.75,"body":"practice link."},{"speaker":"Charles Goldfarb","startTime":373.26,"endTime":375.66,"body":"Absolutely."},{"speaker":"Charles Goldfarb","startTime":373.26,"endTime":375.66,"body":"The upper hand is sponsored by"},{"speaker":"Charles Goldfarb","startTime":375.69,"endTime":379.23,"body":"Practicelink.com, the most"},{"speaker":"Charles Goldfarb","startTime":375.69,"endTime":379.23,"body":"widely used physician job search"},{"speaker":"Charles Goldfarb","startTime":379.23,"endTime":381.57,"body":"and career advancement resource,"},{"speaker":"Chris Dy","startTime":381.99,"endTime":384.15,"body":"Becoming a physician"},{"speaker":"Chris Dy","startTime":381.99,"endTime":384.15,"body":"is hard, it's really hard to get"},{"speaker":"Chris Dy","startTime":384.15,"endTime":386.97,"body":"into medical school, finding the"},{"speaker":"Chris Dy","startTime":384.15,"endTime":386.97,"body":"right job doesn't have to be"},{"speaker":"Chris Dy","startTime":387.03,"endTime":391.74,"body":"joined practice link for free"},{"speaker":"Chris Dy","startTime":387.03,"endTime":391.74,"body":"today at www.practicing.com/the."},{"speaker":"Chris Dy","startTime":391.95,"endTime":392.58,"body":"upper hand."},{"speaker":"Charles Goldfarb","startTime":393.39,"endTime":397.2,"body":"So I sent an"},{"speaker":"Charles Goldfarb","startTime":393.39,"endTime":397.2,"body":"email around to our hand crew,"},{"speaker":"Charles Goldfarb","startTime":397.47,"endTime":403.68,"body":"and said for those of you who"},{"speaker":"Charles Goldfarb","startTime":397.47,"endTime":403.68,"body":"perform in office needle"},{"speaker":"Charles Goldfarb","startTime":403.71,"endTime":408.66,"body":"apponeurotomy, which, you know,"},{"speaker":"Charles Goldfarb","startTime":403.71,"endTime":408.66,"body":"most of us do it, and we do it"},{"speaker":"Charles Goldfarb","startTime":408.66,"endTime":411.78,"body":"in office, because that's the"},{"speaker":"Charles Goldfarb","startTime":408.66,"endTime":411.78,"body":"point I shared that one"},{"speaker":"Charles Goldfarb","startTime":411.78,"endTime":415.62,"body":"insurance company has in their"},{"speaker":"Charles Goldfarb","startTime":411.78,"endTime":415.62,"body":"infinite wisdom not been paying,"},{"speaker":"Charles Goldfarb","startTime":415.62,"endTime":419.16,"body":"so we're not going to do it"},{"speaker":"Charles Goldfarb","startTime":415.62,"endTime":419.16,"body":"anymore. How stunned Are you by"},{"speaker":"Charles Goldfarb","startTime":419.16,"endTime":419.55,"body":"that?"},{"speaker":"Chris Dy","startTime":420.99,"endTime":423.36,"body":"You know, I guess well"},{"speaker":"Chris Dy","startTime":420.99,"endTime":423.36,"body":"never stunned by what insurance"},{"speaker":"Chris Dy","startTime":423.36,"endTime":426.03,"body":"companies do, because it's in"},{"speaker":"Chris Dy","startTime":423.36,"endTime":426.03,"body":"their best interest to to"},{"speaker":"Chris Dy","startTime":426.03,"endTime":430.59,"body":"maximize profits and minimize"},{"speaker":"Chris Dy","startTime":426.03,"endTime":430.59,"body":"patient care, to be honest with"},{"speaker":"Chris Dy","startTime":430.59,"endTime":435.93,"body":"you. But is the needle app and"},{"speaker":"Chris Dy","startTime":430.59,"endTime":435.93,"body":"or autonomy or a similar"},{"speaker":"Chris Dy","startTime":435.93,"endTime":438.3,"body":"procedure, something that"},{"speaker":"Chris Dy","startTime":435.93,"endTime":438.3,"body":"typically require a prior"},{"speaker":"Chris Dy","startTime":438.3,"endTime":441.36,"body":"authorization? Because it makes"},{"speaker":"Chris Dy","startTime":438.3,"endTime":441.36,"body":"little sense to do if you're"},{"speaker":"Chris Dy","startTime":441.36,"endTime":443.46,"body":"trying to take care of the"},{"speaker":"Chris Dy","startTime":441.36,"endTime":443.46,"body":"patient in an expeditious"},{"speaker":"Chris Dy","startTime":443.46,"endTime":446.55,"body":"manner? I just don't know what's"},{"speaker":"Chris Dy","startTime":443.46,"endTime":446.55,"body":"something analogous that might"},{"speaker":"Chris Dy","startTime":446.55,"endTime":448.98,"body":"require a prior off burnin"},{"speaker":"Chris Dy","startTime":446.55,"endTime":448.98,"body":"office procedure?"},{"speaker":"Charles Goldfarb","startTime":449.19,"endTime":451.29,"body":"So when I"},{"speaker":"Charles Goldfarb","startTime":449.19,"endTime":451.29,"body":"started doing these, back when"},{"speaker":"Charles Goldfarb","startTime":451.29,"endTime":456.18,"body":"you were in grade school in"},{"speaker":"Charles Goldfarb","startTime":451.29,"endTime":456.18,"body":"2008, I think it was, we did try"},{"speaker":"Charles Goldfarb","startTime":456.18,"endTime":460.56,"body":"to get immediate prior off in"},{"speaker":"Charles Goldfarb","startTime":456.18,"endTime":460.56,"body":"the office and then slowly, but"},{"speaker":"Charles Goldfarb","startTime":460.56,"endTime":463.41,"body":"surely, all the insurance"},{"speaker":"Charles Goldfarb","startTime":460.56,"endTime":463.41,"body":"companies said you don't need"},{"speaker":"Charles Goldfarb","startTime":463.41,"endTime":467.79,"body":"prior authorization. So this is"},{"speaker":"Charles Goldfarb","startTime":463.41,"endTime":467.79,"body":"just a blank note, you cannot do"},{"speaker":"Charles Goldfarb","startTime":467.79,"endTime":472.08,"body":"this procedure in the office,"},{"speaker":"Charles Goldfarb","startTime":467.79,"endTime":472.08,"body":"which is just stunning to me."},{"speaker":"Chris Dy","startTime":473.22,"endTime":474.81,"body":"Well, I mean it"},{"speaker":"Chris Dy","startTime":473.22,"endTime":474.81,"body":"because if you think about it,"},{"speaker":"Chris Dy","startTime":474.81,"endTime":477.99,"body":"the easy, the easier thing for"},{"speaker":"Chris Dy","startTime":474.81,"endTime":477.99,"body":"them to do is to say no, so that"},{"speaker":"Chris Dy","startTime":477.99,"endTime":479.61,"body":"you don't do it or that you do"},{"speaker":"Chris Dy","startTime":477.99,"endTime":479.61,"body":"it, and they don't have to pay"},{"speaker":"Chris Dy","startTime":479.61,"endTime":482.01,"body":"for it. But if you think about"},{"speaker":"Chris Dy","startTime":479.61,"endTime":482.01,"body":"the ramifications of them saying"},{"speaker":"Chris Dy","startTime":482.01,"endTime":484.14,"body":"you can't do this in the office,"},{"speaker":"Chris Dy","startTime":482.01,"endTime":484.14,"body":"you're then doing it in the"},{"speaker":"Chris Dy","startTime":484.14,"endTime":487.92,"body":"operating room with or without"},{"speaker":"Chris Dy","startTime":484.14,"endTime":487.92,"body":"an anesthetist involved. Which"},{"speaker":"Chris Dy","startTime":488.49,"endTime":490.62,"body":"is crazy, because it's so much"},{"speaker":"Chris Dy","startTime":488.49,"endTime":490.62,"body":"more expensive. It makes"},{"speaker":"Chris Dy","startTime":490.62,"endTime":493.89,"body":"absolutely no sense from a long"},{"speaker":"Chris Dy","startTime":490.62,"endTime":493.89,"body":"term perspective. But again, if"},{"speaker":"Chris Dy","startTime":493.89,"endTime":496.23,"body":"they're looking for the easy"},{"speaker":"Chris Dy","startTime":493.89,"endTime":496.23,"body":"wins, then yeah, but I mean,"},{"speaker":"Chris Dy","startTime":496.23,"endTime":497.94,"body":"it's not like there isn't an"},{"speaker":"Chris Dy","startTime":496.23,"endTime":497.94,"body":"evidence base for this"},{"speaker":"Chris Dy","startTime":497.94,"endTime":500.31,"body":"procedure. It's clearly evidence"},{"speaker":"Chris Dy","startTime":497.94,"endTime":500.31,"body":"based, it's clearly cost"},{"speaker":"Chris Dy","startTime":500.31,"endTime":504.03,"body":"effective for certain dupa trans"},{"speaker":"Chris Dy","startTime":500.31,"endTime":504.03,"body":"contractors relative to"},{"speaker":"Chris Dy","startTime":504.03,"endTime":505.77,"body":"something like a collagenases"},{"speaker":"Chris Dy","startTime":504.03,"endTime":505.77,"body":"injection."},{"speaker":"Charles Goldfarb","startTime":506.4,"endTime":508.32,"body":"Yeah, it's"},{"speaker":"Charles Goldfarb","startTime":506.4,"endTime":508.32,"body":"exactly right. I spoke to the"},{"speaker":"Charles Goldfarb","startTime":508.32,"endTime":511.5,"body":"medical director for our region."},{"speaker":"Charles Goldfarb","startTime":508.32,"endTime":511.5,"body":"He was great. I said all the"},{"speaker":"Charles Goldfarb","startTime":511.5,"endTime":514.83,"body":"right things, and nothing's"},{"speaker":"Charles Goldfarb","startTime":511.5,"endTime":514.83,"body":"happened. So we're not gonna do"},{"speaker":"Charles Goldfarb","startTime":514.83,"endTime":517.2,"body":"it anymore. I feel for the"},{"speaker":"Charles Goldfarb","startTime":514.83,"endTime":517.2,"body":"patients. Yeah,"},{"speaker":"Chris Dy","startTime":517.2,"endTime":520.05,"body":"that's tough. I mean,"},{"speaker":"Chris Dy","startTime":517.2,"endTime":520.05,"body":"honestly, I had to every time"},{"speaker":"Chris Dy","startTime":520.05,"endTime":522.51,"body":"that I want to come out and do a"},{"speaker":"Chris Dy","startTime":520.05,"endTime":522.51,"body":"needle, I used to not even think"},{"speaker":"Chris Dy","startTime":522.51,"endTime":524.97,"body":"about kind of, you know, what"},{"speaker":"Chris Dy","startTime":522.51,"endTime":524.97,"body":"insurance they have, et cetera."},{"speaker":"Chris Dy","startTime":525.24,"endTime":528.39,"body":"And I'm still not absolutely"},{"speaker":"Chris Dy","startTime":525.24,"endTime":528.39,"body":"sure where to check in epic for"},{"speaker":"Chris Dy","startTime":528.39,"endTime":530.76,"body":"the insurance thing. I think I"},{"speaker":"Chris Dy","startTime":528.39,"endTime":530.76,"body":"know but when it's not there,"},{"speaker":"Chris Dy","startTime":530.76,"endTime":533.01,"body":"I'm like I'm stuck. If it's not"},{"speaker":"Chris Dy","startTime":530.76,"endTime":533.01,"body":"on like the the first part of"},{"speaker":"Chris Dy","startTime":533.01,"endTime":535.65,"body":"the screen that I look at I'm"},{"speaker":"Chris Dy","startTime":533.01,"endTime":535.65,"body":"like I'm though I ask the nurses"},{"speaker":"Chris Dy","startTime":535.65,"endTime":539.19,"body":"help me. But I don't think about"},{"speaker":"Chris Dy","startTime":535.65,"endTime":539.19,"body":"that stuff. And sadly, now, you"},{"speaker":"Chris Dy","startTime":539.19,"endTime":542.16,"body":"know, the realities of American"},{"speaker":"Chris Dy","startTime":539.19,"endTime":542.16,"body":"health care. You have to think"},{"speaker":"Chris Dy","startTime":542.16,"endTime":545.88,"body":"about it, which thinks because"},{"speaker":"Chris Dy","startTime":542.16,"endTime":545.88,"body":"you know, you don't, it's hard"},{"speaker":"Chris Dy","startTime":545.88,"endTime":548.73,"body":"because you you don't want to go"},{"speaker":"Chris Dy","startTime":545.88,"endTime":548.73,"body":"into a room as you taught me"},{"speaker":"Chris Dy","startTime":548.73,"endTime":552.21,"body":"when I was your trainee, the"},{"speaker":"Chris Dy","startTime":548.73,"endTime":552.21,"body":"Goldfarb rules to go into the"},{"speaker":"Chris Dy","startTime":552.21,"endTime":557.58,"body":"room once. So if you have to go"},{"speaker":"Chris Dy","startTime":552.21,"endTime":557.58,"body":"in and out of a room any more"},{"speaker":"Chris Dy","startTime":557.58,"endTime":562.41,"body":"time, you know, like, so if you"},{"speaker":"Chris Dy","startTime":557.58,"endTime":562.41,"body":"I don't like having to go into"},{"speaker":"Chris Dy","startTime":562.41,"endTime":566.1,"body":"room checking insurance"},{"speaker":"Chris Dy","startTime":562.41,"endTime":566.1,"body":"beforehand. So I don't know."},{"speaker":"Chris Dy","startTime":566.13,"endTime":567.93,"body":"It's just kind of ruins the"},{"speaker":"Chris Dy","startTime":566.13,"endTime":567.93,"body":"whole thing for me."},{"speaker":"Charles Goldfarb","startTime":568.29,"endTime":570.87,"body":"Oh, totally"},{"speaker":"Charles Goldfarb","startTime":568.29,"endTime":570.87,"body":"agree. The other interesting pre"},{"speaker":"Charles Goldfarb","startTime":570.87,"endTime":574.41,"body":"auth discussion was for my knee"},{"speaker":"Charles Goldfarb","startTime":570.87,"endTime":574.41,"body":"replacement. It was computer"},{"speaker":"Charles Goldfarb","startTime":574.41,"endTime":579.0,"body":"navigated, and I had done some"},{"speaker":"Charles Goldfarb","startTime":574.41,"endTime":579.0,"body":"reading on it. And while I will"},{"speaker":"Charles Goldfarb","startTime":579.0,"endTime":583.86,"body":"say that it's not crystal clear"},{"speaker":"Charles Goldfarb","startTime":579.0,"endTime":583.86,"body":"that the computer navigation"},{"speaker":"Charles Goldfarb","startTime":583.86,"endTime":588.51,"body":"provides long term benefits,"},{"speaker":"Charles Goldfarb","startTime":583.86,"endTime":588.51,"body":"it's pretty clear that it's"},{"speaker":"Charles Goldfarb","startTime":588.51,"endTime":593.46,"body":"beneficial, especially for a uni"},{"speaker":"Charles Goldfarb","startTime":588.51,"endTime":593.46,"body":"and I had an argument with the"},{"speaker":"Charles Goldfarb","startTime":593.46,"endTime":596.55,"body":"person on the phone as the"},{"speaker":"Charles Goldfarb","startTime":593.46,"endTime":596.55,"body":"patient saying how can you not"},{"speaker":"Charles Goldfarb","startTime":596.55,"endTime":600.33,"body":"approve this? And it was a"},{"speaker":"Charles Goldfarb","startTime":596.55,"endTime":600.33,"body":"standard well, you You know, the"},{"speaker":"Charles Goldfarb","startTime":600.33,"endTime":603.33,"body":"literature doesn't support it."},{"speaker":"Charles Goldfarb","startTime":600.33,"endTime":603.33,"body":"I'm like, here's the literature"},{"speaker":"Charles Goldfarb","startTime":603.33,"endTime":606.36,"body":"that supports it. But I think I"},{"speaker":"Charles Goldfarb","startTime":603.33,"endTime":606.36,"body":"got nowhere. Right."},{"speaker":"Chris Dy","startTime":606.36,"endTime":609.12,"body":"So that's it's really"},{"speaker":"Chris Dy","startTime":606.36,"endTime":609.12,"body":"interesting, because, you know,"},{"speaker":"Chris Dy","startTime":609.66,"endTime":611.49,"body":"I used to know a little bit"},{"speaker":"Chris Dy","startTime":609.66,"endTime":611.49,"body":"about that world actually"},{"speaker":"Chris Dy","startTime":611.49,"endTime":613.74,"body":"written some papers on peer"},{"speaker":"Chris Dy","startTime":611.49,"endTime":613.74,"body":"navigation back when I was a"},{"speaker":"Chris Dy","startTime":613.74,"endTime":617.55,"body":"resident. And it it certainly"},{"speaker":"Chris Dy","startTime":613.74,"endTime":617.55,"body":"improves the technical aspects"},{"speaker":"Chris Dy","startTime":617.55,"endTime":620.4,"body":"of the shirt surgery, the"},{"speaker":"Chris Dy","startTime":617.55,"endTime":620.4,"body":"timezero kind of implant"},{"speaker":"Chris Dy","startTime":620.4,"endTime":623.73,"body":"positioning, etc. But I haven't"},{"speaker":"Chris Dy","startTime":620.4,"endTime":623.73,"body":"kept up on literature to know,"},{"speaker":"Chris Dy","startTime":623.76,"endTime":627.24,"body":"you know, how much of a long"},{"speaker":"Chris Dy","startTime":623.76,"endTime":627.24,"body":"term clinical improvement it has"},{"speaker":"Chris Dy","startTime":627.24,"endTime":629.19,"body":"been things like revision rates,"},{"speaker":"Chris Dy","startTime":627.24,"endTime":629.19,"body":"because I think it's probably"},{"speaker":"Chris Dy","startTime":629.19,"endTime":632.01,"body":"what an insurance company is"},{"speaker":"Chris Dy","startTime":629.19,"endTime":632.01,"body":"more concerned about. Yeah,"},{"speaker":"Charles Goldfarb","startTime":632.01,"endTime":635.13,"body":"I think I"},{"speaker":"Charles Goldfarb","startTime":632.01,"endTime":635.13,"body":"think you're exactly right. Um,"},{"speaker":"Charles Goldfarb","startTime":636.15,"endTime":639.03,"body":"I do. I do have a case. I'd love"},{"speaker":"Charles Goldfarb","startTime":636.15,"endTime":639.03,"body":"to get your thoughts on."},{"speaker":"Chris Dy","startTime":639.36,"endTime":641.34,"body":"Yeah, absolutely. Can"},{"speaker":"Chris Dy","startTime":639.36,"endTime":641.34,"body":"I ask you one quick question"},{"speaker":"Chris Dy","startTime":641.34,"endTime":644.49,"body":"before we move on from"},{"speaker":"Chris Dy","startTime":641.34,"endTime":644.49,"body":"Dupuytrens disease? What's your"},{"speaker":"Chris Dy","startTime":644.49,"endTime":647.34,"body":"postdoc protocol for somebody"},{"speaker":"Chris Dy","startTime":644.49,"endTime":647.34,"body":"who's got you know, somebody who"},{"speaker":"Chris Dy","startTime":647.34,"endTime":650.25,"body":"goes to the operating room for"},{"speaker":"Chris Dy","startTime":647.34,"endTime":650.25,"body":"you know, selective fasciectomy"},{"speaker":"Chris Dy","startTime":650.28,"endTime":655.14,"body":"to treat it substantial cord for"},{"speaker":"Chris Dy","startTime":650.28,"endTime":655.14,"body":"both the MP and the PIP joints"},{"speaker":"Chris Dy","startTime":655.14,"endTime":658.95,"body":"for a couple of fingers? And how"},{"speaker":"Chris Dy","startTime":655.14,"endTime":658.95,"body":"do you manage that post op? And"},{"speaker":"Chris Dy","startTime":658.95,"endTime":660.57,"body":"what does that look like? Just"},{"speaker":"Chris Dy","startTime":658.95,"endTime":660.57,"body":"so I think we've had some"},{"speaker":"Chris Dy","startTime":660.57,"endTime":662.46,"body":"discussions about it. But I was"},{"speaker":"Chris Dy","startTime":660.57,"endTime":662.46,"body":"thinking about because I was"},{"speaker":"Chris Dy","startTime":662.46,"endTime":665.43,"body":"explaining to our fellow Andrews"},{"speaker":"Chris Dy","startTime":662.46,"endTime":665.43,"body":"Strewsuski, who was with me in"},{"speaker":"Chris Dy","startTime":665.43,"endTime":667.95,"body":"the OR yesterday, just kind of"},{"speaker":"Chris Dy","startTime":665.43,"endTime":667.95,"body":"saying how I approach things."},{"speaker":"Chris Dy","startTime":667.95,"endTime":669.9,"body":"And this is what I've fallen"},{"speaker":"Chris Dy","startTime":667.95,"endTime":669.9,"body":"into. And it's worked for me."},{"speaker":"Chris Dy","startTime":669.9,"endTime":671.58,"body":"But you know, what's your take"},{"speaker":"Chris Dy","startTime":669.9,"endTime":671.58,"body":"on that?"},{"speaker":"Charles Goldfarb","startTime":671.94,"endTime":673.56,"body":"Yeah, well,"},{"speaker":"Charles Goldfarb","startTime":671.94,"endTime":673.56,"body":"maybe this is better than the"},{"speaker":"Charles Goldfarb","startTime":673.56,"endTime":680.04,"body":"case I was going to share. So"},{"speaker":"Charles Goldfarb","startTime":673.56,"endTime":680.04,"body":"I've evolved for sure. So let's"},{"speaker":"Charles Goldfarb","startTime":680.04,"endTime":683.64,"body":"say we're talking about a 35"},{"speaker":"Charles Goldfarb","startTime":680.04,"endTime":683.64,"body":"degree MP contracture, and maybe"},{"speaker":"Charles Goldfarb","startTime":683.64,"endTime":689.4,"body":"a 60 degree pap contracture. I'm"},{"speaker":"Charles Goldfarb","startTime":683.64,"endTime":689.4,"body":"a fan of zigzag incisions, I do"},{"speaker":"Charles Goldfarb","startTime":689.4,"endTime":692.19,"body":"not like a single straight down"},{"speaker":"Charles Goldfarb","startTime":689.4,"endTime":692.19,"body":"the middle incision with"},{"speaker":"Charles Goldfarb","startTime":692.19,"endTime":699.21,"body":"subsequent Z classes. I identify"},{"speaker":"Charles Goldfarb","startTime":692.19,"endTime":699.21,"body":"obviously, the duper trends"},{"speaker":"Charles Goldfarb","startTime":699.21,"endTime":703.26,"body":"proximately with the bundle, I"},{"speaker":"Charles Goldfarb","startTime":699.21,"endTime":703.26,"body":"also identify the duper trends"},{"speaker":"Charles Goldfarb","startTime":703.26,"endTime":706.35,"body":"distally, wherever that may be"},{"speaker":"Charles Goldfarb","startTime":703.26,"endTime":706.35,"body":"with the bundles, and then I"},{"speaker":"Charles Goldfarb","startTime":706.35,"endTime":710.1,"body":"work back and forth to excise"},{"speaker":"Charles Goldfarb","startTime":706.35,"endTime":710.1,"body":"ideally, sharply, but you know,"},{"speaker":"Charles Goldfarb","startTime":710.1,"endTime":715.74,"body":"scissor dissection as necessary."},{"speaker":"Charles Goldfarb","startTime":710.1,"endTime":715.74,"body":"And then I really work hard not"},{"speaker":"Charles Goldfarb","startTime":715.74,"endTime":720.54,"body":"to have to do a volar plate"},{"speaker":"Charles Goldfarb","startTime":715.74,"endTime":720.54,"body":"release. And I've found it"},{"speaker":"Charles Goldfarb","startTime":720.78,"endTime":724.56,"body":"increasingly uncommon that I"},{"speaker":"Charles Goldfarb","startTime":720.78,"endTime":724.56,"body":"have to touch the volar plate."},{"speaker":"Charles Goldfarb","startTime":724.86,"endTime":729.21,"body":"And that includes both a"},{"speaker":"Charles Goldfarb","startTime":724.86,"endTime":729.21,"body":"complete excision of the due"},{"speaker":"Charles Goldfarb","startTime":729.21,"endTime":731.94,"body":"patrons and a gentle"},{"speaker":"Charles Goldfarb","startTime":729.21,"endTime":731.94,"body":"manipulation of the PAP joint."},{"speaker":"Charles Goldfarb","startTime":731.97,"endTime":735.03,"body":"I'll stop there because I didn't"},{"speaker":"Charles Goldfarb","startTime":731.97,"endTime":735.03,"body":"answer your question at all. But"},{"speaker":"Charles Goldfarb","startTime":735.03,"endTime":738.21,"body":"where does your approach differ"},{"speaker":"Charles Goldfarb","startTime":735.03,"endTime":738.21,"body":"from what I've just stated?"},{"speaker":"Chris Dy","startTime":738.78,"endTime":742.74,"body":"Yea, no, same thing"},{"speaker":"Chris Dy","startTime":738.78,"endTime":742.74,"body":"pre op pre planned the incisions"},{"speaker":"Chris Dy","startTime":743.04,"endTime":746.1,"body":"burners exact incision, it's"},{"speaker":"Chris Dy","startTime":743.04,"endTime":746.1,"body":"just like having to think about"},{"speaker":"Chris Dy","startTime":746.1,"endTime":748.89,"body":"a too much clearly if we need"},{"speaker":"Chris Dy","startTime":746.1,"endTime":748.89,"body":"to, we can rearrange things. But"},{"speaker":"Chris Dy","startTime":748.89,"endTime":752.58,"body":"that's my gross understanding is"},{"speaker":"Chris Dy","startTime":748.89,"endTime":752.58,"body":"that most orthopedic surgeons"},{"speaker":"Chris Dy","startTime":752.58,"endTime":755.28,"body":"create these kinds of Z's ahead"},{"speaker":"Chris Dy","startTime":752.58,"endTime":755.28,"body":"of time and the plastic surgeons"},{"speaker":"Chris Dy","startTime":755.28,"endTime":757.77,"body":"are fancy enough to just kind of"},{"speaker":"Chris Dy","startTime":755.28,"endTime":757.77,"body":"create a straight line and go"},{"speaker":"Chris Dy","startTime":757.77,"endTime":760.05,"body":"for it at the end. I don't want"},{"speaker":"Chris Dy","startTime":757.77,"endTime":760.05,"body":"to think that hard to be honest"},{"speaker":"Chris Dy","startTime":760.05,"endTime":764.55,"body":"with you. And I have to I'm"},{"speaker":"Chris Dy","startTime":760.05,"endTime":764.55,"body":"pretty big on finding the"},{"speaker":"Chris Dy","startTime":764.58,"endTime":768.21,"body":"neurovascular bundles before I"},{"speaker":"Chris Dy","startTime":764.58,"endTime":768.21,"body":"start to cut out any tissue."},{"speaker":"Chris Dy","startTime":768.63,"endTime":771.12,"body":"Just because I was telling our"},{"speaker":"Chris Dy","startTime":768.63,"endTime":771.12,"body":"fellow Andrew, I was like this"},{"speaker":"Chris Dy","startTime":771.12,"endTime":775.59,"body":"is this disease is a formidable"},{"speaker":"Chris Dy","startTime":771.12,"endTime":775.59,"body":"foe. Every time you think you"},{"speaker":"Chris Dy","startTime":775.59,"endTime":778.89,"body":"understand it, it humbles you."},{"speaker":"Chris Dy","startTime":775.59,"endTime":778.89,"body":"And you know, I'd rather just"},{"speaker":"Chris Dy","startTime":778.89,"endTime":781.35,"body":"know where everything is. And"},{"speaker":"Chris Dy","startTime":778.89,"endTime":781.35,"body":"it's interesting I was one of"},{"speaker":"Chris Dy","startTime":781.35,"endTime":783.63,"body":"the things I was thinking by"},{"speaker":"Chris Dy","startTime":781.35,"endTime":783.63,"body":"yesterday is that I was trying"},{"speaker":"Chris Dy","startTime":783.63,"endTime":786.24,"body":"to dissect out these bundles"},{"speaker":"Chris Dy","startTime":783.63,"endTime":786.24,"body":"before, you know, removing any"},{"speaker":"Chris Dy","startTime":786.24,"endTime":788.85,"body":"tissue, but sometimes you got to"},{"speaker":"Chris Dy","startTime":786.24,"endTime":788.85,"body":"give your Yeah, to remove a"},{"speaker":"Chris Dy","startTime":788.85,"endTime":791.73,"body":"little bit of the tissue, just"},{"speaker":"Chris Dy","startTime":788.85,"endTime":791.73,"body":"to give yourself some room to"},{"speaker":"Chris Dy","startTime":791.73,"endTime":794.28,"body":"maneuver. So you've got those"},{"speaker":"Chris Dy","startTime":791.73,"endTime":794.28,"body":"central cords that kind of"},{"speaker":"Chris Dy","startTime":794.28,"endTime":796.47,"body":"spread and fan out across and"},{"speaker":"Chris Dy","startTime":794.28,"endTime":796.47,"body":"you're just proximal to the"},{"speaker":"Chris Dy","startTime":796.47,"endTime":800.07,"body":"Palmer digital crease. And I"},{"speaker":"Chris Dy","startTime":796.47,"endTime":800.07,"body":"don't like to cut anything out"},{"speaker":"Chris Dy","startTime":800.07,"endTime":801.9,"body":"until I know that see the"},{"speaker":"Chris Dy","startTime":800.07,"endTime":801.9,"body":"bundles, but sometimes you got"},{"speaker":"Chris Dy","startTime":801.9,"endTime":804.24,"body":"to cut a little bit out at least"},{"speaker":"Chris Dy","startTime":801.9,"endTime":804.24,"body":"to see the bundles. And then"},{"speaker":"Chris Dy","startTime":804.24,"endTime":806.7,"body":"once you kind of get your depth"},{"speaker":"Chris Dy","startTime":804.24,"endTime":806.7,"body":"in your plane and make sure"},{"speaker":"Chris Dy","startTime":806.7,"endTime":809.28,"body":"they're not doing any kind of"},{"speaker":"Chris Dy","startTime":806.7,"endTime":809.28,"body":"you know, there's not a nice"},{"speaker":"Chris Dy","startTime":809.28,"endTime":811.89,"body":"spiral funny business, then you"},{"speaker":"Chris Dy","startTime":809.28,"endTime":811.89,"body":"can start to be a little bit"},{"speaker":"Chris Dy","startTime":811.89,"endTime":815.25,"body":"more aggressive. But the for me"},{"speaker":"Chris Dy","startTime":811.89,"endTime":815.25,"body":"the stress and the tension is"},{"speaker":"Chris Dy","startTime":815.25,"endTime":817.8,"body":"high until I've seen bundles"},{"speaker":"Chris Dy","startTime":815.25,"endTime":817.8,"body":"proximal and distal to where the"},{"speaker":"Chris Dy","startTime":817.8,"endTime":819.3,"body":"maximum amount of contracture"},{"speaker":"Chris Dy","startTime":817.8,"endTime":819.3,"body":"is."},{"speaker":"Charles Goldfarb","startTime":819.9,"endTime":822.42,"body":"Totally agree."},{"speaker":"Charles Goldfarb","startTime":819.9,"endTime":822.42,"body":"I totally agree. And it's it's,"},{"speaker":"Charles Goldfarb","startTime":823.26,"endTime":827.97,"body":"it's so helpful for fellows to"},{"speaker":"Charles Goldfarb","startTime":823.26,"endTime":827.97,"body":"do some open dupes given how,"},{"speaker":"Charles Goldfarb","startTime":828.24,"endTime":832.53,"body":"you know, less common go into"},{"speaker":"Charles Goldfarb","startTime":828.24,"endTime":832.53,"body":"the OR is. And so there's"},{"speaker":"Charles Goldfarb","startTime":832.53,"endTime":834.6,"body":"nothing that replaces that"},{"speaker":"Charles Goldfarb","startTime":832.53,"endTime":834.6,"body":"experience. I think from a"},{"speaker":"Charles Goldfarb","startTime":834.6,"endTime":837.63,"body":"technical standpoint, it's one"},{"speaker":"Charles Goldfarb","startTime":834.6,"endTime":837.63,"body":"of those surgeries that"},{"speaker":"Charles Goldfarb","startTime":837.63,"endTime":841.92,"body":"technically is really important"},{"speaker":"Charles Goldfarb","startTime":837.63,"endTime":841.92,"body":"for education and technique"},{"speaker":"Charles Goldfarb","startTime":841.92,"endTime":845.79,"body":"development. So love that we"},{"speaker":"Charles Goldfarb","startTime":841.92,"endTime":845.79,"body":"still go the or at least some"},{"speaker":"Chris Dy","startTime":846.54,"endTime":848.7,"body":"Yeah, absolutely."},{"speaker":"Chris Dy","startTime":846.54,"endTime":848.7,"body":"Yeah. One question I want to ask"},{"speaker":"Chris Dy","startTime":848.7,"endTime":850.95,"body":"you is that, I don't know if I'm"},{"speaker":"Chris Dy","startTime":848.7,"endTime":850.95,"body":"describing this properly, how"},{"speaker":"Chris Dy","startTime":850.95,"endTime":853.44,"body":"it's actually been described in"},{"speaker":"Chris Dy","startTime":850.95,"endTime":853.44,"body":"the literature, you know, you've"},{"speaker":"Chris Dy","startTime":853.44,"endTime":856.08,"body":"got some duper trends that are"},{"speaker":"Chris Dy","startTime":853.44,"endTime":856.08,"body":"like a kind of a tightly defined"},{"speaker":"Chris Dy","startTime":856.08,"endTime":858.6,"body":"central corridor, a tightly"},{"speaker":"Chris Dy","startTime":856.08,"endTime":858.6,"body":"defined spiral cord, ATM cord,"},{"speaker":"Chris Dy","startTime":858.6,"endTime":862.35,"body":"etc. Sometimes you just kind of"},{"speaker":"Chris Dy","startTime":858.6,"endTime":862.35,"body":"have this nodular deposition of"},{"speaker":"Chris Dy","startTime":862.62,"endTime":865.53,"body":"SuperTrend tissue that, for me,"},{"speaker":"Chris Dy","startTime":862.62,"endTime":865.53,"body":"at least sits kind of between"},{"speaker":"Chris Dy","startTime":865.53,"endTime":868.77,"body":"the Palmer digital crease and"},{"speaker":"Chris Dy","startTime":865.53,"endTime":868.77,"body":"the PIP crease. And that's the"},{"speaker":"Chris Dy","startTime":868.77,"endTime":871.92,"body":"one that I certainly think is"},{"speaker":"Chris Dy","startTime":868.77,"endTime":871.92,"body":"not going to be readily treated"},{"speaker":"Chris Dy","startTime":871.92,"endTime":874.74,"body":"in my hands, at least with a"},{"speaker":"Chris Dy","startTime":871.92,"endTime":874.74,"body":"needle because it's so broad and"},{"speaker":"Chris Dy","startTime":874.74,"endTime":878.97,"body":"so dense that it's not like you"},{"speaker":"Chris Dy","startTime":874.74,"endTime":878.97,"body":"can break up a chord and you're"},{"speaker":"Chris Dy","startTime":878.97,"endTime":882.66,"body":"going to get rid of that. For me"},{"speaker":"Chris Dy","startTime":878.97,"endTime":882.66,"body":"that goes to the operating room."},{"speaker":"Chris Dy","startTime":882.66,"endTime":885.03,"body":"I don't know how you feel about"},{"speaker":"Chris Dy","startTime":882.66,"endTime":885.03,"body":"that. And then you know, the"},{"speaker":"Chris Dy","startTime":885.03,"endTime":887.37,"body":"it's the case that we were doing"},{"speaker":"Chris Dy","startTime":885.03,"endTime":887.37,"body":"a super interesting because it"},{"speaker":"Chris Dy","startTime":887.37,"endTime":890.04,"body":"had that nodular kind of"},{"speaker":"Chris Dy","startTime":887.37,"endTime":890.04,"body":"component over the small finger."},{"speaker":"Chris Dy","startTime":890.28,"endTime":892.23,"body":"And I thought the ring finger"},{"speaker":"Chris Dy","startTime":890.28,"endTime":892.23,"body":"was going to do the same thing"},{"speaker":"Chris Dy","startTime":892.23,"endTime":894.36,"body":"but the ring finger actually had"},{"speaker":"Chris Dy","startTime":892.23,"endTime":894.36,"body":"a pretty classically defined"},{"speaker":"Chris Dy","startTime":894.36,"endTime":896.82,"body":"spiral cord. So do you think you"},{"speaker":"Chris Dy","startTime":894.36,"endTime":896.82,"body":"know Andrew and I were talking"},{"speaker":"Chris Dy","startTime":896.82,"endTime":900.72,"body":"about this do you think the"},{"speaker":"Chris Dy","startTime":896.82,"endTime":900.72,"body":"fingers behave similar? In the"},{"speaker":"Chris Dy","startTime":900.72,"endTime":903.63,"body":"same hand, or do you think it's"},{"speaker":"Chris Dy","startTime":900.72,"endTime":903.63,"body":"just going to do whatever it"},{"speaker":"Chris Dy","startTime":903.63,"endTime":904.05,"body":"wants to do?"},{"speaker":"Charles Goldfarb","startTime":904.71,"endTime":906.21,"body":"Yeah, it's a"},{"speaker":"Charles Goldfarb","startTime":904.71,"endTime":906.21,"body":"great question. And it's"},{"speaker":"Charles Goldfarb","startTime":906.21,"endTime":909.3,"body":"actually something we should"},{"speaker":"Charles Goldfarb","startTime":906.21,"endTime":909.3,"body":"know the answer to we being the"},{"speaker":"Charles Goldfarb","startTime":909.3,"endTime":912.27,"body":"medical community, I think they"},{"speaker":"Charles Goldfarb","startTime":909.3,"endTime":912.27,"body":"can behave quite differently."},{"speaker":"Charles Goldfarb","startTime":912.27,"endTime":915.54,"body":"Although certainly there are"},{"speaker":"Charles Goldfarb","startTime":912.27,"endTime":915.54,"body":"some patterns that will repeat"},{"speaker":"Charles Goldfarb","startTime":915.54,"endTime":918.27,"body":"finger to finger. But yeah, I"},{"speaker":"Charles Goldfarb","startTime":915.54,"endTime":918.27,"body":"think they can, they can behave"},{"speaker":"Charles Goldfarb","startTime":918.27,"endTime":922.8,"body":"differently. And I, you know, I"},{"speaker":"Charles Goldfarb","startTime":918.27,"endTime":922.8,"body":"have had some success with the"},{"speaker":"Charles Goldfarb","startTime":922.8,"endTime":927.03,"body":"needle procedure with that large"},{"speaker":"Charles Goldfarb","startTime":922.8,"endTime":927.03,"body":"nodule over the proximal"},{"speaker":"Charles Goldfarb","startTime":927.03,"endTime":931.35,"body":"phalanx. But you're right, my"},{"speaker":"Charles Goldfarb","startTime":927.03,"endTime":931.35,"body":"expectations are diminished when"},{"speaker":"Charles Goldfarb","startTime":931.35,"endTime":934.98,"body":"that nodule is there, rather"},{"speaker":"Charles Goldfarb","startTime":931.35,"endTime":934.98,"body":"than a clean chord. So I think"},{"speaker":"Charles Goldfarb","startTime":934.98,"endTime":940.11,"body":"that's, that's really important."},{"speaker":"Charles Goldfarb","startTime":934.98,"endTime":940.11,"body":"Here's two things I don't do"},{"speaker":"Charles Goldfarb","startTime":940.11,"endTime":944.88,"body":"anymore. Number one, I do not"},{"speaker":"Charles Goldfarb","startTime":940.11,"endTime":944.88,"body":"pin the PAP joint at all ever,"},{"speaker":"Charles Goldfarb","startTime":945.03,"endTime":948.96,"body":"in this procedure, three things"},{"speaker":"Charles Goldfarb","startTime":945.03,"endTime":948.96,"body":"I don't do. Of course, three, I"},{"speaker":"Charles Goldfarb","startTime":948.96,"endTime":954.42,"body":"don't pin the PIP joint, I don't"},{"speaker":"Charles Goldfarb","startTime":948.96,"endTime":954.42,"body":"splint postoperatively. And I'll"},{"speaker":"Charles Goldfarb","startTime":954.42,"endTime":957.93,"body":"explain that. And the last thing"},{"speaker":"Charles Goldfarb","startTime":954.42,"endTime":957.93,"body":"I'll do is I don't close with"},{"speaker":"Charles Goldfarb","startTime":957.93,"endTime":962.52,"body":"nylon alone, I only use nylon as"},{"speaker":"Charles Goldfarb","startTime":957.93,"endTime":962.52,"body":"corner stitches, and I add"},{"speaker":"Charles Goldfarb","startTime":962.55,"endTime":966.54,"body":"chromatic or whatever, in"},{"speaker":"Charles Goldfarb","startTime":962.55,"endTime":966.54,"body":"between, it just it provides the"},{"speaker":"Charles Goldfarb","startTime":966.54,"endTime":970.14,"body":"strength of the nylon, and the"},{"speaker":"Charles Goldfarb","startTime":966.54,"endTime":970.14,"body":"lack of having to take out a"},{"speaker":"Charles Goldfarb","startTime":970.14,"endTime":973.29,"body":"million sutures with the"},{"speaker":"Charles Goldfarb","startTime":970.14,"endTime":973.29,"body":"absorbable. So I really liked"},{"speaker":"Charles Goldfarb","startTime":973.29,"endTime":974.04,"body":"that combination."},{"speaker":"Chris Dy","startTime":975.24,"endTime":978.27,"body":"Yeah, it's super"},{"speaker":"Chris Dy","startTime":975.24,"endTime":978.27,"body":"interesting. So to comment on"},{"speaker":"Chris Dy","startTime":978.27,"endTime":982.38,"body":"your three things. I think the"},{"speaker":"Chris Dy","startTime":978.27,"endTime":982.38,"body":"not pitting the joints, a good"},{"speaker":"Chris Dy","startTime":982.38,"endTime":985.83,"body":"idea to, you know, clearly, I"},{"speaker":"Chris Dy","startTime":982.38,"endTime":985.83,"body":"think it is, and I try to tell"},{"speaker":"Chris Dy","startTime":985.83,"endTime":987.6,"body":"the patients at a time,"},{"speaker":"Chris Dy","startTime":985.83,"endTime":987.6,"body":"especially the ones with more"},{"speaker":"Chris Dy","startTime":987.6,"endTime":991.71,"body":"severe contractures, we're gonna"},{"speaker":"Chris Dy","startTime":987.6,"endTime":991.71,"body":"get what we're gonna get. And"},{"speaker":"Chris Dy","startTime":991.74,"endTime":993.69,"body":"it's not going to be perfect,"},{"speaker":"Chris Dy","startTime":991.74,"endTime":993.69,"body":"there's always a chance of this"},{"speaker":"Chris Dy","startTime":993.69,"endTime":996.99,"body":"coming back. And a lot of times,"},{"speaker":"Chris Dy","startTime":993.69,"endTime":996.99,"body":"if they're severe enough, where"},{"speaker":"Chris Dy","startTime":996.99,"endTime":999.45,"body":"you're thinking about pitting"},{"speaker":"Chris Dy","startTime":996.99,"endTime":999.45,"body":"the PAP joint, after you've done"},{"speaker":"Chris Dy","startTime":999.45,"endTime":1002.15,"body":"it, they're probably gonna be"},{"speaker":"Chris Dy","startTime":999.45,"endTime":1002.15,"body":"pretty happy with a pretty"},{"speaker":"Chris Dy","startTime":1002.15,"endTime":1004.91,"body":"substantial partial correction,"},{"speaker":"Chris Dy","startTime":1002.15,"endTime":1004.91,"body":"to be honest with you. Because"},{"speaker":"Chris Dy","startTime":1004.91,"endTime":1008.03,"body":"most of those folks haven't used"},{"speaker":"Chris Dy","startTime":1004.91,"endTime":1008.03,"body":"their hand fully in a long time"},{"speaker":"Chris Dy","startTime":1008.06,"endTime":1010.07,"body":"and really just want to get"},{"speaker":"Chris Dy","startTime":1008.06,"endTime":1010.07,"body":"their hand in their pocket, get"},{"speaker":"Chris Dy","startTime":1010.07,"endTime":1013.25,"body":"their hand and gloves, being"},{"speaker":"Chris Dy","startTime":1010.07,"endTime":1013.25,"body":"able to release things. That's"},{"speaker":"Chris Dy","startTime":1013.25,"endTime":1015.8,"body":"been my experience. I've"},{"speaker":"Chris Dy","startTime":1013.25,"endTime":1015.8,"body":"obviously been doing it much"},{"speaker":"Chris Dy","startTime":1016.58,"endTime":1020.21,"body":"shorter time than you. And then"},{"speaker":"Chris Dy","startTime":1016.58,"endTime":1020.21,"body":"for postop actually, I'm"},{"speaker":"Chris Dy","startTime":1020.21,"endTime":1023.69,"body":"curious, I don't I do splint"},{"speaker":"Chris Dy","startTime":1020.21,"endTime":1023.69,"body":"people but I actually send them"},{"speaker":"Chris Dy","startTime":1023.69,"endTime":1026.81,"body":"to therapy within a day or two"},{"speaker":"Chris Dy","startTime":1023.69,"endTime":1026.81,"body":"after surgery to change out of"},{"speaker":"Chris Dy","startTime":1026.81,"endTime":1030.74,"body":"my placer splint into a custom"},{"speaker":"Chris Dy","startTime":1026.81,"endTime":1030.74,"body":"therapy splint and encourage"},{"speaker":"Chris Dy","startTime":1030.74,"endTime":1034.52,"body":"motion once the block is worn"},{"speaker":"Chris Dy","startTime":1030.74,"endTime":1034.52,"body":"off if they have a block. And"},{"speaker":"Chris Dy","startTime":1034.52,"endTime":1038.66,"body":"then the third thing is that I"},{"speaker":"Chris Dy","startTime":1034.52,"endTime":1038.66,"body":"still use nylons for these. I"},{"speaker":"Chris Dy","startTime":1038.66,"endTime":1041.21,"body":"hate having to take all the"},{"speaker":"Chris Dy","startTime":1038.66,"endTime":1041.21,"body":"amount I feel like when I have"},{"speaker":"Chris Dy","startTime":1041.21,"endTime":1043.94,"body":"patients that are going to see"},{"speaker":"Chris Dy","startTime":1041.21,"endTime":1043.94,"body":"their wounds sooner because"},{"speaker":"Chris Dy","startTime":1043.94,"endTime":1047.33,"body":"they're going to therapy, the"},{"speaker":"Chris Dy","startTime":1043.94,"endTime":1047.33,"body":"corners really freaked him out"},{"speaker":"Chris Dy","startTime":1047.33,"endTime":1049.64,"body":"if you don't get the corners"},{"speaker":"Chris Dy","startTime":1047.33,"endTime":1049.64,"body":"perfect. So you gotta get the"},{"speaker":"Chris Dy","startTime":1049.64,"endTime":1053.12,"body":"corners. Perfect. I've stopped"},{"speaker":"Chris Dy","startTime":1049.64,"endTime":1053.12,"body":"doing a corner stitch as you're"},{"speaker":"Chris Dy","startTime":1053.12,"endTime":1055.73,"body":"taught. I actually just do"},{"speaker":"Chris Dy","startTime":1053.12,"endTime":1055.73,"body":"simples on each side of the"},{"speaker":"Chris Dy","startTime":1055.73,"endTime":1057.86,"body":"corner, because I feel like"},{"speaker":"Chris Dy","startTime":1055.73,"endTime":1057.86,"body":"that's a more reproducible thing"},{"speaker":"Chris Dy","startTime":1057.86,"endTime":1061.16,"body":"when you have multiple people"},{"speaker":"Chris Dy","startTime":1057.86,"endTime":1061.16,"body":"that are suturing. And I don't"},{"speaker":"Chris Dy","startTime":1061.16,"endTime":1064.1,"body":"have to keep watching people"},{"speaker":"Chris Dy","startTime":1061.16,"endTime":1064.1,"body":"flail on the corner stitch and I"},{"speaker":"Chris Dy","startTime":1064.1,"endTime":1067.34,"body":"don't want to kill the corner,"},{"speaker":"Chris Dy","startTime":1064.1,"endTime":1067.34,"body":"to be honest with you. So you"},{"speaker":"Chris Dy","startTime":1067.34,"endTime":1069.8,"body":"know, I've got shifted to that"},{"speaker":"Chris Dy","startTime":1067.34,"endTime":1069.8,"body":"probably six or seven years ago,"},{"speaker":"Chris Dy","startTime":1069.92,"endTime":1073.1,"body":"I probably should use more"},{"speaker":"Chris Dy","startTime":1069.92,"endTime":1073.1,"body":"chromics. I've worked with"},{"speaker":"Chris Dy","startTime":1073.1,"endTime":1076.13,"body":"surgeons in the past who have"},{"speaker":"Chris Dy","startTime":1073.1,"endTime":1076.13,"body":"used chromics to kind of work in"},{"speaker":"Chris Dy","startTime":1076.13,"endTime":1079.22,"body":"between areas of simples and"},{"speaker":"Chris Dy","startTime":1076.13,"endTime":1079.22,"body":"mattresses, just to kind of"},{"speaker":"Chris Dy","startTime":1079.22,"endTime":1082.79,"body":"really nicely get the skin"},{"speaker":"Chris Dy","startTime":1079.22,"endTime":1082.79,"body":"together, pucker it exactly how"},{"speaker":"Chris Dy","startTime":1082.79,"endTime":1086.63,"body":"you want it. But haven't used a"},{"speaker":"Chris Dy","startTime":1082.79,"endTime":1086.63,"body":"ton of chromics, I have switched"},{"speaker":"Chris Dy","startTime":1086.66,"endTime":1090.2,"body":"my carpal tunnel trigger"},{"speaker":"Chris Dy","startTime":1086.66,"endTime":1090.2,"body":"closure, thanks to Sam"},{"speaker":"Chris Dy","startTime":1090.2,"endTime":1093.38,"body":"Moghtederi, over in DC, but we"},{"speaker":"Chris Dy","startTime":1090.2,"endTime":1093.38,"body":"could talk about that"},{"speaker":"Chris Dy","startTime":1093.38,"endTime":1095.18,"body":"separately. But yeah, I don't"},{"speaker":"Chris Dy","startTime":1093.38,"endTime":1095.18,"body":"know if you have any thoughts"},{"speaker":"Chris Dy","startTime":1095.18,"endTime":1096.41,"body":"based on the things that I just"},{"speaker":"Chris Dy","startTime":1095.18,"endTime":1096.41,"body":"said."},{"speaker":"Charles Goldfarb","startTime":1097.1,"endTime":1099.95,"body":"So my my I"},{"speaker":"Charles Goldfarb","startTime":1097.1,"endTime":1099.95,"body":"like everything you say I do use"},{"speaker":"Charles Goldfarb","startTime":1099.95,"endTime":1102.65,"body":"corner stitches with nylon, I"},{"speaker":"Charles Goldfarb","startTime":1099.95,"endTime":1102.65,"body":"agree the corners gotta get"},{"speaker":"Charles Goldfarb","startTime":1102.71,"endTime":1105.86,"body":"right and you got to do them"},{"speaker":"Charles Goldfarb","startTime":1102.71,"endTime":1105.86,"body":"right. And you got to, it can be"},{"speaker":"Charles Goldfarb","startTime":1105.86,"endTime":1110.18,"body":"painful sometimes. And then it's"},{"speaker":"Charles Goldfarb","startTime":1105.86,"endTime":1110.18,"body":"sort of maybe one nylon on each"},{"speaker":"Charles Goldfarb","startTime":1110.21,"endTime":1113.51,"body":"limb with you know, then maybe"},{"speaker":"Charles Goldfarb","startTime":1110.21,"endTime":1113.51,"body":"another stitch or two, that's"},{"speaker":"Charles Goldfarb","startTime":1113.51,"endTime":1118.94,"body":"absorbable. My thing with"},{"speaker":"Charles Goldfarb","startTime":1113.51,"endTime":1118.94,"body":"pinning, aside from the vascular"},{"speaker":"Charles Goldfarb","startTime":1118.94,"endTime":1121.58,"body":"concerns, if you really had a"},{"speaker":"Charles Goldfarb","startTime":1118.94,"endTime":1121.58,"body":"big contraction, then you pin it"},{"speaker":"Charles Goldfarb","startTime":1121.58,"endTime":1125.18,"body":"straight, which you don't worry"},{"speaker":"Charles Goldfarb","startTime":1121.58,"endTime":1125.18,"body":"about the vascularity. Assuming"},{"speaker":"Charles Goldfarb","startTime":1125.18,"endTime":1128.03,"body":"you you know, technically do"},{"speaker":"Charles Goldfarb","startTime":1125.18,"endTime":1128.03,"body":"your surgery, well, if you don't"},{"speaker":"Charles Goldfarb","startTime":1128.03,"endTime":1131.42,"body":"pin it, if you pin it, you have"},{"speaker":"Charles Goldfarb","startTime":1128.03,"endTime":1131.42,"body":"to worry about it. The real"},{"speaker":"Charles Goldfarb","startTime":1131.42,"endTime":1135.29,"body":"reason I don't pin it is I don't"},{"speaker":"Charles Goldfarb","startTime":1131.42,"endTime":1135.29,"body":"know why I would. Because if"},{"speaker":"Charles Goldfarb","startTime":1135.29,"endTime":1138.26,"body":"I've done the complete release,"},{"speaker":"Charles Goldfarb","startTime":1135.29,"endTime":1138.26,"body":"then I've done a complete"},{"speaker":"Charles Goldfarb","startTime":1138.26,"endTime":1141.26,"body":"release and I get the finger"},{"speaker":"Charles Goldfarb","startTime":1138.26,"endTime":1141.26,"body":"straight. If I haven't done a"},{"speaker":"Charles Goldfarb","startTime":1141.26,"endTime":1143.93,"body":"complete release, then I don't"},{"speaker":"Charles Goldfarb","startTime":1141.26,"endTime":1143.93,"body":"know what the pin does for me."},{"speaker":"Charles Goldfarb","startTime":1144.2,"endTime":1146.75,"body":"And you can say it gives you a"},{"speaker":"Charles Goldfarb","startTime":1144.2,"endTime":1146.75,"body":"stretch. I think that's total"},{"speaker":"Charles Goldfarb","startTime":1146.75,"endTime":1151.01,"body":"BS. And then the reason I do is"},{"speaker":"Charles Goldfarb","startTime":1146.75,"endTime":1151.01,"body":"I do a soft dressing because it"},{"speaker":"Charles Goldfarb","startTime":1151.01,"endTime":1153.47,"body":"lets patients move while the"},{"speaker":"Charles Goldfarb","startTime":1151.01,"endTime":1153.47,"body":"blokes working. I think there's"},{"speaker":"Charles Goldfarb","startTime":1153.47,"endTime":1156.14,"body":"probably a little bit of"},{"speaker":"Charles Goldfarb","startTime":1153.47,"endTime":1156.14,"body":"benefit. And then like you I"},{"speaker":"Charles Goldfarb","startTime":1156.14,"endTime":1159.41,"body":"send him to therapy, usually two"},{"speaker":"Charles Goldfarb","startTime":1156.14,"endTime":1159.41,"body":"days post op, and they'll get a"},{"speaker":"Charles Goldfarb","startTime":1159.44,"endTime":1162.68,"body":"night splint for extension. And"},{"speaker":"Charles Goldfarb","startTime":1159.44,"endTime":1162.68,"body":"then during the day they just"},{"speaker":"Charles Goldfarb","startTime":1162.68,"endTime":1163.46,"body":"work on flexion"},{"speaker":"Chris Dy","startTime":1164.39,"endTime":1165.5,"body":"How long do you night"},{"speaker":"Chris Dy","startTime":1164.39,"endTime":1165.5,"body":"splint for?"},{"speaker":"Charles Goldfarb","startTime":1166.37,"endTime":1169.07,"body":"I asked for"},{"speaker":"Charles Goldfarb","startTime":1166.37,"endTime":1169.07,"body":"six weeks but if patients are"},{"speaker":"Charles Goldfarb","startTime":1169.07,"endTime":1171.29,"body":"doing well they don't they don't"},{"speaker":"Charles Goldfarb","startTime":1169.07,"endTime":1171.29,"body":"want to do it that long. So I"},{"speaker":"Charles Goldfarb","startTime":1171.29,"endTime":1174.26,"body":"see the patients had 12 days and"},{"speaker":"Charles Goldfarb","startTime":1171.29,"endTime":1174.26,"body":"I encouraged them to keep"},{"speaker":"Charles Goldfarb","startTime":1174.26,"endTime":1176.69,"body":"splinting and I usually see them"},{"speaker":"Charles Goldfarb","startTime":1174.26,"endTime":1176.69,"body":"back at six weeks and most of"},{"speaker":"Charles Goldfarb","startTime":1176.69,"endTime":1177.68,"body":"discontinue this one."},{"speaker":"Chris Dy","startTime":1178.28,"endTime":1181.25,"body":"Yeah, so I'll do"},{"speaker":"Chris Dy","startTime":1178.28,"endTime":1181.25,"body":"typically we'll do you know full"},{"speaker":"Chris Dy","startTime":1181.25,"endTime":1184.25,"body":"time splinting, but coming out"},{"speaker":"Chris Dy","startTime":1181.25,"endTime":1184.25,"body":"full time meaning day and night"},{"speaker":"Chris Dy","startTime":1184.25,"endTime":1189.29,"body":"but coming out to work on active"},{"speaker":"Chris Dy","startTime":1184.25,"endTime":1189.29,"body":"flexion and extension. Starting"},{"speaker":"Chris Dy","startTime":1189.29,"endTime":1191.72,"body":"you know within a day or two"},{"speaker":"Chris Dy","startTime":1189.29,"endTime":1191.72,"body":"after surgery, continue that"},{"speaker":"Chris Dy","startTime":1191.75,"endTime":1195.23,"body":"after post op check one which is"},{"speaker":"Chris Dy","startTime":1191.75,"endTime":1195.23,"body":"usually at the 10 to 14 day mark"},{"speaker":"Chris Dy","startTime":1196.22,"endTime":1199.4,"body":"and have them do that for about"},{"speaker":"Chris Dy","startTime":1196.22,"endTime":1199.4,"body":"two weeks like a full month of"},{"speaker":"Chris Dy","startTime":1199.4,"endTime":1201.71,"body":"that and then just nightime"},{"speaker":"Chris Dy","startTime":1199.4,"endTime":1201.71,"body":"splinting after that for another"},{"speaker":"Chris Dy","startTime":1201.71,"endTime":1205.82,"body":"two weeks, yeah, I like it. I"},{"speaker":"Chris Dy","startTime":1201.71,"endTime":1205.82,"body":"like different ways to do it."},{"speaker":"Charles Goldfarb","startTime":1206.0,"endTime":1208.88,"body":"I mean,"},{"speaker":"Charles Goldfarb","startTime":1206.0,"endTime":1208.88,"body":"dupuytrens is the one exception"},{"speaker":"Charles Goldfarb","startTime":1206.06,"endTime":1206.39,"body":"Yeah,"},{"speaker":"Charles Goldfarb","startTime":1208.88,"endTime":1212.39,"body":"on my scheduling criteria for"},{"speaker":"Charles Goldfarb","startTime":1208.88,"endTime":1212.39,"body":"patients over 40. Now, I don't"},{"speaker":"Charles Goldfarb","startTime":1212.39,"endTime":1214.73,"body":"know how but I think we've"},{"speaker":"Charles Goldfarb","startTime":1212.39,"endTime":1214.73,"body":"talked about before plenty of"},{"speaker":"Charles Goldfarb","startTime":1214.73,"endTime":1218.33,"body":"patients over 40 sneak into my"},{"speaker":"Charles Goldfarb","startTime":1214.73,"endTime":1218.33,"body":"clinic, but the ones true"},{"speaker":"Charles Goldfarb","startTime":1218.33,"endTime":1221.09,"body":"exception is due Patronus"},{"speaker":"Charles Goldfarb","startTime":1218.33,"endTime":1221.09,"body":"patients of all ages can come in"},{"speaker":"Charles Goldfarb","startTime":1221.09,"endTime":1225.2,"body":"and and I just think it's so"},{"speaker":"Charles Goldfarb","startTime":1221.09,"endTime":1225.2,"body":"educational, like it's really"},{"speaker":"Charles Goldfarb","startTime":1225.2,"endTime":1226.94,"body":"important for residents and"},{"speaker":"Charles Goldfarb","startTime":1225.2,"endTime":1226.94,"body":"fellows to see."},{"speaker":"Chris Dy","startTime":1228.05,"endTime":1230.06,"body":"Right, it pains me not"},{"speaker":"Chris Dy","startTime":1228.05,"endTime":1230.06,"body":"to think that I could not get"},{"speaker":"Chris Dy","startTime":1230.06,"endTime":1230.87,"body":"into your clinic."},{"speaker":"Charles Goldfarb","startTime":1234.53,"endTime":1236.96,"body":"You're too"},{"speaker":"Charles Goldfarb","startTime":1234.53,"endTime":1236.96,"body":"old. You're not old, but you're"},{"speaker":"Charles Goldfarb","startTime":1236.96,"endTime":1237.53,"body":"too old."},{"speaker":"Chris Dy","startTime":1238.31,"endTime":1240.41,"body":"Too old for the"},{"speaker":"Chris Dy","startTime":1238.31,"endTime":1240.41,"body":"Goldfarb clinic. Well, let's"},{"speaker":"Chris Dy","startTime":1240.41,"endTime":1244.19,"body":"thank our next sponsor at"},{"speaker":"Chris Dy","startTime":1240.41,"endTime":1244.19,"body":"checkpoint. So our sponsor"},{"speaker":"Chris Dy","startTime":1244.19,"endTime":1247.4,"body":"checkpoint is checkpoint"},{"speaker":"Chris Dy","startTime":1244.19,"endTime":1247.4,"body":"surgical, supporting the WashU"},{"speaker":"Chris Dy","startTime":1247.4,"endTime":1250.94,"body":"peripheral nerve course April 5,"},{"speaker":"Chris Dy","startTime":1247.4,"endTime":1250.94,"body":"and 6th here in St. Louis."},{"speaker":"Chris Dy","startTime":1250.97,"endTime":1254.12,"body":"Faculty of this course will"},{"speaker":"Chris Dy","startTime":1250.97,"endTime":1254.12,"body":"include myself, Dr. Mitchel Pet,"},{"speaker":"Chris Dy","startTime":1254.12,"endTime":1257.21,"body":"Dr. Wilson, Zachary, Ray  and"},{"speaker":"Chris Dy","startTime":1254.12,"endTime":1257.21,"body":"keynote speaker, Dr. Susan"},{"speaker":"Chris Dy","startTime":1257.21,"endTime":1257.57,"body":"MacKinnon."},{"speaker":"Charles Goldfarb","startTime":1258.2,"endTime":1259.76,"body":"You can"},{"speaker":"Charles Goldfarb","startTime":1258.2,"endTime":1259.76,"body":"register at the link in the"},{"speaker":"Charles Goldfarb","startTime":1259.76,"endTime":1264.05,"body":"podcast description, or on"},{"speaker":"Charles Goldfarb","startTime":1259.76,"endTime":1264.05,"body":"nervemaster.com. Hope to see you"},{"speaker":"Charles Goldfarb","startTime":1264.05,"endTime":1268.22,"body":"there. It's going to be awesome."},{"speaker":"Charles Goldfarb","startTime":1264.05,"endTime":1268.22,"body":"I know there's not many slots"},{"speaker":"Charles Goldfarb","startTime":1268.22,"endTime":1271.37,"body":"left as I understand it, maybe"},{"speaker":"Charles Goldfarb","startTime":1268.22,"endTime":1271.37,"body":"you can squeeze a few more"},{"speaker":"Charles Goldfarb","startTime":1271.37,"endTime":1271.94,"body":"people in."},{"speaker":"Chris Dy","startTime":1272.0,"endTime":1274.13,"body":"Yeah so the whole"},{"speaker":"Chris Dy","startTime":1272.0,"endTime":1274.13,"body":"economy is scarcity. Thanks. So"},{"speaker":"Chris Dy","startTime":1274.13,"endTime":1276.62,"body":"you better sign up. I think"},{"speaker":"Chris Dy","startTime":1274.13,"endTime":1276.62,"body":"we're still in early"},{"speaker":"Chris Dy","startTime":1276.62,"endTime":1279.23,"body":"registration. Technically, it's"},{"speaker":"Chris Dy","startTime":1276.62,"endTime":1279.23,"body":"gonna be great program. And we"},{"speaker":"Chris Dy","startTime":1279.23,"endTime":1282.35,"body":"got folks coming back from other"},{"speaker":"Chris Dy","startTime":1279.23,"endTime":1282.35,"body":"institutions that have lost you."},{"speaker":"Chris Dy","startTime":1282.74,"endTime":1287.3,"body":"Nerve ties, it's gonna be great."},{"speaker":"Chris Dy","startTime":1282.74,"endTime":1287.3,"body":"You know, the lectures on Friday"},{"speaker":"Chris Dy","startTime":1287.3,"endTime":1290.99,"body":"the you get to do anatomy labs"},{"speaker":"Chris Dy","startTime":1287.3,"endTime":1290.99,"body":"with all these people, including"},{"speaker":"Chris Dy","startTime":1290.99,"endTime":1294.35,"body":"Dr. MacKinnon on Saturday, I"},{"speaker":"Chris Dy","startTime":1290.99,"endTime":1294.35,"body":"think it's gonna be super fun."},{"speaker":"Chris Dy","startTime":1294.35,"endTime":1299.09,"body":"And this is a original here. I"},{"speaker":"Chris Dy","startTime":1294.35,"endTime":1299.09,"body":"will This is an exclusive. Dr."},{"speaker":"Chris Dy","startTime":1299.09,"endTime":1302.36,"body":"MacKinnon has offered on the"},{"speaker":"Chris Dy","startTime":1299.09,"endTime":1302.36,"body":"Sunday morning after the course,"},{"speaker":"Chris Dy","startTime":1302.78,"endTime":1306.65,"body":"to do like a fireside chat about"},{"speaker":"Chris Dy","startTime":1302.78,"endTime":1306.65,"body":"cases and give some of her"},{"speaker":"Chris Dy","startTime":1306.65,"endTime":1309.17,"body":"lectures to the people that have"},{"speaker":"Chris Dy","startTime":1306.65,"endTime":1309.17,"body":"come to the course the two days"},{"speaker":"Chris Dy","startTime":1309.17,"endTime":1312.98,"body":"before. So that's a new"},{"speaker":"Chris Dy","startTime":1309.17,"endTime":1312.98,"body":"exclusive that that's just"},{"speaker":"Chris Dy","startTime":1312.98,"endTime":1315.2,"body":"dropping. Now it's going to be"},{"speaker":"Chris Dy","startTime":1312.98,"endTime":1315.2,"body":"publicized eventually. But if"},{"speaker":"Chris Dy","startTime":1315.2,"endTime":1316.79,"body":"you come to the course you also"},{"speaker":"Chris Dy","startTime":1315.2,"endTime":1316.79,"body":"get to hang out with Dr."},{"speaker":"Chris Dy","startTime":1316.79,"endTime":1318.41,"body":"MacKinnon a little more, which"},{"speaker":"Chris Dy","startTime":1316.79,"endTime":1318.41,"body":"would be super fun."},{"speaker":"Charles Goldfarb","startTime":1319.01,"endTime":1321.71,"body":"Wow, that's a"},{"speaker":"Charles Goldfarb","startTime":1319.01,"endTime":1321.71,"body":"lot of learning. And two and a"},{"speaker":"Charles Goldfarb","startTime":1321.71,"endTime":1323.15,"body":"half, two and a quarter days."},{"speaker":"Chris Dy","startTime":1323.21,"endTime":1325.01,"body":"Yeah, it's bonus,"},{"speaker":"Chris Dy","startTime":1323.21,"endTime":1325.01,"body":"you're getting an extra like a"},{"speaker":"Chris Dy","startTime":1325.01,"endTime":1327.77,"body":"half half day for free? Yes,"},{"speaker":"Charles Goldfarb","startTime":1327.8,"endTime":1329.99,"body":"I love it."},{"speaker":"Charles Goldfarb","startTime":1327.8,"endTime":1329.99,"body":"What do you think? Should we"},{"speaker":"Charles Goldfarb","startTime":1329.99,"endTime":1332.54,"body":"briefly talked about this other"},{"speaker":"Charles Goldfarb","startTime":1329.99,"endTime":1332.54,"body":"case? Or should we move on to"},{"speaker":"Charles Goldfarb","startTime":1332.54,"endTime":1333.59,"body":"our HDR to the"},{"speaker":"Chris Dy","startTime":1333.83,"endTime":1335.33,"body":"Let's go to the"},{"speaker":"Chris Dy","startTime":1333.83,"endTime":1335.33,"body":"article. I think it's an"},{"speaker":"Chris Dy","startTime":1335.33,"endTime":1337.58,"body":"interesting one. And we can"},{"speaker":"Chris Dy","startTime":1335.33,"endTime":1337.58,"body":"certainly save the case for next"},{"speaker":"Chris Dy","startTime":1337.58,"endTime":1343.4,"body":"time. You know, one of the"},{"speaker":"Chris Dy","startTime":1337.58,"endTime":1343.4,"body":"things that I've noticed is that"},{"speaker":"Chris Dy","startTime":1343.46,"endTime":1347.27,"body":"leadership styles change over"},{"speaker":"Chris Dy","startTime":1343.46,"endTime":1347.27,"body":"time. And we talked about before"},{"speaker":"Chris Dy","startTime":1347.27,"endTime":1349.7,"body":"the people that have been"},{"speaker":"Chris Dy","startTime":1347.27,"endTime":1349.7,"body":"incredibly successful leaders,"},{"speaker":"Chris Dy","startTime":1350.15,"endTime":1353.51,"body":"you know, in the orthopedic"},{"speaker":"Chris Dy","startTime":1350.15,"endTime":1353.51,"body":"world and medicine in general,"},{"speaker":"Chris Dy","startTime":1354.29,"endTime":1356.6,"body":"generationally that shifts, and"},{"speaker":"Chris Dy","startTime":1354.29,"endTime":1356.6,"body":"I don't know, if somebody who"},{"speaker":"Chris Dy","startTime":1356.6,"endTime":1360.2,"body":"was an amazing leader, you know,"},{"speaker":"Chris Dy","startTime":1356.6,"endTime":1360.2,"body":"2030 years ago would still be"},{"speaker":"Chris Dy","startTime":1360.2,"endTime":1362.24,"body":"the same today, like, could"},{"speaker":"Chris Dy","startTime":1360.2,"endTime":1362.24,"body":"Michael Jordan Play in Today's"},{"speaker":"Chris Dy","startTime":1362.24,"endTime":1366.5,"body":"MBA to the same effect, for"},{"speaker":"Chris Dy","startTime":1362.24,"endTime":1366.5,"body":"example. So this was an article"},{"speaker":"Chris Dy","startTime":1366.5,"endTime":1371.6,"body":"out of HBR, from the January"},{"speaker":"Chris Dy","startTime":1366.5,"endTime":1371.6,"body":"February 2024. Print issue by"},{"speaker":"Chris Dy","startTime":1371.63,"endTime":1375.62,"body":"Sylvia Ann Hewlett called The"},{"speaker":"Chris Dy","startTime":1371.63,"endTime":1375.62,"body":"New Rules of Executive Presence."},{"speaker":"Chris Dy","startTime":1375.65,"endTime":1379.55,"body":"So for those of you that like to"},{"speaker":"Chris Dy","startTime":1375.65,"endTime":1379.55,"body":"download at home, or at least"},{"speaker":"Chris Dy","startTime":1379.55,"endTime":1382.91,"body":"will look it up online, let me"},{"speaker":"Chris Dy","startTime":1379.55,"endTime":1382.91,"body":"get the reprint here for you."},{"speaker":"Chris Dy","startTime":1382.91,"endTime":1388.49,"body":"That is our 2401 l. But I"},{"speaker":"Chris Dy","startTime":1382.91,"endTime":1388.49,"body":"enjoyed reading this. Chuck,"},{"speaker":"Chris Dy","startTime":1388.52,"endTime":1390.53,"body":"what were your thoughts in terms"},{"speaker":"Chris Dy","startTime":1388.52,"endTime":1390.53,"body":"of you know, if you wanted to"},{"speaker":"Chris Dy","startTime":1390.53,"endTime":1392.42,"body":"introduce the article or get"},{"speaker":"Chris Dy","startTime":1390.53,"endTime":1392.42,"body":"some high level thoughts?"},{"speaker":"Charles Goldfarb","startTime":1392.96,"endTime":1395.81,"body":"Yeah, so it's,"},{"speaker":"Charles Goldfarb","startTime":1392.96,"endTime":1395.81,"body":"this is super interesting,"},{"speaker":"Charles Goldfarb","startTime":1395.81,"endTime":1400.88,"body":"because I've been lazy post"},{"speaker":"Charles Goldfarb","startTime":1395.81,"endTime":1400.88,"body":"pandemic, with my attire, we've"},{"speaker":"Charles Goldfarb","startTime":1400.88,"endTime":1404.39,"body":"talked about that I use any"},{"speaker":"Charles Goldfarb","startTime":1400.88,"endTime":1404.39,"body":"excuse to wear whatever into the"},{"speaker":"Charles Goldfarb","startTime":1404.39,"endTime":1409.97,"body":"office and change into scrubs."},{"speaker":"Charles Goldfarb","startTime":1404.39,"endTime":1409.97,"body":"And that doesn't, you know,"},{"speaker":"Charles Goldfarb","startTime":1410.0,"endTime":1415.31,"body":"those kind of appearance, you"},{"speaker":"Charles Goldfarb","startTime":1410.0,"endTime":1415.31,"body":"know, dress for the role you"},{"speaker":"Charles Goldfarb","startTime":1415.31,"endTime":1419.57,"body":"want. Those things haven't"},{"speaker":"Charles Goldfarb","startTime":1415.31,"endTime":1419.57,"body":"changed. And this article, I"},{"speaker":"Charles Goldfarb","startTime":1419.57,"endTime":1424.46,"body":"think, is really, really"},{"speaker":"Charles Goldfarb","startTime":1419.57,"endTime":1424.46,"body":"interesting. So I guess I'll"},{"speaker":"Charles Goldfarb","startTime":1424.46,"endTime":1427.1,"body":"start by saying, let's talk"},{"speaker":"Charles Goldfarb","startTime":1424.46,"endTime":1427.1,"body":"about executive presence. I"},{"speaker":"Charles Goldfarb","startTime":1427.1,"endTime":1432.41,"body":"mean, as orthopedic surgeons, as"},{"speaker":"Charles Goldfarb","startTime":1427.1,"endTime":1432.41,"body":"therapists, especially in a"},{"speaker":"Charles Goldfarb","startTime":1432.41,"endTime":1436.07,"body":"leadership position, as you"},{"speaker":"Charles Goldfarb","startTime":1432.41,"endTime":1436.07,"body":"know, senior residents and"},{"speaker":"Charles Goldfarb","startTime":1436.07,"endTime":1440.84,"body":"fellows, you want to have it,"},{"speaker":"Charles Goldfarb","startTime":1436.07,"endTime":1440.84,"body":"and it is something as the"},{"speaker":"Charles Goldfarb","startTime":1440.84,"endTime":1445.22,"body":"article says that you can learn."},{"speaker":"Charles Goldfarb","startTime":1440.84,"endTime":1445.22,"body":"Certainly, some people are born"},{"speaker":"Charles Goldfarb","startTime":1445.22,"endTime":1449.06,"body":"with this Gravatar. So there's a"},{"speaker":"Charles Goldfarb","startTime":1445.22,"endTime":1449.06,"body":"lot of words they use throughout"},{"speaker":"Charles Goldfarb","startTime":1449.24,"endTime":1452.63,"body":"others are not but it's it's"},{"speaker":"Charles Goldfarb","startTime":1449.24,"endTime":1452.63,"body":"incredibly important to be an"},{"speaker":"Charles Goldfarb","startTime":1452.63,"endTime":1454.55,"body":"effective leader. Right?"},{"speaker":"Chris Dy","startTime":1454.55,"endTime":1456.77,"body":"Absolutely. I mean,"},{"speaker":"Chris Dy","startTime":1454.55,"endTime":1456.77,"body":"they kind of summarize the three"},{"speaker":"Chris Dy","startTime":1456.77,"endTime":1460.52,"body":"big groups of traits to help"},{"speaker":"Chris Dy","startTime":1456.77,"endTime":1460.52,"body":"people with executive presence"},{"speaker":"Chris Dy","startTime":1460.52,"endTime":1464.0,"body":"being the gravitas, strong"},{"speaker":"Chris Dy","startTime":1460.52,"endTime":1464.0,"body":"communication skills and having"},{"speaker":"Chris Dy","startTime":1464.0,"endTime":1468.32,"body":"the quote, right, appearance."},{"speaker":"Chris Dy","startTime":1464.0,"endTime":1468.32,"body":"That obviously all feels very"},{"speaker":"Chris Dy","startTime":1468.32,"endTime":1471.62,"body":"kind of squishy in terms of, you"},{"speaker":"Chris Dy","startTime":1468.32,"endTime":1471.62,"body":"know, you know what that means,"},{"speaker":"Chris Dy","startTime":1471.62,"endTime":1474.29,"body":"and clearly that can change over"},{"speaker":"Chris Dy","startTime":1471.62,"endTime":1474.29,"body":"time. So, I mean, you know, when"},{"speaker":"Chris Dy","startTime":1474.29,"endTime":1477.32,"body":"I talk about the gravitas, you"},{"speaker":"Chris Dy","startTime":1474.29,"endTime":1477.32,"body":"know, one of the things they"},{"speaker":"Chris Dy","startTime":1477.32,"endTime":1479.84,"body":"talked about how when they"},{"speaker":"Chris Dy","startTime":1477.32,"endTime":1479.84,"body":"survey people or executives in"},{"speaker":"Chris Dy","startTime":1479.87,"endTime":1483.71,"body":"2012 versus when they surveyed"},{"speaker":"Chris Dy","startTime":1479.87,"endTime":1483.71,"body":"people and 10 years later, in"},{"speaker":"Chris Dy","startTime":1483.71,"endTime":1488.69,"body":"2022. Something that came up was"},{"speaker":"Chris Dy","startTime":1483.71,"endTime":1488.69,"body":"this, the importance of"},{"speaker":"Chris Dy","startTime":1488.84,"endTime":1493.4,"body":"inclusiveness? Now, I know that,"},{"speaker":"Chris Dy","startTime":1488.84,"endTime":1493.4,"body":"you know, we've had a lot of"},{"speaker":"Chris Dy","startTime":1493.85,"endTime":1499.16,"body":"diversity, equity and inclusion,"},{"speaker":"Chris Dy","startTime":1493.85,"endTime":1499.16,"body":"you know, content and lectures"},{"speaker":"Chris Dy","startTime":1499.19,"endTime":1502.37,"body":"brought to us In the last four"},{"speaker":"Chris Dy","startTime":1499.19,"endTime":1502.37,"body":"or five years, and rightfully"},{"speaker":"Chris Dy","startTime":1502.37,"endTime":1505.25,"body":"so, and but they're also"},{"speaker":"Chris Dy","startTime":1502.37,"endTime":1505.25,"body":"acknowledging there's been a bit"},{"speaker":"Chris Dy","startTime":1505.25,"endTime":1508.1,"body":"of a backlash in terms of, you"},{"speaker":"Chris Dy","startTime":1505.25,"endTime":1508.1,"body":"know, these programs, how"},{"speaker":"Chris Dy","startTime":1508.37,"endTime":1510.68,"body":"appropriate they are, or how"},{"speaker":"Chris Dy","startTime":1508.37,"endTime":1510.68,"body":"effective they are, and truly"},{"speaker":"Chris Dy","startTime":1510.71,"endTime":1514.7,"body":"how inclusive they are in some"},{"speaker":"Chris Dy","startTime":1510.71,"endTime":1514.7,"body":"ways. But I think that the"},{"speaker":"Chris Dy","startTime":1514.73,"endTime":1518.84,"body":"inclusiveness aspect has kind of"},{"speaker":"Chris Dy","startTime":1514.73,"endTime":1518.84,"body":"resonated in terms of how you"},{"speaker":"Chris Dy","startTime":1518.84,"endTime":1523.19,"body":"can be an effective leader and"},{"speaker":"Chris Dy","startTime":1518.84,"endTime":1523.19,"body":"really, you know, get the best"},{"speaker":"Chris Dy","startTime":1524.27,"endTime":1527.54,"body":"productivity and get the esprit"},{"speaker":"Chris Dy","startTime":1524.27,"endTime":1527.54,"body":"de corps up in terms of morale."},{"speaker":"Charles Goldfarb","startTime":1528.23,"endTime":1531.77,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":1528.23,"endTime":1531.77,"body":"it's it is super important. And"},{"speaker":"Charles Goldfarb","startTime":1531.77,"endTime":1534.23,"body":"it's not and I don't want to you"},{"speaker":"Charles Goldfarb","startTime":1531.77,"endTime":1534.23,"body":"correct me if you see it"},{"speaker":"Charles Goldfarb","startTime":1534.23,"endTime":1539.0,"body":"differently, it's not just quote"},{"speaker":"Charles Goldfarb","startTime":1534.23,"endTime":1539.0,"body":"unquote, d\u0026i is just making"},{"speaker":"Charles Goldfarb","startTime":1539.03,"endTime":1545.03,"body":"everyone in your organization"},{"speaker":"Charles Goldfarb","startTime":1539.03,"endTime":1545.03,"body":"feel welcome, and feel like they"},{"speaker":"Charles Goldfarb","startTime":1545.03,"endTime":1548.18,"body":"have a home, because then you"},{"speaker":"Charles Goldfarb","startTime":1545.03,"endTime":1548.18,"body":"get the best out of everyone."},{"speaker":"Charles Goldfarb","startTime":1548.6,"endTime":1552.92,"body":"And, yes, that may be people"},{"speaker":"Charles Goldfarb","startTime":1548.6,"endTime":1552.92,"body":"that look different than you and"},{"speaker":"Charles Goldfarb","startTime":1552.92,"endTime":1558.14,"body":"me, and, and that's fine. But"},{"speaker":"Charles Goldfarb","startTime":1552.92,"endTime":1558.14,"body":"it's about that environment that"},{"speaker":"Charles Goldfarb","startTime":1558.17,"endTime":1563.42,"body":"you can create consciously,"},{"speaker":"Charles Goldfarb","startTime":1558.17,"endTime":1563.42,"body":"where everyone is performing at"},{"speaker":"Charles Goldfarb","startTime":1563.42,"endTime":1566.36,"body":"their highest level. That's the"},{"speaker":"Charles Goldfarb","startTime":1563.42,"endTime":1566.36,"body":"sort of way I think about which"},{"speaker":"Charles Goldfarb","startTime":1566.36,"endTime":1568.49,"body":"I assume is similarly to how you"},{"speaker":"Charles Goldfarb","startTime":1566.36,"endTime":1568.49,"body":"think about it."},{"speaker":"Chris Dy","startTime":1570.05,"endTime":1571.28,"body":"Yeah, I think so. I"},{"speaker":"Chris Dy","startTime":1570.05,"endTime":1571.28,"body":"mean, if you really want to"},{"speaker":"Chris Dy","startTime":1571.28,"endTime":1574.34,"body":"think about it purely from a"},{"speaker":"Chris Dy","startTime":1571.28,"endTime":1574.34,"body":"capitalist kind of perspective,"},{"speaker":"Chris Dy","startTime":1574.34,"endTime":1576.32,"body":"I'm totally with Mark Cuban on"},{"speaker":"Chris Dy","startTime":1574.34,"endTime":1576.32,"body":"this one, I mean, you're gonna"},{"speaker":"Chris Dy","startTime":1576.32,"endTime":1579.56,"body":"get the best business results,"},{"speaker":"Chris Dy","startTime":1576.32,"endTime":1579.56,"body":"if you have a more, you know,"},{"speaker":"Chris Dy","startTime":1579.56,"endTime":1582.41,"body":"inclusive environment, and you"},{"speaker":"Chris Dy","startTime":1579.56,"endTime":1582.41,"body":"have more different voices in"},{"speaker":"Chris Dy","startTime":1582.41,"endTime":1585.08,"body":"the room and different"},{"speaker":"Chris Dy","startTime":1582.41,"endTime":1585.08,"body":"perspectives, just dollars and"},{"speaker":"Chris Dy","startTime":1585.08,"endTime":1588.38,"body":"cents. Now, moving beyond the"},{"speaker":"Chris Dy","startTime":1585.08,"endTime":1588.38,"body":"capitalist part of it, I think"},{"speaker":"Chris Dy","startTime":1588.38,"endTime":1590.72,"body":"you're gonna get a better"},{"speaker":"Chris Dy","startTime":1588.38,"endTime":1590.72,"body":"product to whatever your product"},{"speaker":"Chris Dy","startTime":1590.72,"endTime":1592.64,"body":"is, whether you're making"},{"speaker":"Chris Dy","startTime":1590.72,"endTime":1592.64,"body":"widgets, or doing orthopedic"},{"speaker":"Chris Dy","startTime":1592.64,"endTime":1595.73,"body":"surgery, or plastic surgery or"},{"speaker":"Chris Dy","startTime":1592.64,"endTime":1595.73,"body":"hand therapy, you're going to"},{"speaker":"Chris Dy","startTime":1595.85,"endTime":1599.42,"body":"get a better result out of the"},{"speaker":"Chris Dy","startTime":1595.85,"endTime":1599.42,"body":"entire team, if you not only get"},{"speaker":"Chris Dy","startTime":1599.42,"endTime":1602.03,"body":"a bunch of different voices in"},{"speaker":"Chris Dy","startTime":1599.42,"endTime":1602.03,"body":"the room, different backgrounds,"},{"speaker":"Chris Dy","startTime":1602.03,"endTime":1604.61,"body":"but then also make them feel"},{"speaker":"Chris Dy","startTime":1602.03,"endTime":1604.61,"body":"like they can be themselves."},{"speaker":"Charles Goldfarb","startTime":1605.27,"endTime":1607.13,"body":"Yeah, that's"},{"speaker":"Charles Goldfarb","startTime":1605.27,"endTime":1607.13,"body":"exactly right. So what's"},{"speaker":"Charles Goldfarb","startTime":1607.13,"endTime":1610.37,"body":"interesting is both what's"},{"speaker":"Charles Goldfarb","startTime":1607.13,"endTime":1610.37,"body":"changed from a gravatar"},{"speaker":"Charles Goldfarb","startTime":1610.37,"endTime":1614.18,"body":"standpoint and what hasn't"},{"speaker":"Charles Goldfarb","startTime":1610.37,"endTime":1614.18,"body":"changed. So the top two traits"},{"speaker":"Charles Goldfarb","startTime":1614.21,"endTime":1619.67,"body":"in 2012, and 2022 are confidence"},{"speaker":"Charles Goldfarb","startTime":1614.21,"endTime":1619.67,"body":"and decisiveness. And that is"},{"speaker":"Charles Goldfarb","startTime":1619.67,"endTime":1623.69,"body":"not overconfidence. And that's"},{"speaker":"Charles Goldfarb","startTime":1619.67,"endTime":1623.69,"body":"not a feeling that I'm always"},{"speaker":"Charles Goldfarb","startTime":1623.69,"endTime":1628.16,"body":"right. But it's that projection"},{"speaker":"Charles Goldfarb","startTime":1623.69,"endTime":1628.16,"body":"of confidence and being decisive"},{"speaker":"Charles Goldfarb","startTime":1628.16,"endTime":1629.03,"body":"when it's required."},{"speaker":"Chris Dy","startTime":1630.53,"endTime":1633.56,"body":"Right, absolutely. And"},{"speaker":"Chris Dy","startTime":1630.53,"endTime":1633.56,"body":"so for those of you that have"},{"speaker":"Chris Dy","startTime":1633.56,"endTime":1636.29,"body":"been wondering, what is"},{"speaker":"Chris Dy","startTime":1633.56,"endTime":1636.29,"body":"gravitas? I actually quickly"},{"speaker":"Chris Dy","startTime":1636.29,"endTime":1638.84,"body":"Google that just to make sure I"},{"speaker":"Chris Dy","startTime":1636.29,"endTime":1638.84,"body":"can give an accurate description"},{"speaker":"Chris Dy","startTime":1638.84,"endTime":1640.43,"body":"because I didn't want to say"},{"speaker":"Chris Dy","startTime":1638.84,"endTime":1640.43,"body":"something that wasn't"},{"speaker":"Chris Dy","startTime":1640.43,"endTime":1643.7,"body":"appropriate. But it is it"},{"speaker":"Chris Dy","startTime":1640.43,"endTime":1643.7,"body":"according to the Oxford"},{"speaker":"Chris Dy","startTime":1643.7,"endTime":1648.08,"body":"Dictionary, dignity, seriousness"},{"speaker":"Chris Dy","startTime":1643.7,"endTime":1648.08,"body":"or solemnity of matter of man,"},{"speaker":"Chris Dy","startTime":1648.08,"endTime":1651.98,"body":"or excuse me. So, you know, I"},{"speaker":"Chris Dy","startTime":1648.08,"endTime":1651.98,"body":"think that Neo competence and"},{"speaker":"Chris Dy","startTime":1651.98,"endTime":1655.67,"body":"decisiveness matches that but it"},{"speaker":"Chris Dy","startTime":1651.98,"endTime":1655.67,"body":"is a balance right? You What is"},{"speaker":"Chris Dy","startTime":1655.67,"endTime":1659.39,"body":"a common quote about surgeons?"},{"speaker":"Chris Dy","startTime":1655.67,"endTime":1659.39,"body":"Always confidence sometimes,"},{"speaker":"Chris Dy","startTime":1659.39,"endTime":1659.72,"body":"right?"},{"speaker":"Charles Goldfarb","startTime":1660.26,"endTime":1663.68,"body":"Yeah, never in"},{"speaker":"Charles Goldfarb","startTime":1660.26,"endTime":1663.68,"body":"doubt. Yes, something like that"},{"speaker":"Charles Goldfarb","startTime":1663.74,"endTime":1668.63,"body":"is exactly right. The other"},{"speaker":"Charles Goldfarb","startTime":1663.74,"endTime":1668.63,"body":"things on the list for 2022 are"},{"speaker":"Charles Goldfarb","startTime":1668.63,"endTime":1673.46,"body":"inclusiveness as you started"},{"speaker":"Charles Goldfarb","startTime":1668.63,"endTime":1673.46,"body":"with respect for others vision,"},{"speaker":"Charles Goldfarb","startTime":1673.49,"endTime":1676.88,"body":"which was on the list in 2012,"},{"speaker":"Charles Goldfarb","startTime":1673.49,"endTime":1676.88,"body":"but seems much more important in"},{"speaker":"Charles Goldfarb","startTime":1676.88,"endTime":1681.41,"body":"2022. And integrity, which"},{"speaker":"Charles Goldfarb","startTime":1676.88,"endTime":1681.41,"body":"dropped a little and it's"},{"speaker":"Charles Goldfarb","startTime":1681.41,"endTime":1686.03,"body":"relative priority. But I do"},{"speaker":"Charles Goldfarb","startTime":1681.41,"endTime":1686.03,"body":"think vision and being able to"},{"speaker":"Charles Goldfarb","startTime":1686.03,"endTime":1690.8,"body":"articulate your vision in a way"},{"speaker":"Charles Goldfarb","startTime":1686.03,"endTime":1690.8,"body":"that, again, resonates with the"},{"speaker":"Charles Goldfarb","startTime":1690.8,"endTime":1693.68,"body":"entire organization is super"},{"speaker":"Charles Goldfarb","startTime":1690.8,"endTime":1693.68,"body":"important."},{"speaker":"Chris Dy","startTime":1694.97,"endTime":1696.56,"body":"Yeah, I think that's"},{"speaker":"Chris Dy","startTime":1694.97,"endTime":1696.56,"body":"mission critical. I mean,"},{"speaker":"Chris Dy","startTime":1696.56,"endTime":1700.25,"body":"especially as we're coming out"},{"speaker":"Chris Dy","startTime":1696.56,"endTime":1700.25,"body":"of the pandemic now. And during"},{"speaker":"Chris Dy","startTime":1700.25,"endTime":1703.07,"body":"that time, I think there were a"},{"speaker":"Chris Dy","startTime":1700.25,"endTime":1703.07,"body":"lot of people that were, I think"},{"speaker":"Chris Dy","startTime":1703.07,"endTime":1705.74,"body":"loss is not the right word, but"},{"speaker":"Chris Dy","startTime":1703.07,"endTime":1705.74,"body":"that we're looking for meaning"},{"speaker":"Chris Dy","startTime":1705.95,"endTime":1710.57,"body":"and looking to be led, and have"},{"speaker":"Chris Dy","startTime":1705.95,"endTime":1710.57,"body":"that vision articulated. And I"},{"speaker":"Chris Dy","startTime":1710.57,"endTime":1712.82,"body":"think that it is you can have a"},{"speaker":"Chris Dy","startTime":1710.57,"endTime":1712.82,"body":"vision, but if you don't"},{"speaker":"Chris Dy","startTime":1712.82,"endTime":1715.94,"body":"articulate it, well, like you"},{"speaker":"Chris Dy","startTime":1712.82,"endTime":1715.94,"body":"stated, nobody's going to notice"},{"speaker":"Chris Dy","startTime":1715.94,"endTime":1719.87,"body":"or be inspired. And I think"},{"speaker":"Chris Dy","startTime":1715.94,"endTime":1719.87,"body":"that, you know, no matter what"},{"speaker":"Chris Dy","startTime":1719.9,"endTime":1722.36,"body":"line of work that we're in,"},{"speaker":"Chris Dy","startTime":1719.9,"endTime":1722.36,"body":"like, even like, for example,"},{"speaker":"Chris Dy","startTime":1722.36,"endTime":1724.52,"body":"even if you're not in an"},{"speaker":"Chris Dy","startTime":1722.36,"endTime":1724.52,"body":"academic department, but you've"},{"speaker":"Chris Dy","startTime":1724.52,"endTime":1728.09,"body":"got a hand surgery practice, or"},{"speaker":"Chris Dy","startTime":1724.52,"endTime":1728.09,"body":"you've got a hand therapy"},{"speaker":"Chris Dy","startTime":1728.09,"endTime":1732.2,"body":"practice, and you're thinking"},{"speaker":"Chris Dy","startTime":1728.09,"endTime":1732.2,"body":"about your team, how do you"},{"speaker":"Chris Dy","startTime":1732.32,"endTime":1735.26,"body":"allocute To them, you know, what"},{"speaker":"Chris Dy","startTime":1732.32,"endTime":1735.26,"body":"it is that you want to do that"},{"speaker":"Chris Dy","startTime":1735.26,"endTime":1738.41,"body":"is beyond kind of the day to day"},{"speaker":"Chris Dy","startTime":1735.26,"endTime":1738.41,"body":"of taking care of X number of"},{"speaker":"Chris Dy","startTime":1738.41,"endTime":1740.63,"body":"patients, you know, what, what"},{"speaker":"Chris Dy","startTime":1738.41,"endTime":1740.63,"body":"is the bigger vision, because I"},{"speaker":"Chris Dy","startTime":1740.63,"endTime":1743.45,"body":"think that with that in mind,"},{"speaker":"Chris Dy","startTime":1740.63,"endTime":1743.45,"body":"you can use that as your"},{"speaker":"Chris Dy","startTime":1743.45,"endTime":1747.98,"body":"compass, to, you know, get"},{"speaker":"Chris Dy","startTime":1743.45,"endTime":1747.98,"body":"through the tougher times, you"},{"speaker":"Chris Dy","startTime":1747.98,"endTime":1751.22,"body":"know, when it does feel like a"},{"speaker":"Chris Dy","startTime":1747.98,"endTime":1751.22,"body":"bit of a slog. And it also takes"},{"speaker":"Chris Dy","startTime":1751.22,"endTime":1753.02,"body":"stock of what you've"},{"speaker":"Chris Dy","startTime":1751.22,"endTime":1753.02,"body":"accomplished. So not only think"},{"speaker":"Chris Dy","startTime":1753.02,"endTime":1754.88,"body":"about what you can do next, but"},{"speaker":"Chris Dy","startTime":1753.02,"endTime":1754.88,"body":"what have you already done?"},{"speaker":"Charles Goldfarb","startTime":1755.63,"endTime":1758.09,"body":"Yeah, and"},{"speaker":"Charles Goldfarb","startTime":1755.63,"endTime":1758.09,"body":"you're right, and the buy in"},{"speaker":"Charles Goldfarb","startTime":1758.12,"endTime":1763.19,"body":"that you gain with that shared"},{"speaker":"Charles Goldfarb","startTime":1758.12,"endTime":1763.19,"body":"vision goes a really long way,"},{"speaker":"Charles Goldfarb","startTime":1763.19,"endTime":1766.43,"body":"as you said, when things are not"},{"speaker":"Charles Goldfarb","startTime":1763.19,"endTime":1766.43,"body":"so easy and not so smooth. So I"},{"speaker":"Charles Goldfarb","startTime":1766.43,"endTime":1770.84,"body":"really liked that. The second"},{"speaker":"Charles Goldfarb","startTime":1766.43,"endTime":1770.84,"body":"area was communication and"},{"speaker":"Charles Goldfarb","startTime":1770.84,"endTime":1776.81,"body":"again, I love this part because"},{"speaker":"Charles Goldfarb","startTime":1770.84,"endTime":1776.81,"body":"the top two, both in 2012 and"},{"speaker":"Charles Goldfarb","startTime":1776.81,"endTime":1781.07,"body":"2022. The number one is superior"},{"speaker":"Charles Goldfarb","startTime":1776.81,"endTime":1781.07,"body":"speaking skills. But the second"},{"speaker":"Charles Goldfarb","startTime":1781.07,"endTime":1784.88,"body":"one has a twist, which is in"},{"speaker":"Charles Goldfarb","startTime":1781.07,"endTime":1784.88,"body":"2012. It was command of a room"},{"speaker":"Charles Goldfarb","startTime":1784.91,"endTime":1788.87,"body":"which we can all recognize as"},{"speaker":"Charles Goldfarb","startTime":1784.91,"endTime":1788.87,"body":"important in 2022 is command of"},{"speaker":"Charles Goldfarb","startTime":1788.87,"endTime":1794.87,"body":"a room slash zoom. And it is so"},{"speaker":"Charles Goldfarb","startTime":1788.87,"endTime":1794.87,"body":"important that you can"},{"speaker":"Charles Goldfarb","startTime":1794.87,"endTime":1799.34,"body":"communicate and project over"},{"speaker":"Charles Goldfarb","startTime":1794.87,"endTime":1799.34,"body":"zoom and I see it done poorly"},{"speaker":"Charles Goldfarb","startTime":1799.37,"endTime":1799.97,"body":"all the time."},{"speaker":"Chris Dy","startTime":1800.78,"endTime":1802.64,"body":"Right, right. And I"},{"speaker":"Chris Dy","startTime":1800.78,"endTime":1802.64,"body":"think that, you know, I think we"},{"speaker":"Chris Dy","startTime":1802.64,"endTime":1805.82,"body":"know the everybody knows when"},{"speaker":"Chris Dy","startTime":1802.64,"endTime":1805.82,"body":"it's been done poorly. But can"},{"speaker":"Chris Dy","startTime":1805.82,"endTime":1807.89,"body":"you think of some time when it's"},{"speaker":"Chris Dy","startTime":1805.82,"endTime":1807.89,"body":"been done? Well, can you think"},{"speaker":"Chris Dy","startTime":1807.89,"endTime":1811.31,"body":"of people that have truly have"},{"speaker":"Chris Dy","startTime":1807.89,"endTime":1811.31,"body":"command of a virtual meeting"},{"speaker":"Chris Dy","startTime":1811.34,"endTime":1815.24,"body":"room? And can get everybody"},{"speaker":"Chris Dy","startTime":1811.34,"endTime":1815.24,"body":"locked in getting the most out"},{"speaker":"Chris Dy","startTime":1815.24,"endTime":1817.64,"body":"of them without somebody"},{"speaker":"Chris Dy","startTime":1815.24,"endTime":1817.64,"body":"checking their phone or doing"},{"speaker":"Chris Dy","startTime":1817.67,"endTime":1821.06,"body":"emails or literally anything"},{"speaker":"Chris Dy","startTime":1817.67,"endTime":1821.06,"body":"else? Well,"},{"speaker":"Charles Goldfarb","startTime":1821.09,"endTime":1824.09,"body":"it's hard. And"},{"speaker":"Charles Goldfarb","startTime":1821.09,"endTime":1824.09,"body":"I don't think you can accomplish"},{"speaker":"Charles Goldfarb","startTime":1824.12,"endTime":1827.96,"body":"all of the goals, meaning people"},{"speaker":"Charles Goldfarb","startTime":1824.12,"endTime":1827.96,"body":"come to zoom meetings with"},{"speaker":"Charles Goldfarb","startTime":1827.96,"endTime":1830.51,"body":"different agenda. You know,"},{"speaker":"Charles Goldfarb","startTime":1827.96,"endTime":1830.51,"body":"obviously, the person who"},{"speaker":"Charles Goldfarb","startTime":1830.51,"endTime":1833.84,"body":"organized the meeting has one"},{"speaker":"Charles Goldfarb","startTime":1830.51,"endTime":1833.84,"body":"agenda chucko Farms agenda for"},{"speaker":"Charles Goldfarb","startTime":1833.84,"endTime":1837.41,"body":"certain meetings might be to"},{"speaker":"Charles Goldfarb","startTime":1833.84,"endTime":1837.41,"body":"catch up on email. And, you"},{"speaker":"Charles Goldfarb","startTime":1837.41,"endTime":1840.68,"body":"know, that may not be"},{"speaker":"Charles Goldfarb","startTime":1837.41,"endTime":1840.68,"body":"changeable. But it starts with,"},{"speaker":"Charles Goldfarb","startTime":1840.86,"endTime":1845.9,"body":"you know, the visual appearance,"},{"speaker":"Charles Goldfarb","startTime":1840.86,"endTime":1845.9,"body":"the lighting, the kind of the"},{"speaker":"Charles Goldfarb","startTime":1845.9,"endTime":1850.04,"body":"voice and the ability to project"},{"speaker":"Charles Goldfarb","startTime":1845.9,"endTime":1850.04,"body":"over zoom. But then it gets back"},{"speaker":"Charles Goldfarb","startTime":1850.04,"endTime":1854.63,"body":"to the basic stuff, which is,"},{"speaker":"Charles Goldfarb","startTime":1850.04,"endTime":1854.63,"body":"you know, do you have an agenda"},{"speaker":"Charles Goldfarb","startTime":1854.75,"endTime":1857.9,"body":"hasn't been shared? Are you"},{"speaker":"Charles Goldfarb","startTime":1854.75,"endTime":1857.9,"body":"going to work through your"},{"speaker":"Charles Goldfarb","startTime":1857.9,"endTime":1861.86,"body":"agenda, engage with everyone,"},{"speaker":"Charles Goldfarb","startTime":1857.9,"endTime":1861.86,"body":"that's the other thing, I think,"},{"speaker":"Charles Goldfarb","startTime":1861.89,"endTime":1864.65,"body":"in 2020, that is so important."},{"speaker":"Charles Goldfarb","startTime":1861.89,"endTime":1864.65,"body":"There shouldn't be silent"},{"speaker":"Charles Goldfarb","startTime":1864.65,"endTime":1868.37,"body":"members of a Zoom meeting,"},{"speaker":"Charles Goldfarb","startTime":1864.65,"endTime":1868.37,"body":"occasionally have a huge"},{"speaker":"Charles Goldfarb","startTime":1868.37,"endTime":1871.58,"body":"meeting. And maybe there are but"},{"speaker":"Charles Goldfarb","startTime":1868.37,"endTime":1871.58,"body":"engaging with everyone, whether"},{"speaker":"Charles Goldfarb","startTime":1871.58,"endTime":1874.85,"body":"it's in person or on Zoom is so"},{"speaker":"Charles Goldfarb","startTime":1871.58,"endTime":1874.85,"body":"important. It"},{"speaker":"Chris Dy","startTime":1874.48,"endTime":1876.67,"body":"comes down to the"},{"speaker":"Chris Dy","startTime":1874.48,"endTime":1876.67,"body":"basic meeting principles, right?"},{"speaker":"Chris Dy","startTime":1876.79,"endTime":1879.22,"body":"You don't want a meeting that's"},{"speaker":"Chris Dy","startTime":1876.79,"endTime":1879.22,"body":"too large. I don't know who this"},{"speaker":"Chris Dy","startTime":1879.22,"endTime":1881.29,"body":"is originally attributed to. But"},{"speaker":"Chris Dy","startTime":1879.22,"endTime":1881.29,"body":"I've heard Kevin Bozek, say, and"},{"speaker":"Chris Dy","startTime":1881.29,"endTime":1884.44,"body":"on a few different occasions,"},{"speaker":"Chris Dy","startTime":1881.29,"endTime":1884.44,"body":"Chair Surgery at UT Austin, and"},{"speaker":"Chris Dy","startTime":1884.77,"endTime":1888.19,"body":"fittingly for you and joint"},{"speaker":"Chris Dy","startTime":1884.77,"endTime":1888.19,"body":"replacement surgeon. But you"},{"speaker":"Chris Dy","startTime":1888.19,"endTime":1890.71,"body":"know, there's a two pizza rule"},{"speaker":"Chris Dy","startTime":1888.19,"endTime":1890.71,"body":"for a meeting, you shouldn't"},{"speaker":"Chris Dy","startTime":1890.71,"endTime":1894.73,"body":"have a meeting if two pizzas"},{"speaker":"Chris Dy","startTime":1890.71,"endTime":1894.73,"body":"can't feed the entire room. So"},{"speaker":"Chris Dy","startTime":1894.76,"endTime":1897.1,"body":"clearly, there are some"},{"speaker":"Chris Dy","startTime":1894.76,"endTime":1897.1,"body":"exceptions to that. But I do"},{"speaker":"Chris Dy","startTime":1897.1,"endTime":1899.32,"body":"think that when you have those"},{"speaker":"Chris Dy","startTime":1897.1,"endTime":1899.32,"body":"larger meetings, you're not"},{"speaker":"Chris Dy","startTime":1899.32,"endTime":1901.6,"body":"going to get the level of"},{"speaker":"Chris Dy","startTime":1899.32,"endTime":1901.6,"body":"engagement that that you're"},{"speaker":"Chris Dy","startTime":1901.6,"endTime":1904.78,"body":"looking for. But I love how this"},{"speaker":"Chris Dy","startTime":1901.6,"endTime":1904.78,"body":"this article talks a little bit"},{"speaker":"Chris Dy","startTime":1904.78,"endTime":1908.35,"body":"about somebody who proactively"},{"speaker":"Chris Dy","startTime":1904.78,"endTime":1908.35,"body":"manages virtual meetings. So"},{"speaker":"Chris Dy","startTime":1908.35,"endTime":1912.97,"body":"there's a CEO CFO at an"},{"speaker":"Chris Dy","startTime":1908.35,"endTime":1912.97,"body":"Icelandic real estate firm, that"},{"speaker":"Chris Dy","startTime":1912.97,"endTime":1916.9,"body":"has a few simple rules. And she"},{"speaker":"Chris Dy","startTime":1912.97,"endTime":1916.9,"body":"At first, she does a brief tech"},{"speaker":"Chris Dy","startTime":1916.9,"endTime":1919.21,"body":"check to make sure there aren't"},{"speaker":"Chris Dy","startTime":1916.9,"endTime":1919.21,"body":"any snack foods for us, I guess"},{"speaker":"Chris Dy","startTime":1919.21,"endTime":1922.12,"body":"that'd be cameras on let's see"},{"speaker":"Chris Dy","startTime":1919.21,"endTime":1922.12,"body":"where you are. And you make sure"},{"speaker":"Chris Dy","startTime":1922.12,"endTime":1925.78,"body":"that you're not driving between"},{"speaker":"Chris Dy","startTime":1922.12,"endTime":1925.78,"body":"sites or whatever. Second, she"},{"speaker":"Chris Dy","startTime":1925.84,"endTime":1928.54,"body":"distributes an agenda and"},{"speaker":"Chris Dy","startTime":1925.84,"endTime":1928.54,"body":"relevant pre reads at least six"},{"speaker":"Chris Dy","startTime":1928.54,"endTime":1931.09,"body":"hours in advance. Now, clearly,"},{"speaker":"Chris Dy","startTime":1928.54,"endTime":1931.09,"body":"for surgeons, you may want to do"},{"speaker":"Chris Dy","startTime":1931.09,"endTime":1934.33,"body":"a little bit more than that for"},{"speaker":"Chris Dy","startTime":1931.09,"endTime":1934.33,"body":"most people. But I mean, saying"},{"speaker":"Chris Dy","startTime":1934.36,"endTime":1936.88,"body":"I expect you to have read this"},{"speaker":"Chris Dy","startTime":1934.36,"endTime":1936.88,"body":"in advance to get maybe get some"},{"speaker":"Chris Dy","startTime":1936.88,"endTime":1939.46,"body":"of the informational things out"},{"speaker":"Chris Dy","startTime":1936.88,"endTime":1939.46,"body":"of the way and maybe stir up"},{"speaker":"Chris Dy","startTime":1939.46,"endTime":1942.76,"body":"some, you know, food for"},{"speaker":"Chris Dy","startTime":1939.46,"endTime":1942.76,"body":"thought. And then starts"},{"speaker":"Chris Dy","startTime":1942.76,"endTime":1945.67,"body":"meetings by introducing anyone"},{"speaker":"Chris Dy","startTime":1942.76,"endTime":1945.67,"body":"new to the group, but taking"},{"speaker":"Chris Dy","startTime":1945.67,"endTime":1947.92,"body":"care to highlight skill sets or"},{"speaker":"Chris Dy","startTime":1945.67,"endTime":1947.92,"body":"experience that somebody might"},{"speaker":"Chris Dy","startTime":1947.92,"endTime":1951.19,"body":"bring to a topic. And then"},{"speaker":"Chris Dy","startTime":1947.92,"endTime":1951.19,"body":"fourth shield, solicits"},{"speaker":"Chris Dy","startTime":1951.19,"endTime":1954.67,"body":"participants participation from"},{"speaker":"Chris Dy","startTime":1951.19,"endTime":1954.67,"body":"everyone in attendance, and"},{"speaker":"Chris Dy","startTime":1954.76,"endTime":1957.85,"body":"specifically calling out people"},{"speaker":"Chris Dy","startTime":1954.76,"endTime":1957.85,"body":"that have been quiet. And then I"},{"speaker":"Chris Dy","startTime":1957.85,"endTime":1961.09,"body":"love this one, which I had not"},{"speaker":"Chris Dy","startTime":1957.85,"endTime":1961.09,"body":"thought about. But asking a"},{"speaker":"Chris Dy","startTime":1961.09,"endTime":1965.23,"body":"colleague to distribute to right"},{"speaker":"Chris Dy","startTime":1961.09,"endTime":1965.23,"body":"and quickly distributed to"},{"speaker":"Chris Dy","startTime":1965.23,"endTime":1968.5,"body":"summary of decisions made and"},{"speaker":"Chris Dy","startTime":1965.23,"endTime":1968.5,"body":"next steps, which oftentimes"},{"speaker":"Chris Dy","startTime":1968.5,"endTime":1970.81,"body":"will fall on the person who's"},{"speaker":"Chris Dy","startTime":1968.5,"endTime":1970.81,"body":"typically would follow the"},{"speaker":"Chris Dy","startTime":1970.81,"endTime":1972.94,"body":"person who's running the meeting"},{"speaker":"Chris Dy","startTime":1970.81,"endTime":1972.94,"body":"and organizing meeting and"},{"speaker":"Chris Dy","startTime":1972.97,"endTime":1976.33,"body":"honestly can't take as many good"},{"speaker":"Chris Dy","startTime":1972.97,"endTime":1976.33,"body":"notes, because they're running"},{"speaker":"Chris Dy","startTime":1976.33,"endTime":1978.67,"body":"the meeting. And then she"},{"speaker":"Chris Dy","startTime":1976.33,"endTime":1978.67,"body":"rotates that role among"},{"speaker":"Chris Dy","startTime":1978.67,"endTime":1981.28,"body":"different different members of"},{"speaker":"Chris Dy","startTime":1978.67,"endTime":1981.28,"body":"the team. So everybody gets a"},{"speaker":"Chris Dy","startTime":1981.28,"endTime":1983.8,"body":"turn. I love that. I mean, I"},{"speaker":"Chris Dy","startTime":1981.28,"endTime":1983.8,"body":"think that's gold right there."},{"speaker":"Charles Goldfarb","startTime":1984.29,"endTime":1987.74,"body":"I think that's"},{"speaker":"Charles Goldfarb","startTime":1984.29,"endTime":1987.74,"body":"gold as well. And it also, I"},{"speaker":"Charles Goldfarb","startTime":1987.74,"endTime":1990.59,"body":"don't want to say forces"},{"speaker":"Charles Goldfarb","startTime":1987.74,"endTime":1990.59,"body":"engagement from everyone, but"},{"speaker":"Charles Goldfarb","startTime":1990.68,"endTime":1993.32,"body":"but make sure that everyone's"},{"speaker":"Charles Goldfarb","startTime":1990.68,"endTime":1993.32,"body":"engaged, because if I, you know,"},{"speaker":"Charles Goldfarb","startTime":1993.32,"endTime":1995.84,"body":"asked, Hey, Chris, great"},{"speaker":"Charles Goldfarb","startTime":1993.32,"endTime":1995.84,"body":"meeting, and do you mind jotting"},{"speaker":"Charles Goldfarb","startTime":1995.84,"endTime":1998.39,"body":"down a few notes. And I don't"},{"speaker":"Charles Goldfarb","startTime":1995.84,"endTime":1998.39,"body":"know, if you do that the"},{"speaker":"Charles Goldfarb","startTime":1998.39,"endTime":2000.19,"body":"beginning of meeting or the end"},{"speaker":"Charles Goldfarb","startTime":1998.39,"endTime":2000.19,"body":"of the meeting, I think either"},{"speaker":"Charles Goldfarb","startTime":2000.19,"endTime":2002.62,"body":"way works, making the beginning"},{"speaker":"Charles Goldfarb","startTime":2000.19,"endTime":2002.62,"body":"of the meetings a little safer."},{"speaker":"Charles Goldfarb","startTime":2003.88,"endTime":2007.3,"body":"But in of course, AI can do that"},{"speaker":"Charles Goldfarb","startTime":2003.88,"endTime":2007.3,"body":"for us as we continue our AI"},{"speaker":"Charles Goldfarb","startTime":2007.3,"endTime":2011.71,"body":"conversation. But I love all of"},{"speaker":"Charles Goldfarb","startTime":2007.3,"endTime":2011.71,"body":"those points. What do you think"},{"speaker":"Charles Goldfarb","startTime":2011.71,"endTime":2016.54,"body":"about and you can be honest, our"},{"speaker":"Charles Goldfarb","startTime":2011.71,"endTime":2016.54,"body":"department and and Regis and I"},{"speaker":"Charles Goldfarb","startTime":2016.54,"endTime":2020.53,"body":"both have really been pushing to"},{"speaker":"Charles Goldfarb","startTime":2016.54,"endTime":2020.53,"body":"it that it is imperative that we"},{"speaker":"Charles Goldfarb","startTime":2020.53,"endTime":2024.01,"body":"have our cameras on during"},{"speaker":"Charles Goldfarb","startTime":2020.53,"endTime":2024.01,"body":"meetings, what what's your take"},{"speaker":"Charles Goldfarb","startTime":2024.01,"endTime":2026.59,"body":"on that? And some people believe"},{"speaker":"Charles Goldfarb","startTime":2024.01,"endTime":2026.59,"body":"that it's, you know, we're"},{"speaker":"Charles Goldfarb","startTime":2026.59,"endTime":2028.87,"body":"forcing or pushing too much."},{"speaker":"Charles Goldfarb","startTime":2026.59,"endTime":2028.87,"body":"What's your take?"},{"speaker":"Chris Dy","startTime":2029.92,"endTime":2031.99,"body":"You know, I think that"},{"speaker":"Chris Dy","startTime":2029.92,"endTime":2031.99,"body":"I understand the intention"},{"speaker":"Chris Dy","startTime":2031.99,"endTime":2037.87,"body":"entirely. I think that it, it"},{"speaker":"Chris Dy","startTime":2031.99,"endTime":2037.87,"body":"is, but one solution to"},{"speaker":"Chris Dy","startTime":2037.87,"endTime":2041.83,"body":"something that requires probably"},{"speaker":"Chris Dy","startTime":2037.87,"endTime":2041.83,"body":"a multi pronged approach. You"},{"speaker":"Chris Dy","startTime":2041.83,"endTime":2045.22,"body":"know, I think that forcing"},{"speaker":"Chris Dy","startTime":2041.83,"endTime":2045.22,"body":"people to have their cameras on"},{"speaker":"Chris Dy","startTime":2045.22,"endTime":2049.69,"body":"feels a little bit, you know,"},{"speaker":"Chris Dy","startTime":2045.22,"endTime":2049.69,"body":"paternalistic in a sense. I get"},{"speaker":"Chris Dy","startTime":2049.69,"endTime":2052.09,"body":"it, that's gonna get people at"},{"speaker":"Chris Dy","startTime":2049.69,"endTime":2052.09,"body":"least to understand that we're"},{"speaker":"Chris Dy","startTime":2052.09,"endTime":2054.82,"body":"paying attention to you. But"},{"speaker":"Chris Dy","startTime":2052.09,"endTime":2054.82,"body":"forcing people to have their"},{"speaker":"Chris Dy","startTime":2054.82,"endTime":2059.89,"body":"cameras on without actively"},{"speaker":"Chris Dy","startTime":2054.82,"endTime":2059.89,"body":"soliciting engagement. Seems"},{"speaker":"Chris Dy","startTime":2059.89,"endTime":2063.16,"body":"like a half step. You know, I"},{"speaker":"Chris Dy","startTime":2059.89,"endTime":2063.16,"body":"think that for example, like for"},{"speaker":"Chris Dy","startTime":2063.16,"endTime":2065.53,"body":"our hand Service Research"},{"speaker":"Chris Dy","startTime":2063.16,"endTime":2065.53,"body":"meeting, which is a much smaller"},{"speaker":"Chris Dy","startTime":2065.53,"endTime":2068.29,"body":"group, I'll be it. We have"},{"speaker":"Chris Dy","startTime":2065.53,"endTime":2068.29,"body":"cameras on but the person who's"},{"speaker":"Chris Dy","startTime":2068.29,"endTime":2070.75,"body":"running the meeting actively"},{"speaker":"Chris Dy","startTime":2068.29,"endTime":2070.75,"body":"solicits engagement from people"},{"speaker":"Chris Dy","startTime":2070.75,"endTime":2073.63,"body":"that are involved. And I think"},{"speaker":"Chris Dy","startTime":2070.75,"endTime":2073.63,"body":"that feels different to me, like"},{"speaker":"Chris Dy","startTime":2073.63,"endTime":2076.69,"body":"just to look at it, like that's"},{"speaker":"Chris Dy","startTime":2073.63,"endTime":2076.69,"body":"a camera or meeting worth having"},{"speaker":"Chris Dy","startTime":2076.69,"endTime":2079.96,"body":"my camera on for, because"},{"speaker":"Chris Dy","startTime":2076.69,"endTime":2079.96,"body":"somebody's actually paying"},{"speaker":"Chris Dy","startTime":2079.96,"endTime":2083.98,"body":"attention to me and wants my"},{"speaker":"Chris Dy","startTime":2079.96,"endTime":2083.98,"body":"input. So I think, you know,"},{"speaker":"Chris Dy","startTime":2083.98,"endTime":2087.82,"body":"comes down to basic human kind"},{"speaker":"Chris Dy","startTime":2083.98,"endTime":2087.82,"body":"of behavior. I mean, we all we"},{"speaker":"Chris Dy","startTime":2087.82,"endTime":2089.98,"body":"don't mind showing up for"},{"speaker":"Chris Dy","startTime":2087.82,"endTime":2089.98,"body":"people, but if I'm going to show"},{"speaker":"Chris Dy","startTime":2089.98,"endTime":2093.13,"body":"up, I want to be part of"},{"speaker":"Chris Dy","startTime":2089.98,"endTime":2093.13,"body":"something. So I don't know if I"},{"speaker":"Chris Dy","startTime":2093.13,"endTime":2096.25,"body":"directly answered your question."},{"speaker":"Chris Dy","startTime":2093.13,"endTime":2096.25,"body":"You know, and I also don't"},{"speaker":"Chris Dy","startTime":2096.25,"endTime":2097.57,"body":"honestly don't want to get in"},{"speaker":"Chris Dy","startTime":2096.25,"endTime":2097.57,"body":"trouble."},{"speaker":"Charles Goldfarb","startTime":2098.95,"endTime":2101.11,"body":"I think I"},{"speaker":"Charles Goldfarb","startTime":2098.95,"endTime":2101.11,"body":"think you Did I mean I don't"},{"speaker":"Charles Goldfarb","startTime":2101.11,"endTime":2107.26,"body":"think I see it as a panacea. I"},{"speaker":"Charles Goldfarb","startTime":2101.11,"endTime":2107.26,"body":"think it's one step in trying to"},{"speaker":"Charles Goldfarb","startTime":2107.26,"endTime":2111.46,"body":"create that engaged environment"},{"speaker":"Charles Goldfarb","startTime":2107.26,"endTime":2111.46,"body":"and look with a huge department"},{"speaker":"Charles Goldfarb","startTime":2111.46,"endTime":2115.12,"body":"is so hard on many levels, which"},{"speaker":"Charles Goldfarb","startTime":2111.46,"endTime":2115.12,"body":"is why all of these factors for"},{"speaker":"Charles Goldfarb","startTime":2115.12,"endTime":2118.57,"body":"leadership matter. Why don't we,"},{"speaker":"Charles Goldfarb","startTime":2115.12,"endTime":2118.57,"body":"if it's okay, briefly closed"},{"speaker":"Charles Goldfarb","startTime":2118.57,"endTime":2121.78,"body":"with appearance, I thought"},{"speaker":"Charles Goldfarb","startTime":2118.57,"endTime":2121.78,"body":"appearance, the conversation"},{"speaker":"Charles Goldfarb","startTime":2121.78,"endTime":2125.29,"body":"appearance is both interesting"},{"speaker":"Charles Goldfarb","startTime":2121.78,"endTime":2125.29,"body":"and tricky. The takeaway for me"},{"speaker":"Charles Goldfarb","startTime":2125.29,"endTime":2128.56,"body":"is, be authentic, but look like"},{"speaker":"Charles Goldfarb","startTime":2125.29,"endTime":2128.56,"body":"a leader."},{"speaker":"Chris Dy","startTime":2129.64,"endTime":2131.5,"body":"Right. And I think it"},{"speaker":"Chris Dy","startTime":2129.64,"endTime":2131.5,"body":"gets tricky, because you"},{"speaker":"Chris Dy","startTime":2131.5,"endTime":2136.09,"body":"certainly don't want to overly"},{"speaker":"Chris Dy","startTime":2131.5,"endTime":2136.09,"body":"honestly, think about other"},{"speaker":"Chris Dy","startTime":2136.09,"endTime":2138.1,"body":"people's appearances especially"},{"speaker":"Chris Dy","startTime":2136.09,"endTime":2138.1,"body":"gets tricky when you think of"},{"speaker":"Chris Dy","startTime":2138.1,"endTime":2141.19,"body":"more women as leaders. You know,"},{"speaker":"Chris Dy","startTime":2138.1,"endTime":2141.19,"body":"I'm not here to judge anybody,"},{"speaker":"Chris Dy","startTime":2141.19,"endTime":2143.11,"body":"they can dress how they would"},{"speaker":"Chris Dy","startTime":2141.19,"endTime":2143.11,"body":"like, but there are certainly"},{"speaker":"Chris Dy","startTime":2143.11,"endTime":2147.52,"body":"looks that exude more leadership"},{"speaker":"Chris Dy","startTime":2143.11,"endTime":2147.52,"body":"in the classical traditional"},{"speaker":"Chris Dy","startTime":2147.52,"endTime":2150.91,"body":"sense. I think it's important, I"},{"speaker":"Chris Dy","startTime":2147.52,"endTime":2150.91,"body":"wouldn't put too much stock in"},{"speaker":"Chris Dy","startTime":2150.91,"endTime":2153.85,"body":"it, because I think, you know,"},{"speaker":"Chris Dy","startTime":2150.91,"endTime":2153.85,"body":"things have shifted, but you"},{"speaker":"Chris Dy","startTime":2153.85,"endTime":2156.22,"body":"know, somebody shows up to an"},{"speaker":"Chris Dy","startTime":2153.85,"endTime":2156.22,"body":"interview in a suit, you're"},{"speaker":"Chris Dy","startTime":2156.22,"endTime":2157.84,"body":"gonna you're not going to"},{"speaker":"Chris Dy","startTime":2156.22,"endTime":2157.84,"body":"question anything. But if"},{"speaker":"Chris Dy","startTime":2157.84,"endTime":2159.94,"body":"somebody shows up to an"},{"speaker":"Chris Dy","startTime":2157.84,"endTime":2159.94,"body":"interview, and athleisure, then"},{"speaker":"Chris Dy","startTime":2159.94,"endTime":2162.19,"body":"you're gonna say, All right,"},{"speaker":"Chris Dy","startTime":2159.94,"endTime":2162.19,"body":"well, maybe that's the new norm."},{"speaker":"Chris Dy","startTime":2162.19,"endTime":2164.41,"body":"But maybe that's not the"},{"speaker":"Chris Dy","startTime":2162.19,"endTime":2164.41,"body":"position that you know that"},{"speaker":"Chris Dy","startTime":2164.41,"endTime":2167.59,"body":"that's not look, I personally"},{"speaker":"Chris Dy","startTime":2164.41,"endTime":2167.59,"body":"would shoot for. I was looking"},{"speaker":"Chris Dy","startTime":2167.59,"endTime":2171.79,"body":"for a job or position. Yes. And"},{"speaker":"Chris Dy","startTime":2167.59,"endTime":2171.79,"body":"I think the you know, they talk"},{"speaker":"Chris Dy","startTime":2171.79,"endTime":2173.47,"body":"a little bit about online"},{"speaker":"Chris Dy","startTime":2171.79,"endTime":2173.47,"body":"presence here. And I think"},{"speaker":"Chris Dy","startTime":2173.47,"endTime":2176.38,"body":"that's probably a discussion for"},{"speaker":"Chris Dy","startTime":2173.47,"endTime":2176.38,"body":"another time. But I do think"},{"speaker":"Chris Dy","startTime":2176.38,"endTime":2180.04,"body":"there, you know, appearance"},{"speaker":"Chris Dy","startTime":2176.38,"endTime":2180.04,"body":"extends far beyond the physical"},{"speaker":"Chris Dy","startTime":2180.1,"endTime":2183.67,"body":"and extends into kind of making"},{"speaker":"Chris Dy","startTime":2180.1,"endTime":2183.67,"body":"sure if you're not actively"},{"speaker":"Chris Dy","startTime":2183.67,"endTime":2185.26,"body":"cultivating your online"},{"speaker":"Chris Dy","startTime":2183.67,"endTime":2185.26,"body":"experience to make sure it's"},{"speaker":"Chris Dy","startTime":2185.26,"endTime":2187.96,"body":"nothing, not anything crazy on"},{"speaker":"Chris Dy","startTime":2185.26,"endTime":2187.96,"body":"there, because the first thing"},{"speaker":"Chris Dy","startTime":2187.96,"endTime":2189.82,"body":"most of us are going to do is"},{"speaker":"Chris Dy","startTime":2187.96,"endTime":2189.82,"body":"we're going to Google somebody"},{"speaker":"Chris Dy","startTime":2189.82,"endTime":2192.55,"body":"if we're seriously considering"},{"speaker":"Chris Dy","startTime":2189.82,"endTime":2192.55,"body":"them for a position and you"},{"speaker":"Chris Dy","startTime":2192.55,"endTime":2194.89,"body":"don't want your first second or"},{"speaker":"Chris Dy","startTime":2192.55,"endTime":2194.89,"body":"third patient have anything that"},{"speaker":"Chris Dy","startTime":2194.89,"endTime":2195.7,"body":"would raise an eyebrow."},{"speaker":"Charles Goldfarb","startTime":2196.39,"endTime":2199.84,"body":"Totally agree."},{"speaker":"Charles Goldfarb","startTime":2196.39,"endTime":2199.84,"body":"I agree with all of it. All"},{"speaker":"Charles Goldfarb","startTime":2199.84,"endTime":2202.57,"body":"right. Well, it is the middle of"},{"speaker":"Charles Goldfarb","startTime":2199.84,"endTime":2202.57,"body":"the day. And despite the fact"},{"speaker":"Charles Goldfarb","startTime":2202.57,"endTime":2205.03,"body":"that I'm sitting at home icing"},{"speaker":"Charles Goldfarb","startTime":2202.57,"endTime":2205.03,"body":"and elevating I do have another"},{"speaker":"Charles Goldfarb","startTime":2205.03,"endTime":2207.97,"body":"meeting. I love this"},{"speaker":"Charles Goldfarb","startTime":2205.03,"endTime":2207.97,"body":"conversation. I love hitting the"},{"speaker":"Charles Goldfarb","startTime":2207.97,"endTime":2210.55,"body":"HBr articles because it's great"},{"speaker":"Charles Goldfarb","startTime":2207.97,"endTime":2210.55,"body":"discussion."},{"speaker":"Chris Dy","startTime":2211.21,"endTime":2212.77,"body":"Yeah, absolutely. It's"},{"speaker":"Chris Dy","startTime":2211.21,"endTime":2212.77,"body":"fun. Especially you know, with"},{"speaker":"Chris Dy","startTime":2212.77,"endTime":2214.75,"body":"you being in business school,"},{"speaker":"Chris Dy","startTime":2212.77,"endTime":2214.75,"body":"this is basically like you doing"},{"speaker":"Chris Dy","startTime":2214.75,"endTime":2215.62,"body":"your homework, right? So,"},{"speaker":"Charles Goldfarb","startTime":2216.82,"endTime":2218.89,"body":"my my"},{"speaker":"Charles Goldfarb","startTime":2216.82,"endTime":2218.89,"body":"homework, my homework for"},{"speaker":"Charles Goldfarb","startTime":2218.89,"endTime":2223.15,"body":"tomorrow is managerial economics"},{"speaker":"Charles Goldfarb","startTime":2218.89,"endTime":2223.15,"body":"and micro economics. I'm like,"},{"speaker":"Charles Goldfarb","startTime":2223.18,"endTime":2225.16,"body":"oh my god, what am I done?"},{"speaker":"Chris Dy","startTime":2225.16,"endTime":2228.52,"body":"Wow. Enjoy. Enjoy"},{"speaker":"Chris Dy","startTime":2225.16,"endTime":2228.52,"body":"that. Enjoy your next meeting"},{"speaker":"Chris Dy","startTime":2228.52,"endTime":2231.16,"body":"and your icing and elevating and"},{"speaker":"Chris Dy","startTime":2228.52,"endTime":2231.16,"body":"let me know if you need your ice"},{"speaker":"Chris Dy","startTime":2231.16,"endTime":2232.66,"body":"pack refreshed. I'm happy to"},{"speaker":"Chris Dy","startTime":2231.16,"endTime":2232.66,"body":"come over."},{"speaker":"Charles Goldfarb","startTime":2233.95,"endTime":2235.63,"body":"All right."},{"speaker":"Charles Goldfarb","startTime":2233.95,"endTime":2235.63,"body":"Thank you so much. See you"},{"speaker":"Charles Goldfarb","startTime":2235.63,"endTime":2236.59,"body":"later. Bye."},{"speaker":"Charles Goldfarb","startTime":2237.43,"endTime":2240.07,"body":"Hey, Chris. That was fun. Let's"},{"speaker":"Charles Goldfarb","startTime":2237.43,"endTime":2240.07,"body":"do it again real soon."},{"speaker":"Chris Dy","startTime":2240.58,"endTime":2242.77,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":2240.58,"endTime":2242.77,"body":"sure to email us with topic"},{"speaker":"Chris Dy","startTime":2242.77,"endTime":2244.9,"body":"suggestions and feedback, you"},{"speaker":"Chris Dy","startTime":2242.77,"endTime":2244.9,"body":"can reach us at"},{"speaker":"Chris Dy","startTime":2244.9,"endTime":2246.73,"body":"handpodcast@gmail.com."},{"speaker":"Charles Goldfarb","startTime":2247.51,"endTime":2249.64,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":2247.51,"endTime":2249.64,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":2249.64,"endTime":2250.57,"body":"get your podcast."},{"speaker":"Chris Dy","startTime":2251.02,"endTime":2253.84,"body":"And be sure to leave a"},{"speaker":"Chris Dy","startTime":2251.02,"endTime":2253.84,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":2253.84,"endTime":2254.26,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":2255.01,"endTime":2257.56,"body":"Special thanks"},{"speaker":"Charles Goldfarb","startTime":2255.01,"endTime":2257.56,"body":"to Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":2257.56,"endTime":2258.01,"body":"music."},{"speaker":"Chris Dy","startTime":2258.64,"endTime":2261.01,"body":"And remember, keep the"},{"speaker":"Chris Dy","startTime":2258.64,"endTime":2261.01,"body":"upper hand come back next time"}]}