{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":0.0,"endTime":7.14,"body":"Chuck, welcome"},{"speaker":"Charles Goldfarb","startTime":0.0,"endTime":7.14,"body":"to the upper hand podcast, where"},{"speaker":"Charles Goldfarb","startTime":7.14,"endTime":8.82,"body":"Chuck and Chris talk hand"},{"speaker":"Charles Goldfarb","startTime":7.14,"endTime":8.82,"body":"surgery."},{"speaker":"Chris Dy","startTime":9.54,"endTime":11.34,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":9.54,"endTime":11.34,"body":"surgeons at Washington"},{"speaker":"Chris Dy","startTime":11.34,"endTime":14.4,"body":"University in St Louis, here to"},{"speaker":"Chris Dy","startTime":11.34,"endTime":14.4,"body":"talk about all things hand"},{"speaker":"Chris Dy","startTime":14.4,"endTime":16.56,"body":"surgery related from technical"},{"speaker":"Chris Dy","startTime":14.4,"endTime":16.56,"body":"to personal."},{"speaker":"Charles Goldfarb","startTime":17.1,"endTime":19.08,"body":"Please"},{"speaker":"Charles Goldfarb","startTime":17.1,"endTime":19.08,"body":"subscribe wherever you get your"},{"speaker":"Charles Goldfarb","startTime":19.08,"endTime":19.86,"body":"podcasts,"},{"speaker":"Chris Dy","startTime":20.34,"endTime":22.76,"body":"and thank you in"},{"speaker":"Chris Dy","startTime":20.34,"endTime":22.76,"body":"advance for leaving a review and"},{"speaker":"Chris Dy","startTime":22.76,"endTime":25.94,"body":"a rating that helps us get the"},{"speaker":"Chris Dy","startTime":22.76,"endTime":25.94,"body":"word out. You can email us at"},{"speaker":"Chris Dy","startTime":25.94,"endTime":29.48,"body":"handpodcast@gmail.com so let's"},{"speaker":"Chris Dy","startTime":25.94,"endTime":29.48,"body":"get to the episode."},{"speaker":"Charles Goldfarb","startTime":30.56,"endTime":31.52,"body":"Hi Chris,"},{"speaker":"Chris Dy","startTime":31.88,"endTime":32.78,"body":"hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":31.88,"endTime":32.78,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":33.2,"endTime":34.52,"body":"I'm good. How"},{"speaker":"Charles Goldfarb","startTime":33.2,"endTime":34.52,"body":"are you?"},{"speaker":"Chris Dy","startTime":34.94,"endTime":38.48,"body":"I'm good. It's Friday"},{"speaker":"Chris Dy","startTime":34.94,"endTime":38.48,"body":"morning. We're recording, and"},{"speaker":"Chris Dy","startTime":38.48,"endTime":42.76,"body":"we're both excited about a fun"},{"speaker":"Chris Dy","startTime":38.48,"endTime":42.76,"body":"day of activity and fun weekend"},{"speaker":"Chris Dy","startTime":42.76,"endTime":43.18,"body":"coming up."},{"speaker":"Charles Goldfarb","startTime":43.42,"endTime":44.98,"body":"Yeah, what you"},{"speaker":"Charles Goldfarb","startTime":43.42,"endTime":44.98,"body":"got going on today?"},{"speaker":"Chris Dy","startTime":45.58,"endTime":48.46,"body":"I'm doing a clinic,"},{"speaker":"Chris Dy","startTime":45.58,"endTime":48.46,"body":"and then we're traveling for the"},{"speaker":"Chris Dy","startTime":48.46,"endTime":51.88,"body":"weekend. It'll be fun. I'm"},{"speaker":"Chris Dy","startTime":48.46,"endTime":51.88,"body":"excited about it. But you know,"},{"speaker":"Chris Dy","startTime":51.88,"endTime":55.36,"body":"my my wife, is on this amazing"},{"speaker":"Chris Dy","startTime":51.88,"endTime":55.36,"body":"thing of wanting to do all 50"},{"speaker":"Chris Dy","startTime":55.36,"endTime":57.64,"body":"states before the kids graduate"},{"speaker":"Chris Dy","startTime":55.36,"endTime":57.64,"body":"high school. So we'll be"},{"speaker":"Chris Dy","startTime":57.64,"endTime":59.14,"body":"checking off Nevada this"},{"speaker":"Chris Dy","startTime":57.64,"endTime":59.14,"body":"weekend."},{"speaker":"Charles Goldfarb","startTime":61.3,"endTime":63.647,"body":"Oh, my God,"},{"speaker":"Charles Goldfarb","startTime":61.3,"endTime":63.647,"body":"that's so funny. So you guys"},{"speaker":"Charles Goldfarb","startTime":63.705,"endTime":67.285,"body":"will get out there, hike around,"},{"speaker":"Charles Goldfarb","startTime":63.705,"endTime":67.285,"body":"see, see the sights, and get"},{"speaker":"Charles Goldfarb","startTime":67.343,"endTime":68.4,"body":"back on a plane. ,"},{"speaker":"Chris Dy","startTime":68.4,"endTime":71.335,"body":"Yeah, basically. But"},{"speaker":"Chris Dy","startTime":68.4,"endTime":71.335,"body":"you know, I'm not making them do"},{"speaker":"Chris Dy","startTime":71.39,"endTime":74.713,"body":"a PowerPoint at this point. So"},{"speaker":"Chris Dy","startTime":71.39,"endTime":74.713,"body":"let me take a play out of the"},{"speaker":"Chris Dy","startTime":74.769,"endTime":78.313,"body":"Goldfarb playbook at some point"},{"speaker":"Chris Dy","startTime":74.769,"endTime":78.313,"body":"in the future and make them sing"},{"speaker":"Chris Dy","startTime":78.369,"endTime":79.92,"body":"for their supper. So to say,"},{"speaker":"Charles Goldfarb","startTime":79.92,"endTime":82.718,"body":"one day, but"},{"speaker":"Charles Goldfarb","startTime":79.92,"endTime":82.718,"body":"that was only for major"},{"speaker":"Charles Goldfarb","startTime":82.796,"endTime":84.74,"body":"international excursions."},{"speaker":"Chris Dy","startTime":84.74,"endTime":87.28,"body":"OK, that's good to"},{"speaker":"Chris Dy","startTime":84.74,"endTime":87.28,"body":"know. Okay, now, next time we go"},{"speaker":"Chris Dy","startTime":87.329,"endTime":90.367,"body":"international, I'll let them"},{"speaker":"Chris Dy","startTime":87.329,"endTime":90.367,"body":"know. So you're you're busy with"},{"speaker":"Chris Dy","startTime":90.417,"endTime":92.36,"body":"school today and tomorrow. Yep, school,"},{"speaker":"Charles Goldfarb","startTime":93.08,"endTime":94.82,"body":"Thursday,"},{"speaker":"Charles Goldfarb","startTime":93.08,"endTime":94.82,"body":"Friday, Saturday, So day two"},{"speaker":"Charles Goldfarb","startTime":94.82,"endTime":98.84,"body":"today, which is Friday, the 30th"},{"speaker":"Charles Goldfarb","startTime":94.82,"endTime":98.84,"body":"before Labor Day weekend, and"},{"speaker":"Charles Goldfarb","startTime":98.84,"endTime":103.78,"body":"this episode will drop on the"},{"speaker":"Charles Goldfarb","startTime":98.84,"endTime":103.78,"body":"eighth of September. So yeah,"},{"speaker":"Charles Goldfarb","startTime":103.78,"endTime":109.0,"body":"school another school day, and"},{"speaker":"Charles Goldfarb","startTime":103.78,"endTime":109.0,"body":"continue to enjoy it and power"},{"speaker":"Chris Dy","startTime":109.6,"endTime":111.58,"body":"through. Excited about"},{"speaker":"Chris Dy","startTime":109.6,"endTime":111.58,"body":"today's episode, we're gonna"},{"speaker":"Chris Dy","startTime":111.58,"endTime":115.24,"body":"we've gotten some great listener"},{"speaker":"Chris Dy","startTime":111.58,"endTime":115.24,"body":"email so please continue to"},{"speaker":"Chris Dy","startTime":115.24,"endTime":118.6,"body":"email us your thoughts and ideas"},{"speaker":"Chris Dy","startTime":115.24,"endTime":118.6,"body":"and feedback and corrections,"},{"speaker":"Chris Dy","startTime":118.6,"endTime":121.74,"body":"including something that we'll"},{"speaker":"Chris Dy","startTime":118.6,"endTime":121.74,"body":"talk about today. So hand"},{"speaker":"Chris Dy","startTime":121.74,"endTime":125.94,"body":"podcast@gmail.com speaking of"},{"speaker":"Chris Dy","startTime":121.74,"endTime":125.94,"body":"corrections, I was called out by"},{"speaker":"Chris Dy","startTime":125.94,"endTime":129.72,"body":"our fellows for misquoting some"},{"speaker":"Chris Dy","startTime":125.94,"endTime":129.72,"body":"anatomy numbers in conference."},{"speaker":"Chris Dy","startTime":130.26,"endTime":135.0,"body":"Were you there on that day? I"},{"speaker":"Chris Dy","startTime":130.26,"endTime":135.0,"body":"think you were talking about the"},{"speaker":"Chris Dy","startTime":135.0,"endTime":139.86,"body":"absence of an FDS and a small"},{"speaker":"Chris Dy","startTime":135.0,"endTime":139.86,"body":"finger, and I had a number in my"},{"speaker":"Chris Dy","startTime":139.86,"endTime":142.64,"body":"head that turned out to be"},{"speaker":"Chris Dy","startTime":139.86,"endTime":142.64,"body":"incorrect. The number that our"},{"speaker":"Chris Dy","startTime":142.64,"endTime":146.84,"body":"fellows found was also"},{"speaker":"Chris Dy","startTime":142.64,"endTime":146.84,"body":"incorrect. So a shout out to our"},{"speaker":"Chris Dy","startTime":146.84,"endTime":150.68,"body":"fellows, Dan Hong, Nick colada"},{"speaker":"Chris Dy","startTime":146.84,"endTime":150.68,"body":"and Eric Jang for calling out"},{"speaker":"Chris Dy","startTime":150.68,"endTime":153.02,"body":"their fellowship director for"},{"speaker":"Chris Dy","startTime":150.68,"endTime":153.02,"body":"misquoting something. So I"},{"speaker":"Chris Dy","startTime":153.02,"endTime":155.66,"body":"actually had to go back and I"},{"speaker":"Chris Dy","startTime":153.02,"endTime":155.66,"body":"screencapped my fellowship notes"},{"speaker":"Chris Dy","startTime":155.66,"endTime":158.36,"body":"from when I was a fellow. I was"},{"speaker":"Chris Dy","startTime":155.66,"endTime":158.36,"body":"like, I consider that to be the"},{"speaker":"Chris Dy","startTime":158.36,"endTime":162.1,"body":"standard, the source, the"},{"speaker":"Chris Dy","startTime":158.36,"endTime":162.1,"body":"arbiter of truth is from when I"},{"speaker":"Chris Dy","startTime":162.1,"endTime":165.1,"body":"really knew the numbers as a"},{"speaker":"Chris Dy","startTime":162.1,"endTime":165.1,"body":"fellow. The point was not"},{"speaker":"Chris Dy","startTime":165.1,"endTime":167.14,"body":"everybody has an FDS to the"},{"speaker":"Chris Dy","startTime":165.1,"endTime":167.14,"body":"small finger,"},{"speaker":"Charles Goldfarb","startTime":167.44,"endTime":170.68,"body":"and what is"},{"speaker":"Charles Goldfarb","startTime":167.44,"endTime":170.68,"body":"the number of those who do not"},{"speaker":"Charles Goldfarb","startTime":170.74,"endTime":171.16,"body":"the number"},{"speaker":"Chris Dy","startTime":171.16,"endTime":175.78,"body":"I have is 20% an"},{"speaker":"Chris Dy","startTime":171.16,"endTime":175.78,"body":"actual anatomic absence. Now"},{"speaker":"Chris Dy","startTime":175.78,"endTime":178.72,"body":"there's a in that book that you"},{"speaker":"Chris Dy","startTime":175.78,"endTime":178.72,"body":"co edited, and it's a lovely"},{"speaker":"Chris Dy","startTime":178.72,"endTime":181.62,"body":"book. Every hand fellow should"},{"speaker":"Chris Dy","startTime":178.72,"endTime":181.62,"body":"have a copy of it. I received no"},{"speaker":"Chris Dy","startTime":181.62,"endTime":183.24,"body":"royalties from shouting out"},{"speaker":"Chris Dy","startTime":181.62,"endTime":183.24,"body":"Chuck's book."},{"speaker":"Charles Goldfarb","startTime":183.6,"endTime":187.98,"body":"I received"},{"speaker":"Charles Goldfarb","startTime":183.6,"endTime":187.98,"body":"barely, I received barely any royalties."},{"speaker":"Chris Dy","startTime":187.98,"endTime":190.831,"body":"I dont see that book"},{"speaker":"Chris Dy","startTime":187.98,"endTime":190.831,"body":"listed on your disclosure, by"},{"speaker":"Chris Dy","startTime":190.888,"endTime":194.253,"body":"the way. Dr Goldfarb, Primus"},{"speaker":"Chris Dy","startTime":190.888,"endTime":194.253,"body":"manis. It's an awesome anatomy"},{"speaker":"Chris Dy","startTime":194.311,"endTime":197.733,"body":"resource. I believe it was you,"},{"speaker":"Chris Dy","startTime":194.311,"endTime":197.733,"body":"Marty and Fraser Leversedge,"},{"speaker":"Chris Dy","startTime":197.79,"endTime":201.212,"body":"fantastic anatomy book. Our"},{"speaker":"Chris Dy","startTime":197.79,"endTime":201.212,"body":"fellows and residents know about"},{"speaker":"Chris Dy","startTime":201.269,"endTime":204.748,"body":"the Word documents that have all"},{"speaker":"Chris Dy","startTime":201.269,"endTime":204.748,"body":"the numbers. All the numbers"},{"speaker":"Chris Dy","startTime":204.805,"endTime":208.341,"body":"typically come from that book,"},{"speaker":"Chris Dy","startTime":204.805,"endTime":208.341,"body":"or the book has all the numbers"},{"speaker":"Chris Dy","startTime":208.398,"endTime":211.592,"body":"from the anatomy handouts,"},{"speaker":"Chris Dy","startTime":208.398,"endTime":211.592,"body":"either way. But in that book,"},{"speaker":"Chris Dy","startTime":211.649,"endTime":215.129,"body":"it's listed as up to 75% may"},{"speaker":"Chris Dy","startTime":211.649,"endTime":215.129,"body":"have a discrepancy in being able"},{"speaker":"Chris Dy","startTime":215.186,"endTime":218.437,"body":"to functionally differentiate"},{"speaker":"Chris Dy","startTime":215.186,"endTime":218.437,"body":"the FDS from the FTP to the"},{"speaker":"Chris Dy","startTime":218.494,"endTime":222.03,"body":"small finger. Up to 75% Yeah, I"},{"speaker":"Chris Dy","startTime":218.494,"endTime":222.03,"body":"believe it's 75 or 70. I can't"},{"speaker":"Chris Dy","startTime":222.087,"endTime":225.167,"body":"remember exactly previous"},{"speaker":"Chris Dy","startTime":222.087,"endTime":225.167,"body":"manners, cool, so functional"},{"speaker":"Chris Dy","startTime":225.224,"endTime":228.532,"body":"versus anatomic, but all that"},{"speaker":"Chris Dy","startTime":225.224,"endTime":228.532,"body":"matters is that if you go in"},{"speaker":"Chris Dy","startTime":228.589,"endTime":232.24,"body":"there and you don't see an FDS"},{"speaker":"Chris Dy","startTime":228.589,"endTime":232.24,"body":"to small figure, don't freak out."},{"speaker":"Charles Goldfarb","startTime":232.78,"endTime":234.94,"body":"That's right,"},{"speaker":"Charles Goldfarb","startTime":232.78,"endTime":234.94,"body":"and be prepared for that when"},{"speaker":"Charles Goldfarb","startTime":234.94,"endTime":237.94,"body":"you're exploring a small finger,"},{"speaker":"Charles Goldfarb","startTime":234.94,"endTime":237.94,"body":"the small fingers are the one"},{"speaker":"Charles Goldfarb","startTime":237.94,"endTime":241.32,"body":"that we wince a little bit if we"},{"speaker":"Charles Goldfarb","startTime":237.94,"endTime":241.32,"body":"have an isolated tendon"},{"speaker":"Charles Goldfarb","startTime":241.38,"endTime":245.64,"body":"laceration just because the"},{"speaker":"Charles Goldfarb","startTime":241.38,"endTime":245.64,"body":"size. But sometimes, if it's an"},{"speaker":"Charles Goldfarb","startTime":245.64,"endTime":248.88,"body":"isolated FTP, it's a little bit"},{"speaker":"Charles Goldfarb","startTime":245.64,"endTime":248.88,"body":"easier and a little bit less"},{"speaker":"Charles Goldfarb","startTime":248.88,"endTime":252.42,"body":"concerning, at least in my mind,"},{"speaker":"Charles Goldfarb","startTime":248.88,"endTime":252.42,"body":"for work of flexion after"},{"speaker":"Charles Goldfarb","startTime":252.42,"endTime":253.86,"body":"repair. Yeah, and it's speaking"},{"speaker":"Chris Dy","startTime":253.86,"endTime":255.9,"body":"of flexor tendons. A"},{"speaker":"Chris Dy","startTime":253.86,"endTime":255.9,"body":"bit of a grabback episode"},{"speaker":"Chris Dy","startTime":255.9,"endTime":260.18,"body":"anyway. I mean, I remember"},{"speaker":"Chris Dy","startTime":255.9,"endTime":260.18,"body":"talking about a an FTP zone one"},{"speaker":"Chris Dy","startTime":260.3,"endTime":264.62,"body":"a few episodes ago, I let the"},{"speaker":"Chris Dy","startTime":260.3,"endTime":264.62,"body":"patient keep the button. He"},{"speaker":"Chris Dy","startTime":264.62,"endTime":267.08,"body":"very, very much wanted to keep"},{"speaker":"Chris Dy","startTime":264.62,"endTime":267.08,"body":"the button to give to his"},{"speaker":"Chris Dy","startTime":267.08,"endTime":272.24,"body":"granddaughter. He did amazingly"},{"speaker":"Chris Dy","startTime":267.08,"endTime":272.24,"body":"well so far, knock on wood. But"},{"speaker":"Chris Dy","startTime":272.24,"endTime":275.12,"body":"everything has gone well. So"},{"speaker":"Chris Dy","startTime":272.24,"endTime":275.12,"body":"just to close the loop on that,"},{"speaker":"Chris Dy","startTime":275.12,"endTime":278.3,"body":"I think we talked about that a"},{"speaker":"Chris Dy","startTime":275.12,"endTime":278.3,"body":"few episodes back, yeah,"},{"speaker":"Charles Goldfarb","startTime":278.3,"endTime":280.66,"body":"you know that"},{"speaker":"Charles Goldfarb","startTime":278.3,"endTime":280.66,"body":"the whole keeping the stuff"},{"speaker":"Charles Goldfarb","startTime":280.84,"endTime":284.08,"body":"continues to be a question for"},{"speaker":"Charles Goldfarb","startTime":280.84,"endTime":284.08,"body":"patients. And I get it to some"},{"speaker":"Charles Goldfarb","startTime":284.08,"endTime":287.38,"body":"degree, whether it's removed"},{"speaker":"Charles Goldfarb","startTime":284.08,"endTime":287.38,"body":"hardware, which is harder than"},{"speaker":"Charles Goldfarb","startTime":287.38,"endTime":290.44,"body":"ever at our institution,"},{"speaker":"Charles Goldfarb","startTime":287.38,"endTime":290.44,"body":"although, you know, sometimes it"},{"speaker":"Charles Goldfarb","startTime":290.44,"endTime":295.96,"body":"happens. And I we took out a"},{"speaker":"Charles Goldfarb","startTime":290.44,"endTime":295.96,"body":"mass a couple weeks ago, which"},{"speaker":"Charles Goldfarb","startTime":295.96,"endTime":299.38,"body":"is just a fibroma, and the"},{"speaker":"Charles Goldfarb","startTime":295.96,"endTime":299.38,"body":"patient really wanted the mass,"},{"speaker":"Charles Goldfarb","startTime":299.5,"endTime":304.02,"body":"and they. Their their logic is,"},{"speaker":"Charles Goldfarb","startTime":299.5,"endTime":304.02,"body":"it's my body, it's my math. Why"},{"speaker":"Charles Goldfarb","startTime":304.02,"endTime":307.2,"body":"can't I have it? And I just have"},{"speaker":"Charles Goldfarb","startTime":304.02,"endTime":307.2,"body":"to say, because you can't."},{"speaker":"Chris Dy","startTime":307.38,"endTime":310.92,"body":"It's gross, man. You"},{"speaker":"Chris Dy","startTime":307.38,"endTime":310.92,"body":"can have it after the WashU"},{"speaker":"Chris Dy","startTime":310.92,"endTime":312.48,"body":"pathologist looks at it, at"},{"speaker":"Chris Dy","startTime":310.92,"endTime":312.48,"body":"least"},{"speaker":"Charles Goldfarb","startTime":313.26,"endTime":314.94,"body":"it won't look"},{"speaker":"Charles Goldfarb","startTime":313.26,"endTime":314.94,"body":"that good on the shelf."},{"speaker":"Chris Dy","startTime":316.2,"endTime":318.72,"body":"You know, what"},{"speaker":"Chris Dy","startTime":316.2,"endTime":318.72,"body":"confuses me at times is how much"},{"speaker":"Chris Dy","startTime":318.72,"endTime":322.34,"body":"they want to keep the implant."},{"speaker":"Chris Dy","startTime":318.72,"endTime":322.34,"body":"But again, I guess they've paid"},{"speaker":"Chris Dy","startTime":322.34,"endTime":324.86,"body":"for it. And, you know, honestly,"},{"speaker":"Chris Dy","startTime":322.34,"endTime":324.86,"body":"a recon plate makes a really"},{"speaker":"Chris Dy","startTime":324.86,"endTime":329.0,"body":"sweet bracelet. I've seen it"},{"speaker":"Chris Dy","startTime":324.86,"endTime":329.0,"body":"done in New York. So, hey, teach"},{"speaker":"Chris Dy","startTime":329.0,"endTime":329.36,"body":"their own."},{"speaker":"Charles Goldfarb","startTime":329.66,"endTime":331.94,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":329.66,"endTime":331.94,"body":"the hardware removals that get a"},{"speaker":"Charles Goldfarb","startTime":331.94,"endTime":336.14,"body":"little bit more, but the stuff,"},{"speaker":"Charles Goldfarb","startTime":331.94,"endTime":336.14,"body":"and I think we may have talked"},{"speaker":"Charles Goldfarb","startTime":336.14,"endTime":339.8,"body":"about this long time ago, in"},{"speaker":"Charles Goldfarb","startTime":336.14,"endTime":339.8,"body":"kids, sometimes, if the kid gets"},{"speaker":"Charles Goldfarb","startTime":339.8,"endTime":343.72,"body":"older and the family chooses to"},{"speaker":"Charles Goldfarb","startTime":339.8,"endTime":343.72,"body":"wait to allow the child to"},{"speaker":"Charles Goldfarb","startTime":343.72,"endTime":347.2,"body":"determine whether to remove an"},{"speaker":"Charles Goldfarb","startTime":343.72,"endTime":347.2,"body":"extra digit. Sometimes the child"},{"speaker":"Charles Goldfarb","startTime":347.2,"endTime":350.5,"body":"will want the digit, and that is"},{"speaker":"Charles Goldfarb","startTime":347.2,"endTime":350.5,"body":"freaky to me."},{"speaker":"Chris Dy","startTime":350.86,"endTime":354.28,"body":"Yeah, that's that's"},{"speaker":"Chris Dy","startTime":350.86,"endTime":354.28,"body":"something I do, like showing"},{"speaker":"Chris Dy","startTime":354.28,"endTime":358.78,"body":"people things that are removed"},{"speaker":"Chris Dy","startTime":354.28,"endTime":358.78,"body":"if they're awake. You know, I do"},{"speaker":"Chris Dy","startTime":358.78,"endTime":361.8,"body":"a fair number of foreign body"},{"speaker":"Chris Dy","startTime":358.78,"endTime":361.8,"body":"removals of various varieties,"},{"speaker":"Chris Dy","startTime":361.8,"endTime":364.98,"body":"and honestly, it took out a huge"},{"speaker":"Chris Dy","startTime":361.8,"endTime":364.98,"body":"Splinter that was lodged in a"},{"speaker":"Chris Dy","startTime":364.98,"endTime":368.64,"body":"very uncomfortable place. And it"},{"speaker":"Chris Dy","startTime":364.98,"endTime":368.64,"body":"was very gratifying, and I think"},{"speaker":"Chris Dy","startTime":371.16,"endTime":373.8,"body":"fulfilling for the patient to"},{"speaker":"Chris Dy","startTime":371.16,"endTime":373.8,"body":"know that she was like, not"},{"speaker":"Chris Dy","startTime":373.8,"endTime":377.28,"body":"making this up, like it was not"},{"speaker":"Chris Dy","startTime":373.8,"endTime":377.28,"body":"a crazy thing. Absolutely, 100%"},{"speaker":"Chris Dy","startTime":378.96,"endTime":381.2,"body":"let's move on to the episode."},{"speaker":"Chris Dy","startTime":378.96,"endTime":381.2,"body":"Why don't we go through some of"},{"speaker":"Chris Dy","startTime":381.2,"endTime":383.6,"body":"the grab bag and we can talk"},{"speaker":"Chris Dy","startTime":381.2,"endTime":383.6,"body":"about what we'll be doing at the"},{"speaker":"Chris Dy","startTime":383.6,"endTime":385.82,"body":"hand society coming up, but"},{"speaker":"Chris Dy","startTime":383.6,"endTime":385.82,"body":"first, we should thank our"},{"speaker":"Chris Dy","startTime":385.82,"endTime":387.14,"body":"sponsors of practicelink,"},{"speaker":"Charles Goldfarb","startTime":388.22,"endTime":390.98,"body":"absolutely be"},{"speaker":"Charles Goldfarb","startTime":388.22,"endTime":390.98,"body":"afraid and sponsored by"},{"speaker":"Charles Goldfarb","startTime":390.98,"endTime":394.46,"body":"practicelink.com the most widely"},{"speaker":"Charles Goldfarb","startTime":390.98,"endTime":394.46,"body":"used physician job search and"},{"speaker":"Charles Goldfarb","startTime":394.46,"endTime":396.14,"body":"career advancement resource,"},{"speaker":"Chris Dy","startTime":396.26,"endTime":398.66,"body":"becoming a physician"},{"speaker":"Chris Dy","startTime":396.26,"endTime":398.66,"body":"and reading copy, they're both"},{"speaker":"Chris Dy","startTime":398.66,"endTime":401.86,"body":"hard. Finding the right job"},{"speaker":"Chris Dy","startTime":398.66,"endTime":401.86,"body":"doesn't have to be join practice"},{"speaker":"Chris Dy","startTime":401.86,"endTime":405.94,"body":"link for free today at"},{"speaker":"Chris Dy","startTime":401.86,"endTime":405.94,"body":"www.practicelink.com/the upper"},{"speaker":"Chris Dy","startTime":405.94,"endTime":409.12,"body":"hand, that is two episodes in a"},{"speaker":"Chris Dy","startTime":405.94,"endTime":409.12,"body":"row where I struggled with the"},{"speaker":"Chris Dy","startTime":409.12,"endTime":412.36,"body":"practicing copy. Dan Hong told"},{"speaker":"Chris Dy","startTime":409.12,"endTime":412.36,"body":"me I could read it my sleep. I"},{"speaker":"Chris Dy","startTime":412.36,"endTime":413.8,"body":"completely flubbed it a lot."},{"speaker":"Charles Goldfarb","startTime":413.8,"endTime":417.31,"body":"Yeah, it"},{"speaker":"Charles Goldfarb","startTime":413.8,"endTime":417.31,"body":"should not be getting harder."},{"speaker":"Charles Goldfarb","startTime":417.402,"endTime":421.56,"body":"Um, we heard from Rob Gray"},{"speaker":"Charles Goldfarb","startTime":417.402,"endTime":421.56,"body":"friend of the pod."},{"speaker":"Chris Dy","startTime":421.86,"endTime":425.04,"body":"Yeah, friend of the"},{"speaker":"Chris Dy","startTime":421.86,"endTime":425.04,"body":"pod. So Rob, we shouted him out"},{"speaker":"Chris Dy","startTime":425.34,"endTime":428.76,"body":"last time when we talked with"},{"speaker":"Chris Dy","startTime":425.34,"endTime":428.76,"body":"Sanj about the SL ligament, and"},{"speaker":"Chris Dy","startTime":428.76,"endTime":431.94,"body":"he said that he just listened to"},{"speaker":"Chris Dy","startTime":428.76,"endTime":431.94,"body":"the pod that morning. Said,"},{"speaker":"Chris Dy","startTime":431.94,"endTime":435.12,"body":"great to hear my buddies getting"},{"speaker":"Chris Dy","startTime":431.94,"endTime":435.12,"body":"all nerdy about a ligament that"},{"speaker":"Chris Dy","startTime":435.12,"endTime":439.44,"body":"I'm not sure exists. Hot take"},{"speaker":"Chris Dy","startTime":435.12,"endTime":439.44,"body":"Rob. Hope you guys have a great"},{"speaker":"Chris Dy","startTime":439.44,"endTime":441.02,"body":"day. Keep fighting the fight."},{"speaker":"Charles Goldfarb","startTime":441.86,"endTime":443.54,"body":"You know,"},{"speaker":"Charles Goldfarb","startTime":441.86,"endTime":443.54,"body":"that's gonna rub some people the"},{"speaker":"Charles Goldfarb","startTime":443.54,"endTime":447.38,"body":"wrong way, although I kind of"},{"speaker":"Charles Goldfarb","startTime":443.54,"endTime":447.38,"body":"hear him it's, it's when you"},{"speaker":"Charles Goldfarb","startTime":447.38,"endTime":450.62,"body":"have an acute tear and you go to"},{"speaker":"Charles Goldfarb","startTime":447.38,"endTime":450.62,"body":"put a stitch in that ligament,"},{"speaker":"Charles Goldfarb","startTime":450.62,"endTime":456.62,"body":"it is just super flimsy, and I"},{"speaker":"Charles Goldfarb","startTime":450.62,"endTime":456.62,"body":"never feel like that's an"},{"speaker":"Charles Goldfarb","startTime":456.62,"endTime":457.58,"body":"effective treatment."},{"speaker":"Chris Dy","startTime":458.66,"endTime":461.32,"body":"Yeah, I would probably"},{"speaker":"Chris Dy","startTime":458.66,"endTime":461.32,"body":"say the same thing. But, you"},{"speaker":"Chris Dy","startTime":461.32,"endTime":464.86,"body":"know, I'm not there enough to I"},{"speaker":"Chris Dy","startTime":461.32,"endTime":464.86,"body":"don't know if repairable tears"},{"speaker":"Chris Dy","startTime":464.86,"endTime":467.56,"body":"actually exist. Of a ligament"},{"speaker":"Chris Dy","startTime":464.86,"endTime":467.56,"body":"which, therefore, of that"},{"speaker":"Chris Dy","startTime":467.56,"endTime":471.22,"body":"ligament, which makes you think,"},{"speaker":"Chris Dy","startTime":467.56,"endTime":471.22,"body":"is it truly a ligament? But it"},{"speaker":"Chris Dy","startTime":471.22,"endTime":474.34,"body":"is a fiber structure that"},{"speaker":"Chris Dy","startTime":471.22,"endTime":474.34,"body":"connects two bones. So I'll give"},{"speaker":"Chris Dy","startTime":474.34,"endTime":474.82,"body":"it that"},{"speaker":"Charles Goldfarb","startTime":475.42,"endTime":478.48,"body":"absolutely all"},{"speaker":"Charles Goldfarb","startTime":475.42,"endTime":478.48,"body":"right, we have another one,"},{"speaker":"Charles Goldfarb","startTime":478.48,"endTime":483.0,"body":"which is a great question. We"},{"speaker":"Charles Goldfarb","startTime":478.48,"endTime":483.0,"body":"only have a handle, rather than"},{"speaker":"Charles Goldfarb","startTime":483.0,"endTime":484.08,"body":"a name. Let me read that."},{"speaker":"Chris Dy","startTime":484.08,"endTime":487.157,"body":"Let me read this one,"},{"speaker":"Chris Dy","startTime":484.08,"endTime":487.157,"body":"because I want you to answer it."},{"speaker":"Chris Dy","startTime":487.214,"endTime":490.577,"body":"Okay, so for those of you that"},{"speaker":"Chris Dy","startTime":487.214,"endTime":490.577,"body":"don't know, the upper end is"},{"speaker":"Chris Dy","startTime":490.634,"endTime":493.996,"body":"also on YouTube, so make sure to"},{"speaker":"Chris Dy","startTime":490.634,"endTime":493.996,"body":"check it out, because this"},{"speaker":"Chris Dy","startTime":494.053,"endTime":497.416,"body":"actually is our first comment"},{"speaker":"Chris Dy","startTime":494.053,"endTime":497.416,"body":"that we're going to shout out"},{"speaker":"Chris Dy","startTime":497.473,"endTime":500.836,"body":"from a YouTube from the YouTube"},{"speaker":"Chris Dy","startTime":497.473,"endTime":500.836,"body":"channel. So this is from at"},{"speaker":"Chris Dy","startTime":500.893,"endTime":504.369,"body":"James dash, M, w4, sh, thanks"},{"speaker":"Chris Dy","startTime":500.893,"endTime":504.369,"body":"for your great show. As always,"},{"speaker":"Chris Dy","startTime":504.426,"endTime":507.618,"body":"here in Cincinnati, the big"},{"speaker":"Chris Dy","startTime":504.426,"endTime":507.618,"body":"question is, Will Joe Burrow"},{"speaker":"Chris Dy","startTime":507.675,"endTime":510.809,"body":"perform at the same level or"},{"speaker":"Chris Dy","startTime":507.675,"endTime":510.809,"body":"better since he had his SL"},{"speaker":"Chris Dy","startTime":510.866,"endTime":514.001,"body":"repaired? Can you comment on"},{"speaker":"Chris Dy","startTime":510.866,"endTime":514.001,"body":"rehab and expectations for"},{"speaker":"Chris Dy","startTime":514.058,"endTime":517.421,"body":"athletes who have their SL"},{"speaker":"Chris Dy","startTime":514.058,"endTime":517.421,"body":"ligament repaired? Thanks and go"},{"speaker":"Chris Dy","startTime":517.478,"endTime":520.783,"body":"Bengals a number of emojis. This"},{"speaker":"Chris Dy","startTime":517.478,"endTime":520.783,"body":"is relevant, not only for"},{"speaker":"Chris Dy","startTime":520.84,"endTime":524.374,"body":"Bengals fans, but also fantasy"},{"speaker":"Chris Dy","startTime":520.84,"endTime":524.374,"body":"football is upon us. So what do"},{"speaker":"Chris Dy","startTime":524.431,"endTime":526.54,"body":"you think sports expert, Dr Goldfarb,"},{"speaker":"Charles Goldfarb","startTime":526.9,"endTime":529.6,"body":"yeah, well, I"},{"speaker":"Charles Goldfarb","startTime":526.9,"endTime":529.6,"body":"think, first of all, thanks for"},{"speaker":"Charles Goldfarb","startTime":529.6,"endTime":534.34,"body":"the question. I think it's a"},{"speaker":"Charles Goldfarb","startTime":529.6,"endTime":534.34,"body":"really good one. And in my mind"},{"speaker":"Charles Goldfarb","startTime":534.34,"endTime":538.78,"body":"is this is one of the more"},{"speaker":"Charles Goldfarb","startTime":534.34,"endTime":538.78,"body":"serious sports injuries. And the"},{"speaker":"Charles Goldfarb","startTime":538.78,"endTime":541.92,"body":"answer to the question,"},{"speaker":"Charles Goldfarb","startTime":538.78,"endTime":541.92,"body":"unfortunately, I think, depends"},{"speaker":"Charles Goldfarb","startTime":541.92,"endTime":548.1,"body":"on the details. Was this an"},{"speaker":"Charles Goldfarb","startTime":541.92,"endTime":548.1,"body":"isolated SL tear? Was it a"},{"speaker":"Charles Goldfarb","startTime":548.1,"endTime":553.38,"body":"partial SL tear? Was an SL tear"},{"speaker":"Charles Goldfarb","startTime":548.1,"endTime":553.38,"body":"in addition to the other"},{"speaker":"Charles Goldfarb","startTime":553.44,"endTime":557.34,"body":"surrounding ligaments. So the"},{"speaker":"Charles Goldfarb","startTime":553.44,"endTime":557.34,"body":"degree of the separation, the"},{"speaker":"Charles Goldfarb","startTime":557.34,"endTime":562.34,"body":"degree of the injury, really,"},{"speaker":"Charles Goldfarb","startTime":557.34,"endTime":562.34,"body":"really matters when someone has"},{"speaker":"Charles Goldfarb","startTime":562.34,"endTime":566.3,"body":"a SL tear that leads to marked"},{"speaker":"Charles Goldfarb","startTime":562.34,"endTime":566.3,"body":"displacement of the scapegoid"},{"speaker":"Charles Goldfarb","startTime":566.42,"endTime":572.96,"body":"with flexion and gapping. It is"},{"speaker":"Charles Goldfarb","startTime":566.42,"endTime":572.96,"body":"a big deal repair, which, at a"},{"speaker":"Charles Goldfarb","startTime":572.96,"endTime":578.9,"body":"minimum, leads to some wrist"},{"speaker":"Charles Goldfarb","startTime":572.96,"endTime":578.9,"body":"stiffness, and at a maximum,"},{"speaker":"Charles Goldfarb","startTime":579.44,"endTime":583.42,"body":"leads to other problems. Now the"},{"speaker":"Charles Goldfarb","startTime":579.44,"endTime":583.42,"body":"good news about the SL, I think"},{"speaker":"Charles Goldfarb","startTime":583.42,"endTime":588.4,"body":"most of us appreciate, is that"},{"speaker":"Charles Goldfarb","startTime":583.42,"endTime":588.4,"body":"problems typically develop far"},{"speaker":"Charles Goldfarb","startTime":588.4,"endTime":592.24,"body":"down the road, and that is"},{"speaker":"Charles Goldfarb","startTime":588.4,"endTime":592.24,"body":"arthritis, and so usually in the"},{"speaker":"Charles Goldfarb","startTime":592.24,"endTime":596.5,"body":"short term, you can regain"},{"speaker":"Charles Goldfarb","startTime":592.24,"endTime":596.5,"body":"motion, regain strength, and may"},{"speaker":"Charles Goldfarb","startTime":596.5,"endTime":599.14,"body":"have a little bit of a nagging"},{"speaker":"Charles Goldfarb","startTime":596.5,"endTime":599.14,"body":"injury, but not dramatic, but"},{"speaker":"Charles Goldfarb","startTime":599.38,"endTime":602.88,"body":"it's. Problem, and I think the"},{"speaker":"Charles Goldfarb","startTime":599.38,"endTime":602.88,"body":"degree of the injury ultimately"},{"speaker":"Charles Goldfarb","startTime":602.88,"endTime":605.1,"body":"will determine how well Joe"},{"speaker":"Charles Goldfarb","startTime":602.88,"endTime":605.1,"body":"burrow performs this year."},{"speaker":"Chris Dy","startTime":605.94,"endTime":609.24,"body":"Got it Okay, so, great"},{"speaker":"Chris Dy","startTime":605.94,"endTime":609.24,"body":"dodge, great evasion. Well,"},{"speaker":"Chris Dy","startTime":609.9,"endTime":612.18,"body":"invasive tactics, almost like"},{"speaker":"Chris Dy","startTime":609.9,"endTime":612.18,"body":"mahomes in the pocket."},{"speaker":"Charles Goldfarb","startTime":613.02,"endTime":615.3,"body":"It also, of"},{"speaker":"Charles Goldfarb","startTime":613.02,"endTime":615.3,"body":"course, I mean, I assume this is"},{"speaker":"Charles Goldfarb","startTime":615.3,"endTime":617.16,"body":"his throwing in because, well,"},{"speaker":"Charles Goldfarb","startTime":615.3,"endTime":617.16,"body":"that was actually"},{"speaker":"Chris Dy","startTime":617.16,"endTime":619.26,"body":"my question. I don't"},{"speaker":"Chris Dy","startTime":617.16,"endTime":619.26,"body":"know if it's historian or not."},{"speaker":"Chris Dy","startTime":619.26,"endTime":624.44,"body":"And how does the football"},{"speaker":"Chris Dy","startTime":619.26,"endTime":624.44,"body":"throwing motion. How does that"},{"speaker":"Chris Dy","startTime":624.44,"endTime":629.18,"body":"impact the, you know, prognosis,"},{"speaker":"Chris Dy","startTime":624.44,"endTime":629.18,"body":"the rehab that you do? And then"},{"speaker":"Chris Dy","startTime":629.24,"endTime":632.3,"body":"we haven't really talked about"},{"speaker":"Chris Dy","startTime":629.24,"endTime":632.3,"body":"Darth throwers, you know, in the"},{"speaker":"Chris Dy","startTime":632.3,"endTime":635.78,"body":"past. Is that something that you"},{"speaker":"Chris Dy","startTime":632.3,"endTime":635.78,"body":"think is pertinent to this?"},{"speaker":"Charles Goldfarb","startTime":636.14,"endTime":639.02,"body":"Oh, I do think"},{"speaker":"Charles Goldfarb","startTime":636.14,"endTime":639.02,"body":"it's pertinent. And so, and I'm"},{"speaker":"Charles Goldfarb","startTime":639.02,"endTime":642.88,"body":"not an expert on the Dart"},{"speaker":"Charles Goldfarb","startTime":639.02,"endTime":642.88,"body":"throwers rehab protocol, but I"},{"speaker":"Charles Goldfarb","startTime":642.88,"endTime":647.2,"body":"believe that was popularized out"},{"speaker":"Charles Goldfarb","startTime":642.88,"endTime":647.2,"body":"of HSS with Scott Wolf. And"},{"speaker":"Charles Goldfarb","startTime":647.2,"endTime":650.74,"body":"essentially the concept is, if"},{"speaker":"Charles Goldfarb","startTime":647.2,"endTime":650.74,"body":"one goes from dorsal, I'm sorry,"},{"speaker":"Charles Goldfarb","startTime":650.74,"endTime":654.88,"body":"from extension in the radial"},{"speaker":"Charles Goldfarb","startTime":650.74,"endTime":654.88,"body":"direction to flexion in the"},{"speaker":"Charles Goldfarb","startTime":654.88,"endTime":660.36,"body":"owner direction, it is a non"},{"speaker":"Charles Goldfarb","startTime":654.88,"endTime":660.36,"body":"stressful motion that allows you"},{"speaker":"Charles Goldfarb","startTime":660.36,"endTime":663.54,"body":"to work on motion quickly"},{"speaker":"Charles Goldfarb","startTime":660.36,"endTime":663.54,"body":"without stressing any type of"},{"speaker":"Charles Goldfarb","startTime":663.54,"endTime":666.96,"body":"repair. That's my take on it."},{"speaker":"Charles Goldfarb","startTime":663.54,"endTime":666.96,"body":"And I think we use the dart"},{"speaker":"Charles Goldfarb","startTime":666.96,"endTime":670.56,"body":"thrower rehab protocol, but"},{"speaker":"Charles Goldfarb","startTime":666.96,"endTime":670.56,"body":"we're not quite as focused on it"},{"speaker":"Charles Goldfarb","startTime":670.56,"endTime":674.16,"body":"here in St Louis as other sites"},{"speaker":"Charles Goldfarb","startTime":670.56,"endTime":674.16,"body":"might be. Yeah,"},{"speaker":"Chris Dy","startTime":674.16,"endTime":677.4,"body":"no. And I wonder how"},{"speaker":"Chris Dy","startTime":674.16,"endTime":677.4,"body":"much you know the functional"},{"speaker":"Chris Dy","startTime":677.4,"endTime":680.6,"body":"demands on the wrist of if it is"},{"speaker":"Chris Dy","startTime":677.4,"endTime":680.6,"body":"a stirring hand, you know what?"},{"speaker":"Chris Dy","startTime":680.6,"endTime":683.12,"body":"What implications that has. And"},{"speaker":"Chris Dy","startTime":680.6,"endTime":683.12,"body":"it's always interesting. You"},{"speaker":"Chris Dy","startTime":683.12,"endTime":685.28,"body":"know, these kinds of injuries"},{"speaker":"Chris Dy","startTime":683.12,"endTime":685.28,"body":"are hard for athletes to come"},{"speaker":"Chris Dy","startTime":685.28,"endTime":689.42,"body":"back from. I remember there was"},{"speaker":"Chris Dy","startTime":685.28,"endTime":689.42,"body":"a wave of papers and knockoff"},{"speaker":"Chris Dy","startTime":689.42,"endTime":692.78,"body":"papers and knockoff papers, of"},{"speaker":"Chris Dy","startTime":689.42,"endTime":692.78,"body":"knockoff papers, using fantasy"},{"speaker":"Chris Dy","startTime":692.78,"endTime":696.74,"body":"football stats to evaluate"},{"speaker":"Chris Dy","startTime":692.78,"endTime":696.74,"body":"return to play among NFL"},{"speaker":"Chris Dy","startTime":696.74,"endTime":700.12,"body":"players. Same thing with fantasy"},{"speaker":"Chris Dy","startTime":696.74,"endTime":700.12,"body":"basketball, etc. And we all"},{"speaker":"Chris Dy","startTime":700.12,"endTime":702.34,"body":"know, just anecdotally, like,"},{"speaker":"Chris Dy","startTime":700.12,"endTime":702.34,"body":"you know, Kobe was never the"},{"speaker":"Chris Dy","startTime":702.34,"endTime":705.52,"body":"same after his Achilles, you"},{"speaker":"Chris Dy","startTime":702.34,"endTime":705.52,"body":"know. So, like, it's stuff like"},{"speaker":"Chris Dy","startTime":705.52,"endTime":708.4,"body":"that that really gets to you."},{"speaker":"Chris Dy","startTime":705.52,"endTime":708.4,"body":"Now, I think the, like, you"},{"speaker":"Chris Dy","startTime":708.4,"endTime":710.68,"body":"said, the devil's in the"},{"speaker":"Chris Dy","startTime":708.4,"endTime":710.68,"body":"details, I think for this one,"},{"speaker":"Charles Goldfarb","startTime":711.22,"endTime":713.56,"body":"yeah, and I"},{"speaker":"Charles Goldfarb","startTime":711.22,"endTime":713.56,"body":"just did a quick search, it was,"},{"speaker":"Charles Goldfarb","startTime":713.56,"endTime":718.12,"body":"indeed, is throwing, throwing"},{"speaker":"Charles Goldfarb","startTime":713.56,"endTime":718.12,"body":"wrist. And so I'm sure he was"},{"speaker":"Charles Goldfarb","startTime":718.18,"endTime":722.1,"body":"doing a little, a little bit of"},{"speaker":"Charles Goldfarb","startTime":718.18,"endTime":722.1,"body":"start throwing rehab protocol,"},{"speaker":"Charles Goldfarb","startTime":722.1,"endTime":726.84,"body":"and he's had he's had time, so"},{"speaker":"Charles Goldfarb","startTime":722.1,"endTime":726.84,"body":"we'll see kind of how he does"},{"speaker":"Charles Goldfarb","startTime":727.14,"endTime":731.52,"body":"the the injury that worries me,"},{"speaker":"Charles Goldfarb","startTime":727.14,"endTime":731.52,"body":"obviously even more is the"},{"speaker":"Charles Goldfarb","startTime":731.52,"endTime":736.38,"body":"periluate, and I have seen peri"},{"speaker":"Charles Goldfarb","startTime":731.52,"endTime":736.38,"body":"lunates in careers, although,"},{"speaker":"Charles Goldfarb","startTime":736.38,"endTime":740.28,"body":"again, it depends a lot on other"},{"speaker":"Charles Goldfarb","startTime":736.38,"endTime":740.28,"body":"factors, such As what position"},{"speaker":"Charles Goldfarb","startTime":740.46,"endTime":745.1,"body":"and throwing or, you know,"},{"speaker":"Charles Goldfarb","startTime":740.46,"endTime":745.1,"body":"skilled arm or not, but that's a"},{"speaker":"Charles Goldfarb","startTime":745.1,"endTime":747.62,"body":"really big injury that we tend"},{"speaker":"Charles Goldfarb","startTime":745.1,"endTime":747.62,"body":"to see in NFL."},{"speaker":"Chris Dy","startTime":748.64,"endTime":750.86,"body":"Yeah, no, I would"},{"speaker":"Chris Dy","startTime":748.64,"endTime":750.86,"body":"imagine that's awful. I mean,"},{"speaker":"Chris Dy","startTime":750.86,"endTime":753.74,"body":"just outside of the sports"},{"speaker":"Chris Dy","startTime":750.86,"endTime":753.74,"body":"population. I mean, paralymates"},{"speaker":"Chris Dy","startTime":753.74,"endTime":757.04,"body":"are like the pilons of the hand"},{"speaker":"Chris Dy","startTime":753.74,"endTime":757.04,"body":"and wrist. You know, they just"},{"speaker":"Chris Dy","startTime":757.04,"endTime":761.32,"body":"don't do well. And Pilon being a"},{"speaker":"Chris Dy","startTime":757.04,"endTime":761.32,"body":"distal tibial impaction fracture"},{"speaker":"Chris Dy","startTime":761.32,"endTime":764.5,"body":"involved in the joint. Those"},{"speaker":"Chris Dy","startTime":761.32,"endTime":764.5,"body":"patients just tend not to do"},{"speaker":"Chris Dy","startTime":764.5,"endTime":764.8,"body":"well,"},{"speaker":"Charles Goldfarb","startTime":765.52,"endTime":767.74,"body":"yeah, yeah."},{"speaker":"Charles Goldfarb","startTime":765.52,"endTime":767.74,"body":"Anyways, great question."},{"speaker":"Charles Goldfarb","startTime":767.98,"endTime":770.62,"body":"Obviously, love talking about"},{"speaker":"Charles Goldfarb","startTime":767.98,"endTime":770.62,"body":"sports. We hadn't had a sports"},{"speaker":"Charles Goldfarb","startTime":770.62,"endTime":772.96,"body":"topic in a while, because we"},{"speaker":"Charles Goldfarb","startTime":770.62,"endTime":772.96,"body":"seem to always be talking about"},{"speaker":"Charles Goldfarb","startTime":772.96,"endTime":773.56,"body":"nerve, but"},{"speaker":"Chris Dy","startTime":773.56,"endTime":776.345,"body":"talking about nerve in"},{"speaker":"Chris Dy","startTime":773.56,"endTime":776.345,"body":"quite some time, to be honest,"},{"speaker":"Chris Dy","startTime":776.397,"endTime":779.392,"body":"really interesting. Yeah, we've"},{"speaker":"Chris Dy","startTime":776.397,"endTime":779.392,"body":"been doing a lot of other"},{"speaker":"Chris Dy","startTime":779.445,"endTime":782.703,"body":"things, talking about your knee,"},{"speaker":"Chris Dy","startTime":779.445,"endTime":782.703,"body":"et cetera. So we have one one"},{"speaker":"Chris Dy","startTime":782.755,"endTime":785.856,"body":"shout out quickly and then some"},{"speaker":"Chris Dy","startTime":782.755,"endTime":785.856,"body":"great feedback from another"},{"speaker":"Chris Dy","startTime":785.908,"endTime":789.061,"body":"listener. So this is from Bob"},{"speaker":"Chris Dy","startTime":785.908,"endTime":789.061,"body":"Vandermark. Bob is a friend of"},{"speaker":"Chris Dy","startTime":789.113,"endTime":792.214,"body":"the pod. Been listening for a"},{"speaker":"Chris Dy","startTime":789.113,"endTime":792.214,"body":"long time. So thank you, Bob."},{"speaker":"Chris Dy","startTime":792.266,"endTime":795.84,"body":"Chris and Chuck. Look at that."},{"speaker":"Chris Dy","startTime":792.266,"endTime":795.84,"body":"Not Chuck and Chris. Chris and Chuck."},{"speaker":"Charles Goldfarb","startTime":795.84,"endTime":796.38,"body":"Come on."},{"speaker":"Chris Dy","startTime":796.38,"endTime":798.678,"body":"Just finished the SL"},{"speaker":"Chris Dy","startTime":796.38,"endTime":798.678,"body":"podcast with Sanj. Chris, you"},{"speaker":"Chris Dy","startTime":798.724,"endTime":801.161,"body":"were so right. It was a"},{"speaker":"Chris Dy","startTime":798.724,"endTime":801.161,"body":"masterclass on the topic. You"},{"speaker":"Chris Dy","startTime":801.207,"endTime":803.92,"body":"could do a few more episodes,"},{"speaker":"Chris Dy","startTime":801.207,"endTime":803.92,"body":"for sure. Thanks for sharing."},{"speaker":"Chris Dy","startTime":803.966,"endTime":806.725,"body":"And I think I completely agree,"},{"speaker":"Chris Dy","startTime":803.966,"endTime":806.725,"body":"if people want to hear more,"},{"speaker":"Chris Dy","startTime":806.771,"endTime":809.668,"body":"especially if you want to hear"},{"speaker":"Chris Dy","startTime":806.771,"endTime":809.668,"body":"more from Sanj, let us know, and"},{"speaker":"Chris Dy","startTime":809.714,"endTime":812.518,"body":"we'll get that guy back on the"},{"speaker":"Chris Dy","startTime":809.714,"endTime":812.518,"body":"podcast. I feel like we barely"},{"speaker":"Chris Dy","startTime":812.564,"endTime":814.22,"body":"scratched the surface on that topic."},{"speaker":"Charles Goldfarb","startTime":814.82,"endTime":817.46,"body":"For sure. He."},{"speaker":"Charles Goldfarb","startTime":814.82,"endTime":817.46,"body":"The problem with Sanj is he, he"},{"speaker":"Charles Goldfarb","startTime":817.46,"endTime":820.9,"body":"make he sounds really smart"},{"speaker":"Charles Goldfarb","startTime":817.46,"endTime":820.9,"body":"because the damn accent and he"},{"speaker":"Charles Goldfarb","startTime":820.9,"endTime":823.66,"body":"makes us both sound less"},{"speaker":"Charles Goldfarb","startTime":820.9,"endTime":823.66,"body":"intelligent. So I don't know if"},{"speaker":"Charles Goldfarb","startTime":823.66,"endTime":825.94,"body":"we want to have him back on. I"},{"speaker":"Chris Dy","startTime":825.94,"endTime":827.98,"body":"am not threatened by"},{"speaker":"Chris Dy","startTime":825.94,"endTime":827.98,"body":"his accent. I feel like, you"},{"speaker":"Chris Dy","startTime":827.98,"endTime":830.74,"body":"know, our American accent"},{"speaker":"Chris Dy","startTime":827.98,"endTime":830.74,"body":"resonates, perhaps overseas in a"},{"speaker":"Chris Dy","startTime":830.74,"endTime":831.52,"body":"very different way."},{"speaker":"Charles Goldfarb","startTime":832.66,"endTime":835.24,"body":"Yeah, a very"},{"speaker":"Charles Goldfarb","startTime":832.66,"endTime":835.24,"body":"different way. Is exactly right."},{"speaker":"Charles Goldfarb","startTime":835.3,"endTime":839.38,"body":"It's exactly right. Well, you we"},{"speaker":"Charles Goldfarb","startTime":835.3,"endTime":839.38,"body":"have a so that that's all the"},{"speaker":"Charles Goldfarb","startTime":839.38,"endTime":844.02,"body":"comments I believe that we have"},{"speaker":"Charles Goldfarb","startTime":839.38,"endTime":844.02,"body":"on SL, and we have a bunch on"},{"speaker":"Charles Goldfarb","startTime":844.02,"endTime":845.46,"body":"the rock climbing episode."},{"speaker":"Chris Dy","startTime":846.6,"endTime":849.18,"body":"Yeah. So this came"},{"speaker":"Chris Dy","startTime":846.6,"endTime":849.18,"body":"from our listener, Chris, out in"},{"speaker":"Chris Dy","startTime":849.18,"endTime":851.76,"body":"Washington. He actually"},{"speaker":"Chris Dy","startTime":849.18,"endTime":851.76,"body":"suggested doing the rock"},{"speaker":"Chris Dy","startTime":851.76,"endTime":854.76,"body":"climbing episode. So thank you"},{"speaker":"Chris Dy","startTime":851.76,"endTime":854.76,"body":"to Chris for for suggesting"},{"speaker":"Chris Dy","startTime":854.76,"endTime":860.04,"body":"that. So he said that pull"},{"speaker":"Chris Dy","startTime":854.76,"endTime":860.04,"body":"eruptors Definitely come up in"},{"speaker":"Chris Dy","startTime":860.04,"endTime":862.68,"body":"the climbers that he see, but"},{"speaker":"Chris Dy","startTime":860.04,"endTime":862.68,"body":"it's usually it's isolated to a"},{"speaker":"Chris Dy","startTime":862.68,"endTime":865.28,"body":"six it's isolated to a single"},{"speaker":"Chris Dy","startTime":862.68,"endTime":865.28,"body":"pulley and get them back to"},{"speaker":"Chris Dy","startTime":865.28,"endTime":868.4,"body":"climbing with non op approaches."},{"speaker":"Chris Dy","startTime":865.28,"endTime":868.4,"body":"So I guess you know pearls that"},{"speaker":"Chris Dy","startTime":868.4,"endTime":871.46,"body":"he's mentioned, just in general,"},{"speaker":"Chris Dy","startTime":868.4,"endTime":871.46,"body":"from a more rehab focused"},{"speaker":"Chris Dy","startTime":871.46,"endTime":873.92,"body":"perspective and less surgical,"},{"speaker":"Chris Dy","startTime":871.46,"endTime":873.92,"body":"is that it's hard to get"},{"speaker":"Chris Dy","startTime":873.92,"endTime":877.58,"body":"climbers to rest because they"},{"speaker":"Chris Dy","startTime":873.92,"endTime":877.58,"body":"really need to get them to rest,"},{"speaker":"Chris Dy","startTime":877.58,"endTime":879.74,"body":"but they really do need to do"},{"speaker":"Chris Dy","startTime":877.58,"endTime":879.74,"body":"that in order to heal."},{"speaker":"Chris Dy","startTime":880.52,"endTime":883.24,"body":"Thermoplastic ring splint. Some"},{"speaker":"Chris Dy","startTime":880.52,"endTime":883.24,"body":"available online, or having a"},{"speaker":"Chris Dy","startTime":883.24,"endTime":885.88,"body":"hand therapist make one seem to"},{"speaker":"Chris Dy","startTime":883.24,"endTime":885.88,"body":"be quite helpful. This is"},{"speaker":"Chris Dy","startTime":885.88,"endTime":888.34,"body":"interesting. So a full at"},{"speaker":"Chris Dy","startTime":885.88,"endTime":888.34,"body":"rupture might take three months"},{"speaker":"Chris Dy","startTime":888.34,"endTime":891.34,"body":"to get back to full climbing,"},{"speaker":"Chris Dy","startTime":888.34,"endTime":891.34,"body":"though easy climbing on big"},{"speaker":"Chris Dy","startTime":891.34,"endTime":894.28,"body":"holds with an open hand grip can"},{"speaker":"Chris Dy","startTime":891.34,"endTime":894.28,"body":"start sooner. Now, have you been"},{"speaker":"Chris Dy","startTime":894.28,"endTime":896.38,"body":"able to hold a rock climber down"},{"speaker":"Chris Dy","startTime":894.28,"endTime":896.38,"body":"for three months? Chuck,"},{"speaker":"Charles Goldfarb","startTime":897.52,"endTime":900.12,"body":"definitely"},{"speaker":"Charles Goldfarb","startTime":897.52,"endTime":900.12,"body":"not, although it depends. I. I"},{"speaker":"Charles Goldfarb","startTime":900.12,"endTime":904.68,"body":"think people who've had even"},{"speaker":"Charles Goldfarb","startTime":900.12,"endTime":904.68,"body":"smaller injuries before"},{"speaker":"Charles Goldfarb","startTime":904.68,"endTime":907.26,"body":"understand that this is going to"},{"speaker":"Charles Goldfarb","startTime":904.68,"endTime":907.26,"body":"take a while to get back."},{"speaker":"Charles Goldfarb","startTime":908.22,"endTime":911.04,"body":"Occasionally, people will wait,"},{"speaker":"Charles Goldfarb","startTime":908.22,"endTime":911.04,"body":"but usually they sort of just"},{"speaker":"Charles Goldfarb","startTime":911.04,"endTime":914.1,"body":"power through, and ultimately, I"},{"speaker":"Charles Goldfarb","startTime":911.04,"endTime":914.1,"body":"think they do fine. I don't"},{"speaker":"Charles Goldfarb","startTime":914.1,"endTime":917.7,"body":"think it changes the ultimate"},{"speaker":"Charles Goldfarb","startTime":914.1,"endTime":917.7,"body":"outcome. It's just how"},{"speaker":"Charles Goldfarb","startTime":917.7,"endTime":919.98,"body":"uncomfortable it is to get"},{"speaker":"Charles Goldfarb","startTime":917.7,"endTime":919.98,"body":"there, right,"},{"speaker":"Chris Dy","startTime":919.98,"endTime":923.0,"body":"right? And I, I"},{"speaker":"Chris Dy","startTime":919.98,"endTime":923.0,"body":"appreciate Chris giving me that"},{"speaker":"Chris Dy","startTime":923.0,"endTime":925.04,"body":"number, just because I think"},{"speaker":"Chris Dy","startTime":923.0,"endTime":925.04,"body":"that, you know, for the"},{"speaker":"Chris Dy","startTime":925.04,"endTime":927.92,"body":"occasional climber, I see it's"},{"speaker":"Chris Dy","startTime":925.04,"endTime":927.92,"body":"useful to have some somebody who"},{"speaker":"Chris Dy","startTime":927.92,"endTime":930.98,"body":"have with some expertise, kind"},{"speaker":"Chris Dy","startTime":927.92,"endTime":930.98,"body":"of telling them, Hey, this is"},{"speaker":"Chris Dy","startTime":930.98,"endTime":933.68,"body":"going to take a while. It's not"},{"speaker":"Chris Dy","startTime":930.98,"endTime":933.68,"body":"going to be quick. And then he"},{"speaker":"Chris Dy","startTime":933.68,"endTime":936.56,"body":"also mentions the key of finding"},{"speaker":"Chris Dy","startTime":933.68,"endTime":936.56,"body":"a PT or hand therapist that"},{"speaker":"Chris Dy","startTime":936.56,"endTime":939.5,"body":"works specifically with"},{"speaker":"Chris Dy","startTime":936.56,"endTime":939.5,"body":"climbers, you know, in terms of"},{"speaker":"Chris Dy","startTime":939.5,"endTime":942.34,"body":"having them work on areas of"},{"speaker":"Chris Dy","startTime":939.5,"endTime":942.34,"body":"relative weakness and climbing"},{"speaker":"Chris Dy","startTime":942.34,"endTime":946.54,"body":"technique, because sometimes"},{"speaker":"Chris Dy","startTime":942.34,"endTime":946.54,"body":"climbers rely too much on crimp"},{"speaker":"Chris Dy","startTime":946.54,"endTime":949.12,"body":"grip, and it might be weak"},{"speaker":"Chris Dy","startTime":946.54,"endTime":949.12,"body":"through the rest of the kinetic"},{"speaker":"Chris Dy","startTime":949.12,"endTime":951.46,"body":"chain. So I found that very"},{"speaker":"Chris Dy","startTime":949.12,"endTime":951.46,"body":"interesting. I don't have a lot"},{"speaker":"Chris Dy","startTime":951.7,"endTime":954.7,"body":"of knowledge of that, but I"},{"speaker":"Chris Dy","startTime":951.7,"endTime":954.7,"body":"think if you are seeing these"},{"speaker":"Chris Dy","startTime":954.7,"endTime":958.06,"body":"folks, maybe reaching out and"},{"speaker":"Chris Dy","startTime":954.7,"endTime":958.06,"body":"seeing who in the community, in"},{"speaker":"Chris Dy","startTime":958.06,"endTime":961.08,"body":"your therapist community, does"},{"speaker":"Chris Dy","startTime":958.06,"endTime":961.08,"body":"have experience working with"},{"speaker":"Chris Dy","startTime":961.08,"endTime":962.04,"body":"these types of patients."},{"speaker":"Charles Goldfarb","startTime":962.16,"endTime":963.96,"body":"Yeah, it's a"},{"speaker":"Charles Goldfarb","startTime":962.16,"endTime":963.96,"body":"really good point. Like many"},{"speaker":"Charles Goldfarb","startTime":963.96,"endTime":967.92,"body":"things we do in hand surgery, we"},{"speaker":"Charles Goldfarb","startTime":963.96,"endTime":967.92,"body":"have to depend on our therapy"},{"speaker":"Charles Goldfarb","startTime":967.92,"endTime":971.64,"body":"colleagues to, you know,"},{"speaker":"Charles Goldfarb","startTime":967.92,"endTime":971.64,"body":"consider other factors that may"},{"speaker":"Charles Goldfarb","startTime":971.64,"endTime":975.12,"body":"lead to over dependence on, in"},{"speaker":"Charles Goldfarb","startTime":971.64,"endTime":975.12,"body":"this case, the crimping"},{"speaker":"Charles Goldfarb","startTime":975.12,"endTime":980.36,"body":"technique or or other strategies"},{"speaker":"Charles Goldfarb","startTime":975.12,"endTime":980.36,"body":"to overcome weakness. And then"},{"speaker":"Charles Goldfarb","startTime":980.36,"endTime":983.12,"body":"his final point is also a good"},{"speaker":"Charles Goldfarb","startTime":980.36,"endTime":983.12,"body":"one, which I have absolutely"},{"speaker":"Charles Goldfarb","startTime":983.12,"endTime":989.9,"body":"seen he made. Chris makes a"},{"speaker":"Charles Goldfarb","startTime":983.12,"endTime":989.9,"body":"comment that that there is a"},{"speaker":"Charles Goldfarb","startTime":989.9,"endTime":993.02,"body":"potential for fractures in the"},{"speaker":"Charles Goldfarb","startTime":989.9,"endTime":993.02,"body":"skeletally immature so"},{"speaker":"Charles Goldfarb","startTime":993.02,"endTime":997.16,"body":"classically Salter hair is three"},{"speaker":"Charles Goldfarb","startTime":993.02,"endTime":997.16,"body":"classically based in the middle"},{"speaker":"Charles Goldfarb","startTime":997.16,"endTime":1001.44,"body":"phalanx, and that can be acute."},{"speaker":"Charles Goldfarb","startTime":997.16,"endTime":1001.44,"body":"That can be chronic, overuse. X"},{"speaker":"Charles Goldfarb","startTime":1001.44,"endTime":1004.38,"body":"rays typically tell the story"},{"speaker":"Charles Goldfarb","startTime":1001.44,"endTime":1004.38,"body":"along with a careful clinical"},{"speaker":"Charles Goldfarb","startTime":1004.38,"endTime":1008.52,"body":"exam. Chris makes the point that"},{"speaker":"Charles Goldfarb","startTime":1004.38,"endTime":1008.52,"body":"sometimes an MRI can be helpful."},{"speaker":"Charles Goldfarb","startTime":1008.52,"endTime":1011.52,"body":"I don't recall getting an MRI"},{"speaker":"Charles Goldfarb","startTime":1008.52,"endTime":1011.52,"body":"for that purpose, but I think"},{"speaker":"Charles Goldfarb","startTime":1011.52,"endTime":1015.54,"body":"it's absolutely fair, and those"},{"speaker":"Charles Goldfarb","startTime":1011.52,"endTime":1015.54,"body":"again, just need rest to do"},{"speaker":"Charles Goldfarb","startTime":1015.54,"endTime":1016.98,"body":"well. I"},{"speaker":"Chris Dy","startTime":1016.86,"endTime":1019.43,"body":"think those are great"},{"speaker":"Chris Dy","startTime":1016.86,"endTime":1019.43,"body":"points. You know, something I"},{"speaker":"Chris Dy","startTime":1019.481,"endTime":1022.556,"body":"would not have thought of just"},{"speaker":"Chris Dy","startTime":1019.481,"endTime":1022.556,"body":"as I don't see that population"},{"speaker":"Chris Dy","startTime":1022.606,"endTime":1025.58,"body":"as much, so I appreciate the"},{"speaker":"Chris Dy","startTime":1022.606,"endTime":1025.58,"body":"education from Chris McMullen."},{"speaker":"Chris Dy","startTime":1025.631,"endTime":1028.555,"body":"Thank you for that. A great"},{"speaker":"Chris Dy","startTime":1025.631,"endTime":1028.555,"body":"discussion. And if anybody has"},{"speaker":"Chris Dy","startTime":1028.605,"endTime":1031.63,"body":"any other pearls on climbing,"},{"speaker":"Chris Dy","startTime":1028.605,"endTime":1031.63,"body":"please feel free to send those"},{"speaker":"Chris Dy","startTime":1031.68,"endTime":1034.553,"body":"in, because it feels like"},{"speaker":"Chris Dy","startTime":1031.68,"endTime":1034.553,"body":"something that people see a lot"},{"speaker":"Chris Dy","startTime":1034.604,"endTime":1037.225,"body":"of, but it's not generally"},{"speaker":"Chris Dy","startTime":1034.604,"endTime":1037.225,"body":"discussed too much in the"},{"speaker":"Chris Dy","startTime":1037.275,"endTime":1040.199,"body":"literature. Aside from that"},{"speaker":"Chris Dy","startTime":1037.275,"endTime":1040.199,"body":"really nice recent article, we"},{"speaker":"Chris Dy","startTime":1040.25,"endTime":1043.325,"body":"review article that we covered."},{"speaker":"Chris Dy","startTime":1040.25,"endTime":1043.325,"body":"Nick we have one more comment"},{"speaker":"Chris Dy","startTime":1043.375,"endTime":1046.4,"body":"from a friend of the podcast"},{"speaker":"Chris Dy","startTime":1043.375,"endTime":1046.4,"body":"about rock climbing. So I think"},{"speaker":"Chris Dy","startTime":1046.45,"endTime":1049.374,"body":"this is your our buddy, but me,"},{"speaker":"Chris Dy","startTime":1046.45,"endTime":1049.374,"body":"you know him better. Kevin"},{"speaker":"Chris Dy","startTime":1049.424,"endTime":1050.08,"body":"Lutsky, yeah."},{"speaker":"Charles Goldfarb","startTime":1050.26,"endTime":1054.46,"body":"So Kevin was a"},{"speaker":"Charles Goldfarb","startTime":1050.26,"endTime":1054.46,"body":"fellow here in at Wash U"},{"speaker":"Charles Goldfarb","startTime":1054.94,"endTime":1058.66,"body":"initially he was at Rothman in"},{"speaker":"Charles Goldfarb","startTime":1054.94,"endTime":1058.66,"body":"Philadelphia, and he has since"},{"speaker":"Charles Goldfarb","startTime":1058.84,"endTime":1062.82,"body":"moved up to Vermont at the"},{"speaker":"Charles Goldfarb","startTime":1058.84,"endTime":1062.82,"body":"university, and is thrilled to"},{"speaker":"Charles Goldfarb","startTime":1062.82,"endTime":1067.56,"body":"be there. Still has, I think he"},{"speaker":"Charles Goldfarb","startTime":1062.82,"endTime":1067.56,"body":"still maintains his academic"},{"speaker":"Charles Goldfarb","startTime":1067.56,"endTime":1071.82,"body":"bent, but very different"},{"speaker":"Charles Goldfarb","startTime":1067.56,"endTime":1071.82,"body":"lifestyle and happy that Kevin"},{"speaker":"Charles Goldfarb","startTime":1071.82,"endTime":1077.16,"body":"landed where he did. Kevin's"},{"speaker":"Charles Goldfarb","startTime":1071.82,"endTime":1077.16,"body":"email was, I really liked your"},{"speaker":"Charles Goldfarb","startTime":1077.16,"endTime":1080.66,"body":"rock climbing discussion,"},{"speaker":"Charles Goldfarb","startTime":1077.16,"endTime":1080.66,"body":"because I'm a climber, and I"},{"speaker":"Charles Goldfarb","startTime":1080.66,"endTime":1083.3,"body":"also recently gave grand rounds"},{"speaker":"Charles Goldfarb","startTime":1080.66,"endTime":1083.3,"body":"on the topic. I agree. It's"},{"speaker":"Charles Goldfarb","startTime":1083.3,"endTime":1085.88,"body":"interesting that we spent a lot"},{"speaker":"Charles Goldfarb","startTime":1083.3,"endTime":1085.88,"body":"of time focused on pulley"},{"speaker":"Charles Goldfarb","startTime":1085.88,"endTime":1089.48,"body":"injuries, which are"},{"speaker":"Charles Goldfarb","startTime":1085.88,"endTime":1089.48,"body":"characteristic, but so rare. So"},{"speaker":"Charles Goldfarb","startTime":1089.48,"endTime":1092.84,"body":"hand surgeons agree, we just"},{"speaker":"Charles Goldfarb","startTime":1089.48,"endTime":1092.84,"body":"don't see that many of these."},{"speaker":"Charles Goldfarb","startTime":1093.56,"endTime":1096.2,"body":"Kevin said, on the other hand,"},{"speaker":"Charles Goldfarb","startTime":1093.56,"endTime":1096.2,"body":"overuse or semi traumatic"},{"speaker":"Charles Goldfarb","startTime":1096.2,"endTime":1100.1,"body":"injuries like flexor tendonitis,"},{"speaker":"Charles Goldfarb","startTime":1096.2,"endTime":1100.1,"body":"lumbrical strain, capsular and"},{"speaker":"Charles Goldfarb","startTime":1100.16,"endTime":1103.48,"body":"pulley sprains et cetera, are"},{"speaker":"Charles Goldfarb","startTime":1100.16,"endTime":1103.48,"body":"way more common, but get a lot"},{"speaker":"Charles Goldfarb","startTime":1103.48,"endTime":1107.26,"body":"less focused. These may be"},{"speaker":"Charles Goldfarb","startTime":1103.48,"endTime":1107.26,"body":"prevented by attention to proper"},{"speaker":"Charles Goldfarb","startTime":1107.26,"endTime":1111.52,"body":"technique. And he says slow"},{"speaker":"Charles Goldfarb","startTime":1107.26,"endTime":1111.52,"body":"accommodation to harder grades,"},{"speaker":"Charles Goldfarb","startTime":1111.52,"endTime":1115.3,"body":"avoiding closed crimps, Spider"},{"speaker":"Charles Goldfarb","startTime":1111.52,"endTime":1115.3,"body":"Man pocket grips and not"},{"speaker":"Charles Goldfarb","startTime":1115.3,"endTime":1118.72,"body":"climbing through pain"},{"speaker":"Charles Goldfarb","startTime":1115.3,"endTime":1118.72,"body":"preventative taping does not"},{"speaker":"Charles Goldfarb","startTime":1118.72,"endTime":1121.92,"body":"seem to help in Kevin's"},{"speaker":"Charles Goldfarb","startTime":1118.72,"endTime":1121.92,"body":"experience. And he closes by"},{"speaker":"Charles Goldfarb","startTime":1121.92,"endTime":1130.86,"body":"saying, Great discussion. He"},{"speaker":"Charles Goldfarb","startTime":1121.92,"endTime":1130.86,"body":"references a paper that he was a"},{"speaker":"Charles Goldfarb","startTime":1130.86,"endTime":1136.56,"body":"part of, which is published open"},{"speaker":"Charles Goldfarb","startTime":1130.86,"endTime":1136.56,"body":"access and curious. 2021 time to"},{"speaker":"Charles Goldfarb","startTime":1136.56,"endTime":1139.56,"body":"improvement after corticosteroid"},{"speaker":"Charles Goldfarb","startTime":1136.56,"endTime":1139.56,"body":"injection for trigger finger."},{"speaker":"Charles Goldfarb","startTime":1139.56,"endTime":1144.2,"body":"And I think this is relevant for"},{"speaker":"Charles Goldfarb","startTime":1139.56,"endTime":1144.2,"body":"the treatment of climbers. And"},{"speaker":"Charles Goldfarb","startTime":1145.7,"endTime":1148.94,"body":"again, Kevin loves the podcast,"},{"speaker":"Charles Goldfarb","startTime":1145.7,"endTime":1148.94,"body":"and I definitely will see him in"},{"speaker":"Charles Goldfarb","startTime":1148.94,"endTime":1150.74,"body":"Minneapolis. Yeah. No. I"},{"speaker":"Chris Dy","startTime":1150.74,"endTime":1152.9,"body":"think those are really"},{"speaker":"Chris Dy","startTime":1150.74,"endTime":1152.9,"body":"helpful pearls. Nothing like"},{"speaker":"Chris Dy","startTime":1152.9,"endTime":1156.92,"body":"having a surgeon who and or not"},{"speaker":"Chris Dy","startTime":1152.9,"endTime":1156.92,"body":"only surgeon, but also from"},{"speaker":"Chris Dy","startTime":1156.92,"endTime":1161.02,"body":"Chris McMullen, a rehab doc,"},{"speaker":"Chris Dy","startTime":1156.92,"endTime":1161.02,"body":"both who are very keen into"},{"speaker":"Chris Dy","startTime":1161.02,"endTime":1163.48,"body":"climbing, be able to give"},{"speaker":"Chris Dy","startTime":1161.02,"endTime":1163.48,"body":"expertise, not only from"},{"speaker":"Chris Dy","startTime":1163.48,"endTime":1166.54,"body":"professional and personal"},{"speaker":"Chris Dy","startTime":1163.48,"endTime":1166.54,"body":"perspectives. And I like the"},{"speaker":"Chris Dy","startTime":1166.6,"endTime":1169.6,"body":"article we sent about trigger"},{"speaker":"Chris Dy","startTime":1166.6,"endTime":1169.6,"body":"finger injection because I also"},{"speaker":"Chris Dy","startTime":1169.6,"endTime":1172.0,"body":"found that helpful, because"},{"speaker":"Chris Dy","startTime":1169.6,"endTime":1172.0,"body":"we've had, we had that"},{"speaker":"Chris Dy","startTime":1172.0,"endTime":1174.52,"body":"discussion during the What's New"},{"speaker":"Chris Dy","startTime":1172.0,"endTime":1174.52,"body":"enhance surgery, about how long"},{"speaker":"Chris Dy","startTime":1174.52,"endTime":1176.92,"body":"it takes to get over an"},{"speaker":"Chris Dy","startTime":1174.52,"endTime":1176.92,"body":"injection. And now that I've"},{"speaker":"Chris Dy","startTime":1176.92,"endTime":1179.32,"body":"told patients, kind of two"},{"speaker":"Chris Dy","startTime":1176.92,"endTime":1179.32,"body":"weeks, I feel like some others"},{"speaker":"Chris Dy","startTime":1179.32,"endTime":1181.56,"body":"have been like, oh yeah, it took"},{"speaker":"Chris Dy","startTime":1179.32,"endTime":1181.56,"body":"a couple of weeks to kick in. I"},{"speaker":"Chris Dy","startTime":1181.56,"endTime":1183.9,"body":"was like, oh, okay, good to"},{"speaker":"Chris Dy","startTime":1181.56,"endTime":1183.9,"body":"know. I've also had a lot of"},{"speaker":"Chris Dy","startTime":1183.9,"endTime":1186.42,"body":"people say their trigger got"},{"speaker":"Chris Dy","startTime":1183.9,"endTime":1186.42,"body":"better with observation, because"},{"speaker":"Chris Dy","startTime":1186.42,"endTime":1191.64,"body":"it took four months to get in."},{"speaker":"Chris Dy","startTime":1186.42,"endTime":1191.64,"body":"There's that too, and I think I"},{"speaker":"Chris Dy","startTime":1191.64,"endTime":1193.98,"body":"should, we should mention that"},{"speaker":"Chris Dy","startTime":1191.64,"endTime":1193.98,"body":"Kevin does a really great job"},{"speaker":"Chris Dy","startTime":1193.98,"endTime":1197.76,"body":"with the hand society"},{"speaker":"Chris Dy","startTime":1193.98,"endTime":1197.76,"body":"perspectives newsletter. It is a"},{"speaker":"Chris Dy","startTime":1197.76,"endTime":1201.62,"body":"very different take on life as a"},{"speaker":"Chris Dy","startTime":1197.76,"endTime":1201.62,"body":"hand. Urgent, and you get a lot"},{"speaker":"Chris Dy","startTime":1201.62,"endTime":1204.38,"body":"of international participants"},{"speaker":"Chris Dy","startTime":1201.62,"endTime":1204.38,"body":"too. So I enjoy reading that,"},{"speaker":"Chris Dy","startTime":1204.38,"endTime":1206.9,"body":"and I really wanted to thank"},{"speaker":"Chris Dy","startTime":1204.38,"endTime":1206.9,"body":"Kevin for leading that effort"},{"speaker":"Chris Dy","startTime":1206.9,"endTime":1209.48,"body":"and for and all the people that"},{"speaker":"Chris Dy","startTime":1206.9,"endTime":1209.48,"body":"contribute to that, because it's"},{"speaker":"Chris Dy","startTime":1209.48,"endTime":1212.78,"body":"more of the, you know, from not"},{"speaker":"Chris Dy","startTime":1209.48,"endTime":1212.78,"body":"the technical, but the personal."},{"speaker":"Chris Dy","startTime":1212.78,"endTime":1216.56,"body":"So to say, to rip off the"},{"speaker":"Chris Dy","startTime":1212.78,"endTime":1216.56,"body":"tagline for our podcast. But"},{"speaker":"Chris Dy","startTime":1217.16,"endTime":1218.42,"body":"thank you, Kevin for doing that."},{"speaker":"Charles Goldfarb","startTime":1218.78,"endTime":1220.54,"body":"Yeah, Kevin's"},{"speaker":"Charles Goldfarb","startTime":1218.78,"endTime":1220.54,"body":"been doing that for a lot of"},{"speaker":"Charles Goldfarb","startTime":1220.54,"endTime":1224.56,"body":"years, and he has maintained a"},{"speaker":"Charles Goldfarb","startTime":1220.54,"endTime":1224.56,"body":"great a great effort. And it"},{"speaker":"Charles Goldfarb","startTime":1224.56,"endTime":1228.1,"body":"really shows those are always"},{"speaker":"Charles Goldfarb","startTime":1224.56,"endTime":1228.1,"body":"super fun to read, along with"},{"speaker":"Charles Goldfarb","startTime":1228.1,"endTime":1231.64,"body":"timing for improvement. And this"},{"speaker":"Charles Goldfarb","startTime":1228.1,"endTime":1231.64,"body":"article, I think, even said"},{"speaker":"Charles Goldfarb","startTime":1231.64,"endTime":1236.38,"body":"three weeks is the average, and"},{"speaker":"Charles Goldfarb","startTime":1231.64,"endTime":1236.38,"body":"that is, again, longer than some"},{"speaker":"Charles Goldfarb","startTime":1236.38,"endTime":1239.92,"body":"of us might expect. A friend had"},{"speaker":"Charles Goldfarb","startTime":1236.38,"endTime":1239.92,"body":"was emailing me yesterday"},{"speaker":"Charles Goldfarb","startTime":1239.92,"endTime":1243.96,"body":"morning and just was really"},{"speaker":"Charles Goldfarb","startTime":1239.92,"endTime":1243.96,"body":"uncomfortable with decquar"},{"speaker":"Charles Goldfarb","startTime":1243.96,"endTime":1247.2,"body":"veins, and had previously had an"},{"speaker":"Charles Goldfarb","startTime":1243.96,"endTime":1247.2,"body":"injection. I wasn't available"},{"speaker":"Charles Goldfarb","startTime":1247.2,"endTime":1250.38,"body":"because I was in school, so I"},{"speaker":"Charles Goldfarb","startTime":1247.2,"endTime":1250.38,"body":"sent her to one of our partners."},{"speaker":"Charles Goldfarb","startTime":1250.44,"endTime":1253.92,"body":"She got an injection, and was"},{"speaker":"Charles Goldfarb","startTime":1250.44,"endTime":1253.92,"body":"sort of, you know, mentioned"},{"speaker":"Charles Goldfarb","startTime":1253.92,"endTime":1256.62,"body":"that, yeah, occasionally people"},{"speaker":"Charles Goldfarb","startTime":1253.92,"endTime":1256.62,"body":"have flares where they have more"},{"speaker":"Charles Goldfarb","startTime":1256.62,"endTime":1260.24,"body":"pain. And what was interesting"},{"speaker":"Charles Goldfarb","startTime":1256.62,"endTime":1260.24,"body":"was that started six hours after"},{"speaker":"Charles Goldfarb","startTime":1260.24,"endTime":1264.98,"body":"the injection, and was miserable"},{"speaker":"Charles Goldfarb","startTime":1260.24,"endTime":1264.98,"body":"from a very reasonable person."},{"speaker":"Charles Goldfarb","startTime":1264.98,"endTime":1268.04,"body":"It was miserable. And I, you"},{"speaker":"Charles Goldfarb","startTime":1264.98,"endTime":1268.04,"body":"know, I gave the standard"},{"speaker":"Charles Goldfarb","startTime":1268.04,"endTime":1270.92,"body":"counseling, you know, and we"},{"speaker":"Charles Goldfarb","startTime":1268.04,"endTime":1270.92,"body":"think ice helps, I definitely"},{"speaker":"Charles Goldfarb","startTime":1270.92,"endTime":1274.58,"body":"would take anti inflammatories."},{"speaker":"Charles Goldfarb","startTime":1270.92,"endTime":1274.58,"body":"This will pass, but I can't tell"},{"speaker":"Charles Goldfarb","startTime":1274.58,"endTime":1277.22,"body":"you when. I hope you wake up"},{"speaker":"Charles Goldfarb","startTime":1274.58,"endTime":1277.22,"body":"tomorrow morning and feel great,"},{"speaker":"Charles Goldfarb","startTime":1277.58,"endTime":1279.44,"body":"but it could last 48 hours."},{"speaker":"Chris Dy","startTime":1279.74,"endTime":1282.34,"body":"Yeah, those are, those"},{"speaker":"Chris Dy","startTime":1279.74,"endTime":1282.34,"body":"are rough. And I know that, you"},{"speaker":"Chris Dy","startTime":1282.34,"endTime":1285.34,"body":"know, we did a nice paper out of"},{"speaker":"Chris Dy","startTime":1282.34,"endTime":1285.34,"body":"here before I got here. The"},{"speaker":"Chris Dy","startTime":1285.34,"endTime":1287.68,"body":"group from here did a really"},{"speaker":"Chris Dy","startTime":1285.34,"endTime":1287.68,"body":"nice paper looking at the the"},{"speaker":"Chris Dy","startTime":1287.68,"endTime":1291.94,"body":"frequency of flare reactions."},{"speaker":"Chris Dy","startTime":1287.68,"endTime":1291.94,"body":"And it's not 100% clearly, and I"},{"speaker":"Chris Dy","startTime":1291.94,"endTime":1294.88,"body":"it's usually, you know, I think"},{"speaker":"Chris Dy","startTime":1291.94,"endTime":1294.88,"body":"20, 30% but I usually tell"},{"speaker":"Chris Dy","startTime":1294.88,"endTime":1297.22,"body":"everybody they're going to get a"},{"speaker":"Chris Dy","startTime":1294.88,"endTime":1297.22,"body":"flare, just in case."},{"speaker":"Charles Goldfarb","startTime":1297.82,"endTime":1300.36,"body":"Yeah, I"},{"speaker":"Charles Goldfarb","startTime":1297.82,"endTime":1300.36,"body":"absolutely warn every patient."},{"speaker":"Charles Goldfarb","startTime":1300.36,"endTime":1305.04,"body":"And if it doesn't happen, even"},{"speaker":"Charles Goldfarb","startTime":1300.36,"endTime":1305.04,"body":"better, even better. So we have"},{"speaker":"Charles Goldfarb","startTime":1305.04,"endTime":1310.44,"body":"one last, I believe, one last"},{"speaker":"Charles Goldfarb","startTime":1305.04,"endTime":1310.44,"body":"email, which I think was super"},{"speaker":"Charles Goldfarb","startTime":1310.44,"endTime":1314.7,"body":"interesting and and really"},{"speaker":"Charles Goldfarb","startTime":1310.44,"endTime":1314.7,"body":"helpful. I maybe I'll start with"},{"speaker":"Charles Goldfarb","startTime":1314.7,"endTime":1315.42,"body":"it, because, yeah,"},{"speaker":"Chris Dy","startTime":1315.48,"endTime":1317.94,"body":"well before, before we"},{"speaker":"Chris Dy","startTime":1315.48,"endTime":1317.94,"body":"do that, I would love you to"},{"speaker":"Chris Dy","startTime":1317.94,"endTime":1320.12,"body":"take the lead on this. But I"},{"speaker":"Chris Dy","startTime":1317.94,"endTime":1320.12,"body":"would love to shout out our"},{"speaker":"Chris Dy","startTime":1320.12,"endTime":1322.88,"body":"sponsor checkpoint, surgical so"},{"speaker":"Chris Dy","startTime":1320.12,"endTime":1322.88,"body":"please join our sponsor"},{"speaker":"Chris Dy","startTime":1322.88,"endTime":1325.34,"body":"checkpoint at the hand Society"},{"speaker":"Chris Dy","startTime":1322.88,"endTime":1325.34,"body":"meeting in Minneapolis in"},{"speaker":"Chris Dy","startTime":1325.34,"endTime":1328.64,"body":"September. They will host an"},{"speaker":"Chris Dy","startTime":1325.34,"endTime":1328.64,"body":"Industry Forum on September 20,"},{"speaker":"at 12","startTime":1328.64,"endTime":1333.2,"body":"15pm where Dr Amy Moore"},{"speaker":"at 12","startTime":1328.64,"endTime":1333.2,"body":"and Matt wood PhD will review"},{"speaker":"at 12","startTime":1333.2,"endTime":1335.96,"body":"key foundational studies and"},{"speaker":"at 12","startTime":1333.2,"endTime":1335.96,"body":"current translation of research"},{"speaker":"at 12","startTime":1335.96,"endTime":1339.14,"body":"into therapy, therapeutic use of"},{"speaker":"at 12","startTime":1335.96,"endTime":1339.14,"body":"electrical stimulation to"},{"speaker":"at 12","startTime":1339.14,"endTime":1340.76,"body":"accelerate nerve regeneration."},{"speaker":"Charles Goldfarb","startTime":1341.3,"endTime":1343.3,"body":"They will"},{"speaker":"Charles Goldfarb","startTime":1341.3,"endTime":1343.3,"body":"discuss new advancements in the"},{"speaker":"Charles Goldfarb","startTime":1343.3,"endTime":1346.48,"body":"field and ongoing clinical"},{"speaker":"Charles Goldfarb","startTime":1343.3,"endTime":1346.48,"body":"research efforts aimed at"},{"speaker":"Charles Goldfarb","startTime":1346.48,"endTime":1349.96,"body":"bringing this novel therapy into"},{"speaker":"Charles Goldfarb","startTime":1346.48,"endTime":1349.96,"body":"clinical practice. You can"},{"speaker":"Charles Goldfarb","startTime":1349.96,"endTime":1355.72,"body":"register on assh website or stop"},{"speaker":"Charles Goldfarb","startTime":1349.96,"endTime":1355.72,"body":"by their booth number 419 to"},{"speaker":"Charles Goldfarb","startTime":1355.72,"endTime":1359.26,"body":"learn more about the session and"},{"speaker":"Charles Goldfarb","startTime":1355.72,"endTime":1359.26,"body":"the exciting things going on at"},{"speaker":"Charles Goldfarb","startTime":1359.26,"endTime":1360.1,"body":"checkpoint."},{"speaker":"Chris Dy","startTime":1360.1,"endTime":1363.001,"body":"Excellent. There is"},{"speaker":"Chris Dy","startTime":1360.1,"endTime":1363.001,"body":"some great stuff going on. We"},{"speaker":"Chris Dy","startTime":1363.06,"endTime":1366.672,"body":"were fortunate enough, David and"},{"speaker":"Chris Dy","startTime":1363.06,"endTime":1366.672,"body":"I, David Brogan and I, to be"},{"speaker":"Chris Dy","startTime":1366.731,"endTime":1370.106,"body":"part of the one of the centers"},{"speaker":"Chris Dy","startTime":1366.731,"endTime":1370.106,"body":"and Dr Moore's prospective"},{"speaker":"Chris Dy","startTime":1370.165,"endTime":1373.776,"body":"cohorts to RCT on electrical"},{"speaker":"Chris Dy","startTime":1370.165,"endTime":1373.776,"body":"stimulation intraoperatively for"},{"speaker":"Chris Dy","startTime":1373.836,"endTime":1377.566,"body":"patients with advanced cubital"},{"speaker":"Chris Dy","startTime":1373.836,"endTime":1377.566,"body":"tunnel syndrome. And we now have"},{"speaker":"Chris Dy","startTime":1377.625,"endTime":1381.0,"body":"our own prospective cohort of"},{"speaker":"Chris Dy","startTime":1377.625,"endTime":1381.0,"body":"patients who are undergoing"},{"speaker":"Chris Dy","startTime":1381.059,"endTime":1384.671,"body":"therapeutic, brief electrical"},{"speaker":"Chris Dy","startTime":1381.059,"endTime":1384.671,"body":"stimulation for traumatic nerve"},{"speaker":"Chris Dy","startTime":1384.73,"endTime":1388.045,"body":"injury. So we're excited about"},{"speaker":"Chris Dy","startTime":1384.73,"endTime":1388.045,"body":"that, and wanted to thank"},{"speaker":"Chris Dy","startTime":1388.105,"endTime":1391.657,"body":"checkpoint for supporting that"},{"speaker":"Chris Dy","startTime":1388.105,"endTime":1391.657,"body":"last effort for us. So he has"},{"speaker":"Chris Dy","startTime":1391.716,"endTime":1395.269,"body":"really cool stuff going on. I"},{"speaker":"Chris Dy","startTime":1391.716,"endTime":1395.269,"body":"think Amy and Matt will give a"},{"speaker":"Chris Dy","startTime":1395.328,"endTime":1397.46,"body":"great presentation. So go check that"},{"speaker":"Charles Goldfarb","startTime":1397.46,"endTime":1399.851,"body":"out. Our final"},{"speaker":"Charles Goldfarb","startTime":1397.46,"endTime":1399.851,"body":"email is from Long Beach,"},{"speaker":"Charles Goldfarb","startTime":1399.911,"endTime":1403.798,"body":"California, and I apologize if I"},{"speaker":"Charles Goldfarb","startTime":1399.911,"endTime":1403.798,"body":"mispronounced your name, but the"},{"speaker":"Charles Goldfarb","startTime":1403.858,"endTime":1407.745,"body":"director there is Korash Kolahi,"},{"speaker":"Charles Goldfarb","startTime":1403.858,"endTime":1407.745,"body":"and I don't believe I've had the"},{"speaker":"Charles Goldfarb","startTime":1407.805,"endTime":1411.333,"body":"pleasure of meeting korash in"},{"speaker":"Charles Goldfarb","startTime":1407.805,"endTime":1411.333,"body":"person, but I look forward to"},{"speaker":"Charles Goldfarb","startTime":1411.393,"endTime":1414.682,"body":"it, so I'll read his email, and"},{"speaker":"Charles Goldfarb","startTime":1411.393,"endTime":1414.682,"body":"then we can discuss his"},{"speaker":"Charles Goldfarb","startTime":1414.741,"endTime":1418.389,"body":"excellent point. First of all,"},{"speaker":"Charles Goldfarb","startTime":1414.741,"endTime":1418.389,"body":"thank you both so much for the"},{"speaker":"Charles Goldfarb","startTime":1418.449,"endTime":1422.216,"body":"time and effort it takes to put"},{"speaker":"Charles Goldfarb","startTime":1418.449,"endTime":1422.216,"body":"together the podcast. Thank you"},{"speaker":"Charles Goldfarb","startTime":1422.276,"endTime":1425.685,"body":"for recognizing that. Korash"},{"speaker":"Charles Goldfarb","startTime":1422.276,"endTime":1425.685,"body":"really appreciates it, and I"},{"speaker":"Charles Goldfarb","startTime":1425.745,"endTime":1429.153,"body":"know other hand jurges Do as"},{"speaker":"Charles Goldfarb","startTime":1425.745,"endTime":1429.153,"body":"well. I think you're doing a"},{"speaker":"Charles Goldfarb","startTime":1429.213,"endTime":1432.861,"body":"great service. I have a minor"},{"speaker":"Charles Goldfarb","startTime":1429.213,"endTime":1432.861,"body":"correction from the recent rock"},{"speaker":"Charles Goldfarb","startTime":1432.92,"endTime":1436.568,"body":"climbing episode that I thought"},{"speaker":"Charles Goldfarb","startTime":1432.92,"endTime":1436.568,"body":"might be of interest. You had"},{"speaker":"Charles Goldfarb","startTime":1436.628,"endTime":1439.857,"body":"referred to pulleys as"},{"speaker":"Charles Goldfarb","startTime":1436.628,"endTime":1439.857,"body":"increasing mechanical advantage"},{"speaker":"Charles Goldfarb","startTime":1439.917,"endTime":1443.385,"body":"by keeping the tendons close to"},{"speaker":"Charles Goldfarb","startTime":1439.917,"endTime":1443.385,"body":"the bone. However, pulleys"},{"speaker":"Charles Goldfarb","startTime":1443.445,"endTime":1446.794,"body":"decrease mechanical advantage"},{"speaker":"Charles Goldfarb","startTime":1443.445,"endTime":1446.794,"body":"for this very reason, both"},{"speaker":"Charles Goldfarb","startTime":1446.854,"endTime":1450.442,"body":"streaming. I'm kind of laughing"},{"speaker":"Charles Goldfarb","startTime":1446.854,"endTime":1450.442,"body":"at myself, because you and I"},{"speaker":"Charles Goldfarb","startTime":1450.501,"endTime":1454.269,"body":"talk all the time about saying"},{"speaker":"Charles Goldfarb","startTime":1450.501,"endTime":1454.269,"body":"something stupid or being on the"},{"speaker":"Charles Goldfarb","startTime":1454.329,"endTime":1458.096,"body":"record, and we are grateful when"},{"speaker":"Charles Goldfarb","startTime":1454.329,"endTime":1458.096,"body":"people point this out, because"},{"speaker":"Charles Goldfarb","startTime":1458.156,"endTime":1462.043,"body":"we're all we're all learning and"},{"speaker":"Charles Goldfarb","startTime":1458.156,"endTime":1462.043,"body":"reminding ourselves. So, I mean,"},{"speaker":"Charles Goldfarb","startTime":1462.103,"endTime":1463.0,"body":"I'll go and I'm"},{"speaker":"Chris Dy","startTime":1463.12,"endTime":1464.86,"body":"pretty sure I'm the"},{"speaker":"Chris Dy","startTime":1463.12,"endTime":1464.86,"body":"one who said this. So yeah,"},{"speaker":"Chris Dy","startTime":1464.92,"endTime":1467.68,"body":"thank you for the correction you"},{"speaker":"Charles Goldfarb","startTime":1468.28,"endTime":1469.96,"body":"had referred"},{"speaker":"Charles Goldfarb","startTime":1468.28,"endTime":1469.96,"body":"to police as increasing"},{"speaker":"Charles Goldfarb","startTime":1469.96,"endTime":1472.42,"body":"mechanical advantage by keeping"},{"speaker":"Charles Goldfarb","startTime":1469.96,"endTime":1472.42,"body":"tenants close to the bone."},{"speaker":"Charles Goldfarb","startTime":1472.42,"endTime":1475.06,"body":"However, pulleys decrease"},{"speaker":"Charles Goldfarb","startTime":1472.42,"endTime":1475.06,"body":"mechanical advantage for this"},{"speaker":"Charles Goldfarb","startTime":1475.06,"endTime":1478.78,"body":"very reason. Bowstring, although"},{"speaker":"Charles Goldfarb","startTime":1475.06,"endTime":1478.78,"body":"of course, not desirable,"},{"speaker":"Charles Goldfarb","startTime":1479.08,"endTime":1483.42,"body":"increases mechanical advantage"},{"speaker":"Charles Goldfarb","startTime":1479.08,"endTime":1483.42,"body":"by increasing the moment arm of"},{"speaker":"Charles Goldfarb","startTime":1483.42,"endTime":1487.08,"body":"the tendon in relation to the"},{"speaker":"Charles Goldfarb","startTime":1483.42,"endTime":1487.08,"body":"axis of the joint. The further"},{"speaker":"Charles Goldfarb","startTime":1487.08,"endTime":1491.1,"body":"the tendon is away from the"},{"speaker":"Charles Goldfarb","startTime":1487.08,"endTime":1491.1,"body":"joint, the more force it can"},{"speaker":"Charles Goldfarb","startTime":1491.1,"endTime":1494.52,"body":"exert on it. Although pulleys"},{"speaker":"Charles Goldfarb","startTime":1491.1,"endTime":1494.52,"body":"decrease mechanical advantage,"},{"speaker":"Charles Goldfarb","startTime":1494.52,"endTime":1498.0,"body":"they provide other more"},{"speaker":"Charles Goldfarb","startTime":1494.52,"endTime":1498.0,"body":"important benefits, including"},{"speaker":"Charles Goldfarb","startTime":1498.06,"endTime":1501.14,"body":"keeping the fingers slender and"},{"speaker":"Charles Goldfarb","startTime":1498.06,"endTime":1501.14,"body":"therefore. Or more versatile and"},{"speaker":"Charles Goldfarb","startTime":1501.14,"endTime":1505.58,"body":"dexterous increasing range of"},{"speaker":"Charles Goldfarb","startTime":1501.14,"endTime":1505.58,"body":"motion, ie getting into a full"},{"speaker":"Charles Goldfarb","startTime":1505.58,"endTime":1509.12,"body":"fist, maintaining a constant"},{"speaker":"Charles Goldfarb","startTime":1505.58,"endTime":1509.12,"body":"mechanical advantage throughout"},{"speaker":"Charles Goldfarb","startTime":1509.12,"endTime":1512.72,"body":"the entire arc of motion, as"},{"speaker":"Charles Goldfarb","startTime":1509.12,"endTime":1512.72,"body":"opposed to a variable mechanical"},{"speaker":"Charles Goldfarb","startTime":1512.72,"endTime":1515.42,"body":"advantage with bow strung"},{"speaker":"Charles Goldfarb","startTime":1512.72,"endTime":1515.42,"body":"tendons. And therefore control"},{"speaker":"Charles Goldfarb","startTime":1515.42,"endTime":1519.56,"body":"is easier. And then he"},{"speaker":"Charles Goldfarb","startTime":1515.42,"endTime":1519.56,"body":"references clinical mechanics of"},{"speaker":"Charles Goldfarb","startTime":1519.56,"endTime":1523.3,"body":"the hand by Paul brand and Ann"},{"speaker":"Charles Goldfarb","startTime":1519.56,"endTime":1523.3,"body":"Hollister, which, of course, is"},{"speaker":"Charles Goldfarb","startTime":1523.3,"endTime":1527.14,"body":"a classic, so really important"},{"speaker":"Charles Goldfarb","startTime":1523.3,"endTime":1527.14,"body":"point. And we can dive deeper,"},{"speaker":"Charles Goldfarb","startTime":1527.14,"endTime":1527.74,"body":"if you like."},{"speaker":"Chris Dy","startTime":1529.66,"endTime":1533.08,"body":"I think we should. I"},{"speaker":"Chris Dy","startTime":1529.66,"endTime":1533.08,"body":"mean, I agree. I think there are"},{"speaker":"Chris Dy","startTime":1533.08,"endTime":1538.78,"body":"some important pearls in there,"},{"speaker":"Chris Dy","startTime":1533.08,"endTime":1538.78,"body":"and I would love to know how you"},{"speaker":"Chris Dy","startTime":1538.78,"endTime":1541.44,"body":"would respond, given that I"},{"speaker":"Chris Dy","startTime":1538.78,"endTime":1541.44,"body":"think you have far more"},{"speaker":"Chris Dy","startTime":1541.44,"endTime":1542.88,"body":"expertise in this area than I"},{"speaker":"Chris Dy","startTime":1541.44,"endTime":1542.88,"body":"do."},{"speaker":"Charles Goldfarb","startTime":1543.6,"endTime":1546.06,"body":"I love how you"},{"speaker":"Charles Goldfarb","startTime":1543.6,"endTime":1546.06,"body":"definitely pass that one on. I"},{"speaker":"Charles Goldfarb","startTime":1546.06,"endTime":1549.42,"body":"don't think either of us would"},{"speaker":"Charles Goldfarb","startTime":1546.06,"endTime":1549.42,"body":"consider ourselves biomechanics"},{"speaker":"Charles Goldfarb","startTime":1549.42,"endTime":1550.8,"body":"experts, but, but"},{"speaker":"Chris Dy","startTime":1550.8,"endTime":1552.84,"body":"I like the exchange"},{"speaker":"Chris Dy","startTime":1550.8,"endTime":1552.84,"body":"though. I think this is good."},{"speaker":"Chris Dy","startTime":1552.9,"endTime":1555.06,"body":"That was fantastic. Sure,"},{"speaker":"Chris Dy","startTime":1552.9,"endTime":1555.06,"body":"there's been other stuff that"},{"speaker":"Chris Dy","startTime":1555.06,"endTime":1556.98,"body":"we've said on the pod where"},{"speaker":"Chris Dy","startTime":1555.06,"endTime":1556.98,"body":"people are scratching their"},{"speaker":"Chris Dy","startTime":1556.98,"endTime":1560.04,"body":"heads saying, is that right?"},{"speaker":"Chris Dy","startTime":1556.98,"endTime":1560.04,"body":"That's not what I see. So please"},{"speaker":"Chris Dy","startTime":1560.04,"endTime":1561.26,"body":"continue to let us know."},{"speaker":"Charles Goldfarb","startTime":1561.98,"endTime":1568.22,"body":"So in doing a"},{"speaker":"Charles Goldfarb","startTime":1561.98,"endTime":1568.22,"body":"little research to respond, I"},{"speaker":"Charles Goldfarb","startTime":1568.22,"endTime":1572.0,"body":"want to emphasize some of the"},{"speaker":"Charles Goldfarb","startTime":1568.22,"endTime":1572.0,"body":"points that korash raised. First"},{"speaker":"Charles Goldfarb","startTime":1573.68,"endTime":1577.88,"body":"for power, the greater the"},{"speaker":"Charles Goldfarb","startTime":1573.68,"endTime":1577.88,"body":"moment arm, the greater the"},{"speaker":"Charles Goldfarb","startTime":1577.88,"endTime":1582.76,"body":"leverage, or the multiplication"},{"speaker":"Charles Goldfarb","startTime":1577.88,"endTime":1582.76,"body":"factor that translates tendon"},{"speaker":"Charles Goldfarb","startTime":1582.76,"endTime":1588.4,"body":"tension force into the moment"},{"speaker":"Charles Goldfarb","startTime":1582.76,"endTime":1588.4,"body":"resisting external load, such as"},{"speaker":"Charles Goldfarb","startTime":1588.4,"endTime":1591.88,"body":"pension grass force. And so the"},{"speaker":"Charles Goldfarb","startTime":1588.4,"endTime":1591.88,"body":"formula, for those of you want"},{"speaker":"Charles Goldfarb","startTime":1591.88,"endTime":1595.0,"body":"to geek out on this is moment"},{"speaker":"Charles Goldfarb","startTime":1591.88,"endTime":1595.0,"body":"equals force times distance,"},{"speaker":"Charles Goldfarb","startTime":1595.06,"endTime":1599.44,"body":"which is the moment arm. And so"},{"speaker":"Charles Goldfarb","startTime":1595.06,"endTime":1599.44,"body":"the example that I found, and I"},{"speaker":"Charles Goldfarb","startTime":1599.44,"endTime":1602.4,"body":"don't, I don't have, I didn't"},{"speaker":"Charles Goldfarb","startTime":1599.44,"endTime":1602.4,"body":"cite this, I apologize, but the"},{"speaker":"Charles Goldfarb","startTime":1602.4,"endTime":1607.26,"body":"example is, if the tenon moment"},{"speaker":"Charles Goldfarb","startTime":1602.4,"endTime":1607.26,"body":"arm is 10 millimeters, then 10"},{"speaker":"Charles Goldfarb","startTime":1607.26,"endTime":1610.2,"body":"millimeters of excursion will"},{"speaker":"Charles Goldfarb","startTime":1607.26,"endTime":1610.2,"body":"yield 60 degrees of joint"},{"speaker":"Charles Goldfarb","startTime":1610.2,"endTime":1614.22,"body":"motion. But if the moment arm"},{"speaker":"Charles Goldfarb","startTime":1610.2,"endTime":1614.22,"body":"increases to 20 millimeters, it"},{"speaker":"Charles Goldfarb","startTime":1614.22,"endTime":1618.6,"body":"takes 20 millimeters of"},{"speaker":"Charles Goldfarb","startTime":1614.22,"endTime":1618.6,"body":"excursion to yield the same 60"},{"speaker":"Charles Goldfarb","startTime":1618.6,"endTime":1623.42,"body":"degrees of motion. So there is a"},{"speaker":"Charles Goldfarb","startTime":1618.6,"endTime":1623.42,"body":"limit to the degree of of"},{"speaker":"Charles Goldfarb","startTime":1623.42,"endTime":1627.86,"body":"excursion that we have to regain"},{"speaker":"Charles Goldfarb","startTime":1623.42,"endTime":1627.86,"body":"to gain motion. And so in"},{"speaker":"Charles Goldfarb","startTime":1627.86,"endTime":1630.8,"body":"addition to this work of"},{"speaker":"Charles Goldfarb","startTime":1627.86,"endTime":1630.8,"body":"flexion, which is probably not"},{"speaker":"Charles Goldfarb","startTime":1630.8,"endTime":1634.64,"body":"the right term exactly, but is"},{"speaker":"Charles Goldfarb","startTime":1630.8,"endTime":1634.64,"body":"increased the greater the moment"},{"speaker":"Charles Goldfarb","startTime":1634.64,"endTime":1639.98,"body":"arm. And so I think the point is"},{"speaker":"Charles Goldfarb","startTime":1634.64,"endTime":1639.98,"body":"that the details of this matter,"},{"speaker":"Charles Goldfarb","startTime":1639.98,"endTime":1646.54,"body":"especially if you're taking"},{"speaker":"Charles Goldfarb","startTime":1639.98,"endTime":1646.54,"body":"exams, and pulleys are critical"},{"speaker":"Charles Goldfarb","startTime":1646.54,"endTime":1650.62,"body":"for finger function by"},{"speaker":"Charles Goldfarb","startTime":1646.54,"endTime":1650.62,"body":"decreasing mechanical advantage"},{"speaker":"Charles Goldfarb","startTime":1650.92,"endTime":1652.9,"body":"and decreasing the moment arm."},{"speaker":"Chris Dy","startTime":1654.28,"endTime":1656.98,"body":"Yeah, I don't know if"},{"speaker":"Chris Dy","startTime":1654.28,"endTime":1656.98,"body":"there's, you know, I would love"},{"speaker":"Chris Dy","startTime":1656.98,"endTime":1659.32,"body":"to, you know. I remember when I"},{"speaker":"Chris Dy","startTime":1656.98,"endTime":1659.32,"body":"was studying this, when I was a"},{"speaker":"Chris Dy","startTime":1659.32,"endTime":1661.62,"body":"resident fellow, really getting"},{"speaker":"Chris Dy","startTime":1659.32,"endTime":1661.62,"body":"into the weeds about work"},{"speaker":"Chris Dy","startTime":1661.62,"endTime":1664.86,"body":"reflection, which I think is a"},{"speaker":"Chris Dy","startTime":1661.62,"endTime":1664.86,"body":"concept that was popularized"},{"speaker":"Chris Dy","startTime":1664.86,"endTime":1668.34,"body":"very much in the 90s, and I know"},{"speaker":"Chris Dy","startTime":1664.86,"endTime":1668.34,"body":"that. Think it was Dr manski"},{"speaker":"Chris Dy","startTime":1668.34,"endTime":1670.98,"body":"here that did a lot of work on"},{"speaker":"Chris Dy","startTime":1668.34,"endTime":1670.98,"body":"work reflection, as well as Dr"},{"speaker":"Chris Dy","startTime":1670.98,"endTime":1675.96,"body":"brand. I agreed the details are"},{"speaker":"Chris Dy","startTime":1670.98,"endTime":1675.96,"body":"important with regards to test"},{"speaker":"Chris Dy","startTime":1675.96,"endTime":1679.56,"body":"taking, and it is a balance"},{"speaker":"Chris Dy","startTime":1675.96,"endTime":1679.56,"body":"between providing actual"},{"speaker":"Chris Dy","startTime":1679.56,"endTime":1682.76,"body":"strength, but then leading to"},{"speaker":"Chris Dy","startTime":1679.56,"endTime":1682.76,"body":"excursion in terms of each of"},{"speaker":"Chris Dy","startTime":1682.76,"endTime":1685.58,"body":"the joints, so not focusing on"},{"speaker":"Chris Dy","startTime":1682.76,"endTime":1685.58,"body":"one individual joint, but what"},{"speaker":"Chris Dy","startTime":1685.58,"endTime":1688.58,"body":"the implications are in a pulley"},{"speaker":"Chris Dy","startTime":1685.58,"endTime":1688.58,"body":"system, not looking at things in"},{"speaker":"Chris Dy","startTime":1688.58,"endTime":1689.24,"body":"isolation."},{"speaker":"Charles Goldfarb","startTime":1690.08,"endTime":1693.5,"body":"Yeah, and for"},{"speaker":"Charles Goldfarb","startTime":1690.08,"endTime":1693.5,"body":"the younger listeners, when I"},{"speaker":"Charles Goldfarb","startTime":1693.5,"endTime":1698.6,"body":"was in training, certainly I"},{"speaker":"Charles Goldfarb","startTime":1693.5,"endTime":1698.6,"body":"would say the decade of the 90s,"},{"speaker":"Chris Dy","startTime":1699.26,"endTime":1699.62,"body":"1900s"},{"speaker":"Charles Goldfarb","startTime":1700.28,"endTime":1706.12,"body":"back, in 19"},{"speaker":"Charles Goldfarb","startTime":1700.28,"endTime":1706.12,"body":"the end of the last century,"},{"speaker":"Charles Goldfarb","startTime":1707.2,"endTime":1710.08,"body":"which is not that long ago, I"},{"speaker":"Charles Goldfarb","startTime":1707.2,"endTime":1710.08,"body":"think you were born"},{"speaker":"Chris Dy","startTime":1710.2,"endTime":1712.3,"body":"in the prior century,"},{"speaker":"Chris Dy","startTime":1710.2,"endTime":1712.3,"body":"when Chuck was in training."},{"speaker":"Chris Dy","startTime":1712.36,"endTime":1713.08,"body":"Well, I was gonna"},{"speaker":"Charles Goldfarb","startTime":1713.08,"endTime":1715.12,"body":"say something"},{"speaker":"Charles Goldfarb","startTime":1713.08,"endTime":1715.12,"body":"smart, and now you totally"},{"speaker":"Charles Goldfarb","startTime":1715.12,"endTime":1720.36,"body":"ruined the moment in the last"},{"speaker":"Charles Goldfarb","startTime":1715.12,"endTime":1720.36,"body":"century, if you had to say what"},{"speaker":"Charles Goldfarb","startTime":1720.36,"endTime":1725.34,"body":"was the predominant research"},{"speaker":"Charles Goldfarb","startTime":1720.36,"endTime":1725.34,"body":"focus? I think we would agree it"},{"speaker":"Charles Goldfarb","startTime":1725.34,"endTime":1730.74,"body":"was absolutely tenant and flexor"},{"speaker":"Charles Goldfarb","startTime":1725.34,"endTime":1730.74,"body":"tendon repair. And two of the"},{"speaker":"Charles Goldfarb","startTime":1730.74,"endTime":1733.14,"body":"leading people in the country"},{"speaker":"Charles Goldfarb","startTime":1730.74,"endTime":1733.14,"body":"happen to be here at WashU,"},{"speaker":"Charles Goldfarb","startTime":1733.14,"endTime":1737.82,"body":"Richard Goldman and Paul manski."},{"speaker":"Charles Goldfarb","startTime":1733.14,"endTime":1737.82,"body":"And then what's been interesting"},{"speaker":"Charles Goldfarb","startTime":1737.82,"endTime":1741.5,"body":"is our and it's a collective"},{"speaker":"Charles Goldfarb","startTime":1737.82,"endTime":1741.5,"body":"hour, although there are"},{"speaker":"Charles Goldfarb","startTime":1741.5,"endTime":1744.26,"body":"certainly those who remain"},{"speaker":"Charles Goldfarb","startTime":1741.5,"endTime":1744.26,"body":"highly interested in flexor"},{"speaker":"Charles Goldfarb","startTime":1744.26,"endTime":1747.5,"body":"tendons, and we are grateful to"},{"speaker":"Charles Goldfarb","startTime":1744.26,"endTime":1747.5,"body":"those people, our attention has"},{"speaker":"Charles Goldfarb","startTime":1747.5,"endTime":1751.28,"body":"shifted in other directions. And"},{"speaker":"Charles Goldfarb","startTime":1747.5,"endTime":1751.28,"body":"there is no question that at"},{"speaker":"Charles Goldfarb","startTime":1751.28,"endTime":1754.52,"body":"this moment, it's nerve. It's"},{"speaker":"Charles Goldfarb","startTime":1751.28,"endTime":1754.52,"body":"all about nerve."},{"speaker":"Chris Dy","startTime":1755.54,"endTime":1758.056,"body":"I think I there's a"},{"speaker":"Chris Dy","startTime":1755.54,"endTime":1758.056,"body":"lot to be said about that. I"},{"speaker":"Chris Dy","startTime":1758.108,"endTime":1761.149,"body":"mean, I think that, you know, Dr"},{"speaker":"Chris Dy","startTime":1758.108,"endTime":1761.149,"body":"Gelberman had the longest"},{"speaker":"Chris Dy","startTime":1761.201,"endTime":1764.137,"body":"continuously running NIH grant"},{"speaker":"Chris Dy","startTime":1761.201,"endTime":1764.137,"body":"and hand surgery ever for"},{"speaker":"Chris Dy","startTime":1764.189,"endTime":1767.23,"body":"studying flexor tendons. And"},{"speaker":"Chris Dy","startTime":1764.189,"endTime":1767.23,"body":"obviously that grant moved on"},{"speaker":"Chris Dy","startTime":1767.282,"endTime":1770.375,"body":"after he decided to to put his"},{"speaker":"Chris Dy","startTime":1767.282,"endTime":1770.375,"body":"jersey into rafters. So, you"},{"speaker":"Chris Dy","startTime":1770.428,"endTime":1773.73,"body":"know, we talked before about how"},{"speaker":"Chris Dy","startTime":1770.428,"endTime":1773.73,"body":"he's asked probably each of us"},{"speaker":"Chris Dy","startTime":1773.783,"endTime":1776.981,"body":"to take on the grant, and that"},{"speaker":"Chris Dy","startTime":1773.783,"endTime":1776.981,"body":"was a hard thing to say no to."},{"speaker":"Chris Dy","startTime":1777.033,"endTime":1780.126,"body":"But tendon was just not my"},{"speaker":"Chris Dy","startTime":1777.033,"endTime":1780.126,"body":"passion, and I think it is nerve"},{"speaker":"Chris Dy","startTime":1780.178,"endTime":1783.376,"body":"for a number of reasons. I don't"},{"speaker":"Chris Dy","startTime":1780.178,"endTime":1783.376,"body":"know how much of that is the"},{"speaker":"Chris Dy","startTime":1783.429,"endTime":1786.627,"body":"clinical topic. It's exciting."},{"speaker":"Chris Dy","startTime":1783.429,"endTime":1786.627,"body":"People kind of get it. It's, I"},{"speaker":"Chris Dy","startTime":1786.679,"endTime":1789.667,"body":"think it's the barrier to entry"},{"speaker":"Chris Dy","startTime":1786.679,"endTime":1789.667,"body":"on nerve is lower than on"},{"speaker":"Chris Dy","startTime":1789.72,"endTime":1793.022,"body":"tendon, in some ways, both from"},{"speaker":"Chris Dy","startTime":1789.72,"endTime":1793.022,"body":"a, I don't know, I don't think,"},{"speaker":"Chris Dy","startTime":1793.075,"endTime":1795.853,"body":"from a basic science"},{"speaker":"Chris Dy","startTime":1793.075,"endTime":1795.853,"body":"perspective, but from a clinical"},{"speaker":"Chris Dy","startTime":1795.905,"endTime":1798.736,"body":"perspective, I think it's"},{"speaker":"Chris Dy","startTime":1795.905,"endTime":1798.736,"body":"something that we just see a"},{"speaker":"Chris Dy","startTime":1798.789,"endTime":1802.091,"body":"whole lot. And, you know. It's"},{"speaker":"Chris Dy","startTime":1798.789,"endTime":1802.091,"body":"the results are variable enough."},{"speaker":"Chris Dy","startTime":1802.144,"endTime":1805.394,"body":"Clinically, where you're you can"},{"speaker":"Chris Dy","startTime":1802.144,"endTime":1805.394,"body":"clearly see there are gaps in"},{"speaker":"Chris Dy","startTime":1805.447,"endTime":1808.592,"body":"what we understand from a basic"},{"speaker":"Chris Dy","startTime":1805.447,"endTime":1808.592,"body":"perspective, from a surgical"},{"speaker":"Chris Dy","startTime":1808.644,"endTime":1811.737,"body":"perspective, and from a rehab"},{"speaker":"Chris Dy","startTime":1808.644,"endTime":1811.737,"body":"and psychosocial perspective,"},{"speaker":"Chris Dy","startTime":1811.79,"endTime":1814.988,"body":"and that's coming from somebody"},{"speaker":"Chris Dy","startTime":1811.79,"endTime":1814.988,"body":"who, I mean, I obviously have"},{"speaker":"Chris Dy","startTime":1815.04,"endTime":1818.395,"body":"dedicated my career to this, and"},{"speaker":"Chris Dy","startTime":1815.04,"endTime":1818.395,"body":"I don't know how much of it is,"},{"speaker":"Chris Dy","startTime":1818.448,"endTime":1821.698,"body":"also like the people who decide"},{"speaker":"Chris Dy","startTime":1818.448,"endTime":1821.698,"body":"to do some of these things. Is"},{"speaker":"Chris Dy","startTime":1821.75,"endTime":1824.948,"body":"it the interest of the people"},{"speaker":"Chris Dy","startTime":1821.75,"endTime":1824.948,"body":"that are chasing grants and big"},{"speaker":"Chris Dy","startTime":1825.0,"endTime":1828.408,"body":"kind of projects like could that"},{"speaker":"Chris Dy","startTime":1825.0,"endTime":1828.408,"body":"you're you and Lily are doing? I"},{"speaker":"Chris Dy","startTime":1828.46,"endTime":1831.553,"body":"mean, is it the people who are"},{"speaker":"Chris Dy","startTime":1828.46,"endTime":1831.553,"body":"influencing the interest, as"},{"speaker":"Chris Dy","startTime":1831.606,"endTime":1834.227,"body":"opposed to the topics"},{"speaker":"Chris Dy","startTime":1831.606,"endTime":1834.227,"body":"themselves? Because, I mean,"},{"speaker":"Chris Dy","startTime":1834.279,"endTime":1837.634,"body":"basically, you're a hand surgery"},{"speaker":"Chris Dy","startTime":1834.279,"endTime":1837.634,"body":"influencer chuck with your work"},{"speaker":"Chris Dy","startTime":1837.687,"endTime":1840.832,"body":"in adolescent and pediatrics and"},{"speaker":"Chris Dy","startTime":1837.687,"endTime":1840.832,"body":"sports and, you know, maybe"},{"speaker":"Chris Dy","startTime":1840.885,"endTime":1844.187,"body":"they're, they're listeners, uh,"},{"speaker":"Chris Dy","startTime":1840.885,"endTime":1844.187,"body":"younger than us, saying, hey, I"},{"speaker":"Chris Dy","startTime":1844.24,"endTime":1846.18,"body":"want to be like Chuck Goldfarb, yeah,"},{"speaker":"Charles Goldfarb","startTime":1846.6,"endTime":1850.02,"body":"I don't think"},{"speaker":"Charles Goldfarb","startTime":1846.6,"endTime":1850.02,"body":"anybody's saying that. It is,"},{"speaker":"Charles Goldfarb","startTime":1850.02,"endTime":1850.14,"body":"no,"},{"speaker":"Chris Dy","startTime":1850.2,"endTime":1854.22,"body":"it used to be like"},{"speaker":"Chris Dy","startTime":1850.2,"endTime":1854.22,"body":"Mike, and it's like Chuck the we"},{"speaker":"Chris Dy","startTime":1854.22,"endTime":1854.34,"body":"were"},{"speaker":"Charles Goldfarb","startTime":1854.34,"endTime":1856.5,"body":"talking"},{"speaker":"Charles Goldfarb","startTime":1854.34,"endTime":1856.5,"body":"recently in our group about how"},{"speaker":"Charles Goldfarb","startTime":1856.5,"endTime":1861.86,"body":"rare scape lining ligaments are,"},{"speaker":"Charles Goldfarb","startTime":1856.5,"endTime":1861.86,"body":"and you just don't see that many"},{"speaker":"Charles Goldfarb","startTime":1861.92,"endTime":1865.16,"body":"injuries. And therefore it's"},{"speaker":"Charles Goldfarb","startTime":1861.92,"endTime":1865.16,"body":"hard to get for me to get too"},{"speaker":"Charles Goldfarb","startTime":1865.16,"endTime":1868.34,"body":"excited about the research. To"},{"speaker":"Charles Goldfarb","startTime":1865.16,"endTime":1868.34,"body":"your point, the clinical"},{"speaker":"Charles Goldfarb","startTime":1868.34,"endTime":1872.18,"body":"application is just harder, and"},{"speaker":"Charles Goldfarb","startTime":1868.34,"endTime":1872.18,"body":"it's harder to find patients to"},{"speaker":"Charles Goldfarb","startTime":1872.18,"endTime":1874.7,"body":"follow over time, which"},{"speaker":"Charles Goldfarb","startTime":1872.18,"endTime":1874.7,"body":"emphasizes the importance of"},{"speaker":"Charles Goldfarb","startTime":1874.7,"endTime":1877.88,"body":"working collaboratively at"},{"speaker":"Charles Goldfarb","startTime":1874.7,"endTime":1877.88,"body":"different centers. But that was"},{"speaker":"Charles Goldfarb","startTime":1877.88,"endTime":1882.22,"body":"also the problem with flexor"},{"speaker":"Charles Goldfarb","startTime":1877.88,"endTime":1882.22,"body":"tendons, and we just don't see"},{"speaker":"Charles Goldfarb","startTime":1882.22,"endTime":1884.86,"body":"that many flexor tendons as"},{"speaker":"Charles Goldfarb","startTime":1882.22,"endTime":1884.86,"body":"well. Despite being a major"},{"speaker":"Charles Goldfarb","startTime":1884.86,"endTime":1889.18,"body":"center that gets many, many"},{"speaker":"Charles Goldfarb","startTime":1884.86,"endTime":1889.18,"body":"referrals, of course, my passion"},{"speaker":"Charles Goldfarb","startTime":1889.36,"endTime":1893.68,"body":"really is congenital has the"},{"speaker":"Charles Goldfarb","startTime":1889.36,"endTime":1893.68,"body":"same limitations. Now, patients"},{"speaker":"Charles Goldfarb","startTime":1893.68,"endTime":1898.18,"body":"with congenital anomalies often"},{"speaker":"Charles Goldfarb","startTime":1893.68,"endTime":1898.18,"body":"will travel, whereas nerve"},{"speaker":"Charles Goldfarb","startTime":1898.18,"endTime":1901.32,"body":"injuries and flexor tendon"},{"speaker":"Charles Goldfarb","startTime":1898.18,"endTime":1901.32,"body":"injuries and ligament injuries"},{"speaker":"Charles Goldfarb","startTime":1901.32,"endTime":1905.82,"body":"less commonly do so, but the"},{"speaker":"Charles Goldfarb","startTime":1901.32,"endTime":1905.82,"body":"numbers just aren't there, which"},{"speaker":"Charles Goldfarb","startTime":1905.88,"endTime":1909.12,"body":"brings us back to your point,"},{"speaker":"Charles Goldfarb","startTime":1905.88,"endTime":1909.12,"body":"which is well said. You know,"},{"speaker":"Charles Goldfarb","startTime":1909.12,"endTime":1912.84,"body":"nerve injuries are everywhere,"},{"speaker":"Charles Goldfarb","startTime":1909.12,"endTime":1912.84,"body":"and they are quite common. They"},{"speaker":"Charles Goldfarb","startTime":1912.84,"endTime":1917.64,"body":"vary tremendously in location"},{"speaker":"Charles Goldfarb","startTime":1912.84,"endTime":1917.64,"body":"and mechanism and and, you know,"},{"speaker":"Charles Goldfarb","startTime":1917.7,"endTime":1922.16,"body":"combined injuries, but I think"},{"speaker":"Charles Goldfarb","startTime":1917.7,"endTime":1922.16,"body":"that is a big contributor. And"},{"speaker":"Charles Goldfarb","startTime":1922.16,"endTime":1925.34,"body":"for whatever reason it is hot at"},{"speaker":"Charles Goldfarb","startTime":1922.16,"endTime":1925.34,"body":"the moment, I expect it'll stay"},{"speaker":"Charles Goldfarb","startTime":1925.34,"endTime":1926.78,"body":"that way for a while. For"},{"speaker":"Chris Dy","startTime":1926.78,"endTime":1929.12,"body":"whatever reason, you"},{"speaker":"Chris Dy","startTime":1926.78,"endTime":1929.12,"body":"just clearly elucidated all the"},{"speaker":"Chris Dy","startTime":1929.12,"endTime":1930.44,"body":"reasons why it's hot."},{"speaker":"Charles Goldfarb","startTime":1931.1,"endTime":1933.32,"body":"I still don't"},{"speaker":"Charles Goldfarb","startTime":1931.1,"endTime":1933.32,"body":"understand, nor am I passionate"},{"speaker":"Charles Goldfarb","startTime":1933.38,"endTime":1934.16,"body":"like you. It's okay. You"},{"speaker":"Chris Dy","startTime":1934.16,"endTime":1936.56,"body":"can just send them to"},{"speaker":"Chris Dy","startTime":1934.16,"endTime":1936.56,"body":"David and me. It's okay. Just go"},{"speaker":"Chris Dy","startTime":1936.56,"endTime":1939.32,"body":"ahead. We've got, we've got"},{"speaker":"Chris Dy","startTime":1936.56,"endTime":1939.32,"body":"research stuff going on. So I"},{"speaker":"Chris Dy","startTime":1939.32,"endTime":1942.44,"body":"think before we bring it to a"},{"speaker":"Chris Dy","startTime":1939.32,"endTime":1942.44,"body":"close, I think you've got to run"},{"speaker":"Chris Dy","startTime":1942.44,"endTime":1945.1,"body":"off the off the school and I've"},{"speaker":"Chris Dy","startTime":1942.44,"endTime":1945.1,"body":"got to get some breakfast ready"},{"speaker":"Chris Dy","startTime":1945.1,"endTime":1948.04,"body":"for the kiddos. We should talk"},{"speaker":"Chris Dy","startTime":1945.1,"endTime":1948.04,"body":"about what we're each doing at"},{"speaker":"Chris Dy","startTime":1948.04,"endTime":1951.34,"body":"the hand society. I know that"},{"speaker":"Chris Dy","startTime":1948.04,"endTime":1951.34,"body":"both of us are very excited to"},{"speaker":"Chris Dy","startTime":1951.34,"endTime":1956.14,"body":"join David way, the podcast that"},{"speaker":"Chris Dy","startTime":1951.34,"endTime":1956.14,"body":"hand P is doing, and so we'll"},{"speaker":"Chris Dy","startTime":1956.14,"endTime":1960.9,"body":"end up hopefully releasing that"},{"speaker":"Chris Dy","startTime":1956.14,"endTime":1960.9,"body":"as a bonus episode for for our"},{"speaker":"Chris Dy","startTime":1960.9,"endTime":1961.92,"body":"listenership as well."},{"speaker":"Charles Goldfarb","startTime":1962.82,"endTime":1964.92,"body":"Yeah. So that"},{"speaker":"Charles Goldfarb","startTime":1962.82,"endTime":1964.92,"body":"is a great point. David and I"},{"speaker":"Charles Goldfarb","startTime":1964.92,"endTime":1969.12,"body":"talked a long time ago, and I am"},{"speaker":"Charles Goldfarb","startTime":1964.92,"endTime":1969.12,"body":"really happy with what he has"},{"speaker":"Charles Goldfarb","startTime":1969.12,"endTime":1973.02,"body":"led for the business of hand"},{"speaker":"Charles Goldfarb","startTime":1969.12,"endTime":1973.02,"body":"surgery podcast. I think they're"},{"speaker":"Charles Goldfarb","startTime":1973.02,"endTime":1976.08,"body":"doing a great job. For those of"},{"speaker":"Charles Goldfarb","startTime":1973.02,"endTime":1976.08,"body":"you who hadn't seen it, we don't"},{"speaker":"Charles Goldfarb","startTime":1976.08,"endTime":1979.38,"body":"consider it competition. It's"},{"speaker":"Charles Goldfarb","startTime":1976.08,"endTime":1979.38,"body":"just another hand surgery"},{"speaker":"Charles Goldfarb","startTime":1979.38,"endTime":1984.62,"body":"podcast which is super"},{"speaker":"Charles Goldfarb","startTime":1979.38,"endTime":1984.62,"body":"interesting. Yeah, my, my isn't"},{"speaker":"Charles Goldfarb","startTime":1984.62,"endTime":1986.84,"body":"the other interesting, I hate to"},{"speaker":"Charles Goldfarb","startTime":1984.62,"endTime":1986.84,"body":"overuse that word. The other"},{"speaker":"Charles Goldfarb","startTime":1986.84,"endTime":1990.62,"body":"interesting thing about this"},{"speaker":"Charles Goldfarb","startTime":1986.84,"endTime":1990.62,"body":"meeting is the organizers, who"},{"speaker":"Charles Goldfarb","startTime":1990.62,"endTime":1993.26,"body":"have done a wonderful job, did"},{"speaker":"Charles Goldfarb","startTime":1990.62,"endTime":1993.26,"body":"try to limit the number of"},{"speaker":"Charles Goldfarb","startTime":1993.26,"endTime":1998.6,"body":"presentations or involvement for"},{"speaker":"Charles Goldfarb","startTime":1993.26,"endTime":1998.6,"body":"individuals, which is fantastic."},{"speaker":"Charles Goldfarb","startTime":1998.72,"endTime":2000.84,"body":"It's better for everyone."},{"speaker":"Charles Goldfarb","startTime":1998.72,"endTime":2000.84,"body":"There's new people on the"},{"speaker":"Charles Goldfarb","startTime":2000.84,"endTime":2004.56,"body":"podium, and so I have a great"},{"speaker":"Charles Goldfarb","startTime":2000.84,"endTime":2004.56,"body":"week, but it's not overwhelming."},{"speaker":"Charles Goldfarb","startTime":2004.56,"endTime":2005.1,"body":"What about"},{"speaker":"Chris Dy","startTime":2006.12,"endTime":2009.66,"body":"you? Yeah, no, I think"},{"speaker":"Chris Dy","startTime":2006.12,"endTime":2009.66,"body":"that Nina and Nina sue a friend,"},{"speaker":"Chris Dy","startTime":2009.66,"endTime":2012.66,"body":"a friend of mine and Eric"},{"speaker":"Chris Dy","startTime":2009.66,"endTime":2012.66,"body":"Wagner, also a friend, have done"},{"speaker":"Chris Dy","startTime":2012.66,"endTime":2014.82,"body":"an amazing job putting this"},{"speaker":"Chris Dy","startTime":2012.66,"endTime":2014.82,"body":"together. And, you know, it's"},{"speaker":"Chris Dy","startTime":2014.82,"endTime":2018.12,"body":"hard to follow Paige and Megan,"},{"speaker":"Chris Dy","startTime":2014.82,"endTime":2018.12,"body":"and they've done a great job."},{"speaker":"Chris Dy","startTime":2018.18,"endTime":2021.08,"body":"And you know, I agree with, I"},{"speaker":"Chris Dy","startTime":2018.18,"endTime":2021.08,"body":"think the focus on limiting"},{"speaker":"Chris Dy","startTime":2021.14,"endTime":2023.84,"body":"commitments for each speaker has"},{"speaker":"Chris Dy","startTime":2021.14,"endTime":2023.84,"body":"started with Paige and Megan,"},{"speaker":"Chris Dy","startTime":2023.84,"endTime":2026.18,"body":"and I think they've done it"},{"speaker":"Chris Dy","startTime":2023.84,"endTime":2026.18,"body":"really well this year doing the"},{"speaker":"Chris Dy","startTime":2026.18,"endTime":2028.7,"body":"same thing, because I remember,"},{"speaker":"Chris Dy","startTime":2026.18,"endTime":2028.7,"body":"it's like two or three meetings"},{"speaker":"Chris Dy","startTime":2028.7,"endTime":2031.88,"body":"ago, just and it's a combination"},{"speaker":"Chris Dy","startTime":2028.7,"endTime":2031.88,"body":"of my inability to say no, as"},{"speaker":"Chris Dy","startTime":2031.88,"endTime":2036.14,"body":"well as my procrastination,"},{"speaker":"Chris Dy","startTime":2031.88,"endTime":2036.14,"body":"literally just non stop for four"},{"speaker":"Chris Dy","startTime":2036.14,"endTime":2038.66,"body":"days because I didn't make my"},{"speaker":"Chris Dy","startTime":2036.14,"endTime":2038.66,"body":"slides in time. So I was either"},{"speaker":"Chris Dy","startTime":2038.66,"endTime":2041.86,"body":"talking or in the speaker ready"},{"speaker":"Chris Dy","startTime":2038.66,"endTime":2041.86,"body":"room or meeting with people. And"},{"speaker":"Chris Dy","startTime":2041.86,"endTime":2045.7,"body":"just It was exhausting. It was a"},{"speaker":"Chris Dy","startTime":2041.86,"endTime":2045.7,"body":"sprint. I survived, but it was a"},{"speaker":"Chris Dy","startTime":2045.7,"endTime":2049.78,"body":"sprint. And, you know, I have"},{"speaker":"Chris Dy","startTime":2045.7,"endTime":2049.78,"body":"some talks to give. They're"},{"speaker":"Chris Dy","startTime":2049.78,"endTime":2052.3,"body":"talks that I'm really excited"},{"speaker":"Chris Dy","startTime":2049.78,"endTime":2052.3,"body":"about, and I know I was pulled"},{"speaker":"Chris Dy","startTime":2052.3,"endTime":2055.54,"body":"off of some other things. So"},{"speaker":"Chris Dy","startTime":2052.3,"endTime":2055.54,"body":"sort of thankful for that,"},{"speaker":"Chris Dy","startTime":2055.6,"endTime":2058.12,"body":"although I do love, you know,"},{"speaker":"Chris Dy","startTime":2055.6,"endTime":2058.12,"body":"obviously getting out there and"},{"speaker":"Chris Dy","startTime":2058.12,"endTime":2061.8,"body":"talking about our experience"},{"speaker":"Chris Dy","startTime":2058.12,"endTime":2061.8,"body":"here in St Louis. So, yeah, no,"},{"speaker":"Chris Dy","startTime":2061.8,"endTime":2065.16,"body":"I think for me, the week is"},{"speaker":"Chris Dy","startTime":2061.8,"endTime":2065.16,"body":"starting with being a speaker at"},{"speaker":"Chris Dy","startTime":2065.16,"endTime":2067.92,"body":"the young surgeons at boot camp."},{"speaker":"Chris Dy","startTime":2065.16,"endTime":2067.92,"body":"So hopefully, think there might"},{"speaker":"Chris Dy","startTime":2067.92,"endTime":2070.92,"body":"still be some slots available."},{"speaker":"Chris Dy","startTime":2067.92,"endTime":2070.92,"body":"It's really, really economically"},{"speaker":"Chris Dy","startTime":2070.92,"endTime":2074.58,"body":"priced. Well, I think it's under"},{"speaker":"Chris Dy","startTime":2070.92,"endTime":2074.58,"body":"100 bucks. And I'll be talking"},{"speaker":"Chris Dy","startTime":2074.58,"endTime":2077.58,"body":"about metacarpal and proximal"},{"speaker":"Chris Dy","startTime":2074.58,"endTime":2077.58,"body":"failings fractures, which will"},{"speaker":"Chris Dy","startTime":2077.58,"endTime":2081.14,"body":"be fun our one of our partners,"},{"speaker":"Chris Dy","startTime":2077.58,"endTime":2081.14,"body":"David Bergen, will also be a"},{"speaker":"Chris Dy","startTime":2081.14,"endTime":2085.1,"body":"table instructor there for one"},{"speaker":"Chris Dy","startTime":2081.14,"endTime":2085.1,"body":"of the for one of the implant"},{"speaker":"Chris Dy","startTime":2085.1,"endTime":2089.3,"body":"companies. So I'm excited to"},{"speaker":"Chris Dy","startTime":2085.1,"endTime":2089.3,"body":"join that awesome"},{"speaker":"Charles Goldfarb","startTime":2090.62,"endTime":2092.858,"body":"so my so I"},{"speaker":"Charles Goldfarb","startTime":2090.62,"endTime":2092.858,"body":"have a lot of council"},{"speaker":"Charles Goldfarb","startTime":2092.927,"endTime":2097.264,"body":"obligations which will take up"},{"speaker":"Charles Goldfarb","startTime":2092.927,"endTime":2097.264,"body":"some time and actually prevents"},{"speaker":"Charles Goldfarb","startTime":2097.334,"endTime":2101.25,"body":"me from participating in the"},{"speaker":"Charles Goldfarb","startTime":2097.334,"endTime":2101.25,"body":"congenital pre course. That"},{"speaker":"Charles Goldfarb","startTime":2101.32,"endTime":2105.517,"body":"Lindley wall and Deb Bohn are"},{"speaker":"Charles Goldfarb","startTime":2101.32,"endTime":2105.517,"body":"running, which is unfortunate,"},{"speaker":"Charles Goldfarb","startTime":2105.586,"endTime":2109.713,"body":"because I'd like to go and"},{"speaker":"Charles Goldfarb","startTime":2105.586,"endTime":2109.713,"body":"learn. But my first presentation"},{"speaker":"Charles Goldfarb","startTime":2109.783,"endTime":2114.119,"body":"is on distro radius fractures at"},{"speaker":"Charles Goldfarb","startTime":2109.783,"endTime":2114.119,"body":"pre course 13 from Tamara. So"},{"speaker":"Charles Goldfarb","startTime":2114.189,"endTime":2118.315,"body":"that will be Tamara Rosenthal."},{"speaker":"Charles Goldfarb","startTime":2114.189,"endTime":2118.315,"body":"That will be great. And I'll"},{"speaker":"Charles Goldfarb","startTime":2118.385,"endTime":2122.582,"body":"briefly run through a couple"},{"speaker":"Charles Goldfarb","startTime":2118.385,"endTime":2122.582,"body":"other things, and then I have a"},{"speaker":"Charles Goldfarb","startTime":2122.652,"endTime":2126.918,"body":"pediatric elbow ICL, which I"},{"speaker":"Charles Goldfarb","startTime":2122.652,"endTime":2126.918,"body":"think will be wonderful as well."},{"speaker":"Charles Goldfarb","startTime":2126.988,"endTime":2131.254,"body":"We were fortunate to be awarded"},{"speaker":"Charles Goldfarb","startTime":2126.988,"endTime":2131.254,"body":"the lynchey Dobbins excellent"},{"speaker":"Charles Goldfarb","startTime":2131.324,"endTime":2135.66,"body":"and excellence in wrist award"},{"speaker":"Charles Goldfarb","startTime":2131.324,"endTime":2135.66,"body":"last year, which leads to an ICL"},{"speaker":"Charles Goldfarb","startTime":2135.73,"endTime":2139.437,"body":"the following year. This is our"},{"speaker":"Charles Goldfarb","startTime":2135.73,"endTime":2139.437,"body":"work on interobserver"},{"speaker":"Charles Goldfarb","startTime":2139.507,"endTime":2143.563,"body":"reliability for identifying TFCC"},{"speaker":"Charles Goldfarb","startTime":2139.507,"endTime":2143.563,"body":"tears and so that ICL I'm"},{"speaker":"Charles Goldfarb","startTime":2143.633,"endTime":2148.04,"body":"excited about, and then I close"},{"speaker":"Charles Goldfarb","startTime":2143.633,"endTime":2148.04,"body":"out the week with a dissection."},{"speaker":"Chris Dy","startTime":2148.88,"endTime":2151.4,"body":"Yes, sold out. Sold"},{"speaker":"Chris Dy","startTime":2148.88,"endTime":2151.4,"body":"out dissection. Sold out"},{"speaker":"Chris Dy","startTime":2151.4,"endTime":2154.22,"body":"dissection. Can't get a ticket,"},{"speaker":"Chris Dy","startTime":2151.4,"endTime":2154.22,"body":"sorry. You might be able to"},{"speaker":"Chris Dy","startTime":2154.22,"endTime":2158.0,"body":"scalp it. StubHub. You might be"},{"speaker":"Chris Dy","startTime":2154.22,"endTime":2158.0,"body":"looking at some other resources."},{"speaker":"Chris Dy","startTime":2158.36,"endTime":2162.34,"body":"Stand outside, stand outside and"},{"speaker":"Chris Dy","startTime":2158.36,"endTime":2162.34,"body":"look once and it's sold out. On"},{"speaker":"Chris Dy","startTime":2162.34,"endTime":2164.26,"body":"the on the website, I was"},{"speaker":"Chris Dy","startTime":2162.34,"endTime":2164.26,"body":"checking you out. Man, I was"},{"speaker":"Chris Dy","startTime":2164.26,"endTime":2165.22,"body":"looking at the program,"},{"speaker":"Charles Goldfarb","startTime":2165.4,"endTime":2168.1,"body":"so all six"},{"speaker":"Charles Goldfarb","startTime":2165.4,"endTime":2168.1,"body":"people signed up. That's"},{"speaker":"Charles Goldfarb","startTime":2168.1,"endTime":2168.94,"body":"awesome. It's all"},{"speaker":"Chris Dy","startTime":2169.06,"endTime":2170.86,"body":"that matters that it's"},{"speaker":"Chris Dy","startTime":2169.06,"endTime":2170.86,"body":"sold out. Chuck,"},{"speaker":"Charles Goldfarb","startTime":2171.88,"endTime":2175.06,"body":"anyways, I'm"},{"speaker":"Charles Goldfarb","startTime":2171.88,"endTime":2175.06,"body":"going to do a politicization,"},{"speaker":"Charles Goldfarb","startTime":2175.42,"endTime":2180.04,"body":"which is amazing. Obviously"},{"speaker":"Charles Goldfarb","startTime":2175.42,"endTime":2180.04,"body":"it'll be adult cadaver arm, but"},{"speaker":"Charles Goldfarb","startTime":2180.04,"endTime":2184.02,"body":"I think we can reproduce the"},{"speaker":"Charles Goldfarb","startTime":2180.04,"endTime":2184.02,"body":"mechanism of that process, and"},{"speaker":"Charles Goldfarb","startTime":2184.02,"endTime":2187.44,"body":"so looking forward to that on"},{"speaker":"Charles Goldfarb","startTime":2184.02,"endTime":2187.44,"body":"Saturday afternoon. This is a"},{"speaker":"Charles Goldfarb","startTime":2187.92,"endTime":2188.16,"body":"really"},{"speaker":"Chris Dy","startTime":2188.16,"endTime":2189.9,"body":"cool session that"},{"speaker":"Chris Dy","startTime":2188.16,"endTime":2189.9,"body":"they're doing. I think this,"},{"speaker":"Chris Dy","startTime":2189.9,"endTime":2192.54,"body":"this series, is really cool. I"},{"speaker":"Chris Dy","startTime":2189.9,"endTime":2192.54,"body":"think that Eric and Nina have"},{"speaker":"Chris Dy","startTime":2192.84,"endTime":2196.14,"body":"put a lot of thought into how to"},{"speaker":"Chris Dy","startTime":2192.84,"endTime":2196.14,"body":"structure various types of"},{"speaker":"Chris Dy","startTime":2196.14,"endTime":2199.92,"body":"sessions to get people both kind"},{"speaker":"Chris Dy","startTime":2196.14,"endTime":2199.92,"body":"of the big auditorium style"},{"speaker":"Chris Dy","startTime":2199.92,"endTime":2202.52,"body":"learning, but then also the"},{"speaker":"Chris Dy","startTime":2199.92,"endTime":2202.52,"body":"intimate kind of surgical"},{"speaker":"Chris Dy","startTime":2202.52,"endTime":2205.52,"body":"dissection and pearls and tips"},{"speaker":"Chris Dy","startTime":2202.52,"endTime":2205.52,"body":"and tricks that you get only"},{"speaker":"Chris Dy","startTime":2205.52,"endTime":2209.0,"body":"when you're next to somebody in"},{"speaker":"Chris Dy","startTime":2205.52,"endTime":2209.0,"body":"the or in a cadaver lab. So"},{"speaker":"Chris Dy","startTime":2209.0,"endTime":2210.86,"body":"they've got a number of these."},{"speaker":"Chris Dy","startTime":2209.0,"endTime":2210.86,"body":"You know, my time with the"},{"speaker":"Chris Dy","startTime":2210.86,"endTime":2214.88,"body":"Masters sessions, and I think it"},{"speaker":"Chris Dy","startTime":2210.86,"endTime":2214.88,"body":"was an appropriate choice to"},{"speaker":"Chris Dy","startTime":2214.88,"endTime":2217.16,"body":"have Chuck do that session. So"},{"speaker":"Chris Dy","startTime":2214.88,"endTime":2217.16,"body":"that's that's super exciting."},{"speaker":"Chris Dy","startTime":2218.24,"endTime":2221.08,"body":"Shout out to one of our"},{"speaker":"Chris Dy","startTime":2218.24,"endTime":2221.08,"body":"partners, David Brogan. He's got"},{"speaker":"Chris Dy","startTime":2221.08,"endTime":2224.98,"body":"the number one spot in terms of"},{"speaker":"Chris Dy","startTime":2221.08,"endTime":2224.98,"body":"podium presentations, so he'll"},{"speaker":"Chris Dy","startTime":2224.98,"endTime":2229.18,"body":"be in the the top five, leading"},{"speaker":"Chris Dy","startTime":2224.98,"endTime":2229.18,"body":"off, proudly representing our"},{"speaker":"Chris Dy","startTime":2229.18,"endTime":2229.48,"body":"group."},{"speaker":"Charles Goldfarb","startTime":2229.72,"endTime":2231.4,"body":"Absolutely not"},{"speaker":"Charles Goldfarb","startTime":2229.72,"endTime":2231.4,"body":"his first time,"},{"speaker":"Chris Dy","startTime":2231.46,"endTime":2234.58,"body":"not his first time in"},{"speaker":"Chris Dy","startTime":2231.46,"endTime":2234.58,"body":"the top five. You know, very"},{"speaker":"Chris Dy","startTime":2234.58,"endTime":2237.16,"body":"impressive that that guy,"},{"speaker":"Chris Dy","startTime":2234.58,"endTime":2237.16,"body":"Brogan, I'm glad we brought him"},{"speaker":"Chris Dy","startTime":2237.16,"endTime":2242.4,"body":"over. I'm doing a pre I'm doing"},{"speaker":"Chris Dy","startTime":2237.16,"endTime":2242.4,"body":"a pre I'm chairing a pre course"},{"speaker":"Chris Dy","startTime":2242.4,"endTime":2245.4,"body":"on brachial plexus. I'm super"},{"speaker":"Chris Dy","startTime":2242.4,"endTime":2245.4,"body":"excited, especially because I"},{"speaker":"Chris Dy","startTime":2245.4,"endTime":2248.1,"body":"don't have to give a talk. I'm"},{"speaker":"Chris Dy","startTime":2245.4,"endTime":2248.1,"body":"just sharing. That's the good"},{"speaker":"Chris Dy","startTime":2248.7,"endTime":2251.88,"body":"that's the amazing part about"},{"speaker":"Chris Dy","startTime":2248.7,"endTime":2251.88,"body":"being a co chair is that you can"},{"speaker":"Chris Dy","startTime":2251.88,"endTime":2255.9,"body":"decide whether you're giving a"},{"speaker":"Chris Dy","startTime":2251.88,"endTime":2255.9,"body":"talk or not. And honestly, I did"},{"speaker":"Chris Dy","startTime":2255.9,"endTime":2258.96,"body":"that because I figured somebody"},{"speaker":"Chris Dy","startTime":2255.9,"endTime":2258.96,"body":"would back out at some point and"},{"speaker":"Chris Dy","startTime":2258.96,"endTime":2261.86,"body":"I would have to sub in. So I"},{"speaker":"Chris Dy","startTime":2258.96,"endTime":2261.86,"body":"still might have to do that. But"},{"speaker":"Chris Dy","startTime":2261.86,"endTime":2265.04,"body":"Macy Stoner, our friend of the"},{"speaker":"Chris Dy","startTime":2261.86,"endTime":2265.04,"body":"pod, and our frequent guest is"},{"speaker":"Chris Dy","startTime":2265.04,"endTime":2267.68,"body":"is given going to be giving a"},{"speaker":"Chris Dy","startTime":2265.04,"endTime":2267.68,"body":"great talk about the rehab and"},{"speaker":"Chris Dy","startTime":2267.68,"endTime":2270.56,"body":"psychosocial considerations for"},{"speaker":"Chris Dy","startTime":2267.68,"endTime":2270.56,"body":"brachial plexus patients, in"},{"speaker":"Chris Dy","startTime":2270.56,"endTime":2274.7,"body":"addition to a star studded, All"},{"speaker":"Chris Dy","startTime":2270.56,"endTime":2274.7,"body":"Star International lineup of"},{"speaker":"Chris Dy","startTime":2274.7,"endTime":2277.64,"body":"speakers. So I think it's going"},{"speaker":"Chris Dy","startTime":2274.7,"endTime":2277.64,"body":"to be awesome. You might be able"},{"speaker":"Chris Dy","startTime":2277.64,"endTime":2280.54,"body":"to get a ticket still you talk"},{"speaker":"Chris Dy","startTime":2277.64,"endTime":2280.54,"body":"to me, could probably find a way"},{"speaker":"Chris Dy","startTime":2280.54,"endTime":2284.26,"body":"to get you in. But no, that's"},{"speaker":"Chris Dy","startTime":2280.54,"endTime":2284.26,"body":"going to be super fun. And then"},{"speaker":"Chris Dy","startTime":2284.26,"endTime":2289.18,"body":"I've got, I've got some stuff on"},{"speaker":"Chris Dy","startTime":2284.26,"endTime":2289.18,"body":"Saturday morning. I've got a"},{"speaker":"Chris Dy","startTime":2289.18,"endTime":2292.72,"body":"presentation to give on Saturday"},{"speaker":"Chris Dy","startTime":2289.18,"endTime":2292.72,"body":"morning about some of the"},{"speaker":"Chris Dy","startTime":2292.72,"endTime":2296.26,"body":"psychosocial and considerations"},{"speaker":"Chris Dy","startTime":2292.72,"endTime":2296.26,"body":"for patients with nerve"},{"speaker":"Chris Dy","startTime":2296.26,"endTime":2299.68,"body":"injuries. So that'll be fun."},{"speaker":"Chris Dy","startTime":2296.26,"endTime":2299.68,"body":"Brent George from UVA invited me"},{"speaker":"Chris Dy","startTime":2299.68,"endTime":2303.18,"body":"to be part of a really cool ICL."},{"speaker":"Chris Dy","startTime":2299.68,"endTime":2303.18,"body":"So excited about that. And we've"},{"speaker":"Chris Dy","startTime":2303.18,"endTime":2306.84,"body":"got our WashU hand reception."},{"speaker":"Chris Dy","startTime":2303.18,"endTime":2306.84,"body":"It's gonna be really nice to see"},{"speaker":"Chris Dy","startTime":2306.84,"endTime":2309.6,"body":"everybody from, you know,"},{"speaker":"Chris Dy","startTime":2306.84,"endTime":2309.6,"body":"residency and fellowship in the"},{"speaker":"Chris Dy","startTime":2309.6,"endTime":2312.3,"body":"past, and that'll be Friday"},{"speaker":"Chris Dy","startTime":2309.6,"endTime":2312.3,"body":"night with the rest of the"},{"speaker":"Chris Dy","startTime":2312.3,"endTime":2313.68,"body":"handclub meetings. Yeah,"},{"speaker":"Charles Goldfarb","startTime":2313.68,"endTime":2315.36,"body":"looking"},{"speaker":"Charles Goldfarb","startTime":2313.68,"endTime":2315.36,"body":"forward to that. It has gotten"},{"speaker":"Charles Goldfarb","startTime":2315.36,"endTime":2318.36,"body":"better and better each year"},{"speaker":"Charles Goldfarb","startTime":2315.36,"endTime":2318.36,"body":"under your leadership, it has"},{"speaker":"Charles Goldfarb","startTime":2318.36,"endTime":2323.3,"body":"grown and it is a place to be."},{"speaker":"Charles Goldfarb","startTime":2318.36,"endTime":2323.3,"body":"We even occasionally have"},{"speaker":"Charles Goldfarb","startTime":2323.3,"endTime":2326.18,"body":"friends come by that aren't"},{"speaker":"Charles Goldfarb","startTime":2323.3,"endTime":2326.18,"body":"related or, you know, have no"},{"speaker":"Charles Goldfarb","startTime":2326.18,"endTime":2329.48,"body":"relation to the fellowship. But"},{"speaker":"Charles Goldfarb","startTime":2326.18,"endTime":2329.48,"body":"I really do look forward to"},{"speaker":"Charles Goldfarb","startTime":2329.48,"endTime":2331.88,"body":"seeing everyone and looking"},{"speaker":"Charles Goldfarb","startTime":2329.48,"endTime":2331.88,"body":"forward to hand study in"},{"speaker":"Charles Goldfarb","startTime":2331.88,"endTime":2335.06,"body":"Minneapolis is a great town. Be"},{"speaker":"Charles Goldfarb","startTime":2331.88,"endTime":2335.06,"body":"a great time of year to be"},{"speaker":"Charles Goldfarb","startTime":2335.06,"endTime":2338.66,"body":"there. It's pretty easy for us"},{"speaker":"Charles Goldfarb","startTime":2335.06,"endTime":2338.66,"body":"personally to get there, so"},{"speaker":"Charles Goldfarb","startTime":2338.78,"endTime":2340.04,"body":"checking all the boxes,"},{"speaker":"Chris Dy","startTime":2340.16,"endTime":2342.76,"body":"yeah, absolutely. I've"},{"speaker":"Chris Dy","startTime":2340.16,"endTime":2342.76,"body":"filled up all of my I've done a"},{"speaker":"Chris Dy","startTime":2342.76,"endTime":2345.94,"body":"lot of research culinary"},{"speaker":"Chris Dy","startTime":2342.76,"endTime":2345.94,"body":"situation. Got a hand therapist"},{"speaker":"Chris Dy","startTime":2345.94,"endTime":2349.06,"body":"I work with down in the our"},{"speaker":"Chris Dy","startTime":2345.94,"endTime":2349.06,"body":"south county office. Lizzie"},{"speaker":"Chris Dy","startTime":2349.06,"endTime":2352.42,"body":"Westland is from Minneapolis, so"},{"speaker":"Chris Dy","startTime":2349.06,"endTime":2352.42,"body":"that has helped my selections,"},{"speaker":"Chris Dy","startTime":2352.42,"endTime":2355.36,"body":"as well as probably too much"},{"speaker":"Chris Dy","startTime":2352.42,"endTime":2355.36,"body":"online research. So looking"},{"speaker":"Chris Dy","startTime":2355.36,"endTime":2358.66,"body":"forward to it very good"},{"speaker":"Chris Dy","startTime":2355.36,"endTime":2358.66,"body":"calorically as well."},{"speaker":"Charles Goldfarb","startTime":2360.52,"endTime":2363.0,"body":"That's the"},{"speaker":"Charles Goldfarb","startTime":2360.52,"endTime":2363.0,"body":"fundamental difference between"},{"speaker":"Charles Goldfarb","startTime":2363.0,"endTime":2365.46,"body":"us. At least one of them. I"},{"speaker":"Charles Goldfarb","startTime":2363.0,"endTime":2365.46,"body":"haven't thought about food in"},{"speaker":"Charles Goldfarb","startTime":2365.46,"endTime":2367.8,"body":"Minneapolis. One question"},{"speaker":"Chris Dy","startTime":2367.8,"endTime":2370.5,"body":"for you. So anybody"},{"speaker":"Chris Dy","startTime":2367.8,"endTime":2370.5,"body":"listening, who knows Minneapolis"},{"speaker":"Chris Dy","startTime":2370.56,"endTime":2373.98,"body":"food knows that they are famous"},{"speaker":"Chris Dy","startTime":2370.56,"endTime":2373.98,"body":"for one thing. Do you know what"},{"speaker":"Chris Dy","startTime":2374.04,"endTime":2377.88,"body":"the Minneapolis cuisine is"},{"speaker":"Chris Dy","startTime":2374.04,"endTime":2377.88,"body":"famous for?"},{"speaker":"Charles Goldfarb","startTime":2378.6,"endTime":2379.62,"body":"Cheese curds?"},{"speaker":"Chris Dy","startTime":2379.92,"endTime":2382.46,"body":"No. Close, though,"},{"speaker":"Chris Dy","startTime":2379.92,"endTime":2382.46,"body":"close. It's called a Juicy Lucy."},{"speaker":"Chris Dy","startTime":2383.42,"endTime":2389.84,"body":"It is a thick burger with the"},{"speaker":"Chris Dy","startTime":2383.42,"endTime":2389.84,"body":"cheese on the inside, which I"},{"speaker":"Chris Dy","startTime":2389.84,"endTime":2393.56,"body":"have not had yet, and I'm pretty"},{"speaker":"Chris Dy","startTime":2389.84,"endTime":2393.56,"body":"sure I might just be like on the"},{"speaker":"Chris Dy","startTime":2393.56,"endTime":2396.08,"body":"way to the airport. So don't"},{"speaker":"Chris Dy","startTime":2393.56,"endTime":2396.08,"body":"feel gross the whole week."},{"speaker":"Charles Goldfarb","startTime":2396.68,"endTime":2399.38,"body":"Yeah, you may"},{"speaker":"Charles Goldfarb","startTime":2396.68,"endTime":2399.38,"body":"pay the price on the airplane,"},{"speaker":"Charles Goldfarb","startTime":2399.38,"endTime":2400.12,"body":"though. Okay? Of"},{"speaker":"Chris Dy","startTime":2400.12,"endTime":2402.52,"body":"former presidents have"},{"speaker":"Chris Dy","startTime":2400.12,"endTime":2402.52,"body":"eaten and gotten a Juicy Lucy at"},{"speaker":"Chris Dy","startTime":2402.52,"endTime":2404.68,"body":"the originator, I believe it's"},{"speaker":"Chris Dy","startTime":2402.52,"endTime":2404.68,"body":"Matt's bar. So I mean, you know,"},{"speaker":"Chris Dy","startTime":2404.68,"endTime":2406.9,"body":"it's one of those things where"},{"speaker":"Chris Dy","startTime":2404.68,"endTime":2406.9,"body":"you're probably on the probably"},{"speaker":"Chris Dy","startTime":2406.9,"endTime":2409.3,"body":"somebody on the campaign tours"},{"speaker":"Chris Dy","startTime":2406.9,"endTime":2409.3,"body":"trying to look folksy and"},{"speaker":"Chris Dy","startTime":2409.3,"endTime":2413.38,"body":"relatable and goes and gets the"},{"speaker":"Chris Dy","startTime":2409.3,"endTime":2413.38,"body":"cardiac platter. So anyway,"},{"speaker":"Chris Dy","startTime":2413.38,"endTime":2416.44,"body":"looking forward to it. If you're"},{"speaker":"Chris Dy","startTime":2413.38,"endTime":2416.44,"body":"at the Hansen site meeting in"},{"speaker":"Chris Dy","startTime":2416.44,"endTime":2419.74,"body":"Minneapolis, please come up and"},{"speaker":"Chris Dy","startTime":2416.44,"endTime":2419.74,"body":"tell Chuck and I about what you"},{"speaker":"Chris Dy","startTime":2419.74,"endTime":2423.12,"body":"want to hear on the podcast. As"},{"speaker":"Chris Dy","startTime":2419.74,"endTime":2423.12,"body":"you know, you're probably going"},{"speaker":"Chris Dy","startTime":2423.12,"endTime":2425.34,"body":"to have to get in line to talk"},{"speaker":"Chris Dy","startTime":2423.12,"endTime":2425.34,"body":"to Chuck, because a lot of"},{"speaker":"Chris Dy","startTime":2425.34,"endTime":2428.04,"body":"people want to talk to him. Just"},{"speaker":"Chris Dy","startTime":2425.34,"endTime":2428.04,"body":"come up to me whenever. I mean,"},{"speaker":"Chris Dy","startTime":2428.04,"endTime":2429.36,"body":"I'm pretty casual guy, so"},{"speaker":"Charles Goldfarb","startTime":2430.74,"endTime":2433.56,"body":"I love it. All"},{"speaker":"Charles Goldfarb","startTime":2430.74,"endTime":2433.56,"body":"right. Well, this was fun, and"},{"speaker":"Charles Goldfarb","startTime":2433.62,"endTime":2434.64,"body":"have a good day."},{"speaker":"Chris Dy","startTime":2434.76,"endTime":2436.32,"body":"All right. You too."},{"speaker":"Chris Dy","startTime":2434.76,"endTime":2436.32,"body":"Take care. Bye."},{"speaker":"Charles Goldfarb","startTime":2438.18,"endTime":2440.16,"body":"Hey, Chris,"},{"speaker":"Charles Goldfarb","startTime":2438.18,"endTime":2440.16,"body":"that was fun. Let's do it again"},{"speaker":"Charles Goldfarb","startTime":2440.16,"endTime":2440.78,"body":"real soon"},{"speaker":"Chris Dy","startTime":2441.32,"endTime":2443.48,"body":"sounds good. Well, be"},{"speaker":"Chris Dy","startTime":2441.32,"endTime":2443.48,"body":"sure to email us with topic"},{"speaker":"Chris Dy","startTime":2443.48,"endTime":2445.64,"body":"suggestions and feedback. You"},{"speaker":"Chris Dy","startTime":2443.48,"endTime":2445.64,"body":"can reach us at"},{"speaker":"Chris Dy","startTime":2445.64,"endTime":2446.48,"body":"handpodcast@gmail.com"},{"speaker":"Charles Goldfarb","startTime":2448.22,"endTime":2450.38,"body":"and remember,"},{"speaker":"Charles Goldfarb","startTime":2448.22,"endTime":2450.38,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":2450.38,"endTime":2451.34,"body":"get your podcast,"},{"speaker":"Chris Dy","startTime":2451.76,"endTime":2454.64,"body":"and be sure to leave a"},{"speaker":"Chris Dy","startTime":2451.76,"endTime":2454.64,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":2454.64,"endTime":2456.2,"body":"word out. Special,"},{"speaker":"Charles Goldfarb","startTime":2456.2,"endTime":2458.3,"body":"thanks to"},{"speaker":"Charles Goldfarb","startTime":2456.2,"endTime":2458.3,"body":"Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":2458.3,"endTime":2459.98,"body":"music, and remember,"},{"speaker":"Chris Dy","startTime":2459.98,"endTime":2461.86,"body":"keep the upper hand."},{"speaker":"Chris Dy","startTime":2459.98,"endTime":2461.86,"body":"Come back next time you."}]}