{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":0.0,"endTime":7.08,"body":"Chuck, welcome"},{"speaker":"Charles Goldfarb","startTime":0.0,"endTime":7.08,"body":"to the Upper Hand Podcast, where"},{"speaker":"Charles Goldfarb","startTime":7.08,"endTime":8.85,"body":"Chuck and Chris talk hand"},{"speaker":"Charles Goldfarb","startTime":7.08,"endTime":8.85,"body":"surgery."},{"speaker":"Chris Dy","startTime":9.51,"endTime":11.43,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":9.51,"endTime":11.43,"body":"surgeons at Washington"},{"speaker":"Chris Dy","startTime":11.43,"endTime":14.37,"body":"University in St Louis, here to"},{"speaker":"Chris Dy","startTime":11.43,"endTime":14.37,"body":"talk about all things hand"},{"speaker":"Chris Dy","startTime":14.37,"endTime":16.59,"body":"surgery related from technical"},{"speaker":"Chris Dy","startTime":14.37,"endTime":16.59,"body":"to personal."},{"speaker":"Charles Goldfarb","startTime":17.13,"endTime":19.02,"body":"Please"},{"speaker":"Charles Goldfarb","startTime":17.13,"endTime":19.02,"body":"subscribe wherever you get your"},{"speaker":"Charles Goldfarb","startTime":19.02,"endTime":20.82,"body":"podcasts, and thank"},{"speaker":"Chris Dy","startTime":20.82,"endTime":23.58,"body":"you in advance for"},{"speaker":"Chris Dy","startTime":20.82,"endTime":23.58,"body":"leaving a review and rating that"},{"speaker":"Chris Dy","startTime":23.58,"endTime":26.01,"body":"helps us get the word out. You"},{"speaker":"Chris Dy","startTime":23.58,"endTime":26.01,"body":"can email us at"},{"speaker":"Chris Dy","startTime":26.04,"endTime":29.49,"body":"handpodcast@gmail.com so let's"},{"speaker":"Chris Dy","startTime":26.04,"endTime":29.49,"body":"get to the episode."},{"speaker":"Charles Goldfarb","startTime":31.47,"endTime":32.37,"body":"Hi Chris."},{"speaker":"Chris Dy","startTime":32.82,"endTime":33.69,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":32.82,"endTime":33.69,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":34.23,"endTime":36.06,"body":"I'm good. I'm"},{"speaker":"Charles Goldfarb","startTime":34.23,"endTime":36.06,"body":"missing you."},{"speaker":"Chris Dy","startTime":36.39,"endTime":38.73,"body":"Yeah, you know, I'm"},{"speaker":"Chris Dy","startTime":36.39,"endTime":38.73,"body":"missing you too. You're uh,"},{"speaker":"Chris Dy","startTime":38.76,"endTime":41.49,"body":"you're in your penguin suit, as"},{"speaker":"Chris Dy","startTime":38.76,"endTime":41.49,"body":"they call it, you're all dressed"},{"speaker":"Chris Dy","startTime":41.49,"endTime":43.77,"body":"up. I don't think anybody wears"},{"speaker":"Chris Dy","startTime":41.49,"endTime":43.77,"body":"ties anymore, but you're that"},{"speaker":"Chris Dy","startTime":43.77,"endTime":44.19,"body":"guy."},{"speaker":"Charles Goldfarb","startTime":44.82,"endTime":48.0,"body":"Well, you know"},{"speaker":"Charles Goldfarb","startTime":44.82,"endTime":48.0,"body":"my official capacity. I have to,"},{"speaker":"Charles Goldfarb","startTime":48.24,"endTime":50.16,"body":"have to look good, Chris, I have"},{"speaker":"Charles Goldfarb","startTime":48.24,"endTime":50.16,"body":"to look good."},{"speaker":"Chris Dy","startTime":50.28,"endTime":53.28,"body":"Yes, you are on the"},{"speaker":"Chris Dy","startTime":50.28,"endTime":53.28,"body":"council of the ASSH. You're a"},{"speaker":"Chris Dy","startTime":53.28,"endTime":57.66,"body":"featured presenter slash"},{"speaker":"Chris Dy","startTime":53.28,"endTime":57.66,"body":"Dissector, and would expect"},{"speaker":"Chris Dy","startTime":57.66,"endTime":60.06,"body":"nothing less from you, Chuck,"},{"speaker":"Chris Dy","startTime":57.66,"endTime":60.06,"body":"nothing less."},{"speaker":"Charles Goldfarb","startTime":60.42,"endTime":64.68,"body":"I can tell you"},{"speaker":"Charles Goldfarb","startTime":60.42,"endTime":64.68,"body":"that your present attire, and"},{"speaker":"Charles Goldfarb","startTime":64.71,"endTime":67.56,"body":"that's a hint to those of you"},{"speaker":"Charles Goldfarb","startTime":64.71,"endTime":67.56,"body":"listening to maybe go check us"},{"speaker":"Charles Goldfarb","startTime":67.56,"endTime":70.8,"body":"out on YouTube, is way better"},{"speaker":"Charles Goldfarb","startTime":67.56,"endTime":70.8,"body":"than mine."},{"speaker":"Chris Dy","startTime":71.73,"endTime":75.24,"body":"Yeah, I actually"},{"speaker":"Chris Dy","startTime":71.73,"endTime":75.24,"body":"followed the Marty Boyer rule to"},{"speaker":"Chris Dy","startTime":75.24,"endTime":78.63,"body":"the extreme and took the early,"},{"speaker":"Chris Dy","startTime":75.24,"endTime":78.63,"body":"early, early flight home. There"},{"speaker":"Chris Dy","startTime":78.63,"endTime":81.72,"body":"was a lot going on at home, and"},{"speaker":"Chris Dy","startTime":78.63,"endTime":81.72,"body":"just wanted to help out. My"},{"speaker":"Chris Dy","startTime":81.72,"endTime":85.26,"body":"meeting obligations were very"},{"speaker":"Chris Dy","startTime":81.72,"endTime":85.26,"body":"front loaded, so I did what I"},{"speaker":"Chris Dy","startTime":85.32,"endTime":88.11,"body":"absolutely needed to do in the"},{"speaker":"Chris Dy","startTime":85.32,"endTime":88.11,"body":"essentialist sense, missed out"},{"speaker":"Chris Dy","startTime":88.11,"endTime":90.0,"body":"on some stuff at the meeting,"},{"speaker":"Chris Dy","startTime":88.11,"endTime":90.0,"body":"very sad. I didn't get to see a"},{"speaker":"Chris Dy","startTime":90.0,"endTime":92.58,"body":"lot of people get all the"},{"speaker":"Chris Dy","startTime":90.0,"endTime":92.58,"body":"podcast love that you're"},{"speaker":"Chris Dy","startTime":92.58,"endTime":95.25,"body":"getting, although I did get my"},{"speaker":"Chris Dy","startTime":92.58,"endTime":95.25,"body":"fair share. Yeah,"},{"speaker":"Charles Goldfarb","startTime":95.28,"endTime":97.47,"body":"for those of"},{"speaker":"Charles Goldfarb","startTime":95.28,"endTime":97.47,"body":"you who said hello at the"},{"speaker":"Charles Goldfarb","startTime":97.47,"endTime":101.01,"body":"meeting, thank you. It really"},{"speaker":"Charles Goldfarb","startTime":97.47,"endTime":101.01,"body":"goes a long way towards Chris"},{"speaker":"Charles Goldfarb","startTime":101.01,"endTime":105.21,"body":"and I's love for the pod, and we"},{"speaker":"Charles Goldfarb","startTime":101.01,"endTime":105.21,"body":"shared a little swag, which"},{"speaker":"Charles Goldfarb","startTime":105.24,"endTime":109.05,"body":"hopefully is appreciated. And"},{"speaker":"Charles Goldfarb","startTime":105.24,"endTime":109.05,"body":"it's been, it's been fun."},{"speaker":"Chris Dy","startTime":109.41,"endTime":112.44,"body":"Shall your loops never"},{"speaker":"Chris Dy","startTime":109.41,"endTime":112.44,"body":"fall off of your neck again if"},{"speaker":"Chris Dy","startTime":112.44,"endTime":116.04,"body":"you get my drift, or your"},{"speaker":"Chris Dy","startTime":112.44,"endTime":116.04,"body":"sunglasses or your or your"},{"speaker":"Chris Dy","startTime":116.04,"endTime":119.52,"body":"readers or your clicks or"},{"speaker":"Chris Dy","startTime":116.04,"endTime":119.52,"body":"whatever they are, yeah, and it"},{"speaker":"Chris Dy","startTime":119.52,"endTime":122.64,"body":"was great. It's always fun to"},{"speaker":"Chris Dy","startTime":119.52,"endTime":122.64,"body":"see people. I was there the"},{"speaker":"Chris Dy","startTime":122.64,"endTime":125.79,"body":"majority of Tuesday and"},{"speaker":"Chris Dy","startTime":122.64,"endTime":125.79,"body":"Wednesday, and got to see a lot"},{"speaker":"Chris Dy","startTime":125.79,"endTime":128.79,"body":"of people, and got a lot of love"},{"speaker":"Chris Dy","startTime":125.79,"endTime":128.79,"body":"for the podcast. Thank you for"},{"speaker":"Chris Dy","startTime":128.97,"endTime":132.06,"body":"everybody for coming up and"},{"speaker":"Chris Dy","startTime":128.97,"endTime":132.06,"body":"saying that you like it and love"},{"speaker":"Chris Dy","startTime":132.06,"endTime":135.96,"body":"it, because, as my daughter is"},{"speaker":"Chris Dy","startTime":132.06,"endTime":135.96,"body":"learning in her first grade"},{"speaker":"Chris Dy","startTime":135.96,"endTime":139.32,"body":"class, that fills our bucket and"},{"speaker":"Chris Dy","startTime":135.96,"endTime":139.32,"body":"makes us happy and keeps us"},{"speaker":"Chris Dy","startTime":139.32,"endTime":141.39,"body":"going fills our bucket"},{"speaker":"Charles Goldfarb","startTime":141.39,"endTime":143.67,"body":"This is true."},{"speaker":"Charles Goldfarb","startTime":141.39,"endTime":143.67,"body":"You know what filled my bucket,"},{"speaker":"Charles Goldfarb","startTime":143.67,"endTime":147.12,"body":"so to speak, was our washi"},{"speaker":"Charles Goldfarb","startTime":143.67,"endTime":147.12,"body":"reunion last night, which was on"},{"speaker":"Charles Goldfarb","startTime":147.12,"endTime":148.29,"body":"Friday evening."},{"speaker":"Chris Dy","startTime":148.56,"endTime":151.32,"body":"I'm sure it was a star"},{"speaker":"Chris Dy","startTime":148.56,"endTime":151.32,"body":"studded event. Can you tell me"},{"speaker":"Chris Dy","startTime":151.32,"endTime":151.68,"body":"more?"},{"speaker":"Charles Goldfarb","startTime":152.34,"endTime":157.29,"body":"I can. We had"},{"speaker":"Charles Goldfarb","startTime":152.34,"endTime":157.29,"body":"a massive room, which tends to"},{"speaker":"Charles Goldfarb","startTime":157.29,"endTime":160.41,"body":"make the attendance look less"},{"speaker":"Charles Goldfarb","startTime":157.29,"endTime":160.41,"body":"than it was. And if Marty hadn't"},{"speaker":"Charles Goldfarb","startTime":160.41,"endTime":164.31,"body":"shared a picture with you. He"},{"speaker":"Charles Goldfarb","startTime":160.41,"endTime":164.31,"body":"will. It was, as always,"},{"speaker":"Charles Goldfarb","startTime":164.61,"endTime":168.03,"body":"fantastic. I don't this is not"},{"speaker":"Charles Goldfarb","startTime":164.61,"endTime":168.03,"body":"the most well attended hand"},{"speaker":"Charles Goldfarb","startTime":168.03,"endTime":171.96,"body":"Society meeting ever, but we had"},{"speaker":"Charles Goldfarb","startTime":168.03,"endTime":171.96,"body":"a really good showing. And true"},{"speaker":"Charles Goldfarb","startTime":171.96,"endTime":175.47,"body":"to form, we got in a big circle,"},{"speaker":"Charles Goldfarb","startTime":171.96,"endTime":175.47,"body":"we did not hold hands. We got in"},{"speaker":"Charles Goldfarb","startTime":175.47,"endTime":178.2,"body":"a big circle and went around the"},{"speaker":"Charles Goldfarb","startTime":175.47,"endTime":178.2,"body":"room and introduced ourselves"},{"speaker":"Charles Goldfarb","startTime":178.2,"endTime":182.28,"body":"and gave a little update on"},{"speaker":"Charles Goldfarb","startTime":178.2,"endTime":182.28,"body":"status. And really, really"},{"speaker":"Charles Goldfarb","startTime":182.28,"endTime":183.87,"body":"great, great."},{"speaker":"Chris Dy","startTime":183.87,"endTime":187.14,"body":"Always, always a fun"},{"speaker":"Chris Dy","startTime":183.87,"endTime":187.14,"body":"event. And you know, our WashU"},{"speaker":"Chris Dy","startTime":187.17,"endTime":190.62,"body":"pan family is very special, and"},{"speaker":"Chris Dy","startTime":187.17,"endTime":190.62,"body":"it was, I think, some of our"},{"speaker":"Chris Dy","startTime":190.65,"endTime":193.83,"body":"incoming fellows and one of our"},{"speaker":"Chris Dy","startTime":190.65,"endTime":193.83,"body":"current fellows stopped by. And"},{"speaker":"Chris Dy","startTime":193.83,"endTime":196.86,"body":"you know, some past fellows, of"},{"speaker":"Chris Dy","startTime":193.83,"endTime":196.86,"body":"course. So always good to see"},{"speaker":"Chris Dy","startTime":196.86,"endTime":199.47,"body":"those who have come through our"},{"speaker":"Chris Dy","startTime":196.86,"endTime":199.47,"body":"fellowship and part of our"},{"speaker":"Chris Dy","startTime":199.47,"endTime":203.1,"body":"residency, actually had dinner"},{"speaker":"Chris Dy","startTime":199.47,"endTime":203.1,"body":"with Liz Graesser and Dan Hong."},{"speaker":"Chris Dy","startTime":203.1,"endTime":206.61,"body":"So both current fellows, Liz was"},{"speaker":"Chris Dy","startTime":203.1,"endTime":206.61,"body":"a chief resident, and Dan is one"},{"speaker":"Chris Dy","startTime":206.61,"endTime":208.89,"body":"of our current residents. He"},{"speaker":"Chris Dy","startTime":206.61,"endTime":208.89,"body":"loves getting shout outs by name"},{"speaker":"Chris Dy","startTime":208.89,"endTime":211.35,"body":"on the podcast, so I figured I'd"},{"speaker":"Chris Dy","startTime":208.89,"endTime":211.35,"body":"drop one more time for him, just"},{"speaker":"Chris Dy","startTime":211.35,"endTime":214.44,"body":"so he could really relish that"},{"speaker":"Chris Dy","startTime":211.35,"endTime":214.44,"body":"while he is on his trip to"},{"speaker":"Chris Dy","startTime":214.44,"endTime":215.94,"body":"India. Yes,"},{"speaker":"Charles Goldfarb","startTime":215.94,"endTime":221.91,"body":"I know he's on"},{"speaker":"Charles Goldfarb","startTime":215.94,"endTime":221.91,"body":"his way. So Liz helped to write"},{"speaker":"Charles Goldfarb","startTime":221.97,"endTime":227.49,"body":"a really, really good paper that"},{"speaker":"Charles Goldfarb","startTime":221.97,"endTime":227.49,"body":"was chosen as the LIN shy"},{"speaker":"Charles Goldfarb","startTime":227.49,"endTime":231.21,"body":"Dobbins clinical I don't know"},{"speaker":"Charles Goldfarb","startTime":227.49,"endTime":231.21,"body":"what exactly it's called, the"},{"speaker":"Charles Goldfarb","startTime":231.21,"endTime":232.2,"body":"wrist and wrist,"},{"speaker":"Chris Dy","startTime":233.55,"endTime":235.71,"body":"best paper and wrist,"},{"speaker":"Chris Dy","startTime":233.55,"endTime":235.71,"body":"basically, right? Yeah, thank"},{"speaker":"Charles Goldfarb","startTime":235.71,"endTime":237.84,"body":"you. And so as"},{"speaker":"Charles Goldfarb","startTime":235.71,"endTime":237.84,"body":"part of that, we get a little"},{"speaker":"Charles Goldfarb","startTime":237.84,"endTime":241.74,"body":"Award, which is great. But more"},{"speaker":"Charles Goldfarb","startTime":237.84,"endTime":241.74,"body":"importantly, we put on an ICL,"},{"speaker":"Charles Goldfarb","startTime":241.74,"endTime":246.63,"body":"and so I had some of the authors"},{"speaker":"Charles Goldfarb","startTime":241.74,"endTime":246.63,"body":"join, join me, and we have a we"},{"speaker":"Charles Goldfarb","startTime":246.66,"endTime":251.01,"body":"really had a good session on"},{"speaker":"Charles Goldfarb","startTime":246.66,"endTime":251.01,"body":"Friday morning, which was super"},{"speaker":"Charles Goldfarb","startTime":251.01,"endTime":254.04,"body":"well attended, and we had a"},{"speaker":"Charles Goldfarb","startTime":251.01,"endTime":254.04,"body":"great conversation. And I love"},{"speaker":"Charles Goldfarb","startTime":254.04,"endTime":257.07,"body":"it when I didn't even have time"},{"speaker":"Charles Goldfarb","startTime":254.04,"endTime":257.07,"body":"to show the cases, because all"},{"speaker":"Charles Goldfarb","startTime":257.07,"endTime":260.16,"body":"the questions and comments and"},{"speaker":"Charles Goldfarb","startTime":257.07,"endTime":260.16,"body":"the room, everyone just came"},{"speaker":"Charles Goldfarb","startTime":260.16,"endTime":262.98,"body":"forward at the end and wanted to"},{"speaker":"Charles Goldfarb","startTime":260.16,"endTime":262.98,"body":"talk more. There was at least"},{"speaker":"Charles Goldfarb","startTime":263.01,"endTime":267.45,"body":"100 people for a 8am session. So"},{"speaker":"Charles Goldfarb","startTime":263.01,"endTime":267.45,"body":"it was great. That's"},{"speaker":"Chris Dy","startTime":267.45,"endTime":269.16,"body":"super impressive. Now,"},{"speaker":"Chris Dy","startTime":267.45,"endTime":269.16,"body":"this was a paper on inner"},{"speaker":"Chris Dy","startTime":269.16,"endTime":272.76,"body":"observer reliability for wrist"},{"speaker":"Chris Dy","startTime":269.16,"endTime":272.76,"body":"arthroscopy and grading. Was it"},{"speaker":"Chris Dy","startTime":272.76,"endTime":273.51,"body":"hook and trampoline?"},{"speaker":"Charles Goldfarb","startTime":273.9,"endTime":275.43,"body":"Yeah,"},{"speaker":"Charles Goldfarb","startTime":273.9,"endTime":275.43,"body":"basically just assessment of the"},{"speaker":"Charles Goldfarb","startTime":275.43,"endTime":278.73,"body":"TSCC and confirming tears and"},{"speaker":"Charles Goldfarb","startTime":275.43,"endTime":278.73,"body":"then applying classification to"},{"speaker":"Charles Goldfarb","startTime":278.73,"endTime":281.76,"body":"tears. And the bottom line is,"},{"speaker":"Charles Goldfarb","startTime":278.73,"endTime":281.76,"body":"we are really good at"},{"speaker":"Charles Goldfarb","startTime":281.76,"endTime":285.9,"body":"identifying central tears, and"},{"speaker":"Charles Goldfarb","startTime":281.76,"endTime":285.9,"body":"we are really bad at agreeing on"},{"speaker":"Charles Goldfarb","startTime":285.93,"endTime":289.65,"body":"all other types of TFCC tears."},{"speaker":"Charles Goldfarb","startTime":285.93,"endTime":289.65,"body":"And so it actually the"},{"speaker":"Charles Goldfarb","startTime":289.65,"endTime":292.59,"body":"opportunity to have an ICL was"},{"speaker":"Charles Goldfarb","startTime":289.65,"endTime":292.59,"body":"perfect, because part of the"},{"speaker":"Charles Goldfarb","startTime":292.59,"endTime":297.06,"body":"takeaway from the from the paper"},{"speaker":"Charles Goldfarb","startTime":292.59,"endTime":297.06,"body":"is we need to we need to come"},{"speaker":"Charles Goldfarb","startTime":297.06,"endTime":299.49,"body":"together, and we need to educate"},{"speaker":"Charles Goldfarb","startTime":297.06,"endTime":299.49,"body":"and we need to talk about this"},{"speaker":"Chris Dy","startTime":299.79,"endTime":300.9,"body":"So. What's the next"},{"speaker":"Chris Dy","startTime":299.79,"endTime":300.9,"body":"step?"},{"speaker":"Charles Goldfarb","startTime":301.92,"endTime":304.08,"body":"The group is"},{"speaker":"Charles Goldfarb","startTime":301.92,"endTime":304.08,"body":"going to get back together and"},{"speaker":"Charles Goldfarb","startTime":304.08,"endTime":309.54,"body":"try to over zoom and try to help"},{"speaker":"Charles Goldfarb","startTime":304.08,"endTime":309.54,"body":"define how one should think"},{"speaker":"Charles Goldfarb","startTime":309.54,"endTime":314.25,"body":"about confirming a tear, see if"},{"speaker":"Charles Goldfarb","startTime":309.54,"endTime":314.25,"body":"we can come to an agreement on"},{"speaker":"Charles Goldfarb","startTime":314.25,"endTime":318.45,"body":"some steps that a any risk"},{"speaker":"Charles Goldfarb","startTime":314.25,"endTime":318.45,"body":"arthroscopist could take, and"},{"speaker":"Charles Goldfarb","startTime":318.45,"endTime":323.67,"body":"then we may reapply, you know,"},{"speaker":"Charles Goldfarb","startTime":318.45,"endTime":323.67,"body":"apply those steps to a whole"},{"speaker":"Charles Goldfarb","startTime":323.67,"endTime":325.41,"body":"bunch of new arthroscopies."},{"speaker":"Chris Dy","startTime":325.62,"endTime":327.93,"body":"Sounds like a Delphi"},{"speaker":"Chris Dy","startTime":325.62,"endTime":327.93,"body":"paper in the making. I look"},{"speaker":"Chris Dy","startTime":327.93,"endTime":331.92,"body":"forward to to seeing the the"},{"speaker":"Chris Dy","startTime":327.93,"endTime":331.92,"body":"outcome of that. Not surprised."},{"speaker":"Chris Dy","startTime":332.04,"endTime":336.09,"body":"Chuck Goldfarb, the workerman,"},{"speaker":"Chris Dy","startTime":332.04,"endTime":336.09,"body":"hammering nails at all points"},{"speaker":"Chris Dy","startTime":336.36,"endTime":339.12,"body":"with his hammer, just collecting"},{"speaker":"Chris Dy","startTime":336.36,"endTime":339.12,"body":"awards in the process."},{"speaker":"Charles Goldfarb","startTime":339.39,"endTime":342.66,"body":"Its funny."},{"speaker":"Charles Goldfarb","startTime":339.39,"endTime":342.66,"body":"You're so kind. It's funny, the"},{"speaker":"Charles Goldfarb","startTime":343.38,"endTime":346.32,"body":"I haven't been as deeply"},{"speaker":"Charles Goldfarb","startTime":343.38,"endTime":346.32,"body":"involved in research while this"},{"speaker":"Charles Goldfarb","startTime":346.32,"endTime":349.44,"body":"MBA thing is happening, but"},{"speaker":"Charles Goldfarb","startTime":346.32,"endTime":349.44,"body":"we've had a couple of really"},{"speaker":"Charles Goldfarb","startTime":349.44,"endTime":352.02,"body":"good papers come out. The CMC"},{"speaker":"Charles Goldfarb","startTime":349.44,"endTime":352.02,"body":"paper, the prospective"},{"speaker":"Charles Goldfarb","startTime":352.02,"endTime":356.37,"body":"randomized child will be lead"},{"speaker":"Charles Goldfarb","startTime":352.02,"endTime":356.37,"body":"author. I mean, lead paper in"},{"speaker":"Charles Goldfarb","startTime":356.4,"endTime":359.94,"body":"October. JHS, which is a nice"},{"speaker":"Charles Goldfarb","startTime":356.4,"endTime":359.94,"body":"talk to Brent about that. Yeah,"},{"speaker":"Chris Dy","startTime":360.4,"endTime":362.34,"body":"no, that's great."},{"speaker":"Chris Dy","startTime":360.4,"endTime":362.34,"body":"That's so that's two months in a"},{"speaker":"Chris Dy","startTime":362.34,"endTime":366.24,"body":"row for WashU, because my paper"},{"speaker":"Chris Dy","startTime":362.34,"endTime":366.24,"body":"was our planet study group paper"},{"speaker":"Chris Dy","startTime":366.6,"endTime":371.46,"body":"was the lead lead paper for the"},{"speaker":"Chris Dy","startTime":366.6,"endTime":371.46,"body":"September edition. So you'll"},{"speaker":"Charles Goldfarb","startTime":371.46,"endTime":373.44,"body":"forget. You'll"},{"speaker":"Charles Goldfarb","startTime":371.46,"endTime":373.44,"body":"forgive me if I didn't read it,"},{"speaker":"Charles Goldfarb","startTime":373.44,"endTime":376.56,"body":"but tell me, if not, the"},{"speaker":"Charles Goldfarb","startTime":373.44,"endTime":376.56,"body":"listeners, what it was about."},{"speaker":"Chris Dy","startTime":377.46,"endTime":379.74,"body":"It was about the most"},{"speaker":"Chris Dy","startTime":377.46,"endTime":379.74,"body":"challenging issue we have in"},{"speaker":"Chris Dy","startTime":379.74,"endTime":383.78,"body":"nerve surgery, which is pain."},{"speaker":"Chris Dy","startTime":379.74,"endTime":383.78,"body":"You know, we're not great at"},{"speaker":"Chris Dy","startTime":383.78,"endTime":388.52,"body":"motor we're even worse at pain."},{"speaker":"Chris Dy","startTime":383.78,"endTime":388.52,"body":"And to be honest with you, the"},{"speaker":"Chris Dy","startTime":388.52,"endTime":390.74,"body":"pain and the psychosocial"},{"speaker":"Chris Dy","startTime":388.52,"endTime":390.74,"body":"aspects are the things that we"},{"speaker":"Chris Dy","startTime":390.8,"endTime":393.2,"body":"can probably start to get in"},{"speaker":"Chris Dy","startTime":390.8,"endTime":393.2,"body":"front of right away from Day"},{"speaker":"Chris Dy","startTime":393.2,"endTime":396.02,"body":"Zero, whether you operate on"},{"speaker":"Chris Dy","startTime":393.2,"endTime":396.02,"body":"patients or not, and while"},{"speaker":"Chris Dy","startTime":396.02,"endTime":399.92,"body":"you're waiting in that very long"},{"speaker":"Chris Dy","startTime":396.02,"endTime":399.92,"body":"regenerative phase, this is the"},{"speaker":"Chris Dy","startTime":399.92,"endTime":402.34,"body":"thing that will limit your"},{"speaker":"Chris Dy","startTime":399.92,"endTime":402.34,"body":"outcome, pain and psychosocial"},{"speaker":"Chris Dy","startTime":402.34,"endTime":406.9,"body":"support. So I've focused a lot"},{"speaker":"Chris Dy","startTime":402.34,"endTime":406.9,"body":"of my efforts initially, given"},{"speaker":"Chris Dy","startTime":406.9,"endTime":409.96,"body":"that, you know, Plexus is a long"},{"speaker":"Chris Dy","startTime":406.9,"endTime":409.96,"body":"term outcome kind of thing. So"},{"speaker":"Chris Dy","startTime":409.96,"endTime":412.24,"body":"all of our efforts initially"},{"speaker":"Chris Dy","startTime":409.96,"endTime":412.24,"body":"have focused on short term and"},{"speaker":"Chris Dy","startTime":412.24,"endTime":415.0,"body":"pre op things like this to date,"},{"speaker":"Chris Dy","startTime":412.24,"endTime":415.0,"body":"and, you know, we'll get to the"},{"speaker":"Chris Dy","startTime":415.0,"endTime":417.94,"body":"point where we're looking at"},{"speaker":"Chris Dy","startTime":415.0,"endTime":417.94,"body":"long term outcomes, but it's"},{"speaker":"Chris Dy","startTime":417.94,"endTime":420.84,"body":"sobering. I mean, pain"},{"speaker":"Chris Dy","startTime":417.94,"endTime":420.84,"body":"interference scores, you know,"},{"speaker":"Chris Dy","startTime":420.9,"endTime":425.1,"body":"high don't change at a year,"},{"speaker":"Chris Dy","startTime":420.9,"endTime":425.1,"body":"regardless of the functional"},{"speaker":"Chris Dy","startTime":425.1,"endTime":427.62,"body":"outcome, the limited functional"},{"speaker":"Chris Dy","startTime":425.1,"endTime":427.62,"body":"outcomes that we have at one"},{"speaker":"Chris Dy","startTime":427.62,"endTime":431.46,"body":"year. So we talked about that"},{"speaker":"Chris Dy","startTime":427.62,"endTime":431.46,"body":"with Brent, I think. And if"},{"speaker":"Chris Dy","startTime":431.46,"endTime":434.1,"body":"anybody has talked to Brent"},{"speaker":"Chris Dy","startTime":431.46,"endTime":434.1,"body":"about Plexus surgery, they know"},{"speaker":"Chris Dy","startTime":434.1,"endTime":437.1,"body":"that he is somewhat of a skeptic"},{"speaker":"Chris Dy","startTime":434.1,"endTime":437.1,"body":"in terms of the value of Plexus"},{"speaker":"Chris Dy","startTime":437.1,"endTime":439.92,"body":"surgery, but he knows that it's"},{"speaker":"Chris Dy","startTime":437.1,"endTime":439.92,"body":"a very attractive topic to many."},{"speaker":"Chris Dy","startTime":441.12,"endTime":443.66,"body":"So I think that there's a lot of"},{"speaker":"Chris Dy","startTime":441.12,"endTime":443.66,"body":"work for us to do. So that was a"},{"speaker":"Chris Dy","startTime":443.66,"endTime":444.56,"body":"gist of our article."},{"speaker":"Charles Goldfarb","startTime":444.98,"endTime":448.52,"body":"Nice, yeah,"},{"speaker":"Charles Goldfarb","startTime":444.98,"endTime":448.52,"body":"sounds really important. Did you"},{"speaker":"Charles Goldfarb","startTime":448.52,"endTime":451.52,"body":"do the little Skype interview"},{"speaker":"Charles Goldfarb","startTime":448.52,"endTime":451.52,"body":"with"},{"speaker":"Chris Dy","startTime":451.58,"endTime":454.22,"body":"I did? I think Brent's"},{"speaker":"Chris Dy","startTime":451.58,"endTime":454.22,"body":"the only one who still uses"},{"speaker":"Chris Dy","startTime":454.22,"endTime":457.64,"body":"Skype, and I love him for that."},{"speaker":"Chris Dy","startTime":454.22,"endTime":457.64,"body":"It is like I almost expected him"},{"speaker":"Chris Dy","startTime":457.64,"endTime":461.44,"body":"to take out his Walkman and just"},{"speaker":"Chris Dy","startTime":457.64,"endTime":461.44,"body":"kind of start recording us, but"},{"speaker":"Chris Dy","startTime":462.46,"endTime":463.6,"body":"it was a fun interview."},{"speaker":"Charles Goldfarb","startTime":464.08,"endTime":465.88,"body":"It was great."},{"speaker":"Charles Goldfarb","startTime":464.08,"endTime":465.88,"body":"He said, Yeah, I'll do this over"},{"speaker":"Charles Goldfarb","startTime":465.88,"endTime":468.52,"body":"Skype. And I did a double take"},{"speaker":"Charles Goldfarb","startTime":465.88,"endTime":468.52,"body":"as we were talking in person."},{"speaker":"Charles Goldfarb","startTime":468.52,"endTime":471.1,"body":"And then I had to go download"},{"speaker":"Charles Goldfarb","startTime":468.52,"endTime":471.1,"body":"Skype, which apparently I had"},{"speaker":"Charles Goldfarb","startTime":471.1,"endTime":473.86,"body":"downloaded in years past, but it"},{"speaker":"Charles Goldfarb","startTime":471.1,"endTime":473.86,"body":"was no longer on my phone. So"},{"speaker":"Charles Goldfarb","startTime":473.86,"endTime":474.22,"body":"with your"},{"speaker":"Chris Dy","startTime":474.34,"endTime":477.1,"body":"with your rocket mail"},{"speaker":"Chris Dy","startTime":474.34,"endTime":477.1,"body":"account from back into your"},{"speaker":"Chris Dy","startTime":477.1,"endTime":480.24,"body":"yahoo.com account. Not hating on"},{"speaker":"Chris Dy","startTime":477.1,"endTime":480.24,"body":"anybody who still uses Yahoo"},{"speaker":"Chris Dy","startTime":481.44,"endTime":486.36,"body":"whatever, whatever you got to"},{"speaker":"Chris Dy","startTime":481.44,"endTime":486.36,"body":"do. So it was funny. I have had"},{"speaker":"Chris Dy","startTime":486.42,"endTime":488.94,"body":"the fortune of doing a few"},{"speaker":"Chris Dy","startTime":486.42,"endTime":488.94,"body":"conversations with Brent over,"},{"speaker":"Chris Dy","startTime":488.94,"endTime":491.94,"body":"over the years, and it's the,"},{"speaker":"Chris Dy","startTime":488.94,"endTime":491.94,"body":"literally, the only time I log"},{"speaker":"Chris Dy","startTime":491.94,"endTime":495.78,"body":"into Skype. So easy. He's the"},{"speaker":"Chris Dy","startTime":491.94,"endTime":495.78,"body":"only contact I have in Skype. So"},{"speaker":"Chris Dy","startTime":495.78,"endTime":496.92,"body":"it's, it works out. Well, you"},{"speaker":"Charles Goldfarb","startTime":497.28,"endTime":499.38,"body":"know what this"},{"speaker":"Charles Goldfarb","startTime":497.28,"endTime":499.38,"body":"makes me think of? Again, as as"},{"speaker":"Charles Goldfarb","startTime":499.38,"endTime":502.4,"body":"people have, you know,"},{"speaker":"Charles Goldfarb","startTime":499.38,"endTime":502.4,"body":"generously come up and talked"},{"speaker":"Charles Goldfarb","startTime":502.4,"endTime":506.06,"body":"about their enjoyment of the"},{"speaker":"Charles Goldfarb","startTime":502.4,"endTime":506.06,"body":"podcast. I've had more than one,"},{"speaker":"Charles Goldfarb","startTime":506.12,"endTime":511.52,"body":"and maybe up to five people say,"},{"speaker":"Charles Goldfarb","startTime":506.12,"endTime":511.52,"body":"You know what? I did not know"},{"speaker":"Charles Goldfarb","startTime":511.52,"endTime":513.86,"body":"you could set the podcast speed."},{"speaker":"Chris Dy","startTime":513.86,"endTime":517.28,"body":"Oh, yeah. The Yeah,"},{"speaker":"Chris Dy","startTime":513.86,"endTime":517.28,"body":"the speed thing is, so I came up"},{"speaker":"Chris Dy","startTime":517.28,"endTime":519.02,"body":"a few times in Minneapolis. For"},{"speaker":"Chris Dy","startTime":517.28,"endTime":519.02,"body":"me too."},{"speaker":"Charles Goldfarb","startTime":519.62,"endTime":521.92,"body":"It's so funny."},{"speaker":"Charles Goldfarb","startTime":519.62,"endTime":521.92,"body":"I love it. So"},{"speaker":"Chris Dy","startTime":521.919,"endTime":524.259,"body":"before we there are a"},{"speaker":"Chris Dy","startTime":521.919,"endTime":524.259,"body":"few more things I wanted to"},{"speaker":"Chris Dy","startTime":524.259,"endTime":526.779,"body":"share about the meeting, but I"},{"speaker":"Chris Dy","startTime":524.259,"endTime":526.779,"body":"wanted to acknowledge our"},{"speaker":"Chris Dy","startTime":526.779,"endTime":529.479,"body":"sponsor at practicelink, so the"},{"speaker":"Chris Dy","startTime":526.779,"endTime":529.479,"body":"upper hand is sponsored by"},{"speaker":"Chris Dy","startTime":529.479,"endTime":532.779,"body":"practicelink.com the most widely"},{"speaker":"Chris Dy","startTime":529.479,"endTime":532.779,"body":"used physician job search and"},{"speaker":"Chris Dy","startTime":532.779,"endTime":534.159,"body":"career advancement resource."},{"speaker":"Charles Goldfarb","startTime":534.34,"endTime":536.26,"body":"But coming a"},{"speaker":"Charles Goldfarb","startTime":534.34,"endTime":536.26,"body":"physician is hard. Finding the"},{"speaker":"Charles Goldfarb","startTime":536.26,"endTime":539.5,"body":"right job does not have to be"},{"speaker":"Charles Goldfarb","startTime":536.26,"endTime":539.5,"body":"joined practicelink.com"},{"speaker":"Chris Dy","startTime":541.3,"endTime":543.06,"body":"or get a copy right."},{"speaker":"Chris Dy","startTime":541.3,"endTime":543.06,"body":"Okay,"},{"speaker":"Charles Goldfarb","startTime":543.0,"endTime":547.08,"body":"joint practice"},{"speaker":"Charles Goldfarb","startTime":543.0,"endTime":547.08,"body":"link for free today."},{"speaker":"Charles Goldfarb","startTime":551.43,"endTime":552.3,"body":"Www.Practicelink.com/theupperhand."},{"speaker":"Chris Dy","startTime":552.36,"endTime":555.66,"body":"I think Dan has placed"},{"speaker":"Chris Dy","startTime":552.36,"endTime":555.66,"body":"that hex on us in terms of being"},{"speaker":"Chris Dy","startTime":555.66,"endTime":560.94,"body":"able to to do this copy. It's"},{"speaker":"Chris Dy","startTime":555.66,"endTime":560.94,"body":"been how many years now. So"},{"speaker":"Chris Dy","startTime":560.94,"endTime":564.03,"body":"yeah, I really enjoyed hearing"},{"speaker":"Chris Dy","startTime":560.94,"endTime":564.03,"body":"from people. I did the young"},{"speaker":"Chris Dy","startTime":564.03,"endTime":566.97,"body":"surgeons boot camp on Tuesday,"},{"speaker":"Chris Dy","startTime":564.03,"endTime":566.97,"body":"which is always fun. Got to be a"},{"speaker":"Chris Dy","startTime":566.97,"endTime":569.97,"body":"table instructor and give a"},{"speaker":"Chris Dy","startTime":566.97,"endTime":569.97,"body":"brief talk, you know, about"},{"speaker":"Chris Dy","startTime":570.99,"endTime":573.69,"body":"fracture management, which"},{"speaker":"Chris Dy","startTime":570.99,"endTime":573.69,"body":"obviously is something that we"},{"speaker":"Chris Dy","startTime":573.69,"endTime":576.36,"body":"as hand surgeons all know a lot"},{"speaker":"Chris Dy","startTime":573.69,"endTime":576.36,"body":"about, and it's a little bit out"},{"speaker":"Chris Dy","startTime":576.36,"endTime":579.12,"body":"of the wheelhouse for me as a"},{"speaker":"Chris Dy","startTime":576.36,"endTime":579.12,"body":"mainly nerve surgeon, but I"},{"speaker":"Chris Dy","startTime":579.12,"endTime":581.58,"body":"think it's important to continue"},{"speaker":"Chris Dy","startTime":579.12,"endTime":581.58,"body":"those skills. And it was"},{"speaker":"Chris Dy","startTime":581.58,"endTime":584.01,"body":"interesting to talk to a lot of"},{"speaker":"Chris Dy","startTime":581.58,"endTime":584.01,"body":"people see their experience. And"},{"speaker":"Chris Dy","startTime":584.79,"endTime":588.81,"body":"every year it's like, it's my"},{"speaker":"Chris Dy","startTime":584.79,"endTime":588.81,"body":"third year doing it every maybe"},{"speaker":"Chris Dy","startTime":588.81,"endTime":591.0,"body":"my second year. Every year, it's"},{"speaker":"Chris Dy","startTime":588.81,"endTime":591.0,"body":"different what they want to"},{"speaker":"Chris Dy","startTime":591.0,"endTime":594.6,"body":"learn and what they want to do"},{"speaker":"Chris Dy","startTime":591.0,"endTime":594.6,"body":"at the boot camp in terms of,"},{"speaker":"Chris Dy","startTime":594.6,"endTime":596.46,"body":"you know, the things that are"},{"speaker":"Chris Dy","startTime":594.6,"endTime":596.46,"body":"after disposal. I mean, there"},{"speaker":"Chris Dy","startTime":596.46,"endTime":599.19,"body":"are people wanting to put in"},{"speaker":"Chris Dy","startTime":596.46,"endTime":599.19,"body":"radial heads. One year it was"},{"speaker":"Chris Dy","startTime":599.19,"endTime":601.59,"body":"all the rage to do. And to grade"},{"speaker":"Chris Dy","startTime":599.19,"endTime":601.59,"body":"headless compression screws for"},{"speaker":"Chris Dy","startTime":601.59,"endTime":604.89,"body":"approximate phalanx. Only one"},{"speaker":"Chris Dy","startTime":601.59,"endTime":604.89,"body":"group tried it, or one pair"},{"speaker":"Chris Dy","startTime":604.89,"endTime":608.76,"body":"tried it this year, you know. So"},{"speaker":"Chris Dy","startTime":604.89,"endTime":608.76,"body":"I think people are, you know,"},{"speaker":"Chris Dy","startTime":608.79,"endTime":610.62,"body":"coming in with different levels"},{"speaker":"Chris Dy","startTime":608.79,"endTime":610.62,"body":"of experience, and it's fun"},{"speaker":"Chris Dy","startTime":610.62,"endTime":613.11,"body":"because they get to choose your"},{"speaker":"Chris Dy","startTime":610.62,"endTime":613.11,"body":"own adventure. Yeah."},{"speaker":"Charles Goldfarb","startTime":613.11,"endTime":614.34,"body":"Love that."},{"speaker":"Charles Goldfarb","startTime":613.11,"endTime":614.34,"body":"Love that. I have not been in"},{"speaker":"Charles Goldfarb","startTime":614.34,"endTime":619.92,"body":"the lab yet, but I am going this"},{"speaker":"Charles Goldfarb","startTime":614.34,"endTime":619.92,"body":"afternoon and have a session, as"},{"speaker":"Charles Goldfarb","startTime":619.92,"endTime":622.35,"body":"I think we mentioned on"},{"speaker":"Charles Goldfarb","startTime":619.92,"endTime":622.35,"body":"politicization and tenant"},{"speaker":"Charles Goldfarb","startTime":622.35,"endTime":625.77,"body":"transfers for congenital"},{"speaker":"Charles Goldfarb","startTime":622.35,"endTime":625.77,"body":"anomalies. That should be fun."},{"speaker":"Charles Goldfarb","startTime":626.94,"endTime":631.56,"body":"Other highlights for me, Steve"},{"speaker":"Charles Goldfarb","startTime":626.94,"endTime":631.56,"body":"Moran's presidential talk was"},{"speaker":"Charles Goldfarb","startTime":631.56,"endTime":635.04,"body":"great, really well executed,"},{"speaker":"Charles Goldfarb","startTime":631.56,"endTime":635.04,"body":"sort of talking about the value"},{"speaker":"Charles Goldfarb","startTime":635.04,"endTime":637.2,"body":"of mentors and personal"},{"speaker":"Charles Goldfarb","startTime":635.04,"endTime":637.2,"body":"relationships. I don't know if"},{"speaker":"Charles Goldfarb","startTime":637.2,"endTime":639.81,"body":"you were able to catch that."},{"speaker":"Charles Goldfarb","startTime":637.2,"endTime":639.81,"body":"Thought that was really good."},{"speaker":"Chris Dy","startTime":640.38,"endTime":642.87,"body":"That's great. I mean,"},{"speaker":"Chris Dy","startTime":640.38,"endTime":642.87,"body":"Steve is a fantastic person,"},{"speaker":"Chris Dy","startTime":642.87,"endTime":646.8,"body":"dynamic speaker. You know, I"},{"speaker":"Chris Dy","startTime":642.87,"endTime":646.8,"body":"think that we're going to miss"},{"speaker":"Chris Dy","startTime":646.8,"endTime":650.19,"body":"him, but I know that we have a"},{"speaker":"Chris Dy","startTime":646.8,"endTime":650.19,"body":"lot in store in terms of, in"},{"speaker":"Chris Dy","startTime":650.19,"endTime":653.49,"body":"terms of the coming year for the"},{"speaker":"Chris Dy","startTime":650.19,"endTime":653.49,"body":"hand society, absolutely,"},{"speaker":"Charles Goldfarb","startTime":654.24,"endTime":655.95,"body":"The other"},{"speaker":"Charles Goldfarb","startTime":654.24,"endTime":655.95,"body":"highlights for me. So two other"},{"speaker":"Charles Goldfarb","startTime":655.98,"endTime":658.95,"body":"speakers. So his presidential"},{"speaker":"Charles Goldfarb","startTime":655.98,"endTime":658.95,"body":"guest speaker was a woman named"},{"speaker":"Charles Goldfarb","startTime":658.98,"endTime":664.95,"body":"Anne Bancroft, who, in 1993 was"},{"speaker":"Charles Goldfarb","startTime":658.98,"endTime":664.95,"body":"the first woman to reach the"},{"speaker":"Charles Goldfarb","startTime":664.95,"endTime":669.69,"body":"North Pole. And then she has"},{"speaker":"Charles Goldfarb","startTime":664.95,"endTime":669.69,"body":"traversed the South Pole several"},{"speaker":"Charles Goldfarb","startTime":669.69,"endTime":675.45,"body":"times, and hearing her story and"},{"speaker":"Charles Goldfarb","startTime":669.69,"endTime":675.45,"body":"her commitment to education was"},{"speaker":"Charles Goldfarb","startTime":675.48,"endTime":681.48,"body":"really great and and then"},{"speaker":"Charles Goldfarb","startTime":675.48,"endTime":681.48,"body":"lastly, the International guest"},{"speaker":"Charles Goldfarb","startTime":681.48,"endTime":686.58,"body":"speaker was Mike Hayton from the"},{"speaker":"Charles Goldfarb","startTime":681.48,"endTime":686.58,"body":"UK, who talked about sports. But"},{"speaker":"Charles Goldfarb","startTime":686.82,"endTime":692.07,"body":"what made it great was Mike is a"},{"speaker":"Charles Goldfarb","startTime":686.82,"endTime":692.07,"body":"really good, really good"},{"speaker":"Charles Goldfarb","startTime":692.07,"endTime":695.67,"body":"speaker, really funny, and"},{"speaker":"Charles Goldfarb","startTime":692.07,"endTime":695.67,"body":"talked about some of his"},{"speaker":"Charles Goldfarb","startTime":695.67,"endTime":698.76,"body":"interactions. The takeaway, I"},{"speaker":"Charles Goldfarb","startTime":695.67,"endTime":698.76,"body":"think, for those listening, at"},{"speaker":"Charles Goldfarb","startTime":698.76,"endTime":701.37,"body":"least my takeaway, who, for"},{"speaker":"Charles Goldfarb","startTime":698.76,"endTime":701.37,"body":"those listening who weren't"},{"speaker":"Charles Goldfarb","startTime":701.37,"endTime":705.3,"body":"present was, you know, you as he"},{"speaker":"Charles Goldfarb","startTime":701.37,"endTime":705.3,"body":"put it, you have to win the"},{"speaker":"Charles Goldfarb","startTime":705.3,"endTime":708.45,"body":"locker room. In England, they"},{"speaker":"Charles Goldfarb","startTime":705.3,"endTime":708.45,"body":"call it win the dressing room,"},{"speaker":"Charles Goldfarb","startTime":708.45,"endTime":712.05,"body":"but you have to win the locker"},{"speaker":"Charles Goldfarb","startTime":708.45,"endTime":712.05,"body":"room. You do that by showing the"},{"speaker":"Charles Goldfarb","startTime":712.05,"endTime":716.94,"body":"patient that you understand"},{"speaker":"Charles Goldfarb","startTime":712.05,"endTime":716.94,"body":"their sport and what's required"},{"speaker":"Charles Goldfarb","startTime":716.94,"endTime":720.42,"body":"for success. And there's"},{"speaker":"Charles Goldfarb","startTime":716.94,"endTime":720.42,"body":"different ways to do that. Was"},{"speaker":"Charles Goldfarb","startTime":720.42,"endTime":722.73,"body":"one really important takeaway."},{"speaker":"Chris Dy","startTime":723.66,"endTime":726.36,"body":"Usually, when I hear"},{"speaker":"Chris Dy","startTime":723.66,"endTime":726.36,"body":"the term win the locker room,"},{"speaker":"Chris Dy","startTime":726.72,"endTime":730.02,"body":"it's actually Converse somebody"},{"speaker":"Chris Dy","startTime":726.72,"endTime":730.02,"body":"losing the locker room in terms"},{"speaker":"Chris Dy","startTime":730.02,"endTime":732.36,"body":"of more of a leadership"},{"speaker":"Chris Dy","startTime":730.02,"endTime":732.36,"body":"perspective, as opposed to a"},{"speaker":"Chris Dy","startTime":732.66,"endTime":736.92,"body":"patient care but this sounds"},{"speaker":"Chris Dy","startTime":732.66,"endTime":736.92,"body":"like great takeaways. You know,"},{"speaker":"Chris Dy","startTime":736.92,"endTime":741.56,"body":"I think that there's a lot to"},{"speaker":"Chris Dy","startTime":736.92,"endTime":741.56,"body":"learn from those guest speakers,"},{"speaker":"Chris Dy","startTime":741.56,"endTime":744.26,"body":"and I sometimes they're not as"},{"speaker":"Chris Dy","startTime":741.56,"endTime":744.26,"body":"well attended. So I definitely"},{"speaker":"Chris Dy","startTime":744.26,"endTime":746.66,"body":"encourage people that go to the"},{"speaker":"Chris Dy","startTime":744.26,"endTime":746.66,"body":"meeting to make sure to see"},{"speaker":"Chris Dy","startTime":746.66,"endTime":750.08,"body":"those keynote addresses. I did"},{"speaker":"Chris Dy","startTime":746.66,"endTime":750.08,"body":"want to shout out to one of our"},{"speaker":"Chris Dy","startTime":750.08,"endTime":753.92,"body":"alums, Jeff Stepan, for winning"},{"speaker":"Chris Dy","startTime":750.08,"endTime":753.92,"body":"the Richard H galverman award"},{"speaker":"Chris Dy","startTime":753.98,"endTime":757.58,"body":"traveling scholarship from the"},{"speaker":"Chris Dy","startTime":753.98,"endTime":757.58,"body":"hand society. That's obviously"},{"speaker":"Chris Dy","startTime":757.58,"endTime":760.54,"body":"for, you know, for somebody"},{"speaker":"Chris Dy","startTime":757.58,"endTime":760.54,"body":"coming from our fellowship,"},{"speaker":"Chris Dy","startTime":760.54,"endTime":763.0,"body":"that's a very special award. I"},{"speaker":"Chris Dy","startTime":760.54,"endTime":763.0,"body":"think Jeff was one of the last"},{"speaker":"Chris Dy","startTime":763.0,"endTime":765.4,"body":"to train under Dr Galvin. Might"},{"speaker":"Chris Dy","startTime":763.0,"endTime":765.4,"body":"have been the last class to"},{"speaker":"Chris Dy","startTime":765.4,"endTime":769.78,"body":"spend time with Dr gelberman."},{"speaker":"Chris Dy","startTime":765.4,"endTime":769.78,"body":"Actually, in 20, 2019, and 2020,"},{"speaker":"Chris Dy","startTime":770.08,"endTime":775.12,"body":"I believe. And, you know, he, he"},{"speaker":"Chris Dy","startTime":770.08,"endTime":775.12,"body":"has a really exciting lineup of"},{"speaker":"Chris Dy","startTime":775.12,"endTime":777.52,"body":"places to go. I was fortunate"},{"speaker":"Chris Dy","startTime":775.12,"endTime":777.52,"body":"enough to write a letter for him"},{"speaker":"Chris Dy","startTime":777.52,"endTime":780.1,"body":"for the scholarship. And it's,"},{"speaker":"Chris Dy","startTime":777.52,"endTime":780.1,"body":"you know, I think probably the"},{"speaker":"Chris Dy","startTime":780.52,"endTime":783.9,"body":"fourth or fifth person in our"},{"speaker":"Chris Dy","startTime":780.52,"endTime":783.9,"body":"from our fellowship alumni to"},{"speaker":"Chris Dy","startTime":783.9,"endTime":786.84,"body":"win that award. So I think it's"},{"speaker":"Chris Dy","startTime":783.9,"endTime":786.84,"body":"a very special award for us, and"},{"speaker":"Chris Dy","startTime":786.84,"endTime":788.64,"body":"I look forward to seeing what"},{"speaker":"Chris Dy","startTime":786.84,"endTime":788.64,"body":"he's going to do"},{"speaker":"Charles Goldfarb","startTime":788.64,"endTime":790.02,"body":"with it. Do"},{"speaker":"Charles Goldfarb","startTime":788.64,"endTime":790.02,"body":"you know his topic,"},{"speaker":"Chris Dy","startTime":790.86,"endTime":791.28,"body":"nerf?"},{"speaker":"Charles Goldfarb","startTime":791.88,"endTime":793.86,"body":"I knew that's"},{"speaker":"Charles Goldfarb","startTime":791.88,"endTime":793.86,"body":"what you were going to say."},{"speaker":"Charles Goldfarb","startTime":794.16,"endTime":794.76,"body":"He's, I'm"},{"speaker":"Chris Dy","startTime":794.76,"endTime":797.16,"body":"very proud. He's one"},{"speaker":"Chris Dy","startTime":794.76,"endTime":797.16,"body":"of our Nerf surgeons that have"},{"speaker":"Chris Dy","startTime":797.16,"endTime":800.16,"body":"come out of the program since"},{"speaker":"Chris Dy","startTime":797.16,"endTime":800.16,"body":"David and I David Bergen and I"},{"speaker":"Chris Dy","startTime":800.16,"endTime":804.56,"body":"started intensifying our focus"},{"speaker":"Chris Dy","startTime":800.16,"endTime":804.56,"body":"on peripheral nerves. So, you"},{"speaker":"Chris Dy","startTime":804.56,"endTime":806.9,"body":"know, he's going to be"},{"speaker":"Chris Dy","startTime":804.56,"endTime":806.9,"body":"fantastic. He's got a great"},{"speaker":"Chris Dy","startTime":806.9,"endTime":810.2,"body":"practice in the south side of"},{"speaker":"Chris Dy","startTime":806.9,"endTime":810.2,"body":"Chicago, and I think he's going"},{"speaker":"Chris Dy","startTime":810.2,"endTime":813.26,"body":"to focus his trip on ballistic"},{"speaker":"Chris Dy","startTime":810.2,"endTime":813.26,"body":"nerve injuries, because that's"},{"speaker":"Chris Dy","startTime":813.26,"endTime":815.84,"body":"what he sees. And I look forward"},{"speaker":"Chris Dy","startTime":813.26,"endTime":815.84,"body":"to learning from him, because"},{"speaker":"Chris Dy","startTime":815.84,"endTime":817.1,"body":"that's what we see."},{"speaker":"Charles Goldfarb","startTime":818.0,"endTime":821.02,"body":"Yeah, so true."},{"speaker":"Charles Goldfarb","startTime":818.0,"endTime":821.02,"body":"Well, he's certainly a very,"},{"speaker":"Charles Goldfarb","startTime":821.02,"endTime":826.42,"body":"very worthy recipient. The"},{"speaker":"Charles Goldfarb","startTime":821.02,"endTime":826.42,"body":"other, the other WashU. I guess"},{"speaker":"Charles Goldfarb","startTime":826.42,"endTime":828.76,"body":"highlight from the meeting is"},{"speaker":"Charles Goldfarb","startTime":826.42,"endTime":828.76,"body":"that Lindley wall, our partner,"},{"speaker":"Charles Goldfarb","startTime":828.76,"endTime":833.5,"body":"is going to be the chair, co"},{"speaker":"Charles Goldfarb","startTime":828.76,"endTime":833.5,"body":"chair of the session, which is"},{"speaker":"Charles Goldfarb","startTime":833.5,"endTime":837.46,"body":"in Vancouver. So that is great."},{"speaker":"Charles Goldfarb","startTime":833.5,"endTime":837.46,"body":"I know she's already very hard"},{"speaker":"Charles Goldfarb","startTime":837.46,"endTime":838.54,"body":"at work planning the meeting."},{"speaker":"Chris Dy","startTime":838.84,"endTime":842.46,"body":"Get your passports"},{"speaker":"Chris Dy","startTime":838.84,"endTime":842.46,"body":"lined up. Now, Americans make"},{"speaker":"Chris Dy","startTime":842.46,"endTime":845.04,"body":"sure that that is all at least"},{"speaker":"Chris Dy","startTime":842.46,"endTime":845.04,"body":"you're I think there's a"},{"speaker":"Chris Dy","startTime":845.04,"endTime":847.56,"body":"different kind of pass if you"},{"speaker":"Chris Dy","startTime":845.04,"endTime":847.56,"body":"just want to get across the the"},{"speaker":"Chris Dy","startTime":847.56,"endTime":850.08,"body":"north and south borders. But"},{"speaker":"Chris Dy","startTime":847.56,"endTime":850.08,"body":"make sure those are in line,"},{"speaker":"Chris Dy","startTime":850.26,"endTime":853.62,"body":"because it takes a solid six"},{"speaker":"Chris Dy","startTime":850.26,"endTime":853.62,"body":"months ahead of time. I know"},{"speaker":"Chris Dy","startTime":853.62,"endTime":857.16,"body":"that when Toronto, when the"},{"speaker":"Chris Dy","startTime":853.62,"endTime":857.16,"body":"meeting happened in Toronto last"},{"speaker":"Chris Dy","startTime":857.16,"endTime":858.06,"body":"year, that was a"},{"speaker":"Charles Goldfarb","startTime":858.06,"endTime":861.02,"body":"big push."},{"speaker":"Charles Goldfarb","startTime":858.06,"endTime":861.02,"body":"Yeah. PSA, apparently you can do"},{"speaker":"Charles Goldfarb","startTime":861.02,"endTime":864.02,"body":"that. You can renew online,"},{"speaker":"Charles Goldfarb","startTime":861.02,"endTime":864.02,"body":"completely online, and I think"},{"speaker":"Charles Goldfarb","startTime":864.02,"endTime":867.32,"body":"you can even get your initial"},{"speaker":"Charles Goldfarb","startTime":864.02,"endTime":867.32,"body":"passport now completely online."},{"speaker":"Charles Goldfarb","startTime":867.5,"endTime":870.02,"body":"That's just in the last couple"},{"speaker":"Charles Goldfarb","startTime":867.5,"endTime":870.02,"body":"of days that that went live. And"},{"speaker":"Charles Goldfarb","startTime":870.02,"endTime":870.74,"body":"supposedly it's"},{"speaker":"Chris Dy","startTime":870.98,"endTime":872.78,"body":"easy. That's very"},{"speaker":"Chris Dy","startTime":870.98,"endTime":872.78,"body":"different than what, because I"},{"speaker":"Chris Dy","startTime":872.78,"endTime":876.38,"body":"had to get my passport renewed"},{"speaker":"Chris Dy","startTime":872.78,"endTime":876.38,"body":"before and at the post office go"},{"speaker":"Chris Dy","startTime":876.38,"endTime":880.58,"body":"through the whole the whole"},{"speaker":"Chris Dy","startTime":876.38,"endTime":880.58,"body":"process, whole process. One more"},{"speaker":"Chris Dy","startTime":880.58,"endTime":883.06,"body":"thing. So I think one highlight"},{"speaker":"Chris Dy","startTime":880.58,"endTime":883.06,"body":"for the meeting, for me was"},{"speaker":"Chris Dy","startTime":883.06,"endTime":887.14,"body":"getting to chair a pre course on"},{"speaker":"Chris Dy","startTime":883.06,"endTime":887.14,"body":"brachial plexus, which I know is"},{"speaker":"Chris Dy","startTime":887.14,"endTime":889.78,"body":"not your cup of tea, but it was"},{"speaker":"Chris Dy","startTime":887.14,"endTime":889.78,"body":"fun for me, because as the"},{"speaker":"Chris Dy","startTime":889.78,"endTime":892.48,"body":"Chair, I got to pick all the"},{"speaker":"Chris Dy","startTime":889.78,"endTime":892.48,"body":"topics, those just questions I"},{"speaker":"Chris Dy","startTime":892.48,"endTime":894.94,"body":"wanted to know. And I got to"},{"speaker":"Chris Dy","startTime":892.48,"endTime":894.94,"body":"work with my co chair, Johnny"},{"speaker":"Chris Dy","startTime":894.94,"endTime":897.4,"body":"Lou, to pick the speakers, and"},{"speaker":"Chris Dy","startTime":894.94,"endTime":897.4,"body":"she say, who would give a good"},{"speaker":"Chris Dy","startTime":897.4,"endTime":902.04,"body":"talk on this? And did? Take the"},{"speaker":"Chris Dy","startTime":897.4,"endTime":902.04,"body":"moderator option to not give"},{"speaker":"Chris Dy","startTime":902.04,"endTime":905.52,"body":"myself a talk, because I figured"},{"speaker":"Chris Dy","startTime":902.04,"endTime":905.52,"body":"there'd be somebody who would,"},{"speaker":"Chris Dy","startTime":905.58,"endTime":909.96,"body":"you know, bail and I would need"},{"speaker":"Chris Dy","startTime":905.58,"endTime":909.96,"body":"to fill in. But it was great."},{"speaker":"Chris Dy","startTime":910.32,"endTime":913.02,"body":"You know, the faculty were"},{"speaker":"Chris Dy","startTime":910.32,"endTime":913.02,"body":"fantastic. There were actually"},{"speaker":"Chris Dy","startTime":913.26,"endTime":915.78,"body":"more attendees than faculty,"},{"speaker":"Chris Dy","startTime":913.26,"endTime":915.78,"body":"which, for Wednesday, pre"},{"speaker":"Chris Dy","startTime":915.78,"endTime":919.98,"body":"course, on a very niche topic,"},{"speaker":"Chris Dy","startTime":915.78,"endTime":919.98,"body":"is always nice. We had a really"},{"speaker":"Chris Dy","startTime":919.98,"endTime":920.72,"body":"good discussion."},{"speaker":"Charles Goldfarb","startTime":921.08,"endTime":922.7,"body":"Oh, I love"},{"speaker":"Charles Goldfarb","startTime":921.08,"endTime":922.7,"body":"that. I love that. Yeah, I"},{"speaker":"Charles Goldfarb","startTime":922.7,"endTime":926.06,"body":"unfortunately couldn't"},{"speaker":"Charles Goldfarb","startTime":922.7,"endTime":926.06,"body":"participate in the peds or the"},{"speaker":"Charles Goldfarb","startTime":926.06,"endTime":929.12,"body":"arthroscopy stuff pre courses"},{"speaker":"Charles Goldfarb","startTime":926.06,"endTime":929.12,"body":"for because of other"},{"speaker":"Charles Goldfarb","startTime":929.12,"endTime":931.82,"body":"commitments, but there's been"},{"speaker":"Charles Goldfarb","startTime":929.12,"endTime":931.82,"body":"some really good content."},{"speaker":"Charles Goldfarb","startTime":931.82,"endTime":934.58,"body":"There's stuff I really wish I"},{"speaker":"Charles Goldfarb","startTime":931.82,"endTime":934.58,"body":"could have seen but did not."},{"speaker":"Charles Goldfarb","startTime":934.58,"endTime":934.7,"body":"Yeah,"},{"speaker":"Chris Dy","startTime":934.76,"endTime":936.98,"body":"Nina and Eric did a"},{"speaker":"Chris Dy","startTime":934.76,"endTime":936.98,"body":"fantastic Nina Sue and Eric"},{"speaker":"Chris Dy","startTime":936.98,"endTime":939.38,"body":"Wagner did a fantastic job"},{"speaker":"Chris Dy","startTime":936.98,"endTime":939.38,"body":"planning the meeting. You know,"},{"speaker":"Chris Dy","startTime":939.38,"endTime":942.1,"body":"I think that was a great pick by"},{"speaker":"Chris Dy","startTime":939.38,"endTime":942.1,"body":"Steve to have them lead the"},{"speaker":"Chris Dy","startTime":942.1,"endTime":945.22,"body":"meeting. So a lot of work,"},{"speaker":"Chris Dy","startTime":942.1,"endTime":945.22,"body":"they've definitely, you know,"},{"speaker":"Chris Dy","startTime":945.22,"endTime":951.34,"body":"took the, you know, took over"},{"speaker":"Chris Dy","startTime":945.22,"endTime":951.34,"body":"the readership from Paige and"},{"speaker":"Chris Dy","startTime":951.34,"endTime":953.98,"body":"Megan, and, I think, added some"},{"speaker":"Chris Dy","startTime":951.34,"endTime":953.98,"body":"really cool things and kept what"},{"speaker":"Chris Dy","startTime":953.98,"endTime":955.84,"body":"worked in the past year. Yeah,"},{"speaker":"Charles Goldfarb","startTime":955.84,"endTime":958.18,"body":"so I know we"},{"speaker":"Charles Goldfarb","startTime":955.84,"endTime":958.18,"body":"want to discuss a case. Maybe"},{"speaker":"Charles Goldfarb","startTime":958.18,"endTime":961.38,"body":"before we do that, we'll thank"},{"speaker":"Charles Goldfarb","startTime":958.18,"endTime":961.38,"body":"checkpoint surgical, yes,"},{"speaker":"Chris Dy","startTime":961.38,"endTime":963.3,"body":"the upper hand is"},{"speaker":"Chris Dy","startTime":961.38,"endTime":963.3,"body":"sponsored by checkpoint"},{"speaker":"Chris Dy","startTime":963.3,"endTime":966.54,"body":"surgical, a leader in peripheral"},{"speaker":"Chris Dy","startTime":963.3,"endTime":966.54,"body":"nerve surgery solutions with a"},{"speaker":"Chris Dy","startTime":966.54,"endTime":969.54,"body":"bipolar stimulation probe. I"},{"speaker":"Chris Dy","startTime":966.54,"endTime":969.54,"body":"call it the purple one."},{"speaker":"Chris Dy","startTime":970.02,"endTime":972.78,"body":"Checkpoint Gemini, bipolar nerve"},{"speaker":"Chris Dy","startTime":970.02,"endTime":972.78,"body":"stimulator provides finely"},{"speaker":"Chris Dy","startTime":972.78,"endTime":975.9,"body":"controlled simulation even at"},{"speaker":"Chris Dy","startTime":972.78,"endTime":975.9,"body":"the fascicular level, allowing"},{"speaker":"Chris Dy","startTime":975.9,"endTime":978.9,"body":"surgeons to take actions based"},{"speaker":"Chris Dy","startTime":975.9,"endTime":978.9,"body":"on the most precise information"},{"speaker":"Chris Dy","startTime":978.9,"endTime":979.56,"body":"available."},{"speaker":"Charles Goldfarb","startTime":979.8,"endTime":982.4,"body":"That is a hell"},{"speaker":"Charles Goldfarb","startTime":979.8,"endTime":982.4,"body":"of a sentence or two. Learn. I"},{"speaker":"Charles Goldfarb","startTime":982.46,"endTime":983.12,"body":"should ask them to"},{"speaker":"Chris Dy","startTime":983.12,"endTime":985.4,"body":"cut that down. You're"},{"speaker":"Chris Dy","startTime":983.12,"endTime":985.4,"body":"welcome. Thank you,"},{"speaker":"Charles Goldfarb","startTime":986.06,"endTime":988.7,"body":"given my"},{"speaker":"Charles Goldfarb","startTime":986.06,"endTime":988.7,"body":"difficulties getting out. Learn"},{"speaker":"Charles Goldfarb","startTime":988.7,"endTime":993.32,"body":"more@www.checkpointsurgical.com"},{"speaker":"Charles Goldfarb","startTime":988.7,"endTime":993.32,"body":"checkpoint surgical, driving"},{"speaker":"Charles Goldfarb","startTime":993.32,"endTime":996.44,"body":"innovation and hand surgery. And"},{"speaker":"Chris Dy","startTime":996.5,"endTime":999.68,"body":"it's interesting. I"},{"speaker":"Chris Dy","startTime":996.5,"endTime":999.68,"body":"talked with them at the meeting."},{"speaker":"Chris Dy","startTime":999.68,"endTime":1002.94,"body":"I think you did too. I think"},{"speaker":"Chris Dy","startTime":999.68,"endTime":1002.94,"body":"they're, they're in their"},{"speaker":"Chris Dy","startTime":1002.94,"endTime":1005.34,"body":"investment in the podcast, as in"},{"speaker":"Chris Dy","startTime":1002.94,"endTime":1005.34,"body":"wise, I think that they've"},{"speaker":"Chris Dy","startTime":1005.34,"endTime":1008.64,"body":"gotten, I think what they want"},{"speaker":"Chris Dy","startTime":1005.34,"endTime":1008.64,"body":"out of, you know, people"},{"speaker":"Chris Dy","startTime":1008.64,"endTime":1010.62,"body":"listening and engagement."},{"speaker":"Charles Goldfarb","startTime":1011.16,"endTime":1013.62,"body":"Well, yeah,"},{"speaker":"Charles Goldfarb","startTime":1011.16,"endTime":1013.62,"body":"and I'm not, we're not trying to"},{"speaker":"Charles Goldfarb","startTime":1013.8,"endTime":1016.56,"body":"solicit more sponsors, but,"},{"speaker":"Charles Goldfarb","startTime":1013.8,"endTime":1016.56,"body":"well,"},{"speaker":"Chris Dy","startTime":1016.68,"endTime":1019.32,"body":"I mean, but you know,"},{"speaker":"Chris Dy","startTime":1016.68,"endTime":1019.32,"body":"if you want to, if it happened,"},{"speaker":"Chris Dy","startTime":1019.32,"endTime":1019.62,"body":"it would"},{"speaker":"Charles Goldfarb","startTime":1019.62,"endTime":1020.16,"body":"be okay."},{"speaker":"Chris Dy","startTime":1020.4,"endTime":1022.46,"body":"But we already have"},{"speaker":"Chris Dy","startTime":1020.4,"endTime":1022.46,"body":"our nerve sponsor, though they"},{"speaker":"Chris Dy","startTime":1022.46,"endTime":1023.9,"body":"wrote that in true"},{"speaker":"Charles Goldfarb","startTime":1024.08,"endTime":1027.56,"body":"but it is a"},{"speaker":"Charles Goldfarb","startTime":1024.08,"endTime":1027.56,"body":"really unique opportunity with a"},{"speaker":"Charles Goldfarb","startTime":1027.56,"endTime":1030.98,"body":"very focused audience, which I"},{"speaker":"Charles Goldfarb","startTime":1027.56,"endTime":1030.98,"body":"you know, there's so many"},{"speaker":"Charles Goldfarb","startTime":1030.98,"endTime":1033.86,"body":"distractions in the world, but"},{"speaker":"Charles Goldfarb","startTime":1030.98,"endTime":1033.86,"body":"our listeners, Chris, our"},{"speaker":"Charles Goldfarb","startTime":1033.86,"endTime":1036.86,"body":"listeners to the upper hand"},{"speaker":"Charles Goldfarb","startTime":1033.86,"endTime":1036.86,"body":"podcast. I know they are locked"},{"speaker":"Charles Goldfarb","startTime":1036.86,"endTime":1040.84,"body":"in at 1.0 speed, and they listen"},{"speaker":"Charles Goldfarb","startTime":1036.86,"endTime":1040.84,"body":"to everything you say"},{"speaker":"Chris Dy","startTime":1041.559,"endTime":1043.359,"body":"they might want to"},{"speaker":"Chris Dy","startTime":1041.559,"endTime":1043.359,"body":"slow it down. I mean, point"},{"speaker":"Chris Dy","startTime":1043.359,"endTime":1044.079,"body":"seven, 5.5,"},{"speaker":"Charles Goldfarb","startTime":1046.119,"endTime":1047.499,"body":"yes, you can"},{"speaker":"Charles Goldfarb","startTime":1046.119,"endTime":1047.499,"body":"go down."},{"speaker":"Chris Dy","startTime":1047.62,"endTime":1050.68,"body":"You will, you will be"},{"speaker":"Chris Dy","startTime":1047.62,"endTime":1050.68,"body":"proud of me. I think in some"},{"speaker":"Chris Dy","startTime":1050.68,"endTime":1054.28,"body":"sense, the week before the hand"},{"speaker":"Chris Dy","startTime":1050.68,"endTime":1054.28,"body":"Society meeting, I went full"},{"speaker":"Chris Dy","startTime":1054.28,"endTime":1058.66,"body":"tilt on surgeries, filled every"},{"speaker":"Chris Dy","startTime":1054.28,"endTime":1058.66,"body":"case that I could to get rid of"},{"speaker":"Chris Dy","startTime":1058.66,"endTime":1062.76,"body":"a backlog that was unfortunately"},{"speaker":"Chris Dy","startTime":1058.66,"endTime":1062.76,"body":"still growing, unfortunately,"},{"speaker":"Chris Dy","startTime":1062.76,"endTime":1066.48,"body":"unfortunately, but I hit the"},{"speaker":"Chris Dy","startTime":1062.76,"endTime":1066.48,"body":"hand surgery Triathlon The week"},{"speaker":"Chris Dy","startTime":1066.48,"endTime":1069.18,"body":"before the hand society operated"},{"speaker":"Chris Dy","startTime":1066.48,"endTime":1069.18,"body":"on a Wednesday, which is not"},{"speaker":"Chris Dy","startTime":1069.18,"endTime":1072.06,"body":"normal for me, but did the"},{"speaker":"Chris Dy","startTime":1069.18,"endTime":1072.06,"body":"fluoroscope, the microscope and"},{"speaker":"Chris Dy","startTime":1072.06,"endTime":1075.66,"body":"the arthroscope in the same day,"},{"speaker":"Chris Dy","startTime":1072.06,"endTime":1075.66,"body":"and I thought you'd be proud. I"},{"speaker":"Chris Dy","startTime":1075.66,"endTime":1079.26,"body":"wanted to get your thoughts on"},{"speaker":"Chris Dy","startTime":1075.66,"endTime":1079.26,"body":"on one technical aspect that"},{"speaker":"Chris Dy","startTime":1079.26,"endTime":1083.12,"body":"often accompanies the"},{"speaker":"Chris Dy","startTime":1079.26,"endTime":1083.12,"body":"arthroscope and ulnar shortening"},{"speaker":"Chris Dy","startTime":1083.12,"endTime":1086.72,"body":"osteotomy. So I guess to set the"},{"speaker":"Chris Dy","startTime":1083.12,"endTime":1086.72,"body":"stage, you mentioned that we're"},{"speaker":"Chris Dy","startTime":1086.72,"endTime":1091.28,"body":"very good at diagnosing central"},{"speaker":"Chris Dy","startTime":1086.72,"endTime":1091.28,"body":"TFCC tears. This is a woman"},{"speaker":"Chris Dy","startTime":1091.28,"endTime":1094.4,"body":"who's closer to your age than"},{"speaker":"Chris Dy","startTime":1091.28,"endTime":1094.4,"body":"mine, with pain on the ulnar"},{"speaker":"Chris Dy","startTime":1094.4,"endTime":1098.06,"body":"side of her wrist, and she's had"},{"speaker":"Chris Dy","startTime":1094.4,"endTime":1098.06,"body":"it for many months. We tried"},{"speaker":"Chris Dy","startTime":1098.06,"endTime":1100.84,"body":"conservative measures, we tried"},{"speaker":"Chris Dy","startTime":1098.06,"endTime":1100.84,"body":"therapy wrist widget, even a"},{"speaker":"Chris Dy","startTime":1100.84,"endTime":1105.52,"body":"corticosteroid injection led me"},{"speaker":"Chris Dy","startTime":1100.84,"endTime":1105.52,"body":"to get a MRR program, which"},{"speaker":"Chris Dy","startTime":1105.52,"endTime":1109.42,"body":"demonstrated essential TFC seats"},{"speaker":"Chris Dy","startTime":1105.52,"endTime":1109.42,"body":"here and signs of ulnar"},{"speaker":"Chris Dy","startTime":1109.42,"endTime":1114.22,"body":"impaction. So briefly, you know,"},{"speaker":"Chris Dy","startTime":1109.42,"endTime":1114.22,"body":"I actually had a plastic surgery"},{"speaker":"Chris Dy","startTime":1114.22,"endTime":1116.44,"body":"resident who came to work with"},{"speaker":"Chris Dy","startTime":1114.22,"endTime":1116.44,"body":"me that day, and we had a"},{"speaker":"Chris Dy","startTime":1116.44,"endTime":1119.5,"body":"conversation about ulnar"},{"speaker":"Chris Dy","startTime":1116.44,"endTime":1119.5,"body":"impaction right before the case."},{"speaker":"Chris Dy","startTime":1119.56,"endTime":1123.18,"body":"Can you tell me kind of your"},{"speaker":"Chris Dy","startTime":1119.56,"endTime":1123.18,"body":"entry level description of ulnar"},{"speaker":"Chris Dy","startTime":1123.18,"endTime":1123.66,"body":"impaction"},{"speaker":"Charles Goldfarb","startTime":1124.56,"endTime":1128.04,"body":"I can and I"},{"speaker":"Charles Goldfarb","startTime":1124.56,"endTime":1128.04,"body":"would say, I'll start by saying"},{"speaker":"Charles Goldfarb","startTime":1128.28,"endTime":1131.94,"body":"that when I was in training and"},{"speaker":"Charles Goldfarb","startTime":1128.28,"endTime":1131.94,"body":"rheumatoid arthritis was more"},{"speaker":"Charles Goldfarb","startTime":1132.06,"endTime":1136.62,"body":"prevalent than it is today,"},{"speaker":"Charles Goldfarb","startTime":1132.06,"endTime":1136.62,"body":"there was a wonderful paper done"},{"speaker":"Charles Goldfarb","startTime":1136.92,"endTime":1141.44,"body":"which essentially graded"},{"speaker":"Charles Goldfarb","startTime":1136.92,"endTime":1141.44,"body":"different procedures and their"},{"speaker":"Charles Goldfarb","startTime":1141.5,"endTime":1146.48,"body":"impact on patients with RA, and"},{"speaker":"Charles Goldfarb","startTime":1141.5,"endTime":1146.48,"body":"at that time, it was very clear"},{"speaker":"Charles Goldfarb","startTime":1146.48,"endTime":1152.06,"body":"that thumb, MP, fusion was the"},{"speaker":"Charles Goldfarb","startTime":1146.48,"endTime":1152.06,"body":"best surgery for patients with,"},{"speaker":"Charles Goldfarb","startTime":1152.06,"endTime":1156.2,"body":"you know, severe disease. There"},{"speaker":"Charles Goldfarb","startTime":1152.06,"endTime":1156.2,"body":"is no doubt in my mind, and I"},{"speaker":"Charles Goldfarb","startTime":1156.2,"endTime":1159.92,"body":"was on a great panel yesterday"},{"speaker":"Charles Goldfarb","startTime":1156.2,"endTime":1159.92,"body":"which all of these speakers"},{"speaker":"Charles Goldfarb","startTime":1159.92,"endTime":1165.22,"body":"agreed the best surgery for"},{"speaker":"Charles Goldfarb","startTime":1159.92,"endTime":1165.22,"body":"wrist pathology, obviously,"},{"speaker":"Charles Goldfarb","startTime":1165.22,"endTime":1169.54,"body":"ulnar sided is ulnar shorting"},{"speaker":"Charles Goldfarb","startTime":1165.22,"endTime":1169.54,"body":"osteotomy. It is one of my top"},{"speaker":"Charles Goldfarb","startTime":1169.54,"endTime":1172.9,"body":"five surgeries, without a doubt,"},{"speaker":"Charles Goldfarb","startTime":1169.54,"endTime":1172.9,"body":"because it is so effective. Now,"},{"speaker":"Charles Goldfarb","startTime":1172.9,"endTime":1175.48,"body":"there's subtleties and there's"},{"speaker":"Charles Goldfarb","startTime":1172.9,"endTime":1175.48,"body":"important considerations, which"},{"speaker":"Charles Goldfarb","startTime":1175.48,"endTime":1180.36,"body":"we'll talk about, but it is a"},{"speaker":"Charles Goldfarb","startTime":1175.48,"endTime":1180.36,"body":"great, great surgery. Now to"},{"speaker":"Charles Goldfarb","startTime":1180.36,"endTime":1182.58,"body":"your question, yeah. So, yeah,"},{"speaker":"Charles Goldfarb","startTime":1180.36,"endTime":1182.58,"body":"that's"},{"speaker":"Chris Dy","startTime":1182.58,"endTime":1188.52,"body":"a yes, duly noted."},{"speaker":"Chris Dy","startTime":1182.58,"endTime":1188.52,"body":"Great Again, but yeah, so okay,"},{"speaker":"Chris Dy","startTime":1188.52,"endTime":1191.82,"body":"the surgery works, which is why"},{"speaker":"Chris Dy","startTime":1188.52,"endTime":1191.82,"body":"even non sportsy surgeons like"},{"speaker":"Chris Dy","startTime":1191.82,"endTime":1192.96,"body":"me will do that surgery."},{"speaker":"Charles Goldfarb","startTime":1193.32,"endTime":1198.48,"body":"Yeah, so"},{"speaker":"Charles Goldfarb","startTime":1193.32,"endTime":1198.48,"body":"classic impaction is not so hard"},{"speaker":"Charles Goldfarb","startTime":1198.48,"endTime":1202.76,"body":"to diagnose. Um. Um, patients"},{"speaker":"Charles Goldfarb","startTime":1198.48,"endTime":1202.76,"body":"who have discomfort with ulnar"},{"speaker":"Charles Goldfarb","startTime":1202.76,"endTime":1206.24,"body":"deviation, whether it's a"},{"speaker":"Charles Goldfarb","startTime":1202.76,"endTime":1206.24,"body":"neutral flexion or extension,"},{"speaker":"Charles Goldfarb","startTime":1206.24,"endTime":1208.46,"body":"but all types of ulnar"},{"speaker":"Charles Goldfarb","startTime":1206.24,"endTime":1208.46,"body":"deviation, and it doesn't have"},{"speaker":"Charles Goldfarb","startTime":1208.46,"endTime":1212.78,"body":"to be all three, but if you have"},{"speaker":"Charles Goldfarb","startTime":1208.46,"endTime":1212.78,"body":"positive impaction signs, you"},{"speaker":"Charles Goldfarb","startTime":1212.78,"endTime":1216.56,"body":"know you are always looking at"},{"speaker":"Charles Goldfarb","startTime":1212.78,"endTime":1216.56,"body":"the X ray to try to understand"},{"speaker":"Charles Goldfarb","startTime":1216.56,"endTime":1219.38,"body":"the radiographic appearance. And"},{"speaker":"Charles Goldfarb","startTime":1216.56,"endTime":1219.38,"body":"we classically talk about a"},{"speaker":"Charles Goldfarb","startTime":1219.38,"endTime":1223.36,"body":"neutral rotation PA, where your"},{"speaker":"Charles Goldfarb","startTime":1219.38,"endTime":1223.36,"body":"forearm is in neutral, because"},{"speaker":"Charles Goldfarb","startTime":1223.36,"endTime":1225.94,"body":"with supination, the ulna looks"},{"speaker":"Charles Goldfarb","startTime":1223.36,"endTime":1225.94,"body":"short. I'm sorry, with"},{"speaker":"Charles Goldfarb","startTime":1225.94,"endTime":1231.64,"body":"supination, the ulna looks long."},{"speaker":"Charles Goldfarb","startTime":1225.94,"endTime":1231.64,"body":"With pronation, with supination,"},{"speaker":"Charles Goldfarb","startTime":1231.64,"endTime":1235.36,"body":"the ulna looks short. With"},{"speaker":"Charles Goldfarb","startTime":1231.64,"endTime":1235.36,"body":"pronation, the ulna looks long."},{"speaker":"Charles Goldfarb","startTime":1235.36,"endTime":1238.9,"body":"And so you try to shoot it in"},{"speaker":"Charles Goldfarb","startTime":1235.36,"endTime":1238.9,"body":"neutral. But even that doesn't"},{"speaker":"Charles Goldfarb","startTime":1238.9,"endTime":1244.98,"body":"truly get at impaction like an"},{"speaker":"Charles Goldfarb","startTime":1238.9,"endTime":1244.98,"body":"MRI, where the lunate lights up."},{"speaker":"Charles Goldfarb","startTime":1244.98,"endTime":1248.46,"body":"So imaging can be helpful, but"},{"speaker":"Charles Goldfarb","startTime":1244.98,"endTime":1248.46,"body":"honestly, it's not always"},{"speaker":"Charles Goldfarb","startTime":1248.46,"endTime":1249.06,"body":"necessary."},{"speaker":"Chris Dy","startTime":1249.36,"endTime":1252.42,"body":"Do you think that a"},{"speaker":"Chris Dy","startTime":1249.36,"endTime":1252.42,"body":"contralateral film helps you"},{"speaker":"Chris Dy","startTime":1252.42,"endTime":1255.48,"body":"understand the condition and"},{"speaker":"Chris Dy","startTime":1252.42,"endTime":1255.48,"body":"prognosis, or if they have"},{"speaker":"Chris Dy","startTime":1255.48,"endTime":1257.52,"body":"impaction on one side, they're"},{"speaker":"Chris Dy","startTime":1255.48,"endTime":1257.52,"body":"likely to have it on the"},{"speaker":"Charles Goldfarb","startTime":1258.54,"endTime":1261.2,"body":"other that's a"},{"speaker":"Charles Goldfarb","startTime":1258.54,"endTime":1261.2,"body":"great question. I know I had a"},{"speaker":"Charles Goldfarb","startTime":1261.2,"endTime":1265.28,"body":"great ped session yesterday"},{"speaker":"Charles Goldfarb","startTime":1261.2,"endTime":1265.28,"body":"about elbow, and I would say"},{"speaker":"Charles Goldfarb","startTime":1265.28,"endTime":1270.08,"body":"that contralateral films can"},{"speaker":"Charles Goldfarb","startTime":1265.28,"endTime":1270.08,"body":"always be helpful. I don't"},{"speaker":"Charles Goldfarb","startTime":1270.08,"endTime":1273.14,"body":"routinely get contralateral"},{"speaker":"Charles Goldfarb","startTime":1270.08,"endTime":1273.14,"body":"films when assessing for"},{"speaker":"Charles Goldfarb","startTime":1273.32,"endTime":1276.74,"body":"impaction, but absolutely can be"},{"speaker":"Charles Goldfarb","startTime":1273.32,"endTime":1276.74,"body":"helpful. Yeah, I"},{"speaker":"Chris Dy","startTime":1276.74,"endTime":1278.84,"body":"think for me, it was"},{"speaker":"Chris Dy","startTime":1276.74,"endTime":1278.84,"body":"helpful for surgical planning,"},{"speaker":"Chris Dy","startTime":1278.84,"endTime":1281.24,"body":"but again, I was, you know,"},{"speaker":"Chris Dy","startTime":1278.84,"endTime":1281.24,"body":"wasn't quite sure. So I do get"},{"speaker":"Chris Dy","startTime":1281.24,"endTime":1284.2,"body":"contralateral films, and I do"},{"speaker":"Chris Dy","startTime":1281.24,"endTime":1284.2,"body":"hear adhere to that zero"},{"speaker":"Chris Dy","startTime":1284.2,"endTime":1286.42,"body":"rotation view that you've"},{"speaker":"Chris Dy","startTime":1284.2,"endTime":1286.42,"body":"mentioned. Yeah,"},{"speaker":"Charles Goldfarb","startTime":1286.42,"endTime":1289.06,"body":"and I would"},{"speaker":"Charles Goldfarb","startTime":1286.42,"endTime":1289.06,"body":"say that, you know, when I first"},{"speaker":"Charles Goldfarb","startTime":1289.06,"endTime":1292.6,"body":"started out my my goal was"},{"speaker":"Charles Goldfarb","startTime":1289.06,"endTime":1292.6,"body":"always to make the ulna a little"},{"speaker":"Charles Goldfarb","startTime":1292.6,"endTime":1297.46,"body":"short. I think almost any"},{"speaker":"Charles Goldfarb","startTime":1292.6,"endTime":1297.46,"body":"shortening that we do is what"},{"speaker":"Charles Goldfarb","startTime":1297.46,"endTime":1301.86,"body":"matters. And so while yes,"},{"speaker":"Charles Goldfarb","startTime":1297.46,"endTime":1301.86,"body":"neutral or ulnar minus variance"},{"speaker":"Charles Goldfarb","startTime":1301.86,"endTime":1305.58,"body":"is helpful. There have been good"},{"speaker":"Charles Goldfarb","startTime":1301.86,"endTime":1305.58,"body":"papers looking at the morphology"},{"speaker":"Charles Goldfarb","startTime":1305.58,"endTime":1309.42,"body":"of the DR uj and sigmoid notch."},{"speaker":"Charles Goldfarb","startTime":1305.58,"endTime":1309.42,"body":"And you don't want to over"},{"speaker":"Charles Goldfarb","startTime":1309.42,"endTime":1314.52,"body":"shorten, but any shortening you"},{"speaker":"Charles Goldfarb","startTime":1309.42,"endTime":1314.52,"body":"do is going to be effective. And"},{"speaker":"Charles Goldfarb","startTime":1314.52,"endTime":1317.76,"body":"honestly, if you shorten to"},{"speaker":"Charles Goldfarb","startTime":1314.52,"endTime":1317.76,"body":"three millimeters, it's a much"},{"speaker":"Charles Goldfarb","startTime":1317.76,"endTime":1321.38,"body":"easier operation. Once you get"},{"speaker":"Charles Goldfarb","startTime":1317.76,"endTime":1321.38,"body":"to five millimeters, or seven or"},{"speaker":"Charles Goldfarb","startTime":1321.38,"endTime":1324.5,"body":"eight millimeters. It's just a"},{"speaker":"Charles Goldfarb","startTime":1321.38,"endTime":1324.5,"body":"little technically more tricky,"},{"speaker":"Charles Goldfarb","startTime":1324.5,"endTime":1326.96,"body":"although not terribly tricky,"},{"speaker":"Charles Goldfarb","startTime":1324.5,"endTime":1326.96,"body":"right?"},{"speaker":"Chris Dy","startTime":1326.96,"endTime":1329.78,"body":"I mean, I find that,"},{"speaker":"Chris Dy","startTime":1326.96,"endTime":1329.78,"body":"you know, I'm a simpleton. With"},{"speaker":"Chris Dy","startTime":1329.78,"endTime":1332.3,"body":"regards to this, I will use the"},{"speaker":"Chris Dy","startTime":1329.78,"endTime":1332.3,"body":"guide and I will shoot to"},{"speaker":"Chris Dy","startTime":1332.3,"endTime":1335.9,"body":"shorten two, usually, and I end"},{"speaker":"Chris Dy","startTime":1332.3,"endTime":1335.9,"body":"up shortening three, because the"},{"speaker":"Chris Dy","startTime":1335.9,"endTime":1339.5,"body":"way that the guide is not"},{"speaker":"Chris Dy","startTime":1335.9,"endTime":1339.5,"body":"perfect, nor am I, or the person"},{"speaker":"Chris Dy","startTime":1339.5,"endTime":1341.2,"body":"whose hands are on the saw. So"},{"speaker":"Chris Dy","startTime":1339.5,"endTime":1341.2,"body":"to say,"},{"speaker":"Charles Goldfarb","startTime":1341.86,"endTime":1343.96,"body":"yeah, so you"},{"speaker":"Charles Goldfarb","startTime":1341.86,"endTime":1343.96,"body":"know, there's so many good"},{"speaker":"Charles Goldfarb","startTime":1343.96,"endTime":1347.32,"body":"systems out there, and using the"},{"speaker":"Charles Goldfarb","startTime":1343.96,"endTime":1347.32,"body":"guide with the oblique osteotomy"},{"speaker":"Charles Goldfarb","startTime":1347.32,"endTime":1351.04,"body":"maximizes your surface area. And"},{"speaker":"Charles Goldfarb","startTime":1347.32,"endTime":1351.04,"body":"it's a really simple, fun"},{"speaker":"Charles Goldfarb","startTime":1351.04,"endTime":1355.9,"body":"operation. If I use just a"},{"speaker":"Charles Goldfarb","startTime":1351.04,"endTime":1355.9,"body":"standard six hole DCP works just"},{"speaker":"Charles Goldfarb","startTime":1355.9,"endTime":1359.32,"body":"as well, I think, honestly, or"},{"speaker":"Charles Goldfarb","startTime":1355.9,"endTime":1359.32,"body":"close to it a little trickier"},{"speaker":"Charles Goldfarb","startTime":1359.32,"endTime":1363.12,"body":"sometimes, but transverse"},{"speaker":"Charles Goldfarb","startTime":1359.32,"endTime":1363.12,"body":"osteotomy. But that gets to an"},{"speaker":"Charles Goldfarb","startTime":1363.12,"endTime":1366.54,"body":"interesting point, and I'm"},{"speaker":"Charles Goldfarb","startTime":1363.12,"endTime":1366.54,"body":"actually going to, and I have"},{"speaker":"Charles Goldfarb","startTime":1366.54,"endTime":1370.14,"body":"been playing around with, and"},{"speaker":"Charles Goldfarb","startTime":1366.54,"endTime":1370.14,"body":"I'm probably going to try a"},{"speaker":"Charles Goldfarb","startTime":1370.14,"endTime":1374.04,"body":"distal metaphyseal shortening,"},{"speaker":"Charles Goldfarb","startTime":1370.14,"endTime":1374.04,"body":"rather than a standard plate"},{"speaker":"Charles Goldfarb","startTime":1374.04,"endTime":1378.06,"body":"shortening. The problem is,"},{"speaker":"Charles Goldfarb","startTime":1374.04,"endTime":1378.06,"body":"these things take a while to"},{"speaker":"Charles Goldfarb","startTime":1378.06,"endTime":1381.14,"body":"heal, and there is a risk of non"},{"speaker":"Charles Goldfarb","startTime":1378.06,"endTime":1381.14,"body":"union, and there is a risk"},{"speaker":"Charles Goldfarb","startTime":1381.14,"endTime":1383.78,"body":"you're gonna have to take the"},{"speaker":"Charles Goldfarb","startTime":1381.14,"endTime":1383.78,"body":"plate back out. So some have"},{"speaker":"Charles Goldfarb","startTime":1383.78,"endTime":1385.7,"body":"advocated for a different"},{"speaker":"Charles Goldfarb","startTime":1383.78,"endTime":1385.7,"body":"approach. Yeah. Do"},{"speaker":"Chris Dy","startTime":1385.7,"endTime":1387.92,"body":"you think the"},{"speaker":"Chris Dy","startTime":1385.7,"endTime":1387.92,"body":"metaphyseal bone is more apt to"},{"speaker":"Chris Dy","startTime":1387.92,"endTime":1390.68,"body":"heal after an osteotomy, as"},{"speaker":"Chris Dy","startTime":1387.92,"endTime":1390.68,"body":"opposed to the Diaphyseal or"},{"speaker":"Chris Dy","startTime":1390.68,"endTime":1391.1,"body":"shaft?"},{"speaker":"Charles Goldfarb","startTime":1391.34,"endTime":1393.86,"body":"No doubt,"},{"speaker":"Charles Goldfarb","startTime":1391.34,"endTime":1393.86,"body":"definitely more apt to heal. The"},{"speaker":"Charles Goldfarb","startTime":1393.86,"endTime":1398.0,"body":"tricky part is, how do you fix"},{"speaker":"Charles Goldfarb","startTime":1393.86,"endTime":1398.0,"body":"it? And, you know, do you know"},{"speaker":"Charles Goldfarb","startTime":1398.0,"endTime":1402.58,"body":"we could? We should talk about"},{"speaker":"Charles Goldfarb","startTime":1398.0,"endTime":1402.58,"body":"that. I'll say the other Yeah. I"},{"speaker":"Charles Goldfarb","startTime":1402.58,"endTime":1406.78,"body":"mean, it's really interesting"},{"speaker":"Charles Goldfarb","startTime":1402.58,"endTime":1406.78,"body":"question. I would say that one"},{"speaker":"Charles Goldfarb","startTime":1406.78,"endTime":1409.42,"body":"out of six of my patients have"},{"speaker":"Charles Goldfarb","startTime":1406.78,"endTime":1409.42,"body":"their plate removed, and I'll"},{"speaker":"Charles Goldfarb","startTime":1409.42,"endTime":1412.6,"body":"put it on volatly, which is not"},{"speaker":"Charles Goldfarb","startTime":1409.42,"endTime":1412.6,"body":"a huge number, but it's a real"},{"speaker":"Charles Goldfarb","startTime":1412.6,"endTime":1413.02,"body":"number."},{"speaker":"Chris Dy","startTime":1413.62,"endTime":1416.62,"body":"No, I think that"},{"speaker":"Chris Dy","startTime":1413.62,"endTime":1416.62,"body":"that's, you know, I am. I was"},{"speaker":"Chris Dy","startTime":1416.62,"endTime":1419.98,"body":"trained on using one system that"},{"speaker":"Chris Dy","startTime":1416.62,"endTime":1419.98,"body":"was classically described. I"},{"speaker":"Chris Dy","startTime":1419.98,"endTime":1422.7,"body":"mean, we can say it if we want"},{"speaker":"Chris Dy","startTime":1419.98,"endTime":1422.7,"body":"to, but it was developed by Dr"},{"speaker":"Chris Dy","startTime":1422.7,"endTime":1426.66,"body":"Geisler. In terms of the design,"},{"speaker":"Chris Dy","startTime":1422.7,"endTime":1426.66,"body":"it's a very it's a thick 3.5"},{"speaker":"Chris Dy","startTime":1427.26,"endTime":1431.04,"body":"plate that is designed to sit on"},{"speaker":"Chris Dy","startTime":1427.26,"endTime":1431.04,"body":"the shaft. And I put it on"},{"speaker":"Chris Dy","startTime":1431.04,"endTime":1434.76,"body":"volar, and it's a chunky plate"},{"speaker":"Chris Dy","startTime":1431.04,"endTime":1434.76,"body":"in a slander patient and in an"},{"speaker":"Chris Dy","startTime":1434.76,"endTime":1437.46,"body":"area with not a lot of sub q,"},{"speaker":"Chris Dy","startTime":1434.76,"endTime":1437.46,"body":"even if you put it vulnerably,"},{"speaker":"Chris Dy","startTime":1438.48,"endTime":1440.88,"body":"you know, or dorsally, I mean,"},{"speaker":"Chris Dy","startTime":1438.48,"endTime":1440.88,"body":"however you want to put it, but,"},{"speaker":"Chris Dy","startTime":1441.66,"endTime":1443.9,"body":"you know, my experience has been"},{"speaker":"Chris Dy","startTime":1441.66,"endTime":1443.9,"body":"similar, although I don't have"},{"speaker":"Chris Dy","startTime":1443.9,"endTime":1446.9,"body":"the volume that you have. I tell"},{"speaker":"Chris Dy","startTime":1443.9,"endTime":1446.9,"body":"every patient you might want"},{"speaker":"Chris Dy","startTime":1446.9,"endTime":1449.36,"body":"this out if you know, if you"},{"speaker":"Chris Dy","startTime":1446.9,"endTime":1449.36,"body":"might feel it when your forearm"},{"speaker":"Chris Dy","startTime":1449.36,"endTime":1451.94,"body":"is resting on a table, that kind"},{"speaker":"Chris Dy","startTime":1449.36,"endTime":1451.94,"body":"of thing. But I know that there"},{"speaker":"Chris Dy","startTime":1451.94,"endTime":1454.16,"body":"have been at least two or three"},{"speaker":"Chris Dy","startTime":1451.94,"endTime":1454.16,"body":"other companies that have come"},{"speaker":"Chris Dy","startTime":1454.16,"endTime":1456.92,"body":"out with a different plate, and"},{"speaker":"Chris Dy","startTime":1454.16,"endTime":1456.92,"body":"I know there's one set in"},{"speaker":"Chris Dy","startTime":1456.92,"endTime":1460.42,"body":"particular that has that"},{"speaker":"Chris Dy","startTime":1456.92,"endTime":1460.42,"body":"metaphyseal, more distally"},{"speaker":"Chris Dy","startTime":1460.42,"endTime":1461.2,"body":"sitting plate."},{"speaker":"Charles Goldfarb","startTime":1461.86,"endTime":1464.74,"body":"Yeah. So one"},{"speaker":"Charles Goldfarb","startTime":1461.86,"endTime":1464.74,"body":"thing that came up in my session"},{"speaker":"Charles Goldfarb","startTime":1464.74,"endTime":1468.64,"body":"yesterday about wrist"},{"speaker":"Charles Goldfarb","startTime":1464.74,"endTime":1468.64,"body":"arthroscopy was, what is the"},{"speaker":"Charles Goldfarb","startTime":1468.64,"endTime":1474.04,"body":"role for arthroscopic wafer, or"},{"speaker":"Charles Goldfarb","startTime":1468.64,"endTime":1474.04,"body":"wafer in general? I'll start by"},{"speaker":"Charles Goldfarb","startTime":1474.04,"endTime":1476.5,"body":"saying one of the really"},{"speaker":"Charles Goldfarb","startTime":1474.04,"endTime":1476.5,"body":"important considerations is a"},{"speaker":"Charles Goldfarb","startTime":1476.5,"endTime":1480.54,"body":"wafer procedure can decrease"},{"speaker":"Charles Goldfarb","startTime":1476.5,"endTime":1480.54,"body":"impaction, but it doesn't"},{"speaker":"Charles Goldfarb","startTime":1480.6,"endTime":1484.02,"body":"increase stability. And so one"},{"speaker":"Charles Goldfarb","startTime":1480.6,"endTime":1484.02,"body":"of my favorite parts about a"},{"speaker":"Charles Goldfarb","startTime":1484.02,"endTime":1486.6,"body":"true ulnar shortening osteotomy,"},{"speaker":"Charles Goldfarb","startTime":1484.02,"endTime":1486.6,"body":"whether metaphysical or"},{"speaker":"Charles Goldfarb","startTime":1486.6,"endTime":1490.02,"body":"Diaphyseal, is when you hold the"},{"speaker":"Charles Goldfarb","startTime":1486.6,"endTime":1490.02,"body":"ulnar approximately, you tighten"},{"speaker":"Charles Goldfarb","startTime":1490.02,"endTime":1493.02,"body":"the ulnar carbo ligaments, and"},{"speaker":"Charles Goldfarb","startTime":1490.02,"endTime":1493.02,"body":"that increases stability. So a"},{"speaker":"Charles Goldfarb","startTime":1493.02,"endTime":1497.64,"body":"wafer doesn't do that. All of"},{"speaker":"Charles Goldfarb","startTime":1493.02,"endTime":1497.64,"body":"the panelists agreed that they"},{"speaker":"Charles Goldfarb","startTime":1497.64,"endTime":1501.38,"body":"don't love the wafer the"},{"speaker":"Charles Goldfarb","startTime":1497.64,"endTime":1501.38,"body":"arthroscopic way. For is not"},{"speaker":"Charles Goldfarb","startTime":1501.38,"endTime":1505.76,"body":"easy to do well is it is not."},{"speaker":"Charles Goldfarb","startTime":1501.38,"endTime":1505.76,"body":"The results are just not as"},{"speaker":"Charles Goldfarb","startTime":1505.76,"endTime":1508.64,"body":"good. And none of us routinely"},{"speaker":"Charles Goldfarb","startTime":1505.76,"endTime":1508.64,"body":"do it right."},{"speaker":"Chris Dy","startTime":1508.64,"endTime":1510.74,"body":"And if you guys can"},{"speaker":"Chris Dy","startTime":1508.64,"endTime":1510.74,"body":"come to agreement, and don't"},{"speaker":"Chris Dy","startTime":1510.74,"endTime":1512.96,"body":"think that it well, you guys,"},{"speaker":"Chris Dy","startTime":1510.74,"endTime":1512.96,"body":"you came to agreement that you"},{"speaker":"Chris Dy","startTime":1512.96,"endTime":1517.52,"body":"don't like it, it's just not my,"},{"speaker":"Chris Dy","startTime":1512.96,"endTime":1517.52,"body":"not going to be in, in my in my"},{"speaker":"Chris Dy","startTime":1517.52,"endTime":1520.78,"body":"bag of tricks. Do you think that"},{"speaker":"Chris Dy","startTime":1517.52,"endTime":1520.78,"body":"shortening through the"},{"speaker":"Chris Dy","startTime":1520.78,"endTime":1524.14,"body":"metaphysis will provide you the"},{"speaker":"Chris Dy","startTime":1520.78,"endTime":1524.14,"body":"same ligamentotaxis, or kind of"},{"speaker":"Chris Dy","startTime":1524.14,"endTime":1527.44,"body":"that pull of the ligaments to"},{"speaker":"Chris Dy","startTime":1524.14,"endTime":1527.44,"body":"stabilize the drJ as shortening,"},{"speaker":"Chris Dy","startTime":1527.44,"endTime":1529.24,"body":"or approximately at the"},{"speaker":"Chris Dy","startTime":1527.44,"endTime":1529.24,"body":"shaftwood. Yeah,"},{"speaker":"Charles Goldfarb","startTime":1529.24,"endTime":1532.0,"body":"I would say"},{"speaker":"Charles Goldfarb","startTime":1529.24,"endTime":1532.0,"body":"that there's no literature on"},{"speaker":"Charles Goldfarb","startTime":1532.0,"endTime":1534.52,"body":"that. I you won't get as much"},{"speaker":"Charles Goldfarb","startTime":1532.0,"endTime":1534.52,"body":"shortening, and usually you're"},{"speaker":"Charles Goldfarb","startTime":1534.52,"endTime":1537.34,"body":"doing a little bit of an"},{"speaker":"Charles Goldfarb","startTime":1534.52,"endTime":1537.34,"body":"objective shortening, and also a"},{"speaker":"Charles Goldfarb","startTime":1537.34,"endTime":1540.6,"body":"closing wedge. So the answer is"},{"speaker":"Charles Goldfarb","startTime":1537.34,"endTime":1540.6,"body":"no. So if I'm shortening with"},{"speaker":"Charles Goldfarb","startTime":1540.6,"endTime":1544.2,"body":"any consideration for needing"},{"speaker":"Charles Goldfarb","startTime":1540.6,"endTime":1544.2,"body":"stability, then I would probably"},{"speaker":"Charles Goldfarb","startTime":1544.2,"endTime":1547.32,"body":"go with a formal Diaphyseal"},{"speaker":"Charles Goldfarb","startTime":1544.2,"endTime":1547.32,"body":"shortening. But the techniques"},{"speaker":"Charles Goldfarb","startTime":1547.32,"endTime":1549.66,"body":"are really interesting. I mean,"},{"speaker":"Charles Goldfarb","startTime":1547.32,"endTime":1549.66,"body":"some of the techniques from a"},{"speaker":"Charles Goldfarb","startTime":1549.66,"endTime":1552.84,"body":"tape seal that is freehand, you"},{"speaker":"Charles Goldfarb","startTime":1549.66,"endTime":1552.84,"body":"know, is a little closing wedge"},{"speaker":"Charles Goldfarb","startTime":1552.84,"endTime":1557.46,"body":"osteotomy, where it's more of a"},{"speaker":"Charles Goldfarb","startTime":1552.84,"endTime":1557.46,"body":"trapezoidal closing wedge. And"},{"speaker":"Charles Goldfarb","startTime":1557.46,"endTime":1560.84,"body":"if you have a big central tear,"},{"speaker":"Charles Goldfarb","startTime":1557.46,"endTime":1560.84,"body":"you just drive a couple of"},{"speaker":"Charles Goldfarb","startTime":1560.9,"endTime":1565.82,"body":"headless compression screws from"},{"speaker":"Charles Goldfarb","startTime":1560.9,"endTime":1565.82,"body":"distal to proximal through your"},{"speaker":"Charles Goldfarb","startTime":1565.82,"endTime":1569.78,"body":"tear, and that's a brilliant way"},{"speaker":"Charles Goldfarb","startTime":1565.82,"endTime":1569.78,"body":"to fix it. It's trickier,"},{"speaker":"Charles Goldfarb","startTime":1569.78,"endTime":1572.72,"body":"though, when you don't have a"},{"speaker":"Charles Goldfarb","startTime":1569.78,"endTime":1572.72,"body":"frank central tear, and then you"},{"speaker":"Charles Goldfarb","startTime":1572.72,"endTime":1575.54,"body":"have to have to modify your"},{"speaker":"Charles Goldfarb","startTime":1572.72,"endTime":1575.54,"body":"approach to put your screws in."},{"speaker":"Charles Goldfarb","startTime":1575.54,"endTime":1579.56,"body":"But I love the simplicity of it,"},{"speaker":"Charles Goldfarb","startTime":1575.54,"endTime":1579.56,"body":"the speed of it, and the lack of"},{"speaker":"Charles Goldfarb","startTime":1579.56,"endTime":1582.64,"body":"need for hardware removal, and"},{"speaker":"Charles Goldfarb","startTime":1579.56,"endTime":1582.64,"body":"the literature supports a"},{"speaker":"Charles Goldfarb","startTime":1582.64,"endTime":1584.8,"body":"really, really high healing"},{"speaker":"Charles Goldfarb","startTime":1582.64,"endTime":1584.8,"body":"rate. You"},{"speaker":"Chris Dy","startTime":1584.8,"endTime":1586.6,"body":"will not catch me"},{"speaker":"Chris Dy","startTime":1584.8,"endTime":1586.6,"body":"doing that. That sounds way"},{"speaker":"Chris Dy","startTime":1586.6,"endTime":1589.54,"body":"harder than anything I want to"},{"speaker":"Chris Dy","startTime":1586.6,"endTime":1589.54,"body":"be involved in with regards to"},{"speaker":"Chris Dy","startTime":1589.54,"endTime":1591.28,"body":"the arthroscope. Well, then"},{"speaker":"Charles Goldfarb","startTime":1591.28,"endTime":1592.9,"body":"I have a new"},{"speaker":"Charles Goldfarb","startTime":1591.28,"endTime":1592.9,"body":"goal to convince you it's"},{"speaker":"Charles Goldfarb","startTime":1592.9,"endTime":1594.22,"body":"better. Yeah, no,"},{"speaker":"Chris Dy","startTime":1594.22,"endTime":1595.78,"body":"I think I'll be"},{"speaker":"Chris Dy","startTime":1594.22,"endTime":1595.78,"body":"sending that to you if the"},{"speaker":"Chris Dy","startTime":1595.78,"endTime":1598.9,"body":"patient comes in asking for"},{"speaker":"Chris Dy","startTime":1595.78,"endTime":1598.9,"body":"that. Do you think that a three"},{"speaker":"Chris Dy","startTime":1598.9,"endTime":1603.12,"body":"five plate is necessary for"},{"speaker":"Chris Dy","startTime":1598.9,"endTime":1603.12,"body":"fixing the shaft of the ulna. I"},{"speaker":"Chris Dy","startTime":1603.12,"endTime":1606.54,"body":"mean, I think that honestly, a"},{"speaker":"Chris Dy","startTime":1603.12,"endTime":1606.54,"body":"two seven plate does it for most"},{"speaker":"Chris Dy","startTime":1606.54,"endTime":1609.78,"body":"patients, as long as you get"},{"speaker":"Chris Dy","startTime":1606.54,"endTime":1609.78,"body":"good apposition. And honestly,"},{"speaker":"Chris Dy","startTime":1609.78,"endTime":1612.42,"body":"if you get your inner frag screw"},{"speaker":"Chris Dy","startTime":1609.78,"endTime":1612.42,"body":"too, because you can obviously"},{"speaker":"Chris Dy","startTime":1612.42,"endTime":1614.76,"body":"use the plate to apply"},{"speaker":"Chris Dy","startTime":1612.42,"endTime":1614.76,"body":"compression. You can get"},{"speaker":"Chris Dy","startTime":1614.82,"endTime":1617.88,"body":"additional compression through"},{"speaker":"Chris Dy","startTime":1614.82,"endTime":1617.88,"body":"your lag or interfrag."},{"speaker":"Charles Goldfarb","startTime":1618.36,"endTime":1621.8,"body":"Yeah, I may"},{"speaker":"Charles Goldfarb","startTime":1618.36,"endTime":1621.8,"body":"show my naivety here, all two"},{"speaker":"Charles Goldfarb","startTime":1621.8,"endTime":1625.34,"body":"seven plates do not feel the"},{"speaker":"Charles Goldfarb","startTime":1621.8,"endTime":1625.34,"body":"same to me. And I'll say, I'll"},{"speaker":"Charles Goldfarb","startTime":1625.34,"endTime":1627.5,"body":"throw out some manufacturers,"},{"speaker":"Charles Goldfarb","startTime":1625.34,"endTime":1627.5,"body":"just because I think this"},{"speaker":"Charles Goldfarb","startTime":1627.5,"endTime":1631.04,"body":"specific, specificity of that"},{"speaker":"Charles Goldfarb","startTime":1627.5,"endTime":1631.04,"body":"will be helpful. I love and I"},{"speaker":"Charles Goldfarb","startTime":1631.04,"endTime":1635.06,"body":"have no conflict. I love"},{"speaker":"Charles Goldfarb","startTime":1631.04,"endTime":1635.06,"body":"orthopediatrics and their small"},{"speaker":"Charles Goldfarb","startTime":1635.06,"endTime":1638.0,"body":"fragment set. It has a great"},{"speaker":"Charles Goldfarb","startTime":1635.06,"endTime":1638.0,"body":"three, five plate and a great"},{"speaker":"Charles Goldfarb","startTime":1638.0,"endTime":1641.44,"body":"two seven plate. And that two"},{"speaker":"Charles Goldfarb","startTime":1638.0,"endTime":1641.44,"body":"seven plate is for real. It is a"},{"speaker":"Charles Goldfarb","startTime":1641.44,"endTime":1646.36,"body":"DCP. And then I, if I flip and"},{"speaker":"Charles Goldfarb","startTime":1641.44,"endTime":1646.36,"body":"go and use a synthesis, modular"},{"speaker":"Charles Goldfarb","startTime":1646.36,"endTime":1651.58,"body":"hand, two, four or two, seven"},{"speaker":"Charles Goldfarb","startTime":1646.36,"endTime":1651.58,"body":"plate, it's not the same. So I"},{"speaker":"Charles Goldfarb","startTime":1651.58,"endTime":1655.84,"body":"would say yes to the ortho"},{"speaker":"Charles Goldfarb","startTime":1651.58,"endTime":1655.84,"body":"pediatric, and probably I don't"},{"speaker":"Charles Goldfarb","startTime":1655.84,"endTime":1658.18,"body":"know that I'd be as confident"},{"speaker":"Charles Goldfarb","startTime":1655.84,"endTime":1658.18,"body":"with others, right? Let me think"},{"speaker":"Chris Dy","startTime":1658.18,"endTime":1660.3,"body":"they're all designed a"},{"speaker":"Chris Dy","startTime":1658.18,"endTime":1660.3,"body":"little bit differently. You have"},{"speaker":"Chris Dy","startTime":1660.3,"endTime":1663.18,"body":"your recon kind of plates that"},{"speaker":"Chris Dy","startTime":1660.3,"endTime":1663.18,"body":"are, quote, flex in some sets,"},{"speaker":"Chris Dy","startTime":1663.18,"endTime":1665.52,"body":"and then you have other plates,"},{"speaker":"Chris Dy","startTime":1663.18,"endTime":1665.52,"body":"like the DCPs, that are your"},{"speaker":"Chris Dy","startTime":1665.52,"endTime":1668.4,"body":"strength plates as they're"},{"speaker":"Chris Dy","startTime":1665.52,"endTime":1668.4,"body":"described in other sets too. So"},{"speaker":"Chris Dy","startTime":1668.76,"endTime":1671.7,"body":"agree, not every, not every two"},{"speaker":"Chris Dy","startTime":1668.76,"endTime":1671.7,"body":"seven is the same. Yeah,"},{"speaker":"Charles Goldfarb","startTime":1671.7,"endTime":1673.92,"body":"they're both"},{"speaker":"Charles Goldfarb","startTime":1671.7,"endTime":1673.92,"body":"DCPS, interestingly, but they're"},{"speaker":"Charles Goldfarb","startTime":1673.92,"endTime":1677.46,"body":"just not the same. I guess maybe"},{"speaker":"Charles Goldfarb","startTime":1673.92,"endTime":1677.46,"body":"I technically they're both two"},{"speaker":"Charles Goldfarb","startTime":1677.46,"endTime":1682.46,"body":"sevens, but maybe it's the"},{"speaker":"Charles Goldfarb","startTime":1677.46,"endTime":1682.46,"body":"width, in addition to the size"},{"speaker":"Charles Goldfarb","startTime":1682.46,"endTime":1686.06,"body":"of the screw that they allow to"},{"speaker":"Charles Goldfarb","startTime":1682.46,"endTime":1686.06,"body":"be placed. So"},{"speaker":"Chris Dy","startTime":1686.36,"endTime":1689.42,"body":"to get back to our"},{"speaker":"Chris Dy","startTime":1686.36,"endTime":1689.42,"body":"case, you know, introduce the"},{"speaker":"Chris Dy","startTime":1689.42,"endTime":1693.62,"body":"arthroscope and evaluated. And"},{"speaker":"Chris Dy","startTime":1689.42,"endTime":1693.62,"body":"course, there was this, just"},{"speaker":"Chris Dy","startTime":1693.62,"endTime":1697.52,"body":"this bare spot on the lunate,"},{"speaker":"Chris Dy","startTime":1693.62,"endTime":1697.52,"body":"which was, you know, telling."},{"speaker":"Chris Dy","startTime":1697.52,"endTime":1700.46,"body":"And I looked at the plastic"},{"speaker":"Chris Dy","startTime":1697.52,"endTime":1700.46,"body":"surgery resident, was fantastic."},{"speaker":"Chris Dy","startTime":1700.46,"endTime":1702.46,"body":"And I said, that's what we're"},{"speaker":"Chris Dy","startTime":1700.46,"endTime":1702.46,"body":"looking at right now. That's"},{"speaker":"Chris Dy","startTime":1702.46,"endTime":1705.22,"body":"exactly she's like, Wow, that"},{"speaker":"Chris Dy","startTime":1702.46,"endTime":1705.22,"body":"really, really drove home the"},{"speaker":"Chris Dy","startTime":1705.22,"endTime":1707.68,"body":"point of why we're here. So"},{"speaker":"Chris Dy","startTime":1705.22,"endTime":1707.68,"body":"that's a really good teaching"},{"speaker":"Chris Dy","startTime":1707.68,"endTime":1710.98,"body":"point. We debrided the tear, and"},{"speaker":"Chris Dy","startTime":1707.68,"endTime":1710.98,"body":"then we got on to the"},{"speaker":"Chris Dy","startTime":1710.98,"endTime":1714.46,"body":"shortening. How do you proceed"},{"speaker":"Chris Dy","startTime":1710.98,"endTime":1714.46,"body":"with you know? So this isn't"},{"speaker":"Chris Dy","startTime":1714.46,"endTime":1717.22,"body":"about arthroscopy, but in terms"},{"speaker":"Chris Dy","startTime":1714.46,"endTime":1717.22,"body":"of the technical aspects of the"},{"speaker":"Chris Dy","startTime":1717.22,"endTime":1720.24,"body":"shortening, where do you decide"},{"speaker":"Chris Dy","startTime":1717.22,"endTime":1720.24,"body":"to place your incision? What are"},{"speaker":"Chris Dy","startTime":1720.24,"endTime":1722.64,"body":"you thinking about in terms of"},{"speaker":"Chris Dy","startTime":1720.24,"endTime":1722.64,"body":"the surgical approach?"},{"speaker":"Chris Dy","startTime":1722.64,"endTime":1724.8,"body":"Structures at risk, the"},{"speaker":"Chris Dy","startTime":1722.64,"endTime":1724.8,"body":"intervals you want to be"},{"speaker":"Charles Goldfarb","startTime":1725.22,"endTime":1727.32,"body":"in, just like"},{"speaker":"Charles Goldfarb","startTime":1725.22,"endTime":1727.32,"body":"you always do to me when you're"},{"speaker":"Charles Goldfarb","startTime":1727.32,"endTime":1729.9,"body":"talking about nerve let's talk a"},{"speaker":"Charles Goldfarb","startTime":1727.32,"endTime":1729.9,"body":"little about the arthroscopy"},{"speaker":"Charles Goldfarb","startTime":1729.9,"endTime":1734.46,"body":"first, so it won't take long, a"},{"speaker":"Charles Goldfarb","startTime":1729.9,"endTime":1734.46,"body":"couple of points when you"},{"speaker":"Charles Goldfarb","startTime":1734.46,"endTime":1738.06,"body":"debride your central tear. You"},{"speaker":"Charles Goldfarb","startTime":1734.46,"endTime":1738.06,"body":"can do that with a biter. You"},{"speaker":"Charles Goldfarb","startTime":1738.06,"endTime":1740.66,"body":"can do it with a shaver. You can"},{"speaker":"Charles Goldfarb","startTime":1738.06,"endTime":1740.66,"body":"do it with a heat shrinking"},{"speaker":"Charles Goldfarb","startTime":1740.66,"endTime":1743.72,"body":"device. I don't know that really"},{"speaker":"Charles Goldfarb","startTime":1740.66,"endTime":1743.72,"body":"matters. Some would advocate the"},{"speaker":"Charles Goldfarb","startTime":1743.72,"endTime":1746.96,"body":"heat shrinker, because if there"},{"speaker":"Charles Goldfarb","startTime":1743.72,"endTime":1746.96,"body":"are any nerve fibers innervating"},{"speaker":"Charles Goldfarb","startTime":1746.96,"endTime":1749.78,"body":"that TFC, and there may not be,"},{"speaker":"Charles Goldfarb","startTime":1746.96,"endTime":1749.78,"body":"because there's no blood supply"},{"speaker":"Charles Goldfarb","startTime":1749.96,"endTime":1754.82,"body":"that central TFCC, then they"},{"speaker":"Charles Goldfarb","startTime":1749.96,"endTime":1754.82,"body":"will take care of that. You can"},{"speaker":"Charles Goldfarb","startTime":1754.82,"endTime":1757.88,"body":"debride up to two thirds of the"},{"speaker":"Charles Goldfarb","startTime":1754.82,"endTime":1757.88,"body":"central TFC without worrying"},{"speaker":"Charles Goldfarb","startTime":1757.88,"endTime":1763.6,"body":"about stability. Really, real"},{"speaker":"Charles Goldfarb","startTime":1757.88,"endTime":1763.6,"body":"arthros. Arthroscopy geeks like"},{"speaker":"Charles Goldfarb","startTime":1763.6,"endTime":1767.5,"body":"me will micro fracture that big"},{"speaker":"Charles Goldfarb","startTime":1763.6,"endTime":1767.5,"body":"hole in the lunate and try to"},{"speaker":"Charles Goldfarb","startTime":1767.5,"endTime":1770.62,"body":"get some cartilage to form, not"},{"speaker":"Charles Goldfarb","startTime":1767.5,"endTime":1770.62,"body":"not saying that's necessary."},{"speaker":"Charles Goldfarb","startTime":1770.62,"endTime":1776.08,"body":"Doesn't take much time. And I"},{"speaker":"Charles Goldfarb","startTime":1770.62,"endTime":1776.08,"body":"would say the final arthroscopic"},{"speaker":"Charles Goldfarb","startTime":1776.08,"endTime":1779.74,"body":"point is you do have to be a"},{"speaker":"Charles Goldfarb","startTime":1776.08,"endTime":1779.74,"body":"little careful. You can have a"},{"speaker":"Charles Goldfarb","startTime":1779.74,"endTime":1783.54,"body":"central tear and a phobial tear."},{"speaker":"Charles Goldfarb","startTime":1779.74,"endTime":1783.54,"body":"So be aware of that, as I know"},{"speaker":"Charles Goldfarb","startTime":1783.54,"endTime":1786.96,"body":"you are. But for our listeners,"},{"speaker":"Charles Goldfarb","startTime":1783.54,"endTime":1786.96,"body":"look for that, because that"},{"speaker":"Charles Goldfarb","startTime":1786.96,"endTime":1790.14,"body":"indicates potential risk for"},{"speaker":"Charles Goldfarb","startTime":1786.96,"endTime":1790.14,"body":"instability, again, some of"},{"speaker":"Charles Goldfarb","startTime":1790.14,"endTime":1793.2,"body":"which can be restored with"},{"speaker":"Charles Goldfarb","startTime":1790.14,"endTime":1793.2,"body":"shortening, but not always. All"},{"speaker":"Charles Goldfarb","startTime":1793.2,"endTime":1793.44,"body":"of it."},{"speaker":"Chris Dy","startTime":1793.68,"endTime":1796.62,"body":"You'll be proud. We"},{"speaker":"Chris Dy","startTime":1793.68,"endTime":1796.62,"body":"checked. We did the hook, we did"},{"speaker":"Chris Dy","startTime":1796.62,"endTime":1799.44,"body":"the trampoline. We talked about"},{"speaker":"Chris Dy","startTime":1796.62,"endTime":1799.44,"body":"your paper, your first paper,"},{"speaker":"Chris Dy","startTime":1799.44,"endTime":1802.04,"body":"your second. Paper, award"},{"speaker":"Chris Dy","startTime":1799.44,"endTime":1802.04,"body":"winning paper, the whole spiel."},{"speaker":"Chris Dy","startTime":1802.1,"endTime":1804.98,"body":"So we, we, we got everybody"},{"speaker":"Chris Dy","startTime":1802.1,"endTime":1804.98,"body":"fully up to speed on the"},{"speaker":"Chris Dy","startTime":1804.98,"endTime":1807.08,"body":"Goldfarb lexicon of wrist"},{"speaker":"Chris Dy","startTime":1804.98,"endTime":1807.08,"body":"arthroscopy."},{"speaker":"Charles Goldfarb","startTime":1807.38,"endTime":1809.18,"body":"Perfect. Now"},{"speaker":"Charles Goldfarb","startTime":1807.38,"endTime":1809.18,"body":"back to your question. Well, no,"},{"speaker":"Charles Goldfarb","startTime":1809.18,"endTime":1811.76,"body":"I know what I was gonna say."},{"speaker":"Charles Goldfarb","startTime":1809.18,"endTime":1811.76,"body":"What was it? But I know. So my"},{"speaker":"Charles Goldfarb","startTime":1811.76,"endTime":1814.34,"body":"incision, first of all, always"},{"speaker":"Charles Goldfarb","startTime":1811.76,"endTime":1814.34,"body":"make it too short. I try to try"},{"speaker":"Charles Goldfarb","startTime":1814.34,"endTime":1817.46,"body":"to minimize the incision. It's"},{"speaker":"Charles Goldfarb","startTime":1814.34,"endTime":1817.46,"body":"tough to minimize the incision."},{"speaker":"Charles Goldfarb","startTime":1817.64,"endTime":1822.46,"body":"It's between the FCU and the"},{"speaker":"Charles Goldfarb","startTime":1817.64,"endTime":1822.46,"body":"ECU. It starts proximal to the"},{"speaker":"Charles Goldfarb","startTime":1822.46,"endTime":1827.56,"body":"ulna styloid. So you remove"},{"speaker":"Charles Goldfarb","startTime":1822.46,"endTime":1827.56,"body":"concerns about the primary ulnar"},{"speaker":"Charles Goldfarb","startTime":1827.56,"endTime":1831.04,"body":"sensory branch there can be that"},{"speaker":"Charles Goldfarb","startTime":1827.56,"endTime":1831.04,"body":"transverse branch. So if you're"},{"speaker":"Charles Goldfarb","startTime":1831.04,"endTime":1834.94,"body":"just proximal to drej, you work,"},{"speaker":"Charles Goldfarb","startTime":1831.04,"endTime":1834.94,"body":"you take away all worry, and"},{"speaker":"Charles Goldfarb","startTime":1834.94,"endTime":1837.16,"body":"honestly, pretty quickly down"},{"speaker":"Charles Goldfarb","startTime":1834.94,"endTime":1837.16,"body":"the bone."},{"speaker":"Chris Dy","startTime":1837.58,"endTime":1840.04,"body":"So the quote, easiest"},{"speaker":"Chris Dy","startTime":1837.58,"endTime":1840.04,"body":"approach in orthopedics, but"},{"speaker":"Chris Dy","startTime":1840.04,"endTime":1843.84,"body":"I've seen many people flail at"},{"speaker":"Chris Dy","startTime":1840.04,"endTime":1843.84,"body":"doing this well in terms of, I"},{"speaker":"Chris Dy","startTime":1843.84,"endTime":1846.42,"body":"don't like seeing muscle belly."},{"speaker":"Chris Dy","startTime":1843.84,"endTime":1846.42,"body":"I think it's a really good"},{"speaker":"Chris Dy","startTime":1846.42,"endTime":1849.6,"body":"technical exercise to try to"},{"speaker":"Chris Dy","startTime":1846.42,"endTime":1849.6,"body":"open the interval between the"},{"speaker":"Chris Dy","startTime":1849.6,"endTime":1853.68,"body":"ECU and the FCU without opening"},{"speaker":"Chris Dy","startTime":1849.6,"endTime":1853.68,"body":"the inner sheath of that fascia."},{"speaker":"Chris Dy","startTime":1853.68,"endTime":1856.8,"body":"So I like to give the residents"},{"speaker":"Chris Dy","startTime":1853.68,"endTime":1856.8,"body":"and fellows a hard time about"},{"speaker":"Chris Dy","startTime":1856.8,"endTime":1859.32,"body":"this. But I think when done"},{"speaker":"Chris Dy","startTime":1856.8,"endTime":1859.32,"body":"well, this is an elegant, sharp"},{"speaker":"Chris Dy","startTime":1859.32,"endTime":1862.88,"body":"approach. Do you keep them in"},{"speaker":"Chris Dy","startTime":1859.32,"endTime":1862.88,"body":"the finger traps and the"},{"speaker":"Chris Dy","startTime":1862.88,"endTime":1865.04,"body":"traction as you're doing this?"},{"speaker":"Chris Dy","startTime":1862.88,"endTime":1865.04,"body":"Do you take them out of the"},{"speaker":"Chris Dy","startTime":1865.04,"endTime":1866.06,"body":"traction tower entirely?"},{"speaker":"Charles Goldfarb","startTime":1866.36,"endTime":1868.94,"body":"Yeah, it's a,"},{"speaker":"Charles Goldfarb","startTime":1866.36,"endTime":1868.94,"body":"it's a good question. I think"},{"speaker":"Charles Goldfarb","startTime":1868.94,"endTime":1872.12,"body":"it's just personal preference. I"},{"speaker":"Charles Goldfarb","startTime":1868.94,"endTime":1872.12,"body":"absolutely take them out. I do"},{"speaker":"Charles Goldfarb","startTime":1872.12,"endTime":1874.1,"body":"not find it easier. What about"},{"speaker":"Charles Goldfarb","startTime":1872.12,"endTime":1874.1,"body":"you? I take"},{"speaker":"Chris Dy","startTime":1874.1,"endTime":1876.14,"body":"them out too because,"},{"speaker":"Chris Dy","startTime":1874.1,"endTime":1876.14,"body":"I mean, your floor scan. It's"},{"speaker":"Chris Dy","startTime":1876.14,"endTime":1878.84,"body":"just harder for me. I mean, I"},{"speaker":"Chris Dy","startTime":1876.14,"endTime":1878.84,"body":"don't want to, you know, it's a,"},{"speaker":"Chris Dy","startTime":1879.08,"endTime":1882.4,"body":"it's a pain in the butt to have,"},{"speaker":"Chris Dy","startTime":1879.08,"endTime":1882.4,"body":"you know, to have to position a"},{"speaker":"Chris Dy","startTime":1882.4,"endTime":1885.22,"body":"forearm for the osteotomy. This"},{"speaker":"Chris Dy","startTime":1882.4,"endTime":1885.22,"body":"is when, like, if you have,"},{"speaker":"Chris Dy","startTime":1885.22,"endTime":1887.92,"body":"like, somebody randomly around"},{"speaker":"Chris Dy","startTime":1885.22,"endTime":1887.92,"body":"who can scrub and just hold, it"},{"speaker":"Chris Dy","startTime":1887.92,"endTime":1890.62,"body":"does make the case a little bit"},{"speaker":"Chris Dy","startTime":1887.92,"endTime":1890.62,"body":"shorter, so that, you know, one"},{"speaker":"Chris Dy","startTime":1890.62,"endTime":1893.74,"body":"person can hold, one person can"},{"speaker":"Chris Dy","startTime":1890.62,"endTime":1893.74,"body":"retract, another person could do"},{"speaker":"Chris Dy","startTime":1893.74,"endTime":1895.9,"body":"the osteotomy. I've done it"},{"speaker":"Chris Dy","startTime":1893.74,"endTime":1895.9,"body":"shorthanded as well. I mean,"},{"speaker":"Chris Dy","startTime":1895.9,"endTime":1896.08,"body":"it's"},{"speaker":"Charles Goldfarb","startTime":1896.38,"endTime":1897.52,"body":"fine, yeah,"},{"speaker":"Charles Goldfarb","startTime":1896.38,"endTime":1897.52,"body":"you're a little higher"},{"speaker":"Charles Goldfarb","startTime":1897.52,"endTime":1900.66,"body":"maintenance than me. We do just"},{"speaker":"Charles Goldfarb","startTime":1897.52,"endTime":1900.66,"body":"fine with two people. So I love"},{"speaker":"Charles Goldfarb","startTime":1900.66,"endTime":1904.62,"body":"that. For you, I'm just"},{"speaker":"Charles Goldfarb","startTime":1900.66,"endTime":1904.62,"body":"laughing. Also the microscope,"},{"speaker":"Charles Goldfarb","startTime":1904.62,"endTime":1907.5,"body":"the arthroscope, the"},{"speaker":"Charles Goldfarb","startTime":1904.62,"endTime":1907.5,"body":"fluoroscope, I would consider"},{"speaker":"Charles Goldfarb","startTime":1907.56,"endTime":1910.56,"body":"the microscope a net negative,"},{"speaker":"Charles Goldfarb","startTime":1907.56,"endTime":1910.56,"body":"but I do love that you got all"},{"speaker":"Charles Goldfarb","startTime":1910.56,"endTime":1911.22,"body":"the scopes. There's"},{"speaker":"Chris Dy","startTime":1911.22,"endTime":1913.26,"body":"got to be something"},{"speaker":"Chris Dy","startTime":1911.22,"endTime":1913.26,"body":"else that we can use to really"},{"speaker":"Chris Dy","startTime":1913.26,"endTime":1916.02,"body":"make it a day like you got."},{"speaker":"Chris Dy","startTime":1913.26,"endTime":1916.02,"body":"There's got to be like the Grand"},{"speaker":"Chris Dy","startTime":1916.02,"endTime":1919.02,"body":"Slam, or like the for the cycle"},{"speaker":"Chris Dy","startTime":1916.02,"endTime":1919.02,"body":"and hand surgery. You have to"},{"speaker":"Chris Dy","startTime":1919.02,"endTime":1922.22,"body":"think of that to see what else"},{"speaker":"Chris Dy","startTime":1919.02,"endTime":1922.22,"body":"we can incorporate. Yeah."},{"speaker":"Charles Goldfarb","startTime":1922.28,"endTime":1925.64,"body":"So back to"},{"speaker":"Charles Goldfarb","startTime":1922.28,"endTime":1925.64,"body":"your case. You know, the the"},{"speaker":"Charles Goldfarb","startTime":1925.64,"endTime":1928.52,"body":"choice of implant affects"},{"speaker":"Charles Goldfarb","startTime":1925.64,"endTime":1928.52,"body":"whether you're going to put the"},{"speaker":"Charles Goldfarb","startTime":1928.52,"endTime":1932.3,"body":"plate dorsally volit or even"},{"speaker":"Charles Goldfarb","startTime":1928.52,"endTime":1932.3,"body":"middlely. When I first started"},{"speaker":"Charles Goldfarb","startTime":1932.3,"endTime":1935.66,"body":"doing these a couple of decades"},{"speaker":"Charles Goldfarb","startTime":1932.3,"endTime":1935.66,"body":"ago, the rahak system was the"},{"speaker":"Charles Goldfarb","startTime":1935.66,"endTime":1940.1,"body":"main system John rahax, first"},{"speaker":"Charles Goldfarb","startTime":1935.66,"endTime":1940.1,"body":"foray, I think, into innovation,"},{"speaker":"Charles Goldfarb","startTime":1940.1,"endTime":1943.12,"body":"was this shortening, and it was"},{"speaker":"Charles Goldfarb","startTime":1940.1,"endTime":1943.12,"body":"great. It was placement only,"},{"speaker":"Charles Goldfarb","startTime":1943.12,"endTime":1946.06,"body":"and patients did not like it"},{"speaker":"Charles Goldfarb","startTime":1943.12,"endTime":1946.06,"body":"after it did its job. So those"},{"speaker":"Charles Goldfarb","startTime":1946.06,"endTime":1950.8,"body":"plates came out. I really do"},{"speaker":"Charles Goldfarb","startTime":1946.06,"endTime":1950.8,"body":"think that a volatilely placed"},{"speaker":"Charles Goldfarb","startTime":1950.8,"endTime":1956.08,"body":"plate is less likely to need"},{"speaker":"Charles Goldfarb","startTime":1950.8,"endTime":1956.08,"body":"removal. And so what I do is I"},{"speaker":"Charles Goldfarb","startTime":1956.08,"endTime":1960.9,"body":"supinate the patient, put"},{"speaker":"Charles Goldfarb","startTime":1956.08,"endTime":1960.9,"body":"hominins around the ulna, and"},{"speaker":"Charles Goldfarb","startTime":1960.9,"endTime":1963.84,"body":"then elevate the pronator"},{"speaker":"Charles Goldfarb","startTime":1960.9,"endTime":1963.84,"body":"quadratus is the first step."},{"speaker":"Charles Goldfarb","startTime":1964.62,"endTime":1965.82,"body":"Yep, I fully"},{"speaker":"Chris Dy","startTime":1965.82,"endTime":1968.04,"body":"agree. And, you know,"},{"speaker":"Chris Dy","startTime":1965.82,"endTime":1968.04,"body":"I don't do it any differently. I"},{"speaker":"Chris Dy","startTime":1968.04,"endTime":1971.46,"body":"mean, I was, I learned how to do"},{"speaker":"Chris Dy","startTime":1968.04,"endTime":1971.46,"body":"this from you and Dr government,"},{"speaker":"Chris Dy","startTime":1971.46,"endTime":1976.32,"body":"and a lot of fond memories of"},{"speaker":"Chris Dy","startTime":1971.46,"endTime":1976.32,"body":"that. So I haven't changed"},{"speaker":"Chris Dy","startTime":1976.32,"endTime":1977.88,"body":"because I haven't had a reason"},{"speaker":"Chris Dy","startTime":1976.32,"endTime":1977.88,"body":"to change."},{"speaker":"Charles Goldfarb","startTime":1978.12,"endTime":1979.8,"body":"Yeah. And I"},{"speaker":"Charles Goldfarb","startTime":1978.12,"endTime":1979.8,"body":"think the only other technical"},{"speaker":"Charles Goldfarb","startTime":1979.8,"endTime":1982.4,"body":"Pro I would say is, and I say"},{"speaker":"Charles Goldfarb","startTime":1979.8,"endTime":1982.4,"body":"this because I've been burned,"},{"speaker":"Charles Goldfarb","startTime":1983.3,"endTime":1987.02,"body":"is I do close the deep fascia on"},{"speaker":"Charles Goldfarb","startTime":1983.3,"endTime":1987.02,"body":"the way out, at least the"},{"speaker":"Charles Goldfarb","startTime":1987.02,"endTime":1990.74,"body":"proximal deep fascia, because if"},{"speaker":"Charles Goldfarb","startTime":1987.02,"endTime":1990.74,"body":"you're careless or or just"},{"speaker":"Charles Goldfarb","startTime":1990.74,"endTime":1993.38,"body":"closed skin, sometimes it"},{"speaker":"Charles Goldfarb","startTime":1990.74,"endTime":1993.38,"body":"doesn't matter, but sometimes"},{"speaker":"Charles Goldfarb","startTime":1993.38,"endTime":1997.16,"body":"you'll get some bulging muscle"},{"speaker":"Charles Goldfarb","startTime":1993.38,"endTime":1997.16,"body":"or muscle herniation, especially"},{"speaker":"Charles Goldfarb","startTime":1997.16,"endTime":2001.02,"body":"proximally. So a couple of I use"},{"speaker":"Charles Goldfarb","startTime":1997.16,"endTime":2001.02,"body":"monochrole, a couple monochromes"},{"speaker":"Charles Goldfarb","startTime":2001.02,"endTime":2002.76,"body":"on the fascia. I think makes a"},{"speaker":"Charles Goldfarb","startTime":2001.02,"endTime":2002.76,"body":"difference."},{"speaker":"Chris Dy","startTime":2003.0,"endTime":2005.04,"body":"Yeah, I run a monocro"},{"speaker":"Chris Dy","startTime":2003.0,"endTime":2005.04,"body":"on a fashion if you've done the"},{"speaker":"Chris Dy","startTime":2005.04,"endTime":2009.9,"body":"dissection in a elegant way."},{"speaker":"Chris Dy","startTime":2005.04,"endTime":2009.9,"body":"That fascia layer is very easy"},{"speaker":"Chris Dy","startTime":2009.9,"endTime":2013.26,"body":"to re approximate nicely. I"},{"speaker":"Chris Dy","startTime":2009.9,"endTime":2013.26,"body":"guess the biggest question I"},{"speaker":"Chris Dy","startTime":2013.26,"endTime":2016.32,"body":"have is, how do you make your"},{"speaker":"Chris Dy","startTime":2013.26,"endTime":2016.32,"body":"cut? I mean, are you? You"},{"speaker":"Chris Dy","startTime":2016.32,"endTime":2019.5,"body":"mentioned a couple different"},{"speaker":"Chris Dy","startTime":2016.32,"endTime":2019.5,"body":"ways going by the guide, free"},{"speaker":"Chris Dy","startTime":2019.5,"endTime":2021.86,"body":"handing it. How do you what are"},{"speaker":"Chris Dy","startTime":2019.5,"endTime":2021.86,"body":"your considerations for that?"},{"speaker":"Charles Goldfarb","startTime":2022.34,"endTime":2025.7,"body":"I think for"},{"speaker":"Charles Goldfarb","startTime":2022.34,"endTime":2025.7,"body":"speed and accuracy and comfort"},{"speaker":"Charles Goldfarb","startTime":2025.7,"endTime":2029.66,"body":"level, I use a system. I'll say"},{"speaker":"Charles Goldfarb","startTime":2025.7,"endTime":2029.66,"body":"it. I am conflicted. I work with"},{"speaker":"Charles Goldfarb","startTime":2029.66,"endTime":2033.32,"body":"acumed but I use the acumed"},{"speaker":"Charles Goldfarb","startTime":2029.66,"endTime":2033.32,"body":"shortening plate, and it is a"},{"speaker":"Charles Goldfarb","startTime":2033.32,"endTime":2038.06,"body":"very quick way to take care of"},{"speaker":"Charles Goldfarb","startTime":2033.32,"endTime":2038.06,"body":"owner shortening with good"},{"speaker":"Charles Goldfarb","startTime":2038.06,"endTime":2039.5,"body":"flexibility. And I like it."},{"speaker":"Chris Dy","startTime":2040.46,"endTime":2043.48,"body":"Yeah, yeah. I used"},{"speaker":"Chris Dy","startTime":2040.46,"endTime":2043.48,"body":"that set the other day. And, you"},{"speaker":"Chris Dy","startTime":2043.48,"endTime":2046.48,"body":"know, the I was with a junior"},{"speaker":"Chris Dy","startTime":2043.48,"endTime":2046.48,"body":"plastic surgery resident, so I"},{"speaker":"Chris Dy","startTime":2046.48,"endTime":2049.78,"body":"was doing the, you know, the"},{"speaker":"Chris Dy","startTime":2046.48,"endTime":2049.78,"body":"osteotomy, and it felt like a"},{"speaker":"Chris Dy","startTime":2049.78,"endTime":2053.26,"body":"selling Dan, third shout out my"},{"speaker":"Chris Dy","startTime":2049.78,"endTime":2053.26,"body":"name. It felt like I was in a"},{"speaker":"Chris Dy","startTime":2053.26,"endTime":2055.36,"body":"boot camp because I was just"},{"speaker":"Chris Dy","startTime":2053.26,"endTime":2055.36,"body":"going, like, like, I was, I"},{"speaker":"Chris Dy","startTime":2055.36,"endTime":2057.88,"body":"usually don't get to do that"},{"speaker":"Chris Dy","startTime":2055.36,"endTime":2057.88,"body":"case, like, physically do it"},{"speaker":"Chris Dy","startTime":2057.88,"endTime":2059.44,"body":"hands. Was like, this is fun,"},{"speaker":"Charles Goldfarb","startTime":2060.58,"endTime":2062.76,"body":"right? It's,"},{"speaker":"Charles Goldfarb","startTime":2060.58,"endTime":2062.76,"body":"it's, it's straightforward, and"},{"speaker":"Charles Goldfarb","startTime":2062.76,"endTime":2066.3,"body":"it's fun, and it, and again,"},{"speaker":"Charles Goldfarb","startTime":2062.76,"endTime":2066.3,"body":"it's so predictably reliable"},{"speaker":"Charles Goldfarb","startTime":2066.3,"endTime":2068.04,"body":"that I really like that case."},{"speaker":"Chris Dy","startTime":2068.28,"endTime":2072.12,"body":"So I like using the"},{"speaker":"Chris Dy","startTime":2068.28,"endTime":2072.12,"body":"guide. I remember using the"},{"speaker":"Chris Dy","startTime":2072.12,"endTime":2076.32,"body":"cutting guide with Dr gelberman,"},{"speaker":"Chris Dy","startTime":2072.12,"endTime":2076.32,"body":"and it was, he would make you do"},{"speaker":"Chris Dy","startTime":2076.32,"endTime":2080.96,"body":"the cut, and then he would make"},{"speaker":"Chris Dy","startTime":2076.32,"endTime":2080.96,"body":"you check your cut. You know,"},{"speaker":"Chris Dy","startTime":2080.96,"endTime":2083.96,"body":"obviously the cut, you know, the"},{"speaker":"Chris Dy","startTime":2080.96,"endTime":2083.96,"body":"guide, accounts for the curve,"},{"speaker":"Chris Dy","startTime":2083.96,"endTime":2088.46,"body":"meaning the width of the blade."},{"speaker":"Chris Dy","startTime":2083.96,"endTime":2088.46,"body":"So he would have you excise your"},{"speaker":"Chris Dy","startTime":2088.46,"endTime":2092.84,"body":"piece, your wafer of bone that"},{"speaker":"Chris Dy","startTime":2088.46,"endTime":2092.84,"body":"you osteotomized. And then would"},{"speaker":"Chris Dy","startTime":2092.84,"endTime":2096.5,"body":"make you get a ruler and check"},{"speaker":"Chris Dy","startTime":2092.84,"endTime":2096.5,"body":"your ruler to make sure that the"},{"speaker":"Chris Dy","startTime":2096.5,"endTime":2100.24,"body":"thickness of the cut is what you"},{"speaker":"Chris Dy","startTime":2096.5,"endTime":2100.24,"body":"intended. And then also. Check"},{"speaker":"Chris Dy","startTime":2100.24,"endTime":2103.3,"body":"the evenness of the cut, which"},{"speaker":"Chris Dy","startTime":2100.24,"endTime":2103.3,"body":"is a damn near impossible task."},{"speaker":"Chris Dy","startTime":2103.3,"endTime":2106.3,"body":"Anybody who's done this knows"},{"speaker":"Chris Dy","startTime":2103.3,"endTime":2106.3,"body":"that right that area right"},{"speaker":"Chris Dy","startTime":2106.36,"endTime":2109.36,"body":"underneath the plate is the"},{"speaker":"Chris Dy","startTime":2106.36,"endTime":2109.36,"body":"hardest part to get the even"},{"speaker":"Chris Dy","startTime":2109.36,"endTime":2113.26,"body":"cut, which is why I mentioned"},{"speaker":"Chris Dy","startTime":2109.36,"endTime":2113.26,"body":"earlier that, you know, when I"},{"speaker":"Chris Dy","startTime":2113.26,"endTime":2115.66,"body":"do it, I aim for two, I end up"},{"speaker":"Chris Dy","startTime":2113.26,"endTime":2115.66,"body":"getting three, just because the"},{"speaker":"Chris Dy","startTime":2115.66,"endTime":2119.38,"body":"cut ends up being slightly"},{"speaker":"Chris Dy","startTime":2115.66,"endTime":2119.38,"body":"uneven. When I kind of do that"},{"speaker":"Chris Dy","startTime":2119.38,"endTime":2122.46,"body":"area right underneath the plate,"},{"speaker":"Chris Dy","startTime":2119.38,"endTime":2122.46,"body":"at least that's for me. You"},{"speaker":"Chris Dy","startTime":2122.46,"endTime":2125.88,"body":"know, I have, I have made some"},{"speaker":"Chris Dy","startTime":2122.46,"endTime":2125.88,"body":"fellows go through that exercise"},{"speaker":"Chris Dy","startTime":2125.88,"endTime":2131.1,"body":"in the past, just, just, just"},{"speaker":"Chris Dy","startTime":2125.88,"endTime":2131.1,"body":"for fun in education. But, you"},{"speaker":"Chris Dy","startTime":2131.1,"endTime":2133.32,"body":"know, I think it's hard to make"},{"speaker":"Chris Dy","startTime":2131.1,"endTime":2133.32,"body":"this perfect. I hope you are"},{"speaker":"Chris Dy","startTime":2133.32,"endTime":2133.98,"body":"better than I"},{"speaker":"Charles Goldfarb","startTime":2133.98,"endTime":2135.99,"body":"Well, that's"},{"speaker":"Charles Goldfarb","startTime":2133.98,"endTime":2135.99,"body":"why hazing still exists on"},{"speaker":"Charles Goldfarb","startTime":2136.041,"endTime":2137.64,"body":"college campus, hazing, hazing."},{"speaker":"Chris Dy","startTime":2137.64,"endTime":2139.941,"body":"That's that term so"},{"speaker":"Chris Dy","startTime":2137.64,"endTime":2139.941,"body":"antiquated. We're here for"},{"speaker":"Chris Dy","startTime":2139.991,"endTime":2142.993,"body":"education and maximizing the"},{"speaker":"Chris Dy","startTime":2139.991,"endTime":2142.993,"body":"fellow experience motivating. I"},{"speaker":"Chris Dy","startTime":2143.044,"endTime":2146.046,"body":"customize. It's personalized"},{"speaker":"Chris Dy","startTime":2143.044,"endTime":2146.046,"body":"fellowship. I mean, I customize"},{"speaker":"Chris Dy","startTime":2146.096,"endTime":2149.198,"body":"the experience to the fellow,"},{"speaker":"Chris Dy","startTime":2146.096,"endTime":2149.198,"body":"and I try to get a sense of what"},{"speaker":"Chris Dy","startTime":2149.248,"endTime":2151.1,"body":"they react to, right? Dan, absolutely"},{"speaker":"Charles Goldfarb","startTime":2152.84,"endTime":2156.8,"body":"tell me if"},{"speaker":"Charles Goldfarb","startTime":2152.84,"endTime":2156.8,"body":"this analogy is apt, a wrist"},{"speaker":"Charles Goldfarb","startTime":2156.8,"endTime":2161.98,"body":"arthroscopy plus an ulnar"},{"speaker":"Charles Goldfarb","startTime":2156.8,"endTime":2161.98,"body":"shortening is gives predictably"},{"speaker":"Charles Goldfarb","startTime":2161.98,"endTime":2167.5,"body":"good results in a similar way to"},{"speaker":"Charles Goldfarb","startTime":2161.98,"endTime":2167.5,"body":"ulnar nerve transposition and"},{"speaker":"Charles Goldfarb","startTime":2167.5,"endTime":2170.56,"body":"carpal tunnel release. And what"},{"speaker":"Charles Goldfarb","startTime":2167.5,"endTime":2170.56,"body":"I mean by that is, I think you"},{"speaker":"Charles Goldfarb","startTime":2170.56,"endTime":2173.56,"body":"add the carpal tunnel, if it's"},{"speaker":"Charles Goldfarb","startTime":2170.56,"endTime":2173.56,"body":"needed, to an ulnar nerve"},{"speaker":"Charles Goldfarb","startTime":2173.56,"endTime":2176.74,"body":"transposition, and you add the"},{"speaker":"Charles Goldfarb","startTime":2173.56,"endTime":2176.74,"body":"ulnar shortening to a risk"},{"speaker":"Charles Goldfarb","startTime":2176.74,"endTime":2179.86,"body":"arthroscopy, if they're both"},{"speaker":"Charles Goldfarb","startTime":2176.74,"endTime":2179.86,"body":"needed, the results are better."},{"speaker":"Chris Dy","startTime":2181.06,"endTime":2183.72,"body":"I appreciate that"},{"speaker":"Chris Dy","startTime":2181.06,"endTime":2183.72,"body":"you're trying to reach out to me"},{"speaker":"Chris Dy","startTime":2183.72,"endTime":2187.68,"body":"and meet me in the middle here"},{"speaker":"Chris Dy","startTime":2183.72,"endTime":2187.68,"body":"and talk your language. Yeah, I"},{"speaker":"Chris Dy","startTime":2187.68,"endTime":2194.22,"body":"think there's a lot to unpack"},{"speaker":"Chris Dy","startTime":2187.68,"endTime":2194.22,"body":"about that. Okay, yeah, it's"},{"speaker":"Chris Dy","startTime":2194.22,"endTime":2198.54,"body":"true. Sure. No, it's kind of"},{"speaker":"Chris Dy","startTime":2194.22,"endTime":2198.54,"body":"like adding a radial tunnel"},{"speaker":"Chris Dy","startTime":2198.54,"endTime":2201.62,"body":"release to overcalcitrant tennis"},{"speaker":"Chris Dy","startTime":2198.54,"endTime":2201.62,"body":"elbow. You're gonna be happy you"},{"speaker":"Chris Dy","startTime":2201.62,"endTime":2205.88,"body":"did it. Okay. You don't know"},{"speaker":"Chris Dy","startTime":2201.62,"endTime":2205.88,"body":"which one worked, but you'll be"},{"speaker":"Chris Dy","startTime":2205.88,"endTime":2207.68,"body":"happy you did it. That's"},{"speaker":"Charles Goldfarb","startTime":2207.68,"endTime":2209.72,"body":"fair. That's"},{"speaker":"Charles Goldfarb","startTime":2207.68,"endTime":2209.72,"body":"fair. What else do you need to"},{"speaker":"Charles Goldfarb","startTime":2209.72,"endTime":2212.42,"body":"unpack with your shortening"},{"speaker":"Charles Goldfarb","startTime":2209.72,"endTime":2212.42,"body":"case?"},{"speaker":"Chris Dy","startTime":2212.96,"endTime":2215.12,"body":"I think the last part"},{"speaker":"Chris Dy","startTime":2212.96,"endTime":2215.12,"body":"is just as you're going to close"},{"speaker":"Chris Dy","startTime":2215.12,"endTime":2218.78,"body":"the post op protocol. So are you"},{"speaker":"Chris Dy","startTime":2215.12,"endTime":2218.78,"body":"soft dressing? Are you, you"},{"speaker":"Chris Dy","startTime":2218.78,"endTime":2221.5,"body":"know, forearm based plaster"},{"speaker":"Chris Dy","startTime":2218.78,"endTime":2221.5,"body":"splint? Are you sugar tongue?"},{"speaker":"Chris Dy","startTime":2221.5,"endTime":2223.66,"body":"And when do you start to let"},{"speaker":"Chris Dy","startTime":2221.5,"endTime":2223.66,"body":"them what's your post op"},{"speaker":"Chris Dy","startTime":2223.66,"endTime":2224.14,"body":"protocol?"},{"speaker":"Charles Goldfarb","startTime":2224.44,"endTime":2227.56,"body":"Yeah, so if I"},{"speaker":"Charles Goldfarb","startTime":2224.44,"endTime":2227.56,"body":"perform an intra articular"},{"speaker":"Charles Goldfarb","startTime":2227.56,"endTime":2230.98,"body":"procedure, then I am"},{"speaker":"Charles Goldfarb","startTime":2227.56,"endTime":2230.98,"body":"immobilizing for five weeks. So"},{"speaker":"Charles Goldfarb","startTime":2230.98,"endTime":2234.64,"body":"that's a splint to start. Then I"},{"speaker":"Charles Goldfarb","startTime":2230.98,"endTime":2234.64,"body":"have cast, and in five weeks I"},{"speaker":"Charles Goldfarb","startTime":2234.64,"endTime":2238.18,"body":"start therapy. If it's just a"},{"speaker":"Charles Goldfarb","startTime":2234.64,"endTime":2238.18,"body":"shortening, which rarely, but"},{"speaker":"Charles Goldfarb","startTime":2238.18,"endTime":2241.38,"body":"occasionally it is. I still"},{"speaker":"Charles Goldfarb","startTime":2238.18,"endTime":2241.38,"body":"splint for two weeks, but then I"},{"speaker":"Charles Goldfarb","startTime":2241.38,"endTime":2244.68,"body":"get them in a removable brace"},{"speaker":"Charles Goldfarb","startTime":2241.38,"endTime":2244.68,"body":"and let them start moving. It's"},{"speaker":"Charles Goldfarb","startTime":2244.68,"endTime":2247.2,"body":"a look. It's a really good"},{"speaker":"Charles Goldfarb","startTime":2244.68,"endTime":2247.2,"body":"plate, and I think it's safe to"},{"speaker":"Charles Goldfarb","startTime":2247.2,"endTime":2248.64,"body":"let them move very early. When"},{"speaker":"Chris Dy","startTime":2248.64,"endTime":2250.5,"body":"you say intra"},{"speaker":"Chris Dy","startTime":2248.64,"endTime":2250.5,"body":"articulate, you would include"},{"speaker":"Chris Dy","startTime":2250.5,"endTime":2255.0,"body":"even a debridemont in that."},{"speaker":"Chris Dy","startTime":2250.5,"endTime":2255.0,"body":"Yeah, I do personally. And then"},{"speaker":"Chris Dy","startTime":2255.0,"endTime":2257.94,"body":"when you say immobilize, are we"},{"speaker":"Chris Dy","startTime":2255.0,"endTime":2257.94,"body":"going sugar tongue? Are we going"},{"speaker":"Chris Dy","startTime":2257.94,"endTime":2258.6,"body":"below elbow?"},{"speaker":"Charles Goldfarb","startTime":2258.78,"endTime":2261.2,"body":"Only time I go"},{"speaker":"Charles Goldfarb","startTime":2258.78,"endTime":2261.2,"body":"sugar tongue is if I perform a"},{"speaker":"Charles Goldfarb","startTime":2261.2,"endTime":2264.38,"body":"phobial TFCC repair where I"},{"speaker":"Charles Goldfarb","startTime":2261.2,"endTime":2264.38,"body":"really do want to control"},{"speaker":"Charles Goldfarb","startTime":2264.38,"endTime":2267.8,"body":"rotation, and I'm not positive"},{"speaker":"Charles Goldfarb","startTime":2264.38,"endTime":2267.8,"body":"it's even required them but, but"},{"speaker":"Charles Goldfarb","startTime":2267.8,"endTime":2268.16,"body":"I do,"},{"speaker":"Chris Dy","startTime":2268.46,"endTime":2270.56,"body":"and do you actively"},{"speaker":"Chris Dy","startTime":2268.46,"endTime":2270.56,"body":"encourage them to rotate their"},{"speaker":"Chris Dy","startTime":2270.56,"endTime":2273.2,"body":"forearm, or do you just kind of"},{"speaker":"Chris Dy","startTime":2270.56,"endTime":2273.2,"body":"not mention it and see if they"},{"speaker":"Chris Dy","startTime":2273.2,"endTime":2274.22,"body":"do it? Yeah,"},{"speaker":"Charles Goldfarb","startTime":2274.22,"endTime":2276.38,"body":"I kind of"},{"speaker":"Charles Goldfarb","startTime":2274.22,"endTime":2276.38,"body":"either I don't mention or I say,"},{"speaker":"Charles Goldfarb","startTime":2276.38,"endTime":2279.08,"body":"Look, I'm not looking for you to"},{"speaker":"Charles Goldfarb","startTime":2276.38,"endTime":2279.08,"body":"rotate your forearm and your"},{"speaker":"Charles Goldfarb","startTime":2279.08,"endTime":2282.4,"body":"short arm splint, so don't go"},{"speaker":"Charles Goldfarb","startTime":2279.08,"endTime":2282.4,"body":"looking for doorknobs to turn,"},{"speaker":"Charles Goldfarb","startTime":2282.4,"endTime":2286.12,"body":"but I'm not going to torture you"},{"speaker":"Charles Goldfarb","startTime":2282.4,"endTime":2286.12,"body":"by including your elbow, because"},{"speaker":"Charles Goldfarb","startTime":2286.36,"endTime":2289.54,"body":"for all the therapists listening"},{"speaker":"Charles Goldfarb","startTime":2286.36,"endTime":2289.54,"body":"who can attest to this and"},{"speaker":"Charles Goldfarb","startTime":2289.72,"endTime":2291.46,"body":"mobilize in the elbow, is not"},{"speaker":"Charles Goldfarb","startTime":2289.72,"endTime":2291.46,"body":"fun."},{"speaker":"Chris Dy","startTime":2292.48,"endTime":2296.32,"body":"Yeah, true to that, I"},{"speaker":"Chris Dy","startTime":2292.48,"endTime":2296.32,"body":"just admittedly will do a sugar"},{"speaker":"Chris Dy","startTime":2296.32,"endTime":2298.96,"body":"tongue for the first two weeks"},{"speaker":"Chris Dy","startTime":2296.32,"endTime":2298.96,"body":"and then transition them to a"},{"speaker":"Chris Dy","startTime":2298.96,"endTime":2302.22,"body":"below elbow after that. I won't"},{"speaker":"Chris Dy","startTime":2298.96,"endTime":2302.22,"body":"encourage forum rotation. I will"},{"speaker":"Chris Dy","startTime":2302.22,"endTime":2305.76,"body":"tell them I want them coffee"},{"speaker":"Chris Dy","startTime":2302.22,"endTime":2305.76,"body":"cup, kind of two pound limited"},{"speaker":"Chris Dy","startTime":2306.12,"endTime":2309.66,"body":"as for weight bearing. And yeah,"},{"speaker":"Chris Dy","startTime":2306.12,"endTime":2309.66,"body":"I agree the plate is the plate"},{"speaker":"Chris Dy","startTime":2309.66,"endTime":2313.32,"body":"is super strong and can"},{"speaker":"Chris Dy","startTime":2309.66,"endTime":2313.32,"body":"withstand the loads. But I do"},{"speaker":"Chris Dy","startTime":2313.32,"endTime":2316.56,"body":"think that a a surgically"},{"speaker":"Chris Dy","startTime":2313.32,"endTime":2316.56,"body":"created trauma osteotomy, is"},{"speaker":"Chris Dy","startTime":2316.56,"endTime":2319.08,"body":"different than a fracture in"},{"speaker":"Chris Dy","startTime":2316.56,"endTime":2319.08,"body":"terms of the milieu for healing."},{"speaker":"Chris Dy","startTime":2319.08,"endTime":2322.1,"body":"You mentioned earlier that some"},{"speaker":"Chris Dy","startTime":2319.08,"endTime":2322.1,"body":"of these don't heal, and I think"},{"speaker":"Chris Dy","startTime":2322.1,"endTime":2325.58,"body":"that's predominantly in patients"},{"speaker":"Chris Dy","startTime":2322.1,"endTime":2325.58,"body":"with, you know, who are smokers"},{"speaker":"Chris Dy","startTime":2325.58,"endTime":2328.22,"body":"and diabetics, and that's been"},{"speaker":"Chris Dy","startTime":2325.58,"endTime":2328.22,"body":"shown over and over in the"},{"speaker":"Chris Dy","startTime":2328.22,"endTime":2330.26,"body":"literature, especially for"},{"speaker":"Chris Dy","startTime":2328.22,"endTime":2330.26,"body":"smoking. So that is one"},{"speaker":"Chris Dy","startTime":2330.26,"endTime":2333.32,"body":"potentially modifiable risk"},{"speaker":"Chris Dy","startTime":2330.26,"endTime":2333.32,"body":"factor that you could discuss"},{"speaker":"Chris Dy","startTime":2333.32,"endTime":2337.94,"body":"before surgery overall. I mean,"},{"speaker":"Chris Dy","startTime":2333.32,"endTime":2337.94,"body":"you know, I think that part of"},{"speaker":"Chris Dy","startTime":2337.94,"endTime":2340.48,"body":"the rub of this surgery, for"},{"speaker":"Chris Dy","startTime":2337.94,"endTime":2340.48,"body":"better or worse, is that you're"},{"speaker":"Chris Dy","startTime":2340.48,"endTime":2344.02,"body":"holding them back for a while,"},{"speaker":"Chris Dy","startTime":2340.48,"endTime":2344.02,"body":"and you're letting everything"},{"speaker":"Chris Dy","startTime":2344.02,"endTime":2346.9,"body":"cool off, both in the joints,"},{"speaker":"Chris Dy","startTime":2344.02,"endTime":2346.9,"body":"you know, and after that. So how"},{"speaker":"Chris Dy","startTime":2346.9,"endTime":2349.36,"body":"long do you tell them, like,"},{"speaker":"Chris Dy","startTime":2346.9,"endTime":2349.36,"body":"until they can get back to doing"},{"speaker":"Chris Dy","startTime":2349.36,"endTime":2350.08,"body":"most stuff?"},{"speaker":"Charles Goldfarb","startTime":2350.62,"endTime":2351.88,"body":"Yeah,"},{"speaker":"Charles Goldfarb","startTime":2350.62,"endTime":2351.88,"body":"especially in athletic"},{"speaker":"Charles Goldfarb","startTime":2351.88,"endTime":2354.76,"body":"population. And I say 10 to 12"},{"speaker":"Charles Goldfarb","startTime":2351.88,"endTime":2354.76,"body":"weeks. Now I recognize that can"},{"speaker":"Charles Goldfarb","startTime":2354.76,"endTime":2357.64,"body":"be up to 16. If it's more than"},{"speaker":"Charles Goldfarb","startTime":2354.76,"endTime":2357.64,"body":"16, I think we have a problem."},{"speaker":"Charles Goldfarb","startTime":2357.64,"endTime":2360.84,"body":"But again, sometimes healing is"},{"speaker":"Charles Goldfarb","startTime":2357.64,"endTime":2360.84,"body":"very slow. But my party line. I"},{"speaker":"Charles Goldfarb","startTime":2360.84,"endTime":2363.96,"body":"usually say 10 to 12, but I"},{"speaker":"Charles Goldfarb","startTime":2360.84,"endTime":2363.96,"body":"think in reality, it's eight to"},{"speaker":"Charles Goldfarb","startTime":2363.96,"endTime":2365.16,"body":"10. Got That"},{"speaker":"Chris Dy","startTime":2365.16,"endTime":2368.34,"body":"sounds about right for"},{"speaker":"Chris Dy","startTime":2365.16,"endTime":2368.34,"body":"me as a as a novice or non"},{"speaker":"Chris Dy","startTime":2368.34,"endTime":2372.0,"body":"expert at this. Oh, by the way,"},{"speaker":"Chris Dy","startTime":2368.34,"endTime":2372.0,"body":"as we bring it to a close, your"},{"speaker":"Chris Dy","startTime":2372.0,"endTime":2375.0,"body":"boy, Joe burrow, he didn't look"},{"speaker":"Chris Dy","startTime":2372.0,"endTime":2375.0,"body":"that bad against the Chiefs the"},{"speaker":"Chris Dy","startTime":2375.0,"endTime":2375.54,"body":"other week."},{"speaker":"Charles Goldfarb","startTime":2375.66,"endTime":2378.36,"body":"He bounced"},{"speaker":"Charles Goldfarb","startTime":2375.66,"endTime":2378.36,"body":"back, as did a lot. It was"},{"speaker":"Charles Goldfarb","startTime":2378.36,"endTime":2382.64,"body":"interesting. A lot of people"},{"speaker":"Charles Goldfarb","startTime":2378.36,"endTime":2382.64,"body":"bounced back in a good way. But"},{"speaker":"Charles Goldfarb","startTime":2382.64,"endTime":2384.68,"body":"you know, the other thing we"},{"speaker":"Charles Goldfarb","startTime":2382.64,"endTime":2384.68,"body":"forgot to say, we should have"},{"speaker":"Charles Goldfarb","startTime":2384.68,"endTime":2387.44,"body":"started with this so. So for"},{"speaker":"Charles Goldfarb","startTime":2384.68,"endTime":2387.44,"body":"those who made it all the way"},{"speaker":"Charles Goldfarb","startTime":2387.44,"endTime":2391.7,"body":"through the podcast, Chris and I"},{"speaker":"Charles Goldfarb","startTime":2387.44,"endTime":2391.7,"body":"have essentially finished the A,"},{"speaker":"Charles Goldfarb","startTime":2391.7,"endTime":2394.94,"body":"S, S, H, American Society for"},{"speaker":"Charles Goldfarb","startTime":2391.7,"endTime":2394.94,"body":"Surgery the hand. But we both"},{"speaker":"Charles Goldfarb","startTime":2394.94,"endTime":2397.1,"body":"have another meeting coming up"},{"speaker":"Charles Goldfarb","startTime":2394.94,"endTime":2397.1,"body":"this week. We"},{"speaker":"Chris Dy","startTime":2397.1,"endTime":2399.62,"body":"do the American"},{"speaker":"Chris Dy","startTime":2397.1,"endTime":2399.62,"body":"Society for hand therapy, in"},{"speaker":"Chris Dy","startTime":2399.62,"endTime":2404.32,"body":"which you. Do again, are the"},{"speaker":"Chris Dy","startTime":2399.62,"endTime":2404.32,"body":"speaker, you can actually pay,"},{"speaker":"Chris Dy","startTime":2404.5,"endTime":2409.3,"body":"you can actually pay and donate"},{"speaker":"Chris Dy","startTime":2404.5,"endTime":2409.3,"body":"to charity to have a cocktail"},{"speaker":"Chris Dy","startTime":2409.3,"endTime":2413.32,"body":"with Chuck Goldfarb. I mean, I"},{"speaker":"Chris Dy","startTime":2409.3,"endTime":2413.32,"body":"don't understand. Like, well, I"},{"speaker":"Charles Goldfarb","startTime":2413.32,"endTime":2414.52,"body":"mean, no, no,"},{"speaker":"Charles Goldfarb","startTime":2413.32,"endTime":2414.52,"body":"how"},{"speaker":"Chris Dy","startTime":2414.52,"endTime":2416.56,"body":"are there even seats"},{"speaker":"Chris Dy","startTime":2414.52,"endTime":2416.56,"body":"still available? Like this is"},{"speaker":"Chris Dy","startTime":2416.56,"endTime":2418.96,"body":"probably sold out. I'm pretty"},{"speaker":"Chris Dy","startTime":2416.56,"endTime":2418.96,"body":"sure we'll have to check with"},{"speaker":"Chris Dy","startTime":2418.96,"endTime":2422.58,"body":"the media organizers. But you"},{"speaker":"Chris Dy","startTime":2418.96,"endTime":2422.58,"body":"know, it is here in St Louis."},{"speaker":"Chris Dy","startTime":2422.76,"endTime":2427.68,"body":"Chuck is the Grand Marshal, so"},{"speaker":"Chris Dy","startTime":2422.76,"endTime":2427.68,"body":"to say of the of the meeting. So"},{"speaker":"Chris Dy","startTime":2427.68,"endTime":2430.26,"body":"make sure to check that out."},{"speaker":"Chris Dy","startTime":2427.68,"endTime":2430.26,"body":"We'll bring, we'll bring more"},{"speaker":"Chris Dy","startTime":2430.26,"endTime":2433.38,"body":"things to hand out at the"},{"speaker":"Chris Dy","startTime":2430.26,"endTime":2433.38,"body":"meeting, you know. But I'm"},{"speaker":"Chris Dy","startTime":2433.38,"endTime":2436.74,"body":"looking forward to seeing the"},{"speaker":"Chris Dy","startTime":2433.38,"endTime":2436.74,"body":"scene the world's eyes on St"},{"speaker":"Chris Dy","startTime":2436.74,"endTime":2438.96,"body":"Louis for the Asht meeting."},{"speaker":"Chris Dy","startTime":2436.74,"endTime":2438.96,"body":"Yeah,"},{"speaker":"Charles Goldfarb","startTime":2438.96,"endTime":2440.54,"body":"look, it's"},{"speaker":"Charles Goldfarb","startTime":2438.96,"endTime":2440.54,"body":"going to be a great meeting. I"},{"speaker":"Charles Goldfarb","startTime":2440.54,"endTime":2443.72,"body":"think you have a lot of us are"},{"speaker":"Charles Goldfarb","startTime":2440.54,"endTime":2443.72,"body":"speaking, and I had the coveted"},{"speaker":"Charles Goldfarb","startTime":2443.72,"endTime":2447.8,"body":"Sunday morning slot for one talk"},{"speaker":"Charles Goldfarb","startTime":2443.72,"endTime":2447.8,"body":"and the Friday evening for"},{"speaker":"Charles Goldfarb","startTime":2447.8,"endTime":2450.5,"body":"another, which will be really"},{"speaker":"Charles Goldfarb","startTime":2447.8,"endTime":2450.5,"body":"fun. So I'm looking forward to"},{"speaker":"Chris Dy","startTime":2450.86,"endTime":2453.38,"body":"it. Well, great. So I"},{"speaker":"Chris Dy","startTime":2450.86,"endTime":2453.38,"body":"have the because I took the"},{"speaker":"Chris Dy","startTime":2453.38,"endTime":2456.86,"body":"Marty Boyer option and took the"},{"speaker":"Chris Dy","startTime":2453.38,"endTime":2456.86,"body":"early, early flight home. I have"},{"speaker":"Chris Dy","startTime":2456.86,"endTime":2459.56,"body":"a fun day with my son planned."},{"speaker":"Chris Dy","startTime":2456.86,"endTime":2459.56,"body":"We're going to go to Six Flags"},{"speaker":"Chris Dy","startTime":2459.56,"endTime":2463.18,"body":"today, so we're about to get"},{"speaker":"Chris Dy","startTime":2459.56,"endTime":2463.18,"body":"ready to depart for that. Wish"},{"speaker":"Chris Dy","startTime":2463.18,"endTime":2467.2,"body":"me luck. I'll be joined by our"},{"speaker":"Chris Dy","startTime":2463.18,"endTime":2467.2,"body":"partner, Dr Alexander alim, and"},{"speaker":"Chris Dy","startTime":2467.2,"endTime":2471.28,"body":"his his son. So we will, we will"},{"speaker":"Chris Dy","startTime":2467.2,"endTime":2471.28,"body":"see how it goes."},{"speaker":"Charles Goldfarb","startTime":2471.34,"endTime":2475.84,"body":"Now it's all"},{"speaker":"Charles Goldfarb","startTime":2471.34,"endTime":2475.84,"body":"coming clear foresight of the"},{"speaker":"Charles Goldfarb","startTime":2475.84,"endTime":2481.68,"body":"day Forsyth decided to give the"},{"speaker":"Charles Goldfarb","startTime":2475.84,"endTime":2481.68,"body":"kids a day off, and here it is"},{"speaker":"Charles Goldfarb","startTime":2481.68,"endTime":2483.48,"body":"all out there six."},{"speaker":"Chris Dy","startTime":2483.54,"endTime":2485.58,"body":"We're gonna have a"},{"speaker":"Chris Dy","startTime":2483.54,"endTime":2485.58,"body":"good day. It is a Saturday, so I"},{"speaker":"Chris Dy","startTime":2485.58,"endTime":2489.72,"body":"don't think technically it's a"},{"speaker":"Chris Dy","startTime":2485.58,"endTime":2489.72,"body":"day off, but you're in the"},{"speaker":"Chris Dy","startTime":2489.72,"endTime":2491.94,"body":"meeting time zone, the twilight"},{"speaker":"Chris Dy","startTime":2489.72,"endTime":2491.94,"body":"zone of a meeting, where you"},{"speaker":"Chris Dy","startTime":2491.94,"endTime":2495.84,"body":"don't know what day it is, but"},{"speaker":"Chris Dy","startTime":2491.94,"endTime":2495.84,"body":"yes, wish me luck, and I'll"},{"speaker":"Chris Dy","startTime":2495.84,"endTime":2498.36,"body":"catch up with you at the Ashe."},{"speaker":"Chris Dy","startTime":2495.84,"endTime":2498.36,"body":"Awesome."},{"speaker":"Charles Goldfarb","startTime":2498.42,"endTime":2503.12,"body":"Take care."},{"speaker":"Charles Goldfarb","startTime":2498.42,"endTime":2503.12,"body":"Have a fun day. Hey, Chris, that"},{"speaker":"Charles Goldfarb","startTime":2503.12,"endTime":2505.88,"body":"was fun. Let's do it again real"},{"speaker":"Charles Goldfarb","startTime":2503.12,"endTime":2505.88,"body":"soon. Sounds"},{"speaker":"Chris Dy","startTime":2505.88,"endTime":2508.28,"body":"good. Well, be sure to"},{"speaker":"Chris Dy","startTime":2505.88,"endTime":2508.28,"body":"email us with topic suggestions"},{"speaker":"Chris Dy","startTime":2508.28,"endTime":2510.68,"body":"and feedback. You can reach us"},{"speaker":"Chris Dy","startTime":2508.28,"endTime":2510.68,"body":"at handpodcast@gmail.com"},{"speaker":"Charles Goldfarb","startTime":2512.42,"endTime":2514.58,"body":"and remember"},{"speaker":"Charles Goldfarb","startTime":2512.42,"endTime":2514.58,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":2514.58,"endTime":2515.54,"body":"get your podcast,"},{"speaker":"Chris Dy","startTime":2515.96,"endTime":2518.84,"body":"and be sure to leave a"},{"speaker":"Chris Dy","startTime":2515.96,"endTime":2518.84,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":2518.84,"endTime":2519.26,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":2519.92,"endTime":2521.98,"body":"Special,"},{"speaker":"Charles Goldfarb","startTime":2519.92,"endTime":2521.98,"body":"thanks to Peter Martin for the"},{"speaker":"Charles Goldfarb","startTime":2521.98,"endTime":2523.78,"body":"amazing music, and"},{"speaker":"Chris Dy","startTime":2523.78,"endTime":2525.88,"body":"remember, keep the"},{"speaker":"Chris Dy","startTime":2523.78,"endTime":2525.88,"body":"upper hand. Come back next time"},{"speaker":"Chris Dy","startTime":2525.88,"endTime":2526.0,"body":"you"}]}