{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":10.77,"endTime":13.35,"body":"Welcome to the"},{"speaker":"Charles Goldfarb","startTime":10.77,"endTime":13.35,"body":"upper hand, where Chuck and"},{"speaker":"Charles Goldfarb","startTime":13.35,"endTime":14.49,"body":"Chris talk hand surgery."},{"speaker":"Chris Dy","startTime":14.79,"endTime":16.56,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":14.79,"endTime":16.56,"body":"surgeons at Washington"},{"speaker":"Chris Dy","startTime":16.56,"endTime":19.62,"body":"University in St. Louis here to"},{"speaker":"Chris Dy","startTime":16.56,"endTime":19.62,"body":"talk about all aspects of hand"},{"speaker":"Chris Dy","startTime":19.62,"endTime":21.48,"body":"surgery from technical to"},{"speaker":"Chris Dy","startTime":19.62,"endTime":21.48,"body":"personal."},{"speaker":"Charles Goldfarb","startTime":22.049,"endTime":24.329,"body":"Thank you for"},{"speaker":"Charles Goldfarb","startTime":22.049,"endTime":24.329,"body":"subscribing. Wherever you get"},{"speaker":"Charles Goldfarb","startTime":24.329,"endTime":25.229,"body":"your podcasts"},{"speaker":"Chris Dy","startTime":25.44,"endTime":27.66,"body":"And be sure to leave a"},{"speaker":"Chris Dy","startTime":25.44,"endTime":27.66,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":27.66,"endTime":28.14,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":28.2,"endTime":29.16,"body":"Oh, hey,"},{"speaker":"Charles Goldfarb","startTime":28.2,"endTime":29.16,"body":"Chris."},{"speaker":"Chris Dy","startTime":29.4,"endTime":30.84,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":29.4,"endTime":30.84,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":31.17,"endTime":33.96,"body":"I am well on"},{"speaker":"Charles Goldfarb","startTime":31.17,"endTime":33.96,"body":"this fine morning. How are you?"},{"speaker":"Chris Dy","startTime":34.26,"endTime":35.88,"body":"I'm good. I'm trying"},{"speaker":"Chris Dy","startTime":34.26,"endTime":35.88,"body":"to figure out what the weather's"},{"speaker":"Chris Dy","startTime":35.88,"endTime":38.25,"body":"supposed to be like in St. Louis"},{"speaker":"Chris Dy","startTime":35.88,"endTime":38.25,"body":"this time of the year, you've"},{"speaker":"Chris Dy","startTime":38.25,"endTime":39.57,"body":"been here longer than I have."},{"speaker":"Charles Goldfarb","startTime":39.78,"endTime":43.05,"body":"It is"},{"speaker":"Charles Goldfarb","startTime":39.78,"endTime":43.05,"body":"unbelievable because, you know,"},{"speaker":"Charles Goldfarb","startTime":43.05,"endTime":46.65,"body":"for late September, early"},{"speaker":"Charles Goldfarb","startTime":43.05,"endTime":46.65,"body":"October, it was freezing in this"},{"speaker":"Charles Goldfarb","startTime":46.65,"endTime":51.3,"body":"Alabama boys opinion. And now"},{"speaker":"Charles Goldfarb","startTime":46.65,"endTime":51.3,"body":"it's you know, and by freezing I"},{"speaker":"Charles Goldfarb","startTime":51.3,"endTime":54.36,"body":"mean, in the 30s. And now it's"},{"speaker":"Charles Goldfarb","startTime":51.3,"endTime":54.36,"body":"gonna be 80 today, I think"},{"speaker":"Charles Goldfarb","startTime":54.36,"endTime":54.75,"body":"again."},{"speaker":"Chris Dy","startTime":55.47,"endTime":57.33,"body":"Yeah, I'm hoping to"},{"speaker":"Chris Dy","startTime":55.47,"endTime":57.33,"body":"get a few more days on the grill"},{"speaker":"Chris Dy","startTime":57.33,"endTime":61.17,"body":"this weekend. I think that'll be"},{"speaker":"Chris Dy","startTime":57.33,"endTime":61.17,"body":"nice. That's all I'm concerned"},{"speaker":"Chris Dy","startTime":61.17,"endTime":61.5,"body":"about."},{"speaker":"Charles Goldfarb","startTime":61.84,"endTime":63.91,"body":"So here's a"},{"speaker":"Charles Goldfarb","startTime":61.84,"endTime":63.91,"body":"practical thing that my wife and"},{"speaker":"Charles Goldfarb","startTime":63.91,"endTime":67.33,"body":"I've been talking about. We have"},{"speaker":"Charles Goldfarb","startTime":63.91,"endTime":67.33,"body":"teenagers, and they do get"},{"speaker":"Charles Goldfarb","startTime":67.33,"endTime":69.97,"body":"together with their friends, we"},{"speaker":"Charles Goldfarb","startTime":67.33,"endTime":69.97,"body":"insist to be outside, we insist"},{"speaker":"Charles Goldfarb","startTime":69.97,"endTime":73.57,"body":"to be socially distance. And"},{"speaker":"Charles Goldfarb","startTime":69.97,"endTime":73.57,"body":"about three months ago, my wife"},{"speaker":"Charles Goldfarb","startTime":73.57,"endTime":75.43,"body":"said, you know, if we're going"},{"speaker":"Charles Goldfarb","startTime":73.57,"endTime":75.43,"body":"to continue this, we need to"},{"speaker":"Charles Goldfarb","startTime":75.43,"endTime":79.42,"body":"order some outdoor heaters, or"},{"speaker":"Charles Goldfarb","startTime":75.43,"endTime":79.42,"body":"firepit. And we did both. And"},{"speaker":"Charles Goldfarb","startTime":79.42,"endTime":84.1,"body":"now you cannot find those items."},{"speaker":"Charles Goldfarb","startTime":79.42,"endTime":84.1,"body":"They're unavailable. It's"},{"speaker":"Charles Goldfarb","startTime":84.1,"endTime":84.82,"body":"fascinating,"},{"speaker":"Chris Dy","startTime":85.0,"endTime":85.72,"body":"Wise."},{"speaker":"Charles Goldfarb","startTime":88.63,"endTime":90.67,"body":"Yeah, I look,"},{"speaker":"Charles Goldfarb","startTime":88.63,"endTime":90.67,"body":"I know where the brains are in"},{"speaker":"Charles Goldfarb","startTime":90.67,"endTime":91.27,"body":"the family."},{"speaker":"Chris Dy","startTime":93.07,"endTime":95.23,"body":"Nice. That's a sign of"},{"speaker":"Chris Dy","startTime":93.07,"endTime":95.23,"body":"a good leader."},{"speaker":"Charles Goldfarb","startTime":97.36,"endTime":98.5,"body":"Who knows who"},{"speaker":"Charles Goldfarb","startTime":97.36,"endTime":98.5,"body":"the leader is?"},{"speaker":"Chris Dy","startTime":99.88,"endTime":101.8,"body":"So any, any fun cases"},{"speaker":"Chris Dy","startTime":99.88,"endTime":101.8,"body":"recently?"},{"speaker":"Charles Goldfarb","startTime":101.0,"endTime":104.33,"body":"You know, I"},{"speaker":"Charles Goldfarb","startTime":101.0,"endTime":104.33,"body":"did. I had a great case. Um, you"},{"speaker":"Charles Goldfarb","startTime":104.33,"endTime":109.07,"body":"know, I really enjoy elbow"},{"speaker":"Charles Goldfarb","startTime":104.33,"endTime":109.07,"body":"arthroscopy, and just the elbow"},{"speaker":"Charles Goldfarb","startTime":109.07,"endTime":111.95,"body":"in general. And I've always"},{"speaker":"Charles Goldfarb","startTime":109.07,"endTime":111.95,"body":"wondered why that is well I like"},{"speaker":"Charles Goldfarb","startTime":111.95,"endTime":114.8,"body":"sports and I like scoping."},{"speaker":"Charles Goldfarb","startTime":111.95,"endTime":114.8,"body":"That's part of it. I think the"},{"speaker":"Charles Goldfarb","startTime":114.8,"endTime":118.31,"body":"other part of it is it feels a"},{"speaker":"Charles Goldfarb","startTime":114.8,"endTime":118.31,"body":"little unconquered. To me many"},{"speaker":"Charles Goldfarb","startTime":118.31,"endTime":122.39,"body":"areas in hand surgery. You know,"},{"speaker":"Charles Goldfarb","startTime":118.31,"endTime":122.39,"body":"you kind of there's been a ton"},{"speaker":"Charles Goldfarb","startTime":122.39,"endTime":126.08,"body":"of research and you know, what"},{"speaker":"Charles Goldfarb","startTime":122.39,"endTime":126.08,"body":"will happen if I do A, B and C"},{"speaker":"Charles Goldfarb","startTime":126.08,"endTime":129.29,"body":"but the elbow I think we are"},{"speaker":"Charles Goldfarb","startTime":126.08,"endTime":129.29,"body":"still learning we are still"},{"speaker":"Charles Goldfarb","startTime":129.29,"endTime":135.8,"body":"figuring things out. So I had a"},{"speaker":"Charles Goldfarb","startTime":129.29,"endTime":135.8,"body":"10 year old with an OCD. And"},{"speaker":"Charles Goldfarb","startTime":136.07,"endTime":140.72,"body":"that's a you know, that's young."},{"speaker":"Charles Goldfarb","startTime":136.07,"endTime":140.72,"body":"Certainly we see that. And the"},{"speaker":"Charles Goldfarb","startTime":140.72,"endTime":143.93,"body":"interesting thing about her OCD,"},{"speaker":"Charles Goldfarb","startTime":140.72,"endTime":143.93,"body":"it was one it was large, and two"},{"speaker":"Charles Goldfarb","startTime":143.93,"endTime":148.01,"body":"it was repairable, which in my"},{"speaker":"Charles Goldfarb","startTime":143.93,"endTime":148.01,"body":"experience, people talk a lot"},{"speaker":"Charles Goldfarb","startTime":148.01,"endTime":153.05,"body":"about repairing them."},{"speaker":"Charles Goldfarb","startTime":148.01,"endTime":153.05,"body":"microfracture drilling, and then"},{"speaker":"Charles Goldfarb","startTime":153.05,"endTime":156.11,"body":"OATs and all of those have a"},{"speaker":"Charles Goldfarb","startTime":153.05,"endTime":156.11,"body":"role, I will be honest and say"},{"speaker":"Charles Goldfarb","startTime":156.11,"endTime":159.77,"body":"that it is super rare that I"},{"speaker":"Charles Goldfarb","startTime":156.11,"endTime":159.77,"body":"have found patients that can be"},{"speaker":"Charles Goldfarb","startTime":159.77,"endTime":163.61,"body":"repaired that is put the"},{"speaker":"Charles Goldfarb","startTime":159.77,"endTime":163.61,"body":"cartilage, they avulsed or they"},{"speaker":"Charles Goldfarb","startTime":164.24,"endTime":168.02,"body":"you know, the cartilage is free"},{"speaker":"Charles Goldfarb","startTime":164.24,"endTime":168.02,"body":"floating back into the deficit,"},{"speaker":"Charles Goldfarb","startTime":168.02,"endTime":171.98,"body":"and that requires reasonable"},{"speaker":"Charles Goldfarb","startTime":168.02,"endTime":171.98,"body":"bone on the cartilage. That case"},{"speaker":"Charles Goldfarb","startTime":171.98,"endTime":175.13,"body":"was fun. It was a little"},{"speaker":"Charles Goldfarb","startTime":171.98,"endTime":175.13,"body":"challenging, and I think it"},{"speaker":"Charles Goldfarb","startTime":175.16,"endTime":177.98,"body":"offers a chance of the best"},{"speaker":"Charles Goldfarb","startTime":175.16,"endTime":177.98,"body":"possible outcome. Now we'll see"},{"speaker":"Charles Goldfarb","startTime":177.98,"endTime":178.64,"body":"if it heals,"},{"speaker":"Chris Dy","startTime":179.23,"endTime":181.78,"body":"I think elbow it"},{"speaker":"Chris Dy","startTime":179.23,"endTime":181.78,"body":"remains one of the black, a"},{"speaker":"Chris Dy","startTime":181.78,"endTime":185.32,"body":"couple of black boxes in hand"},{"speaker":"Chris Dy","startTime":181.78,"endTime":185.32,"body":"and upper extremity surgery."},{"speaker":"Chris Dy","startTime":185.44,"endTime":190.21,"body":"I've always admired how you dove"},{"speaker":"Chris Dy","startTime":185.44,"endTime":190.21,"body":"into the black boxes, the ulnar"},{"speaker":"Chris Dy","startTime":190.21,"endTime":194.26,"body":"sided wrist pain, the elbow"},{"speaker":"Chris Dy","startTime":190.21,"endTime":194.26,"body":"pain, I think it's fantastic for"},{"speaker":"Chris Dy","startTime":194.29,"endTime":196.78,"body":"for you to look for challenges,"},{"speaker":"Chris Dy","startTime":194.29,"endTime":196.78,"body":"and especially as your partner"},{"speaker":"Chris Dy","startTime":196.81,"endTime":199.54,"body":"to be able to send you patients"},{"speaker":"Chris Dy","startTime":196.81,"endTime":199.54,"body":"with these types of conditions."},{"speaker":"Chris Dy","startTime":199.54,"endTime":200.74,"body":"So kudos."},{"speaker":"Charles Goldfarb","startTime":201.03,"endTime":203.58,"body":"Well, I"},{"speaker":"Charles Goldfarb","startTime":201.03,"endTime":203.58,"body":"appreciate it. And thank you for"},{"speaker":"Charles Goldfarb","startTime":203.58,"endTime":206.7,"body":"saying that fun, fun for me,"},{"speaker":"Charles Goldfarb","startTime":203.58,"endTime":206.7,"body":"hopefully good outcome for the"},{"speaker":"Charles Goldfarb","startTime":206.7,"endTime":208.89,"body":"patient and more to come."},{"speaker":"Chris Dy","startTime":209.23,"endTime":211.54,"body":"Yeah, and if anybody"},{"speaker":"Chris Dy","startTime":209.23,"endTime":211.54,"body":"is listening and is thinking"},{"speaker":"Chris Dy","startTime":211.54,"endTime":215.32,"body":"about our fellowship or our"},{"speaker":"Chris Dy","startTime":211.54,"endTime":215.32,"body":"residency, that elbow"},{"speaker":"Chris Dy","startTime":215.32,"endTime":220.06,"body":"arthroscopy experience with with"},{"speaker":"Chris Dy","startTime":215.32,"endTime":220.06,"body":"Chuck is fantastic, and is one"},{"speaker":"Chris Dy","startTime":220.06,"endTime":222.85,"body":"that is a little bit hard to"},{"speaker":"Chris Dy","startTime":220.06,"endTime":222.85,"body":"come by on the fellowship trail."},{"speaker":"Chris Dy","startTime":223.54,"endTime":226.24,"body":"So if you're checking us out,"},{"speaker":"Chris Dy","startTime":223.54,"endTime":226.24,"body":"make sure to keep that in mind."},{"speaker":"Chris Dy","startTime":226.24,"endTime":227.89,"body":"I know things are a little"},{"speaker":"Chris Dy","startTime":226.24,"endTime":227.89,"body":"different this year in the"},{"speaker":"Chris Dy","startTime":227.89,"endTime":233.44,"body":"virtual application season. Now,"},{"speaker":"Chris Dy","startTime":227.89,"endTime":233.44,"body":"Chuck, do you mind if I share an"},{"speaker":"Chris Dy","startTime":233.44,"endTime":235.06,"body":"email that we received recently?"},{"speaker":"Charles Goldfarb","startTime":235.44,"endTime":237.84,"body":"I would love"},{"speaker":"Charles Goldfarb","startTime":235.44,"endTime":237.84,"body":"if you shared an email we"},{"speaker":"Charles Goldfarb","startTime":237.84,"endTime":238.47,"body":"received."},{"speaker":"Chris Dy","startTime":238.81,"endTime":242.47,"body":"Well, so thank you to"},{"speaker":"Chris Dy","startTime":238.81,"endTime":242.47,"body":"Bob Vandemark, a fantastic"},{"speaker":"Chris Dy","startTime":242.47,"endTime":246.04,"body":"practicing hand surgeon out in"},{"speaker":"Chris Dy","startTime":242.47,"endTime":246.04,"body":"South Dakota, who has been"},{"speaker":"Chris Dy","startTime":246.04,"endTime":249.37,"body":"listening to us and he says that"},{"speaker":"Chris Dy","startTime":246.04,"endTime":249.37,"body":"we hit a home run with the three"},{"speaker":"Chris Dy","startTime":249.37,"endTime":253.27,"body":"Part Dupuytren's podcast, adding"},{"speaker":"Chris Dy","startTime":249.37,"endTime":253.27,"body":"Charlie Eaton was a treat for"},{"speaker":"Chris Dy","startTime":253.27,"endTime":256.93,"body":"sure. The podcast was one of the"},{"speaker":"Chris Dy","startTime":253.27,"endTime":256.93,"body":"better presentations I've ever"},{"speaker":"Chris Dy","startTime":256.93,"endTime":260.29,"body":"heard about Dupuytren's. Your"},{"speaker":"Chris Dy","startTime":256.93,"endTime":260.29,"body":"podcast is a great addition to"},{"speaker":"Chris Dy","startTime":260.29,"endTime":263.65,"body":"my drive to work. It is only a"},{"speaker":"Chris Dy","startTime":260.29,"endTime":263.65,"body":"10 minute commute here in South"},{"speaker":"Chris Dy","startTime":263.65,"endTime":267.52,"body":"Dakota. Wow. But it is time well"},{"speaker":"Chris Dy","startTime":263.65,"endTime":267.52,"body":"spent. So thank you to Bob for"},{"speaker":"Chris Dy","startTime":267.52,"endTime":269.95,"body":"that wonderful feedback. We"},{"speaker":"Chris Dy","startTime":267.52,"endTime":269.95,"body":"certainly appreciate it."},{"speaker":"Charles Goldfarb","startTime":269.0,"endTime":273.8,"body":"That is super"},{"speaker":"Charles Goldfarb","startTime":269.0,"endTime":273.8,"body":"kind and certainly, you know we"},{"speaker":"Charles Goldfarb","startTime":273.8,"endTime":277.01,"body":"appreciate it. As we've said"},{"speaker":"Charles Goldfarb","startTime":273.8,"endTime":277.01,"body":"many times the comments and the"},{"speaker":"Charles Goldfarb","startTime":277.04,"endTime":281.09,"body":"reviews are what drive us. I had"},{"speaker":"Charles Goldfarb","startTime":277.04,"endTime":281.09,"body":"two patients last week two"},{"speaker":"Charles Goldfarb","startTime":281.09,"endTime":284.03,"body":"Dupuytren's patients who had"},{"speaker":"Charles Goldfarb","startTime":281.09,"endTime":284.03,"body":"listened to all three podcasts."},{"speaker":"Charles Goldfarb","startTime":284.24,"endTime":288.14,"body":"And that is not our, our I don't"},{"speaker":"Charles Goldfarb","startTime":284.24,"endTime":288.14,"body":"want to say intended because we"},{"speaker":"Charles Goldfarb","startTime":288.14,"endTime":290.66,"body":"love it. But that is not the"},{"speaker":"Charles Goldfarb","startTime":288.14,"endTime":290.66,"body":"audience we thought we would"},{"speaker":"Charles Goldfarb","startTime":290.66,"endTime":293.15,"body":"attract and so we're still"},{"speaker":"Charles Goldfarb","startTime":290.66,"endTime":293.15,"body":"figuring it out who's listening."},{"speaker":"Chris Dy","startTime":293.78,"endTime":296.45,"body":"Yeah, I think there"},{"speaker":"Chris Dy","startTime":293.78,"endTime":296.45,"body":"are a lot of different audience"},{"speaker":"Chris Dy","startTime":296.6,"endTime":300.2,"body":"segments that have tuned in and"},{"speaker":"Chris Dy","startTime":296.6,"endTime":300.2,"body":"we've been pleasantly surprised"},{"speaker":"Chris Dy","startTime":301.76,"endTime":303.38,"body":"You know, at some point maybe"},{"speaker":"Chris Dy","startTime":301.76,"endTime":303.38,"body":"we'll have a patient on the"},{"speaker":"Chris Dy","startTime":303.38,"endTime":305.96,"body":"podcast if that segment"},{"speaker":"Chris Dy","startTime":303.38,"endTime":305.96,"body":"continues to grow. I've had a"},{"speaker":"Chris Dy","startTime":305.96,"endTime":308.33,"body":"couple come in, say that they've"},{"speaker":"Chris Dy","startTime":305.96,"endTime":308.33,"body":"heard about the podcast and"},{"speaker":"Chris Dy","startTime":308.33,"endTime":312.17,"body":"listened to the ones on carpal"},{"speaker":"Chris Dy","startTime":308.33,"endTime":312.17,"body":"tunnel, etc. So, so one more,"},{"speaker":"Chris Dy","startTime":312.86,"endTime":316.67,"body":"one more segment that we'd like"},{"speaker":"Chris Dy","startTime":312.86,"endTime":316.67,"body":"to introduce here. Thank you to"},{"speaker":"Chris Dy","startTime":316.67,"endTime":320.06,"body":"all of our listeners, wonderful"},{"speaker":"Chris Dy","startTime":316.67,"endTime":320.06,"body":"community of surgeons,"},{"speaker":"Chris Dy","startTime":320.06,"endTime":324.41,"body":"therapists, trainees, patients."},{"speaker":"Chris Dy","startTime":320.06,"endTime":324.41,"body":"We read a review a couple of"},{"speaker":"Chris Dy","startTime":324.41,"endTime":327.59,"body":"weeks ago from Anna ML Sloan, in"},{"speaker":"Chris Dy","startTime":324.41,"endTime":327.59,"body":"which she talked about how much"},{"speaker":"Chris Dy","startTime":327.59,"endTime":330.95,"body":"she loved the podcast. Thank"},{"speaker":"Chris Dy","startTime":327.59,"endTime":330.95,"body":"you. And she also asked us a"},{"speaker":"Chris Dy","startTime":330.95,"endTime":333.92,"body":"question and maybe we could"},{"speaker":"Chris Dy","startTime":330.95,"endTime":333.92,"body":"start a bit of a grab bag. So if"},{"speaker":"Chris Dy","startTime":333.92,"endTime":336.59,"body":"you have any additional"},{"speaker":"Chris Dy","startTime":333.92,"endTime":336.59,"body":"questions outside of this one,"},{"speaker":"Chris Dy","startTime":336.89,"endTime":339.47,"body":"feel free to leave it in a"},{"speaker":"Chris Dy","startTime":336.89,"endTime":339.47,"body":"review or email us at"},{"speaker":"Chris Dy","startTime":339.47,"endTime":344.87,"body":"handpodcast@gmail.com or tweet"},{"speaker":"Chris Dy","startTime":339.47,"endTime":344.87,"body":"at @handpodcast and we'd be"},{"speaker":"Chris Dy","startTime":344.87,"endTime":348.5,"body":"happy to answer it on the on the"},{"speaker":"Chris Dy","startTime":344.87,"endTime":348.5,"body":"air here. So Chuck, Anna's"},{"speaker":"Chris Dy","startTime":348.5,"endTime":351.53,"body":"question was do you use the"},{"speaker":"Chris Dy","startTime":348.5,"endTime":351.53,"body":"Burton Pellegrini method for CMC"},{"speaker":"Chris Dy","startTime":351.53,"endTime":354.26,"body":"arthroplasty? And what are your"},{"speaker":"Chris Dy","startTime":351.53,"endTime":354.26,"body":"thoughts on comparing that"},{"speaker":"Chris Dy","startTime":354.26,"endTime":358.16,"body":"method to other types of CMC-"},{"speaker":"Chris Dy","startTime":354.26,"endTime":358.16,"body":"CMC arthroplasty surgery."},{"speaker":"Charles Goldfarb","startTime":358.91,"endTime":362.12,"body":"Yeah, we may"},{"speaker":"Charles Goldfarb","startTime":358.91,"endTime":362.12,"body":"have even touched on that a"},{"speaker":"Charles Goldfarb","startTime":362.12,"endTime":365.12,"body":"little bit. I think it's a great"},{"speaker":"Charles Goldfarb","startTime":362.12,"endTime":365.12,"body":"question. And it's interesting."},{"speaker":"Charles Goldfarb","startTime":365.12,"endTime":369.41,"body":"I have a little bit of an"},{"speaker":"Charles Goldfarb","startTime":365.12,"endTime":369.41,"body":"unusual case coming up where I'm"},{"speaker":"Charles Goldfarb","startTime":369.41,"endTime":373.01,"body":"considering an interposition"},{"speaker":"Charles Goldfarb","startTime":369.41,"endTime":373.01,"body":"tendon graft for an FPL rupture."},{"speaker":"Charles Goldfarb","startTime":373.37,"endTime":377.09,"body":"And I was searching through"},{"speaker":"Charles Goldfarb","startTime":373.37,"endTime":377.09,"body":"Hand-E on the hand society"},{"speaker":"Charles Goldfarb","startTime":377.09,"endTime":380.51,"body":"website, and I found a video"},{"speaker":"Charles Goldfarb","startTime":377.09,"endTime":380.51,"body":"which I did not have time to"},{"speaker":"Charles Goldfarb","startTime":380.51,"endTime":385.76,"body":"watch, which was discussing. Is"},{"speaker":"Charles Goldfarb","startTime":380.51,"endTime":385.76,"body":"there a role for the Burton"},{"speaker":"Charles Goldfarb","startTime":385.76,"endTime":389.36,"body":"Pellegrini LRTI anymore, that"},{"speaker":"Charles Goldfarb","startTime":385.76,"endTime":389.36,"body":"was one video. And the other"},{"speaker":"Charles Goldfarb","startTime":389.36,"endTime":393.14,"body":"video is the gold standard, the"},{"speaker":"Charles Goldfarb","startTime":389.36,"endTime":393.14,"body":"Burton and Pellegrini LRTI and"},{"speaker":"Charles Goldfarb","startTime":393.14,"endTime":395.81,"body":"they're both within the last two"},{"speaker":"Charles Goldfarb","startTime":393.14,"endTime":395.81,"body":"years. So I think the reader's"},{"speaker":"Charles Goldfarb","startTime":395.93,"endTime":400.97,"body":"comment slash question is a good"},{"speaker":"Charles Goldfarb","startTime":395.93,"endTime":400.97,"body":"one. And, you know, as as Chris"},{"speaker":"Charles Goldfarb","startTime":401.03,"endTime":404.21,"body":"knows, and I think we've"},{"speaker":"Charles Goldfarb","startTime":401.03,"endTime":404.21,"body":"mentioned we are in the midst of"},{"speaker":"Charles Goldfarb","startTime":404.21,"endTime":409.73,"body":"a prospective randomized study,"},{"speaker":"Charles Goldfarb","startTime":404.21,"endTime":409.73,"body":"for better or worse, looking at"},{"speaker":"Charles Goldfarb","startTime":409.73,"endTime":412.4,"body":"two what I would say are"},{"speaker":"Charles Goldfarb","startTime":409.73,"endTime":412.4,"body":"increasingly, you know,"},{"speaker":"Charles Goldfarb","startTime":412.64,"endTime":415.49,"body":"prevalent treatment options. So"},{"speaker":"Charles Goldfarb","startTime":412.64,"endTime":415.49,"body":"we are doing the classic Burton"},{"speaker":"Charles Goldfarb","startTime":415.49,"endTime":419.57,"body":"and Pellegrini, trapezium"},{"speaker":"Charles Goldfarb","startTime":415.49,"endTime":419.57,"body":"excision and FCR interposition"},{"speaker":"Charles Goldfarb","startTime":419.63,"endTime":424.88,"body":"arthroplasty as one option and"},{"speaker":"Charles Goldfarb","startTime":419.63,"endTime":424.88,"body":"one limb of our randomized study"},{"speaker":"Charles Goldfarb","startTime":424.88,"endTime":429.86,"body":"and the other limb is the suture"},{"speaker":"Charles Goldfarb","startTime":424.88,"endTime":429.86,"body":"tape, suspension plasty with"},{"speaker":"Charles Goldfarb","startTime":429.86,"endTime":434.0,"body":"again, trapezium excision. And"},{"speaker":"Charles Goldfarb","startTime":429.86,"endTime":434.0,"body":"so when I describe this, these"},{"speaker":"Charles Goldfarb","startTime":434.0,"endTime":438.44,"body":"options to patients, and some"},{"speaker":"Charles Goldfarb","startTime":434.0,"endTime":438.44,"body":"will disagree, and I hope those"},{"speaker":"Charles Goldfarb","startTime":438.44,"endTime":441.17,"body":"who disagree and maybe Chris is"},{"speaker":"Charles Goldfarb","startTime":438.44,"endTime":441.17,"body":"one of them, but some will"},{"speaker":"Charles Goldfarb","startTime":441.17,"endTime":444.65,"body":"disagree. I say to patients, the"},{"speaker":"Charles Goldfarb","startTime":441.17,"endTime":444.65,"body":"gold standard is the Burton and"},{"speaker":"Charles Goldfarb","startTime":444.65,"endTime":448.22,"body":"Pellegrini arthroplasty. And I"},{"speaker":"Charles Goldfarb","startTime":444.65,"endTime":448.22,"body":"really do believe that it's the"},{"speaker":"Charles Goldfarb","startTime":448.22,"endTime":451.61,"body":"gold standard, because we know"},{"speaker":"Charles Goldfarb","startTime":448.22,"endTime":451.61,"body":"what happens over 15 to 20"},{"speaker":"Charles Goldfarb","startTime":451.61,"endTime":454.55,"body":"years, we know it's not perfect."},{"speaker":"Charles Goldfarb","startTime":451.61,"endTime":454.55,"body":"We know there's a long initial"},{"speaker":"Charles Goldfarb","startTime":454.55,"endTime":457.76,"body":"recovery, but we know it's a"},{"speaker":"Charles Goldfarb","startTime":454.55,"endTime":457.76,"body":"really good operation and it has"},{"speaker":"Charles Goldfarb","startTime":457.76,"endTime":461.06,"body":"stood the test of time. And now"},{"speaker":"Charles Goldfarb","startTime":457.76,"endTime":461.06,"body":"on the other hand, we have these"},{"speaker":"Charles Goldfarb","startTime":461.06,"endTime":463.91,"body":"newer options, one of which is"},{"speaker":"Charles Goldfarb","startTime":461.06,"endTime":463.91,"body":"the suture tape suspension"},{"speaker":"Charles Goldfarb","startTime":463.91,"endTime":467.33,"body":"plasty which is really good. And"},{"speaker":"Charles Goldfarb","startTime":463.91,"endTime":467.33,"body":"it's a fast recovery, but we"},{"speaker":"Charles Goldfarb","startTime":467.33,"endTime":470.18,"body":"don't know what happens down the"},{"speaker":"Charles Goldfarb","startTime":467.33,"endTime":470.18,"body":"road. We have lots of clues and"},{"speaker":"Charles Goldfarb","startTime":470.24,"endTime":473.66,"body":"suggestions, that it's a good"},{"speaker":"Charles Goldfarb","startTime":470.24,"endTime":473.66,"body":"option. So in my hands, the"},{"speaker":"Charles Goldfarb","startTime":473.66,"endTime":476.72,"body":"Burton and Pellegrini, which is"},{"speaker":"Charles Goldfarb","startTime":473.66,"endTime":476.72,"body":"the way I do it, is a really"},{"speaker":"Charles Goldfarb","startTime":476.72,"endTime":478.31,"body":"good option is how do you see"},{"speaker":"Charles Goldfarb","startTime":476.72,"endTime":478.31,"body":"it?"},{"speaker":"Chris Dy","startTime":479.27,"endTime":482.42,"body":"You know, I see them"},{"speaker":"Chris Dy","startTime":479.27,"endTime":482.42,"body":"both as good options. I think"},{"speaker":"Chris Dy","startTime":482.45,"endTime":487.43,"body":"the clincher is honestly the"},{"speaker":"Chris Dy","startTime":482.45,"endTime":487.43,"body":"surgeon comfort with initiating"},{"speaker":"Chris Dy","startTime":487.46,"endTime":491.6,"body":"motion and subsequent"},{"speaker":"Chris Dy","startTime":487.46,"endTime":491.6,"body":"strengthening. And I feel like"},{"speaker":"Chris Dy","startTime":491.6,"endTime":494.42,"body":"we've done it, at least in our"},{"speaker":"Chris Dy","startTime":491.6,"endTime":494.42,"body":"group. We've done it for so"},{"speaker":"Chris Dy","startTime":494.42,"endTime":498.41,"body":"long, in the same way with the"},{"speaker":"Chris Dy","startTime":494.42,"endTime":498.41,"body":"Burton Pellegrini. And"},{"speaker":"Chris Dy","startTime":498.44,"endTime":501.68,"body":"admittedly, were a little more"},{"speaker":"Chris Dy","startTime":498.44,"endTime":501.68,"body":"conservative with the rehab"},{"speaker":"Chris Dy","startTime":501.68,"endTime":504.08,"body":"protocols after Burton"},{"speaker":"Chris Dy","startTime":501.68,"endTime":504.08,"body":"Pellegrini, because like you"},{"speaker":"Chris Dy","startTime":504.08,"endTime":507.86,"body":"said, you know what you're going"},{"speaker":"Chris Dy","startTime":504.08,"endTime":507.86,"body":"to get, it is reliable. You know"},{"speaker":"Chris Dy","startTime":507.86,"endTime":510.59,"body":"the outcome you're going to get"},{"speaker":"Chris Dy","startTime":507.86,"endTime":510.59,"body":"with that surgery and with that"},{"speaker":"Chris Dy","startTime":510.59,"endTime":514.58,"body":"rehab protocol, whereas with the"},{"speaker":"Chris Dy","startTime":510.59,"endTime":514.58,"body":"technology that we've seen with"},{"speaker":"Chris Dy","startTime":514.58,"endTime":517.43,"body":"the suture tape, and the"},{"speaker":"Chris Dy","startTime":514.58,"endTime":517.43,"body":"interoperative inspection, we"},{"speaker":"Chris Dy","startTime":517.43,"endTime":521.0,"body":"tend to feel a little bit better"},{"speaker":"Chris Dy","startTime":517.43,"endTime":521.0,"body":"about how stout that is. And I"},{"speaker":"Chris Dy","startTime":521.0,"endTime":524.42,"body":"think we allow ourselves a"},{"speaker":"Chris Dy","startTime":521.0,"endTime":524.42,"body":"little more leeway, and"},{"speaker":"Chris Dy","startTime":524.45,"endTime":528.89,"body":"accelerate the rehab sooner. And"},{"speaker":"Chris Dy","startTime":524.45,"endTime":528.89,"body":"I think that's going to be a key"},{"speaker":"Chris Dy","startTime":528.95,"endTime":532.13,"body":"and I know that Nick Casmers and"},{"speaker":"Chris Dy","startTime":528.95,"endTime":532.13,"body":"his group over in Utah, one of"},{"speaker":"Chris Dy","startTime":532.13,"endTime":536.27,"body":"our former trainees have looked"},{"speaker":"Chris Dy","startTime":532.13,"endTime":536.27,"body":"at the impact of the different"},{"speaker":"Chris Dy","startTime":536.27,"endTime":539.72,"body":"therapy protocols after thumb,"},{"speaker":"Chris Dy","startTime":536.27,"endTime":539.72,"body":"CMC arthroplasty of all types"},{"speaker":"Chris Dy","startTime":539.75,"endTime":544.07,"body":"and it is all over the map. So"},{"speaker":"Chris Dy","startTime":539.75,"endTime":544.07,"body":"that's a huge variable. And I"},{"speaker":"Chris Dy","startTime":544.07,"endTime":546.56,"body":"think that's one thing that"},{"speaker":"Chris Dy","startTime":544.07,"endTime":546.56,"body":"maybe we could even dive into on"},{"speaker":"Chris Dy","startTime":546.56,"endTime":550.31,"body":"a future episode is specifically"},{"speaker":"Chris Dy","startTime":546.56,"endTime":550.31,"body":"looking at the rehab after a"},{"speaker":"Chris Dy","startTime":550.31,"endTime":553.16,"body":"thumb, CMC arthroplasty so"},{"speaker":"Chris Dy","startTime":550.31,"endTime":553.16,"body":"looking beyond the surgery"},{"speaker":"Chris Dy","startTime":553.16,"endTime":557.0,"body":"choice, but even beyond these"},{"speaker":"Chris Dy","startTime":553.16,"endTime":557.0,"body":"two options, a Burton Pellegrini"},{"speaker":"Chris Dy","startTime":557.03,"endTime":561.53,"body":"and a suture tape augmentation,"},{"speaker":"Chris Dy","startTime":557.03,"endTime":561.53,"body":"you even have the Welbe which a"},{"speaker":"Chris Dy","startTime":561.53,"endTime":564.62,"body":"lot of surgeons have used with"},{"speaker":"Chris Dy","startTime":561.53,"endTime":564.62,"body":"great results, and then even"},{"speaker":"Chris Dy","startTime":564.62,"endTime":571.37,"body":"more simplistically, the, the"},{"speaker":"Chris Dy","startTime":564.62,"endTime":571.37,"body":"FCR suspension, just this heavy"},{"speaker":"Chris Dy","startTime":571.37,"endTime":575.18,"body":"suture that Jean Delsonur has"},{"speaker":"Chris Dy","startTime":571.37,"endTime":575.18,"body":"described and she's had great"},{"speaker":"Chris Dy","startTime":575.18,"endTime":577.43,"body":"results and Peter Weiss has"},{"speaker":"Chris Dy","startTime":575.18,"endTime":577.43,"body":"shown great results with that."},{"speaker":"Chris Dy","startTime":577.88,"endTime":582.05,"body":"So there are a lot of ways to do"},{"speaker":"Chris Dy","startTime":577.88,"endTime":582.05,"body":"it. I think the key is A)"},{"speaker":"Chris Dy","startTime":582.05,"endTime":586.88,"body":"getting the trapezium out, and"},{"speaker":"Chris Dy","startTime":582.05,"endTime":586.88,"body":"then B) finding a way where you"},{"speaker":"Chris Dy","startTime":586.88,"endTime":589.46,"body":"can suspend things with"},{"speaker":"Chris Dy","startTime":586.88,"endTime":589.46,"body":"confidence and then initiate the"},{"speaker":"Chris Dy","startTime":589.46,"endTime":591.02,"body":"rehab protocol of choice."},{"speaker":"Charles Goldfarb","startTime":591.45,"endTime":593.34,"body":"Yeah, good"},{"speaker":"Charles Goldfarb","startTime":591.45,"endTime":593.34,"body":"stuff. I do think we should"},{"speaker":"Charles Goldfarb","startTime":593.34,"endTime":597.93,"body":"write that down. We need to do"},{"speaker":"Charles Goldfarb","startTime":593.34,"endTime":597.93,"body":"an extensive podcast on both non"},{"speaker":"Charles Goldfarb","startTime":597.93,"endTime":601.59,"body":"operative care of the CMC"},{"speaker":"Charles Goldfarb","startTime":597.93,"endTime":601.59,"body":"arthroplasty patient because"},{"speaker":"Charles Goldfarb","startTime":601.59,"endTime":605.52,"body":"there's actually good literature"},{"speaker":"Charles Goldfarb","startTime":601.59,"endTime":605.52,"body":"with an incredible, highly"},{"speaker":"Charles Goldfarb","startTime":605.52,"endTime":608.4,"body":"successful rate of avoiding"},{"speaker":"Charles Goldfarb","startTime":605.52,"endTime":608.4,"body":"surgery. And then we obviously"},{"speaker":"Charles Goldfarb","startTime":608.4,"endTime":611.79,"body":"have the post surgical care and"},{"speaker":"Charles Goldfarb","startTime":608.4,"endTime":611.79,"body":"I'll say one of the things I had"},{"speaker":"Charles Goldfarb","startTime":611.79,"endTime":615.33,"body":"another patient come in with"},{"speaker":"Charles Goldfarb","startTime":611.79,"endTime":615.33,"body":"bilateral CMC pain, wanted"},{"speaker":"Charles Goldfarb","startTime":615.33,"endTime":619.14,"body":"surgery and asked if she could"},{"speaker":"Charles Goldfarb","startTime":615.33,"endTime":619.14,"body":"have bilateral surgery, which I"},{"speaker":"Charles Goldfarb","startTime":619.14,"endTime":621.42,"body":"used to think was crazy,"},{"speaker":"Charles Goldfarb","startTime":619.14,"endTime":621.42,"body":"actually, I still think it's"},{"speaker":"Charles Goldfarb","startTime":621.42,"endTime":624.69,"body":"crazy. But I've had two patients"},{"speaker":"Charles Goldfarb","startTime":621.42,"endTime":624.69,"body":"who've asked for it and I've"},{"speaker":"Charles Goldfarb","startTime":624.69,"endTime":628.32,"body":"done it with the suture tape,"},{"speaker":"Charles Goldfarb","startTime":624.69,"endTime":628.32,"body":"and they have loved it. I would"},{"speaker":"Charles Goldfarb","startTime":628.32,"endTime":631.53,"body":"never do that with a Burton"},{"speaker":"Charles Goldfarb","startTime":628.32,"endTime":631.53,"body":"Pellegrini. It's just too tough"},{"speaker":"Charles Goldfarb","startTime":631.53,"endTime":634.68,"body":"and the recovery's too long. So"},{"speaker":"Charles Goldfarb","startTime":631.53,"endTime":634.68,"body":"it's a crazy thing in my mind,"},{"speaker":"Charles Goldfarb","startTime":634.68,"endTime":638.19,"body":"but it's just another way that"},{"speaker":"Charles Goldfarb","startTime":634.68,"endTime":638.19,"body":"patients help us forward with"},{"speaker":"Charles Goldfarb","startTime":638.19,"endTime":639.09,"body":"our forward thinking."},{"speaker":"Chris Dy","startTime":639.75,"endTime":643.98,"body":"I'm gonna add one more"},{"speaker":"Chris Dy","startTime":639.75,"endTime":643.98,"body":"thing. I think that's an"},{"speaker":"Chris Dy","startTime":643.98,"endTime":647.25,"body":"interesting pearl that I learned"},{"speaker":"Chris Dy","startTime":643.98,"endTime":647.25,"body":"from a recent fellow research"},{"speaker":"Chris Dy","startTime":647.25,"endTime":650.4,"body":"project. So Jeff Stepan last"},{"speaker":"Chris Dy","startTime":647.25,"endTime":650.4,"body":"year is one of last year's"},{"speaker":"Chris Dy","startTime":650.4,"endTime":653.22,"body":"fellows in our hand fellowship,"},{"speaker":"Chris Dy","startTime":650.4,"endTime":653.22,"body":"who is now in practice at the"},{"speaker":"Chris Dy","startTime":653.22,"endTime":657.18,"body":"University of Chicago. His"},{"speaker":"Chris Dy","startTime":653.22,"endTime":657.18,"body":"fellow research project was a"},{"speaker":"Chris Dy","startTime":657.18,"endTime":661.11,"body":"qualitative study in which we"},{"speaker":"Chris Dy","startTime":657.18,"endTime":661.11,"body":"asked patients who had a CMC"},{"speaker":"Chris Dy","startTime":661.11,"endTime":663.06,"body":"arthroplasty, what their"},{"speaker":"Chris Dy","startTime":661.11,"endTime":663.06,"body":"experience was like, and"},{"speaker":"Chris Dy","startTime":663.06,"endTime":666.39,"body":"specifically what they wished"},{"speaker":"Chris Dy","startTime":663.06,"endTime":666.39,"body":"they knew, heading into surgery"},{"speaker":"Chris Dy","startTime":666.39,"endTime":669.33,"body":"or what they wished they were"},{"speaker":"Chris Dy","startTime":666.39,"endTime":669.33,"body":"told. And the biggest thing that"},{"speaker":"Chris Dy","startTime":669.33,"endTime":676.2,"body":"came about was the duration of"},{"speaker":"Chris Dy","startTime":669.33,"endTime":676.2,"body":"recovery. We tend to undersell"},{"speaker":"Chris Dy","startTime":676.2,"endTime":679.17,"body":"how long it takes to get over"},{"speaker":"Chris Dy","startTime":676.2,"endTime":679.17,"body":"the surgery. And patients wished"},{"speaker":"Chris Dy","startTime":679.17,"endTime":682.68,"body":"that we told them how long they"},{"speaker":"Chris Dy","startTime":679.17,"endTime":682.68,"body":"really would take to get over it"},{"speaker":"Chris Dy","startTime":682.92,"endTime":686.49,"body":"in terms of until their thumb"},{"speaker":"Chris Dy","startTime":682.92,"endTime":686.49,"body":"felt better. And in preliminary"},{"speaker":"Chris Dy","startTime":686.52,"endTime":689.04,"body":"analysis, it looks like it's"},{"speaker":"Chris Dy","startTime":686.52,"endTime":689.04,"body":"probably six to nine months"},{"speaker":"Chris Dy","startTime":689.04,"endTime":692.34,"body":"until they are feeling much"},{"speaker":"Chris Dy","startTime":689.04,"endTime":692.34,"body":"better. And we probably tell"},{"speaker":"Chris Dy","startTime":692.34,"endTime":695.49,"body":"them a little bit shorter."},{"speaker":"Chris Dy","startTime":692.34,"endTime":695.49,"body":"Another interesting point was"},{"speaker":"Chris Dy","startTime":695.49,"endTime":698.28,"body":"that the therapists have"},{"speaker":"Chris Dy","startTime":695.49,"endTime":698.28,"body":"actually course corrected for us"},{"speaker":"Chris Dy","startTime":698.28,"endTime":700.83,"body":"so that when they start to talk"},{"speaker":"Chris Dy","startTime":698.28,"endTime":700.83,"body":"to the patient, say, Oh, no, no,"},{"speaker":"Chris Dy","startTime":700.89,"endTime":704.31,"body":"no doctor, so and so it didn't"},{"speaker":"Chris Dy","startTime":700.89,"endTime":704.31,"body":"really mean that, they meant"},{"speaker":"Chris Dy","startTime":704.31,"endTime":707.43,"body":"that it would take you this long"},{"speaker":"Chris Dy","startTime":704.31,"endTime":707.43,"body":"instead. So that's something"},{"speaker":"Chris Dy","startTime":707.43,"endTime":709.2,"body":"that I think we need to keep in"},{"speaker":"Chris Dy","startTime":707.43,"endTime":709.2,"body":"mind. And I've tried to"},{"speaker":"Chris Dy","startTime":709.2,"endTime":711.78,"body":"incorporate into my discussions"},{"speaker":"Chris Dy","startTime":709.2,"endTime":711.78,"body":"with patients recently makes"},{"speaker":"Chris Dy","startTime":711.78,"endTime":714.24,"body":"them a little less enthusiastic"},{"speaker":"Chris Dy","startTime":711.78,"endTime":714.24,"body":"about surgery, to be honest with"},{"speaker":"Chris Dy","startTime":714.24,"endTime":717.21,"body":"you, but at least I'm getting in"},{"speaker":"Chris Dy","startTime":714.24,"endTime":717.21,"body":"front of some expectations early"},{"speaker":"Chris Dy","startTime":717.21,"endTime":717.42,"body":"on."},{"speaker":"Charles Goldfarb","startTime":717.81,"endTime":719.07,"body":"Well, and"},{"speaker":"Charles Goldfarb","startTime":717.81,"endTime":719.07,"body":"that's interesting, because"},{"speaker":"Charles Goldfarb","startTime":719.07,"endTime":721.8,"body":"we're going to get to the"},{"speaker":"Charles Goldfarb","startTime":719.07,"endTime":721.8,"body":"concept of patient satisfaction"},{"speaker":"Charles Goldfarb","startTime":721.8,"endTime":724.74,"body":"here in a couple minutes. When"},{"speaker":"Charles Goldfarb","startTime":721.8,"endTime":724.74,"body":"we get to the meat of our"},{"speaker":"Charles Goldfarb","startTime":724.77,"endTime":730.74,"body":"discussion, before we jumped"},{"speaker":"Charles Goldfarb","startTime":724.77,"endTime":730.74,"body":"into a highlights or takeaways"},{"speaker":"Charles Goldfarb","startTime":730.74,"endTime":733.74,"body":"that Chris and I had from the"},{"speaker":"Charles Goldfarb","startTime":730.74,"endTime":733.74,"body":"hands society annual meeting, I"},{"speaker":"Charles Goldfarb","startTime":733.74,"endTime":739.2,"body":"do want to reiterate that our we"},{"speaker":"Charles Goldfarb","startTime":733.74,"endTime":739.2,"body":"have a partnership with QxMD, I"},{"speaker":"Charles Goldfarb","startTime":739.2,"endTime":745.05,"body":"continue to use their Read app,"},{"speaker":"Charles Goldfarb","startTime":739.2,"endTime":745.05,"body":"which helps me identify and as"},{"speaker":"Charles Goldfarb","startTime":745.05,"endTime":748.32,"body":"Chris nicely labeled it as an"},{"speaker":"Charles Goldfarb","startTime":745.05,"endTime":748.32,"body":"aggregator. It helps me identify"},{"speaker":"Charles Goldfarb","startTime":748.32,"endTime":750.9,"body":"articles, I'm pretty good about"},{"speaker":"Charles Goldfarb","startTime":748.32,"endTime":750.9,"body":"keeping up with the literature."},{"speaker":"Charles Goldfarb","startTime":751.05,"endTime":754.83,"body":"But using search terms that you"},{"speaker":"Charles Goldfarb","startTime":751.05,"endTime":754.83,"body":"know, I get a regular email with"},{"speaker":"Charles Goldfarb","startTime":754.83,"endTime":758.37,"body":"terms, anything from elbow"},{"speaker":"Charles Goldfarb","startTime":754.83,"endTime":758.37,"body":"arthroscopy to OCD, to thumb"},{"speaker":"Charles Goldfarb","startTime":758.37,"endTime":760.77,"body":"polydactyly. And it just helps"},{"speaker":"Charles Goldfarb","startTime":758.37,"endTime":760.77,"body":"me keep on top of things."},{"speaker":"Charles Goldfarb","startTime":760.77,"endTime":763.35,"body":"There's different ways to do it,"},{"speaker":"Charles Goldfarb","startTime":760.77,"endTime":763.35,"body":"I found this one would be pretty"},{"speaker":"Charles Goldfarb","startTime":763.35,"endTime":763.83,"body":"helpful."},{"speaker":"Chris Dy","startTime":764.31,"endTime":767.76,"body":"And it's easy to set"},{"speaker":"Chris Dy","startTime":764.31,"endTime":767.76,"body":"up too. So quick download from"},{"speaker":"Chris Dy","startTime":767.76,"endTime":771.12,"body":"the whatever app store that you"},{"speaker":"Chris Dy","startTime":767.76,"endTime":771.12,"body":"use. And then you just enter"},{"speaker":"Chris Dy","startTime":771.12,"endTime":772.77,"body":"some information and you're off"},{"speaker":"Chris Dy","startTime":771.12,"endTime":772.77,"body":"and running."},{"speaker":"Charles Goldfarb","startTime":773.29,"endTime":775.96,"body":"Absolutely."},{"speaker":"Charles Goldfarb","startTime":773.29,"endTime":775.96,"body":"All right, let's pivot. So we"},{"speaker":"Charles Goldfarb","startTime":775.96,"endTime":779.02,"body":"recently completed as you know,"},{"speaker":"Charles Goldfarb","startTime":775.96,"endTime":779.02,"body":"we're, you know, a few days"},{"speaker":"Charles Goldfarb","startTime":779.02,"endTime":782.74,"body":"after the 2020 Hand Society"},{"speaker":"Charles Goldfarb","startTime":779.02,"endTime":782.74,"body":"annual meeting, which was"},{"speaker":"Charles Goldfarb","startTime":782.74,"endTime":786.13,"body":"virtual. Some of it was pre"},{"speaker":"Charles Goldfarb","startTime":782.74,"endTime":786.13,"body":"recorded, some of it was live."},{"speaker":"Charles Goldfarb","startTime":787.66,"endTime":790.63,"body":"I'll give you my biggest"},{"speaker":"Charles Goldfarb","startTime":787.66,"endTime":790.63,"body":"takeaway. It's, it's they pulled"},{"speaker":"Charles Goldfarb","startTime":790.63,"endTime":794.32,"body":"it off is my biggest takeaway."},{"speaker":"Charles Goldfarb","startTime":790.63,"endTime":794.32,"body":"And it was far more than a zoom"},{"speaker":"Charles Goldfarb","startTime":794.32,"endTime":798.85,"body":"meeting, for the timeframe and"},{"speaker":"Charles Goldfarb","startTime":794.32,"endTime":798.85,"body":"for the effort, I think they did"},{"speaker":"Charles Goldfarb","startTime":798.85,"endTime":802.6,"body":"a wonderful job. And the bottom"},{"speaker":"Charles Goldfarb","startTime":798.85,"endTime":802.6,"body":"line is I learned stuff, and I"},{"speaker":"Charles Goldfarb","startTime":802.6,"endTime":804.88,"body":"had a good time, I would have"},{"speaker":"Charles Goldfarb","startTime":802.6,"endTime":804.88,"body":"had a better time had I been"},{"speaker":"Charles Goldfarb","startTime":804.88,"endTime":806.17,"body":"there. I thought it was great."},{"speaker":"Chris Dy","startTime":806.99,"endTime":810.32,"body":"The format was really"},{"speaker":"Chris Dy","startTime":806.99,"endTime":810.32,"body":"cool. So for some of the bigger"},{"speaker":"Chris Dy","startTime":810.35,"endTime":813.2,"body":"keynote type sessions that would"},{"speaker":"Chris Dy","startTime":810.35,"endTime":813.2,"body":"have been in the main theater,"},{"speaker":"Chris Dy","startTime":813.23,"endTime":818.18,"body":"you know, at the- at an in"},{"speaker":"Chris Dy","startTime":813.23,"endTime":818.18,"body":"person meeting, there was a"},{"speaker":"Chris Dy","startTime":818.18,"endTime":822.8,"body":"really cool virtual platform"},{"speaker":"Chris Dy","startTime":818.18,"endTime":822.8,"body":"that was polished had engineers"},{"speaker":"Chris Dy","startTime":822.8,"endTime":826.04,"body":"and editors working on it"},{"speaker":"Chris Dy","startTime":822.8,"endTime":826.04,"body":"production experts, certainly a"},{"speaker":"Chris Dy","startTime":826.04,"endTime":829.97,"body":"lot of rehearsal time going into"},{"speaker":"Chris Dy","startTime":826.04,"endTime":829.97,"body":"it. But to be honest with you I"},{"speaker":"Chris Dy","startTime":829.97,"endTime":834.17,"body":"think that rehearsal time was in"},{"speaker":"Chris Dy","startTime":829.97,"endTime":834.17,"body":"fact well spent, and so much"},{"speaker":"Chris Dy","startTime":834.17,"endTime":837.2,"body":"effort from the hand society"},{"speaker":"Chris Dy","startTime":834.17,"endTime":837.2,"body":"staff and from the program"},{"speaker":"Chris Dy","startTime":837.2,"endTime":841.73,"body":"chairs put into it. And you know"},{"speaker":"Chris Dy","startTime":837.2,"endTime":841.73,"body":"really kudos to all the ASSH"},{"speaker":"Chris Dy","startTime":841.73,"endTime":844.55,"body":"staff members and to Dawn"},{"speaker":"Chris Dy","startTime":841.73,"endTime":844.55,"body":"LaPorte and Ryan Calfee."},{"speaker":"Charles Goldfarb","startTime":845.29,"endTime":848.29,"body":"For sure."},{"speaker":"Charles Goldfarb","startTime":845.29,"endTime":848.29,"body":"Totally agree. Well said. So why"},{"speaker":"Charles Goldfarb","startTime":848.29,"endTime":852.13,"body":"don't we I do I think what we"},{"speaker":"Charles Goldfarb","startTime":848.29,"endTime":852.13,"body":"what you and I had discussed is"},{"speaker":"Charles Goldfarb","startTime":852.13,"endTime":855.73,"body":"that we would go over some of"},{"speaker":"Charles Goldfarb","startTime":852.13,"endTime":855.73,"body":"the award winning papers, just"},{"speaker":"Charles Goldfarb","startTime":855.73,"endTime":858.82,"body":"because I think that's"},{"speaker":"Charles Goldfarb","startTime":855.73,"endTime":858.82,"body":"interesting. And I they're just"},{"speaker":"Charles Goldfarb","startTime":858.82,"endTime":861.91,"body":"such an important part of our"},{"speaker":"Charles Goldfarb","startTime":858.82,"endTime":861.91,"body":"society. And yet they send a"},{"speaker":"Charles Goldfarb","startTime":861.91,"endTime":864.01,"body":"strong message about what"},{"speaker":"Charles Goldfarb","startTime":861.91,"endTime":864.01,"body":"matters. So I would like to go"},{"speaker":"Charles Goldfarb","startTime":864.01,"endTime":866.68,"body":"through some of those papers and"},{"speaker":"Charles Goldfarb","startTime":864.01,"endTime":866.68,"body":"we don't have the actual papers"},{"speaker":"Charles Goldfarb","startTime":866.68,"endTime":869.17,"body":"and I didn't see honestly all"},{"speaker":"Charles Goldfarb","startTime":866.68,"endTime":869.17,"body":"the presentations, but we had"},{"speaker":"Charles Goldfarb","startTime":869.17,"endTime":871.39,"body":"the abstracts and you and I had"},{"speaker":"Charles Goldfarb","startTime":869.17,"endTime":871.39,"body":"a chance to review. But before"},{"speaker":"Charles Goldfarb","startTime":871.39,"endTime":874.18,"body":"we do that, why don't we talk"},{"speaker":"Charles Goldfarb","startTime":871.39,"endTime":874.18,"body":"about our biggest takeaways,"},{"speaker":"Charles Goldfarb","startTime":875.17,"endTime":879.37,"body":"whether that be tangible"},{"speaker":"Charles Goldfarb","startTime":875.17,"endTime":879.37,"body":"knowledge gained, or whatever."},{"speaker":"Charles Goldfarb","startTime":879.4,"endTime":882.4,"body":"Share a couple with me from from"},{"speaker":"Charles Goldfarb","startTime":879.4,"endTime":882.4,"body":"your perspective and I know what"},{"speaker":"Charles Goldfarb","startTime":882.4,"endTime":884.44,"body":"it's going to be about it's"},{"speaker":"Charles Goldfarb","startTime":882.4,"endTime":884.44,"body":"gonna be nerve nerve nerve."},{"speaker":"Chris Dy","startTime":885.5,"endTime":890.42,"body":"So I again, it is"},{"speaker":"Chris Dy","startTime":885.5,"endTime":890.42,"body":"about nerve. I was supposed to"},{"speaker":"Chris Dy","startTime":890.42,"endTime":896.81,"body":"be the 2019 to 2020 hand society"},{"speaker":"Chris Dy","startTime":890.42,"endTime":896.81,"body":"Gelberman traveling fellow. That"},{"speaker":"Chris Dy","startTime":896.87,"endTime":900.26,"body":"experience was cut short by the"},{"speaker":"Chris Dy","startTime":896.87,"endTime":900.26,"body":"pandemic and I hope to resume it"},{"speaker":"Chris Dy","startTime":900.26,"endTime":903.74,"body":"soon, but one of the trips I was"},{"speaker":"Chris Dy","startTime":900.26,"endTime":903.74,"body":"supposed to take was to go visit"},{"speaker":"Chris Dy","startTime":903.77,"endTime":907.64,"body":"professor Jaime Bertelli in"},{"speaker":"Chris Dy","startTime":903.77,"endTime":907.64,"body":"Florianopolis, Brazil, somebody"},{"speaker":"Chris Dy","startTime":907.64,"endTime":910.91,"body":"who is increasingly recognized"},{"speaker":"Chris Dy","startTime":907.64,"endTime":910.91,"body":"as a preeminent, you know,"},{"speaker":"Chris Dy","startTime":910.91,"endTime":914.6,"body":"leader and scholar in peripheral"},{"speaker":"Chris Dy","startTime":910.91,"endTime":914.6,"body":"nerve Plexus and nerve"},{"speaker":"Chris Dy","startTime":914.6,"endTime":918.17,"body":"transfers. And he has a high"},{"speaker":"Chris Dy","startTime":914.6,"endTime":918.17,"body":"volume of patients, he's got"},{"speaker":"Chris Dy","startTime":918.17,"endTime":920.12,"body":"some innovative techniques, and"},{"speaker":"Chris Dy","startTime":918.17,"endTime":920.12,"body":"then he presented some"},{"speaker":"Chris Dy","startTime":920.12,"endTime":924.02,"body":"interesting concepts, which have"},{"speaker":"Chris Dy","startTime":920.12,"endTime":924.02,"body":"kind of crept into some of the"},{"speaker":"Chris Dy","startTime":924.02,"endTime":926.54,"body":"technique papers in the past,"},{"speaker":"Chris Dy","startTime":924.02,"endTime":926.54,"body":"but to hear him present it in"},{"speaker":"Chris Dy","startTime":926.54,"endTime":930.35,"body":"context is always helpful. So"},{"speaker":"Chris Dy","startTime":926.54,"endTime":930.35,"body":"the thought of potentially"},{"speaker":"Chris Dy","startTime":930.35,"endTime":933.35,"body":"transferring the anterior"},{"speaker":"Chris Dy","startTime":930.35,"endTime":933.35,"body":"interosseous nerve at the mid"},{"speaker":"Chris Dy","startTime":933.35,"endTime":937.91,"body":"forearm into the distal aspect"},{"speaker":"Chris Dy","startTime":933.35,"endTime":937.91,"body":"of the posterior interosseous"},{"speaker":"Chris Dy","startTime":937.91,"endTime":942.02,"body":"nerve to treat a radial nerve"},{"speaker":"Chris Dy","startTime":937.91,"endTime":942.02,"body":"palsy was interesting. And"},{"speaker":"Chris Dy","startTime":942.02,"endTime":945.89,"body":"that's separate from a nerve"},{"speaker":"Chris Dy","startTime":942.02,"endTime":945.89,"body":"transfer more proximally to"},{"speaker":"Chris Dy","startTime":945.89,"endTime":949.43,"body":"restore wrist extension. So this"},{"speaker":"Chris Dy","startTime":945.89,"endTime":949.43,"body":"is for that last part of, you"},{"speaker":"Chris Dy","startTime":949.43,"endTime":954.53,"body":"know, finger extension EIP EDC,"},{"speaker":"Chris Dy","startTime":949.43,"endTime":954.53,"body":"EPL, that kind of thing. And I"},{"speaker":"Chris Dy","startTime":954.53,"endTime":956.87,"body":"thought that was interesting."},{"speaker":"Chris Dy","startTime":954.53,"endTime":956.87,"body":"anatomically, I find it very"},{"speaker":"Chris Dy","startTime":956.87,"endTime":960.17,"body":"interesting. And I can't wait to"},{"speaker":"Chris Dy","startTime":956.87,"endTime":960.17,"body":"get into the cadaver lab to take"},{"speaker":"Chris Dy","startTime":960.17,"endTime":963.56,"body":"a look at that. He also"},{"speaker":"Chris Dy","startTime":960.17,"endTime":963.56,"body":"presented another interesting"},{"speaker":"Chris Dy","startTime":963.56,"endTime":968.06,"body":"transfer, which I've seen him"},{"speaker":"Chris Dy","startTime":963.56,"endTime":968.06,"body":"publish in the past to treat"},{"speaker":"Chris Dy","startTime":968.87,"endTime":974.3,"body":"restore pinch by transferring"},{"speaker":"Chris Dy","startTime":968.87,"endTime":974.3,"body":"one of the thenar branches over"},{"speaker":"Chris Dy","startTime":974.33,"endTime":978.26,"body":"to the, to the adductor"},{"speaker":"Chris Dy","startTime":974.33,"endTime":978.26,"body":"pollicis. And I think that's a"},{"speaker":"Chris Dy","startTime":978.29,"endTime":981.32,"body":"terrifying operation but could"},{"speaker":"Chris Dy","startTime":978.29,"endTime":981.32,"body":"provide some really great"},{"speaker":"Chris Dy","startTime":981.32,"endTime":984.47,"body":"results for that last part of"},{"speaker":"Chris Dy","startTime":981.32,"endTime":984.47,"body":"ulnar intrinsic function that we"},{"speaker":"Chris Dy","startTime":984.47,"endTime":985.4,"body":"all struggle to get."},{"speaker":"Charles Goldfarb","startTime":986.92,"endTime":988.78,"body":"Yeah, good"},{"speaker":"Charles Goldfarb","startTime":986.92,"endTime":988.78,"body":"stuff. All right, I can go I"},{"speaker":"Charles Goldfarb","startTime":988.78,"endTime":992.05,"body":"don't know if you have more but"},{"speaker":"Charles Goldfarb","startTime":988.78,"endTime":992.05,"body":"I have a couple. The first thing"},{"speaker":"Charles Goldfarb","startTime":992.05,"endTime":996.31,"body":"I learned and I do really value"},{"speaker":"Charles Goldfarb","startTime":992.05,"endTime":996.31,"body":"the topic of leadership is I"},{"speaker":"Charles Goldfarb","startTime":996.31,"endTime":1000.81,"body":"really like Raja Sabapathy's"},{"speaker":"Charles Goldfarb","startTime":996.31,"endTime":1000.81,"body":"guest, I think his guests Nation"},{"speaker":"Charles Goldfarb","startTime":1000.87,"endTime":1004.5,"body":"Address and, you know, Raja was"},{"speaker":"Charles Goldfarb","startTime":1000.87,"endTime":1004.5,"body":"representing India, which was"},{"speaker":"Charles Goldfarb","startTime":1004.5,"endTime":1007.53,"body":"the guest nation. And he was a"},{"speaker":"Charles Goldfarb","startTime":1004.5,"endTime":1007.53,"body":"presidential invited speaker,"},{"speaker":"Charles Goldfarb","startTime":1007.74,"endTime":1010.26,"body":"and our institution, and"},{"speaker":"Charles Goldfarb","startTime":1007.74,"endTime":1010.26,"body":"especially Marty Boyer has a"},{"speaker":"Charles Goldfarb","startTime":1010.26,"endTime":1012.9,"body":"close relationship with Raja"},{"speaker":"Charles Goldfarb","startTime":1010.26,"endTime":1012.9,"body":"who's just a wonderful person,"},{"speaker":"Charles Goldfarb","startTime":1013.11,"endTime":1017.4,"body":"and has a lot to share. And I"},{"speaker":"Charles Goldfarb","startTime":1013.11,"endTime":1017.4,"body":"thought, his lecture about the"},{"speaker":"Charles Goldfarb","startTime":1017.4,"endTime":1021.03,"body":"building of his practice, the"},{"speaker":"Charles Goldfarb","startTime":1017.4,"endTime":1021.03,"body":"building of his hospital, the"},{"speaker":"Charles Goldfarb","startTime":1021.03,"endTime":1025.74,"body":"development of his site, as an"},{"speaker":"Charles Goldfarb","startTime":1021.03,"endTime":1025.74,"body":"international resource for micro"},{"speaker":"Charles Goldfarb","startTime":1025.74,"endTime":1029.58,"body":"education was phenomenal. It was"},{"speaker":"Charles Goldfarb","startTime":1025.74,"endTime":1029.58,"body":"really a great talk. And I think"},{"speaker":"Charles Goldfarb","startTime":1029.58,"endTime":1033.9,"body":"the story that I loved best was"},{"speaker":"Charles Goldfarb","startTime":1029.58,"endTime":1033.9,"body":"the story about the helicopter."},{"speaker":"Charles Goldfarb","startTime":1033.9,"endTime":1037.44,"body":"And, and I think that, you know,"},{"speaker":"Charles Goldfarb","startTime":1033.9,"endTime":1037.44,"body":"they've come such a long way."},{"speaker":"Charles Goldfarb","startTime":1037.44,"endTime":1041.1,"body":"And they, they, his hospital was"},{"speaker":"Charles Goldfarb","startTime":1037.44,"endTime":1041.1,"body":"able to develop, I think the"},{"speaker":"Charles Goldfarb","startTime":1041.1,"endTime":1043.95,"body":"first in India, and it was"},{"speaker":"Charles Goldfarb","startTime":1041.1,"endTime":1043.95,"body":"publicized as such, and there's"},{"speaker":"Charles Goldfarb","startTime":1043.95,"endTime":1047.31,"body":"a lot of press that they had a"},{"speaker":"Charles Goldfarb","startTime":1043.95,"endTime":1047.31,"body":"helicopter, which could bring"},{"speaker":"Charles Goldfarb","startTime":1047.31,"endTime":1050.76,"body":"patients from injury, you know,"},{"speaker":"Charles Goldfarb","startTime":1047.31,"endTime":1050.76,"body":"from other sites to the Ganga"},{"speaker":"Charles Goldfarb","startTime":1050.76,"endTime":1054.12,"body":"hospital for surgery, you know,"},{"speaker":"Charles Goldfarb","startTime":1050.76,"endTime":1054.12,"body":"huge fanfare, everything was"},{"speaker":"Charles Goldfarb","startTime":1054.12,"endTime":1056.64,"body":"going great. And then eight"},{"speaker":"Charles Goldfarb","startTime":1054.12,"endTime":1056.64,"body":"months later, they had to close"},{"speaker":"Charles Goldfarb","startTime":1056.64,"endTime":1060.51,"body":"down the service, because it was"},{"speaker":"Charles Goldfarb","startTime":1056.64,"endTime":1060.51,"body":"more than whether their hospital"},{"speaker":"Charles Goldfarb","startTime":1060.51,"endTime":1063.87,"body":"was ready to provide that"},{"speaker":"Charles Goldfarb","startTime":1060.51,"endTime":1063.87,"body":"service. It was whether it was"},{"speaker":"Charles Goldfarb","startTime":1063.87,"endTime":1066.66,"body":"about the country being ready"},{"speaker":"Charles Goldfarb","startTime":1063.87,"endTime":1066.66,"body":"and other areas being ready."},{"speaker":"Charles Goldfarb","startTime":1066.66,"endTime":1069.45,"body":"It's just an interesting"},{"speaker":"Charles Goldfarb","startTime":1066.66,"endTime":1069.45,"body":"leadership, and experiential"},{"speaker":"Charles Goldfarb","startTime":1069.48,"endTime":1071.7,"body":"note. So I thought that was"},{"speaker":"Charles Goldfarb","startTime":1069.48,"endTime":1071.7,"body":"fascinating. I thought the talk"},{"speaker":"Charles Goldfarb","startTime":1071.7,"endTime":1072.66,"body":"was fantastic."},{"speaker":"Chris Dy","startTime":1073.1,"endTime":1075.14,"body":"It was a great talk."},{"speaker":"Chris Dy","startTime":1073.1,"endTime":1075.14,"body":"And and, you know, the thing I"},{"speaker":"Chris Dy","startTime":1075.14,"endTime":1079.43,"body":"took away from that was, imagine"},{"speaker":"Chris Dy","startTime":1075.14,"endTime":1079.43,"body":"if you could create a value"},{"speaker":"Chris Dy","startTime":1079.43,"endTime":1081.92,"body":"structure for healthcare"},{"speaker":"Chris Dy","startTime":1079.43,"endTime":1081.92,"body":"delivery from scratch, that's"},{"speaker":"Chris Dy","startTime":1081.92,"endTime":1085.1,"body":"essentially what he's done. And"},{"speaker":"Chris Dy","startTime":1081.92,"endTime":1085.1,"body":"I find it fascinating that he's"},{"speaker":"Chris Dy","startTime":1085.1,"endTime":1088.37,"body":"able to deliver his hospital is"},{"speaker":"Chris Dy","startTime":1085.1,"endTime":1088.37,"body":"able to deliver high volume,"},{"speaker":"Chris Dy","startTime":1088.37,"endTime":1092.15,"body":"high quality care. And it starts"},{"speaker":"Chris Dy","startTime":1088.37,"endTime":1092.15,"body":"with the attending surgeon going"},{"speaker":"Chris Dy","startTime":1092.15,"endTime":1095.36,"body":"and seeing the patient in the"},{"speaker":"Chris Dy","startTime":1092.15,"endTime":1095.36,"body":"emergency room, they are the"},{"speaker":"Chris Dy","startTime":1095.36,"endTime":1098.03,"body":"first person to assess the"},{"speaker":"Chris Dy","startTime":1095.36,"endTime":1098.03,"body":"patient, so they know exactly"},{"speaker":"Chris Dy","startTime":1098.03,"endTime":1101.03,"body":"what the plan is going to be"},{"speaker":"Chris Dy","startTime":1098.03,"endTime":1101.03,"body":"from the very beginning. And"},{"speaker":"Chris Dy","startTime":1101.06,"endTime":1104.06,"body":"that surgeon then determines how"},{"speaker":"Chris Dy","startTime":1101.06,"endTime":1104.06,"body":"much the patient's going to pay,"},{"speaker":"Chris Dy","startTime":1104.6,"endTime":1108.5,"body":"which I think is fantastic, it's"},{"speaker":"Chris Dy","startTime":1104.6,"endTime":1108.5,"body":"transparent, they pay what they"},{"speaker":"Chris Dy","startTime":1108.5,"endTime":1112.52,"body":"can, and they deliver the same"},{"speaker":"Chris Dy","startTime":1108.5,"endTime":1112.52,"body":"quality of care to patients,"},{"speaker":"Chris Dy","startTime":1112.52,"endTime":1115.46,"body":"regardless of what they end up"},{"speaker":"Chris Dy","startTime":1112.52,"endTime":1115.46,"body":"getting. So I mean, I visited"},{"speaker":"Chris Dy","startTime":1115.46,"endTime":1119.36,"body":"the Ganga hospital as part of"},{"speaker":"Chris Dy","startTime":1115.46,"endTime":1119.36,"body":"our fellowship. And, you know,"},{"speaker":"Chris Dy","startTime":1119.36,"endTime":1122.69,"body":"thank you to you and Marty for"},{"speaker":"Chris Dy","startTime":1119.36,"endTime":1122.69,"body":"supporting that. And anybody"},{"speaker":"Chris Dy","startTime":1122.69,"endTime":1125.21,"body":"who's looking at the fellowship"},{"speaker":"Chris Dy","startTime":1122.69,"endTime":1125.21,"body":"that typically is a component of"},{"speaker":"Chris Dy","startTime":1125.21,"endTime":1129.17,"body":"the year, it's a fantastic"},{"speaker":"Chris Dy","startTime":1125.21,"endTime":1129.17,"body":"place, and to see him distill it"},{"speaker":"Chris Dy","startTime":1129.56,"endTime":1134.09,"body":"in such a manner was really was"},{"speaker":"Chris Dy","startTime":1129.56,"endTime":1134.09,"body":"was great. And it's fortunately"},{"speaker":"Chris Dy","startTime":1134.09,"endTime":1136.82,"body":"is going to be available"},{"speaker":"Chris Dy","startTime":1134.09,"endTime":1136.82,"body":"available on demand for anybody"},{"speaker":"Chris Dy","startTime":1136.82,"endTime":1138.23,"body":"that has registered for the"},{"speaker":"Chris Dy","startTime":1136.82,"endTime":1138.23,"body":"meeting."},{"speaker":"Charles Goldfarb","startTime":1138.93,"endTime":1140.91,"body":"Yeah, and"},{"speaker":"Charles Goldfarb","startTime":1138.93,"endTime":1140.91,"body":"innovation. And we talk a lot"},{"speaker":"Charles Goldfarb","startTime":1140.91,"endTime":1144.06,"body":"about innovation. We all want to"},{"speaker":"Charles Goldfarb","startTime":1140.91,"endTime":1144.06,"body":"be innovators. You know, some of"},{"speaker":"Charles Goldfarb","startTime":1144.06,"endTime":1146.79,"body":"our brains are wired that way,"},{"speaker":"Charles Goldfarb","startTime":1144.06,"endTime":1146.79,"body":"some of our brains are not and"},{"speaker":"Charles Goldfarb","startTime":1146.79,"endTime":1152.04,"body":"that's fine. But clearly Raja is"},{"speaker":"Charles Goldfarb","startTime":1146.79,"endTime":1152.04,"body":"an innovator and the concept of"},{"speaker":"Charles Goldfarb","startTime":1152.04,"endTime":1155.52,"body":"having an anesthesiologist also"},{"speaker":"Charles Goldfarb","startTime":1152.04,"endTime":1155.52,"body":"meet the patient super early and"},{"speaker":"Charles Goldfarb","startTime":1155.52,"endTime":1158.22,"body":"and provide an early block,"},{"speaker":"Charles Goldfarb","startTime":1155.52,"endTime":1158.22,"body":"which just makes the whole"},{"speaker":"Charles Goldfarb","startTime":1158.28,"endTime":1163.17,"body":"trauma process so different, is"},{"speaker":"Charles Goldfarb","startTime":1158.28,"endTime":1163.17,"body":"again, huge innovation, whether"},{"speaker":"Charles Goldfarb","startTime":1163.2,"endTime":1165.57,"body":"either of those things are"},{"speaker":"Charles Goldfarb","startTime":1163.2,"endTime":1165.57,"body":"doable in the United States that"},{"speaker":"Charles Goldfarb","startTime":1165.57,"endTime":1169.29,"body":"is the surgeon always seeing the"},{"speaker":"Charles Goldfarb","startTime":1165.57,"endTime":1169.29,"body":"patient is in the ER first and"},{"speaker":"Charles Goldfarb","startTime":1169.29,"endTime":1172.56,"body":"whether an early block is"},{"speaker":"Charles Goldfarb","startTime":1169.29,"endTime":1172.56,"body":"possible. Maybe not. But maybe"},{"speaker":"Charles Goldfarb","startTime":1172.56,"endTime":1173.7,"body":"it's something we aspire to."},{"speaker":"Chris Dy","startTime":1174.32,"endTime":1176.42,"body":"Yeah, there is a"},{"speaker":"Chris Dy","startTime":1174.32,"endTime":1176.42,"body":"program that it when I was a"},{"speaker":"Chris Dy","startTime":1176.42,"endTime":1180.98,"body":"resident at New York, at the"},{"speaker":"Chris Dy","startTime":1176.42,"endTime":1180.98,"body":"Cornell, New York Presbyterian"},{"speaker":"Chris Dy","startTime":1181.22,"endTime":1185.39,"body":"system, they were trying to do"},{"speaker":"Chris Dy","startTime":1181.22,"endTime":1185.39,"body":"an ER early spinal block for"},{"speaker":"Chris Dy","startTime":1185.39,"endTime":1188.81,"body":"patients with hip fractures. It"},{"speaker":"Chris Dy","startTime":1185.39,"endTime":1188.81,"body":"never took off for a number of"},{"speaker":"Chris Dy","startTime":1188.81,"endTime":1191.69,"body":"reasons. But same concept. I"},{"speaker":"Chris Dy","startTime":1188.81,"endTime":1191.69,"body":"mean, it makes sense. You know,"},{"speaker":"Chris Dy","startTime":1191.69,"endTime":1194.21,"body":"once you get an exam on the"},{"speaker":"Chris Dy","startTime":1191.69,"endTime":1194.21,"body":"patient, you know what the"},{"speaker":"Chris Dy","startTime":1194.21,"endTime":1196.52,"body":"diagnosis is, you know,"},{"speaker":"Chris Dy","startTime":1194.21,"endTime":1196.52,"body":"eventually where it's heading in"},{"speaker":"Chris Dy","startTime":1196.52,"endTime":1199.73,"body":"terms of management. Try to make"},{"speaker":"Chris Dy","startTime":1196.52,"endTime":1199.73,"body":"the patient comfortable as those"},{"speaker":"Chris Dy","startTime":1199.73,"endTime":1201.02,"body":"patients are really"},{"speaker":"Chris Dy","startTime":1199.73,"endTime":1201.02,"body":"uncomfortable."},{"speaker":"Charles Goldfarb","startTime":1201.66,"endTime":1204.33,"body":"Yeah, I know"},{"speaker":"Charles Goldfarb","startTime":1201.66,"endTime":1204.33,"body":"we need to move on to our topic."},{"speaker":"Charles Goldfarb","startTime":1204.33,"endTime":1207.69,"body":"But I will say this I was"},{"speaker":"Charles Goldfarb","startTime":1204.33,"endTime":1207.69,"body":"fortunate enough to be involved"},{"speaker":"Charles Goldfarb","startTime":1207.69,"endTime":1213.09,"body":"and help lead a pre course on"},{"speaker":"Charles Goldfarb","startTime":1207.69,"endTime":1213.09,"body":"arthroscopy, that was pre"},{"speaker":"Charles Goldfarb","startTime":1213.09,"endTime":1217.29,"body":"recorded. And it was great. It"},{"speaker":"Charles Goldfarb","startTime":1213.09,"endTime":1217.29,"body":"had some of the giants and wrist"},{"speaker":"Charles Goldfarb","startTime":1217.29,"endTime":1222.33,"body":"arthroscopy in the world. And it"},{"speaker":"Charles Goldfarb","startTime":1217.29,"endTime":1222.33,"body":"was co co moderated by P.C. Ho,"},{"speaker":"Charles Goldfarb","startTime":1222.33,"endTime":1226.74,"body":"and Paco del Pinal and, you"},{"speaker":"Charles Goldfarb","startTime":1222.33,"endTime":1226.74,"body":"know, they're both fantastic."},{"speaker":"Charles Goldfarb","startTime":1227.28,"endTime":1231.3,"body":"They're both again, innovators,"},{"speaker":"Charles Goldfarb","startTime":1227.28,"endTime":1231.3,"body":"they're clear thinkers. And, you"},{"speaker":"Charles Goldfarb","startTime":1231.3,"endTime":1234.39,"body":"know, in a field like"},{"speaker":"Charles Goldfarb","startTime":1231.3,"endTime":1234.39,"body":"arthroscopy, you know,"},{"speaker":"Charles Goldfarb","startTime":1234.99,"endTime":1238.83,"body":"everything looks initially like"},{"speaker":"Charles Goldfarb","startTime":1234.99,"endTime":1238.83,"body":"you've gone too far. Like, why"},{"speaker":"Charles Goldfarb","startTime":1238.83,"endTime":1241.92,"body":"do that arthroscopically when"},{"speaker":"Charles Goldfarb","startTime":1238.83,"endTime":1241.92,"body":"it's so easy to do in an open"},{"speaker":"Charles Goldfarb","startTime":1241.92,"endTime":1245.43,"body":"fashion. And so P.C. Ho, is"},{"speaker":"Charles Goldfarb","startTime":1241.92,"endTime":1245.43,"body":"doing his scapholunate"},{"speaker":"Charles Goldfarb","startTime":1245.43,"endTime":1248.67,"body":"reconstructions"},{"speaker":"Charles Goldfarb","startTime":1245.43,"endTime":1248.67,"body":"arthroscopically. First of all,"},{"speaker":"Charles Goldfarb","startTime":1248.76,"endTime":1252.45,"body":"it seems like a lion's task. I"},{"speaker":"Charles Goldfarb","startTime":1248.76,"endTime":1252.45,"body":"mean, it's a it's a massive"},{"speaker":"Charles Goldfarb","startTime":1252.45,"endTime":1257.52,"body":"undertaking, it does seem far"},{"speaker":"Charles Goldfarb","startTime":1252.45,"endTime":1257.52,"body":"more challenging than it would"},{"speaker":"Charles Goldfarb","startTime":1257.52,"endTime":1262.8,"body":"be open. His early results seem"},{"speaker":"Charles Goldfarb","startTime":1257.52,"endTime":1262.8,"body":"really good. He's optimistic. I"},{"speaker":"Charles Goldfarb","startTime":1262.8,"endTime":1266.97,"body":"will say my hesitation in the"},{"speaker":"Charles Goldfarb","startTime":1262.8,"endTime":1266.97,"body":"technique I currently use is"},{"speaker":"Charles Goldfarb","startTime":1266.97,"endTime":1269.82,"body":"that I am even with a ligament"},{"speaker":"Charles Goldfarb","startTime":1266.97,"endTime":1269.82,"body":"sparing approach. I don't think"},{"speaker":"Charles Goldfarb","startTime":1269.82,"endTime":1272.97,"body":"it's truly ligament sparing in"},{"speaker":"Charles Goldfarb","startTime":1269.82,"endTime":1272.97,"body":"all aspects, I think we are"},{"speaker":"Charles Goldfarb","startTime":1272.97,"endTime":1276.27,"body":"potentially further"},{"speaker":"Charles Goldfarb","startTime":1272.97,"endTime":1276.27,"body":"destabilizing the carpus in an"},{"speaker":"Charles Goldfarb","startTime":1276.27,"endTime":1278.94,"body":"effort to reconstruct the"},{"speaker":"Charles Goldfarb","startTime":1276.27,"endTime":1278.94,"body":"scapholunate ligament. And so"},{"speaker":"Charles Goldfarb","startTime":1278.94,"endTime":1281.52,"body":"the concept of an all"},{"speaker":"Charles Goldfarb","startTime":1278.94,"endTime":1281.52,"body":"arthroscopic repair is"},{"speaker":"Charles Goldfarb","startTime":1281.52,"endTime":1285.06,"body":"appealing. But man right now, it"},{"speaker":"Charles Goldfarb","startTime":1281.52,"endTime":1285.06,"body":"feels like a massive mountain to"},{"speaker":"Charles Goldfarb","startTime":1285.06,"endTime":1288.51,"body":"climb. And I don't know whether"},{"speaker":"Charles Goldfarb","startTime":1285.06,"endTime":1288.51,"body":"it'll simplify. But I applaud"},{"speaker":"Charles Goldfarb","startTime":1288.54,"endTime":1292.53,"body":"folks like PC who are pushing"},{"speaker":"Charles Goldfarb","startTime":1288.54,"endTime":1292.53,"body":"the envelope and trying to bring"},{"speaker":"Charles Goldfarb","startTime":1292.53,"endTime":1294.9,"body":"our surgical discipline in the"},{"speaker":"Charles Goldfarb","startTime":1292.53,"endTime":1294.9,"body":"forward direction."},{"speaker":"Chris Dy","startTime":1295.44,"endTime":1297.72,"body":"Along those lines, I"},{"speaker":"Chris Dy","startTime":1295.44,"endTime":1297.72,"body":"saw a great presentation by"},{"speaker":"Chris Dy","startTime":1297.72,"endTime":1300.9,"body":"Scott Wolfe on his current"},{"speaker":"Chris Dy","startTime":1297.72,"endTime":1300.9,"body":"algorithm for scapholunate"},{"speaker":"Chris Dy","startTime":1300.9,"endTime":1303.72,"body":"instability, and he's not"},{"speaker":"Chris Dy","startTime":1300.9,"endTime":1303.72,"body":"pushing an arthroscopic"},{"speaker":"Chris Dy","startTime":1303.72,"endTime":1307.5,"body":"approach. But you know, to the"},{"speaker":"Chris Dy","startTime":1303.72,"endTime":1307.5,"body":"point that you make, he is"},{"speaker":"Chris Dy","startTime":1307.5,"endTime":1311.79,"body":"working. He's now using a front"},{"speaker":"Chris Dy","startTime":1307.5,"endTime":1311.79,"body":"and back volar dorsal approach"},{"speaker":"Chris Dy","startTime":1312.66,"endTime":1315.72,"body":"to reconstruct those ligaments"},{"speaker":"Chris Dy","startTime":1312.66,"endTime":1315.72,"body":"and that may have some issues."},{"speaker":"Chris Dy","startTime":1315.75,"endTime":1319.23,"body":"His results have been great as"},{"speaker":"Chris Dy","startTime":1315.75,"endTime":1319.23,"body":"of Michael Tonkin's. So perhaps"},{"speaker":"Chris Dy","startTime":1319.23,"endTime":1321.96,"body":"that's the way I mean, that's a"},{"speaker":"Chris Dy","startTime":1319.23,"endTime":1321.96,"body":"huge area in which we still are"},{"speaker":"Chris Dy","startTime":1321.96,"endTime":1324.84,"body":"going to see a lot of change, I"},{"speaker":"Chris Dy","startTime":1321.96,"endTime":1324.84,"body":"think in the next 15-20 years,"},{"speaker":"Chris Dy","startTime":1325.29,"endTime":1327.81,"body":"hopefully for the better in hand"},{"speaker":"Chris Dy","startTime":1325.29,"endTime":1327.81,"body":"surgery."},{"speaker":"Charles Goldfarb","startTime":1328.32,"endTime":1330.03,"body":"Absolutely."},{"speaker":"Charles Goldfarb","startTime":1328.32,"endTime":1330.03,"body":"All right, let's jump into the"},{"speaker":"Charles Goldfarb","startTime":1330.03,"endTime":1334.86,"body":"award winning papers. And maybe"},{"speaker":"Charles Goldfarb","startTime":1330.03,"endTime":1334.86,"body":"let's I don't know if you have a"},{"speaker":"Charles Goldfarb","startTime":1334.86,"endTime":1338.85,"body":"preference, but why don't we sit"},{"speaker":"Charles Goldfarb","startTime":1334.86,"endTime":1338.85,"body":"Why don't we start with perhaps"},{"speaker":"Charles Goldfarb","startTime":1338.85,"endTime":1343.2,"body":"the hardest one for us to"},{"speaker":"Charles Goldfarb","startTime":1338.85,"endTime":1343.2,"body":"discuss, which is Du Bois award"},{"speaker":"Charles Goldfarb","startTime":1343.2,"endTime":1351.66,"body":"winner. And that represents the"},{"speaker":"Charles Goldfarb","startTime":1343.2,"endTime":1351.66,"body":"best resident-fellow paper. The"},{"speaker":"Charles Goldfarb","startTime":1351.66,"endTime":1355.86,"body":"title is ectoderm derived went"},{"speaker":"Charles Goldfarb","startTime":1351.66,"endTime":1355.86,"body":"and hedgehog signaling drive"},{"speaker":"Charles Goldfarb","startTime":1355.86,"endTime":1361.38,"body":"digit tip regeneration. The"},{"speaker":"Charles Goldfarb","startTime":1355.86,"endTime":1361.38,"body":"presenter was I hope I don't"},{"speaker":"Charles Goldfarb","startTime":1361.92,"endTime":1368.22,"body":"totally get his name wrong."},{"speaker":"Charles Goldfarb","startTime":1361.92,"endTime":1368.22,"body":"Janos Barrera. And it really"},{"speaker":"Charles Goldfarb","startTime":1368.22,"endTime":1373.11,"body":"interesting basic science paper."},{"speaker":"Charles Goldfarb","startTime":1368.22,"endTime":1373.11,"body":"Thankfully, from congenital"},{"speaker":"Charles Goldfarb","startTime":1373.11,"endTime":1376.56,"body":"studies, I know a little bit"},{"speaker":"Charles Goldfarb","startTime":1373.11,"endTime":1376.56,"body":"about the signaling mechanisms."},{"speaker":"Charles Goldfarb","startTime":1376.56,"endTime":1380.04,"body":"But this paper, I think it'll be"},{"speaker":"Charles Goldfarb","startTime":1376.56,"endTime":1380.04,"body":"great to see the actual paper,"},{"speaker":"Charles Goldfarb","startTime":1380.25,"endTime":1382.98,"body":"because the abstract probably"},{"speaker":"Charles Goldfarb","startTime":1380.25,"endTime":1382.98,"body":"doesn't do it justice, what were"},{"speaker":"Charles Goldfarb","startTime":1382.98,"endTime":1386.04,"body":"your takeaways and maybe briefly"},{"speaker":"Charles Goldfarb","startTime":1382.98,"endTime":1386.04,"body":"summarize their findings more"},{"speaker":"Charles Goldfarb","startTime":1386.04,"endTime":1387.12,"body":"than I just did, if you can?"},{"speaker":"Chris Dy","startTime":1387.48,"endTime":1390.09,"body":"Sure. So I mean, my"},{"speaker":"Chris Dy","startTime":1387.48,"endTime":1390.09,"body":"takeaway was that this is"},{"speaker":"Chris Dy","startTime":1390.09,"endTime":1392.76,"body":"something that I was going to"},{"speaker":"Chris Dy","startTime":1390.09,"endTime":1392.76,"body":"turn to you to discuss because"},{"speaker":"Chris Dy","startTime":1393.06,"endTime":1396.72,"body":"more in your world in mine, I"},{"speaker":"Chris Dy","startTime":1393.06,"endTime":1396.72,"body":"agree with you on wanting to see"},{"speaker":"Chris Dy","startTime":1396.72,"endTime":1401.28,"body":"the whole paper. Because, like"},{"speaker":"Chris Dy","startTime":1396.72,"endTime":1401.28,"body":"you I'm not a basic scientist,"},{"speaker":"Chris Dy","startTime":1401.28,"endTime":1406.35,"body":"I'm not a lab scientist. So I"},{"speaker":"Chris Dy","startTime":1401.28,"endTime":1406.35,"body":"think it's helpful to see really"},{"speaker":"Chris Dy","startTime":1406.35,"endTime":1410.13,"body":"effective illustrations of work."},{"speaker":"Chris Dy","startTime":1406.35,"endTime":1410.13,"body":"The biggest thing that comes to"},{"speaker":"Chris Dy","startTime":1410.13,"endTime":1413.4,"body":"mind is what I'm working with,"},{"speaker":"Chris Dy","startTime":1410.13,"endTime":1413.4,"body":"with our partner, David Brogan"},{"speaker":"Chris Dy","startTime":1413.43,"endTime":1417.0,"body":"on on his lab work, and I just"},{"speaker":"Chris Dy","startTime":1413.43,"endTime":1417.0,"body":"need to see the illustrations."},{"speaker":"Chris Dy","startTime":1417.3,"endTime":1420.21,"body":"And I think the biggest"},{"speaker":"Chris Dy","startTime":1417.3,"endTime":1420.21,"body":"contribution I have is helping"},{"speaker":"Chris Dy","startTime":1420.21,"endTime":1423.72,"body":"him make those illustrations"},{"speaker":"Chris Dy","startTime":1420.21,"endTime":1423.72,"body":"understandable to people like me"},{"speaker":"Chris Dy","startTime":1423.72,"endTime":1429.33,"body":"who are unfamiliar with the"},{"speaker":"Chris Dy","startTime":1423.72,"endTime":1429.33,"body":"basic science. Yeah, so as a non"},{"speaker":"Chris Dy","startTime":1429.33,"endTime":1432.06,"body":"congenital surgeon, I think it's"},{"speaker":"Chris Dy","startTime":1429.33,"endTime":1432.06,"body":"really difficult for me to take"},{"speaker":"Chris Dy","startTime":1432.06,"endTime":1433.77,"body":"a whole lot away from this, to"},{"speaker":"Chris Dy","startTime":1432.06,"endTime":1433.77,"body":"be honest with you."},{"speaker":"Charles Goldfarb","startTime":1434.11,"endTime":1435.64,"body":"Yeah. And so"},{"speaker":"Charles Goldfarb","startTime":1434.11,"endTime":1435.64,"body":"let's just keep it really"},{"speaker":"Charles Goldfarb","startTime":1435.64,"endTime":1440.32,"body":"simple. We talk about kids as"},{"speaker":"Charles Goldfarb","startTime":1435.64,"endTime":1440.32,"body":"being salamanders, and having"},{"speaker":"Charles Goldfarb","startTime":1440.32,"endTime":1444.43,"body":"the chance to regrow injured"},{"speaker":"Charles Goldfarb","startTime":1440.32,"endTime":1444.43,"body":"digit tips and how do they do"},{"speaker":"Charles Goldfarb","startTime":1444.43,"endTime":1447.88,"body":"that? So great question. And"},{"speaker":"Charles Goldfarb","startTime":1444.43,"endTime":1447.88,"body":"certainly this paper doesn't"},{"speaker":"Charles Goldfarb","startTime":1448.63,"endTime":1453.04,"body":"suggest it has the answers but"},{"speaker":"Charles Goldfarb","startTime":1448.63,"endTime":1453.04,"body":"it looked at murine digit tip"},{"speaker":"Charles Goldfarb","startTime":1453.04,"endTime":1458.44,"body":"seven days after amputation and"},{"speaker":"Charles Goldfarb","startTime":1453.04,"endTime":1458.44,"body":"did a micro array analysis so"},{"speaker":"Charles Goldfarb","startTime":1458.44,"endTime":1462.79,"body":"genetic analysis, and it"},{"speaker":"Charles Goldfarb","startTime":1458.44,"endTime":1462.79,"body":"confirmed that went I don't know"},{"speaker":"Charles Goldfarb","startTime":1462.79,"endTime":1466.21,"body":"if it WNT 7A, which is the one"},{"speaker":"Charles Goldfarb","startTime":1462.79,"endTime":1466.21,"body":"I'm most familiar with from from"},{"speaker":"Charles Goldfarb","startTime":1466.24,"endTime":1469.6,"body":"limb formation, and hedgehog,"},{"speaker":"Charles Goldfarb","startTime":1466.24,"endTime":1469.6,"body":"and I assume it's sonic"},{"speaker":"Charles Goldfarb","startTime":1469.6,"endTime":1472.66,"body":"hedgehog. It looked at the"},{"speaker":"Charles Goldfarb","startTime":1469.6,"endTime":1472.66,"body":"importance of those two"},{"speaker":"Charles Goldfarb","startTime":1472.66,"endTime":1477.67,"body":"signaling mechanisms to help in"},{"speaker":"Charles Goldfarb","startTime":1472.66,"endTime":1477.67,"body":"digit tip regeneration. so"},{"speaker":"Charles Goldfarb","startTime":1477.79,"endTime":1481.96,"body":"fascinating. I look forward to"},{"speaker":"Charles Goldfarb","startTime":1477.79,"endTime":1481.96,"body":"learning more, but you know,"},{"speaker":"Charles Goldfarb","startTime":1481.96,"endTime":1483.94,"body":"really good stuff. It's always"},{"speaker":"Charles Goldfarb","startTime":1481.96,"endTime":1483.94,"body":"interesting to me when we get"},{"speaker":"Charles Goldfarb","startTime":1483.94,"endTime":1487.3,"body":"these basic science papers that"},{"speaker":"Charles Goldfarb","startTime":1483.94,"endTime":1487.3,"body":"win the resident fellows award,"},{"speaker":"Charles Goldfarb","startTime":1487.45,"endTime":1490.72,"body":"because while a resident fellow"},{"speaker":"Charles Goldfarb","startTime":1487.45,"endTime":1490.72,"body":"was undoubtedly involved, this"},{"speaker":"Charles Goldfarb","startTime":1490.72,"endTime":1495.73,"body":"is the sign of a bigger lab with"},{"speaker":"Charles Goldfarb","startTime":1490.72,"endTime":1495.73,"body":"clearly a lot of power behind"},{"speaker":"Charles Goldfarb","startTime":1495.73,"endTime":1495.91,"body":"it."},{"speaker":"Chris Dy","startTime":1496.51,"endTime":1500.11,"body":"Why don't we talk"},{"speaker":"Chris Dy","startTime":1496.51,"endTime":1500.11,"body":"about the the paper that you had"},{"speaker":"Chris Dy","startTime":1500.29,"endTime":1503.95,"body":"mentioned before about patient"},{"speaker":"Chris Dy","startTime":1500.29,"endTime":1503.95,"body":"dissatisfaction, you know, so"},{"speaker":"Chris Dy","startTime":1503.95,"endTime":1508.18,"body":"this is a poster entitled"},{"speaker":"Chris Dy","startTime":1503.95,"endTime":1508.18,"body":"patient dissatisfaction after"},{"speaker":"Chris Dy","startTime":1508.18,"endTime":1511.75,"body":"highly, quote successful hand"},{"speaker":"Chris Dy","startTime":1508.18,"endTime":1511.75,"body":"procedures from Orrin Franco and"},{"speaker":"Chris Dy","startTime":1511.75,"endTime":1515.08,"body":"William Slicker and this word,"},{"speaker":"Chris Dy","startTime":1511.75,"endTime":1515.08,"body":"this won the the Bruner Award"},{"speaker":"Chris Dy","startTime":1515.44,"endTime":1520.63,"body":"for Best clinical poster. So"},{"speaker":"Chris Dy","startTime":1515.44,"endTime":1520.63,"body":"this, this was really"},{"speaker":"Chris Dy","startTime":1520.63,"endTime":1523.33,"body":"interesting to me because they"},{"speaker":"Chris Dy","startTime":1520.63,"endTime":1523.33,"body":"actually set up our prospective"},{"speaker":"Chris Dy","startTime":1523.33,"endTime":1527.56,"body":"hand surgery database, which in"},{"speaker":"Chris Dy","startTime":1523.33,"endTime":1527.56,"body":"and of itself is a feat. And"},{"speaker":"Chris Dy","startTime":1527.56,"endTime":1532.84,"body":"from a hearing registry, the"},{"speaker":"Chris Dy","startTime":1527.56,"endTime":1532.84,"body":"registry and prospective study"},{"speaker":"Chris Dy","startTime":1532.84,"endTime":1535.63,"body":"symposium that you chaired at"},{"speaker":"Chris Dy","startTime":1532.84,"endTime":1535.63,"body":"the meeting, and Kevin Chung's"},{"speaker":"Chris Dy","startTime":1535.63,"endTime":1540.73,"body":"presidential address, you know,"},{"speaker":"Chris Dy","startTime":1535.63,"endTime":1540.73,"body":"registries and setting up a"},{"speaker":"Chris Dy","startTime":1540.73,"endTime":1543.61,"body":"national database is going to be"},{"speaker":"Chris Dy","startTime":1540.73,"endTime":1543.61,"body":"a big push for the hand society"},{"speaker":"Chris Dy","startTime":1543.64,"endTime":1545.53,"body":"and the hand surgery community"},{"speaker":"Chris Dy","startTime":1543.64,"endTime":1545.53,"body":"in general."},{"speaker":"Charles Goldfarb","startTime":1546.25,"endTime":1548.74,"body":"Yeah, so Orrin"},{"speaker":"Charles Goldfarb","startTime":1546.25,"endTime":1548.74,"body":"is a good example of a forward"},{"speaker":"Charles Goldfarb","startTime":1548.74,"endTime":1551.56,"body":"thinker, and he's passionate"},{"speaker":"Charles Goldfarb","startTime":1548.74,"endTime":1551.56,"body":"about technology. He did the"},{"speaker":"Charles Goldfarb","startTime":1551.56,"endTime":1553.39,"body":"stern fellowship, and I've"},{"speaker":"Charles Goldfarb","startTime":1551.56,"endTime":1553.39,"body":"gotten to know him a little bit"},{"speaker":"Charles Goldfarb","startTime":1553.39,"endTime":1556.81,"body":"through that process. And he"},{"speaker":"Charles Goldfarb","startTime":1553.39,"endTime":1556.81,"body":"has, I don't want to get it"},{"speaker":"Charles Goldfarb","startTime":1556.81,"endTime":1559.66,"body":"wrong. And I apologize if I do,"},{"speaker":"Charles Goldfarb","startTime":1556.81,"endTime":1559.66,"body":"but he has a business. And he"},{"speaker":"Charles Goldfarb","startTime":1559.66,"endTime":1564.22,"body":"helps practices of all varieties"},{"speaker":"Charles Goldfarb","startTime":1559.66,"endTime":1564.22,"body":"collect data. And the idea is"},{"speaker":"Charles Goldfarb","startTime":1564.22,"endTime":1567.37,"body":"that when a patient leaves, they"},{"speaker":"Charles Goldfarb","startTime":1564.22,"endTime":1567.37,"body":"get an email, and they answer"},{"speaker":"Charles Goldfarb","startTime":1567.37,"endTime":1571.21,"body":"questions. One of those, you"},{"speaker":"Charles Goldfarb","startTime":1567.37,"endTime":1571.21,"body":"know, the, they use the DASH"},{"speaker":"Charles Goldfarb","startTime":1571.21,"endTime":1573.85,"body":"questionnaire, or the quick DASH"},{"speaker":"Charles Goldfarb","startTime":1571.21,"endTime":1573.85,"body":"questionnaire is their primary"},{"speaker":"Charles Goldfarb","startTime":1573.85,"endTime":1577.9,"body":"measure. But in this study, he"},{"speaker":"Charles Goldfarb","startTime":1573.85,"endTime":1577.9,"body":"used he used all the data"},{"speaker":"Charles Goldfarb","startTime":1577.9,"endTime":1580.48,"body":"aggregated, so it wasn't just"},{"speaker":"Charles Goldfarb","startTime":1577.9,"endTime":1580.48,"body":"his patient data, he used all"},{"speaker":"Charles Goldfarb","startTime":1580.48,"endTime":1584.14,"body":"the data aggregated by those"},{"speaker":"Charles Goldfarb","startTime":1580.48,"endTime":1584.14,"body":"participating in this process,"},{"speaker":"Charles Goldfarb","startTime":1584.26,"endTime":1587.65,"body":"basically, patient satisfaction"},{"speaker":"Charles Goldfarb","startTime":1584.26,"endTime":1587.65,"body":"based on the likelihood of"},{"speaker":"Charles Goldfarb","startTime":1587.65,"endTime":1591.22,"body":"repeating the surgery. And it's"},{"speaker":"Charles Goldfarb","startTime":1587.65,"endTime":1591.22,"body":"a really simplistic, and I"},{"speaker":"Charles Goldfarb","startTime":1591.22,"endTime":1595.36,"body":"applaud simplicity, way to"},{"speaker":"Charles Goldfarb","startTime":1591.22,"endTime":1595.36,"body":"assess patient satisfaction. And"},{"speaker":"Charles Goldfarb","startTime":1595.36,"endTime":1598.27,"body":"so he looked at a range of"},{"speaker":"Charles Goldfarb","startTime":1595.36,"endTime":1598.27,"body":"diagnoses, and basically all the"},{"speaker":"Charles Goldfarb","startTime":1598.27,"endTime":1602.38,"body":"diagnoses collected, and a huge"},{"speaker":"Charles Goldfarb","startTime":1598.27,"endTime":1602.38,"body":"number of patients over 6000."},{"speaker":"Charles Goldfarb","startTime":1603.19,"endTime":1606.46,"body":"And more than 10,000 responses,"},{"speaker":"Charles Goldfarb","startTime":1603.19,"endTime":1606.46,"body":"and they the takeaway for them"},{"speaker":"Charles Goldfarb","startTime":1606.46,"endTime":1611.44,"body":"was about 80% of respondents"},{"speaker":"Charles Goldfarb","startTime":1606.46,"endTime":1611.44,"body":"demonstrated satisfaction. And"},{"speaker":"Charles Goldfarb","startTime":1611.5,"endTime":1615.46,"body":"we can quibble with the"},{"speaker":"Charles Goldfarb","startTime":1611.5,"endTime":1615.46,"body":"techniques of coming to this"},{"speaker":"Charles Goldfarb","startTime":1615.46,"endTime":1619.81,"body":"conclusion. But that's an"},{"speaker":"Charles Goldfarb","startTime":1615.46,"endTime":1619.81,"body":"important concept for us as"},{"speaker":"Charles Goldfarb","startTime":1619.81,"endTime":1622.45,"body":"surgeons, and our therapists,"},{"speaker":"Charles Goldfarb","startTime":1619.81,"endTime":1622.45,"body":"colleagues and all of us to"},{"speaker":"Charles Goldfarb","startTime":1622.45,"endTime":1626.38,"body":"remember that no matter how"},{"speaker":"Charles Goldfarb","startTime":1622.45,"endTime":1626.38,"body":"simple the surgery, you cannot"},{"speaker":"Charles Goldfarb","startTime":1626.41,"endTime":1630.37,"body":"get 100% satisfaction. And the"},{"speaker":"Charles Goldfarb","startTime":1626.41,"endTime":1630.37,"body":"numbers we quote for like total"},{"speaker":"Charles Goldfarb","startTime":1630.37,"endTime":1635.92,"body":"knee and total hip of 95%"},{"speaker":"Charles Goldfarb","startTime":1630.37,"endTime":1635.92,"body":"satisfaction are incredible. And"},{"speaker":"Charles Goldfarb","startTime":1635.95,"endTime":1638.89,"body":"maybe we can't get there in hand"},{"speaker":"Charles Goldfarb","startTime":1635.95,"endTime":1638.89,"body":"surgery, or maybe we can I don't"},{"speaker":"Charles Goldfarb","startTime":1638.89,"endTime":1641.59,"body":"know, it's so many questions are"},{"speaker":"Charles Goldfarb","startTime":1638.89,"endTime":1641.59,"body":"raised, but I think this is a"},{"speaker":"Charles Goldfarb","startTime":1641.59,"endTime":1642.64,"body":"valuable contribution."},{"speaker":"Chris Dy","startTime":1642.99,"endTime":1645.75,"body":"I think the the"},{"speaker":"Chris Dy","startTime":1642.99,"endTime":1645.75,"body":"overall finding that he has that"},{"speaker":"Chris Dy","startTime":1645.78,"endTime":1650.01,"body":"as an aggregate, hand surgeries,"},{"speaker":"Chris Dy","startTime":1645.78,"endTime":1650.01,"body":"all of them included. In this"},{"speaker":"Chris Dy","startTime":1650.01,"endTime":1652.35,"body":"case, they studied open and"},{"speaker":"Chris Dy","startTime":1650.01,"endTime":1652.35,"body":"endoscopy, carpal tunnel"},{"speaker":"Chris Dy","startTime":1652.35,"endTime":1655.41,"body":"separately, trigger finger,"},{"speaker":"Chris Dy","startTime":1652.35,"endTime":1655.41,"body":"wrist fracture, LRTI, de"},{"speaker":"Chris Dy","startTime":1655.41,"endTime":1659.64,"body":"Quervain's and ganglions. 80%"},{"speaker":"Chris Dy","startTime":1655.41,"endTime":1659.64,"body":"seems like a very reasonable"},{"speaker":"Chris Dy","startTime":1659.64,"endTime":1663.36,"body":"number. You know, that is a"},{"speaker":"Chris Dy","startTime":1659.64,"endTime":1663.36,"body":"question I asked patients in"},{"speaker":"Chris Dy","startTime":1663.36,"endTime":1667.59,"body":"post op, if they would do it"},{"speaker":"Chris Dy","startTime":1663.36,"endTime":1667.59,"body":"again. And kudos to Oren for"},{"speaker":"Chris Dy","startTime":1667.59,"endTime":1671.49,"body":"actually, you know, recording it"},{"speaker":"Chris Dy","startTime":1667.59,"endTime":1671.49,"body":"and bring it to us for research."},{"speaker":"Chris Dy","startTime":1672.15,"endTime":1676.68,"body":"If you look at the the figure"},{"speaker":"Chris Dy","startTime":1672.15,"endTime":1676.68,"body":"figure two that accompanies the"},{"speaker":"Chris Dy","startTime":1676.68,"endTime":1680.73,"body":"paper, I feel like they're, you"},{"speaker":"Chris Dy","startTime":1676.68,"endTime":1680.73,"body":"know, they're Yes, most"},{"speaker":"Chris Dy","startTime":1680.73,"endTime":1683.22,"body":"definitely I would repeat the"},{"speaker":"Chris Dy","startTime":1680.73,"endTime":1683.22,"body":"surgery, or even most likely,"},{"speaker":"Chris Dy","startTime":1683.76,"endTime":1686.19,"body":"those tend to be a little more"},{"speaker":"Chris Dy","startTime":1683.76,"endTime":1686.19,"body":"modest than at least what I"},{"speaker":"Chris Dy","startTime":1686.19,"endTime":1689.79,"body":"think I see for some of my more"},{"speaker":"Chris Dy","startTime":1686.19,"endTime":1689.79,"body":"reliable procedures, like an"},{"speaker":"Chris Dy","startTime":1689.79,"endTime":1693.24,"body":"open carpal tunnel release or a"},{"speaker":"Chris Dy","startTime":1689.79,"endTime":1693.24,"body":"trigger finger. I agree with"},{"speaker":"Chris Dy","startTime":1693.24,"endTime":1697.71,"body":"what they've come up with here"},{"speaker":"Chris Dy","startTime":1693.24,"endTime":1697.71,"body":"about the LRTI in terms of it"},{"speaker":"Chris Dy","startTime":1697.71,"endTime":1702.21,"body":"being a more modest, modest"},{"speaker":"Chris Dy","startTime":1697.71,"endTime":1702.21,"body":"outcome. So I would love to read"},{"speaker":"Chris Dy","startTime":1702.21,"endTime":1705.18,"body":"the the actual paper and to see"},{"speaker":"Chris Dy","startTime":1702.21,"endTime":1705.18,"body":"how this flushes out in some"},{"speaker":"Chris Dy","startTime":1705.18,"endTime":1708.21,"body":"sort of subgroup analyses. I"},{"speaker":"Chris Dy","startTime":1705.18,"endTime":1708.21,"body":"think they're onto something."},{"speaker":"Chris Dy","startTime":1708.21,"endTime":1709.47,"body":"kudos for the big effort."},{"speaker":"Charles Goldfarb","startTime":1709.96,"endTime":1712.54,"body":"Absolutely."},{"speaker":"Charles Goldfarb","startTime":1709.96,"endTime":1712.54,"body":"Absolutely. All right, an inch"},{"speaker":"Charles Goldfarb","startTime":1712.54,"endTime":1714.97,"body":"at a time. Let's keep rolling,"},{"speaker":"Charles Goldfarb","startTime":1712.54,"endTime":1714.97,"body":"let's do the clinical pearl"},{"speaker":"Charles Goldfarb","startTime":1714.97,"endTime":1721.0,"body":"award. This was for a poster,"},{"speaker":"Charles Goldfarb","startTime":1714.97,"endTime":1721.0,"body":"which looked at biomechanical"},{"speaker":"Charles Goldfarb","startTime":1721.0,"endTime":1724.45,"body":"comparison of three thumb, ulnar"},{"speaker":"Charles Goldfarb","startTime":1721.0,"endTime":1724.45,"body":"collateral ligament"},{"speaker":"Charles Goldfarb","startTime":1724.45,"endTime":1730.3,"body":"reconstruction methods by Steve"},{"speaker":"Charles Goldfarb","startTime":1724.45,"endTime":1730.3,"body":"Kohler as the presenter. And"},{"speaker":"Charles Goldfarb","startTime":1730.6,"endTime":1734.02,"body":"this I think, was a really"},{"speaker":"Charles Goldfarb","startTime":1730.6,"endTime":1734.02,"body":"again, for me as a sports lover."},{"speaker":"Charles Goldfarb","startTime":1734.02,"endTime":1735.67,"body":"I think this was really"},{"speaker":"Charles Goldfarb","startTime":1734.02,"endTime":1735.67,"body":"interesting."},{"speaker":"Chris Dy","startTime":1735.81,"endTime":1738.15,"body":"Yeah, so I mean, they"},{"speaker":"Chris Dy","startTime":1735.81,"endTime":1738.15,"body":"looked at it was a biomechanical"},{"speaker":"Chris Dy","startTime":1738.15,"endTime":1741.87,"body":"comparison. So that that in and"},{"speaker":"Chris Dy","startTime":1738.15,"endTime":1741.87,"body":"of itself has value but also has"},{"speaker":"Chris Dy","startTime":1741.87,"endTime":1744.9,"body":"its limitations and how directly"},{"speaker":"Chris Dy","startTime":1741.87,"endTime":1744.9,"body":"it applies to patients who then"},{"speaker":"Chris Dy","startTime":1744.9,"endTime":1749.43,"body":"subsequently heal and undergo"},{"speaker":"Chris Dy","startTime":1744.9,"endTime":1749.43,"body":"immobilization versus early"},{"speaker":"Chris Dy","startTime":1749.43,"endTime":1754.77,"body":"rehab. And they looked at motion"},{"speaker":"Chris Dy","startTime":1749.43,"endTime":1754.77,"body":"at the MP joint after they use"},{"speaker":"Chris Dy","startTime":1754.77,"endTime":1758.76,"body":"the suture anchor alone. suture"},{"speaker":"Chris Dy","startTime":1754.77,"endTime":1758.76,"body":"tape with suture tape as"},{"speaker":"Chris Dy","startTime":1758.76,"endTime":1762.99,"body":"augmentation to the anchor or a"},{"speaker":"Chris Dy","startTime":1758.76,"endTime":1762.99,"body":"reconstruction using a palmeris"},{"speaker":"Chris Dy","startTime":1763.8,"endTime":1767.82,"body":"graft. And they found that the"},{"speaker":"Chris Dy","startTime":1763.8,"endTime":1767.82,"body":"strongest the strongest"},{"speaker":"Chris Dy","startTime":1767.82,"endTime":1773.58,"body":"reconstruction at maintaining MP"},{"speaker":"Chris Dy","startTime":1767.82,"endTime":1773.58,"body":"joint congruity was the suture"},{"speaker":"Chris Dy","startTime":1773.58,"endTime":1778.08,"body":"tape augmentation. Does that"},{"speaker":"Chris Dy","startTime":1773.58,"endTime":1778.08,"body":"mirror your clinical experience?"},{"speaker":"Charles Goldfarb","startTime":1778.65,"endTime":1781.86,"body":"Yes, so this"},{"speaker":"Charles Goldfarb","startTime":1778.65,"endTime":1781.86,"body":"is not surprising. But I'm a"},{"speaker":"Charles Goldfarb","startTime":1781.86,"endTime":1785.43,"body":"believer in don't take anything"},{"speaker":"Charles Goldfarb","startTime":1781.86,"endTime":1785.43,"body":"for granted. And this makes all"},{"speaker":"Charles Goldfarb","startTime":1785.43,"endTime":1788.73,"body":"the sense in the world and this"},{"speaker":"Charles Goldfarb","startTime":1785.43,"endTime":1788.73,"body":"proves what many people have"},{"speaker":"Charles Goldfarb","startTime":1788.73,"endTime":1793.86,"body":"found with lab based congruity"},{"speaker":"Charles Goldfarb","startTime":1788.73,"endTime":1793.86,"body":"testing. The suture tape works,"},{"speaker":"Charles Goldfarb","startTime":1793.89,"endTime":1797.4,"body":"it's rigid. It holds things"},{"speaker":"Charles Goldfarb","startTime":1793.89,"endTime":1797.4,"body":"where they should be. Obviously"},{"speaker":"Charles Goldfarb","startTime":1797.4,"endTime":1801.39,"body":"real life is different than lab"},{"speaker":"Charles Goldfarb","startTime":1797.4,"endTime":1801.39,"body":"and there's pros and cons and"},{"speaker":"Charles Goldfarb","startTime":1801.39,"endTime":1804.51,"body":"indications for each of these"},{"speaker":"Charles Goldfarb","startTime":1801.39,"endTime":1804.51,"body":"techniques. So for example, if"},{"speaker":"Charles Goldfarb","startTime":1804.51,"endTime":1808.83,"body":"there was zero collagen or"},{"speaker":"Charles Goldfarb","startTime":1804.51,"endTime":1808.83,"body":"ligament able to be repaired, I"},{"speaker":"Charles Goldfarb","startTime":1808.83,"endTime":1812.79,"body":"would probably still use a"},{"speaker":"Charles Goldfarb","startTime":1808.83,"endTime":1812.79,"body":"Palmeris longus graft, I would"},{"speaker":"Charles Goldfarb","startTime":1812.79,"endTime":1816.09,"body":"use an autograph. You know, not"},{"speaker":"Charles Goldfarb","startTime":1812.79,"endTime":1816.09,"body":"an allograft as this paper"},{"speaker":"Charles Goldfarb","startTime":1816.09,"endTime":1819.9,"body":"references, but talking, you"},{"speaker":"Charles Goldfarb","startTime":1816.09,"endTime":1819.9,"body":"know, differently. But this is"},{"speaker":"Charles Goldfarb","startTime":1819.9,"endTime":1823.5,"body":"important information. And so I"},{"speaker":"Charles Goldfarb","startTime":1819.9,"endTime":1823.5,"body":"applaud them, and I think it"},{"speaker":"Charles Goldfarb","startTime":1823.5,"endTime":1824.79,"body":"adds to our body of knowledge."},{"speaker":"Chris Dy","startTime":1825.27,"endTime":1827.7,"body":"So the struggle with"},{"speaker":"Chris Dy","startTime":1825.27,"endTime":1827.7,"body":"these studies is that it's time"},{"speaker":"Chris Dy","startTime":1827.7,"endTime":1832.41,"body":"zero biomechanics. And I think"},{"speaker":"Chris Dy","startTime":1827.7,"endTime":1832.41,"body":"the clinical conundrum is the"},{"speaker":"Chris Dy","startTime":1832.41,"endTime":1835.92,"body":"chronic tear. And do you use a"},{"speaker":"Chris Dy","startTime":1832.41,"endTime":1835.92,"body":"suture tape alone? Or do you"},{"speaker":"Chris Dy","startTime":1835.92,"endTime":1838.53,"body":"supplement that suture tape?"},{"speaker":"Chris Dy","startTime":1835.92,"endTime":1838.53,"body":"Because you believe in it based"},{"speaker":"Chris Dy","startTime":1838.53,"endTime":1840.87,"body":"on your experience in this"},{"speaker":"Chris Dy","startTime":1838.53,"endTime":1840.87,"body":"study, with some kind of"},{"speaker":"Chris Dy","startTime":1840.87,"endTime":1843.78,"body":"collagen, whether that's"},{"speaker":"Chris Dy","startTime":1840.87,"endTime":1843.78,"body":"somebody Palmeris, a strip of"},{"speaker":"Chris Dy","startTime":1843.78,"endTime":1847.47,"body":"one of their extensors? I don't"},{"speaker":"Chris Dy","startTime":1843.78,"endTime":1847.47,"body":"know the answer to that. And"},{"speaker":"Chris Dy","startTime":1847.47,"endTime":1849.66,"body":"there's no way that one of these"},{"speaker":"Chris Dy","startTime":1847.47,"endTime":1849.66,"body":"biomechanical studies will ever"},{"speaker":"Chris Dy","startTime":1849.66,"endTime":1853.11,"body":"be able to because again, these"},{"speaker":"Chris Dy","startTime":1849.66,"endTime":1853.11,"body":"are timezero studies. And I"},{"speaker":"Chris Dy","startTime":1853.11,"endTime":1856.62,"body":"think that we believe in the"},{"speaker":"Chris Dy","startTime":1853.11,"endTime":1856.62,"body":"suture tape. And if there is any"},{"speaker":"Chris Dy","startTime":1856.62,"endTime":1860.16,"body":"sort of native collagen, I will"},{"speaker":"Chris Dy","startTime":1856.62,"endTime":1860.16,"body":"use a suture tape and then rely"},{"speaker":"Chris Dy","startTime":1860.16,"endTime":1862.95,"body":"on that and try to repair"},{"speaker":"Chris Dy","startTime":1860.16,"endTime":1862.95,"body":"whatever native collagen is"},{"speaker":"Chris Dy","startTime":1862.95,"endTime":1867.87,"body":"there. But it's really hard when"},{"speaker":"Chris Dy","startTime":1862.95,"endTime":1867.87,"body":"you don't have anything and"},{"speaker":"Chris Dy","startTime":1867.87,"endTime":1870.81,"body":"you're struggling whether to"},{"speaker":"Chris Dy","startTime":1867.87,"endTime":1870.81,"body":"make large tunnels try to"},{"speaker":"Chris Dy","startTime":1870.81,"endTime":1874.02,"body":"tension in a graft, and then"},{"speaker":"Chris Dy","startTime":1870.81,"endTime":1874.02,"body":"back it up with suture tape or"},{"speaker":"Charles Goldfarb","startTime":1874.0,"endTime":1878.17,"body":"Yeah, no easy"},{"speaker":"Charles Goldfarb","startTime":1874.0,"endTime":1878.17,"body":"answers, no easy answers."},{"speaker":"Charles Goldfarb","startTime":1874.05,"endTime":1874.95,"body":"just do the suture tape?"},{"speaker":"Charles Goldfarb","startTime":1878.77,"endTime":1881.92,"body":"Alright, let's jump to the"},{"speaker":"Charles Goldfarb","startTime":1878.77,"endTime":1881.92,"body":"Emanual Kaplan award. So this is"},{"speaker":"Charles Goldfarb","startTime":1881.92,"endTime":1886.72,"body":"given by the New York society"},{"speaker":"Charles Goldfarb","startTime":1881.92,"endTime":1886.72,"body":"for surgery the hand and it is a"},{"speaker":"Charles Goldfarb","startTime":1887.05,"endTime":1891.79,"body":"paper or poster from the hand"},{"speaker":"Charles Goldfarb","startTime":1887.05,"endTime":1891.79,"body":"society about anatomical"},{"speaker":"Charles Goldfarb","startTime":1891.79,"endTime":1895.48,"body":"excellence in surgery of a hand"},{"speaker":"Charles Goldfarb","startTime":1891.79,"endTime":1895.48,"body":"and this paper. The senior"},{"speaker":"Charles Goldfarb","startTime":1895.48,"endTime":1901.36,"body":"author was Michael Hausman. And"},{"speaker":"Charles Goldfarb","startTime":1895.48,"endTime":1901.36,"body":"it was I'm not sure who the"},{"speaker":"Charles Goldfarb","startTime":1901.36,"endTime":1904.45,"body":"presenting author was. But the"},{"speaker":"Charles Goldfarb","startTime":1901.36,"endTime":1904.45,"body":"paper was on the effect of"},{"speaker":"Charles Goldfarb","startTime":1904.45,"endTime":1909.73,"body":"bowler tilt and plate position"},{"speaker":"Charles Goldfarb","startTime":1904.45,"endTime":1909.73,"body":"on FPL tendon pressure in the"},{"speaker":"Charles Goldfarb","startTime":1909.73,"endTime":1915.43,"body":"distal radius. So again, a"},{"speaker":"Charles Goldfarb","startTime":1909.73,"endTime":1915.43,"body":"really timely and important"},{"speaker":"Charles Goldfarb","startTime":1915.55,"endTime":1917.71,"body":"concept. What did you think?"},{"speaker":"Chris Dy","startTime":1917.0,"endTime":1921.86,"body":"You know, I think that"},{"speaker":"Chris Dy","startTime":1917.0,"endTime":1921.86,"body":"the takeaways were similar to a"},{"speaker":"Chris Dy","startTime":1921.86,"endTime":1923.99,"body":"study that was published in"},{"speaker":"Chris Dy","startTime":1921.86,"endTime":1923.99,"body":"journal of hand surgery A few"},{"speaker":"Chris Dy","startTime":1923.99,"endTime":1929.54,"body":"years ago, looking at when the"},{"speaker":"Chris Dy","startTime":1923.99,"endTime":1929.54,"body":"tendons are at risk for rupture"},{"speaker":"Chris Dy","startTime":1929.54,"endTime":1933.44,"body":"after a volar plate. And you"},{"speaker":"Chris Dy","startTime":1929.54,"endTime":1933.44,"body":"know, with increasing dorsal"},{"speaker":"Chris Dy","startTime":1933.44,"endTime":1939.83,"body":"tilt and a non anatomic type,"},{"speaker":"Chris Dy","startTime":1933.44,"endTime":1939.83,"body":"fracture union, it is increased"},{"speaker":"Chris Dy","startTime":1939.83,"endTime":1943.49,"body":"risk because those tendons are"},{"speaker":"Chris Dy","startTime":1939.83,"endTime":1943.49,"body":"now going to drape over the"},{"speaker":"Chris Dy","startTime":1943.52,"endTime":1946.58,"body":"volar plate, or at least at risk"},{"speaker":"Chris Dy","startTime":1943.52,"endTime":1946.58,"body":"for draping over the volar"},{"speaker":"Chris Dy","startTime":1946.58,"endTime":1950.0,"body":"plate. More often, particularly"},{"speaker":"Chris Dy","startTime":1946.58,"endTime":1950.0,"body":"with the wrist and extension. So"},{"speaker":"Chris Dy","startTime":1950.0,"endTime":1952.43,"body":"clinically how I've applied the"},{"speaker":"Chris Dy","startTime":1950.0,"endTime":1952.43,"body":"findings from this paper, as"},{"speaker":"Chris Dy","startTime":1952.43,"endTime":1955.67,"body":"well as the study I read a"},{"speaker":"Chris Dy","startTime":1952.43,"endTime":1955.67,"body":"couple of years ago, was that"},{"speaker":"Chris Dy","startTime":1955.67,"endTime":1959.06,"body":"when I look at patients and talk"},{"speaker":"Chris Dy","startTime":1955.67,"endTime":1959.06,"body":"to them postoperatively about"},{"speaker":"Chris Dy","startTime":1959.06,"endTime":1961.73,"body":"the risks to the flexor tendons,"},{"speaker":"Chris Dy","startTime":1959.06,"endTime":1961.73,"body":"I do it with the wrist in"},{"speaker":"Chris Dy","startTime":1961.73,"endTime":1965.03,"body":"extension, and I will have them"},{"speaker":"Chris Dy","startTime":1961.73,"endTime":1965.03,"body":"grip down and check FPL"},{"speaker":"Chris Dy","startTime":1965.03,"endTime":1970.7,"body":"separately, to feel for crepitis"},{"speaker":"Chris Dy","startTime":1965.03,"endTime":1970.7,"body":"to feel for any inflammation"},{"speaker":"Chris Dy","startTime":1970.7,"endTime":1973.64,"body":"over those flexor tendons. So I"},{"speaker":"Chris Dy","startTime":1970.7,"endTime":1973.64,"body":"thought it was an interesting"},{"speaker":"Chris Dy","startTime":1973.64,"endTime":1978.08,"body":"study that certainly has"},{"speaker":"Chris Dy","startTime":1973.64,"endTime":1978.08,"body":"clinical applicability, and is"},{"speaker":"Chris Dy","startTime":1978.14,"endTime":1981.89,"body":"practical to anybody who's"},{"speaker":"Chris Dy","startTime":1978.14,"endTime":1981.89,"body":"either doing the surgery or"},{"speaker":"Chris Dy","startTime":1981.89,"endTime":1983.36,"body":"rehabbing patients afterwards."},{"speaker":"Charles Goldfarb","startTime":1984.32,"endTime":1986.42,"body":"Love your"},{"speaker":"Charles Goldfarb","startTime":1984.32,"endTime":1986.42,"body":"comments, love how you use this"},{"speaker":"Charles Goldfarb","startTime":1986.42,"endTime":1989.69,"body":"for, you know, clinical"},{"speaker":"Charles Goldfarb","startTime":1986.42,"endTime":1989.69,"body":"relevance. Again, this cadaver"},{"speaker":"Charles Goldfarb","startTime":1989.69,"endTime":1992.99,"body":"study is useful. It's important"},{"speaker":"Charles Goldfarb","startTime":1989.69,"endTime":1992.99,"body":"information, it confirms what we"},{"speaker":"Charles Goldfarb","startTime":1992.99,"endTime":1996.05,"body":"know, you know, we know going"},{"speaker":"Charles Goldfarb","startTime":1992.99,"endTime":1996.05,"body":"distal the watershed line"},{"speaker":"Charles Goldfarb","startTime":1996.05,"endTime":2000.79,"body":"carries a risk. And we know"},{"speaker":"Charles Goldfarb","startTime":1996.05,"endTime":2000.79,"body":"intuitively that a dorsally"},{"speaker":"Charles Goldfarb","startTime":2000.79,"endTime":2003.76,"body":"tilted distal radius is going to"},{"speaker":"Charles Goldfarb","startTime":2000.79,"endTime":2003.76,"body":"put increased pressure on the"},{"speaker":"Charles Goldfarb","startTime":2003.76,"endTime":2007.15,"body":"tendons, but showing the"},{"speaker":"Charles Goldfarb","startTime":2003.76,"endTime":2007.15,"body":"contributions in this cadaver"},{"speaker":"Charles Goldfarb","startTime":2007.15,"endTime":2008.26,"body":"model I think was helpful."},{"speaker":"Chris Dy","startTime":2009.08,"endTime":2011.54,"body":"You know, for me, we"},{"speaker":"Chris Dy","startTime":2009.08,"endTime":2011.54,"body":"haven't had a full distal radius"},{"speaker":"Chris Dy","startTime":2011.54,"endTime":2015.17,"body":"episode yet. And we probably"},{"speaker":"Chris Dy","startTime":2011.54,"endTime":2015.17,"body":"should, I really try not to use"},{"speaker":"Chris Dy","startTime":2015.17,"endTime":2018.08,"body":"a volar, a standard volar"},{"speaker":"Chris Dy","startTime":2015.17,"endTime":2018.08,"body":"locking plate when I have to go"},{"speaker":"Chris Dy","startTime":2018.08,"endTime":2020.48,"body":"distal to the watershed line. If"},{"speaker":"Chris Dy","startTime":2018.08,"endTime":2020.48,"body":"I'm going distal to the"},{"speaker":"Chris Dy","startTime":2020.48,"endTime":2023.3,"body":"watershed line, I'm usually"},{"speaker":"Chris Dy","startTime":2020.48,"endTime":2023.3,"body":"using a different sort of"},{"speaker":"Chris Dy","startTime":2023.3,"endTime":2026.93,"body":"implant and venturing into the"},{"speaker":"Chris Dy","startTime":2023.3,"endTime":2026.93,"body":"fragment specific type"},{"speaker":"Chris Dy","startTime":2026.93,"endTime":2030.17,"body":"strategies, which will you know,"},{"speaker":"Chris Dy","startTime":2026.93,"endTime":2030.17,"body":"generate some eye rolls on x"},{"speaker":"Chris Dy","startTime":2030.17,"endTime":2032.96,"body":"rays in terms of did you do too"},{"speaker":"Chris Dy","startTime":2030.17,"endTime":2032.96,"body":"much, but it's also I'm trying"},{"speaker":"Chris Dy","startTime":2032.96,"endTime":2035.66,"body":"to use thinner implants as I go"},{"speaker":"Chris Dy","startTime":2032.96,"endTime":2035.66,"body":"distally because I don't ever"},{"speaker":"Chris Dy","startTime":2035.66,"endTime":2036.5,"body":"want to come back."},{"speaker":"Charles Goldfarb","startTime":2037.22,"endTime":2039.47,"body":"Yeah, and I"},{"speaker":"Charles Goldfarb","startTime":2037.22,"endTime":2039.47,"body":"think that's right. And if you"},{"speaker":"Charles Goldfarb","startTime":2039.47,"endTime":2043.55,"body":"don't and I admit I don't always"},{"speaker":"Charles Goldfarb","startTime":2039.47,"endTime":2043.55,"body":"that I tell the patient we"},{"speaker":"Charles Goldfarb","startTime":2043.55,"endTime":2046.58,"body":"should probably take the"},{"speaker":"Charles Goldfarb","startTime":2043.55,"endTime":2046.58,"body":"hardware out. And I am not"},{"speaker":"Charles Goldfarb","startTime":2046.58,"endTime":2050.48,"body":"convinced my clinical exam for"},{"speaker":"Charles Goldfarb","startTime":2046.58,"endTime":2050.48,"body":"post operative crepitis or"},{"speaker":"Charles Goldfarb","startTime":2050.48,"endTime":2054.41,"body":"patient complaints is good"},{"speaker":"Charles Goldfarb","startTime":2050.48,"endTime":2054.41,"body":"enough to prevent problems down"},{"speaker":"Charles Goldfarb","startTime":2054.41,"endTime":2054.8,"body":"the road."},{"speaker":"Chris Dy","startTime":2055.47,"endTime":2057.9,"body":"So what did you take"},{"speaker":"Chris Dy","startTime":2055.47,"endTime":2057.9,"body":"home from our final paper? This"},{"speaker":"Chris Dy","startTime":2057.9,"endTime":2061.47,"body":"was from a couple of folks that"},{"speaker":"Chris Dy","startTime":2057.9,"endTime":2061.47,"body":"we're familiar with, Ben Gray"},{"speaker":"Chris Dy","startTime":2061.47,"endTime":2064.26,"body":"former resident here washu, Nick"},{"speaker":"Chris Dy","startTime":2061.47,"endTime":2064.26,"body":"Kazmer is another former"},{"speaker":"Chris Dy","startTime":2064.26,"endTime":2067.26,"body":"resident here at Wash U. This"},{"speaker":"Chris Dy","startTime":2064.26,"endTime":2067.26,"body":"was the Sumner Koch award"},{"speaker":"Chris Dy","startTime":2067.26,"endTime":2069.81,"body":"awarded by the Chicago society"},{"speaker":"Chris Dy","startTime":2067.26,"endTime":2069.81,"body":"for surgery of the hand and"},{"speaker":"Chris Dy","startTime":2069.87,"endTime":2072.27,"body":"effective corticosteroid"},{"speaker":"Chris Dy","startTime":2069.87,"endTime":2072.27,"body":"injections on the risk of post"},{"speaker":"Chris Dy","startTime":2072.27,"endTime":2075.3,"body":"op surgical site infections in"},{"speaker":"Chris Dy","startTime":2072.27,"endTime":2075.3,"body":"patients undergoing elective"},{"speaker":"Chris Dy","startTime":2075.3,"endTime":2075.9,"body":"carpal tunnel."},{"speaker":"Charles Goldfarb","startTime":2076.65,"endTime":2079.41,"body":"Yeah, I like"},{"speaker":"Charles Goldfarb","startTime":2076.65,"endTime":2079.41,"body":"First of all, I admire what"},{"speaker":"Charles Goldfarb","startTime":2079.59,"endTime":2083.82,"body":"these guys have done. And you"},{"speaker":"Charles Goldfarb","startTime":2079.59,"endTime":2083.82,"body":"know, Nick is it I don't know"},{"speaker":"Charles Goldfarb","startTime":2083.82,"endTime":2086.43,"body":"who was the driver of this"},{"speaker":"Charles Goldfarb","startTime":2083.82,"endTime":2086.43,"body":"study, but Nick has done a great"},{"speaker":"Charles Goldfarb","startTime":2086.43,"endTime":2090.63,"body":"job. This used a national claims"},{"speaker":"Charles Goldfarb","startTime":2086.43,"endTime":2090.63,"body":"dat claims based database you"},{"speaker":"Charles Goldfarb","startTime":2090.63,"endTime":2093.96,"body":"know far more about that than I"},{"speaker":"Charles Goldfarb","startTime":2090.63,"endTime":2093.96,"body":"do. And it looked at patients"},{"speaker":"Charles Goldfarb","startTime":2093.96,"endTime":2098.46,"body":"with elective carpal tunnel over"},{"speaker":"Charles Goldfarb","startTime":2093.96,"endTime":2098.46,"body":"a 15 year period and tried to"},{"speaker":"Charles Goldfarb","startTime":2098.46,"endTime":2101.91,"body":"assess the Impact of"},{"speaker":"Charles Goldfarb","startTime":2098.46,"endTime":2101.91,"body":"corticosteroid injections and"},{"speaker":"Charles Goldfarb","startTime":2101.91,"endTime":2106.47,"body":"the risk of post operative"},{"speaker":"Charles Goldfarb","startTime":2101.91,"endTime":2106.47,"body":"infection. And basically, they,"},{"speaker":"Charles Goldfarb","startTime":2106.68,"endTime":2109.65,"body":"I mean, the numbers are kind of"},{"speaker":"Charles Goldfarb","startTime":2106.68,"endTime":2109.65,"body":"astounding. So their summary was"},{"speaker":"Charles Goldfarb","startTime":2109.65,"endTime":2112.38,"body":"the risk of a post operative"},{"speaker":"Charles Goldfarb","startTime":2109.65,"endTime":2112.38,"body":"infection requiring surgery was"},{"speaker":"Charles Goldfarb","startTime":2112.38,"endTime":2115.14,"body":"significantly greater for carpal"},{"speaker":"Charles Goldfarb","startTime":2112.38,"endTime":2115.14,"body":"tunnel release patients that"},{"speaker":"Charles Goldfarb","startTime":2115.14,"endTime":2119.46,"body":"received a corticosteroid"},{"speaker":"Charles Goldfarb","startTime":2115.14,"endTime":2119.46,"body":"injection within one year. I"},{"speaker":"Charles Goldfarb","startTime":2119.46,"endTime":2123.39,"body":"talked about six weeks. This is"},{"speaker":"Charles Goldfarb","startTime":2119.46,"endTime":2123.39,"body":"startling."},{"speaker":"Chris Dy","startTime":2124.23,"endTime":2127.11,"body":"But yeah, kudos to to"},{"speaker":"Chris Dy","startTime":2124.23,"endTime":2127.11,"body":"Nick and Ben for putting this"},{"speaker":"Chris Dy","startTime":2127.11,"endTime":2130.2,"body":"together. And Nick has been on"},{"speaker":"Chris Dy","startTime":2127.11,"endTime":2130.2,"body":"an absolute tear in terms of"},{"speaker":"Chris Dy","startTime":2130.2,"endTime":2133.59,"body":"writing really nice papers that"},{"speaker":"Chris Dy","startTime":2130.2,"endTime":2133.59,"body":"I think affect affect practice."},{"speaker":"Chris Dy","startTime":2133.89,"endTime":2138.93,"body":"Seems like he's gotten the"},{"speaker":"Chris Dy","startTime":2133.89,"endTime":2138.93,"body":"Calfee gene. But I find it"},{"speaker":"Chris Dy","startTime":2138.93,"endTime":2142.26,"body":"interesting here, I think I'd"},{"speaker":"Chris Dy","startTime":2138.93,"endTime":2142.26,"body":"like to see their other odds"},{"speaker":"Chris Dy","startTime":2142.26,"endTime":2146.85,"body":"ratios associated with this with"},{"speaker":"Chris Dy","startTime":2142.26,"endTime":2146.85,"body":"the risk of infection, because"},{"speaker":"Chris Dy","startTime":2146.85,"endTime":2149.25,"body":"the co-morbidities played a big"},{"speaker":"Chris Dy","startTime":2146.85,"endTime":2149.25,"body":"role in this. So I'm not sure if"},{"speaker":"Chris Dy","startTime":2149.25,"endTime":2152.1,"body":"it's the injection itself,"},{"speaker":"Chris Dy","startTime":2149.25,"endTime":2152.1,"body":"versus the comorbidities. I know"},{"speaker":"Chris Dy","startTime":2152.1,"endTime":2154.23,"body":"they adjusted for that in their"},{"speaker":"Chris Dy","startTime":2152.1,"endTime":2154.23,"body":"regression model. But it would"},{"speaker":"Chris Dy","startTime":2154.23,"endTime":2157.65,"body":"be good to see. Take home here"},{"speaker":"Chris Dy","startTime":2154.23,"endTime":2157.65,"body":"is that you have an 11% higher"},{"speaker":"Chris Dy","startTime":2157.65,"endTime":2163.02,"body":"risk of having a infection if"},{"speaker":"Chris Dy","startTime":2157.65,"endTime":2163.02,"body":"you've had a steroid injection"},{"speaker":"Chris Dy","startTime":2163.02,"endTime":2165.9,"body":"within one year of your open"},{"speaker":"Chris Dy","startTime":2163.02,"endTime":2165.9,"body":"carpal tunnel release. I think"},{"speaker":"Chris Dy","startTime":2165.9,"endTime":2168.06,"body":"this is one where you have to"},{"speaker":"Chris Dy","startTime":2165.9,"endTime":2168.06,"body":"read the paper administrative"},{"speaker":"Chris Dy","startTime":2168.06,"endTime":2171.15,"body":"data, it always has its"},{"speaker":"Chris Dy","startTime":2168.06,"endTime":2171.15,"body":"challenges in terms of applying"},{"speaker":"Chris Dy","startTime":2171.15,"endTime":2173.67,"body":"it directly to clinical"},{"speaker":"Chris Dy","startTime":2171.15,"endTime":2173.67,"body":"practice. I'm all too familiar"},{"speaker":"Chris Dy","startTime":2173.67,"endTime":2174.09,"body":"with that."},{"speaker":"Charles Goldfarb","startTime":2174.42,"endTime":2176.79,"body":"All right. So"},{"speaker":"Charles Goldfarb","startTime":2174.42,"endTime":2176.79,"body":"we've we've talked about a lot."},{"speaker":"Charles Goldfarb","startTime":2176.79,"endTime":2182.22,"body":"We didn't hit some other awards,"},{"speaker":"Charles Goldfarb","startTime":2176.79,"endTime":2182.22,"body":"but we've hit the big five. And"},{"speaker":"Charles Goldfarb","startTime":2182.22,"endTime":2184.98,"body":"I think it's been fun. Again,"},{"speaker":"Charles Goldfarb","startTime":2182.22,"endTime":2184.98,"body":"kudos to everyone involved with"},{"speaker":"Charles Goldfarb","startTime":2184.98,"endTime":2188.61,"body":"the hand society for pulling off"},{"speaker":"Charles Goldfarb","startTime":2184.98,"endTime":2188.61,"body":"a great meeting. And I think"},{"speaker":"Charles Goldfarb","startTime":2188.61,"endTime":2189.69,"body":"it's been fun talking about it."},{"speaker":"Chris Dy","startTime":2190.02,"endTime":2191.61,"body":"Absolutely."},{"speaker":"Chris Dy","startTime":2190.02,"endTime":2191.61,"body":"Congratulations to all the"},{"speaker":"Chris Dy","startTime":2191.61,"endTime":2195.09,"body":"authors for their award winning"},{"speaker":"Chris Dy","startTime":2191.61,"endTime":2195.09,"body":"papers. Thank you for adding to"},{"speaker":"Chris Dy","startTime":2195.09,"endTime":2197.16,"body":"the meeting, and certainly"},{"speaker":"Chris Dy","startTime":2195.09,"endTime":2197.16,"body":"adding to our knowledge and look"},{"speaker":"Chris Dy","startTime":2197.16,"endTime":2199.89,"body":"forward to seeing these things"},{"speaker":"Chris Dy","startTime":2197.16,"endTime":2199.89,"body":"in press eventually."},{"speaker":"Charles Goldfarb","startTime":2200.13,"endTime":2202.02,"body":"All right,"},{"speaker":"Charles Goldfarb","startTime":2200.13,"endTime":2202.02,"body":"Chris, I think we're both off in"},{"speaker":"Charles Goldfarb","startTime":2202.02,"endTime":2203.61,"body":"our different directions. Have a"},{"speaker":"Charles Goldfarb","startTime":2202.02,"endTime":2203.61,"body":"great day."},{"speaker":"Chris Dy","startTime":2203.73,"endTime":2205.74,"body":"All right, you too."},{"speaker":"Chris Dy","startTime":2203.73,"endTime":2205.74,"body":"Take care. Bye, everybody."},{"speaker":"Charles Goldfarb","startTime":2206.82,"endTime":2208.8,"body":"Hey, Chris,"},{"speaker":"Charles Goldfarb","startTime":2206.82,"endTime":2208.8,"body":"that was fun. Let's do it again"},{"speaker":"Charles Goldfarb","startTime":2208.8,"endTime":2209.31,"body":"real soon."},{"speaker":"Chris Dy","startTime":2209.55,"endTime":2212.07,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":2209.55,"endTime":2212.07,"body":"sure to check us out on Twitter"},{"speaker":"Chris Dy","startTime":2212.34,"endTime":2214.5,"body":"@hand podcast. Hey, Chuck,"},{"speaker":"Chris Dy","startTime":2212.34,"endTime":2214.5,"body":"what's your Twitter handle?"},{"speaker":"Charles Goldfarb","startTime":2214.86,"endTime":2216.96,"body":"Mine is"},{"speaker":"Charles Goldfarb","startTime":2214.86,"endTime":2216.96,"body":"@congenital hand."},{"speaker":"Chris Dy","startTime":2217.11,"endTime":2220.83,"body":"What about you? Mine"},{"speaker":"Chris Dy","startTime":2217.11,"endTime":2220.83,"body":"is @ChrisDyMD spelled d y. And"},{"speaker":"Chris Dy","startTime":2220.83,"endTime":2223.47,"body":"if you'd like to email us, you"},{"speaker":"Chris Dy","startTime":2220.83,"endTime":2223.47,"body":"can reach us at hand"},{"speaker":"Chris Dy","startTime":2223.47,"endTime":2225.09,"body":"podcast@gmail.com."},{"speaker":"Charles Goldfarb","startTime":2225.66,"endTime":2227.79,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":2225.66,"endTime":2227.79,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":2227.79,"endTime":2228.87,"body":"get your podcast"},{"speaker":"Chris Dy","startTime":2228.93,"endTime":2231.15,"body":"and be sure to leave a"},{"speaker":"Chris Dy","startTime":2228.93,"endTime":2231.15,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":2231.15,"endTime":2231.54,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":2231.93,"endTime":2234.21,"body":"Special thanks"},{"speaker":"Charles Goldfarb","startTime":2231.93,"endTime":2234.21,"body":"to Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":2234.21,"endTime":2238.2,"body":"music. And remember, keep the"},{"speaker":"Charles Goldfarb","startTime":2234.21,"endTime":2238.2,"body":"upper hand, come back next time."}]}