{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":10.8,"endTime":13.35,"body":"Welcome to the"},{"speaker":"Charles Goldfarb","startTime":10.8,"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":14.7,"endTime":16.56,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":14.7,"endTime":16.56,"body":"surgeons at Washington"},{"speaker":"Chris Dy","startTime":16.56,"endTime":19.65,"body":"University in St. Louis here to"},{"speaker":"Chris Dy","startTime":16.56,"endTime":19.65,"body":"talk about all aspects of hand"},{"speaker":"Chris Dy","startTime":19.65,"endTime":21.48,"body":"surgery from technical to"},{"speaker":"Chris Dy","startTime":19.65,"endTime":21.48,"body":"personal."},{"speaker":"Charles Goldfarb","startTime":22.05,"endTime":24.33,"body":"Thank you for"},{"speaker":"Charles Goldfarb","startTime":22.05,"endTime":24.33,"body":"subscribing wherever you get"},{"speaker":"Charles Goldfarb","startTime":24.33,"endTime":25.23,"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":28.17,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":28.29,"endTime":29.1,"body":"Oh, hey,"},{"speaker":"Charles Goldfarb","startTime":28.29,"endTime":29.1,"body":"Chris."},{"speaker":"Chris Dy","startTime":29.46,"endTime":30.69,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":29.46,"endTime":30.69,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":30.96,"endTime":32.7,"body":"I'm quite well"},{"speaker":"Charles Goldfarb","startTime":30.96,"endTime":32.7,"body":"and yourself?"},{"speaker":"Chris Dy","startTime":33.0,"endTime":35.7,"body":"I'm doing well. Now"},{"speaker":"Chris Dy","startTime":33.0,"endTime":35.7,"body":"I'm going to say we're going to"},{"speaker":"Chris Dy","startTime":35.7,"endTime":38.94,"body":"talk about scaphoids a little"},{"speaker":"Chris Dy","startTime":35.7,"endTime":38.94,"body":"bit in this episode. And I did"},{"speaker":"Chris Dy","startTime":38.94,"endTime":44.25,"body":"listen to the episode from March"},{"speaker":"Chris Dy","startTime":38.94,"endTime":44.25,"body":"of 2020. About scaphoid"},{"speaker":"Chris Dy","startTime":44.25,"endTime":48.57,"body":"nonunions. And you sounded very"},{"speaker":"Chris Dy","startTime":44.25,"endTime":48.57,"body":"tired in that episode. And now"},{"speaker":"Chris Dy","startTime":48.57,"endTime":51.18,"body":"you're telling me you have a"},{"speaker":"Chris Dy","startTime":48.57,"endTime":51.18,"body":"very busy week now. So what's"},{"speaker":"Chris Dy","startTime":51.18,"endTime":51.99,"body":"going on in your world?"},{"speaker":"Charles Goldfarb","startTime":51.99,"endTime":54.15,"body":"Well, I was"},{"speaker":"Charles Goldfarb","startTime":51.99,"endTime":54.15,"body":"hoping you would say we both"},{"speaker":"Charles Goldfarb","startTime":54.18,"endTime":58.92,"body":"sounded erudite and super"},{"speaker":"Charles Goldfarb","startTime":54.18,"endTime":58.92,"body":"intelligent. And our banter was"},{"speaker":"Charles Goldfarb","startTime":58.92,"endTime":61.68,"body":"very refined way back when we"},{"speaker":"Charles Goldfarb","startTime":58.92,"endTime":61.68,"body":"did this,"},{"speaker":"Chris Dy","startTime":61.83,"endTime":64.23,"body":"The, you know, the"},{"speaker":"Chris Dy","startTime":61.83,"endTime":64.23,"body":"banter was great. The discussion"},{"speaker":"Chris Dy","startTime":64.23,"endTime":67.77,"body":"was really good. I think it was"},{"speaker":"Chris Dy","startTime":64.23,"endTime":67.77,"body":"quite crisp. The episode dropped"},{"speaker":"Chris Dy","startTime":67.77,"endTime":72.57,"body":"on March 9 of 2020. So pre"},{"speaker":"Chris Dy","startTime":67.77,"endTime":72.57,"body":"pandemic shutting everything"},{"speaker":"Chris Dy","startTime":72.57,"endTime":75.54,"body":"down. I was gonna say you"},{"speaker":"Chris Dy","startTime":72.57,"endTime":75.54,"body":"sounded like you had a cold, but"},{"speaker":"Chris Dy","startTime":75.54,"endTime":78.24,"body":"I don't want to stir up any"},{"speaker":"Chris Dy","startTime":75.54,"endTime":78.24,"body":"drama."},{"speaker":"Charles Goldfarb","startTime":79.29,"endTime":81.9,"body":"Wow, that is"},{"speaker":"Charles Goldfarb","startTime":79.29,"endTime":81.9,"body":"super interesting. I've kind of"},{"speaker":"Charles Goldfarb","startTime":81.9,"endTime":85.98,"body":"been afraid to go back. Because"},{"speaker":"Charles Goldfarb","startTime":81.9,"endTime":85.98,"body":"not that we're so much better."},{"speaker":"Charles Goldfarb","startTime":85.98,"endTime":88.8,"body":"But I don't know. I hope we're"},{"speaker":"Charles Goldfarb","startTime":85.98,"endTime":88.8,"body":"better."},{"speaker":"Chris Dy","startTime":89.34,"endTime":92.43,"body":"It was it was the pre"},{"speaker":"Chris Dy","startTime":89.34,"endTime":92.43,"body":"pandemic era. I think that we,"},{"speaker":"Chris Dy","startTime":92.73,"endTime":95.76,"body":"we had a good banter. It was"},{"speaker":"Chris Dy","startTime":92.73,"endTime":95.76,"body":"very formal, and I totally get"},{"speaker":"Chris Dy","startTime":95.76,"endTime":98.94,"body":"why people were saying we"},{"speaker":"Chris Dy","startTime":95.76,"endTime":98.94,"body":"sounded very formal in the"},{"speaker":"Chris Dy","startTime":98.94,"endTime":101.25,"body":"beginning. I think we've"},{"speaker":"Chris Dy","startTime":98.94,"endTime":101.25,"body":"loosened up quite a bit since"},{"speaker":"Chris Dy","startTime":101.25,"endTime":101.58,"body":"then."},{"speaker":"Charles Goldfarb","startTime":101.73,"endTime":104.13,"body":"Well, I think"},{"speaker":"Charles Goldfarb","startTime":101.73,"endTime":104.13,"body":"that's funny. I think it's like"},{"speaker":"Charles Goldfarb","startTime":104.13,"endTime":106.74,"body":"anything, right? You you're"},{"speaker":"Charles Goldfarb","startTime":104.13,"endTime":106.74,"body":"recording yourselves. I mean, we"},{"speaker":"Charles Goldfarb","startTime":106.74,"endTime":109.05,"body":"were both kind of like, what if"},{"speaker":"Charles Goldfarb","startTime":106.74,"endTime":109.05,"body":"I say something ridiculous is"},{"speaker":"Charles Goldfarb","startTime":109.05,"endTime":112.65,"body":"going to be there forever? And"},{"speaker":"Charles Goldfarb","startTime":109.05,"endTime":112.65,"body":"eventually, you're like, screw"},{"speaker":"Charles Goldfarb","startTime":112.65,"endTime":115.8,"body":"it. If I say ridiculous. It'll"},{"speaker":"Charles Goldfarb","startTime":112.65,"endTime":115.8,"body":"be there forever again."},{"speaker":"Chris Dy","startTime":116.13,"endTime":119.1,"body":"I mean, you know,"},{"speaker":"Chris Dy","startTime":116.13,"endTime":119.1,"body":"just, you know, they got tapes,"},{"speaker":"Chris Dy","startTime":119.16,"endTime":122.13,"body":"I guess. boys being boys, I"},{"speaker":"Chris Dy","startTime":119.16,"endTime":122.13,"body":"guess you can't say that. Right."},{"speaker":"Chris Dy","startTime":122.13,"endTime":122.46,"body":"So?"},{"speaker":"Charles Goldfarb","startTime":124.02,"endTime":125.55,"body":"Yeah, probably"},{"speaker":"Charles Goldfarb","startTime":124.02,"endTime":125.55,"body":"not so good."},{"speaker":"Chris Dy","startTime":127.97,"endTime":130.52,"body":"Listen, I think that"},{"speaker":"Chris Dy","startTime":127.97,"endTime":130.52,"body":"everything we've done has been"},{"speaker":"Chris Dy","startTime":130.55,"endTime":134.3,"body":"honest, truthful, and at least"},{"speaker":"Chris Dy","startTime":130.55,"endTime":134.3,"body":"current, to say the least. So"},{"speaker":"Charles Goldfarb","startTime":134.3,"endTime":135.8,"body":"And hopefully"},{"speaker":"Charles Goldfarb","startTime":134.3,"endTime":135.8,"body":"mildly entertaining."},{"speaker":"Chris Dy","startTime":136.13,"endTime":138.29,"body":"Yeah, exactly. So"},{"speaker":"Chris Dy","startTime":136.13,"endTime":138.29,"body":"what's going on in your world?"},{"speaker":"Chris Dy","startTime":138.32,"endTime":140.63,"body":"You said you've had a busy week."},{"speaker":"Chris Dy","startTime":138.32,"endTime":140.63,"body":"Sounds like you got some stuff"},{"speaker":"Chris Dy","startTime":140.63,"endTime":141.47,"body":"you're preparing for?"},{"speaker":"Charles Goldfarb","startTime":141.57,"endTime":143.22,"body":"Yeah, it's"},{"speaker":"Charles Goldfarb","startTime":141.57,"endTime":143.22,"body":"interesting. It's been a lot of"},{"speaker":"Charles Goldfarb","startTime":143.79,"endTime":148.56,"body":"department work over the last"},{"speaker":"Charles Goldfarb","startTime":143.79,"endTime":148.56,"body":"year or so. But this week, it"},{"speaker":"Charles Goldfarb","startTime":148.86,"endTime":151.95,"body":"really feels intense, because"},{"speaker":"Charles Goldfarb","startTime":148.86,"endTime":151.95,"body":"there's a number of"},{"speaker":"Charles Goldfarb","startTime":151.95,"endTime":155.73,"body":"presentations coming together."},{"speaker":"Charles Goldfarb","startTime":151.95,"endTime":155.73,"body":"And you know, traditionally, I"},{"speaker":"Charles Goldfarb","startTime":155.73,"endTime":159.15,"body":"don't know how you work. But"},{"speaker":"Charles Goldfarb","startTime":155.73,"endTime":159.15,"body":"when I work, I put my talks"},{"speaker":"Charles Goldfarb","startTime":159.15,"endTime":163.65,"body":"together pretty early. And then"},{"speaker":"Charles Goldfarb","startTime":159.15,"endTime":163.65,"body":"I forget them. And I just leave"},{"speaker":"Charles Goldfarb","startTime":163.65,"endTime":167.22,"body":"them. And then when I'm on the"},{"speaker":"Charles Goldfarb","startTime":163.65,"endTime":167.22,"body":"plane, I review them. And maybe"},{"speaker":"Charles Goldfarb","startTime":167.22,"endTime":170.22,"body":"the night before I review it,"},{"speaker":"Charles Goldfarb","startTime":167.22,"endTime":170.22,"body":"and I'm done. And it has worked"},{"speaker":"Charles Goldfarb","startTime":170.22,"endTime":173.04,"body":"really well for me. Well, I"},{"speaker":"Charles Goldfarb","startTime":170.22,"endTime":173.04,"body":"don't know, maybe some people in"},{"speaker":"Charles Goldfarb","startTime":173.04,"endTime":177.36,"body":"the audience would disagree. But"},{"speaker":"Charles Goldfarb","startTime":173.04,"endTime":177.36,"body":"it seems to have worked. But now"},{"speaker":"Charles Goldfarb","startTime":177.39,"endTime":180.03,"body":"I have a couple recording"},{"speaker":"Charles Goldfarb","startTime":177.39,"endTime":180.03,"body":"sessions. I have a couple of"},{"speaker":"Charles Goldfarb","startTime":180.03,"endTime":183.42,"body":"live meetings this week. And and"},{"speaker":"Charles Goldfarb","startTime":180.03,"endTime":183.42,"body":"I have actually two local"},{"speaker":"Charles Goldfarb","startTime":183.42,"endTime":187.59,"body":"presentations. And so it's just"},{"speaker":"Charles Goldfarb","startTime":183.42,"endTime":187.59,"body":"bizarre that it's all come"},{"speaker":"Charles Goldfarb","startTime":187.59,"endTime":190.23,"body":"together and then next week's"},{"speaker":"Charles Goldfarb","startTime":187.59,"endTime":190.23,"body":"not much better. And then"},{"speaker":"Charles Goldfarb","startTime":190.23,"endTime":192.12,"body":"hopefully things quiet down"},{"speaker":"Charles Goldfarb","startTime":190.23,"endTime":192.12,"body":"again. It's just a weird"},{"speaker":"Charles Goldfarb","startTime":192.12,"endTime":197.16,"body":"Confluence. I don't know, how's"},{"speaker":"Charles Goldfarb","startTime":192.12,"endTime":197.16,"body":"your speaking schedule? And have"},{"speaker":"Charles Goldfarb","startTime":197.16,"endTime":198.66,"body":"you think about presentations?"},{"speaker":"Chris Dy","startTime":199.41,"endTime":201.15,"body":"Well I mean I guess I"},{"speaker":"Chris Dy","startTime":199.41,"endTime":201.15,"body":"wanted to ask you, were you"},{"speaker":"Chris Dy","startTime":201.15,"endTime":204.54,"body":"always like that, because I know"},{"speaker":"Chris Dy","startTime":201.15,"endTime":204.54,"body":"that one thing that a lot of"},{"speaker":"Chris Dy","startTime":204.54,"endTime":207.39,"body":"people aren't comfortable with"},{"speaker":"Chris Dy","startTime":204.54,"endTime":207.39,"body":"is giving presentations in"},{"speaker":"Chris Dy","startTime":207.39,"endTime":211.38,"body":"public? And you seem like you're"},{"speaker":"Chris Dy","startTime":207.39,"endTime":211.38,"body":"very comfortable talking on a"},{"speaker":"Chris Dy","startTime":211.38,"endTime":214.53,"body":"podium, you know, on a, you"},{"speaker":"Chris Dy","startTime":211.38,"endTime":214.53,"body":"know, for conferences, that kind"},{"speaker":"Chris Dy","startTime":214.53,"endTime":217.74,"body":"of thing? Is that something you"},{"speaker":"Chris Dy","startTime":214.53,"endTime":217.74,"body":"started, you know, always being"},{"speaker":"Chris Dy","startTime":217.74,"endTime":221.1,"body":"comfortable public speaking, you"},{"speaker":"Chris Dy","startTime":217.74,"endTime":221.1,"body":"know, because, obviously, along"},{"speaker":"Chris Dy","startTime":221.1,"endTime":223.71,"body":"the way you give presentations"},{"speaker":"Chris Dy","startTime":221.1,"endTime":223.71,"body":"as a resident and your local"},{"speaker":"Chris Dy","startTime":223.71,"endTime":227.25,"body":"conferences, and then also, you"},{"speaker":"Chris Dy","startTime":223.71,"endTime":227.25,"body":"know, you start to give more"},{"speaker":"Chris Dy","startTime":227.25,"endTime":230.52,"body":"national presentations as you"},{"speaker":"Chris Dy","startTime":227.25,"endTime":230.52,"body":"start to deliver research, you"},{"speaker":"Chris Dy","startTime":230.52,"endTime":234.99,"body":"know, talks and get invited, you"},{"speaker":"Chris Dy","startTime":230.52,"endTime":234.99,"body":"know, ICLs, that kind of thing."},{"speaker":"Chris Dy","startTime":234.99,"endTime":236.01,"body":"Have you always been like that?"},{"speaker":"Charles Goldfarb","startTime":236.99,"endTime":240.65,"body":"I think the"},{"speaker":"Charles Goldfarb","startTime":236.99,"endTime":240.65,"body":"answer to that is not really."},{"speaker":"Charles Goldfarb","startTime":241.4,"endTime":245.18,"body":"But while it may have seemed"},{"speaker":"Charles Goldfarb","startTime":241.4,"endTime":245.18,"body":"like torture along the way."},{"speaker":"Charles Goldfarb","startTime":246.02,"endTime":248.99,"body":"During my training, I put"},{"speaker":"Charles Goldfarb","startTime":246.02,"endTime":248.99,"body":"together a lot of talks, and I"},{"speaker":"Charles Goldfarb","startTime":248.99,"endTime":251.6,"body":"gave a lot of small group"},{"speaker":"Charles Goldfarb","startTime":248.99,"endTime":251.6,"body":"discussions or led a lot of"},{"speaker":"Charles Goldfarb","startTime":251.6,"endTime":254.45,"body":"small group discussions, whether"},{"speaker":"Charles Goldfarb","startTime":251.6,"endTime":254.45,"body":"in residency as a, you know,"},{"speaker":"Charles Goldfarb","startTime":254.45,"endTime":257.51,"body":"chief resident, or during"},{"speaker":"Charles Goldfarb","startTime":254.45,"endTime":257.51,"body":"fellowship, and those were"},{"speaker":"Charles Goldfarb","startTime":257.84,"endTime":261.71,"body":"honestly painful. But the"},{"speaker":"Charles Goldfarb","startTime":257.84,"endTime":261.71,"body":"lessons learned really made the"},{"speaker":"Charles Goldfarb","startTime":261.71,"endTime":265.79,"body":"next step of my career easier,"},{"speaker":"Charles Goldfarb","startTime":261.71,"endTime":265.79,"body":"and the nerves that were present"},{"speaker":"Charles Goldfarb","startTime":265.79,"endTime":268.85,"body":"the first few years in practice,"},{"speaker":"Charles Goldfarb","startTime":265.79,"endTime":268.85,"body":"I don't wanna say they've gone"},{"speaker":"Charles Goldfarb","startTime":268.85,"endTime":272.9,"body":"away, but they're really I don't"},{"speaker":"Charles Goldfarb","startTime":268.85,"endTime":272.9,"body":"worry about things, you know,"},{"speaker":"Charles Goldfarb","startTime":272.93,"endTime":276.23,"body":"the talks that are worried about"},{"speaker":"Charles Goldfarb","startTime":272.93,"endTime":276.23,"body":"timing or only the scientific,"},{"speaker":"Charles Goldfarb","startTime":276.26,"endTime":278.42,"body":"you know, four to five minute"},{"speaker":"Charles Goldfarb","startTime":276.26,"endTime":278.42,"body":"podium presentation, then I then"},{"speaker":"Charles Goldfarb","startTime":278.42,"endTime":282.11,"body":"I really concentrate on every"},{"speaker":"Charles Goldfarb","startTime":278.42,"endTime":282.11,"body":"word. But, you know, I think a"},{"speaker":"Charles Goldfarb","startTime":282.11,"endTime":285.14,"body":"different kind of talk a"},{"speaker":"Charles Goldfarb","startTime":282.11,"endTime":285.14,"body":"national talk or review, talk,"},{"speaker":"Charles Goldfarb","startTime":285.17,"endTime":289.34,"body":"so to speak, doesn't really"},{"speaker":"Charles Goldfarb","startTime":285.17,"endTime":289.34,"body":"stress me out and I can add to"},{"speaker":"Charles Goldfarb","startTime":289.34,"endTime":291.98,"body":"or subtract to it and feel"},{"speaker":"Charles Goldfarb","startTime":289.34,"endTime":291.98,"body":"comfortable on the fly. The last"},{"speaker":"Charles Goldfarb","startTime":291.98,"endTime":295.13,"body":"thing I'll say sorry, I don't"},{"speaker":"Charles Goldfarb","startTime":291.98,"endTime":295.13,"body":"mean to monopolize this, is this"},{"speaker":"Charles Goldfarb","startTime":295.37,"endTime":299.21,"body":"has helped me, you know, we just"},{"speaker":"Charles Goldfarb","startTime":295.37,"endTime":299.21,"body":"speak extemporaneously and some"},{"speaker":"Charles Goldfarb","startTime":299.21,"endTime":304.67,"body":"might argue to no good end. And"},{"speaker":"Charles Goldfarb","startTime":299.21,"endTime":304.67,"body":"it just it makes you think off"},{"speaker":"Charles Goldfarb","startTime":304.67,"endTime":307.85,"body":"the cuff and you have to respond"},{"speaker":"Charles Goldfarb","startTime":304.67,"endTime":307.85,"body":"and, and, you know, say"},{"speaker":"Charles Goldfarb","startTime":307.85,"endTime":309.56,"body":"hopefully somewhat intelligent"},{"speaker":"Charles Goldfarb","startTime":307.85,"endTime":309.56,"body":"things."},{"speaker":"Chris Dy","startTime":309.0,"endTime":312.87,"body":"You know I used to, I"},{"speaker":"Chris Dy","startTime":309.0,"endTime":312.87,"body":"gave a lot of talks in"},{"speaker":"Chris Dy","startTime":312.87,"endTime":316.35,"body":"residency, and a lot of case"},{"speaker":"Chris Dy","startTime":312.87,"endTime":316.35,"body":"conferences, indications"},{"speaker":"Chris Dy","startTime":316.35,"endTime":319.32,"body":"conferences, and you're in front"},{"speaker":"Chris Dy","startTime":316.35,"endTime":319.32,"body":"of a firing squad, it was the"},{"speaker":"Chris Dy","startTime":319.35,"endTime":324.18,"body":"Pedes service, home to your"},{"speaker":"Chris Dy","startTime":319.35,"endTime":324.18,"body":"home, but at HSS. And that"},{"speaker":"Chris Dy","startTime":324.18,"endTime":326.7,"body":"really helped me prepare in"},{"speaker":"Chris Dy","startTime":324.18,"endTime":326.7,"body":"terms of getting comfortable"},{"speaker":"Chris Dy","startTime":326.7,"endTime":330.24,"body":"giving presentations, speaking"},{"speaker":"Chris Dy","startTime":326.7,"endTime":330.24,"body":"in front of people and trying to"},{"speaker":"Chris Dy","startTime":330.24,"endTime":333.18,"body":"think on your feet. Certainly,"},{"speaker":"Chris Dy","startTime":330.24,"endTime":333.18,"body":"there were a lot of trials and"},{"speaker":"Chris Dy","startTime":333.18,"endTime":336.69,"body":"tribulations along the way, if"},{"speaker":"Chris Dy","startTime":333.18,"endTime":336.69,"body":"any of my co residents are"},{"speaker":"Chris Dy","startTime":336.69,"endTime":340.53,"body":"listening, but you I think,"},{"speaker":"Chris Dy","startTime":336.69,"endTime":340.53,"body":"before when I used to give like"},{"speaker":"Chris Dy","startTime":340.53,"endTime":343.65,"body":"an actual like hour long lecture"},{"speaker":"Chris Dy","startTime":340.53,"endTime":343.65,"body":"on a presentation on a topic, I"},{"speaker":"Chris Dy","startTime":343.65,"endTime":347.76,"body":"would script the whole thing."},{"speaker":"Chris Dy","startTime":343.65,"endTime":347.76,"body":"And I'd say I very rarely do"},{"speaker":"Chris Dy","startTime":347.76,"endTime":350.85,"body":"that now. And I will only do it"},{"speaker":"Chris Dy","startTime":347.76,"endTime":350.85,"body":"for like the four minute"},{"speaker":"Chris Dy","startTime":350.91,"endTime":354.03,"body":"scientific presentation kind of"},{"speaker":"Chris Dy","startTime":350.91,"endTime":354.03,"body":"deal. Because you really want to"},{"speaker":"Chris Dy","startTime":354.03,"endTime":355.98,"body":"make sure you're on time there"},{"speaker":"Chris Dy","startTime":354.03,"endTime":355.98,"body":"because you don't want to be"},{"speaker":"Chris Dy","startTime":356.16,"endTime":360.96,"body":"that person that's slowing down"},{"speaker":"Chris Dy","startTime":356.16,"endTime":360.96,"body":"the entire schedule. But right"},{"speaker":"Chris Dy","startTime":360.96,"endTime":364.08,"body":"now, you know, if I have to give"},{"speaker":"Chris Dy","startTime":360.96,"endTime":364.08,"body":"a presentation on a topic, I"},{"speaker":"Chris Dy","startTime":364.08,"endTime":366.96,"body":"typically don't script it, I"},{"speaker":"Chris Dy","startTime":364.08,"endTime":366.96,"body":"usually leave my slides to the"},{"speaker":"Chris Dy","startTime":366.96,"endTime":370.74,"body":"very last minute, I'm not gonna"},{"speaker":"Chris Dy","startTime":366.96,"endTime":370.74,"body":"lie, unlike you, I don't have"},{"speaker":"Chris Dy","startTime":370.74,"endTime":373.98,"body":"everything ready, and then just"},{"speaker":"Chris Dy","startTime":370.74,"endTime":373.98,"body":"review it. Um, I'm the person"},{"speaker":"Chris Dy","startTime":373.98,"endTime":377.04,"body":"that's making the tweaks in the"},{"speaker":"Chris Dy","startTime":373.98,"endTime":377.04,"body":"hotel room the hour before."},{"speaker":"Charles Goldfarb","startTime":377.7,"endTime":379.74,"body":"Yeah, and you"},{"speaker":"Charles Goldfarb","startTime":377.7,"endTime":379.74,"body":"You didn't live through the"},{"speaker":"Charles Goldfarb","startTime":379.74,"endTime":385.17,"body":"slide days, because you're, you"},{"speaker":"Charles Goldfarb","startTime":379.74,"endTime":385.17,"body":"know, young, but the there was a"},{"speaker":"Charles Goldfarb","startTime":385.17,"endTime":388.5,"body":"benefit to creating your"},{"speaker":"Charles Goldfarb","startTime":385.17,"endTime":388.5,"body":"physical slides. Because when"},{"speaker":"Charles Goldfarb","startTime":388.5,"endTime":391.14,"body":"they were when you had those"},{"speaker":"Charles Goldfarb","startTime":388.5,"endTime":391.14,"body":"slides created, you were done,"},{"speaker":"Charles Goldfarb","startTime":391.26,"endTime":394.11,"body":"you couldn't really practice,"},{"speaker":"Charles Goldfarb","startTime":391.26,"endTime":394.11,"body":"you know, you just you put the"},{"speaker":"Charles Goldfarb","startTime":394.11,"endTime":397.65,"body":"slides together, and that was"},{"speaker":"Charles Goldfarb","startTime":394.11,"endTime":397.65,"body":"your talk. And obviously, you"},{"speaker":"Charles Goldfarb","startTime":397.65,"endTime":402.9,"body":"could prepare, but you couldn't"},{"speaker":"Charles Goldfarb","startTime":397.65,"endTime":402.9,"body":"change things and so different."},{"speaker":"Chris Dy","startTime":403.14,"endTime":405.33,"body":"Outside of, you know,"},{"speaker":"Chris Dy","startTime":403.14,"endTime":405.33,"body":"the scientific paper"},{"speaker":"Chris Dy","startTime":405.33,"endTime":407.64,"body":"presentation, do you still"},{"speaker":"Chris Dy","startTime":405.33,"endTime":407.64,"body":"practice your talks?"},{"speaker":"Charles Goldfarb","startTime":409.68,"endTime":412.41,"body":"If it's a new"},{"speaker":"Charles Goldfarb","startTime":409.68,"endTime":412.41,"body":"talk I do, if it's a"},{"speaker":"Charles Goldfarb","startTime":412.41,"endTime":416.34,"body":"modification of another talk, I"},{"speaker":"Charles Goldfarb","startTime":412.41,"endTime":416.34,"body":"will absolutely look through it,"},{"speaker":"Charles Goldfarb","startTime":416.34,"endTime":418.35,"body":"I don't want you to think I'm"},{"speaker":"Charles Goldfarb","startTime":416.34,"endTime":418.35,"body":"one of these just completely off"},{"speaker":"Charles Goldfarb","startTime":418.35,"endTime":421.38,"body":"the cuff people. But most of the"},{"speaker":"Charles Goldfarb","startTime":418.35,"endTime":421.38,"body":"things that I'm talking about"},{"speaker":"Charles Goldfarb","startTime":421.38,"endTime":425.37,"body":"these days are things I'm really"},{"speaker":"Charles Goldfarb","startTime":421.38,"endTime":425.37,"body":"comfortable with. But if it's a"},{"speaker":"Charles Goldfarb","startTime":425.37,"endTime":428.25,"body":"new talk, for example, for the"},{"speaker":"Charles Goldfarb","startTime":425.37,"endTime":428.25,"body":"AOA, I put together a really"},{"speaker":"Charles Goldfarb","startTime":428.25,"endTime":431.7,"body":"super interesting while I may be"},{"speaker":"Charles Goldfarb","startTime":428.25,"endTime":431.7,"body":"the only one. But"},{"speaker":"Chris Dy","startTime":432.63,"endTime":435.21,"body":"If I do say so myself,"},{"speaker":"Chris Dy","startTime":432.63,"endTime":435.21,"body":"it's super interesting."},{"speaker":"Charles Goldfarb","startTime":436.11,"endTime":437.97,"body":"I find it"},{"speaker":"Charles Goldfarb","startTime":436.11,"endTime":437.97,"body":"interesting because I like you"},{"speaker":"Charles Goldfarb","startTime":437.97,"endTime":440.79,"body":"know economics and finance, but"},{"speaker":"Charles Goldfarb","startTime":437.97,"endTime":440.79,"body":"it's a it's a talk about the"},{"speaker":"Charles Goldfarb","startTime":440.79,"endTime":444.69,"body":"impact of the pandemic on our"},{"speaker":"Charles Goldfarb","startTime":440.79,"endTime":444.69,"body":"department financially. And"},{"speaker":"Charles Goldfarb","startTime":445.11,"endTime":447.96,"body":"obviously, I've never given that"},{"speaker":"Charles Goldfarb","startTime":445.11,"endTime":447.96,"body":"and some of these, you know, the"},{"speaker":"Charles Goldfarb","startTime":448.05,"endTime":452.4,"body":"subtopics are not familiar. So I"},{"speaker":"Charles Goldfarb","startTime":448.05,"endTime":452.4,"body":"will spend time practicing that"},{"speaker":"Charles Goldfarb","startTime":452.4,"endTime":453.66,"body":"one, for sure."},{"speaker":"Chris Dy","startTime":454.26,"endTime":457.17,"body":"And how much are you"},{"speaker":"Chris Dy","startTime":454.26,"endTime":457.17,"body":"into slide aesthetics, like"},{"speaker":"Chris Dy","startTime":457.17,"endTime":459.96,"body":"really making sure that the"},{"speaker":"Chris Dy","startTime":457.17,"endTime":459.96,"body":"slides are not just blocks of"},{"speaker":"Chris Dy","startTime":459.96,"endTime":463.53,"body":"texts, like making sure that"},{"speaker":"Chris Dy","startTime":459.96,"endTime":463.53,"body":"they are what people can follow?"},{"speaker":"Chris Dy","startTime":463.86,"endTime":466.23,"body":"How much time do you spend"},{"speaker":"Chris Dy","startTime":463.86,"endTime":466.23,"body":"tweaking your slides? Because I"},{"speaker":"Chris Dy","startTime":466.23,"endTime":468.84,"body":"probably spent a little too much"},{"speaker":"Chris Dy","startTime":466.23,"endTime":468.84,"body":"time on that. But I think it"},{"speaker":"Chris Dy","startTime":468.84,"endTime":469.56,"body":"makes a difference."},{"speaker":"Charles Goldfarb","startTime":471.28,"endTime":472.75,"body":"I think it"},{"speaker":"Charles Goldfarb","startTime":471.28,"endTime":472.75,"body":"makes a big difference. And a"},{"speaker":"Charles Goldfarb","startTime":472.75,"endTime":475.84,"body":"couple of things. Obviously,"},{"speaker":"Charles Goldfarb","startTime":472.75,"endTime":475.84,"body":"we're both hand surgeons, for"},{"speaker":"Charles Goldfarb","startTime":475.84,"endTime":479.08,"body":"those of you out there who are"},{"speaker":"Charles Goldfarb","startTime":475.84,"endTime":479.08,"body":"not this May this may help the"},{"speaker":"Charles Goldfarb","startTime":479.08,"endTime":482.23,"body":"characterization. You know, I'm"},{"speaker":"Charles Goldfarb","startTime":479.08,"endTime":482.23,"body":"anal retentive about the slides,"},{"speaker":"Charles Goldfarb","startTime":482.23,"endTime":487.24,"body":"you know, typos are not okay."},{"speaker":"Charles Goldfarb","startTime":482.23,"endTime":487.24,"body":"And this, the symmetry matters."},{"speaker":"Charles Goldfarb","startTime":487.51,"endTime":490.48,"body":"And for me, the simplicity"},{"speaker":"Charles Goldfarb","startTime":487.51,"endTime":490.48,"body":"matters. And one of the things"},{"speaker":"Charles Goldfarb","startTime":490.48,"endTime":494.26,"body":"that I think is, is a truism,"},{"speaker":"Charles Goldfarb","startTime":490.48,"endTime":494.26,"body":"but as you become more"},{"speaker":"Charles Goldfarb","startTime":494.26,"endTime":498.97,"body":"comfortable, the number of words"},{"speaker":"Charles Goldfarb","startTime":494.26,"endTime":498.97,"body":"on your slide to go down, the"},{"speaker":"Charles Goldfarb","startTime":498.97,"endTime":501.91,"body":"number of pictures may go up, or"},{"speaker":"Charles Goldfarb","startTime":498.97,"endTime":501.91,"body":"maybe you just present a picture"},{"speaker":"Charles Goldfarb","startTime":501.91,"endTime":505.03,"body":"and then talk through it. And"},{"speaker":"Charles Goldfarb","startTime":501.91,"endTime":505.03,"body":"that I think is where I am now"},{"speaker":"Charles Goldfarb","startTime":505.03,"endTime":508.18,"body":"and where I'm trying to get"},{"speaker":"Charles Goldfarb","startTime":505.03,"endTime":508.18,"body":"better, fewer and fewer words,"},{"speaker":"Charles Goldfarb","startTime":508.21,"endTime":511.45,"body":"more and more conversation. I"},{"speaker":"Charles Goldfarb","startTime":508.21,"endTime":511.45,"body":"think it's the goal."},{"speaker":"Chris Dy","startTime":512.52,"endTime":515.22,"body":"Yeah, I absolutely"},{"speaker":"Chris Dy","startTime":512.52,"endTime":515.22,"body":"agree with you. And I think that"},{"speaker":"Chris Dy","startTime":515.25,"endTime":518.79,"body":"it comes with being comfortable"},{"speaker":"Chris Dy","startTime":515.25,"endTime":518.79,"body":"with the topic. Just really"},{"speaker":"Chris Dy","startTime":518.79,"endTime":523.14,"body":"knowing being confident in your"},{"speaker":"Chris Dy","startTime":518.79,"endTime":523.14,"body":"knowledge base and knowing where"},{"speaker":"Chris Dy","startTime":523.17,"endTime":525.81,"body":"you might get pushed a little"},{"speaker":"Chris Dy","startTime":523.17,"endTime":525.81,"body":"bit, knowing where you want to"},{"speaker":"Chris Dy","startTime":525.81,"endTime":527.7,"body":"lead the conversation. That's"},{"speaker":"Chris Dy","startTime":525.81,"endTime":527.7,"body":"the good thing about giving the"},{"speaker":"Chris Dy","startTime":527.7,"endTime":529.8,"body":"talk is that you can lead the"},{"speaker":"Chris Dy","startTime":527.7,"endTime":529.8,"body":"conversation wherever you want"},{"speaker":"Chris Dy","startTime":529.83,"endTime":534.27,"body":"to go if you want it to be a"},{"speaker":"Chris Dy","startTime":529.83,"endTime":534.27,"body":"conversation. But, you know, I"},{"speaker":"Chris Dy","startTime":534.27,"endTime":536.52,"body":"guess to wrap this up, I mean,"},{"speaker":"Chris Dy","startTime":534.27,"endTime":536.52,"body":"tell us about what you're"},{"speaker":"Chris Dy","startTime":536.52,"endTime":539.79,"body":"preparing for. I think you have"},{"speaker":"Chris Dy","startTime":536.52,"endTime":539.79,"body":"something that's already gonna"},{"speaker":"Chris Dy","startTime":539.79,"endTime":542.19,"body":"have happened by the time this"},{"speaker":"Chris Dy","startTime":539.79,"endTime":542.19,"body":"drops, but people should be able"},{"speaker":"Chris Dy","startTime":542.19,"endTime":544.11,"body":"to check it out on demand."},{"speaker":"Charles Goldfarb","startTime":544.99,"endTime":547.84,"body":"Yeah, well,"},{"speaker":"Charles Goldfarb","startTime":544.99,"endTime":547.84,"body":"two things, a couple of, you"},{"speaker":"Charles Goldfarb","startTime":547.84,"endTime":551.02,"body":"know, less dramatic things AOA"},{"speaker":"Charles Goldfarb","startTime":547.84,"endTime":551.02,"body":"recording, which will be fun."},{"speaker":"Charles Goldfarb","startTime":551.8,"endTime":555.61,"body":"And then the congenital world is"},{"speaker":"Charles Goldfarb","startTime":551.8,"endTime":555.61,"body":"getting together a little bit at"},{"speaker":"Charles Goldfarb","startTime":555.61,"endTime":557.83,"body":"least our United States space"},{"speaker":"Charles Goldfarb","startTime":555.61,"endTime":557.83,"body":"world. There's two meetings this"},{"speaker":"Charles Goldfarb","startTime":557.83,"endTime":561.37,"body":"week for that once called the"},{"speaker":"Charles Goldfarb","startTime":557.83,"endTime":561.37,"body":"PH-PHSG, which the pediatric"},{"speaker":"Charles Goldfarb","startTime":561.37,"endTime":564.04,"body":"hand study group, we're meeting"},{"speaker":"Charles Goldfarb","startTime":561.37,"endTime":564.04,"body":"on Thursday night for a couple"},{"speaker":"Charles Goldfarb","startTime":564.04,"endTime":566.41,"body":"hours. And normally that"},{"speaker":"Charles Goldfarb","startTime":564.04,"endTime":566.41,"body":"meeting, this time of year would"},{"speaker":"Charles Goldfarb","startTime":566.41,"endTime":569.71,"body":"be at POSNA. But most of us"},{"speaker":"Charles Goldfarb","startTime":566.41,"endTime":569.71,"body":"aren't going to POSNA, even"},{"speaker":"Charles Goldfarb","startTime":569.71,"endTime":571.42,"body":"though POSNA is a live meeting,"},{"speaker":"Charles Goldfarb","startTime":569.71,"endTime":571.42,"body":"which I think is super"},{"speaker":"Charles Goldfarb","startTime":571.42,"endTime":576.82,"body":"interesting. And then the second"},{"speaker":"Charles Goldfarb","startTime":571.42,"endTime":576.82,"body":"meeting is really, it's put on"},{"speaker":"Charles Goldfarb","startTime":576.82,"endTime":581.38,"body":"by the hand society, it's meant"},{"speaker":"Charles Goldfarb","startTime":576.82,"endTime":581.38,"body":"to replace the world congenital"},{"speaker":"Charles Goldfarb","startTime":581.47,"endTime":585.07,"body":"upper extremity symposium, which"},{"speaker":"Charles Goldfarb","startTime":581.47,"endTime":585.07,"body":"I was going to host and it was"},{"speaker":"Charles Goldfarb","startTime":585.07,"endTime":588.1,"body":"quite an honor to host this with"},{"speaker":"Charles Goldfarb","startTime":585.07,"endTime":588.1,"body":"Anne van Heest and Michelle"},{"speaker":"Charles Goldfarb","startTime":588.1,"endTime":591.46,"body":"James in Minneapolis. And we've"},{"speaker":"Charles Goldfarb","startTime":588.1,"endTime":591.46,"body":"been planning this for several"},{"speaker":"Charles Goldfarb","startTime":591.46,"endTime":594.79,"body":"years, and it was supposed to be"},{"speaker":"Charles Goldfarb","startTime":591.46,"endTime":594.79,"body":"this May, and we made the"},{"speaker":"Charles Goldfarb","startTime":594.94,"endTime":599.02,"body":"challenging decision in"},{"speaker":"Charles Goldfarb","startTime":594.94,"endTime":599.02,"body":"September to cancel it. That was"},{"speaker":"Charles Goldfarb","startTime":599.02,"endTime":602.77,"body":"after we had accepted"},{"speaker":"Charles Goldfarb","startTime":599.02,"endTime":602.77,"body":"submissions for podium"},{"speaker":"Charles Goldfarb","startTime":602.77,"endTime":605.71,"body":"presentation. And this is a tri-"},{"speaker":"Charles Goldfarb","startTime":602.77,"endTime":605.71,"body":"you know, this meeting happens"},{"speaker":"Charles Goldfarb","startTime":605.71,"endTime":608.14,"body":"every three years. And it's"},{"speaker":"Charles Goldfarb","startTime":605.71,"endTime":608.14,"body":"somewhat of a big deal in my"},{"speaker":"Charles Goldfarb","startTime":608.14,"endTime":611.89,"body":"little world. And we decided to"},{"speaker":"Charles Goldfarb","startTime":608.14,"endTime":611.89,"body":"put this meeting on both to"},{"speaker":"Charles Goldfarb","startTime":611.89,"endTime":615.25,"body":"provide a review of pediatric"},{"speaker":"Charles Goldfarb","startTime":611.89,"endTime":615.25,"body":"and congenital issues, but also"},{"speaker":"Charles Goldfarb","startTime":615.25,"endTime":618.73,"body":"to give the best of these"},{"speaker":"Charles Goldfarb","startTime":615.25,"endTime":618.73,"body":"submissions a chance to present"},{"speaker":"Charles Goldfarb","startTime":618.76,"endTime":621.46,"body":"because in two years, when we do"},{"speaker":"Charles Goldfarb","startTime":618.76,"endTime":621.46,"body":"this meeting, we're not doing it"},{"speaker":"Charles Goldfarb","startTime":621.46,"endTime":625.75,"body":"next year, because it's the"},{"speaker":"Charles Goldfarb","startTime":621.46,"endTime":625.75,"body":"London IFSSH meeting. So in"},{"speaker":"Charles Goldfarb","startTime":625.75,"endTime":629.26,"body":"2023, when we do this meeting,"},{"speaker":"Charles Goldfarb","startTime":625.75,"endTime":629.26,"body":"there'll be new submissions. And"},{"speaker":"Charles Goldfarb","startTime":629.26,"endTime":631.96,"body":"so it's kind of a cool idea. And"},{"speaker":"Charles Goldfarb","startTime":629.26,"endTime":631.96,"body":"I think registration has been"},{"speaker":"Charles Goldfarb","startTime":631.96,"endTime":634.87,"body":"robust. So hopefully, you know,"},{"speaker":"Charles Goldfarb","startTime":631.96,"endTime":634.87,"body":"I'll report back but hopefully,"},{"speaker":"Charles Goldfarb","startTime":634.87,"endTime":635.53,"body":"it'll be a great meeting."},{"speaker":"Chris Dy","startTime":636.05,"endTime":638.18,"body":"That's great. Make"},{"speaker":"Chris Dy","startTime":636.05,"endTime":638.18,"body":"sure everybody check that out on"},{"speaker":"Chris Dy","startTime":638.18,"endTime":641.48,"body":"the hands society website, you"},{"speaker":"Chris Dy","startTime":638.18,"endTime":641.48,"body":"know, big props to the hand"},{"speaker":"Chris Dy","startTime":641.48,"endTime":645.89,"body":"society staff who gave"},{"speaker":"Chris Dy","startTime":641.48,"endTime":645.89,"body":"complimentary registration to"},{"speaker":"Chris Dy","startTime":645.89,"endTime":648.56,"body":"one of my medical students. So"},{"speaker":"Chris Dy","startTime":645.89,"endTime":648.56,"body":"thank you, Chuck, for connecting"},{"speaker":"Chris Dy","startTime":648.56,"endTime":651.65,"body":"me with them. And it was great."},{"speaker":"Chris Dy","startTime":648.56,"endTime":651.65,"body":"She's really interested she's at"},{"speaker":"Chris Dy","startTime":651.74,"endTime":654.17,"body":"Georgetown right now and wants"},{"speaker":"Chris Dy","startTime":651.74,"endTime":654.17,"body":"to pursue a career in"},{"speaker":"Chris Dy","startTime":654.17,"endTime":658.1,"body":"orthopedics and was clearly"},{"speaker":"Chris Dy","startTime":654.17,"endTime":658.1,"body":"drawn to the pediatric hand"},{"speaker":"Chris Dy","startTime":658.1,"endTime":659.06,"body":"surgery topic."},{"speaker":"Charles Goldfarb","startTime":660.23,"endTime":662.72,"body":"Well, it's a"},{"speaker":"Charles Goldfarb","startTime":660.23,"endTime":662.72,"body":"natural, it's a natural draw for"},{"speaker":"Charles Goldfarb","startTime":662.72,"endTime":665.84,"body":"the for the young, eager and"},{"speaker":"Charles Goldfarb","startTime":662.72,"endTime":665.84,"body":"interested in new things, not"},{"speaker":"Charles Goldfarb","startTime":665.84,"endTime":667.58,"body":"just this old nerd stuff, you"},{"speaker":"Charles Goldfarb","startTime":665.84,"endTime":667.58,"body":"know?"},{"speaker":"Chris Dy","startTime":667.61,"endTime":669.32,"body":"Yeah. Well, I mean,"},{"speaker":"Chris Dy","startTime":667.61,"endTime":669.32,"body":"that's that's what the hand"},{"speaker":"Chris Dy","startTime":669.32,"endTime":672.89,"body":"surger world needs is yet"},{"speaker":"Chris Dy","startTime":669.32,"endTime":672.89,"body":"another pediatric congenital"},{"speaker":"Chris Dy","startTime":672.89,"endTime":675.35,"body":"hand surgeon just like they"},{"speaker":"Chris Dy","startTime":672.89,"endTime":675.35,"body":"probably need another nerve"},{"speaker":"Chris Dy","startTime":675.35,"endTime":677.03,"body":"surgeon, right? You got it"},{"speaker":"Chris Dy","startTime":675.35,"endTime":677.03,"body":"again."},{"speaker":"Charles Goldfarb","startTime":677.12,"endTime":680.06,"body":"Fair enough."},{"speaker":"Charles Goldfarb","startTime":677.12,"endTime":680.06,"body":"How about I provide a review"},{"speaker":"Charles Goldfarb","startTime":680.09,"endTime":680.6,"body":"what do you think?"},{"speaker":"Chris Dy","startTime":680.9,"endTime":683.66,"body":"Yeah, let's do it."},{"speaker":"Chris Dy","startTime":680.9,"endTime":683.66,"body":"This is from a recent survey."},{"speaker":"Chris Dy","startTime":683.66,"endTime":687.05,"body":"Thank you. For the people that"},{"speaker":"Chris Dy","startTime":683.66,"endTime":687.05,"body":"have been filling out the survey"},{"speaker":"Chris Dy","startTime":687.05,"endTime":692.24,"body":"online. Next week we will draw"},{"speaker":"Chris Dy","startTime":687.05,"endTime":692.24,"body":"from the survey for the next mug"},{"speaker":"Chris Dy","startTime":692.24,"endTime":692.69,"body":"winner."},{"speaker":"Charles Goldfarb","startTime":693.65,"endTime":696.62,"body":"Okay, this"},{"speaker":"Charles Goldfarb","startTime":693.65,"endTime":696.62,"body":"says awesome conversational"},{"speaker":"Charles Goldfarb","startTime":696.62,"endTime":700.22,"body":"style which I think Chris and I"},{"speaker":"Charles Goldfarb","startTime":696.62,"endTime":700.22,"body":"were just alluding to we didn't"},{"speaker":"Charles Goldfarb","startTime":700.22,"endTime":702.77,"body":"know it was awesome but thank"},{"speaker":"Charles Goldfarb","startTime":700.22,"endTime":702.77,"body":"you when commuting and"},{"speaker":"Charles Goldfarb","startTime":702.77,"endTime":706.04,"body":"previously listening to high"},{"speaker":"Charles Goldfarb","startTime":702.77,"endTime":706.04,"body":"yield topics for exam prep often"},{"speaker":"Charles Goldfarb","startTime":706.04,"endTime":709.04,"body":"found myself driving and missing"},{"speaker":"Charles Goldfarb","startTime":706.04,"endTime":709.04,"body":"core information and having to"},{"speaker":"Charles Goldfarb","startTime":709.04,"endTime":714.02,"body":"rewind all the time your podcast"},{"speaker":"Charles Goldfarb","startTime":709.04,"endTime":714.02,"body":"allows me to jump for a second"},{"speaker":"Charles Goldfarb","startTime":714.02,"endTime":717.62,"body":"and easily latch on to the topic"},{"speaker":"Charles Goldfarb","startTime":714.02,"endTime":717.62,"body":"also I never heard of Dr."},{"speaker":"Charles Goldfarb","startTime":717.62,"endTime":723.98,"body":"Goldfarb and Chris but now all I"},{"speaker":"Charles Goldfarb","startTime":717.62,"endTime":723.98,"body":"see is Dr. Goldfarb's papers all"},{"speaker":"Charles Goldfarb","startTime":723.98,"endTime":725.54,"body":"over the literature Did you"},{"speaker":"Charles Goldfarb","startTime":723.98,"endTime":725.54,"body":"write this Chris?"},{"speaker":"Chris Dy","startTime":725.9,"endTime":727.91,"body":"No, I wanted you to"},{"speaker":"Chris Dy","startTime":725.9,"endTime":727.91,"body":"read though cuz I thought it'd"},{"speaker":"Chris Dy","startTime":727.91,"endTime":728.87,"body":"be awesome if you read it."},{"speaker":"Charles Goldfarb","startTime":730.34,"endTime":732.44,"body":"Dr. Goldfarb's"},{"speaker":"Charles Goldfarb","startTime":730.34,"endTime":732.44,"body":"papers all over the literature."},{"speaker":"Charles Goldfarb","startTime":732.47,"endTime":736.82,"body":"When reading like a workman with"},{"speaker":"Charles Goldfarb","startTime":732.47,"endTime":736.82,"body":"a hammer, they keep seeing nails"},{"speaker":"Charles Goldfarb","startTime":736.82,"endTime":740.0,"body":"Keep it up. Wow, I don't know"},{"speaker":"Charles Goldfarb","startTime":736.82,"endTime":740.0,"body":"who wrote this, but I owe them"},{"speaker":"Charles Goldfarb","startTime":740.0,"endTime":741.56,"body":"some serious cash."},{"speaker":"Chris Dy","startTime":741.62,"endTime":743.9,"body":"Oh, yeah. All right,"},{"speaker":"Chris Dy","startTime":741.62,"endTime":743.9,"body":"the Goldfarb children are"},{"speaker":"Chris Dy","startTime":743.9,"endTime":746.93,"body":"writing reviews now. whoever"},{"speaker":"Chris Dy","startTime":743.9,"endTime":746.93,"body":"wrote that and filled out the"},{"speaker":"Chris Dy","startTime":746.93,"endTime":749.81,"body":"survey. Thank you so much."},{"speaker":"Chris Dy","startTime":746.93,"endTime":749.81,"body":"That's a great review. We love"},{"speaker":"Chris Dy","startTime":749.81,"endTime":754.07,"body":"doing this. And, you know, stuff"},{"speaker":"Chris Dy","startTime":749.81,"endTime":754.07,"body":"like that, that really keeps us"},{"speaker":"Chris Dy","startTime":754.07,"endTime":758.09,"body":"going. And honestly, Chuck is"},{"speaker":"Chris Dy","startTime":754.07,"endTime":758.09,"body":"all over the literature. And you"},{"speaker":"Chris Dy","startTime":758.09,"endTime":760.52,"body":"know, I think Chuck has a knack"},{"speaker":"Chris Dy","startTime":758.09,"endTime":760.52,"body":"for writing papers that are"},{"speaker":"Chris Dy","startTime":760.52,"endTime":764.03,"body":"timely and important. Just like,"},{"speaker":"Chris Dy","startTime":760.52,"endTime":764.03,"body":"you know, a lot of us at Wash U."},{"speaker":"Chris Dy","startTime":764.03,"endTime":766.67,"body":"But and Ryan Calfee is somebody"},{"speaker":"Chris Dy","startTime":764.03,"endTime":766.67,"body":"we've talked about that, too,"},{"speaker":"Chris Dy","startTime":766.67,"endTime":771.11,"body":"who writes papers that matter."},{"speaker":"Chris Dy","startTime":766.67,"endTime":771.11,"body":"So, you know, I think that Chuck"},{"speaker":"Chris Dy","startTime":771.11,"endTime":772.58,"body":"is just filling the mold."},{"speaker":"Charles Goldfarb","startTime":773.15,"endTime":774.89,"body":"Well, it's"},{"speaker":"Charles Goldfarb","startTime":773.15,"endTime":774.89,"body":"interesting, well it's very nice"},{"speaker":"Charles Goldfarb","startTime":774.89,"endTime":778.28,"body":"of both you and our reviewer. It"},{"speaker":"Charles Goldfarb","startTime":774.89,"endTime":778.28,"body":"is interesting. I think as I"},{"speaker":"Charles Goldfarb","startTime":778.28,"endTime":782.51,"body":"started my career, volume was"},{"speaker":"Charles Goldfarb","startTime":778.28,"endTime":782.51,"body":"important to me, and not that it"},{"speaker":"Charles Goldfarb","startTime":782.51,"endTime":786.47,"body":"isn't still but impact is way"},{"speaker":"Charles Goldfarb","startTime":782.51,"endTime":786.47,"body":"more important. And there are"},{"speaker":"Charles Goldfarb","startTime":786.47,"endTime":790.85,"body":"some really creative thinkers."},{"speaker":"Charles Goldfarb","startTime":786.47,"endTime":790.85,"body":"And I would encourage trainees"},{"speaker":"Charles Goldfarb","startTime":790.88,"endTime":795.11,"body":"to try to, you know, think about"},{"speaker":"Charles Goldfarb","startTime":790.88,"endTime":795.11,"body":"things differently. It is an"},{"speaker":"Charles Goldfarb","startTime":795.11,"endTime":799.97,"body":"acquired skill. It's one thing"},{"speaker":"Charles Goldfarb","startTime":795.11,"endTime":799.97,"body":"to go about a procedure, and"},{"speaker":"Charles Goldfarb","startTime":799.97,"endTime":803.96,"body":"just learn to do it well and do"},{"speaker":"Charles Goldfarb","startTime":799.97,"endTime":803.96,"body":"just that. It's another thing to"},{"speaker":"Charles Goldfarb","startTime":803.96,"endTime":806.96,"body":"think conceptually about a"},{"speaker":"Charles Goldfarb","startTime":803.96,"endTime":806.96,"body":"procedure, what might be done"},{"speaker":"Charles Goldfarb","startTime":806.96,"endTime":809.75,"body":"differently, or if a different"},{"speaker":"Charles Goldfarb","startTime":806.96,"endTime":809.75,"body":"procedure could accomplish a"},{"speaker":"Charles Goldfarb","startTime":809.75,"endTime":814.46,"body":"similar goal. And so again, that"},{"speaker":"Charles Goldfarb","startTime":809.75,"endTime":814.46,"body":"like an ability to talk about"},{"speaker":"Charles Goldfarb","startTime":814.46,"endTime":816.98,"body":"your favorite topic comes with"},{"speaker":"Charles Goldfarb","startTime":814.46,"endTime":816.98,"body":"time, you have to have the base"},{"speaker":"Charles Goldfarb","startTime":816.98,"endTime":820.22,"body":"knowledge and the experience."},{"speaker":"Charles Goldfarb","startTime":816.98,"endTime":820.22,"body":"But that's a super interesting"},{"speaker":"Charles Goldfarb","startTime":820.22,"endTime":823.91,"body":"concept. And we should probably"},{"speaker":"Charles Goldfarb","startTime":820.22,"endTime":823.91,"body":"talk about innovation at some"},{"speaker":"Charles Goldfarb","startTime":823.91,"endTime":826.13,"body":"point, but that, you know,"},{"speaker":"Charles Goldfarb","startTime":823.91,"endTime":826.13,"body":"usually we say innovation, we"},{"speaker":"Charles Goldfarb","startTime":826.19,"endTime":828.86,"body":"were talking about product"},{"speaker":"Charles Goldfarb","startTime":826.19,"endTime":828.86,"body":"development, but innovation"},{"speaker":"Charles Goldfarb","startTime":828.86,"endTime":830.45,"body":"surgically is interesting as"},{"speaker":"Charles Goldfarb","startTime":828.86,"endTime":830.45,"body":"well."},{"speaker":"Chris Dy","startTime":830.99,"endTime":832.61,"body":"Yeah, I think that,"},{"speaker":"Chris Dy","startTime":830.99,"endTime":832.61,"body":"you know, honestly, there's a"},{"speaker":"Chris Dy","startTime":832.61,"endTime":835.43,"body":"very privileged period in your"},{"speaker":"Chris Dy","startTime":832.61,"endTime":835.43,"body":"career where you are, you know,"},{"speaker":"Chris Dy","startTime":835.43,"endTime":839.57,"body":"kind of at your peak innovation,"},{"speaker":"Chris Dy","startTime":835.43,"endTime":839.57,"body":"not that you can't innovate very"},{"speaker":"Chris Dy","startTime":839.57,"endTime":842.57,"body":"early or very late. But once"},{"speaker":"Chris Dy","startTime":839.57,"endTime":842.57,"body":"you've established, you know, a"},{"speaker":"Chris Dy","startTime":842.57,"endTime":845.15,"body":"foundational amount of"},{"speaker":"Chris Dy","startTime":842.57,"endTime":845.15,"body":"knowledge, but you still have a"},{"speaker":"Chris Dy","startTime":845.15,"endTime":847.94,"body":"bit of an outsider perspective."},{"speaker":"Chris Dy","startTime":845.15,"endTime":847.94,"body":"And honestly, one of the things"},{"speaker":"Chris Dy","startTime":847.94,"endTime":851.27,"body":"I love working with residents"},{"speaker":"Chris Dy","startTime":847.94,"endTime":851.27,"body":"and fellows and medical students"},{"speaker":"Chris Dy","startTime":851.27,"endTime":855.53,"body":"is that their perspective is so"},{"speaker":"Chris Dy","startTime":851.27,"endTime":855.53,"body":"different, that they will"},{"speaker":"Chris Dy","startTime":855.53,"endTime":858.71,"body":"actually push you a bit to think"},{"speaker":"Chris Dy","startTime":855.53,"endTime":858.71,"body":"about, well, why do we do it"},{"speaker":"Chris Dy","startTime":858.71,"endTime":861.32,"body":"that way? And I've honestly"},{"speaker":"Chris Dy","startTime":858.71,"endTime":861.32,"body":"changed some techniques, you"},{"speaker":"Chris Dy","startTime":861.32,"endTime":863.93,"body":"know, little subtle things on"},{"speaker":"Chris Dy","startTime":861.32,"endTime":863.93,"body":"how I do, you know, certain"},{"speaker":"Chris Dy","startTime":863.93,"endTime":866.57,"body":"procedures based on comments"},{"speaker":"Chris Dy","startTime":863.93,"endTime":866.57,"body":"from residents and fellows, they"},{"speaker":"Chris Dy","startTime":866.57,"endTime":869.36,"body":"have different perspectives,"},{"speaker":"Chris Dy","startTime":866.57,"endTime":869.36,"body":"some their own some from what"},{"speaker":"Chris Dy","startTime":869.36,"endTime":872.12,"body":"they've seen elsewhere. I'm"},{"speaker":"Chris Dy","startTime":869.36,"endTime":872.12,"body":"like, you know that makes a lot"},{"speaker":"Chris Dy","startTime":872.12,"endTime":875.6,"body":"of sense. And I think that I'm"},{"speaker":"Chris Dy","startTime":872.12,"endTime":875.6,"body":"reading a book right now, by"},{"speaker":"Chris Dy","startTime":875.6,"endTime":879.11,"body":"Adam Grant, about, you know,"},{"speaker":"Chris Dy","startTime":875.6,"endTime":879.11,"body":"being stuck in the same"},{"speaker":"Chris Dy","startTime":879.11,"endTime":881.33,"body":"perspective and how we really"},{"speaker":"Chris Dy","startTime":879.11,"endTime":881.33,"body":"need to take a step back and"},{"speaker":"Chris Dy","startTime":881.33,"endTime":885.14,"body":"maybe keep, you know, open to"},{"speaker":"Chris Dy","startTime":881.33,"endTime":885.14,"body":"new ideas. And, you know,"},{"speaker":"Chris Dy","startTime":885.14,"endTime":888.95,"body":"honestly, that that is really,"},{"speaker":"Chris Dy","startTime":885.14,"endTime":888.95,"body":"really relevant to what we do in"},{"speaker":"Chris Dy","startTime":888.95,"endTime":891.74,"body":"medicine and particularly in"},{"speaker":"Chris Dy","startTime":888.95,"endTime":891.74,"body":"surgery and hand therapy."},{"speaker":"Charles Goldfarb","startTime":892.76,"endTime":895.76,"body":"Yeah, I would"},{"speaker":"Charles Goldfarb","startTime":892.76,"endTime":895.76,"body":"say this the concept of keeping"},{"speaker":"Charles Goldfarb","startTime":895.76,"endTime":900.5,"body":"an open mind to the ideas of"},{"speaker":"Charles Goldfarb","startTime":895.76,"endTime":900.5,"body":"residents and fellows is a"},{"speaker":"Charles Goldfarb","startTime":900.5,"endTime":904.88,"body":"relatively new one I'll never"},{"speaker":"Charles Goldfarb","startTime":900.5,"endTime":904.88,"body":"forget during residency, one or"},{"speaker":"Charles Goldfarb","startTime":904.88,"endTime":907.4,"body":"more of my attendings, when I"},{"speaker":"Charles Goldfarb","startTime":904.88,"endTime":907.4,"body":"would ask why do you do it this"},{"speaker":"Charles Goldfarb","startTime":907.4,"endTime":910.28,"body":"way? Or would you consider doing"},{"speaker":"Charles Goldfarb","startTime":907.4,"endTime":910.28,"body":"that way, not even getting a"},{"speaker":"Charles Goldfarb","startTime":910.28,"endTime":913.76,"body":"response not getting a backhand"},{"speaker":"Charles Goldfarb","startTime":910.28,"endTime":913.76,"body":"either, but just getting a look"},{"speaker":"Charles Goldfarb","startTime":913.76,"endTime":917.27,"body":"like, just keep quiet, Goldfarb."},{"speaker":"Charles Goldfarb","startTime":913.76,"endTime":917.27,"body":"There's no need for you to be"},{"speaker":"Charles Goldfarb","startTime":917.27,"endTime":918.23,"body":"talking right now."},{"speaker":"Chris Dy","startTime":919.83,"endTime":923.34,"body":"Well, I think without"},{"speaker":"Chris Dy","startTime":919.83,"endTime":923.34,"body":"being open to change, you might"},{"speaker":"Chris Dy","startTime":923.34,"endTime":925.86,"body":"get stuck behind, like we've"},{"speaker":"Chris Dy","startTime":923.34,"endTime":925.86,"body":"talked about for some topics."},{"speaker":"Chris Dy","startTime":926.25,"endTime":928.32,"body":"You know, I guess, when we're"},{"speaker":"Chris Dy","startTime":926.25,"endTime":928.32,"body":"talking about the Goldman Sachs"},{"speaker":"Chris Dy","startTime":928.32,"endTime":931.29,"body":"thing, just culturally to and"},{"speaker":"Chris Dy","startTime":928.32,"endTime":931.29,"body":"how we train, you know, without,"},{"speaker":"Chris Dy","startTime":931.62,"endTime":934.92,"body":"if you're not receptive to how"},{"speaker":"Chris Dy","startTime":931.62,"endTime":934.92,"body":"other people are thinking you're"},{"speaker":"Chris Dy","startTime":934.92,"endTime":938.49,"body":"gonna get left behind. Now, I"},{"speaker":"Chris Dy","startTime":934.92,"endTime":938.49,"body":"had a recent case that it was"},{"speaker":"Chris Dy","startTime":938.49,"endTime":941.28,"body":"really it was, it was intriguing"},{"speaker":"Chris Dy","startTime":938.49,"endTime":941.28,"body":"to see follow up it was. So I"},{"speaker":"Chris Dy","startTime":941.31,"endTime":943.89,"body":"can't get into too many details,"},{"speaker":"Chris Dy","startTime":941.31,"endTime":943.89,"body":"but it was somebody who I had"},{"speaker":"Chris Dy","startTime":943.89,"endTime":946.68,"body":"treated for a brachial plexus"},{"speaker":"Chris Dy","startTime":943.89,"endTime":946.68,"body":"injury, you know, at the"},{"speaker":"Chris Dy","startTime":946.68,"endTime":950.43,"body":"beginning part of my practice."},{"speaker":"Chris Dy","startTime":946.68,"endTime":950.43,"body":"And now I'm proud to say that"},{"speaker":"Chris Dy","startTime":950.43,"endTime":952.62,"body":"I've established relationships"},{"speaker":"Chris Dy","startTime":950.43,"endTime":952.62,"body":"with a few patients who have"},{"speaker":"Chris Dy","startTime":952.62,"endTime":956.25,"body":"come and see me along the way,"},{"speaker":"Chris Dy","startTime":952.62,"endTime":956.25,"body":"and I've been very happy, and"},{"speaker":"Chris Dy","startTime":956.25,"endTime":960.6,"body":"privileged to see how they've"},{"speaker":"Chris Dy","startTime":956.25,"endTime":960.6,"body":"responded to the treatments that"},{"speaker":"Chris Dy","startTime":960.6,"endTime":963.9,"body":"I've, you know, that I've"},{"speaker":"Chris Dy","startTime":960.6,"endTime":963.9,"body":"performed, as well as their"},{"speaker":"Chris Dy","startTime":963.9,"endTime":967.17,"body":"rehab along along the way, and,"},{"speaker":"Chris Dy","startTime":963.9,"endTime":967.17,"body":"honestly, the natural history of"},{"speaker":"Chris Dy","startTime":967.17,"endTime":969.93,"body":"their healing, it's just so"},{"speaker":"Chris Dy","startTime":967.17,"endTime":969.93,"body":"educational to see people back."},{"speaker":"Chris Dy","startTime":970.29,"endTime":973.68,"body":"And I ended up doing, you know,"},{"speaker":"Chris Dy","startTime":970.29,"endTime":973.68,"body":"a secondary procedure on"},{"speaker":"Chris Dy","startTime":973.68,"endTime":978.48,"body":"somebody who had a Plexus injury"},{"speaker":"Chris Dy","startTime":973.68,"endTime":978.48,"body":"before. And it was for the"},{"speaker":"Chris Dy","startTime":978.48,"endTime":981.3,"body":"reason that you don't believe, a"},{"speaker":"Chris Dy","startTime":978.48,"endTime":981.3,"body":"swollen nerve that had"},{"speaker":"Chris Dy","startTime":981.3,"endTime":986.19,"body":"regenerated. But it was it was"},{"speaker":"Chris Dy","startTime":981.3,"endTime":986.19,"body":"real, and I have ultrasound"},{"speaker":"Chris Dy","startTime":986.19,"endTime":989.97,"body":"proof that it was swollen. So"},{"speaker":"Chris Dy","startTime":986.19,"endTime":989.97,"body":"that also has been really"},{"speaker":"Chris Dy","startTime":989.97,"endTime":994.35,"body":"helpful. But um, you know, it's,"},{"speaker":"Chris Dy","startTime":989.97,"endTime":994.35,"body":"uh, it's just so nice to see"},{"speaker":"Chris Dy","startTime":994.35,"endTime":997.41,"body":"people back. And, you know, I've"},{"speaker":"Chris Dy","startTime":994.35,"endTime":997.41,"body":"talked with residents and"},{"speaker":"Chris Dy","startTime":997.41,"endTime":1001.46,"body":"fellows, you know, before about"},{"speaker":"Chris Dy","startTime":997.41,"endTime":1001.46,"body":"developing relationships with"},{"speaker":"Chris Dy","startTime":1001.46,"endTime":1003.68,"body":"patients in terms of how much"},{"speaker":"Chris Dy","startTime":1001.46,"endTime":1003.68,"body":"you connect with them. And it"},{"speaker":"Chris Dy","startTime":1003.68,"endTime":1007.04,"body":"was actually one of our current"},{"speaker":"Chris Dy","startTime":1003.68,"endTime":1007.04,"body":"fellows, Jocelyn Compton. And"},{"speaker":"Chris Dy","startTime":1007.04,"endTime":1008.66,"body":"you know, she, she had a good"},{"speaker":"Chris Dy","startTime":1007.04,"endTime":1008.66,"body":"point, she's like, you don't"},{"speaker":"Chris Dy","startTime":1008.66,"endTime":1011.09,"body":"want to remember every carpal"},{"speaker":"Chris Dy","startTime":1008.66,"endTime":1011.09,"body":"tunnel, and you don't want every"},{"speaker":"Chris Dy","startTime":1011.09,"endTime":1014.33,"body":"carpal tunnel to remember you."},{"speaker":"Chris Dy","startTime":1011.09,"endTime":1014.33,"body":"But something like a Plexus or"},{"speaker":"Chris Dy","startTime":1014.33,"endTime":1017.84,"body":"something like a syndactyly. Not"},{"speaker":"Chris Dy","startTime":1014.33,"endTime":1017.84,"body":"a syndactyly, maybe, but like a"},{"speaker":"Chris Dy","startTime":1017.87,"endTime":1020.99,"body":"pollicization like, those are"},{"speaker":"Chris Dy","startTime":1017.87,"endTime":1020.99,"body":"cases that you immediately see"},{"speaker":"Chris Dy","startTime":1020.99,"endTime":1023.51,"body":"their name, or you see their"},{"speaker":"Chris Dy","startTime":1020.99,"endTime":1023.51,"body":"face, you're like, I remember"},{"speaker":"Chris Dy","startTime":1023.51,"endTime":1026.6,"body":"everything about your case. And"},{"speaker":"Chris Dy","startTime":1023.51,"endTime":1026.6,"body":"it's just nice. And I'm so early"},{"speaker":"Chris Dy","startTime":1026.6,"endTime":1029.69,"body":"in practice, still, but I mean,"},{"speaker":"Chris Dy","startTime":1026.6,"endTime":1029.69,"body":"it's just a nice thing to see"},{"speaker":"Chris Dy","startTime":1029.69,"endTime":1032.09,"body":"and to know how people do from"},{"speaker":"Chris Dy","startTime":1029.69,"endTime":1032.09,"body":"big surgeries."},{"speaker":"Charles Goldfarb","startTime":1032.45,"endTime":1033.92,"body":"Yeah, to"},{"speaker":"Charles Goldfarb","startTime":1032.45,"endTime":1033.92,"body":"comments on that, I think it's a"},{"speaker":"Charles Goldfarb","startTime":1033.92,"endTime":1039.08,"body":"great point, it is a challenge"},{"speaker":"Charles Goldfarb","startTime":1033.92,"endTime":1039.08,"body":"in our current medical society"},{"speaker":"Charles Goldfarb","startTime":1039.11,"endTime":1043.61,"body":"or medical state to do that,"},{"speaker":"Charles Goldfarb","startTime":1039.11,"endTime":1043.61,"body":"because we have high co pays,"},{"speaker":"Charles Goldfarb","startTime":1044.0,"endTime":1046.67,"body":"and patients aren't so"},{"speaker":"Charles Goldfarb","startTime":1044.0,"endTime":1046.67,"body":"interested in coming back. And"},{"speaker":"Charles Goldfarb","startTime":1046.67,"endTime":1049.16,"body":"in my experience, they just want"},{"speaker":"Charles Goldfarb","startTime":1046.67,"endTime":1049.16,"body":"to be done. I mean, there's"},{"speaker":"Charles Goldfarb","startTime":1049.16,"endTime":1053.45,"body":"certainly exceptions to that."},{"speaker":"Charles Goldfarb","startTime":1049.16,"endTime":1053.45,"body":"One exception, was today, when I"},{"speaker":"Charles Goldfarb","startTime":1053.45,"endTime":1057.17,"body":"have a delightful patient who"},{"speaker":"Charles Goldfarb","startTime":1053.45,"endTime":1057.17,"body":"had a mirror hand, and you know,"},{"speaker":"Charles Goldfarb","startTime":1057.17,"endTime":1060.71,"body":"complex reconstruction. And not"},{"speaker":"Charles Goldfarb","startTime":1057.17,"endTime":1060.71,"body":"only have I maintained a"},{"speaker":"Charles Goldfarb","startTime":1060.71,"endTime":1064.19,"body":"relationship with her over the"},{"speaker":"Charles Goldfarb","startTime":1060.71,"endTime":1064.19,"body":"last five years, she's become an"},{"speaker":"Charles Goldfarb","startTime":1064.19,"endTime":1066.68,"body":"ambassador for the Shriners"},{"speaker":"Charles Goldfarb","startTime":1064.19,"endTime":1066.68,"body":"Hospital. And she's an"},{"speaker":"Charles Goldfarb","startTime":1066.68,"endTime":1070.22,"body":"ambassador for the work that Dr."},{"speaker":"Charles Goldfarb","startTime":1066.68,"endTime":1070.22,"body":"Wall and I do interacting"},{"speaker":"Charles Goldfarb","startTime":1070.25,"endTime":1074.0,"body":"internationally with other"},{"speaker":"Charles Goldfarb","startTime":1070.25,"endTime":1074.0,"body":"mirror hand families. And so she"},{"speaker":"Charles Goldfarb","startTime":1074.0,"endTime":1076.7,"body":"came to the office today, it was"},{"speaker":"Charles Goldfarb","startTime":1074.0,"endTime":1076.7,"body":"great to see her She played her"},{"speaker":"Charles Goldfarb","startTime":1076.7,"endTime":1081.89,"body":"ukulele, she did some acro. And"},{"speaker":"Charles Goldfarb","startTime":1076.7,"endTime":1081.89,"body":"seriously, it was awesome. So"},{"speaker":"Charles Goldfarb","startTime":1081.92,"endTime":1084.74,"body":"super fun stuff. And I there's"},{"speaker":"Charles Goldfarb","startTime":1081.92,"endTime":1084.74,"body":"such value in that. But you're"},{"speaker":"Charles Goldfarb","startTime":1084.74,"endTime":1087.41,"body":"right, it's not gonna be every"},{"speaker":"Charles Goldfarb","startTime":1084.74,"endTime":1087.41,"body":"patient. And we're fortunate to"},{"speaker":"Charles Goldfarb","startTime":1087.41,"endTime":1091.04,"body":"have practices that might lend"},{"speaker":"Charles Goldfarb","startTime":1087.41,"endTime":1091.04,"body":"itself more to that, compared"},{"speaker":"Charles Goldfarb","startTime":1091.04,"endTime":1093.38,"body":"to, you know, a bread and butter"},{"speaker":"Charles Goldfarb","startTime":1091.04,"endTime":1093.38,"body":"type practice."},{"speaker":"Chris Dy","startTime":1093.92,"endTime":1096.14,"body":"Yeah, I mean, so did"},{"speaker":"Chris Dy","startTime":1093.92,"endTime":1096.14,"body":"that patient come back as a"},{"speaker":"Chris Dy","startTime":1096.14,"endTime":1098.45,"body":"visit and then just hung around"},{"speaker":"Chris Dy","startTime":1096.14,"endTime":1098.45,"body":"and played the ukulele at the"},{"speaker":"Chris Dy","startTime":1098.45,"endTime":1102.17,"body":"shrine? Or is that somebody that"},{"speaker":"Chris Dy","startTime":1098.45,"endTime":1102.17,"body":"you just happen, loves to pop"},{"speaker":"Chris Dy","startTime":1102.17,"endTime":1104.45,"body":"into your clinic and, you know,"},{"speaker":"Chris Dy","startTime":1102.17,"endTime":1104.45,"body":"bring muffins and hang out?"},{"speaker":"Charles Goldfarb","startTime":1104.99,"endTime":1107.54,"body":"No, she and"},{"speaker":"Charles Goldfarb","startTime":1104.99,"endTime":1107.54,"body":"her family are just diehard"},{"speaker":"Charles Goldfarb","startTime":1107.54,"endTime":1110.27,"body":"supporters. And so this was her"},{"speaker":"Charles Goldfarb","startTime":1107.54,"endTime":1110.27,"body":"annual visit for some of the"},{"speaker":"Charles Goldfarb","startTime":1110.27,"endTime":1114.02,"body":"kids, you know, annual or every"},{"speaker":"Charles Goldfarb","startTime":1110.27,"endTime":1114.02,"body":"other year, we see them back as"},{"speaker":"Charles Goldfarb","startTime":1114.02,"endTime":1116.54,"body":"long as the growth plates are"},{"speaker":"Charles Goldfarb","startTime":1114.02,"endTime":1116.54,"body":"open just to kind of preempt and"},{"speaker":"Charles Goldfarb","startTime":1116.57,"endTime":1119.63,"body":"keep an eye on things. And this"},{"speaker":"Charles Goldfarb","startTime":1116.57,"endTime":1119.63,"body":"was just a visit. And she wanted"},{"speaker":"Charles Goldfarb","startTime":1119.63,"endTime":1122.54,"body":"to show off with the ukulele and"},{"speaker":"Charles Goldfarb","startTime":1119.63,"endTime":1122.54,"body":"show off with some of her"},{"speaker":"Charles Goldfarb","startTime":1122.54,"endTime":1124.61,"body":"manipulation stuff. It was cool."},{"speaker":"Chris Dy","startTime":1124.94,"endTime":1126.74,"body":"That's awesome. I hope"},{"speaker":"Chris Dy","startTime":1124.94,"endTime":1126.74,"body":"you took some videos, because"},{"speaker":"Chris Dy","startTime":1126.74,"endTime":1129.89,"body":"those things are so powerful."},{"speaker":"Chris Dy","startTime":1126.74,"endTime":1129.89,"body":"And you started to get videos on"},{"speaker":"Chris Dy","startTime":1129.89,"endTime":1132.59,"body":"patients not only about their"},{"speaker":"Chris Dy","startTime":1129.89,"endTime":1132.59,"body":"actual clinical outcome, but you"},{"speaker":"Chris Dy","startTime":1132.59,"endTime":1135.23,"body":"know, the them narrating how"},{"speaker":"Chris Dy","startTime":1132.59,"endTime":1135.23,"body":"they've done because I think"},{"speaker":"Chris Dy","startTime":1135.23,"endTime":1137.63,"body":"we've talked about this before"},{"speaker":"Chris Dy","startTime":1135.23,"endTime":1137.63,"body":"like giving presentations,"},{"speaker":"Chris Dy","startTime":1137.93,"endTime":1141.2,"body":"nothing carries the day like a"},{"speaker":"Chris Dy","startTime":1137.93,"endTime":1141.2,"body":"good story. When you're looking"},{"speaker":"Chris Dy","startTime":1141.2,"endTime":1143.45,"body":"for funding when you're trying"},{"speaker":"Chris Dy","startTime":1141.2,"endTime":1143.45,"body":"to win over people that are a"},{"speaker":"Chris Dy","startTime":1143.45,"endTime":1147.23,"body":"bit skeptical on your approach."},{"speaker":"Chris Dy","startTime":1143.45,"endTime":1147.23,"body":"You know, those stories and"},{"speaker":"Chris Dy","startTime":1147.23,"endTime":1149.78,"body":"seeing videos is so powerful."},{"speaker":"Charles Goldfarb","startTime":1150.32,"endTime":1152.69,"body":"Yeah, as much"},{"speaker":"Charles Goldfarb","startTime":1150.32,"endTime":1152.69,"body":"as I love still photography"},{"speaker":"Charles Goldfarb","startTime":1152.78,"endTime":1157.1,"body":"videos are so much better. And"},{"speaker":"Charles Goldfarb","startTime":1152.78,"endTime":1157.1,"body":"so I still am making that"},{"speaker":"Charles Goldfarb","startTime":1157.1,"endTime":1160.22,"body":"transition to always making"},{"speaker":"Charles Goldfarb","startTime":1157.1,"endTime":1160.22,"body":"video first. But you're right."},{"speaker":"Charles Goldfarb","startTime":1160.4,"endTime":1161.15,"body":"So important."},{"speaker":"Chris Dy","startTime":1161.51,"endTime":1164.0,"body":"So I think one one"},{"speaker":"Chris Dy","startTime":1161.51,"endTime":1164.0,"body":"thing before we transition to"},{"speaker":"Chris Dy","startTime":1164.0,"endTime":1167.51,"body":"our actual, you know, topics of"},{"speaker":"Chris Dy","startTime":1164.0,"endTime":1167.51,"body":"discussion for today, I think"},{"speaker":"Chris Dy","startTime":1167.51,"endTime":1170.12,"body":"that the patient advocate thing"},{"speaker":"Chris Dy","startTime":1167.51,"endTime":1170.12,"body":"is going to be super, super"},{"speaker":"Chris Dy","startTime":1170.12,"endTime":1172.55,"body":"important going forward. And I"},{"speaker":"Chris Dy","startTime":1170.12,"endTime":1172.55,"body":"know that you are an early"},{"speaker":"Chris Dy","startTime":1172.55,"endTime":1175.34,"body":"believer in this concept and I"},{"speaker":"Chris Dy","startTime":1172.55,"endTime":1175.34,"body":"think inspired by you know some"},{"speaker":"Chris Dy","startTime":1175.34,"endTime":1178.16,"body":"of the work that you've done"},{"speaker":"Chris Dy","startTime":1175.34,"endTime":1178.16,"body":"with with hand camp and"},{"speaker":"Chris Dy","startTime":1178.43,"endTime":1181.04,"body":"everything else. I've started to"},{"speaker":"Chris Dy","startTime":1178.43,"endTime":1181.04,"body":"engage with the United brachial"},{"speaker":"Chris Dy","startTime":1181.04,"endTime":1184.79,"body":"plexus network, not only just to"},{"speaker":"Chris Dy","startTime":1181.04,"endTime":1184.79,"body":"learn about their programs and"},{"speaker":"Chris Dy","startTime":1184.79,"endTime":1187.88,"body":"what they do, but also"},{"speaker":"Chris Dy","startTime":1184.79,"endTime":1187.88,"body":"academically, you know, and"},{"speaker":"Chris Dy","startTime":1187.91,"endTime":1190.67,"body":"we've done some we've written"},{"speaker":"Chris Dy","startTime":1187.91,"endTime":1190.67,"body":"some grants that are in the"},{"speaker":"Chris Dy","startTime":1190.67,"endTime":1194.75,"body":"process in terms of involving"},{"speaker":"Chris Dy","startTime":1190.67,"endTime":1194.75,"body":"their patient advocacy, you"},{"speaker":"Chris Dy","startTime":1194.75,"endTime":1198.95,"body":"know, their volunteers, as as"},{"speaker":"Chris Dy","startTime":1194.75,"endTime":1198.95,"body":"research participants to help us"},{"speaker":"Chris Dy","startTime":1198.95,"endTime":1201.14,"body":"understand how to get better"},{"speaker":"Chris Dy","startTime":1198.95,"endTime":1201.14,"body":"perplexus stuff. So I think it's"},{"speaker":"Chris Dy","startTime":1201.14,"endTime":1204.74,"body":"really exciting stuff. I think"},{"speaker":"Chris Dy","startTime":1201.14,"endTime":1204.74,"body":"it's the I think it's the way"},{"speaker":"Chris Dy","startTime":1204.74,"endTime":1207.95,"body":"forward for some of the clinical"},{"speaker":"Chris Dy","startTime":1204.74,"endTime":1207.95,"body":"research and health services"},{"speaker":"Chris Dy","startTime":1207.95,"endTime":1208.64,"body":"stuff that we do."},{"speaker":"Charles Goldfarb","startTime":1209.41,"endTime":1210.88,"body":"Yeah,"},{"speaker":"Charles Goldfarb","startTime":1209.41,"endTime":1210.88,"body":"obviously, you're doing amazing"},{"speaker":"Charles Goldfarb","startTime":1210.88,"endTime":1213.37,"body":"work in that area. But you're"},{"speaker":"Charles Goldfarb","startTime":1210.88,"endTime":1213.37,"body":"right, it's clearly the way"},{"speaker":"Charles Goldfarb","startTime":1213.37,"endTime":1218.08,"body":"forward, clearly. So I think"},{"speaker":"Charles Goldfarb","startTime":1213.37,"endTime":1218.08,"body":"we're going to get to the meat"},{"speaker":"Charles Goldfarb","startTime":1218.08,"endTime":1220.12,"body":"of the matter. And we're going"},{"speaker":"Charles Goldfarb","startTime":1218.08,"endTime":1220.12,"body":"to talk about two articles, one"},{"speaker":"Charles Goldfarb","startTime":1220.12,"endTime":1223.15,"body":"in Harvard Business Review, and"},{"speaker":"Charles Goldfarb","startTime":1220.12,"endTime":1223.15,"body":"the other from Journal of Hand"},{"speaker":"Charles Goldfarb","startTime":1223.15,"endTime":1223.6,"body":"Surgery."},{"speaker":"Chris Dy","startTime":1223.72,"endTime":1227.11,"body":"But yeah, we're doing"},{"speaker":"Chris Dy","startTime":1223.72,"endTime":1227.11,"body":"our first kind of opposite ends"},{"speaker":"Chris Dy","startTime":1227.11,"endTime":1230.71,"body":"of the spectrum Journal Club. So"},{"speaker":"Chris Dy","startTime":1227.11,"endTime":1230.71,"body":"as I say, we've got a business"},{"speaker":"Chris Dy","startTime":1230.74,"endTime":1234.28,"body":"type article, which is actually"},{"speaker":"Chris Dy","startTime":1230.74,"endTime":1234.28,"body":"written by some, some people"},{"speaker":"Chris Dy","startTime":1234.28,"endTime":1237.85,"body":"from Michigan, and they're at"},{"speaker":"Chris Dy","startTime":1234.28,"endTime":1237.85,"body":"their medical school, and a very"},{"speaker":"Chris Dy","startTime":1237.85,"endTime":1240.43,"body":"hand surgery type article. So"},{"speaker":"Chris Dy","startTime":1237.85,"endTime":1240.43,"body":"let's have at it."},{"speaker":"Charles Goldfarb","startTime":1240.45,"endTime":1242.64,"body":"Yeah, so we"},{"speaker":"Charles Goldfarb","startTime":1240.45,"endTime":1242.64,"body":"the business article that you"},{"speaker":"Charles Goldfarb","startTime":1242.64,"endTime":1246.18,"body":"suggested resonated with me. And"},{"speaker":"Charles Goldfarb","startTime":1242.64,"endTime":1246.18,"body":"we've been talking about this"},{"speaker":"Charles Goldfarb","startTime":1246.18,"endTime":1249.81,"body":"departmentally because it's"},{"speaker":"Charles Goldfarb","startTime":1246.18,"endTime":1249.81,"body":"about mentorship. And one thing"},{"speaker":"Charles Goldfarb","startTime":1249.81,"endTime":1253.08,"body":"that has struck me and for some"},{"speaker":"Charles Goldfarb","startTime":1249.81,"endTime":1253.08,"body":"listeners, you're going to be"},{"speaker":"Charles Goldfarb","startTime":1253.08,"endTime":1257.4,"body":"like, questioning why this would"},{"speaker":"Charles Goldfarb","startTime":1253.08,"endTime":1257.4,"body":"strike me as a primary desire of"},{"speaker":"Charles Goldfarb","startTime":1257.4,"endTime":1260.82,"body":"an applicant, but for applicants"},{"speaker":"Charles Goldfarb","startTime":1257.4,"endTime":1260.82,"body":"to join our, you know, for for"},{"speaker":"Charles Goldfarb","startTime":1260.82,"endTime":1266.34,"body":"interviewees, I should say, to"},{"speaker":"Charles Goldfarb","startTime":1260.82,"endTime":1266.34,"body":"join our faculty, one of the"},{"speaker":"Charles Goldfarb","startTime":1266.34,"endTime":1269.34,"body":"questions that I have gotten"},{"speaker":"Charles Goldfarb","startTime":1266.34,"endTime":1269.34,"body":"every single time I've done an"},{"speaker":"Charles Goldfarb","startTime":1269.34,"endTime":1272.04,"body":"interview over the last two"},{"speaker":"Charles Goldfarb","startTime":1269.34,"endTime":1272.04,"body":"years, and that that's a lot I"},{"speaker":"Charles Goldfarb","startTime":1272.04,"endTime":1275.82,"body":"interview all the time, is"},{"speaker":"Charles Goldfarb","startTime":1272.04,"endTime":1275.82,"body":"what's your mentorship program."},{"speaker":"Charles Goldfarb","startTime":1276.87,"endTime":1282.39,"body":"And it you know, we have a"},{"speaker":"Charles Goldfarb","startTime":1276.87,"endTime":1282.39,"body":"mentorship program, but it's not"},{"speaker":"Charles Goldfarb","startTime":1282.51,"endTime":1286.59,"body":"truly well developed. It's"},{"speaker":"Charles Goldfarb","startTime":1282.51,"endTime":1286.59,"body":"somewhat informal, we have a"},{"speaker":"Charles Goldfarb","startTime":1286.59,"endTime":1289.11,"body":"more structured interview per,"},{"speaker":"Charles Goldfarb","startTime":1286.59,"endTime":1289.11,"body":"you know, program for our"},{"speaker":"Charles Goldfarb","startTime":1289.29,"endTime":1293.88,"body":"residents. We could do better"},{"speaker":"Charles Goldfarb","startTime":1289.29,"endTime":1293.88,"body":"probably with our fellows as"},{"speaker":"Charles Goldfarb","startTime":1293.88,"endTime":1298.68,"body":"well. But for our faculty, it's"},{"speaker":"Charles Goldfarb","startTime":1293.88,"endTime":1298.68,"body":"pretty vague. Once a year"},{"speaker":"Charles Goldfarb","startTime":1298.68,"endTime":1303.9,"body":"meeting with the chair, somewhat"},{"speaker":"Charles Goldfarb","startTime":1298.68,"endTime":1303.9,"body":"regular meetings, perhaps with"},{"speaker":"Charles Goldfarb","startTime":1303.9,"endTime":1307.08,"body":"the division chief, but we've"},{"speaker":"Charles Goldfarb","startTime":1303.9,"endTime":1307.08,"body":"developed a more structured"},{"speaker":"Charles Goldfarb","startTime":1307.08,"endTime":1311.43,"body":"program, because it absolutely"},{"speaker":"Charles Goldfarb","startTime":1307.08,"endTime":1311.43,"body":"is what people want. And not"},{"speaker":"Charles Goldfarb","startTime":1311.43,"endTime":1314.79,"body":"only that is absolutely the best"},{"speaker":"Charles Goldfarb","startTime":1311.43,"endTime":1314.79,"body":"way to assure success of"},{"speaker":"Charles Goldfarb","startTime":1314.79,"endTime":1315.33,"body":"faculty."},{"speaker":"Chris Dy","startTime":1315.75,"endTime":1320.7,"body":"Also to provide some"},{"speaker":"Chris Dy","startTime":1315.75,"endTime":1320.7,"body":"context for our discussion. When"},{"speaker":"Chris Dy","startTime":1320.7,"endTime":1324.57,"body":"you started. I don't even know"},{"speaker":"Chris Dy","startTime":1320.7,"endTime":1324.57,"body":"when that was, but when you"},{"speaker":"Chris Dy","startTime":1324.57,"endTime":1329.61,"body":"started, and Dr. Gelberman was"},{"speaker":"Chris Dy","startTime":1324.57,"endTime":1329.61,"body":"the chair, how often did you"},{"speaker":"Chris Dy","startTime":1329.61,"endTime":1332.34,"body":"meet with him? Because I've kind"},{"speaker":"Chris Dy","startTime":1329.61,"endTime":1332.34,"body":"of heard stories along I won't"},{"speaker":"Chris Dy","startTime":1332.34,"endTime":1334.83,"body":"say horror stories, but I've"},{"speaker":"Chris Dy","startTime":1332.34,"endTime":1334.83,"body":"heard stories about how Dr."},{"speaker":"Chris Dy","startTime":1334.83,"endTime":1338.01,"body":"Galvin used to meet regularly"},{"speaker":"Chris Dy","startTime":1334.83,"endTime":1338.01,"body":"with each junior faculty member."},{"speaker":"Chris Dy","startTime":1338.58,"endTime":1341.22,"body":"And I think a lot of people felt"},{"speaker":"Chris Dy","startTime":1338.58,"endTime":1341.22,"body":"they came out better for it. But"},{"speaker":"Chris Dy","startTime":1341.22,"endTime":1344.04,"body":"How often would you meet with"},{"speaker":"Chris Dy","startTime":1341.22,"endTime":1344.04,"body":"the chair when you were faculty?"},{"speaker":"Charles Goldfarb","startTime":1345.0,"endTime":1348.36,"body":"Once a year,"},{"speaker":"Charles Goldfarb","startTime":1345.0,"endTime":1348.36,"body":"my end of the year review unless"},{"speaker":"Charles Goldfarb","startTime":1348.36,"endTime":1351.12,"body":"there was a purpose driven"},{"speaker":"Charles Goldfarb","startTime":1348.36,"endTime":1351.12,"body":"approach, you know, like an"},{"speaker":"Charles Goldfarb","startTime":1351.12,"endTime":1354.51,"body":"issue that came up or I look for"},{"speaker":"Charles Goldfarb","startTime":1351.12,"endTime":1354.51,"body":"advice, which I felt very"},{"speaker":"Charles Goldfarb","startTime":1354.51,"endTime":1357.81,"body":"comfortable going to Dr."},{"speaker":"Charles Goldfarb","startTime":1354.51,"endTime":1357.81,"body":"Gelberman. But there were there"},{"speaker":"Charles Goldfarb","startTime":1357.81,"endTime":1360.81,"body":"were no quarterly mentor"},{"speaker":"Charles Goldfarb","startTime":1357.81,"endTime":1360.81,"body":"meetings. There was no, you"},{"speaker":"Charles Goldfarb","startTime":1360.81,"endTime":1364.02,"body":"know, there were suggestions for"},{"speaker":"Charles Goldfarb","startTime":1360.81,"endTime":1364.02,"body":"my research program. And there"},{"speaker":"Charles Goldfarb","startTime":1364.02,"endTime":1367.44,"body":"were discussions about my"},{"speaker":"Charles Goldfarb","startTime":1364.02,"endTime":1367.44,"body":"clinical care program, but no,"},{"speaker":"Charles Goldfarb","startTime":1367.47,"endTime":1368.01,"body":"once a year."},{"speaker":"Chris Dy","startTime":1368.7,"endTime":1371.16,"body":"Yeah, I think that"},{"speaker":"Chris Dy","startTime":1368.7,"endTime":1371.16,"body":"they may have shifted, you know,"},{"speaker":"Chris Dy","startTime":1371.16,"endTime":1374.61,"body":"I think even before I started,"},{"speaker":"Chris Dy","startTime":1371.16,"endTime":1374.61,"body":"he would meet with the junior"},{"speaker":"Chris Dy","startTime":1374.61,"endTime":1378.09,"body":"faculty much more regularly."},{"speaker":"Chris Dy","startTime":1374.61,"endTime":1378.09,"body":"And, you know, it was, you know,"},{"speaker":"Chris Dy","startTime":1378.09,"endTime":1381.24,"body":"I think, a bit intimidating at"},{"speaker":"Chris Dy","startTime":1378.09,"endTime":1381.24,"body":"times. But I think they all"},{"speaker":"Chris Dy","startTime":1381.24,"endTime":1385.44,"body":"found it very useful at, you"},{"speaker":"Chris Dy","startTime":1381.24,"endTime":1385.44,"body":"know, at the end of it. And, you"},{"speaker":"Chris Dy","startTime":1385.44,"endTime":1389.49,"body":"know, when I started, I started"},{"speaker":"Chris Dy","startTime":1385.44,"endTime":1389.49,"body":"on the faculty in September of"},{"speaker":"Chris Dy","startTime":1389.49,"endTime":1394.35,"body":"2015. And I remember walking in"},{"speaker":"Chris Dy","startTime":1389.49,"endTime":1394.35,"body":"the hallway and running into Ken"},{"speaker":"Chris Dy","startTime":1394.35,"endTime":1398.4,"body":"Yamaguchi, who at that time, was"},{"speaker":"Chris Dy","startTime":1394.35,"endTime":1398.4,"body":"still in the department full"},{"speaker":"Chris Dy","startTime":1398.4,"endTime":1402.15,"body":"time and, you know, RO1 funded"},{"speaker":"Chris Dy","startTime":1398.4,"endTime":1402.15,"body":"investigator, you know, kind of"},{"speaker":"Chris Dy","startTime":1402.15,"endTime":1405.57,"body":"doing all the things that, you"},{"speaker":"Chris Dy","startTime":1402.15,"endTime":1405.57,"body":"know, I wanted to do. And he's"},{"speaker":"Chris Dy","startTime":1405.57,"endTime":1409.2,"body":"like, Chris, so who are your"},{"speaker":"Chris Dy","startTime":1405.57,"endTime":1409.2,"body":"mentors? And I may have told"},{"speaker":"Chris Dy","startTime":1409.2,"endTime":1411.21,"body":"this story to you before, I"},{"speaker":"Chris Dy","startTime":1409.2,"endTime":1411.21,"body":"think I might have told it on"},{"speaker":"Chris Dy","startTime":1411.21,"endTime":1414.03,"body":"the podcast. And I was like,"},{"speaker":"Chris Dy","startTime":1411.21,"endTime":1414.03,"body":"Well, you know, nobody's"},{"speaker":"Chris Dy","startTime":1414.03,"endTime":1416.43,"body":"assigned me a mentor yet. I'm"},{"speaker":"Chris Dy","startTime":1414.03,"endTime":1416.43,"body":"still kind of waiting to hear."},{"speaker":"Chris Dy","startTime":1416.43,"endTime":1420.42,"body":"He's like, Chris, nobody assigns"},{"speaker":"Chris Dy","startTime":1416.43,"endTime":1420.42,"body":"you a mentor. You go find your"},{"speaker":"Chris Dy","startTime":1420.42,"endTime":1423.69,"body":"mentors. So next thing you know,"},{"speaker":"Chris Dy","startTime":1420.42,"endTime":1423.69,"body":"I'm monthly mentorship means"},{"speaker":"Chris Dy","startTime":1423.69,"endTime":1426.81,"body":"with Ken Yamaguchi and Richard"},{"speaker":"Chris Dy","startTime":1423.69,"endTime":1426.81,"body":"Gelberman every month, which"},{"speaker":"Chris Dy","startTime":1426.81,"endTime":1430.68,"body":"were intense, but 100% totally"},{"speaker":"Chris Dy","startTime":1426.81,"endTime":1430.68,"body":"worth and I actually started"},{"speaker":"Chris Dy","startTime":1430.68,"endTime":1433.2,"body":"building I didn't realize this"},{"speaker":"Chris Dy","startTime":1430.68,"endTime":1433.2,"body":"what it was I started building"},{"speaker":"Chris Dy","startTime":1433.2,"endTime":1436.8,"body":"my own launch team, which is a"},{"speaker":"Chris Dy","startTime":1433.2,"endTime":1436.8,"body":"concept that's in this article."},{"speaker":"Chris Dy","startTime":1437.19,"endTime":1439.92,"body":"You know, I didn't know if you"},{"speaker":"Chris Dy","startTime":1437.19,"endTime":1439.92,"body":"wanted to introduce the article."},{"speaker":"Charles Goldfarb","startTime":1442.36,"endTime":1444.07,"body":"Well that is"},{"speaker":"Charles Goldfarb","startTime":1442.36,"endTime":1444.07,"body":"interesting. And we're going to"},{"speaker":"Charles Goldfarb","startTime":1444.07,"endTime":1447.85,"body":"do better. We have developed a"},{"speaker":"Charles Goldfarb","startTime":1444.07,"endTime":1447.85,"body":"program we need to vet it with"},{"speaker":"Charles Goldfarb","startTime":1447.88,"endTime":1451.78,"body":"all the faculty, but we just"},{"speaker":"Charles Goldfarb","startTime":1447.88,"endTime":1451.78,"body":"want to put some guardrails"},{"speaker":"Charles Goldfarb","startTime":1451.81,"endTime":1455.65,"body":"around, you know, the basics of"},{"speaker":"Charles Goldfarb","startTime":1451.81,"endTime":1455.65,"body":"mentorship. And, you know,"},{"speaker":"Charles Goldfarb","startTime":1455.65,"endTime":1458.86,"body":"assigning a mentor may or may"},{"speaker":"Charles Goldfarb","startTime":1455.65,"endTime":1458.86,"body":"not be effective because"},{"speaker":"Charles Goldfarb","startTime":1458.89,"endTime":1462.67,"body":"ultimately, we have to decide"},{"speaker":"Charles Goldfarb","startTime":1458.89,"endTime":1462.67,"body":"directionality for our career"},{"speaker":"Charles Goldfarb","startTime":1462.67,"endTime":1465.34,"body":"and finding the best person is"},{"speaker":"Charles Goldfarb","startTime":1462.67,"endTime":1465.34,"body":"probably something that can't be"},{"speaker":"Charles Goldfarb","startTime":1465.34,"endTime":1467.56,"body":"accomplished on day one, right?"},{"speaker":"Charles Goldfarb","startTime":1465.34,"endTime":1467.56,"body":"I mean, this is something that"},{"speaker":"Charles Goldfarb","startTime":1467.56,"endTime":1471.85,"body":"we have to grow into. Just like"},{"speaker":"Charles Goldfarb","startTime":1467.56,"endTime":1471.85,"body":"with our residents, you know, we"},{"speaker":"Charles Goldfarb","startTime":1471.85,"endTime":1475.33,"body":"are assigned a resident to"},{"speaker":"Charles Goldfarb","startTime":1471.85,"endTime":1475.33,"body":"mentor but the residents"},{"speaker":"Charles Goldfarb","startTime":1475.36,"endTime":1478.12,"body":"ultimately figure out who's"},{"speaker":"Charles Goldfarb","startTime":1475.36,"endTime":1478.12,"body":"going to be the best person."},{"speaker":"Chris Dy","startTime":1479.05,"endTime":1481.24,"body":"Yeah, and I think that"},{"speaker":"Chris Dy","startTime":1479.05,"endTime":1481.24,"body":"you know, it's it's, it's a"},{"speaker":"Chris Dy","startTime":1481.24,"endTime":1484.24,"body":"struggle right from, I think a"},{"speaker":"Chris Dy","startTime":1481.24,"endTime":1484.24,"body":"department perspective, because"},{"speaker":"Chris Dy","startTime":1484.24,"endTime":1487.18,"body":"you want to provide guidance,"},{"speaker":"Chris Dy","startTime":1484.24,"endTime":1487.18,"body":"you want to put some guardrails"},{"speaker":"Chris Dy","startTime":1487.18,"endTime":1491.77,"body":"around the program, you don't"},{"speaker":"Chris Dy","startTime":1487.18,"endTime":1491.77,"body":"want to be overly prescriptive."},{"speaker":"Chris Dy","startTime":1492.61,"endTime":1496.09,"body":"You want the you want to be"},{"speaker":"Chris Dy","startTime":1492.61,"endTime":1496.09,"body":"flexible and responsive to what"},{"speaker":"Chris Dy","startTime":1496.09,"endTime":1500.86,"body":"the junior faculties evolving"},{"speaker":"Chris Dy","startTime":1496.09,"endTime":1500.86,"body":"needs are and where they evolve."},{"speaker":"Chris Dy","startTime":1501.43,"endTime":1503.53,"body":"But you really just don't want"},{"speaker":"Chris Dy","startTime":1501.43,"endTime":1503.53,"body":"to leave them out there entirely"},{"speaker":"Chris Dy","startTime":1503.53,"endTime":1505.66,"body":"which I thought this article was"},{"speaker":"Chris Dy","startTime":1503.53,"endTime":1505.66,"body":"really interesting. It was from"},{"speaker":"Chris Dy","startTime":1505.66,"endTime":1509.05,"body":"the group at the University of"},{"speaker":"Chris Dy","startTime":1505.66,"endTime":1509.05,"body":"Michigan's medical school. The"},{"speaker":"Chris Dy","startTime":1509.05,"endTime":1513.19,"body":"authors are Vinod Chopra, Justin"},{"speaker":"Chris Dy","startTime":1509.05,"endTime":1513.19,"body":"Dimmick and Sanjay Saint. And I"},{"speaker":"Chris Dy","startTime":1513.19,"endTime":1516.82,"body":"will say I found this article on"},{"speaker":"Chris Dy","startTime":1513.19,"endTime":1516.82,"body":"Twitter, because one of Justin"},{"speaker":"Chris Dy","startTime":1516.82,"endTime":1519.61,"body":"Dimmick's junior faculty members"},{"speaker":"Chris Dy","startTime":1516.82,"endTime":1519.61,"body":"had tweeted recently, and it"},{"speaker":"Chris Dy","startTime":1519.61,"endTime":1521.77,"body":"came out, you know, actually the"},{"speaker":"Chris Dy","startTime":1519.61,"endTime":1521.77,"body":"same time, as we were talking"},{"speaker":"Chris Dy","startTime":1521.77,"endTime":1526.27,"body":"about earlier, March 2020. And"},{"speaker":"Chris Dy","startTime":1521.77,"endTime":1526.27,"body":"they talked about setting up"},{"speaker":"Chris Dy","startTime":1526.33,"endTime":1530.08,"body":"three different types of teams,"},{"speaker":"Chris Dy","startTime":1526.33,"endTime":1530.08,"body":"for a junior faculty member, or"},{"speaker":"Chris Dy","startTime":1530.08,"endTime":1532.54,"body":"a junior person, I guess you"},{"speaker":"Chris Dy","startTime":1530.08,"endTime":1532.54,"body":"could put this into any context,"},{"speaker":"Chris Dy","startTime":1532.54,"endTime":1535.72,"body":"like you're in private practice,"},{"speaker":"Chris Dy","startTime":1532.54,"endTime":1535.72,"body":"and you're just starting, but"},{"speaker":"Chris Dy","startTime":1535.72,"endTime":1539.89,"body":"really a team of people from"},{"speaker":"Chris Dy","startTime":1535.72,"endTime":1539.89,"body":"different backgrounds to get you"},{"speaker":"Chris Dy","startTime":1539.89,"endTime":1543.07,"body":"through different phases of your"},{"speaker":"Chris Dy","startTime":1539.89,"endTime":1543.07,"body":"career. So this wouldn't just be"},{"speaker":"Chris Dy","startTime":1543.07,"endTime":1546.04,"body":"one mentor that you would be"},{"speaker":"Chris Dy","startTime":1543.07,"endTime":1546.04,"body":"assigned at the very beginning."},{"speaker":"Chris Dy","startTime":1546.58,"endTime":1549.88,"body":"But there is clearly one primary"},{"speaker":"Chris Dy","startTime":1546.58,"endTime":1549.88,"body":"mentor that is, you know,"},{"speaker":"Chris Dy","startTime":1550.33,"endTime":1553.39,"body":"clearly within the discipline"},{"speaker":"Chris Dy","startTime":1550.33,"endTime":1553.39,"body":"that you're working in, for"},{"speaker":"Chris Dy","startTime":1553.39,"endTime":1557.5,"body":"example, hand surgery, but then"},{"speaker":"Chris Dy","startTime":1553.39,"endTime":1557.5,"body":"some external mentors, not"},{"speaker":"Chris Dy","startTime":1557.5,"endTime":1560.17,"body":"external, but you know, outside"},{"speaker":"Chris Dy","startTime":1557.5,"endTime":1560.17,"body":"of your immediate discipline,"},{"speaker":"Chris Dy","startTime":1560.41,"endTime":1562.72,"body":"that can provide some guidance"},{"speaker":"Chris Dy","startTime":1560.41,"endTime":1562.72,"body":"on different topics, like"},{"speaker":"Chris Dy","startTime":1562.84,"endTime":1568.18,"body":"research or technical parts of,"},{"speaker":"Chris Dy","startTime":1562.84,"endTime":1568.18,"body":"you know, the surgery, or it or"},{"speaker":"Chris Dy","startTime":1568.18,"endTime":1572.29,"body":"even in kind of an area where"},{"speaker":"Chris Dy","startTime":1568.18,"endTime":1572.29,"body":"you want to work it's like, you"},{"speaker":"Chris Dy","startTime":1572.29,"endTime":1575.29,"body":"know, leadership within the"},{"speaker":"Chris Dy","startTime":1572.29,"endTime":1575.29,"body":"hospital, that kind of thing."},{"speaker":"Chris Dy","startTime":1575.77,"endTime":1578.41,"body":"And I thought that was super"},{"speaker":"Chris Dy","startTime":1575.77,"endTime":1578.41,"body":"interesting, the team concept,"},{"speaker":"Chris Dy","startTime":1578.41,"endTime":1581.44,"body":"is that something that you have"},{"speaker":"Chris Dy","startTime":1578.41,"endTime":1581.44,"body":"talked about with the department"},{"speaker":"Chris Dy","startTime":1581.44,"endTime":1582.31,"body":"in terms of exploring?"},{"speaker":"Charles Goldfarb","startTime":1582.85,"endTime":1584.86,"body":"No, well, I"},{"speaker":"Charles Goldfarb","startTime":1582.85,"endTime":1584.86,"body":"mean, the first thing is, you"},{"speaker":"Charles Goldfarb","startTime":1584.86,"endTime":1587.44,"body":"introduce the article"},{"speaker":"Charles Goldfarb","startTime":1584.86,"endTime":1587.44,"body":"beautifully, but the title of"},{"speaker":"Charles Goldfarb","startTime":1587.44,"endTime":1590.47,"body":"the article is making"},{"speaker":"Charles Goldfarb","startTime":1587.44,"endTime":1590.47,"body":"mentorship, a team effort. And"},{"speaker":"Charles Goldfarb","startTime":1590.47,"endTime":1594.4,"body":"so no, honestly, you know, we've"},{"speaker":"Charles Goldfarb","startTime":1590.47,"endTime":1594.4,"body":"talked about different people"},{"speaker":"Charles Goldfarb","startTime":1594.4,"endTime":1598.72,"body":"providing mentorship. But no, we"},{"speaker":"Charles Goldfarb","startTime":1594.4,"endTime":1598.72,"body":"have not talked about the"},{"speaker":"Charles Goldfarb","startTime":1598.72,"endTime":1603.55,"body":"concept of a team and, and the"},{"speaker":"Charles Goldfarb","startTime":1598.72,"endTime":1603.55,"body":"the role that the primary mentor"},{"speaker":"Charles Goldfarb","startTime":1603.55,"endTime":1609.13,"body":"plays, you know, is expected to"},{"speaker":"Charles Goldfarb","startTime":1603.55,"endTime":1609.13,"body":"play in the choosing of helping"},{"speaker":"Charles Goldfarb","startTime":1609.19,"endTime":1612.28,"body":"the choice of members of that"},{"speaker":"Charles Goldfarb","startTime":1609.19,"endTime":1612.28,"body":"team, because the primary mentor"},{"speaker":"Charles Goldfarb","startTime":1612.28,"endTime":1615.13,"body":"is someone who's been around for"},{"speaker":"Charles Goldfarb","startTime":1612.28,"endTime":1615.13,"body":"a while, and knows different"},{"speaker":"Charles Goldfarb","startTime":1615.34,"endTime":1618.19,"body":"people's strengths and"},{"speaker":"Charles Goldfarb","startTime":1615.34,"endTime":1618.19,"body":"weaknesses that could serve as"},{"speaker":"Charles Goldfarb","startTime":1618.19,"endTime":1622.0,"body":"part of the mentorship team, to"},{"speaker":"Charles Goldfarb","startTime":1618.19,"endTime":1622.0,"body":"an inexperienced person"},{"speaker":"Charles Goldfarb","startTime":1622.0,"endTime":1626.65,"body":"launching their career. And so I"},{"speaker":"Charles Goldfarb","startTime":1622.0,"endTime":1626.65,"body":"love this concept of the launch"},{"speaker":"Charles Goldfarb","startTime":1626.65,"endTime":1631.69,"body":"team. And while again, things"},{"speaker":"Charles Goldfarb","startTime":1626.65,"endTime":1631.69,"body":"will change. But getting off to"},{"speaker":"Charles Goldfarb","startTime":1631.69,"endTime":1635.53,"body":"a good start and pointing the"},{"speaker":"Charles Goldfarb","startTime":1631.69,"endTime":1635.53,"body":"new faculty member, or the new"},{"speaker":"Charles Goldfarb","startTime":1635.53,"endTime":1637.9,"body":"partner in the right direction"},{"speaker":"Charles Goldfarb","startTime":1635.53,"endTime":1637.9,"body":"is incredibly important."},{"speaker":"Chris Dy","startTime":1637.0,"endTime":1640.69,"body":"And they talk about"},{"speaker":"Chris Dy","startTime":1637.0,"endTime":1640.69,"body":"this launch team really being in"},{"speaker":"Chris Dy","startTime":1640.69,"endTime":1644.08,"body":"existence for about two or three"},{"speaker":"Chris Dy","startTime":1640.69,"endTime":1644.08,"body":"years, probably for most people"},{"speaker":"Chris Dy","startTime":1644.65,"endTime":1648.97,"body":"meeting maybe every other month."},{"speaker":"Chris Dy","startTime":1644.65,"endTime":1648.97,"body":"And you know, the primary mentor"},{"speaker":"Chris Dy","startTime":1648.97,"endTime":1651.37,"body":"and the mentee really working"},{"speaker":"Chris Dy","startTime":1648.97,"endTime":1651.37,"body":"together to pick the other"},{"speaker":"Chris Dy","startTime":1651.37,"endTime":1654.7,"body":"people on the team, and even"},{"speaker":"Chris Dy","startTime":1651.37,"endTime":1654.7,"body":"including people that could, you"},{"speaker":"Chris Dy","startTime":1654.7,"endTime":1657.34,"body":"know, help guide the mentee on"},{"speaker":"Chris Dy","startTime":1654.7,"endTime":1657.34,"body":"things like work life balance,"},{"speaker":"Chris Dy","startTime":1657.34,"endTime":1661.48,"body":"so really looking at it from"},{"speaker":"Chris Dy","startTime":1657.34,"endTime":1661.48,"body":"different perspectives. And I"},{"speaker":"Chris Dy","startTime":1661.48,"endTime":1664.21,"body":"found that, you know,"},{"speaker":"Chris Dy","startTime":1661.48,"endTime":1664.21,"body":"personally, having lived through"},{"speaker":"Chris Dy","startTime":1664.21,"endTime":1667.75,"body":"this recently, having different"},{"speaker":"Chris Dy","startTime":1664.21,"endTime":1667.75,"body":"sounding boards for different"},{"speaker":"Chris Dy","startTime":1667.75,"endTime":1670.57,"body":"things was super important. So"},{"speaker":"Chris Dy","startTime":1667.75,"endTime":1670.57,"body":"when I was in starting my"},{"speaker":"Chris Dy","startTime":1670.57,"endTime":1673.78,"body":"practice, you know, in"},{"speaker":"Chris Dy","startTime":1670.57,"endTime":1673.78,"body":"orthopedic surgery, at least at"},{"speaker":"Chris Dy","startTime":1673.78,"endTime":1676.57,"body":"that time, the first six months"},{"speaker":"Chris Dy","startTime":1673.78,"endTime":1676.57,"body":"of your practice, you're not in"},{"speaker":"Chris Dy","startTime":1676.57,"endTime":1679.03,"body":"board collection yet, but that"},{"speaker":"Chris Dy","startTime":1676.57,"endTime":1679.03,"body":"second six months of your"},{"speaker":"Chris Dy","startTime":1679.03,"endTime":1682.72,"body":"practice, you are in board"},{"speaker":"Chris Dy","startTime":1679.03,"endTime":1682.72,"body":"collection. And I remember from"},{"speaker":"Chris Dy","startTime":1682.72,"endTime":1685.87,"body":"the very beginning going to Ryan"},{"speaker":"Chris Dy","startTime":1682.72,"endTime":1685.87,"body":"Calfee, and he was kind of my"},{"speaker":"Chris Dy","startTime":1685.87,"endTime":1689.26,"body":"clinical mentor at the time in"},{"speaker":"Chris Dy","startTime":1685.87,"endTime":1689.26,"body":"terms of presenting cases to him"},{"speaker":"Chris Dy","startTime":1689.26,"endTime":1692.02,"body":"and making sure that I was, you"},{"speaker":"Chris Dy","startTime":1689.26,"endTime":1692.02,"body":"know, doing all right, in terms"},{"speaker":"Chris Dy","startTime":1692.02,"endTime":1694.69,"body":"of indications and asking him"},{"speaker":"Chris Dy","startTime":1692.02,"endTime":1694.69,"body":"questions about follow up that"},{"speaker":"Chris Dy","startTime":1694.69,"endTime":1697.33,"body":"kind of thing. And that was"},{"speaker":"Chris Dy","startTime":1694.69,"endTime":1697.33,"body":"super helpful. And then I had"},{"speaker":"Chris Dy","startTime":1697.39,"endTime":1700.15,"body":"Dr. Government kind of guiding"},{"speaker":"Chris Dy","startTime":1697.39,"endTime":1700.15,"body":"me from a high level career"},{"speaker":"Chris Dy","startTime":1700.15,"endTime":1704.23,"body":"perspective. I had Ken Yamaguchi"},{"speaker":"Chris Dy","startTime":1700.15,"endTime":1704.23,"body":"guiding me from the perspective"},{"speaker":"Chris Dy","startTime":1704.26,"endTime":1707.62,"body":"of a clinician scientist. And"},{"speaker":"Chris Dy","startTime":1704.26,"endTime":1707.62,"body":"then I had Margie Olson, who is"},{"speaker":"Chris Dy","startTime":1707.65,"endTime":1712.15,"body":"administrative data research"},{"speaker":"Chris Dy","startTime":1707.65,"endTime":1712.15,"body":"guru at washu, helping guide me"},{"speaker":"Chris Dy","startTime":1712.15,"endTime":1715.87,"body":"for my actual research that I"},{"speaker":"Chris Dy","startTime":1712.15,"endTime":1715.87,"body":"was starting off. So it was a"},{"speaker":"Chris Dy","startTime":1715.87,"endTime":1718.27,"body":"lot of meetings. But at that"},{"speaker":"Chris Dy","startTime":1715.87,"endTime":1718.27,"body":"point, you know, it was"},{"speaker":"Chris Dy","startTime":1718.27,"endTime":1719.23,"body":"certainly worth it."},{"speaker":"Charles Goldfarb","startTime":1720.02,"endTime":1721.31,"body":"Yeah, as you"},{"speaker":"Charles Goldfarb","startTime":1720.02,"endTime":1721.31,"body":"start your career, you have"},{"speaker":"Charles Goldfarb","startTime":1721.31,"endTime":1724.64,"body":"time, right. And you can use"},{"speaker":"Charles Goldfarb","startTime":1721.31,"endTime":1724.64,"body":"that time, as you try to build"},{"speaker":"Charles Goldfarb","startTime":1724.64,"endTime":1727.49,"body":"your practice, you can obviously"},{"speaker":"Charles Goldfarb","startTime":1724.64,"endTime":1727.49,"body":"spend time outside of work, but"},{"speaker":"Charles Goldfarb","startTime":1727.55,"endTime":1730.85,"body":"there's no better use of your"},{"speaker":"Charles Goldfarb","startTime":1727.55,"endTime":1730.85,"body":"time. I applaud your efforts."},{"speaker":"Charles Goldfarb","startTime":1730.85,"endTime":1733.55,"body":"And certainly they had paid off."},{"speaker":"Charles Goldfarb","startTime":1730.85,"endTime":1733.55,"body":"It's interesting. So you moved"},{"speaker":"Charles Goldfarb","startTime":1733.55,"endTime":1737.9,"body":"from the launch team, to the"},{"speaker":"Charles Goldfarb","startTime":1733.55,"endTime":1737.9,"body":"cruise team. And I think this is"},{"speaker":"Charles Goldfarb","startTime":1737.93,"endTime":1740.36,"body":"critically important. So"},{"speaker":"Charles Goldfarb","startTime":1737.93,"endTime":1740.36,"body":"sometimes the article says, and"},{"speaker":"Charles Goldfarb","startTime":1740.36,"endTime":1743.84,"body":"I agree, the launch team and the"},{"speaker":"Charles Goldfarb","startTime":1740.36,"endTime":1743.84,"body":"cruise team might have the same"},{"speaker":"Charles Goldfarb","startTime":1743.84,"endTime":1748.58,"body":"numbers. But if the faculty"},{"speaker":"Charles Goldfarb","startTime":1743.84,"endTime":1748.58,"body":"members interest develop, or"},{"speaker":"Charles Goldfarb","startTime":1748.61,"endTime":1751.61,"body":"deviate, then you might need to"},{"speaker":"Charles Goldfarb","startTime":1748.61,"endTime":1751.61,"body":"add new people or take certain"},{"speaker":"Charles Goldfarb","startTime":1751.61,"endTime":1756.29,"body":"people off the team. And what"},{"speaker":"Charles Goldfarb","startTime":1751.61,"endTime":1756.29,"body":"they don't talk about is goal"},{"speaker":"Charles Goldfarb","startTime":1756.29,"endTime":1759.59,"body":"setting. And I think that's"},{"speaker":"Charles Goldfarb","startTime":1756.29,"endTime":1759.59,"body":"incredibly important. And goals"},{"speaker":"Charles Goldfarb","startTime":1759.59,"endTime":1763.46,"body":"will change goal posts will"},{"speaker":"Charles Goldfarb","startTime":1759.59,"endTime":1763.46,"body":"change, so to speak. But But"},{"speaker":"Charles Goldfarb","startTime":1763.46,"endTime":1765.56,"body":"goal setting i think is"},{"speaker":"Charles Goldfarb","startTime":1763.46,"endTime":1765.56,"body":"incredibly important. And I"},{"speaker":"Charles Goldfarb","startTime":1765.56,"endTime":1770.15,"body":"think the right mentors will"},{"speaker":"Charles Goldfarb","startTime":1765.56,"endTime":1770.15,"body":"help you set achievable goals"},{"speaker":"Charles Goldfarb","startTime":1770.18,"endTime":1774.05,"body":"and also long term goals. And"},{"speaker":"Charles Goldfarb","startTime":1770.18,"endTime":1774.05,"body":"that certainly has to be part of"},{"speaker":"Charles Goldfarb","startTime":1774.05,"endTime":1776.6,"body":"the cruise team. Because there"},{"speaker":"Charles Goldfarb","startTime":1774.05,"endTime":1776.6,"body":"that's a danger time, right?"},{"speaker":"Charles Goldfarb","startTime":1776.75,"endTime":1779.36,"body":"You've gotten through the launch"},{"speaker":"Charles Goldfarb","startTime":1776.75,"endTime":1779.36,"body":"period, you've established your"},{"speaker":"Charles Goldfarb","startTime":1779.36,"endTime":1782.99,"body":"practice, maybe your research"},{"speaker":"Charles Goldfarb","startTime":1779.36,"endTime":1782.99,"body":"program, and you just have to"},{"speaker":"Charles Goldfarb","startTime":1782.99,"endTime":1785.54,"body":"keep taking steps forward. And"},{"speaker":"Charles Goldfarb","startTime":1782.99,"endTime":1785.54,"body":"that's what a great one"},{"speaker":"Charles Goldfarb","startTime":1785.57,"endTime":1787.07,"body":"mentorship team will do for you."},{"speaker":"Chris Dy","startTime":1787.42,"endTime":1790.3,"body":"Well, I would argue"},{"speaker":"Chris Dy","startTime":1787.42,"endTime":1790.3,"body":"that the goal setting should"},{"speaker":"Chris Dy","startTime":1790.3,"endTime":1793.06,"body":"really be something that's"},{"speaker":"Chris Dy","startTime":1790.3,"endTime":1793.06,"body":"planted from day one, you know,"},{"speaker":"Chris Dy","startTime":1793.06,"endTime":1795.43,"body":"because that's how that's how"},{"speaker":"Chris Dy","startTime":1793.06,"endTime":1795.43,"body":"you pick the the launch team is"},{"speaker":"Chris Dy","startTime":1795.43,"endTime":1798.19,"body":"well who do you, where do you"},{"speaker":"Chris Dy","startTime":1795.43,"endTime":1798.19,"body":"want to be in five years? 10"},{"speaker":"Chris Dy","startTime":1798.19,"endTime":1800.47,"body":"years, what are your goals"},{"speaker":"Chris Dy","startTime":1798.19,"endTime":1800.47,"body":"because let's let's surround you"},{"speaker":"Chris Dy","startTime":1800.47,"endTime":1803.65,"body":"with people who may not be doing"},{"speaker":"Chris Dy","startTime":1800.47,"endTime":1803.65,"body":"that exact thing, but can give"},{"speaker":"Chris Dy","startTime":1803.65,"endTime":1806.62,"body":"you the perspective to get"},{"speaker":"Chris Dy","startTime":1803.65,"endTime":1806.62,"body":"there. And, you know, one"},{"speaker":"Chris Dy","startTime":1806.62,"endTime":1808.66,"body":"question I had for you is"},{"speaker":"Chris Dy","startTime":1806.62,"endTime":1808.66,"body":"somebody who, you know, kind of"},{"speaker":"Chris Dy","startTime":1808.66,"endTime":1812.05,"body":"rose through the ranks both you"},{"speaker":"Chris Dy","startTime":1808.66,"endTime":1812.05,"body":"academically and then also had a"},{"speaker":"Chris Dy","startTime":1812.23,"endTime":1815.65,"body":"very busy clinical practice and"},{"speaker":"Chris Dy","startTime":1812.23,"endTime":1815.65,"body":"still do. Did any of these"},{"speaker":"Chris Dy","startTime":1815.65,"endTime":1818.44,"body":"relationships or sets of"},{"speaker":"Chris Dy","startTime":1815.65,"endTime":1818.44,"body":"relationships, you know, early"},{"speaker":"Chris Dy","startTime":1818.44,"endTime":1820.84,"body":"launch and cruise team that kind"},{"speaker":"Chris Dy","startTime":1818.44,"endTime":1820.84,"body":"of thing, did they fall into"},{"speaker":"Chris Dy","startTime":1820.84,"endTime":1824.05,"body":"place organically for you, or"},{"speaker":"Chris Dy","startTime":1820.84,"endTime":1824.05,"body":"are you as much of a self made"},{"speaker":"Chris Dy","startTime":1824.05,"endTime":1825.43,"body":"man as we all want to think?"},{"speaker":"Charles Goldfarb","startTime":1826.39,"endTime":1829.6,"body":"That's funny?"},{"speaker":"Charles Goldfarb","startTime":1826.39,"endTime":1829.6,"body":"Of course they did. I guess you"},{"speaker":"Charles Goldfarb","startTime":1829.6,"endTime":1834.97,"body":"know it. But it wasn't. It"},{"speaker":"Charles Goldfarb","startTime":1829.6,"endTime":1834.97,"body":"wasn't something that was"},{"speaker":"Charles Goldfarb","startTime":1834.97,"endTime":1838.18,"body":"established for me. I just"},{"speaker":"Charles Goldfarb","startTime":1834.97,"endTime":1838.18,"body":"looked for different mentors"},{"speaker":"Charles Goldfarb","startTime":1838.18,"endTime":1840.46,"body":"when I needed them. And I"},{"speaker":"Charles Goldfarb","startTime":1838.18,"endTime":1840.46,"body":"wouldn't even call them mentors."},{"speaker":"Charles Goldfarb","startTime":1840.46,"endTime":1843.25,"body":"You know, I just went to ask"},{"speaker":"Charles Goldfarb","startTime":1840.46,"endTime":1843.25,"body":"questions. I don't know that I"},{"speaker":"Charles Goldfarb","startTime":1843.25,"endTime":1847.66,"body":"had, you know, other than Dr."},{"speaker":"Charles Goldfarb","startTime":1843.25,"endTime":1847.66,"body":"Gelberman, from a leadership and"},{"speaker":"Charles Goldfarb","startTime":1847.66,"endTime":1851.83,"body":"business perspective, other than"},{"speaker":"Charles Goldfarb","startTime":1847.66,"endTime":1851.83,"body":"Dr. Manske from a clinical care"},{"speaker":"Charles Goldfarb","startTime":1851.83,"endTime":1858.34,"body":"perspective. Those were the two"},{"speaker":"Charles Goldfarb","startTime":1851.83,"endTime":1858.34,"body":"primary figures and kind of just"},{"speaker":"Charles Goldfarb","startTime":1858.34,"endTime":1861.82,"body":"those two. And granted, those"},{"speaker":"Charles Goldfarb","startTime":1858.34,"endTime":1861.82,"body":"are two amazing people. And I"},{"speaker":"Charles Goldfarb","startTime":1861.82,"endTime":1864.46,"body":"don't want to neglect, you know,"},{"speaker":"Charles Goldfarb","startTime":1861.82,"endTime":1864.46,"body":"thanking many, many, many"},{"speaker":"Charles Goldfarb","startTime":1864.46,"endTime":1869.41,"body":"people. But no, I think it was"},{"speaker":"Charles Goldfarb","startTime":1864.46,"endTime":1869.41,"body":"more of a problem solution"},{"speaker":"Charles Goldfarb","startTime":1869.59,"endTime":1873.82,"body":"effort rather than a mentoring"},{"speaker":"Charles Goldfarb","startTime":1869.59,"endTime":1873.82,"body":"team that took in the big"},{"speaker":"Charles Goldfarb","startTime":1873.82,"endTime":1874.27,"body":"picture."},{"speaker":"Chris Dy","startTime":1874.72,"endTime":1876.4,"body":"That's just so"},{"speaker":"Chris Dy","startTime":1874.72,"endTime":1876.4,"body":"interesting, because I think in"},{"speaker":"Chris Dy","startTime":1876.4,"endTime":1879.85,"body":"general relation generationally,"},{"speaker":"Chris Dy","startTime":1876.4,"endTime":1879.85,"body":"that's so different, you know,"},{"speaker":"Chris Dy","startTime":1879.85,"endTime":1883.39,"body":"from when I started versus from"},{"speaker":"Chris Dy","startTime":1879.85,"endTime":1883.39,"body":"when you started, and even from"},{"speaker":"Chris Dy","startTime":1883.39,"endTime":1885.79,"body":"when people that are in"},{"speaker":"Chris Dy","startTime":1883.39,"endTime":1885.79,"body":"training. Now we're going to"},{"speaker":"Chris Dy","startTime":1885.79,"endTime":1888.52,"body":"start I think, like you said,"},{"speaker":"Chris Dy","startTime":1885.79,"endTime":1888.52,"body":"when people are asking you"},{"speaker":"Chris Dy","startTime":1888.52,"endTime":1891.22,"body":"questions, when you interview"},{"speaker":"Chris Dy","startTime":1888.52,"endTime":1891.22,"body":"them, the expectation is that"},{"speaker":"Chris Dy","startTime":1891.22,"endTime":1895.0,"body":"there is a program. You I think"},{"speaker":"Chris Dy","startTime":1891.22,"endTime":1895.0,"body":"I was more of, you know, I'm"},{"speaker":"Chris Dy","startTime":1895.0,"endTime":1897.61,"body":"going to go build the team"},{"speaker":"Chris Dy","startTime":1895.0,"endTime":1897.61,"body":"myself and look at it that way."},{"speaker":"Chris Dy","startTime":1897.61,"endTime":1900.55,"body":"But I was I was deliberate in"},{"speaker":"Chris Dy","startTime":1897.61,"endTime":1900.55,"body":"doing that, because I knew I"},{"speaker":"Chris Dy","startTime":1900.55,"endTime":1905.11,"body":"needed the mentorship in terms"},{"speaker":"Chris Dy","startTime":1900.55,"endTime":1905.11,"body":"of getting where I wanted to go."},{"speaker":"Chris Dy","startTime":1905.53,"endTime":1908.02,"body":"And I just think it's"},{"speaker":"Chris Dy","startTime":1905.53,"endTime":1908.02,"body":"interesting how different it is."},{"speaker":"Charles Goldfarb","startTime":1908.65,"endTime":1911.68,"body":"Super"},{"speaker":"Charles Goldfarb","startTime":1908.65,"endTime":1911.68,"body":"interesting. And it's"},{"speaker":"Charles Goldfarb","startTime":1911.68,"endTime":1914.23,"body":"interesting to think of what"},{"speaker":"Charles Goldfarb","startTime":1911.68,"endTime":1914.23,"body":"might have gone differently in"},{"speaker":"Charles Goldfarb","startTime":1914.23,"endTime":1917.89,"body":"my career, had I put that in"},{"speaker":"Charles Goldfarb","startTime":1914.23,"endTime":1917.89,"body":"place had I set early goals,"},{"speaker":"Charles Goldfarb","startTime":1918.1,"endTime":1920.92,"body":"because I just didn't do it. And"},{"speaker":"Charles Goldfarb","startTime":1918.1,"endTime":1920.92,"body":"we've talked a little about goal"},{"speaker":"Charles Goldfarb","startTime":1920.92,"endTime":1924.31,"body":"setting and five year plans and"},{"speaker":"Charles Goldfarb","startTime":1920.92,"endTime":1924.31,"body":"the like. And this is a little"},{"speaker":"Charles Goldfarb","startTime":1924.31,"endTime":1926.2,"body":"bit different. Fascinating."},{"speaker":"Charles Goldfarb","startTime":1924.31,"endTime":1926.2,"body":"Absolutely."},{"speaker":"Chris Dy","startTime":1926.99,"endTime":1930.11,"body":"Well, so what did you"},{"speaker":"Chris Dy","startTime":1926.99,"endTime":1930.11,"body":"think about the concept of the"},{"speaker":"Chris Dy","startTime":1930.11,"endTime":1932.48,"body":"boost team that they described,"},{"speaker":"Chris Dy","startTime":1930.11,"endTime":1932.48,"body":"you know, so essentially, the"},{"speaker":"Chris Dy","startTime":1932.48,"endTime":1936.95,"body":"boost team is a mentoring team"},{"speaker":"Chris Dy","startTime":1932.48,"endTime":1936.95,"body":"that comes in, after you know,"},{"speaker":"Chris Dy","startTime":1936.95,"endTime":1941.0,"body":"the junior faculty or the"},{"speaker":"Chris Dy","startTime":1936.95,"endTime":1941.0,"body":"partner established themselves"},{"speaker":"Chris Dy","startTime":1941.0,"endTime":1945.35,"body":"pretty firmly with their own"},{"speaker":"Chris Dy","startTime":1941.0,"endTime":1945.35,"body":"identity, perhaps if they're in"},{"speaker":"Chris Dy","startTime":1945.35,"endTime":1948.32,"body":"the research world, they've"},{"speaker":"Chris Dy","startTime":1945.35,"endTime":1948.32,"body":"gotten grants, and they've"},{"speaker":"Chris Dy","startTime":1948.32,"endTime":1952.52,"body":"written papers, and people know"},{"speaker":"Chris Dy","startTime":1948.32,"endTime":1952.52,"body":"their name. But this concept of"},{"speaker":"Chris Dy","startTime":1952.52,"endTime":1954.98,"body":"a boost team is really to take"},{"speaker":"Chris Dy","startTime":1952.52,"endTime":1954.98,"body":"somebody and stop them from"},{"speaker":"Chris Dy","startTime":1954.98,"endTime":1957.95,"body":"plateauing and really keep them"},{"speaker":"Chris Dy","startTime":1954.98,"endTime":1957.95,"body":"moving towards their end goals."},{"speaker":"Chris Dy","startTime":1957.95,"endTime":1960.71,"body":"So say somebody that wants to"},{"speaker":"Chris Dy","startTime":1957.95,"endTime":1960.71,"body":"move into a leadership role"},{"speaker":"Chris Dy","startTime":1960.71,"endTime":1963.62,"body":"within the hospital or move into"},{"speaker":"Chris Dy","startTime":1960.71,"endTime":1963.62,"body":"a leadership role nationally."},{"speaker":"Chris Dy","startTime":1964.37,"endTime":1968.48,"body":"You know, you seem like somebody"},{"speaker":"Chris Dy","startTime":1964.37,"endTime":1968.48,"body":"who has kind of benefited from,"},{"speaker":"Chris Dy","startTime":1968.57,"endTime":1972.5,"body":"you know, taking on different"},{"speaker":"Chris Dy","startTime":1968.57,"endTime":1972.5,"body":"leadership roles throughout your"},{"speaker":"Chris Dy","startTime":1972.5,"endTime":1975.89,"body":"career. So becoming co chief and"},{"speaker":"Chris Dy","startTime":1972.5,"endTime":1975.89,"body":"hand service. And then number of"},{"speaker":"Chris Dy","startTime":1975.89,"endTime":1978.77,"body":"years past, you become chief of"},{"speaker":"Chris Dy","startTime":1975.89,"endTime":1978.77,"body":"pedes ortho, and then you"},{"speaker":"Chris Dy","startTime":1978.77,"endTime":1982.13,"body":"eventually become Executive Vice"},{"speaker":"Chris Dy","startTime":1978.77,"endTime":1982.13,"body":"Chair, like, is that something"},{"speaker":"Chris Dy","startTime":1982.13,"endTime":1985.25,"body":"where you thought of those"},{"speaker":"Chris Dy","startTime":1982.13,"endTime":1985.25,"body":"things ahead of time? And you,"},{"speaker":"Chris Dy","startTime":1985.7,"endTime":1988.49,"body":"you know, sought counsel from"},{"speaker":"Chris Dy","startTime":1985.7,"endTime":1988.49,"body":"others? How did that all happen?"},{"speaker":"Chris Dy","startTime":1988.52,"endTime":1990.65,"body":"Because it seems like you had a"},{"speaker":"Chris Dy","startTime":1988.52,"endTime":1990.65,"body":"boost team making this happen"},{"speaker":"Chris Dy","startTime":1990.65,"endTime":1991.13,"body":"for you."},{"speaker":"Charles Goldfarb","startTime":1993.16,"endTime":1994.63,"body":"It's"},{"speaker":"Charles Goldfarb","startTime":1993.16,"endTime":1994.63,"body":"interesting that I don't really"},{"speaker":"Charles Goldfarb","startTime":1994.63,"endTime":1997.57,"body":"think of it that way. But I"},{"speaker":"Charles Goldfarb","startTime":1994.63,"endTime":1997.57,"body":"think, first of all, let me just"},{"speaker":"Charles Goldfarb","startTime":1997.57,"endTime":2000.21,"body":"back up. It's incredibly"},{"speaker":"Charles Goldfarb","startTime":1997.57,"endTime":2000.21,"body":"important. This concept is"},{"speaker":"Charles Goldfarb","startTime":2000.21,"endTime":2005.58,"body":"incredibly important, you know,"},{"speaker":"Charles Goldfarb","startTime":2000.21,"endTime":2005.58,"body":"mainly for academia. Because you"},{"speaker":"Charles Goldfarb","startTime":2005.58,"endTime":2011.04,"body":"can settle into a role, provide"},{"speaker":"Charles Goldfarb","startTime":2005.58,"endTime":2011.04,"body":"great patient care, do good"},{"speaker":"Charles Goldfarb","startTime":2011.04,"endTime":2015.09,"body":"research. And you can just see"},{"speaker":"Charles Goldfarb","startTime":2011.04,"endTime":2015.09,"body":"that extending, it gets easier."},{"speaker":"Charles Goldfarb","startTime":2015.45,"endTime":2019.47,"body":"And you may get some of your"},{"speaker":"Charles Goldfarb","startTime":2015.45,"endTime":2019.47,"body":"time back. But if you don't look"},{"speaker":"Charles Goldfarb","startTime":2019.47,"endTime":2022.11,"body":"to take the next step, or have"},{"speaker":"Charles Goldfarb","startTime":2019.47,"endTime":2022.11,"body":"someone push you to take the"},{"speaker":"Charles Goldfarb","startTime":2022.11,"endTime":2025.89,"body":"next step, or have someone"},{"speaker":"Charles Goldfarb","startTime":2022.11,"endTime":2025.89,"body":"offering you opportunities for"},{"speaker":"Charles Goldfarb","startTime":2025.89,"endTime":2029.37,"body":"the next step, then it's easy to"},{"speaker":"Charles Goldfarb","startTime":2025.89,"endTime":2029.37,"body":"see how what- it won't happen."},{"speaker":"Charles Goldfarb","startTime":2029.61,"endTime":2032.04,"body":"And I you know, it's interesting"},{"speaker":"Charles Goldfarb","startTime":2029.61,"endTime":2032.04,"body":"for me is thinking about Lindley"},{"speaker":"Charles Goldfarb","startTime":2032.04,"endTime":2035.25,"body":"Wall and our relationship and,"},{"speaker":"Charles Goldfarb","startTime":2032.04,"endTime":2035.25,"body":"and kind of what she is looking"},{"speaker":"Charles Goldfarb","startTime":2035.25,"endTime":2038.61,"body":"for. And she is looking for"},{"speaker":"Charles Goldfarb","startTime":2035.25,"endTime":2038.61,"body":"different things than I have."},{"speaker":"Charles Goldfarb","startTime":2038.61,"endTime":2041.64,"body":"She's looking for university"},{"speaker":"Charles Goldfarb","startTime":2038.61,"endTime":2041.64,"body":"involvement, and she's"},{"speaker":"Charles Goldfarb","startTime":2041.73,"endTime":2044.79,"body":"aggressively looking for"},{"speaker":"Charles Goldfarb","startTime":2041.73,"endTime":2044.79,"body":"national involvement. And those"},{"speaker":"Charles Goldfarb","startTime":2044.79,"endTime":2048.18,"body":"things you need, you need a"},{"speaker":"Charles Goldfarb","startTime":2044.79,"endTime":2048.18,"body":"team, you need mentors, you need"},{"speaker":"Charles Goldfarb","startTime":2048.18,"endTime":2054.3,"body":"people looking out for you. I"},{"speaker":"Charles Goldfarb","startTime":2048.18,"endTime":2054.3,"body":"have been lucky to have I guess"},{"speaker":"Charles Goldfarb","startTime":2054.3,"endTime":2059.22,"body":"I would say role opportunities"},{"speaker":"Charles Goldfarb","startTime":2054.3,"endTime":2059.22,"body":"that fit or somewhat fit my"},{"speaker":"Charles Goldfarb","startTime":2059.22,"endTime":2062.85,"body":"interest that needed someone to"},{"speaker":"Charles Goldfarb","startTime":2059.22,"endTime":2062.85,"body":"step into those roles. So I want"},{"speaker":"Charles Goldfarb","startTime":2062.85,"endTime":2067.71,"body":"to say that I stepped into"},{"speaker":"Charles Goldfarb","startTime":2062.85,"endTime":2067.71,"body":"roles, leadership roles without"},{"speaker":"Charles Goldfarb","startTime":2067.74,"endTime":2071.55,"body":"a clear, big picture plan. And"},{"speaker":"Charles Goldfarb","startTime":2067.74,"endTime":2071.55,"body":"those have all worked out well"},{"speaker":"Charles Goldfarb","startTime":2071.55,"endTime":2073.83,"body":"for me. And that perhaps is just"},{"speaker":"Charles Goldfarb","startTime":2071.55,"endTime":2073.83,"body":"luck."},{"speaker":"Chris Dy","startTime":2075.04,"endTime":2077.92,"body":"Oh, you know, there's"},{"speaker":"Chris Dy","startTime":2075.04,"endTime":2077.92,"body":"I can't remember, I think it's"},{"speaker":"Chris Dy","startTime":2077.95,"endTime":2081.25,"body":"Yogi Bear that says the harder I"},{"speaker":"Chris Dy","startTime":2077.95,"endTime":2081.25,"body":"work I find it the more luck I"},{"speaker":"Chris Dy","startTime":2081.25,"endTime":2085.21,"body":"have or something like that. So,"},{"speaker":"Chris Dy","startTime":2081.25,"endTime":2085.21,"body":"you know, I give that I use that"},{"speaker":"Chris Dy","startTime":2085.21,"endTime":2087.97,"body":"quote. And when I was when I"},{"speaker":"Chris Dy","startTime":2085.21,"endTime":2087.97,"body":"give my Plexus talk about"},{"speaker":"Chris Dy","startTime":2087.97,"endTime":2091.84,"body":"knowing your anatomy, and"},{"speaker":"Chris Dy","startTime":2087.97,"endTime":2091.84,"body":"practicing your dissections, but"},{"speaker":"Chris Dy","startTime":2091.84,"endTime":2094.12,"body":"yeah, absolutely true for for"},{"speaker":"Chris Dy","startTime":2091.84,"endTime":2094.12,"body":"you. You know, I don't think"},{"speaker":"Chris Dy","startTime":2094.12,"endTime":2096.49,"body":"it's luck. It's more of you"},{"speaker":"Chris Dy","startTime":2094.12,"endTime":2096.49,"body":"know, doing the homework, doing"},{"speaker":"Chris Dy","startTime":2096.49,"endTime":2101.47,"body":"the work, most importantly and"},{"speaker":"Chris Dy","startTime":2096.49,"endTime":2101.47,"body":"you know, one thing that I think"},{"speaker":"Chris Dy","startTime":2101.5,"endTime":2105.07,"body":"is interesting that they point"},{"speaker":"Chris Dy","startTime":2101.5,"endTime":2105.07,"body":"out in here is as you rise, you"},{"speaker":"Chris Dy","startTime":2105.07,"endTime":2110.41,"body":"know, higher up in leadership."},{"speaker":"Chris Dy","startTime":2105.07,"endTime":2110.41,"body":"They quote Marshall Goldsmith,"},{"speaker":"Chris Dy","startTime":2110.41,"endTime":2112.69,"body":"who actually if you read the"},{"speaker":"Chris Dy","startTime":2110.41,"endTime":2112.69,"body":"book that they talked about, you"},{"speaker":"Chris Dy","startTime":2112.69,"endTime":2116.59,"body":"know, what got you here won't"},{"speaker":"Chris Dy","startTime":2112.69,"endTime":2116.59,"body":"get you there. They talk about"},{"speaker":"Chris Dy","startTime":2116.59,"endTime":2119.2,"body":"how the people skills become"},{"speaker":"Chris Dy","startTime":2116.59,"endTime":2119.2,"body":"that much more important, the"},{"speaker":"Chris Dy","startTime":2119.2,"endTime":2121.9,"body":"higher up you get. Can you talk"},{"speaker":"Chris Dy","startTime":2119.2,"endTime":2121.9,"body":"a little bit about that?"},{"speaker":"Chris Dy","startTime":2121.9,"endTime":2124.6,"body":"Because, you know, clearly we've"},{"speaker":"Chris Dy","startTime":2121.9,"endTime":2124.6,"body":"like we said, you know, move"},{"speaker":"Chris Dy","startTime":2124.6,"endTime":2126.73,"body":"from role to role and up and"},{"speaker":"Chris Dy","startTime":2124.6,"endTime":2126.73,"body":"moving up that ladder."},{"speaker":"Charles Goldfarb","startTime":2128.64,"endTime":2130.59,"body":"And this"},{"speaker":"Charles Goldfarb","startTime":2128.64,"endTime":2130.59,"body":"article also cites the"},{"speaker":"Charles Goldfarb","startTime":2130.59,"endTime":2134.16,"body":"importance of connectors, right?"},{"speaker":"Charles Goldfarb","startTime":2130.59,"endTime":2134.16,"body":"These are people that have been"},{"speaker":"Charles Goldfarb","startTime":2134.16,"endTime":2138.27,"body":"there done that know people"},{"speaker":"Charles Goldfarb","startTime":2134.16,"endTime":2138.27,"body":"across your institution that can"},{"speaker":"Charles Goldfarb","startTime":2138.27,"endTime":2142.44,"body":"help you meet other people. And"},{"speaker":"Charles Goldfarb","startTime":2138.27,"endTime":2142.44,"body":"so yeah, the soft skills become"},{"speaker":"Charles Goldfarb","startTime":2142.44,"endTime":2145.35,"body":"increasingly important, because"},{"speaker":"Charles Goldfarb","startTime":2142.44,"endTime":2145.35,"body":"once you get to a certain stage,"},{"speaker":"Charles Goldfarb","startTime":2145.56,"endTime":2149.55,"body":"there is an assumption fair or"},{"speaker":"Charles Goldfarb","startTime":2145.56,"endTime":2149.55,"body":"unfair, that you know the"},{"speaker":"Charles Goldfarb","startTime":2149.55,"endTime":2152.55,"body":"clinical stuff you're taking"},{"speaker":"Charles Goldfarb","startTime":2149.55,"endTime":2152.55,"body":"care of, and the research stuff,"},{"speaker":"Charles Goldfarb","startTime":2152.58,"endTime":2155.31,"body":"you're doing good job. But if"},{"speaker":"Charles Goldfarb","startTime":2152.58,"endTime":2155.31,"body":"you're looking for leadership"},{"speaker":"Charles Goldfarb","startTime":2155.31,"endTime":2159.75,"body":"opportunities, it is about who"},{"speaker":"Charles Goldfarb","startTime":2155.31,"endTime":2159.75,"body":"you know, and who can expand"},{"speaker":"Charles Goldfarb","startTime":2159.75,"endTime":2162.03,"body":"your world. And that's how I"},{"speaker":"Charles Goldfarb","startTime":2159.75,"endTime":2162.03,"body":"think about it. Because it's"},{"speaker":"Charles Goldfarb","startTime":2162.03,"endTime":2165.93,"body":"very easy to stay in your world."},{"speaker":"Charles Goldfarb","startTime":2162.03,"endTime":2165.93,"body":"And if you want to take a step"},{"speaker":"Charles Goldfarb","startTime":2165.96,"endTime":2169.38,"body":"out of your world, or engage in"},{"speaker":"Charles Goldfarb","startTime":2165.96,"endTime":2169.38,"body":"a different way, someone has to"},{"speaker":"Charles Goldfarb","startTime":2169.38,"endTime":2173.04,"body":"help you get there. And that"},{"speaker":"Charles Goldfarb","startTime":2169.38,"endTime":2173.04,"body":"probably is the most intentional"},{"speaker":"Charles Goldfarb","startTime":2173.04,"endTime":2177.99,"body":"thing that I've tried to do is"},{"speaker":"Charles Goldfarb","startTime":2173.04,"endTime":2177.99,"body":"meeting those people that can"},{"speaker":"Charles Goldfarb","startTime":2178.11,"endTime":2181.08,"body":"help me understand what else is"},{"speaker":"Charles Goldfarb","startTime":2178.11,"endTime":2181.08,"body":"out there from leadership"},{"speaker":"Charles Goldfarb","startTime":2181.08,"endTime":2184.38,"body":"programs to, you know, as silly"},{"speaker":"Charles Goldfarb","startTime":2181.08,"endTime":2184.38,"body":"as it sounds, hospital"},{"speaker":"Charles Goldfarb","startTime":2184.38,"endTime":2186.84,"body":"committees accomplish that goal,"},{"speaker":"Charles Goldfarb","startTime":2184.38,"endTime":2186.84,"body":"you meet people in different"},{"speaker":"Charles Goldfarb","startTime":2186.84,"endTime":2191.1,"body":"disciplines. So that part for me"},{"speaker":"Charles Goldfarb","startTime":2186.84,"endTime":2191.1,"body":"is intentional. But I totally"},{"speaker":"Charles Goldfarb","startTime":2191.1,"endTime":2194.7,"body":"agree with your statement. I"},{"speaker":"Charles Goldfarb","startTime":2191.1,"endTime":2194.7,"body":"think that the interactive"},{"speaker":"Charles Goldfarb","startTime":2194.7,"endTime":2199.08,"body":"skills, dispelling notions of"},{"speaker":"Charles Goldfarb","startTime":2194.7,"endTime":2199.08,"body":"you know, surgeons being a jerk"},{"speaker":"Charles Goldfarb","startTime":2199.08,"endTime":2203.43,"body":"when you're working with the the"},{"speaker":"Charles Goldfarb","startTime":2199.08,"endTime":2203.43,"body":"pediatric physicians, I mean,"},{"speaker":"Charles Goldfarb","startTime":2203.43,"endTime":2208.23,"body":"there's lots of things about it"},{"speaker":"Charles Goldfarb","startTime":2203.43,"endTime":2208.23,"body":"that really are important to"},{"speaker":"Charles Goldfarb","startTime":2208.23,"endTime":2209.01,"body":"moving forward."},{"speaker":"Chris Dy","startTime":2210.71,"endTime":2214.79,"body":"So do you see a role"},{"speaker":"Chris Dy","startTime":2210.71,"endTime":2214.79,"body":"for us trying to get the these"},{"speaker":"Chris Dy","startTime":2215.33,"endTime":2217.73,"body":"mentorship teams going? Our"},{"speaker":"Chris Dy","startTime":2215.33,"endTime":2217.73,"body":"department, I think it'd be"},{"speaker":"Chris Dy","startTime":2217.73,"endTime":2222.08,"body":"great. You know, one question I"},{"speaker":"Chris Dy","startTime":2217.73,"endTime":2222.08,"body":"have is, what's in it for the"},{"speaker":"Chris Dy","startTime":2222.08,"endTime":2225.26,"body":"people that are spending all"},{"speaker":"Chris Dy","startTime":2222.08,"endTime":2225.26,"body":"this time mentoring somebody"},{"speaker":"Chris Dy","startTime":2225.26,"endTime":2229.52,"body":"else? You know, how much"},{"speaker":"Chris Dy","startTime":2225.26,"endTime":2229.52,"body":"goodwill is generated by this?"},{"speaker":"Chris Dy","startTime":2229.52,"endTime":2231.92,"body":"Because that's the question I"},{"speaker":"Chris Dy","startTime":2229.52,"endTime":2231.92,"body":"have is like sustainability,"},{"speaker":"Chris Dy","startTime":2231.92,"endTime":2235.13,"body":"like, What? How can you ensure"},{"speaker":"Chris Dy","startTime":2231.92,"endTime":2235.13,"body":"that people are going to"},{"speaker":"Chris Dy","startTime":2235.13,"endTime":2237.47,"body":"dedicate the time and the energy"},{"speaker":"Chris Dy","startTime":2235.13,"endTime":2237.47,"body":"to this?"},{"speaker":"Charles Goldfarb","startTime":2237.92,"endTime":2240.14,"body":"I think the"},{"speaker":"Charles Goldfarb","startTime":2237.92,"endTime":2240.14,"body":"further, and Marty Boyer"},{"speaker":"Charles Goldfarb","startTime":2240.14,"endTime":2243.17,"body":"probably taught me this more"},{"speaker":"Charles Goldfarb","startTime":2240.14,"endTime":2243.17,"body":"than anyone else. And I think"},{"speaker":"Charles Goldfarb","startTime":2243.17,"endTime":2246.56,"body":"the further you get into your"},{"speaker":"Charles Goldfarb","startTime":2243.17,"endTime":2246.56,"body":"career, you realize the impact"},{"speaker":"Charles Goldfarb","startTime":2246.56,"endTime":2251.66,"body":"you achieve with patient care is"},{"speaker":"Charles Goldfarb","startTime":2246.56,"endTime":2251.66,"body":"fantastic. And the impact you"},{"speaker":"Charles Goldfarb","startTime":2251.66,"endTime":2255.35,"body":"can achieve with scientific"},{"speaker":"Charles Goldfarb","startTime":2251.66,"endTime":2255.35,"body":"publications is great. But your"},{"speaker":"Charles Goldfarb","startTime":2255.35,"endTime":2259.76,"body":"real impact is with your"},{"speaker":"Charles Goldfarb","startTime":2255.35,"endTime":2259.76,"body":"partners and with mentees, and"},{"speaker":"Charles Goldfarb","startTime":2259.76,"endTime":2263.6,"body":"people that you positively"},{"speaker":"Charles Goldfarb","startTime":2259.76,"endTime":2263.6,"body":"influence in your career. And so"},{"speaker":"Charles Goldfarb","startTime":2263.63,"endTime":2268.28,"body":"unfortunately, you know, our"},{"speaker":"Charles Goldfarb","startTime":2263.63,"endTime":2268.28,"body":"department is crazy busy. We're"},{"speaker":"Charles Goldfarb","startTime":2268.28,"endTime":2272.93,"body":"all crazy busy. And so asking"},{"speaker":"Charles Goldfarb","startTime":2268.28,"endTime":2272.93,"body":"people to do one more thing is"},{"speaker":"Charles Goldfarb","startTime":2272.93,"endTime":2276.59,"body":"tough. But ultimately, this is"},{"speaker":"Charles Goldfarb","startTime":2272.93,"endTime":2276.59,"body":"the kind of thing that should"},{"speaker":"Charles Goldfarb","startTime":2276.59,"endTime":2281.51,"body":"resonate, and should create"},{"speaker":"Charles Goldfarb","startTime":2276.59,"endTime":2281.51,"body":"impactful relationships and"},{"speaker":"Charles Goldfarb","startTime":2281.51,"endTime":2284.84,"body":"really joy in watching others"},{"speaker":"Charles Goldfarb","startTime":2281.51,"endTime":2284.84,"body":"succeed. And I think there's"},{"speaker":"Charles Goldfarb","startTime":2284.84,"endTime":2286.55,"body":"enough senior people in our"},{"speaker":"Charles Goldfarb","startTime":2284.84,"endTime":2286.55,"body":"department that should"},{"speaker":"Charles Goldfarb","startTime":2286.55,"endTime":2287.57,"body":"appreciate that, I hope."},{"speaker":"Chris Dy","startTime":2288.92,"endTime":2291.17,"body":"Yeah, I think they"},{"speaker":"Chris Dy","startTime":2288.92,"endTime":2291.17,"body":"even talk a little bit about in"},{"speaker":"Chris Dy","startTime":2291.17,"endTime":2294.44,"body":"this article about how you know,"},{"speaker":"Chris Dy","startTime":2291.17,"endTime":2294.44,"body":"somebody who has gone through"},{"speaker":"Chris Dy","startTime":2294.44,"endTime":2297.98,"body":"this perhaps is they're into the"},{"speaker":"Chris Dy","startTime":2294.44,"endTime":2297.98,"body":"cruise or boost phases would"},{"speaker":"Chris Dy","startTime":2297.98,"endTime":2301.19,"body":"want to, you know, be part of a"},{"speaker":"Chris Dy","startTime":2297.98,"endTime":2301.19,"body":"launch team. And, and I have"},{"speaker":"Chris Dy","startTime":2301.19,"endTime":2304.61,"body":"said like, I think I would love"},{"speaker":"Chris Dy","startTime":2301.19,"endTime":2304.61,"body":"to help people that may have"},{"speaker":"Chris Dy","startTime":2304.61,"endTime":2307.82,"body":"similar interests along the way."},{"speaker":"Chris Dy","startTime":2304.61,"endTime":2307.82,"body":"Because I think, at this point,"},{"speaker":"Chris Dy","startTime":2307.82,"endTime":2310.58,"body":"I've tried to establish myself,"},{"speaker":"Chris Dy","startTime":2307.82,"endTime":2310.58,"body":"and I think I've established"},{"speaker":"Chris Dy","startTime":2310.58,"endTime":2313.73,"body":"myself in the lane that I want"},{"speaker":"Chris Dy","startTime":2310.58,"endTime":2313.73,"body":"to be in. And I don't want"},{"speaker":"Chris Dy","startTime":2313.73,"endTime":2316.79,"body":"anybody having to learn the hard"},{"speaker":"Chris Dy","startTime":2313.73,"endTime":2316.79,"body":"lessons the hard way that I did."},{"speaker":"Chris Dy","startTime":2316.79,"endTime":2317.06,"body":"So."},{"speaker":"Charles Goldfarb","startTime":2317.9,"endTime":2320.18,"body":"No, it's true."},{"speaker":"Charles Goldfarb","startTime":2317.9,"endTime":2320.18,"body":"And let's be honest, it's always"},{"speaker":"Charles Goldfarb","startTime":2320.18,"endTime":2323.57,"body":"a two way street. I mean, you"},{"speaker":"Charles Goldfarb","startTime":2320.18,"endTime":2323.57,"body":"give what you get, you get what"},{"speaker":"Charles Goldfarb","startTime":2323.57,"endTime":2328.91,"body":"you give. And I think it's so"},{"speaker":"Charles Goldfarb","startTime":2323.57,"endTime":2328.91,"body":"clear to me that that the reward"},{"speaker":"Charles Goldfarb","startTime":2328.91,"endTime":2331.67,"body":"you get from entering a"},{"speaker":"Charles Goldfarb","startTime":2328.91,"endTime":2331.67,"body":"relationship like this are"},{"speaker":"Charles Goldfarb","startTime":2331.67,"endTime":2337.52,"body":"immense. On that soft note,"},{"speaker":"Charles Goldfarb","startTime":2331.67,"endTime":2337.52,"body":"let's change gears. We talked"},{"speaker":"Charles Goldfarb","startTime":2337.52,"endTime":2340.7,"body":"about keeping this podcast"},{"speaker":"Charles Goldfarb","startTime":2337.52,"endTime":2340.7,"body":"relatively short, we have not"},{"speaker":"Charles Goldfarb","startTime":2340.7,"endTime":2344.96,"body":"succeeded. So there was a great"},{"speaker":"Charles Goldfarb","startTime":2340.7,"endTime":2344.96,"body":"Journal Club article we"},{"speaker":"Charles Goldfarb","startTime":2344.96,"endTime":2349.61,"body":"discussed on this week, which is"},{"speaker":"Charles Goldfarb","startTime":2344.96,"endTime":2349.61,"body":"entitled structural versus non"},{"speaker":"Charles Goldfarb","startTime":2349.61,"endTime":2353.06,"body":"structural bone grafting for the"},{"speaker":"Charles Goldfarb","startTime":2349.61,"endTime":2353.06,"body":"treatment of unstable scaphoid"},{"speaker":"Charles Goldfarb","startTime":2353.06,"endTime":2356.09,"body":"waste non union without"},{"speaker":"Charles Goldfarb","startTime":2353.06,"endTime":2356.09,"body":"avascular necrosis. That's a"},{"speaker":"Charles Goldfarb","startTime":2356.09,"endTime":2361.7,"body":"mouthful, a randomized clinical"},{"speaker":"Charles Goldfarb","startTime":2356.09,"endTime":2361.7,"body":"trial. The first author is"},{"speaker":"Charles Goldfarb","startTime":2361.7,"endTime":2366.59,"body":"Hegazi. And the senior author is"},{"speaker":"Charles Goldfarb","startTime":2361.7,"endTime":2366.59,"body":"Hassan. And they are-"},{"speaker":"Chris Dy","startTime":2367.91,"endTime":2369.5,"body":"From the Kingdom of"},{"speaker":"Chris Dy","startTime":2367.91,"endTime":2369.5,"body":"Saudi Arabia."},{"speaker":"Charles Goldfarb","startTime":2369.8,"endTime":2372.38,"body":"I thought this"},{"speaker":"Charles Goldfarb","startTime":2369.8,"endTime":2372.38,"body":"article was super interesting."},{"speaker":"Chris Dy","startTime":2373.1,"endTime":2377.93,"body":"I did too, all think"},{"speaker":"Chris Dy","startTime":2373.1,"endTime":2377.93,"body":"about how hard it was for them"},{"speaker":"Chris Dy","startTime":2377.93,"endTime":2381.62,"body":"to probably pull off this study,"},{"speaker":"Chris Dy","startTime":2377.93,"endTime":2381.62,"body":"to provide some context in the"},{"speaker":"Chris Dy","startTime":2381.62,"endTime":2384.65,"body":"article. So it's JHS for anybody"},{"speaker":"Chris Dy","startTime":2381.62,"endTime":2384.65,"body":"who wants to read it, but you"},{"speaker":"Chris Dy","startTime":2384.65,"endTime":2387.89,"body":"know, what they did is that they"},{"speaker":"Chris Dy","startTime":2384.65,"endTime":2387.89,"body":"took patients as the title"},{"speaker":"Chris Dy","startTime":2387.89,"endTime":2392.78,"body":"states, who had scaphoid"},{"speaker":"Chris Dy","startTime":2387.89,"endTime":2392.78,"body":"nonunions, without any AVN, but"},{"speaker":"Chris Dy","startTime":2392.78,"endTime":2395.45,"body":"they were at least six months"},{"speaker":"Chris Dy","startTime":2392.78,"endTime":2395.45,"body":"out from surgery. And they"},{"speaker":"Chris Dy","startTime":2395.45,"endTime":2399.56,"body":"prospectively randomized almost"},{"speaker":"Chris Dy","startTime":2395.45,"endTime":2399.56,"body":"100 people to this study, which"},{"speaker":"Chris Dy","startTime":2399.59,"endTime":2403.43,"body":"I mean, that's A lot of work,"},{"speaker":"Chris Dy","startTime":2399.59,"endTime":2403.43,"body":"it's really impressive. You"},{"speaker":"Chris Dy","startTime":2403.43,"endTime":2406.22,"body":"know, so they randomized 102"},{"speaker":"Chris Dy","startTime":2403.43,"endTime":2406.22,"body":"people and eventually ended up"},{"speaker":"Chris Dy","startTime":2406.22,"endTime":2411.14,"body":"with 49 patients in each group."},{"speaker":"Chris Dy","startTime":2406.22,"endTime":2411.14,"body":"And for these patients who had"},{"speaker":"Chris Dy","startTime":2411.14,"endTime":2415.25,"body":"scahpoid nonunions, more than"},{"speaker":"Chris Dy","startTime":2411.14,"endTime":2415.25,"body":"six months, without any prior"},{"speaker":"Chris Dy","startTime":2415.25,"endTime":2420.62,"body":"surgery. Regardless of what the"},{"speaker":"Chris Dy","startTime":2415.25,"endTime":2420.62,"body":"initial x rays were, they"},{"speaker":"Chris Dy","startTime":2420.62,"endTime":2424.55,"body":"randomized them to either"},{"speaker":"Chris Dy","startTime":2420.62,"endTime":2424.55,"body":"receive cancellous only grafting"},{"speaker":"Chris Dy","startTime":2424.79,"endTime":2430.16,"body":"from the iliac crest, or a"},{"speaker":"Chris Dy","startTime":2424.79,"endTime":2430.16,"body":"cortical cancellous strut from"},{"speaker":"Chris Dy","startTime":2430.16,"endTime":2433.55,"body":"the iliac crest as well. And"},{"speaker":"Chris Dy","startTime":2430.16,"endTime":2433.55,"body":"they did the standard"},{"speaker":"Chris Dy","startTime":2433.55,"endTime":2436.91,"body":"radiographic outcomes, which I"},{"speaker":"Chris Dy","startTime":2433.55,"endTime":2436.91,"body":"mean, they did a great job"},{"speaker":"Chris Dy","startTime":2436.91,"endTime":2440.78,"body":"capturing that, including CT"},{"speaker":"Chris Dy","startTime":2436.91,"endTime":2440.78,"body":"scans, I mean, CT scans on the"},{"speaker":"Chris Dy","startTime":2440.78,"endTime":2444.53,"body":"regular until things were"},{"speaker":"Chris Dy","startTime":2440.78,"endTime":2444.53,"body":"healed. And then also some range"},{"speaker":"Chris Dy","startTime":2444.53,"endTime":2448.43,"body":"of motion and patient reported"},{"speaker":"Chris Dy","startTime":2444.53,"endTime":2448.43,"body":"outcomes in the form of a DASH"},{"speaker":"Chris Dy","startTime":2448.7,"endTime":2453.83,"body":"that was blown away by how much"},{"speaker":"Chris Dy","startTime":2448.7,"endTime":2453.83,"body":"effort went into this. Just to"},{"speaker":"Chris Dy","startTime":2453.83,"endTime":2457.25,"body":"provide some context, from our"},{"speaker":"Chris Dy","startTime":2453.83,"endTime":2457.25,"body":"perspective on the podcast that"},{"speaker":"Chris Dy","startTime":2457.25,"endTime":2462.77,"body":"we recorded in March of 2020. In"},{"speaker":"Chris Dy","startTime":2457.25,"endTime":2462.77,"body":"scaphoid, part two, Chuck, you"},{"speaker":"Chris Dy","startTime":2462.77,"endTime":2467.33,"body":"talked about how for a scaphoid"},{"speaker":"Chris Dy","startTime":2462.77,"endTime":2467.33,"body":"non union, you almost you very"},{"speaker":"Chris Dy","startTime":2467.33,"endTime":2471.65,"body":"rarely or never will use a"},{"speaker":"Chris Dy","startTime":2467.33,"endTime":2471.65,"body":"cortical cancellous graft. So is"},{"speaker":"Chris Dy","startTime":2471.65,"endTime":2473.51,"body":"that that I summarize that"},{"speaker":"Chris Dy","startTime":2471.65,"endTime":2473.51,"body":"correctly?"},{"speaker":"Charles Goldfarb","startTime":2474.05,"endTime":2476.78,"body":"You did?"},{"speaker":"Charles Goldfarb","startTime":2474.05,"endTime":2476.78,"body":"Absolutely. Yeah. And this"},{"speaker":"Charles Goldfarb","startTime":2476.78,"endTime":2479.51,"body":"article, the findings were"},{"speaker":"Charles Goldfarb","startTime":2476.78,"endTime":2479.51,"body":"interesting as well. And I do"},{"speaker":"Charles Goldfarb","startTime":2479.51,"endTime":2481.94,"body":"recommend if you treat scaphoid"},{"speaker":"Charles Goldfarb","startTime":2479.51,"endTime":2481.94,"body":"nonunions, you should read this"},{"speaker":"Charles Goldfarb","startTime":2481.94,"endTime":2485.93,"body":"article. But the findings were"},{"speaker":"Charles Goldfarb","startTime":2481.94,"endTime":2485.93,"body":"very basic, the cancellous"},{"speaker":"Charles Goldfarb","startTime":2485.93,"endTime":2491.45,"body":"grafts, healed faster, healed"},{"speaker":"Charles Goldfarb","startTime":2485.93,"endTime":2491.45,"body":"slightly more reliably at about"},{"speaker":"Charles Goldfarb","startTime":2491.45,"endTime":2495.98,"body":"94%. But the cortical cancellous"},{"speaker":"Charles Goldfarb","startTime":2491.45,"endTime":2495.98,"body":"grafts, while healing slower,"},{"speaker":"Charles Goldfarb","startTime":2496.01,"endTime":2501.26,"body":"also healed reliably, about"},{"speaker":"Charles Goldfarb","startTime":2496.01,"endTime":2501.26,"body":"90-90 plus percent. And actually"},{"speaker":"Charles Goldfarb","startTime":2501.26,"endTime":2506.69,"body":"maintained corrected alignment"},{"speaker":"Charles Goldfarb","startTime":2501.26,"endTime":2506.69,"body":"of the scaphoid better. And the"},{"speaker":"Charles Goldfarb","startTime":2506.69,"endTime":2508.94,"body":"screw they chose was a Herbert"},{"speaker":"Charles Goldfarb","startTime":2506.69,"endTime":2508.94,"body":"screw. And I won't be critical"},{"speaker":"Charles Goldfarb","startTime":2508.94,"endTime":2513.44,"body":"of that even though it's not"},{"speaker":"Charles Goldfarb","startTime":2508.94,"endTime":2513.44,"body":"something I use, I think it does"},{"speaker":"Charles Goldfarb","startTime":2513.44,"endTime":2518.42,"body":"two things. I think it makes all"},{"speaker":"Charles Goldfarb","startTime":2513.44,"endTime":2518.42,"body":"of us think about whether we,"},{"speaker":"Charles Goldfarb","startTime":2518.66,"endTime":2523.1,"body":"from a carpentry standpoint can"},{"speaker":"Charles Goldfarb","startTime":2518.66,"endTime":2523.1,"body":"achieve our goals with only"},{"speaker":"Charles Goldfarb","startTime":2523.1,"endTime":2528.23,"body":"cancellous craft, or whether the"},{"speaker":"Charles Goldfarb","startTime":2523.1,"endTime":2528.23,"body":"benefits of of a more complex,"},{"speaker":"Charles Goldfarb","startTime":2529.04,"endTime":2534.14,"body":"designed graft are worth it. Can"},{"speaker":"Charles Goldfarb","startTime":2529.04,"endTime":2534.14,"body":"we do it? Do we want to do it?"},{"speaker":"Charles Goldfarb","startTime":2534.14,"endTime":2536.96,"body":"And is there benefit to the"},{"speaker":"Charles Goldfarb","startTime":2534.14,"endTime":2536.96,"body":"patient? So it's really"},{"speaker":"Charles Goldfarb","startTime":2536.96,"endTime":2537.44,"body":"interesting."},{"speaker":"Chris Dy","startTime":2538.08,"endTime":2540.21,"body":"Yeah, we presented"},{"speaker":"Chris Dy","startTime":2538.08,"endTime":2540.21,"body":"this article in Journal Club"},{"speaker":"Chris Dy","startTime":2540.84,"endTime":2545.16,"body":"this week. And we were split"},{"speaker":"Chris Dy","startTime":2540.84,"endTime":2545.16,"body":"down lines in terms of whether"},{"speaker":"Chris Dy","startTime":2545.16,"endTime":2548.34,"body":"we would you know, I think there"},{"speaker":"Chris Dy","startTime":2545.16,"endTime":2548.34,"body":"were two people that were saying"},{"speaker":"Chris Dy","startTime":2548.4,"endTime":2551.31,"body":"you know cancellous only all the"},{"speaker":"Chris Dy","startTime":2548.4,"endTime":2551.31,"body":"time. And they were two that"},{"speaker":"Chris Dy","startTime":2551.31,"endTime":2553.56,"body":"were saying they would use"},{"speaker":"Chris Dy","startTime":2551.31,"endTime":2553.56,"body":"cortical cancellous Why would"},{"speaker":"Chris Dy","startTime":2553.56,"endTime":2555.48,"body":"you only use cancellous and"},{"speaker":"Chris Dy","startTime":2553.56,"endTime":2555.48,"body":"there were two that were kind of"},{"speaker":"Chris Dy","startTime":2555.48,"endTime":2558.21,"body":"like I do whatever depends on"},{"speaker":"Chris Dy","startTime":2555.48,"endTime":2558.21,"body":"the case, that kind of thing."},{"speaker":"Chris Dy","startTime":2558.69,"endTime":2561.57,"body":"And I found that really"},{"speaker":"Chris Dy","startTime":2558.69,"endTime":2561.57,"body":"interesting, probably prompted,"},{"speaker":"Chris Dy","startTime":2561.72,"endTime":2566.04,"body":"you know, some future studies"},{"speaker":"Chris Dy","startTime":2561.72,"endTime":2566.04,"body":"for us. But the disagreement is"},{"speaker":"Chris Dy","startTime":2566.04,"endTime":2570.87,"body":"striking, you know, for, you"},{"speaker":"Chris Dy","startTime":2566.04,"endTime":2570.87,"body":"know, for a somewhat, you know,"},{"speaker":"Chris Dy","startTime":2572.04,"endTime":2575.43,"body":"a problem that I think can be"},{"speaker":"Chris Dy","startTime":2572.04,"endTime":2575.43,"body":"addressed a lot of different"},{"speaker":"Chris Dy","startTime":2575.43,"endTime":2578.37,"body":"ways. It's really interesting to"},{"speaker":"Chris Dy","startTime":2575.43,"endTime":2578.37,"body":"see this and I think that the"},{"speaker":"Chris Dy","startTime":2578.37,"endTime":2582.57,"body":"results of the trial are, you"},{"speaker":"Chris Dy","startTime":2578.37,"endTime":2582.57,"body":"can make it whatever you want."},{"speaker":"Chris Dy","startTime":2583.35,"endTime":2586.41,"body":"You could you can use these"},{"speaker":"Chris Dy","startTime":2583.35,"endTime":2586.41,"body":"results to support doing"},{"speaker":"Chris Dy","startTime":2586.41,"endTime":2589.2,"body":"cancellous only you can find a"},{"speaker":"Chris Dy","startTime":2586.41,"endTime":2589.2,"body":"way to use these results to"},{"speaker":"Chris Dy","startTime":2589.2,"endTime":2592.74,"body":"support doing a cortical"},{"speaker":"Chris Dy","startTime":2589.2,"endTime":2592.74,"body":"cancellous. Because in their"},{"speaker":"Chris Dy","startTime":2592.74,"endTime":2596.94,"body":"post hoc analysis, they"},{"speaker":"Chris Dy","startTime":2592.74,"endTime":2596.94,"body":"stratified by the the lateral"},{"speaker":"Chris Dy","startTime":2596.94,"endTime":2599.16,"body":"inter scaphoid angle. So"},{"speaker":"Chris Dy","startTime":2596.94,"endTime":2599.16,"body":"basically the humpback"},{"speaker":"Chris Dy","startTime":2599.16,"endTime":2602.07,"body":"deformities, and for the"},{"speaker":"Chris Dy","startTime":2599.16,"endTime":2602.07,"body":"humpback deformities with an"},{"speaker":"Chris Dy","startTime":2602.07,"endTime":2605.25,"body":"inter scaphoid angle over 70,"},{"speaker":"Chris Dy","startTime":2602.07,"endTime":2605.25,"body":"the cortical cancellous"},{"speaker":"Chris Dy","startTime":2605.25,"endTime":2607.47,"body":"performed better, like you're"},{"speaker":"Chris Dy","startTime":2605.25,"endTime":2607.47,"body":"saying held the reduction"},{"speaker":"Chris Dy","startTime":2607.47,"endTime":2610.89,"body":"better. And I thought that that"},{"speaker":"Chris Dy","startTime":2607.47,"endTime":2610.89,"body":"was really interesting. And I"},{"speaker":"Chris Dy","startTime":2610.89,"endTime":2614.91,"body":"can't say that it's different"},{"speaker":"Chris Dy","startTime":2610.89,"endTime":2614.91,"body":"than what I would have, you"},{"speaker":"Chris Dy","startTime":2614.91,"endTime":2619.05,"body":"know, what I would have done if"},{"speaker":"Chris Dy","startTime":2614.91,"endTime":2619.05,"body":"I hadn't read this article. But"},{"speaker":"Chris Dy","startTime":2619.05,"endTime":2619.92,"body":"it was striking."},{"speaker":"Charles Goldfarb","startTime":2621.03,"endTime":2623.73,"body":"It absolutely"},{"speaker":"Charles Goldfarb","startTime":2621.03,"endTime":2623.73,"body":"is. And it's believable, because"},{"speaker":"Charles Goldfarb","startTime":2623.73,"endTime":2628.83,"body":"if you choose the cancellous"},{"speaker":"Charles Goldfarb","startTime":2623.73,"endTime":2628.83,"body":"only approach and Dr. Wall likes"},{"speaker":"Charles Goldfarb","startTime":2628.83,"endTime":2631.2,"body":"a little Roussy technique. So"},{"speaker":"Charles Goldfarb","startTime":2628.83,"endTime":2631.2,"body":"taking a little piece of"},{"speaker":"Charles Goldfarb","startTime":2631.53,"endTime":2634.92,"body":"cortical bone from the distal"},{"speaker":"Charles Goldfarb","startTime":2631.53,"endTime":2634.92,"body":"radius and using that as a strut"},{"speaker":"Charles Goldfarb","startTime":2634.95,"endTime":2638.94,"body":"and that is different than what"},{"speaker":"Charles Goldfarb","startTime":2634.95,"endTime":2638.94,"body":"I do. But if you choose a screw"},{"speaker":"Charles Goldfarb","startTime":2638.94,"endTime":2642.51,"body":"only technique, that screw has"},{"speaker":"Charles Goldfarb","startTime":2638.94,"endTime":2642.51,"body":"to be placed perfectly, you need"},{"speaker":"Charles Goldfarb","startTime":2642.51,"endTime":2646.14,"body":"a derotation wire, you have to"},{"speaker":"Charles Goldfarb","startTime":2642.51,"endTime":2646.14,"body":"place the screw perfectly, you"},{"speaker":"Charles Goldfarb","startTime":2646.14,"endTime":2650.85,"body":"can't compress it has to be"},{"speaker":"Charles Goldfarb","startTime":2646.14,"endTime":2650.85,"body":"volar in the scaphoid it really"},{"speaker":"Charles Goldfarb","startTime":2650.85,"endTime":2654.51,"body":"has to be a perfectly placed"},{"speaker":"Charles Goldfarb","startTime":2650.85,"endTime":2654.51,"body":"screw. And you know, clearly"},{"speaker":"Charles Goldfarb","startTime":2654.51,"endTime":2657.48,"body":"we're not perfect as surgeons,"},{"speaker":"Charles Goldfarb","startTime":2654.51,"endTime":2657.48,"body":"and so it won't always be"},{"speaker":"Charles Goldfarb","startTime":2657.48,"endTime":2661.02,"body":"perfect. And I think if you take"},{"speaker":"Charles Goldfarb","startTime":2657.48,"endTime":2661.02,"body":"the time to contour an iliac"},{"speaker":"Charles Goldfarb","startTime":2661.02,"endTime":2666.48,"body":"crest graft, it probably is more"},{"speaker":"Charles Goldfarb","startTime":2661.02,"endTime":2666.48,"body":"reliable. I do think it bears"},{"speaker":"Charles Goldfarb","startTime":2666.48,"endTime":2669.09,"body":"consideration for those"},{"speaker":"Charles Goldfarb","startTime":2666.48,"endTime":2669.09,"body":"fractures that are particularly"},{"speaker":"Charles Goldfarb","startTime":2669.09,"endTime":2669.39,"body":"tough."},{"speaker":"Chris Dy","startTime":2670.23,"endTime":2673.14,"body":"I would say that the"},{"speaker":"Chris Dy","startTime":2670.23,"endTime":2673.14,"body":"gray area here after this paper"},{"speaker":"Chris Dy","startTime":2673.14,"endTime":2675.48,"body":"is that the cut off they use for"},{"speaker":"Chris Dy","startTime":2673.14,"endTime":2675.48,"body":"the lateral inter scahpoid"},{"speaker":"Chris Dy","startTime":2675.48,"endTime":2679.26,"body":"angle, it was 70 which seems"},{"speaker":"Chris Dy","startTime":2675.48,"endTime":2679.26,"body":"kind of dramatic because"},{"speaker":"Chris Dy","startTime":2679.26,"endTime":2682.86,"body":"honestly the Mayo paper, you"},{"speaker":"Chris Dy","startTime":2679.26,"endTime":2682.86,"body":"know class from Amadio, I think"},{"speaker":"Chris Dy","startTime":2682.86,"endTime":2686.34,"body":"in the mid late 80s said that"},{"speaker":"Chris Dy","startTime":2682.86,"endTime":2686.34,"body":"anything with a lateral inter"},{"speaker":"Chris Dy","startTime":2686.34,"endTime":2689.88,"body":"scaphoid angle of over 45 was a"},{"speaker":"Chris Dy","startTime":2686.34,"endTime":2689.88,"body":"malunion. So typically, that's"},{"speaker":"Chris Dy","startTime":2689.88,"endTime":2692.94,"body":"the cutoff I've used in terms of"},{"speaker":"Chris Dy","startTime":2689.88,"endTime":2692.94,"body":"whether I need some kind of"},{"speaker":"Chris Dy","startTime":2693.33,"endTime":2697.8,"body":"strut if I'm considering that or"},{"speaker":"Chris Dy","startTime":2693.33,"endTime":2697.8,"body":"at least a volar approach. So I"},{"speaker":"Chris Dy","startTime":2697.8,"endTime":2700.53,"body":"think that that moves the"},{"speaker":"Chris Dy","startTime":2697.8,"endTime":2700.53,"body":"goalposts a little bit You know,"},{"speaker":"Chris Dy","startTime":2700.53,"endTime":2702.87,"body":"I don't know what I would do"},{"speaker":"Chris Dy","startTime":2700.53,"endTime":2702.87,"body":"with the lateral inter scaphoid"},{"speaker":"Chris Dy","startTime":2702.87,"endTime":2706.47,"body":"angle of 60. So that's something"},{"speaker":"Chris Dy","startTime":2702.87,"endTime":2706.47,"body":"I have to think about myself."},{"speaker":"Charles Goldfarb","startTime":2708.0,"endTime":2710.97,"body":"Just to be"},{"speaker":"Charles Goldfarb","startTime":2708.0,"endTime":2710.97,"body":"clear, what, remind the audience"},{"speaker":"Charles Goldfarb","startTime":2710.97,"endTime":2715.38,"body":"your preference. So if you have"},{"speaker":"Charles Goldfarb","startTime":2710.97,"endTime":2715.38,"body":"a scaphoid non union at the"},{"speaker":"Charles Goldfarb","startTime":2715.38,"endTime":2719.01,"body":"waist level, that's at least six"},{"speaker":"Charles Goldfarb","startTime":2715.38,"endTime":2719.01,"body":"months old. And let's say there"},{"speaker":"Charles Goldfarb","startTime":2719.01,"endTime":2723.03,"body":"is a 45 degree, inter scaphoid"},{"speaker":"Charles Goldfarb","startTime":2719.01,"endTime":2723.03,"body":"angle on that lateral view."},{"speaker":"Charles Goldfarb","startTime":2724.02,"endTime":2728.1,"body":"Number one, will you go volar?"},{"speaker":"Charles Goldfarb","startTime":2724.02,"endTime":2728.1,"body":"Number two, what type of graph"},{"speaker":"Charles Goldfarb","startTime":2728.1,"endTime":2728.76,"body":"will use?"},{"speaker":"Chris Dy","startTime":2729.56,"endTime":2731.96,"body":"I will go volar. And"},{"speaker":"Chris Dy","startTime":2729.56,"endTime":2731.96,"body":"like you mentioned in that other"},{"speaker":"Chris Dy","startTime":2731.96,"endTime":2734.03,"body":"episode, I try to make that"},{"speaker":"Chris Dy","startTime":2731.96,"endTime":2734.03,"body":"decision when I'm booking the"},{"speaker":"Chris Dy","startTime":2734.03,"endTime":2737.75,"body":"surgery because it you know,"},{"speaker":"Chris Dy","startTime":2734.03,"endTime":2737.75,"body":"it's a longer surgery, and I"},{"speaker":"Chris Dy","startTime":2737.75,"endTime":2740.21,"body":"need to mentally prepare for"},{"speaker":"Chris Dy","startTime":2737.75,"endTime":2740.21,"body":"that. So I need to, you know,"},{"speaker":"Chris Dy","startTime":2740.21,"endTime":2744.83,"body":"say okay, this is going to be a"},{"speaker":"Chris Dy","startTime":2740.21,"endTime":2744.83,"body":"bigger case. And you know, if"},{"speaker":"Chris Dy","startTime":2744.86,"endTime":2747.59,"body":"you're looking for technical"},{"speaker":"Chris Dy","startTime":2744.86,"endTime":2747.59,"body":"pearls on the approach, etc."},{"speaker":"Chris Dy","startTime":2747.8,"endTime":2750.05,"body":"Chuck gives a lot of pros in"},{"speaker":"Chris Dy","startTime":2747.8,"endTime":2750.05,"body":"that episode, especially on how"},{"speaker":"Chris Dy","startTime":2750.05,"endTime":2753.92,"body":"to get put that derotational"},{"speaker":"Chris Dy","startTime":2750.05,"endTime":2753.92,"body":"wire in too, but honestly, I'm"},{"speaker":"Chris Dy","startTime":2753.92,"endTime":2757.82,"body":"usually going cancellous unless"},{"speaker":"Chris Dy","startTime":2753.92,"endTime":2757.82,"body":"it's a crazy humpback deformity."},{"speaker":"Chris Dy","startTime":2758.45,"endTime":2761.36,"body":"So probably in that over 70"},{"speaker":"Chris Dy","startTime":2758.45,"endTime":2761.36,"body":"camp, I really would do cortical"},{"speaker":"Chris Dy","startTime":2761.36,"endTime":2764.42,"body":"cancellous. But if it's anything"},{"speaker":"Chris Dy","startTime":2761.36,"endTime":2764.42,"body":"less than that, get the"},{"speaker":"Chris Dy","startTime":2764.42,"endTime":2766.37,"body":"correction from volar. Because I"},{"speaker":"Chris Dy","startTime":2764.42,"endTime":2766.37,"body":"think that's where you get a"},{"speaker":"Chris Dy","startTime":2766.37,"endTime":2770.54,"body":"more effective reduction of"},{"speaker":"Chris Dy","startTime":2766.37,"endTime":2770.54,"body":"that. humpback deformity, and"},{"speaker":"Chris Dy","startTime":2770.54,"endTime":2773.42,"body":"packing cancellous graft in and"},{"speaker":"Chris Dy","startTime":2770.54,"endTime":2773.42,"body":"make that score as perfect as"},{"speaker":"Chris Dy","startTime":2773.42,"endTime":2774.56,"body":"you can, like you're mentioning."},{"speaker":"Charles Goldfarb","startTime":2775.25,"endTime":2778.22,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":2775.25,"endTime":2778.22,"body":"we see it the same way. I will"},{"speaker":"Charles Goldfarb","startTime":2778.22,"endTime":2782.06,"body":"think about cortical cancellous,"},{"speaker":"Charles Goldfarb","startTime":2778.22,"endTime":2782.06,"body":"grafting for those severe"},{"speaker":"Charles Goldfarb","startTime":2782.33,"endTime":2786.05,"body":"problems, because it can be hard"},{"speaker":"Charles Goldfarb","startTime":2782.33,"endTime":2786.05,"body":"to get that lunate corrected"},{"speaker":"Charles Goldfarb","startTime":2786.05,"endTime":2789.14,"body":"with a proximal to scaphoid and"},{"speaker":"Charles Goldfarb","startTime":2786.05,"endTime":2789.14,"body":"those that are severely"},{"speaker":"Charles Goldfarb","startTime":2789.68,"endTime":2793.28,"body":"angulated. It's a super"},{"speaker":"Charles Goldfarb","startTime":2789.68,"endTime":2793.28,"body":"interesting topic. And this is a"},{"speaker":"Charles Goldfarb","startTime":2793.28,"endTime":2797.27,"body":"huge I mean, we also talked in"},{"speaker":"Charles Goldfarb","startTime":2793.28,"endTime":2797.27,"body":"our general call about when, in"},{"speaker":"Charles Goldfarb","startTime":2797.27,"endTime":2801.44,"body":"2021, can you really do a"},{"speaker":"Charles Goldfarb","startTime":2797.27,"endTime":2801.44,"body":"randomized trial? This is a"},{"speaker":"Charles Goldfarb","startTime":2801.44,"endTime":2806.81,"body":"perfect example of how you can"},{"speaker":"Charles Goldfarb","startTime":2801.44,"endTime":2806.81,"body":"do it, how it can influence, you"},{"speaker":"Charles Goldfarb","startTime":2806.81,"endTime":2809.27,"body":"know, the literature, and I"},{"speaker":"Charles Goldfarb","startTime":2806.81,"endTime":2809.27,"body":"think this is really just"},{"speaker":"Charles Goldfarb","startTime":2809.27,"endTime":2812.24,"body":"remarkably well done. And I"},{"speaker":"Charles Goldfarb","startTime":2809.27,"endTime":2812.24,"body":"think it's a real contribution."},{"speaker":"Chris Dy","startTime":2812.9,"endTime":2817.16,"body":"I will I will say,"},{"speaker":"Chris Dy","startTime":2812.9,"endTime":2817.16,"body":"also, it shows our reticence and"},{"speaker":"Chris Dy","startTime":2817.16,"endTime":2821.3,"body":"hesitation as surgeons to"},{"speaker":"Chris Dy","startTime":2817.16,"endTime":2821.3,"body":"interpret literature that is"},{"speaker":"Chris Dy","startTime":2821.3,"endTime":2826.58,"body":"contrary to our primary set of"},{"speaker":"Chris Dy","startTime":2821.3,"endTime":2826.58,"body":"beliefs. You know, because we"},{"speaker":"Chris Dy","startTime":2826.58,"endTime":2830.78,"body":"asked one of the cortical"},{"speaker":"Chris Dy","startTime":2826.58,"endTime":2830.78,"body":"cancellous always people about"},{"speaker":"Chris Dy","startTime":2830.78,"endTime":2833.93,"body":"whether this changes what they"},{"speaker":"Chris Dy","startTime":2830.78,"endTime":2833.93,"body":"do? No, no, I don't think so. I"},{"speaker":"Chris Dy","startTime":2833.93,"endTime":2836.75,"body":"think that you really need this,"},{"speaker":"Chris Dy","startTime":2833.93,"endTime":2836.75,"body":"I'm like, so does this level one"},{"speaker":"Chris Dy","startTime":2836.75,"endTime":2841.55,"body":"evidence? At least think allow"},{"speaker":"Chris Dy","startTime":2836.75,"endTime":2841.55,"body":"you to question it, Nope, nope,"},{"speaker":"Chris Dy","startTime":2841.55,"endTime":2845.33,"body":"gonna still gonna do what I do."},{"speaker":"Chris Dy","startTime":2841.55,"endTime":2845.33,"body":"I'm like well, that's the limits"},{"speaker":"Chris Dy","startTime":2845.33,"endTime":2847.49,"body":"of research."},{"speaker":"Charles Goldfarb","startTime":2847.82,"endTime":2849.74,"body":"Well, and I"},{"speaker":"Charles Goldfarb","startTime":2847.82,"endTime":2849.74,"body":"think something's changed"},{"speaker":"Charles Goldfarb","startTime":2849.74,"endTime":2852.98,"body":"slowly. Right. But as we were"},{"speaker":"Charles Goldfarb","startTime":2849.74,"endTime":2852.98,"body":"talking earlier about impactful"},{"speaker":"Charles Goldfarb","startTime":2852.98,"endTime":2856.22,"body":"work, these authors should be"},{"speaker":"Charles Goldfarb","startTime":2852.98,"endTime":2856.22,"body":"proud. I mean, this is impactful"},{"speaker":"Charles Goldfarb","startTime":2856.22,"endTime":2856.7,"body":"work."},{"speaker":"Chris Dy","startTime":2857.48,"endTime":2861.98,"body":"Great paper, and a ton"},{"speaker":"Chris Dy","startTime":2857.48,"endTime":2861.98,"body":"of work, if anybody is involved"},{"speaker":"Chris Dy","startTime":2861.98,"endTime":2865.61,"body":"in any prospective trial, let"},{"speaker":"Chris Dy","startTime":2861.98,"endTime":2865.61,"body":"alone a prospective randomized"},{"speaker":"Chris Dy","startTime":2865.61,"endTime":2869.81,"body":"trial. As you know, Chuck, as"},{"speaker":"Chris Dy","startTime":2865.61,"endTime":2869.81,"body":"you know, too well, it's hard."},{"speaker":"Chris Dy","startTime":2869.81,"endTime":2870.14,"body":"So."},{"speaker":"Charles Goldfarb","startTime":2870.44,"endTime":2874.07,"body":"Yeah, my"},{"speaker":"Charles Goldfarb","startTime":2870.44,"endTime":2874.07,"body":"career, you know, historically"},{"speaker":"Charles Goldfarb","startTime":2874.07,"endTime":2876.53,"body":"has been based on small"},{"speaker":"Charles Goldfarb","startTime":2874.07,"endTime":2876.53,"body":"retrospective studies."},{"speaker":"Charles Goldfarb","startTime":2876.65,"endTime":2879.2,"body":"Hopefully, I'm doing better now."},{"speaker":"Charles Goldfarb","startTime":2876.65,"endTime":2879.2,"body":"But we are we have embarked and"},{"speaker":"Charles Goldfarb","startTime":2879.2,"endTime":2881.81,"body":"it's been a couple years on a"},{"speaker":"Charles Goldfarb","startTime":2879.2,"endTime":2881.81,"body":"prospective randomized trial on"},{"speaker":"Charles Goldfarb","startTime":2881.81,"endTime":2886.37,"body":"treatment for CMC arthritis. It"},{"speaker":"Charles Goldfarb","startTime":2881.81,"endTime":2886.37,"body":"has been mean, thank God for my"},{"speaker":"Charles Goldfarb","startTime":2886.37,"endTime":2889.85,"body":"partners who have contributed."},{"speaker":"Charles Goldfarb","startTime":2886.37,"endTime":2889.85,"body":"It's been it's been tough. It's"},{"speaker":"Charles Goldfarb","startTime":2889.85,"endTime":2890.33,"body":"been tough."},{"speaker":"Chris Dy","startTime":2891.02,"endTime":2894.2,"body":"And I quote, like a"},{"speaker":"Chris Dy","startTime":2891.02,"endTime":2894.2,"body":"workman with a hammer that keeps"},{"speaker":"Chris Dy","startTime":2894.2,"endTime":2894.77,"body":"seeing nails."},{"speaker":"Charles Goldfarb","startTime":2895.81,"endTime":2898.03,"body":"I can think of"},{"speaker":"Charles Goldfarb","startTime":2895.81,"endTime":2898.03,"body":"no better way to end this"},{"speaker":"Charles Goldfarb","startTime":2898.03,"endTime":2898.78,"body":"podcast."},{"speaker":"Chris Dy","startTime":2899.59,"endTime":2901.27,"body":"All right, well, we"},{"speaker":"Chris Dy","startTime":2899.59,"endTime":2901.27,"body":"didn't keep it as brief as we"},{"speaker":"Chris Dy","startTime":2901.27,"endTime":2904.75,"body":"wanted. But I enjoyed this. And"},{"speaker":"Chris Dy","startTime":2901.27,"endTime":2904.75,"body":"hopefully, if you listen to the"},{"speaker":"Chris Dy","startTime":2904.75,"endTime":2906.76,"body":"end, you actually learned a"},{"speaker":"Chris Dy","startTime":2904.75,"endTime":2906.76,"body":"little hand surgery, or at least"},{"speaker":"Chris Dy","startTime":2906.76,"endTime":2909.16,"body":"heard us talk about his surgery."},{"speaker":"Chris Dy","startTime":2906.76,"endTime":2909.16,"body":"I hope you learned a whole lot."},{"speaker":"Charles Goldfarb","startTime":2909.4,"endTime":2912.22,"body":"Absolutely."},{"speaker":"Charles Goldfarb","startTime":2909.4,"endTime":2912.22,"body":"All right. Thank you. Hey,"},{"speaker":"Charles Goldfarb","startTime":2912.22,"endTime":2914.5,"body":"Chris. That was fun. Let's do it"},{"speaker":"Charles Goldfarb","startTime":2912.22,"endTime":2914.5,"body":"again, real soon."},{"speaker":"Chris Dy","startTime":2914.8,"endTime":2917.32,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":2914.8,"endTime":2917.32,"body":"sure to check us out on Twitter"},{"speaker":"Chris Dy","startTime":2917.53,"endTime":2919.72,"body":"@handpodcast. Hey, Chuck, what's"},{"speaker":"Chris Dy","startTime":2917.53,"endTime":2919.72,"body":"your Twitter handle?"},{"speaker":"Charles Goldfarb","startTime":2920.05,"endTime":2922.93,"body":"Mine is"},{"speaker":"Charles Goldfarb","startTime":2920.05,"endTime":2922.93,"body":"@congenitalhand. What about you?"},{"speaker":"Chris Dy","startTime":2923.08,"endTime":2926.44,"body":"Mine is @ChrisDyMD"},{"speaker":"Chris Dy","startTime":2923.08,"endTime":2926.44,"body":"spelled d y. And if you'd like"},{"speaker":"Chris Dy","startTime":2926.44,"endTime":2929.74,"body":"to email us, you can reach us at"},{"speaker":"Chris Dy","startTime":2926.44,"endTime":2929.74,"body":"handpodcast@gmail.com."},{"speaker":"Charles Goldfarb","startTime":2930.88,"endTime":2933.01,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":2930.88,"endTime":2933.01,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":2933.01,"endTime":2934.09,"body":"get your podcast"},{"speaker":"Chris Dy","startTime":2934.15,"endTime":2936.37,"body":"and be sure to leave a"},{"speaker":"Chris Dy","startTime":2934.15,"endTime":2936.37,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":2936.37,"endTime":2936.76,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":2937.15,"endTime":2939.43,"body":"Special thanks"},{"speaker":"Charles Goldfarb","startTime":2937.15,"endTime":2939.43,"body":"to Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":2939.43,"endTime":2943.42,"body":"music. And remember, keep the"},{"speaker":"Charles Goldfarb","startTime":2939.43,"endTime":2943.42,"body":"upper hand. Come back next time."}]}