{"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":14.64,"body":"Chris talk hand surgery."},{"speaker":"Chris Dy","startTime":14.69,"endTime":16.55,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":14.69,"endTime":16.55,"body":"surgeons at Washington"},{"speaker":"Chris Dy","startTime":16.55,"endTime":19.64,"body":"University in St. Louis here to"},{"speaker":"Chris Dy","startTime":16.55,"endTime":19.64,"body":"talk about all aspects of hand"},{"speaker":"Chris Dy","startTime":19.64,"endTime":21.47,"body":"surgery from technical to"},{"speaker":"Chris Dy","startTime":19.64,"endTime":21.47,"body":"personal."},{"speaker":"Charles Goldfarb","startTime":22.04,"endTime":24.32,"body":"Thank you for"},{"speaker":"Charles Goldfarb","startTime":22.04,"endTime":24.32,"body":"subscribing wherever you get"},{"speaker":"Charles Goldfarb","startTime":24.32,"endTime":25.22,"body":"your podcasts."},{"speaker":"Chris Dy","startTime":25.46,"endTime":27.65,"body":"And be sure to leave a"},{"speaker":"Chris Dy","startTime":25.46,"endTime":27.65,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":27.65,"endTime":28.16,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":28.25,"endTime":29.18,"body":"Oh hey, Chris."},{"speaker":"Chris Dy","startTime":29.39,"endTime":30.74,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":29.39,"endTime":30.74,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":30.89,"endTime":33.32,"body":"I'm very well,"},{"speaker":"Charles Goldfarb","startTime":30.89,"endTime":33.32,"body":"but not as good as you."},{"speaker":"Chris Dy","startTime":33.89,"endTime":37.49,"body":"You know, I like to"},{"speaker":"Chris Dy","startTime":33.89,"endTime":37.49,"body":"think I'm doing well. It's kind"},{"speaker":"Chris Dy","startTime":37.49,"endTime":40.94,"body":"of a crazy time. still figuring"},{"speaker":"Chris Dy","startTime":37.49,"endTime":40.94,"body":"out the whole where we're gonna"},{"speaker":"Chris Dy","startTime":40.94,"endTime":44.72,"body":"live thing. We know where it's"},{"speaker":"Chris Dy","startTime":40.94,"endTime":44.72,"body":"just a matter of when. But"},{"speaker":"Chris Dy","startTime":44.72,"endTime":49.28,"body":"things are good. It's exciting."},{"speaker":"Chris Dy","startTime":44.72,"endTime":49.28,"body":"We're, we're wishing our current"},{"speaker":"Chris Dy","startTime":49.28,"endTime":52.28,"body":"fellows Good luck on the rest of"},{"speaker":"Chris Dy","startTime":49.28,"endTime":52.28,"body":"their careers. And we're"},{"speaker":"Chris Dy","startTime":52.28,"endTime":55.07,"body":"welcoming some new fellows. So"},{"speaker":"Chris Dy","startTime":52.28,"endTime":55.07,"body":"that's, that's been a fun thing"},{"speaker":"Chris Dy","startTime":55.07,"endTime":55.55,"body":"this week."},{"speaker":"Charles Goldfarb","startTime":56.15,"endTime":58.52,"body":"Absolutely."},{"speaker":"Charles Goldfarb","startTime":56.15,"endTime":58.52,"body":"And I know you're heading off"},{"speaker":"Charles Goldfarb","startTime":58.52,"endTime":61.61,"body":"for vacation next week, which"},{"speaker":"Charles Goldfarb","startTime":58.52,"endTime":61.61,"body":"I'm jealous of because it's"},{"speaker":"Charles Goldfarb","startTime":61.61,"endTime":62.9,"body":"going to be spectacular."},{"speaker":"Chris Dy","startTime":63.26,"endTime":66.26,"body":"I hope I hope"},{"speaker":"Chris Dy","startTime":63.26,"endTime":66.26,"body":"everything goes as planned. It's"},{"speaker":"Chris Dy","startTime":66.26,"endTime":68.87,"body":"a little spooky, with the whole"},{"speaker":"Chris Dy","startTime":66.26,"endTime":68.87,"body":"you got to test before you come"},{"speaker":"Chris Dy","startTime":68.87,"endTime":72.74,"body":"back deal but this has been a"},{"speaker":"Chris Dy","startTime":68.87,"endTime":72.74,"body":"trip that has been oft delayed."},{"speaker":"Chris Dy","startTime":73.49,"endTime":76.01,"body":"And we're gonna lose, we're"},{"speaker":"Chris Dy","startTime":73.49,"endTime":76.01,"body":"gonna lose our money if we don't"},{"speaker":"Chris Dy","startTime":76.01,"endTime":78.74,"body":"go now and we think it's gonna"},{"speaker":"Chris Dy","startTime":76.01,"endTime":78.74,"body":"be okay. So we're excited about"},{"speaker":"Chris Dy","startTime":78.74,"endTime":79.04,"body":"that."},{"speaker":"Charles Goldfarb","startTime":79.0,"endTime":81.34,"body":"It's gonna be"},{"speaker":"Charles Goldfarb","startTime":79.0,"endTime":81.34,"body":"great. So my wife who does not"},{"speaker":"Charles Goldfarb","startTime":81.34,"endTime":86.35,"body":"typically listen to your, and my"},{"speaker":"Charles Goldfarb","startTime":81.34,"endTime":86.35,"body":"conversations on the podcast,"},{"speaker":"Charles Goldfarb","startTime":86.68,"endTime":89.83,"body":"saw that we had posted about"},{"speaker":"Charles Goldfarb","startTime":86.68,"endTime":89.83,"body":"vacations and she before she"},{"speaker":"Charles Goldfarb","startTime":89.83,"endTime":92.8,"body":"listened, she called and said,"},{"speaker":"Charles Goldfarb","startTime":89.83,"endTime":92.8,"body":"You better have been friggin"},{"speaker":"Charles Goldfarb","startTime":92.83,"endTime":95.8,"body":"honest in that. And then she"},{"speaker":"Charles Goldfarb","startTime":92.83,"endTime":95.8,"body":"called me after and said you"},{"speaker":"Charles Goldfarb","startTime":95.8,"endTime":97.24,"body":"were, you're honest."},{"speaker":"Chris Dy","startTime":97.57,"endTime":103.09,"body":"That is so good. So"},{"speaker":"Chris Dy","startTime":97.57,"endTime":103.09,"body":"good. So I'll tell you, I want"},{"speaker":"Chris Dy","startTime":103.09,"endTime":106.57,"body":"to ask if we have any burning"},{"speaker":"Chris Dy","startTime":103.09,"endTime":106.57,"body":"questions from a listener, no"},{"speaker":"Chris Dy","startTime":106.57,"endTime":110.59,"body":"pun intended on that one. But I"},{"speaker":"Chris Dy","startTime":106.57,"endTime":110.59,"body":"will tell you if I had a funny"},{"speaker":"Chris Dy","startTime":110.59,"endTime":114.25,"body":"encounter recently, in which I"},{"speaker":"Chris Dy","startTime":110.59,"endTime":114.25,"body":"actually saw a patient who found"},{"speaker":"Chris Dy","startTime":114.25,"endTime":115.66,"body":"us because of the podcast."},{"speaker":"Charles Goldfarb","startTime":116.11,"endTime":117.85,"body":"Found us, the"},{"speaker":"Charles Goldfarb","startTime":116.11,"endTime":117.85,"body":"Royal us."},{"speaker":"Chris Dy","startTime":117.0,"endTime":123.15,"body":"But it was really"},{"speaker":"Chris Dy","startTime":117.0,"endTime":123.15,"body":"interesting. It was through a"},{"speaker":"Chris Dy","startTime":123.15,"endTime":127.68,"body":"physical therapist, who then"},{"speaker":"Chris Dy","startTime":123.15,"endTime":127.68,"body":"referred them and they called us"},{"speaker":"Chris Dy","startTime":127.68,"endTime":131.07,"body":"up. The Royal us, the Washington"},{"speaker":"Chris Dy","startTime":127.68,"endTime":131.07,"body":"University orthopaedics. And"},{"speaker":"Chris Dy","startTime":131.07,"endTime":133.14,"body":"they ended up with me, I'm"},{"speaker":"Chris Dy","startTime":131.07,"endTime":133.14,"body":"pretty sure they tried to see"},{"speaker":"Chris Dy","startTime":133.14,"endTime":134.61,"body":"you, but they ended up with me."},{"speaker":"Charles Goldfarb","startTime":135.3,"endTime":137.37,"body":"I love it."},{"speaker":"Charles Goldfarb","startTime":135.3,"endTime":137.37,"body":"That is awesome."},{"speaker":"Chris Dy","startTime":137.43,"endTime":138.84,"body":"It was great. Because"},{"speaker":"Chris Dy","startTime":137.43,"endTime":138.84,"body":"I was like, Well, you know,"},{"speaker":"Chris Dy","startTime":138.84,"endTime":141.48,"body":"like, we said on the podcast,"},{"speaker":"Chris Dy","startTime":138.84,"endTime":141.48,"body":"bla bla bla bla bla. So it was,"},{"speaker":"Chris Dy","startTime":141.54,"endTime":142.44,"body":"it was fantastic."},{"speaker":"Charles Goldfarb","startTime":143.04,"endTime":145.32,"body":"We don't know"},{"speaker":"Charles Goldfarb","startTime":143.04,"endTime":145.32,"body":"how many people are never coming"},{"speaker":"Charles Goldfarb","startTime":145.32,"endTime":147.54,"body":"to Washington University because"},{"speaker":"Charles Goldfarb","startTime":145.32,"endTime":147.54,"body":"they heard the podcast. That"},{"speaker":"Charles Goldfarb","startTime":147.54,"endTime":149.85,"body":"will be our unknown denominator."},{"speaker":"Chris Dy","startTime":149.91,"endTime":151.74,"body":"Yeah, that I'm cool"},{"speaker":"Chris Dy","startTime":149.91,"endTime":151.74,"body":"with that. That's fine."},{"speaker":"Charles Goldfarb","startTime":153.3,"endTime":155.79,"body":"All right, I"},{"speaker":"Charles Goldfarb","startTime":153.3,"endTime":155.79,"body":"have a great listener question."},{"speaker":"Charles Goldfarb","startTime":155.79,"endTime":157.83,"body":"I'm not going to share the"},{"speaker":"Charles Goldfarb","startTime":155.79,"endTime":157.83,"body":"listener's name just because I'm"},{"speaker":"Charles Goldfarb","startTime":157.83,"endTime":161.37,"body":"not sure that person would want"},{"speaker":"Charles Goldfarb","startTime":157.83,"endTime":161.37,"body":"me to. But if it's okay with"},{"speaker":"Charles Goldfarb","startTime":161.37,"endTime":163.56,"body":"you, this is really a little"},{"speaker":"Charles Goldfarb","startTime":161.37,"endTime":163.56,"body":"more up your alley, although I"},{"speaker":"Charles Goldfarb","startTime":163.56,"endTime":170.49,"body":"have an opinion. So here we go."},{"speaker":"Charles Goldfarb","startTime":163.56,"endTime":170.49,"body":"Um, my, I hope you are well, my"},{"speaker":"Charles Goldfarb","startTime":170.49,"endTime":174.81,"body":"co fellows and I are big fans of"},{"speaker":"Charles Goldfarb","startTime":170.49,"endTime":174.81,"body":"your podcast, we often quote you"},{"speaker":"Charles Goldfarb","startTime":174.84,"endTime":178.41,"body":"and Dr. Dy, what you and Dr. Dy"},{"speaker":"Charles Goldfarb","startTime":174.84,"endTime":178.41,"body":"do for various pathologies"},{"speaker":"Charles Goldfarb","startTime":178.41,"endTime":181.44,"body":"amongst ourselves and even bring"},{"speaker":"Charles Goldfarb","startTime":178.41,"endTime":181.44,"body":"it up in our weekly conferences."},{"speaker":"Charles Goldfarb","startTime":181.65,"endTime":184.08,"body":"There's gonna be a lot of haters"},{"speaker":"Charles Goldfarb","startTime":181.65,"endTime":184.08,"body":"from our colleagues across the"},{"speaker":"Charles Goldfarb","startTime":184.08,"endTime":186.66,"body":"country if they're quoting me"},{"speaker":"Charles Goldfarb","startTime":184.08,"endTime":186.66,"body":"and you at their conferences."},{"speaker":"Chris Dy","startTime":186.87,"endTime":188.73,"body":"And I bet that's how"},{"speaker":"Chris Dy","startTime":186.87,"endTime":188.73,"body":"they're going to find out about"},{"speaker":"Chris Dy","startTime":188.73,"endTime":192.0,"body":"the podcast. Yeah, I'm waiting."},{"speaker":"Chris Dy","startTime":188.73,"endTime":192.0,"body":"I'm waiting for the tomatoes to"},{"speaker":"Chris Dy","startTime":192.0,"endTime":193.35,"body":"get thrown at the hand society."},{"speaker":"Charles Goldfarb","startTime":193.42,"endTime":195.25,"body":"I'm going to"},{"speaker":"Charles Goldfarb","startTime":193.42,"endTime":195.25,"body":"keep going. I'm a bit behind on"},{"speaker":"Charles Goldfarb","startTime":195.25,"endTime":197.92,"body":"the queue, but recently listened"},{"speaker":"Charles Goldfarb","startTime":195.25,"endTime":197.92,"body":"to the deep dive episode on"},{"speaker":"Charles Goldfarb","startTime":197.92,"endTime":201.25,"body":"technique for cubital tunnel"},{"speaker":"Charles Goldfarb","startTime":197.92,"endTime":201.25,"body":"release, assuming the sensation"},{"speaker":"Charles Goldfarb","startTime":201.25,"endTime":203.5,"body":"was brought up. And you"},{"speaker":"Charles Goldfarb","startTime":201.25,"endTime":203.5,"body":"mentioned using two point"},{"speaker":"Charles Goldfarb","startTime":203.5,"endTime":206.29,"body":"discrimination, I understand"},{"speaker":"Charles Goldfarb","startTime":203.5,"endTime":206.29,"body":"that it's the gold standard for"},{"speaker":"Charles Goldfarb","startTime":206.29,"endTime":209.77,"body":"assessing sensory function. But"},{"speaker":"Charles Goldfarb","startTime":206.29,"endTime":209.77,"body":"I know there's also some support"},{"speaker":"Charles Goldfarb","startTime":209.77,"endTime":212.95,"body":"for using a monofilament test, I"},{"speaker":"Charles Goldfarb","startTime":209.77,"endTime":212.95,"body":"wanted to get your thoughts on"},{"speaker":"Charles Goldfarb","startTime":212.95,"endTime":216.01,"body":"using the monofilament versus a"},{"speaker":"Charles Goldfarb","startTime":212.95,"endTime":216.01,"body":"two point discrimination."},{"speaker":"Charles Goldfarb","startTime":216.19,"endTime":218.8,"body":"Personally, I find using the"},{"speaker":"Charles Goldfarb","startTime":216.19,"endTime":218.8,"body":"monofilament test less"},{"speaker":"Charles Goldfarb","startTime":218.8,"endTime":222.28,"body":"subjective and faster to"},{"speaker":"Charles Goldfarb","startTime":218.8,"endTime":222.28,"body":"perform, and he goes on from"},{"speaker":"Charles Goldfarb","startTime":222.28,"endTime":225.73,"body":"there. But I think I'll stop"},{"speaker":"Charles Goldfarb","startTime":222.28,"endTime":225.73,"body":"there. Give us your sense of A,"},{"speaker":"Charles Goldfarb","startTime":225.73,"endTime":227.98,"body":"what you do in practice and B,"},{"speaker":"Charles Goldfarb","startTime":225.73,"endTime":227.98,"body":"why you do it."},{"speaker":"Chris Dy","startTime":227.0,"endTime":231.92,"body":"I think it's a great"},{"speaker":"Chris Dy","startTime":227.0,"endTime":231.92,"body":"question. I think there's a lot"},{"speaker":"Chris Dy","startTime":231.92,"endTime":235.61,"body":"of disagreement among the"},{"speaker":"Chris Dy","startTime":231.92,"endTime":235.61,"body":"various professionals that"},{"speaker":"Chris Dy","startTime":235.7,"endTime":239.63,"body":"evaluate sensibility as to what"},{"speaker":"Chris Dy","startTime":235.7,"endTime":239.63,"body":"the right measure is. And it"},{"speaker":"Chris Dy","startTime":239.63,"endTime":242.06,"body":"also depends on why you're"},{"speaker":"Chris Dy","startTime":239.63,"endTime":242.06,"body":"assessing it. You know, a lot of"},{"speaker":"Chris Dy","startTime":242.06,"endTime":244.58,"body":"our neurosurgery colleagues will"},{"speaker":"Chris Dy","startTime":242.06,"endTime":244.58,"body":"and spine colleagues will just"},{"speaker":"Chris Dy","startTime":244.58,"endTime":247.52,"body":"do you know pinprick because"},{"speaker":"Chris Dy","startTime":244.58,"endTime":247.52,"body":"that honestly is probably the"},{"speaker":"Chris Dy","startTime":247.52,"endTime":251.42,"body":"most important thing for their"},{"speaker":"Chris Dy","startTime":247.52,"endTime":251.42,"body":"world. And hand therapists will"},{"speaker":"Chris Dy","startTime":251.42,"endTime":254.45,"body":"do things a little bit"},{"speaker":"Chris Dy","startTime":251.42,"endTime":254.45,"body":"differently than we do. I like"},{"speaker":"Chris Dy","startTime":254.45,"endTime":258.92,"body":"static two point discrimination."},{"speaker":"Chris Dy","startTime":254.45,"endTime":258.92,"body":"A few disclosures, I was trained"},{"speaker":"Chris Dy","startTime":258.92,"endTime":261.77,"body":"to do static two point"},{"speaker":"Chris Dy","startTime":258.92,"endTime":261.77,"body":"discrimination. I do have some"},{"speaker":"Chris Dy","startTime":261.77,"endTime":264.74,"body":"sense filaments in my office."},{"speaker":"Chris Dy","startTime":261.77,"endTime":264.74,"body":"And for some cases, when I'm"},{"speaker":"Chris Dy","startTime":264.74,"endTime":266.81,"body":"trying to do a really"},{"speaker":"Chris Dy","startTime":264.74,"endTime":266.81,"body":"comprehensive assessment of"},{"speaker":"Chris Dy","startTime":266.81,"endTime":270.77,"body":"sensibility like, you know,"},{"speaker":"Chris Dy","startTime":266.81,"endTime":270.77,"body":"recovery after nerve repair, and"},{"speaker":"Chris Dy","startTime":270.77,"endTime":273.95,"body":"I'm trying to demonstrate, you"},{"speaker":"Chris Dy","startTime":270.77,"endTime":273.95,"body":"know, the breadth of the"},{"speaker":"Chris Dy","startTime":273.95,"endTime":278.57,"body":"recovery. I will ask our therapy"},{"speaker":"Chris Dy","startTime":273.95,"endTime":278.57,"body":"colleagues to map that out. But"},{"speaker":"Chris Dy","startTime":278.6,"endTime":282.38,"body":"I think it's easier to just"},{"speaker":"Chris Dy","startTime":278.6,"endTime":282.38,"body":"carry a two point wheel in my"},{"speaker":"Chris Dy","startTime":282.38,"endTime":287.42,"body":"pocket and do it that way."},{"speaker":"Chris Dy","startTime":282.38,"endTime":287.42,"body":"Although there is a lot of inter"},{"speaker":"Chris Dy","startTime":287.42,"endTime":290.51,"body":"and intra relator variability"},{"speaker":"Chris Dy","startTime":287.42,"endTime":290.51,"body":"with a two point for example,"},{"speaker":"Chris Dy","startTime":290.51,"endTime":293.27,"body":"even how hard to push when"},{"speaker":"Chris Dy","startTime":290.51,"endTime":293.27,"body":"you're doing a two point and"},{"speaker":"Chris Dy","startTime":293.27,"endTime":296.03,"body":"then also the does the patient"},{"speaker":"Chris Dy","startTime":293.27,"endTime":296.03,"body":"truly understand the test."},{"speaker":"Chris Dy","startTime":298.07,"endTime":301.61,"body":"Couple biases I mean our"},{"speaker":"Chris Dy","startTime":298.07,"endTime":301.61,"body":"literature is clearly structured"},{"speaker":"Chris Dy","startTime":301.64,"endTime":304.94,"body":"to use two point discrimination."},{"speaker":"Chris Dy","startTime":301.64,"endTime":304.94,"body":"So if we're ever looking to"},{"speaker":"Chris Dy","startTime":304.94,"endTime":307.7,"body":"publish results, that kind of"},{"speaker":"Chris Dy","startTime":304.94,"endTime":307.7,"body":"thing, having two points in the"},{"speaker":"Chris Dy","startTime":307.7,"endTime":311.63,"body":"charts are very helpful. And I"},{"speaker":"Chris Dy","startTime":307.7,"endTime":311.63,"body":"think that two points do give"},{"speaker":"Chris Dy","startTime":311.63,"endTime":314.48,"body":"you a spectrum, you know, it's"},{"speaker":"Chris Dy","startTime":311.63,"endTime":314.48,"body":"more of a continuous variable"},{"speaker":"Chris Dy","startTime":314.48,"endTime":316.94,"body":"than a monofilament. Now,"},{"speaker":"Chris Dy","startTime":314.48,"endTime":316.94,"body":"clearly, you can use different"},{"speaker":"Chris Dy","startTime":316.94,"endTime":320.57,"body":"sizes of monofilaments and"},{"speaker":"Chris Dy","startTime":316.94,"endTime":320.57,"body":"different thresholds, I just"},{"speaker":"Chris Dy","startTime":320.57,"endTime":323.99,"body":"think it's a little bit easier"},{"speaker":"Chris Dy","startTime":320.57,"endTime":323.99,"body":"to understand on you know, as a,"},{"speaker":"Chris Dy","startTime":324.32,"endTime":328.43,"body":"as a continuous variable. And a"},{"speaker":"Chris Dy","startTime":324.32,"endTime":328.43,"body":"couple other thoughts about"},{"speaker":"Chris Dy","startTime":328.43,"endTime":330.68,"body":"that, but I'll ask you what you"},{"speaker":"Chris Dy","startTime":328.43,"endTime":330.68,"body":"what you think about it."},{"speaker":"Charles Goldfarb","startTime":331.4,"endTime":333.62,"body":"I do use"},{"speaker":"Charles Goldfarb","startTime":331.4,"endTime":333.62,"body":"static two point discrimination."},{"speaker":"Charles Goldfarb","startTime":333.8,"endTime":338.63,"body":"And I am kind of a nerdy hand"},{"speaker":"Charles Goldfarb","startTime":333.8,"endTime":338.63,"body":"surgeon in that regard, and do a"},{"speaker":"Charles Goldfarb","startTime":338.63,"endTime":341.57,"body":"two point on every patient with"},{"speaker":"Charles Goldfarb","startTime":338.63,"endTime":341.57,"body":"a nerve pathology. I know, not"},{"speaker":"Charles Goldfarb","startTime":341.57,"endTime":345.38,"body":"everyone does, but I almost"},{"speaker":"Charles Goldfarb","startTime":341.57,"endTime":345.38,"body":"always do it. I use static two"},{"speaker":"Charles Goldfarb","startTime":345.38,"endTime":348.86,"body":"point I do believe in not trying"},{"speaker":"Charles Goldfarb","startTime":345.38,"endTime":348.86,"body":"to test deep pressure, you're"},{"speaker":"Charles Goldfarb","startTime":348.86,"endTime":351.86,"body":"trying to test light pressure"},{"speaker":"Charles Goldfarb","startTime":348.86,"endTime":351.86,"body":"and I always demonstrate on"},{"speaker":"Charles Goldfarb","startTime":351.86,"endTime":355.52,"body":"quote, unquote, normal fingers."},{"speaker":"Charles Goldfarb","startTime":351.86,"endTime":355.52,"body":"And not every patient is capable"},{"speaker":"Charles Goldfarb","startTime":355.52,"endTime":358.01,"body":"of really cooperating with two"},{"speaker":"Charles Goldfarb","startTime":355.52,"endTime":358.01,"body":"point as you suggest, and so it"},{"speaker":"Charles Goldfarb","startTime":358.01,"endTime":360.92,"body":"doesn't work for everyone, but I"},{"speaker":"Charles Goldfarb","startTime":358.01,"endTime":360.92,"body":"think it works on 98% of people."},{"speaker":"Charles Goldfarb","startTime":360.92,"endTime":364.1,"body":"I mean, it really is really is a"},{"speaker":"Charles Goldfarb","startTime":360.92,"endTime":364.1,"body":"good, easy, fast test. And then"},{"speaker":"Charles Goldfarb","startTime":364.1,"endTime":367.07,"body":"the point I made to the students"},{"speaker":"Charles Goldfarb","startTime":364.1,"endTime":367.07,"body":"in the residence is honestly and"},{"speaker":"Charles Goldfarb","startTime":367.07,"endTime":369.44,"body":"you may disagree with me, but my"},{"speaker":"Charles Goldfarb","startTime":367.07,"endTime":369.44,"body":"philosophy is I don't care if"},{"speaker":"Charles Goldfarb","startTime":369.44,"endTime":371.72,"body":"it's better than five"},{"speaker":"Charles Goldfarb","startTime":369.44,"endTime":371.72,"body":"millimeters. So I start with a"},{"speaker":"Charles Goldfarb","startTime":371.72,"endTime":374.06,"body":"five millimeter two point if"},{"speaker":"Charles Goldfarb","startTime":371.72,"endTime":374.06,"body":"it's five millimeters then I"},{"speaker":"Charles Goldfarb","startTime":374.06,"endTime":378.86,"body":"consider it normal. And then if"},{"speaker":"Charles Goldfarb","startTime":374.06,"endTime":378.86,"body":"it's greater than probably 12"},{"speaker":"Charles Goldfarb","startTime":378.89,"endTime":380.99,"body":"millimeters, I considered"},{"speaker":"Charles Goldfarb","startTime":378.89,"endTime":380.99,"body":"greater than 12 millimeters, I"},{"speaker":"Charles Goldfarb","startTime":380.99,"endTime":383.66,"body":"don't keep going up. And so I"},{"speaker":"Charles Goldfarb","startTime":380.99,"endTime":383.66,"body":"may check at five millimeters"},{"speaker":"Charles Goldfarb","startTime":383.66,"endTime":386.39,"body":"and eight millimeters and just"},{"speaker":"Charles Goldfarb","startTime":383.66,"endTime":386.39,"body":"try to get a sense. So I'm just"},{"speaker":"Charles Goldfarb","startTime":386.39,"endTime":391.37,"body":"trying to get a precise but but"},{"speaker":"Charles Goldfarb","startTime":386.39,"endTime":391.37,"body":"not perfect sense of what the"},{"speaker":"Charles Goldfarb","startTime":391.37,"endTime":392.39,"body":"discrimination is."},{"speaker":"Chris Dy","startTime":392.84,"endTime":395.33,"body":"Yeah, I don't, I don't"},{"speaker":"Chris Dy","startTime":392.84,"endTime":395.33,"body":"typically go below five for that"},{"speaker":"Chris Dy","startTime":395.33,"endTime":398.15,"body":"reason. You know, the papers"},{"speaker":"Chris Dy","startTime":395.33,"endTime":398.15,"body":"that I've read said that eight"},{"speaker":"Chris Dy","startTime":398.15,"endTime":401.3,"body":"is the threshold for normal, you"},{"speaker":"Chris Dy","startTime":398.15,"endTime":401.3,"body":"know, although, you know, five"},{"speaker":"Chris Dy","startTime":401.3,"endTime":404.99,"body":"would be ideal. I remember"},{"speaker":"Chris Dy","startTime":401.3,"endTime":404.99,"body":"during fellowship, my two point"},{"speaker":"Chris Dy","startTime":404.99,"endTime":408.2,"body":"wheel, the tip, like one of the"},{"speaker":"Chris Dy","startTime":404.99,"endTime":408.2,"body":"points got bent. So I stopped"},{"speaker":"Chris Dy","startTime":408.2,"endTime":411.62,"body":"checking five. So I just started"},{"speaker":"Chris Dy","startTime":408.2,"endTime":411.62,"body":"using six. I don't think it"},{"speaker":"Chris Dy","startTime":411.62,"endTime":412.37,"body":"really mattered."},{"speaker":"Charles Goldfarb","startTime":412.85,"endTime":415.22,"body":"And that's how"},{"speaker":"Charles Goldfarb","startTime":412.85,"endTime":415.22,"body":"it happens, folks. That's how it"},{"speaker":"Charles Goldfarb","startTime":415.22,"endTime":415.85,"body":"happens."},{"speaker":"Chris Dy","startTime":416.05,"endTime":418.54,"body":"And then, actually, I"},{"speaker":"Chris Dy","startTime":416.05,"endTime":418.54,"body":"had to check two points on"},{"speaker":"Chris Dy","startTime":418.54,"endTime":420.58,"body":"somebody today, I was in"},{"speaker":"Chris Dy","startTime":418.54,"endTime":420.58,"body":"enrolling in a study, and we"},{"speaker":"Chris Dy","startTime":420.58,"endTime":422.62,"body":"didn't have it, and that"},{"speaker":"Chris Dy","startTime":420.58,"endTime":422.62,"body":"actually was my wheel from"},{"speaker":"Chris Dy","startTime":422.62,"endTime":424.6,"body":"fellowship, because I haven't"},{"speaker":"Chris Dy","startTime":422.62,"endTime":424.6,"body":"used that in a long time. So I"},{"speaker":"Chris Dy","startTime":424.6,"endTime":429.1,"body":"couldn't do five. But, you know,"},{"speaker":"Chris Dy","startTime":424.6,"endTime":429.1,"body":"one other point that I think is"},{"speaker":"Chris Dy","startTime":429.1,"endTime":432.37,"body":"useful, you know, I think the"},{"speaker":"Chris Dy","startTime":429.1,"endTime":432.37,"body":"SEMS is really good, you know"},{"speaker":"Chris Dy","startTime":432.37,"endTime":437.08,"body":"more of the in the, you know,"},{"speaker":"Chris Dy","startTime":432.37,"endTime":437.08,"body":"small fiber model neuropathy,"},{"speaker":"Chris Dy","startTime":437.08,"endTime":439.48,"body":"or, you know, polyneuropathy,"},{"speaker":"Chris Dy","startTime":437.08,"endTime":439.48,"body":"excuse me type of setting when"},{"speaker":"Chris Dy","startTime":439.48,"endTime":441.67,"body":"you're looking at, you know,"},{"speaker":"Chris Dy","startTime":439.48,"endTime":441.67,"body":"diabetics and protective"},{"speaker":"Chris Dy","startTime":441.67,"endTime":445.66,"body":"sensation, it's really useful"},{"speaker":"Chris Dy","startTime":441.67,"endTime":445.66,"body":"there. When you do when you do"},{"speaker":"Chris Dy","startTime":445.66,"endTime":449.92,"body":"SEMS, and you do happen to get"},{"speaker":"Chris Dy","startTime":445.66,"endTime":449.92,"body":"that, you know, that variety of"},{"speaker":"Chris Dy","startTime":450.04,"endTime":453.25,"body":"thresholds to use the the chart"},{"speaker":"Chris Dy","startTime":450.04,"endTime":453.25,"body":"is beautiful, and it is great"},{"speaker":"Chris Dy","startTime":453.25,"endTime":456.43,"body":"for presentations. And then the"},{"speaker":"Chris Dy","startTime":453.25,"endTime":456.43,"body":"other thing is that, you know,"},{"speaker":"Chris Dy","startTime":456.43,"endTime":458.77,"body":"when checking any kind of"},{"speaker":"Chris Dy","startTime":456.43,"endTime":458.77,"body":"sensation, there's always that"},{"speaker":"Chris Dy","startTime":458.77,"endTime":462.13,"body":"possibility of overlap. So if"},{"speaker":"Chris Dy","startTime":458.77,"endTime":462.13,"body":"you're looking to purely get a"},{"speaker":"Chris Dy","startTime":462.13,"endTime":465.31,"body":"quick look at the median nerve"},{"speaker":"Chris Dy","startTime":462.13,"endTime":465.31,"body":"proper, and the ulnar nerve"},{"speaker":"Chris Dy","startTime":465.31,"endTime":469.27,"body":"proper, sometimes I just check"},{"speaker":"Chris Dy","startTime":465.31,"endTime":469.27,"body":"index and small, because all the"},{"speaker":"Chris Dy","startTime":469.27,"endTime":472.06,"body":"other fingers can have overlap"},{"speaker":"Chris Dy","startTime":469.27,"endTime":472.06,"body":"from the other fingers. And if"},{"speaker":"Chris Dy","startTime":472.06,"endTime":474.85,"body":"you're looking to do an"},{"speaker":"Chris Dy","startTime":472.06,"endTime":474.85,"body":"efficient examination, not the"},{"speaker":"Chris Dy","startTime":474.85,"endTime":477.1,"body":"most comprehensive, but in some"},{"speaker":"Chris Dy","startTime":474.85,"endTime":477.1,"body":"settings, just an efficient"},{"speaker":"Chris Dy","startTime":477.1,"endTime":478.48,"body":"exam, I found that to be useful."},{"speaker":"Charles Goldfarb","startTime":479.05,"endTime":480.43,"body":"I think that's"},{"speaker":"Charles Goldfarb","startTime":479.05,"endTime":480.43,"body":"great. And that's really good"},{"speaker":"Charles Goldfarb","startTime":480.43,"endTime":483.4,"body":"advice. I mean, we you can do"},{"speaker":"Charles Goldfarb","startTime":480.43,"endTime":483.4,"body":"this super quickly, when the"},{"speaker":"Charles Goldfarb","startTime":483.4,"endTime":485.86,"body":"time you know, when you don't"},{"speaker":"Charles Goldfarb","startTime":483.4,"endTime":485.86,"body":"have the time. And when you need"},{"speaker":"Charles Goldfarb","startTime":485.86,"endTime":488.14,"body":"to do a more careful exam, you"},{"speaker":"Charles Goldfarb","startTime":485.86,"endTime":488.14,"body":"can do it in multiple different"},{"speaker":"Charles Goldfarb","startTime":488.14,"endTime":491.38,"body":"ways. So I love that advice. I"},{"speaker":"Charles Goldfarb","startTime":488.14,"endTime":491.38,"body":"still use my two point"},{"speaker":"Charles Goldfarb","startTime":491.38,"endTime":494.8,"body":"discrimination, which is not a"},{"speaker":"Charles Goldfarb","startTime":491.38,"endTime":494.8,"body":"wheel, but I still use the one"},{"speaker":"Charles Goldfarb","startTime":494.8,"endTime":497.74,"body":"that I was provided in"},{"speaker":"Charles Goldfarb","startTime":494.8,"endTime":497.74,"body":"fellowship all those years ago,"},{"speaker":"Charles Goldfarb","startTime":497.74,"endTime":500.65,"body":"as you like to remind me, I"},{"speaker":"Charles Goldfarb","startTime":497.74,"endTime":500.65,"body":"still have it and still use it."},{"speaker":"Chris Dy","startTime":500.77,"endTime":502.21,"body":"So you have the"},{"speaker":"Chris Dy","startTime":500.77,"endTime":502.21,"body":"calipers, right."},{"speaker":"Charles Goldfarb","startTime":502.36,"endTime":505.93,"body":"I have the"},{"speaker":"Charles Goldfarb","startTime":502.36,"endTime":505.93,"body":"calipers, which because Dr. Dy,"},{"speaker":"Charles Goldfarb","startTime":505.93,"endTime":510.64,"body":"we are on YouTube now, I can"},{"speaker":"Charles Goldfarb","startTime":505.93,"endTime":510.64,"body":"show my calipers, which are"},{"speaker":"Charles Goldfarb","startTime":510.64,"endTime":514.87,"body":"beautiful, and they are easy to"},{"speaker":"Charles Goldfarb","startTime":510.64,"endTime":514.87,"body":"use and fast and they're 21"},{"speaker":"Charles Goldfarb","startTime":514.87,"endTime":515.56,"body":"years old."},{"speaker":"Chris Dy","startTime":516.19,"endTime":519.28,"body":"That's fantastic. I"},{"speaker":"Chris Dy","startTime":516.19,"endTime":519.28,"body":"remember trying to look for some"},{"speaker":"Chris Dy","startTime":519.28,"endTime":522.13,"body":"calipers, because I wanted to be"},{"speaker":"Chris Dy","startTime":519.28,"endTime":522.13,"body":"like you and Dr. Calphee and Dr."},{"speaker":"Chris Dy","startTime":522.13,"endTime":527.2,"body":"Wall who did the the Mary S."},{"speaker":"Chris Dy","startTime":522.13,"endTime":527.2,"body":"Stern hand fellowship, and was"},{"speaker":"Chris Dy","startTime":527.2,"endTime":530.56,"body":"not able to find one that was of"},{"speaker":"Chris Dy","startTime":527.2,"endTime":530.56,"body":"suitable quality. And I will say"},{"speaker":"Chris Dy","startTime":530.56,"endTime":535.18,"body":"there is a, you know, I attended"},{"speaker":"Chris Dy","startTime":530.56,"endTime":535.18,"body":"and an Axigen course as a fellow"},{"speaker":"Chris Dy","startTime":535.21,"endTime":538.93,"body":"and at what that year, the swag"},{"speaker":"Chris Dy","startTime":535.21,"endTime":538.93,"body":"they gave was an amazing set of"},{"speaker":"Chris Dy","startTime":538.93,"endTime":542.26,"body":"two point wheels, which, you"},{"speaker":"Chris Dy","startTime":538.93,"endTime":542.26,"body":"know, of course, showed up in my"},{"speaker":"Chris Dy","startTime":542.26,"endTime":545.11,"body":"like sunshine act disclosure for"},{"speaker":"Chris Dy","startTime":542.26,"endTime":545.11,"body":"that year, because they had to"},{"speaker":"Chris Dy","startTime":545.11,"endTime":548.71,"body":"charge for that, but it's a"},{"speaker":"Chris Dy","startTime":545.11,"endTime":548.71,"body":"great wheel, you know, and it's"},{"speaker":"Chris Dy","startTime":548.71,"endTime":551.23,"body":"not made by Axigen. It was just"},{"speaker":"Chris Dy","startTime":548.71,"endTime":551.23,"body":"given out at the meeting. So"},{"speaker":"Chris Dy","startTime":551.23,"endTime":552.07,"body":"it's pretty neat."},{"speaker":"Charles Goldfarb","startTime":553.21,"endTime":553.54,"body":"Love it."},{"speaker":"Chris Dy","startTime":554.08,"endTime":557.23,"body":"So I had a burning"},{"speaker":"Chris Dy","startTime":554.08,"endTime":557.23,"body":"question I wanted to ask you"},{"speaker":"Chris Dy","startTime":557.23,"endTime":560.38,"body":"just because right now in my"},{"speaker":"Chris Dy","startTime":557.23,"endTime":560.38,"body":"practice, I have the opportunity"},{"speaker":"Chris Dy","startTime":560.38,"endTime":564.79,"body":"to do a pilot where I am"},{"speaker":"Chris Dy","startTime":560.38,"endTime":564.79,"body":"assigned two rooms on one of my"},{"speaker":"Chris Dy","startTime":564.79,"endTime":569.14,"body":"outpatient surgery days. And I'm"},{"speaker":"Chris Dy","startTime":564.79,"endTime":569.14,"body":"in the midst of this pilot and"},{"speaker":"Chris Dy","startTime":569.14,"endTime":572.86,"body":"you know the perioperative"},{"speaker":"Chris Dy","startTime":569.14,"endTime":572.86,"body":"Services has given me certain"},{"speaker":"Chris Dy","startTime":572.86,"endTime":576.67,"body":"goals to meet to or to run two"},{"speaker":"Chris Dy","startTime":572.86,"endTime":576.67,"body":"rooms and make it worthwhile on"},{"speaker":"Chris Dy","startTime":576.67,"endTime":580.75,"body":"there and, and your practice is"},{"speaker":"Chris Dy","startTime":576.67,"endTime":580.75,"body":"one and also Ryan Calphee's,"},{"speaker":"Chris Dy","startTime":580.78,"endTime":584.05,"body":"which I know both of you have"},{"speaker":"Chris Dy","startTime":580.78,"endTime":584.05,"body":"have run to rooms for a long"},{"speaker":"Chris Dy","startTime":584.05,"endTime":588.91,"body":"time at our Orthopedic Center in"},{"speaker":"Chris Dy","startTime":584.05,"endTime":588.91,"body":"how do you how do you approach"},{"speaker":"Chris Dy","startTime":588.91,"endTime":591.67,"body":"that process? I mean, even"},{"speaker":"Chris Dy","startTime":588.91,"endTime":591.67,"body":"backing up to like when you're"},{"speaker":"Chris Dy","startTime":591.67,"endTime":596.17,"body":"first assigned one room as a"},{"speaker":"Chris Dy","startTime":591.67,"endTime":596.17,"body":"young attending, how do you"},{"speaker":"Chris Dy","startTime":596.2,"endTime":599.8,"body":"organize your day? Like how do"},{"speaker":"Chris Dy","startTime":596.2,"endTime":599.8,"body":"you say which cases do i do"},{"speaker":"Chris Dy","startTime":599.8,"endTime":603.49,"body":"first? So how do I maintain"},{"speaker":"Chris Dy","startTime":599.8,"endTime":603.49,"body":"efficiency in one room? And then"},{"speaker":"Chris Dy","startTime":603.49,"endTime":605.14,"body":"how do you make that jump to two"},{"speaker":"Chris Dy","startTime":603.49,"endTime":605.14,"body":"rooms?"},{"speaker":"Charles Goldfarb","startTime":606.43,"endTime":608.53,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":606.43,"endTime":608.53,"body":"it's a great question. It's a,"},{"speaker":"Charles Goldfarb","startTime":608.56,"endTime":611.41,"body":"it's a concept that I take very"},{"speaker":"Charles Goldfarb","startTime":608.56,"endTime":611.41,"body":"seriously because I take my"},{"speaker":"Charles Goldfarb","startTime":611.41,"endTime":615.49,"body":"obligations to fully utilize my"},{"speaker":"Charles Goldfarb","startTime":611.41,"endTime":615.49,"body":"room or rooms, I take it very"},{"speaker":"Charles Goldfarb","startTime":615.49,"endTime":619.51,"body":"seriously. And so I'll start by"},{"speaker":"Charles Goldfarb","startTime":615.49,"endTime":619.51,"body":"saying, for those young"},{"speaker":"Charles Goldfarb","startTime":620.5,"endTime":626.71,"body":"attendings, you don't want two"},{"speaker":"Charles Goldfarb","startTime":620.5,"endTime":626.71,"body":"rooms, it comes with stress. And"},{"speaker":"Charles Goldfarb","startTime":626.71,"endTime":631.63,"body":"it comes with a lot of planning"},{"speaker":"Charles Goldfarb","startTime":626.71,"endTime":631.63,"body":"both on the front end, and a"},{"speaker":"Charles Goldfarb","startTime":631.63,"endTime":636.79,"body":"need to assure yourself and your"},{"speaker":"Charles Goldfarb","startTime":631.63,"endTime":636.79,"body":"surgery center that you can be"},{"speaker":"Charles Goldfarb","startTime":636.79,"endTime":639.55,"body":"predictable. And so you don't"},{"speaker":"Charles Goldfarb","startTime":636.79,"endTime":639.55,"body":"want two rooms to start, you"},{"speaker":"Charles Goldfarb","startTime":639.55,"endTime":641.83,"body":"want to take as much time as you"},{"speaker":"Charles Goldfarb","startTime":639.55,"endTime":641.83,"body":"need, you want to get"},{"speaker":"Charles Goldfarb","startTime":641.83,"endTime":646.12,"body":"comfortable. So I think there is"},{"speaker":"Charles Goldfarb","startTime":641.83,"endTime":646.12,"body":"a reason why there is typically"},{"speaker":"Charles Goldfarb","startTime":646.12,"endTime":650.83,"body":"a ramp up to one's clinical"},{"speaker":"Charles Goldfarb","startTime":646.12,"endTime":650.83,"body":"practice, because you get better"},{"speaker":"Charles Goldfarb","startTime":650.86,"endTime":654.22,"body":"during that ramp up. And it's"},{"speaker":"Charles Goldfarb","startTime":650.86,"endTime":654.22,"body":"nice that you get better and you"},{"speaker":"Charles Goldfarb","startTime":654.22,"endTime":656.95,"body":"get busier, and you get more"},{"speaker":"Charles Goldfarb","startTime":654.22,"endTime":656.95,"body":"efficient, and you get better"},{"speaker":"Charles Goldfarb","startTime":656.95,"endTime":659.95,"body":"and you get busier, and you get"},{"speaker":"Charles Goldfarb","startTime":656.95,"endTime":659.95,"body":"more efficient until potentially"},{"speaker":"Charles Goldfarb","startTime":659.95,"endTime":663.79,"body":"you have two rooms. Does I'll"},{"speaker":"Charles Goldfarb","startTime":659.95,"endTime":663.79,"body":"stop there and ask if that"},{"speaker":"Charles Goldfarb","startTime":663.79,"endTime":666.04,"body":"resonates rather than just"},{"speaker":"Charles Goldfarb","startTime":663.79,"endTime":666.04,"body":"giving a soliloquy."},{"speaker":"Chris Dy","startTime":666.52,"endTime":668.68,"body":"Yeah, no, I like that."},{"speaker":"Chris Dy","startTime":666.52,"endTime":668.68,"body":"I mean, I think that you know,"},{"speaker":"Chris Dy","startTime":668.68,"endTime":671.65,"body":"when you're when you think about"},{"speaker":"Chris Dy","startTime":668.68,"endTime":671.65,"body":"because when you're a fellow,"},{"speaker":"Chris Dy","startTime":671.65,"endTime":674.65,"body":"you're a resident, you look at"},{"speaker":"Chris Dy","startTime":671.65,"endTime":674.65,"body":"the people who you admire the"},{"speaker":"Chris Dy","startTime":674.65,"endTime":677.2,"body":"most in terms of their clinical"},{"speaker":"Chris Dy","startTime":674.65,"endTime":677.2,"body":"practice and their efficiency,"},{"speaker":"Chris Dy","startTime":677.2,"endTime":680.59,"body":"and they all tend to have you"},{"speaker":"Chris Dy","startTime":677.2,"endTime":680.59,"body":"know, two rooms, you just got to"},{"speaker":"Chris Dy","startTime":680.59,"endTime":683.29,"body":"know that you're not going to"},{"speaker":"Chris Dy","startTime":680.59,"endTime":683.29,"body":"you don't want that right away."},{"speaker":"Chris Dy","startTime":683.83,"endTime":686.35,"body":"Because you may be tempted to"},{"speaker":"Chris Dy","startTime":683.83,"endTime":686.35,"body":"ask for that. And then it's"},{"speaker":"Chris Dy","startTime":686.35,"endTime":689.14,"body":"really careful what you wish"},{"speaker":"Chris Dy","startTime":686.35,"endTime":689.14,"body":"for. Because if you can't fill"},{"speaker":"Chris Dy","startTime":689.14,"endTime":694.0,"body":"the two rooms, it's just a it's"},{"speaker":"Chris Dy","startTime":689.14,"endTime":694.0,"body":"not gonna look good. Be you're"},{"speaker":"Chris Dy","startTime":694.0,"endTime":697.24,"body":"not going to feel good. And see,"},{"speaker":"Chris Dy","startTime":694.0,"endTime":697.24,"body":"it may have implications on how"},{"speaker":"Chris Dy","startTime":697.24,"endTime":699.94,"body":"you are treated as a negotiating"},{"speaker":"Chris Dy","startTime":697.24,"endTime":699.94,"body":"partner in the future."},{"speaker":"Charles Goldfarb","startTime":700.48,"endTime":702.73,"body":"Yeah, that's"},{"speaker":"Charles Goldfarb","startTime":700.48,"endTime":702.73,"body":"right. I mean, look, your goal"},{"speaker":"Charles Goldfarb","startTime":702.73,"endTime":705.28,"body":"as you start, and what does"},{"speaker":"Charles Goldfarb","startTime":702.73,"endTime":705.28,"body":"start mean? And how long does"},{"speaker":"Charles Goldfarb","startTime":705.28,"endTime":707.59,"body":"that last is different for all"},{"speaker":"Charles Goldfarb","startTime":705.28,"endTime":707.59,"body":"of us based on our practice"},{"speaker":"Charles Goldfarb","startTime":707.59,"endTime":711.58,"body":"parameters, but you just want to"},{"speaker":"Charles Goldfarb","startTime":707.59,"endTime":711.58,"body":"provide great patient care,"},{"speaker":"Charles Goldfarb","startTime":711.67,"endTime":715.21,"body":"great surgical outcomes in a non"},{"speaker":"Charles Goldfarb","startTime":711.67,"endTime":715.21,"body":"rushed fashion. And that means"},{"speaker":"Charles Goldfarb","startTime":715.21,"endTime":719.08,"body":"different things to different"},{"speaker":"Charles Goldfarb","startTime":715.21,"endTime":719.08,"body":"people. But when the time comes,"},{"speaker":"Charles Goldfarb","startTime":719.11,"endTime":721.36,"body":"I think there's a couple of"},{"speaker":"Charles Goldfarb","startTime":719.11,"endTime":721.36,"body":"factors. Now every surgery"},{"speaker":"Charles Goldfarb","startTime":721.36,"endTime":724.75,"body":"center is not going to offer you"},{"speaker":"Charles Goldfarb","startTime":721.36,"endTime":724.75,"body":"two rooms. Because what we know"},{"speaker":"Charles Goldfarb","startTime":724.75,"endTime":728.92,"body":"about two rooms is that two"},{"speaker":"Charles Goldfarb","startTime":724.75,"endTime":728.92,"body":"rooms are a win for the surgeon."},{"speaker":"Charles Goldfarb","startTime":729.91,"endTime":733.15,"body":"And not necessarily for the"},{"speaker":"Charles Goldfarb","startTime":729.91,"endTime":733.15,"body":"surgery center. Because a"},{"speaker":"Charles Goldfarb","startTime":733.15,"endTime":736.84,"body":"surgery center would rather have"},{"speaker":"Charles Goldfarb","startTime":733.15,"endTime":736.84,"body":"two surgeons going full tilt,"},{"speaker":"Charles Goldfarb","startTime":737.68,"endTime":741.82,"body":"and filling each of the two"},{"speaker":"Charles Goldfarb","startTime":737.68,"endTime":741.82,"body":"rooms 100% of the day, rather"},{"speaker":"Charles Goldfarb","startTime":741.82,"endTime":745.06,"body":"than one surgeon bouncing, of"},{"speaker":"Charles Goldfarb","startTime":741.82,"endTime":745.06,"body":"course, that raises the question"},{"speaker":"Charles Goldfarb","startTime":745.06,"endTime":748.18,"body":"of does the surgery center have"},{"speaker":"Charles Goldfarb","startTime":745.06,"endTime":748.18,"body":"two surgeons to fill the two"},{"speaker":"Charles Goldfarb","startTime":748.18,"endTime":751.48,"body":"rooms? Or is it better for both"},{"speaker":"Charles Goldfarb","startTime":748.18,"endTime":751.48,"body":"the surgery center and the"},{"speaker":"Charles Goldfarb","startTime":751.48,"endTime":754.81,"body":"surgeon to make the surgeon more"},{"speaker":"Charles Goldfarb","startTime":751.48,"endTime":754.81,"body":"efficient, but two rooms makes"},{"speaker":"Charles Goldfarb","startTime":754.81,"endTime":759.94,"body":"me more efficient. I can do more"},{"speaker":"Charles Goldfarb","startTime":754.81,"endTime":759.94,"body":"surgeries, provide better"},{"speaker":"Charles Goldfarb","startTime":759.94,"endTime":763.99,"body":"patient access to operative"},{"speaker":"Charles Goldfarb","startTime":759.94,"endTime":763.99,"body":"care, and do it in a safe and"},{"speaker":"Charles Goldfarb","startTime":763.99,"endTime":768.1,"body":"timely fashion. And I feel"},{"speaker":"Charles Goldfarb","startTime":763.99,"endTime":768.1,"body":"really comfortable saying that I"},{"speaker":"Charles Goldfarb","startTime":768.1,"endTime":771.73,"body":"do not believe are compromised"},{"speaker":"Charles Goldfarb","startTime":768.1,"endTime":771.73,"body":"care. But I am able to do that."},{"speaker":"Charles Goldfarb","startTime":771.79,"endTime":774.04,"body":"And again, I take this very"},{"speaker":"Charles Goldfarb","startTime":771.79,"endTime":774.04,"body":"seriously by a lot of planning."},{"speaker":"Chris Dy","startTime":774.76,"endTime":779.05,"body":"Yeah. And I remember"},{"speaker":"Chris Dy","startTime":774.76,"endTime":779.05,"body":"being on your service and seeing"},{"speaker":"Chris Dy","startTime":779.08,"endTime":782.77,"body":"the art of running that second"},{"speaker":"Chris Dy","startTime":779.08,"endTime":782.77,"body":"room. And the thought that you"},{"speaker":"Chris Dy","startTime":782.77,"endTime":786.31,"body":"put into how you sequence the"},{"speaker":"Chris Dy","startTime":782.77,"endTime":786.31,"body":"cases in which cases go when and"},{"speaker":"Chris Dy","startTime":786.31,"endTime":791.98,"body":"when you want them rolling back."},{"speaker":"Chris Dy","startTime":786.31,"endTime":791.98,"body":"Talk me through how you how you"},{"speaker":"Chris Dy","startTime":791.98,"endTime":796.06,"body":"arranged a schedule visit. And I"},{"speaker":"Chris Dy","startTime":791.98,"endTime":796.06,"body":"guess the caveat for me is that,"},{"speaker":"Chris Dy","startTime":796.09,"endTime":797.98,"body":"you know, I have all the locals"},{"speaker":"Chris Dy","startTime":796.09,"endTime":797.98,"body":"and I gotta go to all the"},{"speaker":"Chris Dy","startTime":797.98,"endTime":801.7,"body":"blocks, which can throw things"},{"speaker":"Chris Dy","startTime":797.98,"endTime":801.7,"body":"off. But how do you finesse the"},{"speaker":"Chris Dy","startTime":801.7,"endTime":804.46,"body":"schedule so that you know you"},{"speaker":"Chris Dy","startTime":801.7,"endTime":804.46,"body":"start? Well, you're bouncing"},{"speaker":"Chris Dy","startTime":804.46,"endTime":808.09,"body":"between rooms, and I You were"},{"speaker":"Chris Dy","startTime":804.46,"endTime":808.09,"body":"always there for closure, you"},{"speaker":"Chris Dy","startTime":808.09,"endTime":810.76,"body":"know, during the cases, and you"},{"speaker":"Chris Dy","startTime":808.09,"endTime":810.76,"body":"somehow managed to talk to all"},{"speaker":"Chris Dy","startTime":810.76,"endTime":814.42,"body":"the families see all the pre ops"},{"speaker":"Chris Dy","startTime":810.76,"endTime":814.42,"body":"and do all the paperwork, while"},{"speaker":"Chris Dy","startTime":814.42,"endTime":815.53,"body":"keeping the rooms flowing."},{"speaker":"Charles Goldfarb","startTime":816.1,"endTime":819.4,"body":"Yeah, so I put"},{"speaker":"Charles Goldfarb","startTime":816.1,"endTime":819.4,"body":"the schedule together myself, I"},{"speaker":"Charles Goldfarb","startTime":819.4,"endTime":821.56,"body":"don't trust anyone else to do it"},{"speaker":"Charles Goldfarb","startTime":819.4,"endTime":821.56,"body":"the way I would want to do it."},{"speaker":"Charles Goldfarb","startTime":821.56,"endTime":826.72,"body":"My general philosophy is very"},{"speaker":"Charles Goldfarb","startTime":821.56,"endTime":826.72,"body":"simple. I do a few smaller cases"},{"speaker":"Charles Goldfarb","startTime":826.72,"endTime":829.54,"body":"first. And that's you know, the"},{"speaker":"Charles Goldfarb","startTime":826.72,"endTime":829.54,"body":"triggers the carpals, the"},{"speaker":"Charles Goldfarb","startTime":829.54,"endTime":832.21,"body":"ganglions, the small lumps,"},{"speaker":"Charles Goldfarb","startTime":829.54,"endTime":832.21,"body":"things like that those that are"},{"speaker":"Charles Goldfarb","startTime":832.21,"endTime":839.71,"body":"not choosing local only, then I"},{"speaker":"Charles Goldfarb","startTime":832.21,"endTime":839.71,"body":"evolve into bigger cases. And"},{"speaker":"Charles Goldfarb","startTime":839.71,"endTime":842.92,"body":"I'll come back to specifics. And"},{"speaker":"Charles Goldfarb","startTime":839.71,"endTime":842.92,"body":"then now I end the day usually"},{"speaker":"Charles Goldfarb","startTime":842.92,"endTime":848.05,"body":"with a few locals, local only"},{"speaker":"Charles Goldfarb","startTime":842.92,"endTime":848.05,"body":"that is I think you have to be"},{"speaker":"Charles Goldfarb","startTime":848.05,"endTime":851.29,"body":"careful, you don't want a little"},{"speaker":"Charles Goldfarb","startTime":848.05,"endTime":851.29,"body":"case in one room and then a big"},{"speaker":"Charles Goldfarb","startTime":851.29,"endTime":853.99,"body":"case in another room. And"},{"speaker":"Charles Goldfarb","startTime":851.29,"endTime":853.99,"body":"another little case because you"},{"speaker":"Charles Goldfarb","startTime":853.99,"endTime":858.94,"body":"can't it doesn't work. So you"},{"speaker":"Charles Goldfarb","startTime":853.99,"endTime":858.94,"body":"kind of want your size of case"},{"speaker":"Charles Goldfarb","startTime":858.94,"endTime":862.81,"body":"to be symmetrical in the rooms."},{"speaker":"Charles Goldfarb","startTime":858.94,"endTime":862.81,"body":"And so for example, I do a"},{"speaker":"Charles Goldfarb","startTime":862.81,"endTime":865.39,"body":"carpal tunnel in the first room"},{"speaker":"Charles Goldfarb","startTime":862.81,"endTime":865.39,"body":"and a trigger in the second"},{"speaker":"Charles Goldfarb","startTime":865.39,"endTime":868.66,"body":"room. And then if I get bigger"},{"speaker":"Charles Goldfarb","startTime":865.39,"endTime":868.66,"body":"and do a wrist scope and ulnar"},{"speaker":"Charles Goldfarb","startTime":868.66,"endTime":872.08,"body":"shortening, I don't want to go"},{"speaker":"Charles Goldfarb","startTime":868.66,"endTime":872.08,"body":"back and do a small case because"},{"speaker":"Charles Goldfarb","startTime":872.08,"endTime":874.72,"body":"the timing of the closure and"},{"speaker":"Charles Goldfarb","startTime":872.08,"endTime":874.72,"body":"the dressings and all that stuff"},{"speaker":"Charles Goldfarb","startTime":874.75,"endTime":878.77,"body":"won't work out. And so you have"},{"speaker":"Charles Goldfarb","startTime":874.75,"endTime":878.77,"body":"to think about what I tend to do"},{"speaker":"Charles Goldfarb","startTime":878.77,"endTime":883.27,"body":"is I start the skin closure, and"},{"speaker":"Charles Goldfarb","startTime":878.77,"endTime":883.27,"body":"then I scrub out. If I have a"},{"speaker":"Charles Goldfarb","startTime":883.27,"endTime":888.22,"body":"trusted fellow typically or high"},{"speaker":"Charles Goldfarb","startTime":883.27,"endTime":888.22,"body":"level resident. I do the EPIC"},{"speaker":"Charles Goldfarb","startTime":888.22,"endTime":891.43,"body":"computer work, I walk out to the"},{"speaker":"Charles Goldfarb","startTime":888.22,"endTime":891.43,"body":"pre op area to talk to the last"},{"speaker":"Charles Goldfarb","startTime":891.43,"endTime":895.18,"body":"patient's family, talk to the"},{"speaker":"Charles Goldfarb","startTime":891.43,"endTime":895.18,"body":"next patient and walk directly"},{"speaker":"Charles Goldfarb","startTime":895.18,"endTime":898.51,"body":"into the second room. So in my"},{"speaker":"Charles Goldfarb","startTime":895.18,"endTime":898.51,"body":"perfect scenario, and I can you"},{"speaker":"Charles Goldfarb","startTime":898.51,"endTime":900.4,"body":"know I think when you get"},{"speaker":"Charles Goldfarb","startTime":898.51,"endTime":900.4,"body":"experienced this You can do it"},{"speaker":"Charles Goldfarb","startTime":900.4,"endTime":905.41,"body":"pretty well is the patient comes"},{"speaker":"Charles Goldfarb","startTime":900.4,"endTime":905.41,"body":"to the second room while we are"},{"speaker":"Charles Goldfarb","startTime":905.41,"endTime":909.58,"body":"closing the first room such that"},{"speaker":"Charles Goldfarb","startTime":905.41,"endTime":909.58,"body":"the next room is prepped and"},{"speaker":"Charles Goldfarb","startTime":909.58,"endTime":911.74,"body":"draped and ready to go as I'm"},{"speaker":"Charles Goldfarb","startTime":909.58,"endTime":911.74,"body":"walking back from the"},{"speaker":"Charles Goldfarb","startTime":911.74,"endTime":912.55,"body":"preoperative area."},{"speaker":"Chris Dy","startTime":914.17,"endTime":917.29,"body":"What percentage of"},{"speaker":"Chris Dy","startTime":914.17,"endTime":917.29,"body":"your days? Do you pull this off"},{"speaker":"Chris Dy","startTime":917.32,"endTime":918.61,"body":"in the way that you want it to?"},{"speaker":"Charles Goldfarb","startTime":920.59,"endTime":921.64,"body":"95."},{"speaker":"Chris Dy","startTime":922.06,"endTime":924.1,"body":"That's amazing. I"},{"speaker":"Chris Dy","startTime":922.06,"endTime":924.1,"body":"mean, just like to the point"},{"speaker":"Chris Dy","startTime":924.1,"endTime":926.89,"body":"where it's just, you know,"},{"speaker":"Chris Dy","startTime":924.1,"endTime":926.89,"body":"seamless in terms of your cases,"},{"speaker":"Chris Dy","startTime":926.89,"endTime":928.93,"body":"stacking up appropriately, that"},{"speaker":"Chris Dy","startTime":926.89,"endTime":928.93,"body":"kind of thing."},{"speaker":"Charles Goldfarb","startTime":929.47,"endTime":935.53,"body":"I guess I"},{"speaker":"Charles Goldfarb","startTime":929.47,"endTime":935.53,"body":"would prefer that I wait to the"},{"speaker":"Charles Goldfarb","startTime":935.53,"endTime":940.6,"body":"patient waiting under anesthesia"},{"speaker":"Charles Goldfarb","startTime":935.53,"endTime":940.6,"body":"for me. I don't know that all"},{"speaker":"Charles Goldfarb","startTime":940.6,"endTime":944.83,"body":"listeners would agree with that,"},{"speaker":"Charles Goldfarb","startTime":940.6,"endTime":944.83,"body":"meaning, maybe I shouldn't do it"},{"speaker":"Charles Goldfarb","startTime":944.83,"endTime":946.93,"body":"that way. But I just don't think"},{"speaker":"Charles Goldfarb","startTime":944.83,"endTime":946.93,"body":"it's right, I don't think is"},{"speaker":"Charles Goldfarb","startTime":946.93,"endTime":950.5,"body":"right for the patient to be"},{"speaker":"Charles Goldfarb","startTime":946.93,"endTime":950.5,"body":"waiting for me. And so I think"},{"speaker":"Charles Goldfarb","startTime":950.5,"endTime":953.5,"body":"the error is on the side of not"},{"speaker":"Charles Goldfarb","startTime":950.5,"endTime":953.5,"body":"getting the second patient back"},{"speaker":"Charles Goldfarb","startTime":953.5,"endTime":957.04,"body":"to the room early enough. I'd"},{"speaker":"Charles Goldfarb","startTime":953.5,"endTime":957.04,"body":"rather be safe and know that"},{"speaker":"Charles Goldfarb","startTime":957.04,"endTime":958.84,"body":"I'll be there when they're ready"},{"speaker":"Charles Goldfarb","startTime":957.04,"endTime":958.84,"body":"for me."},{"speaker":"Chris Dy","startTime":959.05,"endTime":961.66,"body":"Okay, I see what"},{"speaker":"Chris Dy","startTime":959.05,"endTime":961.66,"body":"you're saying. Okay. And then"},{"speaker":"Chris Dy","startTime":961.69,"endTime":966.79,"body":"how do you? Do you? We've done"},{"speaker":"Chris Dy","startTime":961.69,"endTime":966.79,"body":"You and I have published on this"},{"speaker":"Chris Dy","startTime":967.06,"endTime":969.73,"body":"in the setting of the OC and"},{"speaker":"Chris Dy","startTime":967.06,"endTime":969.73,"body":"I've heard a separate paper on"},{"speaker":"Chris Dy","startTime":969.73,"endTime":972.76,"body":"this before. I mean, what do you"},{"speaker":"Chris Dy","startTime":969.73,"endTime":972.76,"body":"think about, you know, just the"},{"speaker":"Chris Dy","startTime":972.94,"endTime":976.42,"body":"concept of concurrent versus"},{"speaker":"Chris Dy","startTime":972.94,"endTime":976.42,"body":"overlapping surgery. And even,"},{"speaker":"Chris Dy","startTime":976.96,"endTime":979.12,"body":"you know, I know that you would"},{"speaker":"Chris Dy","startTime":976.96,"endTime":979.12,"body":"never compromise these kinds of"},{"speaker":"Chris Dy","startTime":979.12,"endTime":981.43,"body":"things. But sometimes the optics"},{"speaker":"Chris Dy","startTime":979.12,"endTime":981.43,"body":"are what matter to?"},{"speaker":"Charles Goldfarb","startTime":982.3,"endTime":985.0,"body":"Well, in this"},{"speaker":"Charles Goldfarb","startTime":982.3,"endTime":985.0,"body":"day and age, you know, the or"},{"speaker":"Charles Goldfarb","startTime":985.0,"endTime":990.34,"body":"managers have, usually have"},{"speaker":"Charles Goldfarb","startTime":985.0,"endTime":990.34,"body":"graphs, which will plot out the"},{"speaker":"Charles Goldfarb","startTime":990.34,"endTime":993.4,"body":"surgeries, and there'll be a bar"},{"speaker":"Charles Goldfarb","startTime":990.34,"endTime":993.4,"body":"here and a bar here and a bar"},{"speaker":"Charles Goldfarb","startTime":993.4,"endTime":997.09,"body":"here and, and a case within a"},{"speaker":"Charles Goldfarb","startTime":993.4,"endTime":997.09,"body":"case becomes completely obvious,"},{"speaker":"Charles Goldfarb","startTime":997.12,"endTime":1001.05,"body":"I never do that. I don't think"},{"speaker":"Charles Goldfarb","startTime":997.12,"endTime":1001.05,"body":"that's fair to the patient at"},{"speaker":"Charles Goldfarb","startTime":1001.05,"endTime":1004.68,"body":"all. And so I would never do"},{"speaker":"Charles Goldfarb","startTime":1001.05,"endTime":1004.68,"body":"that, you know, barring some"},{"speaker":"Charles Goldfarb","startTime":1004.68,"endTime":1009.72,"body":"emergency situation, obviously,"},{"speaker":"Charles Goldfarb","startTime":1004.68,"endTime":1009.72,"body":"my goal is simply that the"},{"speaker":"Charles Goldfarb","startTime":1009.72,"endTime":1015.03,"body":"overlap is for maybe some of the"},{"speaker":"Charles Goldfarb","startTime":1009.72,"endTime":1015.03,"body":"closer the overlap as in, I have"},{"speaker":"Charles Goldfarb","startTime":1015.03,"endTime":1018.54,"body":"a patient in two different"},{"speaker":"Charles Goldfarb","startTime":1015.03,"endTime":1018.54,"body":"rooms. But I don't compromise in"},{"speaker":"Charles Goldfarb","startTime":1018.54,"endTime":1022.62,"body":"my availability to be the"},{"speaker":"Charles Goldfarb","startTime":1018.54,"endTime":1022.62,"body":"surgeon. So I could probably be"},{"speaker":"Charles Goldfarb","startTime":1022.62,"endTime":1027.87,"body":"more efficient, by not being in"},{"speaker":"Charles Goldfarb","startTime":1022.62,"endTime":1027.87,"body":"a room for opening. And or not"},{"speaker":"Charles Goldfarb","startTime":1027.87,"endTime":1031.26,"body":"being in the room for closure,"},{"speaker":"Charles Goldfarb","startTime":1027.87,"endTime":1031.26,"body":"as long as I have, you know, a"},{"speaker":"Charles Goldfarb","startTime":1031.26,"endTime":1034.8,"body":"resident and a fellow in each"},{"speaker":"Charles Goldfarb","startTime":1031.26,"endTime":1034.8,"body":"room. But that's not my goal, my"},{"speaker":"Charles Goldfarb","startTime":1034.8,"endTime":1038.79,"body":"goal is to simply eliminate"},{"speaker":"Charles Goldfarb","startTime":1034.8,"endTime":1038.79,"body":"turnaround time, so that I'm not"},{"speaker":"Charles Goldfarb","startTime":1038.79,"endTime":1041.97,"body":"going from staying in one room"},{"speaker":"Charles Goldfarb","startTime":1038.79,"endTime":1041.97,"body":"and just killing time between"},{"speaker":"Charles Goldfarb","startTime":1041.97,"endTime":1044.97,"body":"cases, because I don't need to"},{"speaker":"Charles Goldfarb","startTime":1041.97,"endTime":1044.97,"body":"as hand surgeons, we can use"},{"speaker":"Charles Goldfarb","startTime":1044.97,"endTime":1048.54,"body":"that time and take care of a"},{"speaker":"Charles Goldfarb","startTime":1044.97,"endTime":1048.54,"body":"whole nother patient. And so"},{"speaker":"Charles Goldfarb","startTime":1048.6,"endTime":1052.17,"body":"it's not 100% efficiency gain,"},{"speaker":"Charles Goldfarb","startTime":1048.6,"endTime":1052.17,"body":"you know what, I'm not doing"},{"speaker":"Charles Goldfarb","startTime":1052.17,"endTime":1055.62,"body":"twice as many cases. But I am"},{"speaker":"Charles Goldfarb","startTime":1052.17,"endTime":1055.62,"body":"doing significantly more. And"},{"speaker":"Charles Goldfarb","startTime":1055.62,"endTime":1060.27,"body":"for bigger cases, like elbow"},{"speaker":"Charles Goldfarb","startTime":1055.62,"endTime":1060.27,"body":"scope. So yesterday, I had two"},{"speaker":"Charles Goldfarb","startTime":1060.27,"endTime":1063.42,"body":"elbow scopes, three wrist"},{"speaker":"Charles Goldfarb","startTime":1060.27,"endTime":1063.42,"body":"scopes, a couple of bigger wrist"},{"speaker":"Charles Goldfarb","startTime":1063.42,"endTime":1067.56,"body":"cases, in a couple of small"},{"speaker":"Charles Goldfarb","startTime":1063.42,"endTime":1067.56,"body":"cases. And the elbow scopes are"},{"speaker":"Charles Goldfarb","startTime":1067.56,"endTime":1070.8,"body":"the gold. Because the setup said"},{"speaker":"Charles Goldfarb","startTime":1067.56,"endTime":1070.8,"body":"the block away, this was in a"},{"speaker":"Charles Goldfarb","startTime":1070.8,"endTime":1075.21,"body":"pediatric facility. So the"},{"speaker":"Charles Goldfarb","startTime":1070.8,"endTime":1075.21,"body":"block, and the setup time is 20"},{"speaker":"Charles Goldfarb","startTime":1075.24,"endTime":1078.99,"body":"minutes, maybe 25 minutes."},{"speaker":"Charles Goldfarb","startTime":1075.24,"endTime":1078.99,"body":"That's gold, because with one"},{"speaker":"Charles Goldfarb","startTime":1078.99,"endTime":1080.43,"body":"room that kills your day."},{"speaker":"Chris Dy","startTime":1082.29,"endTime":1085.17,"body":"So I won't point in"},{"speaker":"Chris Dy","startTime":1082.29,"endTime":1085.17,"body":"your practice, did you move to"},{"speaker":"Chris Dy","startTime":1085.17,"endTime":1089.16,"body":"the second room? And then on?"},{"speaker":"Chris Dy","startTime":1085.17,"endTime":1089.16,"body":"How much clinic do you need to"},{"speaker":"Chris Dy","startTime":1089.16,"endTime":1092.55,"body":"do to potentially fill the"},{"speaker":"Chris Dy","startTime":1089.16,"endTime":1092.55,"body":"second room with your same level"},{"speaker":"Chris Dy","startTime":1092.55,"endTime":1096.09,"body":"of indications and same maybe"},{"speaker":"Chris Dy","startTime":1092.55,"endTime":1096.09,"body":"variability because of trauma?"},{"speaker":"Chris Dy","startTime":1096.09,"endTime":1096.81,"body":"That kind of thing?"},{"speaker":"Charles Goldfarb","startTime":1097.71,"endTime":1099.81,"body":"Yeah, the"},{"speaker":"Charles Goldfarb","startTime":1097.71,"endTime":1099.81,"body":"tricky. That is the tricky part,"},{"speaker":"Charles Goldfarb","startTime":1099.84,"endTime":1104.67,"body":"you, I think you, were all"},{"speaker":"Charles Goldfarb","startTime":1099.84,"endTime":1104.67,"body":"different, I would say you kind"},{"speaker":"Charles Goldfarb","startTime":1104.67,"endTime":1109.32,"body":"of need to I need I need a day"},{"speaker":"Charles Goldfarb","startTime":1104.67,"endTime":1109.32,"body":"and a half of clinic to fill one"},{"speaker":"Charles Goldfarb","startTime":1109.35,"endTime":1113.01,"body":"busy two room or day. That's"},{"speaker":"Charles Goldfarb","startTime":1109.35,"endTime":1113.01,"body":"kind of the classic and it"},{"speaker":"Charles Goldfarb","startTime":1113.01,"endTime":1115.62,"body":"depends on you know, we have all"},{"speaker":"Charles Goldfarb","startTime":1113.01,"endTime":1115.62,"body":"the stats about how many new"},{"speaker":"Charles Goldfarb","startTime":1115.62,"endTime":1117.96,"body":"patients we need to see for"},{"speaker":"Charles Goldfarb","startTime":1115.62,"endTime":1117.96,"body":"surgery and all that kinds of we"},{"speaker":"Charles Goldfarb","startTime":1117.96,"endTime":1120.39,"body":"should get into that one time."},{"speaker":"Charles Goldfarb","startTime":1117.96,"endTime":1120.39,"body":"You know, one, one podcast, I"},{"speaker":"Charles Goldfarb","startTime":1120.39,"endTime":1123.78,"body":"think that'd be interesting. But"},{"speaker":"Charles Goldfarb","startTime":1120.39,"endTime":1123.78,"body":"I feel stress, I feel an"},{"speaker":"Charles Goldfarb","startTime":1123.78,"endTime":1126.63,"body":"obligation to the fellows"},{"speaker":"Charles Goldfarb","startTime":1123.78,"endTime":1126.63,"body":"because I want to help educate"},{"speaker":"Charles Goldfarb","startTime":1126.63,"endTime":1129.42,"body":"them. I feel an obligation to"},{"speaker":"Charles Goldfarb","startTime":1126.63,"endTime":1129.42,"body":"the or because I don't want to"},{"speaker":"Charles Goldfarb","startTime":1129.42,"endTime":1133.92,"body":"waste OR time. And so I you"},{"speaker":"Charles Goldfarb","startTime":1129.42,"endTime":1133.92,"body":"know, it's just not all of us. I"},{"speaker":"Charles Goldfarb","startTime":1133.92,"endTime":1135.63,"body":"think some of the listeners are"},{"speaker":"Charles Goldfarb","startTime":1133.92,"endTime":1135.63,"body":"probably rolling their eyes"},{"speaker":"Charles Goldfarb","startTime":1135.63,"endTime":1138.45,"body":"saying why why do you feel"},{"speaker":"Charles Goldfarb","startTime":1135.63,"endTime":1138.45,"body":"stress about it? Well, I want to"},{"speaker":"Charles Goldfarb","startTime":1138.45,"endTime":1139.74,"body":"be a good citizen, I guess."},{"speaker":"Chris Dy","startTime":1140.79,"endTime":1143.97,"body":"And now you're in the"},{"speaker":"Chris Dy","startTime":1140.79,"endTime":1143.97,"body":"you know, you're high up in a"},{"speaker":"Chris Dy","startTime":1143.97,"endTime":1148.44,"body":"department you're, you know, the"},{"speaker":"Chris Dy","startTime":1143.97,"endTime":1148.44,"body":"big deal, and you are helping to"},{"speaker":"Chris Dy","startTime":1148.47,"endTime":1152.76,"body":"hire new surgeons, you know, for"},{"speaker":"Chris Dy","startTime":1148.47,"endTime":1152.76,"body":"example, pedes you've got Zach"},{"speaker":"Chris Dy","startTime":1152.76,"endTime":1158.82,"body":"Meyer starting up now. And how"},{"speaker":"Chris Dy","startTime":1152.76,"endTime":1158.82,"body":"do you as the leader, try to"},{"speaker":"Chris Dy","startTime":1158.82,"endTime":1162.63,"body":"secure block time for your new"},{"speaker":"Chris Dy","startTime":1158.82,"endTime":1162.63,"body":"faculty? And how do you advise"},{"speaker":"Chris Dy","startTime":1162.63,"endTime":1165.21,"body":"your faculty on how to use that"},{"speaker":"Chris Dy","startTime":1162.63,"endTime":1165.21,"body":"and also, we know that new"},{"speaker":"Chris Dy","startTime":1165.21,"endTime":1167.52,"body":"surgeons aren't going to fill"},{"speaker":"Chris Dy","startTime":1165.21,"endTime":1167.52,"body":"that block time right away."},{"speaker":"Chris Dy","startTime":1167.73,"endTime":1171.42,"body":"They're gonna need a lot of time"},{"speaker":"Chris Dy","startTime":1167.73,"endTime":1171.42,"body":"to ramp up. How do you kind of"},{"speaker":"Chris Dy","startTime":1171.42,"endTime":1174.03,"body":"hold off the peri-op people from"},{"speaker":"Chris Dy","startTime":1171.42,"endTime":1174.03,"body":"saying, hey, they're not using"},{"speaker":"Chris Dy","startTime":1174.03,"endTime":1176.88,"body":"their block time. This is a long"},{"speaker":"Chris Dy","startTime":1174.03,"endTime":1176.88,"body":"term investment."},{"speaker":"Charles Goldfarb","startTime":1177.45,"endTime":1179.79,"body":"So for those"},{"speaker":"Charles Goldfarb","startTime":1177.45,"endTime":1179.79,"body":"of you who are about to start"},{"speaker":"Charles Goldfarb","startTime":1179.79,"endTime":1184.53,"body":"fellowship, or senior residents,"},{"speaker":"Charles Goldfarb","startTime":1179.79,"endTime":1184.53,"body":"when you are looking for a job,"},{"speaker":"Charles Goldfarb","startTime":1184.56,"endTime":1188.73,"body":"you have to trust that the"},{"speaker":"Charles Goldfarb","startTime":1184.56,"endTime":1188.73,"body":"people you interview with are"},{"speaker":"Charles Goldfarb","startTime":1188.73,"endTime":1191.64,"body":"going to follow through on their"},{"speaker":"Charles Goldfarb","startTime":1188.73,"endTime":1191.64,"body":"promise to provide you block"},{"speaker":"Charles Goldfarb","startTime":1191.64,"endTime":1195.78,"body":"time, because I know of several"},{"speaker":"Charles Goldfarb","startTime":1191.64,"endTime":1195.78,"body":"horror stories of block time"},{"speaker":"Charles Goldfarb","startTime":1195.78,"endTime":1199.41,"body":"that was never provided, or"},{"speaker":"Charles Goldfarb","startTime":1195.78,"endTime":1199.41,"body":"insufficient block time. Well,"},{"speaker":"Charles Goldfarb","startTime":1199.41,"endTime":1203.19,"body":"that's a Deal Breaker because"},{"speaker":"Charles Goldfarb","startTime":1199.41,"endTime":1203.19,"body":"you can't build a practice, if"},{"speaker":"Charles Goldfarb","startTime":1203.19,"endTime":1206.13,"body":"you can't look at the patient in"},{"speaker":"Charles Goldfarb","startTime":1203.19,"endTime":1206.13,"body":"your office across the table"},{"speaker":"Charles Goldfarb","startTime":1206.13,"endTime":1210.69,"body":"from you, and say, I will do"},{"speaker":"Charles Goldfarb","startTime":1206.13,"endTime":1210.69,"body":"your surgery next Wednesday. And"},{"speaker":"Charles Goldfarb","startTime":1210.69,"endTime":1212.82,"body":"if you have to say, I will"},{"speaker":"Charles Goldfarb","startTime":1210.69,"endTime":1212.82,"body":"figure out when to do your"},{"speaker":"Charles Goldfarb","startTime":1212.82,"endTime":1215.91,"body":"surgery, I'm not sure when I'm"},{"speaker":"Charles Goldfarb","startTime":1212.82,"endTime":1215.91,"body":"gonna have time, and they're"},{"speaker":"Charles Goldfarb","startTime":1215.91,"endTime":1219.42,"body":"already questioning you because"},{"speaker":"Charles Goldfarb","startTime":1215.91,"endTime":1219.42,"body":"you're young. And if you don't"},{"speaker":"Charles Goldfarb","startTime":1219.42,"endTime":1223.26,"body":"have confidence in when you will"},{"speaker":"Charles Goldfarb","startTime":1219.42,"endTime":1223.26,"body":"take care of that patient, then"},{"speaker":"Charles Goldfarb","startTime":1223.29,"endTime":1226.77,"body":"that is really tough. And so you"},{"speaker":"Charles Goldfarb","startTime":1223.29,"endTime":1226.77,"body":"have to know that wherever"},{"speaker":"Charles Goldfarb","startTime":1226.77,"endTime":1229.14,"body":"you're going to work, they will"},{"speaker":"Charles Goldfarb","startTime":1226.77,"endTime":1229.14,"body":"follow through on that, and"},{"speaker":"Charles Goldfarb","startTime":1229.14,"endTime":1232.68,"body":"honor their promise of block"},{"speaker":"Charles Goldfarb","startTime":1229.14,"endTime":1232.68,"body":"time. And the other part of that"},{"speaker":"Charles Goldfarb","startTime":1232.68,"endTime":1237.06,"body":"is exactly what you say, the"},{"speaker":"Charles Goldfarb","startTime":1232.68,"endTime":1237.06,"body":"department chair and the"},{"speaker":"Charles Goldfarb","startTime":1237.06,"endTime":1241.44,"body":"division chief, and whoever else"},{"speaker":"Charles Goldfarb","startTime":1237.06,"endTime":1241.44,"body":"needs to have your back because"},{"speaker":"Charles Goldfarb","startTime":1241.44,"endTime":1245.13,"body":"there is a ramp up period and"},{"speaker":"Charles Goldfarb","startTime":1241.44,"endTime":1245.13,"body":"the ORs know that. But if the"},{"speaker":"Charles Goldfarb","startTime":1245.13,"endTime":1250.23,"body":"ORs are tight, they may push you"},{"speaker":"Charles Goldfarb","startTime":1245.13,"endTime":1250.23,"body":"on it. And so you have to who"},{"speaker":"Charles Goldfarb","startTime":1250.23,"endTime":1252.96,"body":"knows what the ramp up time is"},{"speaker":"Charles Goldfarb","startTime":1250.23,"endTime":1252.96,"body":"depends, again, on so many"},{"speaker":"Charles Goldfarb","startTime":1252.96,"endTime":1255.9,"body":"variables, but you need to be"},{"speaker":"Charles Goldfarb","startTime":1252.96,"endTime":1255.9,"body":"given sufficient time to build"},{"speaker":"Charles Goldfarb","startTime":1255.9,"endTime":1256.62,"body":"your practice."},{"speaker":"Chris Dy","startTime":1257.67,"endTime":1260.25,"body":"And I think the one of"},{"speaker":"Chris Dy","startTime":1257.67,"endTime":1260.25,"body":"the other pearls that I noticed"},{"speaker":"Chris Dy","startTime":1260.25,"endTime":1264.78,"body":"when I was in training was that"},{"speaker":"Chris Dy","startTime":1260.25,"endTime":1264.78,"body":"you're very good about telling"},{"speaker":"Chris Dy","startTime":1264.78,"endTime":1268.59,"body":"the or exactly what equipment"},{"speaker":"Chris Dy","startTime":1264.78,"endTime":1268.59,"body":"you need for everything that"},{"speaker":"Chris Dy","startTime":1268.59,"endTime":1272.55,"body":"day. And I've tried to do that"},{"speaker":"Chris Dy","startTime":1268.59,"endTime":1272.55,"body":"at the very beginning. I have"},{"speaker":"Chris Dy","startTime":1272.55,"endTime":1275.1,"body":"not been great about it"},{"speaker":"Chris Dy","startTime":1272.55,"endTime":1275.1,"body":"recently, but have started to"},{"speaker":"Chris Dy","startTime":1275.1,"endTime":1278.07,"body":"get back into it just because"},{"speaker":"Chris Dy","startTime":1275.1,"endTime":1278.07,"body":"I've had to wait for equipment"},{"speaker":"Chris Dy","startTime":1278.07,"endTime":1282.81,"body":"and nobody likes waiting and"},{"speaker":"Chris Dy","startTime":1278.07,"endTime":1282.81,"body":"interrupting the flow. So do you"},{"speaker":"Chris Dy","startTime":1282.81,"endTime":1285.42,"body":"have any thoughts on how to make"},{"speaker":"Chris Dy","startTime":1282.81,"endTime":1285.42,"body":"sure everybody on your team is"},{"speaker":"Chris Dy","startTime":1285.42,"endTime":1286.59,"body":"ready for the OR day?"},{"speaker":"Charles Goldfarb","startTime":1287.22,"endTime":1289.2,"body":"I'm sure you"},{"speaker":"Charles Goldfarb","startTime":1287.22,"endTime":1289.2,"body":"do what I do, which most of our"},{"speaker":"Charles Goldfarb","startTime":1289.2,"endTime":1291.78,"body":"listeners do is I guess when you"},{"speaker":"Charles Goldfarb","startTime":1289.2,"endTime":1291.78,"body":"schedule a case, you fill out a"},{"speaker":"Charles Goldfarb","startTime":1291.78,"endTime":1294.66,"body":"form and say I need this, for"},{"speaker":"Charles Goldfarb","startTime":1291.78,"endTime":1294.66,"body":"some reason, I don't ever feel"},{"speaker":"Charles Goldfarb","startTime":1294.66,"endTime":1297.75,"body":"great confidence that's gonna"},{"speaker":"Charles Goldfarb","startTime":1294.66,"endTime":1297.75,"body":"happen. Part of it is maybe that"},{"speaker":"Charles Goldfarb","startTime":1297.81,"endTime":1300.51,"body":"the case doesn't happen for six"},{"speaker":"Charles Goldfarb","startTime":1297.81,"endTime":1300.51,"body":"weeks, or if it gets delayed or"},{"speaker":"Charles Goldfarb","startTime":1300.51,"endTime":1303.96,"body":"something, I mean, maybe three"},{"speaker":"Charles Goldfarb","startTime":1300.51,"endTime":1303.96,"body":"months, four months. So what I"},{"speaker":"Charles Goldfarb","startTime":1303.96,"endTime":1308.55,"body":"do for what I do religiously,"},{"speaker":"Charles Goldfarb","startTime":1303.96,"endTime":1308.55,"body":"and I really liked this system"},{"speaker":"Charles Goldfarb","startTime":1308.55,"endTime":1313.2,"body":"is I send an email 48 hours"},{"speaker":"Charles Goldfarb","startTime":1308.55,"endTime":1313.2,"body":"before my OR day, I have my"},{"speaker":"Charles Goldfarb","startTime":1313.2,"endTime":1317.19,"body":"lineup as I want as I construct"},{"speaker":"Charles Goldfarb","startTime":1313.2,"endTime":1317.19,"body":"my lineup by email patient name,"},{"speaker":"Charles Goldfarb","startTime":1317.19,"endTime":1320.4,"body":"date of birth, phone number, and"},{"speaker":"Charles Goldfarb","startTime":1317.19,"endTime":1320.4,"body":"I'll come back to that"},{"speaker":"Charles Goldfarb","startTime":1320.43,"endTime":1324.33,"body":"procedure. And then my two rooms"},{"speaker":"Charles Goldfarb","startTime":1320.43,"endTime":1324.33,"body":"are lined up at the top of that"},{"speaker":"Charles Goldfarb","startTime":1324.33,"endTime":1328.35,"body":"I list exactly what I need for"},{"speaker":"Charles Goldfarb","startTime":1324.33,"endTime":1328.35,"body":"special equipment. So whatever"},{"speaker":"Charles Goldfarb","startTime":1328.35,"endTime":1330.51,"body":"the ulnar shortening plate is,"},{"speaker":"Charles Goldfarb","startTime":1328.35,"endTime":1330.51,"body":"or whatever the wrist"},{"speaker":"Charles Goldfarb","startTime":1330.51,"endTime":1334.23,"body":"arthroscopy setup is I list that"},{"speaker":"Charles Goldfarb","startTime":1330.51,"endTime":1334.23,"body":"specifically, it serves double"},{"speaker":"Charles Goldfarb","startTime":1334.23,"endTime":1337.65,"body":"purpose for me, as we've talked"},{"speaker":"Charles Goldfarb","startTime":1334.23,"endTime":1337.65,"body":"about on this podcast, is it on"},{"speaker":"Charles Goldfarb","startTime":1337.65,"endTime":1340.92,"body":"my drive home, I use that same"},{"speaker":"Charles Goldfarb","startTime":1337.65,"endTime":1340.92,"body":"list to click the phone number"},{"speaker":"Charles Goldfarb","startTime":1340.92,"endTime":1343.89,"body":"and call the patient post op and"},{"speaker":"Charles Goldfarb","startTime":1340.92,"endTime":1343.89,"body":"check in on how they're doing. I"},{"speaker":"Charles Goldfarb","startTime":1343.89,"endTime":1346.02,"body":"don't know if you've done that."},{"speaker":"Charles Goldfarb","startTime":1343.89,"endTime":1346.02,"body":"If you haven't, I think it's"},{"speaker":"Charles Goldfarb","startTime":1346.02,"endTime":1349.44,"body":"worth it. It does. It's another"},{"speaker":"Charles Goldfarb","startTime":1346.02,"endTime":1349.44,"body":"time suck. But it doesn't take"},{"speaker":"Charles Goldfarb","startTime":1349.44,"endTime":1352.14,"body":"that long because my nurse will"},{"speaker":"Charles Goldfarb","startTime":1349.44,"endTime":1352.14,"body":"send me all the info and I just"},{"speaker":"Charles Goldfarb","startTime":1352.14,"endTime":1352.77,"body":"have to arrange it."},{"speaker":"Chris Dy","startTime":1353.43,"endTime":1356.58,"body":"Well, I admit, having"},{"speaker":"Chris Dy","startTime":1353.43,"endTime":1356.58,"body":"been a Goldfarb fanboy. When I"},{"speaker":"Chris Dy","startTime":1356.58,"endTime":1360.48,"body":"came out of fellowship, I called"},{"speaker":"Chris Dy","startTime":1356.58,"endTime":1360.48,"body":"every patient initially I have"},{"speaker":"Chris Dy","startTime":1360.48,"endTime":1365.82,"body":"lost that, but I do have my, my"},{"speaker":"Chris Dy","startTime":1360.48,"endTime":1365.82,"body":"MA put Every patient's phone"},{"speaker":"Chris Dy","startTime":1365.82,"endTime":1369.24,"body":"number in in their outlook"},{"speaker":"Chris Dy","startTime":1365.82,"endTime":1369.24,"body":"entry, so that I can call them"},{"speaker":"Chris Dy","startTime":1369.24,"endTime":1371.94,"body":"if I want to call them without"},{"speaker":"Chris Dy","startTime":1369.24,"endTime":1371.94,"body":"having to dig through a chart or"},{"speaker":"Chris Dy","startTime":1371.94,"endTime":1375.45,"body":"other paperwork. And I do a"},{"speaker":"Chris Dy","startTime":1371.94,"endTime":1375.45,"body":"similar process with my lineup."},{"speaker":"Chris Dy","startTime":1375.45,"endTime":1378.87,"body":"But I have been bad about"},{"speaker":"Chris Dy","startTime":1375.45,"endTime":1378.87,"body":"keeping all the equipment stuff"},{"speaker":"Chris Dy","startTime":1378.87,"endTime":1381.0,"body":"on there. But I've now been"},{"speaker":"Chris Dy","startTime":1378.87,"endTime":1381.0,"body":"better about putting it back on"},{"speaker":"Chris Dy","startTime":1381.0,"endTime":1382.5,"body":"after having to wait around a"},{"speaker":"Chris Dy","startTime":1381.0,"endTime":1382.5,"body":"bit."},{"speaker":"Charles Goldfarb","startTime":1383.22,"endTime":1386.94,"body":"It's funny. I"},{"speaker":"Charles Goldfarb","startTime":1383.22,"endTime":1386.94,"body":"used to do the outlook thing as"},{"speaker":"Charles Goldfarb","startTime":1386.94,"endTime":1390.42,"body":"well put my cases on the"},{"speaker":"Charles Goldfarb","startTime":1386.94,"endTime":1390.42,"body":"calendar. I didn't find that"},{"speaker":"Charles Goldfarb","startTime":1390.42,"endTime":1393.96,"body":"helped me. I mean, EPIC is such"},{"speaker":"Charles Goldfarb","startTime":1390.42,"endTime":1393.96,"body":"a big part of my life. I don't"},{"speaker":"Charles Goldfarb","startTime":1393.96,"endTime":1398.52,"body":"think seeing the patient on the"},{"speaker":"Charles Goldfarb","startTime":1393.96,"endTime":1398.52,"body":"calendar helped me and I think"},{"speaker":"Charles Goldfarb","startTime":1398.52,"endTime":1402.21,"body":"it's an effort for the nurse or"},{"speaker":"Charles Goldfarb","startTime":1398.52,"endTime":1402.21,"body":"the MA or your secretary to do"},{"speaker":"Charles Goldfarb","startTime":1402.21,"endTime":1406.02,"body":"it. Again, that's your workflow."},{"speaker":"Charles Goldfarb","startTime":1402.21,"endTime":1406.02,"body":"And that works for you. I for"},{"speaker":"Charles Goldfarb","startTime":1406.02,"endTime":1407.88,"body":"me, it stopped being helpful."},{"speaker":"Chris Dy","startTime":1408.39,"endTime":1411.66,"body":"Yeah, I do. I'm like"},{"speaker":"Chris Dy","startTime":1408.39,"endTime":1411.66,"body":"you I do everything I can to not"},{"speaker":"Chris Dy","startTime":1411.66,"endTime":1414.87,"body":"log into EPIC. So if I'm just"},{"speaker":"Chris Dy","startTime":1411.66,"endTime":1414.87,"body":"trying to see what my day is"},{"speaker":"Chris Dy","startTime":1414.87,"endTime":1417.45,"body":"gonna look like, you know, in"},{"speaker":"Chris Dy","startTime":1414.87,"endTime":1417.45,"body":"terms of structuring meetings, I"},{"speaker":"Chris Dy","startTime":1417.45,"endTime":1420.81,"body":"just need one stop for all my"},{"speaker":"Chris Dy","startTime":1417.45,"endTime":1420.81,"body":"calendar stuff. And I really"},{"speaker":"Chris Dy","startTime":1420.81,"endTime":1423.72,"body":"don't want to log into EPIC,"},{"speaker":"Chris Dy","startTime":1420.81,"endTime":1423.72,"body":"although, you know, the EPIC"},{"speaker":"Chris Dy","startTime":1423.72,"endTime":1426.15,"body":"app, the Haiku thing is really"},{"speaker":"Chris Dy","startTime":1423.72,"endTime":1426.15,"body":"useful in terms of, you know,"},{"speaker":"Chris Dy","startTime":1426.15,"endTime":1429.33,"body":"reading notes and stuff, etc."},{"speaker":"Chris Dy","startTime":1426.15,"endTime":1429.33,"body":"But All right, great. Well,"},{"speaker":"Chris Dy","startTime":1429.33,"endTime":1432.03,"body":"thank you for answering my"},{"speaker":"Chris Dy","startTime":1429.33,"endTime":1432.03,"body":"question and helping me and I"},{"speaker":"Chris Dy","startTime":1432.03,"endTime":1434.4,"body":"hope the listeners learn"},{"speaker":"Chris Dy","startTime":1432.03,"endTime":1434.4,"body":"something along the way."},{"speaker":"Charles Goldfarb","startTime":1434.82,"endTime":1436.89,"body":"You need no"},{"speaker":"Charles Goldfarb","startTime":1434.82,"endTime":1436.89,"body":"help. Dr. Dy but, it was a fun"},{"speaker":"Charles Goldfarb","startTime":1436.89,"endTime":1438.0,"body":"conversation. Thank you."},{"speaker":"Chris Dy","startTime":1438.33,"endTime":1439.59,"body":"I'll take all the help"},{"speaker":"Chris Dy","startTime":1438.33,"endTime":1439.59,"body":"I can get."},{"speaker":"Charles Goldfarb","startTime":1439.92,"endTime":1440.82,"body":"Alright, have"},{"speaker":"Charles Goldfarb","startTime":1439.92,"endTime":1440.82,"body":"a good day."},{"speaker":"Chris Dy","startTime":1441.09,"endTime":1441.84,"body":"See you next time."},{"speaker":"Charles Goldfarb","startTime":1442.62,"endTime":1444.6,"body":"Hey, Chris,"},{"speaker":"Charles Goldfarb","startTime":1442.62,"endTime":1444.6,"body":"that was fun. Let's do it again"},{"speaker":"Charles Goldfarb","startTime":1444.6,"endTime":1445.11,"body":"real soon."},{"speaker":"Chris Dy","startTime":1445.38,"endTime":1447.9,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":1445.38,"endTime":1447.9,"body":"sure to check us out on Twitter"},{"speaker":"Chris Dy","startTime":1448.11,"endTime":1450.33,"body":"@Handpodcast. Hey, Chuck, what's"},{"speaker":"Chris Dy","startTime":1448.11,"endTime":1450.33,"body":"your Twitter handle?"},{"speaker":"Charles Goldfarb","startTime":1450.66,"endTime":1453.51,"body":"Mine is"},{"speaker":"Charles Goldfarb","startTime":1450.66,"endTime":1453.51,"body":"@congenitalhand. What about you?"},{"speaker":"Chris Dy","startTime":1453.66,"endTime":1457.02,"body":"Mine is @ChrisDyMD"},{"speaker":"Chris Dy","startTime":1453.66,"endTime":1457.02,"body":"spelled d y. And if you'd like"},{"speaker":"Chris Dy","startTime":1457.02,"endTime":1460.32,"body":"to email us, you can reach us at"},{"speaker":"Chris Dy","startTime":1457.02,"endTime":1460.32,"body":"handpodcast@gmail.com."},{"speaker":"Charles Goldfarb","startTime":1461.46,"endTime":1463.59,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":1461.46,"endTime":1463.59,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":1463.59,"endTime":1464.7,"body":"get your podcasts."},{"speaker":"Chris Dy","startTime":1464.73,"endTime":1466.95,"body":"And be sure to leave a"},{"speaker":"Chris Dy","startTime":1464.73,"endTime":1466.95,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":1466.95,"endTime":1467.37,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":1467.73,"endTime":1470.01,"body":"Special thanks"},{"speaker":"Charles Goldfarb","startTime":1467.73,"endTime":1470.01,"body":"to Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":1470.01,"endTime":1474.0,"body":"music. And remember, keep the"},{"speaker":"Charles Goldfarb","startTime":1470.01,"endTime":1474.0,"body":"upper hand. Come back next time."}]}