{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":10.8,"endTime":13.38,"body":"Welcome to the"},{"speaker":"Charles Goldfarb","startTime":10.8,"endTime":13.38,"body":"upper hand, where Chuck and"},{"speaker":"Charles Goldfarb","startTime":13.38,"endTime":14.49,"body":"Chris talk hand surgery."},{"speaker":"Chris Dy","startTime":14.82,"endTime":16.56,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":14.82,"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":24.36,"body":"Thank you for"},{"speaker":"Charles Goldfarb","startTime":22.05,"endTime":24.36,"body":"subscribing wherever you get"},{"speaker":"Charles Goldfarb","startTime":24.36,"endTime":25.26,"body":"your podcasts."},{"speaker":"Chris Dy","startTime":25.47,"endTime":27.66,"body":"And be sure to leave a"},{"speaker":"Chris Dy","startTime":25.47,"endTime":27.66,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":27.66,"endTime":28.2,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":28.98,"endTime":29.91,"body":"Oh, hey,"},{"speaker":"Charles Goldfarb","startTime":28.98,"endTime":29.91,"body":"Chris."},{"speaker":"Chris Dy","startTime":30.42,"endTime":31.2,"body":"Hey Chuck, how are"},{"speaker":"Chris Dy","startTime":30.42,"endTime":31.2,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":31.5,"endTime":33.45,"body":"I'm fantastic."},{"speaker":"Charles Goldfarb","startTime":31.5,"endTime":33.45,"body":"How are you?"},{"speaker":"Chris Dy","startTime":33.0,"endTime":37.29,"body":"I am well, it's a it's"},{"speaker":"Chris Dy","startTime":33.0,"endTime":37.29,"body":"a nice Sunday here in St. Louis."},{"speaker":"Chris Dy","startTime":37.65,"endTime":41.79,"body":"You know, have had a nice full"},{"speaker":"Chris Dy","startTime":37.65,"endTime":41.79,"body":"day so far. Had a little washed"},{"speaker":"Chris Dy","startTime":41.79,"endTime":45.69,"body":"out in the morning with our"},{"speaker":"Chris Dy","startTime":41.79,"endTime":45.69,"body":"fantastic fellow Elizabeth Wall,"},{"speaker":"Chris Dy","startTime":46.08,"endTime":51.27,"body":"who, oddly enough, she did"},{"speaker":"Chris Dy","startTime":46.08,"endTime":51.27,"body":"mention how you mentioned your"},{"speaker":"Chris Dy","startTime":51.27,"endTime":54.54,"body":"fellow by name. And I have not"},{"speaker":"Chris Dy","startTime":51.27,"endTime":54.54,"body":"yet mentioned my fellow by name,"},{"speaker":"Chris Dy","startTime":56.22,"endTime":59.67,"body":"probably rotating, so. Elspeth"},{"speaker":"Chris Dy","startTime":56.22,"endTime":59.67,"body":"got a shout out last time"},{"speaker":"Chris Dy","startTime":59.67,"endTime":63.06,"body":"Harrison has gotten a shout out"},{"speaker":"Chris Dy","startTime":59.67,"endTime":63.06,"body":"before and of course, last but"},{"speaker":"Chris Dy","startTime":63.06,"endTime":66.18,"body":"not least Dr. Elizabeth Wall."},{"speaker":"Chris Dy","startTime":63.06,"endTime":66.18,"body":"Welcome to our fellowship."},{"speaker":"Charles Goldfarb","startTime":66.75,"endTime":70.08,"body":"Well done."},{"speaker":"Charles Goldfarb","startTime":66.75,"endTime":70.08,"body":"Yeah, podcast jealousy. Who knew"},{"speaker":"Charles Goldfarb","startTime":70.11,"endTime":71.28,"body":"who knew there was such a thing?"},{"speaker":"Chris Dy","startTime":71.79,"endTime":73.62,"body":"Oh, but it's good."},{"speaker":"Chris Dy","startTime":71.79,"endTime":73.62,"body":"It's a good day in the house."},{"speaker":"Chris Dy","startTime":73.62,"endTime":76.5,"body":"I've got this wonderful pork"},{"speaker":"Chris Dy","startTime":73.62,"endTime":76.5,"body":"shoulder roasting in the oven."},{"speaker":"Chris Dy","startTime":76.53,"endTime":80.19,"body":"I'm very excited to bite into"},{"speaker":"Chris Dy","startTime":76.53,"endTime":80.19,"body":"that later. And it's kind of how"},{"speaker":"Chris Dy","startTime":80.19,"endTime":82.5,"body":"I build my Sundays now is around"},{"speaker":"Chris Dy","startTime":80.19,"endTime":82.5,"body":"food. So"},{"speaker":"Charles Goldfarb","startTime":82.98,"endTime":85.29,"body":"That is one"},{"speaker":"Charles Goldfarb","startTime":82.98,"endTime":85.29,"body":"thing I will never, that'll"},{"speaker":"Charles Goldfarb","startTime":85.29,"endTime":88.2,"body":"never come out of my mouth. I've"},{"speaker":"Charles Goldfarb","startTime":85.29,"endTime":88.2,"body":"got a wonderful, wonderful pork"},{"speaker":"Charles Goldfarb","startTime":88.2,"endTime":90.12,"body":"shoulder roasting in the oven."},{"speaker":"Chris Dy","startTime":92.31,"endTime":94.68,"body":"Well, you were kind"},{"speaker":"Chris Dy","startTime":92.31,"endTime":94.68,"body":"enough to come by the house"},{"speaker":"Chris Dy","startTime":95.76,"endTime":100.23,"body":"yesterday. So you know, you saw"},{"speaker":"Chris Dy","startTime":95.76,"endTime":100.23,"body":"our kitchen and everything. And"},{"speaker":"Chris Dy","startTime":100.26,"endTime":102.93,"body":"you did mention that you are"},{"speaker":"Chris Dy","startTime":100.26,"endTime":102.93,"body":"always pushing for, you know, a"},{"speaker":"Chris Dy","startTime":102.93,"endTime":103.74,"body":"bigger range."},{"speaker":"Charles Goldfarb","startTime":104.95,"endTime":107.5,"body":"It's funny"},{"speaker":"Charles Goldfarb","startTime":104.95,"endTime":107.5,"body":"because Chris now lives within"},{"speaker":"Charles Goldfarb","startTime":107.5,"endTime":110.53,"body":"walking distance. To me, it's"},{"speaker":"Charles Goldfarb","startTime":107.5,"endTime":110.53,"body":"not the shortest walks. But it's"},{"speaker":"Charles Goldfarb","startTime":110.53,"endTime":113.02,"body":"also not the longest, I don't"},{"speaker":"Charles Goldfarb","startTime":110.53,"endTime":113.02,"body":"know how much maybe half mile or"},{"speaker":"Charles Goldfarb","startTime":113.02,"endTime":116.23,"body":"something. And so Talia and I"},{"speaker":"Charles Goldfarb","startTime":113.02,"endTime":116.23,"body":"walked over and my wife was"},{"speaker":"Charles Goldfarb","startTime":116.23,"endTime":119.56,"body":"completely completely humiliated"},{"speaker":"Charles Goldfarb","startTime":116.23,"endTime":119.56,"body":"by me. Once again, I had a bunch"},{"speaker":"Charles Goldfarb","startTime":119.56,"endTime":122.38,"body":"of stuff added bring over to"},{"speaker":"Charles Goldfarb","startTime":119.56,"endTime":122.38,"body":"Chris and a housewarming gift."},{"speaker":"Charles Goldfarb","startTime":122.38,"endTime":125.56,"body":"And so I had a backpack and all"},{"speaker":"Charles Goldfarb","startTime":122.38,"endTime":125.56,"body":"this stuff. And I was carrying"},{"speaker":"Charles Goldfarb","startTime":125.56,"endTime":128.5,"body":"this plant. It was she wanted to"},{"speaker":"Charles Goldfarb","startTime":125.56,"endTime":128.5,"body":"get off the main roads as"},{"speaker":"Charles Goldfarb","startTime":128.5,"endTime":131.2,"body":"quickly as possible. But we were"},{"speaker":"Charles Goldfarb","startTime":128.5,"endTime":131.2,"body":"we love your new home."},{"speaker":"Charles Goldfarb","startTime":131.2,"endTime":133.93,"body":"Congratulations. And then you're"},{"speaker":"Charles Goldfarb","startTime":131.2,"endTime":133.93,"body":"gonna have many happy years in"},{"speaker":"Charles Goldfarb","startTime":133.93,"endTime":134.17,"body":"it."},{"speaker":"Chris Dy","startTime":134.56,"endTime":136.63,"body":"Thank you. I'm"},{"speaker":"Chris Dy","startTime":134.56,"endTime":136.63,"body":"currently sitting in the"},{"speaker":"Chris Dy","startTime":136.63,"endTime":140.92,"body":"basement in the gym, because it"},{"speaker":"Chris Dy","startTime":136.63,"endTime":140.92,"body":"is the closest to the internet"},{"speaker":"Chris Dy","startTime":140.92,"endTime":144.73,"body":"router. So I am doing my"},{"speaker":"Chris Dy","startTime":140.92,"endTime":144.73,"body":"absolute best to improve the"},{"speaker":"Chris Dy","startTime":144.73,"endTime":145.78,"body":"quality on my end."},{"speaker":"Charles Goldfarb","startTime":145.96,"endTime":148.84,"body":"It is working."},{"speaker":"Charles Goldfarb","startTime":145.96,"endTime":148.84,"body":"So two things about the about"},{"speaker":"Charles Goldfarb","startTime":148.84,"endTime":151.78,"body":"generally about the pod. The"},{"speaker":"Charles Goldfarb","startTime":148.84,"endTime":151.78,"body":"first is and you you throw this"},{"speaker":"Charles Goldfarb","startTime":151.78,"endTime":155.62,"body":"out there on Twitter, we haven't"},{"speaker":"Charles Goldfarb","startTime":151.78,"endTime":155.62,"body":"we have some new swag out there."},{"speaker":"Chris Dy","startTime":156.05,"endTime":158.75,"body":"Yes, absolutely. You"},{"speaker":"Chris Dy","startTime":156.05,"endTime":158.75,"body":"mentioned it at the end of last"},{"speaker":"Chris Dy","startTime":158.75,"endTime":162.59,"body":"week's episode. But for those of"},{"speaker":"Chris Dy","startTime":158.75,"endTime":162.59,"body":"you that are wondering what the"},{"speaker":"Chris Dy","startTime":162.59,"endTime":166.31,"body":"swag is, it's essentially some"},{"speaker":"Chris Dy","startTime":162.59,"endTime":166.31,"body":"croakies that you could use for"},{"speaker":"Chris Dy","startTime":166.31,"endTime":170.09,"body":"your loupes or your glasses or"},{"speaker":"Chris Dy","startTime":166.31,"endTime":170.09,"body":"sunglasses to hang them around"},{"speaker":"Chris Dy","startTime":170.09,"endTime":173.24,"body":"your neck. And I remember always"},{"speaker":"Chris Dy","startTime":170.09,"endTime":173.24,"body":"trying to find the right pair of"},{"speaker":"Chris Dy","startTime":173.24,"endTime":177.11,"body":"croakies for for my loupes. When"},{"speaker":"Chris Dy","startTime":173.24,"endTime":177.11,"body":"I was starting out and I finally"},{"speaker":"Chris Dy","startTime":177.11,"endTime":180.23,"body":"switched them. I did my first"},{"speaker":"Chris Dy","startTime":177.11,"endTime":180.23,"body":"case today with the new upper"},{"speaker":"Chris Dy","startTime":180.23,"endTime":184.94,"body":"hand croakies. And if you catch"},{"speaker":"Chris Dy","startTime":180.23,"endTime":184.94,"body":"me at the ASSH meeting in San"},{"speaker":"Chris Dy","startTime":184.94,"endTime":189.17,"body":"Francisco, or at the ASHT"},{"speaker":"Chris Dy","startTime":184.94,"endTime":189.17,"body":"meeting here in St. Louis, I"},{"speaker":"Chris Dy","startTime":189.17,"endTime":192.41,"body":"will have a bunch of them in my"},{"speaker":"Chris Dy","startTime":189.17,"endTime":192.41,"body":"bag and I am looking forward to"},{"speaker":"Chris Dy","startTime":192.41,"endTime":193.19,"body":"giving them away."},{"speaker":"Charles Goldfarb","startTime":193.68,"endTime":195.96,"body":"I love it"},{"speaker":"Charles Goldfarb","startTime":193.68,"endTime":195.96,"body":"Chris is gonna be like the most"},{"speaker":"Charles Goldfarb","startTime":195.96,"endTime":199.38,"body":"popular person at the meetings,"},{"speaker":"Charles Goldfarb","startTime":195.96,"endTime":199.38,"body":"handing out swag cuz there's"},{"speaker":"Charles Goldfarb","startTime":199.38,"endTime":201.66,"body":"nothing much swag to be gotten"},{"speaker":"Charles Goldfarb","startTime":199.38,"endTime":201.66,"body":"anymore at these meetings."},{"speaker":"Chris Dy","startTime":201.69,"endTime":203.16,"body":"There's I'm just gonna"},{"speaker":"Chris Dy","startTime":201.69,"endTime":203.16,"body":"start throwing it from the"},{"speaker":"Chris Dy","startTime":203.16,"endTime":206.67,"body":"podium. It's gonna be awesome."},{"speaker":"Chris Dy","startTime":203.16,"endTime":206.67,"body":"But speaking of the ASSH"},{"speaker":"Chris Dy","startTime":206.67,"endTime":211.08,"body":"meeting, I just had a very brief"},{"speaker":"Chris Dy","startTime":206.67,"endTime":211.08,"body":"text conversation with our"},{"speaker":"Chris Dy","startTime":211.11,"endTime":213.87,"body":"sometime guests, longtime"},{"speaker":"Chris Dy","startTime":211.11,"endTime":213.87,"body":"listener and of course, friend,"},{"speaker":"Chris Dy","startTime":213.87,"endTime":218.25,"body":"Sam Moghtaderi over in"},{"speaker":"Chris Dy","startTime":213.87,"endTime":218.25,"body":"Washington, DC. And he told me"},{"speaker":"Chris Dy","startTime":218.25,"endTime":222.15,"body":"that he listened to the episode"},{"speaker":"Chris Dy","startTime":218.25,"endTime":222.15,"body":"and he is on the fence now about"},{"speaker":"Chris Dy","startTime":222.15,"endTime":225.81,"body":"coming to the meeting in person."},{"speaker":"Chris Dy","startTime":222.15,"endTime":225.81,"body":"He still obviously has to, you"},{"speaker":"Chris Dy","startTime":225.81,"endTime":229.38,"body":"know, make some logistical"},{"speaker":"Chris Dy","startTime":225.81,"endTime":229.38,"body":"arrangements. And yeah, for a"},{"speaker":"Chris Dy","startTime":229.38,"endTime":233.37,"body":"lot of us the COVID concerns"},{"speaker":"Chris Dy","startTime":229.38,"endTime":233.37,"body":"linger. But he's now thinking"},{"speaker":"Chris Dy","startTime":233.37,"endTime":237.06,"body":"about it based on the stellar"},{"speaker":"Chris Dy","startTime":233.37,"endTime":237.06,"body":"job that that Amy and John did"},{"speaker":"Chris Dy","startTime":237.06,"endTime":239.13,"body":"last week of telling us how"},{"speaker":"Chris Dy","startTime":237.06,"endTime":239.13,"body":"great the meeting is going to"},{"speaker":"Chris Dy","startTime":239.13,"endTime":239.37,"body":"be."},{"speaker":"Charles Goldfarb","startTime":240.21,"endTime":242.61,"body":"Hey, if one"},{"speaker":"Charles Goldfarb","startTime":240.21,"endTime":242.61,"body":"person who wasn't going to be"},{"speaker":"Charles Goldfarb","startTime":242.61,"endTime":245.76,"body":"there comes that I will consider"},{"speaker":"Charles Goldfarb","startTime":242.61,"endTime":245.76,"body":"that podcast a success."},{"speaker":"Chris Dy","startTime":246.0,"endTime":249.0,"body":"And one more thing he"},{"speaker":"Chris Dy","startTime":246.0,"endTime":249.0,"body":"did mentioned before the episode"},{"speaker":"Chris Dy","startTime":249.0,"endTime":254.94,"body":"even ended, he ordered a Maui"},{"speaker":"Chris Dy","startTime":249.0,"endTime":254.94,"body":"Jim sunglass case to put his two"},{"speaker":"Chris Dy","startTime":254.94,"endTime":259.35,"body":"five loupes in based on some"},{"speaker":"Chris Dy","startTime":254.94,"endTime":259.35,"body":"sage wisdom that he received."},{"speaker":"Charles Goldfarb","startTime":259.68,"endTime":261.63,"body":"That is"},{"speaker":"Charles Goldfarb","startTime":259.68,"endTime":261.63,"body":"awesome. The other thing we're"},{"speaker":"Charles Goldfarb","startTime":261.63,"endTime":264.15,"body":"working on the podcast is maybe"},{"speaker":"Charles Goldfarb","startTime":261.63,"endTime":264.15,"body":"a little premature, but hey,"},{"speaker":"Charles Goldfarb","startTime":264.15,"endTime":268.92,"body":"it's coming. Chris and I have"},{"speaker":"Charles Goldfarb","startTime":264.15,"endTime":268.92,"body":"gotten questions about some type"},{"speaker":"Charles Goldfarb","startTime":268.92,"endTime":274.23,"body":"of more, I guess, more formal or"},{"speaker":"Charles Goldfarb","startTime":268.92,"endTime":274.23,"body":"more structured communication."},{"speaker":"Charles Goldfarb","startTime":274.23,"endTime":278.13,"body":"So we're thinking about an email"},{"speaker":"Charles Goldfarb","startTime":274.23,"endTime":278.13,"body":"newsletter, which would be"},{"speaker":"Charles Goldfarb","startTime":278.13,"endTime":281.73,"body":"infrequent maybe once a month,"},{"speaker":"Charles Goldfarb","startTime":278.13,"endTime":281.73,"body":"we're going to try it with just"},{"speaker":"Charles Goldfarb","startTime":281.73,"endTime":284.28,"body":"important information whether it"},{"speaker":"Charles Goldfarb","startTime":281.73,"endTime":284.28,"body":"would be Chris and I's favorite"},{"speaker":"Charles Goldfarb","startTime":284.28,"endTime":287.64,"body":"journal articles, what's"},{"speaker":"Charles Goldfarb","startTime":284.28,"endTime":287.64,"body":"happening in the world of hand"},{"speaker":"Charles Goldfarb","startTime":287.64,"endTime":291.69,"body":"surgery. Opinion opinions for"},{"speaker":"Charles Goldfarb","startTime":287.64,"endTime":291.69,"body":"sure because we're full of them."},{"speaker":"Charles Goldfarb","startTime":292.29,"endTime":296.01,"body":"But we if you look at the if you"},{"speaker":"Charles Goldfarb","startTime":292.29,"endTime":296.01,"body":"look in the show notes for"},{"speaker":"Charles Goldfarb","startTime":296.07,"endTime":298.59,"body":"episodes going forward, there'll"},{"speaker":"Charles Goldfarb","startTime":296.07,"endTime":298.59,"body":"be a link to sign up for the"},{"speaker":"Charles Goldfarb","startTime":298.59,"endTime":302.25,"body":"newsletter or if you Just want"},{"speaker":"Charles Goldfarb","startTime":298.59,"endTime":302.25,"body":"to reach out to us on any of our"},{"speaker":"Charles Goldfarb","startTime":302.25,"endTime":304.89,"body":"platforms and share your email"},{"speaker":"Charles Goldfarb","startTime":302.25,"endTime":304.89,"body":"address, we will include you."},{"speaker":"Charles Goldfarb","startTime":305.61,"endTime":306.93,"body":"And we'd love to have you join"},{"speaker":"Charles Goldfarb","startTime":305.61,"endTime":306.93,"body":"us."},{"speaker":"Chris Dy","startTime":307.26,"endTime":311.22,"body":"And this note"},{"speaker":"Chris Dy","startTime":307.26,"endTime":311.22,"body":"handpodcast@gmail.com. We would"},{"speaker":"Chris Dy","startTime":311.22,"endTime":314.07,"body":"love to hear from you get on the"},{"speaker":"Chris Dy","startTime":311.22,"endTime":314.07,"body":"list and then also send in"},{"speaker":"Chris Dy","startTime":314.07,"endTime":316.8,"body":"questions. Remember, Chuck will"},{"speaker":"Chris Dy","startTime":314.07,"endTime":316.8,"body":"literally answer anything that"},{"speaker":"Chris Dy","startTime":316.8,"endTime":320.49,"body":"you asked him on on air. And I"},{"speaker":"Chris Dy","startTime":316.8,"endTime":320.49,"body":"will surprise him with it"},{"speaker":"Chris Dy","startTime":320.49,"endTime":322.53,"body":"because I checked the email"},{"speaker":"Chris Dy","startTime":320.49,"endTime":322.53,"body":"address more than he does."},{"speaker":"Charles Goldfarb","startTime":323.55,"endTime":325.65,"body":"Yeah, way more"},{"speaker":"Charles Goldfarb","startTime":323.55,"endTime":325.65,"body":"than I do. That is true. I have"},{"speaker":"Charles Goldfarb","startTime":325.65,"endTime":327.15,"body":"a case. Can I share a case?"},{"speaker":"Chris Dy","startTime":327.36,"endTime":327.9,"body":"Sure."},{"speaker":"Charles Goldfarb","startTime":328.38,"endTime":330.3,"body":"All right,"},{"speaker":"Charles Goldfarb","startTime":328.38,"endTime":330.3,"body":"this is one, you know, I have"},{"speaker":"Charles Goldfarb","startTime":330.3,"endTime":333.45,"body":"this, I have this thing where I"},{"speaker":"Charles Goldfarb","startTime":330.3,"endTime":333.45,"body":"really try to be good about"},{"speaker":"Charles Goldfarb","startTime":333.45,"endTime":337.02,"body":"taking pictures. And when I"},{"speaker":"Charles Goldfarb","startTime":333.45,"endTime":337.02,"body":"don't do it, and it was"},{"speaker":"Charles Goldfarb","startTime":337.02,"endTime":339.9,"body":"something that should have been"},{"speaker":"Charles Goldfarb","startTime":337.02,"endTime":339.9,"body":"photographed. It literally kills"},{"speaker":"Charles Goldfarb","startTime":339.9,"endTime":342.84,"body":"me It drives me crazy after"},{"speaker":"Charles Goldfarb","startTime":339.9,"endTime":342.84,"body":"separate the whole case and for"},{"speaker":"Charles Goldfarb","startTime":342.84,"endTime":345.78,"body":"several days later. But we had a"},{"speaker":"Charles Goldfarb","startTime":342.84,"endTime":345.78,"body":"super interesting case that I"},{"speaker":"Charles Goldfarb","startTime":345.78,"endTime":351.81,"body":"did with Dr. Elspeth Hill, the"},{"speaker":"Charles Goldfarb","startTime":345.78,"endTime":351.81,"body":"and fellow and it was a gunshot"},{"speaker":"Charles Goldfarb","startTime":351.81,"endTime":358.35,"body":"wound. They were the entry was"},{"speaker":"Charles Goldfarb","startTime":351.81,"endTime":358.35,"body":"near the pisiform. And the exit"},{"speaker":"Charles Goldfarb","startTime":358.95,"endTime":365.22,"body":"was dorsally through the thumb"},{"speaker":"Charles Goldfarb","startTime":358.95,"endTime":365.22,"body":"metacarpal. And it was pretty"},{"speaker":"Charles Goldfarb","startTime":365.22,"endTime":369.54,"body":"impressive. In the exit wound"},{"speaker":"Charles Goldfarb","startTime":365.22,"endTime":369.54,"body":"was large The metacarpal was"},{"speaker":"Charles Goldfarb","startTime":369.54,"endTime":373.89,"body":"destroyed, the trapezium was"},{"speaker":"Charles Goldfarb","startTime":369.54,"endTime":373.89,"body":"injured and the exam"},{"speaker":"Charles Goldfarb","startTime":373.89,"endTime":377.19,"body":"preoperatively was not very"},{"speaker":"Charles Goldfarb","startTime":373.89,"endTime":377.19,"body":"helpful. And so we'd like to to"},{"speaker":"Charles Goldfarb","startTime":377.19,"endTime":379.8,"body":"proceed to the operating room to"},{"speaker":"Charles Goldfarb","startTime":377.19,"endTime":379.8,"body":"do an acute carpal tunnel"},{"speaker":"Charles Goldfarb","startTime":379.8,"endTime":382.62,"body":"release because of the concerns"},{"speaker":"Charles Goldfarb","startTime":379.8,"endTime":382.62,"body":"of numbness into explore both"},{"speaker":"Charles Goldfarb","startTime":382.62,"endTime":388.14,"body":"the distal ulnar tunnel and the"},{"speaker":"Charles Goldfarb","startTime":382.62,"endTime":388.14,"body":"median nerve. So we get to the"},{"speaker":"Charles Goldfarb","startTime":388.14,"endTime":394.35,"body":"or we open things up and the"},{"speaker":"Charles Goldfarb","startTime":388.14,"endTime":394.35,"body":"ulnar artery was clotted, but"},{"speaker":"Charles Goldfarb","startTime":394.35,"endTime":396.39,"body":"there was good blood flow to the"},{"speaker":"Charles Goldfarb","startTime":394.35,"endTime":396.39,"body":"finger. So we weren't overly"},{"speaker":"Charles Goldfarb","startTime":396.39,"endTime":401.67,"body":"concerned by that the ulnar"},{"speaker":"Charles Goldfarb","startTime":396.39,"endTime":401.67,"body":"nerve was intact. And the median"},{"speaker":"Charles Goldfarb","startTime":401.67,"endTime":408.39,"body":"nerve was 90%. Lacerated is the"},{"speaker":"Charles Goldfarb","startTime":401.67,"endTime":408.39,"body":"wrong word, but 90% not in"},{"speaker":"Charles Goldfarb","startTime":408.39,"endTime":413.28,"body":"continuity. And then we dealt"},{"speaker":"Charles Goldfarb","startTime":408.39,"endTime":413.28,"body":"with a metacarpal. My question"},{"speaker":"Charles Goldfarb","startTime":413.28,"endTime":417.15,"body":"to you Dr. Dy as a nerve expert"},{"speaker":"Charles Goldfarb","startTime":413.28,"endTime":417.15,"body":"is what do you do now we have a"},{"speaker":"Charles Goldfarb","startTime":417.15,"endTime":423.06,"body":"patient who is a victim of"},{"speaker":"Charles Goldfarb","startTime":417.15,"endTime":423.06,"body":"violence. who, you know, I don't"},{"speaker":"Charles Goldfarb","startTime":423.18,"endTime":425.64,"body":"I don't like to make assumptions"},{"speaker":"Charles Goldfarb","startTime":423.18,"endTime":425.64,"body":"about who will or who will not"},{"speaker":"Charles Goldfarb","startTime":425.64,"endTime":429.75,"body":"come back to the office. But I'm"},{"speaker":"Charles Goldfarb","startTime":425.64,"endTime":429.75,"body":"not sure if this person could be"},{"speaker":"Charles Goldfarb","startTime":429.75,"endTime":433.56,"body":"counted on for long term follow"},{"speaker":"Charles Goldfarb","startTime":429.75,"endTime":433.56,"body":"up. What do you do in the OR"},{"speaker":"Charles Goldfarb","startTime":433.68,"endTime":435.42,"body":"that day before I tell you what"},{"speaker":"Charles Goldfarb","startTime":433.68,"endTime":435.42,"body":"we did?"},{"speaker":"Chris Dy","startTime":435.93,"endTime":438.87,"body":"So you said the ulnar"},{"speaker":"Chris Dy","startTime":435.93,"endTime":438.87,"body":"nerve is structurally intact you"},{"speaker":"Chris Dy","startTime":438.87,"endTime":441.57,"body":"don't know about a concussive"},{"speaker":"Chris Dy","startTime":438.87,"endTime":441.57,"body":"type injury. As we've mentioned,"},{"speaker":"Chris Dy","startTime":441.57,"endTime":444.48,"body":"on the prior episode, you know,"},{"speaker":"Chris Dy","startTime":441.57,"endTime":444.48,"body":"the different kinds of injuries"},{"speaker":"Chris Dy","startTime":444.48,"endTime":447.42,"body":"you can have to a nerve. So I"},{"speaker":"Chris Dy","startTime":444.48,"endTime":447.42,"body":"would not do anything else for"},{"speaker":"Chris Dy","startTime":447.42,"endTime":450.78,"body":"the ulnar nerve other than a"},{"speaker":"Chris Dy","startTime":447.42,"endTime":450.78,"body":"comprehensive release of the"},{"speaker":"Chris Dy","startTime":450.78,"endTime":453.96,"body":"distal ulnar tunnel, the"},{"speaker":"Chris Dy","startTime":450.78,"endTime":453.96,"body":"hypothenar fascia for zone two,"},{"speaker":"Chris Dy","startTime":454.29,"endTime":457.86,"body":"it's interesting what you could"},{"speaker":"Chris Dy","startTime":454.29,"endTime":457.86,"body":"do for the median nerve at that"},{"speaker":"Chris Dy","startTime":457.86,"endTime":461.19,"body":"level. So I'm assuming your 90%"},{"speaker":"Chris Dy","startTime":457.86,"endTime":461.19,"body":"transection of the nerve is at"},{"speaker":"Chris Dy","startTime":461.19,"endTime":462.63,"body":"the level of the carpal tunnel?"},{"speaker":"Charles Goldfarb","startTime":463.2,"endTime":465.48,"body":"It is in the"},{"speaker":"Charles Goldfarb","startTime":463.2,"endTime":465.48,"body":"middle of the carpal tunnel, and"},{"speaker":"Charles Goldfarb","startTime":465.48,"endTime":473.43,"body":"there is no evidence visually,"},{"speaker":"Charles Goldfarb","startTime":465.48,"endTime":473.43,"body":"both by loop and microscope of a"},{"speaker":"Charles Goldfarb","startTime":473.43,"endTime":477.63,"body":"visual zone of injury on either"},{"speaker":"Charles Goldfarb","startTime":473.43,"endTime":477.63,"body":"side of the discontinuity."},{"speaker":"Chris Dy","startTime":478.77,"endTime":483.0,"body":"And you're there"},{"speaker":"Chris Dy","startTime":478.77,"endTime":483.0,"body":"within 24, 48, 72 hours of the"},{"speaker":"Chris Dy","startTime":483.0,"endTime":483.27,"body":"injury?"},{"speaker":"Charles Goldfarb","startTime":483.27,"endTime":485.19,"body":"For sure,"},{"speaker":"Charles Goldfarb","startTime":483.27,"endTime":485.19,"body":"probably 18 hours of the injury,"},{"speaker":"Charles Goldfarb","startTime":485.55,"endTime":488.25,"body":"you know, the next morning, we"},{"speaker":"Charles Goldfarb","startTime":485.55,"endTime":488.25,"body":"got time and took them the OR."},{"speaker":"Chris Dy","startTime":487.98,"endTime":491.58,"body":"So, I think old"},{"speaker":"Chris Dy","startTime":487.98,"endTime":491.58,"body":"school, you close and you call"},{"speaker":"Chris Dy","startTime":489.44,"endTime":576.53,"body":"So I'm going to flip it around."},{"speaker":"Chris Dy","startTime":489.44,"endTime":576.53,"body":"Now that I've exposed myself and"},{"speaker":"Chris Dy","startTime":491.58,"endTime":494.91,"body":"it a day and you have them come"},{"speaker":"Chris Dy","startTime":491.58,"endTime":494.91,"body":"back to the office, you know two"},{"speaker":"Chris Dy","startTime":494.91,"endTime":497.31,"body":"weeks later and plan for going"},{"speaker":"Chris Dy","startTime":494.91,"endTime":497.31,"body":"to the OR after the zone of"},{"speaker":"Chris Dy","startTime":497.31,"endTime":499.98,"body":"injury on the nerve has"},{"speaker":"Chris Dy","startTime":497.31,"endTime":499.98,"body":"theoretically declared itself"},{"speaker":"Chris Dy","startTime":500.01,"endTime":502.32,"body":"within probably three or four"},{"speaker":"Chris Dy","startTime":500.01,"endTime":502.32,"body":"weeks and then you proceed with"},{"speaker":"Chris Dy","startTime":502.32,"endTime":507.63,"body":"nerve grafting. I think that it"},{"speaker":"Chris Dy","startTime":502.32,"endTime":507.63,"body":"would be acceptable to me if you"},{"speaker":"Chris Dy","startTime":507.63,"endTime":511.02,"body":"had consented the patient for an"},{"speaker":"Chris Dy","startTime":507.63,"endTime":511.02,"body":"autograft which you may or may"},{"speaker":"Chris Dy","startTime":511.02,"endTime":514.77,"body":"not have to proceed with an"},{"speaker":"Chris Dy","startTime":511.02,"endTime":514.77,"body":"autograft. And what I would"},{"speaker":"Chris Dy","startTime":514.77,"endTime":519.39,"body":"probably do is try to isolate if"},{"speaker":"Chris Dy","startTime":514.77,"endTime":519.39,"body":"I could, where the recurrent"},{"speaker":"Chris Dy","startTime":519.39,"endTime":522.57,"body":"motor branch had come off of the"},{"speaker":"Chris Dy","startTime":519.39,"endTime":522.57,"body":"median nerve. Now it sounds lik"},{"speaker":"Chris Dy","startTime":522.57,"endTime":526.11,"body":"that'd be really hard jus"},{"speaker":"Chris Dy","startTime":522.57,"endTime":526.11,"body":"because of the location in whic"},{"speaker":"Chris Dy","startTime":526.65,"endTime":529.89,"body":"your transection is it'"},{"speaker":"Chris Dy","startTime":526.65,"endTime":529.89,"body":"probably right where you know"},{"speaker":"Chris Dy","startTime":530.04,"endTime":535.98,"body":"most recurrent motor branche"},{"speaker":"Chris Dy","startTime":530.04,"endTime":535.98,"body":"are coming off. But you coul"},{"speaker":"Chris Dy","startTime":537.24,"endTime":539.76,"body":"tease apart the recurrent moto"},{"speaker":"Chris Dy","startTime":537.24,"endTime":539.76,"body":"branch if you can still see i"},{"speaker":"Chris Dy","startTime":539.76,"endTime":542.7,"body":"going to the thenars and th"},{"speaker":"Chris Dy","startTime":539.76,"endTime":542.7,"body":"n graft preferentially into th"},{"speaker":"Chris Dy","startTime":542.7,"endTime":546.72,"body":"t really funnel things into th"},{"speaker":"Chris Dy","startTime":542.7,"endTime":546.72,"body":"re. After going back being a li"},{"speaker":"Chris Dy","startTime":546.72,"endTime":550.2,"body":"tle more aggressive on your zo"},{"speaker":"Chris Dy","startTime":546.72,"endTime":550.2,"body":"e of injury, or you know, yo"},{"speaker":"Chris Dy","startTime":550.2,"endTime":553.23,"body":"r resection proximally I don"},{"speaker":"Chris Dy","startTime":550.2,"endTime":553.23,"body":"t know if that all makes sen"},{"speaker":"Chris Dy","startTime":553.23,"endTime":556.68,"body":"e. And then after that, I mea"},{"speaker":"Chris Dy","startTime":553.23,"endTime":556.68,"body":", I think that you could if you"},{"speaker":"Chris Dy","startTime":556.68,"endTime":560.85,"body":"visually saw an area of tra"},{"speaker":"Chris Dy","startTime":556.68,"endTime":560.85,"body":"sition resect back a little mor"},{"speaker":"Chris Dy","startTime":560.85,"endTime":564.69,"body":"and go for the go for the com"},{"speaker":"Chris Dy","startTime":560.85,"endTime":564.69,"body":"lete grafting at time zero. Now"},{"speaker":"Chris Dy","startTime":564.72,"endTime":566.88,"body":"hat's wading into contr"},{"speaker":"Chris Dy","startTime":564.72,"endTime":566.88,"body":"versy. And I think there are a"},{"speaker":"Chris Dy","startTime":566.88,"endTime":569.31,"body":"lot of people who would say N"},{"speaker":"Chris Dy","startTime":566.88,"endTime":569.31,"body":"way, why would you do that?"},{"speaker":"Chris Dy","startTime":576.53,"endTime":580.34,"body":"say, Well, why so we did not"},{"speaker":"Chris Dy","startTime":576.53,"endTime":580.34,"body":"have consent for an autograft?"},{"speaker":"Chris Dy","startTime":580.94,"endTime":583.37,"body":"We talked about allograft but"},{"speaker":"Chris Dy","startTime":580.94,"endTime":583.37,"body":"decided that an allograft was"},{"speaker":"Chris Dy","startTime":583.37,"endTime":589.13,"body":"not appropriate in this"},{"speaker":"Chris Dy","startTime":583.37,"endTime":589.13,"body":"situation. And so why would you"},{"speaker":"Chris Dy","startTime":589.13,"endTime":591.35,"body":"not what do you have to lose?"},{"speaker":"Chris Dy","startTime":589.13,"endTime":591.35,"body":"What does the patient have to"},{"speaker":"Chris Dy","startTime":591.35,"endTime":596.03,"body":"lose by a resection of a"},{"speaker":"Chris Dy","startTime":591.35,"endTime":596.03,"body":"presumed zone of injury and"},{"speaker":"Chris Dy","startTime":596.03,"endTime":599.0,"body":"repair if it's able to be"},{"speaker":"Chris Dy","startTime":596.03,"endTime":599.0,"body":"primarily repaired?"},{"speaker":"Chris Dy","startTime":599.87,"endTime":602.96,"body":"No, I like it. I guess I hadn't"},{"speaker":"Chris Dy","startTime":599.87,"endTime":602.96,"body":"mentioned that or thought about"},{"speaker":"Chris Dy","startTime":602.96,"endTime":605.0,"body":"that, because I had assumed that"},{"speaker":"Chris Dy","startTime":602.96,"endTime":605.0,"body":"the zone of injury was"},{"speaker":"Chris Dy","startTime":605.0,"endTime":607.43,"body":"relatively wide. And you"},{"speaker":"Chris Dy","startTime":605.0,"endTime":607.43,"body":"wouldn't be able to get it"},{"speaker":"Chris Dy","startTime":607.43,"endTime":610.73,"body":"together primarily without"},{"speaker":"Chris Dy","startTime":607.43,"endTime":610.73,"body":"tension. But I've actually done"},{"speaker":"Chris Dy","startTime":610.73,"endTime":616.01,"body":"that with all nerves at the same"},{"speaker":"Chris Dy","startTime":610.73,"endTime":616.01,"body":"level. And there's you know,"},{"speaker":"Chris Dy","startTime":616.01,"endTime":619.7,"body":"there's some case series out"},{"speaker":"Chris Dy","startTime":616.01,"endTime":619.7,"body":"there about ulnar nerve injuries"},{"speaker":"Chris Dy","startTime":619.7,"endTime":623.72,"body":"from distal both bone forearm"},{"speaker":"Chris Dy","startTime":619.7,"endTime":623.72,"body":"fractures with the ulnar nerve"},{"speaker":"Chris Dy","startTime":623.72,"endTime":625.91,"body":"being injured in the distal"},{"speaker":"Chris Dy","startTime":623.72,"endTime":625.91,"body":"forearm kind of just proximal to"},{"speaker":"Chris Dy","startTime":625.91,"endTime":629.87,"body":"the wrist crease. And I have"},{"speaker":"Chris Dy","startTime":625.91,"endTime":629.87,"body":"primarily repaired those because"},{"speaker":"Chris Dy","startTime":629.87,"endTime":632.66,"body":"of that very reliable"},{"speaker":"Chris Dy","startTime":629.87,"endTime":632.66,"body":"topographical relationship of"},{"speaker":"Chris Dy","startTime":632.66,"endTime":635.39,"body":"the motor and sensory"},{"speaker":"Chris Dy","startTime":632.66,"endTime":635.39,"body":"components. I've repaired them"},{"speaker":"Chris Dy","startTime":635.39,"endTime":638.9,"body":"primarily. And I will admit, I"},{"speaker":"Chris Dy","startTime":635.39,"endTime":638.9,"body":"have flexed the wrist in order"},{"speaker":"Chris Dy","startTime":638.9,"endTime":643.28,"body":"to get that to you know it to"},{"speaker":"Chris Dy","startTime":638.9,"endTime":643.28,"body":"come together. But then I will"},{"speaker":"Chris Dy","startTime":643.28,"endTime":646.1,"body":"check it with the wrist of"},{"speaker":"Chris Dy","startTime":643.28,"endTime":646.1,"body":"neutral to make sure it's not"},{"speaker":"Chris Dy","startTime":646.1,"endTime":649.13,"body":"gapping. And I'm comfortable"},{"speaker":"Chris Dy","startTime":646.1,"endTime":649.13,"body":"with it, it's a very fine line."},{"speaker":"Chris Dy","startTime":649.13,"endTime":652.67,"body":"And I think you'll find many old"},{"speaker":"Chris Dy","startTime":649.13,"endTime":652.67,"body":"school surgeons who would shake"},{"speaker":"Chris Dy","startTime":652.67,"endTime":657.11,"body":"their heads at that. But then"},{"speaker":"Chris Dy","startTime":652.67,"endTime":657.11,"body":"that the key there is in making"},{"speaker":"Chris Dy","startTime":657.11,"endTime":660.68,"body":"sure that you keep the wrist"},{"speaker":"Chris Dy","startTime":657.11,"endTime":660.68,"body":"flexed, and the dorsal blocking"},{"speaker":"Chris Dy","startTime":660.68,"endTime":665.3,"body":"splint of sorts, and then"},{"speaker":"Chris Dy","startTime":660.68,"endTime":665.3,"body":"gradually, progressively bring"},{"speaker":"Chris Dy","startTime":665.3,"endTime":668.48,"body":"the wrist out into a more"},{"speaker":"Chris Dy","startTime":665.3,"endTime":668.48,"body":"neutral and then eventually"},{"speaker":"Chris Dy","startTime":668.48,"endTime":671.24,"body":"slightly extended posture. And"},{"speaker":"Chris Dy","startTime":668.48,"endTime":671.24,"body":"the way I've done that in the"},{"speaker":"Chris Dy","startTime":671.24,"endTime":674.39,"body":"past is to monitor it with"},{"speaker":"Chris Dy","startTime":671.24,"endTime":674.39,"body":"ultrasound. So obviously it"},{"speaker":"Chris Dy","startTime":674.39,"endTime":677.63,"body":"takes the right patient because"},{"speaker":"Chris Dy","startTime":674.39,"endTime":677.63,"body":"the ability to come in for those"},{"speaker":"Chris Dy","startTime":677.63,"endTime":682.13,"body":"kinds of serial monitoring exams"},{"speaker":"Chris Dy","startTime":677.63,"endTime":682.13,"body":"can be a little challenging."},{"speaker":"Charles Goldfarb","startTime":682.51,"endTime":684.61,"body":"I love"},{"speaker":"Charles Goldfarb","startTime":682.51,"endTime":684.61,"body":"everything you said. I have a"},{"speaker":"Charles Goldfarb","startTime":684.61,"endTime":689.41,"body":"comment and a question. My"},{"speaker":"Charles Goldfarb","startTime":684.61,"endTime":689.41,"body":"comment is, it's nice. Well, let"},{"speaker":"Charles Goldfarb","startTime":689.41,"endTime":693.22,"body":"me just back up for historical"},{"speaker":"Charles Goldfarb","startTime":689.41,"endTime":693.22,"body":"reasons. You know, it used to be"},{"speaker":"Charles Goldfarb","startTime":693.22,"endTime":696.01,"body":"that in orthopedics, we would"},{"speaker":"Charles Goldfarb","startTime":693.22,"endTime":696.01,"body":"treat patients with a wrist"},{"speaker":"Charles Goldfarb","startTime":696.01,"endTime":699.76,"body":"flexed posture for certain"},{"speaker":"Charles Goldfarb","startTime":696.01,"endTime":699.76,"body":"fractures, that I think is the"},{"speaker":"Charles Goldfarb","startTime":699.76,"endTime":703.18,"body":"so called cotton loader position"},{"speaker":"Charles Goldfarb","startTime":699.76,"endTime":703.18,"body":"distal radius fractures, which"},{"speaker":"Charles Goldfarb","startTime":703.18,"endTime":706.78,"body":"is a really effective technique"},{"speaker":"Charles Goldfarb","startTime":703.18,"endTime":706.78,"body":"to obtain a distal radius"},{"speaker":"Charles Goldfarb","startTime":706.78,"endTime":710.2,"body":"reduction. But it doesn't work"},{"speaker":"Charles Goldfarb","startTime":706.78,"endTime":710.2,"body":"out well in the end, because of"},{"speaker":"Charles Goldfarb","startTime":710.2,"endTime":713.02,"body":"the increased pressures inside"},{"speaker":"Charles Goldfarb","startTime":710.2,"endTime":713.02,"body":"the carpal tunnel with extreme"},{"speaker":"Charles Goldfarb","startTime":713.02,"endTime":716.86,"body":"wrist flexion or extension. So"},{"speaker":"Charles Goldfarb","startTime":713.02,"endTime":716.86,"body":"we don't do that anymore. But in"},{"speaker":"Charles Goldfarb","startTime":716.86,"endTime":721.12,"body":"this case, we've released the"},{"speaker":"Charles Goldfarb","startTime":716.86,"endTime":721.12,"body":"carpal tunnel. So we're not so"},{"speaker":"Charles Goldfarb","startTime":721.12,"endTime":724.51,"body":"worried about the pressures. And"},{"speaker":"Charles Goldfarb","startTime":721.12,"endTime":724.51,"body":"so we were quite comfortable"},{"speaker":"Charles Goldfarb","startTime":724.6,"endTime":729.1,"body":"with flexing the wrist to"},{"speaker":"Charles Goldfarb","startTime":724.6,"endTime":729.1,"body":"minimize the tension. My"},{"speaker":"Charles Goldfarb","startTime":729.1,"endTime":734.95,"body":"question is, is there any role"},{"speaker":"Charles Goldfarb","startTime":729.1,"endTime":734.95,"body":"for a slightly larger suture to"},{"speaker":"Charles Goldfarb","startTime":734.95,"endTime":739.81,"body":"detention, the repair of 5-0, or"},{"speaker":"Charles Goldfarb","startTime":734.95,"endTime":739.81,"body":"something like that epineurial"},{"speaker":"Charles Goldfarb","startTime":739.81,"endTime":743.74,"body":"stitch crossing over to"},{"speaker":"Charles Goldfarb","startTime":739.81,"endTime":743.74,"body":"de-tension a bit on the repair"},{"speaker":"Charles Goldfarb","startTime":743.74,"endTime":747.1,"body":"site? Is that something you'd"},{"speaker":"Charles Goldfarb","startTime":743.74,"endTime":747.1,"body":"have done or advocate for or"},{"speaker":"Charles Goldfarb","startTime":747.1,"endTime":747.7,"body":"against?"},{"speaker":"Chris Dy","startTime":748.56,"endTime":751.41,"body":"I haven't done I"},{"speaker":"Chris Dy","startTime":748.56,"endTime":751.41,"body":"wouldn't advocate for it. I know"},{"speaker":"Chris Dy","startTime":751.41,"endTime":753.84,"body":"that there have been some groups"},{"speaker":"Chris Dy","startTime":751.41,"endTime":753.84,"body":"that have tried to study it,"},{"speaker":"Chris Dy","startTime":754.11,"endTime":758.22,"body":"including our own Dr. David"},{"speaker":"Chris Dy","startTime":754.11,"endTime":758.22,"body":"Brogan, using not that exact"},{"speaker":"Chris Dy","startTime":758.22,"endTime":761.31,"body":"technique, but looking at ways"},{"speaker":"Chris Dy","startTime":758.22,"endTime":761.31,"body":"to splinter repair, and the"},{"speaker":"Chris Dy","startTime":761.31,"endTime":765.0,"body":"experiments never quite got off"},{"speaker":"Chris Dy","startTime":761.31,"endTime":765.0,"body":"the ground. You know, at the end"},{"speaker":"Chris Dy","startTime":765.0,"endTime":768.36,"body":"of the day, if you don't have"},{"speaker":"Chris Dy","startTime":765.0,"endTime":768.36,"body":"tension on your repair, then you"},{"speaker":"Chris Dy","startTime":768.36,"endTime":772.08,"body":"should be in good shape if it"},{"speaker":"Chris Dy","startTime":768.36,"endTime":772.08,"body":"kind of depends on the caliber"},{"speaker":"Chris Dy","startTime":772.08,"endTime":775.59,"body":"of suture that you were to use."},{"speaker":"Chris Dy","startTime":772.08,"endTime":775.59,"body":"So an 8-0 nylon suture, which"},{"speaker":"Chris Dy","startTime":775.59,"endTime":777.63,"body":"you know, classically in the"},{"speaker":"Chris Dy","startTime":775.59,"endTime":777.63,"body":"literature, we talk about the"},{"speaker":"Chris Dy","startTime":777.66,"endTime":780.27,"body":"8-0, nylon test? There's a"},{"speaker":"Chris Dy","startTime":777.66,"endTime":780.27,"body":"really nice paper, I think it"},{"speaker":"Chris Dy","startTime":780.27,"endTime":782.61,"body":"was from Jeff Greenberg's group"},{"speaker":"Chris Dy","startTime":780.27,"endTime":782.61,"body":"that looked at the"},{"speaker":"Chris Dy","startTime":782.61,"endTime":785.97,"body":"characteristics of 8-0, nylon"},{"speaker":"Chris Dy","startTime":782.61,"endTime":785.97,"body":"versus 9-0, nylon versus the"},{"speaker":"Chris Dy","startTime":786.0,"endTime":789.81,"body":"relative normal strain and a"},{"speaker":"Chris Dy","startTime":786.0,"endTime":789.81,"body":"nerve. 8-0, nylon, you can get"},{"speaker":"Chris Dy","startTime":789.81,"endTime":792.45,"body":"away with having a little more"},{"speaker":"Chris Dy","startTime":789.81,"endTime":792.45,"body":"attention than the native"},{"speaker":"Chris Dy","startTime":792.45,"endTime":797.13,"body":"tension in a nerve occasionally,"},{"speaker":"Chris Dy","startTime":792.45,"endTime":797.13,"body":"whereas a 9-0, nylon will not"},{"speaker":"Chris Dy","startTime":797.13,"endTime":800.31,"body":"let you do that. So for me, if"},{"speaker":"Chris Dy","startTime":797.13,"endTime":800.31,"body":"it comes together with a 9-0,"},{"speaker":"Chris Dy","startTime":800.31,"endTime":804.06,"body":"nylon, I feel comfortable"},{"speaker":"Chris Dy","startTime":800.31,"endTime":804.06,"body":"knowing that it's not going to"},{"speaker":"Chris Dy","startTime":804.06,"endTime":806.61,"body":"be under excessive tension"},{"speaker":"Chris Dy","startTime":804.06,"endTime":806.61,"body":"provided that the wrist doesn't"},{"speaker":"Chris Dy","startTime":806.61,"endTime":811.83,"body":"get fully extended violently."},{"speaker":"Chris Dy","startTime":806.61,"endTime":811.83,"body":"8-0 nylon is still kind of"},{"speaker":"Chris Dy","startTime":811.83,"endTime":814.56,"body":"wonder. So I guess the question"},{"speaker":"Chris Dy","startTime":811.83,"endTime":814.56,"body":"about you know, whether what"},{"speaker":"Chris Dy","startTime":814.56,"endTime":817.32,"body":"caliber suture to use for your"},{"speaker":"Chris Dy","startTime":814.56,"endTime":817.32,"body":"cooptation is probably different"},{"speaker":"Chris Dy","startTime":817.32,"endTime":820.77,"body":"than what you're describing"},{"speaker":"Chris Dy","startTime":817.32,"endTime":820.77,"body":"about using a de-tensioning"},{"speaker":"Chris Dy","startTime":822.09,"endTime":824.7,"body":"stitch. I haven't don't have any"},{"speaker":"Chris Dy","startTime":822.09,"endTime":824.7,"body":"experience with that. And"},{"speaker":"Chris Dy","startTime":824.7,"endTime":826.95,"body":"actually, Elspeth I think has"},{"speaker":"Chris Dy","startTime":824.7,"endTime":826.95,"body":"asked me about that before when"},{"speaker":"Chris Dy","startTime":826.95,"endTime":829.11,"body":"we were having one of our"},{"speaker":"Chris Dy","startTime":826.95,"endTime":829.11,"body":"sessions and I told her, I was"},{"speaker":"Chris Dy","startTime":829.11,"endTime":830.73,"body":"not an advocate for it."},{"speaker":"Charles Goldfarb","startTime":830.94,"endTime":833.88,"body":"Yeah, she may"},{"speaker":"Charles Goldfarb","startTime":830.94,"endTime":833.88,"body":"try to bend your ear a little"},{"speaker":"Charles Goldfarb","startTime":833.88,"endTime":838.35,"body":"bit on that technique. So bottom"},{"speaker":"Charles Goldfarb","startTime":833.88,"endTime":838.35,"body":"line is relatively small caliber"},{"speaker":"Charles Goldfarb","startTime":838.38,"endTime":844.08,"body":"bullet, relatively narrow area"},{"speaker":"Charles Goldfarb","startTime":838.38,"endTime":844.08,"body":"of discontinuity with visual"},{"speaker":"Charles Goldfarb","startTime":845.13,"endTime":851.19,"body":"injury, not that huge. So we"},{"speaker":"Charles Goldfarb","startTime":845.13,"endTime":851.19,"body":"excise the what we consider the"},{"speaker":"Charles Goldfarb","startTime":851.22,"endTime":855.3,"body":"injured segment, and then a"},{"speaker":"Charles Goldfarb","startTime":851.22,"endTime":855.3,"body":"little bit more. And we were"},{"speaker":"Charles Goldfarb","startTime":855.3,"endTime":859.02,"body":"able to primarily we approximate"},{"speaker":"Charles Goldfarb","startTime":855.3,"endTime":859.02,"body":"without a de-tensioning suture,"},{"speaker":"Charles Goldfarb","startTime":859.02,"endTime":862.65,"body":"but we added a detension suture"},{"speaker":"Charles Goldfarb","startTime":859.02,"endTime":862.65,"body":"and we flexed the wrist. And you"},{"speaker":"Charles Goldfarb","startTime":862.65,"endTime":866.1,"body":"know, my opinion here is we"},{"speaker":"Charles Goldfarb","startTime":862.65,"endTime":866.1,"body":"didn't lose anything. If he does"},{"speaker":"Charles Goldfarb","startTime":866.1,"endTime":869.34,"body":"not get recovery, we can come"},{"speaker":"Charles Goldfarb","startTime":866.1,"endTime":869.34,"body":"back and graft, if he gets"},{"speaker":"Charles Goldfarb","startTime":869.34,"endTime":871.32,"body":"recovery. We're all going to be"},{"speaker":"Charles Goldfarb","startTime":869.34,"endTime":871.32,"body":"happy. We approached it this"},{"speaker":"Charles Goldfarb","startTime":871.32,"endTime":871.56,"body":"way."},{"speaker":"Chris Dy","startTime":872.49,"endTime":875.52,"body":"So you removed the 10%"},{"speaker":"Chris Dy","startTime":872.49,"endTime":875.52,"body":"that was intact, right?"},{"speaker":"Chris Dy","startTime":876.21,"endTime":877.05,"body":"Structurally intact."},{"speaker":"Charles Goldfarb","startTime":877.05,"endTime":879.9,"body":"We did and it"},{"speaker":"Charles Goldfarb","startTime":877.05,"endTime":879.9,"body":"was a it was a very posterior"},{"speaker":"Charles Goldfarb","startTime":879.9,"endTime":883.26,"body":"and ulnar 10% which didn't worry"},{"speaker":"Charles Goldfarb","startTime":879.9,"endTime":883.26,"body":"me much."},{"speaker":"Chris Dy","startTime":884.49,"endTime":888.36,"body":"Now, how do you know."},{"speaker":"Chris Dy","startTime":884.49,"endTime":888.36,"body":"How do you judge taking a little"},{"speaker":"Chris Dy","startTime":888.36,"endTime":892.17,"body":"bit more than the visually"},{"speaker":"Chris Dy","startTime":888.36,"endTime":892.17,"body":"injured zone segment? Like"},{"speaker":"Chris Dy","startTime":892.17,"endTime":893.19,"body":"what's the what's the."},{"speaker":"Charles Goldfarb","startTime":893.22,"endTime":895.68,"body":"Yeah, well,"},{"speaker":"Charles Goldfarb","startTime":893.22,"endTime":895.68,"body":"this is a classic paper that's"},{"speaker":"Charles Goldfarb","startTime":895.68,"endTime":898.77,"body":"not been written yet Dr. Dy. We"},{"speaker":"Charles Goldfarb","startTime":895.68,"endTime":898.77,"body":"use two millimeters more than"},{"speaker":"Charles Goldfarb","startTime":898.77,"endTime":901.11,"body":"the injured visibles segment on"},{"speaker":"Charles Goldfarb","startTime":898.77,"endTime":901.11,"body":"each side."},{"speaker":"Chris Dy","startTime":901.96,"endTime":905.53,"body":"That said with such"},{"speaker":"Chris Dy","startTime":901.96,"endTime":905.53,"body":"confidence, you know wonderful I"},{"speaker":"Chris Dy","startTime":905.53,"endTime":908.47,"body":"can't wait to read that paper"},{"speaker":"Chris Dy","startTime":905.53,"endTime":908.47,"body":"when it's finally written. And"},{"speaker":"Chris Dy","startTime":908.47,"endTime":910.18,"body":"then we'll call it then we'll"},{"speaker":"Chris Dy","startTime":908.47,"endTime":910.18,"body":"call it a classic there's"},{"speaker":"Chris Dy","startTime":910.21,"endTime":913.54,"body":"there's Chuck Goldfarb again a"},{"speaker":"Chris Dy","startTime":910.21,"endTime":913.54,"body":"workman just hammering nails."},{"speaker":"Charles Goldfarb","startTime":913.78,"endTime":915.82,"body":"That's right"},{"speaker":"Charles Goldfarb","startTime":913.78,"endTime":915.82,"body":"in my in my chosen field of"},{"speaker":"Charles Goldfarb","startTime":915.82,"endTime":917.5,"body":"nerve repair."},{"speaker":"Chris Dy","startTime":917.53,"endTime":919.99,"body":"Did you voluntarily"},{"speaker":"Chris Dy","startTime":917.53,"endTime":919.99,"body":"present a nerve case? That's"},{"speaker":"Chris Dy","startTime":919.99,"endTime":920.32,"body":"amazing."},{"speaker":"Charles Goldfarb","startTime":920.32,"endTime":921.82,"body":"I knew you'd"},{"speaker":"Charles Goldfarb","startTime":920.32,"endTime":921.82,"body":"be excited about it. That's"},{"speaker":"Charles Goldfarb","startTime":921.88,"endTime":923.98,"body":"another reason I was frustrated."},{"speaker":"Charles Goldfarb","startTime":921.88,"endTime":923.98,"body":"I didn't have a picture."},{"speaker":"Chris Dy","startTime":924.01,"endTime":927.28,"body":"I love it. I love it."},{"speaker":"Chris Dy","startTime":924.01,"endTime":927.28,"body":"Well, why don't we jump into"},{"speaker":"Chris Dy","startTime":927.28,"endTime":931.9,"body":"this week's topic, apropos to"},{"speaker":"Chris Dy","startTime":927.28,"endTime":931.9,"body":"our theme last week of the ASSH"},{"speaker":"Chris Dy","startTime":931.9,"endTime":936.58,"body":"annual meeting, I actually got a"},{"speaker":"Chris Dy","startTime":931.9,"endTime":936.58,"body":"couple of emails from the HBR,"},{"speaker":"Chris Dy","startTime":936.58,"endTime":939.79,"body":"the Harvard Business Review"},{"speaker":"Chris Dy","startTime":936.58,"endTime":939.79,"body":"listserv that talked about how"},{"speaker":"Chris Dy","startTime":939.79,"endTime":941.86,"body":"to give a great presentation."},{"speaker":"Chris Dy","startTime":939.79,"endTime":941.86,"body":"And there were two, I think,"},{"speaker":"Chris Dy","startTime":941.86,"endTime":948.61,"body":"really good articles in that"},{"speaker":"Chris Dy","startTime":941.86,"endTime":948.61,"body":"set. One was from January 6"},{"speaker":"Chris Dy","startTime":948.64,"endTime":953.02,"body":"2020, by Carmine Gallo called"},{"speaker":"Chris Dy","startTime":948.64,"endTime":953.02,"body":"what it takes to give a great"},{"speaker":"Chris Dy","startTime":953.02,"endTime":955.93,"body":"presentation. And the other one"},{"speaker":"Chris Dy","startTime":953.02,"endTime":955.93,"body":"is actually a little bit older."},{"speaker":"Chris Dy","startTime":955.93,"endTime":958.9,"body":"It's from how to give a killer"},{"speaker":"Chris Dy","startTime":955.93,"endTime":958.9,"body":"presentation by Chris Anderson,"},{"speaker":"Chris Dy","startTime":958.93,"endTime":963.64,"body":"which is June 2013. And I like"},{"speaker":"Chris Dy","startTime":958.93,"endTime":963.64,"body":"the the Gallo went a little bit"},{"speaker":"Chris Dy","startTime":963.64,"endTime":967.03,"body":"more just because it gives you"},{"speaker":"Chris Dy","startTime":963.64,"endTime":967.03,"body":"breaks down very easily, but how"},{"speaker":"Chris Dy","startTime":967.03,"endTime":970.51,"body":"to give a great talk. And it was"},{"speaker":"Chris Dy","startTime":967.03,"endTime":970.51,"body":"top of the mind for me, because"},{"speaker":"Chris Dy","startTime":970.51,"endTime":973.87,"body":"I feel like we're getting closer"},{"speaker":"Chris Dy","startTime":970.51,"endTime":973.87,"body":"to normal. Although we're also"},{"speaker":"Chris Dy","startTime":973.87,"endTime":977.11,"body":"really hesitant about Delta,"},{"speaker":"Chris Dy","startTime":973.87,"endTime":977.11,"body":"I've, I'm going to be giving a"},{"speaker":"Chris Dy","startTime":977.11,"endTime":981.28,"body":"couple of talks at the ORS, ORIF"},{"speaker":"Chris Dy","startTime":977.11,"endTime":981.28,"body":"clinician scientist development"},{"speaker":"Chris Dy","startTime":981.28,"endTime":984.43,"body":"program this week, then I've got"},{"speaker":"Chris Dy","startTime":981.28,"endTime":984.43,"body":"the hand society a couple weeks"},{"speaker":"Chris Dy","startTime":984.43,"endTime":987.25,"body":"later, as do you with some"},{"speaker":"Chris Dy","startTime":984.43,"endTime":987.25,"body":"presentations. And we have the"},{"speaker":"Chris Dy","startTime":987.25,"endTime":990.97,"body":"ASHT meeting the week after"},{"speaker":"Chris Dy","startTime":987.25,"endTime":990.97,"body":"that. So I'm in talk mode. And"},{"speaker":"Chris Dy","startTime":990.97,"endTime":993.4,"body":"then I also just get grand"},{"speaker":"Chris Dy","startTime":990.97,"endTime":993.4,"body":"rounds for our department a few"},{"speaker":"Chris Dy","startTime":993.4,"endTime":996.7,"body":"weeks back. So all this has been"},{"speaker":"Chris Dy","startTime":993.4,"endTime":996.7,"body":"top of the mind for me in terms"},{"speaker":"Chris Dy","startTime":996.7,"endTime":999.01,"body":"of thinking about how to sharpen"},{"speaker":"Chris Dy","startTime":996.7,"endTime":999.01,"body":"my presentation skills."},{"speaker":"Charles Goldfarb","startTime":999.07,"endTime":1001.83,"body":"You know, it's"},{"speaker":"Charles Goldfarb","startTime":999.07,"endTime":1001.83,"body":"something that I always am"},{"speaker":"Charles Goldfarb","startTime":1001.83,"endTime":1004.38,"body":"interested in reading about. One"},{"speaker":"Charles Goldfarb","startTime":1001.83,"endTime":1004.38,"body":"of the things I struggle with"},{"speaker":"Charles Goldfarb","startTime":1004.38,"endTime":1007.71,"body":"are these type of discussions"},{"speaker":"Charles Goldfarb","startTime":1004.38,"endTime":1007.71,"body":"are tough, because it's really,"},{"speaker":"Charles Goldfarb","startTime":1007.74,"endTime":1011.67,"body":"they're really not discussions"},{"speaker":"Charles Goldfarb","startTime":1007.74,"endTime":1011.67,"body":"about medical presentations. And"},{"speaker":"Charles Goldfarb","startTime":1011.67,"endTime":1014.07,"body":"so there's there's certainly"},{"speaker":"Charles Goldfarb","startTime":1011.67,"endTime":1014.07,"body":"takeaway messages that are"},{"speaker":"Charles Goldfarb","startTime":1014.07,"endTime":1017.4,"body":"important. But it's not as if"},{"speaker":"Charles Goldfarb","startTime":1014.07,"endTime":1017.4,"body":"you can give a talk like they"},{"speaker":"Charles Goldfarb","startTime":1017.4,"endTime":1020.88,"body":"described or perhaps like Steve"},{"speaker":"Charles Goldfarb","startTime":1017.4,"endTime":1020.88,"body":"Jobs used to give, because we"},{"speaker":"Charles Goldfarb","startTime":1020.88,"endTime":1023.25,"body":"have, we have to do things"},{"speaker":"Charles Goldfarb","startTime":1020.88,"endTime":1023.25,"body":"somewhat differently. But we"},{"speaker":"Charles Goldfarb","startTime":1023.25,"endTime":1026.49,"body":"absolutely can learn from these"},{"speaker":"Charles Goldfarb","startTime":1023.25,"endTime":1026.49,"body":"type of discussions. And I will"},{"speaker":"Charles Goldfarb","startTime":1026.49,"endTime":1030.39,"body":"say that Chris Anderson, I think"},{"speaker":"Charles Goldfarb","startTime":1026.49,"endTime":1030.39,"body":"is one of my favorite thinkers."},{"speaker":"Charles Goldfarb","startTime":1030.99,"endTime":1033.99,"body":"You know, he Chris was the I'm"},{"speaker":"Charles Goldfarb","startTime":1030.99,"endTime":1033.99,"body":"on a first name basis with him,"},{"speaker":"Charles Goldfarb","startTime":1033.99,"endTime":1038.13,"body":"apparently, was the prior editor"},{"speaker":"Charles Goldfarb","startTime":1033.99,"endTime":1038.13,"body":"of Wired Magazine, which I know,"},{"speaker":"Charles Goldfarb","startTime":1038.13,"endTime":1041.31,"body":"you know, is one of my"},{"speaker":"Charles Goldfarb","startTime":1038.13,"endTime":1041.31,"body":"favorites. And he wrote the"},{"speaker":"Charles Goldfarb","startTime":1041.31,"endTime":1045.18,"body":"concept of the long tail, which"},{"speaker":"Charles Goldfarb","startTime":1041.31,"endTime":1045.18,"body":"I think we've talked about in"},{"speaker":"Charles Goldfarb","startTime":1045.18,"endTime":1049.35,"body":"this forum. If we haven't, we"},{"speaker":"Charles Goldfarb","startTime":1045.18,"endTime":1049.35,"body":"will one day. And I think he"},{"speaker":"Charles Goldfarb","startTime":1049.35,"endTime":1052.71,"body":"really, really, really did a"},{"speaker":"Charles Goldfarb","startTime":1049.35,"endTime":1052.71,"body":"great job in this article as"},{"speaker":"Charles Goldfarb","startTime":1052.71,"endTime":1053.01,"body":"well."},{"speaker":"Chris Dy","startTime":1053.87,"endTime":1057.71,"body":"But let's jump into"},{"speaker":"Chris Dy","startTime":1053.87,"endTime":1057.71,"body":"one of the articles. And they"},{"speaker":"Chris Dy","startTime":1057.74,"endTime":1063.59,"body":"The first tip that they give is"},{"speaker":"Chris Dy","startTime":1057.74,"endTime":1063.59,"body":"great presenters use fewer"},{"speaker":"Chris Dy","startTime":1063.59,"endTime":1067.13,"body":"slides and fewer words. Now"},{"speaker":"Chris Dy","startTime":1063.59,"endTime":1067.13,"body":"we'll talk about this a little"},{"speaker":"Chris Dy","startTime":1067.13,"endTime":1070.97,"body":"bit when we gave, we had a"},{"speaker":"Chris Dy","startTime":1067.13,"endTime":1070.97,"body":"podcast episode about virtual"},{"speaker":"Chris Dy","startTime":1070.97,"endTime":1074.96,"body":"talks. But it's a your your just"},{"speaker":"Chris Dy","startTime":1070.97,"endTime":1074.96,"body":"talks in general. I mean, how do"},{"speaker":"Chris Dy","startTime":1074.96,"endTime":1078.77,"body":"you construct your slides,"},{"speaker":"Chris Dy","startTime":1074.96,"endTime":1078.77,"body":"because I remember towards the"},{"speaker":"Chris Dy","startTime":1078.77,"endTime":1082.46,"body":"end of his teaching career, Dr."},{"speaker":"Chris Dy","startTime":1078.77,"endTime":1082.46,"body":"Gelberman, giving talks and just"},{"speaker":"Chris Dy","startTime":1082.46,"endTime":1086.45,"body":"being mesmerized by the quality"},{"speaker":"Chris Dy","startTime":1082.46,"endTime":1086.45,"body":"of the pictures he would have in"},{"speaker":"Chris Dy","startTime":1086.45,"endTime":1089.54,"body":"his talks. Now granted, the"},{"speaker":"Chris Dy","startTime":1086.45,"endTime":1089.54,"body":"department had a photographer at"},{"speaker":"Chris Dy","startTime":1089.54,"endTime":1094.25,"body":"that point, which enabled it."},{"speaker":"Chris Dy","startTime":1089.54,"endTime":1094.25,"body":"But I thought those were"},{"speaker":"Chris Dy","startTime":1094.31,"endTime":1096.08,"body":"incredibly powerful slides."},{"speaker":"Charles Goldfarb","startTime":1096.56,"endTime":1098.54,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":1096.56,"endTime":1098.54,"body":"we should be clear, you know, if"},{"speaker":"Charles Goldfarb","startTime":1098.54,"endTime":1102.38,"body":"you are giving a scientific"},{"speaker":"Charles Goldfarb","startTime":1098.54,"endTime":1102.38,"body":"presentation, a five minute"},{"speaker":"Charles Goldfarb","startTime":1102.38,"endTime":1105.59,"body":"podium, talk about your"},{"speaker":"Charles Goldfarb","startTime":1102.38,"endTime":1105.59,"body":"research, that's different. If"},{"speaker":"Charles Goldfarb","startTime":1105.59,"endTime":1108.95,"body":"you're giving a bigger picture"},{"speaker":"Charles Goldfarb","startTime":1105.59,"endTime":1108.95,"body":"discussion on nerves, or"},{"speaker":"Charles Goldfarb","startTime":1108.95,"endTime":1112.34,"body":"congenital or sports or"},{"speaker":"Charles Goldfarb","startTime":1108.95,"endTime":1112.34,"body":"whatever, I think you can do a"},{"speaker":"Charles Goldfarb","startTime":1112.34,"endTime":1115.52,"body":"little more, you can work with"},{"speaker":"Charles Goldfarb","startTime":1112.34,"endTime":1115.52,"body":"these techniques a little more,"},{"speaker":"Charles Goldfarb","startTime":1115.52,"endTime":1118.22,"body":"and there is no doubt that Dr."},{"speaker":"Charles Goldfarb","startTime":1115.52,"endTime":1118.22,"body":"Gelberman as his career"},{"speaker":"Charles Goldfarb","startTime":1118.22,"endTime":1123.29,"body":"advanced, use fewer words, fewer"},{"speaker":"Charles Goldfarb","startTime":1118.22,"endTime":1123.29,"body":"bullet points, nice visuals, and"},{"speaker":"Charles Goldfarb","startTime":1123.29,"endTime":1127.13,"body":"more talking. But let's be"},{"speaker":"Charles Goldfarb","startTime":1123.29,"endTime":1127.13,"body":"honest, that requires a lot more"},{"speaker":"Charles Goldfarb","startTime":1127.13,"endTime":1130.25,"body":"preparation, you know, none of"},{"speaker":"Charles Goldfarb","startTime":1127.13,"endTime":1130.25,"body":"us, I would hope would go up"},{"speaker":"Charles Goldfarb","startTime":1130.25,"endTime":1132.86,"body":"there read the bullet points,"},{"speaker":"Charles Goldfarb","startTime":1130.25,"endTime":1132.86,"body":"because we know that's just just"},{"speaker":"Charles Goldfarb","startTime":1132.86,"endTime":1137.33,"body":"not that helpful, but sometimes"},{"speaker":"Charles Goldfarb","startTime":1132.86,"endTime":1137.33,"body":"require bullet points. And I"},{"speaker":"Charles Goldfarb","startTime":1137.33,"endTime":1142.07,"body":"just recorded a presentation for"},{"speaker":"Charles Goldfarb","startTime":1137.33,"endTime":1142.07,"body":"the hand society. And I didn't"},{"speaker":"Charles Goldfarb","startTime":1142.07,"endTime":1144.32,"body":"want to use bullet points. But I"},{"speaker":"Charles Goldfarb","startTime":1142.07,"endTime":1144.32,"body":"found that it was just it"},{"speaker":"Charles Goldfarb","startTime":1144.32,"endTime":1146.99,"body":"doesn't convey the message when"},{"speaker":"Charles Goldfarb","startTime":1144.32,"endTime":1146.99,"body":"you're kind of working through"},{"speaker":"Charles Goldfarb","startTime":1146.99,"endTime":1152.0,"body":"research without them. And so I"},{"speaker":"Charles Goldfarb","startTime":1146.99,"endTime":1152.0,"body":"love this concept. fewer words,"},{"speaker":"Charles Goldfarb","startTime":1152.0,"endTime":1156.77,"body":"more pictures, more verbal, I"},{"speaker":"Charles Goldfarb","startTime":1152.0,"endTime":1156.77,"body":"guess depth to each slide."},{"speaker":"Chris Dy","startTime":1157.47,"endTime":1160.62,"body":"You know, I think that"},{"speaker":"Chris Dy","startTime":1157.47,"endTime":1160.62,"body":"your point is is right on about"},{"speaker":"Chris Dy","startTime":1160.62,"endTime":1164.49,"body":"you know, two to five minutes"},{"speaker":"Chris Dy","startTime":1160.62,"endTime":1164.49,"body":"scientific paper presentation"},{"speaker":"Chris Dy","startTime":1164.49,"endTime":1168.69,"body":"has to be very tightly scripted."},{"speaker":"Chris Dy","startTime":1164.49,"endTime":1168.69,"body":"Not that you're reading off of"},{"speaker":"Chris Dy","startTime":1168.72,"endTime":1171.21,"body":"off of the slides. But it has to"},{"speaker":"Chris Dy","startTime":1168.72,"endTime":1171.21,"body":"be tied to scripts. It has to be"},{"speaker":"Chris Dy","startTime":1171.21,"endTime":1173.64,"body":"formatted in a certain way. It"},{"speaker":"Chris Dy","startTime":1171.21,"endTime":1173.64,"body":"can't be the beautiful. Here's a"},{"speaker":"Chris Dy","startTime":1173.64,"endTime":1177.24,"body":"picture of a nerve kind of talk."},{"speaker":"Chris Dy","startTime":1173.64,"endTime":1177.24,"body":"I actually just met with one of"},{"speaker":"Chris Dy","startTime":1177.24,"endTime":1180.27,"body":"our one of our former students"},{"speaker":"Chris Dy","startTime":1177.24,"endTime":1180.27,"body":"that I've been working with who"},{"speaker":"Chris Dy","startTime":1180.27,"endTime":1184.26,"body":"is now a resident at SLU Alexa"},{"speaker":"Chris Dy","startTime":1180.27,"endTime":1184.26,"body":"Powers and she's giving a talk"},{"speaker":"Chris Dy","startTime":1184.26,"endTime":1187.59,"body":"at the resident fellows meeting"},{"speaker":"Chris Dy","startTime":1184.26,"endTime":1187.59,"body":"in a couple of weeks right"},{"speaker":"Chris Dy","startTime":1187.59,"endTime":1191.1,"body":"before the hands society."},{"speaker":"Chris Dy","startTime":1187.59,"endTime":1191.1,"body":"They've got two minutes. So I"},{"speaker":"Chris Dy","startTime":1191.1,"endTime":1193.14,"body":"told her I was like look like"},{"speaker":"Chris Dy","startTime":1191.1,"endTime":1193.14,"body":"you've got to be tightly"},{"speaker":"Chris Dy","startTime":1193.14,"endTime":1195.48,"body":"scripted. Got to practice it a"},{"speaker":"Chris Dy","startTime":1193.14,"endTime":1195.48,"body":"bunch so it doesn't sound like"},{"speaker":"Chris Dy","startTime":1195.48,"endTime":1199.02,"body":"you're reading. But there's"},{"speaker":"Chris Dy","startTime":1195.48,"endTime":1199.02,"body":"really no room for error because"},{"speaker":"Chris Dy","startTime":1199.02,"endTime":1202.74,"body":"you don't want to be that that"},{"speaker":"Chris Dy","startTime":1199.02,"endTime":1202.74,"body":"runs over and throws off the"},{"speaker":"Chris Dy","startTime":1202.74,"endTime":1207.27,"body":"whole program. I noticed that"},{"speaker":"Chris Dy","startTime":1202.74,"endTime":1207.27,"body":"the talks that I gave every year"},{"speaker":"Chris Dy","startTime":1207.27,"endTime":1210.03,"body":"in terms of the you know,"},{"speaker":"Chris Dy","startTime":1207.27,"endTime":1210.03,"body":"Introduction or overview of"},{"speaker":"Chris Dy","startTime":1210.03,"endTime":1214.17,"body":"Plexus or nerve or nerve"},{"speaker":"Chris Dy","startTime":1210.03,"endTime":1214.17,"body":"studies, as I've go back every"},{"speaker":"Chris Dy","startTime":1214.17,"endTime":1218.16,"body":"year, I take more words out. And"},{"speaker":"Chris Dy","startTime":1214.17,"endTime":1218.16,"body":"that's also me becoming more"},{"speaker":"Chris Dy","startTime":1218.16,"endTime":1221.31,"body":"comfortable with my ability to"},{"speaker":"Chris Dy","startTime":1218.16,"endTime":1221.31,"body":"remember the things to hit on"},{"speaker":"Chris Dy","startTime":1221.31,"endTime":1225.09,"body":"the slides. Now, I'll admit, in"},{"speaker":"Chris Dy","startTime":1221.31,"endTime":1225.09,"body":"kind of the speaker notes"},{"speaker":"Chris Dy","startTime":1225.09,"endTime":1227.94,"body":"section, I will just remove the"},{"speaker":"Chris Dy","startTime":1225.09,"endTime":1227.94,"body":"text that was on the slide and"},{"speaker":"Chris Dy","startTime":1227.94,"endTime":1230.61,"body":"drop it in there. So I remember"},{"speaker":"Chris Dy","startTime":1227.94,"endTime":1230.61,"body":"if I have presenter mode"},{"speaker":"Chris Dy","startTime":1230.61,"endTime":1234.69,"body":"available, what points to hit."},{"speaker":"Chris Dy","startTime":1230.61,"endTime":1234.69,"body":"But I think that the point in"},{"speaker":"Chris Dy","startTime":1234.69,"endTime":1236.79,"body":"this, you know, that they make"},{"speaker":"Chris Dy","startTime":1234.69,"endTime":1236.79,"body":"in here is that, you know,"},{"speaker":"Chris Dy","startTime":1236.79,"endTime":1242.76,"body":"people remember pictures more,"},{"speaker":"Chris Dy","startTime":1236.79,"endTime":1242.76,"body":"you know, they remember, they"},{"speaker":"Chris Dy","startTime":1242.76,"endTime":1246.21,"body":"remember, they remember less"},{"speaker":"Chris Dy","startTime":1242.76,"endTime":1246.21,"body":"about the words that you're that"},{"speaker":"Chris Dy","startTime":1246.21,"endTime":1248.73,"body":"you're saying and more about"},{"speaker":"Chris Dy","startTime":1246.21,"endTime":1248.73,"body":"stories that you're telling and"},{"speaker":"Chris Dy","startTime":1248.73,"endTime":1253.02,"body":"the points that you make when a"},{"speaker":"Chris Dy","startTime":1248.73,"endTime":1253.02,"body":"picture is on the screen. And I"},{"speaker":"Chris Dy","startTime":1253.05,"endTime":1255.15,"body":"you know, the second point is,"},{"speaker":"Chris Dy","startTime":1253.05,"endTime":1255.15,"body":"you know, great presenters don't"},{"speaker":"Chris Dy","startTime":1255.15,"endTime":1258.24,"body":"use bullet points, I agree with"},{"speaker":"Chris Dy","startTime":1255.15,"endTime":1258.24,"body":"you, I think that in our field"},{"speaker":"Chris Dy","startTime":1258.24,"endTime":1261.57,"body":"in our world, unless you have a"},{"speaker":"Chris Dy","startTime":1258.24,"endTime":1261.57,"body":"picture on the screen, you have"},{"speaker":"Chris Dy","startTime":1261.57,"endTime":1263.85,"body":"to use, you have to use some"},{"speaker":"Chris Dy","startTime":1261.57,"endTime":1263.85,"body":"bullet points, some kind of"},{"speaker":"Chris Dy","startTime":1263.85,"endTime":1264.33,"body":"texts."},{"speaker":"Charles Goldfarb","startTime":1264.39,"endTime":1268.14,"body":"Yep, exactly."},{"speaker":"Charles Goldfarb","startTime":1264.39,"endTime":1268.14,"body":"But I should look, I would never"},{"speaker":"Charles Goldfarb","startTime":1268.14,"endTime":1272.94,"body":"consider myself a great orator."},{"speaker":"Charles Goldfarb","startTime":1268.14,"endTime":1272.94,"body":"Hopefully I get my message"},{"speaker":"Charles Goldfarb","startTime":1272.94,"endTime":1276.03,"body":"across, it's something I think"},{"speaker":"Charles Goldfarb","startTime":1272.94,"endTime":1276.03,"body":"I've gotten better at and"},{"speaker":"Charles Goldfarb","startTime":1276.03,"endTime":1279.57,"body":"hopefully will continue to get"},{"speaker":"Charles Goldfarb","startTime":1276.03,"endTime":1279.57,"body":"better at, I hope content really"},{"speaker":"Charles Goldfarb","startTime":1279.57,"endTime":1282.54,"body":"matters to the audience. But you"},{"speaker":"Charles Goldfarb","startTime":1279.57,"endTime":1282.54,"body":"know, you want to make it easy"},{"speaker":"Charles Goldfarb","startTime":1282.54,"endTime":1286.23,"body":"on the eyes and easy on the"},{"speaker":"Charles Goldfarb","startTime":1282.54,"endTime":1286.23,"body":"ears. And just it's a it's a"},{"speaker":"Charles Goldfarb","startTime":1286.23,"endTime":1290.64,"body":"it's really an acquired skill,"},{"speaker":"Charles Goldfarb","startTime":1286.23,"endTime":1290.64,"body":"which gets to the third point of"},{"speaker":"Charles Goldfarb","startTime":1290.64,"endTime":1294.12,"body":"this Gallo article, which is the"},{"speaker":"Charles Goldfarb","startTime":1290.64,"endTime":1294.12,"body":"great presenters enhance their"},{"speaker":"Charles Goldfarb","startTime":1294.12,"endTime":1298.35,"body":"vocal delivery. And so you know,"},{"speaker":"Charles Goldfarb","startTime":1294.12,"endTime":1298.35,"body":"regardless of the political"},{"speaker":"Charles Goldfarb","startTime":1298.35,"endTime":1302.07,"body":"spectrum, I think most would"},{"speaker":"Charles Goldfarb","startTime":1298.35,"endTime":1302.07,"body":"agree that Obama was a great is"},{"speaker":"Charles Goldfarb","startTime":1302.1,"endTime":1307.23,"body":"a great orator. And I'm never"},{"speaker":"Charles Goldfarb","startTime":1302.1,"endTime":1307.23,"body":"going to present like he"},{"speaker":"Charles Goldfarb","startTime":1307.23,"endTime":1314.07,"body":"presents. But it practice helps."},{"speaker":"Charles Goldfarb","startTime":1307.23,"endTime":1314.07,"body":"Having a even a non medically"},{"speaker":"Charles Goldfarb","startTime":1314.07,"endTime":1318.12,"body":"involved person listening to"},{"speaker":"Charles Goldfarb","startTime":1314.07,"endTime":1318.12,"body":"your talks helps. It is a skill"},{"speaker":"Charles Goldfarb","startTime":1318.12,"endTime":1318.63,"body":"set, though."},{"speaker":"Chris Dy","startTime":1319.4,"endTime":1321.23,"body":"And this kind of gets"},{"speaker":"Chris Dy","startTime":1319.4,"endTime":1321.23,"body":"into the stuff that's in the"},{"speaker":"Chris Dy","startTime":1321.23,"endTime":1323.99,"body":"Chris Anderson article. But I"},{"speaker":"Chris Dy","startTime":1321.23,"endTime":1323.99,"body":"mean, it's connecting, and so"},{"speaker":"Chris Dy","startTime":1323.99,"endTime":1327.44,"body":"your, your intonations, and the"},{"speaker":"Chris Dy","startTime":1323.99,"endTime":1327.44,"body":"way that you talk, are gonna"},{"speaker":"Chris Dy","startTime":1327.44,"endTime":1329.93,"body":"vary if you can connect with"},{"speaker":"Chris Dy","startTime":1327.44,"endTime":1329.93,"body":"people in the audience. So so"},{"speaker":"Chris Dy","startTime":1329.93,"endTime":1332.75,"body":"one of the suggestions that his"},{"speaker":"Chris Dy","startTime":1329.93,"endTime":1332.75,"body":"his article was to find five or"},{"speaker":"Chris Dy","startTime":1332.75,"endTime":1336.95,"body":"six people in the audience and"},{"speaker":"Chris Dy","startTime":1332.75,"endTime":1336.95,"body":"constantly make eye contact so"},{"speaker":"Chris Dy","startTime":1336.95,"endTime":1340.76,"body":"that, you know, you can connect"},{"speaker":"Chris Dy","startTime":1336.95,"endTime":1340.76,"body":"with somebody and see that"},{"speaker":"Chris Dy","startTime":1340.76,"endTime":1343.13,"body":"they're following along and"},{"speaker":"Chris Dy","startTime":1340.76,"endTime":1343.13,"body":"helps you understand when people"},{"speaker":"Chris Dy","startTime":1343.13,"endTime":1344.66,"body":"are engaged and not engaged."},{"speaker":"Charles Goldfarb","startTime":1345.35,"endTime":1349.37,"body":"Absolutely,"},{"speaker":"Charles Goldfarb","startTime":1345.35,"endTime":1349.37,"body":"absolutely. Well said. Do you"},{"speaker":"Charles Goldfarb","startTime":1349.4,"endTime":1354.02,"body":"consciously think about how you"},{"speaker":"Charles Goldfarb","startTime":1349.4,"endTime":1354.02,"body":"the tone of your voice, the"},{"speaker":"Charles Goldfarb","startTime":1354.02,"endTime":1358.34,"body":"cadence of your delivery, the"},{"speaker":"Charles Goldfarb","startTime":1354.02,"endTime":1358.34,"body":"volume of delivery? I mean,"},{"speaker":"Charles Goldfarb","startTime":1358.34,"endTime":1363.11,"body":"clearly, for some people, that"},{"speaker":"Charles Goldfarb","startTime":1358.34,"endTime":1363.11,"body":"just comes naturally, if it"},{"speaker":"Charles Goldfarb","startTime":1363.14,"endTime":1365.9,"body":"doesn't, do you think about"},{"speaker":"Charles Goldfarb","startTime":1363.14,"endTime":1365.9,"body":"those things?"},{"speaker":"Chris Dy","startTime":1366.77,"endTime":1370.46,"body":"I, I don't know. If it"},{"speaker":"Chris Dy","startTime":1366.77,"endTime":1370.46,"body":"came naturally to me, I think I"},{"speaker":"Chris Dy","startTime":1370.46,"endTime":1374.69,"body":"worry less about it, I became"},{"speaker":"Chris Dy","startTime":1370.46,"endTime":1374.69,"body":"more comfortable speaking in"},{"speaker":"Chris Dy","startTime":1374.69,"endTime":1377.63,"body":"public, for whatever reason, I"},{"speaker":"Chris Dy","startTime":1374.69,"endTime":1377.63,"body":"think there were things that I"},{"speaker":"Chris Dy","startTime":1377.63,"endTime":1381.29,"body":"did growing up in terms of"},{"speaker":"Chris Dy","startTime":1377.63,"endTime":1381.29,"body":"activities that helped. I wasn't"},{"speaker":"Chris Dy","startTime":1381.29,"endTime":1384.8,"body":"like a debate or anything like"},{"speaker":"Chris Dy","startTime":1381.29,"endTime":1384.8,"body":"that. But I did do a lot of like"},{"speaker":"Chris Dy","startTime":1384.8,"endTime":1388.16,"body":"Performing Arts, which I think"},{"speaker":"Chris Dy","startTime":1384.8,"endTime":1388.16,"body":"helped my ability to feel"},{"speaker":"Chris Dy","startTime":1388.16,"endTime":1392.6,"body":"comfortable speaking in public,"},{"speaker":"Chris Dy","startTime":1388.16,"endTime":1392.6,"body":"by no means am I an expert, and"},{"speaker":"Chris Dy","startTime":1392.6,"endTime":1396.47,"body":"I'm not the orator of the year."},{"speaker":"Chris Dy","startTime":1392.6,"endTime":1396.47,"body":"But I do feel comfortable with"},{"speaker":"Chris Dy","startTime":1396.47,"endTime":1399.08,"body":"that. And I'll be honest with"},{"speaker":"Chris Dy","startTime":1396.47,"endTime":1399.08,"body":"you, the podcast has helped a"},{"speaker":"Chris Dy","startTime":1399.08,"endTime":1402.23,"body":"lot in terms of just being able"},{"speaker":"Chris Dy","startTime":1399.08,"endTime":1402.23,"body":"to think on the fly and to talk"},{"speaker":"Chris Dy","startTime":1402.23,"endTime":1405.08,"body":"and, and to work through things"},{"speaker":"Chris Dy","startTime":1402.23,"endTime":1405.08,"body":"and to remain confident and"},{"speaker":"Chris Dy","startTime":1405.08,"endTime":1407.99,"body":"conversational about things. So"},{"speaker":"Chris Dy","startTime":1405.08,"endTime":1407.99,"body":"we were talking before about"},{"speaker":"Chris Dy","startTime":1408.02,"endTime":1410.15,"body":"benefits of the podcast, that's"},{"speaker":"Chris Dy","startTime":1408.02,"endTime":1410.15,"body":"probably one that had thought"},{"speaker":"Chris Dy","startTime":1410.15,"endTime":1413.42,"body":"about a lot before. But I do"},{"speaker":"Chris Dy","startTime":1410.15,"endTime":1413.42,"body":"feel more comfortable in a lot"},{"speaker":"Chris Dy","startTime":1413.42,"endTime":1415.97,"body":"of venues because of just the"},{"speaker":"Chris Dy","startTime":1413.42,"endTime":1415.97,"body":"you know, we put ourselves out"},{"speaker":"Chris Dy","startTime":1415.97,"endTime":1416.9,"body":"there every week."},{"speaker":"Charles Goldfarb","startTime":1417.02,"endTime":1421.13,"body":"It is it is"},{"speaker":"Charles Goldfarb","startTime":1417.02,"endTime":1421.13,"body":"really true. That I think my"},{"speaker":"Charles Goldfarb","startTime":1421.13,"endTime":1425.18,"body":"next live symposium where"},{"speaker":"Charles Goldfarb","startTime":1421.13,"endTime":1425.18,"body":"there's multiple different"},{"speaker":"Charles Goldfarb","startTime":1425.18,"endTime":1429.41,"body":"people giving their opinions, I"},{"speaker":"Charles Goldfarb","startTime":1425.18,"endTime":1429.41,"body":"will be so much more comfortable"},{"speaker":"Charles Goldfarb","startTime":1429.41,"endTime":1431.84,"body":"than I would have been pre"},{"speaker":"Charles Goldfarb","startTime":1429.41,"endTime":1431.84,"body":"podcast. So what Chris and I are"},{"speaker":"Charles Goldfarb","startTime":1431.84,"endTime":1433.58,"body":"saying is we hope some of you"},{"speaker":"Charles Goldfarb","startTime":1431.84,"endTime":1433.58,"body":"out there, start your own"},{"speaker":"Charles Goldfarb","startTime":1433.58,"endTime":1436.58,"body":"podcast and jump into the game"},{"speaker":"Charles Goldfarb","startTime":1433.58,"endTime":1436.58,"body":"we were not afraid of"},{"speaker":"Charles Goldfarb","startTime":1436.64,"endTime":1439.16,"body":"competition. The more the"},{"speaker":"Charles Goldfarb","startTime":1436.64,"endTime":1439.16,"body":"merrier. We're kind of like Elon"},{"speaker":"Charles Goldfarb","startTime":1439.16,"endTime":1441.5,"body":"Musk, you know, if you want to"},{"speaker":"Charles Goldfarb","startTime":1439.16,"endTime":1441.5,"body":"build a electric car go right"},{"speaker":"Charles Goldfarb","startTime":1441.5,"endTime":1444.56,"body":"ahead. But I don't know if"},{"speaker":"Charles Goldfarb","startTime":1441.5,"endTime":1444.56,"body":"you're gonna overtake the Tesla"},{"speaker":"Charles Goldfarb","startTime":1444.56,"endTime":1444.95,"body":"here."},{"speaker":"Chris Dy","startTime":1445.68,"endTime":1447.09,"body":"Are you bragging right"},{"speaker":"Chris Dy","startTime":1445.68,"endTime":1447.09,"body":"now Chuck?"},{"speaker":"Charles Goldfarb","startTime":1448.79,"endTime":1451.28,"body":"Definitely"},{"speaker":"Charles Goldfarb","startTime":1448.79,"endTime":1451.28,"body":"not. We want you out there. We"},{"speaker":"Charles Goldfarb","startTime":1451.28,"endTime":1452.78,"body":"want more people in this space."},{"speaker":"Chris Dy","startTime":1453.71,"endTime":1456.95,"body":"So they it one of the"},{"speaker":"Chris Dy","startTime":1453.71,"endTime":1456.95,"body":"last points in the Gallo article"},{"speaker":"Chris Dy","startTime":1456.95,"endTime":1462.65,"body":"is about rehearsing. And I admit"},{"speaker":"Chris Dy","startTime":1456.95,"endTime":1462.65,"body":"I do not rehearse as much as I"},{"speaker":"Chris Dy","startTime":1462.65,"endTime":1466.52,"body":"should. But I you know, for"},{"speaker":"Chris Dy","startTime":1462.65,"endTime":1466.52,"body":"example, the Grand Rounds I was"},{"speaker":"Chris Dy","startTime":1466.52,"endTime":1470.84,"body":"asked to give for our department"},{"speaker":"Chris Dy","startTime":1466.52,"endTime":1470.84,"body":"I practiced that one. Because"},{"speaker":"Chris Dy","startTime":1470.9,"endTime":1474.17,"body":"that talk meant a lot more to me"},{"speaker":"Chris Dy","startTime":1470.9,"endTime":1474.17,"body":"than many other of the"},{"speaker":"Chris Dy","startTime":1474.17,"endTime":1479.54,"body":"presentations that you know,"},{"speaker":"Chris Dy","startTime":1474.17,"endTime":1479.54,"body":"I've given recently. So I do"},{"speaker":"Chris Dy","startTime":1479.54,"endTime":1482.81,"body":"think that rehearsing helps. We"},{"speaker":"Chris Dy","startTime":1479.54,"endTime":1482.81,"body":"don't always put in the time I"},{"speaker":"Chris Dy","startTime":1482.81,"endTime":1486.17,"body":"tend to kind of take my"},{"speaker":"Chris Dy","startTime":1482.81,"endTime":1486.17,"body":"rehearsing time and really just"},{"speaker":"Chris Dy","startTime":1486.17,"endTime":1489.41,"body":"refine my slides and think to"},{"speaker":"Chris Dy","startTime":1486.17,"endTime":1489.41,"body":"myself what I'm going to say,"},{"speaker":"Chris Dy","startTime":1489.68,"endTime":1492.56,"body":"but sometimes it is super"},{"speaker":"Chris Dy","startTime":1489.68,"endTime":1492.56,"body":"important to time yourself and"},{"speaker":"Chris Dy","startTime":1492.56,"endTime":1497.06,"body":"just to get the words out to"},{"speaker":"Chris Dy","startTime":1492.56,"endTime":1497.06,"body":"know the right things to say at"},{"speaker":"Chris Dy","startTime":1497.06,"endTime":1497.96,"body":"the right moments."},{"speaker":"Charles Goldfarb","startTime":1498.26,"endTime":1501.02,"body":"Well, I think"},{"speaker":"Charles Goldfarb","startTime":1498.26,"endTime":1501.02,"body":"is a really The important point"},{"speaker":"Charles Goldfarb","startTime":1501.08,"endTime":1505.64,"body":"and Gallo cites Martin Luther"},{"speaker":"Charles Goldfarb","startTime":1501.08,"endTime":1505.64,"body":"King Jr., who comes across as"},{"speaker":"Charles Goldfarb","startTime":1505.64,"endTime":1508.49,"body":"one of those spontaneous"},{"speaker":"Charles Goldfarb","startTime":1505.64,"endTime":1508.49,"body":"speakers that could say anything"},{"speaker":"Charles Goldfarb","startTime":1508.49,"endTime":1511.94,"body":"and make it sound beautiful. But"},{"speaker":"Charles Goldfarb","startTime":1508.49,"endTime":1511.94,"body":"there was much practice that was"},{"speaker":"Charles Goldfarb","startTime":1511.94,"endTime":1515.12,"body":"behind that I Have a Dream"},{"speaker":"Charles Goldfarb","startTime":1511.94,"endTime":1515.12,"body":"speech, etc. I'll tell you my"},{"speaker":"Charles Goldfarb","startTime":1515.12,"endTime":1519.74,"body":"personal story of when I learned"},{"speaker":"Charles Goldfarb","startTime":1515.12,"endTime":1519.74,"body":"to practice to focus my"},{"speaker":"Charles Goldfarb","startTime":1519.74,"endTime":1523.25,"body":"delivery. And if there's any of"},{"speaker":"Charles Goldfarb","startTime":1519.74,"endTime":1523.25,"body":"our current residents listening,"},{"speaker":"Charles Goldfarb","startTime":1523.61,"endTime":1527.24,"body":"hopefully, a touch of this will"},{"speaker":"Charles Goldfarb","startTime":1523.61,"endTime":1527.24,"body":"resonate. But when I was so when"},{"speaker":"Charles Goldfarb","startTime":1527.24,"endTime":1531.08,"body":"I was a fourth year and a fifth"},{"speaker":"Charles Goldfarb","startTime":1527.24,"endTime":1531.08,"body":"year resident, I was fortunate"},{"speaker":"Charles Goldfarb","startTime":1531.08,"endTime":1534.65,"body":"enough to do the hand rotation,"},{"speaker":"Charles Goldfarb","startTime":1531.08,"endTime":1534.65,"body":"by a fluke of need in the in the"},{"speaker":"Charles Goldfarb","startTime":1534.65,"endTime":1537.92,"body":"department, I volunteered to do"},{"speaker":"Charles Goldfarb","startTime":1534.65,"endTime":1537.92,"body":"it twice. And that was back in"},{"speaker":"Charles Goldfarb","startTime":1537.92,"endTime":1540.71,"body":"the day, there was a little more"},{"speaker":"Charles Goldfarb","startTime":1537.92,"endTime":1540.71,"body":"heat and a little more"},{"speaker":"Charles Goldfarb","startTime":1540.71,"endTime":1545.0,"body":"expectation for our anatomy"},{"speaker":"Charles Goldfarb","startTime":1540.71,"endTime":1545.0,"body":"sessions. And it was a 100% from"},{"speaker":"Charles Goldfarb","startTime":1545.0,"endTime":1550.22,"body":"memory, and had better be Word"},{"speaker":"Charles Goldfarb","startTime":1545.0,"endTime":1550.22,"body":"Perfect. And I spent hours"},{"speaker":"Charles Goldfarb","startTime":1550.31,"endTime":1554.36,"body":"preparing each of those. And"},{"speaker":"Charles Goldfarb","startTime":1550.31,"endTime":1554.36,"body":"they were, every week, we had an"},{"speaker":"Charles Goldfarb","startTime":1554.57,"endTime":1559.01,"body":"we had an anatomy session. And I"},{"speaker":"Charles Goldfarb","startTime":1554.57,"endTime":1559.01,"body":"practiced and practice in the"},{"speaker":"Charles Goldfarb","startTime":1559.01,"endTime":1562.04,"body":"shower in front of my wife, I"},{"speaker":"Charles Goldfarb","startTime":1559.01,"endTime":1562.04,"body":"mean, not in a shower and in"},{"speaker":"Charles Goldfarb","startTime":1562.04,"endTime":1565.67,"body":"front of my wife, but in the"},{"speaker":"Charles Goldfarb","startTime":1562.04,"endTime":1565.67,"body":"shower, or my wife. I was"},{"speaker":"Charles Goldfarb","startTime":1565.67,"endTime":1569.42,"body":"constantly practicing, it was"},{"speaker":"Charles Goldfarb","startTime":1565.67,"endTime":1569.42,"body":"something and I got better."},{"speaker":"Chris Dy","startTime":1570.26,"endTime":1573.11,"body":"Well, I mean, I think"},{"speaker":"Chris Dy","startTime":1570.26,"endTime":1573.11,"body":"that, you know, when, when the"},{"speaker":"Chris Dy","startTime":1573.11,"endTime":1576.68,"body":"stakes are high, you know, I've"},{"speaker":"Chris Dy","startTime":1573.11,"endTime":1576.68,"body":"we've talked a little bit about"},{"speaker":"Chris Dy","startTime":1576.68,"endTime":1580.07,"body":"my feelings about the"},{"speaker":"Chris Dy","startTime":1576.68,"endTime":1580.07,"body":"fellowship, and I got the much"},{"speaker":"Chris Dy","startTime":1580.07,"endTime":1584.75,"body":"softer end of things. And when,"},{"speaker":"Chris Dy","startTime":1580.07,"endTime":1584.75,"body":"when you're in training, the"},{"speaker":"Chris Dy","startTime":1584.75,"endTime":1587.84,"body":"stakes, right, the expectations"},{"speaker":"Chris Dy","startTime":1584.75,"endTime":1587.84,"body":"are high. And you don't want to"},{"speaker":"Chris Dy","startTime":1587.87,"endTime":1591.38,"body":"you don't want to get it wrong."},{"speaker":"Chris Dy","startTime":1587.87,"endTime":1591.38,"body":"And I remember even as a fellow"},{"speaker":"Chris Dy","startTime":1591.38,"endTime":1594.14,"body":"here watching the residents give"},{"speaker":"Chris Dy","startTime":1591.38,"endTime":1594.14,"body":"what I call it that point their"},{"speaker":"Chris Dy","startTime":1594.14,"endTime":1598.76,"body":"recital, you could tell the ones"},{"speaker":"Chris Dy","startTime":1594.14,"endTime":1598.76,"body":"that had put in the time, and"},{"speaker":"Chris Dy","startTime":1598.76,"endTime":1601.49,"body":"honestly, at the end of the day,"},{"speaker":"Chris Dy","startTime":1598.76,"endTime":1601.49,"body":"I'm sure that they learn the"},{"speaker":"Chris Dy","startTime":1601.49,"endTime":1604.31,"body":"material quite well. The next"},{"speaker":"Chris Dy","startTime":1601.49,"endTime":1604.31,"body":"step is then learning why it's"},{"speaker":"Chris Dy","startTime":1604.31,"endTime":1606.95,"body":"important to memorize those"},{"speaker":"Chris Dy","startTime":1604.31,"endTime":1606.95,"body":"things and recite them in a"},{"speaker":"Chris Dy","startTime":1606.95,"endTime":1611.39,"body":"certain way. I should say that"},{"speaker":"Chris Dy","startTime":1606.95,"endTime":1611.39,"body":"along the way, in my residency"},{"speaker":"Chris Dy","startTime":1611.39,"endTime":1614.45,"body":"training, one of the"},{"speaker":"Chris Dy","startTime":1611.39,"endTime":1614.45,"body":"expectations was to give a lot"},{"speaker":"Chris Dy","startTime":1614.45,"endTime":1617.45,"body":"of presentations, whether that"},{"speaker":"Chris Dy","startTime":1614.45,"endTime":1617.45,"body":"was something as routine as"},{"speaker":"Chris Dy","startTime":1617.45,"endTime":1620.84,"body":"indications conference, but also"},{"speaker":"Chris Dy","startTime":1617.45,"endTime":1620.84,"body":"giving indications without also"},{"speaker":"Chris Dy","startTime":1620.84,"endTime":1625.1,"body":"giving say like a 15 minute talk"},{"speaker":"Chris Dy","startTime":1620.84,"endTime":1625.1,"body":"on a random topic. And it was"},{"speaker":"Chris Dy","startTime":1625.1,"endTime":1628.25,"body":"usually the paid service that"},{"speaker":"Chris Dy","startTime":1625.1,"endTime":1628.25,"body":"was the most notorious for"},{"speaker":"Chris Dy","startTime":1628.28,"endTime":1631.19,"body":"making you give a talk and it"},{"speaker":"Chris Dy","startTime":1628.28,"endTime":1631.19,"body":"was painful at the time. But it"},{"speaker":"Chris Dy","startTime":1631.19,"endTime":1633.83,"body":"was super, super helpful because"},{"speaker":"Chris Dy","startTime":1631.19,"endTime":1633.83,"body":"you learn how to synthesize"},{"speaker":"Chris Dy","startTime":1633.83,"endTime":1637.01,"body":"information, you learn how to"},{"speaker":"Chris Dy","startTime":1633.83,"endTime":1637.01,"body":"make slides. And oftentimes,"},{"speaker":"Chris Dy","startTime":1637.01,"endTime":1639.47,"body":"like for example, on on our"},{"speaker":"Chris Dy","startTime":1637.01,"endTime":1639.47,"body":"trauma service, you would have"},{"speaker":"Chris Dy","startTime":1639.47,"endTime":1643.49,"body":"to do kind of the the cases, you"},{"speaker":"Chris Dy","startTime":1639.47,"endTime":1643.49,"body":"know, the pre op post Ops, but"},{"speaker":"Chris Dy","startTime":1643.49,"endTime":1645.92,"body":"then there was also like a 45"},{"speaker":"Chris Dy","startTime":1643.49,"endTime":1645.92,"body":"minute lecture that you had to"},{"speaker":"Chris Dy","startTime":1645.92,"endTime":1649.16,"body":"give every month in which you"},{"speaker":"Chris Dy","startTime":1645.92,"endTime":1649.16,"body":"truly learned a topic, well"},{"speaker":"Chris Dy","startTime":1649.22,"endTime":1653.87,"body":"figured out how you operate as a"},{"speaker":"Chris Dy","startTime":1649.22,"endTime":1653.87,"body":"as a speaker, which I think you"},{"speaker":"Chris Dy","startTime":1653.87,"endTime":1657.32,"body":"know, was probably not the"},{"speaker":"Chris Dy","startTime":1653.87,"endTime":1657.32,"body":"intention of the rotation. But"},{"speaker":"Chris Dy","startTime":1657.32,"endTime":1658.91,"body":"it was a certainly a nice"},{"speaker":"Chris Dy","startTime":1657.32,"endTime":1658.91,"body":"benefit."},{"speaker":"Charles Goldfarb","startTime":1659.51,"endTime":1661.55,"body":"I think what"},{"speaker":"Charles Goldfarb","startTime":1659.51,"endTime":1661.55,"body":"you said is very true. And I"},{"speaker":"Charles Goldfarb","startTime":1661.55,"endTime":1663.8,"body":"think that is really an"},{"speaker":"Charles Goldfarb","startTime":1661.55,"endTime":1663.8,"body":"important lesson for all the"},{"speaker":"Charles Goldfarb","startTime":1663.8,"endTime":1667.76,"body":"trainees that, yes, these are"},{"speaker":"Charles Goldfarb","startTime":1663.8,"endTime":1667.76,"body":"asks in a training program or in"},{"speaker":"Charles Goldfarb","startTime":1667.76,"endTime":1671.87,"body":"a fellowship program. But you"},{"speaker":"Charles Goldfarb","startTime":1667.76,"endTime":1671.87,"body":"will get benefit from each of"},{"speaker":"Charles Goldfarb","startTime":1671.87,"endTime":1676.46,"body":"these efforts in knowledge, in"},{"speaker":"Charles Goldfarb","startTime":1671.87,"endTime":1676.46,"body":"skills. And we had to give in my"},{"speaker":"Charles Goldfarb","startTime":1676.46,"endTime":1680.63,"body":"fellowship, we had to give a"},{"speaker":"Charles Goldfarb","startTime":1676.46,"endTime":1680.63,"body":"presentation every week. And so"},{"speaker":"Charles Goldfarb","startTime":1680.63,"endTime":1683.12,"body":"we put together a PowerPoint for"},{"speaker":"Charles Goldfarb","startTime":1680.63,"endTime":1683.12,"body":"a presentation every week. And"},{"speaker":"Charles Goldfarb","startTime":1683.12,"endTime":1687.08,"body":"yes, it was torture, but it is"},{"speaker":"Charles Goldfarb","startTime":1683.12,"endTime":1687.08,"body":"much better. PowerPoint"},{"speaker":"Charles Goldfarb","startTime":1687.26,"endTime":1690.68,"body":"presentation builder, much"},{"speaker":"Charles Goldfarb","startTime":1687.26,"endTime":1690.68,"body":"faster, much more efficient, and"},{"speaker":"Charles Goldfarb","startTime":1690.68,"endTime":1692.75,"body":"can really put things together"},{"speaker":"Charles Goldfarb","startTime":1690.68,"endTime":1692.75,"body":"quickly, which has served me"},{"speaker":"Charles Goldfarb","startTime":1692.75,"endTime":1695.87,"body":"well for many years. And so"},{"speaker":"Charles Goldfarb","startTime":1692.75,"endTime":1695.87,"body":"there's a lot of good to come"},{"speaker":"Charles Goldfarb","startTime":1695.87,"endTime":1699.35,"body":"out of it. You want to switch"},{"speaker":"Charles Goldfarb","startTime":1695.87,"endTime":1699.35,"body":"over to the Anderson article."},{"speaker":"Chris Dy","startTime":1700.19,"endTime":1701.93,"body":"Sure, yeah, I think"},{"speaker":"Chris Dy","startTime":1700.19,"endTime":1701.93,"body":"we've kind of been sprinkling in"},{"speaker":"Chris Dy","startTime":1701.93,"endTime":1704.51,"body":"some of the Anderson stuff along"},{"speaker":"Chris Dy","startTime":1701.93,"endTime":1704.51,"body":"the way. I mean, I think the"},{"speaker":"Chris Dy","startTime":1704.51,"endTime":1706.64,"body":"biggest thing I took away from"},{"speaker":"Chris Dy","startTime":1704.51,"endTime":1706.64,"body":"the Anderson article is"},{"speaker":"Chris Dy","startTime":1706.64,"endTime":1710.39,"body":"something that I've learned"},{"speaker":"Chris Dy","startTime":1706.64,"endTime":1710.39,"body":"along the way, in my short"},{"speaker":"Chris Dy","startTime":1710.39,"endTime":1714.59,"body":"career is to tell a story. You"},{"speaker":"Chris Dy","startTime":1710.39,"endTime":1714.59,"body":"know, and it's it's, you know,"},{"speaker":"Chris Dy","startTime":1714.59,"endTime":1718.31,"body":"good talk will make people"},{"speaker":"Chris Dy","startTime":1714.59,"endTime":1718.31,"body":"think, and you don't necessarily"},{"speaker":"Chris Dy","startTime":1718.31,"endTime":1721.52,"body":"need to have them come to the"},{"speaker":"Chris Dy","startTime":1718.31,"endTime":1721.52,"body":"conclusions and that you have"},{"speaker":"Chris Dy","startTime":1721.52,"endTime":1727.31,"body":"intended. But telling a story"},{"speaker":"Chris Dy","startTime":1721.52,"endTime":1727.31,"body":"will will will allow you to take"},{"speaker":"Chris Dy","startTime":1727.31,"endTime":1731.93,"body":"them on the journey. You know,"},{"speaker":"Chris Dy","startTime":1727.31,"endTime":1731.93,"body":"if you do it right, it can show"},{"speaker":"Chris Dy","startTime":1731.93,"endTime":1735.26,"body":"them kind of why you are for"},{"speaker":"Chris Dy","startTime":1731.93,"endTime":1735.26,"body":"example, like I gave the talk on"},{"speaker":"Chris Dy","startTime":1735.29,"endTime":1738.65,"body":"brachial plexus and the work"},{"speaker":"Chris Dy","startTime":1735.29,"endTime":1738.65,"body":"that we've done. And the first"},{"speaker":"Chris Dy","startTime":1738.65,"endTime":1743.3,"body":"portion of that talk was mainly"},{"speaker":"Chris Dy","startTime":1738.65,"endTime":1743.3,"body":"about kind of showing a case,"},{"speaker":"Chris Dy","startTime":1743.57,"endTime":1745.94,"body":"showing something that I thought"},{"speaker":"Chris Dy","startTime":1743.57,"endTime":1745.94,"body":"was an amazing technical"},{"speaker":"Chris Dy","startTime":1745.94,"endTime":1748.43,"body":"outcome, and then showing how"},{"speaker":"Chris Dy","startTime":1745.94,"endTime":1748.43,"body":"the patient really didn't like"},{"speaker":"Chris Dy","startTime":1748.43,"endTime":1751.7,"body":"it, and then launching that"},{"speaker":"Chris Dy","startTime":1748.43,"endTime":1751.7,"body":"using that as a segue into kind"},{"speaker":"Chris Dy","startTime":1751.7,"endTime":1755.3,"body":"of why we're studying what we're"},{"speaker":"Chris Dy","startTime":1751.7,"endTime":1755.3,"body":"studying in our you know,"},{"speaker":"Chris Dy","startTime":1755.3,"endTime":1759.05,"body":"brachial plexus clinical"},{"speaker":"Chris Dy","startTime":1755.3,"endTime":1759.05,"body":"research lab. And I think that,"},{"speaker":"Chris Dy","startTime":1759.08,"endTime":1761.54,"body":"you know, people were able to"},{"speaker":"Chris Dy","startTime":1759.08,"endTime":1761.54,"body":"follow along with that I got a"},{"speaker":"Chris Dy","startTime":1761.54,"endTime":1764.99,"body":"couple of notes from a lot of"},{"speaker":"Chris Dy","startTime":1761.54,"endTime":1764.99,"body":"people that I respect, kind of"},{"speaker":"Chris Dy","startTime":1764.99,"endTime":1768.92,"body":"saying how that story worked out"},{"speaker":"Chris Dy","startTime":1764.99,"endTime":1768.92,"body":"really well. And I had not"},{"speaker":"Chris Dy","startTime":1768.92,"endTime":1772.67,"body":"really used the story a whole"},{"speaker":"Chris Dy","startTime":1768.92,"endTime":1772.67,"body":"lot in many presentations. So I"},{"speaker":"Chris Dy","startTime":1772.67,"endTime":1775.07,"body":"don't know how often you know,"},{"speaker":"Chris Dy","startTime":1772.67,"endTime":1775.07,"body":"you have the opportunity to do"},{"speaker":"Chris Dy","startTime":1775.07,"endTime":1778.07,"body":"that with a longer kind of talk"},{"speaker":"Chris Dy","startTime":1775.07,"endTime":1778.07,"body":"but it certainly captures"},{"speaker":"Chris Dy","startTime":1778.07,"endTime":1781.76,"body":"people's attention and engages"},{"speaker":"Chris Dy","startTime":1778.07,"endTime":1781.76,"body":"them a lot more."},{"speaker":"Charles Goldfarb","startTime":1782.12,"endTime":1783.8,"body":"Yeah, all"},{"speaker":"Charles Goldfarb","startTime":1782.12,"endTime":1783.8,"body":"well. First of all, I don't know"},{"speaker":"Charles Goldfarb","startTime":1783.8,"endTime":1786.41,"body":"if I said to you directly, but"},{"speaker":"Charles Goldfarb","startTime":1783.8,"endTime":1786.41,"body":"your talk was spectacular. And"},{"speaker":"Charles Goldfarb","startTime":1786.41,"endTime":1789.74,"body":"you really achieved your goal of"},{"speaker":"Charles Goldfarb","startTime":1786.41,"endTime":1789.74,"body":"telling a story about your"},{"speaker":"Charles Goldfarb","startTime":1789.74,"endTime":1793.16,"body":"research while imparting really"},{"speaker":"Charles Goldfarb","startTime":1789.74,"endTime":1793.16,"body":"important lessons and so it was"},{"speaker":"Charles Goldfarb","startTime":1793.16,"endTime":1795.23,"body":"really really well done. I don't"},{"speaker":"Charles Goldfarb","startTime":1793.16,"endTime":1795.23,"body":"know if we I don't know if"},{"speaker":"Charles Goldfarb","startTime":1795.23,"endTime":1798.23,"body":"that's on YouTube, but we you"},{"speaker":"Charles Goldfarb","startTime":1795.23,"endTime":1798.23,"body":"would. People would love that"},{"speaker":"Charles Goldfarb","startTime":1798.23,"endTime":1800.42,"body":"and then certainly there's"},{"speaker":"Charles Goldfarb","startTime":1798.23,"endTime":1800.42,"body":"different venues That's another"},{"speaker":"Charles Goldfarb","startTime":1800.42,"endTime":1804.65,"body":"story. I think it's harder to do"},{"speaker":"Charles Goldfarb","startTime":1800.42,"endTime":1804.65,"body":"over zoom. It's harder to"},{"speaker":"Charles Goldfarb","startTime":1804.65,"endTime":1809.36,"body":"connect with your audience. But"},{"speaker":"Charles Goldfarb","startTime":1804.65,"endTime":1809.36,"body":"really with it again, not a"},{"speaker":"Charles Goldfarb","startTime":1809.36,"endTime":1812.63,"body":"scientific presentation, not"},{"speaker":"Charles Goldfarb","startTime":1809.36,"endTime":1812.63,"body":"even some of this symposium type"},{"speaker":"Charles Goldfarb","startTime":1812.63,"endTime":1816.11,"body":"presentations, different kinds"},{"speaker":"Charles Goldfarb","startTime":1812.63,"endTime":1816.11,"body":"of presentation, to tell, tell a"},{"speaker":"Charles Goldfarb","startTime":1816.11,"endTime":1820.88,"body":"story, tell your story. It's"},{"speaker":"Charles Goldfarb","startTime":1816.11,"endTime":1820.88,"body":"just an opportunity. I love what"},{"speaker":"Charles Goldfarb","startTime":1820.88,"endTime":1825.86,"body":"Anderson said about nerves, no"},{"speaker":"Charles Goldfarb","startTime":1820.88,"endTime":1825.86,"body":"matter how good you are at this"},{"speaker":"Charles Goldfarb","startTime":1825.89,"endTime":1829.13,"body":"tokay to have nerves, because in"},{"speaker":"Charles Goldfarb","startTime":1825.89,"endTime":1829.13,"body":"some ways, it does help you is"},{"speaker":"Charles Goldfarb","startTime":1829.13,"endTime":1831.5,"body":"one example of something that"},{"speaker":"Charles Goldfarb","startTime":1829.13,"endTime":1831.5,"body":"helps connect you to your"},{"speaker":"Charles Goldfarb","startTime":1831.5,"endTime":1832.13,"body":"audience."},{"speaker":"Chris Dy","startTime":1832.9,"endTime":1835.51,"body":"We talked a little bit"},{"speaker":"Chris Dy","startTime":1832.9,"endTime":1835.51,"body":"about the Amy Cuddy in the"},{"speaker":"Chris Dy","startTime":1835.51,"endTime":1840.22,"body":"episode about the ASHT, upcoming"},{"speaker":"Chris Dy","startTime":1835.51,"endTime":1840.22,"body":"meeting and the power posing."},{"speaker":"Chris Dy","startTime":1840.76,"endTime":1843.4,"body":"You know, I think whatever it"},{"speaker":"Chris Dy","startTime":1840.76,"endTime":1843.4,"body":"takes for you to feel confident,"},{"speaker":"Chris Dy","startTime":1843.46,"endTime":1846.94,"body":"and to manage your own nerves,"},{"speaker":"Chris Dy","startTime":1843.46,"endTime":1846.94,"body":"you got to do it. And that's"},{"speaker":"Chris Dy","startTime":1846.94,"endTime":1849.7,"body":"different for everybody. But I"},{"speaker":"Chris Dy","startTime":1846.94,"endTime":1849.7,"body":"think part of it is"},{"speaker":"Chris Dy","startTime":1849.7,"endTime":1851.59,"body":"acknowledging the fact that"},{"speaker":"Chris Dy","startTime":1849.7,"endTime":1851.59,"body":"you're going to be nervous and"},{"speaker":"Chris Dy","startTime":1851.59,"endTime":1854.38,"body":"channel that energy into"},{"speaker":"Chris Dy","startTime":1851.59,"endTime":1854.38,"body":"something that'll be productive."},{"speaker":"Chris Dy","startTime":1854.38,"endTime":1856.87,"body":"And unfortunately, it tends to"},{"speaker":"Chris Dy","startTime":1854.38,"endTime":1856.87,"body":"be a bit of a trial and error,"},{"speaker":"Chris Dy","startTime":1857.26,"endTime":1858.34,"body":"kind of situation."},{"speaker":"Charles Goldfarb","startTime":1859.13,"endTime":1862.4,"body":"Yeah,"},{"speaker":"Charles Goldfarb","startTime":1859.13,"endTime":1862.4,"body":"absolutely. Right. I think one"},{"speaker":"Charles Goldfarb","startTime":1862.4,"endTime":1865.64,"body":"of the, you know, this is a"},{"speaker":"Charles Goldfarb","startTime":1862.4,"endTime":1865.64,"body":"little cliche, and maybe a"},{"speaker":"Charles Goldfarb","startTime":1865.64,"endTime":1870.11,"body":"little, not in our field, but I"},{"speaker":"Charles Goldfarb","startTime":1865.64,"endTime":1870.11,"body":"love the quote, which reads, a"},{"speaker":"Charles Goldfarb","startTime":1870.11,"endTime":1873.05,"body":"successful talk is a little"},{"speaker":"Charles Goldfarb","startTime":1870.11,"endTime":1873.05,"body":"miracle people see the world"},{"speaker":"Charles Goldfarb","startTime":1873.08,"endTime":1877.46,"body":"differently afterward, which is"},{"speaker":"Charles Goldfarb","startTime":1873.08,"endTime":1877.46,"body":"really powerful. And again, he"},{"speaker":"Charles Goldfarb","startTime":1877.49,"endTime":1880.13,"body":"was you had many goals in the"},{"speaker":"Charles Goldfarb","startTime":1877.49,"endTime":1880.13,"body":"talk that you gave to our"},{"speaker":"Charles Goldfarb","startTime":1880.13,"endTime":1883.58,"body":"department. And but part of it"},{"speaker":"Charles Goldfarb","startTime":1880.13,"endTime":1883.58,"body":"certainly was telling your"},{"speaker":"Charles Goldfarb","startTime":1883.58,"endTime":1887.48,"body":"story. But part of it, I hope,"},{"speaker":"Charles Goldfarb","startTime":1883.58,"endTime":1887.48,"body":"and assume was to potentially"},{"speaker":"Charles Goldfarb","startTime":1887.48,"endTime":1891.95,"body":"inspire our trainee to see a"},{"speaker":"Charles Goldfarb","startTime":1887.48,"endTime":1891.95,"body":"problem, and how to tackle it"},{"speaker":"Charles Goldfarb","startTime":1891.95,"endTime":1895.55,"body":"from different angles. And so"},{"speaker":"Charles Goldfarb","startTime":1891.95,"endTime":1895.55,"body":"that has just great potential to"},{"speaker":"Charles Goldfarb","startTime":1895.55,"endTime":1899.54,"body":"make medicine better, and give"},{"speaker":"Charles Goldfarb","startTime":1895.55,"endTime":1899.54,"body":"the residents a little"},{"speaker":"Charles Goldfarb","startTime":1899.54,"endTime":1902.78,"body":"something. And so while it's a"},{"speaker":"Charles Goldfarb","startTime":1899.54,"endTime":1902.78,"body":"little cliche for our world, it"},{"speaker":"Charles Goldfarb","startTime":1902.78,"endTime":1904.04,"body":"can absolutely be true."},{"speaker":"Chris Dy","startTime":1904.9,"endTime":1908.02,"body":"I'm working on getting"},{"speaker":"Chris Dy","startTime":1904.9,"endTime":1908.02,"body":"that talk up to YouTube, I have"},{"speaker":"Chris Dy","startTime":1908.02,"endTime":1911.29,"body":"to find a way to blur out the"},{"speaker":"Chris Dy","startTime":1908.02,"endTime":1911.29,"body":"patient face that's on there,"},{"speaker":"Chris Dy","startTime":1911.41,"endTime":1914.2,"body":"who, you know, he gave us"},{"speaker":"Chris Dy","startTime":1911.41,"endTime":1914.2,"body":"permission to use it locally."},{"speaker":"Chris Dy","startTime":1914.62,"endTime":1916.6,"body":"But before it goes out there, I"},{"speaker":"Chris Dy","startTime":1914.62,"endTime":1916.6,"body":"want to make sure that we're on"},{"speaker":"Chris Dy","startTime":1916.6,"endTime":1919.33,"body":"the up and up with that. But"},{"speaker":"Chris Dy","startTime":1916.6,"endTime":1919.33,"body":"yeah, that's you know, I"},{"speaker":"Chris Dy","startTime":1919.33,"endTime":1922.12,"body":"remember seeing presentations"},{"speaker":"Chris Dy","startTime":1919.33,"endTime":1922.12,"body":"from visiting professors before"},{"speaker":"Chris Dy","startTime":1922.12,"endTime":1926.11,"body":"who I got inspired by and you"},{"speaker":"Chris Dy","startTime":1922.12,"endTime":1926.11,"body":"know, I listen to a lot of,"},{"speaker":"Chris Dy","startTime":1926.41,"endTime":1929.98,"body":"there are a lot of a lot of"},{"speaker":"Chris Dy","startTime":1926.41,"endTime":1929.98,"body":"areas in our field in"},{"speaker":"Chris Dy","startTime":1929.98,"endTime":1932.59,"body":"orthopedics, plastic surgery,"},{"speaker":"Chris Dy","startTime":1929.98,"endTime":1932.59,"body":"hand surgery, neurosurgery,"},{"speaker":"Chris Dy","startTime":1932.59,"endTime":1936.7,"body":"nerve surgery, where there are a"},{"speaker":"Chris Dy","startTime":1932.59,"endTime":1936.7,"body":"lot of questions that can be"},{"speaker":"Chris Dy","startTime":1936.7,"endTime":1939.07,"body":"answered. And all it takes is an"},{"speaker":"Chris Dy","startTime":1936.7,"endTime":1939.07,"body":"interesting question. And I"},{"speaker":"Chris Dy","startTime":1939.07,"endTime":1942.52,"body":"learned a lot from one of my"},{"speaker":"Chris Dy","startTime":1939.07,"endTime":1942.52,"body":"mentors at HSS, Scott Wolfe, who"},{"speaker":"Chris Dy","startTime":1942.82,"endTime":1946.03,"body":"was trying to scratch the"},{"speaker":"Chris Dy","startTime":1942.82,"endTime":1946.03,"body":"surface on this question about"},{"speaker":"Chris Dy","startTime":1946.03,"endTime":1949.21,"body":"how to improve outcomes for"},{"speaker":"Chris Dy","startTime":1946.03,"endTime":1949.21,"body":"brachial plexus injury patients."},{"speaker":"Chris Dy","startTime":1949.21,"endTime":1952.45,"body":"And he was kind enough to let me"},{"speaker":"Chris Dy","startTime":1949.21,"endTime":1952.45,"body":"run with it. You know, and I"},{"speaker":"Chris Dy","startTime":1952.45,"endTime":1955.33,"body":"think some of it is just kind of"},{"speaker":"Chris Dy","startTime":1952.45,"endTime":1955.33,"body":"letting the idea grow into being"},{"speaker":"Chris Dy","startTime":1955.33,"endTime":1961.15,"body":"your own, you know, seeing it as"},{"speaker":"Chris Dy","startTime":1955.33,"endTime":1961.15,"body":"an issue. And I think that if"},{"speaker":"Chris Dy","startTime":1961.15,"endTime":1963.88,"body":"there was a trainee that was"},{"speaker":"Chris Dy","startTime":1961.15,"endTime":1963.88,"body":"able to pick up on that, and"},{"speaker":"Chris Dy","startTime":1963.88,"endTime":1965.86,"body":"think of, you know, well, why"},{"speaker":"Chris Dy","startTime":1963.88,"endTime":1965.86,"body":"don't I approach it this way,"},{"speaker":"Chris Dy","startTime":1965.86,"endTime":1968.95,"body":"maybe that was, you know, a good"},{"speaker":"Chris Dy","startTime":1965.86,"endTime":1968.95,"body":"thing for them. And hopefully,"},{"speaker":"Chris Dy","startTime":1969.55,"endTime":1970.63,"body":"it resonated so."},{"speaker":"Charles Goldfarb","startTime":1971.5,"endTime":1973.06,"body":"Yeah, and"},{"speaker":"Charles Goldfarb","startTime":1971.5,"endTime":1973.06,"body":"let's be clear, we recognize"},{"speaker":"Charles Goldfarb","startTime":1973.06,"endTime":1977.44,"body":"that many in the audience are"},{"speaker":"Charles Goldfarb","startTime":1973.06,"endTime":1977.44,"body":"not going to give big, powerful"},{"speaker":"Charles Goldfarb","startTime":1977.44,"endTime":1980.68,"body":"career presentations or anything"},{"speaker":"Charles Goldfarb","startTime":1977.44,"endTime":1980.68,"body":"like that. But I would argue"},{"speaker":"Charles Goldfarb","startTime":1980.68,"endTime":1983.71,"body":"strongly that if you are"},{"speaker":"Charles Goldfarb","startTime":1980.68,"endTime":1983.71,"body":"presenting to the local therapy"},{"speaker":"Charles Goldfarb","startTime":1983.71,"endTime":1987.01,"body":"group, or you're presenting to"},{"speaker":"Charles Goldfarb","startTime":1983.71,"endTime":1987.01,"body":"high school students, which are"},{"speaker":"Charles Goldfarb","startTime":1987.01,"endTime":1989.44,"body":"like, ah, whatever, I'll throw a"},{"speaker":"Charles Goldfarb","startTime":1987.01,"endTime":1989.44,"body":"talk together for some high"},{"speaker":"Charles Goldfarb","startTime":1989.44,"endTime":1993.34,"body":"school students. But you know,"},{"speaker":"Charles Goldfarb","startTime":1989.44,"endTime":1993.34,"body":"what, you may change someone's"},{"speaker":"Charles Goldfarb","startTime":1993.34,"endTime":1996.22,"body":"life. And that sounds a little"},{"speaker":"Charles Goldfarb","startTime":1993.34,"endTime":1996.22,"body":"corny. But if you're talking"},{"speaker":"Charles Goldfarb","startTime":1996.22,"endTime":1998.05,"body":"about your high school students"},{"speaker":"Charles Goldfarb","startTime":1996.22,"endTime":1998.05,"body":"telling you about why you've"},{"speaker":"Charles Goldfarb","startTime":1998.05,"endTime":2001.26,"body":"chosen medicine or hand surgery,"},{"speaker":"Charles Goldfarb","startTime":1998.05,"endTime":2001.26,"body":"and what you've been able to"},{"speaker":"Charles Goldfarb","startTime":2001.26,"endTime":2005.31,"body":"accomplish, it really is a"},{"speaker":"Charles Goldfarb","startTime":2001.26,"endTime":2005.31,"body":"powerful opportunity. So I love"},{"speaker":"Charles Goldfarb","startTime":2005.31,"endTime":2008.61,"body":"both of these articles. And they"},{"speaker":"Charles Goldfarb","startTime":2005.31,"endTime":2008.61,"body":"were fun to read."},{"speaker":"Chris Dy","startTime":2009.6,"endTime":2011.55,"body":"I mean, to bring it to"},{"speaker":"Chris Dy","startTime":2009.6,"endTime":2011.55,"body":"a close. I mean, I think that,"},{"speaker":"Chris Dy","startTime":2012.66,"endTime":2015.54,"body":"you know, when when we're giving"},{"speaker":"Chris Dy","startTime":2012.66,"endTime":2015.54,"body":"presentations on a topic, for"},{"speaker":"Chris Dy","startTime":2015.54,"endTime":2018.45,"body":"example, distal radius"},{"speaker":"Chris Dy","startTime":2015.54,"endTime":2018.45,"body":"fractures, we all love cases, we"},{"speaker":"Chris Dy","startTime":2018.45,"endTime":2021.24,"body":"love cases, more than just, you"},{"speaker":"Chris Dy","startTime":2018.45,"endTime":2021.24,"body":"know, cases that will illustrate"},{"speaker":"Chris Dy","startTime":2021.24,"endTime":2024.3,"body":"certain points about how to"},{"speaker":"Chris Dy","startTime":2021.24,"endTime":2024.3,"body":"evaluate, you know, patients"},{"speaker":"Chris Dy","startTime":2024.3,"endTime":2026.91,"body":"radiographs, how to think about"},{"speaker":"Chris Dy","startTime":2024.3,"endTime":2026.91,"body":"treatment strategies, as opposed"},{"speaker":"Chris Dy","startTime":2026.91,"endTime":2030.63,"body":"to just, you know, here is the"},{"speaker":"Chris Dy","startTime":2026.91,"endTime":2030.63,"body":"literature. If you can find a"},{"speaker":"Chris Dy","startTime":2030.63,"endTime":2035.01,"body":"way to tie cases, you know,"},{"speaker":"Chris Dy","startTime":2030.63,"endTime":2035.01,"body":"together so that you you can"},{"speaker":"Chris Dy","startTime":2035.01,"endTime":2038.43,"body":"string together the same points."},{"speaker":"Chris Dy","startTime":2035.01,"endTime":2038.43,"body":"That's a better talk to me. So"},{"speaker":"Chris Dy","startTime":2038.43,"endTime":2040.65,"body":"for a lot of times, residents"},{"speaker":"Chris Dy","startTime":2038.43,"endTime":2040.65,"body":"will be asked to give a talk on"},{"speaker":"Chris Dy","startTime":2040.65,"endTime":2044.46,"body":"say, balloon a for set fractures"},{"speaker":"Chris Dy","startTime":2040.65,"endTime":2044.46,"body":"or when to use a door sustaining"},{"speaker":"Chris Dy","startTime":2044.46,"endTime":2047.19,"body":"plate, if you can find cases"},{"speaker":"Chris Dy","startTime":2044.46,"endTime":2047.19,"body":"that are illustrative that is"},{"speaker":"Chris Dy","startTime":2047.19,"endTime":2050.76,"body":"the orthopedic or medical"},{"speaker":"Chris Dy","startTime":2047.19,"endTime":2050.76,"body":"version of a story."},{"speaker":"Charles Goldfarb","startTime":2051.42,"endTime":2053.97,"body":"Yeah, that's"},{"speaker":"Charles Goldfarb","startTime":2051.42,"endTime":2053.97,"body":"right. And I'll tell you again,"},{"speaker":"Charles Goldfarb","startTime":2053.97,"endTime":2056.76,"body":"we should close but I'll tell"},{"speaker":"Charles Goldfarb","startTime":2053.97,"endTime":2056.76,"body":"you that when I was a resident,"},{"speaker":"Charles Goldfarb","startTime":2056.76,"endTime":2061.26,"body":"we transition from the concept"},{"speaker":"Charles Goldfarb","startTime":2056.76,"endTime":2061.26,"body":"of a resident or fellow"},{"speaker":"Charles Goldfarb","startTime":2061.26,"endTime":2064.17,"body":"presentation or quote unquote,"},{"speaker":"Charles Goldfarb","startTime":2061.26,"endTime":2064.17,"body":"Grand Rounds, which"},{"speaker":"Charles Goldfarb","startTime":2064.17,"endTime":2067.47,"body":"traditionally had been a bunch"},{"speaker":"Charles Goldfarb","startTime":2064.17,"endTime":2067.47,"body":"of slides which a bunch which"},{"speaker":"Charles Goldfarb","startTime":2067.53,"endTime":2071.67,"body":"with a bunch of words, it took"},{"speaker":"Charles Goldfarb","startTime":2067.53,"endTime":2071.67,"body":"years for Dr. Gelberman to"},{"speaker":"Charles Goldfarb","startTime":2071.73,"endTime":2076.95,"body":"imprint his preference on us."},{"speaker":"Charles Goldfarb","startTime":2071.73,"endTime":2076.95,"body":"That would be case based, and"},{"speaker":"Charles Goldfarb","startTime":2076.98,"endTime":2080.64,"body":"have four or five cases on the"},{"speaker":"Charles Goldfarb","startTime":2076.98,"endTime":2080.64,"body":"volar lunate facet or some type"},{"speaker":"Charles Goldfarb","startTime":2080.64,"endTime":2083.79,"body":"of specialized distal radius"},{"speaker":"Charles Goldfarb","startTime":2080.64,"endTime":2083.79,"body":"fracture, it is so much more"},{"speaker":"Charles Goldfarb","startTime":2083.79,"endTime":2087.42,"body":"impactful and Gosh, it's true."},{"speaker":"Charles Goldfarb","startTime":2083.79,"endTime":2087.42,"body":"And I like how, what you said"},{"speaker":"Charles Goldfarb","startTime":2087.45,"endTime":2091.89,"body":"that that is our surgical world,"},{"speaker":"Charles Goldfarb","startTime":2087.45,"endTime":2091.89,"body":"our medical world of the"},{"speaker":"Charles Goldfarb","startTime":2091.89,"endTime":2093.66,"body":"powerful presentation."},{"speaker":"Chris Dy","startTime":2094.23,"endTime":2096.15,"body":"Alright, so now"},{"speaker":"Chris Dy","startTime":2094.23,"endTime":2096.15,"body":"everybody's ready to go give a"},{"speaker":"Chris Dy","startTime":2096.15,"endTime":2101.4,"body":"talk or presentation or a case"},{"speaker":"Chris Dy","startTime":2096.15,"endTime":2101.4,"body":"series and hope We'll see. You"},{"speaker":"Chris Dy","startTime":2101.4,"endTime":2104.37,"body":"guys can share your pointers"},{"speaker":"Chris Dy","startTime":2101.4,"endTime":2104.37,"body":"with us and let us know what"},{"speaker":"Chris Dy","startTime":2104.37,"endTime":2105.12,"body":"works for you."},{"speaker":"Charles Goldfarb","startTime":2105.63,"endTime":2107.79,"body":"Please do."},{"speaker":"Charles Goldfarb","startTime":2105.63,"endTime":2107.79,"body":"Alright Chris, this was fun."},{"speaker":"Chris Dy","startTime":2108.48,"endTime":2109.29,"body":"See you next week."},{"speaker":"Charles Goldfarb","startTime":2109.74,"endTime":2113.31,"body":"All right."},{"speaker":"Charles Goldfarb","startTime":2109.74,"endTime":2113.31,"body":"Hey, Chris. That was fun. Let's"},{"speaker":"Charles Goldfarb","startTime":2113.31,"endTime":2114.24,"body":"do it again real soon."},{"speaker":"Chris Dy","startTime":2114.51,"endTime":2117.03,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":2114.51,"endTime":2117.03,"body":"sure to check us out on Twitter"},{"speaker":"Chris Dy","startTime":2117.24,"endTime":2119.43,"body":"@Handpodcast. Hey, Chuck, what's"},{"speaker":"Chris Dy","startTime":2117.24,"endTime":2119.43,"body":"your Twitter handle?"},{"speaker":"Charles Goldfarb","startTime":2119.76,"endTime":2122.64,"body":"Mine is"},{"speaker":"Charles Goldfarb","startTime":2119.76,"endTime":2122.64,"body":"@congenitalhand. What about you?"},{"speaker":"Chris Dy","startTime":2122.79,"endTime":2126.15,"body":"Mine is @ChrisDyMD"},{"speaker":"Chris Dy","startTime":2122.79,"endTime":2126.15,"body":"spelled d y. And if you'd like"},{"speaker":"Chris Dy","startTime":2126.15,"endTime":2129.96,"body":"to email us, you can reach us at"},{"speaker":"Chris Dy","startTime":2126.15,"endTime":2129.96,"body":"hand podcast@gmail.com."},{"speaker":"Charles Goldfarb","startTime":2130.57,"endTime":2132.73,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":2130.57,"endTime":2132.73,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":2132.73,"endTime":2133.81,"body":"get your podcast"},{"speaker":"Chris Dy","startTime":2133.839,"endTime":2136.059,"body":"and be sure to leave a"},{"speaker":"Chris Dy","startTime":2133.839,"endTime":2136.059,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":2136.059,"endTime":2136.449,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":2136.84,"endTime":2139.15,"body":"Special thanks"},{"speaker":"Charles Goldfarb","startTime":2136.84,"endTime":2139.15,"body":"to Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":2139.15,"endTime":2143.14,"body":"music. And remember, keep the"},{"speaker":"Charles Goldfarb","startTime":2139.15,"endTime":2143.14,"body":"upper hand. Come back next time."}]}