{"version":"1.0.0","segments":[{"speaker":"Charles Goldfarb","startTime":10.8,"endTime":13.35,"body":"Welcome to the"},{"speaker":"Charles Goldfarb","startTime":10.8,"endTime":13.35,"body":"upper hand, where Chuck and"},{"speaker":"Charles Goldfarb","startTime":13.35,"endTime":14.49,"body":"Chris talk hand surgery."},{"speaker":"Chris Dy","startTime":14.72,"endTime":16.58,"body":"We are two hand"},{"speaker":"Chris Dy","startTime":14.72,"endTime":16.58,"body":"surgeons at Washington"},{"speaker":"Chris Dy","startTime":16.58,"endTime":19.67,"body":"University in St. Louis here to"},{"speaker":"Chris Dy","startTime":16.58,"endTime":19.67,"body":"talk about all aspects of hand"},{"speaker":"Chris Dy","startTime":19.67,"endTime":21.5,"body":"surgery from technical to"},{"speaker":"Chris Dy","startTime":19.67,"endTime":21.5,"body":"personal."},{"speaker":"Charles Goldfarb","startTime":22.07,"endTime":24.35,"body":"Thank you for"},{"speaker":"Charles Goldfarb","startTime":22.07,"endTime":24.35,"body":"subscribing wherever you get"},{"speaker":"Charles Goldfarb","startTime":24.35,"endTime":25.25,"body":"your podcasts."},{"speaker":"Chris Dy","startTime":25.46,"endTime":27.68,"body":"And be sure to leave a"},{"speaker":"Chris Dy","startTime":25.46,"endTime":27.68,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":27.68,"endTime":28.22,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":29.09,"endTime":30.17,"body":"Oh, hey,"},{"speaker":"Charles Goldfarb","startTime":29.09,"endTime":30.17,"body":"Chris."},{"speaker":"Chris Dy","startTime":30.44,"endTime":31.52,"body":"Hey, Chuck, how are"},{"speaker":"Chris Dy","startTime":30.44,"endTime":31.52,"body":"you?"},{"speaker":"Charles Goldfarb","startTime":31.86,"endTime":33.6,"body":"I'm doing"},{"speaker":"Charles Goldfarb","startTime":31.86,"endTime":33.6,"body":"really well. What about you?"},{"speaker":"Chris Dy","startTime":33.96,"endTime":35.85,"body":"I'm doing well. We're"},{"speaker":"Chris Dy","startTime":33.96,"endTime":35.85,"body":"trying to thread the needle"},{"speaker":"Chris Dy","startTime":35.85,"endTime":39.75,"body":"here. We have a period of time"},{"speaker":"Chris Dy","startTime":35.85,"endTime":39.75,"body":"in which my children are playing"},{"speaker":"Chris Dy","startTime":39.75,"endTime":42.81,"body":"downstairs, my wife is not home."},{"speaker":"Chris Dy","startTime":39.75,"endTime":42.81,"body":"And we're gonna see if we can do"},{"speaker":"Chris Dy","startTime":42.81,"endTime":46.11,"body":"a podcast. You know, we'll see"},{"speaker":"Chris Dy","startTime":42.81,"endTime":46.11,"body":"how it goes."},{"speaker":"Charles Goldfarb","startTime":46.59,"endTime":49.56,"body":"I have faith,"},{"speaker":"Charles Goldfarb","startTime":46.59,"endTime":49.56,"body":"I have faith. Let's see."},{"speaker":"Chris Dy","startTime":50.71,"endTime":53.32,"body":"So we've been getting"},{"speaker":"Chris Dy","startTime":50.71,"endTime":53.32,"body":"some great emails from"},{"speaker":"Chris Dy","startTime":53.32,"endTime":57.28,"body":"everybody, and they're super"},{"speaker":"Chris Dy","startTime":53.32,"endTime":57.28,"body":"appreciated. So one thing that I"},{"speaker":"Chris Dy","startTime":57.28,"endTime":61.33,"body":"would love to share is a"},{"speaker":"Chris Dy","startTime":57.28,"endTime":61.33,"body":"question from a listener. His"},{"speaker":"Chris Dy","startTime":61.33,"endTime":65.62,"body":"name is Matt Dubiel. So Dr."},{"speaker":"Chris Dy","startTime":61.33,"endTime":65.62,"body":"Dubiel is a shoulder and elbow"},{"speaker":"Chris Dy","startTime":65.62,"endTime":68.41,"body":"orthopedic surgeon works at a"},{"speaker":"Chris Dy","startTime":65.62,"endTime":68.41,"body":"level one trauma center. He says"},{"speaker":"Chris Dy","startTime":68.41,"endTime":71.11,"body":"he got complex upper extremity"},{"speaker":"Chris Dy","startTime":68.41,"endTime":71.11,"body":"trauma and conduction in"},{"speaker":"Chris Dy","startTime":71.11,"endTime":73.69,"body":"conjunction to his elective"},{"speaker":"Chris Dy","startTime":71.11,"endTime":73.69,"body":"practice. From a hand"},{"speaker":"Chris Dy","startTime":73.69,"endTime":76.66,"body":"standpoint, he does triggers,"},{"speaker":"Chris Dy","startTime":73.69,"endTime":76.66,"body":"carpals, De Quervain's and basic"},{"speaker":"Chris Dy","startTime":76.66,"endTime":80.53,"body":"to more complex distal radius"},{"speaker":"Chris Dy","startTime":76.66,"endTime":80.53,"body":"fractures. Now their community"},{"speaker":"Chris Dy","startTime":80.53,"endTime":83.41,"body":"is in dire need of hand surgeons"},{"speaker":"Chris Dy","startTime":80.53,"endTime":83.41,"body":"and there are people that need"},{"speaker":"Chris Dy","startTime":83.41,"endTime":86.23,"body":"to cover hand call and their"},{"speaker":"Chris Dy","startTime":83.41,"endTime":86.23,"body":"hospitals currently floating the"},{"speaker":"Chris Dy","startTime":86.23,"endTime":89.65,"body":"idea of orthopods electing to be"},{"speaker":"Chris Dy","startTime":86.23,"endTime":89.65,"body":"part of the hand schedule."},{"speaker":"Chris Dy","startTime":89.68,"endTime":92.02,"body":"Hopefully you're getting paid to"},{"speaker":"Chris Dy","startTime":89.68,"endTime":92.02,"body":"do that, with the setup to"},{"speaker":"Chris Dy","startTime":92.02,"endTime":95.38,"body":"handoff more complex hand call"},{"speaker":"Chris Dy","startTime":92.02,"endTime":95.38,"body":"stuff to the hand trained"},{"speaker":"Chris Dy","startTime":95.38,"endTime":99.01,"body":"doctors, which are few"},{"speaker":"Chris Dy","startTime":95.38,"endTime":99.01,"body":"apparently. And he's thinking as"},{"speaker":"Chris Dy","startTime":99.01,"endTime":101.86,"body":"he's considering this. What are"},{"speaker":"Chris Dy","startTime":99.01,"endTime":101.86,"body":"your thoughts on this setup? And"},{"speaker":"Chris Dy","startTime":101.86,"endTime":105.01,"body":"what are the top five hand call"},{"speaker":"Chris Dy","startTime":101.86,"endTime":105.01,"body":"topics to brush up on? If this"},{"speaker":"Chris Dy","startTime":105.01,"endTime":107.74,"body":"is something I'm asked to do? Is"},{"speaker":"Chris Dy","startTime":105.01,"endTime":107.74,"body":"there a specific course you"},{"speaker":"Chris Dy","startTime":107.74,"endTime":110.47,"body":"would recommend attending? Matt"},{"speaker":"Chris Dy","startTime":107.74,"endTime":110.47,"body":"is little over three years in"},{"speaker":"Chris Dy","startTime":110.47,"endTime":114.46,"body":"practice and is willing to learn"},{"speaker":"Chris Dy","startTime":110.47,"endTime":114.46,"body":"to a point. So Matt, thank you"},{"speaker":"Chris Dy","startTime":114.46,"endTime":117.34,"body":"for that fantastic question. I"},{"speaker":"Chris Dy","startTime":114.46,"endTime":117.34,"body":"can see Chuck is actively"},{"speaker":"Chris Dy","startTime":117.34,"endTime":120.82,"body":"pondering it right now. And"},{"speaker":"Chris Dy","startTime":117.34,"endTime":120.82,"body":"Chuck, what are your thoughts?"},{"speaker":"Charles Goldfarb","startTime":121.74,"endTime":124.47,"body":"Well, first of"},{"speaker":"Charles Goldfarb","startTime":121.74,"endTime":124.47,"body":"all, Matt, it sounds like you're"},{"speaker":"Charles Goldfarb","startTime":124.5,"endTime":128.4,"body":"just trying to do the right"},{"speaker":"Charles Goldfarb","startTime":124.5,"endTime":128.4,"body":"thing for your community, which"},{"speaker":"Charles Goldfarb","startTime":128.4,"endTime":132.45,"body":"is obviously admirable. You"},{"speaker":"Charles Goldfarb","startTime":128.4,"endTime":132.45,"body":"know, I really do. I don't know"},{"speaker":"Charles Goldfarb","startTime":132.45,"endTime":136.71,"body":"the local situation. So it's a"},{"speaker":"Charles Goldfarb","startTime":132.45,"endTime":136.71,"body":"little unfair of me to comment,"},{"speaker":"Charles Goldfarb","startTime":136.71,"endTime":139.11,"body":"but you hate to hear about hand"},{"speaker":"Charles Goldfarb","startTime":136.71,"endTime":139.11,"body":"surgeons in the community that"},{"speaker":"Charles Goldfarb","startTime":139.44,"endTime":143.46,"body":"aren't taking call. There may be"},{"speaker":"Charles Goldfarb","startTime":139.44,"endTime":143.46,"body":"very good reasons for that. But"},{"speaker":"Charles Goldfarb","startTime":143.46,"endTime":147.6,"body":"as physicians, I strongly feel"},{"speaker":"Charles Goldfarb","startTime":143.46,"endTime":147.6,"body":"that we have a duty not just to"},{"speaker":"Charles Goldfarb","startTime":147.81,"endTime":151.26,"body":"work at a surgery center. But I"},{"speaker":"Charles Goldfarb","startTime":147.81,"endTime":151.26,"body":"think, again, I may ruffle some"},{"speaker":"Charles Goldfarb","startTime":151.26,"endTime":153.42,"body":"feathers with this comment. But"},{"speaker":"Charles Goldfarb","startTime":151.26,"endTime":153.42,"body":"I think we have a duty to our"},{"speaker":"Charles Goldfarb","startTime":153.42,"endTime":156.9,"body":"community. It has to be in the"},{"speaker":"Charles Goldfarb","startTime":153.42,"endTime":156.9,"body":"right situation. It has to be"},{"speaker":"Charles Goldfarb","startTime":157.11,"endTime":159.36,"body":"the hospitals have to take care"},{"speaker":"Charles Goldfarb","startTime":157.11,"endTime":159.36,"body":"of the physicians and the"},{"speaker":"Charles Goldfarb","startTime":159.36,"endTime":163.11,"body":"physicians have to take care of"},{"speaker":"Charles Goldfarb","startTime":159.36,"endTime":163.11,"body":"the patients. But I hope that"},{"speaker":"Charles Goldfarb","startTime":163.89,"endTime":167.91,"body":"there's a way to work this out."},{"speaker":"Charles Goldfarb","startTime":163.89,"endTime":167.91,"body":"But long story short, what of"},{"speaker":"Charles Goldfarb","startTime":167.91,"endTime":172.71,"body":"the what conditions would be"},{"speaker":"Charles Goldfarb","startTime":167.91,"endTime":172.71,"body":"tricky for a non hand surgeon to"},{"speaker":"Charles Goldfarb","startTime":172.71,"endTime":174.99,"body":"care for emergently? I think"},{"speaker":"Charles Goldfarb","startTime":172.71,"endTime":174.99,"body":"that's the heart of the"},{"speaker":"Charles Goldfarb","startTime":174.99,"endTime":176.76,"body":"question. Am I interpreting that"},{"speaker":"Charles Goldfarb","startTime":174.99,"endTime":176.76,"body":"correctly?"},{"speaker":"Chris Dy","startTime":177.48,"endTime":179.7,"body":"That's what it sounds"},{"speaker":"Chris Dy","startTime":177.48,"endTime":179.7,"body":"like, I sense a hot take coming"},{"speaker":"Chris Dy","startTime":179.7,"endTime":180.78,"body":"from Chuck Goldfarb here."},{"speaker":"Charles Goldfarb","startTime":180.96,"endTime":184.23,"body":"Yes. So here"},{"speaker":"Charles Goldfarb","startTime":180.96,"endTime":184.23,"body":"we go. Um, you know, I think"},{"speaker":"Charles Goldfarb","startTime":184.23,"endTime":188.55,"body":"that it's not really fair to"},{"speaker":"Charles Goldfarb","startTime":184.23,"endTime":188.55,"body":"expect a non hand surgeon to"},{"speaker":"Charles Goldfarb","startTime":188.55,"endTime":193.83,"body":"deal with the nerve or vascular"},{"speaker":"Charles Goldfarb","startTime":188.55,"endTime":193.83,"body":"issues. That could include"},{"speaker":"Charles Goldfarb","startTime":193.83,"endTime":197.13,"body":"things like replantation is,"},{"speaker":"Charles Goldfarb","startTime":193.83,"endTime":197.13,"body":"depending on the level of care"},{"speaker":"Charles Goldfarb","startTime":197.13,"endTime":201.24,"body":"provided at the hospital, it"},{"speaker":"Charles Goldfarb","startTime":197.13,"endTime":201.24,"body":"could include revascularisation,"},{"speaker":"Charles Goldfarb","startTime":201.27,"endTime":205.74,"body":"it could include, you know, deep"},{"speaker":"Charles Goldfarb","startTime":201.27,"endTime":205.74,"body":"lacerations of the forearm, I"},{"speaker":"Charles Goldfarb","startTime":205.74,"endTime":209.49,"body":"would not expect a non surgeon"},{"speaker":"Charles Goldfarb","startTime":205.74,"endTime":209.49,"body":"to repair the vessels, repair"},{"speaker":"Charles Goldfarb","startTime":209.49,"endTime":213.18,"body":"the nerves. And those are"},{"speaker":"Charles Goldfarb","startTime":209.49,"endTime":213.18,"body":"tricky. And even hand surgeons"},{"speaker":"Charles Goldfarb","startTime":213.18,"endTime":216.24,"body":"like myself, who don't do them"},{"speaker":"Charles Goldfarb","startTime":213.18,"endTime":216.24,"body":"all the time, might defer at"},{"speaker":"Charles Goldfarb","startTime":216.24,"endTime":219.21,"body":"times to someone like Chris, who"},{"speaker":"Charles Goldfarb","startTime":216.24,"endTime":219.21,"body":"does this type of work all the"},{"speaker":"Charles Goldfarb","startTime":219.21,"endTime":220.89,"body":"time. So that's where I would"},{"speaker":"Charles Goldfarb","startTime":219.21,"endTime":220.89,"body":"start."},{"speaker":"Chris Dy","startTime":221.64,"endTime":225.03,"body":"Do you do you think a"},{"speaker":"Chris Dy","startTime":221.64,"endTime":225.03,"body":"non hand surgeon should do the"},{"speaker":"Chris Dy","startTime":225.03,"endTime":226.95,"body":"tendons and a spaghetti wrist"},{"speaker":"Chris Dy","startTime":225.03,"endTime":226.95,"body":"for example?"},{"speaker":"Charles Goldfarb","startTime":226.0,"endTime":230.53,"body":"I don't, I"},{"speaker":"Charles Goldfarb","startTime":226.0,"endTime":230.53,"body":"don't, and I don't think they"},{"speaker":"Charles Goldfarb","startTime":230.53,"endTime":233.26,"body":"should do flexor tendons, it"},{"speaker":"Charles Goldfarb","startTime":230.53,"endTime":233.26,"body":"just doesn't make sense. There's"},{"speaker":"Charles Goldfarb","startTime":233.29,"endTime":237.31,"body":"too much of our training goes"},{"speaker":"Charles Goldfarb","startTime":233.29,"endTime":237.31,"body":"into that to perfecting those"},{"speaker":"Charles Goldfarb","startTime":237.31,"endTime":241.36,"body":"techniques. Now. It's not to say"},{"speaker":"Charles Goldfarb","startTime":237.31,"endTime":241.36,"body":"that they can't, and it's not to"},{"speaker":"Charles Goldfarb","startTime":241.36,"endTime":244.66,"body":"say if they had a wonderful"},{"speaker":"Charles Goldfarb","startTime":241.36,"endTime":244.66,"body":"residency experience. They're"},{"speaker":"Charles Goldfarb","startTime":244.66,"endTime":249.58,"body":"not, you know, qualified, but"},{"speaker":"Charles Goldfarb","startTime":244.66,"endTime":249.58,"body":"it's just why if you have hand"},{"speaker":"Charles Goldfarb","startTime":249.58,"endTime":253.51,"body":"surgeons that can do this. It"},{"speaker":"Charles Goldfarb","startTime":249.58,"endTime":253.51,"body":"really is that's a real hand"},{"speaker":"Charles Goldfarb","startTime":253.51,"endTime":254.74,"body":"surgeon case in my mind."},{"speaker":"Chris Dy","startTime":255.64,"endTime":256.96,"body":"What about"},{"speaker":"Chris Dy","startTime":255.64,"endTime":256.96,"body":"perilunates?"},{"speaker":"Charles Goldfarb","startTime":258.16,"endTime":261.19,"body":"Same answer, I"},{"speaker":"Charles Goldfarb","startTime":258.16,"endTime":261.19,"body":"think that is a hand surgeon"},{"speaker":"Charles Goldfarb","startTime":261.19,"endTime":265.27,"body":"case. I would argue that, you"},{"speaker":"Charles Goldfarb","startTime":261.19,"endTime":265.27,"body":"know, unless a non hand surgeon"},{"speaker":"Charles Goldfarb","startTime":265.27,"endTime":269.56,"body":"is doing a whole lot of wrist"},{"speaker":"Charles Goldfarb","startTime":265.27,"endTime":269.56,"body":"trauma. Scaphoids can be really"},{"speaker":"Charles Goldfarb","startTime":269.56,"endTime":274.48,"body":"tricky. And there's a lot to it."},{"speaker":"Charles Goldfarb","startTime":269.56,"endTime":274.48,"body":"And so scaphoids in my mind, in"},{"speaker":"Charles Goldfarb","startTime":274.48,"endTime":278.65,"body":"general, are a hand surgery"},{"speaker":"Charles Goldfarb","startTime":274.48,"endTime":278.65,"body":"case. ligament injuries about"},{"speaker":"Charles Goldfarb","startTime":278.65,"endTime":281.59,"body":"the wrist are a hand surgery"},{"speaker":"Charles Goldfarb","startTime":278.65,"endTime":281.59,"body":"case, I mean sure getting the"},{"speaker":"Charles Goldfarb","startTime":281.59,"endTime":285.25,"body":"initial reduction for a"},{"speaker":"Charles Goldfarb","startTime":281.59,"endTime":285.25,"body":"perilunate Absolutely. Any"},{"speaker":"Charles Goldfarb","startTime":285.25,"endTime":287.98,"body":"orthopedic surgeon or plastic"},{"speaker":"Charles Goldfarb","startTime":285.25,"endTime":287.98,"body":"surgeon or general surgeon can"},{"speaker":"Charles Goldfarb","startTime":287.98,"endTime":291.31,"body":"do that. But the final"},{"speaker":"Charles Goldfarb","startTime":287.98,"endTime":291.31,"body":"definitive fixation I think"},{"speaker":"Charles Goldfarb","startTime":291.31,"endTime":292.03,"body":"should be a hand surgeon."},{"speaker":"Chris Dy","startTime":294.58,"endTime":298.36,"body":"Now, can you think of"},{"speaker":"Chris Dy","startTime":294.58,"endTime":298.36,"body":"any other things that that one"},{"speaker":"Chris Dy","startTime":298.36,"endTime":302.32,"body":"sees on hand call this that"},{"speaker":"Chris Dy","startTime":298.36,"endTime":302.32,"body":"could clearly be fielded by a"},{"speaker":"Chris Dy","startTime":302.32,"endTime":305.17,"body":"seasoned orthopedic surgeon who"},{"speaker":"Chris Dy","startTime":302.32,"endTime":305.17,"body":"sounds like you know, Matt's"},{"speaker":"Chris Dy","startTime":305.2,"endTime":307.75,"body":"pretty good at complex elbow"},{"speaker":"Chris Dy","startTime":305.2,"endTime":307.75,"body":"trauma. I mean, that's something"},{"speaker":"Chris Dy","startTime":307.75,"endTime":309.88,"body":"I don't love doing. So if you"},{"speaker":"Chris Dy","startTime":307.75,"endTime":309.88,"body":"can do that you can, you can do"},{"speaker":"Chris Dy","startTime":309.88,"endTime":310.69,"body":"a lot of things."},{"speaker":"Charles Goldfarb","startTime":311.44,"endTime":313.33,"body":"Yeah, the"},{"speaker":"Charles Goldfarb","startTime":311.44,"endTime":313.33,"body":"other thing hand-wise I was"},{"speaker":"Charles Goldfarb","startTime":313.33,"endTime":315.79,"body":"thinking about fingertip"},{"speaker":"Charles Goldfarb","startTime":313.33,"endTime":315.79,"body":"amputations and you know,"},{"speaker":"Charles Goldfarb","startTime":315.79,"endTime":319.39,"body":"fingertip amputations. On the"},{"speaker":"Charles Goldfarb","startTime":315.79,"endTime":319.39,"body":"one hand, technically, there's"},{"speaker":"Charles Goldfarb","startTime":319.39,"endTime":322.6,"body":"not that much to it, right?"},{"speaker":"Charles Goldfarb","startTime":319.39,"endTime":322.6,"body":"Often it's the intern in the ER"},{"speaker":"Charles Goldfarb","startTime":322.6,"endTime":326.8,"body":"doing it. But that doesn't"},{"speaker":"Charles Goldfarb","startTime":322.6,"endTime":326.8,"body":"always lead to the best outcome."},{"speaker":"Charles Goldfarb","startTime":326.83,"endTime":331.06,"body":"And so I think, really taking"},{"speaker":"Charles Goldfarb","startTime":326.83,"endTime":331.06,"body":"care of the soft tissues is or"},{"speaker":"Charles Goldfarb","startTime":331.06,"endTime":334.51,"body":"can be tricky. But certainly, I"},{"speaker":"Charles Goldfarb","startTime":331.06,"endTime":334.51,"body":"think in the middle of the night"},{"speaker":"Charles Goldfarb","startTime":334.51,"endTime":338.83,"body":"for a simplistic fingertip"},{"speaker":"Charles Goldfarb","startTime":334.51,"endTime":338.83,"body":"amputation, that can be done by"},{"speaker":"Charles Goldfarb","startTime":338.83,"endTime":344.17,"body":"a generalist. And that's about"},{"speaker":"Charles Goldfarb","startTime":338.83,"endTime":344.17,"body":"all other soft tissue management"},{"speaker":"Charles Goldfarb","startTime":344.17,"endTime":346.87,"body":"problems can be managed"},{"speaker":"Charles Goldfarb","startTime":344.17,"endTime":346.87,"body":"overnight by anyone, and"},{"speaker":"Charles Goldfarb","startTime":346.87,"endTime":349.63,"body":"definitively managed by the hand"},{"speaker":"Charles Goldfarb","startTime":346.87,"endTime":349.63,"body":"surgeon in a delayed fashion."},{"speaker":"Charles Goldfarb","startTime":350.11,"endTime":353.47,"body":"And then I think the other"},{"speaker":"Charles Goldfarb","startTime":350.11,"endTime":353.47,"body":"question was, do I am I aware of"},{"speaker":"Charles Goldfarb","startTime":353.47,"endTime":357.01,"body":"a course that really focuses on"},{"speaker":"Charles Goldfarb","startTime":353.47,"endTime":357.01,"body":"these bread and butter type hand"},{"speaker":"Charles Goldfarb","startTime":357.01,"endTime":359.38,"body":"surgery issues? And I'm not."},{"speaker":"Chris Dy","startTime":360.5,"endTime":363.71,"body":"Okay, so we recently"},{"speaker":"Chris Dy","startTime":360.5,"endTime":363.71,"body":"had a great milestone, we talked"},{"speaker":"Chris Dy","startTime":363.71,"endTime":368.63,"body":"about it last week, but 100"},{"speaker":"Chris Dy","startTime":363.71,"endTime":368.63,"body":"episodes, and now 102 episodes,"},{"speaker":"Chris Dy","startTime":368.99,"endTime":372.5,"body":"and we're going to take a little"},{"speaker":"Chris Dy","startTime":368.99,"endTime":372.5,"body":"bit of a break. And we haven't"},{"speaker":"Chris Dy","startTime":372.5,"endTime":377.75,"body":"done that. So which is crazy,"},{"speaker":"Chris Dy","startTime":372.5,"endTime":377.75,"body":"we've gone ham, very hard for"},{"speaker":"Chris Dy","startTime":377.75,"endTime":381.77,"body":"over 100 weeks now, which is"},{"speaker":"Chris Dy","startTime":377.75,"endTime":381.77,"body":"crazy, but we're gonna take a"},{"speaker":"Chris Dy","startTime":381.77,"endTime":384.8,"body":"little bit of a break and"},{"speaker":"Chris Dy","startTime":381.77,"endTime":384.8,"body":"recharge on the podcast. It's"},{"speaker":"Chris Dy","startTime":384.8,"endTime":387.62,"body":"it's been fantastic along the"},{"speaker":"Chris Dy","startTime":384.8,"endTime":387.62,"body":"way. And, Chuck, do you have any"},{"speaker":"Chris Dy","startTime":387.62,"endTime":389.81,"body":"thoughts after 102 episodes?"},{"speaker":"Charles Goldfarb","startTime":390.47,"endTime":392.72,"body":"Yeah, well,"},{"speaker":"Charles Goldfarb","startTime":390.47,"endTime":392.72,"body":"I'm looking forward to a couple"},{"speaker":"Charles Goldfarb","startTime":392.72,"endTime":396.47,"body":"of weeks off. And the irony, of"},{"speaker":"Charles Goldfarb","startTime":392.72,"endTime":396.47,"body":"course, is that neither of us"},{"speaker":"Charles Goldfarb","startTime":396.47,"endTime":399.65,"body":"will probably take time off from"},{"speaker":"Charles Goldfarb","startTime":396.47,"endTime":399.65,"body":"thinking about the podcast, and"},{"speaker":"Charles Goldfarb","startTime":399.65,"endTime":403.04,"body":"we had talked about potentially"},{"speaker":"Charles Goldfarb","startTime":399.65,"endTime":403.04,"body":"working on a newsletter, but you"},{"speaker":"Charles Goldfarb","startTime":403.04,"endTime":406.37,"body":"know, there's no doubt when you"},{"speaker":"Charles Goldfarb","startTime":403.04,"endTime":406.37,"body":"and I get together and have the"},{"speaker":"Charles Goldfarb","startTime":406.4,"endTime":409.67,"body":"actual conversation, it's"},{"speaker":"Charles Goldfarb","startTime":406.4,"endTime":409.67,"body":"generally pretty fun, especially"},{"speaker":"Charles Goldfarb","startTime":409.67,"endTime":413.99,"body":"if we can avoid the late"},{"speaker":"Charles Goldfarb","startTime":409.67,"endTime":413.99,"body":"evenings. You know, my takeaways"},{"speaker":"Charles Goldfarb","startTime":413.99,"endTime":418.58,"body":"are number one, this is more"},{"speaker":"Charles Goldfarb","startTime":413.99,"endTime":418.58,"body":"impactful than I think I ever"},{"speaker":"Charles Goldfarb","startTime":418.58,"endTime":421.37,"body":"would have imagined, which is"},{"speaker":"Charles Goldfarb","startTime":418.58,"endTime":421.37,"body":"obviously why we continue to do"},{"speaker":"Charles Goldfarb","startTime":421.37,"endTime":428.69,"body":"it. Number two, it's more fun,"},{"speaker":"Charles Goldfarb","startTime":421.37,"endTime":428.69,"body":"most of the time than I ever"},{"speaker":"Charles Goldfarb","startTime":428.69,"endTime":433.61,"body":"thought it would be. And number"},{"speaker":"Charles Goldfarb","startTime":428.69,"endTime":433.61,"body":"three, it's hard work. It really"},{"speaker":"Charles Goldfarb","startTime":433.61,"endTime":434.93,"body":"is hard work."},{"speaker":"Chris Dy","startTime":435.62,"endTime":439.25,"body":"I 100% agree that it's"},{"speaker":"Chris Dy","startTime":435.62,"endTime":439.25,"body":"hard work, and that it is way"},{"speaker":"Chris Dy","startTime":439.28,"endTime":443.18,"body":"more impactful than I thought it"},{"speaker":"Chris Dy","startTime":439.28,"endTime":443.18,"body":"would be. You know, I let me"},{"speaker":"Chris Dy","startTime":443.18,"endTime":448.19,"body":"pull up the latest stats, but in"},{"speaker":"Chris Dy","startTime":443.18,"endTime":448.19,"body":"terms of, you know, the the week"},{"speaker":"Chris Dy","startTime":448.19,"endTime":451.4,"body":"to week downloads, and the"},{"speaker":"Chris Dy","startTime":448.19,"endTime":451.4,"body":"people listening and"},{"speaker":"Chris Dy","startTime":451.4,"endTime":454.22,"body":"subscribing. I mean, it's it's"},{"speaker":"Chris Dy","startTime":451.4,"endTime":454.22,"body":"pretty incredible. I mean, you"},{"speaker":"Chris Dy","startTime":454.22,"endTime":459.29,"body":"know, last week, we had 1844"},{"speaker":"Chris Dy","startTime":454.22,"endTime":459.29,"body":"downloads, and we're averaging"},{"speaker":"Chris Dy","startTime":459.29,"endTime":463.07,"body":"almost 1400 people subscribing"},{"speaker":"Chris Dy","startTime":459.29,"endTime":463.07,"body":"and listening every week, which"},{"speaker":"Chris Dy","startTime":463.07,"endTime":468.41,"body":"is crazy. It's far bigger reach"},{"speaker":"Chris Dy","startTime":463.07,"endTime":468.41,"body":"than I thought we would ever"},{"speaker":"Chris Dy","startTime":468.41,"endTime":473.42,"body":"have, especially this early on."},{"speaker":"Chris Dy","startTime":468.41,"endTime":473.42,"body":"And it's been beneficial in ways"},{"speaker":"Chris Dy","startTime":473.42,"endTime":479.36,"body":"that I honestly can't even fully"},{"speaker":"Chris Dy","startTime":473.42,"endTime":479.36,"body":"describe. And it's been fun. You"},{"speaker":"Chris Dy","startTime":479.36,"endTime":482.99,"body":"know, I think that it's allowed"},{"speaker":"Chris Dy","startTime":479.36,"endTime":482.99,"body":"us to communicate more, I think"},{"speaker":"Chris Dy","startTime":482.99,"endTime":486.11,"body":"I always tell people, one of the"},{"speaker":"Chris Dy","startTime":482.99,"endTime":486.11,"body":"advantages that the podcast has"},{"speaker":"Chris Dy","startTime":486.11,"endTime":488.84,"body":"had for me is that I get to talk"},{"speaker":"Chris Dy","startTime":486.11,"endTime":488.84,"body":"to the Executive Vice Chair once"},{"speaker":"Chris Dy","startTime":488.84,"endTime":491.27,"body":"a week, which is nice."},{"speaker":"Charles Goldfarb","startTime":491.33,"endTime":493.01,"body":"And I get to"},{"speaker":"Charles Goldfarb","startTime":491.33,"endTime":493.01,"body":"talk to the little people."},{"speaker":"Chris Dy","startTime":493.16,"endTime":496.22,"body":"Yeah, exactly, you get"},{"speaker":"Chris Dy","startTime":493.16,"endTime":496.22,"body":"you get to relate to those who"},{"speaker":"Chris Dy","startTime":496.22,"endTime":499.37,"body":"are, you know, boots on the"},{"speaker":"Chris Dy","startTime":496.22,"endTime":499.37,"body":"ground kind of situation. So you"},{"speaker":"Chris Dy","startTime":499.37,"endTime":502.34,"body":"get you keep your pulse on the"},{"speaker":"Chris Dy","startTime":499.37,"endTime":502.34,"body":"department by by touching base"},{"speaker":"Chris Dy","startTime":502.34,"endTime":505.94,"body":"with me once a week. It's been"},{"speaker":"Chris Dy","startTime":502.34,"endTime":505.94,"body":"fun, you know, again, we went"},{"speaker":"Chris Dy","startTime":505.94,"endTime":508.76,"body":"into it, not knowing how long"},{"speaker":"Chris Dy","startTime":505.94,"endTime":508.76,"body":"we're gonna do it. And it's been"},{"speaker":"Chris Dy","startTime":508.76,"endTime":512.87,"body":"basically two years, and I don't"},{"speaker":"Chris Dy","startTime":508.76,"endTime":512.87,"body":"see an end in sight. I'm sure"},{"speaker":"Chris Dy","startTime":512.87,"endTime":515.03,"body":"you've thought about it. I'm"},{"speaker":"Chris Dy","startTime":512.87,"endTime":515.03,"body":"sure you're thinking about your"},{"speaker":"Chris Dy","startTime":515.03,"endTime":518.69,"body":"exit strategy. But unlike other"},{"speaker":"Chris Dy","startTime":515.03,"endTime":518.69,"body":"things that I'm involved in, I"},{"speaker":"Chris Dy","startTime":518.69,"endTime":522.05,"body":"have not thought about when it's"},{"speaker":"Chris Dy","startTime":518.69,"endTime":522.05,"body":"going to be done. So at the very"},{"speaker":"Chris Dy","startTime":522.05,"endTime":524.03,"body":"least, we'll keep going for now."},{"speaker":"Charles Goldfarb","startTime":524.76,"endTime":526.74,"body":"Yeah, and just"},{"speaker":"Charles Goldfarb","startTime":524.76,"endTime":526.74,"body":"to be very clear, we're not"},{"speaker":"Charles Goldfarb","startTime":526.74,"endTime":532.02,"body":"taking six months off or taking"},{"speaker":"Charles Goldfarb","startTime":526.74,"endTime":532.02,"body":"two weeks off. But, you know, as"},{"speaker":"Charles Goldfarb","startTime":532.02,"endTime":535.53,"body":"I've said before, and my wife"},{"speaker":"Charles Goldfarb","startTime":532.02,"endTime":535.53,"body":"loves to say, you know, do the"},{"speaker":"Charles Goldfarb","startTime":535.53,"endTime":540.42,"body":"things that give you energy and"},{"speaker":"Charles Goldfarb","startTime":535.53,"endTime":540.42,"body":"make you smile. And there's no"},{"speaker":"Charles Goldfarb","startTime":540.42,"endTime":545.31,"body":"doubt that this is one of those."},{"speaker":"Charles Goldfarb","startTime":540.42,"endTime":545.31,"body":"And the stats also make me smile"},{"speaker":"Charles Goldfarb","startTime":545.31,"endTime":549.75,"body":"because we are still growing"},{"speaker":"Charles Goldfarb","startTime":545.31,"endTime":549.75,"body":"week over week, there are more"},{"speaker":"Charles Goldfarb","startTime":549.75,"endTime":553.68,"body":"regular downloads. And so that"},{"speaker":"Charles Goldfarb","startTime":549.75,"endTime":553.68,"body":"is remarkable. So a big thank"},{"speaker":"Charles Goldfarb","startTime":553.68,"endTime":555.9,"body":"you to all of you who are"},{"speaker":"Charles Goldfarb","startTime":553.68,"endTime":555.9,"body":"listeners."},{"speaker":"Chris Dy","startTime":556.5,"endTime":558.33,"body":"Absolutely. And we"},{"speaker":"Chris Dy","startTime":556.5,"endTime":558.33,"body":"love the feedback. We're"},{"speaker":"Chris Dy","startTime":558.33,"endTime":560.76,"body":"actually going to go into"},{"speaker":"Chris Dy","startTime":558.33,"endTime":560.76,"body":"another segment that was"},{"speaker":"Chris Dy","startTime":560.76,"endTime":565.89,"body":"suggested by Minnie, our OT"},{"speaker":"Chris Dy","startTime":560.76,"endTime":565.89,"body":"listener out at Stanford. But"},{"speaker":"Chris Dy","startTime":565.89,"endTime":568.56,"body":"the the segment suggestions have"},{"speaker":"Chris Dy","startTime":565.89,"endTime":568.56,"body":"been great. There are a few that"},{"speaker":"Chris Dy","startTime":568.56,"endTime":571.17,"body":"we're going to try out in"},{"speaker":"Chris Dy","startTime":568.56,"endTime":571.17,"body":"January and let us know what you"},{"speaker":"Chris Dy","startTime":571.17,"endTime":573.84,"body":"guys thought of half full, half"},{"speaker":"Chris Dy","startTime":571.17,"endTime":573.84,"body":"empty. I thought that was a"},{"speaker":"Chris Dy","startTime":573.84,"endTime":577.41,"body":"really fun episode to do. The"},{"speaker":"Chris Dy","startTime":573.84,"endTime":577.41,"body":"more podcasts other podcasts I"},{"speaker":"Chris Dy","startTime":577.41,"endTime":580.71,"body":"listened to I hear episode"},{"speaker":"Chris Dy","startTime":577.41,"endTime":580.71,"body":"segment ideas and I'm thinking"},{"speaker":"Chris Dy","startTime":580.71,"endTime":585.87,"body":"about how we can incorporate it"},{"speaker":"Chris Dy","startTime":580.71,"endTime":585.87,"body":"into our show. And I think those"},{"speaker":"Chris Dy","startTime":585.87,"endTime":588.21,"body":"are the things where if you have"},{"speaker":"Chris Dy","startTime":585.87,"endTime":588.21,"body":"other ideas please send them in"},{"speaker":"Chris Dy","startTime":588.21,"endTime":590.73,"body":"if you have questions clinical"},{"speaker":"Chris Dy","startTime":588.21,"endTime":590.73,"body":"or otherwise, please send them"},{"speaker":"Chris Dy","startTime":590.73,"endTime":590.94,"body":"in."},{"speaker":"Charles Goldfarb","startTime":591.51,"endTime":593.73,"body":"Totally agree."},{"speaker":"Charles Goldfarb","startTime":591.51,"endTime":593.73,"body":"Yeah, we are always I don't want"},{"speaker":"Charles Goldfarb","startTime":593.73,"endTime":596.94,"body":"to say experimenting and but"},{"speaker":"Charles Goldfarb","startTime":593.73,"endTime":596.94,"body":"we've done we've we've tried a"},{"speaker":"Charles Goldfarb","startTime":596.94,"endTime":599.7,"body":"lot of different things and we"},{"speaker":"Charles Goldfarb","startTime":596.94,"endTime":599.7,"body":"will go back to some of them"},{"speaker":"Charles Goldfarb","startTime":599.7,"endTime":603.27,"body":"again. It's just a matter of"},{"speaker":"Charles Goldfarb","startTime":599.7,"endTime":603.27,"body":"getting a strategy in place for"},{"speaker":"Charles Goldfarb","startTime":603.27,"endTime":604.77,"body":"maybe the next six months or"},{"speaker":"Charles Goldfarb","startTime":603.27,"endTime":604.77,"body":"something."},{"speaker":"Chris Dy","startTime":605.17,"endTime":607.66,"body":"Absolutely. And so"},{"speaker":"Chris Dy","startTime":605.17,"endTime":607.66,"body":"again, Matt, thank you for that"},{"speaker":"Chris Dy","startTime":608.08,"endTime":612.16,"body":"earlier question. And Minnie"},{"speaker":"Chris Dy","startTime":608.08,"endTime":612.16,"body":"thank you for these suggestions"},{"speaker":"Chris Dy","startTime":612.16,"endTime":615.52,"body":"that you've given us. And so we"},{"speaker":"Chris Dy","startTime":612.16,"endTime":615.52,"body":"talked last week about three"},{"speaker":"Chris Dy","startTime":615.52,"endTime":620.08,"body":"people that influenced our"},{"speaker":"Chris Dy","startTime":615.52,"endTime":620.08,"body":"careers. And the next one was"},{"speaker":"Chris Dy","startTime":620.08,"endTime":623.53,"body":"three patients or cases you will"},{"speaker":"Chris Dy","startTime":620.08,"endTime":623.53,"body":"never forget. And then three"},{"speaker":"Chris Dy","startTime":623.53,"endTime":626.17,"body":"things you would tell your"},{"speaker":"Chris Dy","startTime":623.53,"endTime":626.17,"body":"younger self. So why don't you"},{"speaker":"Chris Dy","startTime":626.17,"endTime":629.74,"body":"lead us off with a patient or a"},{"speaker":"Chris Dy","startTime":626.17,"endTime":629.74,"body":"case that you will never forget?"},{"speaker":"Charles Goldfarb","startTime":630.59,"endTime":633.74,"body":"It's funny I"},{"speaker":"Charles Goldfarb","startTime":630.59,"endTime":633.74,"body":"was I was listening to a podcast"},{"speaker":"Charles Goldfarb","startTime":633.74,"endTime":639.65,"body":"by a sports medicine surgeon."},{"speaker":"Charles Goldfarb","startTime":633.74,"endTime":639.65,"body":"And he appropriately said that"},{"speaker":"Charles Goldfarb","startTime":639.65,"endTime":643.28,"body":"most of the time you forget"},{"speaker":"Charles Goldfarb","startTime":639.65,"endTime":643.28,"body":"cases that go well, no matter"},{"speaker":"Charles Goldfarb","startTime":643.28,"endTime":646.73,"body":"how impactful they may have been"},{"speaker":"Charles Goldfarb","startTime":643.28,"endTime":646.73,"body":"at the time, once you remember"},{"speaker":"Charles Goldfarb","startTime":646.73,"endTime":650.75,"body":"the cases that don't go well,"},{"speaker":"Charles Goldfarb","startTime":646.73,"endTime":650.75,"body":"I'm sure that rings true for"},{"speaker":"Charles Goldfarb","startTime":650.75,"endTime":654.89,"body":"you. There have been sleepless"},{"speaker":"Charles Goldfarb","startTime":650.75,"endTime":654.89,"body":"nights, but are going to focus,"},{"speaker":"Charles Goldfarb","startTime":655.34,"endTime":658.25,"body":"in large part, I think, on the"},{"speaker":"Charles Goldfarb","startTime":655.34,"endTime":658.25,"body":"positive and I'll start and we"},{"speaker":"Charles Goldfarb","startTime":658.25,"endTime":661.64,"body":"should definitely go back and"},{"speaker":"Charles Goldfarb","startTime":658.25,"endTime":661.64,"body":"forth. I think the coolest case,"},{"speaker":"Charles Goldfarb","startTime":661.64,"endTime":664.28,"body":"and I hate to get technical and"},{"speaker":"Charles Goldfarb","startTime":661.64,"endTime":664.28,"body":"use the word cool. But the"},{"speaker":"Charles Goldfarb","startTime":664.28,"endTime":670.01,"body":"coolest case, I have done and"},{"speaker":"Charles Goldfarb","startTime":664.28,"endTime":670.01,"body":"this is public is a kid that"},{"speaker":"Charles Goldfarb","startTime":670.01,"endTime":674.54,"body":"came up from Guatemala, who had"},{"speaker":"Charles Goldfarb","startTime":670.01,"endTime":674.54,"body":"three arms. And I did this"},{"speaker":"Charles Goldfarb","startTime":674.54,"endTime":677.84,"body":"relatively early in my career. I"},{"speaker":"Charles Goldfarb","startTime":674.54,"endTime":677.84,"body":"did it with one of my mentors,"},{"speaker":"Charles Goldfarb","startTime":677.84,"endTime":681.32,"body":"as we discussed last episode,"},{"speaker":"Charles Goldfarb","startTime":677.84,"endTime":681.32,"body":"Paul Manske, but sort of I led"},{"speaker":"Charles Goldfarb","startTime":681.32,"endTime":685.22,"body":"the way. And this, what we did"},{"speaker":"Charles Goldfarb","startTime":681.32,"endTime":685.22,"body":"was one arm was normal, and the"},{"speaker":"Charles Goldfarb","startTime":685.22,"endTime":689.78,"body":"other side had two arms. And we"},{"speaker":"Charles Goldfarb","startTime":685.22,"endTime":689.78,"body":"essentially one of the arms had"},{"speaker":"Charles Goldfarb","startTime":689.81,"endTime":695.6,"body":"a humerus, and the other arm had"},{"speaker":"Charles Goldfarb","startTime":689.81,"endTime":695.6,"body":"an ulna with two fingers. And so"},{"speaker":"Charles Goldfarb","startTime":695.6,"endTime":700.13,"body":"we essentially and the second"},{"speaker":"Charles Goldfarb","startTime":695.6,"endTime":700.13,"body":"arm was lower down the thorax."},{"speaker":"Charles Goldfarb","startTime":700.37,"endTime":705.08,"body":"And so we raised the pedicle,"},{"speaker":"Charles Goldfarb","startTime":700.37,"endTime":705.08,"body":"including the vessel and the"},{"speaker":"Charles Goldfarb","startTime":705.08,"endTime":710.33,"body":"nerves for the lower arm, that"},{"speaker":"Charles Goldfarb","startTime":705.08,"endTime":710.33,"body":"is the distal arm, and we fused"},{"speaker":"Charles Goldfarb","startTime":710.33,"endTime":713.72,"body":"it to the humerus, kind of"},{"speaker":"Charles Goldfarb","startTime":710.33,"endTime":713.72,"body":"brought it around to the"},{"speaker":"Charles Goldfarb","startTime":713.72,"endTime":717.08,"body":"shoulder and fused it to the"},{"speaker":"Charles Goldfarb","startTime":713.72,"endTime":717.08,"body":"humerus. And it exceeded our"},{"speaker":"Charles Goldfarb","startTime":717.08,"endTime":722.48,"body":"expectations as far as function."},{"speaker":"Charles Goldfarb","startTime":717.08,"endTime":722.48,"body":"It's far from normal. But really"},{"speaker":"Charles Goldfarb","startTime":722.48,"endTime":725.42,"body":"a remarkable case and more"},{"speaker":"Charles Goldfarb","startTime":722.48,"endTime":725.42,"body":"importantly, a remarkable kid"},{"speaker":"Charles Goldfarb","startTime":725.93,"endTime":730.16,"body":"who has managed to stay in the"},{"speaker":"Charles Goldfarb","startTime":725.93,"endTime":730.16,"body":"US he came from very rural"},{"speaker":"Charles Goldfarb","startTime":730.16,"endTime":733.46,"body":"Guatemala. So I do get to see"},{"speaker":"Charles Goldfarb","startTime":730.16,"endTime":733.46,"body":"him periodically as to a"},{"speaker":"Charles Goldfarb","startTime":733.46,"endTime":736.52,"body":"wonderful organization called"},{"speaker":"Charles Goldfarb","startTime":733.46,"endTime":736.52,"body":"the world pediatric project. And"},{"speaker":"Charles Goldfarb","startTime":736.52,"endTime":739.79,"body":"I've worked with him for many,"},{"speaker":"Charles Goldfarb","startTime":736.52,"endTime":739.79,"body":"many years. But that case will"},{"speaker":"Charles Goldfarb","startTime":739.79,"endTime":743.78,"body":"always be special to me in a"},{"speaker":"Charles Goldfarb","startTime":739.79,"endTime":743.78,"body":"very positive way."},{"speaker":"Chris Dy","startTime":744.66,"endTime":747.724,"body":"What made it so"},{"speaker":"Chris Dy","startTime":744.66,"endTime":747.724,"body":"special? Was it the technical"},{"speaker":"Chris Dy","startTime":747.792,"endTime":752.151,"body":"coolness of it? Was it doing it"},{"speaker":"Chris Dy","startTime":747.792,"endTime":752.151,"body":"with Dr. Manske at that point in"},{"speaker":"Chris Dy","startTime":752.219,"endTime":756.033,"body":"your career? Or was it the"},{"speaker":"Chris Dy","startTime":752.219,"endTime":756.033,"body":"lasting impact that you think"},{"speaker":"Chris Dy","startTime":756.101,"endTime":759.03,"body":"you had on his life? Or all"},{"speaker":"Chris Dy","startTime":756.101,"endTime":759.03,"body":"three, I guess."},{"speaker":"Charles Goldfarb","startTime":758.66,"endTime":761.72,"body":"Yeah, I think"},{"speaker":"Charles Goldfarb","startTime":758.66,"endTime":761.72,"body":"all three, but it tell me if"},{"speaker":"Charles Goldfarb","startTime":761.72,"endTime":765.23,"body":"this rings true, part of what's"},{"speaker":"Charles Goldfarb","startTime":761.72,"endTime":765.23,"body":"fun is when you have something"},{"speaker":"Charles Goldfarb","startTime":765.23,"endTime":768.17,"body":"different in congenital brings"},{"speaker":"Charles Goldfarb","startTime":765.23,"endTime":768.17,"body":"that I think nerve surgery"},{"speaker":"Charles Goldfarb","startTime":768.17,"endTime":770.87,"body":"brings that. But when you have"},{"speaker":"Charles Goldfarb","startTime":768.17,"endTime":770.87,"body":"something different, and you"},{"speaker":"Charles Goldfarb","startTime":770.87,"endTime":774.8,"body":"come up with a plan, you don't"},{"speaker":"Charles Goldfarb","startTime":770.87,"endTime":774.8,"body":"really know if that plan will be"},{"speaker":"Charles Goldfarb","startTime":774.8,"endTime":777.8,"body":"executable and will work out"},{"speaker":"Charles Goldfarb","startTime":774.8,"endTime":777.8,"body":"exactly like you planned it."},{"speaker":"Charles Goldfarb","startTime":778.19,"endTime":783.35,"body":"This one did. And so it I think"},{"speaker":"Charles Goldfarb","startTime":778.19,"endTime":783.35,"body":"that's another reason why it has"},{"speaker":"Charles Goldfarb","startTime":783.35,"endTime":786.71,"body":"been so impactful. It just"},{"speaker":"Charles Goldfarb","startTime":783.35,"endTime":786.71,"body":"worked out better than I"},{"speaker":"Charles Goldfarb","startTime":786.86,"endTime":788.54,"body":"possibly could have expected it"},{"speaker":"Charles Goldfarb","startTime":786.86,"endTime":788.54,"body":"to."},{"speaker":"Chris Dy","startTime":789.14,"endTime":792.68,"body":"That's fantastic. You"},{"speaker":"Chris Dy","startTime":789.14,"endTime":792.68,"body":"know, you mentioned remembering"},{"speaker":"Chris Dy","startTime":792.68,"endTime":797.3,"body":"the cases that didn't go well."},{"speaker":"Chris Dy","startTime":792.68,"endTime":797.3,"body":"And you know, you're not going"},{"speaker":"Chris Dy","startTime":797.3,"endTime":800.09,"body":"to be surprised. I think the"},{"speaker":"Chris Dy","startTime":797.3,"endTime":800.09,"body":"three patients in cases I think"},{"speaker":"Chris Dy","startTime":800.09,"endTime":802.34,"body":"about are all Plexus related,"},{"speaker":"Chris Dy","startTime":800.09,"endTime":802.34,"body":"because those are the ones that"},{"speaker":"Chris Dy","startTime":802.34,"endTime":804.89,"body":"I spend a ton of time thinking"},{"speaker":"Chris Dy","startTime":802.34,"endTime":804.89,"body":"about. I mean, you could ask me,"},{"speaker":"Chris Dy","startTime":805.46,"endTime":808.52,"body":"you know, just first names of"},{"speaker":"Chris Dy","startTime":805.46,"endTime":808.52,"body":"Plexus patients as I do, we want"},{"speaker":"Chris Dy","startTime":808.52,"endTime":811.4,"body":"to talk to my research"},{"speaker":"Chris Dy","startTime":808.52,"endTime":811.4,"body":"coordinator in my in our OTs,"},{"speaker":"Chris Dy","startTime":811.43,"endTime":814.58,"body":"and I remember those patients"},{"speaker":"Chris Dy","startTime":811.43,"endTime":814.58,"body":"instantaneously, you asked me"},{"speaker":"Chris Dy","startTime":814.58,"endTime":817.07,"body":"about the ganglion, the patient"},{"speaker":"Chris Dy","startTime":814.58,"endTime":817.07,"body":"with a ganglion cyst that I"},{"speaker":"Chris Dy","startTime":817.07,"endTime":820.73,"body":"treated a month ago, blanks. And"},{"speaker":"Chris Dy","startTime":817.07,"endTime":820.73,"body":"even my MA knows that she's"},{"speaker":"Chris Dy","startTime":820.73,"endTime":823.43,"body":"like, you're not gonna remember"},{"speaker":"Chris Dy","startTime":820.73,"endTime":823.43,"body":"who this is, but and you know, I"},{"speaker":"Chris Dy","startTime":823.43,"endTime":825.41,"body":"don't think that's nothing"},{"speaker":"Chris Dy","startTime":823.43,"endTime":825.41,"body":"against you know, the doctor"},{"speaker":"Chris Dy","startTime":825.41,"endTime":827.45,"body":"patient relationship. It's just"},{"speaker":"Chris Dy","startTime":825.41,"endTime":827.45,"body":"a matter of the things that tend"},{"speaker":"Chris Dy","startTime":827.45,"endTime":831.77,"body":"to stick in our heads. And I"},{"speaker":"Chris Dy","startTime":827.45,"endTime":831.77,"body":"remember my very first pan"},{"speaker":"Chris Dy","startTime":831.77,"endTime":836.45,"body":"Plexus brachial plexus patient,"},{"speaker":"Chris Dy","startTime":831.77,"endTime":836.45,"body":"because, you know, they actually"},{"speaker":"Chris Dy","startTime":836.45,"endTime":841.55,"body":"set off an entire line of"},{"speaker":"Chris Dy","startTime":836.45,"endTime":841.55,"body":"thinking that was reinforced and"},{"speaker":"Chris Dy","startTime":841.55,"endTime":843.77,"body":"informed by you know, who"},{"speaker":"Chris Dy","startTime":841.55,"endTime":843.77,"body":"they're talking to. In our last"},{"speaker":"Chris Dy","startTime":843.77,"endTime":846.89,"body":"episode about mentors, Dr."},{"speaker":"Chris Dy","startTime":843.77,"endTime":846.89,"body":"Gelberman, and I was just"},{"speaker":"Chris Dy","startTime":846.89,"endTime":850.55,"body":"racking my brain as to why it"},{"speaker":"Chris Dy","startTime":846.89,"endTime":850.55,"body":"took so long for this patient to"},{"speaker":"Chris Dy","startTime":850.55,"endTime":854.78,"body":"get to me. They were misinformed"},{"speaker":"Chris Dy","startTime":850.55,"endTime":854.78,"body":"at their original treating"},{"speaker":"Chris Dy","startTime":854.78,"endTime":858.17,"body":"institution, which was several"},{"speaker":"Chris Dy","startTime":854.78,"endTime":858.17,"body":"states away and passed several"},{"speaker":"Chris Dy","startTime":858.62,"endTime":861.89,"body":"marquee institutions to come and"},{"speaker":"Chris Dy","startTime":858.62,"endTime":861.89,"body":"see little Oh, me and my first"},{"speaker":"Chris Dy","startTime":861.89,"endTime":865.7,"body":"year of practice, you know,"},{"speaker":"Chris Dy","startTime":861.89,"endTime":865.7,"body":"obviously came to WashU because"},{"speaker":"Chris Dy","startTime":865.7,"endTime":869.42,"body":"of the reputation at WashU has"},{"speaker":"Chris Dy","startTime":865.7,"endTime":869.42,"body":"for nerve and ended up with me,"},{"speaker":"Chris Dy","startTime":869.45,"endTime":872.87,"body":"and I think I took great care of"},{"speaker":"Chris Dy","startTime":869.45,"endTime":872.87,"body":"him. You know, but it was"},{"speaker":"Chris Dy","startTime":872.87,"endTime":876.29,"body":"striking to see how difficult it"},{"speaker":"Chris Dy","startTime":872.87,"endTime":876.29,"body":"was for him to get to me. And I"},{"speaker":"Chris Dy","startTime":876.29,"endTime":878.93,"body":"remember that part the most"},{"speaker":"Chris Dy","startTime":876.29,"endTime":878.93,"body":"because that led us on this"},{"speaker":"Chris Dy","startTime":878.93,"endTime":882.05,"body":"entire line of investigation"},{"speaker":"Chris Dy","startTime":878.93,"endTime":882.05,"body":"that ultimately has resulted in"},{"speaker":"Chris Dy","startTime":882.05,"endTime":886.37,"body":"the research program we have."},{"speaker":"Chris Dy","startTime":882.05,"endTime":886.37,"body":"And you know, what's also"},{"speaker":"Chris Dy","startTime":886.37,"endTime":889.37,"body":"striking to me is that I have"},{"speaker":"Chris Dy","startTime":886.37,"endTime":889.37,"body":"the good fortune of being part"},{"speaker":"Chris Dy","startTime":889.37,"endTime":892.49,"body":"of a great brachial plexus team"},{"speaker":"Chris Dy","startTime":889.37,"endTime":892.49,"body":"that includes, you know, our"},{"speaker":"Chris Dy","startTime":892.49,"endTime":897.14,"body":"microsurgical and microvascular"},{"speaker":"Chris Dy","startTime":892.49,"endTime":897.14,"body":"expert, David Brogan, and our"},{"speaker":"Chris Dy","startTime":897.14,"endTime":899.51,"body":"strategy now would probably be"},{"speaker":"Chris Dy","startTime":897.14,"endTime":899.51,"body":"different, mainly because we"},{"speaker":"Chris Dy","startTime":899.51,"endTime":903.5,"body":"have access To, to doing things"},{"speaker":"Chris Dy","startTime":899.51,"endTime":903.5,"body":"like free functioning muscle"},{"speaker":"Chris Dy","startTime":903.5,"endTime":905.78,"body":"transfers, and they're a huge"},{"speaker":"Chris Dy","startTime":903.5,"endTime":905.78,"body":"deal in terms of surgery, but"},{"speaker":"Chris Dy","startTime":905.78,"endTime":908.12,"body":"it's not that huge of a deal to"},{"speaker":"Chris Dy","startTime":905.78,"endTime":908.12,"body":"ask David to do a free"},{"speaker":"Chris Dy","startTime":908.12,"endTime":911.21,"body":"functioning muscle. I mean, you"},{"speaker":"Chris Dy","startTime":908.12,"endTime":911.21,"body":"know, it's it's a big lift from"},{"speaker":"Chris Dy","startTime":911.21,"endTime":913.43,"body":"a technical perspective and a"},{"speaker":"Chris Dy","startTime":911.21,"endTime":913.43,"body":"resource perspective, but it's"},{"speaker":"Chris Dy","startTime":913.43,"endTime":916.76,"body":"not like it's the first one he's"},{"speaker":"Chris Dy","startTime":913.43,"endTime":916.76,"body":"ever done. And, you know, that"},{"speaker":"Chris Dy","startTime":916.76,"endTime":918.98,"body":"opened up a whole new"},{"speaker":"Chris Dy","startTime":916.76,"endTime":918.98,"body":"perspective when he came on"},{"speaker":"Chris Dy","startTime":918.98,"endTime":922.82,"body":"board and brought that, that"},{"speaker":"Chris Dy","startTime":918.98,"endTime":922.82,"body":"experience. So I think that he"},{"speaker":"Chris Dy","startTime":922.82,"endTime":928.31,"body":"that patient is, is remarkable"},{"speaker":"Chris Dy","startTime":922.82,"endTime":928.31,"body":"and memorable to me, because I"},{"speaker":"Chris Dy","startTime":928.31,"endTime":931.13,"body":"think we would have treated them"},{"speaker":"Chris Dy","startTime":928.31,"endTime":931.13,"body":"a little bit differently now. If"},{"speaker":"Chris Dy","startTime":931.13,"endTime":933.26,"body":"we had if he came today, for"},{"speaker":"Chris Dy","startTime":931.13,"endTime":933.26,"body":"example."},{"speaker":"Charles Goldfarb","startTime":934.5,"endTime":938.64,"body":"Yeah, that's"},{"speaker":"Charles Goldfarb","startTime":934.5,"endTime":938.64,"body":"super interesting. Yeah, you"},{"speaker":"Charles Goldfarb","startTime":938.64,"endTime":941.55,"body":"Well, I think we're both"},{"speaker":"Charles Goldfarb","startTime":938.64,"endTime":941.55,"body":"fortunate to work with really"},{"speaker":"Charles Goldfarb","startTime":941.55,"endTime":945.93,"body":"strong teams. And that in and of"},{"speaker":"Charles Goldfarb","startTime":941.55,"endTime":945.93,"body":"itself is one of the reasons"},{"speaker":"Charles Goldfarb","startTime":945.93,"endTime":950.25,"body":"we're both grateful to be where"},{"speaker":"Charles Goldfarb","startTime":945.93,"endTime":950.25,"body":"we are for sure. So my second"},{"speaker":"Charles Goldfarb","startTime":950.25,"endTime":957.75,"body":"case, is in the sports arena."},{"speaker":"Charles Goldfarb","startTime":950.25,"endTime":957.75,"body":"And early on, I had the pleasure"},{"speaker":"Charles Goldfarb","startTime":957.75,"endTime":962.22,"body":"of working with the St. Louis"},{"speaker":"Charles Goldfarb","startTime":957.75,"endTime":962.22,"body":"Rams. I can't really cheer for"},{"speaker":"Charles Goldfarb","startTime":962.22,"endTime":967.11,"body":"the Los Angeles Rams, given the"},{"speaker":"Charles Goldfarb","startTime":962.22,"endTime":967.11,"body":"departure, but St. Louis is $790"},{"speaker":"Charles Goldfarb","startTime":967.11,"endTime":971.25,"body":"million compensated, shall we"},{"speaker":"Charles Goldfarb","startTime":967.11,"endTime":971.25,"body":"say, for that departure."},{"speaker":"Charles Goldfarb","startTime":971.46,"endTime":972.0,"body":"Recently."},{"speaker":"Chris Dy","startTime":972.03,"endTime":974.64,"body":"Um, which 200 million"},{"speaker":"Chris Dy","startTime":972.03,"endTime":974.64,"body":"went to the lawyers? Is that"},{"speaker":"Chris Dy","startTime":974.64,"endTime":975.57,"body":"right? Maybe more?"},{"speaker":"Charles Goldfarb","startTime":975.99,"endTime":979.74,"body":"I think it's"},{"speaker":"Charles Goldfarb","startTime":975.99,"endTime":979.74,"body":"more, you would think legal fees"},{"speaker":"Charles Goldfarb","startTime":979.74,"endTime":981.0,"body":"would be covered separately."},{"speaker":"Chris Dy","startTime":982.71,"endTime":984.54,"body":"The owners have enough"},{"speaker":"Chris Dy","startTime":982.71,"endTime":984.54,"body":"money that it should have been"},{"speaker":"Chris Dy","startTime":984.54,"endTime":985.62,"body":"covered separately."},{"speaker":"Charles Goldfarb","startTime":985.71,"endTime":990.84,"body":"Yes. But I"},{"speaker":"Charles Goldfarb","startTime":985.71,"endTime":990.84,"body":"think it gets it really is the"},{"speaker":"Charles Goldfarb","startTime":990.84,"endTime":993.66,"body":"reason it's so memorable is the"},{"speaker":"Charles Goldfarb","startTime":990.84,"endTime":993.66,"body":"stress involved. It wasn't the"},{"speaker":"Charles Goldfarb","startTime":993.66,"endTime":997.98,"body":"first sports professional"},{"speaker":"Charles Goldfarb","startTime":993.66,"endTime":997.98,"body":"athlete I took care of, I think"},{"speaker":"Charles Goldfarb","startTime":997.98,"endTime":1001.37,"body":"the when the stress level goes"},{"speaker":"Charles Goldfarb","startTime":997.98,"endTime":1001.37,"body":"up, and the planning goes up,"},{"speaker":"Charles Goldfarb","startTime":1001.43,"endTime":1005.48,"body":"you know, the memory kicks in, I"},{"speaker":"Charles Goldfarb","startTime":1001.43,"endTime":1005.48,"body":"guess. But it was the first case"},{"speaker":"Charles Goldfarb","startTime":1005.48,"endTime":1007.79,"body":"where there was a lot of"},{"speaker":"Charles Goldfarb","startTime":1005.48,"endTime":1007.79,"body":"pressure to take care of a"},{"speaker":"Charles Goldfarb","startTime":1007.79,"endTime":1011.69,"body":"fracture, not a complicated"},{"speaker":"Charles Goldfarb","startTime":1007.79,"endTime":1011.69,"body":"fracture, but to do so in a way"},{"speaker":"Charles Goldfarb","startTime":1011.69,"endTime":1015.86,"body":"to get the person back on the"},{"speaker":"Charles Goldfarb","startTime":1011.69,"endTime":1015.86,"body":"field ASAP, because there were"},{"speaker":"Charles Goldfarb","startTime":1015.86,"endTime":1022.91,"body":"playoff implications. And so"},{"speaker":"Charles Goldfarb","startTime":1015.86,"endTime":1022.91,"body":"this actually was a very"},{"speaker":"Charles Goldfarb","startTime":1022.91,"endTime":1028.22,"body":"proximal proximal phalanx"},{"speaker":"Charles Goldfarb","startTime":1022.91,"endTime":1028.22,"body":"fracture, in a large man. And I"},{"speaker":"Charles Goldfarb","startTime":1028.22,"endTime":1033.62,"body":"treated this this football"},{"speaker":"Charles Goldfarb","startTime":1028.22,"endTime":1033.62,"body":"player with two 0-62 Kirschner,"},{"speaker":"Charles Goldfarb","startTime":1033.62,"endTime":1038.96,"body":"wires driven antegrade and"},{"speaker":"Charles Goldfarb","startTime":1033.62,"endTime":1038.96,"body":"buried and he was back playing"},{"speaker":"Charles Goldfarb","startTime":1038.99,"endTime":1044.6,"body":"Five days later. And it you"},{"speaker":"Charles Goldfarb","startTime":1038.99,"endTime":1044.6,"body":"know, it work I'm not sure if I"},{"speaker":"Charles Goldfarb","startTime":1044.6,"endTime":1048.08,"body":"would do it the same way getting"},{"speaker":"Charles Goldfarb","startTime":1044.6,"endTime":1048.08,"body":"to your last point today. But"},{"speaker":"Charles Goldfarb","startTime":1048.08,"endTime":1050.96,"body":"any incision would have slowed"},{"speaker":"Charles Goldfarb","startTime":1048.08,"endTime":1050.96,"body":"down getting back on the field."},{"speaker":"Charles Goldfarb","startTime":1050.96,"endTime":1053.15,"body":"And you know, there were no"},{"speaker":"Charles Goldfarb","startTime":1050.96,"endTime":1053.15,"body":"negative consequences."},{"speaker":"Charles Goldfarb","startTime":1053.15,"endTime":1057.56,"body":"Thankfully, he played well,"},{"speaker":"Charles Goldfarb","startTime":1053.15,"endTime":1057.56,"body":"hardware held up until I removed"},{"speaker":"Charles Goldfarb","startTime":1057.56,"endTime":1061.97,"body":"it. So I feel like there's a lot"},{"speaker":"Charles Goldfarb","startTime":1057.56,"endTime":1061.97,"body":"of anxiety not just during the"},{"speaker":"Charles Goldfarb","startTime":1061.97,"endTime":1064.25,"body":"surgery, but during the weeks"},{"speaker":"Charles Goldfarb","startTime":1061.97,"endTime":1064.25,"body":"after the surgery-"},{"speaker":"Chris Dy","startTime":1064.76,"endTime":1066.17,"body":"As you're watching the"},{"speaker":"Chris Dy","startTime":1064.76,"endTime":1066.17,"body":"game, perhaps?"},{"speaker":"Charles Goldfarb","startTime":1068.03,"endTime":1069.44,"body":"But all's well"},{"speaker":"Charles Goldfarb","startTime":1068.03,"endTime":1069.44,"body":"that ends well."},{"speaker":"Chris Dy","startTime":1069.83,"endTime":1072.08,"body":"It's so glorious to be"},{"speaker":"Chris Dy","startTime":1069.83,"endTime":1072.08,"body":"a sports surgeon, isn't it?"},{"speaker":"Charles Goldfarb","startTime":1073.46,"endTime":1074.54,"body":"Sometimes."},{"speaker":"Chris Dy","startTime":1074.6,"endTime":1076.46,"body":"Was it a pattern that"},{"speaker":"Chris Dy","startTime":1074.6,"endTime":1076.46,"body":"today maybe you would have"},{"speaker":"Chris Dy","startTime":1076.46,"endTime":1078.23,"body":"treated with an intramedullary"},{"speaker":"Chris Dy","startTime":1076.46,"endTime":1078.23,"body":"screw?"},{"speaker":"Charles Goldfarb","startTime":1078.92,"endTime":1082.4,"body":"That is"},{"speaker":"Charles Goldfarb","startTime":1078.92,"endTime":1082.4,"body":"exactly right. And I haven't"},{"speaker":"Charles Goldfarb","startTime":1082.4,"endTime":1085.7,"body":"done a lot of that on phalangeal"},{"speaker":"Charles Goldfarb","startTime":1082.4,"endTime":1085.7,"body":"fractures. But this one perhaps"},{"speaker":"Charles Goldfarb","startTime":1085.7,"endTime":1086.84,"body":"I would have, yes."},{"speaker":"Chris Dy","startTime":1087.65,"endTime":1089.42,"body":"Interesting recently,"},{"speaker":"Chris Dy","startTime":1087.65,"endTime":1089.42,"body":"even since our last"},{"speaker":"Chris Dy","startTime":1089.42,"endTime":1092.72,"body":"conversation, I I've been"},{"speaker":"Chris Dy","startTime":1089.42,"endTime":1092.72,"body":"jonesing to put that screw in"},{"speaker":"Chris Dy","startTime":1092.72,"endTime":1095.9,"body":"again and found a nice juicy"},{"speaker":"Chris Dy","startTime":1092.72,"endTime":1095.9,"body":"metacarpal fracture pattern to"},{"speaker":"Chris Dy","startTime":1095.9,"endTime":1100.25,"body":"use it on. And at the end, I was"},{"speaker":"Chris Dy","startTime":1095.9,"endTime":1100.25,"body":"like, This is great. I'm gonna"},{"speaker":"Chris Dy","startTime":1100.61,"endTime":1103.22,"body":"do it more when I can. There was"},{"speaker":"Chris Dy","startTime":1100.61,"endTime":1103.22,"body":"a different fracture pattern"},{"speaker":"Chris Dy","startTime":1104.9,"endTime":1108.05,"body":"that it didn't work out on. And"},{"speaker":"Chris Dy","startTime":1104.9,"endTime":1108.05,"body":"I regretted trying to use it. So"},{"speaker":"Chris Dy","startTime":1108.08,"endTime":1110.75,"body":"you know, I'm trying to find my"},{"speaker":"Chris Dy","startTime":1108.08,"endTime":1110.75,"body":"sweet spot on it. And, you know,"},{"speaker":"Chris Dy","startTime":1110.75,"endTime":1114.29,"body":"to. It's interesting that"},{"speaker":"Chris Dy","startTime":1110.75,"endTime":1114.29,"body":"perhaps it be a little different"},{"speaker":"Chris Dy","startTime":1114.29,"endTime":1116.21,"body":"today, but I'm glad it held up."},{"speaker":"Chris Dy","startTime":1114.29,"endTime":1116.21,"body":"That's a great story."},{"speaker":"Charles Goldfarb","startTime":1116.51,"endTime":1119.63,"body":"Yeah, well,"},{"speaker":"Charles Goldfarb","startTime":1116.51,"endTime":1119.63,"body":"it's our friend Kathleen McKeon,"},{"speaker":"Charles Goldfarb","startTime":1119.81,"endTime":1122.9,"body":"who is at, in Birmingham and St."},{"speaker":"Charles Goldfarb","startTime":1119.81,"endTime":1122.9,"body":"Vincent's Hospital working with"},{"speaker":"Charles Goldfarb","startTime":1122.9,"endTime":1126.56,"body":"the big sports group there is"},{"speaker":"Charles Goldfarb","startTime":1122.9,"endTime":1126.56,"body":"teasing me with pictures of the"},{"speaker":"Charles Goldfarb","startTime":1126.59,"endTime":1130.25,"body":"phalangeal intramedullary"},{"speaker":"Charles Goldfarb","startTime":1126.59,"endTime":1130.25,"body":"screws, and she you know, has a"},{"speaker":"Charles Goldfarb","startTime":1130.25,"endTime":1132.65,"body":"lot of athletes she cares for"},{"speaker":"Charles Goldfarb","startTime":1130.25,"endTime":1132.65,"body":"and seems to do a great job."},{"speaker":"Chris Dy","startTime":1133.4,"endTime":1136.25,"body":"Well, it sounds like"},{"speaker":"Chris Dy","startTime":1133.4,"endTime":1136.25,"body":"the old dog needs to learn a new"},{"speaker":"Chris Dy","startTime":1136.25,"endTime":1137.15,"body":"trick there, Chuck?"},{"speaker":"Charles Goldfarb","startTime":1137.15,"endTime":1138.14,"body":"For Sure."},{"speaker":"Chris Dy","startTime":1139.02,"endTime":1141.72,"body":"So I'll go quick on"},{"speaker":"Chris Dy","startTime":1139.02,"endTime":1141.72,"body":"the next one is actually my"},{"speaker":"Chris Dy","startTime":1141.72,"endTime":1147.81,"body":"second Plexus patient who ended"},{"speaker":"Chris Dy","startTime":1141.72,"endTime":1147.81,"body":"up having a good outcome. But"},{"speaker":"Chris Dy","startTime":1148.47,"endTime":1151.62,"body":"when she came back, we total"},{"speaker":"Chris Dy","startTime":1148.47,"endTime":1151.62,"body":"loss of follow up for like a"},{"speaker":"Chris Dy","startTime":1151.62,"endTime":1155.04,"body":"solid year and a half. But she"},{"speaker":"Chris Dy","startTime":1151.62,"endTime":1155.04,"body":"came back and the thing that"},{"speaker":"Chris Dy","startTime":1155.04,"endTime":1159.27,"body":"struck my eye was that she had a"},{"speaker":"Chris Dy","startTime":1155.04,"endTime":1159.27,"body":"tattoo on her thigh that said"},{"speaker":"Chris Dy","startTime":1159.33,"endTime":1164.61,"body":"I'm okay. And I was like, I"},{"speaker":"Chris Dy","startTime":1159.33,"endTime":1164.61,"body":"don't know if that was something"},{"speaker":"Chris Dy","startTime":1164.61,"endTime":1167.7,"body":"that you use to cope. This is"},{"speaker":"Chris Dy","startTime":1164.61,"endTime":1167.7,"body":"how you have adjusted to this"},{"speaker":"Chris Dy","startTime":1167.7,"endTime":1170.76,"body":"injury. But that has been burned"},{"speaker":"Chris Dy","startTime":1167.7,"endTime":1170.76,"body":"in my brain. And I actually"},{"speaker":"Chris Dy","startTime":1170.76,"endTime":1174.45,"body":"think I haven't in the talk of"},{"speaker":"Chris Dy","startTime":1170.76,"endTime":1174.45,"body":"mine about how it's not just"},{"speaker":"Chris Dy","startTime":1174.45,"endTime":1178.35,"body":"about what we do as their"},{"speaker":"Chris Dy","startTime":1174.45,"endTime":1178.35,"body":"doctors there's so much more and"},{"speaker":"Chris Dy","startTime":1178.35,"endTime":1180.39,"body":"their therapists too. I mean"},{"speaker":"Chris Dy","startTime":1178.35,"endTime":1180.39,"body":"there's so much more that goes"},{"speaker":"Chris Dy","startTime":1180.39,"endTime":1184.2,"body":"into the recovery. So my de- my"},{"speaker":"Chris Dy","startTime":1180.39,"endTime":1184.2,"body":"memorable patients are total"},{"speaker":"Chris Dy","startTime":1184.2,"endTime":1185.58,"body":"Debbie downers, I'm sorry."},{"speaker":"Charles Goldfarb","startTime":1186.92,"endTime":1189.35,"body":"Well, I will"},{"speaker":"Charles Goldfarb","startTime":1186.92,"endTime":1189.35,"body":"flip that around and also keep"},{"speaker":"Charles Goldfarb","startTime":1189.35,"endTime":1194.33,"body":"it brief but I've been fortunate"},{"speaker":"Charles Goldfarb","startTime":1189.35,"endTime":1194.33,"body":"to care for a number of patients"},{"speaker":"Charles Goldfarb","startTime":1194.33,"endTime":1197.33,"body":"getting back to congenital with"},{"speaker":"Charles Goldfarb","startTime":1194.33,"endTime":1197.33,"body":"mirror hands, which is, you"},{"speaker":"Charles Goldfarb","startTime":1197.33,"endTime":1200.33,"body":"know, an incredibly rare"},{"speaker":"Charles Goldfarb","startTime":1197.33,"endTime":1200.33,"body":"condition and and I think Those"},{"speaker":"Charles Goldfarb","startTime":1200.33,"endTime":1203.63,"body":"patients have begun a Facebook"},{"speaker":"Charles Goldfarb","startTime":1200.33,"endTime":1203.63,"body":"group, and they kind of lend"},{"speaker":"Charles Goldfarb","startTime":1203.63,"endTime":1206.27,"body":"support to one another. And that"},{"speaker":"Charles Goldfarb","startTime":1203.63,"endTime":1206.27,"body":"has led to more patients coming"},{"speaker":"Charles Goldfarb","startTime":1206.27,"endTime":1210.11,"body":"to St. Louis, which is great,"},{"speaker":"Charles Goldfarb","startTime":1206.27,"endTime":1210.11,"body":"because it's fun for me. And I"},{"speaker":"Charles Goldfarb","startTime":1210.11,"endTime":1213.53,"body":"think we do a good job Dr. Wall"},{"speaker":"Charles Goldfarb","startTime":1210.11,"endTime":1213.53,"body":"and I do a good job. And, and"},{"speaker":"Charles Goldfarb","startTime":1213.53,"endTime":1216.74,"body":"one of the not the first, but"},{"speaker":"Charles Goldfarb","startTime":1213.53,"endTime":1216.74,"body":"one of the first I did, I have"},{"speaker":"Charles Goldfarb","startTime":1216.74,"endTime":1220.25,"body":"managed to stay in close contact"},{"speaker":"Charles Goldfarb","startTime":1216.74,"endTime":1220.25,"body":"with the family. They are big"},{"speaker":"Charles Goldfarb","startTime":1220.25,"endTime":1222.56,"body":"supporters of the Shriners"},{"speaker":"Charles Goldfarb","startTime":1220.25,"endTime":1222.56,"body":"Hospital here in St. Louis. And"},{"speaker":"Charles Goldfarb","startTime":1222.56,"endTime":1225.74,"body":"so I get to see them on a more"},{"speaker":"Charles Goldfarb","startTime":1222.56,"endTime":1225.74,"body":"than once a year basis and to"},{"speaker":"Charles Goldfarb","startTime":1225.74,"endTime":1230.27,"body":"watch the child grow, watch her"},{"speaker":"Charles Goldfarb","startTime":1225.74,"endTime":1230.27,"body":"using her hand, see how"},{"speaker":"Charles Goldfarb","startTime":1230.27,"endTime":1233.12,"body":"impactful the surgical"},{"speaker":"Charles Goldfarb","startTime":1230.27,"endTime":1233.12,"body":"improvements have been for her"},{"speaker":"Charles Goldfarb","startTime":1233.12,"endTime":1235.31,"body":"and for her family have really"},{"speaker":"Charles Goldfarb","startTime":1233.12,"endTime":1235.31,"body":"been awesome."},{"speaker":"Chris Dy","startTime":1237.77,"endTime":1241.04,"body":"I will end on a high"},{"speaker":"Chris Dy","startTime":1237.77,"endTime":1241.04,"body":"note, nother nerve patient. But"},{"speaker":"Chris Dy","startTime":1241.07,"endTime":1243.98,"body":"this was great because I got to"},{"speaker":"Chris Dy","startTime":1241.07,"endTime":1243.98,"body":"watch him give a talk at the"},{"speaker":"Chris Dy","startTime":1243.98,"endTime":1249.59,"body":"ASHT meeting. And he was not"},{"speaker":"Chris Dy","startTime":1243.98,"endTime":1249.59,"body":"that far out from surgery. And"},{"speaker":"Chris Dy","startTime":1249.59,"endTime":1254.0,"body":"he was part of our panel. And it"},{"speaker":"Chris Dy","startTime":1249.59,"endTime":1254.0,"body":"was me his hand therapist who'd"},{"speaker":"Chris Dy","startTime":1254.0,"endTime":1257.0,"body":"been working with a pain"},{"speaker":"Chris Dy","startTime":1254.0,"endTime":1257.0,"body":"psychologist a different UBP-"},{"speaker":"Chris Dy","startTime":1257.03,"endTime":1260.18,"body":"United Brachial Plexus Network"},{"speaker":"Chris Dy","startTime":1257.03,"endTime":1260.18,"body":"patient, but then this patient"},{"speaker":"Chris Dy","startTime":1260.18,"endTime":1263.99,"body":"gave his experience his"},{"speaker":"Chris Dy","startTime":1260.18,"endTime":1263.99,"body":"testimonial, and it was so"},{"speaker":"Chris Dy","startTime":1264.02,"endTime":1268.64,"body":"moving. I mean, not a dry eye in"},{"speaker":"Chris Dy","startTime":1264.02,"endTime":1268.64,"body":"the audience. And it was a"},{"speaker":"Chris Dy","startTime":1268.64,"endTime":1271.46,"body":"little scary to not know what he"},{"speaker":"Chris Dy","startTime":1268.64,"endTime":1271.46,"body":"was going to say about his"},{"speaker":"Chris Dy","startTime":1271.46,"endTime":1273.92,"body":"experience with the injury, his"},{"speaker":"Chris Dy","startTime":1271.46,"endTime":1273.92,"body":"experience with me, his"},{"speaker":"Chris Dy","startTime":1273.92,"endTime":1277.34,"body":"experience with his therapist."},{"speaker":"Chris Dy","startTime":1273.92,"endTime":1277.34,"body":"But to hear him pour his heart"},{"speaker":"Chris Dy","startTime":1277.34,"endTime":1281.33,"body":"out there and to to show"},{"speaker":"Chris Dy","startTime":1277.34,"endTime":1281.33,"body":"everybody that he had gotten"},{"speaker":"Chris Dy","startTime":1281.33,"endTime":1284.69,"body":"over, in large part had gotten"},{"speaker":"Chris Dy","startTime":1281.33,"endTime":1284.69,"body":"over the injury and is doing"},{"speaker":"Chris Dy","startTime":1284.69,"endTime":1288.29,"body":"well. That was incredibly"},{"speaker":"Chris Dy","startTime":1284.69,"endTime":1288.29,"body":"moving. So that was the happy"},{"speaker":"Chris Dy","startTime":1288.29,"endTime":1291.95,"body":"note for me. And runner up,"},{"speaker":"Chris Dy","startTime":1288.29,"endTime":1291.95,"body":"which I'll squeeze in is thing"},{"speaker":"Chris Dy","startTime":1291.95,"endTime":1294.62,"body":"that I've seen on, that I've"},{"speaker":"Chris Dy","startTime":1291.95,"endTime":1294.62,"body":"shared on social media, but I"},{"speaker":"Chris Dy","startTime":1294.62,"endTime":1298.19,"body":"have one patient who got a"},{"speaker":"Chris Dy","startTime":1294.62,"endTime":1298.19,"body":"tattoo of my surgical site"},{"speaker":"Chris Dy","startTime":1298.19,"endTime":1302.63,"body":"marking that says, yes, after a"},{"speaker":"Chris Dy","startTime":1298.19,"endTime":1302.63,"body":"very, very successful median"},{"speaker":"Chris Dy","startTime":1302.63,"endTime":1305.6,"body":"nerve decompression. And I don't"},{"speaker":"Chris Dy","startTime":1302.63,"endTime":1305.6,"body":"know, I hope nobody has to"},{"speaker":"Chris Dy","startTime":1305.6,"endTime":1308.36,"body":"operate on his opposite side in"},{"speaker":"Chris Dy","startTime":1305.6,"endTime":1308.36,"body":"the future. But that is also"},{"speaker":"Chris Dy","startTime":1308.39,"endTime":1310.37,"body":"burned it's, embellished in my"},{"speaker":"Chris Dy","startTime":1308.39,"endTime":1310.37,"body":"brain."},{"speaker":"Charles Goldfarb","startTime":1312.17,"endTime":1316.49,"body":"That is really"},{"speaker":"Charles Goldfarb","startTime":1312.17,"endTime":1316.49,"body":"funny. So our last segment is"},{"speaker":"Charles Goldfarb","startTime":1316.52,"endTime":1319.94,"body":"from Minnie, was three and we"},{"speaker":"Charles Goldfarb","startTime":1316.52,"endTime":1319.94,"body":"may not get to three, because I"},{"speaker":"Charles Goldfarb","startTime":1319.94,"endTime":1323.96,"body":"think your house is exploding."},{"speaker":"Charles Goldfarb","startTime":1319.94,"endTime":1323.96,"body":"But we're going to try three"},{"speaker":"Charles Goldfarb","startTime":1323.96,"endTime":1326.93,"body":"things we would tell our younger"},{"speaker":"Charles Goldfarb","startTime":1323.96,"endTime":1326.93,"body":"selves, is that correct?"},{"speaker":"Chris Dy","startTime":1328.19,"endTime":1330.23,"body":"Yeah, that's the"},{"speaker":"Chris Dy","startTime":1328.19,"endTime":1330.23,"body":"request. And I'll be clear,"},{"speaker":"Chris Dy","startTime":1330.23,"endTime":1333.8,"body":"Minnie has many excellent ideas"},{"speaker":"Chris Dy","startTime":1330.23,"endTime":1333.8,"body":"in your email. So I will as I"},{"speaker":"Chris Dy","startTime":1333.8,"endTime":1336.32,"body":"plan out the the January and"},{"speaker":"Chris Dy","startTime":1333.8,"endTime":1336.32,"body":"February schedule, we'll be"},{"speaker":"Chris Dy","startTime":1336.32,"endTime":1339.41,"body":"pulling from her from her"},{"speaker":"Chris Dy","startTime":1336.32,"endTime":1339.41,"body":"suggestions. But yes, three"},{"speaker":"Chris Dy","startTime":1339.41,"endTime":1342.59,"body":"things you would tell your"},{"speaker":"Chris Dy","startTime":1339.41,"endTime":1342.59,"body":"younger self, I can go first."},{"speaker":"Chris Dy","startTime":1343.25,"endTime":1346.34,"body":"One of them is to not try to"},{"speaker":"Chris Dy","startTime":1343.25,"endTime":1346.34,"body":"record a podcast while the kids"},{"speaker":"Chris Dy","startTime":1346.34,"endTime":1351.02,"body":"are downstairs. I'm gonna tell"},{"speaker":"Chris Dy","startTime":1346.34,"endTime":1351.02,"body":"my younger self of, you know, 30"},{"speaker":"Chris Dy","startTime":1351.02,"endTime":1351.5,"body":"minutes ago."},{"speaker":"Charles Goldfarb","startTime":1352.55,"endTime":1355.13,"body":"I love it. I"},{"speaker":"Charles Goldfarb","startTime":1352.55,"endTime":1355.13,"body":"love it. But you know, one of"},{"speaker":"Charles Goldfarb","startTime":1355.13,"endTime":1359.27,"body":"the things I would tell myself"},{"speaker":"Charles Goldfarb","startTime":1355.13,"endTime":1359.27,"body":"is, and this is very serious."},{"speaker":"Charles Goldfarb","startTime":1360.77,"endTime":1364.1,"body":"It's gonna work out. You know,"},{"speaker":"Charles Goldfarb","startTime":1360.77,"endTime":1364.1,"body":"like, if you're in a case, and"},{"speaker":"Charles Goldfarb","startTime":1364.1,"endTime":1367.16,"body":"there's adverse events, I think"},{"speaker":"Charles Goldfarb","startTime":1364.1,"endTime":1367.16,"body":"the first thing to do is take a"},{"speaker":"Charles Goldfarb","startTime":1367.16,"endTime":1371.36,"body":"deep breath, focus on doing the"},{"speaker":"Charles Goldfarb","startTime":1367.16,"endTime":1371.36,"body":"right thing for the patient and"},{"speaker":"Charles Goldfarb","startTime":1371.39,"endTime":1376.07,"body":"getting through the case. And I"},{"speaker":"Charles Goldfarb","startTime":1371.39,"endTime":1376.07,"body":"hope that we all stress, you"},{"speaker":"Charles Goldfarb","startTime":1376.07,"endTime":1380.06,"body":"know that there's there's value"},{"speaker":"Charles Goldfarb","startTime":1376.07,"endTime":1380.06,"body":"in stressing your brain is"},{"speaker":"Charles Goldfarb","startTime":1380.06,"endTime":1384.11,"body":"seared on important information"},{"speaker":"Charles Goldfarb","startTime":1380.06,"endTime":1384.11,"body":"when you stress about it. But"},{"speaker":"Charles Goldfarb","startTime":1384.11,"endTime":1387.53,"body":"the bottom line is, take a"},{"speaker":"Charles Goldfarb","startTime":1384.11,"endTime":1387.53,"body":"breath, do the right thing, it's"},{"speaker":"Charles Goldfarb","startTime":1387.53,"endTime":1388.31,"body":"all going to work out."},{"speaker":"Chris Dy","startTime":1389.74,"endTime":1391.81,"body":"You know, we talked"},{"speaker":"Chris Dy","startTime":1389.74,"endTime":1391.81,"body":"about in the last episode about"},{"speaker":"Chris Dy","startTime":1391.81,"endTime":1396.49,"body":"mentors, and one of the things"},{"speaker":"Chris Dy","startTime":1391.81,"endTime":1396.49,"body":"that you taught me and many of"},{"speaker":"Chris Dy","startTime":1396.49,"endTime":1399.55,"body":"our partners here, but when I"},{"speaker":"Chris Dy","startTime":1396.49,"endTime":1399.55,"body":"was your fellow, you always said"},{"speaker":"Chris Dy","startTime":1399.55,"endTime":1402.82,"body":"don't leave the OR until you're"},{"speaker":"Chris Dy","startTime":1399.55,"endTime":1402.82,"body":"happy. And that's something that"},{"speaker":"Chris Dy","startTime":1402.85,"endTime":1406.09,"body":"I use now. And I would tell my"},{"speaker":"Chris Dy","startTime":1402.85,"endTime":1406.09,"body":"younger self that and no matter"},{"speaker":"Chris Dy","startTime":1406.09,"endTime":1408.82,"body":"how much pressure you have, at"},{"speaker":"Chris Dy","startTime":1406.09,"endTime":1408.82,"body":"the end of the day, or in the"},{"speaker":"Chris Dy","startTime":1408.82,"endTime":1410.8,"body":"middle of the day to get"},{"speaker":"Chris Dy","startTime":1408.82,"endTime":1410.8,"body":"something done, and to stay on"},{"speaker":"Chris Dy","startTime":1410.8,"endTime":1413.86,"body":"schedule, and be respectful of"},{"speaker":"Chris Dy","startTime":1410.8,"endTime":1413.86,"body":"staff needs, and all that kind"},{"speaker":"Chris Dy","startTime":1413.86,"endTime":1417.13,"body":"of stuff. Your responsibility at"},{"speaker":"Chris Dy","startTime":1413.86,"endTime":1417.13,"body":"that point in time is to the"},{"speaker":"Chris Dy","startTime":1417.13,"endTime":1420.1,"body":"patient, and do not leave the"},{"speaker":"Chris Dy","startTime":1417.13,"endTime":1420.1,"body":"bar until you're happy. So that"},{"speaker":"Chris Dy","startTime":1420.1,"endTime":1422.26,"body":"is one thing. In all"},{"speaker":"Chris Dy","startTime":1420.1,"endTime":1422.26,"body":"seriousness, I would tell my"},{"speaker":"Chris Dy","startTime":1422.26,"endTime":1424.42,"body":"younger self, even though it's"},{"speaker":"Chris Dy","startTime":1422.26,"endTime":1424.42,"body":"something I still tell myself"},{"speaker":"Chris Dy","startTime":1424.42,"endTime":1424.69,"body":"now."},{"speaker":"Charles Goldfarb","startTime":1425.23,"endTime":1427.09,"body":"Yeah, and"},{"speaker":"Charles Goldfarb","startTime":1425.23,"endTime":1427.09,"body":"along those same lines, it's not"},{"speaker":"Charles Goldfarb","startTime":1427.09,"endTime":1430.03,"body":"one of mine. But along those"},{"speaker":"Charles Goldfarb","startTime":1427.09,"endTime":1430.03,"body":"same lines is, you know, make"},{"speaker":"Charles Goldfarb","startTime":1430.03,"endTime":1432.73,"body":"decisions that make sense, make"},{"speaker":"Charles Goldfarb","startTime":1430.03,"endTime":1432.73,"body":"decisions that allow you to"},{"speaker":"Charles Goldfarb","startTime":1432.73,"endTime":1435.07,"body":"sleep and we say that a lot of"},{"speaker":"Charles Goldfarb","startTime":1432.73,"endTime":1435.07,"body":"times in reference to potential"},{"speaker":"Charles Goldfarb","startTime":1435.07,"endTime":1438.67,"body":"compartment syndrome as one"},{"speaker":"Charles Goldfarb","startTime":1435.07,"endTime":1438.67,"body":"example. But you know, if"},{"speaker":"Charles Goldfarb","startTime":1438.7,"endTime":1441.31,"body":"whatever the case may be if"},{"speaker":"Charles Goldfarb","startTime":1438.7,"endTime":1441.31,"body":"you're going to go back and lie"},{"speaker":"Charles Goldfarb","startTime":1441.31,"endTime":1444.13,"body":"in bed and not go into the"},{"speaker":"Charles Goldfarb","startTime":1441.31,"endTime":1444.13,"body":"hospital, if you're going to lay"},{"speaker":"Charles Goldfarb","startTime":1444.13,"endTime":1447.91,"body":"there and perseverate on the"},{"speaker":"Charles Goldfarb","startTime":1444.13,"endTime":1447.91,"body":"decision not made or the path"},{"speaker":"Charles Goldfarb","startTime":1447.91,"endTime":1451.09,"body":"not traveled then you made the"},{"speaker":"Charles Goldfarb","startTime":1447.91,"endTime":1451.09,"body":"wrong choice. Go take care of"},{"speaker":"Charles Goldfarb","startTime":1451.09,"endTime":1455.65,"body":"it, I would say. So my next one"},{"speaker":"Charles Goldfarb","startTime":1451.09,"endTime":1455.65,"body":"is that it this involves the"},{"speaker":"Charles Goldfarb","startTime":1455.65,"endTime":1460.0,"body":"journey. So first of all, this"},{"speaker":"Charles Goldfarb","startTime":1455.65,"endTime":1460.0,"body":"path, this medical path, and we"},{"speaker":"Charles Goldfarb","startTime":1460.0,"endTime":1463.45,"body":"can get really philosophical and"},{"speaker":"Charles Goldfarb","startTime":1460.0,"endTime":1463.45,"body":"talk about why life, but this"},{"speaker":"Charles Goldfarb","startTime":1463.45,"endTime":1469.42,"body":"path is it's not a sprint, it is"},{"speaker":"Charles Goldfarb","startTime":1463.45,"endTime":1469.42,"body":"a marathon and I don't mean that"},{"speaker":"Charles Goldfarb","startTime":1469.42,"endTime":1474.91,"body":"in a negative way. I mean that,"},{"speaker":"Charles Goldfarb","startTime":1469.42,"endTime":1474.91,"body":"you know, if you can put the"},{"speaker":"Charles Goldfarb","startTime":1474.91,"endTime":1479.53,"body":"work in day in and day out. You"},{"speaker":"Charles Goldfarb","startTime":1474.91,"endTime":1479.53,"body":"will do well by yourself, your"},{"speaker":"Charles Goldfarb","startTime":1479.53,"endTime":1483.64,"body":"patients, your family, and sure"},{"speaker":"Charles Goldfarb","startTime":1479.53,"endTime":1483.64,"body":"there are times that will feel"},{"speaker":"Charles Goldfarb","startTime":1483.64,"endTime":1488.02,"body":"more stressful and be more"},{"speaker":"Charles Goldfarb","startTime":1483.64,"endTime":1488.02,"body":"stressful. But it is a marathon"},{"speaker":"Charles Goldfarb","startTime":1488.05,"endTime":1490.84,"body":"and I mean that in the best"},{"speaker":"Charles Goldfarb","startTime":1488.05,"endTime":1490.84,"body":"possible way. And I would"},{"speaker":"Charles Goldfarb","startTime":1490.84,"endTime":1494.65,"body":"include in that, you know, enjoy"},{"speaker":"Charles Goldfarb","startTime":1490.84,"endTime":1494.65,"body":"the journey, right? This is not"},{"speaker":"Charles Goldfarb","startTime":1494.65,"endTime":1498.55,"body":"about the destination"},{"speaker":"Charles Goldfarb","startTime":1494.65,"endTime":1498.55,"body":"necessarily. You know it's"},{"speaker":"Charles Goldfarb","startTime":1498.73,"endTime":1502.87,"body":"academic medicine which And I"},{"speaker":"Charles Goldfarb","startTime":1498.73,"endTime":1502.87,"body":"obviously know best can be a"},{"speaker":"Charles Goldfarb","startTime":1502.87,"endTime":1505.69,"body":"challenging, it can be a"},{"speaker":"Charles Goldfarb","startTime":1502.87,"endTime":1505.69,"body":"challenging issue, but it's not"},{"speaker":"Charles Goldfarb","startTime":1505.69,"endTime":1510.85,"body":"about the promotion or the R01,"},{"speaker":"Charles Goldfarb","startTime":1505.69,"endTime":1510.85,"body":"even though it is it's about the"},{"speaker":"Charles Goldfarb","startTime":1510.85,"endTime":1513.52,"body":"journey is about getting there"},{"speaker":"Charles Goldfarb","startTime":1510.85,"endTime":1513.52,"body":"and the people you do it with."},{"speaker":"Charles Goldfarb","startTime":1514.0,"endTime":1515.89,"body":"So those are kind of"},{"speaker":"Charles Goldfarb","startTime":1514.0,"endTime":1515.89,"body":"interrelated things I think"},{"speaker":"Charles Goldfarb","startTime":1515.89,"endTime":1516.46,"body":"about a lot."},{"speaker":"Chris Dy","startTime":1517.74,"endTime":1519.66,"body":"Yeah, and I think"},{"speaker":"Chris Dy","startTime":1517.74,"endTime":1519.66,"body":"that's, that's well said. And I"},{"speaker":"Chris Dy","startTime":1519.66,"endTime":1523.23,"body":"think to piggyback on that, one"},{"speaker":"Chris Dy","startTime":1519.66,"endTime":1523.23,"body":"of the things that I would tell"},{"speaker":"Chris Dy","startTime":1523.23,"endTime":1527.67,"body":"myself is, there's that there's"},{"speaker":"Chris Dy","startTime":1523.23,"endTime":1527.67,"body":"always more, right like it. In"},{"speaker":"Chris Dy","startTime":1527.67,"endTime":1531.96,"body":"all reality, there were multiple"},{"speaker":"Chris Dy","startTime":1527.67,"endTime":1531.96,"body":"people who said, after I told"},{"speaker":"Chris Dy","startTime":1531.96,"endTime":1535.08,"body":"them that I got my R01 said,"},{"speaker":"Chris Dy","startTime":1531.96,"endTime":1535.08,"body":"start working on the renewal."},{"speaker":"Chris Dy","startTime":1535.71,"endTime":1539.55,"body":"And that just doesn't feel"},{"speaker":"Chris Dy","startTime":1535.71,"endTime":1539.55,"body":"great. That's reality. I mean,"},{"speaker":"Chris Dy","startTime":1539.55,"endTime":1542.28,"body":"you know that those are the"},{"speaker":"Chris Dy","startTime":1539.55,"endTime":1542.28,"body":"expectations. And there's always"},{"speaker":"Chris Dy","startTime":1542.28,"endTime":1545.28,"body":"more to try and accomplish,"},{"speaker":"Chris Dy","startTime":1542.28,"endTime":1545.28,"body":"there's always more cases to do"},{"speaker":"Chris Dy","startTime":1545.88,"endTime":1548.4,"body":"more money to try to make if"},{"speaker":"Chris Dy","startTime":1545.88,"endTime":1548.4,"body":"that's your thing, and more"},{"speaker":"Chris Dy","startTime":1548.4,"endTime":1551.46,"body":"papers to write, if that's your"},{"speaker":"Chris Dy","startTime":1548.4,"endTime":1551.46,"body":"thing, more patients to take"},{"speaker":"Chris Dy","startTime":1551.46,"endTime":1557.46,"body":"care of. There's always more you"},{"speaker":"Chris Dy","startTime":1551.46,"endTime":1557.46,"body":"can do, but I think enjoying and"},{"speaker":"Chris Dy","startTime":1557.49,"endTime":1560.34,"body":"taking stock and your"},{"speaker":"Chris Dy","startTime":1557.49,"endTime":1560.34,"body":"accomplishments and your"},{"speaker":"Chris Dy","startTime":1560.34,"endTime":1562.95,"body":"contributions is super"},{"speaker":"Chris Dy","startTime":1560.34,"endTime":1562.95,"body":"important. I remember one moment"},{"speaker":"Chris Dy","startTime":1562.95,"endTime":1567.3,"body":"that I will remember is that"},{"speaker":"Chris Dy","startTime":1562.95,"endTime":1567.3,"body":"when I was applying for hand"},{"speaker":"Chris Dy","startTime":1567.3,"endTime":1571.11,"body":"fellowships, and Ed Athanasian,"},{"speaker":"Chris Dy","startTime":1567.3,"endTime":1571.11,"body":"was the chief of service at the"},{"speaker":"Chris Dy","startTime":1571.11,"endTime":1575.94,"body":"time at HSS. And I went into his"},{"speaker":"Chris Dy","startTime":1571.11,"endTime":1575.94,"body":"office and overjoyed and told"},{"speaker":"Chris Dy","startTime":1575.94,"endTime":1579.78,"body":"him that I had matched at WashU,"},{"speaker":"Chris Dy","startTime":1575.94,"endTime":1579.78,"body":"for my hand fellowship. And he"},{"speaker":"Chris Dy","startTime":1579.78,"endTime":1582.33,"body":"is probably the only person ever"},{"speaker":"Chris Dy","startTime":1579.78,"endTime":1582.33,"body":"told me to do this. And I've"},{"speaker":"Chris Dy","startTime":1582.33,"endTime":1585.57,"body":"tried to pass this on to others,"},{"speaker":"Chris Dy","startTime":1582.33,"endTime":1585.57,"body":"but he told me to just take a"},{"speaker":"Chris Dy","startTime":1585.57,"endTime":1589.65,"body":"moment, reflect, enjoy it, and"},{"speaker":"Chris Dy","startTime":1585.57,"endTime":1589.65,"body":"anybody that knows Dr. A knows"},{"speaker":"Chris Dy","startTime":1589.65,"endTime":1593.73,"body":"that's a total Dr. A thing to"},{"speaker":"Chris Dy","startTime":1589.65,"endTime":1593.73,"body":"say. But nobody had ever given"},{"speaker":"Chris Dy","startTime":1593.73,"endTime":1597.09,"body":"me advice to be in the moment be"},{"speaker":"Chris Dy","startTime":1593.73,"endTime":1597.09,"body":"present and soak in that"},{"speaker":"Chris Dy","startTime":1597.09,"endTime":1600.57,"body":"accomplishment. Because I was"},{"speaker":"Chris Dy","startTime":1597.09,"endTime":1600.57,"body":"and still am super proud of the"},{"speaker":"Chris Dy","startTime":1600.57,"endTime":1603.9,"body":"fact that I got to train here."},{"speaker":"Chris Dy","startTime":1600.57,"endTime":1603.9,"body":"So that's one thing that, you"},{"speaker":"Chris Dy","startTime":1603.9,"endTime":1606.51,"body":"know, kind of goes into the be"},{"speaker":"Chris Dy","startTime":1603.9,"endTime":1606.51,"body":"present and appreciate what you"},{"speaker":"Chris Dy","startTime":1606.51,"endTime":1608.88,"body":"have, you know, category."},{"speaker":"Charles Goldfarb","startTime":1609.39,"endTime":1611.97,"body":"Yeah, I love"},{"speaker":"Charles Goldfarb","startTime":1609.39,"endTime":1611.97,"body":"that. And guilty, I don't do"},{"speaker":"Charles Goldfarb","startTime":1611.97,"endTime":1616.5,"body":"enough of that. I move on to the"},{"speaker":"Charles Goldfarb","startTime":1611.97,"endTime":1616.5,"body":"next thing as you allude to. The"},{"speaker":"Charles Goldfarb","startTime":1616.5,"endTime":1619.83,"body":"last thing, I will say my number"},{"speaker":"Charles Goldfarb","startTime":1616.5,"endTime":1619.83,"body":"three. And again, it gets to"},{"speaker":"Charles Goldfarb","startTime":1619.83,"endTime":1623.1,"body":"those of all of us who have busy"},{"speaker":"Charles Goldfarb","startTime":1619.83,"endTime":1623.1,"body":"lives, doesn't matter what kind"},{"speaker":"Charles Goldfarb","startTime":1623.1,"endTime":1626.37,"body":"of practice you're in, whether"},{"speaker":"Charles Goldfarb","startTime":1623.1,"endTime":1626.37,"body":"you're a therapist or surgeon,"},{"speaker":"Charles Goldfarb","startTime":1626.37,"endTime":1631.56,"body":"whether your academic or"},{"speaker":"Charles Goldfarb","startTime":1626.37,"endTime":1631.56,"body":"private. What you know, what we"},{"speaker":"Charles Goldfarb","startTime":1631.56,"endTime":1634.32,"body":"do at work is incredibly"},{"speaker":"Charles Goldfarb","startTime":1631.56,"endTime":1634.32,"body":"important. And that's why I"},{"speaker":"Charles Goldfarb","startTime":1634.32,"endTime":1637.56,"body":"think most of us feel"},{"speaker":"Charles Goldfarb","startTime":1634.32,"endTime":1637.56,"body":"passionately about what we do."},{"speaker":"Charles Goldfarb","startTime":1637.71,"endTime":1641.94,"body":"It is why we feel proud of what"},{"speaker":"Charles Goldfarb","startTime":1637.71,"endTime":1641.94,"body":"we do. And it's why most of us"},{"speaker":"Charles Goldfarb","startTime":1641.94,"endTime":1645.81,"body":"sleep well at night. Because we"},{"speaker":"Charles Goldfarb","startTime":1641.94,"endTime":1645.81,"body":"impact the lives of many people"},{"speaker":"Charles Goldfarb","startTime":1645.81,"endTime":1650.91,"body":"around us, however, take care of"},{"speaker":"Charles Goldfarb","startTime":1645.81,"endTime":1650.91,"body":"what's at home, it's too"},{"speaker":"Charles Goldfarb","startTime":1650.91,"endTime":1657.12,"body":"incredibly important. I feel so"},{"speaker":"Charles Goldfarb","startTime":1650.91,"endTime":1657.12,"body":"lucky to have a great family and"},{"speaker":"Charles Goldfarb","startTime":1657.39,"endTime":1660.03,"body":"have to I want to say remind"},{"speaker":"Charles Goldfarb","startTime":1657.39,"endTime":1660.03,"body":"myself that sometimes I have to"},{"speaker":"Charles Goldfarb","startTime":1660.03,"endTime":1663.36,"body":"remind myself to not come home"},{"speaker":"Charles Goldfarb","startTime":1660.03,"endTime":1663.36,"body":"exhausted every night, even"},{"speaker":"Charles Goldfarb","startTime":1663.36,"endTime":1666.18,"body":"though I might and give them the"},{"speaker":"Charles Goldfarb","startTime":1663.36,"endTime":1666.18,"body":"energy they deserve."},{"speaker":"Chris Dy","startTime":1668.1,"endTime":1671.43,"body":"Well, since you took"},{"speaker":"Chris Dy","startTime":1668.1,"endTime":1671.43,"body":"my third I'll take I'll go 3-"},{"speaker":"Charles Goldfarb","startTime":1671.43,"endTime":1671.91,"body":"I call BS."},{"speaker":"Chris Dy","startTime":1672.63,"endTime":1677.76,"body":"3A, which is take care"},{"speaker":"Chris Dy","startTime":1672.63,"endTime":1677.76,"body":"yourself, you know kind of goes,"},{"speaker":"Chris Dy","startTime":1677.79,"endTime":1681.15,"body":"you know, it's this, it's not a"},{"speaker":"Chris Dy","startTime":1677.79,"endTime":1681.15,"body":"sprint, it's a marathon, it's a"},{"speaker":"Chris Dy","startTime":1681.15,"endTime":1684.24,"body":"very long journey. I mean,"},{"speaker":"Chris Dy","startTime":1681.15,"endTime":1684.24,"body":"actually, we can have this talk"},{"speaker":"Chris Dy","startTime":1684.24,"endTime":1686.73,"body":"of a different time, I was"},{"speaker":"Chris Dy","startTime":1684.24,"endTime":1686.73,"body":"listening to a senior surgeon"},{"speaker":"Chris Dy","startTime":1686.76,"endTime":1689.97,"body":"lament about their career and"},{"speaker":"Chris Dy","startTime":1686.76,"endTime":1689.97,"body":"what they had accomplished, and"},{"speaker":"Chris Dy","startTime":1689.97,"endTime":1693.39,"body":"which by any means everybody in"},{"speaker":"Chris Dy","startTime":1689.97,"endTime":1693.39,"body":"the world would say that, you"},{"speaker":"Chris Dy","startTime":1693.39,"endTime":1696.75,"body":"know, there's nothing left to"},{"speaker":"Chris Dy","startTime":1693.39,"endTime":1696.75,"body":"accomplish, but then expressing"},{"speaker":"Chris Dy","startTime":1696.75,"endTime":1700.89,"body":"frustration at you know, where"},{"speaker":"Chris Dy","startTime":1696.75,"endTime":1700.89,"body":"they are in their career. And"},{"speaker":"Chris Dy","startTime":1700.92,"endTime":1704.19,"body":"that actually got me thinking"},{"speaker":"Chris Dy","startTime":1700.92,"endTime":1704.19,"body":"last week about kind of what do"},{"speaker":"Chris Dy","startTime":1704.19,"endTime":1706.29,"body":"I want to accomplish, if I can't"},{"speaker":"Chris Dy","startTime":1704.19,"endTime":1706.29,"body":"accomplish what I want to"},{"speaker":"Chris Dy","startTime":1706.29,"endTime":1710.07,"body":"accomplish in X years? Maybe"},{"speaker":"Chris Dy","startTime":1706.29,"endTime":1710.07,"body":"it's, you know, maybe I"},{"speaker":"Chris Dy","startTime":1710.07,"endTime":1713.49,"body":"shouldn't be doing it that much"},{"speaker":"Chris Dy","startTime":1710.07,"endTime":1713.49,"body":"longer. But I think that what's"},{"speaker":"Chris Dy","startTime":1713.49,"endTime":1717.18,"body":"gonna allow us to work as long"},{"speaker":"Chris Dy","startTime":1713.49,"endTime":1717.18,"body":"as we want to work and derive"},{"speaker":"Chris Dy","startTime":1717.18,"endTime":1720.96,"body":"enjoyment from what we do is"},{"speaker":"Chris Dy","startTime":1717.18,"endTime":1720.96,"body":"taking care of ourselves,"},{"speaker":"Chris Dy","startTime":1721.32,"endTime":1725.79,"body":"whether that's physically,"},{"speaker":"Chris Dy","startTime":1721.32,"endTime":1725.79,"body":"mentally, you know, or, you"},{"speaker":"Chris Dy","startTime":1725.79,"endTime":1728.37,"body":"know, finding fulfillment"},{"speaker":"Chris Dy","startTime":1725.79,"endTime":1728.37,"body":"professionally, and in things"},{"speaker":"Chris Dy","startTime":1728.37,"endTime":1732.3,"body":"outside of work. I think that's,"},{"speaker":"Chris Dy","startTime":1728.37,"endTime":1732.3,"body":"that's the key, you know, so on"},{"speaker":"Chris Dy","startTime":1732.3,"endTime":1735.33,"body":"top of taking care of your"},{"speaker":"Chris Dy","startTime":1732.3,"endTime":1735.33,"body":"family, you can't take care your"},{"speaker":"Chris Dy","startTime":1735.33,"endTime":1737.25,"body":"family, you don't care, take"},{"speaker":"Chris Dy","startTime":1735.33,"endTime":1737.25,"body":"care of yourself. And I think"},{"speaker":"Chris Dy","startTime":1737.25,"endTime":1740.37,"body":"there's a lot more attention"},{"speaker":"Chris Dy","startTime":1737.25,"endTime":1740.37,"body":"being paid, rightfully so, to"},{"speaker":"Chris Dy","startTime":1740.37,"endTime":1743.43,"body":"well, being of those in health"},{"speaker":"Chris Dy","startTime":1740.37,"endTime":1743.43,"body":"care. The pandemic has only"},{"speaker":"Chris Dy","startTime":1743.46,"endTime":1747.51,"body":"shown how important that is. And"},{"speaker":"Chris Dy","startTime":1743.46,"endTime":1747.51,"body":"I think that's probably"},{"speaker":"Chris Dy","startTime":1747.51,"endTime":1750.6,"body":"something that I would tell my"},{"speaker":"Chris Dy","startTime":1747.51,"endTime":1750.6,"body":"younger self, even though I'm"},{"speaker":"Chris Dy","startTime":1750.6,"endTime":1753.03,"body":"clearly not as old as you, but"},{"speaker":"Chris Dy","startTime":1750.6,"endTime":1753.03,"body":"you've done a nice job taking"},{"speaker":"Chris Dy","startTime":1753.03,"endTime":1753.93,"body":"care of yourself."},{"speaker":"Charles Goldfarb","startTime":1754.64,"endTime":1756.44,"body":"Some would"},{"speaker":"Charles Goldfarb","startTime":1754.64,"endTime":1756.44,"body":"argue sometimes my wife would"},{"speaker":"Charles Goldfarb","startTime":1756.44,"endTime":1760.73,"body":"argue but I, the last year or so"},{"speaker":"Charles Goldfarb","startTime":1756.44,"endTime":1760.73,"body":"has been really helpful. I've"},{"speaker":"Charles Goldfarb","startTime":1760.73,"endTime":1764.42,"body":"not to think that pandemic but I"},{"speaker":"Charles Goldfarb","startTime":1760.73,"endTime":1764.42,"body":"have year and a half. I've been"},{"speaker":"Charles Goldfarb","startTime":1764.42,"endTime":1766.52,"body":"really good about exercising at"},{"speaker":"Charles Goldfarb","startTime":1764.42,"endTime":1766.52,"body":"least."},{"speaker":"Chris Dy","startTime":1767.66,"endTime":1770.09,"body":"Yeah, we have to talk"},{"speaker":"Chris Dy","startTime":1767.66,"endTime":1770.09,"body":"about maybe we'll do we should"},{"speaker":"Chris Dy","startTime":1770.09,"endTime":1773.72,"body":"do a segment when we come back"},{"speaker":"Chris Dy","startTime":1770.09,"endTime":1773.72,"body":"on New Year's resolutions."},{"speaker":"Chris Dy","startTime":1775.04,"endTime":1778.25,"body":"Again, we'll check in on your"},{"speaker":"Chris Dy","startTime":1775.04,"endTime":1778.25,"body":"old resolution of learning"},{"speaker":"Chris Dy","startTime":1778.25,"endTime":1781.85,"body":"Spanish, I'm sure there's some"},{"speaker":"Chris Dy","startTime":1778.25,"endTime":1781.85,"body":"recording I have of me out there"},{"speaker":"Chris Dy","startTime":1781.88,"endTime":1784.49,"body":"confessing to some revenue"},{"speaker":"Chris Dy","startTime":1781.88,"endTime":1784.49,"body":"resolution that I have that I"},{"speaker":"Chris Dy","startTime":1784.49,"endTime":1788.48,"body":"probably haven't kept. So yeah,"},{"speaker":"Chris Dy","startTime":1784.49,"endTime":1788.48,"body":"New Year, New Year 2022. The"},{"speaker":"Chris Dy","startTime":1788.48,"endTime":1789.11,"body":"year of Chuck."},{"speaker":"Charles Goldfarb","startTime":1791.25,"endTime":1794.16,"body":"Perfect. All"},{"speaker":"Charles Goldfarb","startTime":1791.25,"endTime":1794.16,"body":"right. Well, I think this brings"},{"speaker":"Charles Goldfarb","startTime":1794.16,"endTime":1798.75,"body":"our final episode for 2021 to a"},{"speaker":"Charles Goldfarb","startTime":1794.16,"endTime":1798.75,"body":"close so we're going to take a"},{"speaker":"Charles Goldfarb","startTime":1798.75,"endTime":1804.06,"body":"break after 102 episodes and and"},{"speaker":"Charles Goldfarb","startTime":1798.75,"endTime":1804.06,"body":"my last takeaway is thank you,"},{"speaker":"Charles Goldfarb","startTime":1804.06,"endTime":1808.08,"body":"Chris Dy for for being a great"},{"speaker":"Charles Goldfarb","startTime":1804.06,"endTime":1808.08,"body":"partner for the podcast."},{"speaker":"Chris Dy","startTime":1808.41,"endTime":1810.93,"body":"Oh, you're very"},{"speaker":"Chris Dy","startTime":1808.41,"endTime":1810.93,"body":"welcome. And I can only express"},{"speaker":"Chris Dy","startTime":1810.93,"endTime":1812.79,"body":"the same amount of gratitude to"},{"speaker":"Chris Dy","startTime":1810.93,"endTime":1812.79,"body":"you. I thought you're gonna"},{"speaker":"Chris Dy","startTime":1812.79,"endTime":1816.33,"body":"thank me for the idea of"},{"speaker":"Chris Dy","startTime":1812.79,"endTime":1816.33,"body":"launching a podcast. But you"},{"speaker":"Chris Dy","startTime":1816.33,"endTime":1819.75,"body":"know, I guess it's your your"},{"speaker":"Chris Dy","startTime":1816.33,"endTime":1819.75,"body":"idea. You're not watching on"},{"speaker":"Chris Dy","startTime":1819.75,"endTime":1826.62,"body":"YouTube, there were some air"},{"speaker":"Chris Dy","startTime":1819.75,"endTime":1826.62,"body":"quotes. We should We should tell"},{"speaker":"Chris Dy","startTime":1826.62,"endTime":1829.17,"body":"our stories of the origin of the"},{"speaker":"Chris Dy","startTime":1826.62,"endTime":1829.17,"body":"podcast. You know, I think that"},{"speaker":"Chris Dy","startTime":1829.17,"endTime":1833.46,"body":"they are different stories."},{"speaker":"Chris Dy","startTime":1829.17,"endTime":1833.46,"body":"That's fine. Those of you"},{"speaker":"Chris Dy","startTime":1833.46,"endTime":1836.46,"body":"listening you have to defer to"},{"speaker":"Chris Dy","startTime":1833.46,"endTime":1836.46,"body":"your mentor and allow your"},{"speaker":"Chris Dy","startTime":1836.46,"endTime":1840.09,"body":"mentor to take the credit. So"},{"speaker":"Chris Dy","startTime":1836.46,"endTime":1840.09,"body":"yes, that's that's the work of"},{"speaker":"Chris Dy","startTime":1840.09,"endTime":1843.63,"body":"Chuck Goldfarb. But yes, in all"},{"speaker":"Chris Dy","startTime":1840.09,"endTime":1843.63,"body":"seriousness, thank you for, for"},{"speaker":"Chris Dy","startTime":1843.63,"endTime":1846.48,"body":"doing this for being a great"},{"speaker":"Chris Dy","startTime":1843.63,"endTime":1846.48,"body":"partner and it's both, you know,"},{"speaker":"Chris Dy","startTime":1846.48,"endTime":1849.96,"body":"obviously, the podcast and"},{"speaker":"Chris Dy","startTime":1846.48,"endTime":1849.96,"body":"clinical care. And, you know,"},{"speaker":"Chris Dy","startTime":1849.96,"endTime":1852.9,"body":"we'll take a few weeks off I"},{"speaker":"Chris Dy","startTime":1849.96,"endTime":1852.9,"body":"know you tried to dial us into"},{"speaker":"Chris Dy","startTime":1852.9,"endTime":1856.38,"body":"two, but let's let's leave a"},{"speaker":"Chris Dy","startTime":1852.9,"endTime":1856.38,"body":"little open and give us a little"},{"speaker":"Chris Dy","startTime":1856.38,"endTime":1859.5,"body":"leeway to take as much time as"},{"speaker":"Chris Dy","startTime":1856.38,"endTime":1859.5,"body":"we need to recharge and come"},{"speaker":"Chris Dy","startTime":1859.5,"endTime":1862.14,"body":"back. It won't be six months, it"},{"speaker":"Chris Dy","startTime":1859.5,"endTime":1862.14,"body":"probably won't even be a month,"},{"speaker":"Chris Dy","startTime":1862.44,"endTime":1865.68,"body":"but we'll be back in 2022. Ready"},{"speaker":"Chris Dy","startTime":1862.44,"endTime":1865.68,"body":"to chat."},{"speaker":"Charles Goldfarb","startTime":1865.92,"endTime":1867.57,"body":"I love it."},{"speaker":"Charles Goldfarb","startTime":1865.92,"endTime":1867.57,"body":"Thanks. Have a good evening."},{"speaker":"Chris Dy","startTime":1867.93,"endTime":1868.53,"body":"You too."},{"speaker":"Charles Goldfarb","startTime":1870.3,"endTime":1872.25,"body":"Hey, Chris."},{"speaker":"Charles Goldfarb","startTime":1870.3,"endTime":1872.25,"body":"That was fun. Let's do it again"},{"speaker":"Charles Goldfarb","startTime":1872.25,"endTime":1872.76,"body":"real soon."},{"speaker":"Chris Dy","startTime":1873.03,"endTime":1875.55,"body":"Sounds good. Well, be"},{"speaker":"Chris Dy","startTime":1873.03,"endTime":1875.55,"body":"sure to check us out on Twitter"},{"speaker":"Chris Dy","startTime":1875.58,"endTime":1877.98,"body":"@handpodcast. Hey, Chuck, what's"},{"speaker":"Chris Dy","startTime":1875.58,"endTime":1877.98,"body":"your Twitter handle?"},{"speaker":"Charles Goldfarb","startTime":1878.28,"endTime":1881.13,"body":"Mine is"},{"speaker":"Charles Goldfarb","startTime":1878.28,"endTime":1881.13,"body":"@congenitalhand. What about you?"},{"speaker":"Chris Dy","startTime":1881.31,"endTime":1884.79,"body":"Mine is @ChrisDyMD"},{"speaker":"Chris Dy","startTime":1881.31,"endTime":1884.79,"body":"spelled dy. If you'd like to"},{"speaker":"Chris Dy","startTime":1884.79,"endTime":1888.51,"body":"email us, you can reach us at"},{"speaker":"Chris Dy","startTime":1884.79,"endTime":1888.51,"body":"handpodcast@gmail.com."},{"speaker":"Charles Goldfarb","startTime":1889.11,"endTime":1891.24,"body":"And remember,"},{"speaker":"Charles Goldfarb","startTime":1889.11,"endTime":1891.24,"body":"please subscribe wherever you"},{"speaker":"Charles Goldfarb","startTime":1891.24,"endTime":1892.35,"body":"get your podcasts."},{"speaker":"Chris Dy","startTime":1892.38,"endTime":1894.6,"body":"And be sure to leave a"},{"speaker":"Chris Dy","startTime":1892.38,"endTime":1894.6,"body":"review that helps us get the"},{"speaker":"Chris Dy","startTime":1894.6,"endTime":1895.02,"body":"word out."},{"speaker":"Charles Goldfarb","startTime":1895.38,"endTime":1897.66,"body":"Special thanks"},{"speaker":"Charles Goldfarb","startTime":1895.38,"endTime":1897.66,"body":"to Peter Martin for the amazing"},{"speaker":"Charles Goldfarb","startTime":1897.66,"endTime":1901.65,"body":"music. And remember, keep the"},{"speaker":"Charles Goldfarb","startTime":1897.66,"endTime":1901.65,"body":"upper hand come back next time."}]}