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Imagine this. You're at the Hyatt Regency Chicago

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surrounded by the top minds in the ambulatory

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surgery center industry.

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Welcome to the Becker's 30th annual meeting, the

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business and operations of ASCs from October 30th

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to November 2nd

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2024. Picture the excitement as you collect business

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cards from over a 1000 executive level attendees

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forging priceless connections.

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Feel the buzz of conversations as you participate

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in more than 60 sessions led by over

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225 elite ASC speakers.

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Envision yourself gaining actionable insights on topics like

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private equity strategies,

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ASC business growth, and innovations in spine, orthopedics,

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GI, ophthalmology, and cardiology.

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Now imagine yourself listening to inspiring keynotes from

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Hall of Fame boxing world champion, Lila Ali,

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and professional basketball player, Caitlin Clark. Their stories

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will motivate you to take your business to

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new heights. You'll leave with a wealth of

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knowledge and a network of connections to help

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lead your ASC into the next year. Don't

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miss out. Get registered today. Visit beckershospitalreviewdot

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com and click on the events page to

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find the conference website. That's the beckershospitalreview.com

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events page. See you in Chicago.

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This is Scott Becker with the Becker's HealthCare

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podcast.

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I am thrilled today to be joined by

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the real Ben Stein. We're joined today by

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Ben Stein, who's in the health care world.

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Ben, I'm gonna ask you to tell us

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about yourself, tell us about Capital Surgical, and

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a lot more. Take and then we'll talk

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about trends, where you're most focused, and a

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lot more.

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Tell us about yourself.

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I appreciate that, Scott. Thanks for having me,

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having me on.

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The you know, a little bit about myself.

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So I am a, orthopedic surgeon,

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practice in the Washington DC Metropolitan area,

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and, I've been in private practice independent in

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this region,

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for a little over 12 years now.

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And,

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about 6 years ago, I

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kind of recognized different trends happening within the

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ambulatory surgical center sphere,

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and kind of aggregation and consolidation, and,

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was seeing a little bit of a void

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in the market that I felt

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I might be able to cater to. And

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so selfishly for myself, for my own surgical

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out lay, but even, close friends and colleagues

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in the region,

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I went about,

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forming and creating a

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truly surgeon led, a surgeon owned, run,

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orthopedic MSK focused facility here in the Washington

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DC area with a very strong focus on

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joint replacement arthroplasty surgery, and we, you know,

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opened about four and a half years ago.

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In tandem with that, I created, my management

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development company, which is called Capital Surgical Solutions,

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which I am cofounder on with a colleague

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of mine,

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because we we it resonated very quickly to

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the extent that regionally, we were starting to

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get other people asking about doing something similar

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and extra regionally. And so that said this

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kind of passion of mine to try

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to cater to surgeons that I felt were

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similarly minded to me that want

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to really make sure they were able to

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deliver care at a level they had control

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over again,

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in the setting that they could be happy

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with with teams. They could be happy with

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long term and have control not over not

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over not over just

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the short term, but even the intermediate term

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and longer term trajectory of those facilities. And

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so that's kind of the the, I would

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say, the the reason for why I'm doing

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what I'm doing with Capital Surgical Solutions and

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the history of it.

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So fantastic. And and doctor Stein, you went

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to Johns Hopkins for your residency.

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What what was that like when you're around

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some of the brightest people in the world?

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How long did it take you to adjust

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to feel like, oh, I'm fine. I belong

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here. What was that experience like going to

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Johns Hopkins?

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That's a that's a great great question. I

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mean, amazing,

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eye opening, you know, to be at a

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facility in a hospital system like that and

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health system that really just delivers,

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some of the most exceptional care, not just

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in the United States, but in the world

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and being surrounded by mentors to me throughout

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my training, both clinically and even people from

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a nonclinical perspective was just very eye opening.

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I think helped to foster a lot of

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what I've become with time and practice and

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where I've evolved and what I'm doing. But

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it was a fantastic experience unlike any other.

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Thank you. And talk about when you look

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at the world of surgery centers today,

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there's so many interesting challenges in terms of,

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you know,

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are there enough surgeons to join surgery centers?

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What what do you sort see out there?

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I mean, a lot of the orthopedic surgeons

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have stayed relatively independent, so it leaves room

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for surgery centers. But what do you see

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out there in the long run for surgery

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centers and the independence of specialties like orthopedics?

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I think that's a great I think that's

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a great question. I think that, you know,

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I think you're seeing pendulums that have, like,

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swung in one direction that are now starting

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to swing back where, you know, ambulatory surgery

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centers in the orthopedic sphere, historically,

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did have a lot of relative independence or

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relative surgeon control of these facilities. And, obviously,

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over time, that's changed because the pendulum is

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swung the other way. But more and more

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you're seeing amongst surgeons

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that understand the value of what they're bringing,

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or having cases of of increased acuity, like

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joint replacements and spine replacements

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being migrated

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to the surgical center sphere,

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they're wanting more, impact and control over that.

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They wanna be able to actually

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have a a location they go to outside

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the hospital where they have the the ability

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to control all facets of care, including

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the preoperative experience from nurse navigators, the same

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day experience from the team, rendering the care

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whether it's anesthesia,

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recovery nurses, OR teams, sterilization

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technicians.

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And so I see that, I see it,

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swinging back that way. And I say that

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because, you know, I did what I did

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6 years ago. We already opened our second

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facility here with 13 other independent surgeons in

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this market about a year ago that has

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a big spine focus. And now we're opening

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1 in Denver in the near term and

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one in other another 2 markets in the

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pipeline.

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And that's without any,

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any marketing or any chatting about it. It's

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because of the fact there are still a

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pretty large swath of independent surgeons,

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who have the ability

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to control that destiny. And I would argue

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that even the surgeons that are not necessarily

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in that, that might be in consolidated,

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private equity based groupings or even in the

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health system

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groupings,

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many of them are also having a new

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ability to look at that optionality

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even if it's in a shared partnership with

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the health system or other entity,

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to help drive that narrative. And so I

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think it's I think it's swinging back that

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way, and I think it's intelligently swinging swinging

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back that way because I think that's where

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the facilities function best is when you have

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surgeons that are,

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not just passive,

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bystanders to the operation, but are actually hands

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on engaged,

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and able to steer that ship in the

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best way possible, for them, for their teams,

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and for their patients, most importantly.

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Thank you very, very much. And and doctor

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Stein, what are you most excited about

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currently and most focused on currently? Is it

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growth of your own practice? It grows to

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Capital Surgical? Is it a mix of both?

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What what what catch you up in the

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morning most excited and most focused?

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Yeah. So, you know, it's evolved over time.

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I still love practicing. I love doing what

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I do, but I've I honestly have a

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tremendous passion for the, for this second hat

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I wear with Capital Surgical Solutions, and it's

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something I get very excited about because it's

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allowed me to

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have conversations such as this or be out

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there meeting surgeons in different markets and learning

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more about,

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the actual operations of the business, how best

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to accomplish the goals that are kind of

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shared between us and our partners that we

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work with in these various facilities. And so

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that's really gotten it's it's kinda hit a

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a big kind of zone of passion for

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me, and I find that's kind of probably

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where most of the growth is happening for

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me personally,

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because I love it. You know, it's, it's

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obviously

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been very satisfying and fulfilling, and I and

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I see it continuing to grow, at least

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based on what I've seen thus far. And

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I'm really, really dialed in and enjoying it

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quite a bit.

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Fantastic. And

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and and take a second and sort of,

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you know, you let me ask you this

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question. I started with this in our in

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our conversation where we started. You know, one

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of what are my

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favorite sort of fascinating, brilliant people to watch

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when I was younger? And I've read some

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of his books as well, and I find

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it to be a brilliant, brilliant person, And

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he doesn't shy away from working hard is

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is Ben Stein.

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Like,

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how often do you get asked if you're

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that Ben Stein and I'm older than you

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are? So I wonder if our audience, the

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younger part of our audience, might even not

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know who the who the who the other

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Ben Stein was, but but talk a little

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bit about that. So it was a famous

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Ben Stein, actually served of all places in

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the Nixon White House, and he he's an

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interesting guy, had his own TV show, Win

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Ben Stein's Money. Talk a little bit about

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that.

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Sure. You know, look, I I I prior

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to Hopkins, I did undergraduate med school at

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George Washington DC, and Ben Stein's from the

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DC area from Silver Springs. So I used

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to have many,

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joking conversations with his friends who'd seen him

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around town, etcetera. But, you know, an immensely

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impressive guy. He was very you know, he

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I think he's still with us. Very bright.

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Nixon speechwriter was also involved in economic,

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advisement. I think his father was also an

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economist.

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And so, you know, tremendously intelligent guy, had

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a popular show that was fun to watch,

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and then started some movies I love. And

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so, you know, as far as, you know,

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the

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him mentoring me, not really, but as far

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as, like, you know, me enjoying the fact

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there was someone like that out there with

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the name, I've always had a great,

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you know, joking around about that. Am I

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named after him now? But, but but a

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cool figure out there, and I think somebody

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who's really done some impressive stuff. And I'm

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fortunate enough to share his name. That's what

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I would say.

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It's it it's so cool. And and talk

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a little bit about you've had this great

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career as an orthopedic surgeon,

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but you also love what you do and

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you've got some other efforts as well in

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the business side of orthopedics

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and in growth.

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How important is that that mix of things

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to keep the career interesting and fend off

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burnout and stay excited? How important is that

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for physicians to to be doing

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not just knees every day, not just spine

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every day, but be doing some other stuff

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to to sort of

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excite their mind and and move them forward

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and and motivate them. What's your thoughts on

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that that mix of things? I think I

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think it's a great I think I think

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it's very important because I think and you

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know this given what you do and you

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have tremendous expertise in health care and, you

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know, it's evolved so much, and there are

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so many components of what we do as

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physicians that we kinda seemingly start to lose

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control over or that erodes over time and

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or seemingly happen that way. And I think

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what I would say is that, you know,

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as a as a physician, I don't care

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if you're an orthopedist or any other type

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of physician,

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the more you can kinda get engaged and

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and components that have to do with actually

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you know, can seem kind of too hard

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to do, it's something that you will benefit

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from. Because if you get engaged in how

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you operate and how the practice is run

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and how the relationships managed care work and

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how it works in the value based system

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and how all these pieces function, then you're

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gonna end up enjoying your practice more because

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you'll have a better sense of the larger

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environment. And so I think it's very important

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to diversify what you're doing. Obviously, for somebody

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that might be a different line than what

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I've tackled, which is the inventory surgery centers,

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but, I think it's a very important thing

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to do.

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Thank you very, very much. And and doctor

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Stein, how could you learn more about Capital

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Surgical Solutions or about your practice? And congratulations

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on on where you're going with this. It's

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gone fantastic so far. Tell us where people

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can learn more about Capital Surgical Solutions and

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and what you do.

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I really appreciate that. Yeah. You know, so

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we, like I said, we you know, we've

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launched in this market now with our 2nd

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facility. We're heading down to different states now.

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They're

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ASC friendly, I would say, states as far

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as your current regulatory stance, which obviously is

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evolving as well.

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You know, and I you know, as far

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as,

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communicating with us, connecting with us, we do

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have a website, capitalsurgalsolutions.com.

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It has all of our contact information there,

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me and the rest of

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my team, which are really built from, I

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think, a unique, a unique bunch of very

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knowledgeable individuals, including my cofounder and others that

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are really out here to try to partner

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with, with the surgeons, with the correct surgeon

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grouping to try to give them what they

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want, which is a setting where they're truly

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in the driver's seat or,

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you know, really we're really a tag along,

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drag along,

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partner with them, long term focused, not with

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any ability to do anything without their, say,

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and, you know, doing so in a manner

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that we feel will make it the best

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place for them to operate at, take care

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of their patients,

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and kinda thread that needle. And so I

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think for surgeons that are in

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scenarios and some of the some of the

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scenarios are currently evolving because of what's happened

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inside,

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some of the the landscape, I would say,

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amongst specialists like us that are in that

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position of wanting to maybe refocus their lens

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on their ASC strategy, just reach out. We're

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happy to to chat,

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and just provide input as we can, which

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we've done many times, or work and partner

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with. But, you know,

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that yeah. That's what I would tell you.

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We'd love to chat with anybody who has

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interest, and they can they can look at

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us on our website and kinda go from

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there.

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Doctor Stein, thank you so much for joining

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us today on the Pecos Healthcare podcast. What

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a pleasure to visit with you, and congratulations

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on all your success. Thank you very much.

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Thanks so much, Scott. I really appreciate it.