1 00:00:01,120 --> 00:00:03,279 The Becker's team is excited to announce the 2 00:00:03,279 --> 00:00:06,160 launch of our new CFO and Revenue Cycle 3 00:00:06,160 --> 00:00:06,660 podcast. 4 00:00:07,440 --> 00:00:10,240 Tune in for conversations with finance experts from 5 00:00:10,240 --> 00:00:13,119 the top hospitals and health systems. We'll discuss 6 00:00:13,119 --> 00:00:15,679 key trends and ideas to drive meaningful change 7 00:00:15,679 --> 00:00:18,855 in the industry. Look for Becker's CFO and 8 00:00:18,855 --> 00:00:21,995 Revenue Cycle podcast wherever you listen to episodes. 9 00:00:24,535 --> 00:00:26,695 This is Carly Beam with the Becker Spine 10 00:00:26,695 --> 00:00:28,154 and Orthopedics podcast. 11 00:00:28,530 --> 00:00:30,449 I'm thrilled to be joined today by doctor 12 00:00:30,449 --> 00:00:33,030 Jonathan Foray of Center for Orthopedics. 13 00:00:33,490 --> 00:00:35,570 Jonathan, thank you so much for being here 14 00:00:35,570 --> 00:00:36,070 today. 15 00:00:36,609 --> 00:00:38,850 Yes. Thank you for having me. And before 16 00:00:38,850 --> 00:00:41,250 we dive into questions, could you introduce yourself 17 00:00:41,250 --> 00:00:42,950 and tell us a bit about your background? 18 00:00:43,804 --> 00:00:44,304 Sure. 19 00:00:44,844 --> 00:00:47,164 My name is doctor Jonathan Faure. I'm an 20 00:00:47,164 --> 00:00:49,965 orthopedic surgeon at the Center for Orthopedics in 21 00:00:49,965 --> 00:00:50,704 Lake Charles. 22 00:00:51,325 --> 00:00:55,085 Did my medical school training at the Louisiana 23 00:00:55,085 --> 00:00:57,344 State University School of Medicine in New Orleans. 24 00:00:58,090 --> 00:01:00,329 Went from there to the University of South 25 00:01:00,329 --> 00:01:01,630 Carolina School of Medicine, 26 00:01:02,409 --> 00:01:04,829 orthopedic residency in Greenville, South Carolina. 27 00:01:05,209 --> 00:01:07,069 Spent five years there doing orthopedic 28 00:01:07,530 --> 00:01:10,010 surgery training, and then I returned back to 29 00:01:10,010 --> 00:01:12,109 my hometown of Lake Charles, Louisiana. 30 00:01:12,605 --> 00:01:13,505 I've been practicing 31 00:01:13,885 --> 00:01:14,385 there 32 00:01:14,844 --> 00:01:17,025 as a practicing orthopedist since 33 00:01:17,325 --> 00:01:18,145 2012. 34 00:01:18,844 --> 00:01:20,924 Like, they're really coming full circle with their 35 00:01:20,924 --> 00:01:21,424 job. 36 00:01:22,045 --> 00:01:22,545 Yeah. 37 00:01:22,924 --> 00:01:24,765 Yeah. Can you talk about, 38 00:01:25,245 --> 00:01:27,905 three top trends you're following in orthopedics? 39 00:01:29,379 --> 00:01:29,879 Sure. 40 00:01:30,420 --> 00:01:32,120 So one of the things we've been, 41 00:01:32,980 --> 00:01:36,019 following and actively engaged in, number one, is 42 00:01:36,019 --> 00:01:39,079 this outpatient shift in the total joint world, 43 00:01:39,540 --> 00:01:42,594 including both total hips, total knees, and partial 44 00:01:42,594 --> 00:01:44,295 knee replacements to an outpatient 45 00:01:44,594 --> 00:01:45,094 setting. 46 00:01:46,354 --> 00:01:49,795 We're also following and engaged in these rapid 47 00:01:49,795 --> 00:01:53,094 recovery protocols for those patients. So, you know, 48 00:01:53,155 --> 00:01:55,494 enhanced pain management techniques 49 00:01:55,849 --> 00:01:57,469 that we can use, new 50 00:01:57,929 --> 00:01:59,849 drugs that we can utilize to help these 51 00:01:59,849 --> 00:02:02,269 patients feel better and recover faster. 52 00:02:02,890 --> 00:02:04,489 And then one of the newer things that 53 00:02:04,489 --> 00:02:05,549 I'm following 54 00:02:05,849 --> 00:02:08,110 that's that's really very new is the artificial 55 00:02:08,169 --> 00:02:10,935 intelligence and how is that gonna be, you 56 00:02:10,935 --> 00:02:12,875 know, unfolding in our practices 57 00:02:13,254 --> 00:02:14,555 in the coming years. 58 00:02:15,735 --> 00:02:17,575 Thank you. And I wanted to pick your 59 00:02:17,575 --> 00:02:19,435 brain, Morrie, about these rapid 60 00:02:19,814 --> 00:02:20,314 recovery 61 00:02:20,615 --> 00:02:23,335 protocols. Can you outline some of the 62 00:02:24,240 --> 00:02:26,240 some of the protocols that you use in 63 00:02:26,240 --> 00:02:29,219 your practice and how those are paying off? 64 00:02:29,840 --> 00:02:32,000 Sure. So let's just take a total knee 65 00:02:32,000 --> 00:02:33,300 replacement, for example. 66 00:02:33,599 --> 00:02:35,360 You know, total knee replacement even a few 67 00:02:35,360 --> 00:02:36,659 years ago may stay 68 00:02:37,040 --> 00:02:39,379 in a hospital for a night or two 69 00:02:41,844 --> 00:02:44,245 with, you know, pain control problems or things 70 00:02:44,245 --> 00:02:45,144 like that that 71 00:02:45,444 --> 00:02:48,025 have required them to stay in the hospital. 72 00:02:48,805 --> 00:02:51,444 We've now transitioned our patients and from our 73 00:02:51,444 --> 00:02:53,924 practice, about ninety five percent of my patients 74 00:02:53,924 --> 00:02:55,969 are done at Joint Replacement Center in Louisiana, 75 00:02:56,189 --> 00:02:57,169 which is a specialty 76 00:02:58,189 --> 00:02:59,169 surgical center 77 00:02:59,710 --> 00:03:02,610 where we can offer outpatient total joint replacement. 78 00:03:03,310 --> 00:03:06,530 And the protocol involves both specialized anesthesia. 79 00:03:06,830 --> 00:03:08,750 So most of these patients are done using 80 00:03:08,750 --> 00:03:09,585 a spinal anesthetic 81 00:03:21,025 --> 00:03:21,525 acting 82 00:03:22,530 --> 00:03:23,030 anesthetics 83 00:03:23,650 --> 00:03:26,229 that are that have a time release element 84 00:03:26,449 --> 00:03:27,830 that helps to, 85 00:03:28,610 --> 00:03:30,469 control these patients' pain. 86 00:03:30,770 --> 00:03:33,909 And then these patients are able to mobilize 87 00:03:34,224 --> 00:03:37,685 very quickly after surgery. Their spinal wears off 88 00:03:37,745 --> 00:03:38,245 about 89 00:03:39,104 --> 00:03:41,025 two hours after the time it's placed, so 90 00:03:41,025 --> 00:03:42,724 they're only in the Recovery Room maybe 91 00:03:43,185 --> 00:03:43,685 minutes. 92 00:03:43,985 --> 00:03:46,405 And then they can be up walking around 93 00:03:46,705 --> 00:03:47,925 on their knee immediately, 94 00:03:48,520 --> 00:03:50,199 use a walker to be safe with their 95 00:03:50,199 --> 00:03:53,240 balance, and they're typically being discharged about two 96 00:03:53,240 --> 00:03:54,219 hours postoperatively 97 00:03:54,919 --> 00:03:55,819 to their home. 98 00:03:56,919 --> 00:03:58,939 That's really awesome turnaround time. 99 00:03:59,240 --> 00:04:01,000 And then I was wondering, you know, we 100 00:04:01,000 --> 00:04:01,740 think about, 101 00:04:02,145 --> 00:04:05,425 the next generation of orthopedic robots and you 102 00:04:05,425 --> 00:04:07,844 can all you know, including outpatient center. 103 00:04:08,145 --> 00:04:09,284 How do you see 104 00:04:09,905 --> 00:04:11,125 the future of those? 105 00:04:11,905 --> 00:04:14,625 I think the future for the robot we're 106 00:04:14,625 --> 00:04:15,125 on, 107 00:04:15,579 --> 00:04:18,720 basically, you can think of the second generation 108 00:04:19,180 --> 00:04:19,680 robot 109 00:04:20,060 --> 00:04:21,439 that we're currently using. 110 00:04:21,979 --> 00:04:23,419 Mhmm. And when I say that, I mean 111 00:04:23,419 --> 00:04:25,979 that the robot is the same, but the 112 00:04:25,979 --> 00:04:29,180 software has been updated, you know, one major 113 00:04:29,180 --> 00:04:32,084 update to the software that had allowed some 114 00:04:32,084 --> 00:04:33,764 some better features. So I think the one 115 00:04:33,764 --> 00:04:35,845 thing we're definitely gonna see is we'll see 116 00:04:35,845 --> 00:04:38,084 a newly designed robot at some point in 117 00:04:38,084 --> 00:04:40,024 the next couple of years. That robot 118 00:04:40,485 --> 00:04:42,725 will be much faster. Just like when you 119 00:04:42,725 --> 00:04:45,045 get a new computer, it runs faster. It 120 00:04:45,045 --> 00:04:45,865 works faster. 121 00:04:46,370 --> 00:04:48,790 It's gonna have expanded capabilities, particularly 122 00:04:49,410 --> 00:04:52,930 in the revision or redo setting of joint 123 00:04:52,930 --> 00:04:55,189 replacement where we can plan people's 124 00:04:55,649 --> 00:04:57,350 redo or revision surgery. 125 00:04:57,730 --> 00:05:00,004 And then I think you're gonna see some 126 00:05:00,004 --> 00:05:02,964 expanded indications for the robot. We know they're 127 00:05:02,964 --> 00:05:03,464 gonna, 128 00:05:04,485 --> 00:05:06,105 add a spinal application 129 00:05:06,564 --> 00:05:09,524 for spine surgery and also a total shoulder 130 00:05:09,524 --> 00:05:11,845 replacement application to the robot. And both of 131 00:05:11,845 --> 00:05:14,980 those, the spine and the shoulder will likely 132 00:05:15,199 --> 00:05:16,639 come in 2025 133 00:05:16,639 --> 00:05:18,259 or possibly 2026. 134 00:05:18,879 --> 00:05:21,220 That's a great quick timeline and lots to 135 00:05:21,439 --> 00:05:23,920 look forward in that area. And how do 136 00:05:23,920 --> 00:05:25,300 you see AI 137 00:05:25,759 --> 00:05:27,139 weaving into all of this? 138 00:05:28,294 --> 00:05:31,194 So I think AI will play a role. 139 00:05:31,334 --> 00:05:33,514 I think it'll definitely play a role preoperatively. 140 00:05:33,975 --> 00:05:36,854 I think we will start seeing our electric 141 00:05:36,854 --> 00:05:39,115 medical records, though those softwares. 142 00:05:39,415 --> 00:05:40,935 I think we will see a role for 143 00:05:40,935 --> 00:05:41,834 AI in 144 00:05:43,029 --> 00:05:44,250 utilizing protocols 145 00:05:44,550 --> 00:05:45,290 to identify 146 00:05:45,830 --> 00:05:48,410 patients who are either at risk for complications 147 00:05:48,790 --> 00:05:49,930 or have a certain, 148 00:05:50,790 --> 00:05:51,770 number of comorbidities 149 00:05:52,149 --> 00:05:54,649 or take certain medicines that may cross react 150 00:05:55,064 --> 00:05:57,705 and, you know, helping the surgeons identify those 151 00:05:57,705 --> 00:05:58,685 patients preoperatively. 152 00:05:59,465 --> 00:06:01,145 And then I think the second thing that 153 00:06:01,145 --> 00:06:03,225 we may likely see is we're gonna start 154 00:06:03,225 --> 00:06:04,925 seeing integrated activity 155 00:06:05,545 --> 00:06:07,245 monitors for patients, meaning 156 00:06:08,400 --> 00:06:11,759 our our electronic medical records and AI will 157 00:06:11,759 --> 00:06:14,319 be able to tell the surgeon about the 158 00:06:14,319 --> 00:06:17,939 patient's activity level based on their smartphone, 159 00:06:18,960 --> 00:06:21,920 data and give the surgeons an idea of, 160 00:06:21,920 --> 00:06:24,004 you know, how active is this patient before. 161 00:06:24,225 --> 00:06:26,944 Are are are they extremely sedentary? Are they 162 00:06:26,944 --> 00:06:28,785 likely to run into problems with these types 163 00:06:28,785 --> 00:06:30,625 of things? So I think that is those 164 00:06:30,625 --> 00:06:32,644 tools for artificial intelligence, 165 00:06:33,345 --> 00:06:35,345 I think we're likely to see coming in 166 00:06:35,345 --> 00:06:36,004 the future. 167 00:06:36,729 --> 00:06:38,169 It sounds like it'll be very helpful in 168 00:06:38,169 --> 00:06:41,129 getting that extra layer of showing how a 169 00:06:41,129 --> 00:06:41,629 patient 170 00:06:42,329 --> 00:06:42,829 is 171 00:06:43,289 --> 00:06:45,529 when they're, you know, outside of the doctor's 172 00:06:45,529 --> 00:06:47,769 office or ORs kind of going about their 173 00:06:47,769 --> 00:06:48,269 day. 174 00:06:48,914 --> 00:06:49,414 Absolutely. 175 00:06:50,514 --> 00:06:52,274 Yeah. And then the last topic I wanted 176 00:06:52,274 --> 00:06:55,014 to pivot to is the role of orthobiologics 177 00:06:55,714 --> 00:06:56,454 in orthopedics. 178 00:06:57,074 --> 00:06:59,794 How do you see that evolving especially in 179 00:06:59,794 --> 00:07:01,254 cartilage and knee care? 180 00:07:02,430 --> 00:07:03,170 So orthobiologics 181 00:07:03,790 --> 00:07:06,750 is obviously a a broad topic, but there 182 00:07:06,750 --> 00:07:08,610 is a lot of interest. Specifically, 183 00:07:09,709 --> 00:07:10,449 a lot of, 184 00:07:11,470 --> 00:07:14,589 news and headlines around things that people call 185 00:07:14,589 --> 00:07:15,410 stem cells. 186 00:07:16,584 --> 00:07:19,384 And and within the orthopedic community, we are 187 00:07:19,384 --> 00:07:19,884 still, 188 00:07:20,185 --> 00:07:21,644 I think, working through 189 00:07:22,264 --> 00:07:23,324 some of the logistics 190 00:07:23,625 --> 00:07:24,064 of 191 00:07:24,504 --> 00:07:25,644 it's just exactly, 192 00:07:26,185 --> 00:07:27,324 you know, what 193 00:07:27,625 --> 00:07:29,784 what what are stem cells, where are we 194 00:07:29,784 --> 00:07:31,910 getting them, what can we call a stem 195 00:07:31,910 --> 00:07:32,649 cell treatment. 196 00:07:33,029 --> 00:07:35,129 But I think it's safe to say that 197 00:07:35,430 --> 00:07:36,089 the future 198 00:07:36,790 --> 00:07:40,330 and the future of research in orthopedic orthobiologics 199 00:07:40,949 --> 00:07:41,449 is 200 00:07:41,990 --> 00:07:43,290 is to have 201 00:07:43,975 --> 00:07:44,634 a treatment 202 00:07:45,335 --> 00:07:48,134 which will be individualized for the patient based 203 00:07:48,134 --> 00:07:50,235 on their specific cartilage problem 204 00:07:50,775 --> 00:07:53,035 that would be some type of injectable 205 00:07:53,895 --> 00:07:56,875 that could help regrow or reestablish 206 00:07:57,649 --> 00:07:59,970 the cartilage surface of the knee that's being 207 00:07:59,970 --> 00:08:01,189 damaged or worn 208 00:08:01,569 --> 00:08:02,310 and either 209 00:08:02,850 --> 00:08:05,889 help them avoid a joint replacement altogether or 210 00:08:05,889 --> 00:08:09,330 significantly delay a replacement, especially in our younger 211 00:08:09,330 --> 00:08:09,830 patients. 212 00:08:10,814 --> 00:08:13,134 Absolutely. And I was wondering if you could 213 00:08:13,134 --> 00:08:15,475 expand a little bit more on particular 214 00:08:16,335 --> 00:08:19,154 types of studies, areas of research that 215 00:08:19,455 --> 00:08:21,154 you wanna see 216 00:08:21,775 --> 00:08:23,235 the field specialty do 217 00:08:23,889 --> 00:08:24,629 in orthobiologics 218 00:08:25,009 --> 00:08:26,449 or, you know, if you're involved in any 219 00:08:26,449 --> 00:08:28,290 interesting studies, I'd love to hear more about 220 00:08:28,290 --> 00:08:29,110 that as well. 221 00:08:30,210 --> 00:08:31,810 Well, I think what we would like to 222 00:08:31,810 --> 00:08:32,309 see, 223 00:08:33,410 --> 00:08:35,970 as a as an orthopedic community would be 224 00:08:35,970 --> 00:08:36,470 increased 225 00:08:37,125 --> 00:08:39,065 funding and research toward, 226 00:08:39,524 --> 00:08:41,304 what we would consider joint preservation. 227 00:08:41,924 --> 00:08:44,725 Meaning, these treatments that can be given to 228 00:08:44,725 --> 00:08:45,225 patients 229 00:08:45,845 --> 00:08:46,745 to help 230 00:08:47,125 --> 00:08:48,504 regrow or reestablish 231 00:08:48,884 --> 00:08:51,625 the cartilage that has been damaged or worn 232 00:08:52,070 --> 00:08:52,570 and 233 00:08:53,230 --> 00:08:53,730 to 234 00:08:54,389 --> 00:08:57,190 use these treatments in patients to help them 235 00:08:57,190 --> 00:08:57,690 avoid, 236 00:08:58,470 --> 00:08:58,970 these 237 00:08:59,269 --> 00:09:00,490 these large operations. 238 00:09:01,110 --> 00:09:03,269 And if that can be done, I think 239 00:09:03,269 --> 00:09:05,845 we'll be successful in helping a lot of 240 00:09:05,845 --> 00:09:06,345 patients, 241 00:09:06,965 --> 00:09:09,764 avoid these types of surgeries. But that is 242 00:09:09,845 --> 00:09:12,165 that's what the future holds, but it's it 243 00:09:12,165 --> 00:09:14,165 is a there's a lot of work to 244 00:09:14,165 --> 00:09:15,865 be done in that area for sure. 245 00:09:16,360 --> 00:09:19,320 And, doctor Foray, the last question I have 246 00:09:19,320 --> 00:09:21,340 for you is regarding outpatient orthopedics 247 00:09:21,720 --> 00:09:22,220 and 248 00:09:22,920 --> 00:09:23,820 the big migration, 249 00:09:24,279 --> 00:09:26,759 especially in total joints. I'd love to hear 250 00:09:26,759 --> 00:09:27,259 your 251 00:09:27,639 --> 00:09:29,774 outlook on that and, you know, if you 252 00:09:29,774 --> 00:09:32,654 might ever see a day where practically all 253 00:09:32,654 --> 00:09:35,634 total joint replacements are done in the outpatient 254 00:09:35,774 --> 00:09:36,274 center. 255 00:09:37,695 --> 00:09:40,274 Yes. And we are seeing a large migration 256 00:09:40,575 --> 00:09:41,714 currently. So, 257 00:09:42,370 --> 00:09:44,309 you know, the joint replacement center in Louisiana 258 00:09:44,449 --> 00:09:46,769 is a specialty center that myself and two 259 00:09:46,769 --> 00:09:48,870 partners started to offer our patients 260 00:09:49,329 --> 00:09:52,209 a specialized facility for outpatient joint replacement. And 261 00:09:52,209 --> 00:09:54,209 that's a trend across the country that we're 262 00:09:54,209 --> 00:09:54,705 seeing 263 00:09:55,024 --> 00:09:57,205 is to do these patients in a specialized 264 00:09:57,264 --> 00:09:58,565 center that has 265 00:09:59,105 --> 00:10:03,125 specialized nursing care, specialized anesthesia care, and specialized 266 00:10:03,264 --> 00:10:03,764 operative, 267 00:10:04,785 --> 00:10:05,285 protocol 268 00:10:05,745 --> 00:10:07,924 to allow these patients to be done, 269 00:10:08,384 --> 00:10:11,259 as an outpatient. But, when you say outpatient 270 00:10:11,259 --> 00:10:13,740 total joint, I think there's really two meanings 271 00:10:13,740 --> 00:10:16,139 to that. And so the number one thing 272 00:10:16,139 --> 00:10:18,460 people should understand is that the large, large 273 00:10:18,460 --> 00:10:21,920 majority, meaning ninety plus percent of total joints, 274 00:10:22,605 --> 00:10:24,924 whether they're done at a hospital or a 275 00:10:24,924 --> 00:10:25,825 surgery center, 276 00:10:26,205 --> 00:10:26,945 are identified 277 00:10:27,485 --> 00:10:29,105 by the payers as 278 00:10:29,644 --> 00:10:30,384 an outpatient 279 00:10:30,764 --> 00:10:33,884 total joint. And so the the big thing 280 00:10:33,884 --> 00:10:36,524 that we're following now in outpatient total joints 281 00:10:36,524 --> 00:10:39,050 that I think will ultimately drive 282 00:10:39,990 --> 00:10:41,529 the total joint volume 283 00:10:43,110 --> 00:10:45,850 SC or the, ambulatory surgery center 284 00:10:46,790 --> 00:10:49,350 is that if the payers go to a 285 00:10:49,350 --> 00:10:50,730 site neutral payment, 286 00:10:51,975 --> 00:10:53,274 then those 287 00:10:53,894 --> 00:10:56,534 patients who were previously being done in a 288 00:10:56,534 --> 00:10:59,115 hospital and and the hospital is being reimbursed, 289 00:11:00,375 --> 00:11:02,714 up to 40% more than the ASC, 290 00:11:03,894 --> 00:11:06,235 when no if those payments become equal, 291 00:11:06,779 --> 00:11:10,059 then you'll see the remaining patients that were 292 00:11:10,059 --> 00:11:12,539 being done in a hospital setting driven out 293 00:11:12,539 --> 00:11:13,519 into the ambulatory 294 00:11:13,899 --> 00:11:17,500 setting. And, yes, it will drive ninety plus 295 00:11:17,500 --> 00:11:20,699 percent of total joints to the outpatient setting. 296 00:11:20,699 --> 00:11:21,440 It's already 297 00:11:21,865 --> 00:11:23,945 been proven to be safe and effective. I 298 00:11:23,945 --> 00:11:26,045 do think it takes some additional investments 299 00:11:26,504 --> 00:11:27,245 both preoperatively 300 00:11:27,625 --> 00:11:30,424 with nurse navigator help and working with the 301 00:11:30,424 --> 00:11:33,705 patients to understand what their joint replacement journey 302 00:11:33,705 --> 00:11:35,085 is going to entail. 303 00:11:35,570 --> 00:11:38,929 And then, obviously, enhance preoperative assessment and enhance 304 00:11:38,929 --> 00:11:42,070 postoperative follow-up to help the patient successfully 305 00:11:42,769 --> 00:11:44,470 go through their total joint replacement. 306 00:11:45,330 --> 00:11:47,330 And you mentioned just kind of, like, those 307 00:11:47,330 --> 00:11:49,909 investments to help with outpatient migration. 308 00:11:50,714 --> 00:11:53,595 What kind of investments should ASC be thinking 309 00:11:53,595 --> 00:11:55,595 about if they want to increase their total 310 00:11:55,595 --> 00:11:56,414 joint volume? 311 00:11:57,834 --> 00:11:58,334 Well, 312 00:11:58,794 --> 00:11:59,294 specifically, 313 00:11:59,754 --> 00:12:02,095 on the ASC side, you know, using, 314 00:12:02,794 --> 00:12:03,615 nurse navigators, 315 00:12:04,394 --> 00:12:04,894 using 316 00:12:05,980 --> 00:12:07,840 physician assistants who can help, 317 00:12:08,779 --> 00:12:11,580 both monitor the patients, but also a lot 318 00:12:11,580 --> 00:12:12,320 of the patients 319 00:12:13,019 --> 00:12:13,519 have, 320 00:12:14,379 --> 00:12:17,100 become accustomed to to thinking that they need 321 00:12:17,100 --> 00:12:18,799 the procedure done in a hospital. 322 00:12:19,184 --> 00:12:21,504 And the role of the nurse navigator is 323 00:12:21,504 --> 00:12:24,164 to walk the patient and especially their family 324 00:12:24,544 --> 00:12:25,684 or care member 325 00:12:26,225 --> 00:12:28,465 through the process so that they're comfortable, and 326 00:12:28,465 --> 00:12:29,205 they understand 327 00:12:29,745 --> 00:12:31,825 it's totally safe. They can have their joint 328 00:12:31,825 --> 00:12:33,800 replacement. They can put their full weight on 329 00:12:33,800 --> 00:12:35,660 it. They're going to be able to mobilize, 330 00:12:35,960 --> 00:12:38,540 and that they can successfully have an outpatient 331 00:12:38,600 --> 00:12:39,740 total joint replacement. 332 00:12:41,000 --> 00:12:41,740 Thank you. 333 00:12:42,040 --> 00:12:44,840 And, doctor Faure, thank you so much for 334 00:12:44,840 --> 00:12:47,220 coming on a podcast today. I look forward 335 00:12:47,220 --> 00:12:48,800 to connecting with you again. 336 00:12:49,340 --> 00:12:50,880 Yes. Thank you for having me.