1 00:00:00,160 --> 00:00:03,199 Hi, everyone, and welcome to the Becker's Spine 2 00:00:03,199 --> 00:00:04,740 and Orthopedic podcast. 3 00:00:05,519 --> 00:00:09,380 I'm Sophie Ades, orthopedic reporter with Becker's Healthcare. 4 00:00:10,080 --> 00:00:13,039 And today, we have the privilege of speaking 5 00:00:13,039 --> 00:00:14,820 with doctor Neil Eletrash, 6 00:00:15,525 --> 00:00:18,644 one of the most renowned orthopedic surgeons in 7 00:00:18,644 --> 00:00:19,545 sports medicine. 8 00:00:20,164 --> 00:00:22,644 He serves as head team physician for both 9 00:00:22,644 --> 00:00:25,384 the Los Angeles Dodgers and the Los Angeles 10 00:00:25,445 --> 00:00:25,945 Rams 11 00:00:26,324 --> 00:00:28,164 and is a leading surgeon at the Kirland 12 00:00:28,164 --> 00:00:31,170 Job Institute, a collaboration with Cedars Sinai. 13 00:00:32,130 --> 00:00:35,409 His work has helped define modern athlete care, 14 00:00:35,409 --> 00:00:37,170 earning the trust of some of the world's 15 00:00:37,170 --> 00:00:38,549 most elite competitors. 16 00:00:39,409 --> 00:00:41,809 And in this episode, we're gonna dive into 17 00:00:41,809 --> 00:00:44,309 how cutting edge innovation is transforming 18 00:00:45,045 --> 00:00:47,225 recovery for high performance athletes 19 00:00:47,604 --> 00:00:50,265 and what the broader orthopedic field can learn 20 00:00:50,645 --> 00:00:54,085 from the pressure, precision, and progress happening inside 21 00:00:54,085 --> 00:00:55,225 professional sports. 22 00:00:56,005 --> 00:00:58,804 Doctor Elotrash, it's it's it's an honor to 23 00:00:58,804 --> 00:01:00,505 to be speaking with you today. 24 00:01:00,850 --> 00:01:02,530 So I guess to start, can you just 25 00:01:02,530 --> 00:01:05,250 introduce yourself and and share a little bit 26 00:01:05,250 --> 00:01:06,310 about your role? 27 00:01:07,329 --> 00:01:09,009 Sure. And then thank you very much for 28 00:01:09,009 --> 00:01:09,750 your interest. 29 00:01:10,450 --> 00:01:11,969 So it is an honor for me to 30 00:01:11,969 --> 00:01:12,790 be with you. 31 00:01:13,155 --> 00:01:15,575 My practice has been in Los Angeles, 32 00:01:16,515 --> 00:01:19,174 at the Kirwan Joe Orthopedic Clinic for 33 00:01:19,954 --> 00:01:21,954 thirty five years now. I came to Los 34 00:01:21,954 --> 00:01:24,534 Angeles and to do my sports medicine fellowship, 35 00:01:25,680 --> 00:01:27,759 right after my residency, which was at the 36 00:01:27,759 --> 00:01:28,899 University of Pittsburgh. 37 00:01:29,280 --> 00:01:32,239 And I came here to Los Angeles to 38 00:01:32,239 --> 00:01:32,739 do 39 00:01:33,200 --> 00:01:35,599 the fellowship with doctor Job and and the 40 00:01:35,599 --> 00:01:36,099 other 41 00:01:36,719 --> 00:01:39,935 great doctors with, doctor Kerlin and and, the 42 00:01:39,935 --> 00:01:41,875 rest at the Kerlin Jobe Clinic 43 00:01:42,575 --> 00:01:43,635 in 1990. 44 00:01:44,174 --> 00:01:46,515 And, while I was in my my fellowship, 45 00:01:48,094 --> 00:01:48,594 discussions 46 00:01:48,895 --> 00:01:49,795 started about 47 00:01:50,495 --> 00:01:52,829 where I would go. Afterwards, I had already 48 00:01:52,990 --> 00:01:55,010 planned on on going back to Pittsburgh, 49 00:01:55,390 --> 00:01:56,930 where I grew up, but, 50 00:01:58,030 --> 00:01:59,569 I was asked to stay. And 51 00:02:00,030 --> 00:02:02,049 so here we are thirty five years later. 52 00:02:02,270 --> 00:02:03,790 It's like a blink of an eye, but 53 00:02:03,790 --> 00:02:04,030 it was 54 00:02:05,034 --> 00:02:07,614 I couldn't have made a better better decision, 55 00:02:08,074 --> 00:02:10,175 as far as being able to fulfill 56 00:02:11,675 --> 00:02:13,514 far beyond what I thought that I would 57 00:02:13,514 --> 00:02:14,335 be able to 58 00:02:14,715 --> 00:02:15,615 fulfill my 59 00:02:16,314 --> 00:02:18,555 my overall dreams and and what I wanted 60 00:02:18,555 --> 00:02:19,775 to do with medicine. 61 00:02:20,450 --> 00:02:20,950 And, 62 00:02:21,730 --> 00:02:24,129 I'm grateful every day the the way that, 63 00:02:24,450 --> 00:02:25,669 the way that I 64 00:02:26,050 --> 00:02:28,129 where I ended up and and, where I've 65 00:02:28,129 --> 00:02:29,510 been privileged to work. 66 00:02:30,290 --> 00:02:31,270 Yeah. Absolutely. 67 00:02:31,569 --> 00:02:34,805 And you have, you know, quite quite the 68 00:02:34,805 --> 00:02:36,025 career and definitely 69 00:02:36,564 --> 00:02:38,344 a really renowned figure, 70 00:02:39,205 --> 00:02:42,084 not only in the orthopedic field, but just 71 00:02:42,084 --> 00:02:42,584 generally. 72 00:02:43,284 --> 00:02:45,784 Can you I guess we're gonna dive in. 73 00:02:46,324 --> 00:02:48,644 You know, if you can explain just how 74 00:02:48,644 --> 00:02:49,784 your work with 75 00:02:50,629 --> 00:02:53,849 elite athletes has really shaped your broader approach 76 00:02:53,990 --> 00:02:55,770 to to orthopedic care. 77 00:02:57,349 --> 00:02:58,250 Yes. Sure. 78 00:02:58,550 --> 00:02:59,270 I I, 79 00:02:59,909 --> 00:03:00,650 had the 80 00:03:00,950 --> 00:03:04,325 privilege of of training with people who were 81 00:03:04,325 --> 00:03:06,105 at the forefront of sports medicine. 82 00:03:06,805 --> 00:03:07,545 I I 83 00:03:07,925 --> 00:03:09,764 I found very early on in my training, 84 00:03:09,764 --> 00:03:12,105 even going back to medical school, that that, 85 00:03:13,284 --> 00:03:15,385 the greatest thing you could do for yourself 86 00:03:15,509 --> 00:03:17,430 and the greatest thing anybody else could do 87 00:03:17,430 --> 00:03:18,169 for you 88 00:03:18,549 --> 00:03:19,129 is to 89 00:03:19,590 --> 00:03:22,150 is to provide you with a a a 90 00:03:22,150 --> 00:03:22,650 great 91 00:03:22,949 --> 00:03:24,650 example, role model, mentor, 92 00:03:25,189 --> 00:03:26,409 somebody that would be 93 00:03:26,870 --> 00:03:29,110 not only an instructor for for the things 94 00:03:29,110 --> 00:03:31,675 that you wanted to to do and learn, 95 00:03:31,675 --> 00:03:34,335 but somebody that would be interested in you. 96 00:03:34,715 --> 00:03:35,215 And, 97 00:03:36,074 --> 00:03:38,254 I became the fellowship director here 98 00:03:38,955 --> 00:03:41,715 around nineteen ninety nine, two thousand and was 99 00:03:41,715 --> 00:03:44,794 a fellowship director for over twenty five years. 100 00:03:44,794 --> 00:03:45,294 And 101 00:03:45,909 --> 00:03:46,729 I always 102 00:03:47,349 --> 00:03:47,849 advised 103 00:03:48,310 --> 00:03:50,090 the fellows that were coming through that 104 00:03:50,389 --> 00:03:52,069 if you have a decision to make on 105 00:03:52,069 --> 00:03:53,990 where to go, where to work, who to 106 00:03:53,990 --> 00:03:55,770 who to surround yourself with, 107 00:03:56,150 --> 00:03:58,490 there is nothing that competes with 108 00:03:58,814 --> 00:04:01,455 finding a great mentor, somebody that's interested in 109 00:04:01,455 --> 00:04:03,134 you and somebody that can teach you every 110 00:04:03,134 --> 00:04:03,854 day. And and, 111 00:04:04,655 --> 00:04:06,735 I ended up at at at a place 112 00:04:06,735 --> 00:04:07,235 where, 113 00:04:07,694 --> 00:04:09,854 you know, because of who I was working 114 00:04:09,854 --> 00:04:11,375 with and who was teaching me and who 115 00:04:11,375 --> 00:04:13,469 had taken an interest in me, I was 116 00:04:13,469 --> 00:04:14,689 put into an environment, 117 00:04:16,110 --> 00:04:17,250 far younger than 118 00:04:17,550 --> 00:04:20,189 than I could have anywhere else, maybe younger 119 00:04:20,189 --> 00:04:21,389 than I deserved. But, 120 00:04:22,430 --> 00:04:23,870 but I think that they knew that I 121 00:04:23,870 --> 00:04:25,569 would there would be nothing 122 00:04:26,435 --> 00:04:27,555 that I wouldn't do and, 123 00:04:28,274 --> 00:04:29,574 you know, I wouldn't 124 00:04:29,875 --> 00:04:32,435 stop short of putting in the effort and 125 00:04:32,435 --> 00:04:33,095 the work 126 00:04:33,555 --> 00:04:35,414 to be able to deserve, 127 00:04:35,875 --> 00:04:37,314 you know, what they were what they were 128 00:04:37,314 --> 00:04:39,254 providing me. And and so 129 00:04:39,990 --> 00:04:41,910 being able to be in an environment that 130 00:04:41,910 --> 00:04:44,569 that I was able to really focus 131 00:04:45,670 --> 00:04:47,769 on what I really loved to do, 132 00:04:48,149 --> 00:04:49,850 I I never really 133 00:04:50,470 --> 00:04:52,709 had to do anything that that was out 134 00:04:52,709 --> 00:04:54,009 of what I really felt 135 00:04:54,634 --> 00:04:57,115 that was my purpose and and and my 136 00:04:57,115 --> 00:04:57,615 passion. 137 00:04:58,475 --> 00:04:58,975 And 138 00:04:59,435 --> 00:05:01,595 just to be to be able to, you 139 00:05:01,595 --> 00:05:03,835 know, have a practice or make a career 140 00:05:03,835 --> 00:05:06,074 or make a living, I was able to 141 00:05:06,074 --> 00:05:08,495 focus on the things that really I loved. 142 00:05:09,035 --> 00:05:09,775 And so 143 00:05:10,399 --> 00:05:13,060 that really took me a long way into 144 00:05:13,120 --> 00:05:13,620 advancing, 145 00:05:14,800 --> 00:05:16,579 you know, what I do today. 146 00:05:16,879 --> 00:05:19,680 That ten thousand hour rule, it applies to 147 00:05:19,680 --> 00:05:21,839 pretty much every endeavor I've ever seen, you 148 00:05:21,839 --> 00:05:23,839 know, whether it's ten thousand hours or it's 149 00:05:23,839 --> 00:05:26,675 just, you know, being able to focus and 150 00:05:26,675 --> 00:05:27,415 be repetitive 151 00:05:28,035 --> 00:05:29,495 and and consistent 152 00:05:30,035 --> 00:05:30,935 and just 153 00:05:31,475 --> 00:05:34,035 hone your skills and hone your craft. When 154 00:05:34,035 --> 00:05:35,954 you have the opportunity to do that, it 155 00:05:35,954 --> 00:05:37,735 it really pushes you forward. 156 00:05:38,240 --> 00:05:38,980 And so 157 00:05:39,759 --> 00:05:42,160 so to answer your question, you know, much 158 00:05:42,160 --> 00:05:44,240 much of it started because of the environment 159 00:05:44,240 --> 00:05:44,740 that 160 00:05:45,040 --> 00:05:47,699 that I was I I found myself in, 161 00:05:47,759 --> 00:05:50,660 that I put myself in, and these other 162 00:05:50,720 --> 00:05:53,459 great surgeons put me in. And so, 163 00:05:53,834 --> 00:05:55,535 you know, being able to 164 00:05:56,154 --> 00:05:58,334 to really study what we do, not just 165 00:05:58,475 --> 00:06:00,555 learn how to do the things, but study 166 00:06:00,555 --> 00:06:02,095 the the science behind 167 00:06:02,634 --> 00:06:04,954 the different types of injury patterns and and 168 00:06:04,954 --> 00:06:06,954 how to treat them and what repairs would 169 00:06:06,954 --> 00:06:08,495 be best and work best. 170 00:06:08,930 --> 00:06:11,009 I mean, I I really be became 171 00:06:11,649 --> 00:06:13,889 had the opportunity to be to become expert 172 00:06:13,889 --> 00:06:15,970 in in an area. And, 173 00:06:16,930 --> 00:06:18,709 I don't think that you can be expert 174 00:06:18,770 --> 00:06:20,865 in these days. There's so much 175 00:06:21,345 --> 00:06:24,464 and burgeoning tech technology that, you know, you 176 00:06:24,464 --> 00:06:25,604 would have to become 177 00:06:26,305 --> 00:06:28,305 very familiar with and fast out with. I 178 00:06:28,305 --> 00:06:30,245 I don't think that you can be expert 179 00:06:30,464 --> 00:06:30,964 in 180 00:06:31,824 --> 00:06:32,964 in general orthopedics 181 00:06:33,345 --> 00:06:33,845 anymore. 182 00:06:34,639 --> 00:06:36,319 I I think that, to be at the 183 00:06:36,319 --> 00:06:37,139 level where 184 00:06:37,680 --> 00:06:39,699 where my mentors were, 185 00:06:40,079 --> 00:06:41,779 to be able to have the responsibility 186 00:06:42,240 --> 00:06:43,199 to take care of, 187 00:06:43,919 --> 00:06:45,699 athletes that were making their living 188 00:06:46,000 --> 00:06:47,139 or getting their education, 189 00:06:47,919 --> 00:06:49,060 playing their sport, 190 00:06:49,654 --> 00:06:51,115 you know, they had to be 191 00:06:51,975 --> 00:06:54,954 really, really expert in the science and 192 00:06:55,254 --> 00:06:58,314 the techniques of of of surgery on these 193 00:06:58,454 --> 00:07:00,074 kinds of patients. And so, 194 00:07:00,535 --> 00:07:02,399 you know, that was a great example for 195 00:07:02,399 --> 00:07:04,439 me. I so I buried myself in in 196 00:07:04,439 --> 00:07:06,699 studying the things that I would be doing. 197 00:07:07,160 --> 00:07:07,899 It's interesting 198 00:07:08,199 --> 00:07:10,379 when you look at the evolution of orthopedic 199 00:07:10,519 --> 00:07:11,019 surgery 200 00:07:11,560 --> 00:07:14,839 and, surgery in general, actually, in the middle 201 00:07:14,839 --> 00:07:16,365 twentieth century or so, 202 00:07:16,685 --> 00:07:18,464 you know, most of our experience, 203 00:07:18,925 --> 00:07:19,584 in orthopedics 204 00:07:20,604 --> 00:07:21,345 came through, 205 00:07:21,884 --> 00:07:22,865 military medicine. 206 00:07:23,324 --> 00:07:25,644 The the things that we advanced that you 207 00:07:25,644 --> 00:07:27,404 know, if you look at the how techniques 208 00:07:27,404 --> 00:07:30,044 that, were developed and advanced and the medications 209 00:07:30,044 --> 00:07:31,185 that we used and, 210 00:07:31,720 --> 00:07:33,480 you know, a lot of that that we 211 00:07:33,480 --> 00:07:34,939 took to the general public 212 00:07:35,480 --> 00:07:35,980 was 213 00:07:36,439 --> 00:07:38,779 honed and learned out of necessity, 214 00:07:39,639 --> 00:07:41,879 through the military taking care of our our 215 00:07:41,879 --> 00:07:42,860 nation's warriors. 216 00:07:43,560 --> 00:07:44,060 And 217 00:07:44,764 --> 00:07:46,605 if you look today, if you had to 218 00:07:46,605 --> 00:07:49,245 say, okay. What are what's the impetus for 219 00:07:49,245 --> 00:07:50,944 the biggest advances now 220 00:07:51,404 --> 00:07:51,805 in, 221 00:07:52,444 --> 00:07:52,944 orthopedics? 222 00:07:53,645 --> 00:07:54,944 Certainly sports medicine. 223 00:07:55,725 --> 00:07:57,964 I think that, you know, it's taken care 224 00:07:57,964 --> 00:07:58,944 of high demand, 225 00:07:59,779 --> 00:08:01,560 very active, if not 226 00:08:02,339 --> 00:08:03,639 elite level athletic 227 00:08:04,339 --> 00:08:04,839 patients. 228 00:08:05,220 --> 00:08:08,579 And so the the demands of of what 229 00:08:08,579 --> 00:08:10,500 we need to do to treat their injuries 230 00:08:10,500 --> 00:08:12,904 so that they can recover well enough to 231 00:08:12,904 --> 00:08:14,824 be able to use their body for for 232 00:08:14,824 --> 00:08:15,805 their living 233 00:08:16,504 --> 00:08:17,725 and this artificial 234 00:08:18,185 --> 00:08:21,305 timetable that is put on us to when 235 00:08:21,305 --> 00:08:22,685 we have to get them back. 236 00:08:23,305 --> 00:08:25,545 I always tell I always tell the players, 237 00:08:25,545 --> 00:08:27,225 look. Your knee your knee doesn't really care 238 00:08:27,225 --> 00:08:29,120 when the first game is, when the regular 239 00:08:29,120 --> 00:08:31,680 season starts. You know? It it it requires 240 00:08:31,680 --> 00:08:32,660 a certain amount, 241 00:08:33,200 --> 00:08:35,519 you know, of of time and and and 242 00:08:35,519 --> 00:08:36,660 rehab to get ready. 243 00:08:37,360 --> 00:08:39,840 Having said that, you know, the the the 244 00:08:39,840 --> 00:08:41,700 reality of the situation is that 245 00:08:42,595 --> 00:08:44,355 these are livelihoods that are, 246 00:08:44,754 --> 00:08:47,735 in the balance. And so to be able 247 00:08:48,274 --> 00:08:50,835 to repair and reconstruct these injured guys and 248 00:08:50,835 --> 00:08:51,654 and gals 249 00:08:52,274 --> 00:08:54,914 and to do it, strong enough that it 250 00:08:54,914 --> 00:08:55,414 will 251 00:08:55,875 --> 00:08:56,534 will withstand 252 00:08:57,299 --> 00:09:00,019 the aggressive rehab necessary to get them back 253 00:09:00,019 --> 00:09:01,639 at at this crazy artificial 254 00:09:02,500 --> 00:09:03,000 timetable 255 00:09:03,700 --> 00:09:06,039 and to hold up so that they they 256 00:09:06,419 --> 00:09:06,820 don't, 257 00:09:07,379 --> 00:09:08,759 you know, reinjure the, 258 00:09:09,575 --> 00:09:11,174 you know, the the entire and ruin the 259 00:09:11,174 --> 00:09:13,654 entire repair or reconstruction. You know, the the 260 00:09:13,735 --> 00:09:16,315 this has led to development of 261 00:09:16,934 --> 00:09:17,595 of techniques, 262 00:09:18,375 --> 00:09:19,754 both surgical techniques, 263 00:09:20,375 --> 00:09:21,595 diagnostic techniques, 264 00:09:22,120 --> 00:09:22,620 and, 265 00:09:23,320 --> 00:09:25,100 also rehab techniques 266 00:09:25,800 --> 00:09:26,120 that, 267 00:09:26,840 --> 00:09:28,460 is able to accomplish this. 268 00:09:28,920 --> 00:09:29,420 So 269 00:09:29,800 --> 00:09:31,019 I would say that 270 00:09:31,639 --> 00:09:32,700 our work with, 271 00:09:33,320 --> 00:09:34,860 this extremely active, 272 00:09:35,855 --> 00:09:36,355 population, 273 00:09:36,975 --> 00:09:39,534 whether it's an active aging population, which which 274 00:09:39,534 --> 00:09:41,774 we see with, you know, rotator cuff injuries 275 00:09:41,774 --> 00:09:43,954 and and some of the things that that, 276 00:09:44,414 --> 00:09:46,195 you know, are associated with 277 00:09:46,575 --> 00:09:49,615 maybe the aging population. But now the aging 278 00:09:49,615 --> 00:09:51,235 population is very, very active, 279 00:09:52,309 --> 00:09:54,950 and, and they they really need to be 280 00:09:54,950 --> 00:09:56,230 able to get back and do the things 281 00:09:56,230 --> 00:09:56,730 that 282 00:09:57,269 --> 00:10:00,070 they've always been told would be healthy for 283 00:10:00,070 --> 00:10:00,970 them. You know? 284 00:10:01,830 --> 00:10:04,324 But that a that active population and then 285 00:10:04,324 --> 00:10:07,144 certainly the this elite level athletic population, 286 00:10:08,164 --> 00:10:08,664 that 287 00:10:09,044 --> 00:10:11,384 we've been able to take techniques that 288 00:10:11,845 --> 00:10:14,804 have been proven to work well with them 289 00:10:14,804 --> 00:10:17,225 and take it and it and our entire 290 00:10:17,800 --> 00:10:19,899 population of patients benefits from it. 291 00:10:20,680 --> 00:10:23,340 Yeah. Well, thank you for for that explanation. 292 00:10:23,399 --> 00:10:25,080 And I I love what you said at 293 00:10:25,080 --> 00:10:26,460 the beginning just about, 294 00:10:26,920 --> 00:10:29,240 you know, your passion for what you do, 295 00:10:29,240 --> 00:10:31,559 and I think it's it's very clear in 296 00:10:31,559 --> 00:10:34,085 your work that you love what you do, 297 00:10:34,085 --> 00:10:36,245 and you've really been able to hone your 298 00:10:36,245 --> 00:10:37,225 craft. And 299 00:10:37,924 --> 00:10:40,004 I think another thing that you said that 300 00:10:40,004 --> 00:10:42,565 stood out to me was just, you know, 301 00:10:42,565 --> 00:10:44,024 you have this responsibility 302 00:10:44,485 --> 00:10:46,105 of taking care of athletes 303 00:10:46,970 --> 00:10:49,610 who, you know, being active, it like you 304 00:10:49,610 --> 00:10:51,070 said, is their whole livelihood. 305 00:10:51,930 --> 00:10:54,809 And so, you know, I I read in 306 00:10:54,809 --> 00:10:56,029 in that press release, 307 00:10:56,809 --> 00:10:58,730 that you've worked with more than, you know, 308 00:10:58,730 --> 00:10:59,950 a 150 309 00:11:00,009 --> 00:11:01,070 NFL players 310 00:11:01,404 --> 00:11:03,024 only since 2023. 311 00:11:03,485 --> 00:11:06,304 You know, what goes through your mind when 312 00:11:06,845 --> 00:11:09,964 an athlete's entire career, you know, may hinge 313 00:11:09,964 --> 00:11:10,865 on the outcome 314 00:11:11,404 --> 00:11:12,625 of a single procedure? 315 00:11:14,059 --> 00:11:16,700 Well, you know, I I think that I've 316 00:11:16,700 --> 00:11:17,679 never really been 317 00:11:18,220 --> 00:11:19,519 distracted or 318 00:11:20,059 --> 00:11:23,120 or nervous or anything going into 319 00:11:24,379 --> 00:11:27,200 anything that I was prepared to do. 320 00:11:27,884 --> 00:11:30,045 So I I would say that and and 321 00:11:30,045 --> 00:11:31,745 that's that's goes for anything. 322 00:11:32,205 --> 00:11:34,445 You know, I I was never nervous take 323 00:11:34,605 --> 00:11:36,305 you know, going in to take a test. 324 00:11:36,524 --> 00:11:39,345 I was never nervous going into into surgery 325 00:11:39,805 --> 00:11:41,264 as long as I was prepared. 326 00:11:41,789 --> 00:11:42,289 And 327 00:11:43,309 --> 00:11:45,490 I determined a long, long time ago 328 00:11:46,029 --> 00:11:48,450 that I would never go into surgery unprepared. 329 00:11:49,070 --> 00:11:51,789 And so it it's it doesn't matter if 330 00:11:51,789 --> 00:11:54,654 it's something that's routine that we've done a 331 00:11:54,654 --> 00:11:56,575 thousand times or if it's something that is 332 00:11:56,575 --> 00:11:57,715 gonna require something, 333 00:11:58,095 --> 00:12:00,254 you know, innovative that I I'm I'm gonna 334 00:12:00,254 --> 00:12:01,075 have to try, 335 00:12:01,774 --> 00:12:04,254 for the first, you know, time to be 336 00:12:04,254 --> 00:12:05,934 to be able to accomplish what I need 337 00:12:05,934 --> 00:12:07,154 to do for that patient. 338 00:12:07,649 --> 00:12:09,910 I'm as prepared as I can possibly be. 339 00:12:10,290 --> 00:12:12,690 And so I I I tend not to 340 00:12:12,690 --> 00:12:14,790 get too distracted by, 341 00:12:15,570 --> 00:12:17,809 the gravity of the situation. You know, I 342 00:12:17,889 --> 00:12:19,110 I've I've put in 343 00:12:19,490 --> 00:12:21,750 all the effort I can possibly put in 344 00:12:22,085 --> 00:12:24,164 at that point, or I wouldn't be doing 345 00:12:24,164 --> 00:12:25,845 I wouldn't be doing the case. You know? 346 00:12:25,845 --> 00:12:27,384 I I, I don't hesitate. 347 00:12:27,764 --> 00:12:30,725 If there's somebody more expert in cert certain 348 00:12:30,725 --> 00:12:31,785 things than me 349 00:12:32,164 --> 00:12:33,945 to do something that would be necessary 350 00:12:34,279 --> 00:12:36,200 to really help a a patient, I don't 351 00:12:36,200 --> 00:12:38,299 hesitate to refer them to 352 00:12:38,759 --> 00:12:40,360 who if I think they can get better 353 00:12:40,360 --> 00:12:42,779 care somewhere, then I I'm I certainly that 354 00:12:42,919 --> 00:12:45,100 ultimately, I I I want 355 00:12:45,480 --> 00:12:48,065 their encounter with me to lead to them 356 00:12:48,285 --> 00:12:50,705 becoming as good as they can possibly be 357 00:12:51,004 --> 00:12:53,485 in the outcome. Whether that means I'm giving 358 00:12:53,485 --> 00:12:54,225 them advice, 359 00:12:54,925 --> 00:12:57,245 I'm giving them a little benefit of my 360 00:12:57,245 --> 00:13:00,524 experience, or if I'm referring them to somebody 361 00:13:00,524 --> 00:13:02,144 that I think is an expert that 362 00:13:02,970 --> 00:13:05,289 What I want is for for them and 363 00:13:05,289 --> 00:13:06,889 myself to be able to look back and 364 00:13:06,889 --> 00:13:08,429 say, you know, I 365 00:13:08,809 --> 00:13:11,289 contributed to them getting back and getting the 366 00:13:11,289 --> 00:13:13,230 result they need. And so, 367 00:13:13,850 --> 00:13:15,929 you know, I wouldn't be doing a a 368 00:13:15,929 --> 00:13:18,144 surgical case on somebody if I if I 369 00:13:18,144 --> 00:13:20,464 didn't think that, I could give them the 370 00:13:20,464 --> 00:13:21,524 best chance of 371 00:13:22,144 --> 00:13:23,764 of the outcome that they want. 372 00:13:24,384 --> 00:13:24,884 So, 373 00:13:25,264 --> 00:13:27,044 yeah, I I actually was 374 00:13:27,985 --> 00:13:30,144 surprised a little bit when I saw that 375 00:13:30,144 --> 00:13:32,980 number. I I I don't have a running 376 00:13:33,120 --> 00:13:33,620 tally 377 00:13:34,159 --> 00:13:37,200 that I keep from the public information stuff 378 00:13:37,200 --> 00:13:37,600 that, 379 00:13:38,320 --> 00:13:41,519 Yahoo was able to to get and, the 380 00:13:41,519 --> 00:13:43,519 estimation of the guys that were coming through 381 00:13:43,519 --> 00:13:45,299 the combine into the NFL. 382 00:13:45,745 --> 00:13:47,125 They were able to determine 383 00:13:47,825 --> 00:13:50,304 that that that number that I've operated on 384 00:13:50,304 --> 00:13:51,825 since 2023, 385 00:13:51,825 --> 00:13:55,045 which which actually surprised surprised me too. 386 00:13:55,585 --> 00:13:59,504 But, you know, what may not be obvious 387 00:13:59,504 --> 00:14:00,120 is that 388 00:14:00,600 --> 00:14:02,779 every one of the I I feel responsible 389 00:14:02,919 --> 00:14:05,720 for every single one of those guys from 390 00:14:05,720 --> 00:14:07,639 the time that they come to see me 391 00:14:07,639 --> 00:14:08,919 to the time they get back on the 392 00:14:08,919 --> 00:14:09,419 field. 393 00:14:09,879 --> 00:14:11,179 And so 394 00:14:11,559 --> 00:14:14,554 I I have wanted to learn everything about 395 00:14:15,414 --> 00:14:16,794 medication, pain medication. 396 00:14:17,174 --> 00:14:20,214 I've I've wanna learn everything about new rehab 397 00:14:20,214 --> 00:14:23,654 techniques, and and and I I'll go and 398 00:14:23,654 --> 00:14:25,254 and watch the the guys that are in 399 00:14:25,254 --> 00:14:26,315 from out of town. 400 00:14:26,669 --> 00:14:28,350 When I'm in town over the weekend, I'll 401 00:14:28,350 --> 00:14:30,190 go on Saturdays, and I'll go to physical 402 00:14:30,190 --> 00:14:31,649 therapy, and I'll and I'll 403 00:14:31,950 --> 00:14:34,029 go with them and and be with the 404 00:14:34,029 --> 00:14:36,110 group of guys that athletes that I have 405 00:14:36,110 --> 00:14:37,789 in town and be with them in physical 406 00:14:37,789 --> 00:14:38,289 therapy. 407 00:14:38,830 --> 00:14:41,409 And and I I learned so much 408 00:14:41,985 --> 00:14:43,664 about it. I learned so much about the 409 00:14:43,664 --> 00:14:44,544 process, you know, 410 00:14:45,184 --> 00:14:47,445 early on at right after surgery and then 411 00:14:47,664 --> 00:14:50,384 the return to play part. You know? It's 412 00:14:50,384 --> 00:14:51,445 been invaluable 413 00:14:51,825 --> 00:14:54,544 to me. And so I I felt like 414 00:14:54,544 --> 00:14:55,524 even at my, 415 00:14:56,490 --> 00:14:58,649 advanced age age at this point, I I'm 416 00:14:58,730 --> 00:15:00,889 I still feel like a sponge. I I 417 00:15:00,889 --> 00:15:01,629 I I wanna 418 00:15:02,170 --> 00:15:04,570 I want to I want to learn and 419 00:15:04,570 --> 00:15:06,810 and know anything that is out there that 420 00:15:06,810 --> 00:15:07,310 is 421 00:15:07,704 --> 00:15:10,184 on the horizon or coming that that can 422 00:15:10,184 --> 00:15:12,664 help me be better at at helping these 423 00:15:12,664 --> 00:15:13,884 guys. And so 424 00:15:15,144 --> 00:15:15,784 I think that, 425 00:15:16,904 --> 00:15:20,125 once again, focusing on my task, 426 00:15:20,459 --> 00:15:23,179 my craft, and be willing to to take 427 00:15:23,179 --> 00:15:26,059 it from beginning to end and be involved 428 00:15:26,059 --> 00:15:28,620 with every single phase and stage that they 429 00:15:28,620 --> 00:15:29,360 go through, 430 00:15:29,899 --> 00:15:32,539 I think that that is probably what these 431 00:15:32,539 --> 00:15:35,019 guys deserve and and what what is my 432 00:15:35,019 --> 00:15:35,519 obligation. 433 00:15:36,264 --> 00:15:36,764 And 434 00:15:37,144 --> 00:15:38,125 so, you know, 435 00:15:38,504 --> 00:15:39,884 that's a 150 436 00:15:39,945 --> 00:15:42,105 in over the past two and a half 437 00:15:42,105 --> 00:15:43,004 years and, 438 00:15:43,625 --> 00:15:46,184 I don't know, probably double that, overall in 439 00:15:46,184 --> 00:15:46,845 the NFL, 440 00:15:47,544 --> 00:15:49,945 that that are actively playing. That's a lot 441 00:15:49,945 --> 00:15:51,419 of lot of people, but 442 00:15:51,820 --> 00:15:54,240 what an enormous privilege it 443 00:15:54,700 --> 00:15:56,240 is to be able to, 444 00:15:56,940 --> 00:15:59,279 interact that intimately with even one, 445 00:15:59,820 --> 00:16:02,320 of these guys and for them to trust, 446 00:16:02,700 --> 00:16:04,720 you know, trust me and trust the process. 447 00:16:05,754 --> 00:16:07,754 It's such a gift to be to have 448 00:16:07,754 --> 00:16:09,774 the privilege of doing what we do. 449 00:16:10,394 --> 00:16:10,894 And, 450 00:16:11,274 --> 00:16:14,475 whether your patient is a a professional athlete 451 00:16:14,475 --> 00:16:16,794 that's in the newspaper or whether they are 452 00:16:16,794 --> 00:16:19,620 teaching at your kid's school or whether they're 453 00:16:19,779 --> 00:16:22,200 making a living, you know, doing something 454 00:16:22,659 --> 00:16:23,480 in your hometown, 455 00:16:24,419 --> 00:16:25,159 the privilege 456 00:16:25,620 --> 00:16:27,000 that it is to 457 00:16:27,460 --> 00:16:28,839 have that kind of relationship, 458 00:16:29,539 --> 00:16:31,799 trust and and intimacy with 459 00:16:32,274 --> 00:16:34,754 with another person. It's I don't think that 460 00:16:34,754 --> 00:16:37,714 there's anything like what we do that can 461 00:16:37,714 --> 00:16:39,735 provide a person with that. You know? 462 00:16:40,115 --> 00:16:40,615 So 463 00:16:41,075 --> 00:16:42,695 it's a it's it's a 464 00:16:43,154 --> 00:16:45,940 labor of love and and, it's a it's 465 00:16:45,940 --> 00:16:48,339 a real responsibility and obligation that I feel 466 00:16:48,339 --> 00:16:50,579 like I I have in order to repay 467 00:16:50,579 --> 00:16:52,659 that kind of privilege to to have that 468 00:16:52,659 --> 00:16:53,480 kind of trust. 469 00:16:54,179 --> 00:16:54,679 Yeah. 470 00:16:55,220 --> 00:16:57,059 What a what a beautiful way to put 471 00:16:57,059 --> 00:16:58,740 that. And and I like what you said 472 00:16:58,740 --> 00:16:59,684 too about just 473 00:17:00,325 --> 00:17:03,205 with, you know, orthopedic surgery and and really 474 00:17:03,205 --> 00:17:05,444 with anything in life, everything is sort of 475 00:17:05,444 --> 00:17:06,105 a lifelong 476 00:17:06,484 --> 00:17:10,265 learning experience. And I think that that's especially 477 00:17:10,404 --> 00:17:11,384 true in orthopedics. 478 00:17:11,924 --> 00:17:14,819 And, you know, things are obviously evolving and 479 00:17:14,899 --> 00:17:16,519 and changing every day 480 00:17:16,899 --> 00:17:17,880 in your world. 481 00:17:18,259 --> 00:17:20,500 So it's important, you know, to have just 482 00:17:20,500 --> 00:17:23,460 that learning mindset. And the other part you 483 00:17:23,460 --> 00:17:24,679 mentioned is just 484 00:17:25,380 --> 00:17:28,125 it really shows how much you do care, 485 00:17:28,125 --> 00:17:30,205 you know, about each and every patient that 486 00:17:30,205 --> 00:17:30,865 you have. 487 00:17:31,724 --> 00:17:34,045 Just the fact that you're, you know, willing 488 00:17:34,045 --> 00:17:36,684 to to to be in those physical therapy 489 00:17:36,684 --> 00:17:38,924 sessions and, like you said, sort of be 490 00:17:38,924 --> 00:17:40,545 there every step of the way 491 00:17:40,909 --> 00:17:41,809 with your patients 492 00:17:42,269 --> 00:17:43,809 is is pretty remarkable. 493 00:17:44,589 --> 00:17:46,609 I wanna circle back because, 494 00:17:48,349 --> 00:17:50,509 we've been alluding to the to the Yahoo 495 00:17:50,509 --> 00:17:51,490 sports thing, 496 00:17:52,109 --> 00:17:53,490 but I just wanna emphasize 497 00:17:53,869 --> 00:17:57,205 that Yahoo sports recently named you, you know, 498 00:17:57,205 --> 00:17:59,924 one of the 25 game changers to watch 499 00:17:59,924 --> 00:18:01,225 in 2025. 500 00:18:01,924 --> 00:18:04,725 Highlighting your ability to, you know, help these 501 00:18:04,725 --> 00:18:05,225 athletes 502 00:18:05,765 --> 00:18:07,545 return to competition faster 503 00:18:07,845 --> 00:18:09,465 and often even stronger 504 00:18:10,005 --> 00:18:11,144 than they were before. 505 00:18:12,029 --> 00:18:14,369 Is there, you know, one innovation 506 00:18:14,830 --> 00:18:15,970 or approach 507 00:18:16,430 --> 00:18:19,230 that you think has has really made that 508 00:18:19,230 --> 00:18:20,529 possible for you? 509 00:18:21,230 --> 00:18:23,809 Yeah. It it's a really good question. 510 00:18:24,184 --> 00:18:26,684 You know, I, I'll give you the general 511 00:18:26,744 --> 00:18:28,204 philosophy and then 512 00:18:28,744 --> 00:18:30,845 then more specifically what I did. 513 00:18:31,224 --> 00:18:34,184 So, generally, what I was in search of 514 00:18:34,184 --> 00:18:36,605 and and constantly am still searching 515 00:18:37,625 --> 00:18:38,525 is I need 516 00:18:39,329 --> 00:18:39,829 whatever 517 00:18:40,529 --> 00:18:44,549 treatment I do, repair, surgical technique, and repair 518 00:18:44,609 --> 00:18:45,750 reconstruction technique, 519 00:18:46,450 --> 00:18:47,970 I need it to do two things. I 520 00:18:47,970 --> 00:18:49,269 need it, number one, 521 00:18:49,890 --> 00:18:50,390 to 522 00:18:50,769 --> 00:18:53,589 provide the normal normal enough function 523 00:18:54,315 --> 00:18:55,054 and integrity 524 00:18:55,674 --> 00:18:57,115 to be able to get these guys, 525 00:18:57,515 --> 00:19:00,654 competing back at a at a high level, 526 00:19:01,355 --> 00:19:03,054 number one. Number two, 527 00:19:03,515 --> 00:19:05,375 it needs to be able to withstand 528 00:19:06,169 --> 00:19:09,369 the the the demands of whatever physical therapy 529 00:19:09,369 --> 00:19:12,410 and and rehab is gonna be necessary to 530 00:19:12,410 --> 00:19:13,789 to get them there. So 531 00:19:14,329 --> 00:19:16,250 I think that there's been some very big 532 00:19:16,250 --> 00:19:19,069 advances in on the therapy side of things. 533 00:19:19,450 --> 00:19:19,929 And so, 534 00:19:20,755 --> 00:19:22,134 I always talk to, 535 00:19:22,835 --> 00:19:24,535 our physical therapists and, 536 00:19:25,075 --> 00:19:27,714 the team trainers, guys like Reggie Scott, who, 537 00:19:28,115 --> 00:19:30,914 is the head athletic trainer for the for 538 00:19:30,914 --> 00:19:33,075 the Rams and brilliant guy. And, 539 00:19:34,019 --> 00:19:36,099 just working together with people like that, you 540 00:19:36,099 --> 00:19:37,480 you learn so much. 541 00:19:37,940 --> 00:19:40,359 And what I needed to know was, 542 00:19:40,980 --> 00:19:43,480 what do you need to do to mobilize 543 00:19:43,619 --> 00:19:46,099 this joint to get the joint ready to 544 00:19:46,099 --> 00:19:48,279 go? And from whatever scientific 545 00:19:48,820 --> 00:19:51,454 things I can I can learn and understand, 546 00:19:52,394 --> 00:19:54,875 what stage of maturation do these tissues need 547 00:19:54,875 --> 00:19:56,795 to be at so that they can start 548 00:19:56,795 --> 00:19:59,295 to really train aggressively again? 549 00:19:59,755 --> 00:20:00,255 And 550 00:20:00,795 --> 00:20:01,295 so 551 00:20:01,835 --> 00:20:02,734 that then 552 00:20:03,089 --> 00:20:05,650 was the first step is understanding exactly what 553 00:20:05,650 --> 00:20:07,569 they have to do and how what what 554 00:20:07,569 --> 00:20:09,970 the therapists and trainers have to do to 555 00:20:10,049 --> 00:20:11,910 in order to get them ready to play. 556 00:20:12,210 --> 00:20:12,950 And then 557 00:20:13,730 --> 00:20:15,555 it's up to me then to figure out, 558 00:20:15,955 --> 00:20:17,555 you know, what do I need to do 559 00:20:17,555 --> 00:20:18,934 to make a repair reconstruction 560 00:20:19,235 --> 00:20:20,295 resilient enough, 561 00:20:20,914 --> 00:20:23,654 and durable enough that it'll it'll withstand it. 562 00:20:23,715 --> 00:20:26,355 So if if you're if the therapy doesn't 563 00:20:26,355 --> 00:20:27,255 match the 564 00:20:27,715 --> 00:20:28,775 surgical technique 565 00:20:29,634 --> 00:20:30,775 and vice versa, 566 00:20:31,509 --> 00:20:33,750 then it's never gonna work out. And so 567 00:20:33,750 --> 00:20:36,069 I I pretty quickly realized that in order 568 00:20:36,069 --> 00:20:38,549 to accomplish what these guys needed to do 569 00:20:38,549 --> 00:20:41,049 in a certain time frame, you know, and 570 00:20:41,349 --> 00:20:43,529 what they were gonna do with their body 571 00:20:43,750 --> 00:20:46,250 once they got back, those demands are 572 00:20:46,734 --> 00:20:48,194 constantly changing, and 573 00:20:48,494 --> 00:20:50,174 and the stress and strain that they put 574 00:20:50,174 --> 00:20:52,355 on their bodies now is it's 575 00:20:52,734 --> 00:20:55,714 significantly greater than when I started. For instance, 576 00:20:55,774 --> 00:20:57,694 you know, if I can digress it, you 577 00:20:57,694 --> 00:20:59,075 know, the average fastball, 578 00:21:00,599 --> 00:21:03,640 on on a, professional pitching staff at the 579 00:21:03,640 --> 00:21:06,279 time when Tommy John first got his operated 580 00:21:06,279 --> 00:21:07,420 on operation 581 00:21:07,880 --> 00:21:09,640 that was named after him, the Tommy John 582 00:21:09,640 --> 00:21:12,380 operation, was somewhere around 88, 583 00:21:12,544 --> 00:21:15,525 89 miles an hour Mhmm. Nineteen seventy four. 584 00:21:15,984 --> 00:21:18,304 You know, when I learned how to to 585 00:21:18,304 --> 00:21:21,265 do the the that surgery from doctor Job 586 00:21:21,265 --> 00:21:24,625 in nineteen ninety ninety one, the average velocity 587 00:21:24,625 --> 00:21:25,684 was around 90. 588 00:21:26,250 --> 00:21:28,589 The average velocity now is, 589 00:21:29,369 --> 00:21:31,470 95 a little over 95. 590 00:21:32,250 --> 00:21:34,490 Every team has multiple guys that can throw 591 00:21:34,490 --> 00:21:35,230 at a 100. 592 00:21:35,930 --> 00:21:38,089 The the amount of force and spin that 593 00:21:38,089 --> 00:21:39,609 they put on the ball and the movement 594 00:21:39,609 --> 00:21:41,095 that they get on the ball is the 595 00:21:41,214 --> 00:21:42,674 these circus type 596 00:21:42,974 --> 00:21:45,375 pitches that they throw put enormous strain and 597 00:21:45,375 --> 00:21:47,794 stress on the shoulder and elbow. And 598 00:21:48,174 --> 00:21:50,674 so the the techniques that we had, 599 00:21:51,054 --> 00:21:53,714 previously to be able to reconstruct and repair 600 00:21:54,269 --> 00:21:56,509 the on a clara ligament in a Tommy 601 00:21:56,509 --> 00:21:58,109 John or to take care of the tissues 602 00:21:58,109 --> 00:21:58,849 in the shoulder, 603 00:21:59,549 --> 00:22:01,710 those aren't probably good enough anymore. Those those 604 00:22:01,710 --> 00:22:04,269 techniques don't hold up well enough. So we've 605 00:22:04,269 --> 00:22:07,150 had to adapt and and so the general 606 00:22:07,150 --> 00:22:07,650 philosophy 607 00:22:08,349 --> 00:22:10,404 has been show me what they need to 608 00:22:10,404 --> 00:22:13,045 do and show me what you trainers and 609 00:22:13,045 --> 00:22:15,045 therapists need to do to get them there, 610 00:22:15,045 --> 00:22:18,164 and I'll figure out an operation that'll hold 611 00:22:18,164 --> 00:22:21,125 up to it. Okay? Mhmm. So that was 612 00:22:21,125 --> 00:22:21,865 my general 613 00:22:22,325 --> 00:22:22,825 quest. 614 00:22:24,164 --> 00:22:24,664 Then 615 00:22:25,170 --> 00:22:27,269 from a technical standpoint, what I do, 616 00:22:28,049 --> 00:22:30,309 whether it's with ligament or tendon, 617 00:22:30,930 --> 00:22:32,230 reconstruction or repair, 618 00:22:32,850 --> 00:22:34,710 I wanted to have the most durable 619 00:22:35,330 --> 00:22:37,670 and strong not only strong, but durable 620 00:22:38,049 --> 00:22:38,549 repairs 621 00:22:39,090 --> 00:22:39,590 possible. 622 00:22:40,144 --> 00:22:41,424 And it needed to be done in an 623 00:22:41,424 --> 00:22:43,184 anatomic way so that I didn't change the 624 00:22:43,184 --> 00:22:45,284 anatomy. I wouldn't affect their range of motion, 625 00:22:45,505 --> 00:22:47,345 which would be devastating to even to lose 626 00:22:47,345 --> 00:22:49,524 a couple degrees of motion for a pitcher. 627 00:22:49,904 --> 00:22:51,904 And I needed to be able to to 628 00:22:51,904 --> 00:22:54,164 do it so that that it would withstand 629 00:22:55,049 --> 00:22:58,190 very quick rehab before those tissues are mature. 630 00:22:59,210 --> 00:22:59,950 And so 631 00:23:00,410 --> 00:23:01,950 I start to 632 00:23:02,570 --> 00:23:03,390 tinker with 633 00:23:03,930 --> 00:23:04,910 placing suture 634 00:23:05,289 --> 00:23:07,289 that would be compatible with the tissues that 635 00:23:07,289 --> 00:23:09,150 we have to repair or reconstruct, 636 00:23:09,904 --> 00:23:12,065 so that it would share share the load, 637 00:23:12,065 --> 00:23:13,284 but not entirely 638 00:23:13,585 --> 00:23:15,904 shield the load because the those two would 639 00:23:15,904 --> 00:23:17,684 need exposure to, 640 00:23:18,544 --> 00:23:19,044 physiologic 641 00:23:19,424 --> 00:23:21,424 loads to be able to mature properly and 642 00:23:21,424 --> 00:23:22,325 to get strong. 643 00:23:22,640 --> 00:23:25,039 And so I I spent a lot of 644 00:23:25,039 --> 00:23:27,220 time doing research on 645 00:23:27,680 --> 00:23:28,820 on methods of 646 00:23:29,440 --> 00:23:29,940 repairing, 647 00:23:30,480 --> 00:23:31,700 rotator cuff tendons, 648 00:23:32,080 --> 00:23:35,620 Achilles tendons, triceps tendons, and patellar tendons 649 00:23:36,164 --> 00:23:38,565 so that the suture, the way I would 650 00:23:38,565 --> 00:23:40,805 put it in and the the way that, 651 00:23:41,684 --> 00:23:42,424 it would 652 00:23:42,805 --> 00:23:43,305 function 653 00:23:43,765 --> 00:23:45,305 would load share. 654 00:23:45,684 --> 00:23:47,865 And, so that all the stress and strain 655 00:23:47,924 --> 00:23:48,244 of, 656 00:23:48,725 --> 00:23:50,585 early motion and early strengthening 657 00:23:51,000 --> 00:23:51,660 in therapy 658 00:23:52,200 --> 00:23:52,680 wouldn't, 659 00:23:53,320 --> 00:23:55,880 all that load wouldn't go directly and expose 660 00:23:55,880 --> 00:23:58,119 the repair to that, that some of that 661 00:23:58,119 --> 00:23:59,579 load, which would be damaging, 662 00:24:00,039 --> 00:24:00,940 would be plastically 663 00:24:01,640 --> 00:24:02,140 deforming, 664 00:24:02,680 --> 00:24:04,279 so you'd end up with slack in a 665 00:24:04,279 --> 00:24:04,779 repair, 666 00:24:05,695 --> 00:24:08,035 that that some of that load would be 667 00:24:08,494 --> 00:24:11,475 shared with the way we put suture in. 668 00:24:12,015 --> 00:24:12,255 And, 669 00:24:13,295 --> 00:24:15,855 so, you know, a a big a big 670 00:24:15,855 --> 00:24:18,494 step forward for me was, in rotator cuff 671 00:24:18,494 --> 00:24:20,830 repair when we devised the 672 00:24:21,210 --> 00:24:23,690 the the bridging type repairs that became known 673 00:24:23,690 --> 00:24:25,230 as the suture bridge, 674 00:24:26,170 --> 00:24:27,470 and all the interconnected, 675 00:24:27,849 --> 00:24:28,349 interlocking 676 00:24:28,650 --> 00:24:30,190 repairs where so that 677 00:24:30,890 --> 00:24:32,830 every point of repair is, 678 00:24:33,289 --> 00:24:36,474 there's load sharing between anchors, and and 679 00:24:37,095 --> 00:24:37,994 you can bypass 680 00:24:38,855 --> 00:24:40,154 the area of healing, 681 00:24:40,775 --> 00:24:43,095 tissue to bone so that there's no motion 682 00:24:43,095 --> 00:24:46,214 at that at that interface. And and, and 683 00:24:46,214 --> 00:24:46,714 so, 684 00:24:47,015 --> 00:24:47,674 you know, 685 00:24:48,000 --> 00:24:50,099 when you conceive of the technique, 686 00:24:50,559 --> 00:24:52,559 then the next step is to really study 687 00:24:52,559 --> 00:24:53,059 it 688 00:24:53,440 --> 00:24:54,660 scientifically. And 689 00:24:55,039 --> 00:24:56,980 and and we went we we spent 690 00:24:57,279 --> 00:24:59,619 a couple years in the lab studying, 691 00:25:00,559 --> 00:25:03,535 pressurization of tissue on bone and and the 692 00:25:03,535 --> 00:25:06,595 mechanical strength and the cichlid loading and 693 00:25:07,134 --> 00:25:08,674 and until we 694 00:25:09,615 --> 00:25:12,575 presented the then the technique. We we we 695 00:25:12,575 --> 00:25:14,255 went back and really did what we thought 696 00:25:14,255 --> 00:25:15,075 we should do, 697 00:25:15,539 --> 00:25:18,259 improving it scientifically. And and and so then 698 00:25:18,259 --> 00:25:19,320 that came out in 699 00:25:19,700 --> 00:25:21,940 the early two thousands, and and, we were 700 00:25:21,940 --> 00:25:23,080 able to really, 701 00:25:23,779 --> 00:25:26,360 you know, very quickly change the way 702 00:25:26,980 --> 00:25:28,840 those types of tendons are repaired, 703 00:25:29,765 --> 00:25:31,845 all over the world. And and and so 704 00:25:31,845 --> 00:25:32,904 that was my 705 00:25:33,605 --> 00:25:34,984 that was my big 706 00:25:35,524 --> 00:25:37,464 step forward in into developing 707 00:25:38,164 --> 00:25:41,224 techniques and materials and anchors and suture 708 00:25:41,765 --> 00:25:43,065 that would accomplish 709 00:25:43,660 --> 00:25:45,759 the my general purpose, which was 710 00:25:46,059 --> 00:25:46,720 to provide 711 00:25:47,099 --> 00:25:49,500 repairs and reconstructions that would be durable and 712 00:25:49,500 --> 00:25:51,200 strong enough to withstand 713 00:25:51,660 --> 00:25:54,720 this crazy timetable to get these guys back. 714 00:25:55,579 --> 00:25:57,980 And so the so the the same sort 715 00:25:57,980 --> 00:25:59,359 of philosophy then 716 00:25:59,684 --> 00:26:00,424 was adopted, 717 00:26:01,444 --> 00:26:01,924 and, 718 00:26:02,325 --> 00:26:02,825 with 719 00:26:03,284 --> 00:26:05,304 with tendon repairs all over the body. 720 00:26:06,005 --> 00:26:08,484 Most recently, you know, Achilles repairs have have 721 00:26:08,484 --> 00:26:10,105 gotten a lot of press because 722 00:26:10,565 --> 00:26:13,204 there's a there's a explosion of these Achilles 723 00:26:13,204 --> 00:26:14,424 tears in these young 724 00:26:15,000 --> 00:26:17,820 athletic guys, the pro athletes, and and, 725 00:26:18,599 --> 00:26:19,259 how do 726 00:26:19,640 --> 00:26:21,259 you protect the repair from, 727 00:26:21,880 --> 00:26:23,740 stretching and and failure, 728 00:26:24,759 --> 00:26:26,440 but yet do it in a in a 729 00:26:27,160 --> 00:26:29,515 do the things so that the player can 730 00:26:29,515 --> 00:26:30,575 come back in 731 00:26:31,035 --> 00:26:32,714 a in a short amount of time with 732 00:26:32,714 --> 00:26:35,194 the proper strength and and explosion that they 733 00:26:35,194 --> 00:26:37,055 need out of that muscle. 734 00:26:37,674 --> 00:26:40,075 And so, you know, the techniques that we 735 00:26:40,075 --> 00:26:40,575 developed, 736 00:26:41,880 --> 00:26:43,559 on one part of the body has been 737 00:26:43,559 --> 00:26:45,019 adapted and modified 738 00:26:45,799 --> 00:26:47,720 to function the same way on another part 739 00:26:47,720 --> 00:26:48,599 of the body, and and, 740 00:26:49,240 --> 00:26:51,180 that's been very rewarding for me. 741 00:26:51,880 --> 00:26:53,320 Yeah. Well, thank you. 742 00:26:53,799 --> 00:26:55,820 It's it's truly is incredible. 743 00:26:56,714 --> 00:26:58,494 And I I think you sort of mentioned 744 00:26:58,554 --> 00:27:01,355 too, like, just that three legged it sort 745 00:27:01,355 --> 00:27:03,275 of seems like a three legged stool. Like, 746 00:27:03,275 --> 00:27:05,994 you're like, show me, you know, what what's 747 00:27:05,994 --> 00:27:06,494 wrong. 748 00:27:06,954 --> 00:27:09,134 And, you know, for the trainers and therapists, 749 00:27:09,194 --> 00:27:11,109 show me what what you need to do 750 00:27:11,109 --> 00:27:12,710 to get them there. And then, like you 751 00:27:12,710 --> 00:27:13,210 said, 752 00:27:13,670 --> 00:27:15,750 you'll you'll take it from there, and you'll 753 00:27:15,750 --> 00:27:16,890 provide the operation 754 00:27:17,670 --> 00:27:20,569 that along with, you know, the durable repairs. 755 00:27:21,829 --> 00:27:23,384 The suturing, I think, is 756 00:27:23,865 --> 00:27:26,845 another thing that really makes you stand out. 757 00:27:27,224 --> 00:27:29,224 So my next question is just, 758 00:27:29,945 --> 00:27:31,085 you know, you're trusted 759 00:27:31,464 --> 00:27:34,184 by many of these professional athletes and and 760 00:27:34,184 --> 00:27:35,404 professional teams. 761 00:27:36,150 --> 00:27:38,150 What would you say it takes to to 762 00:27:38,150 --> 00:27:40,009 sort of earn that level of trust, 763 00:27:40,549 --> 00:27:43,430 you know, not just from the athletes, but 764 00:27:43,430 --> 00:27:44,410 from the entire, 765 00:27:44,869 --> 00:27:46,890 you know, teams and and organizations? 766 00:27:48,974 --> 00:27:52,095 Yeah. You know, the decision makers for this 767 00:27:52,095 --> 00:27:53,634 type of thing, you know, 768 00:27:54,095 --> 00:27:56,494 I I think that the athlete is always 769 00:27:56,494 --> 00:27:57,234 sort of 770 00:27:58,174 --> 00:28:00,734 should be have a major say in, you 771 00:28:00,734 --> 00:28:01,234 know, 772 00:28:01,990 --> 00:28:04,150 who's gonna take care of them. But, you 773 00:28:04,150 --> 00:28:06,710 know, how does the athlete know, you know, 774 00:28:06,710 --> 00:28:08,009 what to do? And so, 775 00:28:08,470 --> 00:28:11,450 usually, that that they rely on agents, 776 00:28:12,470 --> 00:28:14,970 or other players that have had that experience 777 00:28:15,829 --> 00:28:18,065 that experience with that injury somewhere. 778 00:28:18,524 --> 00:28:18,924 And, 779 00:28:20,284 --> 00:28:22,224 but there's always this moment 780 00:28:23,085 --> 00:28:25,105 where you meet the player. 781 00:28:25,804 --> 00:28:26,304 And 782 00:28:26,605 --> 00:28:29,024 I think that the same critical thing 783 00:28:29,724 --> 00:28:31,984 is is necessary, whether it's 784 00:28:32,480 --> 00:28:34,640 with a team, whether it's with the the 785 00:28:34,640 --> 00:28:37,680 medical staff of of of a team, front 786 00:28:37,680 --> 00:28:38,820 office, the agent. 787 00:28:39,200 --> 00:28:41,940 And it's what how do you develop trust? 788 00:28:42,400 --> 00:28:42,900 And 789 00:28:43,200 --> 00:28:44,019 I think that 790 00:28:45,025 --> 00:28:46,704 some of it is some of it is 791 00:28:46,704 --> 00:28:49,505 very tangible, the things that that, you know, 792 00:28:49,505 --> 00:28:50,244 you do, 793 00:28:51,184 --> 00:28:54,224 your body language and and showing, you know, 794 00:28:54,224 --> 00:28:57,664 just this innate care concern attention that you're 795 00:28:57,664 --> 00:28:58,804 paying to somebody. 796 00:28:59,505 --> 00:29:02,460 But, you know, I don't know what other 797 00:29:02,519 --> 00:29:03,019 ingredients 798 00:29:03,480 --> 00:29:05,539 go into authenticity. I 799 00:29:05,960 --> 00:29:07,740 being authentic and and 800 00:29:08,680 --> 00:29:11,960 it's it's it's a calculation that everybody does 801 00:29:11,960 --> 00:29:13,259 whenever they meet somebody. 802 00:29:14,095 --> 00:29:16,515 These athletes are really, really 803 00:29:17,375 --> 00:29:20,255 they they know quicker than pretty much any 804 00:29:20,255 --> 00:29:22,275 other group of people I've ever seen. 805 00:29:23,215 --> 00:29:25,875 They know who they trust and and 806 00:29:26,579 --> 00:29:28,740 who is still they still need to work 807 00:29:28,740 --> 00:29:29,799 on it. You know? 808 00:29:31,140 --> 00:29:33,940 And and it it's a a calculation that 809 00:29:33,940 --> 00:29:34,440 goes 810 00:29:34,900 --> 00:29:36,519 goes through them pretty quickly. 811 00:29:37,140 --> 00:29:37,640 And, 812 00:29:38,904 --> 00:29:41,065 you know, with some guys, you know, it 813 00:29:41,065 --> 00:29:43,005 it takes a little time 814 00:29:43,464 --> 00:29:44,125 and familiarity 815 00:29:44,505 --> 00:29:47,224 to to earn it. It can be broken 816 00:29:47,224 --> 00:29:48,045 in a millisecond 817 00:29:48,744 --> 00:29:49,805 and never recovered. 818 00:29:50,424 --> 00:29:51,164 And so 819 00:29:51,865 --> 00:29:52,950 I I think that, 820 00:29:53,429 --> 00:29:55,509 you know, the the this is something that, 821 00:29:55,509 --> 00:29:58,649 you know, some some people are born with, 822 00:29:59,029 --> 00:30:02,230 you know, the ability to instantly relate and 823 00:30:02,230 --> 00:30:03,609 be empathetic and 824 00:30:04,069 --> 00:30:05,750 and the and then the person you're dealing 825 00:30:05,750 --> 00:30:06,250 with 826 00:30:06,704 --> 00:30:09,265 instantly knows, this this is a team this 827 00:30:09,265 --> 00:30:10,724 is, on my team. 828 00:30:11,184 --> 00:30:13,825 And some people don't have that innately in 829 00:30:13,825 --> 00:30:15,204 in their in their personalities, 830 00:30:15,664 --> 00:30:17,505 but that doesn't mean that you can't work 831 00:30:17,505 --> 00:30:19,105 on it. You know? You you you know? 832 00:30:19,105 --> 00:30:19,924 I think that 833 00:30:20,944 --> 00:30:21,924 anybody can 834 00:30:22,650 --> 00:30:25,210 do what's necessary to when when you walk 835 00:30:25,210 --> 00:30:26,970 into a room and you're meeting with somebody 836 00:30:26,970 --> 00:30:28,570 for the first time, take your hand off 837 00:30:28,570 --> 00:30:29,230 the doorknob. 838 00:30:29,609 --> 00:30:31,309 You know? Sit down and, 839 00:30:31,690 --> 00:30:33,609 you know, look at them in the face 840 00:30:33,609 --> 00:30:34,269 and and 841 00:30:34,585 --> 00:30:35,404 sort of study. 842 00:30:36,025 --> 00:30:37,545 They're gonna tell you a lot about their 843 00:30:37,545 --> 00:30:39,244 emotions and what they're going through 844 00:30:39,785 --> 00:30:42,445 just by, you know, how they how they 845 00:30:42,505 --> 00:30:44,125 express themselves and and 846 00:30:44,505 --> 00:30:46,125 how they look. And and, 847 00:30:47,039 --> 00:30:49,279 you're gonna come from entirely different worlds and 848 00:30:49,279 --> 00:30:52,000 backgrounds from from people and but if you 849 00:30:52,000 --> 00:30:53,860 can't bridge that interpersonal 850 00:30:54,480 --> 00:30:55,620 gulf and gap 851 00:30:56,240 --> 00:30:58,400 Mhmm. That is gonna exist between you and 852 00:30:58,400 --> 00:31:00,019 and you're taking care of, 853 00:31:00,575 --> 00:31:02,674 you're always gonna be a little bit handicapped 854 00:31:02,734 --> 00:31:03,954 with regard to 855 00:31:04,414 --> 00:31:04,914 that 856 00:31:05,454 --> 00:31:08,494 level of of of intimacy and trust. You 857 00:31:08,494 --> 00:31:10,894 know? You you've you've gotta do what it 858 00:31:10,894 --> 00:31:12,575 takes to meet the people where they're at 859 00:31:12,575 --> 00:31:14,819 and where they where they're they've come from. 860 00:31:14,899 --> 00:31:16,839 And it's always been something that's been 861 00:31:17,539 --> 00:31:20,500 in my nature. So you know? But I 862 00:31:20,500 --> 00:31:22,339 think that anybody needs to work on it 863 00:31:22,339 --> 00:31:23,940 if if you're gonna try to do what 864 00:31:23,940 --> 00:31:24,679 we do. 865 00:31:25,700 --> 00:31:26,200 Yeah. 866 00:31:27,220 --> 00:31:29,684 Great points there. And and I think that 867 00:31:30,245 --> 00:31:32,424 what you just said, meeting meeting 868 00:31:32,805 --> 00:31:35,845 patients where where they're at, and, I mean, 869 00:31:35,845 --> 00:31:38,345 I could tell from just talking to you, 870 00:31:38,965 --> 00:31:41,445 that you're very personable, you know, and you're 871 00:31:41,445 --> 00:31:44,485 you're a comfortable person to to talk to, 872 00:31:44,485 --> 00:31:45,660 and I'm sure that 873 00:31:46,140 --> 00:31:48,000 is definitely, you know, recognized, 874 00:31:48,859 --> 00:31:49,920 with your patients. 875 00:31:50,619 --> 00:31:52,779 There's a saying that I that I never 876 00:31:52,779 --> 00:31:53,279 forgot. 877 00:31:53,660 --> 00:31:54,559 Frank Job, 878 00:31:55,019 --> 00:31:56,299 I don't think that he was the one 879 00:31:56,299 --> 00:31:58,859 that was the originator of it, but he 880 00:31:58,859 --> 00:31:59,680 he certainly, 881 00:32:00,744 --> 00:32:02,744 you know, instilled that in me. And he 882 00:32:02,744 --> 00:32:03,404 said, look. 883 00:32:03,944 --> 00:32:04,444 You 884 00:32:04,744 --> 00:32:07,625 know, your patients, whether they're players or not 885 00:32:07,625 --> 00:32:10,585 players, they're Right. They're not going to really 886 00:32:10,585 --> 00:32:11,884 care as much about 887 00:32:12,424 --> 00:32:15,390 everything you know and everything you can do 888 00:32:15,630 --> 00:32:18,289 until they know that you care about them. 889 00:32:18,589 --> 00:32:20,829 You can be the most brilliant person on 890 00:32:20,829 --> 00:32:22,049 the planet, and 891 00:32:22,910 --> 00:32:24,910 unless if somebody thinks that you care about 892 00:32:24,910 --> 00:32:26,289 them, they really 893 00:32:26,670 --> 00:32:29,549 couldn't care less about what you know. Right. 894 00:32:29,549 --> 00:32:30,755 And so 895 00:32:31,134 --> 00:32:33,295 that that doesn't take a lot of studying, 896 00:32:33,295 --> 00:32:34,595 and that doesn't take 897 00:32:35,134 --> 00:32:36,434 anything other than 898 00:32:37,055 --> 00:32:38,994 trying to understand exactly 899 00:32:39,775 --> 00:32:41,875 what's happening with this person, 900 00:32:42,335 --> 00:32:43,954 what's happening with this patient. 901 00:32:44,369 --> 00:32:46,069 You know, that and, specifically, 902 00:32:46,369 --> 00:32:48,369 what we do, I mean, it it goes 903 00:32:48,369 --> 00:32:49,970 a long way. If you if you can 904 00:32:49,970 --> 00:32:51,349 take the time to understand 905 00:32:52,130 --> 00:32:54,289 what that person has to do, understand something 906 00:32:54,289 --> 00:32:56,690 about their sport, understand what they what their 907 00:32:56,690 --> 00:32:59,009 assignment is, understand, you know, the things that 908 00:32:59,009 --> 00:33:00,744 they have to do and when. You know, 909 00:33:00,744 --> 00:33:02,664 that goes a long way to telling that 910 00:33:02,664 --> 00:33:04,984 player or that patient, oh, this guy, you 911 00:33:04,984 --> 00:33:06,984 know, he's he's making the effort to really 912 00:33:06,984 --> 00:33:07,484 understand 913 00:33:08,105 --> 00:33:10,025 me and what I've what what I've been 914 00:33:10,025 --> 00:33:11,384 going through. Right. So 915 00:33:12,265 --> 00:33:12,765 Yeah. 916 00:33:13,330 --> 00:33:14,930 Yeah. And it's kinda like you said. I 917 00:33:14,930 --> 00:33:17,570 mean, I've heard this before too, but, you 918 00:33:17,570 --> 00:33:19,890 know, not having your hand, you know, on 919 00:33:19,890 --> 00:33:22,210 the doorknob, right, and really taking the time 920 00:33:22,210 --> 00:33:24,609 to to sit with and and and get 921 00:33:24,609 --> 00:33:26,950 to know these patients. And I think oftentimes, 922 00:33:27,650 --> 00:33:31,005 you know, that part that partnership between patient 923 00:33:31,065 --> 00:33:31,884 and surgeon, 924 00:33:32,585 --> 00:33:34,845 I was just talking about this earlier today, 925 00:33:34,904 --> 00:33:37,305 is not equal. Because for surgeons, I think 926 00:33:37,305 --> 00:33:39,625 that, you know, the operation might be the 927 00:33:39,625 --> 00:33:42,440 easy part because you've done it hundreds or 928 00:33:42,440 --> 00:33:45,340 or even thousands of times. But the postoperative 929 00:33:45,720 --> 00:33:47,259 care, you know, especially 930 00:33:47,799 --> 00:33:48,619 the rehabilitation 931 00:33:49,720 --> 00:33:52,200 and the patient's ability to sort of work 932 00:33:52,200 --> 00:33:53,180 through that discomfort 933 00:33:53,720 --> 00:33:56,279 is often, you know, what really determines the 934 00:33:56,279 --> 00:33:56,779 difference 935 00:33:57,285 --> 00:33:58,105 in outcomes. 936 00:33:58,965 --> 00:34:00,184 100% right. 937 00:34:01,845 --> 00:34:04,164 The last thing I wanna to ask you 938 00:34:04,164 --> 00:34:06,505 here is, you know, even with all your 939 00:34:06,965 --> 00:34:09,224 accolades and and leadership roles, 940 00:34:09,549 --> 00:34:12,289 you're still operating and you're still mentoring 941 00:34:12,750 --> 00:34:13,969 and you're still innovating 942 00:34:14,670 --> 00:34:15,409 every day. 943 00:34:16,269 --> 00:34:18,529 So I'm curious, you know, just what continues 944 00:34:18,750 --> 00:34:20,130 to to drive you, 945 00:34:20,750 --> 00:34:23,675 and what advice would you give to 946 00:34:23,974 --> 00:34:25,035 the next generation 947 00:34:25,414 --> 00:34:26,795 of orthopedic leaders? 948 00:34:28,295 --> 00:34:28,795 Well, 949 00:34:30,375 --> 00:34:32,394 the answer of your your first question, 950 00:34:33,335 --> 00:34:35,655 most of it's positive. Some of it may 951 00:34:35,655 --> 00:34:36,155 be 952 00:34:36,695 --> 00:34:37,195 pathologic. 953 00:34:41,099 --> 00:34:43,900 I I I'm so grateful that I found 954 00:34:43,900 --> 00:34:46,880 something that I love, that I that I 955 00:34:47,019 --> 00:34:48,300 wanted to put in the work to be 956 00:34:48,300 --> 00:34:48,960 good at. 957 00:34:49,925 --> 00:34:52,164 And I I I still I still love 958 00:34:52,164 --> 00:34:54,324 it. I still love being in the operating 959 00:34:54,324 --> 00:34:56,264 room. I still love being in physical therapy 960 00:34:56,405 --> 00:34:57,224 after surgery 961 00:34:57,684 --> 00:35:00,105 with with guys. And I I 962 00:35:00,804 --> 00:35:02,484 I love it on a human level. I 963 00:35:02,484 --> 00:35:04,980 love it, you know, on the technical level. 964 00:35:05,039 --> 00:35:07,139 I I love working with my hands, and 965 00:35:07,440 --> 00:35:07,679 and, 966 00:35:09,279 --> 00:35:11,039 that's all the positive side, and I'd say 967 00:35:11,039 --> 00:35:12,159 that's 90% 968 00:35:12,159 --> 00:35:13,139 that's the answer. 969 00:35:13,839 --> 00:35:15,460 I think there's 10% 970 00:35:15,759 --> 00:35:18,074 maybe that I don't wanna face that I 971 00:35:18,074 --> 00:35:20,234 don't know if I really know who I 972 00:35:20,234 --> 00:35:22,474 am without doing what I am. And, 973 00:35:24,315 --> 00:35:26,074 I don't know that that's all all that 974 00:35:26,074 --> 00:35:28,734 healthy. I think that maybe it's probably 975 00:35:29,034 --> 00:35:30,494 not healthy, but 976 00:35:31,530 --> 00:35:33,369 the greatest joy in my life is my 977 00:35:33,369 --> 00:35:34,349 wife and daughters. 978 00:35:34,890 --> 00:35:36,650 But I really am not me. I don't 979 00:35:36,650 --> 00:35:38,410 feel like I'm me, you know, without doing 980 00:35:38,410 --> 00:35:39,230 what I do. 981 00:35:39,690 --> 00:35:40,090 And, 982 00:35:42,170 --> 00:35:44,190 I think that I better find 983 00:35:45,065 --> 00:35:46,364 that other part of me. 984 00:35:47,224 --> 00:35:48,764 You know? I and I think it's 985 00:35:49,144 --> 00:35:51,885 for everybody. I I think that, you know, 986 00:35:52,824 --> 00:35:54,684 I I may whether it's 987 00:35:55,144 --> 00:35:58,204 maybe insecurity or or what or what, but 988 00:35:58,309 --> 00:36:00,010 I was nobody before I 989 00:36:00,550 --> 00:36:02,389 before I started to do what I do, 990 00:36:02,389 --> 00:36:04,409 and it gave me everything. And so 991 00:36:04,789 --> 00:36:07,190 it's it's hard to divorce the what I 992 00:36:07,190 --> 00:36:09,130 do from me. You know? 993 00:36:09,510 --> 00:36:11,190 Yeah. It was hard for me to ever 994 00:36:11,190 --> 00:36:13,255 fake not doing it. And, 995 00:36:13,954 --> 00:36:15,894 the day's gonna come when when, 996 00:36:16,195 --> 00:36:17,815 you know, I I think that 997 00:36:18,355 --> 00:36:21,635 patients would be better served by, you know, 998 00:36:21,635 --> 00:36:23,735 having somebody else do their surgery. 999 00:36:24,835 --> 00:36:26,295 I just hope I know that 1000 00:36:26,670 --> 00:36:27,730 day before anybody. 1001 00:36:28,750 --> 00:36:30,210 Yeah. Well, thank you 1002 00:36:30,670 --> 00:36:33,789 so much, doctor Eletrash. This has been an 1003 00:36:33,789 --> 00:36:34,289 incredibly 1004 00:36:34,750 --> 00:36:35,250 insightful 1005 00:36:35,710 --> 00:36:36,210 conversation, 1006 00:36:36,510 --> 00:36:38,909 and thank you so much for sharing, you 1007 00:36:38,909 --> 00:36:41,409 know, your experience and and your perspective 1008 00:36:41,710 --> 00:36:42,375 with us. 1009 00:36:43,494 --> 00:36:46,394 That is all for today's episode of Becker's 1010 00:36:46,934 --> 00:36:48,635 Spine and Orthopedic podcast. 1011 00:36:48,934 --> 00:36:50,875 A big thank you to doctor Eletrash 1012 00:36:51,494 --> 00:36:53,355 for joining us and offering 1013 00:36:53,655 --> 00:36:55,675 such valuable insights into 1014 00:36:56,152 --> 00:36:59,773 the future of sports medicine and orthopedic care. 1015 00:37:00,233 --> 00:37:02,713 Thank you for listening, and we'll see you 1016 00:37:02,713 --> 00:37:03,532 next time.