WEBVTT

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- There's a small circle of people who truly

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- understand what it takes to lead a health

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- system right now. The decisions are enormous.

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- The variables are constantly shifting, and the stakes

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- of getting a call wrong don't stay contained.

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- That's not a complaint. It's a structural reality.

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- And it's why the most effective c suite

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- leaders are deliberate about where they go to

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- pressure test their thinking.

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- Becker's fourteenth annual CEO and CFO roundtable

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- brings together more than 1,500

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- executive level attendees

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- and nearly 400 speakers for four days built

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- around growth, financial sustainability,

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- workforce strategy, and the leadership questions that don't

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- have easy answers.

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- Join us November second through the fifth in

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- Chicago.

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- For the agenda and event details,

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- visit beckershospitalreview.com

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- and click on the events tab in the

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- upper right.

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- This is Scott Becker with the Becker's Healthcare

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- Podcast.

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- Thrilled today to visit with a brilliant orthopedic

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- surgeon,

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- went to University of Wisconsin,

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- trained at Rush, also trained at University of

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- Utah,

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- and has built a great practice in Wisconsin,

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- and also an entrepreneur.

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- He's built a company called Streamed. And we'll

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- talk about both the entrepreneurial journey, the journey

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- as a surgeon.

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- We'll ask him who the brightest

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- sort of sibling is in his family,

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- about the Packers beer rivalry, and a lot

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- more. Doctor Campbell, can you take a moment

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- to introduce yourself and tell us a little

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- bit about yourself and about streams?

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- Yeah. Thank you very much, Scott. Certainly appreciate

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- the opportunity to be on today.

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- I sort of wear two hats.

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- I'm an orthopedic surgeon.

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- As you mentioned, did my residency at Rush

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- and then a fellowship in hip and knee

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- replacement at the University of Utah in Salt

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- Lake City, and now I'm back as a

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- private practice orthopedic surgeon

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- in Wisconsin where, I would say most of

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- my, orthopedic work is in the ambulatory

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- care center. We, we do a lot of

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- outpatient knee and hip replacement,

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- and so really that's, that's the type of

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- work I do. I'm president of our orthopedic

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- group

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- and, you know, certainly take that responsibility

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- very seriously.

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- In addition to that full time clinical practice,

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- you know, I'm also the CEO and, cofounder

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- of Streamed, which is our health care technology

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- application,

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- that we funded in 2016.

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- You know, Streamed itself, kinda was born out

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- of this

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- intention to help patients prepare and recover from

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- surgery in an easier way. At the time,

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- we were resident doctors and, you know, we

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- just noticed that patients were having trouble remembering

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- the right things to do as they prepared

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- and recovered.

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- And we kinda thought, you know, is there

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- a better way to get the information

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- rather than just sort of handing them a

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- set of of paper instructions?

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- And sort of in this, like, minimalistic

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- viewpoint, we said, you know, what would it

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- would it be good for patients to get

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- text messages kinda that just arrived onto their

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- phone? Now I'm talking like a traditional text

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- message that you exchange with their

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- friends, not like a message that you get

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- through downloading a portal or logging into an

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- an application.

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- And we sort of took the path of

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- least resistance moving forward because we wanted all

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- patients, no matter their background, to have access

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- to that information.

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- And so, really, that that idea was formalized

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- into our company, Streamed. And, you know, we've

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- sort of pulled the technology levers

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- that existed,

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- throughout the inception ten years ago till now

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- to to create what what the product is

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- today.

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- And and take a moment as to how

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- do you break down your time between being

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- a practical orthopedic physician with a great, great

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- practice

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- and also being an entrepreneur.

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- And is that,

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- you know, accretive to your life balance versus

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- not? Or does it help you sort of

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- stay energized and excited?

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- Talk about both how you manage both

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- and

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- how it keeps you fresh

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- versus burnt doing a couple different things.

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- Yeah. I think that they complement each other

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- quite well.

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- Certainly, they're busy weeks,

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- where you kinda fit it in. Of course,

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- clinical care is typically per performed, you know,

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- I I don't know, seven till 04:30.

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- And then there's just opportunities

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- either throughout the day, mornings, late nights, weekends,

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- where you can kinda augment that with with

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- my responsibilities with with Stream. And and so

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- I think it's a nice balance. One certainly

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- helps and leverages off the other. Being a

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- surgeon, you get the perspective of, like, what

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- it is to to live and work in

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- in clinical medicine and and what the real

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- challenges are, and it's it's not this hyperbole

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- of, like, what what would a physician want.

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- We actually know what they want. We know

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- what the clinics want. They want a well

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- functioning clinic with least amount of overhead, and

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- I think that that carries through to all

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- systems. And so we take that that lens

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- of which we see clinical medicine and we

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- apply it to Streamed. And then Streamed is

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- just really a collection of features

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- that help physicians and patients kinda meet meet

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- the mission of of getting through, getting through

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- a surgical journey,

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- in the best possible way.

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- Thank you. And let me ask you this

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- question.

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- So many

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- surgeons,

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- orthopods,

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- physicians

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- have this entrepreneurial bent.

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- Give us a couple of the lessons that

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- you've learned

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- in in both being an orthopedic surgeon, but

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- also in this entrepreneurial

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- journey.

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- A couple thoughts, couple lessons from that perspective.

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- Well, I think traditionally,

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- maybe some health care innovations on the digital

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- side have come through

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- either mandates that are pushed down from from

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- the government or,

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- ways to increase revenue or or or some

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- other kind of level. And I think physicians

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- themselves are are are in great positions

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- to tackle problems that affect the themselves

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- and then, rightfully so,

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- affect the system at large. So I think

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- physicians are in a great spot to leverage

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- their unique experience to work on some of

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- these technical solutions and probably put forth

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- the best in class solution

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- because of of just that experience, that training,

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- and then, you know, ultimately being the the

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- solely responsible for how a patient does as

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- as they go through some of these procedures.

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- I think

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- advice would be anyone who's interested, you know,

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- just get started. Identify a problem that that

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- truly is something that affects you. It affects

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- you on an everyday basis and then make

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- small iterative changes kinda every day. And I

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- think ultimately, you know, just like anything that

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- we do, you gotta start somewhere. And if

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- you and if you sort of apply these,

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- like, you know, small iterative processes over time,

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- it it can create something, you know, really

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- of value and,

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- don't get caught up by the sense that

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- it's too big of a mountain to climb,

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- because I think that the gratification that comes

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- out of working something you're really interested in

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- solving

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- is worth it.

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- And, doctor Campbell, let me ask you this

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- question,

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- and you don't have to answer this if

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- you're not comfortable with it. Okay? Let me

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- know if you're ready.

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- I'm ready.

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- Alright. So here here's the deal. I know

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- that your parents raised, at least I know

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- of, a brilliant lawyer and a brilliant doctor.

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- The lawyer, of course,

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- is a lawyer helps to hold democracy

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- together.

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- Do your parents ever think, oh my god,

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- we're so proud we raised a lawyer

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- and all our son does is fix knees

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- and hips while she's holding democracy together.

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- Is that ever a challenging situation

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- in the household

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- that she is, you know, so important to

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- democracy

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- and you're an orthopedic

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- surgeon? You know, is that hard? Is that

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- or how does that work out in the

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- family?

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- Yeah. I think, I think we have some

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- very interesting discussions and, the, the the acumen

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- that Alyssa has in terms of her ability

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- to,

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- maintain a positional argument,

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- and and maintain maintain a a viewpoint, I

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- think, is extremely strong, and I think, that

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- that carries a lot of value.

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- I I definitely think we know who made

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- the intelligent choice of of becoming a, you

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- know, sort of a a significantly

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- more successful

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- attorney than maybe her

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- carpentry brother. But, you know, I try to

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- hold my own, and,

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- my my parents are very receptive to each

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- of us kinda continuing to pursue the things

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- that are that are interesting to us. But

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- but there's no doubt about it. There's much

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- more intellectual prowess

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- in in in the work that Alyssa does

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- versus, you know, I'm I'm kinda this,

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- a carpenter for for knee and hips. Yes.

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- That's absolutely right.

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- We we we don't want you to downplay

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- what you do at all. We just didn't

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- know if it was challenging in the family.

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- But let me ask this question. She raves

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- about you. Was she always a nice sister

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- or was she tough on you younger? Who's

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- the older? Who's younger?

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- And and what was that like? Would was

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- she argumentative?

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- Did that lead her to become a lawyer?

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- Or were you guys always pretty close? Because

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- she raves about you. Do you rave about

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- her equally, or are you a tougher older

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- brother or younger brother? Yeah. So we're, we're

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- eighteen months apart. I'm the older brother, so

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- we're close in age. I think growing up,

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- we had a really good relationship. Our parents,

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- really instilled that type of,

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- sort of value in us. You know, certainly,

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- just being, eighteen months older, she's always been

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- a very smart person. Went into kindergarten probably,

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- you know, a a grade earlier than than

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- than maybe her birth date,

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- would suggest. And so she's just been one

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- year behind me, which meant that, you know,

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- we did high school together.

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- We both went to Madison for undergrad, and

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- so she was there just a year later.

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- And, you know, there there there were times

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- where it's like, you know, don't tell me

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- what to do, those sorts of things. And

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- I I think that's totally normal. And I

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- think it did set her up for such

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- a successful career as an attorney because she

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- was really standing up for herself, which which

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- I encourage her to do. But,

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- yeah, she's she's fantastic. I'm I'm so happy

273
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- she says those things about me. I I

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- say the same things about her. You know,

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- our family vacations are still including her and,

276
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- we, you know, we all get together, I

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- would say, at least monthly, if not faster,

278
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- or or more more quickly than that. So

279
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- it it's just been great. I mean, she's

280
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- just done so well for herself at at

281
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- your firm, and and it's just it's just

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- great.

283
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- That's fantastic. Let me bring you back to

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- Orthopedics for a moment. One of the most

285
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- interesting things that you're watching Orthopedics,

286
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- one of the most interesting trends, and and

287
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- what are you most focused on and excited

288
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- about currently

289
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- as you balance both practice and entrepreneurial efforts?

290
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- Where are you most focused and excited? And

291
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- what trends are you watching in orthopedics?

292
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- I mean, I I I definitely have a

293
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- a focus on anything AI related in medicine

294
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- and orthopedics. So I'll file things like,

295
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- AI scribes in the clinical setting. I'll look

296
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- at AI in revenue cycle management. I'll look

297
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- at AI in in just the operating room

298
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- and what's available to us for for technologies.

299
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- So those are things I'm always I'm always

300
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- interested in. You know, on the on the

301
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- orthopedic side, you know, certainly I get energized

302
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- about anything clinical, but, you know, you have

303
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- to wear this this this business owner hat

304
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- as well. And so I'm following things like

305
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- site neutral payments,

306
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- the push towards outpatient

307
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- orthopedic care, specifically knee and hip replacement and

308
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- and redos or revisions,

309
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- and then also just

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- the reimbursement

311
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- cycle that's in place. There's obviously been this

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- migration of physicians out of private practice towards

313
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- hospital employment. I think we're at a little

314
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- bit of a turnaround where there are there

315
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- are opportunities to move physicians back to to

316
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- private practice if it's if it's set up

317
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- in a in a good way. And so

318
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- those are kind of the things that I'm

319
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- just naturally,

320
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- interested in following as, as I kinda wear

321
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- these two hats both as an orthopedic surgeon

322
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- and then, the the the CEO of a

323
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- of a health care technology company.

324
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- Kevin, I'm gonna ask you a few thirty

325
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- to forty second questions, and and I just

326
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- wanna get your responses to each of these

327
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- if that's okay.

328
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- Yeah. Okay. So so first, I'm gonna ask

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- you

330
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- any sort of thoughts or insights on either

331
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- Charles Busch, Joseph, or Greg Shannon?

332
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- Any thoughts there?

333
00:12:04.664 --> 00:12:06.904
- Well, what immediately comes to mind is doctor

334
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- Bush Joseph has had a great career. He's

335
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- achieved, you know, the penultimate,

336
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- accomplishments as just an orthopedic surgeon.

337
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- He's done everything in in the the surgical

338
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- sports medicine practice, becoming

339
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- a president of all the prestigious organizations, including

340
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- being managing partner at Midwest Orthopedics for, you

341
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- know, his tenure, at least ten years there,

342
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- and he's just done a fantastic job. And

343
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- and and and Rush would not be what

344
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- it is today without him and the orthopedics

345
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- division.

346
00:12:35.985 --> 00:12:38.225
- Greg Shannon is equally powerful just in a

347
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- different way. He's a Michigan grad, did a

348
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- fantastic job there,

349
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- followed his wife, Monica, out to her first

350
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- job in, San Francisco where he got his

351
00:12:48.544 --> 00:12:51.759
- MBA from Stanford Business School. He's extremely well

352
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- connected. He does his own independent consulting now

353
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- and just does a lot of great things

354
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- for early to mid stage companies, and he

355
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- he and he and, doctor Busch Joseph are

356
00:13:01.519 --> 00:13:03.279
- kinda developing a little bit of a one

357
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- two punch, and, I I I wish they've

358
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- done a lot of great things for me

359
00:13:06.934 --> 00:13:09.495
- individually and for our company, Streamed, and and

360
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- I think that they'll just do great things

361
00:13:10.934 --> 00:13:11.754
- together too.

362
00:13:12.375 --> 00:13:14.475
- Both brilliant and really good people.

363
00:13:15.014 --> 00:13:17.355
- Couldn't agree more. Next question.

364
00:13:17.990 --> 00:13:20.549
- I take it growing up in Wisconsin. One,

365
00:13:20.549 --> 00:13:22.549
- I'm disappointed to hear you say nice things

366
00:13:22.629 --> 00:13:24.950
- such nice things about the University of Michigan,

367
00:13:24.950 --> 00:13:27.190
- but it's okay. But but growing up in

368
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- Wisconsin,

369
00:13:29.029 --> 00:13:32.009
- Green Bay Packer fan, there there's two things.

370
00:13:32.534 --> 00:13:34.934
- Packers versus beers this year, and I've heard

371
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- this phrase from Wisconsin people, and I don't

372
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- know what it means.

373
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- It it was something that they used to

374
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- call a fib, and I didn't know what

375
00:13:42.214 --> 00:13:43.975
- a fib was. I I was wondering if

376
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- you had any insight

377
00:13:45.799 --> 00:13:48.620
- on Packers beers this year and this phrase

378
00:13:48.679 --> 00:13:51.000
- fib, which I can't quite make make out

379
00:13:51.000 --> 00:13:53.240
- what that means when Wisconsin people call Illinois

380
00:13:53.240 --> 00:13:54.059
- people fibs.

381
00:13:55.079 --> 00:13:57.799
- Yeah. I mean, the the the Packers bears

382
00:13:57.799 --> 00:14:00.699
- rivalry is something that has always been,

383
00:14:01.225 --> 00:14:02.365
- interesting to follow.

384
00:14:02.745 --> 00:14:06.184
- Recently, it's become so intense that it's it's

385
00:14:06.184 --> 00:14:08.825
- it's almost a little bit uncomfortable watching them

386
00:14:08.825 --> 00:14:10.524
- play each other, but obviously,

387
00:14:11.065 --> 00:14:12.745
- you know, green and yellow all the way.

388
00:14:12.745 --> 00:14:14.779
- And, and so we just gotta make sure

389
00:14:14.779 --> 00:14:17.179
- that my my kids stay aligned. We're we

390
00:14:17.179 --> 00:14:19.019
- live in Green Bay, and and so the

391
00:14:19.019 --> 00:14:21.179
- the kids and everybody were at training camp

392
00:14:21.179 --> 00:14:23.340
- yesterday. And and, I mean, what the Packers

393
00:14:23.340 --> 00:14:25.659
- have done for our organization, our community has

394
00:14:25.659 --> 00:14:26.399
- been outstanding,

395
00:14:27.085 --> 00:14:28.684
- way more than I think the the Bears

396
00:14:28.684 --> 00:14:31.024
- have done potentially on the ground. But Titletown

397
00:14:31.085 --> 00:14:32.544
- District has been fantastic,

398
00:14:33.004 --> 00:14:33.325
- and,

399
00:14:33.965 --> 00:14:35.985
- I'm really proud of of of the Packers.

400
00:14:36.524 --> 00:14:38.924
- I I've never heard, the word fib. I

401
00:14:38.924 --> 00:14:40.845
- don't know what you're what you're alluding to

402
00:14:40.845 --> 00:14:43.029
- there. You you you may have to, you

403
00:14:43.029 --> 00:14:44.709
- know, get on get it online and and

404
00:14:44.709 --> 00:14:46.389
- Google it, but I I've never heard that

405
00:14:46.389 --> 00:14:46.889
- term.

406
00:14:47.909 --> 00:14:49.829
- Fair enough. Fair enough. Do you, do you

407
00:14:49.829 --> 00:14:51.589
- live in Green Bay itself or De Pere,

408
00:14:51.589 --> 00:14:53.350
- or where do people live in Green Bay?

409
00:14:53.350 --> 00:14:54.809
- Yeah. You know,

410
00:14:55.269 --> 00:14:57.595
- Green Bay has changed over time. We do

411
00:14:57.595 --> 00:14:58.995
- live in Green Bay. We live in a

412
00:14:58.995 --> 00:15:02.315
- a neighborhood called Allouais, a historically progressive neighborhood,

413
00:15:02.315 --> 00:15:04.875
- and, that's their kinda tagline. And and and

414
00:15:04.875 --> 00:15:06.794
- we love it. We have a great, support

415
00:15:06.794 --> 00:15:08.475
- system, a lot of great neighbors with young

416
00:15:08.475 --> 00:15:08.975
- families.

417
00:15:09.279 --> 00:15:11.200
- And so, it's been great for us. De

418
00:15:11.200 --> 00:15:13.200
- Pere, right alongside Green Bay,

419
00:15:13.679 --> 00:15:14.179
- equally,

420
00:15:15.279 --> 00:15:15.779
- enjoyable.

421
00:15:16.080 --> 00:15:17.440
- I think there's a lot of great things

422
00:15:17.440 --> 00:15:19.360
- about about De Pere too, and and we're

423
00:15:19.360 --> 00:15:21.360
- we're we we share our border with De

424
00:15:21.360 --> 00:15:23.615
- Pere. So our family likes to spend time

425
00:15:23.615 --> 00:15:25.294
- here. We're water skiers. We'll get out on

426
00:15:25.294 --> 00:15:27.694
- the Fox River and and slalom, and then,

427
00:15:27.694 --> 00:15:30.095
- you know, Door County is just about an

428
00:15:30.095 --> 00:15:31.934
- hour from us, and that's where we grew

429
00:15:31.934 --> 00:15:34.014
- up, Alyssa and I, in Sturgeon Bay. And

430
00:15:34.014 --> 00:15:36.095
- we go we go up to, Door County

431
00:15:36.095 --> 00:15:38.190
- each the weekends that we can to recreate

432
00:15:38.190 --> 00:15:40.429
- up there, whether that's camping or sailing. We're

433
00:15:40.429 --> 00:15:42.110
- big we're big sailors, and so,

434
00:15:42.509 --> 00:15:43.809
- that that's what we do.

435
00:15:44.589 --> 00:15:46.750
- Green Bay is actually a fantastic town. I

436
00:15:46.750 --> 00:15:48.509
- spent so much time up there. It almost

437
00:15:48.509 --> 00:15:50.610
- should be like it's like an unsung jewel

438
00:15:50.945 --> 00:15:53.445
- in our country. It's a wonderful, wonderful community

439
00:15:53.504 --> 00:15:54.245
- in town.

440
00:15:54.784 --> 00:15:57.264
- Doctor Campbell, what a pleasure to visit with

441
00:15:57.264 --> 00:16:00.084
- you. Amazing what you've done with Streamed. Congratulations.

442
00:16:00.384 --> 00:16:02.404
- Amazing what you've done with an orthopedic practice.

443
00:16:02.625 --> 00:16:05.105
- People regard you really, really highly as an

444
00:16:05.105 --> 00:16:06.245
- orthopedic surgeon

445
00:16:06.629 --> 00:16:08.389
- and and just as well as an entrepreneur.

446
00:16:08.389 --> 00:16:11.029
- So congratulations on your success, and thank you

447
00:16:11.029 --> 00:16:12.309
- so much for taking the time with us

448
00:16:12.309 --> 00:16:13.769
- on the Beckers HealthCare podcast.

449
00:16:14.230 --> 00:16:15.670
- Yeah. My pleasure. And thank you to you

450
00:16:15.670 --> 00:16:17.910
- for all you're doing. You're a strong advocate

451
00:16:17.910 --> 00:16:20.549
- for for the health care system, and, thanks

452
00:16:20.549 --> 00:16:21.529
- for having me.