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hello this is dr eric bricker and thank you for watching a health care z todays topic is orthopedic surgery a massive change in hospital care now this is one of the coolest topics that i have covered in a while in my opinion and it comes from the gist newsletter and the just healthcare consulting firm puts out this friday newsletter i highly encourage you all to subscribe to it i am not connected to them in any way other than the fact that i get the newsletter but it is awesome now they do a graphic of the week and this weeks graphic is about orthopedic surgery and it was done in conjunction with a healthcare analytics firm called stratosan now i again i have no connection to either of these organizations but what they have created is incredibly instructive about a major change in orthopedic surgery in healthcare today and so what ive done is ive recreated this graphic here on the whiteboard and its got a ton of numbers but were going to go through it slowly and it specifically r