Today I had the opportunity to spend a day in the operating room with Dr. Ken Yamaguchi at Barnes Hospital in St. Louis. It is nice to learn how another surgeon approaches shoulder replacement and I learned quite a bit from him. Every surgeon approaches a particular case differently and often seeing things done a different way stimulates me to consider how I could make my surgical outcomes even better. Medicine and shoulder surgery, like all fields, is constantly changing. Being able to discuss cases with a surgeon who is at the cutting edge of his field was a pleasure. My thanks.