Smith & Nephew PLC

Okay.

Let's get to your next, uh, pick then, which is Smith & Nephew, S&N, uh, out of New York.

Uh, this is a pharmaceutical company, I guess, but actually medical products?

No, it's medical devices.

And you've seen some pressures on the industry.

Uh, Stryker's had an issue with a cyber hack, and so it's derated to about 20 times earnings.

The Smith & Nephew's on about 12, 13 times respective earnings for a, a long-term secular grower.

Also, they have an activist shareholder now on board.

Uh, and then 20 to 25 that are W2s.

And then we have a network of 1099s, um, that they might, they might be a Smith and Nephew rep, Zimmer rep,

the

Pew rep, uh, ortho development, Medacta United, um, probably like around, um, maybe a hundred of those that are covering cases every day.

The United reps is going to get commissioned on our stuff too, because he's there.

Right.

So he's our 1099 across the room might be a striker or a Smith and nephew user.

That's selling his implants to the surgeon and using ours and getting commissions.

Yeah, I mean, there's just always evolution of Jonny Cafero, right? Always growing, always expanding.

So right now I'm at Smith & Nephew, um, Orthopedics.

I'm the senior manager for the US for the hip revision portfolio, and I've been there almost a year now.

Um, and it's a blast.

I mean, um, that was a really fun post, um, to be able to announce that, because dude, I, I, for a long time after I left Stryker, it was smaller, like nonprofits and then a startup company with Redefined Surgery.

Mm-hmm.

And, um, like these companies, I wasn't there for a really long time and so it's like to be at Smith & Nephew for the last year and be like flourishing and enjoying it, it's, it's a world of a difference.

Yeah.

Okay

... um, that they might, they might be a Smith+Nephew rep, Zimmer rep-

Yeah

...

So there'll be mortgage lenders, there'll be financial planners, there'll be legal folks, there'll be realtors.

It's not as sexy as you would think, right? There's no Stryker or Smith & Nephew or Zimmer sponsoring it, but these are going to be events for the people so that they, you know, we train for 15, 20 years and we forget everything else about our lives.

Just like we talked about whole child health.

It's like whole doctor health.

And that was a big reason why I wanted to go to Stedman Hawkins because Dr. Hawkins was there and doing shoulder arthroscopy stabilization.

So, so it's something I did kind of dabble in and pick up a Smith and Nephew was in North Andover, and we worked on some instrumentation.

We had an early hip arthroscopy study group, and I thought this really could have some potential implications in the pediatric adolescent patient population.

And then over time, our original hip arthroscopies in the early 2000s was really debriding the labrum, taking out loose bodies, and then has evolved to labral repair and even reconstruction, understanding femoral acetabular impingement, being able to treat CAM and pincer impingement, now understanding more about instability and repairing the capsule or placating the capsule.

And take out those things that could cause you lots of problems.

And as a Canadian, I always thought my English was good enough until I hit Smith and Nephew.

And then I became the FDA rep between countries and stuff because they realized and I also realized that the English of the FDA is not equal to english exactly so you have to watch out so

exactly

Medical device makers I visited with Stryker.

I visited with Medtronic, with Smith & Nephew.

And they're all blowing and going.

That's good.