In my first year of practice I remember a day where I only had three joints but it took all day and I was exhausted.  Although they were all primaries they each had a component that made them hard - size, bone loss, stiffness.

I created a system that allowed me to communicate with my scheduler so they could spread out the hard cases which prevented one day from having all chip shot easy cases and another day which had all of the hard cases.

I hope you find this tip helpful in your practice.

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