In this episode, Dr. Jeff Dikis gives a state of the podcast update and discusses recent presentations he gave on first MPJ fusions and posterior heel pain. He reflects on the growth of the podcast and shares his plans to potentially hire an intern. Dr. Dikis provides insights into the different techniques and hardware options for first MPJ fusions, emphasizing the importance of joint preparation and stability. He also explores various treatment options for posterior heel pain, including gastrocnemius recession, MIS Zadek, and open procedures.