DiscoverThe Upper Hand: Chuck & Chris Talk Hand Surgery
The Upper Hand: Chuck & Chris Talk Hand Surgery
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The Upper Hand: Chuck & Chris Talk Hand Surgery

Author: Chuck and Chris

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The Upper Hand Podcast feature Charles Goldfarb and Chris Dy from Washington University Department of Orthopedic Surgery. Our weekly podcast will discuss all things hand surgery, from the technical aspects of what we do (diagnosis, treatment) to our more personal approaches to events and opportunities that hand surgeons experience. We welcome feedback and audience engagement. We are grateful for the muscial contribution of @iamPeterMartin.
93 Episodes
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Episode 44.  Chuck and Chris discuss leadership during the COVID 19 pandemic.  Maintaining positivity may be challenging and patience is also challenging.  We discuss the importance of being a patient leader during these difficult times.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Article referenced:Sluss, David Becoming a More Patient Leader.  HBR, Sept 2, 2020Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episoe 39, Season 2.  Chuck and Chris take a deep dive on another sports topic- thumb UCL repair.  We discuss primary repair and suture tape augmentation.  After a brief case introduction, we discuss the decisions the surgeon considers and the implications for cost and for recovery.Reference mentioned: Michelle  Carlson, et al. Anatomy of the thumb metacarpophalangeal ulnar and radial collateral ligaments.  J Hand Surg Am . 2012 Oct;37(10):2021-6.  We plan a newsletter launch soon.  Subscribe here:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvzAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.
Episoe 38, Season 2.  Chuck and Chris welcome guest Jorge Orbey to discuss his pathway to success.  Dr. Orbay has started two success companies and, more importantly, has directly impacted patient care with the volar plate and now with the internal elbow stabilizer.  He reflects on his path and provides thoughts for future innovators in hand surgery or any field.  We also learn technical pearls on the volar approach from Dr. Orbay.We plan a newsletter launch soon.  Subscribe here:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvzAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.
Episode 37, Season 2.  Chuck and Chris discuss the ASSH Annual Meeting with the definitive recap episode.  Chris attended in person while Chuck attended virtually while holding down the fort in St Louis.  We discuss various sessions, the hybrid format, and lessons learned.  All in all, a great meeting under less than ideal circumstances.We plan a newsletter launch soon.  Subscribe here:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvzAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.
Episode 36, Season 2: Chuck and Chris discuss their approach to a scapholunate ligament injury.  We discuss how we think about and approach these injuries with specifics on surgical approach and technique.We plan a newsletter launch soon.  Subscribe here:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvzAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.
Episode 35, Season 2: Chuck and Chris discuss two HBR articles on presentations.  While these reflect on non medical lectures/ presentations, there are many valuable lessons to consider for those in the medical world.  Chris and I considered these lessons in preparation for the upcoming ASSH and ASHT meetings.HBR articles"What it takes to give a great presentation", Carmine Gallo 2020"How to Give a Killer Presentation," by Chris Anderson 2013We plan a newsletter launch soon.  Subscribe here:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvzAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.
Episode 34, Season 2: Chuck and Chris welcome Amy Moore and John Fowler, the Hand Society (ASSH) 2021 Annual Meeting Chairs, to discuss the San Francisco Meeting in San Francisco.   They share insights the meeting development, the program, the hybrid opportunity and so much more.   We start the discussion with a reader submitted question on loupe choices.We plan a newsletter launch soon.  Subscribe here:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvzAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.
Episode 33, Season 2: Chuck and Chris welcome Rachel Pigott and Nora Barrett, the President and Annual Meeting Chair, respectfully, of the American Society of Hand Therapists to discuss the ASHT Annual Meeting in St. Louis, October 7th-10th.   They share insights about the ASHT and specifics about the annual meeting including highlights.   Its going to be a great meeting with some focus on nerve but a complete coverage of all pertinent hand therapist topics.  Note this podcast is abbreviated- the full, uncut version is on You Tube.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 32, Season 2: Chuck and Chris revisit the Wheel of Hand Surgery.  The spin of the wheel generates our discussion and this week we talk 'Never Have I Ever'.  Tune in to learn about dogma, what we do in practice that the literature may not support.  Including tennis elbow amongst other topics.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 34, Season 2: Chuck and Chris bring back "My Toughest Case" and Chris discusses a patient with scleroderma including evaluation and treatment options including sympathectomy.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 33, Season 2: Chuck and Chris welcome Terry Light, a mentor to many, to the show.  Terry shares his medicolegal thoughts on both how to avoid issues as well as when to consider expert witness work.  Many pearls for listeners of all levels and training.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 32, Season 2: Chuck and Chris talk Operating Room (OR) efficiency, specifically about running two rooms.  We discuss tactics, when a surgeon might be ready, and how to make the most of the opportunity.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 31, Season 2: Chuck and Chris introduce a new segment: The Wheel of Hand Surgery.  And, the Wheel guided on discussion this week on SLAC Wrist.  A bit on pathophysiology and more on treatment preferences.  As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 30, Season 2: Chuck and Chris talk vacations- the science and the practice.  Using HBR references (HBR Article : We All Really Need a Vacation. Here’s How to Make the Most of It. by Art Markman. May 12, 2021) and our own experience/ challenges, we discuss the need for vacation, making the most of the vacation and some of the questions we all consider such as: Do you work on vacation?  Do you answer emails and if you do, when? How do you prepare for re- entry? Do you leave an out of office email?  How do you handle postoperative patients?As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 29, Season 2.   Chuck and Chris start a new segment in their more structured approach.  This is the first episode of "My Hardest (recent) Case". Chuck shares a revision ulnar nerve case post subcutaneous transposition.  Chris and Chuck talk examination, nerve studies, technical approach and expectations.  Listen in!As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 28, Season 2.   Chuck and Chris are joined by Jeff Stepan and Steve Lanier, two previous fellows both finishing their first year in hand surgery practice.  Jeff and Steve share their experiences starting practice in Chicago, in somewhat different practices.  Jeff is at the University of Chicago, Steve at NorthShore.  Jeff and Steve are leading a Symposium at the ASSH on Saturday October 2nd at 9:30am, Free Solo: Letting Go of the Rope - Lessons Learned from the First Year in Practice.  Should be great!As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 27, Season 2.   Chuck and Chris are joined by OT Macy Stonner to discuss therapy after finger fracture and therapy for the stiff finger.  Macy shares various tips and pearls to maximize patient outcomes.We referenced an AAOS ICL published here: Post Traumatic Reconstruction of the Hand.  JBJS 89A: 428- 435,  2007As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 26, Season 2.   Chuck and Chris discuss the stiff finger and the basic concepts required in assessment of these fingers.  We discuss the full range of issues from bone status to soft tissues,  tendon mobility to joint contractures. This will be part 1 with a more therapy focused colleague joining for part 2.We referenced an AAOS ICL published here: Post Traumatic Reconstruction of the Hand.  JBJS 89A: 428- 435,  2007As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
The PIP Joint Fracture

The PIP Joint Fracture

2021-06-2035:23

Episode 25, Season 2.   Chuck and Chris review PIP joint injuries, focusing on fracture/ dislocations and pilon injuries.  These are challenging injuries with a multitude of treatment choices.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
Episode 24, Season 2.   Chuck and Chris review 7 personal finance pearls.  This is an overview of critical points focused on a conservative approach to finance.  While it may be most appropriate for residents, fellows, and younger professionals, some tips will benefit everyone.We welcome feedback.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz
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