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.
156 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
Season 4, Episode 4.  Chuck and Chris discuss major technical changes to their surgical practices as well as a few practice management changes.  Learn how we now approach ulnar nerve transposition, cmc arthritis, and other procedures differently today compared to 5 years ago.  We also share a MAJOR announcement- tune in and learn what's changing about our release schedule!Subscribe to our newsletter:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  
Season 4, Episode 3.  Chuck and Chris discuss Chris' visit to the AAHS in South Florida and then discuss practice development.  We brainstorm the best techniques to make others in the community, region, and medical world aware of your interests.  First, of course, take great care of patients.  And then...  Join us and learn more!Subscribe to our newsletter:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  
Season 4, Episode 2.  Chuck and Chris return after one week off to catch up and begin a discussion on claw hand. We describe presentation and etiology and start to discuss surgical treatment.  More to come on this topic.Referenced manuscript: Goldfarb CA and Stern PJ Low Ulnar Nerve Palsy  Journal of the American Society for Surgery of the Hand, Feb 2003, 3:14-26Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  
Season 4, Episode 1.  In our inaugural episode for season 1, Chuck and Chris welcome Amy Moore and Dominic Power to discuss nerve!  Specifically, in this journal club format we review 4 recent JHS European articles as a format to discuss current concepts in diagnosis and treatment of carpal tunnel syndrome.  Amy and Dom share their extensive experience and insights in this collaborative effort between The Upper Hand Podcast, Journal of Hand Surgery European, the British Society for Surgery of the Hand, and FESSH.  Enjoy!Carita, et al High- resolution ultrasound in the diagnosis of failed carpal tunnel decompression: a study of 35 cases.  JHS Eur 47:364-68, 2022Mackenzie, et al.  Carpal tunnel decompression in patients with normal nerve conduction studies.  JHS Eur 45: 260-4, 2020Asserson, et al.  Return to work following ultrasound guided thread carpal tunnel release versus open carpal tunnel release: a comparative study.  JHS Eur 47: 359-63, 2022Ratasvuori, et al.  Ultrasonography for the diagnosis of carpal tunnel syndrome: correlation of clinical symptoms, cross- sectional areas and electroneuromyography.  JHS Eur 47: 369-74, 2022Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.Listings at theupperhandpodcast.wustl.edu
Season 3, Episode 50.  Chuck and Chris welcome Michael Galvez from Valley Childrens Hospital to discuss DE&I in hand surgery.  Michael co-edited, with Kevin Chung, the latest edition of Hand Clinics with a number of outstanding contributions from hand surgeons across the United States.  This volume of Hand Clinics has insights and practical recommendations for all of us considering the challenges and opportunities around diversity, equity, and inclusion.  Three months of free access at:https://www.hand.theclinics.com/currentSubscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.Listings at theupperhandpodcast.wustl.edu.  
Season 3, Episode 49.  Chuck and Chris  continue with this 4 part segment on radial nerve injuries.  In this podcast, Macy joins us to discuss her role in patient assessment and her perspective on both tendon transfers and nerve transfers to address radial nerve injury/ palsy.Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.Listings at theupperhandpodcast.wustl.edu.  
Season 3, Episode 48.  Chuck and Chris  continue with this 4 part segment on radial nerve injuries.  In this podcast, we discuss tendon transfers as treatment for the radial nerve injury.  We discuss the three key transfers including wrist extension, thumb extension/ retropulsion, and finger MCP joint extension.  We plan one additional episodes on therapy before and after radial nerve palsy treatment in this series. Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.Listings at theupperhandpodcast.wustl.edu.  
Season 3, Episode 47.  Chuck and Chris  continue with this 4 part segment on radial nerve injuries.  In this podcast, we discuss nerve transfers as treatment for the radial nerve injury.  We plan additional episodes on tendon transfer and therapy in this series. References:Ray WZ, Mackinnon SE. Clinical outcomes following median to radial nerve transfers. J Hand Surg Am. 2011 Feb;36(2):201-8. doi: 10.1016/j.jhsa.2010.09.034. Epub 2010 Dec 18. PMID: 21168979; PMCID: PMC3031762.Bertelli JA. Nerve Versus Tendon Transfer for Radial Nerve Paralysis Reconstruction. J Hand Surg Am. 2020 May;45(5):418-426. doi: 10.1016/j.jhsa.2019.12.009. Epub 2020 Feb 21. PMID: 32093993.Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.Listings at theupperhandpodcast.wustl.edu.  
Season 3, Episode 46.  Chuck and Chris  begin the first of a 4 part segment on radial nerve palsy.  In this podcast, we discuss diagnosis, evaluation, and initial management of patients with radial nerve palsy.  We plan episodes on tendon transfer, nerve transfer, and therapy in this population.  Note- we apologize for some background noise (kids).Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.Listings at theupperhandpodcast.wustl.edu.  
Season 3, Episode 45.  Chuck and Chris  talk about a new HBR article by Bill Taylor, "Your Competitors Aren’t Always Who You Think They Are".  We explore what this means in healthcare and how we can optimize the patient experience.https://hbr.org/2022/11/your-competitors-arent-always-who-you-think-they-areSubscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.Listings at theupperhandpodcast.wustl.edu.  
Season 3, Episode 44.  Chuck and Chris  talk international 'mission' trips with Chuck's trip to St Vincent with the World Pediatric Project just finished.  Grateful to supporters including the Touching Hands of the ASSH and Orthopediatrics as well.  Hear more on thoughts on what makes a great team and a successful trip.Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.Listings at theupperhandpodcast.wustl.edu.  
Season 3, Episode 43.  Chuck and Chris  discuss their current strategies in treating Dupuytrens disease.  In an update from our previous Charlie Eaton interview , we describe our indications, treatment strategies, and outcomes with various procedures.  We focus on open fasciectomy and needle aponeurotomy.Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  
Season 3, Episode 42.  Chuck and Chris  talk about two topics, completely unrelated!  First, we discuss an important reader- submitted comment regarding fellowship interviews.  And second, we discuss how we handle the common issue of finger injuries and potential amputations.Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  
Season 3, Episode 39.  Chuck and Chris  talk about Chris' favorite topic, NERVE!  Today we discuss the common peroneal nerve. We discusse how patients come to us, how we assess preoperatively including workup, and the surgery- common peroneal nerve decompression.  Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  
Season 3, Episode 40.  Chuck and Chris host a live podcast in Boston during the ASSH Annual meeting.  This is our second live podcast and, we hope, a step forward in quality and content after our inaugural effort, the London IFSSH Live Podcast.  Still some audio quality opportunities but we are making progress!There was great audience questions and this led to good discussion on life, balance, burnout, and other topics.  We had a few audience luminaries jump right in include Jonathan Hobby and previous guest Sam Moghtaderi.  Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  
Season 3, Episode 39.  Chuck and Chris host a live podcast in Boston during the ASSH Annual meeting.  This is our second live podcast and, we hope, a step forward in quality and content after our inaugural effort, the London IFSSH Live Podcast.  Still some audio quality opportunities but we are making progress!There was great audience questions and this led to good discussion on life, balance, burnout, and other topics.  We had a few audience luminaries jump right in include Jonathan Hobby and previous guest Sam Moghtaderi.  Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  
Season 3, Episode 38.  Chuck and Chris welcome Pete Carter back for his story of the founding of the American Society for Surgery of the Hand.  Pete shared this story years ago at the annual meeting of the ASSH and retells it here for us.  A politician, a general, and a duck hunter.Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  
Season 3, Episode 37.  Chuck and Chris welcome Pete Carter to discuss and introduce the next episode.  In this episode, we introduce Pete and discuss some his personal story and how his interest in the founding of the ASSH developed.Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  
Season 3, Episode 36.  Chuck and Chris follow- up last week's discussion with Jen Barna from the DocWorking Podcast with more talk about coaching and why it makes sense for many of us.   We also talk more about our personal solutions to resisting burnout.Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  
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