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.
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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 2 Episode 45.  Chuck and Chris celebrate Thanksgiving by discussing why we feel thankful including specific people (think nurses, medial assistants, and hand therapists) places (ie Division and Department), and surgical instruments! (sounds odd but it flowed well)Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfTAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.
Half Full or Half Empty?

Half Full or Half Empty?

2021-11-2137:351

Season 2 Episode 44.  Chuck and Chris welcome Lauren Wessel and her suggestion for a new segment: Half full or Half empty?  Lauren put together a list of controversial concepts and Chris and Chuck weigh in.  And, for those of you who like disagreement, there is plenty!Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfTAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.
Season 2 Episode 43.  Chuck and Chris review 3 new journal articles pertinent to the practice of hand surgery.  Two are focused on steroid injection and the role this treatment has, especially in the treatment of carpal tunnel syndrome.  The third focuses on complications with local only surgery in a large database study.  Yoshiaki Yamanaka, MD, PhD, Takafumi Tajima, MD, PhD, Yoshitaka Tsujimura, MD, et al (Department of Orthopaedic Surgery, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan)Molecular and Clinical Elucidation of the Mechanism of Action of Steroids in Idiopathic CarpalTunnel Syndrome J Bone Joint Surg Am. 2021;103:1777-87Nikolas H. Kazmers, MD, MSE, Kate Peacock, MPH, Katelin B. Nickel, MPH, et al (University of Utah and Washington University Data Center) Comparison of Complication Risk Following Trigger Digit Release Performed in the Office Versus the Operating Room: A Population-Based AssessmentJ Hand Surg Am. Vol. 46, October 2021Manfred Hofer, BSc; Jonas Ranstam, PhD; Isam Atroshi, MD, PhD. (Department of Orthopedics, Kristianstad Hospital, Kristianstad, Sweden (Hofer, Atroshi);Department of Clinical Sciences–Orthopedics, Lund University, Lund, Sweden (Ranstam, Atroshi).)  Extended Follow-up of Local Steroid Injection for Carpal Tunnel SyndromeA Randomized Clinical Trial.  JAMA Network Open. 2021;4(10):e2130753. doi:10.1001As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT
Episode 42, Season 2.   Chuck and Chris are joined again by Jeff Stepan and Steve Lanier, two previous fellows both in their second 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.   They share insights from their successful symposium at the ASSH:  Free Solo: Letting Go of the Rope - Lessons Learned from the First Year in Practice.  Finally, both are in the midst of the Boards process- lots of helpful information!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
Episoe 41, Season 2.  Chuck and Chris take a deep dive on leadership around The Great Resignation.  Employees across the USA are reconsidering their job, their careers, and their lives and are resigning in unprecedented numbers.  We use 2 HBR articles to frame our discussion.  We hope that listeners will engage and share their experiences.References mentioned: 1) The 3 Phases of Making a Major Life Change, Herminia Ibarra. HBR Augst 6, 20212) How to Help Your Team Get Out of a Lull, Merete Wedell- Wedellsborg  Oct 12, 2021We 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 40, Season 2.  Chuck and Chris are joined by Becky Neiduski, hand therapist and Dean of Health Sciences at Elon University.  This is a live taping of the podcast with a great discussion of flexor tendon injuries including the surgeon and therapist perspective.  Thanks to the ASHT for inviting and for sharing the recording!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 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
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