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PODCAST

The Upper Hand: Chuck & Chris Talk Hand Surgery

Chuck and Chris

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.

science life sciences

All Episodes

29:46

Interview 6: Chuck and Chris Talk Hand Camp and...

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/10/04

Episode 39. Chuck and Chris talk to again with Amy Lake from Dallas about a passion project- Hand Camp. These camps are amazing experiences in which children with hand differences spent time with other kids and other families to learn from one another (and teach us). Amy has been inspirational in building these camps in Dallas and inspiring others, like us in St Louis, to do the same. We promise this concept willl get you thinking!As always, thanks to @iampetermartin for the amazing introduction

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16:44

Emergency Podcast: ASSH Annual Meeting

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/10/01

Episode 40. Chuck and Chris talk ASSH Annual Meeting. We got together just after the meeting started to share our thoughts and plans around this virtual meeting. While this year is very different, many people did much work to make this happen. Thank you and this will be a great meeting!As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu

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33:47

Interview 5: The Surgeon Therapist Relationship

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/09/27

Episode 38. Chuck and Chris talk to hand therapy geniuses Amy Lake from Dallas and Macy Stonner from St Louis. We talk about the vital therapist- surgeon relationship and all things related. Fun, engaged conversation with deep insights on what makes these relationships so important.As always, thanks to @iampetermartin for the amazing introduction and conclusion music. And thanks to Eric Zhu, the Upper Hand intern extraordinaire.theupperhandpodcast.wustl.edu

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43:25

Interview 4: Chuck and Chris Talk Kienbocks Disease...

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/09/20

Episode 37. Chuck and Chris have an in depth conversation with Steve Moran of the Mayo Clinic to learn more about his approach in the treatment of Kienbocks disease. Interesting conversation as while all of us consider multiple options for treatment, Steve and his Mayo Clinic colleagues favor treatment of avascular necrosis of the lunate with vascularized bone grafts while our team, for many patients, favors radius shortening osteotomies. Patient preference and indications for each patient are

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26:12

Why Medicine? Chuck and Chris Talk Medical Careers

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/09/13

Episode 36. Chuck and Chris talk about their medical careers, the impact of their fathers (both surgeons), and how they talk to their kids about medical careers. We share various stories and opinions.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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30:47

Can this one trick make you more efficient?

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/09/06

Episode 35. Chuck and Chris talk efficiency. We meander through practice building to start the podcast and the discuss a recent HBR article by Peter Bregman, "Your To Do List is, in fact, too long." We discuss why 'trying harder is not the answer'. We share our efficiency tips, our variable successes and discuss Bregman's suggestion. Join us and then share your ideas with us!As always, thanks to @iampetermartin for the amazing introduction and conclusion

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77:41

Part 3: Dupuytrens Disease w special guest Charlie Eaton

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/08/30

Episode 34. Chuck and Chris continue to talk Dupuytrens Disease, this time with a special guest Charlie Eaton. Charlie shares his vast experience with Dupuytrens, beginning with his popularization of the needle aponeurotomy procedure and continuing to the current day research program he oversees at dupuytrens.org, the Dupuytrens Foundation and Dupuytrens Research Group. This is longer than our typical podcast and more in depth. For those of you that are passionate about Dupuytrens- it is pure

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21:58

Part 2: Dupuytrens Disease

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/08/23

Episode 33. Chuck and Chris continue to talk Dupuytrens Disease. This is the second of 3 episodes on Dupuytrens. Here we discuss collagenase, the literature, and open fasciectomy. We also discuss therapy and its role in all interventions.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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32:06

Part 1: Dupuytrens Disease

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/08/16

Episode 32. Chuck and Chris talk Dupuytrens Disease. This is the first of 3 episodes on Dupuytrens. Here we introduce the topic and discuss our patient approach including the increasing role of needle aponeurotomy.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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21:55

Part 2: Radial Sided Wrist Pain

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/08/09

Episode 31. Chuck and Chris talk radial sided wrist pain. Last time we focused on De Quervains tenosynovitis in Part 1 and for this episode we focus on less common topics like intersection syndrome, Wartenbergs syndrome, FCR tendonitis, and a few others.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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42:40

Part 1: Radial Sided Wrist Pain

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/08/02

Episode 30. Chuck and Chris talk radial sided wrist pain. We discuss the pertinent features of the history and the physical examination including key differential diagnoses. We focus on De Quervains tenosynovitis in Part 1 of radial sided wrist pain.A few digressions including anti inflammatory medications and general surgical principles around keeping nearby neurovascular structures safe.As always, thanks to @iampetermartin for the amazing introduction and conclusion

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28:20

Microstresses in the Medical World

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/07/26

Episode 29. Chuck and Chris talk about the concept of microstresses and how these impact our daily lives. We discuss common examples in our lives and how we attempt to address these. This discussion is based on the work in HBR by Cross, Singer and Dillon, "Don't Let Microstresses Burn You Out'. We hope for feedback from listeners.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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29:22

Part 2: Tennis elbow- Treatment

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/07/19

Episode 28. Chuck and Chris talk tennis elbow. We discuss the our beliefs on effective treatment including therapy, orthoses, injection, and surgery. Sure to be controversial!As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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22:50

Part 1: Tennis elbow, a discussion of the diagnosis...

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/07/12

Episode 27. Chuck and Chris talk tennis elbow. We discuss the key pertinent features of the history and the physical examination including key differential diagnoses. We review the role of nerve studies for radial tunnel as well as the role of diagnostic injection. We begin the discussion of treatment with therapy. We hope for feedback from listeners.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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37:24

7 Side Gigs

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/07/05

Episode 26. Chuck and Chris talk side gigs or side hustles. Clearly, our clinical work is consuming but there are benefits to side gigs including simply engaging in pursuits outside of typical medical care and many side gigs can be helpful in minimizin the risk of burnout. Chuck and Chris discuss 7 common side gigs. We hope for feedback from listeners.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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38:10

Chuck & Chris Talk Education of Trainees

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/06/28

Episode 25. Chuck and Chris discuss education. In this episode, we review how we view educational changes over the last 20 years, key mentors and role models, how to prepare from the OR, and the benefits of a post- surgery review for each case. We share thoughts on the value of the cadaver lab (hint: invaluable) as well as the use of video in preparation for the OR and surgical simulation as well. Finally, we touch on the concept of coaching in surgical education.As always, thanks to

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35:02

WALANT Hand Surgery Part 2 with guest Sam Moghtaderi

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/06/21

Episode 24, is part 2 of Chuck and Chris' discussion with guest Sam Moghtaderi, MD on wide awake local anesthesia no tourniquet (WALANT) surgery. We discuss surgical tips and pearls, education, and challenges in the OR and at the system level. Sam's experience with WALANT provides unique insights for the listeners.theupperhandpodcast.wustl.eduAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.

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27:11

WALANT Hand Surgery Part 1 with guest Sam Moghtaderi

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/06/13

Episode 23, Chuck and Chris welcome guest Sam Moghtaderi, MD to discuss wide awake local anesthesia no tourniquet (WALANT) surgery. We discuss specific approaches to the patient consent process, specific surgical tips and pearls, and challenges in the OR and at the system level. Sam's experience with WALANT provides unique insights for the listeners.theupperhandpodcast.wustl.eduAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.

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30:38

Ulnar Sided Wrist Pain, Episode 2: TFCC Treatment

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/06/07

In Episode 22, Chuck and Chris discuss ulnar sided wrist pain, focusing on treatment of TFCC pathology. We review the treatment of TFCC tears including arthroscopic and foveal repairs. We discuss therapy and reasonable expectations after surgery.We reference the Foveal RepairJ Hand Surg Am 2018 Jul;43(7):680.e1-680.e5. As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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37:52

Ulnar Sided Wrist Pain, Episode 1: Diagnosis

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/05/31

In Episode 21, Chuck and Chris discuss ulnar sided wrist pain, focusing on diagnosis. We review the differential diagnosis including diagnostic categories and how we work through the history and physical examination. We discuss key examination maneuvers and diagnostic tests including imaging and injections.We reference the ECU Synergy Test:Ruland and Hogan, J Hand Surg Am 2008 Dec;33(10):1777-82. As always, thanks to @iampetermartin for the amazing introduction and conclusion

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