The Upper Hand: Chuck & Chris Talk Hand Surgery - podcast cover

The Upper Hand: Chuck & Chris Talk Hand Surgery

Chuck and Chrisortho.wustl.edu
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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Episodes

Mentors and Scaphoids

Episode 16, Season 2. Chuck and Chris talk about two manuscripts that we both really appreciate. The first is from HBR on Mentoring, "Making Mentorship a Team Effort" published on March 17, 2020. This article suggests that mentoring should be a team effort with a Launch Team, a Cruise Team and a Boost Team. The other is a recent J Hand Surgery manuscript, a prospective, randomized trial on scaphoid nonunion care. by Hegazy, et al. "Structural Versus Nonstructural Bone Grafting forthe Treatment o...

Apr 18, 202149 minSeason 2Ep. 16

Pediatric Fractures Part 2

Episode 15, Season 2. Chuck and Chris talk about pediatric finger fractures including gamekeepers (aka skiers thumb) and bony mallet fractures. 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...

Apr 11, 202138 minSeason 2Ep. 15

Pediatric Phalanx Fractures

Episode 14, Season 2. Chuck and Chris talk about Goldman Sachs work schedule, Chris' recent accomplishment, NCAA basketball and, oh right, pediatric phalanx fractures including extra octave fractures, subcondylar fractures, and Seymour fractures (amongst others). 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 wh...

Mar 29, 202148 minSeason 2Ep. 14

Chuck and Chris talk about The Mental Game in Hand Surgery

Episode 13, Season 2. Chuck and Chris use a new HBR article as the basis for this episode on thinking vs overthinking and share 5 steps to consider. We talk intuition, perseveration, and other challenges in providing the best care for our patients. The article link is below, author Melody Wilding. Article: https://hbr.org/2021/02/how-to-stop-overthinking-everything As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to...

Mar 26, 202147 minSeason 2Ep. 13

Part 3: Chuck and Chris Talk about What's New in the Hand Surgery Literature

Episode 12, Season 2. Chuck and Chris use Chris' recent JBJS article on 'What's New in Hand Surgery' as a basis of discussing the literature and their approaches to common problems. This is the third episode which focuses on the CMC joint, Dupuytrens, the scaphoid, and other exciting areas! Chris' article can be found at JBJS.org As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and po...

Mar 21, 202143 minSeason 2Ep. 12

Part 2: Chuck and Chris Talk about What's New in the Hand Surgery Literature

Episode 11, Season 2. Chuck and Chris use Chris' recent JBJS article on 'What's New in Hand Surgery' as a basis of discussing the literature and their approaches to common problems. This is the second episode which focuses on nerve and distal radius. Chris' article can be found at JBJS.org 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...

Mar 14, 202138 minSeason 2Ep. 11

Chuck and Chris Talk about What's New in the Hand Surgery Literature

Episode 10, Season 2. Chuck and Chris use Chris' recent JBJS article on 'What's New in Hand Surgery' as a basis of discussing the literature and their approaches to common problems. This episode focuses on carpal and cubital tunnel syndromes. Chris' article can be found at JBJS.org 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 u...

Mar 07, 202152 minSeason 2Ep. 10

Interview 11, Part 3 on Marketing: Chuck and Chris welcome Rob Gray and Orrin Franko

Episode 9, Season 2. Chuck and Chris talk to Rob Gray from Chicago and Orrin Franko from the San Francisco Bay Area on their approaches to marketing. In this episode, we focus on practice development and marketing with Rob and Chris who are not in the classic academic models. We learn about their approach to all things marketing including patient reviews. robgraymd.com https://ebhmc.com/dr-franko/ https://surgisurvey.com As always, thanks to @iampetermartin for the amazing introduction and concl...

Feb 28, 202144 minSeason 2Ep. 9

Chuck and Chris Talk CMC Fracture/ Dislocations

Episode 8, Season 2. Chuck and Chris talk about CMC fracture/ dislocations including the Bennett Fracture and the 4/5 dislocation w hamate fracture. We share our thoughts and strategies towards fixation and return to sports. 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. An...

Feb 21, 202144 minSeason 2Ep. 8

Interview 10 and Part 2 of Practice Development: Marketing w Aaron Perlut

Episode 7, Season 2. Chuck and Chris talk to Aaron Perlut, cofounder of Elasticity Marketing (https://goelastic.com) and author of "F!!ck Your Formula: Why Following Rules Is the Worst Marketing". Aaron shares basic marketing principles including start with the "why". We discuss various principles including online reputation management, SEO (search engine optimization) and the differences between B2B (business to business) marketing and direct to consumer marketing. Finally, we hit on some age g...

Feb 14, 202144 minSeason 2Ep. 7

Chuck and Chris Talk Pronator Syndrome

Episode 6, Season 2. Chuck and Chris discuss a clinical topic between our marketing podcasts. We share our thoughts on pronator syndrome- its diagnosis, the pertinent anatomy, and treatment. 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 ...

Feb 07, 202145 minSeason 2Ep. 6

Chuck and Chris Talk Practice Development

Episode 5, Season 2. Chuck and Chris discuss practice development and marketing. We share our 'stories' on how our academic practices came to be and our priorities in this process. We also share some brief thoughts on practice marketing, social media, and the like. 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 ...

Jan 31, 202149 minSeason 2Ep. 5

Chuck and Chris Discuss Virtual Interviews

Episode 4, Season 2. Chuck and Chris discuss residency and fellowship virtual interviews. We discuss helpful tips and trends. These interviews have been fascinating and there are both good and bad qualities to consider. 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 ...

Jan 24, 202135 minSeason 2Ep. 4

Interview 9 for Part 3 of Nerve Surgery: Chuck and Chris Welcome Amy Moore

Episode 3, season 2. Chuck and Chris talk more about Chris' favorite topic- nerve surgery. Our 3rd in the series on nerve surgery. We welcome a very special guest, Amy Moore. Amy is a plastic surgeon who spent her entire career here at Washington University until about 1 year ago when she relocated to become the Chair of Plastic Surgery at Ohio State. Amy's knowledge runs deep and better yet, she shares her thoughts clearly and with great conviction. She has a special expertise and reputation ar...

Jan 17, 202150 minSeason 2Ep. 3

Part 2: Chuck and Chris Talk Nerve Surgery, Technical Pearls 2

Episode 1, season 2. Chuck and Chris talk more about Chris' favorite topic- nerve surgery. We begin a three part discussion on nerve surgery, focused on the technical aspects of nerve repair including use of allografts, digital nerve repair, and sural nerve grafts. 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 Survey Link: Help Chuck and Chris understand better wh...

Jan 10, 202136 minSeason 2Ep. 1

Part 1: Chuck and Chris Talk Nerve Surgery, technical pearls

Episode 51. Chuck and Chris talk about Chris' favorite topic- nerve surgery. We begin a three part discussion on nerve surgery, focused on a single case and some of the technical aspects of the process of ideal nerve repair. How do you properly assess a nerve before surgery, how do you decide how to excise the damaged segment and how do you technically excise that segment, and much more. This is the final episode of season 1. As always, thanks to @iampetermartin for the amazing introduction and ...

Dec 20, 202047 minSeason 1Ep. 51

Distal Radius Part 4/ Interview 9: Chuck and Chris talk therapy with Macy Stonner

Episode 50! Chuck and Chris round out the distal radius fracture series by welcoming Dr. Macyn Stonner to discuss therapy after distal radius fractures. She will help explain what happens behind closed doors, when therapy is most helpful, when specialized splints can help and she even tackles the topic of 'is therapy always necessary'. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. And thanks to Eric Zhu, the Upper Hand intern extraordinaire. theupperhand...

Dec 13, 202039 minSeason 1Ep. 50

Interview 8: An Epidemic during the Pandemic: Chuck and Chris Welcome Asif Ilyas to Discuss the Opioid Epidemic

Episode 49. Chuck and Chris welcome Asif Ilyas, MD from the Rothman Institute to discuss the opioid epidemic. Asif is the President of the Rothman Opioid Foundation, check it out here: www.Rothmanopioid.org. We discuss hand surgery, training, and a number of topics around the opioid crisis including how we got here, better prescribing habits, multimodal treatment, and more. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And ...

Dec 06, 202052 minSeason 1Ep. 49

Academic Institutions Don't Love You Back- Simone's Maxims

Episode 48. Chuck and Chris discuss a classic manuscript called 'Understanding Academic Medical Centers: Simone's Maxims. This is from Clinical Cancer Research, Vol 5 2281-2285, 1999. This is a great piece with important lessons on academia although many are relevant in large private groups as well. Key thoughts like 'Academic institutions don't love you back'. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eri...

Nov 29, 202041 minSeason 1Ep. 48

Part 3: Distal Radius Fracture, when a volar locking plate may not be ideal

Episode 47. Chuck and Chris continue our discussion of distal radius fractures. This is part 3 of 3- we discuss fractures that may not be ideally treated with a standard volar locking plate- including radial styloid fractures, volar- ulnar facet, dorsal ulnar facet, and die punch fractures. We discuss our preferences and strategies. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and...

Nov 22, 202034 minSeason 1Ep. 47

Part 2: Distal Radius Fractures, the Volar Approach

Episode 46. Chuck and Chris continue our discussion of distal radius fractures. This is part 2 of 2- we discuss in the volar approach include our techniques as well as tips and pearls. We discuss anatomical risks, plate choice, and other issue. 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 wha...

Nov 15, 202053 minSeason 1Ep. 46

Part 1: Distal Radius Fractures, Indications for Surgery

Episode 45. Chuck and Chris discuss distal radius fractures. This is part 1 of 2- we discuss in clinic management and general principles. We discuss surgical indications and criteria. 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: H elp Chuck and Chris understand better what you like and what we can improve. And be entered for drawing to win a mug! h...

Nov 09, 202041 minSeason 1Ep. 45

Leadership during the COVID Epidemic: One crucial consideration

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, 2020 ...

Oct 31, 202037 minSeason 44Ep. 1

Chuck and Chris discuss CRPS

Episode 43. Chuck and Chris discuss a challenging topic- complex regional pain syndrome (CRPS). We share how we approach patients with this potential diagnosis and strategies to help patients- under our care or through referral. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu Article referenced: Jeffrey D Placzek , Martin I Boyer, Richard H Gelberman, Barbara Sopp, Charles A Goldfarb Nerve decompression for complex regional pa...

Oct 25, 202043 minSeason 1Ep. 43

Interview 7: Chuck and Chris Talk NBA Bubble w guest Ben Nwachukwu

Episode 42. Chuck and Chris welcome guest Ben Nwachukua to talk about his experience in the NBA Bubble. Ben shares his thoughts on the success of the process but also on what it took to make it happen. If you like sports, like the NBA, or just like an old fashioned success story, you will enjoy Ben's description based on his experience of living in the bubble for the month of August. We also touch on Ben's telehealth startup: www.bicmd.com, a soon to launch telehealth platform for musculoskeleta...

Oct 18, 202039 minSeason 1Ep. 42

ASSH 2020, Virtual Edition, Meeting Recap

Episode 41. Chuck and Chris recap highlights of the ASSH Annual Meeting. The ASSH pulled off a great meeting. We run through our favorite parts, what we learned, and highlight 5 of the award winning papers. We also start a new feature- mail grab bag. In this short segment, we will share a reader question and our response. Hope you like it! As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu...

Oct 11, 202038 minSeason 1Ep. 40

Interview 6: Chuck and Chris Talk Hand Camp and Social Media with Amy Lake

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 introductio...

Oct 04, 202030 minSeason 1Ep. 40

Emergency Podcast: ASSH Annual Meeting

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

Oct 01, 202017 minSeason 1Ep. 39

Interview 5: The Surgeon Therapist Relationship

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

Sep 27, 202034 minSeason 1Ep. 38

Interview 4: Chuck and Chris Talk Kienbocks Disease with guest Steven Moran

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 t...

Sep 20, 202043 minSeason 1Ep. 37
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