The Upper Hand: Chuck & Chris Talk Hand Surgery Thought Leadership in 2025
4 snips
Nov 9, 2025 In this lively discussion, the hosts delve into a complex elbow reconstruction case showcasing innovative surgical techniques. They tackle intriguing patient care topics, including wide-awake procedures and upcoming payment changes favoring clinic settings. The conversation shifts to thought leadership, emphasizing the importance of authenticity and storytelling in advocacy. With insights into VR technology in surgery and the role of social media, the hosts encourage clinicians to cultivate a thoughtful influence while navigating their professional paths.
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High-Volume Office Wide-Awake Practice
- Bob Vandermark's group visited Don Lalonde and has done thousands of in-office wide-awake cases, including over 2,000 last year.
- Their volume highlights how clinic-based hand surgery can scale effectively.
Prepare For Clinic-First Reimbursement
- Prepare to shift procedures to clinic settings because CMS reimbursement will favor clinic work starting 2026.
- Advocate for clinic-based workflows to reduce costs and improve patient experience.
Collect Data To Loosen OR Rules
- Document the actual interventions nurses perform during monitored local anesthetic cases to challenge onerous OR requirements.
- Use that evidence to advocate for streamlined procedure-room policies.
