
The Upper Hand: Chuck & Chris Talk Hand Surgery
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.
Latest episodes

4 snips
Jun 19, 2022 • 36min
Live with Chuck and Chris from London at IFSSH
The hosts share their travel escapades to London, navigating flight delays and cultural quirks. They highlight key insights from the IFSSH conference, including discussions on congenital hand conditions and divergent surgical approaches. Surgical plate complexities and advances in wrist surgery techniques take center stage, shedding light on innovative strategies. The complexity of forearm instability treatment is explored, alongside reflections on balancing life, work, and humorous parenting challenges, all while encouraging audience involvement.

Jun 12, 2022 • 34min
Chuck, Chris, and Macy Discuss the Thumb CMC Joint, Part 2
Macy Stoner, a hand therapist, joins Chuck and Chris to discuss nonsurgical care and recovery post CMC arthroplasty. They explore Ionto Farisis, paraffin wax treatments, joint protection strategies, and the effectiveness of hand orthosis in delaying surgery. The conversation touches on disparities in healthcare costs, patient care frustrations, and advancements in arthrodesis surgery techniques.

Jun 5, 2022 • 28min
Chuck, Chris, and Macy Discuss the Thumb CMC Joint, Part 1
Hand therapist Macy Stoner joins Chuck and Chris to discuss nonsurgical care and recovery post CMC arthroplasty. Topics include hand orthoses for CMC joint management, nerve reeducation strategies for brachial plexus injuries, and preventing nerve injuries during hand surgeries.

May 29, 2022 • 29min
Chuck and Chris discuss the ASSH Annual Meeting with Glenn Gaston and Peter Rhee
Glenn Gaston and Peter Rhee, the Chairs of the ASSH Annual Meeting 2022, dive into the behind-the-scenes of organizing a major hand surgery conference. They share the challenges and humor of their roles, highlighting innovative enhancements like interactive sessions and hands-on labs. Expect over 600 research submissions reviewed, emphasizing practical insights for attendees. They also touch on addressing burnout and the excitement around guest speakers, promising a diverse schedule full of engaging content in Boston!

May 22, 2022 • 21min
Chuck and Chris Discuss the Challenging Clinic Patient
Chuck and Chris discuss engaging with patients, managing challenging cases, and planning a live show in London. They share tips on handling difficult patients, emphasizing empathy and personalized care. Exploring struggles with narcotics use, work comp cases, and the importance of unbiased perceptions in patient care.

6 snips
May 15, 2022 • 41min
Chuck and Chris Discuss Generational Differences
Generational differences in healthcare take center stage, sparking a lively debate over the varying values between Boomers and Gen Y. Personal anecdotes highlight family life and cultural celebrations, illustrating how traditions evolve. Delving into workplace dynamics, the hosts emphasize the importance of mentorship across ages. They tackle surgical decision-making complexities while assessing how generational attitudes impact patient care. Finally, they explore work-life balance and community engagement, stressing the emotional ties between professional responsibilities and personal values.

14 snips
May 8, 2022 • 33min
Chuck and Chris Talk Nerve Injury During Carpal Tunnel Surgery
Discussing academia and education, Chuck and Chris dive into a listener's case on nerve injury during carpal tunnel surgery. They share insights on workup and surgical technique. They also mention launching a newsletter and ask for listener feedback through a survey.

May 1, 2022 • 37min
Chuck and Chris's Grab Bag
The hosts share light-hearted anecdotes, including a fun cycling story and a humorous listener email about an arm injury. They dive into the complexities of long bone fracture recovery and the challenges of explaining medical concepts to patients. Surgical insights unfold as they discuss nerve injuries from gunshot wounds and the innovative use of 3D models in complex hand surgeries. They also touch on the pressures of balancing medical standards with patient demands, highlighting the importance of communication in the medical field.

16 snips
Apr 24, 2022 • 34min
Deep Dives on Surgical Technique: ECU Tendon
The podcast delves into the complexities of ECU tendon surgery in hand surgery, discussing diagnostic tests, surgical techniques for tendonitis patients, and post-operative care. The hosts also explore gestures of gratitude in the medical setting, personal insights on sacrifices for Lent and Passover, and engagement at academic meetings.

Apr 17, 2022 • 25min
Chuck and Chris Talk Hand Surgeries for the Non Hand Surgeon
Chuck and Chris discuss important hand surgeries non-surgeons should know, including carpal tunnel surgeries and distal radius fractures. They also share insights on continuous education, financial flexibility, and their casual conversations on cooking plans.