
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

Sep 13, 2020 • 26min
Why Medicine? Chuck and Chris Talk Medical Careers
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

Sep 6, 2020 • 31min
Can this one trick make you more efficient?
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 music.theupperhandpodcast.wustl.edu

Aug 30, 2020 • 1h 18min
Part 3: Dupuytrens Disease w special guest Charlie Eaton
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 gold!As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

Aug 23, 2020 • 22min
Part 2: Dupuytrens Disease
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

Aug 16, 2020 • 32min
Part 1: Dupuytrens Disease
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

Aug 9, 2020 • 22min
Part 2: Radial Sided Wrist Pain
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

Aug 2, 2020 • 43min
Part 1: Radial Sided Wrist Pain
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 music.theupperhandpodcast.wustl.edu

Jul 26, 2020 • 28min
Microstresses in the Medical World
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

Jul 19, 2020 • 29min
Part 2: Tennis elbow- Treatment
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

Jul 12, 2020 • 23min
Part 1: Tennis elbow, a discussion of the diagnosis and examination
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