The Upper Hand: Chuck & Chris Talk Hand Surgery

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

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

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

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

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

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

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

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

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 @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

Sam Moghtaderi, an experienced MD specializing in WALANT hand surgery, shares his expertise on performing surgeries with patients wide awake. He discusses innovative teaching methods designed for surgical residents and emphasizes patient engagement, especially in the surgical timeout process. Moghtaderi dives into the challenges of ensuring patient comfort during procedures, highlighting effective communication and distractions like music. His insights shed light on the practical integration of WALANT techniques into hand surgery practices, enhancing overall patient experience.