The Upper Hand: Chuck & Chris Talk Hand Surgery

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

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 the key but understanding the institutional perspective is helpful.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

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

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

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

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