Cattleyas do really well in red lava rock. I just bought a large box of medium-size LECA so I am trying the newest one, Burana Beauty, in it. I use basket/net pots so that I can see the roots easily and water like crazy during the growing season.
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I prefer to use mediums that don't decompose but there are some orchids in my collection that just insist on needing the NZ sphagnum moss. By topping the rock/Leca with the moss, it is really easy to pull the old moss off without disturbing the roots when it goes sour and poking in the new moss.
I avoid bark and CHC altogether. I don't like to disturb the roots of my orchids more than necessary and I am not a fan of pulling and poking the bits of bark off of the roots of orchids. Plus, I have trouble getting the watering right with bark.