Very Clinical: Dental Pet Peeves

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[00:01:46] In about the time it takes to do an MO on three, we will entertain and enlighten you with tips and tricks for regular daily dentistry. Here's Kevin and Zach. What is up, Very Clinical listeners? Welcome back to yet another episode of the podcast. This is Zach Miners coming to you from Kansas City, Missouri. With me, as always, my trusty co-host, Dr. Kevin Harefriar, all the way from Cleveland. Kevin, what's happening? I'm just guiding from walking the dog.

[00:02:16] Mmm, that's good. That is good. I also walk my dog this evening as well. Excellent. Our third co-host is a familiar member of this podcast feed, Dr. Alan Mead, away from Michigan. Alan, thanks for joining us. Greetings and salutations. I actually dragged my dog in from our yard because she was out barking at the horses. I was going to say, did you walk the horse? No, I did not walk the horse. I dragged the dog. This is great. Her life is like Groundhog Day.

[00:02:45] She goes out there, and she's never seen a horse before. And she goes out there and barks at the horses like, oh my God, look at these horses. Like she hasn't seen them every day. Before we get too far. I know, I know, I know. Sorry. Okay. I got ahead of myself. Go first. Tell us about your pets. Okay. That's it. That's the bit. A lot of animals. That's the bit. The bit is pets because we're talking later. We're going to be talking about something related. I don't want to give it away. How many animals are on the mead compound?

[00:03:14] Well, we have three finches, one corn snake, one yellow lab that loves to bark at horses. Oh yeah. No, we got two barn cats. We own three horses and a miniature donkey of our own, and we board three other horses right now. So we're relatively low census on the horses right now. Oh my God. I lost count. Yeah. Is that 12 animals? We have a lot of animals. And one dog. Yeah. Gracie.

[00:03:43] We have yellow lab. Yep. Who likes to bark at horses. So yes, that is the pet situation here. If you ask me my favorites, not even close. The barn cats are the best by far. Sorry, Gracie. Gracie. Great. They are. Barn cats have this. House cats can be sort of petulant about whether or not they want to be around you. They're sort of, sometimes they're like, barn cats always want to be around you. They are. They'll probably miss you.

[00:04:12] And I don't know that all barn cats, but these barn cats, we got them a couple years ago. They were literally born in a barn. They were someone else's barn cats' babies. We got, they're brothers. They're from the same litter. Were you born in a barn? They were born in a barn. Exactly. And so, and they do great in the barn. We keep them in the tack room overnight, which is, which is in one of the front barns. So they have kind of a warm place to stay. They have more food and they, they eat a lot. They're fat. They, which is hopefully as the weather gets better, they'll run around and lose a little

[00:04:42] of that. But they are the nicest cats. They want to be around you. They've, they're just the best. They're so funny. They have great personalities. Like if you're out feeding horses, they like to come tag along and they're just the best. I just, I've never, and I, I'm allergic to cats. So really outside cats are the only ones I can really have. So this has been, and we've had a variety of barn cats over the years. And frankly, these two are the best by far. So they're, they're great. Gracie's a nice dog too. Kind of stupid, but nice dog.

[00:05:13] Excellent. All right, Zach, do you have any pets? I do. I just have one. Actually, I was, I was like anti-pet for, for kind of for a long time, even though I grew up, we always had a dog. I was just one dog around kind of anti it. And then, um, my family to my two boys and wife were like really ground on ground down on me to get a dog. And so I caved in 2021. And so we have a one, uh, it's a cab, a doodle, Caval King Charles Cavalier. Okay. A doodle. Uh, her name's Dottie.

[00:05:43] And you know what? I love that dog. You know, it took me all to warm up to it, but I, it's, it is an awesome pet. It's great dog. I love playing fetch with her and doing walks. And I, you know, I wish I would have gotten one years before this. I love that dog. Great. That's my, that's my pup. And my dog. That's my dog. What about you, Kevin? What do you got going on? You got a couple. Um, you know, uh, we have two dogs. They're relatively famous. Ringo and Harry.

[00:06:12] Uh, Ringo's named after Ringo. Yep. And Harry's named after George Harrison. There you go. So, uh, Ringo is a Border Collie mix and Harry is a golden doodle. I love those dogs with all my heart. Um, Harry is the most, uh, affectionate dog I've ever had in my life. Yesterday, before I went to work, I sat down on the couch and had a cup of coffee and he literally sat down next to me on the couch and put his head on my shoulder and fell asleep.

[00:06:42] Nice. I love that kind of stuff. And it was, it was like, I didn't want to, I didn't want to go to work. Yeah. I met, I met Harry and Ringo last year when I, when I was there, uh, in last April for the, uh, Cleveland was the place to go for the, for the eclipse. And so I, I went to Kevin's house and met the dogs. There's one dog that likes to hump the other dog a lot. I can't remember which was which. Ringo likes to hump Harry. That's a big part.

[00:07:09] If I'm, I'm spilling the beans here, but if you ever see one of my lectures, you may see a slide of Ringo humping Harry. Cause it, cause it's, it happened a lot. I wasn't there that long. I feel like it happened. I feel like it's sort of a common thing. Ringo feels the need to, um, make sure. A certain dominance. Yes. Ringo's he's the man. Yeah. So we had a lot of visitors that day. Yeah. And so. He has to show everyone who's in charge. I get it. Extra. I sometimes do that too. It, it, uh, yeah.

[00:07:38] It's a good way to, you know, show your dominance. Assert dominance. Exactly. Yeah. And it goes over really well. People love that. They do. Uh, so speaking of pets, Mr. Segway, pets, pets, we're having a, uh, kind of just a clinical bitch fest tonight called pet peeves. Yes. Yes. Dental pet peeves. This was, this was my idea.

[00:08:06] And as if you, if you heard the episode from last week, I'm a ray of sunshine. I had one of those days and I, and I figured this would be a really good way to, to, to. Well, Alan, you go first. So we're, we're, you can be, these can be either like things that happen clinically or they could just be patient scenario. I think that, I think they're, I think basically they're kind of, they're kind of around the office. Well, I gotta say this one was, this is sort of a group of pet peeves that I grouped in

[00:08:32] one anatomical patient, a patient anatomical annoyances that make things that should be simple, much harder. I had a guy I was doing a crown prep on today. Nicest guy ever. He could open. Okay. But his lips were so tight, his lips and cheeks. It's like, he's got, it was like, it was like, it was like his, it was like leather. I couldn't retract the slightest bit. And I'm thinking to myself, how does he live his life that way?

[00:09:01] So, and I'm thinking, this is not his fault. He can't do anything about it. I mean, some of this stuff, I think you can point to me, maybe airway stuff. Cause everything's airway stuff. But, but like that, that was a classic episode of this. Like I'm literally going, I can barely get the scanner in his mouth because his lips are so tight. I couldn't, and poor guy, he doesn't know. It's not like, and I didn't want to take a bunch of time explaining. Well, sorry, but your lips are just not stretchy enough, sir. Nice guy. I was super annoyed by the end. I was just like, I was over it.

[00:09:30] No, those, that tight lip thing. That is a, that's a serious problem on some, that makes some people that almost turns their second molars into non-restorable. Second molars. They don't deserve second molars. Those people. I'm telling you, you can't, you can't like rubber dam your way out of a situation. Yes, exactly. Can't get out of that. Like, I know what you're talking about. You can, you can put a bunch of isolate on your lips. It doesn't matter. I've seen, I had a dude, I don't know what's happened to this guy since then, but he had

[00:09:58] such tight lips when he, he had, when he got his thirds out, they like really split his lip hard. Yeah. He had, he had like some scarring. Cause that was the only way they could get back there. Yeah. Yeah, exactly. So that, that is a real problem. That is a, that is another, another example of this, another example of this anatomical annoyances. This one is probably everyone's run into poor opening, like patient unable to open. That's, it's not just because they have a shitty attitude, but literally they just can't open very wide.

[00:10:26] Like the attitude one is a whole other thing, which makes me probably, that's like, it's like pet peeve squared. Yeah. That's, that's like pet peeve squared, but people who just can't open because they can't open very wide. And you know, you always have to work on the distal lingual of 31 on those people. You know, you always have to be able to get, that drives me crazy. Or, or this one is one and, and I know that I should be talking about orthodontics with these people, but in a lot of cases, I'm lucky to get these people to do a flipper, but like

[00:10:52] crowding that makes restorative work way harder than it would be like, like anterior teeth. I love doing anterior fillings. It's one of my favorite things, but you give me someone with, with a bunch of crowding. Ah, so much harder. Lower, lower interiors. I had that today. Yeah. Yeah. Yeah. And along with that, along with that is this is the last one that I came up with today. Cause I, I literally dealt with this. Someone who's had a bunch of recession or perio. This is the person literally, I'm like restoring teeth in hopes of giving them a flipper.

[00:11:22] So we don't have to go to full of dentures and, and their premolars. They're like their lower premolars and canines are super tall because they've had a bunch of recession and perio and matrixing a super tall tooth like that is next to impossible. It's just like, so these are all like anatomical annoyances from patients. That are, they're not really their fault necessarily. They're not, they're not, there's nothing intentional about them, but everything just everything's so much harder and slower. And it just, I'll tell you what bothers me though, on some of those, when they don't

[00:11:51] have enough like self-awareance about it to understand the limitations on it. Like for instance, it was a poor opener and I was doing an MO on tune doing the damn best I could. But I said, look, if this ever redecays, I cannot crown the suit. There's no way, like it has to come out. And they're like, well, that really seems excessive. I was like, I don't, I don't know. It's because you suck. You're terrible as a patient. I can't deal with you. I was like, I can't, I can't, I can't do this.

[00:12:19] When this filling fails, that's, that's the end of the, that's the end of the line. So floss this one good. Hard enough to do. That was hard enough that I, I'd be lucky to get, you know, five to seven out of it. So the other thing is too, is that I'll say I got done with this woman and she was very appreciative and she was nice, but, but literally I would be embarrassed to show you guys the work that I did because it just, it just went, it just went as well as it could have, but it wasn't very good to be honest. I just was not pleased with that, but it was the best I could do.

[00:12:47] You know, to add onto that, what about you guys run into those second molars where they're like pointed backwards? Yeah. Like, yeah, those are, those are pretty much impossible too. What are you going to do on those? I love this too. I love this. You almost always has to have to do an interproximal where you're trying to get a contact. You could, you could, you could wedge that with a, with, uh, with like a, uh, one of those, one of those shims you'd get from, from like Home Depot. You could wedge with that, get a nice contact.

[00:13:17] And the next time you see them, it'll be open guaranteed. For sure. Every second, every, every, yeah. You're wedging the tooth. You're practically elevating it out. Yeah. Yeah. The reality is that's what you should do. I got this wedge. It's stainless steel. It's got a handle on it. That's the wedge I'm using. That's exactly right. The final one. One last wedge. I wish there was a course or a lecture on like non-restorable teeth that are non-restorable, not because of perio. Not because of caries. Which is because of like lack of access. Yeah. And convenience form.

[00:13:47] Yeah. Yes. The convenience form lecture by Zach. Zach. That's a great pet peeve. I love that one, Kevin. Nice. I mean, sorry, Alan. Nice. Nice. All right. Who's next? Who's got a good pet peeve for me? You or me, Zach. Okay. Go ahead, Zach. I will go. All right. This really annoys me. When a person comes in that has had set, like whatever procedure you're doing that day, crown, filling root canal.

[00:14:15] They've had several of them in the past. And they sit down and, you know, before you do anything, I'm sure you guys all, do you have any questions for me before we get started today? They start asking questions that are the type of questions that would indicate that they'd never had this done before. Like, now what exactly are we doing? What is that? What is a crown? What is a crown? The one you have on this lower tooth on the other side. What exactly happened?

[00:14:43] That we've done four or five of over the last several years. They've had several of them. And I'm not talking about someone who's 85. I'm talking about a normal person that asks several questions about these. And maybe even you've done it with the procedure for them within the last couple of years. And it's like, what is going on? What is happening here? I'm snarky enough to point out the other crown that they've had.

[00:15:09] And just, you know, just like the other tooth that you have on the lower left and just not say anything and look at them. And they walk on their faces like, you know, utter amazement. For sure I will do that as well or point out a crown on an x-ray or something like, or a photo or something. But it, and those people always ask the most number of questions. And the, ah, it just really makes me mad. The other thing, the other thing, this is a corollary of that one.

[00:15:36] The one where you've had a consult or maybe multiple consults where you've gone over their options multiple times. They finally, they finally choose it. They come in for treatment for the first time and they, they look at you straight in the face. Like they have no clue what's going on. Like you haven't just spent a whole bunch of time explaining it. You maybe wrote it out and all that stuff. And, and there are some people that I've actually come to just expect this from. Uh, so I'm kind of ready for it.

[00:16:02] But yeah, when that, that is a, it's a soul killer because you feel like after all you did, they still don't really have any idea what's going on. And you feel bad, you know, like it's, you're, you've like went to get the good informed consent and they just don't even know. And it's probably, you know what it is. I don't, I've had this conversation with Bart a million times. You can't, they don't know what's going on. They don't know what they have. I don't think they know what's going on ever. Yeah. But they have no idea what's, what's, what you're doing in their mouth at all. They don't, you know, like a, they know that a crown costs more than a filling probably.

[00:16:31] I don't think they know what's going on when they go to the grocery store. Yeah, that's probably true. Well, that's the thing is I wonder, is it, are, are, am I understanding the level of, of dumb or is that just a, is that fear talking? I don't even know. Part of it is fear for sure. Never underestimate the dumb though. I'm just going to say never. Yeah. Never underestimate the dumb. Sure. Anyway. All right. Kevin, what's your, what's your pet peeve? I'm going to talk about denture guy.

[00:17:00] And probably not what you're thinking, but imagine you're a typical pre-denture patient who has a pretty much effed up mouth. Yep. Smile. Oh, I think I know where you're going with this. Like you got yourself to this state and now we've extracted your teeth. The ones that God gave you that were pearly white, beautiful when you were 10.

[00:17:27] And now we give you this denture and I don't know about you, but most 99.9% of the dentures that I've made have nice straight teeth on them. Yep. And then they start nitpicking these. Well, I think like today, this guy's midline to his credit is off by maybe a quarter millimeter to the right. Do you remember what things looked like when you came in here?

[00:17:55] That is the only question to ask. You have one M1 shape. Yep. You have the whitest teeth on the planet and we're off. Yes, we are off by a quarter millimeter. I don't understand. What are you looking at? What were you looking at for 25 years? Exactly. While your teeth were decaying out of your mouth. Yeah, exactly. Yeah. Does it make no sense to you all? I love the people that have the perio flare where they've got this super long teeth flared out.

[00:18:25] And you're like, wow, this is the first time I've ever seen you with like normal looking teeth. Not that I would ever say that, but you're in, and they, they don't like the aesthetics of it. I'm like, are you kidding me? Yeah. Yeah. I've been there. Now, mind you, I avoid dentures. I just really don't like doing dentures, but the reality, like, and so the ones that I do are ones that I'm pretty sure I can do well. And, and like I said, aesthetically, when was the last time you did a denture case where the denture didn't look better than what they had, you know? Significantly better. Yeah. Yeah.

[00:18:53] So they had a D minus and now they're, you know, at worst, like a B plus. Solid B plus. And they're like. That's the best way to put it. Exactly. You have a solid B plus, no matter what you started with. Yeah. It's now a B plus. Yeah. Yeah. At worst. Right. At minimum. So what is the psychology there? What's going through their head? Why weren't they so picky about their natural teeth? Yeah. That were. Yeah. That were. Because I mean. They were disgusting. Bad overnight. They've been. Correct.

[00:19:23] Yes. They've been declining for decades and now all of a sudden they're a cosmetic guru. Hey, it's Kate, the dental assistant. And it's time to get very clinical in this episode's very clinical corner. Are you ready, Dr. Mead? I'm ready. Dr. Mead, what's your favorite instrument? I'd have to say my mouth mirror. I can't really do my job without it. I've been using the same one for 15 years. I love a good Minnesota retractor. And it's not because I'm from Minnesota. But those things are kind of heavy. What made you finally switch to a new mirror? The ones I used to use were really dark.

[00:19:50] I needed something brighter to provide the best care for my patients. And what was your first thought when you used a new brighter one? Honestly, it was like the sun coming out from behind a cloud. Sure. Dark mirrors are the worst. They force you to neglect your ergonomics and make you crane your neck, leading to back issues long term. Have you ever heard of the dentist's hump? It's a real thing. Yeah. And how do you feel about those quote unquote ergonomic handles?

[00:20:17] I love them for the grip, but they're so heavy. I know. Every time I used them, I felt like I needed to go home and do wrist curls just to hold the mirror all day. Bad ergonomics can really shorten careers. Anything that we can do to make instruments lighter is worth it. So listeners, if you're still using those clunky dark mirrors, do yourselves a favor and find something brighter and lighter. I'll save your eyes and your hands. That is great advice. Thanks, Dr. Mead.

[00:20:44] And listeners, check the show notes to learn how to upscale your workflows. How about, how about, this is, this is another corollary. Okay. So I'm working on this woman last week. Nice, nice lady. I've seen known her for a million years. And she, she literally, the fillings I put in last week are decaying now for sure. They're probably, they're probably completely decayed by now. Just, but, but like I, I was working on several broken, like badly broken anterior teeth.

[00:21:10] And I made them look like, like, like Zach said, by the time I was done, they were solid B plus, maybe even A minus. They, and the biggest problem was I didn't even remember what they looked like before we started. Like I, I'm like, they looked pretty good. I'm like, how bad did these look? I can't even remember. So I, I took pictures in advance to her. Oh my God, this is amazing. Like, and she doesn't remember. I'm like, how can you not remember? You walked in with this tooth looking like this and it looks pretty good right now. And she's like, man, you know, I can give me a break.

[00:21:39] You know, it's, I can't, how many miracles do you want me to pull out of the hat here? It's I'm doing the best I can. That's a good one, Kevin. I'm lucky I haven't run into that. Yeah, that's right. Next week. I have a treatment planned enough dentures recently that I can see, I can see where it's going to happen. I don't even know how you prepare yourself for that. I can only assume. I walked in today and said, yes, we can fix that. But this is actually an overdenture. It's, it's complicated. Like, this is not an easy fix.

[00:22:06] And I, in a very gentle way, I was trying to tell him, remember what you came in like. Yeah. Yeah. Like your bite's perfect on this. He just said, he did just gotten through telling me he, you know, ate a, there's a hero, Sam, Mr. Hero sandwich. Like, there's no way he was doing that. Like, you got to look at, you know, there's a Thomas Sowell quote, everything's a compromise.

[00:22:32] So like, if, if I'm a quarter millimeter off, so be it. Like there's so many other wins in this case. Yeah. Yeah. Yeah. Yeah. You can focus on that. Cause that's your personality. A hundred percent. Anyway. I can only imagine what someone like an, like an APA who's doing all those. Oh my God. Yeah. And it has to happen to deal with. Yeah. Yeah. Regularly. Yeah. Yeah. Regularly. And people are, people are paying him a lot. So he has to put up with a lot. Yeah. He does. Like, like that's one of the things.

[00:23:01] He's getting paid a lot for, you know, heart muscle and stomach lining. Yeah. Yeah. Yes. He takes some people who have, you know, he, I'm sure he works on a lot of people that have pretty good teeth and asked to make it better, which that's hard. Yeah. That's hard cosmetic. I don't even want to do those cases. Yeah. Yeah. Yeah. So he's taken plenty of people that are probably a C and getting them to an A and maybe not A plus plus. And he has to, he has to listen to that. Yeah. Well, he's in, I think a lot of what he's doing is like what you said.

[00:23:29] There are people who are pretty solid B plus that want to go to an A, which is, that's hard. That's hard. That's hard. Yeah. And that's, that's the kind of, I know myself well enough to know. I like Saginaw dentistry. I like starting with that C minus baby. That's what I'm talking about. What's your next one? Okay. I got one that's pretty, pretty short and maybe, maybe it just makes me a psycho. I'm not sure, but so, okay. I am a complete psycho about clean mouth, like clean unscratched mouth mirrors in my setups.

[00:23:57] And as I've said before, I use, I use Zerk crystal HD mirrors. Like that's all I use, except when they had a shortage and I didn't have them and it was a nightmare. But anyhow, so I'm, I'm a big fan of the Zerk crystal HD mirrors. And apparently they are now there, they've worked on a scratch resistant coating. So they last longer. Here's the deal. I go into my hygiene rooms and the mirror looks like it was dragged behind a pickup truck for 20 miles.

[00:24:24] And I'm thinking to myself, first off, I'm like, okay, you're definitely not using your mirror because there's no way you can't see anything. But I'm trying to do an exam with this mirror that looks like, looks like someone has like dragged it behind a truck. It drives me crazy. And I'm like, so, so the only time they get new mirror heads is when I demand them because I can't see anything in them. It just drives me crazy. That's crazy. So get your Zerk crystal HD mirrors and, and change them regularly.

[00:24:49] I feel like that is a really good investment in, well, frankly, in your sanity, also your accuracy and just being able to see stuff better. But, you know, it's a huge, yeah, it's a huge deal. Use the mirror, but also make sure that it's good. And if, if a dentist is saying you can't change your mirror head, then you need to find another job because that's just insane. And it's, like I said, I, I'm a complete psycho about it in my setups. So there you go. Zach. All right.

[00:25:13] A bro who comes in and changes the treatment plan the day of with no notice, no warning, no nothing. So classic. Comes in, you know, you've got crown on four and five, billing on six. Your financial planner spent 25 minutes explaining exactly what it was going to cost, how much your insurance would help with all that stuff. Yeah. For sure. And then all of a sudden it's like, well, I just want to do the billing or I just want to, I only want to do one of the two or something, something like that.

[00:25:42] And I mean, and, and I'm not talking, I'm talking, we did all the like homework. We, we even got maybe a down paint, all of it. And they just come in and it's, it's never, I want to do more. It's always, I want to do less. Yeah. That's exactly right. You know? I mean, I guess. No, no, no, really. Zach, I want to do the whole quadrant. That's what I want to do. Yeah. But it's always, it's always downgrading it and always, you know, the amount of time you have set aside and it's just.

[00:26:11] Like, and they had, they have to wait until you walk in the door. Like they couldn't have called the day before any of those things and let us know. I hate bro. The downgrades, the treatment plan, the day of. That's a classic. It doesn't happen often, but every time it does. That's a classic. I guess that I don't know if there's a solution to it. I'm talking about cases that were well-planned. And not like. Yeah. Yeah. Kevin, is there any.

[00:26:40] What do you do when you run into those bros? I'm going to go with a can't swallow your own spit dude. Oh. Which fascinates me. It fascinates everyone in the office. Yeah. Because we do this every day on multiple people who are cool. And then, you know, once a week, approximately you get can't swallow your own spit guy. And it still fascinates me after 36 years. What are you doing when you get to the parking lot?

[00:27:08] What have you done the rest of your whole life when you've been presented with food and you start to salivate? Yeah. Or I just don't. Again, I don't understand the psychology of that. I know we're putting stuff in your mouth that is foreign and tastes weird. All that stuff. But just swallow your own spit. My favorite, though, is how dramatic they bring it up, too. Like the thing where you've got. Especially if you get the high vacuum and they do the. No one can see me right now, but I'm pointing at my mouth. Yes. Yes.

[00:27:38] But in like a desperate way, like you're choking. You know, you're getting choked out. I'll make some dumb joke. Like, well, we haven't lost anyone yet. Like, you know, you're not going to drown. Yeah. Or the ones that grab the high volume suction and kind of like. Oh, yeah. They take it right up through their lips. No, they bring it through their lips like the suction isn't going to take their fucking tonsils out if they're not careful. But they have to get it in. And, of course, it always splashes all over everything. Then I'm like, we've done this before.

[00:28:08] Let us handle it. Let us handle it. We've done this before. I hate that so much. It is weird because it's only a few people that really just can't handle it. I don't know. I don't know. I'm glad that's not a that's not a regular thing. Agreed. Agreed. I got another one. This is sort of like your bro, Zach. Zach, the patient that you don't really want to see. Yeah. But somehow gets on your schedule and then doesn't show.

[00:28:37] Except, except, except there's that 10 to 15 minute window where he might just show late. So you're sitting there for 10 to 15 minutes. You're half relieved that he didn't show up because you didn't want to see him anyhow. Half anxious that he's going to show up anyhow and you'll have a short appointment to try and deal with his ass. And so, but then, then this, this is a very specific example because it freaking happened today.

[00:29:00] Same patient calls 15 minutes into their missed appointment to tell you they got hung up in another appointment and can't make it. So, I mean, like not only are you don't want to see him, he doesn't show exactly. You find out he's scheduled for next week. So I got that to look forward to. But the best thing is it goes to show that your time means nothing to this guy, nothing to this guy. 15 minutes late for a, you know, who knows? And I had him blocked out for a while too. And this is a guy who I looked at the treatment plan.

[00:29:28] He's never done anything I've recommended my entire life, you know, except for the, I extract teeth on him. He still hasn't because he hasn't come to the office. Exactly. But like, but like, I wish he would, I wish he just would never come to the office, but, but he won't like, this is, that's the other thing too. Why is it that people you want to leave love you or, or they will never leave? It's almost like they, they can't handle being, being turned away by you or something. It's very weird. But that happened to me. That is a true. And like what some people, it's like, I walk in, I'm like, I feel like you actively hate me.

[00:29:58] You hate me. Why do you keep coming? There are like a lot of other dental offices. Maybe you would actually. That you'd probably like. All right. One of them. Exactly. Just the like, well, I, I, you know, I, the enemy I know is better than the enemy. I don't know what it is. I don't get it, but I, I, I definitely, we all have patients that, you know, act like actively act like they can't stand us yet. But, you know, they don't leave.

[00:30:26] Dawn and I, so Dawn practices in Holly, Michigan. I practice in Sagan. It's probably not even an hour apart. And we have, we have proposed that maybe we schedule a day full of those patients and then, and then switch up. I'll show up in her office and she'll show up. And I'll bet you a hundred dollars. They'll love, they'll love us. They'll love the new person in there. And they just, it is a weird thing. Like I always feel like the people that just absolutely hate me, but will never leave. Even if I sort of, I sort of invite them to, oh, it's the worst.

[00:30:55] We got time for one more. Do it. Okay. So speaking of your dude who called late, what about the person who comes late, but then they act like they're not late because for one, they definitely have to go to the bathroom. They always have to go to the bathroom. Yeah. And then they've got the questions and they want to make the small talk. And they've definitely got a different tooth for you to look at. Yes. I mean, it was over here. Every time.

[00:31:25] Every time. Can you take a look on this side? What is going on with that? I love it. That happens every week. How many times in an hour do you need to pee? You guys. In an hour? In an hour. Oh. I don't know. Not even every hour. I feel a little attacked on this, but probably more than Zach, but not that often. Not that often. Yeah. I mean, my associate had a guy today. I think it was an hour and a half appointment. The guy was in the can three times. Yeah. Oh.

[00:31:55] Nice. Nice. So is that, is this a, let me get out of here for a minute and take a break? Yeah. Or do you really have to. I mean, in the morning when I liquid up like coffee, water it. I mean, but I mean, if I would, if I had a dental appointment, just like if I have a flight or something like that. I'd be more, yeah. I'm going to like not liquid up. Yeah. I would, I would just wet my pants. Well, it's, that's, I'm not going to say that that's never happened in my office.

[00:32:22] Not me, but I, I, I've had multiple patients that, that, yeah, they were having a little hard. That was, that was embarrassing. But here's one for you. Here's a corollary of that one. The person who, who drops a horrible deuce in your bathroom with no shame and doesn't say anything about it. Like the, it's like they trash your bathroom completely without even a mention. Just like, oh my God. And I mean, I don't, I'll clean up after it, but I want to know so I can clean it up really fast.

[00:32:48] But that is so wild to me that someone could come in and absolutely destroy the bathroom of a regular. It's amazing what people can do to a bathroom. It is, it is. It's nuts. What is that all about? And the worst is if they do it before the appointment. So you get a chance to think about it while they're in your chair. Oh my God. I try to be tidy in there. Oh my God. I don't, that's not, that's a, that's how you end up with a denture. And this is another one for Zach.

[00:33:16] So it's an emergency appointment, right? You haven't seen this patient for seven years, it's an emergency appointment. And they say, I've got a broken tooth. And they come in and they find five different teeth. Yeah, exactly. Which tooth, it's five teeth that they want you to look at. And you're like, okay, you get one, you get one. I haven't seen you for seven years. You get one. But that is, that is the classic. They're like, well, I'm in here now. So let's get it all taken care of in this 30 minute emergency appointment. And I'm going to get my teeth cleaned today, right? Yeah.

[00:33:46] You got to be choking me, man. Am I getting punked? Yeah. I know. Where's the candid camera? Exactly. Oh my gosh. All right. That was too fun, guys. I think we did well with the pet peeves, guys. I feel like I've let steam off. I feel prepared for tomorrow's clinic day. Yeah. We'll see what tomorrow brings. Excellent. Very good. Any double downs, take backs, apologies? No, I'm here swallowing my own spit.

[00:34:14] Don't take a deuce in your dentist waiting room. Just don't do that. Did that happen? Not in the waiting room. I'm sorry, the bathroom near the waiting room. But I mean, hell, in my office, sometimes it might as well. It doesn't even matter. It's not that much different. Just don't do it. That's funny. Yeah. All right. Super. Hey, thank you guys for listening. I don't have anything else. Join our Facebook group. Yeah. Very clinical. Yeah. Sure. Not a lot of posts lately. Post some stuff. We need some posts. That's right.

[00:34:43] Make content for us. Thank you guys for listening. We will see you next Tuesday. See ya.