Very Clinical: How to Be Good at Saying Things

[00:00:00] This is a production of The Very Dental Podcast Network

[00:00:15] Welcome to The Very Clinical Podcast in about the time it takes to do an MO on three

[00:00:20] We will entertain and amaze you with tips and tricks on regular daily dentistry

[00:00:26] Here's Kevin and Zach

[00:00:28] What is up Very Clinical listeners and welcome back to another episode. I'm Dr. Zach Miners coming to you from KCMO and with me

[00:00:36] I have my trusty co-host Dr. Kevin Hairfriar. Kevin, what is up?

[00:00:40] How you doing Zach? Are you all full from Thanksgiving?

[00:00:45] Thanksgiving was fantastic. Good weekend. Good weekend, but you didn't have a pumpkin pie. That's a shame

[00:00:51] No, I did not but they did have some chocolate cream pie and it was fantastic.

[00:00:57] I might rather have that. Yeah, of course you would. I love chocolate a lot. Yeah for sure

[00:01:05] Yeah, do you have an unofficial like top three pies?

[00:01:09] Top three pies. Um, I do enjoy an apple pie. Apple's great. Yes

[00:01:15] I do enjoy the pumpkin pie, but only at the holidays. I know you worked at that. Sucks

[00:01:22] And anything with chocolate in it. I'm gonna okay. I'm gonna

[00:01:26] That's always near the top of the list, how about you?

[00:01:30] banana cream

[00:01:32] French silk. Oh, yeah, that's a good one and then it's gonna be tough between

[00:01:39] Chocolate cream and then or just or cherry

[00:01:43] Yeah, she's my cherry pie. No cherry. Yeah. Okay, that's not a big I like the apple pie

[00:01:51] Apple apple's fine. I would rather I would rather just have the baked apples forget the pie

[00:01:55] Just give me the cinnamon apples. I'm good with that. But anyway

[00:01:58] Banana cream number one that has the little vanilla wavers on it. Yeah

[00:02:03] Chef's kiss on that. Okay, can you believe December?

[00:02:08] No

[00:02:09] Yeah, I know and end of year kind of stuff

[00:02:13] You know, I mean people already saying see you next year and stuff like that at their appointments

[00:02:17] Which I totally hate but you know, it is what it is. So you go

[00:02:21] No, I I don't think I acknowledge it I'm cool

[00:02:26] Great

[00:02:28] But you know December means you have to plan for your

[00:02:32] Office holiday party. Do you know Christmas or do you call it?

[00:02:36] We're gonna call it a Christmas party. Okay, I I let them

[00:02:41] decide

[00:02:43] I do have I think we've probably talked about this before but

[00:02:48] Several years ago probably four or five years ago. We let them decide

[00:02:51] And we usually have it at some restaurant and I don't ride on where or where what if or okay

[00:02:58] Okay, what rest? All right. Yeah, and I don't really put any restrictions on it and instead of choosing

[00:03:03] I mean, it's Cleveland, right? We don't have a lot but we do have a lot of nice restaurants

[00:03:10] We just do I mean you're a mate. It's a major metropolitan area. You can get some chefs, you know for sure and so

[00:03:16] I let them decide but you know, it's like floating

[00:03:20] these places out we ended up at some place that I

[00:03:27] wouldn't I

[00:03:29] Mean the menu was I mean, it's just like I don't even know how to describe it

[00:03:34] Was it was a low end or was it too high end or was it really?

[00:03:38] I mean, I mean, I mean, I mean, I mean, I mean

[00:03:42] Was it was a low end or was it too high end or was it really low end?

[00:03:47] Really? Okay, and I'm sitting there thinking you could have had anything and you chose this

[00:03:53] Tell me you ended up at Chili's or something. I mean it was akin to chili's or okay, but

[00:04:00] Independent version of that. Okay, that's the best way I can this restaurant doesn't even exist anymore

[00:04:05] All right that bad when well probably Covid killed it

[00:04:10] Yeah, but anyway, I'm sitting there thinking

[00:04:14] You could have had anything and here we are and I purposely just ordered a Caesar salad with chicken on it because like I

[00:04:20] Was that was my protest move to this but word came back to me that some of the places

[00:04:27] I suggested they didn't want to go to because they didn't know how to pronounce

[00:04:31] some of the names of the food on the

[00:04:34] menu, which

[00:04:36] Okay, you know

[00:04:38] I was

[00:04:40] If you know me well, there's nothing more I like than gathering people around at a restaurant and

[00:04:47] Having an experience, you know, no cool experience and I was deprived of giving that gift that year

[00:04:54] But this year we're going to

[00:04:57] some

[00:04:58] Fancy winery that I've been to I think once or twice before

[00:05:03] Little town called sugar in Falls, which if you look that up at Christmas time, it's gonna look like your Hallmark greeting card

[00:05:10] and

[00:05:11] very cool place they picked it and

[00:05:14] That's what we're gonna do. It's right on. Yeah, we've got we're we're headed this year

[00:05:20] We've kind of been stuck in a rut of going to cut one of the same places and a nice place that also

[00:05:25] Decorates itself up, you know Hallmark Hallmark cars your Hallmark, you know, Kansas City

[00:05:31] Yeah company for sure

[00:05:33] and

[00:05:35] We were trying something different this year. My my mom booked us in some kind of a

[00:05:40] Some French place. I'm not really a French

[00:05:43] food guy, but

[00:05:45] We're gonna give it a go. So

[00:05:47] And I have some additional questions for you Kevin. Yeah

[00:05:50] Do your office people exchange gifts on any level or yeah, it's changed over the years

[00:05:58] We had a really excellent white elephant

[00:06:02] Exchange as well as a regular gift exchange last time

[00:06:05] So I think they've decided to do the white elephant thing again because it was really funny

[00:06:12] And they got a big kick out of it. So I think that's the only thing they're gonna do this year, which I support

[00:06:18] okay, and

[00:06:19] You know with like stealing the gifts and all that sort of stuff. It was

[00:06:24] I actually, you know was cracking up at some of the things that happened during that so

[00:06:30] Yeah with our staff does a gift exchange thing and they're really proud of their process and that's a it's a big deal

[00:06:38] To them. So it's yeah

[00:06:40] That's cool. I I

[00:06:44] I

[00:06:45] Could take or leave those holiday parties. Do you do them on an evening a

[00:06:50] Like midday like like maybe like work the morning and then have your party do you know weekend?

[00:06:55] How do you how do you time it? I let them choose and we're off on Fridays. So it's gonna be

[00:07:02] Friday at 5 p.m. Because that's the only time that was available for the size of the party

[00:07:08] Okay, we had but gotcha. Um, and I think they they want to go to downtown ice skating afterwards

[00:07:14] Which I think I might just not I might not join for that, but we'll see

[00:07:20] we'll see I feel that day, okay, so it turns into a

[00:07:23] dinner and an activity and last year they rented a limo which I was kind of like

[00:07:29] but it ended up being fun and I've never been in a limo like that before in my life and

[00:07:36] It was fun. And we went there's a

[00:07:39] Place nearby that has a giant light display and we all went through that and it was it was fun

[00:07:44] It was one of those where I at first I was like, yeah, but ended up being ended up being okay

[00:07:50] I think you you must I think you go a little bigger than I do. We usually pick a day where we're I

[00:07:55] can set of working, you know our

[00:07:57] You know eight to five we knock off at about you know, two and do like more like a you know early

[00:08:04] Yeah, you know early evening type of a thing and then everyone's home by seven o'clock, you know

[00:08:09] Usually we've done that before but last couple times it's been like regular meal or dinner

[00:08:15] dinnertime

[00:08:16] Are you one of those people that takes off the week between Thanksgiving? I mean that that's sorry

[00:08:21] Thanksgiving's this last week. Yeah Christmas and New Year's. Do you take that week off or do you work that week?

[00:08:26] uh, I think we're off this time, but I

[00:08:29] I

[00:08:30] I'm not exactly sure. Oh

[00:08:33] No, I know a lot of people take that off. I've usually made a lot of money then so I yeah don't

[00:08:39] Don't take that off, you know, usually

[00:08:42] Charlie's in town and all that sort of stuff. So I just want to you know, spend some time with him

[00:08:46] And sure, I don't if we're what I don't know what day of the week

[00:08:52] I have was on I haven't looked it if we are this year. It's not gonna be a lot of working. Gotcha

[00:08:59] Okay, yeah sparse schedule

[00:09:01] Well Kevin last week if you caught our show we were talking about the verbal skills

[00:09:06] You know kind of non-clinical side of an invisalign, yeah, and we were talking about maybe you know

[00:09:12] taking that topic a little bit further into

[00:09:16] some of the other types of procedures that we do so

[00:09:20] You kick it off for me here. Yeah, so I think that you're talking off air that

[00:09:27] as time has gone on we've both become more confident in our skills and our abilities and

[00:09:36] That translates into being able to talk to the patients better

[00:09:40] Yeah, and so I think that

[00:09:44] once you're

[00:09:46] confident and

[00:09:48] Proficient it shows through in your words and and your body language and all the other stuff that people are paying attention to

[00:09:55] So sure

[00:09:57] Things that used to be an objection in the past

[00:10:00] Aren't so much anymore. For example, we were talking about the rubber dam

[00:10:04] Which you know, I love you using a lot and

[00:10:09] You know in the past that might have gotten an objection from the patient from that

[00:10:15] I don't think anyone really loves it, but I

[00:10:19] Don't give them a choice

[00:10:20] like yeah

[00:10:21] we're gonna put this on help keep your tongue-in-cheek out of the way and keep everything dry and you know and

[00:10:28] It's on their tooth as I'm saying that like they don't really have

[00:10:32] Both of us do endo

[00:10:34] Yeah, and I mean that's a non-negotiable for an end like if you're gonna not accept a rubber dam

[00:10:40] Then that the tooths then that's it. You're Gary. It's gets getting pulled. So it's it's it's this or or forget it

[00:10:47] so we I

[00:10:48] wonder if the

[00:10:50] Non-rubber dam for operative comes from the person who also doesn't do any endo. I

[00:10:56] Bet it probably does to a certain degree

[00:10:58] I mean there has to be a percentage of that and I said something we started about

[00:11:06] Say what you said about it's

[00:11:09] It's more them then. Oh, I I honest I honest to God think that the but well at least just based upon

[00:11:17] my experience

[00:11:18] talking to you and other people that use it for

[00:11:22] You know a good percentage that are operative. I

[00:11:25] I every time I just say hey, this is gonna give us a better result

[00:11:29] It's gonna be a little awkward to put on and then once it's on there, you're not gonna get any of our bad taste

[00:11:33] You're not gonna worry about where your tongue is and then then that's it and then we start putting it on and oh my god

[00:11:39] It's a little weird. Sorry, I'm gonna push on you and I floss a little bit and then it's over and done

[00:11:43] I don't have and at the end of the appointment

[00:11:46] I haven't had anyone say that that was like the worst part or that was so horrible, you know

[00:11:53] So I I really feel like that the people that say that their patients won't tolerate it

[00:12:00] Maybe they're maybe their personal confidence with it isn't as yeah, I think this higher

[00:12:05] They aren't as fast or they don't have an assistant that helps them get it get it on and get it done

[00:12:09] They don't have the right clamps or good clamps or something, you know, or the right kind of rubber dam

[00:12:15] I mean good I switching to iso dam

[00:12:18] Made me use the rubber dam more often. I know you I know you still use like a just your regular stock green

[00:12:24] There's nothing wrong with those either, but I don't know confidence reps

[00:12:28] Bright materials an assistant that knows how to use it that that's what's made the difference for me

[00:12:33] Yeah, it's always blown my mind that someone can do some complex crown and bridge or place an implant

[00:12:39] But they can't place a rubber dam and I think it's just again. It's it's reps and being confident with it

[00:12:44] It doesn't make any sense to me at all

[00:12:47] If you decide one day that you're gonna start using it and maybe you don't have some of those verbal skills to

[00:12:54] Present it as a positive thing for the person and then you're sitting there struggling to floss it up through and all that

[00:13:01] Then it can I think become a negative and then all of a sudden you're like, well my patients hate this thing, right?

[00:13:07] You know, that's what it turns into your hundred. Sure, you know, sure. Absolutely

[00:13:11] But I mean the same thing could be said for

[00:13:14] You know you doing a extraction on someone if you don't you don't get them

[00:13:19] Numb great or do you have a tough time with the tooth? You might start giving up on that, too

[00:13:23] It's easy to give up on things when they don't go your way a few times. I've been there. I've done that so I get it

[00:13:29] Yeah, I get it. So that I mean yes with rubber dam present the positives practice be slick at it

[00:13:36] But I think you said the most important thing there be positive about it like express yes all the positive that

[00:13:41] They're gonna get out of it. Yep

[00:13:44] Yeah, you're gonna get something positive out of it. But you know, it takes a pretty

[00:13:49] It would take a pretty

[00:13:50] Irrational. Yeah jerk kind of a patient for you to say this is gonna allow me to do a great job for you

[00:13:57] and then you just say

[00:14:00] No, thanks

[00:14:02] Right, right. No, thanks. I mean, can you imagine imagine like the I don't know any kind of like an equivalent to that like I don't know

[00:14:09] Yeah, I mean, I think a lot of it is

[00:14:13] confidence the way you

[00:14:16] Present if you just start putting on something on somebody and you haven't told them what you're gonna do

[00:14:21] Maybe shown him what it looks like and haven't told him what's gonna be you started shoving something on someone

[00:14:26] Yeah, that's good. I think that I think you will get some negative blowback for sure

[00:14:31] For sure, we can move on past that but that's yeah

[00:14:34] What are some other things that we may have struggled as a younger dentist?

[00:14:40] You were talking about

[00:14:42] you know when a tooth needs a crown or not like I know things like I

[00:14:48] to me I think that

[00:14:51] You know, there are some like non-negotiables like I'm not gonna replace the cusp with filling material

[00:14:57] That tooth needs a crown 100% of the time

[00:15:01] And I think that the way I presented that

[00:15:05] You know

[00:15:07] 1995 me versus 2023 me I get a lot less objection to that

[00:15:13] By simply not saying that much

[00:15:17] Your tooth is broken. It needs a crown is the best way to fix this. Let's get started

[00:15:22] Like I don't sure, you know, there's a lot of people that are like

[00:15:26] I don't sure, you know, the the verbal diarrhea has is gone. Um, I especially when you um

[00:15:35] When you don't present a second option, I think that's actually where I made a lot of mistakes

[00:15:39] I was like, you know, there is an option

[00:15:42] We could fill this in and I mean i'm still willing. I I still feel good enough about my operative to

[00:15:50] replace a cusp

[00:15:52] with composite if need be

[00:15:54] Um

[00:15:55] but I don't want to present that as a choice if I if I really don't think that's

[00:16:00] You know what what the person is. I want them to say no to the crown

[00:16:05] I want him to say like well, I just can't I just I just I just can't afford that

[00:16:08] I can't I can't I can't swing that and then maybe we'll have a different conversation, but I don't want to

[00:16:13] I think presenting an option

[00:16:15] Where there it'd be better if there wasn't an option is is has been my a winner for me for sure

[00:16:21] Yeah, I I mean

[00:16:23] a lot of it is

[00:16:25] You know using the line. This is what I would do if you were my brother or you're my sister

[00:16:29] This is what I would do and you know, I I can't

[00:16:34] Believe the looks on people's face when I say that like it's never been presented to them

[00:16:41] Like that before and I truly mean it

[00:16:44] Um, you know if you were my brother, this is what I would recommend

[00:16:48] Yeah, okay

[00:16:49] you know, that's

[00:16:51] That's um, that's pretty easy line a winner key phrase

[00:16:57] For our practice

[00:16:59] Yeah, yeah, that that's that's I mean

[00:17:02] That that's a good that's a good line. It works

[00:17:05] you know all that kind of stuff and I mean and certainly you're gonna run into some people that

[00:17:11] Don't want to crown for any variety of reasons but you know, that's that's a whole other podcast and a whole other

[00:17:17] you know

[00:17:19] Topic, you know, um, I will admit though that they're

[00:17:24] even to this day

[00:17:25] There are a couple some scenarios by which I care about the tooth more than the patient does

[00:17:33] And so when they decline said crown

[00:17:36] Then I come back with oh

[00:17:37] I mean, we'll we'll do something to fix this and patch it keep it something

[00:17:42] I don't know. I just get stuck in that loop of like

[00:17:45] Where i'm like, I can't accept the fact that they're just gonna like

[00:17:49] Do nothing with it. So

[00:17:51] I I gotta I gotta i've still got a mental problem in that respect

[00:17:54] One of our jokes behind the scenes is not my tooth. Not my problem. So, you know, I mean I

[00:18:00] I know I get it. I I understand I

[00:18:04] I I can't i'm not there yet. I hope to get there

[00:18:08] But I but I i'm not i'm not totally there in that in that mindset yet for sure

[00:18:13] um

[00:18:15] I think though that

[00:18:17] The more confident you are

[00:18:20] in your

[00:18:21] Crowns like you've seen them last long period of time

[00:18:24] We've had that we have the benefit of of seeing the ones that were well maintained be there for 10 15

[00:18:30] You know, i've you know, certainly i'm starting to see some of those 20 year recalls now, right?

[00:18:34] and you know that that makes you feel like wow that

[00:18:38] that was

[00:18:39] That was the choice. That was right

[00:18:41] I

[00:18:42] Made the right choice at the time and I

[00:18:44] You know, it's working out so right, you know, right, um the benefit of the benefit of longevity and recalls is

[00:18:53] Is is a lot for sure. It helps out a lot. Do you get much objection to scaling and replaning?

[00:19:00] Yeah

[00:19:01] Yeah, I do. I do get objections to scaling and replanning. Uh, do you get objections?

[00:19:06] I don't anymore and i'm trying to okay. I think the

[00:19:11] I think there's a couple factors there

[00:19:14] One of them is I think our hygienists are really good at explaining it. Yeah

[00:19:20] and that's just come from

[00:19:23] Repetition and sort of role-playing and they each sort of have their own little way of doing it

[00:19:28] But I think the other thing is blowing up their x-rays in front of their face on the tv monitors and showing them

[00:19:35] the tartar

[00:19:36] Um because it's a mystery to them

[00:19:40] Um unless they can see it so a picture says a thousand words and um

[00:19:47] I don't get the sort of objection

[00:19:50] that I used to when I was first starting to practice because

[00:19:55] I couldn't do that. There was there was no

[00:19:58] Technological way to do that in the way that I can now so that so that goes back to the crown thing

[00:20:03] so here's the difference between

[00:20:06] 2002

[00:20:07] Zach and

[00:20:09] 2020 is that you know, every time someone's got

[00:20:13] you know

[00:20:14] a

[00:20:15] Tooth that needs a crown unless it's extremely obvious

[00:20:18] They can just see it with their own eyes and they just they just know I mean

[00:20:21] like uh

[00:20:23] Tarun has always said

[00:20:24] You know the the most important piece of tech even for you know

[00:20:27] Someone who has very little tech like me is that digital camera and a good and a good

[00:20:32] A good way to display said photos

[00:20:35] and um

[00:20:37] You know just taking a picture and putting on the screen

[00:20:41] um, i'm i'm still amazed at how many people don't

[00:20:45] Have a way to get a good photo with their

[00:20:48] hygienist or an assistant and and throw it up on a screen in a very quick time frame

[00:20:53] and uh that

[00:20:55] That has eliminated most of my

[00:20:58] other words i've

[00:21:00] I've had to say right so i'm just gonna say that it that replaces all the words

[00:21:05] You i'm like, I mean if you don't have that you have to build some sort of word story

[00:21:10] And if you're not on your game that day or the patient

[00:21:13] Well, you don't have the time or whatever believe you or whatever, but if you just point to the screen your tooth's broken here

[00:21:19] Yeah, this is the best way for me to fix it. And sure, you know

[00:21:23] Like our monitors are really big. I wish they were bigger. I I wouldn't you what do you have?

[00:21:28] How how big you rockin? How many inches?

[00:21:31] I think they're like 49 inches. Oh, wow something like that, but I would get

[00:21:37] 60 or 70 if I could do it all over again

[00:21:40] It wouldn't they wouldn't fit

[00:21:42] uh

[00:21:43] Bigger wouldn't fit on our walls the way we have um

[00:21:46] You'd have to see it's too hard to explain. But okay, we got we got the biggest that would fit into the

[00:21:52] space allotted

[00:21:55] Yes

[00:21:56] It's satisfying

[00:21:58] Um, I don't even I don't have that I don't have that big amount

[00:22:02] I don't have that big of a computer screens in the room for people to look at but I mean they're like solid

[00:22:06] You know nice 25 inch

[00:22:08] monitors and we can get them close enough to the person that

[00:22:12] um

[00:22:13] it's uh

[00:22:15] it's it's very clear and

[00:22:17] uh

[00:22:18] you know, I think there's I think there's a lot of tenants that don't take pictures of their

[00:22:22] Don't take pictures of their work either but the befores afters having afters is

[00:22:26] Is nice nice too, but yeah blowing up x-rays for people just doesn't make sense

[00:22:30] But if you blow up a picture of a tooth with a big crack in it

[00:22:33] I always kind of joke with like like you don't have to be a dentist to see that this thing has a massive crack

[00:22:38] Right. All right. I use the same joke. You don't have to be a dentist

[00:22:41] You can see that crack right here

[00:22:42] Our first year dental student could tell you that that tooth cracked or whatever and you know patients get that but I sure yeah

[00:22:49] Patients get that but I sure yeah

[00:22:52] I don't like to diagnose from x-rays except for the root planing because we blow up that x-ray that bite wing the same size

[00:22:58] And you can see actually see the tartar

[00:23:01] Um, oh yes gum line then, you know, that's easy to explain where I think in the past

[00:23:07] I again have to build some sort of word picture

[00:23:10] and

[00:23:11] if you don't believe me then

[00:23:14] I mean if you can't see it

[00:23:16] It's difficult to believe me. I

[00:23:19] Here's the one thing I will also say about root planning and this is this is an internal systems issue on my end

[00:23:24] but I'll it seems um, like I

[00:23:27] I can

[00:23:29] get

[00:23:30] Get a lot of get a decent number of yeses on root planning

[00:23:33] but then the that seems to be one of the most like

[00:23:37] Cancel 24 hours before or no show type appointments and again, I know

[00:23:42] Maybe I need to build in some money into it. But I mean, it just seems like an appointment that gets

[00:23:46] down

[00:23:48] Failed or like at the last minute they're like, ah forget that, you know type of a thing for sure. So

[00:23:54] And that's a whole nother that's another podcast. But yeah

[00:23:58] That's another podcast

[00:24:02] What about with some of your um more complex stuff you do kevin like uh,

[00:24:10] Like implant stuff tell me tell me

[00:24:13] The implant I was just gonna I was just thinking about that too. It's funny you said that so

[00:24:18] I think that the whole implant thing is a mystery to most people that you know

[00:24:23] It seems very straightforward and as far as what an implant is and how a crown attaches to it

[00:24:29] Like that all makes sense to us dentists

[00:24:32] Yeah

[00:24:33] even

[00:24:34] You know

[00:24:36] the gamut of people's iqs and whatever

[00:24:41] You know sort of

[00:24:43] Tech savvy they are or whatever. I I don't think most people get that so

[00:24:49] uh, I I bought one of those implant models and yeah, there's

[00:24:55] best way to explain everything especially you know, we

[00:25:00] After we do the extraction and bone graft we have people back four months later

[00:25:04] For an appointment we call implant planning and that model is in the operatory and I have a song and dance

[00:25:11] um

[00:25:12] but being able to see that

[00:25:15] um

[00:25:16] you know

[00:25:18] if

[00:25:19] I wouldn't be able to do as many implants as we do without that model

[00:25:23] Whatever it was was worth a million dollars. We bought one of those. I when I wish I'd only wish we'd had one

[00:25:30] sooner

[00:25:31] Than that and frankly if anything, I probably need to buy

[00:25:35] More of them. Yeah, I think you know under the under the idea that like

[00:25:40] The more accessible it is

[00:25:43] The more likely it is to get to get talked about, you know

[00:25:46] We've we've talked about that offline with cameras

[00:25:49] You know that if you don't you don't need one you need like how many rooms do you have?

[00:25:53] You need that many cameras or at least close to that many cameras. So

[00:25:57] Um probably same thing with like implant stuff, you know one for each hygiene room

[00:26:00] Don't you experience that patients don't understand their conceptually what what the implant is?

[00:26:07] And no, you're right. They don't there's some sort of a disconnect where I think they feel like it should be like the entire

[00:26:15] Yes structure of the tooth

[00:26:17] and the crown should get inserted all at once like this concept of putting in the

[00:26:23] the root in it and then healing is

[00:26:25] and then you know the whole

[00:26:28] I don't know that that gets a lot lost in translation and it's very odd because it just seems like it makes so damn much

[00:26:34] sense

[00:26:37] It makes sense to us that's the problem

[00:26:39] It would be the same as me taking my car in to have something complex done to the engine

[00:26:44] No, I disagree with that. Kevin. I I feel like if

[00:26:48] There were some sort of an equivalent a vehicle equivalent. I feel like you would get it

[00:26:52] You know, like I just I just feel like you would get it on someone or be able to like do a quick google

[00:27:00] Like like I can't imagine spending

[00:27:03] I can't imagine spending what an implant costs and not like

[00:27:08] Google if I if I really didn't get it or understand what the dentist said not googling

[00:27:12] What is an implant or how does it work and not being able to find a very easy website of like?

[00:27:18] Well, you do this and you do this

[00:27:20] I don't I can't imagine spending that much on it and not not to not know but yeah

[00:27:25] I agree. Maybe I give people too little I give people

[00:27:29] too

[00:27:30] Much too little. I don't know

[00:27:32] But even when we're really clear like we're gonna put your implant in at the next visit and then three months from now

[00:27:39] We'll put the crown on right, you know

[00:27:42] one

[00:27:43] Occasionally when we're done with the implant surgery, you mean I don't have my tooth today

[00:27:48] No

[00:27:50] Like we've probably said that five different times five different ways in the consult

[00:27:55] But you know and we talk about that at 3d dentist the patient wants the tooth in the end

[00:28:01] They don't really care about no, they're not buying an implant. They're buying. They're buying the tooth

[00:28:05] They're buying a tooth. And so I think being keenly aware of that as a issue or

[00:28:11] from a buyer's perspective

[00:28:13] um

[00:28:14] You know, I you know, in other words, I know what you want

[00:28:18] But in order to get there, we've got to jump through a couple hoops

[00:28:21] But i'm gonna keep you keep your eyes on the prize of what you want sure I mean I you know, I mean

[00:28:27] I know you're a c-rac user, but it's it's no different than when the person comes in for their crown brook. They're like

[00:28:33] What i'm not getting my crown today. It's like

[00:28:39] You know, yeah how many times was this

[00:28:42] Explained, you know, so well, you know people hear what they want to hear

[00:28:48] I guess so

[00:28:49] I guess that's the that's the take home there, you know

[00:28:52] That's the title of this podcast people here with it here with you. There you go

[00:28:57] Any other scenarios you want to talk about kevin? We're we're just about uh up against it here

[00:29:02] Yeah, I think that um managing

[00:29:06] the

[00:29:07] extraction patient

[00:29:08] um also

[00:29:10] You know that that takes a little bit of skill

[00:29:13] Um during for for the for the actual procedure or for the after part of it, I think during and after

[00:29:20] Okay that so in other words, we're really clear and the post-op instructions

[00:29:26] Here's my take on it

[00:29:29] it's

[00:29:31] I think rightly so I think most people are afraid of that and I think their ability to

[00:29:36] Listen is diminished just from the yeah

[00:29:40] They're in fear they're in fighter flight mode, yeah, right sure so even I assume you also have written post-op

[00:29:47] too, right? Yeah, but

[00:29:49] But I know I know they yeah, so I'd have to read I was told there would be no reading

[00:29:55] So one of the things we're really clear about is that your peak swelling is going to occur 48 hours later

[00:30:02] Yeah, right. So

[00:30:04] We'd say that verbally

[00:30:07] It's written down

[00:30:08] But the number of calls we get two day two or three days later and everything was fine, but now it hurts like crazy

[00:30:15] Yeah, we told you that that was gonna happen. Oh, yeah. Yeah

[00:30:19] Well, when will it stop hurting in the next couple days? You're at you know, you're at the peak of it

[00:30:24] um, so

[00:30:26] I think again

[00:30:28] Maybe not completely understanding that as a young dentist versus now like, you know, that just seems normal to me. You're gonna you're gonna

[00:30:36] Do a lot more 48 hour mark is your are your is your phone team good at that or do you get a lot of these?

[00:30:42] Check extraction site like, you know, five minute appointments. Does that does that happen to you?

[00:30:48] Those come in spurts and it's usually like um

[00:30:52] You know a suture's loose or something like that. Sure

[00:30:57] They come in spurts and I think i've gotten better at

[00:31:02] managing the difficult extraction

[00:31:04] um

[00:31:05] you know

[00:31:06] This is gonna

[00:31:08] This is a difficult extraction. This is probably going to hurt more than you know, we would have liked but you know

[00:31:13] We'll get you through it. So

[00:31:15] You know just setting the expectation

[00:31:17] That that can happen and of course we've all talked behind the scenes like we've did a surgical procedure on you

[00:31:22] Of course, it's going to hurt for a while. Sure, you know

[00:31:25] sure

[00:31:26] And you know people's expectations of that are a little skewed I think

[00:31:30] I it's um

[00:31:34] I I I guess

[00:31:36] I guess I take for granted. What what how much we've learned?

[00:31:41] from

[00:31:42] Both are the education process to get here

[00:31:45] and then you know all the continuing education that we do and all that because it's uh, it's sometimes hard to

[00:31:53] understand

[00:31:55] How someone could not get that it's that's a really that's a tough thing. That's I think it's one of the toughest things about

[00:32:02] being a provider is

[00:32:04] is

[00:32:06] Understanding how little people understand about the process, right? I think it's like all comes down

[00:32:11] I mean, that's how we started this with the invisalign managing expectations

[00:32:15] sure

[00:32:16] um, well and it gets it gets so

[00:32:19] It gets so boring sometimes to sit there and

[00:32:23] Repeat the same instructions. I mean

[00:32:26] Like I said, uh, well, we talked off there about a crown prep house

[00:32:30] I was like, well, should we talk about a crown prep and let's talk about how like the whole time i'm sitting there like

[00:32:36] uh, okay, you know your temporaries and kind of has a matte finish not polished finish and your gum is going to be sore around

[00:32:41] the circumference of the tooth because I

[00:32:44] I the broken record aspect. Yeah

[00:32:47] No one no one told us that was going to be part of the job. No

[00:32:51] No, but I mean you do you feel like a real, you know broken record on um, so often all day same words

[00:32:58] It is what it is that's the gig

[00:33:01] That is the gig and here we are talking about it again

[00:33:04] I'm on a podcast and here's yes. Here's a podcast about uh, reliving the mundane portions of your day. Enjoy

[00:33:11] Thanks for listening. Mm-hmm

[00:33:14] All right, kevin. We'll we'll put a let's wrap it up work on this one. And uh

[00:33:19] Uh

[00:33:21] Oh, yeah the facebook page join the very clinical

[00:33:24] I just said very clinical very finnick very finnickle

[00:33:29] Very clinical clinical facebook page. Yeah join that

[00:33:33] Um, you know, it's it's free and we'd love to have you. Yeah, absolutely. All right for uh,

[00:33:40] Kevin fryer for zach miners. We appreciate you listening and we will catch you next time. See ya

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