Very Dental: An AI Revolution in Chart Notes with Dr. Giles Damron

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[00:01:19] This is a production of the Very Dental Podcast Network. This is the Very Dental Podcast. Welcome to the Very Dental Podcast, where you'll find entertaining and relevant conversations with

[00:01:41] visionaries, clinicians, and your friends in the dental space. Now, here's your host, Dr. Alan Mead.

[00:01:47] Very Dental people, welcome to another episode of the Very Dental Podcast. I'm your host, Dr. Alan Mead.

[00:01:54] Joining me today is co-host. First time he's been on the show, although I feel like we text back and forth quite often. I think he's listened to the show for a while. He's had a lot to say in the Facebook groups.

[00:02:03] Dr. Giles Dameron. Giles, how you doing?

[00:02:05] Good, man. How you doing, Alan?

[00:02:07] I'm good. Giles is in his office right now. I'm literally, he's like,

[00:02:10] like, still in scrubs. Still, still, still a little sweaty from the day's work. I get it.

[00:02:17] Yeah.

[00:02:18] Is, is, are you working tomorrow too? Because today is, is a New Year's Eve Eve. It's the day before New Year's Eve. Are you working tomorrow too?

[00:02:24] I am. I'm working Thursday because we have a lot of patients that are like, and I'm kind of a, I don't know, I always try to take care of my patients.

[00:02:32] And like these three days probably are three of my busiest days of the year. And they're like, you know, can you, can you work me in? I'm like, sure.

[00:02:41] The answer's normally yes.

[00:02:42] I, so.

[00:02:44] I'm back tomorrow for the first time in 11 days.

[00:02:47] Oh, yeah, that's awesome.

[00:02:48] So that's kind of, I don't, I don't normally take that much time off. I, and I probably wouldn't again, especially since, you know, you could do something like Dr. Melissa Zettler who went to Mexico for Christmas, which is her shtick.

[00:03:01] Like we did not go to Mexico. We, we barely left the house, honestly. So I, I don't know. I probably should have worked some. It was, it was nice, but I'm actually ready to get back, which I can barely believe I'm saying, but yeah, I'm ready to get back.

[00:03:14] I got a bunch. I looked at my schedule. It's awesome. I got a great schedule tomorrow, a bunch of people that I like working on. So I, I, I can't believe it, but I'm actually ready to go back.

[00:03:24] So I guess that I don't know if that is an indicator of mental health or mental illness. I'm not sure, but I'm, I'm working with it so far. So good.

[00:03:31] So, and you, this is the busy, a very busy time of year for you. So I guess it's good. You know, sometimes when, you know, make hay when the sun shines and all that stuff.

[00:03:38] Yeah. I mean, a lot of them, I see, you know, some of the guys I follow on Facebook, you know, that are traveling, you know, maybe one day I'll get to that.

[00:03:45] You know, my daughter's a freshman in college. And so we're just kind of, you know, navigating that stuff. And so be a lot of patients are like, Hey, can you work me in?

[00:03:54] And then, you know, a lot of them are waiting for January 2nd. They're like, Hey, can you see me Thursday? Like, sure.

[00:04:00] Yeah. There's a lot of that. We're, we're, we have a lot of people who are kind of keeping their eye on, on insurance maxes and stuff like that.

[00:04:07] I'd love to tell you that I've just got a schedule full of veneers that are paying, paying and full before I touch them.

[00:04:12] But it's not exactly that. It's not exactly that in my practice.

[00:04:15] That is true.

[00:04:17] So Giles, where, where are you calling from? Where, where are you?

[00:04:20] I'm in Memphis, Tennessee. My actual office is in Bartlett, Tennessee, which is a suburb of Memphis.

[00:04:25] I went to UT here in Memphis and graduated in 99 from UTHSC College of Dentistry.

[00:04:31] And I was in the Navy. So I was on scholarship, cut my debt in half.

[00:04:35] And so my last two years, I was basically an E3 and E4.

[00:04:40] And when I graduated, I became a lieutenant with did a, uh, what they call knife and fork school, OIS officer indoctrination school in the Navy.

[00:04:48] Basically, so we didn't look dumb when we came to the real world, all far as knowing what to do.

[00:04:52] Cause it was pharmacy, you know, doctors, medical, you know, all those guys.

[00:04:57] And they kind of helped us learn that Navy stuff.

[00:05:00] And then I did a, uh, uh, Great Lakes.

[00:05:02] I was in Great Lakes for a year, did a GPR hospital based residency.

[00:05:06] And then I did two years on the Nimitz and aircraft carrier.

[00:05:09] And the cool thing was when my wife and I got married, we were the first, um, marriage at Bellevue Baptist Church with the first military wedding.

[00:05:17] So I had my guys that were swordsmen.

[00:05:19] And so I got to do some neat stuff being in the Navy and then did two years on the Nimitz and aircraft carriers actually on 9-11 during 9-11.

[00:05:26] I was on the Nimitz.

[00:05:27] Wow.

[00:05:28] That was kind of crazy time.

[00:05:29] And then, uh, got out and then was in middle Tennessee for about 18 months and then bought this practice January of 04.

[00:05:35] And celebrating 20 years this year, finishing up my 20th year in Bartlett.

[00:05:40] And it's been a, you know, long journey I've made.

[00:05:42] It's, you know, probably all the mistakes that can be made and, you know, learned a lot during the way.

[00:05:46] And so just like everybody and, uh, been trying to work smarter, not harder.

[00:05:52] And so.

[00:05:53] Yeah.

[00:05:54] That's where the AI comes in.

[00:05:56] Yeah, exactly.

[00:05:57] We're going to talk a little bit about AI because Giles is using AI probably as effectively as any dentist I've seen.

[00:06:01] And I've gotten very interested in it over the last few months, but a couple of things.

[00:06:04] First off, a lot of times when you think of this in dental school, the smartest people in dental school are the ones that were kind of aiming for that.

[00:06:11] And no residency, that ortho residency.

[00:06:13] That's wrong.

[00:06:14] That's absolutely wrong.

[00:06:15] The smartest people in dental school were the ones that had the military pay for their school.

[00:06:19] Absolutely.

[00:06:20] They were smart.

[00:06:21] I don't care.

[00:06:22] Academically.

[00:06:22] I'm impressed.

[00:06:23] Sure.

[00:06:23] You can, you got into endo school, but honestly, you can't, you can't touch that as far as the value.

[00:06:29] And, and honestly, I would have no, um, God, I hear so many dentists to their kids are like, yeah, they really, they're going to go to school.

[00:06:36] I'm like, listen, great.

[00:06:38] If they don't have a military scholarship, think real hard about that.

[00:06:41] Cause it's just, it's, it's, it's an epic spend in the military is still, it's, it's harder to get, get those scholarships now than it ever has been.

[00:06:50] Because everyone's getting wise to the fact that they can, like you said, you cut your debt in half, you know, it's like, and that is you and I thought we were in trouble with the debt that we had.

[00:06:59] And what we had was nothing compared to what they're coming out with.

[00:07:01] Just not.

[00:07:02] It is insane.

[00:07:03] The amounts that they patient, you know, talking to the students and getting to know them, you know, uh, like I work a lot with the third years and then fourth years we're doing like competency exams that two of the operative instructors basically grade them like the class three comps and the class two.

[00:07:18] And I'm asking them, you know, Hey, now that we're, you know, getting ready to change and they got a semester left, you know, what, what's your plans, what you're doing?

[00:07:24] You know, some of them are in the military, you know, Navy and stuff.

[00:07:27] And I'm like, that is a smart move.

[00:07:29] And, uh, you won't regret it.

[00:07:32] You know that you've lived it.

[00:07:33] They won't regret that.

[00:07:34] I mean, that's amazing.

[00:07:34] And just the experience, you know, for me personally, you know, I don't think I could have, it would have been harder for me if I went straight into private practice.

[00:07:42] Just, you know, when you go in to see, you know, two patients a day at school, you know, when you're, you're team.

[00:07:48] Now that I'm, or being reminded of how it used to be.

[00:07:50] And then you go, now you got to see a lot more than that.

[00:07:55] So, yeah, there's still been industry and, you know, it's, it's a lot.

[00:07:58] But I, you know, in retrospect, if I, there's been a lot of time machine, uh, usage in my, in my, like, if I had a time machine, I would, there's been plenty of that.

[00:08:08] But I will say this from a dental, like an educational standpoint, a Jeep, uh, or an AGD residency or military, something like that would have been really helpful for me.

[00:08:18] I, I, I, I, I hit the ground running with private practice.

[00:08:22] My dad was a great mentor, but, but I mean like every bad habit that every dentist that, well, I honestly, the bad habits of the guy I bought his practice kind of sight unseen.

[00:08:31] I got every, I don't know, there's, there's, uh, it would have been really helpful.

[00:08:35] Like if I, if I could tell anyone, I'm like, man, you know, don't be in a rush to get in there, uh, on some level.

[00:08:41] Like there's a lot to learn.

[00:08:42] And you know what I, you military guys, man, I'm telling you, you guys had just a wide range of, of, of resources on learning stuff and finding out what you liked and what you, and I don't know.

[00:08:54] I just, I feel like, and I've, I've literally talked to quite a few military people just recently and I'm like, dad, that was really smart.

[00:08:59] And, and honestly, even just, just residencies, I think that was probably a smart move for people.

[00:09:03] Yeah.

[00:09:04] I got a classmate that's in Atlanta, Georgia and he's, you know, he has two associates and he's got some pretty good ones, but he's had experiences where different DSOs.

[00:09:14] I won't mention who, but he was getting referrals for first four surface fillings that they were having a hard time at the DSOs.

[00:09:22] Like there were punting those.

[00:09:25] Oh, that's, that's rough.

[00:09:27] That's rough.

[00:09:28] I've had a few, I've had plenty of four surface fillings that I wanted to punt too, but the reality is like, that's, that's, that's rough.

[00:09:34] That's rough for sure.

[00:09:35] It'll be time to do a crown down the road.

[00:09:37] So.

[00:09:38] Yeah.

[00:09:38] Yeah, exactly.

[00:09:39] And I mean, on some level, that's probably a treatment planning.

[00:09:41] There's, there's a lot to that.

[00:09:43] So I was in Tennessee for spring break.

[00:09:45] We, uh, the Meads, we have a tradition of not planning anything until the last second.

[00:09:50] And we got, we ended up finding just an awesome little, uh, we went to the Smoky Mountains in Tennessee and, and basically Dollywood, the whole nine yards.

[00:09:59] I got to tell you what, man, we've had two spring breaks in a row where I would move to the state where we went to.

[00:10:04] And it was Tennessee and North Carolina for crying out loud.

[00:10:06] So it's, I think I have an appeal for the South.

[00:10:09] I kind of like, kind of like Arizona too.

[00:10:10] It's, it was great.

[00:10:12] I, I, I love, I love your state.

[00:10:14] Uh, and I know a lot of dentists from Tennessee.

[00:10:16] So it seems like an interesting, it's interesting that, uh, that that's been the case.

[00:10:20] So I, I'm a fan, I'm a fan of your state.

[00:10:24] So tell me this.

[00:10:25] I am, I'm a little curious about, uh, you, uh, you have been teaching.

[00:10:31] You, you teach at the dental school.

[00:10:32] Not only did you go to UT, but you teach there and you work with students at the Mission of Mercy.

[00:10:36] I'm kind of curious about how did, how did you start teaching and when did you start teaching?

[00:10:41] And how did you know that was something that would be for you?

[00:10:44] So let's go back to 2009.

[00:10:47] I was one of the four dentists at Bellevue, Bellevue Baptist Church where me and my wife married, uh, coming up on 25 years in May.

[00:10:55] Um, they had a, they decided to do a, uh, they do a love offering every year and they have a project basically.

[00:11:02] And in 2009, they said, let's do a mobile dental clinic where we can do free dentistry throughout the city.

[00:11:07] And as one of the dentists in the church, I was one of the four guys that got asked to help basically build it, put it together.

[00:11:14] And so we basically, it was about 600 grand.

[00:11:19] They built it to back then it was Lifeline mobile.

[00:11:22] They had a two unit, uh, two operatory mobile, mobile unit.

[00:11:27] And we basically went throughout the city and did free dentistry.

[00:11:30] We've done probably close to $6 million in free dentistry since inception.

[00:11:34] And so the second year, I want to say 2010 ish, they started doing rotations that UT would send as part of their community health,

[00:11:42] would send dental students to the van.

[00:11:44] Well, we called it a clinic.

[00:11:46] And so we became basically, um, grandfathered in or basically became community health adjunct faculty so we could work with them.

[00:11:54] So when we were working with the students, that's kind of when I was, it kind of, I've always liked teaching.

[00:12:00] Cause I tutored when I was in high or college and just always liked teaching.

[00:12:04] Uh, I also have assistant or externs that come to my office on occasion, like in that regard.

[00:12:10] And so I've always kind of, it's something I've always enjoyed and work with the students then.

[00:12:14] You know, my wife had said, my wife, Amanda was like, well, you should teach.

[00:12:17] And I was kind of like, well, when do I really have time?

[00:12:19] And I just kind of pushed it back.

[00:12:21] And then probably two years ago, working with Mid-South Mission Emergency that weekend,

[00:12:25] it just kind of happened to be where I had a lot of dental students that I'm walking to my chair or something.

[00:12:30] And they're like, kind of struggling.

[00:12:32] And they're like, Hey, could you, could you help us out?

[00:12:36] You know, cause usually that Saturday when we're wrapping up about an hour from wrapping up and they're like the last one.

[00:12:42] Yeah.

[00:12:42] Yeah.

[00:12:43] So, um, and I just, you know, I've been there, done probably 20 plus mission trips.

[00:12:47] That's one of my passions.

[00:12:48] And I would have been on that, you know, the other side of the chair and, uh, some of my first patients in Mexico before I started and don't, you know, creating patients.

[00:12:57] Oh, wow.

[00:12:58] And so, uh, I just, something I really enjoyed.

[00:13:00] And my wife was like, well, you should talk to Dean Reagan at the time.

[00:13:03] And, uh, so I saw him, he was doing, they were doing that, uh, triage and noming up and stuff.

[00:13:10] I said, Hey, I was thinking about coming.

[00:13:12] What's the possibility of me coming to teach just part-time?

[00:13:14] And he's like, sure.

[00:13:15] We're always looking for part-time guys, you know, just come down to the school, check it out and tell me what you think.

[00:13:20] And, you know, if you want to do a couple of Fridays, let us know.

[00:13:23] And so that was probably almost close to two years.

[00:13:26] I want to say in March will be two years.

[00:13:28] And so I went down and, you know, a lot of the faculty that I remember from when I was there and, uh, you know, enjoyed, you know, running into them.

[00:13:36] And a lot of the guys that I'm working with now, like there's a couple of us that work on Fridays that are still full-time.

[00:13:41] They're working on four days a week.

[00:13:43] And one of the guys, he comes in the afternoon, he works Friday morning.

[00:13:45] So there's three of us that are still full-time.

[00:13:48] And I think the students like it because we give them kind of real world.

[00:13:53] Some of the faculty have been retired for a while as far as in private practice.

[00:13:57] And some are recently retired.

[00:13:59] And, you know, at least I can only speak for Fridays because when I'm there, all the staff, the group leaders, everybody are just fantastic.

[00:14:06] You know, uh, they really like working with the students and, um, it's just, it's a lot better than what I remember when I was there.

[00:14:14] At least those faculty have kind of faced out.

[00:14:17] And so they want to be there.

[00:14:19] And, uh, you know, cause when we were in school, it was, if you can't do, you teach.

[00:14:23] Uh, yeah, kind of.

[00:14:24] And so for, you know, at least the ones that I've, everybody I've come across are there because they want to be there.

[00:14:30] And, uh, it's just been a real neat, you know, kind of, it's like a group practice too.

[00:14:34] You know, you kind of swap stories about stuff in general, you know, as a private, you know, being in private practice, you know,

[00:14:40] I've got some guys that I've bounced things off classmates and, you know, other stuff.

[00:14:43] I've got specialists that I work with on, you know, different things, but I don't know, just a camaraderie.

[00:14:49] It just kind of, I don't know.

[00:14:50] It just kind of neat.

[00:14:51] Cause they're all different ages and, uh, experiences and just kind of, I don't know.

[00:14:56] It's not really work when I'm there on Fridays.

[00:14:57] I look, you know, look forward to working with the students and just kind of seeing it through their eyes.

[00:15:02] And, you know, it's, you know, they always say to, you know, you learn more when you're teaching.

[00:15:07] Sure.

[00:15:07] And, uh, that's really kind of been helpful to me and kind of reinvigorate, you know, why I'm doing what I do.

[00:15:13] And, you know, it helps me kind of up my game on, you know, during the week when I see, you know, these students, you know, they're very gifted and, uh, you know, they're a lot more laid back than we were.

[00:15:25] That's, I was going to ask him like, so what, you know, you remember what it was like for you.

[00:15:29] I'm curious, what's the experience for a student now compared to other than the fact that they're paying a lot more for it?

[00:15:35] Like, what's the experience like?

[00:15:36] Is it, do you think it would be better to be a student now?

[00:15:38] I mean, is there, cause honestly I graduated in 97, you graduated in 99.

[00:15:42] Minnesota, it was kind of abusive.

[00:15:44] I don't know that they would own that if I, if I accused them, but the reality is pretty rough.

[00:15:50] I mean, like I, and I had zero coping mechanisms cause I, you know, school was pretty easy for me until I got to dental school.

[00:15:55] So I'm just curious what, what is it like to be a student now compared to then?

[00:15:59] I mean, from what you can tell.

[00:16:00] I think it's easier and it kind of depends, you know, and it was kind of like when we were in class, you know, I can remember some of my guys that were, you know, they were so laid back, you know, doesn't really got them, you know, excited or stressed out.

[00:16:13] And then others are more serious.

[00:16:15] You know, I was working with one student.

[00:16:17] She was real nervous.

[00:16:18] You know, tell me the whole time, you know, I'm so nervous.

[00:16:20] And it's, you know, to me, that's a good sign.

[00:16:49] Uh, yeah.

[00:16:52] It comes alone.

[00:16:54] And so I think, I think our requirements, I think we had more experience once we graduated.

[00:16:59] Just repetition.

[00:17:00] And now the only, you know, when they take boards, it's not on people.

[00:17:03] It's yeah.

[00:17:04] You know, mannequins and all fake stuff.

[00:17:07] I mean, I got stuck in the elevator the first day of Serta and had to crawl through the 19 inch hole.

[00:17:15] Oh my gosh.

[00:17:16] At the end of the first day.

[00:17:17] So it was me, my patient, two students and two board examiners.

[00:17:21] So talk about a stressful weekend.

[00:17:25] I was kind of like, uh, yeah, put a fork in me.

[00:17:29] Yeah, I believe that.

[00:17:30] I mean, my board experience was, was a frigging nightmare.

[00:17:32] If I, I don't know if I even, I'm not sure I remember it correctly.

[00:17:35] Cause it was bad enough, but, but I will say that that's interesting to me that, that the experience, I don't know.

[00:17:41] I, I talked with someone else.

[00:17:42] I podcast with someone else who actually teaches in at Midwestern, uh, in Arizona.

[00:17:47] And his point was, they definitely, they don't have the numbers game.

[00:17:53] Like they don't, they're, they're sort of set up on competency, which is, which is great.

[00:17:58] Except all I remember is those little, those little books where you had to have stuff checked off and you had to have a certain amount.

[00:18:03] And what I laughed about was, yes, I feel like I definitely got more clinical experience when I graduated than what they're getting now.

[00:18:10] But I remember my dad laughing at us for how little clinical experience we had when I was graduating and he graduated in 1968.

[00:18:16] So, I mean, like the reality is, I think, I think it's getting less and less.

[00:18:21] I would have loved a board patient that was a mannequin.

[00:18:25] We had some of that, but like, cause the stress of actually getting your patients there and having them show up and paying, paying people to just be there for just in case there was, it was insane.

[00:18:34] Like ethically speaking all over the place, it was a nightmare.

[00:18:37] So the board situation is continues to be, I don't know.

[00:18:39] I feel like a mannequin's fairer on some level and there's a little bit less, you know, less worried about getting your patient there.

[00:18:45] But I don't know.

[00:18:46] I, I'm, I'm glad I'm past that.

[00:18:49] I'm glad I don't think about that.

[00:18:50] You have to think about nerves.

[00:18:51] Oh, geez.

[00:18:51] Yeah.

[00:18:53] So you are teaching in the operative clinic, you said, is that right?

[00:18:57] You do two Fridays a month and you teach operative.

[00:19:01] So what do you feel like, how do you feel like the students are, you know, also, I, what are they teaching?

[00:19:08] You know, do they have to do any gold?

[00:19:09] Do they have to, I mean, is it amalgam?

[00:19:11] Is it composite?

[00:19:11] Yeah, they're doing amalgam and composite.

[00:19:14] Basically it's still, you know, if they can't get a rubber dam on, they have to do amalgam.

[00:19:18] Okay.

[00:19:19] You know, they're not really doing any gold, mainly because of operative.

[00:19:22] I'm not really, I'd have to check with my clear guys.

[00:19:25] But we're doing a lot of, not CEREC.

[00:19:28] They've got the, gosh, what is that?

[00:19:31] I guess it is CEREC or the Prime Scan.

[00:19:34] Prime Scan.

[00:19:35] Okay.

[00:19:35] So they're using the scan.

[00:19:36] They've got some materials and they're doing some milling, you know, Cerona.

[00:19:39] Gosh, what is that?

[00:19:40] I guess that's CEREC.

[00:19:42] Yeah.

[00:19:43] So they're doing some milling and I've got some 3D, a couple of guys that,

[00:19:48] working with the students with that.

[00:19:49] And yeah, with operative, you know, they have a kind of a series that they're doing.

[00:19:55] They teach them and they give us like calibration stuff that we look at beforehand.

[00:19:59] And like when we're grading their comps and stuff, that's kind of a rubric of what we're

[00:20:03] looking for and, you know, et cetera.

[00:20:05] Et cetera.

[00:20:06] And then like they use, they've been using a lot of their videos that they're doing training

[00:20:10] like in the preclinical is that Ryan, I think it's Ryan Stevenson.

[00:20:14] He's got like a institute or something that's, they kind of have some like how to be like

[00:20:18] some additional stuff.

[00:20:19] You know, they show them, you know, in the clinic and they've made some videos to the

[00:20:23] faculty, but they also kind of use that as a resource.

[00:20:26] Yeah.

[00:20:26] And it's the Stevenson solutions or something, but there's some stuff that I've seen, you

[00:20:31] know, referenced to you in that.

[00:20:33] When I, when I first started going, there were a couple of Fridays that I worked in the

[00:20:37] preclinical for the first year and the second years and kind of seeing their, what they're

[00:20:43] doing in the preclinical.

[00:20:46] So, and then more so just working with them with experience in the, in the clinic.

[00:20:51] And then a lot of the third years, you know, there were, you know, when I started working

[00:20:54] with them, they're, you know, two fillings in.

[00:20:57] Yeah.

[00:20:57] Yeah.

[00:20:58] You know, they get three and a half hours in the morning.

[00:21:02] I remember that.

[00:21:03] And then four and a half in the afternoon.

[00:21:04] And most of the time you're like, uh, it's, you know, teaching candles burn out.

[00:21:09] I need to, let me help you out here a little bit.

[00:21:11] So.

[00:21:11] Yeah.

[00:21:12] I, I mean, I, I remember that.

[00:21:14] Remember, you know, remember every appointment was three hours, no matter what you were doing.

[00:21:18] Yep.

[00:21:19] And it still is no matter what it was, you were doing, it always seemed to take all the

[00:21:22] time and sometimes longer.

[00:21:23] It was just unreal.

[00:21:24] I remember that vividly.

[00:21:25] That's, that's, that's, that's bringing back some memories.

[00:21:28] I'm breaking into a sweat here.

[00:21:29] That's, I remember that.

[00:21:32] So you feel like they're getting a little less experience than, than you had.

[00:21:36] And I think it's because of the patient flow.

[00:21:38] I know that's one of the issues, just access to care.

[00:21:42] It just, I'm not really sure all the dynamics of why, but I know that was a problem for

[00:21:46] a while.

[00:21:47] And I think they're getting better at that, but I've got, you know, I know some of 30 years

[00:21:51] that are kind of struggling with getting the patients and, um, you know, I'm not sure if

[00:21:57] it's not wanting to be there for as long as it is.

[00:22:01] And, you know, it is a big commitment and you, you know, there's a lot of hoops you got to

[00:22:04] jump through, but you always told them back when I was in school was, you know, you've

[00:22:08] got more time or money and most people have more time.

[00:22:10] But there's several things that you've got to jump through to get in the system.

[00:22:16] Definitely.

[00:22:17] I love, I love the fact that they were like at Minnesota, we had a lot of patients that,

[00:22:20] that had been going to the school forever and, you know, they knew they were going to be

[00:22:24] passed on from when people graduated and stuff.

[00:22:26] And they were, you know, the patients were kind of rooting for you half the time.

[00:22:29] Oh yeah.

[00:22:29] Sort of.

[00:22:30] I remember that vividly.

[00:22:31] And I think that's probably, that's, that might be the best reason to go to the dental

[00:22:34] school because you're kind of, cause you kind of like, you're committed to the idea of

[00:22:37] these kids getting an education.

[00:22:39] That was great.

[00:22:40] I have to say, I never had any complaints about that.

[00:22:42] That was an excellent thing at Minnesota.

[00:22:43] Oh yeah.

[00:22:44] Do you feel like these students have a good handle on what dentistry is going to look like

[00:22:48] when they're done or not really?

[00:22:50] That's, I think some do.

[00:22:52] Um, you know, I've not, I can't look more or if.

[00:22:56] I've been talking to, you know, to the fourth years and I think most of them maybe compared

[00:23:02] when maybe I was just a little bit different.

[00:23:03] Like I, um, of course when the Navy stuff, I wasn't thinking private practice and stuff.

[00:23:08] Sure.

[00:23:09] You know, one semester left and you're like, Hey, here's where I'm going.

[00:23:12] But, um, yeah, I think they got a pretty good handling.

[00:23:16] The, the, the advantages that they have, you know, podcast example, I know there's a lot

[00:23:21] of them that, uh, gosh, Richard Lowe, I think it is.

[00:23:24] Yeah.

[00:23:25] Yeah.

[00:23:25] Yeah.

[00:23:25] You know, there's so many resources.

[00:23:27] When we were in school, there was none of that.

[00:23:29] I mean, literally nothing.

[00:23:30] If you think about, if you think about Instagram, you think about YouTube, you think about podcasts,

[00:23:35] you think, I mean like there's, if you wanted to, you could basically have dental school

[00:23:40] completely separate from dental school because there's so many resources out there.

[00:23:43] I totally agree.

[00:23:44] And, and honestly, when you talk about Richard Lowe and his was all business resources,

[00:23:49] his is, you know, you had people that were literally ready to buy a practice coming

[00:23:52] out of dental school because they had so much information.

[00:23:54] Yeah.

[00:23:54] It's amazing.

[00:23:55] And even doing it ahead of time.

[00:23:56] I mean, there were, there are several that I've followed the last several years and it's

[00:24:00] kind of, kind of makes my head hurt.

[00:24:02] You know, a lot of them are kind of built that way.

[00:24:03] They're like, they like the stress and, uh, of going, you know, multiple practices.

[00:24:08] And, you know, that's not my wheelhouse, but, uh, you know, there's a lot of resources that

[00:24:13] they have that we didn't have when we were coming up.

[00:24:17] Totally.

[00:24:17] The very first voice of dentistry was of course in Nashville.

[00:24:20] And, uh, we had some students that came, I don't know, I, it might've been from Tennessee,

[00:24:25] uh, dental students that came in and they were, they literally started their podcast

[00:24:29] that week.

[00:24:30] That was, um, life in dentistry, I think.

[00:24:35] Yeah.

[00:24:36] Yep.

[00:24:36] That was them.

[00:24:37] I think I picked it up because I've been following you guys since the beginning and I never could

[00:24:41] get to Nashville for, cause I'm from.

[00:24:43] It was, it was nuts because these guys, there were a couple of them that had bought a practice

[00:24:46] before they even, they're like third years.

[00:24:48] I'm like, I, I was just trying to keep my head above the water.

[00:24:52] I can't even imagine having the stones to buy a practice.

[00:24:55] And like, you're literally employing another dentist in the practice that you bought so

[00:24:58] you can graduate and get there to work.

[00:25:00] I'm just like, Oh my gosh, these guys are, I mean, I think it's fantastic.

[00:25:04] And these guys are doing really well by the way, but I just, I'm also like, man, I can't,

[00:25:07] I just don't think I had the bandwidth.

[00:25:09] I was just barely making it.

[00:25:11] It's impressive.

[00:25:12] I tend to think that I think there's a percentage of students that have that entrepreneurial bent

[00:25:18] than they're willing to put their head down and just do it.

[00:25:20] I also think that DSOs are, you know, there's a lot of people that realize they can be employed

[00:25:25] by a DSO for a while and they don't, you know, ownership isn't maybe in the cards for them,

[00:25:28] or at least it isn't right away.

[00:25:30] I'm sure you probably see all that kind of stuff.

[00:25:33] It's probably as an operative guy, two days a week or two days a month, you probably don't

[00:25:38] see as much of, I mean, I don't know.

[00:25:40] Do you get to work with a lot of the same students over and over again or not really?

[00:25:43] Yeah.

[00:25:43] When, you know, a lot of them, you know, once you go through the third year, you know,

[00:25:47] by next, this next semester, I've worked with most of them several times and I'm, you know,

[00:25:51] a lot of the fourth years I worked with is 30 years.

[00:25:53] And then a lot of times I'm working with them with the cops and, uh, and sometimes I think

[00:25:59] they lack scheduling with, um, oh yeah, the guys are still working.

[00:26:04] And, um, but, uh, you know, I always did.

[00:26:08] I always did.

[00:26:09] If I could, if I could schedule with a real dentist versus the dentist that, that owned

[00:26:13] your life, the full timers.

[00:26:15] Oh my God.

[00:26:15] I mean, I remember manipulating the system and like, you know, never go to operative on

[00:26:20] Thursday or whatever else, you know, because depending on who was going to be there.

[00:26:24] And I, I remember that vividly.

[00:26:25] I'm sure you are.

[00:26:26] I'm sure you are a popular, a popular guest star.

[00:26:29] There's a couple of us that are on the Fridays.

[00:26:31] And I guess for me, when I'm there, I'm just trying to give them the most bang for their

[00:26:35] buck other than just, you know, do this or don't do that.

[00:26:38] I'm like trying to give them reasons why and make them think, you know, why are you concerned

[00:26:42] about, you know, whatever it is.

[00:26:44] Are you checking the bite, you know, before you do it, DO to make sure you're getting

[00:26:47] where, you know, little things that I pick up on that, you know, over the years.

[00:26:51] And it's like, you know, things that I wish I would have picked up, you know, a lot sooner

[00:26:55] and would be much easier if you understand that, you know, because the occlusion has

[00:27:00] always been kind of a, you know, you can never learn too much occlusion.

[00:27:04] And over the years, you know, Mike Milkers and a bunch of those guys that I followed over

[00:27:09] the years and, you know, watch a bunch of their stuff.

[00:27:12] And Michael Milkers actually sent me a little PowerPoint that I usually give to my students.

[00:27:16] It's like, oh, that's awesome.

[00:27:17] A couple of minutes, I just say, you know, here's the difference in, you know, the microns

[00:27:22] of artigling paper.

[00:27:23] Here's what matters.

[00:27:24] And if you've got 200 micron paper versus 19, you know, when do you whack on it when you

[00:27:29] don't?

[00:27:29] And so it really kind of helps them, you know, be more.

[00:27:34] I mean, how many years did it take me to realize that that shim stock is when and bite

[00:27:39] paper is where, you know, it's like one of those things where I just feel like there's

[00:27:42] a lot of stuff you learn just by doing it, you know?

[00:27:46] And I mean, that's why they probably want to work with you because that's a shortcut.

[00:27:50] You've, you're in.

[00:27:51] And they mentioned, you know, they do a lot of little lectures called evidence-based dentistry

[00:27:55] lectures.

[00:27:55] And they were wanting me to do that this next semester.

[00:27:57] And like on a Friday when I'm there, you know, just a little mini topic of like a 10

[00:28:01] minute talk on, you know, and I'll use that PowerPoint slides that Michael gave to me

[00:28:06] to use specifically for that.

[00:28:08] The just the slides of, you know, different examples of the different thicknesses and,

[00:28:13] you know, kind of his little mini talk on that.

[00:28:16] And so, you know, and I expand on that.

[00:28:19] I just kind of like doing, talking to him about that and it kind of makes them click.

[00:28:24] And I just kind of like, you know, answering a question with a question and they're like,

[00:28:28] oh.

[00:28:29] Yeah.

[00:28:30] That's, you make them think.

[00:28:31] That's sometimes, sometimes as a dental student, I didn't want to do any thinking, but that's

[00:28:34] probably, it's probably the best for them for sure.

[00:28:37] Okay.

[00:28:38] So as a, as a segue, something that I wish I had learned about earlier is something that

[00:28:42] you know an awful lot about.

[00:28:44] I'm going to segue to the AI stuff.

[00:28:46] So anyone who's been listening to the podcast in the last, I don't know, six months or so,

[00:28:50] I have started to kind of, I've started to figure out ways to use AI actually in podcast

[00:28:55] production.

[00:28:56] And to be frank, I've used it with writing.

[00:28:59] I've used, I've used it with helping my kids study.

[00:29:02] There's a lot of, I mean, there's a lot to it that I'm starting to, like, I didn't think

[00:29:06] much of it.

[00:29:07] I'm like, ah, whatever, you know, but then I realized how much time you can save with

[00:29:11] a lot of this stuff because AI, I don't, I'm not worried that AI is, is quite at the

[00:29:17] Terminator level yet.

[00:29:18] I don't think it's going to take over the world, but what I, what I do know is it can

[00:29:21] really shorten the time on some of the real grind type tasks out there.

[00:29:26] And so I, I put that out there on the podcast and then Giles has come in with all kinds

[00:29:30] of stuff that he's doing with it that make what I'm doing seems sort of childish at this

[00:29:35] point.

[00:29:35] So I'm curious about how did you start using AI stuff with you, with, you know, the way

[00:29:40] you practice and live your life.

[00:29:42] So when I started, like when I was really kind of dialing into it, this has been a while,

[00:29:46] you know, a lot of times you have those limited exams or stuff that's really, you know, a lot

[00:29:51] of times like if my assistant's in there and she'll, you know, type while we're talking

[00:29:55] in and anyway, it's, it's been different alliterations, but I started using a, it's

[00:30:01] called Otter AI.

[00:30:02] It's basically made for transcribing notes for lectures, et cetera.

[00:30:07] Yep.

[00:30:07] My problem is because of my accent and my country, you know, I grew up on a dairy farm

[00:30:11] 90 miles Southeast of Nashville.

[00:30:14] And so, you know, if I use Siri or whatever, a lot of times it just doesn't like me.

[00:30:20] And so with Otter AI, I could be, you know, if it's a long, you know, if I go in and talk

[00:30:25] to a patient, you know, and say, and I'll type some of stuff, I would go in there and basically

[00:30:29] dictate to it and it would correct as it went, you know, to basically translate for my countryness.

[00:30:36] And that's how I would do.

[00:30:38] I did that for a long time.

[00:30:39] Like if it was bigger cases, you know, other than just your basic bread and butter, you

[00:30:43] know, I've got templates for the normal stuff.

[00:30:45] Uh, but, uh, probably about a year ago I was on the Instagram or something and I saw an

[00:30:50] advertisement for, it's called Freed AI.

[00:30:52] I think it was created.

[00:30:53] It's based out of California.

[00:30:55] Yep.

[00:30:55] And I did the trial and it was a case where, you know, there was a different ones.

[00:31:00] There was a guy, do you know, Jazz Galati?

[00:31:02] Oh yeah, absolutely.

[00:31:03] He's been on the show.

[00:31:04] We've been working on some stuff and I've talked to him cause I was getting to help.

[00:31:08] He was helping me with some resources for students.

[00:31:10] And anyway, long story short, one of his things he's got, they've got is called TCO.

[00:31:14] It's an AI derivative thing, but it's, it's based and it's UK based.

[00:31:19] I'm not even sure if it's available in the U S but you have to have it through a computer

[00:31:23] and you have to have a microphone.

[00:31:25] It's a little more complicated.

[00:31:26] Well, with a Freed AI, I put it on my iPhone.

[00:31:29] I just open it up.

[00:31:30] And the cool thing is, so for instance, I log in, I just take it and I put it in my pocket

[00:31:36] and when I go in there, uh, and I usually have a lab jacket on, but I put it on there

[00:31:39] and say, Hey, you know, I'm using this new program that transcribes my notes.

[00:31:42] Are you okay if we record this?

[00:31:44] And I said, it's not saved.

[00:31:46] It just goes into my notes and allows me to give you better care.

[00:31:48] And we can, if you don't want us to do that, we stop and I'll just, it won't affect your

[00:31:52] care.

[00:31:53] You just have way worse notes.

[00:31:55] That's yeah.

[00:31:56] Uh, you know, I had the conversation.

[00:32:00] The cool thing is if, if my assistant goes in there, you know, she can start it and then

[00:32:05] pause it, put her, put the patient's name in and then hand off to me and just say, Hey,

[00:32:09] I've already done the initial cause normally I do in there anyway.

[00:32:12] Say, tell me what's going on.

[00:32:13] They basically tell me again.

[00:32:14] Or if I skip that part and say, Hey, Susie's already told me, you know, kind of ballpark.

[00:32:20] What's the cliff note version.

[00:32:22] And then go through everything.

[00:32:24] And then when it's done, I can end it or pause it.

[00:32:27] If I've got, you know, if I go to go check an x-ray when I'm done and I sent you an example

[00:32:31] of it and you can work with it where it's a summary or it's the old kitchen sink.

[00:32:37] And I text you earlier, uh, about one of my endodontist friends that I work with at UT.

[00:32:42] He's like, do you see like two patients a day?

[00:32:44] He said, I've never seen those.

[00:32:46] Yeah.

[00:32:47] And I said, dude, that took me like three minutes.

[00:32:49] And so it allows me to, um, you know, have great notes and it doesn't take forever.

[00:32:55] And then the other thing I picked up, you know, I've been using it for almost a year.

[00:32:59] Uh, and I think it works out.

[00:33:01] It's about a hundred bucks a month.

[00:33:03] Uh, you can do the trial.

[00:33:04] If you don't like it, pick something else.

[00:33:05] But if you do it, uh, and I'll assume to the code, if anyone wants to try it, it's,

[00:33:10] there's a $50 off or something.

[00:33:11] If they want.

[00:33:12] Okay.

[00:33:13] Uh, and then the cool thing is put in your pocket and you literally all three people,

[00:33:18] you know, and I haven't tried it simultaneously, but you should be able to, every person should

[00:33:22] be able to be using it, logged into my account and then just say, look at Billy's.

[00:33:28] If you need to finish it or like, you know, a lot of times you have a hygiene patient,

[00:33:31] they've got like three questions and you know, you're running 20 minutes behind to go, Oh,

[00:33:36] I got a question about this, this and that link and, you know, fill in the blank.

[00:33:41] Yeah.

[00:33:41] And so, and you're like, I don't have time to pull this in here.

[00:33:44] That way my hygiene is not, you know, yeah.

[00:33:46] Yeah.

[00:33:46] And so later what I do is if that's the case or she'll say she had several questions and

[00:33:51] so I'll, you know, get it going when I'm done, I can end it and then I I'll copy it,

[00:33:56] put into Dentrix that we use Dentrix and then she can tweak it or go, Hey, we left out this

[00:34:02] part or whatever.

[00:34:03] And it's just been super helpful.

[00:34:06] And usually it doesn't, you know, take long to tweak it.

[00:34:09] And the other thing I've found is if you're talking like you're charting, Hey, number 15 is,

[00:34:14] cause a lot of times they'll just say the upper molar, like the example I sent you,

[00:34:18] if you're doing it, let's be more specific.

[00:34:20] You know, Hey Susie, your number two, you know, your upper second molar number 15 is

[00:34:24] got a hole in it.

[00:34:26] Well, I'm thinking to myself, I'm thinking to myself, first off, my question was like, how,

[00:34:31] how much do you have to say?

[00:34:33] And then I thought to myself, if you've told the patient that you're using this to, to make

[00:34:37] your notes better, then why not say it, say whatever you need to clinically or not.

[00:34:41] I mean, I know that dentists will make a point of, of not being too overly clinical with the

[00:34:47] patient, but if the patient knows that you're generating notes, I think they might appreciate

[00:34:51] the fact that you're kind of explaining everything.

[00:34:53] And then if I'm, because my thing is like the kind of notes that this is generating basically

[00:34:59] takes that responsibility and makes it just, I mean, those notes are, are freaking flawless.

[00:35:05] They're really good.

[00:35:06] And, and you would never worry about missing something.

[00:35:09] And I bet you, you could kind of adapt the way that you interact with patients in not,

[00:35:14] it wouldn't be obnoxious to make sure those notes are just, just right on the money.

[00:35:19] I've thought about it a lot.

[00:35:20] I'm like, you know, why not just explain slightly a little bit more, but say it out loud and say

[00:35:25] it, you know, say it clearly out loud.

[00:35:27] So this is being recorded and it should be because, because what I know about AI is it can

[00:35:31] take a small prompt and, and, and write something really detailed from it.

[00:35:37] I'm, I'm shocked by how much it can do like, Oh my God, it's hilarious.

[00:35:41] I mean, my, my workflow for the podcast has been, I'll, I'll, I'll edit the podcast to

[00:35:47] a final version.

[00:35:49] And I used to do that.

[00:35:51] And then I would write the notes as I was listening to re-listening to the podcast.

[00:35:55] And I would listen to the podcast at two times.

[00:35:57] Cause I mean, I was there.

[00:35:57] So, I mean, I, I, I remember a lot of it, but, and I would pick out the things that I

[00:36:01] thought were important and everything.

[00:36:03] Now I will just generate that thing and I'll throw it over to a, it's called descript because

[00:36:07] it's a very specific thing to podcast where it will take the, the MP3 file of the, the,

[00:36:12] the podcast.

[00:36:13] And first off it makes a transcript, which is fine.

[00:36:16] I don't know that the transcript is all that important, but, but then you can say, okay,

[00:36:21] make me some show notes.

[00:36:22] And the show notes from there are pretty good.

[00:36:24] They're not bad.

[00:36:24] I always tweak them, but that's kind of my starting point.

[00:36:27] But now I'll take the transcript generated by descript.

[00:36:30] I'll throw it over to Google Gemini and say, how about a little help here?

[00:36:33] Google Gemini.

[00:36:35] Holy cow.

[00:36:35] It's like, it's like, that's what they've been doing their whole life is writing, is writing

[00:36:39] chart or writing a podcast notes.

[00:36:41] It's freaking amazing.

[00:36:42] And so I know that just the large language model stuff can take what you say and sort of

[00:36:48] fill in a lot of detail.

[00:36:50] So it just, it's more readable and more understandable in the notes.

[00:36:54] I, if you don't mind, I'll, I'll anonymize everything, but I'm going to put some of the

[00:36:57] note examples in the show notes, because this is shockingly good.

[00:37:01] Like, like you said, you've never seen notes like this before and you'd never worry about

[00:37:05] leaving something out.

[00:37:06] I mean, it was, it was wild.

[00:37:08] That's really cool.

[00:37:09] Yeah.

[00:37:10] And I'll, I'm going to send you a link that's got the discount code or whatever.

[00:37:14] Someone wants to try it out.

[00:37:15] You know, and you know, the one I, I think the one I sent you, I think I fixed it where

[00:37:19] it was not descript.

[00:37:20] I made it.

[00:37:21] Okay.

[00:37:22] Now the other thing is this is according to the website and everything, it is HIPAA compliant

[00:37:25] and it's fixed where in 30 days it's gone.

[00:37:28] It also sends you an email.

[00:37:30] If you've not downloaded or tweaked it, they'll say, Hey, you still have a note that's not been

[00:37:34] done.

[00:37:34] If you overlook it.

[00:37:35] Uh, and so, and not going to lie to you that the HIPAA compliance thing makes a big difference.

[00:37:41] Uh, because frankly, you could probably throw a lot of stuff into a lot of these, these models,

[00:37:46] but you know, you don't really know where it's going.

[00:37:50] You don't really know who has access to it.

[00:37:51] I like the idea of, of it being designed with the idea of a, of a medical dental clinical

[00:37:56] situation.

[00:37:58] I feel like that's probably the right came upon it because it is basically medical.

[00:38:01] Uh, and I want to say the guy that is the CEO, his wife is a physician and that's, you

[00:38:07] know, it's, it's been around for a while and like, and like I'd watched, uh, I'd sign

[00:38:12] up, I did that jazz galati data, uh, treatment planning symposium, not recently that I watched

[00:38:18] with, uh, milkers and, uh, a couple of the guys, Lincoln Harris, you know, right.

[00:38:23] Global, which is a great, great source.

[00:38:26] Unbelievable.

[00:38:26] Yeah.

[00:38:27] And he had example of the TCO like that there are software that he's using or

[00:38:31] they use.

[00:38:32] And I was looking at, you know, it's basically, it's doing basically free day as doing the

[00:38:37] same, you know, it's the basic stuff, you know, you can really dial it in and do detailed.

[00:38:42] You can do summary.

[00:38:43] Like I'd copied to you, like what was on the website where everything, you know, summary

[00:38:47] to everything.

[00:38:48] And you can change it where you can tweak it to say, always say they, or, I mean, you

[00:38:53] can really, I've not really tweaked what you can like edit, you know?

[00:38:57] So for instance, if you're not as descript when you're talking, it'll say, if you're rereading

[00:39:01] and putting in your clinical notes, it'll say, upper left molar, blah, blah, blah.

[00:39:05] And you would go number 13.

[00:39:07] So you don't have to worry about, you know, which tooth.

[00:39:10] And that way, you know, that's everybody, you know, in the last year, I've not had any,

[00:39:14] anybody saying, Hey, don't do that.

[00:39:16] Or, you know, they're like, great.

[00:39:18] Sounds good to me.

[00:39:19] I think, I think patients, patients are, are drawn to the technology.

[00:39:23] You don't have to say that it's AI per se.

[00:39:26] I think some people might be, but the reality they're drawn to the idea that you're a technology

[00:39:30] guy.

[00:39:30] But the other thing I'm curious, and I don't know if you've run into this, are you able

[00:39:33] to train it on your style?

[00:39:35] In other words, like, well, let's be honest.

[00:39:37] Dentistry is so much repetition.

[00:39:39] You know, you know, like, like the reality is, is like, you know, you do the same thing.

[00:39:44] Okay.

[00:39:44] When I'm prepping a crown, I do it the same way every time, almost every time.

[00:39:48] And occasionally there's differences, but the reality is, is like, if, if this AI could

[00:39:52] figure out that I'm prepping a crown, it can know exactly how I want to note that.

[00:39:56] And I feel like, I feel like it's an AI is so good at learning that kind of stuff.

[00:39:59] Have you run into that?

[00:40:00] Yeah.

[00:40:00] There are some things you can edit.

[00:40:02] Honestly, I didn't have a chance to play with it, but there are some settings that you

[00:40:05] can do and you can kind of personalize it to kind of your, you know, I just haven't

[00:40:11] really played with it as far as.

[00:40:13] I mean, to be honest, you haven't needed to.

[00:40:15] I saw the notes you said, they're freaking amazing.

[00:40:16] I mean, I know it can change some stuff.

[00:40:18] Like sometimes I've had it where, uh, if it was a generic name, it would say, sometimes

[00:40:25] I've had to change it.

[00:40:25] If it said she had problems with until like, you can change it where it'll say patient

[00:40:30] versus, you know, Bobby or whatever.

[00:40:33] And it was like, it was he or she.

[00:40:34] And so I just had to go in and fix those things.

[00:40:37] Oh, I get it.

[00:40:37] Okay.

[00:40:38] Okay.

[00:40:38] It's trying.

[00:40:39] Sometimes if you have different providers that you refer to, like weird names, it

[00:40:43] would not know what you'd have to fix that.

[00:40:44] But yeah, but for the most part, it's been, you know, I would say on average two or three

[00:40:50] minutes at most on that big one that I sent you.

[00:40:54] Now we're tweaking a few things like on that one, I think it didn't mention the number because

[00:40:57] I was not specific.

[00:40:59] Yeah.

[00:40:59] And then, you know, it's kind of, it's awesome.

[00:41:02] And sometimes like on that, there are a couple of things that are repetitive, like it's already

[00:41:06] mentioned it, but it kind of mentioned again on the recap.

[00:41:08] Yeah.

[00:41:09] But by the way, is it, it's, especially if it's something that's, it's repeating, it's

[00:41:12] not a bad idea to be like, yeah, that's something we need to look at next time.

[00:41:16] If it's something that's just an evaluation of.

[00:41:19] Actually, that's one of the, that's one of the best parts about it too, because the

[00:41:21] thing is, is like a lot of that stuff doesn't get caught in notes when you're writing them

[00:41:24] because like, and it's an important thing because you're literally, you can see the notes

[00:41:28] next time and remember what you wanted to look at.

[00:41:30] That's, I love all that.

[00:41:31] I love all that.

[00:41:32] I feel like there's, there's, you and I are five years from now, they'll listen to this

[00:41:36] podcast and people laugh at us because we're, we're so basic.

[00:41:40] And of course, this is probably what everyone's going to be doing.

[00:41:42] It'll be like, it'll be like, it'll be like the one person left who's using film x-rays

[00:41:46] or something when everyone else has gone digital.

[00:41:48] But, but I mean, you know, three years ago, it wasn't obvious that AI in, in large language

[00:41:54] models were going to be able to do this with a chart note.

[00:41:56] I mean, it was not obvious to me that it was going to be like that.

[00:41:59] And it really, I mean, it, it clearly, it clearly is going in that direction.

[00:42:02] Yeah.

[00:42:03] And the one thing too, like I've had it where I was recording perio chart.

[00:42:06] Now it's not going to put it in, you know, I know there's a bunch of different, pretty

[00:42:10] much anything nowadays you can pay, you know, a couple hundred bucks a month for it to do

[00:42:14] whatever.

[00:42:15] Yes.

[00:42:15] But this will do like, if you're giving probing depths, like it'll literally just spit it

[00:42:20] out, you know, no, you're gonna, you know, you could later put it in if you needed to,

[00:42:24] but it literally is like through, you know, if you're, if you're calling out all the numbers,

[00:42:28] it'll list them, even though it's in the clinical notes.

[00:42:31] I mean, it's, you know, some people say, well, you should get the, whatever that puts it in

[00:42:35] there, you know, perio voice or whatever.

[00:42:37] I'm just, I'm just going to say the Florida pro people are listening to this and they're

[00:42:40] like, Oh, we're going out of business.

[00:42:43] It doesn't put it in there.

[00:42:45] I'm just saying it's there.

[00:42:46] If you're in a pickle and you can't record it yourself because my head didn't, you know,

[00:42:51] I give them that, you know, keypad that they can put a barrier on if they need to do their

[00:42:56] normal stuff.

[00:42:57] Sure.

[00:42:59] If they're in a pinch, but it's coming handy for me.

[00:43:01] If it's a situation where I work somebody in and, you know, I got to determine if they're

[00:43:05] perio or not.

[00:43:06] And it's just me and my assistant's doing something else or whatever the situation is.

[00:43:10] And it just, it's, it's, it's been super helpful in many situations that I never, you know,

[00:43:15] realized how helpful it would be.

[00:43:17] It is funny too, because when you think about it, we, you know, when we've been coming through,

[00:43:21] there's headsets and all these crazy things.

[00:43:23] And you're like, you know, now everyone's got, you know, a smartphone in their pocket that

[00:43:28] can record as clearly as, is the best microphone you've ever seen.

[00:43:32] The reason it is getting simpler.

[00:43:35] I'm not going to say it's getting less expensive because there's, you know, there's so many things

[00:43:38] out there that'll, that want to take a swipe on your credit card every month.

[00:43:41] But I, on this, I feel like this has some, some serious value.

[00:43:44] So are you using, just out of curiosity, are you using AI in any parts of your life besides

[00:43:48] dentistry?

[00:43:50] The only thing I'm doing, I guess it's kind of, I'm using what that program I call,

[00:43:53] I told you it called Turbo Learn AI.

[00:43:56] It's, I'm not very sure what it costs.

[00:43:58] It's not, it's pretty inexpensive.

[00:43:59] But if you have, like, if you watch a lot of YouTube videos and you want to make notes

[00:44:03] on stuff, like I sent you an example of those two.

[00:44:05] I watched like the Strauman video and it's like, yeah.

[00:44:09] How you take the, you know, in trios, it's like, it literally, it's the best out.

[00:44:13] It's the best outline I've ever.

[00:44:14] It's like someone took amazing notes on the video.

[00:44:17] And that's something that, you know, I've got only even how many gazillion that I've

[00:44:21] done just because I'm a nerd that way.

[00:44:22] But I was like that resource.

[00:44:24] But when I was doing that originally, I was like that my rep sent me the video and I was

[00:44:28] like, well, I don't have to watch the video every time.

[00:44:30] I know.

[00:44:31] I know.

[00:44:32] And this one, I've got it saved on my desktop.

[00:44:33] It happened not too long ago.

[00:44:35] And I just printed the two pages off.

[00:44:36] And it's like, you click here, you know, you saw it.

[00:44:39] Yes.

[00:44:40] And it was just super simple.

[00:44:42] And, you know, if you had an MP3, you know, later, if you ever, anytime you want to see

[00:44:48] me an MP3, I can, you could do it like an audio file.

[00:44:51] If you want to just make notes, you could convert it from MP4 to MP3 and, you know, it'll do,

[00:44:57] and it'll do like the way it's built in this particular AI.

[00:45:00] It's either a YouTube video or a audio file.

[00:45:04] I think you'll do a native MP4, like as far as how it translates it or whatever.

[00:45:10] Sure.

[00:45:10] But it's been super helpful on, gosh, all sorts of stuff.

[00:45:15] And so that's...

[00:45:15] That's funny because a lot of these AIs are sort of specialized for what they're doing.

[00:45:19] Yeah.

[00:45:19] And it's not going to be long before the general ones are going to be able to do a lot of that

[00:45:23] stuff too.

[00:45:24] Like right now, I can't take an MP3 to Google Gemini, but it's a matter of time.

[00:45:28] You know, it's a matter of time.

[00:45:30] The Descript one that I'm doing, this kind of specific to podcasts, it does an MP3 like

[00:45:35] nothing.

[00:45:36] I mean, think about it.

[00:45:37] It's a computer listening to the podcast we just made at, you know, 10 times speed and

[00:45:40] doing much better notes than I ever could.

[00:45:42] It's amazing.

[00:45:43] Think about that.

[00:45:44] I just...

[00:45:44] Like on some level, you're, you know, there's a lot of weird things going on in the world,

[00:45:49] but this is so cool.

[00:45:51] This is so cool.

[00:45:51] If you have not tried AI in some way, there's plenty of places to try things for free to

[00:45:57] realize the kind of power.

[00:45:59] And frankly, the kind of stuff that these things are really good at.

[00:46:02] And it's almost always the kind of stuff that's an absolute grind that human beings don't

[00:46:07] want to do.

[00:46:08] It's so good.

[00:46:09] Like think about what a pain it is to do chart notes and how much, how, how, even if it's

[00:46:13] just, it gives you, you know, you're trading a really good chart note generated from what

[00:46:20] you just recorded from a blank page.

[00:46:22] I mean, it's even, even if you have to tweak it a little bit, you know, it's so much better

[00:46:26] than a blank page.

[00:46:27] It's so much better.

[00:46:29] I don't know.

[00:46:29] I just, I feel like there's a lot of potential here.

[00:46:31] I'm really glad that, that you and I got to talk about this because you've been the one

[00:46:35] that I've seen this.

[00:46:35] I know there's a lot of people using this out there, but you've been the one that sort

[00:46:38] of like, after you showed me some of that stuff, I'm like, God, we got to talk about

[00:46:41] this.

[00:46:41] And I'll put all the links in the show notes for people who are interested.

[00:46:45] And it sounds like Giles has like a discount code.

[00:46:48] I think people are going to start doing this if they haven't.

[00:46:50] And I, and I cannot, I cannot stress the amount of what large language models can do is, is

[00:46:59] next level.

[00:47:00] If you haven't played around with it, it's worth looking.

[00:47:02] And I think it's going to affect us a lot moving forward.

[00:47:04] Hey, Alan, can I, can I add one thing?

[00:47:06] Absolutely.

[00:47:07] Thank you for doing the podcast over the years.

[00:47:10] You know, I've picked up a lot from your podcast specifically and all the beard dental podcasts,

[00:47:14] the other guys that do their spiel.

[00:47:16] Yeah.

[00:47:17] Just over the years, you know, the physics forceps, the oxygen plug, the, I mean, and

[00:47:23] I listen to it because you just, I don't know, you, you make it easy.

[00:47:28] It makes you feel better when you listen to your podcast.

[00:47:30] I'll just say that most of those podcasts, all the beard dental ones, but you know, we,

[00:47:34] we get a lot out of it.

[00:47:35] And I know it probably takes a gazillion hours to do what you do, but it's helping.

[00:47:39] And we appreciate you and all you, your efforts in podcasting.

[00:47:44] So we, I appreciate you saying that that's, that's, that's helpful.

[00:47:47] It's good to know.

[00:47:47] I will say that back to you guys, cause I've got a lot from you guys.

[00:47:50] I'm like, what can I do to share or to, you know, spread the love, you know, over the

[00:47:55] years I've had help with Ben Grutter and Chris Griffin and Russell Schaefer and Rick Ferguson,

[00:48:00] you know, cause I've been 3d printing and stuff.

[00:48:02] And you know, just it's a community where we're just trying to help each other out and

[00:48:05] make it better for the next guy.

[00:48:08] It is.

[00:48:08] It's awesome.

[00:48:09] It's awesome.

[00:48:09] And I mean, the podcast is a part of that.

[00:48:12] Some of it's social media, like Facebook groups and all that stuff, but it is, it's

[00:48:15] nice to, uh, the other thing is, is that I think in a lot of ways, a podcast or something

[00:48:19] like this lets other people know that you're real people and you're not, cause you know what?

[00:48:24] Sometimes on Instagram or Facebook, you can kind of come off like you're, like you're,

[00:48:27] you're better than everyone else or you're, or you're doing in it.

[00:48:32] The podcast aspect humanizes it a little bit.

[00:48:34] It makes everyone feel like they're kind of the same level.

[00:48:36] That's been a big, you know, and yes, these guys are next level to be sure, but it's also

[00:48:40] really fun.

[00:48:41] I mean, Baron lives in Michigan for crying out loud.

[00:48:43] I need to go over and see him.

[00:48:44] You know, I need to, it's crazy.

[00:48:46] Like there's, yeah, there's a lot of good stuff.

[00:48:48] I appreciate you being, being part of it too.

[00:48:50] This was awesome.

[00:48:51] Awesome.

[00:48:51] It was my pleasure.

[00:48:54] Thank you a ton for being on.

[00:48:55] If you guys have questions or comments, Giles is in the Facebook group and I'll make sure that,

[00:49:00] you know, his, his information is up there.

[00:49:01] And if you're not in the Facebook group, go to the very own Facebook group.

[00:49:04] You're going to, you're going to ask for an invite.

[00:49:06] If you're not there, you're going to have to give me a password.

[00:49:08] I got five passwords.

[00:49:09] Let's see if I can remember them.

[00:49:10] I got Lipscomb, McQuethy, Papa Randy, Timmerman, and who did I mean?

[00:49:15] Oh, Hornbrook.

[00:49:16] One of those five, all five of them, whatever given to me.

[00:49:18] You get it.

[00:49:19] Cause here's the thing.

[00:49:20] I try to make it so it's podcast listeners in that group, which has been hard.

[00:49:24] Uh, but I, but I want it to be a good, so it's not a big group.

[00:49:27] It's not like the shit show that we, we had with the dental hacks nation.

[00:49:31] It's, it's people who listen to the podcast.

[00:49:33] So we try and keep it, we try and keep it with people who are, who are like-minded in that way.

[00:49:38] So, uh, go to the Facebook group.

[00:49:40] Giles is there.

[00:49:40] He's got, we'll get all his information up there.

[00:49:43] Giles, thank you for doing what you do.

[00:49:44] And thank you for all this information.

[00:49:46] I'm going to really use it.

[00:49:46] I really appreciate it.

[00:49:48] So we'll, we'll catch you again very soon.

[00:49:50] Thank you a ton, Giles.

[00:49:51] Yes, sir.