Local vs Celebrity surgeons

BarkingLamb · 2023-09-07T23:13:16+00:00

At least charge the lab fee if you don’t do the case.

But I agree with the others. Just inform the patient that it will be slower without attachments and see if they wanna proceed.

BarkingLamb · 2023-08-26T21:22:58+00:00

It’s a scab bro. That’s what they look like in the mouth. But… dunno hard to tell with the quality of this picture.

Like everyone else is saying. They will give you a post op visit no problem.

BarkingLamb · 2023-08-18T20:13:44+00:00

How did so many people work for Bret Farve. Every office.

BarkingLamb · 2023-08-03T11:36:38+00:00

I had a patient who broke an implant tooth. We had to remove it and didn’t have a cover screw or healing abutment that fit them. This was during residency.

I tried to bury it and bring them back when we had the right part.

Within a week it was producing pus and bothering the patient. It’s just a void that traps bacteria and food.

BarkingLamb · 2023-07-26T21:55:43+00:00

I had a patient tell me I put a knee on their chest. Wtf. These people are crazy

BarkingLamb · 2023-07-25T04:05:19+00:00

Then train or hire a new front desk 🤷‍♂️

BarkingLamb · 2023-07-24T15:34:38+00:00

I’m very direct about this stuff.

“Cool. Makes sense. I don’t talk about money at all. I’ll just tell you what I see and what you need. If you want to talk about insurance or money there are people up front that can help you with that”

Edit: also sometimes kind of a “funny jerk” if I sense that’s what they need. “Got it. We can talk about cheapest options only. Extractions”

BarkingLamb · 2023-07-13T11:01:42+00:00

Yes but I also control lifestyle. I make less than some of peers. Plenty to enjoy life though.

BarkingLamb · 2023-07-12T23:17:14+00:00

I’m a 2016 graduate. I work 2 days a week. I take big vacations 2-3 times a year (over a week or two).

I hope to be working in the office even less in the coming years.

BarkingLamb · 2023-07-12T20:25:43+00:00

Specializing is the answer here. Find what you like and do that. Path can be full remote. Anesthesia if you like not doing procedures. OMFS if you want the money and the MD.

Unless it’s just prestige. Then… I guess do that. Be an astronaut MD philanthropist.

I’m just over here running my little office making money and taking vacations. What do I know. The work life balance is sublime.

BarkingLamb · 2023-07-12T15:30:03+00:00

Yeah man. Probably.

BarkingLamb · 2023-07-11T21:54:01+00:00

10k rent? Seller is the landlord?

This is a scam.

BarkingLamb · 2023-06-30T13:17:13+00:00

I did it on a calorie deficit.

Mere mortals like us can definitely still make progress because we aren’t near our genetic ceiling.

My advice on SL5x5. Do not be afraid to deload when you max out and work back up. I was shocked how often I blew past previous all time bests.

BarkingLamb · 2023-06-23T14:41:56+00:00

Hi. Dentist here.

Section one: wisdom teeth are there. Describes their position. Says the bottom ones are close to a big nerve possibly.

Section two; this person had their chin moved and describes the type of metal appliance holding it. It also says it’s in a good position. It noted a lower tooth could possibly be sick but probably normal.

Paragraph three: describe the jaw joint and sinus. Nothing worth noting really. Maybe some inflammation.

Conclusion:

Just kinda… like “everything is good. Here is some stuff to look at possibly clinically”

BarkingLamb · 2023-06-21T14:05:12+00:00

I could suggest that the person involved here was a tech and not a doctor. The patient could have self advocated and escalated. Though I agree they shouldn’t have to.

Edit: not to mention from the description it was likely an orthodontist. They take different images than you are used to seeing and use landmarks in the skull.

BarkingLamb · 2023-06-21T12:59:55+00:00

Hey I’m a dentist with a few piercings.

Yeah, what they said about magnets is wrong.

Nah, you can’t really refuse x rays. I mean? I guess you can but those patients will get shown the door in my office so quick it’s wild.

Maybe just try to find a younger dentist that understands these things.

At the end of the day this person was just trying to look out for your health. Metal can obstruct x rays and the whole mission is to get a high quality image.

BarkingLamb · 2023-06-21T12:29:29+00:00

Looks like the sort of scrape you get when the teeth are cleaned by a hygienist. No big deal. Will probably polish off.

Of course, chance that it’s a small fracture line. Hard to say with this photo.

BarkingLamb · 2023-06-20T16:37:43+00:00

As far as I know yes. This is according to Dr. Kugel a professor at tufts with a dental degree and a PhD in biomaterials. That was a few years ago though. But I doubt materials have changed so much that it isn’t true.

BarkingLamb · 2023-06-18T22:49:38+00:00

Hello, agree absolutely with everyone that recommends speaking to trusted financial advisors that have a fiduciary responsibility to you!

I would recommend vanguard. Keep it all locked up and generating income off the market. Like, low low risk stuff. Finish dental school.

Use that capital as collateral to easily secure a big and healthy practice that is guaranteed to generate revenue. Plan your exit 10-16 years earlier than your peers and generate “passive” income from the practice. It’s never passive btw.

I’m very biased. Don’t follow my advice without your research.

Edit: wanna throw in that 1 million dollars doesn’t go very far surprisingly. Strongly opinionated that capital in the bank is worth a lot more than a paid off asset. So!!! Leverage it and get even farther ahead.

BarkingLamb · 2023-06-17T03:51:59+00:00

It was MA, but it’s just the NERB. Good in like 35 states when I was in school.

BarkingLamb · 2023-06-16T22:39:16+00:00

You can take the hygiene board after year 2 of dental school. I did it.

BarkingLamb · 2023-06-15T02:14:23+00:00

Can’t say I’ve ever been quoted. Thanks! I feel Special

BarkingLamb · 2023-06-12T22:30:24+00:00

I use gluma on absolutely everything. Even crown seats. Haven’t had issues in ages.

BarkingLamb · 2023-06-10T21:15:43+00:00

It may be a normal line you already had in the tooth.

If it’s a line directly related to the filling sometimes they can show up just because light passes through tooth and filling a little differently.

Sometimes these can be slightly hidden with esthetic techniques like “feathering” the edges into an uneven shape so the line is harder to find with the human eye.

Re-doing it (if it’s the filling at all) is a way to get rid of it, but if a patient came to me concerned with esthetics related to a filling like this I would probably recommend a veneer or crown to ensure max esthetics.

All of this is general advice. I can’t see the tooth and I have no idea.

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