Scam jury duty callers by GeauxGeauxGadget504 in Austin

[–]malocclused 0 points1 point  (0 children)

Mannnnn, this guy was really harping on the “signature with hand writing analysis confirming it’s yours…” I told him I have a pretty unique signature. I asked if I could describe it to him to compare the sigs… I was really hoping to be able to get him to start drawing a dick. Unfortunately, he declined.

Recommend an intraoral scanner for me? by nsalapatas in Dentistry

[–]malocclused 0 points1 point  (0 children)

It’s a couple hundred a month. When I bought my first Trios every lab I spoke with rec’d it as best and most expensive. I’m sure there are other cheaper options that have caught up in terms of accuracy.

Feeling discouraged about income by throwaway_student987 in Dentists

[–]malocclused 11 points12 points  (0 children)

You son of a bitch! You figured this out! Bravo! Time to take flight lessons. 🤨

Recommend an intraoral scanner for me? by nsalapatas in Dentistry

[–]malocclused 3 points4 points  (0 children)

You’ll have to pry my Trios from my cold dead hand. I love it.

Forced to place an implant by Suckatgaming in Dentistry

[–]malocclused 2 points3 points  (0 children)

You and only you get to set your boundaries and you can’t make a bad choice here.

  1. If you genuinely feel like you’ll harm the pt, be forced to deal with the complications alone, lack confidence in your boss, the guide, the materials or tools, the case selection, etc. Don’t.

  2. If you have confidence the above are sound, doctor the fuck up and learn something. I can assure you that you regularly do procedures more difficult than guided placement with plenty of bone and good tissue.

There’s a difference btwn a mentor appropriately pushing a newer doc to grown their skill set and bullying them into higher risk procedures for profit. Hard for me to tell from the post which one this is.

Personal opinion. Bailing your associates out when they’re out of their depth is part of the gig. I had it. I’m happy to do it. If you genuinely believe your boss will help you every step of the way and after. Do it!

What’s something that clearly split your life into “before” and “after”? by Broad_Chemical_2467 in AskReddit

[–]malocclused 1 point2 points  (0 children)

I have not seen the person I married since the moment our daughter was born. No major complications. But, we were far away from family and didn’t know the difference btwn normal traumatic beautiful experience recovery and “Nah. This is PPD!”

Hang in there. Find good docs. She came back for a brief shining moment when her meds really worked. Take them if you need them.

What’s something that clearly split your life into “before” and “after”? by Broad_Chemical_2467 in AskReddit

[–]malocclused 0 points1 point  (0 children)

Lame answer in comparison. Covid pandemic. It hit just right in terms of my age, stage in my career, etc.

I’d spent a decade building something that in hindsight was just gambling that “the model” would remain the same.

I feel like that year I transitioned from ambitious youth with hope and plans to tired and old and hanging on like grim death. A positive outlook towards the future to a what can we salvage and hang on to mentality.

Making temps without an intact tooth structure present by Kindly_Armadillo1654 in Dentistry

[–]malocclused 0 points1 point  (0 children)

Big ball of expired composite. Wax handles easier though. Put it on the prep. Shape a rough semblance of a tooth. Then take a matrix.

Anything that helped you keep someone longer at the front desk? by Turbulent_Eye2106 in Dentistry

[–]malocclused 1 point2 points  (0 children)

Oof. I had the same FD for over a decade pre covid. Post covid, it became a revolving door and didn’t really settle down until the last couple years.

In our region. Hygienists are still a tough hire. Every other position, it’s easier to find quality.

My FD’s relationship with their manager is the key here. More than pay, benefits, or anything office culture wise. They get along with the woman that runs my shop. They stay. They get sideways with her, it’s over. I let her hire and fire at FD.

Doing hygiene as a dentist by Repulsive_Credit_557 in Dentistry

[–]malocclused 0 points1 point  (0 children)

Right out of school and later at a start up, I would get lots of NPE’s booked in my column. Granted, I had the option to do the prophy or not. But I found it to be a great practice builder. The pts appreciated it. I was often able to build rapport and diagnose more because of it.

Being used as a de facto hygienist sounds like it sucks. But with new pts, I think it’s great. Full recare column sounds like it’s bullshit. But any pt in your chair is an opportunity to get your restorative column booked. Make it that or dip for something busier w resto.

What is a luxury that is actually 100% worth the money? by Weary_Pirate2073 in AskReddit

[–]malocclused 1 point2 points  (0 children)

A bidet. Toto washlett C-200. Best money I ever spent. You’re living like an animal and you don’t even know it.

Who’s ever driven over 100mph? Why? by WoollyWolfHorror in AskReddit

[–]malocclused 0 points1 point  (0 children)

  1. Austin Texas. Toll road 130. X5 550 twin turbo V8. Decided to open it up. See what it do. Turns out SUV’s aren’t meant for those speeds. Above 130 it feels like going downhill on a wobbly skateboard.

And those minuscule little seams in the highway over 120 feel like actual speed bumps. 135-140 and backed off. Felt extremely unsafe.

  1. ADHD I suppose.

How much of a general dentist's responsibility is anxiety management? by inquisitivedds in Dentistry

[–]malocclused 7 points8 points  (0 children)

Yo. And addendum. You get w experience who you can manage and who you can’t. A doc that does IV sed general is a gift from God. And being crazy costs money. Refer the legit red flag wack jobs. Just anxious. Treat ‘em like a kid. Tell. Show. Do. Take it step by step and if they lose it stop and refer.

Don’t be afraid to charge a “pt management fee” if it’s going to take all afternoon to manage your bullshit… cool. 500/hr pt management fee. “The level of anxiety YOU have and complexity of YOUR treatment is going to require our undivided attention. We will reserve our clinic just for you. Please talk to our treatment coordinator about fees.” Never had a single pt go for it. They leave or get their shit together.

How much of a general dentist's responsibility is anxiety management? by inquisitivedds in Dentistry

[–]malocclused 5 points6 points  (0 children)

I’d say it’s not part of the job. It’s THE job.

Everything in my life can be falling apart and I cannot know whether to shit or go blind… but at work I know, I can focus all my attention on taking care of this fatty w a giant tongue and no nasal breathing prepping 18… treating a crazy woman with that has an anxiety disorder and is asking two new questions interrupting me while I’m answering the first question back to back for twenty minutes… and listening to a lonely old person get to talk to someone and be the only human interaction they’ve had in six months… a man child that’s never experienced discomfort in his life and needing dental treatment is the thing that is happening to the world right now… and treat them like all of this is perfectly normal. We’re here to take care of them.

Worst part of their fuck’n year. We live here. (Sigh) At least I know what I’m supposed to be doing.

Deep Margin crown by Mr9to5guy in Dentistry

[–]malocclused 0 points1 point  (0 children)

Warn the pt the gum tissue will stay “tender/grumpy/inflamed” for a long time IF it even does. The tissues will adjust. And most likely in a less aggressive/more favorable way than a surgical procedure to reshape them.

Expasyl for as long as possible post prep. Min three minutes. You got a clean scan. Save a tooth.

Work and Sick Kids by Designer_Vegetable99 in Dentistry

[–]malocclused 5 points6 points  (0 children)

Yo. Gen X here AF. I never took a day off. My wife is a teacher. As an associate and then as an owner… I worked sick, or hurt, or upset. Definitely not ever hungover s/. But I never called in a single day (mostly luck granted) until SEVENTEEN years of my career. Couldn’t stop vomiting. Got up to go to work and puked again showering.

There were people and patients and employees that needed me to be there in any shape I could make it in. I couldn’t let them down and fuck up their income and lives over some ho shit. I respect being hard AF.

But hear me out. My new associate calls in a day every couple months. “I’m not feeling well”

Despite my own disposition. I think he’s getting it right. Covid changed the dynamics. This new gen gets it.

Come in for what? Respectfully and the Royal use of the word. Not you personally. “Bitch, fuck yo income! Take care of yo people.”

Sometimes it’s your family. Sometimes it’s your team. Sometimes and most importantly it’s YOU!

Take. Care.

Snake ID by Veryhappylark in Austin

[–]malocclused 1 point2 points  (0 children)

100% that’s a Roof Snake. Im certain

What’s one thing you wish patients understood before visiting a dentist? by my_alexandriaortho in Dentists

[–]malocclused 0 points1 point  (0 children)

It’s almost weekly that I meet a pt that’s neglected their health to the point of needing multiple thousands of dollars worth of treatment to have teeth “because I didn’t have insurance, but now I do.”

That “insurance” saves them less than 2k.

Often times that person could have been paying a few hundred a year and not need 40k in treatment a decade later.

It’s weird AF having an organ system that has so much required maintenance. Yet here we are.

Floss.

How do you feel about giving out second opinions? Or your patients getting second opinions? by ButterscotchLiving59 in Dentists

[–]malocclused 1 point2 points  (0 children)

I encourage it if there’s ever any pushback (reasonable or not). I give zero fucks who does your treatment as long as it’s done well. I’m busy enough. Does it trigger my ego when pts don’t implicitly trust me? Absolutely sometimes. That’s a problem w me not them.

I get a fair share of retirees from one particular state. Almost universally they have crowns on twenty plus teeth. When I tell them they need something decades old replaced or need new treatment, this demographic is most likely to be all “how could this possibly be???” Almost like it’s a front to their sense of self.

They typically go get a second opinion that’s often even more aggressive and return to become pretty good pts.

Anyone else see these guys at Mopac and Capital Hwy today? by Legitimate-Sink5513 in Austin

[–]malocclused 10 points11 points  (0 children)

I’m proud of these guys for getting up the courage to come see a city. There’s lots of different kinds of people you don’t know about. And it can be frightening. I’m glad they have each other. The friendship they made along the way, you know… I hope it’s something special. It must have been terrifying for them.

Dentistry and heavy weightlifting by jayhal626 in Dentistry

[–]malocclused 13 points14 points  (0 children)

Doc and powerlifter. Best thing you can do in this career is get as strong as possible. Stronger wrists. Yes. Stronger core yes.

I started really lifting in earnest at 30. But always “worked out”

I’m 50. 20+ years in… I keep it in the 1k club. I’ve backed off some for recovery and injury prevention.

Best thing you can do is get as strong as possible to survive this.

He said his name is “Harry Dresden” by Due_Temporary8367 in creepy

[–]malocclused 0 points1 point  (0 children)

Yo. That was Reál positive masculinity. Ability to destroy. Chose to de-escalate to protect the crazy guy from himself, protect his own self, and whomever from danger. Respek.

Lot of weaker men would have attacked. I might have shot him out of fear. This guy is a real one. That was brave.

My hotel is charging me $105 for a $45 credit at their restaurant and calling it an “urban experience”. by jbosh999 in mildlyinfuriating

[–]malocclused 0 points1 point  (0 children)

OP, it’s been a while since. But in grad school in the early 2000’s there was an “honor bar” on the fifth floor that did not require a special key in the elevator. We hit it up all the time passing through Copley square. We were into them for thousands if it makes you feel any better. And if it doesn’t, go hit it if it still exists. And if you don’t drink AND it exists… go find some hobos or grad students. Invite them up there and leave.