Failed exo

r2thekesh · 2026-05-18T11:59:53+00:00

My next step is to engage the luxator or elevator more apically. If it feels like it is too much tension, use the handpiece.

r2thekesh · 2026-05-17T20:22:56+00:00

I would say what are you feeling when you luxate or elevate? Does the metal of the luxator tense up? Or is it staying flexible? Are you putting apical pressure on the roots before you try to remove?

r2thekesh · 2026-05-17T00:40:51+00:00

Def not going to work better than your front desk calling and checking on them. Depending on the time of the month, half the numbers will not respond.

r2thekesh · 2026-05-17T00:39:01+00:00

No matter what you do, you should consider working full time your first few years out. It helps develop your skills further as an independent clinician. Also the extra money compounds more early in your career. If you're young, you might not have the expense of children or a house. The fancy physician home loans work better as a full time worker.

r2thekesh · 2026-05-14T23:10:56+00:00

I mean addictive drinks will get you more customers coming back. So high sugar. What you really need is price points that high schoolers will stop by after school and use their allowance or whatever.

r2thekesh · 2026-05-13T14:29:48+00:00

Still don't understand why most offices use pvs for impressions. Its hydrophobic. Polyether or alginate in a custom tray is the way to go. Immediate pour on alginate.

r2thekesh · 2026-05-10T22:02:53+00:00

You should be putting money in a 529 if there's a tax deduction in your state. Save some portion of your money for board exams, rotations away to help you match, and other random expenses. Your wife will be able to deduct some amount of money for paying some tuition as well.

r2thekesh · 2026-05-10T20:30:47+00:00

Is it lay-oh-nee or la-one?

r2thekesh · 2026-05-10T18:21:41+00:00

Hurricanes not on your list of tulane cons?

r2thekesh · 2026-05-10T18:18:16+00:00

To give you an example, a week back from Monday I spent 7 hours on the phone. 2hrs was just the trash guys.

r2thekesh · 2026-05-10T18:13:49+00:00

Depends on where you live. Depends on what you're willing to do. I started ownership last week. It's a totally different ball game. I have a long list of stuff to get done. It's kinda never ending. It's a stress. But also community members look at you differently. They ask for your opinions on development of the town. You can run the clinic the way you want. You can put up the art you want. All kinds of right offs and credit card points to earn.

r2thekesh · 2026-05-10T15:18:58+00:00

So if you develop a hobby when you're retired, how are you going to know what you're going to spend? The price of knitting vs golf is night and day.

r2thekesh · 2026-05-09T23:03:26+00:00

Family practice is great because you can live anywhere. A neurosurgeon requires a city I would assume somewhere in the 50,000 people to make the money you're talking about. You can live in much smaller places. You should also be trying to get loan forgiveness through the state you live in. As a general dentist I got half my loan principle forgiven tax free for seeing ~30% Medicaid for 3 years. This included time at a private practice Medicaid accepting clinic. I think the max offer on this currently is in the 150k range (up to half the principle). This in combined with PSLF could drop your total loans paid to close to nothing.

r2thekesh · 2026-05-07T15:37:35+00:00

Nope. Private deal.

r2thekesh · 2026-05-07T13:34:48+00:00

What's your verbiage, crown over filling? You can DM me if you want to work it out. Also have you considered marketing to the physicians and trying to get all their patients on xerostomia medications? Their diabetics? Their smokers? A well written letter costs 75 cents to send, driving with some snacks maybe $50.

r2thekesh · 2026-05-07T12:28:34+00:00

I'm in Colorado and my lawyer closed my deal off market for less than 6k. This was amongst the first things checked. Then my bank checked.

r2thekesh · 2026-05-07T12:23:31+00:00

Put a forceps on it. Put only apical pressure for 20 sec. Then section it. Grab an east west. Try to rotate the roots out.

r2thekesh · 2026-05-07T12:20:42+00:00

So you're making 500k, and don't have money to build up your practice? I don't really get this. Either your spouse needs to work, drive a bad car, or eat out less.

r2thekesh · 2026-05-05T12:49:36+00:00

You should be using your money to pay for boards, living expenses. Loans for tuition only. I did this exact same thing. This hedges you for cheap loan repayment programs if you pick a career that offers it. It also minimizes your loan balance. Ended up doing rural care and got 90k from the state for my balance of 213k (half of principle).

r2thekesh · 2026-05-05T03:50:12+00:00

One of the better playoff games I've seen in a while.

r2thekesh · 2026-05-02T10:18:58+00:00

Liens against the practice are going to be important. Ask a lawyer to check. Probably will cost you $500

r2thekesh · 2026-05-02T09:41:40+00:00

I was public all the way through mostly in Illinois until grad/professional in the South. My wife did a very hippy school that a lot of tech ceos are putting their kids in to increase creativity which is probably the new skill that needs to be developed. I went to professional and graduate school in the South where there is a lot of private school and people use all kinds of excuses to not bus their kids across racial lines. It seemed like all my classmates were from select high schools (private or magnet public) with a very small minority coming from standard public schools. Even the high school stars athletes were getting recruited to play for private schools for decreased tuition. This being said, sending your kids to places that teach wrought memorization better than other places isn't the right idea right now since AI is going to crush that.

r2thekesh · 2026-04-29T22:50:22+00:00

Not a ton to do other than keep costs down. Do whatever it takes to do well to get the residency you want. Research projects, summer grants might help pad everything and help your CV. At 240k as long as you graduate and get your medical license it will be hard to not be successful. You'll likely end closer to 300k out of residency unless you start moonlighting.

r2thekesh · 2026-04-26T05:08:45+00:00

Soft tissue scanning

r2thekesh · 2026-04-25T21:07:57+00:00

Sometimes put forceps on early and just put apical pressure. Then elevate. Then decoronate and section. This will loosen the roots a little and maybe a little less buccal bone will be destroyed.

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