Everyday Oral Surgery

Today we have two guests on the show: Dr. Matthew Pham who practices in South Carolina, and Dr. Brian Farrell who practices in North Carolina, both of whom are part of the Carolina’s Centre for Oral and Facial Surgery (CCFOS) Group. We sit down to talk about the expansion of their practice, their thoughts on the role of the surgeon in the growth of the business, and embracing the benefit of both the clinical and administrative sides. We hear about the importance of finding ways to stay involved and hone your skills in the areas you enjoy, and they expand on the advantages of the model they use and the group’s recruiting approach. To hear more about the educational arm of their group and their prospective resource, the Rising Chiefs Course, don’t miss out on this episode of Everyday Oral Surgery.Key Points From This Episode:Dr. Pham sheds light on the expansion of their business.The benefit of having talented individuals on the administrative side of the business.Dr. Farrell's thoughts on the role of the surgeon in the growth of the business.Having the benefit of both the clinical and administrative sides. The importance of advocating for patients.Dr. Farrell explains what to focus on, regarding insurance appeals.Dr. Pham’s advice to residents navigating what group to join. The uphill battle of adding to an already existing scope of practice. Finding ways to stay involved in areas that you enjoy doing and keeping those skills active. The beauty of the expansion of their business model. The advantage of their practice setup for doing in-office surgeries. The scale and growth trajectory of the CCFOS group.A note to those listeners looking into doing TMJ. They talk about the group’s recruiting approach and process. We jump ship and talk about the educational arm of their group and the courses available.Dr. Farrell expands on their Rising Chiefs Course and what they hope to achieve with it.A “kudos” to all those that have graduated residency this year!Links Mentioned in Today’s Episode:Dr. Matthew Pham on LinkedIn — https://www.linkedin.com/in/matthew-pham-999b20242/ Dr. Matthew Pham Carolina’s Centre — https://mycenters.com/about/our-doctors/matthew-h-pham-dmd-md/Dr. Matthew Pham on Instagram — https://www.instagram.com/phamomfs/ Dr. Brian Farrell on LinkedIn — https://www.linkedin.com/in/brian-farrell-16a38615/ Dr. Brian Farrell Carolina’s Centre — https://mycenters.com/about/our-doctors/brian-farrell-dds-md-facs/ Carolina’s Centre for Oral and Facial Surgery — https://mycenters.com/ Rising Chiefs Course November 11th and 12th — PROMO CODE: EOSSummer2023Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

The student loans you face as a dental and medical student can feel overwhelming. But there are more ways to minimize and manage it than you may think. Joining us today to talk about the nuances of paying back student loans and building credit is Dr. Paul Rollins, an oral and maxillofacial surgeon practicing in Ohio. In our conversation, Paul provides an extensive and easy-to-understand breakdown of the type of costs you can expect on this journey, how to make decisions that will minimize the cost of your loans, and the best options for repayments. We take a closer look at the income-driven repayment plans that make the most sense for residents, the advantages of a pay-as-you-earn repayment plan, and what you can do to qualify for public service loan forgiveness. Paul then goes on to elaborate on building credit, his recommended tools for learning about credit and how to manage it, along with an informative breakdown of high, medium, and low impact factors that can affect your credit score. We also discuss your expected debt-to-income ratio when you first come out of residency, how this will affect your rates, and advice on how to adapt. For a concise breakdown of everything related to loans, credit, and why you shouldn’t let the fear of student loans determine your career path, be sure to tune in today!Key Points From This Episode:A warm welcome to returning guest, Dr. Paul Rollins.Disclaimer: Paul is not a financial advisor.Getting a realistic idea of your overall costs.The variables that can affect the costs of your residency.A breakdown of the overall costs you can expect for dental tuition and medical school.The role that interest plays in your final numbers.Unpacking the concept of capitalization of interest (and how it works against you).Advice on how to minimize capitalization of interest.The income-driven repayment plans that make the most sense for residents.An overview of a pay-as-you-earn repayment plan and its many advantages.How to qualify for public service loan forgiveness.Why you shouldn’t let the fear of student loans determine your career path.Recommended tools for learning about credit and how to manage it.Advice on how to start building credit.Using credit monitoring to protect yourself.Your debt-to-income ratio and how this affects your rates.Find out what Paul is reading right now and what he has learned about longevity.Links Mentioned in Today’s Episode:Dr. Paul Rollins on LinkedIn — https://www.linkedin.com/in/paul-rollins-25248848/Falls Oral Surgery — https://www.fallsoralsurgery.com/Paul’s email — paul.rollins29@gmail.comDr. Paul Rollins: The Benefits of Using an LMA and Sevo as Your Anesthetic Technique — https://podcasts.apple.com/us/podcast/dr-paul-rollins-the-benefits-of-using-an-lma-and/id1535284898?i=1000536757096Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059KLS Martin (Promo Code: EOSSummer2023) — https://www.klsmartin.com/Bien-Air Surgical Devices — https://www.klsmartin.com/en-na/products/power-systems/bien-air/

Dr. Joseph Funderburk, an oral and maxillofacial surgeon, discusses allergic reactions in anesthesia. He shares two cases and how he responded. The importance of being adequately prepared, airway management, recovery protocols, and emergency training are highlighted. The chapter also covers the use of epinephrine, antihistamines, and corticosteroids in anesthesia. The significance of patient care, surgeon leadership, proactive practices, and proper training is emphasized.

While oral and maxillofacial surgeons deal with tracheotomy management frequently, many medical and dental professionals don’t know much about the procedure. This conversation with oral and maxillofacial surgeon, Dr. Ben Hechler, can equip listeners of all levels with a basic understanding of the tracheotomy process, when it is appropriate, and what challenges to expect along the way. Tuning in, you’ll learn about the difference between the terms tracheotomy and tracheostomy and gain insights on when it is appropriate to administer an anesthetic. Dr. Hechler distinguishes between temporary and permanent treatments and offers advice on what to do if irregularities occur during surgery. We also talk about planning for post-tracheotomy treatment and emergencies and differentiate between a tracheotomy and a crike and when each is relevant. Whether you’re a surgeon or a dental practitioner, this episode is sure to provide you with everything you need to know to understand this essential procedure when it next arises. Thanks for tuning in!Key Points From This Episode:Reintroducing Dr. Ben Hechler, oral and maxillofacial surgeon. Today’s topic: tracheotomy management. Why this is a helpful area in which to grow your knowledge. Differentiating between tracheotomy and tracheostomy. An overview of the tracheotomy process.Different options to attend to I or H cuts.Choosing not to anesthetize a patient during the tracheotomy. Tracheotomy tubes. Differentiating between the outer and inner cannula. Downsizing tracheostomy tubes. The benefits of a cuffed tube. What a capping trial consists of and why it can be beneficial. Temporary tracheotomies.Permanent tracheostomy treatments.Major concerns to keep in mind with tracheotomy surgery, including bleeding.What to do if there is any bleeding.How to attend to problems with ventilation.Determining whether or not a patient requires a tracheotomy.Planning for post-tracheotomy emergencies. The difference between a tracheotomy and a crike. Why it is so valuable to know even a little about this procedure. Links Mentioned in Today’s Episode:Dr. Ben Hechler — https://www.linkedin.com/in/ben-hechlerShiley Tracheostomy Products — https://www.medtronic.com/covidien/en-us/products/tracheostomy.htmlEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059KLS Martin Bien Air Power Systems— https://www.klsmartin.com/en-na/products/power-systems/bien-air/Promo Code — EOSSummer2023

Antibiotic resistance is a growing threat, silently undermining our ability to combat infections and urging us to find innovative solutions before it's too late. Today we are joined by Connecticut-based oral maxillofacial surgeon, Dr. David Salomon to explore the ever-evolving landscape of antibiotic practices and the importance of staying up-to-date, especially when it comes to treating serious infections. Dr. Salomon discusses the fundamental principles of antibiotic therapy, including appropriate selection and administration, before delving into the pressing issue of antibiotic resistance and the necessity of using narrow-spectrum antibiotics to combat this problem effectively. Understanding the duration of antibiotic treatment and prophylaxis is crucial, as it varies with each individual case. Dr. Salomon highlights the significance of considering sensitivities before administering antibiotics, along with indications for antimicrobial use and the heightened risk faced by immunocompromised patients. We explore alternative antibiotics for penicillin-allergic patients and discover why it’s so crucial for us to improve our understanding and adherence to prophylactic protocols in dental surgery. Tune in for invaluable insights into the world of antibiotics and their role in personalized care!Key Points From This Episode:Introducing Connecticut-based oral maxillofacial surgeon, Dr. David Salomon.The evolving nature of antibiotic practices and the importance of staying updated, particularly for serious infections.Principles of antibiotic therapy, including appropriate selection and administration.Antibiotic resistance and the need for narrow-spectrum antibiotics.How the duration of antibiotic treatment and prophylaxis varies based on individual cases.The importance of taking sensitivities into consideration before administering antibiotics.Indications for antimicrobial use and increased risk for immunocompromised patients.Alternative antibiotics for penicillin-allergic patients.Why antibiotic prophylaxis is used for dental procedures.Treatment approaches for severe infections and special circumstances.The importance of biopsy and culturing for accurate diagnosis and treatment.Why preoperative prophylactic antibiotics are recommended for surgical procedures.Azithromycin as an alternative for oral prophylaxis in penicillin-allergic patients.The need for better understanding and adherence to prophylactic protocols in dental surgery.Dr. Salomon’s preferred number of chains and links in expose and bond procedures.Thanks for listening!Links Mentioned in Today’s Episode:Dr. David Salomon — https://www.linkedin.com/in/david-salomon-b8ab1431KLS Martin Summer Sale Special — klsmartin.com (Promo code: EOSSummer2023)Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

The guest on today’s episode has journeyed through some tough and testing experiences practicing as an oral and maxillofacial surgeon. Dr. Jeff Dongieux, an OMS from Louisiana, talks to us about what it was like as an OMS first responder during the 9/11 attacks in Manhattan, NY. He then recounts the lessons he learned after having his office hit by a hurricane a few years later. He further tells listeners about procedures he works on, how his techniques have evolved over the years, and what it was like navigating his first patient who experienced a laryngospasm. To hear more about his karting hobby and why he’d rather hire the hard worker than the smartest person in the room, start listening now!Key Points From This Episode:Dr. Dongieux gives a brief history of his school and current practice setup.He recounts his experience being an OMS first responder during the 9/11 attack.He describes what it was like having his office hit by a hurricane. The lessons he learned in the process of the hurricane aftermath.Why you need an independent adjustor to get the truth about insurance.Some advice regarding insurance and lawyers.Procedures he works on at his practice.How his techniques for dental extractions have evolved over the years. He talks about his first laryngospasm and how he dealt with it. Dr. Dongieux tells us about his karting days. Why he’d take a hard worker over the smartest person.The best books Dr. Dongieux has read lately. The forceps he uses to extract tooth number 5.Links Mentioned in Today’s Episode:Dr. Jeff Dongieux — https://www.drjeffdongieux.com/ Dr. Jeff Dongieux on LinkedIn — https://www.linkedin.com/in/jeff-dongieux-6a9821122/ Heavier than Heaven — https://www.amazon.com/Heavier-Than-Heaven-Biography-Cobain/dp/0786884029 When the Air Hits Your Brain — https://www.amazon.com/When-Air-Hits-Your-Brain-ebook/dp/B006WOFB5C/ PROMO CODE: EOSSummer2023Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Back again to the podcast, but this time to talk about nerve injury etiology, diagnosis, treatment, and postoperative management, is Dr. David Salomon, an Oral and Maxillofacial Surgeon practicing in Connecticut. This is a topic that we are constantly dealing with and each time we dive into a discussion on it there is always something new that pops up. In this conversation, we tackle many different aspects surrounding surgery and nerve injuries, including the products and practices surgeons need to be cautious of that can lead to endodontic injuries and why it’s essential to educate referrals on the possible causes of chemical injuries. He talks about different nuances of techniques that can lead to nerve injury and includes some tips regarding sectioning techniques. We touch on radiographic predictors of nerve injury, why it’s vital to understand and master a full sensory examination, and the different components of treatment planning. If you want to hear more about what a nerve injury repair surgery looks like, tips on flap closures, other techniques, and more, then be sure to tune in and start listening now. Key Points From This Episode:Dr. Salomon introduces the topic of today’s episode: nerve injuries.Basics of the etiology of nerve injuries.Products and practices surgeons need to be aware of that can cause chemical injuries. The importance of educating your referrals on possible causes of chemical injury. Dr. Salomon shares the nuances of techniques to avoid nerve injury. Theory of mind regarding unattached tissue and the possibility of the presence of a nerve.We provide some tips regarding sectioning techniques and the principle of surgery. Dr. Salomon stresses the point around the different complexities of taking out a third molar. We dive into the different components of nerve injury treatment planning.What defines a good nerve recovery. His thoughts, and further tips, on flap closures and other techniques.His post-op protocols and what he tells his patients to expect.Dr. Salomon talks about neuropathic pain best practices. More on the demographic of his surgical patients. The effects of dysaesthesia, anesthesia, and paraesthesia. The importance of thinking about the medical/legal ramifications relating to this topic. Rapid fire answers and enlightenments from Dr. Salomon. Links Mentioned in Today’s Episode:Dr. David Salomon on LinkedIn — https://www.linkedin.com/in/david-salomon-b8ab1431/ Dr. David Salomon Email - DPSalomo@gmail.com35% off Instruments PROMO CODE — EOSSummer2023Severance — https://tv.apple.com/us/show/severance/umc.cmc.1srk2goyh2q2zdxcx605w8vtx Top Gun: Maverick — https://tv.apple.com/us/movie/top-gun-maverick/umc.cmc.670544bajp6s4pysx4rvctczz Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

The years we spend as residents can be challenging on so many levels and the financial questions and constraints that we face can be very daunting. Dr. Bill Kwon joins the podcast today to offer some of the lessons he has learned over the years, and share a few words of wisdom that he wished he knew while in residency! Our guest talks about building credit, saving,  paying off loans, investments, and a whole lot more, unpacking the most important questions to ask yourself along the way. Being able to answer these questions adequately and honestly for yourself is very empowering, and the strategies shared here are sure to aid you in that quest. Dr. Kwon gets into a few of the different philosophies you can adopt with regard to investing, and things like retirement accounts and insurance, so make sure to stay tuned for that in the second half of the conversation!Key Points From This Episode:Dr. Kwon talks about his route into oral surgery. The issues that residents face with regard to loans.  Lessons that Dr. Kwon has learned around financial literacy, banking, and credit. Comments on managing student loans and what is available. The difference between income and net worth.  Thoughts on retirement accounts and the best investment habits.  Dr. Kwon explains the benefits of a mega backdoor Roth IRA.Addressing important factors of the unpopular topic of insurance.When to consider moonlighting as a resident. Dr. Kwon talks about why he recently enjoyed reading Empire of the Scalpel.A little about Dr. Kwon's passion for golf, and the lessons it offers!  More rapid-fire questions about forceps and favorite quotes.Links Mentioned in Today’s Episode:KLS Martin — https://www.klsmartin.com/en/Dr. Bill Kwon on LinkedIn— https://www.linkedin.com/in/william-kwon-dds-md-56885a47/Dr. Bill Kwon Email — williamkwon.ddsmd@gmail.comDr. Bill Kwon on Instagram — https://www.instagram.com/williamkwon.ddsmd/Charles Schwab — https://www.schwab.com/Ally — https://www.ally.com/Dave Ramsey — https://www.ramseysolutions.com/Rich Dad Poor Dad — https://www.amazon.com/Rich-Dad-Poor-Teach-Middle/dp/1612680194Rich Dad's CASHFLOW Quadrant — https://www.amazon.com/Rich-Dads-CASHFLOW-Quadrant-Financial/dp/1612680054 Winston Churchill — https://www.gov.uk/government/history/past-prime-ministers/winston-churchillEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Dr. Andrew Jenzer joins us today as we kick off our series focused on medicine by doing a deep dive into cardiology and some of the most important aspects that all levels of residents and practicing surgeons need to know about. This episode and the ones that follow in the same vein are designed to maximize learning, and as such, we explore some of the most useful terms on the subject, safety precautions for medication, and related conditions and concerns. We delve into managing hypertension, issues with blood pressure, EKG interpretation, atrial fibrillation, and more, with Dr. Jenzer taking the time to approach these areas in theory and in practice. Towards the end of today's chat, Dr. Jenzer also gives some attention to the important ideas of cardiac risk, congestive heart failure, and cardiomyopathy, so make sure to stay tuned right to the end to catch all of that too!Key Points From This Episode:Introducing the electric system of the heart.  Five important technical terms and becoming familiar enough with them to communicate effectively around cardiac medications. Tips and recommendations for the basics of EKG interpretation. Extra care that is required when prescribing Zofran. An explanation and a few vital notes on atrial fibrillation.Different degrees of heart blocks and reasons for their occurrence.Final comments on the electrical concerns of the heart.Dr. Jenzer's thoughts on how this subject figures into study plans. Unpacking the hormones involved in cardiology.Assessing hypertension and the steps that can be taken in response. Defining and explaining ischemic cardiac disease, acute coronary syndrome, and more.Weighing the benefits of the use of various opioids, morphine, and Toradol.  How to go about defining cardiac risk and using “major adverse cardiac events.”  Classifications of congestive heart failure. An understanding of the different types of cardiomyopathy and how they impair the heart. Links Mentioned in Today’s Episode:KLS Martin — https://www.klsmartin.com/en/Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzerRapid Interpretation of EKG's — https://www.amazon.com/Rapid-Interpretation-EKGs-Sixth-Dubin/dp/0912912065MDCalc — https://www.mdcalc.com/MACE Calculator — https://www.mdcalc.com/calc/1752/heart-score-major-cardiac-eventsRCRI — https://www.mdcalc.com/calc/1739/revised-cardiac-risk-index-pre-operative-riskNSQIP — https://riskcalculator.facs.org/RiskCalculator/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Presented by a prestigious faculty of clinicians from advanced OMS training programs and private practices, board review courses like the St. Louis Oral & Maxillofacial Surgery Review are tailored towards preparing board candidates for the Oral Certifying Examination. Today, you’ll hear from two of the creators of the St. Louis OMS Review, Dr. Rishad Shaikh and Dr. Damian Findlay, who are both practicing oral and maxillofacial surgeons in the St. Louis area. They offer some insight into their board certification preparation course and fellowship process, which includes highly detailed and didactic lectures from experts in each discipline, accompanied by intimate group breakout sessions for oral preparation using a mock board format. Join us for a comprehensive overview of the course and to find out how you can benefit from its intimate format. We also discuss why board certification is so important, especially in this day and age of online reviews, and Drs. Shaikh and Findlay share some practical tips and advice to help you study and prepare for your boards. Tune in today for all this and more!Key Points From This Episode:How the St. Louis OMS Review course has progressed since last year.What the purpose of this course is and why achieving board status is important.A high-level overview of the course structure, from lectures to breakout sessions.The added value of building personal rapport with attendees in an intimate setting.Reasons to become board certified (and how doing so validates the specialty).Recommendations for residents studying for written and oral boards: start early!How you can benefit from running scenarios with a partner.The advantages of doing a fellowship program with Drs. Shaikh and Findlay.Why Drs. Shaikh and Findlay suggest finding a group of people to study with.Tips for your oral exam, including listening to the whole question before answering.Where you can register for the course (and why you should do so!)Links Mentioned in Today’s Episode:St. Louis Oral & Maxillofacial Surgery Review — https://stlomfsreview.com Dr. Rishad Shaikh — https://midwestomfs.com/about-the-practice-overview/dr-rishad-shaikhDr. Rishad Shaikh Email —Dr. Damian Findlay — https://ofsinstitute.com/damian-findlay/Dr. Damian Findlay Email —Oral Board Review for Oral and Maxillofacial Surgery — https://www.amazon.com/Oral-Board-Review-Maxillofacial-Surgery/dp/3030488799KLS Martin — https://www.klsmartin.com/ (Promo Code: EOSImpaction23)Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059