Everyday Oral Surgery

Welcome to another episode of Every Day Oral Surgery! Today, we are joined by Jake Stucki to discuss some tips on using nitrous and oral sedation effectively. In this short episode, you’ll hear about the impetus for today’s topic, what could be happening when a patient says the nitrous isn’t working, and the pros and cons of using nitrous, as well as why you shouldn’t just crank it higher. We also discuss a potentially better method of sedation than anesthesia, some of our experiences of using oral sedation, and the importance of using proper dosage, plus some tips for handling pediatric sedation and the importance of knowing who is a good candidate for what type of sedation. Finally, we mention why oral surgeons often avoid the use of nitrous. To hear all this and more, tune in now!Key Points From This Episode:The impetus for today’s topic: a discussion about nitrous oxide with Jake.What could be happening when a patient says the nitrous isn’t working. The benefits of nitrous. The negative effects of nitrous. The importance of inspecting the system before cranking it higher if patients aren’t feeling it.The dangers of diffusion hypoxia with nitrous.Why a lower dosage of oral sedative combined with nitrous may be better than anesthesia. A look at when you shouldn’t use nitrous. What we have experienced when it comes to oral sedation. The importance of being aware of dosage and laws in different states. How we handle pediatric sedation. Why we put an IV in, regardless of the sedation method, when the patient falls asleep. The importance of knowing what patients need what type of sedation and how much.Why oral surgeons often avoid nitrous: the size and bulkiness of it.Links Mentioned in Today’s Episode:Jake Stucki on LinkedIn — https://www.linkedin.com/in/jake-stucki-ab19a593/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

Note writing feels like the bane of every oral surgeon’s existence, but is essential for your protection. Every aspect of your note could be used to help you in a medical-legal situation or hurt you. Today, we are joined by Connecticut-based OMS, David Salomon to discuss how to avoid and combat medical-legal issues with efficient note writing. We talk about the importance of forming good note-writing habits, and what those are, including tips for making the process as painless and efficient as possible. We break down what to include in your notes to avoid medical-legal issues, and share an example of notes being examined in a malpractice case. To further protect yourself, clear communication and an empathetic bedside manner are key, and in this episode, we cover the best ways to communicate with your patients before, during, and after a procedure, particularly in the case of a complication. Tune in to find out how best to protect yourself from medical-legal complications and be the best OMS you can be!Key Points From This Episode:Introducing today’s guest, Dr. David Salomon.Today’s topics: how to avoid and combat medical-legal issues.How we feel about the process of note writing.The importance of starting early and forming good habits, when it comes to note writing.The multifunctional purpose of note writing.Tips for making the process more efficient and painless.The skill required for writing succinct notes.What to include in your notes to avoid medical-legal issues.An example of notes being examined in a malpractice case.Why it’s important for oral surgeons to prioritize good note writing.Why it’s advisable to include probing depths in your notes, as well as reasons for extraction.The importance of making individualized notes for each patient and including everything that was discussed with the patient prior to the procedure.How to approach note writing for procedures involving anesthesia.Where to find suitable note templates!Why time-stamped, descriptive computer-written notes are preferable.How best to communicate with patients before and after a procedure to avoid legal complications.How to communicate a surgical complication to a patient during and post-procedure.The advantage of empathy and a good bedside manner.Dr. Stucki’s experience of an extortion attempt by a patient and how he handled it.Links Mentioned in Today’s Episode:Dr. David Salomon — https://www.linkedin.com/in/david-salomon-b8ab1431/OMSNIC — https://www.omsnic.com/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Our guest today, Dr. Raza Hussain, is a firm believer that Oral and Maxillofacial Surgeons who run their own private practices possess a unique set of skills that set them up to be excellent leaders. This can be especially relevant to public institutions like hospitals. Running your own private practice enables you to be an expert, not just in oral surgery, but also in the business side of things, like sourcing equipment, managing finances, and instituting an HR department. Tuning in you’ll hear Dr. Hussain unpack what he’s learned from his experiences working in public hospitals, the leadership training he underwent, and what his association with the Department of Veterans Affairs has taught him about leadership. We delve into what it takes to run a private practice, the benefits of being skilled in multiple areas, and the difficult decisions leaders in healthcare need to make on a regular basis. Dr. Hussain also shares his advice for young surgeons who are interested in leadership and why he would like to see more Oral and Maxillofacial Surgeons taking up leadership positions. Tune in for a deep dive into what it means to be a leader, the importance of being involved in public health leadership, and much more!Key Points From This Episode:Get to know our returning guest, Dr. Raza Hussain.How hospital committees affect the level of care healthcare professionals can provide for their patients.The leadership training Dr. Hussain underwent, sponsored by the Department of Veterans Affairs.What Dr. Hussain learned about the budgeting process for public institutions like hospitals.Why Oral and Maxillofacial Surgeons who have run their own private practices are uniquely suited to leadership positions in hospitals.The differences and similarities between running a private practice and working in a public institution.Dr. Hussain’s advice for young surgeons who are interested in leadership.Some of the difficult decisions you need to make as a leader.The precision and analytical skills that ​Oral and Maxillofacial Surgeons possess and why they are beneficial as a leader.The importance of being a good leader no matter what setting you’re in.Why healthcare providers need to be involved with budgeting and leadership decisions.Examples of how to educate your patients when they query costs or procedures.Why Dr. Hussain believes Oral and Maxillofacial Surgeons need to become more involved in broader healthcare leadership, both locally and globally.Links Mentioned in Today’s Episode:Dr. Raza Hussain — https://dentistry.uic.edu/raza-hussainUniversity of Illinois at Chicago (UIC) College of Dentistry — https://dentistry.uic.edu/Dr. Raza Hussain email — raza.hussain@va.govEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hl=en Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Welcome back to the Everyday Oral Surgery Podcast! During today’s episode, we are joined by Dr. Bill Jordan, an oral and maxillofacial surgeon practicing in Sugar Land, Texas. He is here today to discuss the rise of management groups and venture capital groups in recent years. Join us today to hear how to determine if bringing in practice management or a venture capital group is right for you. Dr. Jordan shares his own experience and goes into detail about how US Oral Surgery Management partners with practices. You’ll learn why it’s important for you to understand some of how your practice will be valued from a private equity standpoint and get some great tips on assessing whether a company is right for you to bring in. We touch on a management company’s role in providing support for reaching your goals, the reality of debt among young surgeons, and limiting burnout through hiring the assistance you need. Join us to hear all this and more today! Key Points From This Episode:An introduction to today’s guest, Dr. Bill Jordan, oral and maxillofacial surgeon. Today’s topic: the rise of management groups and venture capital groups in the last few years.Dr. Jordan weighs in on the first question you should ask yourself: is this right for me?His experience in dealing with practice management and venture capital. What US Oral Surgery does when they consult with your business. Why you need to understand some of how your practice will be valued from a private equity perspective.The importance of looking at a company’s management history before bringing them in.Why, if you are offered dividends, you really need to understand what that entails.The reality of debt among young surgeons.How the support of practice management can help you achieve your goals.Why your work as a surgeon will be saddled by the debt you have to repay.Limiting burnout by relying on management support.The unique opportunity to network with other surgeons.A word of caution around rules around itinerant surgery and post-ops according to the CPC.Why it is so important to be reachable for your patients.How what you do as a surgeon can impact the entire community of oral and maxillofacial surgeons.Links Mentioned in Today’s Episode:US Oral Surgery Management — https://www.usosm.com/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hl=en Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Dr. Erik Nuveen has built a life and a career that he truly loves, but getting to this point came with its own set of challenges. Listen to this episode where Erik candidly shares the ups and downs that he has faced along his journey, why his time at dental school has been invaluable to him as a full-body cosmetic surgeon, and what it takes to achieve true operational efficiency and sustain a thriving business. Erik does approximately 1400 major surgeries a year, and he has trained over 200 physicians and OMS residents over the past 20 years! His lack of fear is one of the fundamental factors which he attributes to his success. Whether or not you are interested in cosmetic surgery, this episode will leave you feeling inspired to take your career into your own hands and truly make the most of whatever path you choose! Key Points From This Episode:Erik shares the story of his residency transfer.Why he credits his success as a cosmetic surgeon to dental school.The average number of major surgeries that Erik does per year. How our guest achieves such a high degree of operational efficiency. The factors that he sees as fundamental to success.Erik’s drive to improve the way things are done in the medical field.Advice for any listeners interested in becoming a cosmetic surgeon.Erik’s ultimate goal that he hopes to achieve through training other surgeons.Personal struggles that he has overcome, and how his past has impacted the way he lives his life now.Examples of ways to give back to society.The primary investment endeavors that our guest is focused on at the moment. Why now is an interesting time to be involved in the oral surgery profession.Tips for running a flourishing business (yes, you can do it!).An overview of the ideal practice setup.The value that lies in having a business partner.Examples of how to demonstrate a high level of commitment to your career. Erik’s plans for the future.24000: the total number of surgeries that Erik has done! Links Mentioned in Today’s Episode:Erik Nuveen Email Address — drnuveen@gmail.comErik Nuveen on LinkedIn — https://www.linkedin.com/in/erik-nuveen-599920a1/ Cosmetic Surgery Affiliates — https://csaok.com/ American Academy of Cosmetic Surgery — https://www.cosmeticsurgery.org/default.aspx Everyday Oral Surgery — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hlEveryday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

During this episode of our Resident Series of the Everyday Oral Surgery Podcast, Jake and I walk you through the process of treating an odontogenic infection. We discuss everything from the factors that indicate the severity of an infection at the initial patient consultation (including systemic issues), to the difference between moderate and severe spaces, to the technical details about how to drain an abscess. These things will come up on a regular basis during your oral surgery career, so it is vital to understand them properly. If you are currently doing your OMS residency, this episode will help you feel more at ease when dealing with odontogenic infections!Key Points From This Episode:Factors to take into consideration to determine how severe an infection is. Some of the most important tests to order for a patient with an infection. Benefits of looking at a patient’s imaging prior to reading their report. What air looks like on a CT scan.Examples of things that are a cause for concern on a CT scan. What a more developed abscess looks like.Moderate versus severe spaces.How infections can compromise airways. The importance of understanding a patient’s systemic problems (if they have any). Indications that a patient should be admitted to hospital. Technical tips for draining an abscess. Advice for how to approach post-operative care of your patients.Examples of severe complications that can arise from untreated odontogenic infections. A description of each of the stages of infection.Links Mentioned in Today’s Episode:Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hl=en Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Getting a Squamous Cell Carcinoma diagnosis will, for some people, be one of the worst moments of their lives. As an oral surgeon, it’s your responsibility to walk your patients through this moment, and the process that follows. In today’s episode, Dr. Nicholas Callahan is here to share his thoughts on the kindest and most effective way to do this. We discuss everything from indicators of a potential Squamous Cell Carcinoma in the mouth and how to do a biopsy of an oral cavity lesion, to delivering a diagnosis to a patient, treating the cancer, and dealing with the potentially major life changes that take place after surgery. Nick also shares the importance of being open-minded as a dental student; you may be surprised by which areas of oral surgery make you feel fulfilled!Key Points From This Episode:Dr. Nicholas Callahan shares an overview of his background in oral surgery and his current areas of focus.Factors to take into consideration when choosing a fellowship or a residency training program.Reasons for the negative connotations associated with oral cavity cancer.Symptoms on the inside of the mouth which may signal Squamous Cell Carcinoma.Areas inside the mouth that are high risk for Squamous Cell Carcinoma. Why Nick worries more about painless ulcers than painful ones.Unlearning what you were taught at dental school about how to biopsy a potential cancer lesion.Why Nick prefers private practitioners to contact him directly when they have identified Squamous Cell Carcinoma in a patient.The initial screening process for a patient with Squamous Cell Carcinoma. Advice for delivering a Squamous Cell Carcinoma diagnosis to a patient.Steps to treating Squamous Cell Carcinoma.The survival rate for T4 cancers. Possible long-term effects of Squamous Cell Carcinoma surgery.The power of a positive mindset amongst cancer patients.Valuable advice for dental students: be open-minded and take advantage of every opportunity!A rapid-fire round with Nick.Links Mentioned in Today’s Episode:Dr. Nicholas Callahan Email — ncall@uic.eduChicago Max Face on Instagram — https://www.instagram.com/chicagomaxface/?hl=en  The Road by Cormac McCarthy — https://www.amazon.com/Road-Cormac-McCarthy/dp/0307387895Ghostbusters — https://www.imdb.com/title/tt0087332/  Everyday Oral Surgery — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hl=en Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

If you run a business, in this day and age, you need social media. Not necessarily to drive business, but to support and enhance your brand. Joining us today to share his thoughts on the subject is Dr. Jason Auerbach AKA Bloody Tooth Guy, OMS of Riverside Oral Surgery in New Jersey who happens to have gained 181k organic followers on his Bloody Tooth Guy Instagram account! In this episode, we find out how his online presence has benefited his physical practice, and how best to use social media to enhance your brand. We learn about Dr. Auerbach’s commitment to optimizing the patient experience and the ways in which he’s achieved his goal, as well as his tips for optimal referral management. Tune in to find out more about Dr. Auerbach’s journey and his inspiring philosophies on both social media and oral surgery!Key Points From This Episode:Dr. Jason Auerbach’s training history and current practice setup.How Dr. Auerbach developed Bloody Tooth Guy on Instagram.How he gained 181k organic followers!How his online presence has benefited his practice.Dr. Auerbach’s intention to scale his practice from the get-go.Ways in which he’s optimized the patient experience.The infrastructure of Riverside Oral Surgery.How to ensure optimal referral management.Dr. Auerbach’s advice for young doctors determining their niche in the field.How to use social media as a tool for your practice. The importance of being authentic on social media.Dr. Auerbach’s book recommendation, favorite non-oral surgery-related activity, favorite film, and which forceps he uses to extract tooth number 20!Links Mentioned in Today’s Episode:Dr. Jason Auerbach Email — jma@riversideoralsurgery.com or bloodytoothguy@gmail.comDr. Jason Auerbach on LinkedIn — https://www.linkedin.com/in/jason-m-auerbach-dds-392a0b39/Bloody Tooth Guy — https://bloodytoothguy.com/Bloody Tooth Guy on Instagram — https://www.instagram.com/bloodytoothguyRiverside Oral Surgery — https://www.riversideoralsurgery.com/TBS Dental — https://www.tbsdental.com/TBS Dental on Instagram — https://www.instagram.com/tbsinstrumentsDavid and Goliath by Malcolm Gladwell — https://www.amazon.com/David-Goliath-Underdogs-Misfits-Battling/dp/0316204374Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Dr. Vladimir Polyakov is an OMS running not one, but two practices in the LA area, the first of which he started from scratch straight out of university. In this episode, we hear about what it takes to successfully start a practice from scratch and the lessons Dr. Polyakov learned along the way. We discover how he has managed to halve his number of patients while being more financially successful than ever before, and how his practice has become completely insurance-independent. Dr. Polyakov explains why emotional intelligence and the way you communicate with patients and referring doctors is, in fact, the key to success, and fills us in on how best to nurture those relationships! Tune in to hear about Dr. Polyakov’s admirable journey, and his astute advice for young practitioners, particularly those looking to start their own practices.Key Points From This Episode:Dr. Vladimir Polyakov’s training history and current practice setup.How he started his own practice directly after graduation.How he acquired his second practice in 2015!His involvement in the American Association of Oral and Maxillofacial Surgery.The changes he’s made over the years to the way he runs his practices.How he manages to see fewer patients and be more financially successful than before. Dr. Polyakov’s procedure focus.The key to success, according to Dr. Polyakov, and what sets practitioners apart.How to establish a trusting relationship with patients.The importance of having a well-trained team within your practice.Dr. Polyakov’s plan to set himself and his practice up for his retirement.Notable turning points for improving his practice!The most valuable things he learned from the Levin Group.In what cases Dr. Polyakov will perform guided implant surgery.Crucial considerations prior to starting a practice.Advice for young oral surgeons and those looking to start a practice from scratch.Dr. Polyakov answers our rapid-fire questions!Links Mentioned in Today’s Episode:Dr. Vladimir Polyakov Email — vpolyakov@synergyoms.comSynergy Implant and Oral Surgery Center — https://synergyoms.com/Dr. Vladimir Polyakov on LinkedIn — https://www.linkedin.com/in/wisdomteethdentalimplantsoral/Dr. Vladimir Polyakov on Instagram — https://www.instagram.com/synergyomsDr. Vladimir Polyakov on Twitter — https://twitter.com/synergyomsAmerican Association of Oral and Maxillofacial Surgery — https://www.aaoms.org/Levin Group — https://levingroup.com/Sapiens: A Brief History of Humankind — https://www.amazon.com/Sapiens-Humankind-Yuval-Noah-Harari/dp/0062316117Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Traditional approaches to teaching and learning are rapidly becoming outdated. Past teaching methods do not take into account the range of expertise, different schedules, and continual advances made in medicine resulting in students feeling less equipped in real-world scenarios. In today’s show, we delve into a progressive alternative to teaching and learning in the realm of dental medicine with pioneer Dr. Martin Steed, Associate Professor and Chair of the Medical University of South Carolina College of Dental Medicine in the Department of Oral Maxillofacial Surgery. Dr. Steed found a passion for oral maxillofacial surgery early in his career and strives to continually improve his field within the academic domain. In this episode, we learn more about Dr. Steed and the SCORE curriculum, a curriculum designed to improve the education of surgical trainees through a standardized, peer-reviewed curriculum. In our conversation, we learn about Dr. Steed’s professional background and why he chose the academic career path. We also dive deep into what the SCORE curriculum is, how it first came about, what the benefits are to both students and teachers, how the program can be customized, what the main aims and goals of SCORE are, the assessment criteria, other ways it can help students, ways in which it is continually improving, and much more. Be sure not to miss out on the next step in learning and teaching with Dr. Martin Steed. Key Points From This Episode:Brief background about Dr. Steed’s training and current practice setup.Reasons behind his decision to choose an academic career path.Details about the current school curriculum and the opportunities it provides.What the ultimate goals, focus, and benefits of SCORE curriculum are.Dr. Steed shares examples of the approach and lesson plans used.Examples of the extra modules that Dr. Steed has added to the program.Outline of other benefits to residences, such as preparing for the board exam.He explains where the program has the potential to grow.Breakdown of the support that Dr. Steed has received for the SCORE curriculum.The structure of assessments is explained briefly. Whether the SCORE curriculum is being adopted at other Universities.Who acts as sources of new information for the SCORE curriculum.Dr. Steed shares some advice for people wanting to access the program.We end the show with our usual rapid-fire questions for Dr. Steed.Links Mentioned in Today’s Episode:Dr. Martin Steed on LinkedIn — https://www.linkedin.com/in/martin-steed-05253036/Dr. Martin Steed Phone — 843-876-7645Medical University of South Carolina — https://web.musc.edu/Medical University of South Carolina College of Dental Medicine — https://dentistry.musc.eduAAOMS — https://www.aaoms.org/SCORE for OMS — https://www.aaoms.org/education-research/oms-faculty/score-for-omsEveryday 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