Everyday Oral Surgery

Having privileges at your local hospital can be incredibly helpful when running a private practice. Today’s guest, Dr. Matthew Pham, is here to tell us how to obtain and manage hospital privileges. Tuning in, you’ll hear all about the process of getting hospital privileges, how Dr. Pham got his at two trauma centers nearby, the pros and cons of getting them, some tips and tricks for adjusting to being in a hospital setting again, and so much more! Dr. Pham goes on to explain how he gets paid by the hospitals before discussing how he manages his work schedule and maintains the benefits of having normal working hours, like in private practice, while working in a hospital. We also discuss the importance of having board certification when trying to get hospital privileges. Finally, he reminds us that operating with someone is always more fun and encourages us to ask for and accept help when operating. Thanks for listening in!Key Points From This Episode:Welcoming Dr. Matthew Pham to the show. Dr. Pham explains the process of obtaining hospital privileges and the benefits of it. The downside and difficulties of obtaining privileges. Why you should make sure you know exactly what equipment you need at the hospital. How Dr. Pham gets paid by the hospitals he has privileges at. Our guest tells us how he manages his work schedule while also working in a hospital. Why having normal working hours is so important to Dr. Pham and his family.Some encouragement for the beginning stages of working in the hospital again. The importance of accepting and asking for help when operating. Why board certification is a huge driving factor for getting hospital privileges. The books he likes, the movies he’s excited to watch as his kids get older, and more. Links Mentioned in Today’s Episode:Dr. Matthew Pham Email — mpham@mycenters.com Dr. Matthew Pham on LinkedIn — https://www.linkedin.com/in/matthew-pham-999b20242/Dr. Matthew Pham on Instagram — https://www.instagram.com/phamomfs/Dr. Pham’s Board Certification Course — https://flagshipspecialtypartners.com/eventsOutlive — https://www.amazon.com/Outlive-Longevity-Peter-Attia-MD/dp/0593236599 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

Meet Dr. Tim Bartholomew, a dedicated oral surgeon sharing his experiences working in Africa. From funding his humanitarian work to facing challenges of limited resources, learn about his innovative surgical techniques and the importance of patient follow-ups. Discover insights into balancing work abroad with family life, understanding poverty, and considerations for humanitarian work. Join us in exploring the world of oral surgery beyond borders with Dr. Bartholomew!

One of the best ways to extract real joy from your specialty is to give it away, and today’s guest embodies this belief. Joining Dr. Stucki on the podcast is Dr. Ray Lee, an OMS practicing in Virginia. Dr. Lee shares his journey from nearly being deployed to Vietnam, to becoming a dental hygienist, and eventually practicing as an OMS. He also discusses his humanitarian efforts, including the establishment of Operation Restore and how you can get involved, along with other roles he occupies in his region. Don’t miss this episode of Everyday Oral Surgery for an inspiring conversation. Enjoy!Key Points From This Episode:Dr. Lee shares a brief training history and his current practice setup.He elaborates on some of his humanitarian efforts over the last few years.A quick recap on his journey to becoming an OMS. How Operation Restore has evolved. What a Gold Star family means.How patients (or surgeons) can get involved in the Operation Restore Oral Health program.Why you should give your God-given talents and gifts away to extract real joy. He unpacks other roles he occupies in his region.Dr. Lee shares his answers to our wrap-up rapid fire questions. Links Mentioned in Today’s Episode:Dr. N. Ray Lee Email — reyzor1@aol.com‘Dr. Ray Lee Honored With Humanitarian Award.’ — https://www.dentistrytoday.com/dr-ray-lee-honored-with-humanitarian-award/ Meet Dr. Lee — https://oysterpointoralandfacialsurgery.com/meet-dr-lee/ Operation Restore Oral Health — https://operationrestoreoralhealth.org/ Operation Restore Oral Health Application — https://operationrestoreoralhealth.org/application/ Climate Change: The Real Story — https://www.amazon.com/Climate-Change-Dr-Robert-Marx/dp/B0BLTKF5YR The Blacklist — https://www.netflix.com/title/70281312 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

Medical professional liability insurance, more commonly known as malpractice insurance, is the most important insurance for oral and maxillofacial surgeons. To explain why this is, we are joined today by Anthony M. Spina, MD, DDS, whose position on the Board of Directors at OMS National Insurance (OMSNIC) makes him the perfect candidate to detail the value of malpractice insurance for medical professionals. Dr. Spina walks us through his journey to becoming a member of OMSNIC’s Board of Directors, his current practice setup, and his definition of malpractice insurance. Then, we learn more about malpractice insurance policies, why OMSNIC is the go-to insurer, OMSNIC’s meticulous claim review process, and the national and global trends that Dr. Spina sees playing out in malpractice insurance claims. To end, Dr. Spina shares some important advice on the best practices for preventing and reducing the risk of malpractice allegations.  Key Points From This Episode:Dr. Anthony Spina walks us through his professional history and current practice setup.How he became involved with OMSNIC; his route to landing a seat on the Board of Directors. Our guest’s definition of malpractice insurance/medical professional liability insurance. Notable trends that Dr. Spina has witnessed in malpractice insurance claims. Dr. Spina’s advice on how to prevent malpractice allegations. His final words of wisdom and encouragement for listeners. Quotes:“Malpractice insurance, also known as medical professional liability insurance, is what I consider to be the most fundamental insurance we have as oral and maxillofacial surgeons. It protects our ability to practice; it protects our livelihood.” — Dr. Anthony Spina [0:03:53]“Insurance, for me, is very simple. I insure things that I cannot afford to replace, and I cannot afford to replace my profession.” — Dr. Anthony Spina [0:04:08]“In a liability claim, the patient comes with a verbal story; we come with a written record. And as everybody knows in the legal arena, written is better than verbal.” — Dr. Anthony Spina [0:24:07]“We’re stronger together than individually – if we stay together, we can make a bigger impact.” — Dr. Anthony Spina [0:28:14]“There’s no way to really prevent a malpractice allegation – but we can recognize that it’s always a possibility and have strategies to mitigate or lessen the chances of that happening, or if it does happen, have the documentation prepared so it minimizes the impact of that allegation.” — Dr. Anthony Spina [0:28:37]“You have to be available for your patients, you have to be affable, and you have to be able. If you stick to that, then there’s a lower likelihood of a patient filing suit.” — Dr. Anthony Spina [0:29:17]Links Mentioned in Today’s Episode:Dr. Anthony Spina on LinkedIn — linkedin.com/in/anthony-spina-b860893a/ Dr. Anthony Spina Email — aspina@me.com OMS National Insurance — omsnic.comChicago Surgical Specialists — chicagosurgical.com/  MPL Association — mplassociation.org/ Everyday Oral Surgery on Instagram — instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Dr. Jonathan Bacon discusses autism diagnosis and language, comorbidities, and anesthesia prep for autistic patients. He shares insights on vetting patient strengths, treatments, and case studies. Dr. Bacon emphasizes the importance of language and physiology awareness. Key takeaways for oral professionals are highlighted, along with book recommendations.

There is no one-size-fits-all approach to treating dental patients, especially when it comes to complicated procedures like full arch reconstruction, as today’s guest, Dr. Hunter Dawson, will attest. Dr. Dawson joins us to talk about how he navigates full arch rehabilitation and construction in his practice and how his multi-specialty setting allows him and his team to tailor their approach according to each patient’s specific needs. Tuning in, you’ll hear Dr. Dawson break down the rehabilitation process from his perspective as a prosthodontist, how he supports the talented surgeons he works with, and the steps he and his team have taken to create a safe, efficient, and streamlined process. Discover why the planning phase is crucial for long-term success, how they create their high-quality interim prosthetics to improve the experience for their patients, and much more. To hear the full scope of our conversation with Dr. Hunter Dawson, be sure to tune in!Key Points From This Episode:Insight into Dr. Dawson’s full arch reconstruction process.How having a multi-specialty setting helps them treat a patient’s individual needs.What goes into preparing patients for full arch reconstruction.A breakdown of Dr. Dawson’s role as the prosthodontist.Insight into his partnership with the talented surgeons on his team.Details about the high-quality interim prosthetics Dr. Dawson provides.Steps that allow him to complete the surgery portion quickly, efficiently, and safely.How being a bow hunter helps him with focus and discipline as a prosthodontist.Dr. Dawson’s book and movie recommendations and top parenting tips.Quotes:“We're not trying to make everyone fit into a box. We’re trying to meet the patient where they are from a diagnosis standpoint and then, ultimately, plan around that diagnosis.” — Dr. Hunter Dawson [0:02:49]“There's three things that define where the teeth need to go. That's the incisor position, the occlusal plane, and the vertical dimension. — If you can't define those three things very clearly, you're not ready to move forward with surgical planning.” — Dr. Hunter Dawson [0:07:09]“I would encourage most oral surgeons to build their practice around working with people that understand the surgical portion of treatment.” — Dr. Hunter Dawson [0:08:05]“Simplifying the conversation is what's important [while] trying to make sure we're meeting the patient where they want to be.” — Dr. Hunter Dawson [0:14:14]“We're starting to see a lot of non-specialist procedures being done that are resulting in the need for specialists to intervene to correct.” — Dr. Hunter Dawson [0:16:39]“It's a six to eight-month process, [but] our patients get to wear a nice interim prosthetic.” — Dr. Hunter Dawson [0:26:00]Links Mentioned in Today’s Episode:Dr. Hunter Dawson — https://dawsondmd.com/Email Dr. Hunter Dawson — hdawson@envisiondentalimplants.comEmail Dr. Hunter Dawson — hunterdawsondmd@gmail.comUse promo code “DAWSON” to get a discount on SDC kitsDie With Zero: Getting All You Can from Your Money and Your Life — https://www.amazon.com/dp/0358099765Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Anesthesia is critical to surgical procedures, ensuring patients are comfortable and pain-free during operations. However, administering anesthesia is not without risks, especially for patients with underlying health conditions like aortic stenosis. In this episode, we are joined by Dr. Paul Rollins, Oral Surgeon at Falls Oral Surgery & Dental Implant Center, to explore some of his anesthesia near misses with patients. Learn about the basics of aortic stenosis, what the symptoms are, and how to identify it before administering anesthesia. Discover how to differentiate between aortic stenosis and Still’s murmur, why you need a high-quality stethoscope, and how to identify a diastolic murmur. We also delve into the process that follows after reliably identifying aortic stenosis, the pitfalls of relying completely on advisors for clearance, and the importance of maintaining a patient’s blood pressure while avoiding hypertension during anesthesia. Gain insight into other issues to consider before administering general anesthesia, the importance of asking questions, and more. Join us as we learn about some of the ways anesthesia can go wrong and how to avoid them with Dr. Paul Rollins!Key Points From This Episode:Why case reviews are so valuable for preventing problems.First case: an older male who exhibited aortic stenosis before general anesthesia.Second case: an older male with hypertension who exhibited a clear aortic stenosis.Third case: an older male diagnosed with aortic stenosis but cleared for general anesthesia.Fourth case: an anxious older female who had an obvious red flag.Fifth case: an older female who misrepresented her medical history. Dr. Rollins’ final takeaways and valuable advice for listeners!Quotes:“One the most frightening things about healthcare, what we do on a daily basis, and healthcare in general is we base so much of what we do on what the patient tells us about their history.” — Dr. Paul Rollins [0:04:00]“Once a patient becomes symptomatic with aortic stenosis, the mortality rate approaches 50% within two years without any intervention.” — Dr. Paul Rollins [0:07:14]“Sometimes [aortic stenosis] murmurs are so loud that you will hear it almost anywhere on the chest.” — Dr. Paul Rollins [0:18:51]“If you hear a diastolic murmur, don’t move forward with the case. Get it diagnosed and figured out first.” — Dr. Paul Rollins [0:29:00]“Never do something that you are uncomfortable doing because a patient is trying to pressure you into doing it.” — Dr. Paul Rollins [0:32:18]Links Mentioned in Today’s Episode:Dr. Paul Rollins — linkedin.com/in/paul-rollins-25248848Falls Oral Surgery & Dental Implant Center — fallsoralsurgery.comShōgun — imdb.com/title/tt2788316Narcos — imdb.com/title/tt2707408The Gentlemen — imdb.com/title/tt13210838The Little Book of Common Sense Investing — amazon.com/dp/1119404509Man's Search for Meaning — amazon.com/dp/1846042844/Everyday Oral Surgery Website — everydayoralsurgery.com Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

We often underestimate the importance of sleep and how “horror sleep” can negatively affect all aspects of our lives. One of the major hindrances to good sleep is airway complications, but maxillomandibular advancement surgical interventions may be the answer. To help us in our exploration of the impact of airway deficiency on temporomandibular disorders (TMD), we are joined today by the jaw and airway expert, Dr. Christian Andy Loetscher, DDS, MS. In this episode, Dr. Andy explains how a compromised airway leads to TMD complications, with technical examples of the exact causes of TMD. He also describes how regular deep sleep can eradicate most problems, how premolar removal is detrimental and the best practices for TMD treatments. You’ll learn about assessing and preparing patients for maxillomandibular advancement surgery, Dr. Andy’s process for these surgeries, and receive some helpful resources on the value and power of good sleep, plus a whole lot more! Tune in today.Key Points From This Episode:The relationship between airways and TMD. How a compromised airway causes TMD issues. The importance of deep sleep.  Best practices for TMD treatments. Getting technical about the exact causes of TMD. How premolar removal works as an effective treatment. His maxillomandibular advancement surgery process post-diagnosis. Examples of some of his more complicated cases. The relapses he sees in his patients and his outcomes regarding nerve issues. Some helpful resources on sleeping.   Links Mentioned in Today’s Episode:Dr. Christian Andy Loetscher on LinkedIn — linkedin.com/in/atlantaoralsurgery  Dr. Christian Andy Loetscher on X — twitter.com/OralSurgeryATL Dr. Christian Andy Loetscher Email —  jawimplant@aol.com  Atlanta Oral & Maxillofacial Surgery & Dental Implant Center — jawimplant.com ‘Sleep Prosthodontics: A New Vision for Dentistry’ — id.cdeworld.com/courses/4684-sleep-prosthodontics-a-new-vision-for-dentistry ‘The Sleeping Brain: Harnessing the Power of the Glymphatic System through Lifestyle Choices’ — mdpi.com/2076-3425/10/11/868  Why We Sleep — amazon.com/Why-We-Sleep-Unlocking-Dreams/dp/1501144316 The Matt Walker Podcast — sleepdiplomat.com/podcast  ‘Dr. Matt Walker: The Science & Practice of Perfecting Your Sleep’ — youtu.be/gbQFSMayJxk   Dr. Jeffrey S. Rouse — https://www.rousedds.com/jeffrey-rouse/ Everyday Oral Surgery Website — everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

It is so important to be able to find humor in every situation, even difficult ones and as an oral surgeon, you may encounter difficult situations often! Today’s topic of discussion is a bit of a lighter one, as we are joined by Ben Hechler to break down all the different oral surgery stereotypes and our experiences of them. Maybe you are the grump surgeon who has worked way past your retirement or you’re the bro surgeon who wants to make friends with everyone! Perhaps you are the assistant who likes to give medical advice or even the storyteller front desk worker. You could even be the nervous nelly oral surgery patient. Whatever stereotype you fall under, this episode is a hilarious anecdote that is not to be missed so be sure to tune in now! Key Points From This Episode:Welcoming Ben Hechler back to the podcast. Why it’s often appropriate and beneficial to find humor in stressful situations as oral surgeons. A breakdown of stereotypes of different types of oral surgeons and our experiences of them: 1. The God-Complex Surgeon.2. The Bro Surgeon. 3. The Grump Surgeon. 4. The Canceler Surgeon. 5. The Veteran Surgeon. 6. The Almost Viral Surgeon. 7. The Resident. What these different kinds of surgeons generally wear. Observations of some stereotypical front desk workers: 1. The Bullsh*tter. 2. The Blocker.3. The Storyteller. Dissecting some stereotypical assistant types:1. The Old Hands. 2. The Doctor. 3. The Absent-Minded Professor. A few archetypical oral surgery patients and how to handle them as oral surgeons:1. The Nervous Nelly. 2. The Big Chill. 3. The Loud Laugher. 4. The Cellphone Junkie. 5. The Raging Bull. Links Mentioned in Today’s Episode:Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/Dude Perfect — https://dudeperfect.com/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

During this episode, Dr. Dallen Mill joins us to share a few technologies that have been so beneficial to him that he would almost describe them as magic. We kick off our conversation with a brief overview of the history of anesthesia before we unpack how to address respiratory compromise and airway emergencies. Dr. Mill shares four studies on two options for laryngoscopies, discusses tips for negotiating the tube through the vocal cords, and offers some tech suggestions to support the process. We also talk about IV placement, the power of having a longer IV catheter, how to optimize the process with the use of an ultrasound device, and much more! For an informative review of some of the most helpful technology available in anesthesia today, don’t miss this conversation with Dr. Dallen Mill. Key Points From This Episode:An overview of the history of anaesthesia. Respiratory compromise concerns and how airway emergencies can be managed.The appropriate time to apply direct laryngoscopy versus video laryngoscopy.Four studies on the relevance of these two approaches.Tips for negotiating the tube through the vocal cords.Different options for purchasing a video laryngoscope.Learning how to get the necessary view and practicing insertion.Other scenarios where video laryngoscopy can be useful.The role of an ultrasound in the process. IV placement and alleviating patient anxiety. Why a longer IV catheter can be beneficial for the ultrasound process.Linking the ultrasound device to your iPad. Using the BIS Monitor where relevant.Fine-tuning the wake-up process.A guide to practicing IV placement. Links Mentioned in Today’s Episode:Dr. Dallen Mill on LinkedIn — https://www.linkedin.com/in/dallen-mill-055338/‘Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults’ — https://pubmed.ncbi.nlm.nih.gov/37326325/‘First-attempt success rate of video laryngoscopy in small infants (VISI): A multicentre, randomised controlled trial’ — https://pubmed.ncbi.nlm.nih.gov/33308472/King Vision Video Laryngoscope — https://www.ambu.com/airway-management-and-anaesthesia/clinical-evidence/king-vision-video-laryngoscopeGlideScope Video Laryngoscope — https://www.verathon.com/video-laryngoscopes/BESDATA Video Laryngoscope — https://besdatatech.com/video-laryngoscope/Sonoque — https://www.sonoque.com/Butterfly Network — https://www.butterflynetwork.com/ Dr. Sono — https://drsono.com/ 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.com Dr. Grant Stucki Phone — 720-441-6059