Podcasts about OMS

Better implant outcomes start with how we shape tissue from day one. In this episode of Everyday Oral Surgery, host Dr. Grant Stucki welcomes return guest Dr. Richard Akin, an oral and maxillofacial surgeon from Louisiana, to explore immediate implants and the art of crafting custom healing abutments. Dr. Akin explains how years of refinement shaped his chairside method for building custom healing abutments with bulk-fill composite. This approach helps capture and maintain the natural tissue contours during healing. He shares practical lessons on case selection, torque control, and grafting, and unpacks why wide-platform implants play such a critical role in the long-term success of posterior and second molar cases. Beyond surgical precision, Dr. Akin reflects on how collaboration with restorative dentists and lab technicians helps bridge knowledge gaps, streamline workflows, and ultimately improve patient outcomes. Tune in for a masterclass in technique, teamwork, and continual learning within oral surgery!Key Points From This Episode:An introduction to Dr. Richard Akin, an OMS practicing in Louisiana.How a 2010 course sparked his interest in immediate provisionals.The evolution of his chairside custom healing abutment technique.Using bulk-fill composite to capture patient-specific tissue contours.Publishing the “anatomic harmony abutment” concept in 2016.Why soft-tissue management is as critical as implant stability.Key benefits from his custom healing abutment technique.Dr. Akin's full immediate implant workflow from extraction to final abutment.Optimizing insertion torque for predictable immediate placement.Case selection, grafting, and managing buccal gaps for success.Preference for wide-platform implants in posterior and molar cases.Long-term recall data showing success in second-molar implants.Prioritizing thorough socket debridement and irrigation to achieve clean, bleeding bone.Avoiding over-drilling through feel and control during osteotomy preparation.Collaborating with restorative dentists and other specialists for improved patient outcomes.The importance of actively bridging gaps between surgeons, labs, and restorative teams.A breakdown of Dr. Akin's approach to maxillary immediate implants.Final reflections on teamwork, gratitude, and patient-centered care.Links Mentioned in Today's Episode:Dr. Richard Akin — https://www.drakin.com/Dr. Richard Akin on LinkedIn — https://www.linkedin.com/in/rick-akin-644aa932/Dr. Richard Akin email — rick@drakin.com‘A New Concept in Maintaining the Emergence Profile in Immediate Posterior Implant Placement: The Anatomic Harmony Abutment' — https://www.researchgate.net/publication/304779134_A_New_Concept_in_Maintaining_the_Emergence_Profile_in_Immediate_Posterior_Implant_Placement_The_Anatomic_Harmony_Abutment‘Clinical Advantages of Immediate Posterior Implants With Custom Healing Abutments: Up to 8-Year Follow-Up of 115 Cases' — https://www.researchgate.net/publication/363099744_Clinical_Advantages_of_Immediate_Posterior_Implants_with_Custom_Healing_Abutments_Up_to_8_Year_Follow_Up_of_115_CasesEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyda

Explosión de pirotecnia genera pánico en Puebla sin lesionados OMS alerta por aumento global de influenza A H3N2Dirigente afgana confía en diálogo para mejorar derechos de mujeresMás información en nuestro podcast

Jornal da ONU com Ana Paula Loureiro. Esses são os destaques desta sexta-feira, 12 de dezembro:Tempestade Byron inunda Gaza e coloca quase 795 mil palestinos em riscoGrupo de especialistas da OMS reafirma que não há ligação entre vacinas e autismo

O uso de antibióticos no fim da vida é uma das decisões clínicas mais complexas dentro dos cuidados paliativos. Neste episódio do InfectoCast, William e Jordan recebem o médico paliativista Dr. Fernando Greco para uma conversa profunda sobre quando, como e porquê tratar infecções em pacientes em terminalidade. A discussão une evidência científica, ética, comunicação difícil e tomada de decisão compartilhada.Ao longo da conversa, exploramos o conceito de cuidados paliativos segundo a OMS, a visão multidimensional do paciente, as diferenças entre terminalidade, fase final da vida e processo ativo de morte, além de barreiras impostas por profissionais de saúde e o papel do vínculo com pacientes e famílias.Também analisamos riscos reais do uso de antibióticos nesse cenário, como toxicidade, sobrecarga hídrica, neurotoxicidade, delírio e seleção de bactérias multirresistentes, além do impacto epidemiológico e econômico. Discutimos casos reais, ciclos curtos de teste terapêutico, uso por hipodermóclise, definição de parâmetros de resposta e limites do benefício clínico.Um episódio essencial para quem atua em infectologia, clínica médica, cuidados paliativos, UTI, geriatria, oncologia e enfermagem, e para todos os profissionais que lidam com decisões críticas no fim da vida.Para aprofundar esse tema na prática e revisar condutas essenciais do dia a dia, você pode conhecer o curso S.O.S Antibióticos do InfectoCast, criado para oferecer segurança clínica, racionalidade terapêutica e tomada de decisão baseada em evidências.Conheça mais clicando aqui.

INBAL mantiene Gran Venta de Bodega hasta el 14 de diciembre  OMS alerta por falsificación del medicamento Simulect  Conmemoran el Día de los Derechos Humanos  Más información en nuestro podcast

O Brasil, acordo com a Organização Mundial da Saúde (OMS), é o país que mais sofre com ansiedade, um dos sintomas muito presentes nesta época do ano. A “dezembrite”, apesar de considerada como algo passageiro, se não diagnosticada e tratada corretamente, pode evoluir e se tornar um transtorno recorrente, causando sofrimento ao indivíduo. O âncora Jota Batista conversa, nesta quarta-feira (10), com a geriatra Flávia Goldmann, membro da Sociedade Alemã de Geriatria.

La CEAV lanza convocatoria para integrar su Asamblea Consultiva Peregrinos son atropellados en NL; hay ocho lesionados  OMS alerta sobre riesgo de pobreza extrema por gastos en saludMás información en nuestro podcast

Nuevo colector en La Paz, tras inundaciones¡El Zócalo ya huele a Navidad! Instalan romería de fin de año  2 mil millones de personas no pueden pagar atención médica: OMSMás información en nuestro Podcast

Deux jours après la publication de son rapport mondial, le 4 décembre, l'Organisation mondiale de la Santé alerte sur une hausse des cas et des décès du paludisme l'an dernier : environ 282 millions de cas et 610 000 morts. Une progression alimentée par la résistance croissante des moustiques aux médicaments, les effets du climat, les conflits… et des coupes de financement qui menacent d'effacer vingt ans de progrès. L'Afrique reste l'épicentre de la maladie, avec 94 % des cas mondiaux, et les enfants de moins de cinq ans en paient toujours le plus lourd tribut. Arnaud Le Menach, auteur principal du rapport, nous explique pourquoi la lutte marque le pas et ce qui peut encore changer la donne. Il est l'invité de Christina Okello.

CDMX propone ampliar subsidio de tenencia  UNAM ofrece prueba de VPH por PCR a bajo costo  EU registra 1,798 casos de sarampión y tres muertesMás información en nuestro podcast

Cifra tonda questo venerdì Stupefan! Ma non c'è niente da festeggiare anzi, qui solo gran brutte notizie. Per fortuna ci siamo qui noi a tenervi aperte flebili porte di speranza, che pur ci sono. Andiamo però con ordine. Primo di tutto, l'onorevole Magi - che aveva tentato la via del ricorso per supposto conflitto di attribuzione tra poteri dello Stato per liberarci dal decreto sicurezza - ha ricevuto risposta dalla Corte Costituzionale: respinto, un singolo deputato non può ricorrere da solo quando agisce a tutela delle prerogative della Camera. Se anche a voi questa cosa non suona siete in buona compagnia e dobbiamo dirvi che questo non è l'unico "rigetto" di questa settimana. Anche il ricorso, presentato davanti all'ECDD, per ritabellare la foglia di coca non ha avuto esito positivo. Si è deciso quindi di lasciare la pianta lì dov'è nelle tabelle delle convenzioni ONU perché regolamentarla potrebbe aumentare la produzione di cocaina a livello globale. Sì, anche qui c'è qualcosa che non torna se si processa la frase logicamente, ci sono degli elementi che non stanno insieme, come la regolamentazione legata all'aumento dell'illegalità. O anche come un leader di Forza Nuova associazio allo spaccio di cocaina. Ah no! Play!Note dell'episodio:- La Corte respinge il ricorso di Magi: https://ilmanifesto.it/dl-sicurezza-consulta-respinge-ricorso-di-magi- L'ordinanza del 2019: https://www.cortecostituzionale.it/scheda-pronuncia/2019/17- Santa Barbara da Brindisi: https://lespresso.it/c/attualita/2025/12/3/cannabis-light-corte-costituzionale-decreto-sicurezza-gip-brindisi/58729- Un leader di FN una sera d'autunno: https://www.fanpage.it/roma/arrestato-per-spaccio-stefano-schiavulli-tra-i-leader-di-forza-nuova-cocaina-e-e-denaro-in-auto/- FN e Amy: https://www.foggiatoday.it/cronaca/spot-antidroga-fn-amy-winehouse.html- Fuoriluogo sulla decisione dell'ECDD/OMS: https://www.fuoriluogo.it/mappamondo/foglia-di-coca-condannata-a-vita-loms-chiude-il-riesame-traditi-popoli-andini-e-scienza/Entra in contatto con noi usando la mail stupefatticast@gmail.com o seguendo su Instagram il @stupefatti_podcast! Puoi anche iscriverti a STUPEGRAM, il nostro canale telegram, a questo link https://t.me/stupegram!

Conexão Sociedade: Entrevista com médica endocrinologista,Dra. Taciane Megan que falou sobre canetas emagrecedoras e novas diretrizes da OMS.

Indícios de que parasita causador da doença está se tornando menos sensível ao tratamento foram encontrados em oito países; mutações genéticas podem dificultar combate à doença; OMS recomenda que países evitem dependência excessiva de um único fármaco.

Neste boletim: Mais de mil mulheres das Forças Armadas Australianas se juntam em ação coletiva por conta de abusos sexuais e discriminação. Governo da Austrália cogita doar para a Ucrânia helicópteros militares antigos que seriam desmontados. Com alta na criminalidade, Victória propõe lei que pode condenar à prisão perpétua adolescentes de 14 anos por crimes graves. Com 1 bilhão de obesos no planeta, OMS passa a recomendar as canetas emagrecedoras no tratamento contra a obesidade.

Pela primeira vez, a Organização Mundial de Saúde sugere o uso de um medicamento para o tratamento da obesidade. A OMS diz que os medicamentos desenvolvidos para controlo da diabetes, mas que têm sido amplamente utilizados para a perda de peso, devem estar cada vez mais acessíveis à população em geral e pressiona os diferentes países a assumirem políticas públicas que permitam o uso generalizado destes medicamentos. Neste episódio, conversamos com João Jácome de Castro, presidente cessante da Sociedade Portuguesa de Endocrinologia Diabetes e Metabolismo, endocrinologista no Hospital das Forças Armadas.See omnystudio.com/listener for privacy information.

==============================================SUSCRIBETEhttps://www.youtube.com/channel/UCNpffyr-7_zP1x1lS89ByaQ?sub_confirmation=1==================================================== DEVOCIÓN MATUTINA PARA MUJERES 2025“AMANECER CON JESÚS”Narrado por: Sirley DelgadilloDesde: Bucaramanga, ColombiaUna cortesía de DR'Ministries y Canaan Seventh-Day Adventist Church===================|| www.drministries.org ||===================03 de DiciembreUn mundo en crisis«Ya no se ven ancianos en la puerta, y los jóvenes han dejado sus canciones. Cesó el gozo de nuestro corazón y nuestra danza se cambió en luto» (Lamentaciones 5: 14-15).«Veinte veinte». Aquel fue el nombre con el que la humanidad bautizó al año 2020. Todos lo recibimos con alegría, con expectativas, con proyectos, con sueños que alcanzar. Nadie sabía lo que «veinte veinte» tenía preparado para el mundo. No había terminado la primera semana de aquel año, cuando el país caribeño de Puerto Rico había sufrido el sismo más fuerte en su historia. Los incendios en Australia habían alcanzado su máximo daño a los ecosistemas. Familias enteras perdieron el trabajo de toda una vida; el fuego acabó con casas, árboles y animales. Eran imágenes escalofriantes. En un ataque aéreo, Estados Unidos mató al jefe de la Guardia Revolucionaria Iraní. Irán respondió el ataque. Ante aquello, se preparaba una guerra.En Indonesia, miles de familias fueron afectadas por las fuertes inundaciones que causaron las lluvias torrenciales. Por el mismo motivo, cientos de familias también fueron desalojadas de sus hogares en Perú y en Ecuador (los dos últimos países, en febrero). En Alaska el volcán Shishaldin entró en erupción, por lo que se activó la alerta roja. Antes de terminar enero, Turquía había sido sacudida por un terremoto de 6.8, derrumbando edificios y casas, y dejando cientos de heridos, de los cuales algunos perdieron la vida.Por si fuera poco, el primer día de 2020 amaneció con la noticia de que en China había un brote de un nuevo coronavirus. Pronto supimos que el COVID-19 se hallaba en otros países y para el 11 de marzo, la OMS declaraba

Más de 9,500 casos de gusano barrenador en el país Sonora lidera producción nacional de uva                                                                                                                                                                   OMS avala uso de fármacos GLP-1 para tratar la obesidadMás información en nuestro podcast

No total, 64 casos foram registados, com 53 confirmados, e 45 mortes; mais de 47 mil pessoas foram vacinadas, com o apoio essencial da Aliança para as Vacinas, Gavi; a OMS publica recomendações a seguir, devido à condição endémica da doença.

Confira nesta edição do JR 24 Horas: A Organização Mundial da Saúde (OMS) divulgou sua primeira diretriz sobre o tratamento da obesidade utilizando canetas emagrecedoras. A recomendação é que esses medicamentos sejam usados exclusivamente por adultos e não por gestantes. A agência enfatiza que o tratamento deve ser combinado com uma dieta equilibrada e exercícios físicos regulares para maior eficácia. E ainda: Defesa Civil alerta para chuva e ventos fortes nesta terça-feira (2).

Na terceira edição deste boletim você confere:- Sabesp anuncia reajuste de 6,11% a partir de 2026;- OMS lança primeiras diretrizes para o uso das canetas emagrecedoras;- Por telefone, Lula e Trump conversam sobre tarifaço e combate de organizações criminosas internacionais.O Boletim Rádio Gazeta Online é um conteúdo produzido diariamente com as principais notícias do Brasil e do mundo. Esta edição contou com a apresentação das monitoras Maria Clara Pinheiro e Maria Eduarda Palermo, do curso de Jornalismo.Escute agora!

De acordo com o relatório anual da Organização Mundial da Saúde (OMS) sobre a resistência microbiana, publicado em outubro, um sexto das infecções bacterianas confirmadas em laboratório e mais comuns em humanos é resistente aos antibióticos.   Taíssa Stivanin, da RFI em Paris Vários fatores contribuem para esse cenário, explicou o infectologista francês Sylvain Diamantis, membro da Sociedade de Doenças Infecciosas de língua francesa, que atua no hospital de Melun, na região parisiense. Ele cita, por exemplo, a prescrição de antibióticos para aumentar a massa muscular de bovinos e frangos de corte na agroindústria, o que facilita o aparecimento de micróbios resistentes. “A comunidade científica é claramente contra o uso de antibióticos como fator de crescimento em bovinos e aves”, diz o infectologista. As leis europeias proíbem a prescrição de antibióticos em animais que geram resistência nos humanos. “É uma questão que está atualmente no centro dos debates. O objetivo é que essas leis sejam adotadas em todo o planeta, para que o mundo humano e animal seja obrigado a respeitar as normas de prescrição em antibioterapia. A resistência microbiana é um fenômeno de saúde global, um reflexo da sociedade como um todo.” A França é um país que tradicionalmente prescreve muitos antibióticos, e isso se deve à sua própria história. No século XIX, o cientista Louis Pasteur, que hoje empresta seu nome ao famoso instituto francês com o qual o Brasil mantém várias parcerias, foi um pioneiro da microbiologia. Pasteur descobriu que as bactérias, presentes em toda parte no mundo e no organismo, podem também provocar doenças. Seus estudos estão na origem da adoção de hábitos de higiene simples, como lavar as mãos, essenciais na luta contra a propagação dos micróbios nocivos. Com a invenção da penicilina em 1928 por Alexander Fleming, uma das maiores descobertas da Medicina, o combate às bactérias ganhou outra dimensão social. “Na época, pensávamos que um ‘bom micróbio era um micróbio morto', e os antibióticos começaram a ser muito usados”, lembra o infectologista francês. Segundo ele, o fato de a França ter grandes empresas do setor farmacêutico, como a Sanofi, também contribuiu para a popularização do uso das moléculas e o aumento das prescrições. O contexto social francês impulsionou o consumo e, ao longo das décadas, gerou um aumento progressivo da resistência bacteriana, explica o especialista francês. Mas a taxa está em diminuição há alguns anos, como resultado do lançamento de campanhas que alertam para o uso de antibióticos sem indicação precisa e da incorporação gradual de regras rígidas de higiene nos hospitais franceses, reforçadas após a pandemia de Covid-19, em 2020. “A França tem um nível alto de higiene nos hospitais, com o uso de produtos hidroalcoólicos que interrompem a transmissão das bactérias entre os profissionais de saúde nos estabelecimentos. Graças a isso, diminuímos a nossa taxa de resistência.” Mas, apesar das precauções, diz, os índices nos estabelecimentos franceses ainda permanecem elevados devido à circulação de pacientes de vários lugares do mundo, que às vezes carregam cepas bacterianas sofisticadas. Precisa mesmo de antibiótico? Seja no hospital ou em casa, uma das maneiras de lutar contra o aparecimento das bactérias super-resistentes é, obviamente, não ficar doente. Para isso, a adoção coletiva de hábitos básicos de higiene, como a lavagem das mãos, além de manter o calendário vacinal em dia, é essencial. De acordo com o infectologista, também é importante deixar de utilizar moléculas que geram mais resistência, como as cefalosporinas de terceira geração e as fluoroquinolonas, ambas de largo espectro, ou seja, que tratam diferentes tipos de infecções. Na França, esses dois antibióticos são prescritos principalmente por clínicos gerais, diz Sylvain Diamantis. “O grande desafio da estratégia nacional contra a resistência antimicrobiana é não prescrever antibióticos sem necessidade. Em estudos que fizemos, constatamos que apenas 20% das consultas nos consultórios médicos franceses são infecções bacterianas.” Segundo ele, as prescrições de antibióticos fora dos hospitais poderiam diminuir em 60%, já que bronquites, sinusites e outras doenças banais são, na maior parte do tempo, virais, e os antibióticos não vão acelerar a cura, como imaginam muitos pacientes. No caso da gripe, por exemplo, os antibióticos são prescritos, em geral, alguns dias depois do início da doença, após o retorno da febre, para prevenir infecções secundárias. A doença é caracterizada por uma febre em V, ou seja, começa alta, diminui e depois aumenta de novo, para finalmente ceder. De acordo com o infectologista, isso faz com que os pacientes atribuam de maneira errônea a melhora ao antibiótico, fazendo uma associação equivocada de causa e efeito. “Sem antibiótico, o paciente também não teria febre. Mas a história natural da doença, e a queda brusca da temperatura e seu retorno, dois dias mais tarde, vai induzir ao erro.” Os antibióticos em gotas ou para uso tópico também devem ser evitados. “Quando temos uma infecção, tomamos antibióticos de verdade, na dose certa, para tratá-la corretamente. Os antibióticos de uso local funcionam mal e temos que parar de prescrever. Não há praticamente nenhuma indicação para o uso desse tipo de antibiótico.” Na França, a compra de antibióticos exige receita, mas esse nem sempre é o caso no Brasil, o que aumenta os riscos.

In this week's episode we're diving into the world of digital ground movement monitoring – a rapidly evolving field that's quietly transforming how we manage, maintain, and future-proof our critical infrastructure.Emerging into this market is Osprey Measurement Systems, a high-tech business spun out of University College London that's using cutting-edge digital tools to bring greater precision, speed, and insight into ground movement – something that affects everything from railways and tunnels to utilities and city infrastructure.To help us understand the technology, the market, and the broader implications, I'm joined by Daniel Scott, co-founder and Chief Technology Officer at Osprey. Daniel's background is nothing if not broad – he's a former lecturer at UCL in civil and geomatic engineering and has worked on major UK infrastructure projects including Crossrail and the Channel Tunnel Rail Link.He's also a serving member of the 507 Specialist Team Royal Engineers focusing on railway infrastructure – more about that later, I'm sure!In this conversation, we explore the journey of OMS as a spin-out company, the power of reality capture and digital measurement to transform infrastructure delivery and monitoring, and what it takes to bring genuinely disruptive technology to a traditionally risk-averse sector – and how technology like this can shift the performance, efficiency, and safety of infrastructure assets.ResourcesOsprey Measurement SystemsDaniel Scott Linked InUniversity College London ground engineeringCrossrail lessons learned Channel Tunnel High Speed Rail 507 Specialist Team Royal Engineers

Écoutez le meilleur de l'émission La commission du lundi 1er décembre 2025: Le gouvernement fédéral envisage-t-il réellement de mettre fin au télétravail à partir de 2027? L’OMS recommande les médicaments comme Wegovy et Ozempic pour lutter contre l’obésité dans le monde; «Limiter le droit de grève, pour nous ça vient brimer le droit d'association» -Robert Comeau; Une casquette à plus de 1000$ chez Costco pour aider à combattre la calvitie. Voir https://www.cogecomedia.com/vie-privee pour notre politique de vie privée

Miguel Ángel González Suárez te presenta el Informativo de Primera Hora en 'El Remate', el programa matinal de La Diez Capital Radio que arranca tu día con: Las noticias más relevantes de Canarias, España y el mundo, analizadas con rigor y claridad. Miguel Ángel González Suárez te presenta el Informativo de Primera Hora en 'El Remate', el programa matinal de La Diez Capital Radio que arranca tu día con: Las noticias más relevantes de Canarias, España y el mundo, analizadas con rigor y claridad. Hoy se cumplen 1.388 días del cruel ataque e invasión de Rusia a Ucrania. 3 años y 278 días. Hoy es lunes 1 diciembre de 2025. Día Mundial de la Lucha contra el SIDA. El 1 de diciembre se celebra el Día Mundial de la Lucha contra el SIDA. Fue el primer día dedicado a la salud en todo el mundo, y la razón de elegir esa fecha concreta fue por razones de impacto mediático, al ser el primer día del mes de diciembre. En este día, se hacen muchos actos de concienciación; muchas personas salen a la calle con un lazo rojo, símbolo de la lucha contra el Síndrome de Inmunodeficiencia Humana (SIDA, por sus siglas en inglés); grupos de personas se movilizan para recaudar fondos para la investigación y para dar su apoyo y solidaridad a las personas con SIDA. Origen del Día Mundial del SIDA. La primera vez que se celebró el Día Mundial de la Lucha contra el SIDA fue en 1988 y desde esa fecha, el virus ha matado a más de 25 millones de personas en todo el mundo, lo que supone una de las epidemias más destructivas de la Historia. 1899: En Barcelona se realiza la primera carrera de automóviles de España. 1919: En Londres (Reino Unido), Lady Astor se convierte en la primera mujer miembro del Parlamento al tomar asiento en la Cámara de los Comunes. (Había sido elegida el 28 de noviembre). 1941: En Japón (en el marco de la Segunda Guerra Mundial), el emperador Hirohito da su aprobación final para declarar la guerra contra Estados Unidos. Tal día como hoy, 1 de diciembre de 1955 Rosa Parks inicia un boicot a los autobuses en Montgomery, Alabama, cuando se niega a renunciar a su asiento de un autobús para dejar espacio para un pasajero blanco. Dirigido por Martin Luther King, Jr., el boicot duró más de un año y resultó el fin de la segregación de los autobuses. Esto a menudo se considera como el evento que inició el Movimiento de Derechos Civiles en todo el país. 1981: Se registra oficialmente el primer caso de sida, en cuyo recuerdo en 1988 la OMS establecerá esta fecha como el Día Mundial de la Lucha contra el Sida. Años más tarde, el 1 de diciembre de 1987 el rey Juan Carlos inauguró al norte de Madrid una planta de microchips de 220 millones. Se espera que la fábrica produzca 20 millones de microchips para 1991 y cuenta con 300 técnicos. 1990: A 40 metros bajo el lecho del Canal de la Mancha (entre Inglaterra y Francia), se encuentran los trabajadores que construyen el Eurotúnel. 2002: En Santiago de Compostela (España) se manifiestan 200.000 personas, convocadas por la organización Nunca Máis, para exigir dignidad y dimisiones por la incompetencia del gobierno gallego y español ante la crisis del barco petrolero Prestige. Santos Eloy, Próculo, Evasio, Rogato, Natalia y Lucio. Una de las mayores terminales petrolíferas de Rusia suspende sus operaciones tras el ataque de un dron ucraniano. Netanyahu pide al presidente israelí el indulto por corrupción. El presidente polaco Nawrocki cancela la reunión con Orbán tras la visita del primer ministro húngaro a Moscú. Feijóo, ante miles de personas en la protesta de Madrid: "El sanchismo está en la cárcel y debe salir del Gobierno" Feijóo aclara a Junts y al PNV que quiere ganar en las urnas y "no a través de ninguna moción" de censura. Peste porcina africana: qué es, cómo avanza y a qué municipios afectan las restricciones. Sanidad recomienda el uso de mascarillas en hospitales y centros de salud frente al repunte de gripe Llegando a valorar su obligatoriedad de la mascarilla en centros sanitarios ante un incremento de la incidencia, además de recordar la importancia de la vacunación. La nueva variante de la gripe dispara los contagios en España. El Gobierno activa el plan de emergencia por contaminación marina en la costa de Canarias. Se mantiene activada la Situación de Alerta del PLATECA para la costa del municipio de Telde. El monte submarino al sur de El Hierro con uno de los mayores depósitos de telurio: la disputa entre Marruecos y España por el tesoro del Atlántico. Investigaciones difundidas por universidades británicas estiman que podría albergar unas 2.600 toneladas de telurio, lo que supondría cerca del 5 % de las reservas mundiales conocidas. Los pensionistas canarios cobrarán 32,39 euros más al mes el próximo año. La revalorización será del 2,7% y elevará en 527,52 euros los ingresos de los jubilados del Archipiélago. El alcalde de Santa Brígida, José Armengol, ha cesado de sus competencias al concejal del Partido Popular Javier Ramírez a raíz de que se llevara del almacén municipal cables de cobre y aluminio que vendió por 780 euros, según ha anunciado este sábado el Ayuntamiento de dicho municipio de Gran Canaria. La ruta canaria se cobra la vida de cinco personas: el trágico balance de un fin de semana con más de 500 migrantes. Cuatro de las muertos, con edades entre los 15 y los 35 años, iban a bordo de una embarcación con 121 ocupantes, que se quedó sin comida, agua y combustible a unos 30 kilómetros al sur de El Hierro. La otra persona, iba en el cayuco que llegó a La Restinga en la madrugada del sábado. MANNY MANUEL nació el 1 de diciembre de 1972 NACE EN OROCOVIS, PUERTO RICO, EL INTÉRPRETE DE SALSA Y MERENGUE MANNY MANUEL, BAJO EL NOMBRE DE CRUZ MANUEL HERNANDEZ SANTIAGO.

In this episode, AJ and Chris dig into a playful but insightful exploration: What would happen if an outsider spent a weekend in Bellingham guided solely by web searches or AI?Fresh off a Portland conference with heavy AI themes, AJ tests what “SmackGPT” thinks a weekend in Bellingham should look like across five traveler personas: the Local Explorer, Family Adventurer, Mindful Explorer, Camper, and Lux High Roller (exact output posted below).The gents review, refine, and sometimes hilariously correct the AI-generated recommendations, offering their hyper-local expertise on food, lodging, hikes, coffee shops, costs, and hidden gems. Along the way, Amtrak stories, camping advice, critiques of $10 gas estimates, and an update on the infamous “mics on sticks” recording setup.It's a mix of travel guide, tech commentary, and classic Bellingham banter all better than any bot.

Un 20% de jóvenes españoles añora el franquismo y un 38% no le importaría vivir en un régimen no democrático si mejora la calidad de vida, un hecho que se atribuye a fallos en la educación histórica. Se enfatiza la importancia de conocer el pasado para valorar la democracia. La Champions League regresa a Madrid con los partidos Atlético de Madrid contra el Inter de Milán y Olympiacos contra el Real Madrid. La Fiscalía Anticorrupción investiga irregularidades en el Centro Nacional de Investigaciones Oncológicas por presuntos contratos fraccionados e inflados. La OCDE predice un crecimiento del 2,9% para España este año, pero alerta sobre la sostenibilidad del sistema de pensiones. La Guardia Civil y la Fiscalía de Menores investigan una agresión sexual a un niño de 6 años por parte de dos de 11 en Las Rozas, lo que provoca preocupación por la normalización de conductas violentas y la accesibilidad a pornografía. Un informe de la OMS y la ONU señala que la violencia contra las mujeres ...

In this inaugural episode of Confessions of a Supply Chain Executive, host Chris Walton teams up with Richard Stewart (EVP of Product & Industry Strategy) and Eugene Amigud (Chief Innovation Officer) from Infios to conduct a forensic deep dive into retail's most persistent challenge: out-of-stocks. Despite billions spent on technology, the average retailer still faces an 8-10% out-of-stock rate. But here's the truth most won't admit: the problem isn't getting better. It's just getting different. This episode walks through every breakdown point in the supply chain, from forecasting failures to the infamous backroom problem, and delivers a practical framework to diagnose what's really happening inside your operations.

Top 5 Topics:- 2 Years Of High Unmatched 6-Year OMFS Program Numbers, & the Future of Oral Surgery Training- Periodontists vs Oral Surgeons: The Silent Battle for Implants, Sedation & Dental School Influence- Is Office Anesthesia in Danger? The Fight to Save OMFS Sedation from CRNAs, Hospital Politics, And Misleading Data- The Economics of Becoming an Oral Surgeon: $750,000 Debt, Low Reimbursement & the New Reality- How Oral Surgery Can Survive: Marketing, Value, Full-Arch Implants, and Reclaiming the Specialty In The Dental SchoolQuotes & Wisdom:04:07 – “Oral surgery is the great bridge between dentistry and medicine.”05:37–06:56 – “You have to know when to step back… I think 25 years is a good run. I'll always be motivated to teach and motivated to share knowledge. That's been my passion from the beginning.”09:49–10:31 – “Along the way I grabbed my MBA as well… taking night school for three years every Monday night for four hours… Now, having the MBA has allowed me to kind of see the errors that I made early on in my own practice.”14:55–15:26 – “Our students are the consumer of the programs… If you look at the dynamics and the history of the specialty and what the specialty wanted to do 30 years ago, it may not be what the product of the specialty wants to do now.”18:56–19:44 – “You have to market. You've got to market to the consumer what the value is. And if that perceived value makes sense to the person, then you've got a win-win.”29:21–30:40 – “You think back to your own personal experience with the specialty… There is that one experience that really hits you in the heart, and you hold onto that experience and that's why you chose this field… You have to derive the value of the specialty for you, and it's going to be different for every individual.”38:17–39:06 – “I love this specialty. You want it to flourish. I want it to be there many years beyond my own existence, and that we're at the cutting edge… We want to expand without losing anything.”55:14–55:41 – “I think the data is going to be our defense… How many fewer patients would actually receive care if they didn't have access to our ability to give them anesthesia in dentistry? How can you argue with numbers?”Questions:05:23 - “Why this step back? To private practice at this point and step away from the director role?”13:23 – “Don't think all those years and rotations are necessary—how many rectal exams do you really need to do as an oral surgery resident, you know what I mean?”17:38 - “I get this question all the time: why the 6-year versus the 4-year OMS program? What did the 6-year track benefit for you, and what do you recommend for others to pursue with the MD?”21:11 – “If periodontists are filling the gap at the dental schools—doing implants, sedations, managing complications—what does that mean for oral surgery's foothold and for who gets called when something goes wrong?”32:32 – “If we don't make full-arch ‘all-on-X' a real requirement in OMFS training, is one of the other professions going to step in and own that space instead of us?”41:13 – “What drove you, during residency at Case Western, to go into the cosmetics direction? Did any other people from your program graduate and take that same path?”43:59 – “Do you have any residents rotate through your practice right now, or is it very separate from the residency?”Now available on:- Dr. Gallagher's Podcast & YouTube Channel- Dose of Dental Podcast #197- 11.2025

Niega Sheinbaum que reforma judicial le haya pegado a la economía Crece el sector vivienda creció 3.1 %OMS detecta malnutrición aguda en de niños en Gaza  Más información en nuestro podcast

Apenas este ano, 316 milhões foram vítimas de um parceiro íntimo; em 2024, cerca de 16% das adolescentes entre 15 e 19 anos passaram a integrar essas estatísticas; Organização Mundial da Saúde, OMS, apela a medidas imediatas, compromisso e ação para com a violência contra mulheres e meninas.

Na edição desta semana destacamos o fim da campanha para as eleições na Guiné-Bissau que vão acontecer este domingo, dia 23 de Novembro, dos ataques de insurgentes ligados ao grupo auto-proclamado Estado Islâmico em Moçambique que tiraram a vida a pelo menos sete pessoas. Em Angola, destacamos a condenação de Leopoldino Fragoso do Nascimento “Dino” a cinco anos e seis meses de prisão por falsificação de documentos, branqueamento de capitais, tráfico de influência e usurpação fraudulenta. A campanha eleitoral na Guiné-Bissau terminou. As eleições acontecem neste domingo, dia 23 de Novembro e os candidatos à presidência multiplicaram os apelos à neutralidade das Forças Armadas e a sociedade civil exige união nacional e menos discursos de ódio com referências étnicas. Em declarações à RFI, o presidente da Liga Guineense dos Direitos Humanos Bubacar Turé também lançou um apelo a todos para que a neutralidade das forças armadas seja respeitada. Cabo Verde, as Maurícias e as Seicheles assinam um feito histórico ao eliminar o sarampo e a rubéola, tornando-se pioneiros na África Subsaariana. A certificação da OMS reconhece não apenas a interrupção da transmissão dos vírus, mas também a eficácia de décadas de programas de vacinação e de sistemas de vigilância capazes de responder rapidamente a casos importados. Jorge Figueiredo, Ministro da Saúde cabo-verdiano, saudou este feito Em Moçambique, insurgentes ligados ao grupo auto-proclamado Estado Islâmico reivindicaram dois ataques em Memba, Nampula, que tiraram a vida a pelo menos sete pessoas, entre as quais duas crianças que morreram de fome. Segundo actualização feita pelo governador de Nampula são também já mais de 50 mil os deslocados havendo ainda relatos da destruição de casas e uma igreja. O governo e forças de segurança pedem maior coesão para travar a ameaça. Dados da organização de Localização de Conflitos Armados e Dados de Eventos apontam milhares de mortos desde 2017, em Cabo Delgado. O Presidente moçambicano reafirmou que “o terrorismo ainda não acabou”, apesar da “relativa estabilidade”. Ainda em Moçambique e numa semana em que a petrolífera norte-americana ExxonMobil anunciou que levantou a declaração de `força maior` para o megaprojeto de gás natural em Cabo Delgado, o governo aguarda por mais informações oficiais para que possa tomar uma posição em relação à petrolífera francesa TotalEnergies que é acusada de cumplicidade dos crimes de guerra, tortura e desaparecimentos forçados ocorridos desde 2020 no distrito de Palma em Cabo Delgado. O porta-voz do governo moçambicano Inocêncio Impissa diz que o executivo acompanha as acusações de que é alvo a petrolífera francesa Total, mas remete para mais tarde qualquer decisão... Em Angola, o Tribunal Supremo absolveu, esta semana, Manuel Hélder Vieira Dias “Kopelipa” de todos os crimes de que era acusado e condenou Leopoldino Fragoso do Nascimento “Dino” a cinco anos e seis meses de prisão por falsificação de documentos, branqueamento de capitais, tráfico de influência e usurpação fraudulenta. A saída do tribunal, o advogado Benja Satula afirmou que este é mau acórdão para um Estado democrático... Terminou esta semana, em Dacar, no Senegal, o Simpósio sobre Desenvolvimento Sustentável em África, encontro que reuniu representantes de mais de 20 países africanos, incluindo Angola, bem como convidados e membros do corpo diplomático acreditado no país anfitrião. Em entrevista à RFI, a ministra das Pescas e dos Recursos Marinhos de Angola, Carmen dos Santos destacou que o encontro serviu como um espaço de diálogo continental, permitindo reforçar a articulação entre os países africanos.

PC prevé caída de ceniza del Popocatépetl en CDMX y EdomexIntensa fuga de agua en la alcaldía IztapalapaUna de cada tres mujeres sufrido violencia de pareja o sexual: OMSMás información en nuestro podcast

What You'll Learn- Why legacy commerce APIs and EDI no longer suffice in today's fragmented commerce landscape- How AI and emerging protocols like MCP are accelerating the need for real-time fulfillment integration- The structure, tools, and resources defined by OnX for seamless order management across ecosystems- The nonprofit "business league" legal framework that keeps OnX vendor-agnostic and collaborative- The challenges commerce platforms face with OMS integrations and how OnX aims to reduce friction- The shift from platform-centric to protocol-centric commerce enabled by open standards- How industry players—brands, 3PLs, ERP, WMS, and commerce platforms—are rallying behind OnXHihghlights- 00:00 — Welcome, introduction to Kelly Goetsch and the focus: “Connected Commerce”- 02:00 — The fragmentation problem: marketplaces, social commerce, AI, and legacy EDI- 04:00 — The rise of MCP and Agentic Commerce Protocol as enablers for a new standard- 06:00 — Building a “big tent” network: OMS, 3PLs, WMSs, ERPs connectivity challenges- 10:00 — Commerce platform vs fulfillment backend: the tech and mindset divide- 14:00 — What is OnX? Tools, resources, member base, and the standard's scope- 18:00 — How MCP makes OnX possible, collapsing layers between selling and fulfillment- 22:00 — OnX's “business league” structure explained- 24:00 — Platform, payment, and AI player involvement and adoption challenges- 28:00 — How to participate: advisory boards, GitHub access, and community involvement- 30:00 — The future of connected commerce and invitation to join OnXQuotes[00:02:00]: "If the last decade was about composable commerce, the next one is about connected commerce." - Ninaad [00:04:00]: "AI is the reason for both of these. We're really, really collapsing down." - Kelly Goetsch [00:10:00]: "About 70% of enterprise brands still run point-to-point integration, and that has its own set of challenges." - Ninaad [00:22:00]: "The benefit of that is: we, as a community, get together and evolve and change as technology changes. And that's great." - Kelly Goetsch About the GuestKelly Goetsch is a technologist and strategist shaping the future of digital commerce and order fulfillment. Known for his leadership in the MACH Alliance and now Pipe17, Kelly has been a central voice in evolving commerce technology standards. He currently chairs the Commerce Operations Foundation, driving the development and adoption of the OnX standard for connected commerce.Links Mentioned- Commerce Operations Foundation website: commerceopsfoundation.org- Commerce Operations Foundation GitHub: github.com/commerceopsfoundation- Kelly Goetsch on LinkedIn: linkedin.com/in/kgoetsch- MACH Alliance: machalliance.org  Subscribe and Keep Learning!If you're a logistics leader looking to scale sustainably, don't miss out! Subscribe for more expert strategies on tackling modern supply chain challenges.Be sure to follow and tag the eCom Logistics Podcast on LinkedIn and YouTube

Tori removal may not be the most glamorous procedure, but it's one that demands skill, patience, and careful preparation. In this episode of Everyday Oral Surgery, host Dr. Grant Stucki welcomes Dr. Richard Akin, an oral and maxillofacial surgeon in Baton Rouge, to explore the nuances of managing these challenging cases. Dr. Akin reflects on lessons learned from early practice with his father, the unique anatomy and patient factors that complicate these cases, and the importance of knowing when removal is truly indicated. He shares practical techniques for both maxillary and mandibular tori, from flap design to instrument choice. Dr. Akin also discusses the realities of insurance coverage and billing, and how reimbursement rarely reflects the complexity of the work. Along the way, he emphasizes patient communication, setting realistic expectations for recovery, and taking the time needed to avoid complications. Tune in to hear insights that can help you refine your approach and set patients up for better outcomes!Key Points From This Episode:An introduction to Dr. Richard Akin, an OMS in Baton Rouge.Dr. Akin's early training with his father and transition into solo practice.Why tori removal remains a core responsibility of oral surgeons.Indications for removal, from hygiene challenges to painful ulcers.Preparing patients for recovery and setting realistic expectations.Step-by-step techniques for removing maxillary and mandibular tori.Managing thin tissue, closure difficulties, and post-op care.Instrument choices that make tori removal safer and more efficient.Strategies to minimize tearing and ensure proper healing.Recognizing rare complications such as flap necrosis.Why suturing technique and flap care are critical to healing.Dr. Akin's range of patient stories, from food entrapment to denture challenges.Typical healing timelines and patient resilience after surgery.Insurance coverage and billing realities for tori removal cases.Dr. Akin's favorite books, hobbies, and daily practices.Links Mentioned in Today's Episode:Dr. Richard Akin — https://www.drakin.com/ Dr. Richard Akin on LinkedIn — https://www.linkedin.com/in/rick-akin-644aa932/Dr. Richard Akin email — rick@drakin.com Dr. Richard Akin Powerpoint — 7 Goldman-Fox Knife — https://www.hufriedygroup.com/en/dental-knives/7-goldman-fox-knife1/2 Orban DE Knife, EverEdge™ — https://www.hufriedygroup.com/en/dental-knives/1-2-orban-periodontal-knife-0Forceps to extract tooth number five — Hearts in Atlantis — https://www.amazon.com/Hearts-in-Atlantis-Stephen-King-audiobook/dp/B0000547DGSurrender — https://www.amazon.com/Surrender-40-Songs-One-Story/dp/B09ZK1XJ4XHidden Potential — https://www.amazon.com/Hidden-Potential-Science-Achieving-Greater/dp/0593653149The Overstory — https://www.amazon.com/Overstory-Novel-Richard-Powers/dp/039335668XBreaking Bad — https://www.imdb.com/title/tt0903747/Better Call Saul —

Bancos no abrirán este lunes, sólo sucursales en centros comerciales Inglaterra reducirá protección a refugiados y contempla retornarlos a sus paísesAccidentes viales son la principal causa de muerte entre jóvenes: OMSMás información en nuestro podcast

Mais de 540 mil pessoas morrem todos os anos devido ao calor extremo; OMS e Brasil defendem ação imediata para proteger sistemas de saúde em risco; enviada especial da COP30 explica eixos da iniciativa sobre saúde e ação climática.

Confira na edição do Jornal da Record desta segunda (13): Polícia Federal prende o ex-presidente do INSS e outros sete suspeitos de fraudes na previdência. Investigação revela que Alessandro Stefanutto recebia R$ 250 mil por mês em propina. Funcionários de banco são suspeitos de desviar dinheiro do FGTS de jogadores e treinadores de futebol. Na COP30, Brasil e OMS apresentam plano de diretrizes globais para proteção à saúde de populações afetadas por mudanças climáticas. Estados Unidos retomam atividades essenciais depois de mais de 40 dias de paralisação. Atacante do Flamengo Bruno Henrique se livra de suspensão e vai pagar multa por beneficiar apostadores.

Anuncian racionamiento temporal de gas LP en cinco estados del país  ¡No se lo pierda! Festival “Gatotitlán” en el Panteón de San Fernando  Detectan virus salvaje de la polio en aguas residuales de Alemania  Más información en nuestro podcast

Revamping your financials is as easy as … Kiera shows off her savvy financial skills by sharing what it takes to know what's being spent in your practice. Her spreadsheet tips will answer such questions as: What can be cut? How can you make sure your overhead is in check? What do you need to produce? And much more. Want a sample spreadsheet to get started? Email hello@thedentalateam.com.  Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners, this is Kiera and I hope you're just having an amazing day. Like a great, great, great, incredible day. ⁓ just, today's topic is one that makes me excited and it's so dry and boring, ⁓ but I love it. And I'm like, that's probably a buzzkill for the podcast, but you know me, one of my core values is fun. And Dana, shout out to Dana, DanyDane over there.   ⁓ She gave me one of the best compliments. We do a thing on Wednesdays called core value shout out in our company. And I will tell you if you do not have this in your company, I would strongly advise you do this. What we do is every single Wednesday, our company goes and our whole team says that this is our favorite. You guys, we have gone from a very small team to a much larger team and we still do this. So just know small teams, big teams, it is doable and it is very   relevant and very essential. And I think it just goes so well. I am okay to take a little bit longer on this morning huddle because of how good it is. so core value shout out is where we just randomly will pick somebody and then it's popcorn after that. So they'll choose the next person. So for example, we would start and I would say, okay, Shelbi starting today and everybody chooses somebody on the team and they highlight them for a core value and it has to be a core value. It has to be something specific. And so Dana gave me one of the greatest compliments.   She said, Kiera, she said she wanted to give me the core value of fun, because fun is really one of our core values. And she said, I want to give it to you for fun, because she said a lot of times topics that are so hard ⁓ or things that people wouldn't necessarily find fun. She said, you just know how to sprinkle the fun and the confetti and the glitter and make things that are hard or something that teens wouldn't want to do or doctors wouldn't want to do.   you make them really fun. And honestly, that has stuck with me. It is a few days later since she gave me that compliment and I'm still remembering it. So not only is core value shout out day amazing, it also helps you just enjoy and to have like, to be happier. ⁓ It also infuses core values into your company. And I'm excited and grateful that I'm able to bring fun things to the podcast, a dry topic. I hope I've teed this up enough to where you're excited about it.   But this is, think, the discipline side of business of owning a dental practice that you need to do. And this is really, think, for office managers or billers and doctors. And this is something that I think will give you so much confidence. it came actually from our doctor mastermind. We have ⁓ a private doctor only mastermind that we run every single month. It's a virtual one. And then we do an in-person one ⁓ that's more for doctor and leadership teams. But our monthly one, call it Think Tank, and it's on the first Tuesday of every month. And a doctor was saying, she's like,   I just don't know where to cut. I said, send me your PNL and tips like, and she's going to want your credit card statement and she's going to want all your stuff. And while yes, I am obsessive on this. have helped family members. I've helped offices. I've helped myself. something that I will like toot my own horn on it. I actually think I'm very talented with money, with saving, with figuring out solutions and helping people understand where you can cut. This podcast also came about because this morning on my, ⁓ Shelbi Britt and I were meeting and we were literally going through.   our finances to see where could we maybe squeeze the tube of toothpaste a little bit more, where could we maybe change a few things. And I think that that's just so relevant and so helpful. And so this is something I do in my day in day out life. It's something that I think for you to go from chaos and lack of financial clarity to confidence is something that I really want to just bring to the table today on the podcast. If you're new to Dental A team, welcome. We are obsessed about helping you have your best life and ⁓ doing it in a fun, easy way through dentistry. And so   helping you with our yes model. So you as a person getting your life, your vision, all of that in place, then moving into earnings. So ⁓ financially, that's the piece today. And then using those financial pieces. So your analytics, your PNL, your overhead to also help us figure out what systems and team development need to go into place to make sure you have this thriving practice. Because honestly, I believe that being successful, being a successful dental practice does not have to be hard and it can actually be easy. So that's what we're here for today. ⁓ With that.   So today it's going to be like, how do you actually like figure out your costs? So I did this a long time ago and then I like met a lot of really smart financial people. I'm not a financial advisor. I will throw that out there. So just make sure you talk to them and you have your, ⁓ like you chat with them of what's best for your state, but I will teach you how I do it. This is annoying. It's a little cumbersome, but people love to hear like, how do you actually do this? I'm always like, how do people get like jacked? Like how do they work out? Like.   me like what time do you work out like what do you do for your nutrition and just so I understand the full landscape and then I'm going to pick and choose of what's going to work well for me that I'll actually implement so hopefully that will be effective for you today as well.   So this is what we do. I have a spreadsheet that I have for monthly costs. We do this with all of our clients too. So if you're like, this feels too hard, don't worry, join the Dental A Team. We'll help you get it put together. So we have a monthly cost. And what I do is on the monthly costs, and this is probably my most visited spreadsheet of my entire company. And I'm super excited because we're bringing in another team member who does financial.   Forecasting and has a whole background in finance. So my method might get revamped to 2.0 and there's always another layer. But what I have is I have on our monthly costs, I have all the salaries and all of the pay. Now for offices, I do include doctor pay. Again, I'm not a CPA and I do believe that doctors should be paid. So I put in either your W-2 salary and or your doctor compensation of 30%. Now I do lose numbers. So our consultants are paid very similar to how doctors are paid.   ⁓ And so you can get a general idea. So mine are general ideas. It's not my highest month. It's not my lowest month. It's the average is what I've selected to do for these costs. So again, this spreadsheet will not be absolutely perfect, but I think it's a really great tool to figure out what can I cut? How can I make sure my overheads in check? What do I need to produce? How do I basically figure out my BAM, my bare ACE minimum in a company? And so that's what we're gonna be looking at. So with that, I first list all the salaries and...   I want everything in there. And then what I have is a current. So I'm gonna have a current and then I'm also going to have like a future. So for example, if you're planning to hire somebody, but they're not hired yet, that's something that you're going to wanna know, what is my cost now? And what is going to be the future cost? Because those two things are actually different numbers. And so for me, it's really helpful so that I can look at you guys honestly.   When I started this, had like three team members and now we have tons of team members on there and outsource people and virtual assistants. And ⁓ the list just gets bigger and bigger and bigger. I can go back and I can look at things that we've done before. And so mine's on Google Sheets. And again, we've built one of these and I'm even happy to share, reach out, Hello@TheDentalATeam.com. But this is something, so I go through all the salaries. And then for me, ⁓ if you do health insurance or you do a health stipend or whatever it is, you add that in.   as well, but then what I do, and again, talk to your CPA, see what your payroll tax are. For me, I just estimate 10%. I always like to air higher. So you will notice in all of my projections and everything I do, I'm going to always air higher than it actually is rather than lower. And so just looking at that, just so you know, that's how I do. So my CPA told me 10%, we have business in four different states. I think we're actually up to five now.   So I estimate high, no matter what state they're in, I just do a 10%. So I'll do my total salaries of the month, an estimated 10 % payroll. And then I've got that in there, my total payroll. Then we have our health stipends or health insurance, our 401k costs in there, how much it costs me per user, what the 4 % is. I actually go grab people's salaries and their bonuses, put it in there. So I have a pretty good idea. Then what I do is I check every single month to see based what I have here, is that close?   to what I'm actually paying or is it not? I know some of you might be like, well, here, I just get it from my CPA, I get a P &L. I agree, but this is a good checks and balance between my CPA and myself. And also when I'm trying to project and forecast, can I add people in? How much is this gonna have? Where can I cut? If I can see it all line itemed out, it's actually for me at least much easier for me to see what are all my costs and where can I squeeze the tube of toothpaste to get a little bit more ⁓ toothpaste out of that tube or a little more juice out of the lemon.   So that's what I have. And then what I have down below is like outsource. So if you've got VAs or you've got ⁓ different people that are contractors or things like that, I have that in there and that one EBS and flows mostly that hangs in my marketing department. That's where I have a lot of those. And then also VAs and EAs that'll be in there that are virtual assistants that are through other companies. So they're not running on my payroll, but they are down there. Like I have some consultants on there. I've got some coaches on there that will be in that section for me. But those again are not up in that payroll section because I'm not paying that.   payroll tax on them and I'm also not 401k on them, but that helps me see how much am I paying in outsourced resources to see should I cut that, should I keep that, how much do I have on the top, is my payroll heavy. You also can break this down by department. So you can see how much am I paying in my hygiene department, are they offsetting, how much am I paying my doctor department, my front office department, all those different departments. If you want to get even more granular, you can. And then below that, I have all of the office expenses and this is something really great.   This year Britt she ⁓ 2.0'd us and she put in their end of year expenses because there's a lot of things that I just pay at the end of the year that are annual subscriptions that will save money on but the reality is I should probably be saving that money throughout the year, right? Because every single month there would be an expense allocated if I didn't pay it annually. So we should be adding that in so we're saving for that. We're preparing for that for the end of the year. We have different things in there. So like all of our subscriptions that we have you might have Netflix, you might have Audible, you might have   Canva for marketing, ⁓ ChatGPT if you're paying for those subscriptions, anything. And I'm constantly updating this like as you hear ChatGPT and how many do we have for that? ⁓ We use our project management software is on there. I also know that every single month I have a budget allotted for employee gifts and anniversaries. And so we have an allotment of how much we spend. I do double check this, but I try to break it down. Also I have in there my merchant fees and how much my merchant fees are on average.   ⁓ And I literally list everything out. So whether it's personal, because like Audible and my phone, I do have those on there. Those are personal things for me that do run through the business, but there's still business expenses that will need to be on there. ⁓ And then we've got our bookkeeping and our accounting or CPA, our lawyers, all of that in there. If you have vehicles that your CPA said is okay for you to run through, all of that, your rent, your mortgage, your supplies, your internet, all of that in there.   to where at the bottom of this list, you can get a complete grand total for the month. And what's really awesome about that, you can actually break it apart so you can have doctors where they're not in there. This then tells you basically your BAM, your bear ace minimum. And then what we can do from there is we can figure out what you need to produce to be able to hit. So hopefully all that was like not too much. just rattle, I'm like literally looking at my spreadsheet as I'm telling you this, all of that. Then below that, we're gonna wanna also add in debt services because debt services are also going to hit your cashflow side of it.   So when you have these two tools together, then you can figure out what's bam, my bare ace minimum, what's my overhead and then what can I cut and then what do I need to produce? Then we can figure out what we need to produce with block schedules. There's like a whole other zone, but back to the client's question. She said, I don't even know what to cut. So today me and our leadership team, we were going through this and we literally looked to see, okay, what's on our office expenses? And I know this sounds so dumb and so like trite.   but I think it's the discipline of knowing how to do this because you better believe when I'm looking at my monthly expenses, which are outlandish and they're very high. When I look at this, saving 40 bucks a month is not like, it's truly a literal spit in the bucket. But when I think about it, it's $40 here, it's $20 there. It's just like your credit card statement at the end of the month. I'm always shocked at how much is on there and it's $20 on Amazon here, $30 over here.   $20 there and all those $20, $30 purchases add up to multiple thousands of dollars every single month. So when we look at this, I look at every single office expense and I'm like, okay, is Adobe something that we need? And this was actually a catch that we had. I was like, we're paying $65 a month for Adobe. Do we still need the entire suite? The answer is no, we don't. We only need it for a small thing. And then we started thinking like, softwares are evolving. So we're like, does G Suite ⁓ actually cover that? Or...   does another one of our subscriptions cover it? Because so many times our subscriptions that we're paying are like duplicates of something else. G Suite has expanded and I'm like, do we still need to use boomerang? I use boomerang all the time. I love boomerang so much, but I'm like, has G Suite evolved to where they have something comparable to it that we could cut the boomerang is 120 bucks a month for us. And Shelbi was like, wait, not all of our team members, like our marketing team does not use boomerang. They're not doing client facing emails. They rarely are in their inbox. They're in Slack all the time.   she's like, what if we reduce the number of people on boomerang that would actually cut our costs down. So again, it's this like fine tuning revolving through it looking, do we need this? Could we reduce this? Do we need to, are all the people that were still on there, do we still need to pay for all those people? Could we change it to this? Are we still gonna be here for that? And you go through and you literally ask, is this a want, a need, or is there a better way that we could spend our money on this? And again, I know it sounds so dumb. Like this, this is not fun.   This is not something that I'm excited to share with you on a podcast, but I'm so excited because the discipline of doing this, the doctor, the reason it came up is because she wants to sign up for AI, ⁓ Pearl or Overjet. Back and forth, we talked about it at length of which one's better. This is why I love our Dr. Mastermind. And it's about $130 a month. And she just like, I'm so sick of these subscriptions. And I'm like, well, go get rid of Netflix or go get rid of one of these things or don't have all the beverages in the   in the refrigerator, maybe just choose one of them. Like there's so many things like, but this is where you look at your list because you have your entire list in front of you. And my office expenses right now, and this is where I look at my credit card. I look at every single thing on there. Right now we have 39 different things that we pay for of monthly subscriptions or annual subscriptions, different things. It's got our insurance policies on there. And then what I can do is I can come in and assess and say, okay, of all these high expenses, like if I need to cut expenses very quickly,   I could look to see, all right, my highest hitters are XYZ. This one's $500, this one's $1,000. Do I still need these? Are we still using them? Is there a cheaper competitor that I could switch to? Where am I at? And all these things. What I love about this is it helps you just look to see where your money's going because at the bottom it has a grand total. And then what's nice is I then can look to see, is this grand total what my CPA is telling me I'm spending every single month? Do they line up?   And if not, where's the discrepancy and where is it? I also can look at future things. if I'm going to be increasing or I'm going to be adding team members or we're going to be looking to add say another subscription or another piece, what is that going to change my monthly amount? And am I okay on my production and collection side to be able to afford it? So many people are like, I talked to my CPA to see if I can afford it. And I want to just say that yes, it's great to have a CPA there. It's also better to know instead of being like a parent child.   if you can spend it. I want my CPA to give me my books, my reconciliation. I want them to talk to me about my tax strategy, but I don't want them to be the ones telling me, can I afford something or can I not? I wanna go to them and say, I know I can afford this. This is what I think. Do you think it's a good idea? Then I'm counseling with them rather than being told. And this goes for all of my executive board. I want to know as much as I possibly can. So that way when I show up, like even financial advisors, even my...   My lawyers, like I do a lot of research before I go into those because I don't want to just blindly follow. I want to actively participate. So we're making the best decisions. I believe they're all in the best interest. I don't believe my CPA telling me to do something or not to do something is the end all be all. I feel like we are great at counseling together. They give me their opinion. I know the numbers. They know the numbers. We know where the business is going. And then my job is to make the best decision for the business and for myself.   So this is where I just really obsessed because right now I'm looking and I'm like, wow, what I'm currently paying based on bringing in some new hires, we're gonna do a $30,000 increase. And I look at that I wonder, is that wise? Is that what I wanna do? Is that what we as a business wanna do? Is that smart for the business? Or is it something like, then I get to sit here and I get to innovate and we get to think of like, what other ideas could we do? That's why I went down the list, because I wanna hire some more people. It's a little premature for these hires.   So I was like, okay, let's go back to the list. Let's look at the list. Like where could I like cut some costs to see, could I free up any cash in other areas or do we need to make different decisions? Or is it like, I need to put a pause on hiring that person for a little while until the business gets to X amount and then we can bring on those different hires. So when you look at this, that's how I do it. I use this spreadsheet. I'm not kidding. I I hold, I can tell you exactly because what's great on Google Sheets is they can literally tell you all the different versions. Okay.   So let's just go back to, I'm going to go, this is embarrassing. I'm going to go to June. Okay, so I'll just go back a few months for you guys. I logged into this spreadsheet of the monthly costs. June 5th, June 10th, June 16th, June 19th, June 24th, June 24th, again, June 25th, July 2nd, multiple times, July 7th, July 8th, July 9th, July 10th, 15th, 16th, 17th, 18th, 24.   The only reason it stopped there is because I went out of town August 3rd, August 6th, August 7th. As you can see, I'm in this spreadsheet almost daily. If not every other day. That's insane. I mean, I can go back to April. I can go back to March, February, January, December, December. I'm in here all the time. November, October of last year. I'm just going down. October. I was in there 10 because that's when I started to do projections. So you better believe I was in there a lot more during that time. October. There's about 20 entries September. So when I tell you this is a tool,   that I have found that works so insanely well. Clients love it. Cause then we're like, our overhead's high. We can go over to our costs and say, why is it high? What is causing this? I'm looking at people's loans that they have and I'm like, do you really use the Seric? Do we need to continue to use this? Are we using all these different like plan Mecca and all these other loans that we have on the practice? Are we still using that? And if so, that's fine. But let's at least know where our money's going.   so then we can make better decisions of do we wanna continue that? And so hopefully, like I said, it's not a fun topic. Like it is, this one, if you can't tell, the passion, the fun, like it's really fun for me to look to say like, okay, where is it? This is where I decided it was time for us to close our headquarters down in Reno. We used to have one, but I was looking for how can I cut costs? Where can I, because for me, I'd rather not spend it on a physical location. I'd rather buy, like spend that money on different softwares that are gonna make us more efficient, being able to hire better employees.   Like I'd rather reallocate those dollars to something that's gonna benefit the company more. And so for you, just feel like this is such a great tool to help you truly know where your money's going, know where you can cut. And like I said, I do this for personal. I'm like, all right, give me all your costs. Give me your credit card. We're gonna look at every single thing. And then like, what could we do differently? I mean, my cell phone, let alone, I used to pay almost a hundred bucks a month for my cell phone. It's now, hold please. I'll tell you the exact amount. Cause I can tell you it's literally right here.   Um, it is a telephone right here, $35 a month. And I used to pay 95, but that was once again, like Verizon got a competitor. have a sister company called visible. I could even get it down to 20, but I didn't want to like drop that far. But we went from 90 to 35 and there was no change or disruption. I watched it for several years. I had people do it, then made the change. Is there a better company out there for X, Y, or Z? Is there a better processing company? And I know again, this seems annoying.   But annually around September, October is when I start to do projections and I start to look at everything. Cause I'm looking at costs. What could I cut? But monthly, daily, I'm looking to see who can I hire? Where can I do things? Change it, adjust it. And what's amazing is when doctors and OMS have this tool available, now you're like, can we afford to hire this person? You can answer with confidence rather than hoping and praying you're going to be able to make it. Just like what I used to do. was like, let's just hope and pray we're going to hire them and hope it works out.   now I can have way more confident decisions. And like, think as a business owner, being able to have confident, like one of the strongest things you need to do as a business owner is be able to make decisions. And I think the second piece to that is being able to make more confident decisions, utilizing tools like this one that I'm sharing with you. So if you want help, reach out, Hello@TheDentalATeam.com. Like I said, I love to put this together for clients. I love to give them the tools and resources to where they can actually be here and know. And also I say if you're here,   Like go get your credit card, list everything out that you're spending money on. Look at your P &L, see if it matches up, see if you can figure it out. And this was something that's been evolved over the course of honestly, probably eight years. I started it when I was really new into the business. I made this myself because I'm like, I don't even know where my money's going. How am I supposed to be able to make decisions? And I could not figure out why my overhead was so high. Now I can tell you exactly this is what we're spending every month. This is why we're spending it. This is what we want to do. This is where we're going. These are the numbers that we need to do.   It just gives you so much confidence, clarity. And so that's why I just love to share it and to help you. ⁓ I believe, like we said in the yes model, you as a person need to know where your vision is. Then we need to have your earnings and your profit where it needs to be. And then we need to figure out the systems and team development to support all of those pieces. And that's what we love. It's what I'm obsessed with. So reach out, ⁓ even if you're like, I don't know. I don't know if I'm a good fit. Let's just have a call. It's literally no commitment, no stress.   just clarity and confidence to get you the momentum that you deserve. So reach out Hello@TheDentalATeam.com. Go fall in love with numbers and spreadsheets. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

Organização Mundial da Saúde, OMS, indica êxitos moderados no combate à doença, mas adverte sobre nova fase de escassez financeira, que ameaça comprometer os objetivos de erradicação até 2030. 

O programa que foi ao ar ao vivo pela SBS 2 na Austrália nesta quarta-feira. O noticiário do dia. Entrevista da SBS em Português com o Ministro-Assistente para a Mudança Climática e Energia da Austrália, Tim Wilson, que está nem Belém para a COP. Em Portugal, a pesaquisa a mostrar diferença grande entre como os portugueses encaram a época da colonização em relação aos angolanos e caboverdianos. Também falaremos que Portugal foi distinguido pela ONU e OMS pelo trabalho pioneiro nas estratégias para combater a obesidade. Por fim, especialistas explicam que muitos recém-chegados à Austrália procuram relacionamentos pela necessidade instintiva de recuperar o sentido de pertença perdido com a mudança de país.

Novo relatório da OMS destaca que tecnologias digitais podem reduzir depressão e isolamento social, reforçando a ligação entre pacientes, cuidadores e comunidades.

What if the most potent tool for healing isn't a drug or a procedure, but the very words we choose? Today, we unlock the profound and underestimated power of language in patient care. Dr. Grant Stucki is joined once again by Dr. Jake Stucki, an OMS practicing in the Denver area. We look at how to optimize patient disclosure during the pre-operative stage, ensuring both the language and the level of information are appropriate and clear. We emphasize the benefits of shifting from simple "yes or no" questions to more open-ended inquiries to improve patient communication, and discuss the critical importance of being mindful of how we frame and communicate recovery times. The conversation also covers intra- and post-operative language, focusing on the power of positive seed-planting and careful word choice. We explore how simple communication between practitioners can significantly limit unnecessary issues, and finally, we delve into the "Second Victim" ideology, explaining why the language we use with ourselves and our team is essential for well-being. Tune in for a patient-care-focused conversation on how the words we use can ultimately impact the physical healing trajectory of our patients.Key Points From This Episode:Dr. G. Stucki introduces today's topic of conversation: the power of the language we use.Do the words we use have an impact on our patients' ability to heal?Pre-operative language: How can we optimize patient disclosure regarding surgical complications while ensuring the language is appropriate and clear?Changing our yes or no questions to more open-ended questions.How we approach framing and communicating recovery times.Intra-and post-operative language: planting positive seeds consistently and watching our word choice.Dr. G. Stucki shares a quick story about choosing post-operative language wisely.How simple communication between practitioners can limit unnecessary issues. Where surgeons fall short in our patient-care communication: empathy.Second victim: why the language we use both with ourselves and our team is also important.We highlight the practical takeaways from today's content. Studies Mentioned in Today's Episode:General Physician–Patient Communication and Outcomes‘Effective physician-patient communication and health outcomes: a review.' — https://pmc.ncbi.nlm.nih.gov/articles/PMC1337906/ ‘The impact of doctor-patient communication on patient satisfaction in outpatient settings: implications for medical training and practice' — https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-025-07433-y 2. Pre- and Postoperative Communication in Surgery‘The Importance of Communication in the Management of Postoperative Pain' — https://pmc.ncbi.nlm.nih.gov/articles/PMC3689499/ ‘Quality communication can improve patient-centred health outcomes among older patients: a rapid review' — https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-023-09869-8 3. Surgical Team Communication & Safety‘Investigating the relationship between surgical team communication and patient outcomes' —https://www.researchgate.net/publication/384727941_INVESTIGATING_THE_RELATIONSHIP_BETWEEN_SURGICAL_TEAM_COMMUNICATION_AND_PATIENT_OUTCOMES&n

The Outdoor Media Summit is an annual conference for media, marketers, PR, and brands to come together to collaborate and network. Although I've only attended the last two years, it has quickly become among my favorite industry events because of the intimate settings and ever evolving format. In this episode, Tarin O'Donnell, from the Tarin it Up Podcast, and I recap our experience at the 2025 Outdoor Media Summit. It is raw. It is real. And it is out of my usual format. So, if you've ever considered going to OMS or just want to learn more about the behind the scenes of outdoor media, this is a fun conversation to tune into. Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/outdoor.minimalist.book/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.theoutdoorminimalist.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@theoutdoorminimalistBuy Me a Coffee: ⁠⁠⁠https://buymeacoffee.com/outdoorminimalist⁠⁠⁠Listener Survey: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://forms.gle/jd8UCN2LL3AQst976⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠------------------Outdoor Media Summit: https://outdoormediasummit.com/Tarin It Up: https://www.tarinitup.com/

Neste episódio do podcast Mulheres Reais, a conversa foi sobre um tema urgente: a crise de saúde mental que atravessa o Brasil e o mundo. Dados da Organização Mundial da Saúde (OMS) mostram que uma em cada oito pessoas convive com algum transtorno mental — e, segundo a convidada do episódio, Tide Setúbal, psicóloga, psicanalista e coordenadora do programa Saúde Mental e Territórios Periféricos, essa realidade é ainda mais dura quando se olha para quem vive nas periferias urbanas. “A saúde mental não é solta no espaço. Ela está ligada ao modo como vivemos — à renda, ao tempo de deslocamento, à moradia, às relações familiares, à cor da pele, ao gênero, à solidão e à falta de lazer”, afirma. Para Tide, os fatores estruturais da vida cotidiana são determinantes no adoecimento psíquico. Mulheres sobrecarregadas, mães solo, pessoas negras e moradores de regiões periféricas enfrentam pressões múltiplas e, muitas vezes, não encontram acolhimento adequado na rede pública. Segundo a especialista, há um cenário alarmante: os CAPS (Centros de Atenção Psicossocial) estão lotados, especialmente nas regiões mais vulneráveis. “Há CAPS que deveriam atender 300 pessoas por mês e hoje cuidam de mil”, relata. Nas UBSs, o quadro é semelhante — e em muitos casos, o atendimento é feito por uma “meia psicóloga”, profissional que se divide entre duas unidades. Para tentar suprir essa carência, Tide Setubal coordena o projeto Territórios Clínicos, que apoia iniciativas locais e clínicas comunitárias nas periferias de São Paulo. O grupo também mapeou serviços públicos e sociais que oferecem atendimento psicológico gratuito ou de baixo custo, disponíveis no site do instituto que leva o nome de sua avó, a Fundação Tide Setúbal.See omnystudio.com/listener for privacy information.

La OMS,OPS y México fortalecen campañas de vacunación  Ventas de autos crecen 6% en octubre: Inegi  EU celebra elecciones en Nueva York, Miami y California  Más información en nuestro podcast

Ejército asegura arsenal y hallan dos vehículos ocultos en Tamaulipas  Paseo de la Reforma luce con más de 350 cráneos y catrinas por el Día de MuertosEl uso de pantallas en menores de 6 años inhibe el desarrollo cognitivo y social: OMS  Más información en nuestro podcast

What You'll Learn:The enduring priorities in fulfillment despite two decades of industry change: focus on the end-consumer experience and aligned people/processThe definition and strategic value of connected commerce as a frictionless end-to-end ecosystem across sales channels and fulfillmentWhy tech integration across OMS, WMS, TMS and digital marketplaces remains the biggest hurdle to unified fulfillmentHow Essendant repositions fulfillment from cost center to growth enabler, leveraging digital teams and marketplace expertiseWhen to accelerate 3PL expansion versus stabilize and optimize existing operations, anchored on clear value and identity assessmentThe realities and opportunities around Seller Fulfilled Prime, including network scale, inventory optimization, and performance requirementsKey operational metrics beyond OTIF, including inventory health and profitability by channel, critical in managing complexityPeak season outlook: early marketplace promotions, supply chain stability, and the goal to flatten the demand curve for better operational controlHighlights00:00 – Guest Introduction & Industry Background01:00 – Consistencies & Changes Over Two Decades in Fulfillment03:00 – Defining Connected Commerce & Its Strategic Objectives 05:00 – Common Fulfillment-Tech Challenges & Silo Breakdown07:00 – Unlocking Fulfillment as a Revenue Lever, Not Just Cost Center 10:00 – When to Accelerate vs. Stabilize 3PL Operations14:00 – Procurement & Evaluation Dynamics in Mid-Market Deals17:00 – Seller Fulfilled Prime: Market Demand & Execution Challenges22:00 – Focused Operational Metrics to Drive Business Outcomes28:00 – Peak Season Predictions & Advice 30:30 – Closing Thoughts & Contact Info  Quotes:[00:02:00]: “The things that remain consistent would certainly be focusing on the end consumer... building the right team around us to align with that strategy and then making sure that we had the right processes.” - Patrick Allard [00:04:00]: “Connected commerce to us is really about creating that frictionless end-to-end ecosystem... from product discovery through the purchase cycle, all the way through fulfillment, delivery, final mile returns.” - Patrick Allard [00:10:00]: “How do we know when to pour gas on the fire and really go for expansion, and when is it time to maybe take a step back, pause, and get the house in order?” - Dan [00:19:00]: “There's still quite a bit of pain for the larger brand retailers that might have a really good dominant market and brand recognition, but where they want the prime badge, but having that inventory all locked up in Amazon...puts them in a financial challenge.”- Patrick Allard [00:23:00]: “There's a million things you can track and it is data overload... but the key is focusing on promise metrics, inventory health, and profitability by channel.”- Patrick Allard About the Guest:Patrick Allard is President of Fulfillment Services at Essendant, driving the transformation of a traditional B2B distributor into a connected commerce powerhouse. With over 20 years in e-commerce and logistics, Patrick has held leadership roles at Newgistics, Pitney Bowes, and Radial. His expertise spans M&A integrations, fulfillment scalability, multi-channel retail logistics, and leveraging fulfillment as a revenue growth lever rather than simply a cost center.Links Mentioned:Essendant Fulfillment Services: https://www.essendant.com/ Patrick Allard LinkedIn: https://www.linkedin.com/in/patrick-allard-04657111/ Subscribe and Keep Learning!If you're a logistics leader looking to scale sustainably, don't miss out! Subscribe for more expert strategies on tackling modern supply chain challenges.Be sure to follow and tag the eCom Logistics Podcast on LinkedIn and YouTube

Kiera joins the Raving Patients Podcast to talk about obtaining that CEO mindset to systematize your practice. This mindset does not mean doing it all yourself, but leaning on others to maximize their skillsets. Kiera also discusses with Dr. Len Tau how to separate yourself from having your entire identity associated with dentistry. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Speaker 1 (00:00) Hello everybody and welcome to another episode of the Raving Patients Podcast. As you know, I'm your host, Dr. Len Tau, and I am super excited today for multiple reasons. Well, first, before I get there, I want to first thank my sponsors, both Dental Intelligence, CallRail, and a new one, Net32. You'll be hearing their commercials as well, so check out those companies. And again, the only reason I'm able to do this every single week is because of their support. I also want to remind everybody about   my event, is only one week away. One week from now we'll be gathered in Fort Lauderdale for Supercharge with Dental Practice 2025. If you wanna be a come out last minute registrant, you can reach out to me. I will be glad to add you as a guest of me. So please reach out to me. You can check out the content at SuperchargeYourDentalPractice.com So I said I was super excited and I'm super excited because of our guest today. And she's been a guest before and I just recorded an episode with her on her podcast. ⁓   We're talking about Kiera Dent, who is from the Dental A Team, and we're gonna be talking the CEO mindset systematizing your practice for freedom and growth today. So before I let ⁓ Kiera take it off, I'm gonna go ahead and introduce her. So she is the founder and CEO of the Dental A Team, an entrepreneur, consultant, speaker, and podcast host dedicated to helping dental professionals reach their highest potential. Through customized in-office and virtual consulting,   She empowers dentists and their teams to cultivate an ownership mindset and achieving lasting growth. With experience spanning every role in the dental practice, front office, dental assistant, regional manager, and even practice owner, here brings unique first-hand perspective to her coaching. Alongside her team of expert consultants, she has partnered with hundreds of practices nationwide, leading them to greater efficiency, profitability, and fulfillment. As she often says, we don't just understand you, we are you.   So please welcome to the Raving Patients podcast, Kiara Dent. Kiara, thank you so much for being a guest on my podcast today.   Speaker 2 (02:03) Oh, Len, thank you so much. so excited to be here. I loved our podcast we did together. I love the podcast we did in the past together. I'm super excited about Supercharge. Everybody should go. We're going to like sneak peek, be there in 2026. Like Len, huge fan of you guys. Just excited to be here with you. So thank you. Thanks for having me. And yeah, it's always a little weird and fun to hear your bio read right before you get on. So just grateful to be here and just like have a good time with you. It's always a great time when we podcast together.   Speaker 1 (02:30) Well, I'm excited to spend the next 30 minutes or so with content from you. So I always like to ⁓ start off for people that don't know who you are. I obviously read your bio. Can you just tell dentists and other people reading or listening and watching this episode how you help dental practices?   Speaker 2 (02:50) Yeah, absolutely. So with the bio you heard, I started out as a dental assistant and then went throughout and I've owned practices. My first practice I took from 500,000 to 2.4 million in nine months and opened our second location. And that was with a Midwestern grad. I worked at the dental college there. And so helping practices, what I learned was   I've been a team member, I've been in so many of the team roles. And then in addition to that, I've owned dental practices and I understand the business and I've run multimillion dollar practices and businesses. so bringing that perspective, I feel like there's the dentist perspective, there's the owner, the CEO of the practice, and then there's the team perspective. And both are necessary for practices. And so Dental A Team, say like, it stands for dentist and team. So what we really do for practices is whether it's virtual or in person, it's...   I call it the yes model line is what I like to say is number one, you as a person, we're going to focus on your vision, where you want to go as a doctor. Like what is your vision? The practice should serve your life. ⁓ because I believe that when you're supported, you're actually a better owner, a better boss, a better dentist. And then we go to E stands for earnings and profitability. We've got to make sure it's a profitable practice. And then we use those things, the vision and the numbers to then tell us what systems and team development we need to put into place. I'm really much a custom.   Let's see kind of like dentists do with patients. Like let's do a comp exam. Let's see where we're at. And then let's go for what's going to make the biggest impact with the least amount of effort. And being team members ourselves, I really think that we're able to like, Hey dentists, we want to hear your vision. We need to know where you're going and then go do your like favorite thing. It's dentistry. And then let's help your team be empowered to learn how to run the practice. So it truly is like a self-managing team, utilizing every single player in the team to their highest potential, but doing it with a ton of fun and ease. Like as a team member, I didn't want more hard work.   As an owner, do not want you to give me more homework. I'm already busy. So I feel like we really come in and bridge that gap of like where we are to where we want to go and do it in the easiest, most efficient and most fun way possible to help like team and patient experience be the top that it can be.   Speaker 1 (04:48) So I guess someone's listening to this podcast and they say, you know, want to, I want to change the culture in my practice, but I'm very much a micromanager.   So which means they're not focused on their dentistry, they're focused on managing the team. Do you help with that? Because there are so many micromanagers out there. I always wanted them for a very long time. And honestly, wasn't until I gave up that micromanaging and I just did the things I was going to do that my practice excelled. So ⁓ that's something, if someone's a micromanager, do you get them off doing that? Or how do you deal with that?   Speaker 2 (05:19) Yes, and I'm so glad you said that because I think most   Founder owners are micromanagers. think leadership we believe I I think so many there's this belief out there that we just come into this world as great leaders and we should just know it like you went to dental school you should just know how to be a leader and leadership is a journey and so for those micromanagers I think it's really fun to have the doctor and the team perspective and to be able to help both of them say like no doctor like these are the things but what I found is doctors micromanage because there's a lack of communication feedback loops so it's a lot so it's either a lack of communication and feedback   loop, a lack of knowledge, or they just like genuinely want to be a manager and they don't want to be an owner. And I'm like, great, let's just figure out what the the reasoning is. And then let's find the solution to that. So if team members have doctors that are micromanaging, first question I'm looking at is like, where's the feedback loop and what are we missing? Next is like, hey, doctor, I understand that this is where we're at. This is where I need you to be for the growth of the practice. What do you need to feel confident to be the dentist, to be the like not micromanaging like   there's a lack. And when I realize there's a lack and when teams can realize that there's a lack, like there's just something missing, we fix that, dentist is now able to be happy, team's able to flourish, everything starts to move in in a good motion. absolutely. I think being team members ourselves, we're not doctors, we're not dentists. Like, Len, I'm gonna lean on you for clinical. Like, that's not my world. I'm not here to even discuss it for one minute. But what I am here to do is to bridge that gap between doctors and teams.   Because ultimately it's same team, like everybody wants the best experience for the patient. We want the practice to flourish. So if we're all same team, let's help get people right seat, right person, help them understand what they should and could be doing. But also like office managers, there's this whole weird world for them too, where they've never been taught to be managers. They've never been taught what they should or shouldn't be doing. They've never been taught like what the difference between an office manager is and a biller and a scheduler and a treatment coordinator and how all those roles are different. And so helping people understand even what their job entails.   I think really can cut that micromanagement passion project. It's just a lack of knowledge and so teaching teams and teaching people, but we're very hands on. I really don't like fluff. That's why think when you and I get along well, I want it to be tactical. I want it to be practical and I want it to be something that's sustainable as well.   Speaker 1 (07:34) And that makes a lot of sense. And that was a great answer, by the way.   We're talking about, obviously you're very systematized. You put systems in place, the team follows, everybody knows what they're doing, runs like a well-oiled machine. Okay. And that's how my practice was when I left, when I was traveling. ⁓ I knew things, I didn't worry. I knew that things were going to be done like this. They knew the roles, team members didn't need to be scolded. They just knew what their role was in the practice. So, ⁓ I know there are things, I like a term here you use the chaos creators. So there are chaos creators in the, in the office. So what are some of these, these common chaos creators?   ⁓ that actually can be helped by putting systems in place.   Speaker 2 (08:13) Yes, and I love that you brought that up because that's the ultimate goal. That's why I wanted this to be called like the CEO mindset. Like doctors, like you should be a dentist and you should own your business. You should not be the one managing. And when you recognize that this actually can be one of the biggest chaos creators in the practice of doctors trying to be the doctor, the dentist, the CEO visionary, plus the manager, plus all the other parts of the practice. Like that is a chaos creator, not knowing right person, right? See is a massive chaos creator. Number one thing I hear every time I go into an office or I work with someone,   is it's communication. And communication is again just a system that needs to be put into place. So how do team members know? Like what is our true morning huddle? It's not a time for us just to hang out. Like why do football players huddle? Why do basketball players huddle? They huddle to win the game. So what does winning on our practice even look like? Making that very clear for our team. Other things like handoffs. That's another communication drop that's a chaos creator. What doctor says to the patient, to the hygienist, to the front office,   It's such fun. I feel like we play a game of telephone. So putting in a little simple system there where we've got a great communication handoff and a process. I know Len, you and I are very big on this case acceptance process of just really having a great clean experience for the patient. These are chaos creators. Also, team members even knowing what their job should be, understanding how they go from where they were hired to how they can get raises. Those are chaos creators. The scheduling. How do we schedule? Let's have block schedules in there. Let's have   a way that we do this in our practice. I remember when I was a scheduling coordinator, my office manager said, Kiera, do not even think about scheduling outside of the blocks until you learn why we schedule the blocks the way we do. And you're right, like when team members know the rules of the game, so much chaos gets eliminated from the practice. like quick things are have great meetings and truly great meetings. If you don't know how to run a great meeting, Traction by Gina Wickman.   It's a little bit of a dull book. However, there are so many paramount pieces in that book and great meetings could be in there. Doctors and OMS have a same page meeting where we're looking at it. Get our KPIs in place where we know where is the practice even going? What is each person's number that they can like impact and improve in the practice? Have like set job descriptions, have protocols of how we treat a patient. What's our hygiene period protocol? Let's just have like really simple systems and I'm big on I don't like to remember things.   Like I love holidays, holidays are on a cadence. So how can we actually get cadences within your practice to where things really can run on more of an autopilot rather than trying to constantly like catch all the balls and remember things? That's the chaos. The chaos comes from the like not knowing and trying to scramble and being in reactive rather than proactive modes.   Speaker 1 (10:53) But that's really good, that's really great. So another question I have for you, there are dentists who are just dentists, and I don't mean that negatively, but they go in with the expectation that they're either gonna be an associate forever, or they're just going to practice and let everybody run the practice and they're just gonna come and do the dentistry, okay? Versus having the mindset of and acting like the CEO, okay? And there's a big difference. One, I believe, has a lot more stress.   I like to talk about it because I was the CEO of the practice. I handled everything. I handled the marketing. I handled the HR. I handled all of the things that makes it different than just being a dentist and putting your hands in the mouth and treating a patient. So if someone wants to act and think like a CEO, what does it really mean to do that versus just practicing dentistry and doing the dental work?   Speaker 2 (11:51) Yes, I'm so glad you brought this up. I've been like crushing on this idea. We actually just ran a three day CEO dentist workshop. like.   obsessing on this right now because there is nothing wrong. And I think that there's a few hats that people wear. I wear a consultant hat. I also wear a CEO hat. And they're actually and I think about big companies like let's look at Google. I know that CEO is not coding. They're not. They're not building it. They're truly in a CEO realm. And so when we look at like what does a CEO do, they are the chief executive officer. Like their job is to execute. Their job is vision. Their job is culture.   and their job is to like really steer and guide the ship and to come up with great ideas. And so when I look at that, I think that there's two hats for CEO dentists to wear. There's the true clinical dentistry, if that's what you want to do and continue to do. And then we really do need somebody who's guiding and leading this business. And I think when dentists, I know this can be a little like not favored, ⁓ dental practices are multimillion dollar businesses and they are. when we realize that they're   They are businesses and like you said, the HR and the marketing. But when you look at large businesses outside of dentistry, they have other players in the realm and in the rink with them to make it actually run as a very successful business. And so I believe that when we understand the business portion of dentistry and we have great clinical care, that's when we're able to serve and help more patients and more team members. And so helping these dentists realize what does a CEO do? And I actually pulled from Dan Martel.   the author of Buy Back Your Time, like obsessed with his book, met him in person, like raving fangirl. It was like slightly embarrassing, like how big of a fan I was of him. ⁓ But he has his delegation ladder in there for businesses and actually created a delegation ladder for dental practices of when CEO dentists go from like your right line, a lot of them do it all. And that's, think, where the burnout is and the chaos is to where when can we start to delegate? Like, do you have a personal assistant who answers all of your emails for you? And if not,   Administrative tasks are one of the best things to delegate. Then we move into like our scheduling and then into our customer service and the patient experience. And then we move into treatment planning. A lot of doctors do that on their own. And I'm not here to say you have to give up anything, but I am here to say that when you truly take on the role of CEO, trying to do it all actually creates chaos. And you actually, you're the bottleneck of the business. And so then we start to delegate out the case acceptance if you want to. You're allowed to keep whatever you want, whatever you're great at.   Then we delegate out the marketing, then we delegate out the, actually, me and my operations manager were talking that I believe that there's two spaces within leadership. There's the executive side, that's these big picture visionary pieces. And then there's the management side, which is the HR, the protocols, the accountability of the team. And when we had that like, and I believe that there's, it's like a black and a white, yin and yang, perfect whole, you need both sides of this leadership within that CEO realm.   But when you're trying to do all the pieces as a CEO, you need to know every aspect going on in the business. But that does not mean you need to do every aspect of the business. And so I think it's like figuring out which colors you like to paint with, which ones really are your zone of genius and then starting to then delegate in strategic manners, delegate and elevate, not abdicate ⁓ really are how you can make this where you become truly the CEO of your business and your practice. And you're able to have great players around you that are able to then.   Make sure every other part of your business is thriving and flourishing too.   Speaker 1 (15:19) Got it.   Speaker 2 (15:20) So   much line, I hope it wasn't lying.   Speaker 1 (15:22) No, that was great. That was great. I mean, they should replay that because I think there was some really good nuggets and pearls that they can take back. So, you know, I want to talk about delegation. ⁓ you know, Invisalign is a great product ⁓ to bring into the practice or aligners in general. doesn't have to be Invisalign, just aligners. And aligners are really good, but they become really profitable ⁓ when a dentist is willing and able to delegate the tasks to other team members.   And personally myself, I used to do it all. And then I took a class by somebody, can't remember who it was, but it was all about giving the empower your team to do things and delegate the services to them where you're literally kind of just doing the initial consultation and whatever is required by your license in the realm of the things. But the team is able to do mostly everything else. And once you do that, ⁓ Invisalign becomes a very, profitable procedure.   So what advice do you have about delegation to somebody, to a dentist who really feels like they need to do it all and does not want to give up control of anything?   Speaker 2 (16:28) Len, I'm so happy you asked me this question and I'm so happy that I'm a team member and I'm gonna put on a team member hat, not a CEO hat on this one. ⁓ Number one, I really, really hope, and dentists, if you need to pause, replay, record this and listen to it every single day, I really hope you do. ⁓ As a team member, my number one job, genuinely speaking, and doctors have told me so many times when they've heard me say this, it...   hopefully will strike you to your heart as well. As a team member, my number one, like genuine number one objective was to make my doctor happy and to make their life easier. And that was honestly what I did every single day. As a dental assistant, I'm looking ahead. I want to be seven steps ahead of you and I want to make sure that you're truly like set up for success. I want to make sure that patient's back on time. I want to make sure that hygiene exams are on time. And I think that while yes, you might have some team members that make you question this statement.   I think 95 % of the population is genuinely good and they want you to thrive and they want the patient experience to be great. So when you hear that and you truly honor that and you respect that and you trust that, you then will realize that one of the best things you can do is, I don't believe in delegating. So like I can empower, but if I empower and don't hold accountable, then I've created entitlement within my practice. So I want to empower through delegating of this like.   As a dental assistant, do know how happy I'd be if you gave me, can fit a line. I understand I'm going to make a few mistakes, but oh my gosh, the growth, growth equals happiness. So for your team to be happy, give them opportunities to progress. Like that's what creates the happiness and the sparkle and the zest in life. And so really when you empower your team and hold accountable, you don't get this entitlement. When you empower and don't hold accountable, that's when we get these entitled teams that genuinely then it just becomes mayhem in your practice.   So like you said, delegate these tasks that one, either you're not good at, or I do think about everybody should be working at the top of their license. What are you able to produce per hour? If there's a task that I can hire somebody for less than you can produce an hour, it's probably something that we shouldn't be using your time for. And I know as a CEO, as an owner, this is actually hard for me because you strip me of things that I'm actually really good at, but reality is there's better uses of my time. And when you can recognize   giving everybody the best use of their time. Me as a dental assistant being able to do Invisalign, you've now just lifted and elevated me to the highest level of my license as well. And so I really do believe like doctors, one, believe that your team is truly here to support you. And if they're not here to support you, they're not your right team players. they like, great, let them graduate to somebody else and you bring somebody else in. Two, empower them and hold accountable to ensure that it's like how you want it done. And team members like,   You can share this with your team. I'm happy to share this one reason I like to do this. Team members, give the feedback to your doctor. They are going to trust you so much more when you come back to them and you show them the things you listen to what they say, you create the protocols, you do it exactly how they want you to do it. That will build trust and confidence so quickly. Team members lose doctor's trust so quickly when they like lacked to follow through and like truly do what the doctors have given them like stewardship and ownership over. So for those doctors and like you said, Len.   You won't understand until you try. And when you do try, you will make mistakes. But I believe, this is my philosophy, anything that I've delegated never gets to come back to me. And I think when you have that notion and that idea, well, I know it could never come back to me. You actually make it really, really great. You train your team. You help them have this. ⁓ And I then believe everybody's able to flourish so much higher. So hopefully that answered of like, one, you need to delegate and you should delegate.   Two, what are the tasks that you can be doing that are like helping you work to the highest level of your license? Everybody working at that is going to make a better team experience, a better patient experience, and all around a better practice for you as well.   Speaker 1 (20:20) I think you, I mean, the content you're providing, the listening and viewing audience is spectacular. you know, one of the, I guess, negatives about being a dentist is a feeling of being overwhelmed. A lot of stress. You know, that's part of the reason why I think you've got, you know, dentists with the highest, one of the highest suicide rates out there is that, you know, it's a very stressful job. I mean, you've got a lot of debt, you've got a lot of, you know, people relying on you for income as well. So what mindset   do you think exist ⁓ that or traps do you mindset traps do dentists fall into that that keep them feeling overwhelmed and and what do do about that?   Speaker 2 (21:00) Yeah, this is something so real to me. My first practice, I mentioned it briefly at the very beginning of we took our practice from 500,000 to 2.4 million in nine months. And when I present and I speak, I often will bring up like the success story and I list off my stats of our practice. I asked the audience, said, who wants this practice? And like hands go up and people are like shouting like, yes, I want this.   And then I say the other side of success is that this person, is me, like, spoiler alert, I was 98 pounds and I'm 5'8". I ⁓ had divorce papers on the line. I remember like I walked out of my practice that like one day and I remember just like standing on the sidewalk and being like one step and all this could be over. Like it was, and I'm not a dentist. I didn't even have the pressure of having to be in the exam rooms, but I do understand the pressure of business. And that's actually what's like fueled my passion in consulting is.   Because I thought like if this is how so many of us feel to get to success, Tony Robbins has a quote that success without fulfillment is the ultimate failure. And that was curidant in a nutshell. We had success on paper, but fulfillment was lacking and my entire life was falling apart. And so when you ask like, what are some of these zones that keep people in this mindset is one, I think that we believe that to get to success, we have to grind it out. We have to hustle. We have to do it all. Like it's this hustle mentality that I believe is so false.   Yes, I do believe that hard work is required, but I don't believe you have to do all of the work. Just like we talked about before, also think delegations paramount. I think so many of the doctors that I see there in this burnout are just, it's like grippy. Like they want to hold on to everything and they're not willing to let go and they're not like, also you're telling your team that you don't trust them and you don't believe in them when you do that as well. So you're actually causing like this double-edged sword on it. And then third, I think ⁓ we just don't take time to stop and pause and realize like what really is necessary.   I think so much like when I sold out of the practices, my whole identity was associated with that. if we have our identities associated with these practices and with the success, well, I can imagine that that feels like chopping off your arm and your leg if you were to fail. therefore, if it's literally my physical body and I feel like it's my whole identity, I literally remember the day that I sold out of the practices. I felt who is cura dent, who is she? Like I have no purpose in this world anymore. Nothing is important. Like I don't even have a family. I have no practice.   I felt nothing and I think when people's identities are associated with this rather than having something else. So I talk about like what makes all of you up and I remember like like looks like this weird little doll. Like it's such a weird outline that I make people do but I'm like draw to me like how your life is and when I do this usually it's like from your neck to like your ankles that's work and if that much of your identity is associated with work in your practice.   What could we shift this to more so your whole identity is not associated with that? So that's like we go work out, we have time with family, we book the vacations and when you start to realize that there's more life outside of the chair, more life outside of it and you being a well-rounded human that truly and I don't like the word balance, I just love the word well-rounded and fulfilled. When we start to add some of those pieces in which again feels contradictory, it feels like if I give this up that I'm not making money. I used to say I don't want to sit on the couch and watch TV with my husband because I'm literally not making money.   That's one of the the grossest statements I've ever said, but Len, it's truth. I really truly felt this way. Like the only purpose is to be producing and to be productive. But I didn't realize that. Like you look at that athletes have to take a break and they have to reset. They have to recharge. They have to like the best time is actually the recovery off season. ⁓ no, no person can continue operating at 110%. And when they are operating, they're actually not their best self. So there's just as much beauty in the recharge off time.   as there is on the productive on time. So when we can delegate, when we have more purpose beyond just our practice, and it's okay, work to me is very fulfilling. It's such a big part of my life. I love it. ⁓ But it's not all of Kiera's identity. So if I were to lose work, Kiera and hopefully you can still exist outside of that. ⁓ And then truly having shut off time. A lot of clients when they come on board, I tell them, I'm like, I'm giving you the greatest gift. You're out of work today at 4.30 and I don't want you to talk about work. Close the laptop, walk out and literally leave it at work.   And what's crazy is people don't realize that you can actually get a lot done within your four or five hour, like four or five day a week work week. And to be home with your kids, to be home with your family, to go to the gym, to replenish your bucket that gives out so much every single day ⁓ really is what you actually need to be doing rather than trying to produce more. And it sounds contradictory, but it's true. You will actually produce more and be a better producer and happier business owner if you will do that.   I know that was a long-winded answer, Len, but I really hope that people can see there are two sides of success. The word itself of success has a portion of suck. Like there is a side of business that is really hard that does require that grind and that hard work, but there's also a beautiful side. And I think when people can dance in that, can see that their whole identity is not the practice. It's not all dependent on that and they fill themselves and fuel themselves. Literally, I feel like the burnout can be dissipated very quickly.   If you've been going on it for a long time, it will probably take a little bit longer, but these small, simple steps will make you so much more fulfilled. And honestly, I hope nobody listening to this podcast hit success without fulfillment. I hope all of us commit that while we're giving the great patient care, we're giving back to all these people, we equally get to deserve and we should deserve to have a beautiful life of our own as well.   Speaker 1 (26:39) So nicely said, very eloquent in way you said that as well. last thing I want to cover is, we talked about being overwhelmed. stress is also part of being overwhelmed. very stressed. What are some ways that you think a dentist can reduce the stress on a day-to-day part of his practice? If someone said, hey, I'm so stressed, I don't know what I'm going to do. And you hear it a lot. I I talk to dentists all the time. And one of the common denominators is that they're   You know, when I sold my practice, I was never truly, truly stressed out. The stuff that stressed me out, honestly, was stupid stuff. But since I sold my practice and retired, I don't really have much stress in my life anymore. It's very interesting. But what are some things that dentists could do to reduce those stress they see on a day-to-day basis?   Speaker 2 (27:29) Yes. Okay. And I said, yes, because I'm to go back to the S model. The S model is literally like my stress booster buster for you. Number one, where do you want to go and why? Like figure out you that truly if you don't have a North star, you don't know what you're going for and reassess to make sure that's really where you want to go. So many people put this like, I want to have four practices and I want to have this. And I'm like, why? You got to be able to tell me why I'm making sure it's your dream, not the dream you think you should be living.   That's like number one to get rid of stress, like truly living your dream. And I will tell you, you're allowed to like, it's in pencil, it's not in permanent ink. You can erase it, you can recraft it, you can recreate it. That's going to cut stress. I was chasing after a mountain, I didn't want to climb anymore. And when I realized that, that was a pivot shift. So number one is like, make sure you're actually truly going where you want to go. And that's the you. Earnings like profit, like Len, so much stress comes from not knowing the numbers.   And I know people sometimes want to avoid it. They don't want to look at it. Like I'm just going to go do production. I want to do ethical dentistry and I will tell you both exist. It's not an or like you will you as a human are going to naturally do ethical dentistry. Like you can't go against that. That's who you are at your core. And by knowing the numbers, you're not going to go and overdiagnose like I promise you it will not happen. But knowing the numbers and actually like looking at your cash, what are you spending money on? What do you need to produce to be able to afford the business?   Doctors learn the numbers and they actually use the numbers to make their decisions. Stress dissipates. I have so many doctors that reach out to me because they're cash flow poor and I'm like, you're producing 200,000 a month, how are we broke? ⁓ So actually understanding how to use numbers and not to be used by numbers and knowing how you actually can get money and like what can you live on and understanding tax brackets and savings like that discipline might seem constrictive, but I will tell you it is the most freeing stress free piece that you can have.   And then third, our systems and team. Like I'm going to like just really keep like painting this picture for you. Delegate to your team, use your team, put the systems into place. And we don't go for the whole elephant. We don't do the entire thing in one night shift. What we do is we look at the numbers. Where are numbers low on the KPIs? Let's go fix a system over there. So we fix that part of the leaking bucket. Just that alone, like even myself, I felt it like the hoosh of reducing that stress for you. ⁓ Start with your vision.   know your numbers and then put systems into place and team delegation and elevation ⁓ that will immediately reduce stress. And then like just quick, what is the one or two hot pain points right now causing the bulk of your stress? Let's figure out how we can eliminate those right now. And I want to, everybody always says, Kiera, there's no way like I can't do this. The answer is yes, you can. Yes, you can. And when we get out of this, I can't get that, I can't do this. We actually find the true core of what we can solve. Usually the answer is pretty simple and it's pretty immediate.   if we're willing to just let go and take action. So those would be kind of my like four little steps to reduce stress quickly and easily. And if you can't see it, sometimes having an outside voice and outside perspective, sometimes you're too far in the weeds, that can be very beneficial for you as well to like take you by the hand and say, here's step one, two, three, four, and they're there to guide you as well, rather than you trying to figure it out yourself.   Speaker 1 (30:35) amazing. This is great. ⁓ I want to shift for the final few minutes that we have together. I want to shift to my lightning round Q and a that I like to do with guests. We're going to get through eight to 10 of these. Okay, ready? The rule of thumb for this one, you like long winded answers, which is great. But for this one, it's very, fast. No long, no long winded. We'll never get through this.   Speaker 2 (30:47) So   You got it, Len.   Speaker 1 (30:58) So I opened my app up. First question, what book do you want to go back and reread as it's made a great impact on you the first time you read it?   Speaker 2 (31:07) I would go back and reread Bye, Your Time by Dan Martell. I feel like there's a lot that I could relearn from that where I'm at today.   Speaker 1 (31:14) repeat that one more time.   Speaker 2 (31:17) Yep, buy back your time by Daniel.   Speaker 1 (31:19) Buy back your time. I'm just writing it down. All right. Who has been your greatest inspiration?   Speaker 2 (31:25) Gosh Tony Robbins hands down. I love Tony so much. I look up to him a lot. I've been in his Lions group ⁓ the reason I look up to him is because He said one time the Tony you see in front of you is the Tony I created it's not from my parents It's not from business. It's not from anybody else It's who I want to be and who I esteem to be and he said life is always happening for you and not to you and those two pieces have Resonated with me so much in my life ⁓ truly one of the like   biggest, greatest mentors and I've been really blessed and lucky to have him directly mentor me, which have truly changed the trajectory of my course, of my life as well.   Speaker 1 (32:04) Awesome, amazing. ⁓ If you could take a class to learn anything, what would it be on?   Speaker 2 (32:10) marketing. Len, hate marketing. Call my Achilles heel. I learned so much and I think I know more. But man, if I could like understand it on a really high level easily all day every day and I take a lot of them. But man, one like magic one that would teach me everything. Yeah, it'd be amazing.   Speaker 1 (32:26) Amazing. Do you believe there is some sort of pattern or formula to becoming successful?   Speaker 2 (32:33) Yes, I do. It sounds like cliche. I didn't like, I think the yes model came from what I believe success is like you having a vision, looking at your numbers and then putting systems into play and using your team ⁓ and surrounding your yourself with people that are living and doing the life you want. I really do believe we become like the people we surround ourselves what we listen to. So that's what I would say is the path to success.   Speaker 1 (33:01) Amazing too. Has anyone in your network other than Tony Robbins, has anyone in your network been important in your journey or to your journey?   Speaker 2 (33:09) Absolutely. There's a lot of people. think my husband, that's a huge support for me. He believes in me, even though maybe he shouldn't believe in me, but having that rock. And then also my team, truly, I look at all the variations of Dental A Team and where I've gone as me as a person, they've evolved me as a human and they've also evolved our company and the good and the bad that have gone through.   They have truly shaped me, every single one of them, and I'm very, very grateful for the trust they put in me to create what we've built.   Speaker 1 (33:42) amazing. How do you develop how have you developed key partnerships?   Speaker 2 (33:47) Ah, that's fun. You go to events, you talk to people, you look to see how can you add value to their world, to their life. And I think partnerships, partnerships to me, I don't try to figure out like how to do something. I look to see like, who do I know that knows how to do this? That's how I use partnerships in life and vice versa. Like bring more to the table than you take from people. But I look at people have just like, what's their secret sauce? How can I like, like connect them to other people? To me, it's a fun connect the dots of just getting great people together. That's how I believe that like.   To me, that's how all boats rise is through partnerships like hands down. One of the best things was networking and meeting people. You will learn more from the minds of men than you will be able to like mine out of this world. Like there is more gold there than anywhere else in this world.   Speaker 1 (34:32) Got it. What has been your most satisfying moment in business?   Speaker 2 (34:39) Most satisfying moment? There have been a lot. I think recently my most satisfying moment was when I wanted to give up and I really was so burnt out and I was exhausted and I was tired and I hit that breaking point again in my life. And for the first time in my entire career, I took an entire month off and I reset and it was the most scaring. There was a lot of really bad backlash that came from it.   But me as a human, re-centered, refocused, re-prioritized. And I think that that was one of the most satisfying moments to realize, at the end of the day, CEOs and business owners have to show up for themselves first to be able to give to their entire team. And I'd never, ever, ever, ever done that. So like me personally, that was one of them. But man, like the hundreds and thousands of clients lives, Glenn, you and I both know, I think as consultants, when you hear people's lives changing,   like clients who are broke and literally had no money and now they're buying their kids their dream lives, that to me will always be the clincher of everything but like beautiful and why I show up every single day to do it. So there's a personal and a professional win that was like just super satisfying.   Speaker 1 (35:47) That's really great. All right, three questions left. Let's get through these quickly. What deserves all your attention but seldom gets it?   Speaker 2 (35:57) I would say probably my body like working out.   Speaker 1 (36:00) Okay, what three adjectives describe your strengths?   Speaker 2 (36:06) Adjectives. ⁓ I would say grit. would say fun. And I would say passion.   Speaker 1 (36:16) Great answers. Last question I ask is to everybody. So it is one subscription, either business or personal, so something you pay for either monthly or annually, that you simply cannot live without.   Speaker 2 (36:33) ⁓ Len.   I would say I can't live without, honestly, boomerang. That sounds so ridiculous. I would not be able to follow up with all the millions of things that I do day in and day out without boomerang as a person, like professional. Like I would pay for that all day every day. ⁓   Speaker 1 (36:53) I haven't heard that one before, that's a good one. you go. ⁓ So Kiera, how can people learn more about how you can help them if they want to learn more about your consulting agency? What's the best way for them to reach out and find out more?   Speaker 2 (37:03) Yeah, thank you so much Len. Best way is listen to the podcast, the Dental A Team podcast. Reach out on our website, TheDentalATeam.com. You can book a call with us or you can always reach out. You can text us directly, 775-243-5100. Like we will get back to you. I'm happy to share any tips, any insights. Find us on Instagram, Dental A Team. Truly, we try to be just like you are Len, available in all aspects and just really, really grateful for this opportunity today.   Speaker 1 (37:30) Well, this was great. Thank you so much for ⁓ spending 30 plus minutes with me, really educating the audience on things you're passionate about. And just like I did on yours, you can see the passion when you talk, you can see the passion in how you answer the questions. So I truly appreciate you kind of giving it all to us. So thank you again for being part of the Raving Patients podcast. ⁓ Guys, if you like the episode, please like us, please review us. If you think you or yourself or one of your colleagues can use what the Dental A Team can do for your practice, please reach out.   let them know you heard about them through the podcast that I just did with Kiera. ⁓ And as I end ⁓ every single one of my episodes, remember your reputation matters until the next episode. Thank you so much for joining me and we'll talk to everyone soon.