Podcasts about SRP

It's Bourbon Heritage Month, and on this episode of Five Minute Fridays, Jake goes straight to where it all started: Old Forester Birthday Bourbon, one of the most talked-about — and most divisive — releases in the bourbon world. This year's edition lands at 11 years old and 97 proof, released earlier this month.Fresh off Kentucky Bourbon Festival, Jake sits down (with a little personal timing — his daughter's birthday is just days away) to break down the nose, palate, and finish of this year's Birthday Bourbon, compare it to Old Forester's recent "Kentucky Boy" release, and explain why he thinks this might be one of the best versions of Birthday Bourbon he's tasted yet.In this episode:Why Birthday Bourbon is one of the most controversial releases on the marketTasting notes: burnt sugar, crème brûlée, brown sugar, caramel, French vanilla custard, tobacco, and cherry cordialHow this year's release compares to Old Forester's "Kentucky Boy"Why Jake thinks Old Forester and Brown-Forman are "on a heater" right nowThe team behind the blend — Caleb, Melissa, and ChrisFinal verdict: would Jake buy it at SRP?Approximate Timestamps0:00 – Intro: Bourbon Heritage Month & Birthday Bourbon's controversial reputation0:58 – This year's release: 11 years old, 97 proof1:29 – Why today's tasting is personal (daughter's birthday)2:11 – Nose: burnt sugar, crème brûlée, caramel, French vanilla, baking spice, tobacco2:49 – On the 97 proof and the blending conversation from Kentucky Bourbon Festival3:36 – Palate: oak, tannin, brown sugar, caramel4:21 – Finish: tobacco, cherry cordial4:58 – Comparison to Old Forester's "Kentucky Boy"5:38 – Final verdict and the team behind the blend

In this episode, Dr. Grace Yum is joined by Amanda Hill, an award-winning author, international speaker, and dental hygienist, to explore desiccation shock technology and the clinical applications of HYBENX. Amanda shares her experience with the technology and how it can support clinicians in achieving greater efficiency and control during treatment. Episode highlights: How desiccation shock technology works Using HYBENX for SRP, crown preps, caries, and root canals Patient contraindications and clinical considerations Practical tips for application and use How it can improve visibility, efficiency, and patient care Ready to thrive as a dentist and a mom? Join a supportive community of like-minded professionals at Mommy Dentists in Business. Whether you're looking to grow your practice, find balance, or connect with others who understand your journey, MDIB is here to help. Visit mommydibs.com to learn more and become a part of this empowering network today!

Kiera is joined by Dr. Rania Saleh, founder of Oryx Dental Software, a dental practice management platform that will streamline your practice's inner workings. The two talk about the journey of AI from when it first launched in dentistry to now, how AI can work in your practice as an accompaniment (not a replacement), the honest pros and cons of this intelligence, and a ton more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera (00:01) Hello, Dental A Team listeners. This is Kiera, and today is an exciting innovative day. I am so excited for our guests that we have on here. Her and I met about three years ago in person, maybe even four. Gosh, I can't even remember. But I remember being in this event in Napa, and we were all hanging out in this lunch area, and there was this amazing woman who was talking about her AI innovative dental platform. And I was so fascinated by it. I went up to her, started asking her questions, and here we are four years later. So I've got Dr. Rania, she is the founder of Oryx Dental Software. And some of you may have heard it. It's a new I remember when we were talking, she's like, it's an AI platform that's gonna like take over and help schedule and a lot of the tasks that offices struggle with. And she's a dentist. And so I loved her for those reasons because not only is she a dentist, so she gets your pain point, but she's also created a software that helps a ton. And she's here to talk about all things innovative AI. And I know so many dentists are just chomping at the bit because. Dr. Rania, you know dentists are about like four, five, six years behind where you were. And so I'm super excited to have you here to talk about AI, talk about how AI is impacting dentistry, talk about how your platform's been able to help and serve. So Dr. Rania, welcome to the show today. How are you? Dr. Rania Saleh (01:10) Very good. Thank you for having me. Kiera (01:13) Course. So I gave a little bit of an intro to you. I don't know if you remember the lunch. I know we had a pre-show of how it was like that was so long ago and things have just upgraded and elevated since then. But give the listeners a little background to how you went from dentist, which I know you are still dentisting, to building this software to being like this AI innovative KOL in the industry. Kind of give us a little background of who you are and how we got to this point today. Dr. Rania Saleh (01:38) Yeah, so I started out as a dentist. and I I was an associate like most of us start. Then I went to the COI Center and I learned like a whole new way of doing dentistry. And at that point, I'm like, I'm gonna open my practice, fee for service, startup. and that happened in the middle of the global financial crisis. everyone thought I was crazy for doing it, but I went ahead with it and my practice started growing. I was doing great. it grew to multiple specialty, multi-location. and I got pregnant with twins and I had to be put on bedrust. Kiera (02:23) Mm-hmm. Dr. Rania Saleh (02:24) And it was a big, big shock for me because I had a lot of systems in my practice and I thought we were doing amazing. And at that point I wasn't practicing that many days. I had multiple associates. my practice started declining when I wasn't there. and this is when I realized that a lot of the systems were just in my head and not everyone was implementing those. and I started thinking, like, how do we get back on track? How do we stop losing? Losing money, losing patients' confidence, getting bad reviews for the first time ever, all of that really hurt me. And this is how Oreg started. Kiera (03:06) I love it. Because I think, Dr. Rania, you can really speak to how a dentist feels, right? How many dentists, I think, as you were saying it. I'm sure they're saying, yes, me too. Like I can empathize. I know I've seen it with all the clients that we work with. Systems aren't systems, right? Standards are not standards. They're what we tolerate. It's what we have as processes. And I remember you saying, like, orgs basically is going to become these offices, office manager for them. And don't worry, office managers, we're not replacing you. We're just enhancing this for you. But I remember I was so fascinated by your innovative way. And so I wanted to talk about what things can AI do from, you know, when your software first started to today, I feel like AI has just taken off, right? I was always curious what would take down like Google, right? Like coming with the internet was something in my lifetime that changed. And I was like, what's gonna be the next piece that is that innovative in our world? And I believe AI is here for that. So I'm just curious, like from what you've seen, those systems you said like they were living in your head. What things have you seen that practices can do from like AI is not a replacement, I think, for clinical decision making. It can be a tool for it. But how are you recommending that we use AI and dental practices that you've seen from software to clinical to front office? What are some of the I wanted to like really just rift with you? This is my selfish side because I'm like, Dr. Rania Saleh (04:18) Yeah. Kiera (04:19) let's chat all things AI. And what are you seeing that are like the pros and the cons? Where can dentists start leaning into this? What are some of the best on the market right now? You're one of the I love you were you're a you're a founding female in the industry and you're very innovative in it. So let's have a good rift on on AI and what you're seeing in that realm. Dr. Rania Saleh (04:38) Yeah, I mean, like AI touches every aspect, and I was so excited when something like this was created. And what was really good is with Oryx, we started with systems. What I said, like a lot of the systems were in my head, and we started like, how do we create a check-in checklist, a checkout checklist? How do we make everyone's life easy? So we made a lot of automations in the system very early on, but these automations still needed a human to intervene to be able to make it work. And with the emergence of AI, we're like, my God, this whole workflow that works perfectly for us can now be automated. So although it was easy to manage, now it's a click of a button and the whole workflow of scheduling patients, having AI receptionists call and and get patients that were not scheduled, like this is a great innovation. getting getting your clinical workflow, having to spend time with the patient. If you have your AI summarizing for you, we talk to our AI, and I always say that way, I want my AI receptionist to be the same as my best assistant. So I want I I don't want to learn a new language to speak to my AI. I want to speak as if I have Jessica or Jennifer or one of my best assistants and I'm just telling them I'm gonna do a crown on this tooth, let's extract this tooth. I see a recession here and it's capturing all of this and charting it. So AI charting is like a game changer because now my assistants could be doing other stuff while I'm doing my charting Perio AI is great. The same for imaging. It's a great tool to help us locate conditions, share our findings with the patients, and patients are just fascinating by that. So I don't see an aspect of the software where it doesn't touch it. Also like on the insurance collection, auto-attaching the narrative, anything that the insurance needs, all of that. is built into the AI system and there's a lot of tools to do that. So I I really think people should try it to see what it's capable of. Some people are a bit scared to dip in there, but I it's a game changer for us. Kiera (07:09) Yeah, so let's talk about let's play devil's advocate. because I think so many people listening are sitting on that side of the fence of like, but we're in clinical. And so how do I know that this is HIPAA compliant? How do I know that this is safe? I think that that's a big, a big concern. And then the other concern is like, well, yes, it can help me attend. How many mistakes does it tend to make? How much more double checking? Because I know there's offices and like insurance verifications. Let's go back a few years. Insurance verification, I feel like insurance verification companies have popped. Left and right. Like I feel like they're daisies in springtime. Like we just have a lot of them. And offices will say, I love it, but it's not accurate. So I don't trust it. And I'm just going to do it myself. So I think it's a twofold one. What are you finding for like AI with HIPAA and us being compliant in that realm? And then part B of that question would be: can I actually trust this and how much error? Like, are we talking 70% error, 80% error? And is it really helping my team or is it something where my team is kind of like, turning a blind eye to it, thinking it's taking care of it, and then we're just getting a lot of mistakes we have to fix first. So first question is like let's talk about hip end compliance and making sure in the medical space that we are we're protected and safe on AI. Dr. Rania Saleh (08:19) Yeah, I I would say like there's a lot of new AI companies every day. It's like a new name and people would tell me, Do you integrate with this? Have you heard of this? And if you don't have a BAA agreement with the company you're working with, then it's not HIPAA compliant. So that's the very, very basic. Before you go with any AI or any company in healthcare, just make sure that it's HIPAA compliant, that it has all the certifications needed to administer AI. And I would say that's the bare minimum to to protect yourself, to protect your practice and to protect your patients. W with the errors, it's like Anything that you do, the AI is not a hundred percent accurate, so you still have to check. But for me, I think if if I'm charting, could my assistant make a mistake and put the crown on number twelve instead of number thirteen? It happens in real life. So there's always that human in the loop where I'm gonna stop, double check, make sure. If it's taking ninety percent of my work, if it creates that summary but there's these two sentences that I don't like, I'm gonna read it. I'm not just signing. blindly progress note. But it's a lot of help. Like for example, when we do our claims, we're doing an automatic attachment. I would say that's a 99% success rate. The systems are great at detecting which radiographs they need to attach. But if you take your radiographs the wrong way, if you're putting a lower molar in the upper molar slot, then that might go wrong to the insurance. But even if you had Mary at the front sending that x-ray and it's in the slot of number three, she will probably send that x-ray. So it's not you you still need. The human to verify, but it's removing a lot of the redundant work. Kiera (10:17) Mm-hmm. Which I think that that's a good call out, right? I think that that's a a smart path to go down. I think it's a yes, but you're not wrong. Like mistakes happen in your day-to-day anyway with humans. Like, let's cut out half of the time. I I was reading up on some AI how it can like go through all your emails and respond to 60 emails in 20 minutes and have it about 80% success rate compared to what a normal human would do. And I thought about this and I was like, wow. 60 emails, 20 minutes, 80% success rate. I think that that's like a risk I'm willing to try because it frees up so much manpower for things that can't be done by AI, like blocking calendars or running interference and other things or talking to patients like right now. Who knows? There will probably be a robot someday that's gonna be. I know I had one office that was doing a robot a few years ago, but I think Dr. Aenia, what do you feel? a lot of practices like Orix is awesome, right? ORX has so many great things. There's a lot of AI in it. But a lot of offices don't want to switch softwares. I feel like switching CPAs and software is probably dentists like two biggest headaches that they just don't want to do. So, what are some tips like that a dentist? Like, what are some of the things you've seen in dentistry of AI that you might bring to the practice if they're not quite ready to do a full conversion of software? And then I do want to talk more of like what ORX can do. And like you've mentioned a few things. But if I am a if I'm a dentist, I do not want to switch my software. I love my dendrics, I love my eagle soft, I love my Open Dental. And I'm like, I'm not changing. It's too much change. We already have all of our systems processes, but I do want to start dipping my toes into AI. What have you found? What are some of the successful things that you've found that you feel like every office should be doing this? And maybe some of the ones you've heard on the market that are some of the top notch. And this is as of today, right? We're gonna timestamp it because things are shifting and changing constantly. So just realize like as of today, this is the best. What would you recommend for that practice? Dr. Rania Saleh (12:08) So I I would say like imaging, period charting, all of that could have a direct impact on the clinical workflow. AI receptionists, some people are not comfortable with that, but like maybe after hours when no one is answering the phone anyway. Don't give your best leads to the AI receptionist. But if you're not gonna answer these calls on the weekend, this would be a great way to start dipping your toe. I think People are shifting more to a comprehensive software like Oryx, and we see it more and more because you need all this data to be interconnected. If you're on EagleSoft or one of the on-prem older software, you have so many point solution and you cannot create that amazing workflow with that. And I feel AI is that tipping point for us as a software company. So maybe five years ago, I used to hear about like, why would I shift to Oryx? Why would I shift to a cloud software? It's not worth all the hassle. I have I have Dentrix and I have like six add-ons that are working so well, and my life is good. Why this disruption? So cloud is not enough of an incentive for people to shift. But now with on the Kiera (13:24) I agree. Dr. Rania Saleh (13:24) cloud features and on the interconnectivity, we're seeing a lot more people moving even from paper charts straight to AI. And it's just Kiera (13:32) Mm-hmm. Mm-hmm. Yeah. Dr. Rania Saleh (13:35) amazing. Kiera (13:37) So let's talk about, I know some of the critics of a one software are like when they're I won't say the name of some of the software. People know I don't need to to bring them up. But some of the complaints I've heard from a one-stop shop is, well, I like some of those add-ons that I'm able to put in other softwares because not every software is gonna nail everything 100%, right? So like just because we're really good at maybe we're great at the receptionist and we're great at the clinical, but we're not so good at our rub. Revenue cycle management. So every software is going to have, right? It's like a Toyota car out there. Like I can have really great la longevity and liability. Maybe you don't love the aesthetics of it. And so do you guys have any plug-ons and add-ons? Are there ways that things can integrate in? Because I know a lot of people are scared to switch to these all-in-one platforms. Because if I don't like something about it, there's nothing I can do to incorporate or change or modify, unlike some of the other softwares that are out there on the market. I don't like this, there's a bunch of add-ons that can integrate. And I found like with integrations, integrating into certain cloud-based all-in-one software, there's no integrations that they can have. So I think people are concerned about that. What are your thoughts around that when it comes to the softwares and the platforms and being able to make sure it's again, it's not gonna hit every single thing perfectly. It will do a lot of great things. How do we, how do we circumvent that and feel confident moving forward? Dr. Rania Saleh (14:58) Yeah, look the way we think about it is is it something we want to create? Is it easy to create? Is it gonna give a lot of value to our user? And does it make sense to have it only in Oryx or do we have the add-on? For example, like image annotation. We integrate with Pearl and Overjet. They're the best in the market at annotating x-rays. Kiera (15:18) They are. Dr. Rania Saleh (15:19) We're not gonna redo this work, we're not gonna get into all the certifications. They had to go through. So we have this integration and we always believe in choice. So if someone really loves overjet, they could stay with that. If someone wants Pearl, they could go with Pearl. And that's our approach to think. If it's something very minimal in the early days, people would say, Can you please integrate with this? And we have it for free in our system. We do the integration, then they don't use it. And it's not good for us and it's not good for the vendor. So like membership plans are so easy in Oryx. We never integrate it with anyone because it integrates into directly into the patient's ledger, into the credit card processor. It's a whole system built together that makes a lot more sense being inside of Oryx and a third-party integration does not make sense. So in the areas where it makes sense to integrate with other companies, we do it. In some areas we don't because users are happy with what they have. Kiera (16:21) Got it. No, that's helpful. What would you say are some of the like top things that people would consider in oryx that would make it as a switch for them to move over? Dr. Rania Saleh (16:32) the clinical was always our strongest suit and it's What makes people want to switch because you're able to give the patient a great exam and you're able to have the best relationship with the patient. Our patient report is very detailed. It has the patient's photos, it has a summary of their findings. It's the biggest source of referral for most offices. So a lot of users consider us for our clinical and the patient experience. Kiera (17:03) Got it. And can you break down specifically what are in that clinical? Like I'm looking for like the nitty-gritty. So it's like it helps us with the exam annotation. It helps with charting it, make sure that it sends the follow-ups, that it does the period. Like, what exactly is that? Because I think for a lot of buyers out there and a lot of people looking at AI, I think that they're just like trying to figure out it's like, why? Why should I switch? Like, that sounds great, but like you said, my life is good, my life is easy right now. So, what are some of those things? I feel like AI is the Life that we don't even understand that we're missing, right? Like I can have this great life, but if I don't see that Bora Bora and the four seasons exist, I don't even know that that's something that should be on my radar of a bucket list item. So what are some of those items that might just expand doctor's horizons of like, hey, I never realized that a software could do this, or I never realized that AI could do this. Like, let's do a little teaser sampler for doctors listening today of like. What are the possibilities that maybe they're not even imagining are real that are happening today for other offices? Dr. Rania Saleh (18:04) So like the whole experience starts with the patient booking online or talking to the AI receptionist, getting the scheduler and getting scheduled. And then they get the forms. The forms are extremely engaging, but we also ask Kiera (18:18) Okay, sorry, Dr. Rania. I'm gonna like just interrupt and I'm gonna back it up. So when I'm scheduling online, just clarifying, can they schedule all appointments or is it like new patients and profis? Cause I know in some of the other scheduling online platforms, they could only schedule certain types of procedures. So I'm just curious, like when they're scheduling, can it be all types of appointments or what are kind of the the logistics with that scheduling? And then we're gonna go into paperwork. Cause I'm like, hold on, break it down for me. I need a few more specifics over here. Dr. Rania Saleh (18:42) Yeah. No, it could be anything that the office wants. so if you want to expose all your scheduler, all your days with the online receptionist or with the AI receptionist, you can choose to do that. If you want treatment or not, you can decide what days, what times of the day, what providers are gonna take these online appointments or get appointments with the receptionist. so that part makes it super easy for patients to schedule and then they get an invitation to complete very engaging forms. and with these forms, we're asking a lot of questions, but patients love to complete them because they're like, that's really thorough. Like my doc I want to give my doctor that information. Very rarely someone would complain that the forms are long, but for the most part, people really like saying, Yes, I have I get food packed in here. No one ever asked me this. So we're gathering as much information as we can, and we give a summary to the dentist and also an explanation of what that would mean. So we have the latest evidence embedded into Oryx. someone comes with a rare genetic disease. It already tells them what that means, what you should be careful. Careful of how it could affect their teeth. And patients used to think, my god, my dentist is so smart. I just read it before they get in. And I'm like, you know, that puts you at a higher risk of this or that. And they're like, my doctor never told me this. so it makes the first engagement with the patient amazing because you know so much about them. If someone is Telling you that I have a click in my jaw joint and you're doing the TMJ exam, it's going to remind you. So now you have that extra engagement with the patient saying, You mentioned that you have this click on the right hand side. I cannot feel it right now. Tell me more about it. And that's what's creating that report. So the exam is extremely structured. It takes about seven minutes to complete. At the end of the exam, the patient gets a report showing their findings, their own photos, their own radiographs. So before they commit to a treatment, it's explaining to them like your periostage three. And that's why we want to have this periodontal treatment. We're going to have the scaling, we're going to have the maintenance. And patients understand, and they're not going to Google and saying, asking, like, is SRP a scan? They understand why they need that extra treatment. Kiera (21:20) I see. Okay, so it sounds like we go from being able to schedule online. I do love comprehensive forms that are saying specific things because that's also going to help us TF treatment. And also, like you said, I love making our doctors look incredible. Then when they come back, we're able to explain it, talk to them. And then on the clinical side, from things I've heard and like just repeating back, make sure I didn't miss any of the like features that are smart to be thinking about. I think the periocharding is a big complaint for a lot of hygienists. I have heard that a lot of them don't work super well. So I've heard like a lot of hygienists complain. How does your software or what are some of the softwares you've seen? Like, how do we actually fix that for them? And then also the same thing with doctor side, because I feel like a lot of it is that being able to hear it and being able to translate it into the software correctly. I've heard from a lot of clinicians that that is, it sounds so great, but actually in practicality, it's really hard. Can you speak to that of how you guys have been able to overcome that or softwares you've seen? to make that to where it's like not the annoyance. Like it's I feel like so many people think it's gonna solve their day and they're like, it's just so annoying. It's always broken and it's not working and it did the wrong numbers for me. How does that work for you? Dr. Rania Saleh (22:28) So w we had to train the models and retrain them and train them specifically to dental terminology, to specific numbers, to listen to thousands of hours of recording, and hygienists don't all talk the same way, don't say the teeth numbers the same way. So every few weeks we we come up with a new model that makes it more accurate. and it's not an easy task, it's not easy for us, it's not easy for anyone. We have office. That says, like, you have the best period charting on the market. We love it. It's amazing. It never makes a mistake. And another office that has some issues. And it's like, you have to go figure Kiera (23:08) Darn it. Dr. Rania Saleh (23:09) out is it the microphone? Is it the model? And then we start enhancing, and we realize, some people talk about it this way, and they jump into different directions. And Kiera (23:19) Mm. Dr. Rania Saleh (23:20) that's why it's not catching it. So I think from the very early days of Oryx, we've had a very strong commitment to making the software. The best, and that never changed. From creating the exams with the COIS Center, from putting the latest clinical evidence and committing to updating that evidence yearly. I don't think anyone does this much work. The same thing with any feature that you have, especially on the clinical side, where you commit a lot of dev hours to keep enhancing our features. Kiera (23:57) That's incredible. All right, Dr. Rania, I have like peppered you on so many questions. Thank you. What have I missed? What are things that you feel like, hey, Kiera, the listeners need to know about this, whether it's AI, whether it's platform specific, whether it's just like innovations in dentistry, what's something that I should have asked you that I didn't ask you that you're like, I feel like all dentists, like if I could go and help the the world of dentistry in the best way possible, what would you, what would you tell our listeners or what things do you feel like we need to explore a bit more today as we wrap up? Dr. Rania Saleh (24:26) I think the future is really, really exciting if if some dentists have not explored any of the AI tools that are available on the market, like start with the easiest one. start with having AI write your emails. I I don't think I can write an email anymore. Kiera (24:45) Which one do you use? I'm gonna interject because everyone's like, Great, but what one are you using? Who are you using for emails to write them? Dr. Rania Saleh (24:50) So I use Claude a lot and I also use Gemini. Like if I'm quickly writing an email, I just answer it and just polish and it looks amazing. and Kiera (25:00) Yep. Dr. Rania Saleh (25:01) like for for more deeper conversations, I typically use Claude. So start with like the general models and try it out and then th think how this can impact your life and then how it can impact your practice and then consider a software that is very AI forward. Kiera (25:22) Amazing. And then just break it down for us. I love that because it's like start easy, start with the emails. Gemini or Claude, you guys have it. I think she mentioned two for X-rays. I agree. Pearl and Overjet, two fantastic ones to just help with that clinical diagnosis to kind of just dip your toes into it. I know within our Dental A Team community and in-person masterminds and virtual masterminds, we are always talking about what are the AI innovation tools, what are dentists using right now, who's got the best. And I think like that peer group of being able to ask consistently. Walk us through specifics of like orcs. If I'm curious and I want to like find out more, I'm like, hey, maybe this could be a better software for me. Maybe like it is time for me to like broach it. what can people do to get more information on this Dr. Rania? Dr. Rania Saleh (26:04) Yeah, they can go at OryxDental.com and book a demo. We have an amazing team that would do a consultation with them, see what's right for their practice as a the pro tier, as a the AI tier, the automate tier, and and walk them through all the capabilities of Oryx. Kiera (26:24) I love that. And something I love about you is that you are a dentist. And so I can feel the passion bleed through you of just wanting to to serve dentists to make their life easier, to make the to make the practice and the patient experience. I think all of us could feel that today of like it is that patient experience. We want these patients to have a great and then I love that you're like, and we help the dentist look great and they don't have to do any of the extra work for it. I think that that just speaks volumes to the passion and the the pieces that you bring to the table. So I'm so grateful we were able to hang out, guys. Go. try something. I feel like kind of like offices that didn't want to get into the internet. They didn't want they were like, we'll just stick in the yellow pages. People will find me in the yellow pages. It's been tried and true. I feel like that's kind of like the internet now. And if you're not getting into AI, you're sitting a little bit in those yellow pages. And so let's make sure that we're able to be easier. We're taking advantage of these tools. You don't have to go a hundred percent all in, but I do encourage, I mean how long has Oreg's been in business, Dr. Mania? Let's just like for reference for everybody, how long have you guys been around? Dr. Rania Saleh (27:23) Since twenty sixteen. Kiera (27:25) 2016, so 10 years she's had an AI software working out there. And we're like, AI is brand new, because chat just came out two years ago. no, she's been doing this much, much longer than that. Ten years in the making, 10 years in refinement, 10 years in being able to be there. It's time if you have it. So like book the call with orcs, even if it's just to learn more. get on Claude and Gemini and write emails. I love it. You're like, I don't even write any more emails. But really, Dr. Rania, it was so great to have you. And I just truly appreciate what you're doing for dentistry, your knowledge on AI, the passion you bring to our profession and knowing that we have people like you that jumped into realms to make to make dentistry better and are really spearheading that from a space of true commitment to the dentists that are at hand. So thank you for being here today. Dr. Rania Saleh (28:07) Thank you for having me. Kiera (28:09) Of course. All right, for all of you listening, take the AI challenge, do something. And then I always love a good pen pal, I love a good accountability partner. So email me Hello@TheDentalATeam.com. I'd love to hear what's the AI challenge you took on. What's something? And hey, depending upon how many results we get, we might even be sharing these on social. So be sure to watch there of the best of the best that we're hearing from you as listeners. Reach out Hello@TheDentalATeam.com. And as always, thanks for listening. And we'll catch you next time on the Dental A Team Podcast.

Perio does not get the attention it deserves. Tiff and Kristy discuss why periodontal health is such an underutilized area in dental practices, and give specific tips to bridge the gap through diagnosis, case acceptance, and follow-up — for everyone from your hygienists all the way to the front office. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Tiffanie (00:00) Hello Dental A Team listeners. I am back with you today on the podcast hosting. This is Tiffanie and I'm just so excited to be here. I have one of my favorite podcasting guests with me today, one of our prized consultants. You guys know I bring the consultant team here to you, and I love them all dearly. and I have a few that just   Calm me. And Kristy, you're one of them. I know I say it all the time. And and the practices who are lucky enough to work with you know what I'm talking about when I say you calm. So thank you for being here. I value you and I appreciate you and I'm excited for this topic, first of all. But secondly, how are you doing? It's like peak monsoon season. It's you know in my books a month and a half late for a normal what Arizona should have monsoons, but we're finally getting rain, which is huge.   DAT- Kristy (00:52) I know.   Tiffanie (00:53) And that's   totally different. And when this drops, it'll be like a month from now. So they're gonna be like, What are you guys even talking about? But how is the end of your summer turning out? I'm pretty excited over here.   DAT- Kristy (01:04) Yeah, it's been a good summer. the storms I had forgotten like intensity of it last night definitely had me up a few times and felt the house rumble, but thank goodness it's it's all good. It's all good. Just a fun light show. Yeah.   Tiffanie (01:19) Yeah. It was crazy, right? I said it was like   a it was like being at a concert. Like the it just wouldn't stop. And it's funny you say that you forgot how intense they were because for the listeners here, Kristy lived here in her younger years, moved away for a while, and now she's back with us. But Kristy, that in between space, we haven't had storms like this in a really long time. So when it happened night before last in the backyard is like   crazy and it's coming in all wild and it's beautiful and I'm just like sitting there in awe like a child. Aaron, my fiance, is like, this is crazy. And I'm like, this is my childhood. This is what   DAT- Kristy (01:57) Yeah.   Tiffanie (01:58) the storms are supposed to be like. We just we haven't had them in I'm not even kidding, probably eight years. It's been   DAT- Kristy (02:06) Yeah.   Tiffanie (02:06) so long since we've had good storms.   DAT- Kristy (02:10) That's crazy. Well, I'm glad they're happening now. Like you said, we do need the rain. It it got it got kind of intense, but hey, I'll take it over the tornadoes and the other stuff happening. So yeah. Yeah.   Tiffanie (02:20) I know. I know. I agree. This is why I live in Arizona. For the beautiful   storms and the no like natural disasters. I'll take the heat. I love it.   DAT- Kristy (02:29) Agree. Agree.   And if you haven't smelt the desert when it rains, like nothing like it, right?   Tiffanie (02:35) It really is. It's incredible.   It's incredible. I love where we live. So we are blessed. I love Arizona and people think I'm crazy for that, but I really, really do. It's my happy place.   DAT- Kristy (02:45) great.   Tiffanie (02:46) Well, off topic of weather, which I could talk Arizona all day long. I wanted to dig into some systems with you today, Kristy. And we've done a podcast, we just recorded a podcast on finances. So if you haven't found that one, go find it.   But   this one I really wanted to dig into a couple of in office systems that I think are still being missed. There's still some gaps in a few places. And one of those places I think is perio. I think that it's still not getting the attention that it deserves. in in the office, chair side, and then when the patient leaves, like I just think it's still not a hot topic.   for practices. Kristy, am I off base or do you feel like do you feel the same or similar?   DAT- Kristy (03:36) Yeah, no, I feel 100% the same, Tiff. And and though I didn't grow up being a hygienist, I definitely have a soft spot for them and a passion for oral wellness. So 1000% I agree with you. And it's one of those areas in the practice that I think there's a lot of low-hanging fruit and and opportunity. And to my hygiene friends, please hear me. Like I know you're treating the disease. We just   We just need to approach it a little bit differently so that you're doing well by the patient and the practice.   Tiffanie (04:12) Yeah, I agree. And I think to that point, Kristy, I hear you. And I hear a lot of hygienists say, you know, well, I am I'm doing it, I'm just not coding it correctly. And my question is, and this is maybe a red button, I don't know, hot topic, I'm not a hygienist, right? So I will say that loud and clear, I'm not a hygienist, but based on my scheduling knowledge and the treatment planning that I've done.   I know that when you do diagnose it and code it correctly, you want extra time. But if we're not doing that and we're not getting the extra time, like how are we really eradicating it and helping the patient? And I think there's still this financial stigma tied to it. And I get it. I I understand that. It's not easy to it's not easy to tell somebody they need to pay you money.   Especially when you're the one doing the service. I get that. We sit in that situation sometimes and it's not easy. And I also know that I trust what I'm paying for when I'm paying what I should be, if that makes sense. Like if I'm if I'm told, you know, I'm I'm I look up and I find this doctor who's supposed to be great and yeah, they're they cost more than the doctor down the street.   Who's offering discounts or or what have you, but says he gives the same value and the same treatment, like how you value the treatment that you're giving is perceived by the other, the other side. So   DAT- Kristy (05:53) Yeah.   Tiffanie (05:54) a long-winded way of saying stop discounting yourself and your services, because it's not actually helping anything. it makes me sad. Like, gosh, I want patients to know.   That they're getting the treatment that they deserve. And imagine if they went for one second somewhere else in an emergency out of town and somebody said saw something and said something, and they're like, Wait, what? What do you mean there's something there? I just had XYZ. That would make me so much more sad as a practitioner than to have to tell someone, hey, there's more going on here. You're you're older.   I'm older, our bodies are changing, you know, our cells are regenerating, you're taking different medications, whatever it may be, things change every single day. And I'd rather have that conversation than the conversation of, yeah, but it's fine, I'm watching it. You know? Yeah.   DAT- Kristy (06:55) yeah.   Yeah, what are you watching? It's kind of funny that you say that because Tiff, I was listening to a thing for Pearl AI, and I remember the gentleman talking about his wife had gone to have her yearly exam done and a doctor was like, Wait, you're too young for this, like breast cancer is not that early. We'll we'll just watch this. And it was like a ding ding ding to him, like, what do you   Watch what? We're not watching anything   when it comes to our health, right? So yeah, I I agree with you, Tiff. And I think it's kind of funny listening to you because I was literally just talking to a team about how we create a lot of our outcomes. And I think part of it is it's well, I know most of it starts with us and how we create the verbiage around it to create value for what we're doing. And hygiene's no different. You know, we get really upset because   They're the first ones that fall off the schedule, technically. I mean, I challenge anybody to go back and look at last month's cancellations, and majority of them are going to be hygiene patients. And so, with that being said, I do think we do ourselves a disservice by saying it's just your cleaning. You guys, none of our hygienists are maids. Like they're oral wellness people. And truly nowadays, I mean, back when we started, we didn't know all the all the connections, Tiff, but now.   When you guys can can put some of those eye-opening stats to Pereo Health, and we know that gum disease can be prevented or stopped from progressing. we have a due diligence to treat our patients different. So truly, number one, I challenge people to not call it a cleaning and start creating value for your hygienist. Like   They are oral therapists and a lot of disease starts in the mouth. Like I'm have a huge passion for it. A lot of disease starts in the mouth. And when we can make those connections and approach it differently, because we know all of our dental people are caring people. And when we approach it from that caring aspect, we're gonna get a different outcome when it comes to treating our patients and having them value those services.   Tiffanie (09:15) Yeah, I think adding to that beautiful statement is you said when we care about them, right? So we're adding value, we're ca we actually care about the human. I think that flows into also making sure that we're doing the due diligence of following up when patients say no in the office. Cause I do think that space is still really disregarded in treatment care follow up. So when we're doing follow up calls.   I know the implants are important. I know the crowns are important. I know the doctor side treatment is important. But how often are we calling the patients who need the periodontal services? I know when I was in office, we we would be like, hygiene's got openings. Pull the periolist. Like, why weren't they already getting calls? Why weren't they just on our call list, but they weren't? Because it's not as important or air quotes around that, guys.   to us as the dental side, the doctor's treatment is. And I think that's still an underutilized area of the practice when it comes to periodontal health.   DAT- Kristy (10:23) Yeah, I agree with you, Tiff. And sometimes, you know, well, our patients are no different than us as humans. And and sometimes we do question things, right? And if patients walk out the door and whatever excuse they give, because typically there's a few of them that we all heard, right? when we don't follow up, we're we're really sending a message that maybe it doesn't matter because well, was it true? Did I really need it? 'Cause   They didn't call me. They didn't care to follow up and say it was important, you know?   Tiffanie (10:58) Yeah.   DAT- Kristy (10:59) So even the lack of of doing nothing, or how many times have you heard a team member say, Well, call us when you're ready? You know, they're   Tiffanie (11:06) Uh-huh.   DAT- Kristy (11:08) never gonna be ready. Let we need to care enough to share and invest in their health and show them that it's worth caring about, right?   Tiffanie (11:18) I agree. I agree. I remember and I and it still happens. I've been in offices consulting when I've seen this happen that patients will call back and they're like team members like, I can't believe this. They called back and they're like, Can I get my regular cleaning? You had SRP diagnosed. You can't have a regular cleaning. And it's like I remember having those conversations of like, Are you crazy? Right. But what did I do leading up to that to ensure the understanding that you actually really do need this type of a cleaning?   And we need to do our services correctly and get you scheduled for it because patients will be like, Well, it's been six months since I saw them, whether I had a cleaning or not. Time to get back in, get my exam, and then they'll they'll slide back in. And so many patients I think go under the radar and do get scheduled back in the recare. Right. And Kristy, I don't know if you've seen it or not, but I've seen it where then they get the cleaning and they had   DAT- Kristy (12:12) Yeah.   Tiffanie (12:12) the burial I had been diagnosed last time, but today they got the cleaning.   And they're like, Yeah, I knew it. I knew I was right. I knew I didn't really need that.   DAT- Kristy (12:20) Yeah, 100% Tiff. And and I truly think again, a lot of it starts with us, right? Even down to, you know, when we're diagnosing the period, what are we talking about? Are we saying, hey, there's a little bleeding here? Or are you saying, my gosh, I'm concerned with the amount of infection I'm seeing today? I think when we start calling it something different, it's going to create more attention with our patients and awareness because.   They just repeat our same words. She said it was just a little bleeding. And you   Tiffanie (12:49) And yeah.   DAT- Kristy (12:51) guys, when it comes to perio, bleeding might be common, but it's not normal, right? We wouldn't walk around with any other part of our body bleeding and just ignore it and go about our day. So yeah.   Tiffanie (13:03) good point   i've i and i've had patients myself be like well i said it was a small filling i think it can wait right and i'm like those words like i   DAT- Kristy (13:11) Yeah.   Tiffanie (13:11) can't overcome this as you're speaking Kristy something i'm thinking because you're you're talking verbiage and you're saying make sure we're educating the patients the patients understand that they need it and i'm thinking too like it goes from the hygienist and the doctor right hygiene hygiene sees it doctor then comes in confirms the diagnosis we say great you need period   Then it goes up front and the the treatment coordinator prints out the sheet of paper and they say, Okay, for that deep cleaning it's going to be. But then I'm thinking, Kristy, what does the front office team know? What's their education on Perio? Because I   DAT- Kristy (13:46) Sure.   Tiffanie (13:47) think we focus so much on the hygiene diagnosing correctly, the patient using the right words so that the patient accepts it. And then there's not a lot of education from what I've seen at least.   for and even in my experience for the front office to know what is this disease, right? I remember for years I just repeated that we can't get rid of periodontal disease. We can only arrest the situation. And so we have to do our due diligence and bring you back in every three to four months to ensure that it doesn't get out of control again, but it never goes away. I just regurgitated that because that's what I was told to say, right? But   DAT- Kristy (14:29) Yeah.   Tiffanie (14:29) what did we learn   taking CE as a front office team. Like we don't we can't even get into those courses without a license. So how are the teams training to ensure that everyone knows what Perio is?   DAT- Kristy (14:42) I think it's a good point, Tiff. And to be honest with you, we both started the conversation that we're not hygienist. And again, we're not teaching people how to scrape teeth, but we can certainly   Tiffanie (14:52) No.   DAT- Kristy (14:53) pass on the information and the knowledge that we're learning. So ideally when we're coaching in teams, having each other cross-reference or learn, sharing with them the knowledge is powerful because we support each other.   Yeah, maybe the hygienist is the one treating the disease, but the treatment coordinator is supporting you in getting the patient over the hump of a financial obstacle, right? So having   Tiffanie (15:21) Yeah.   DAT- Kristy (15:21) them know the knowledge to be able to support you enough and hold those conversations is huge. So don't think just because it's perio, we don't need to involve everybody else. It it's hugely important because they pay play a supporting role.   to the hygienist.   Tiffanie (15:40) Absolutely. And I'm thinking as you're speaking too, like, imagine a hygienist. And again, we're not hygienists, so I'm just putting myself in this seat. But I'm thinking, I've seen this patient or this practice has seen this patient for X number of years, and I've maybe just been kind of like helping them get by, which is great. And now it's to the point that like I can't continue helping you get by. And I have to have this really hard conversation with you. What if?   I have the support of the front office team who's like, yeah, we will get them over the financial hor hurdles because we understand how important it is. Because flip side of that, I can imagine it's gotta be really scary to be the only one carrying that burden. Because sometimes that front office team doesn't and necessarily like get it, we'll say in air quotes. And so they're like, hey, you do know their insurance isn't gonna cover this, right? And now the hygienist is carrying an extra burden.   And imagine if we all had the similar educational pieces and mindset on a disease that we were all empowered to support one another through that. I wonder if and this is theoretical, right? I don't know, but I wonder if that would be supportive for a hygienist and maybe change the game on some perio conversations in some practices.   DAT- Kristy (17:04) my gosh, I think without a doubt, Tip. And and I like how you pushed it on the other side, not just the hygiene perspective, but they also need to hear the conversations from the admin team. And truly, you know, again, we got into dentistry because we care about the health of our patients. And when we can put that at the forefront, we're both trying to achieve the same thing. It's just coming at it from a different supporting role, if you will. And I think they they do mesh together and go hand in hand. So   Even your hygienist needs to hear about how the admin team te talks about finances, right? So they   Tiffanie (17:40) Yeah.   DAT- Kristy (17:41) can play the supporting role in that too, to say, hey, I I totally get it. Great news is you have insurance. Bad news is they may not cover as much, right? Yet   Tiffanie (17:52) Yeah.   DAT- Kristy (17:53) I know we care about you as a person, your insurance, you're just a number to them, right? That they will never care about your health more than we do, right?   Tiffanie (18:02) Yeah.   Yeah. Well I think this opened up a huge can of worms and it opened up something I know that we work on with practices, but maybe not to the extent even of the the depth of this podcast today, Kristy. So I love this because we're both gonna go on a tangent with it now. But it's making me think of how much cross training we do in the practice. But we I just think that's a huge space. Dentistry has lacked. Perio and hygiene in general is   just   an island. Like we let them be on their own little island and they they're okay with it most of the time, right? They like their island. They're like, no, leave stay out of my department. It's totally fine. But what if we pulled that island closer and started to cross train more, educate more, and have more value added for the patient because we are all a team. I know, you know, periodontal health is the literally the foundation. And I I know my doctor used to say that it was like   building a house on top of an uneven foundation, it just it won't   DAT- Kristy (19:03) Yeah.   Tiffanie (19:03) hold. It'll end up cracking and breaking. So putting an implant or a crown or anything into a rocky foundation, the longevity is shortened. And making sure that we remember those things because without that foundation, nothing else can be as great as it could be if it were different.   DAT- Kristy (19:23) Yeah, I think part of and I love hearing you say that, Tiff, because I always say it's like building a house on quicksand, right? And so,   Tiffanie (19:30) Yeah.   DAT- Kristy (19:31) but you know, with that, having those type of verbiage that we all tend to speak as a team and we all are speaking to that same language, I think is also such a benefit for our patients to be hearing that same tonality and messaging throughout. And so it is very important that we we   Don't leave hygiene on a gap, right? And and on their own island, so to speak. We all funnel back to that. And truly it is the foundation, right? But finding words to speak to our patients, we in dentistry know it and we talk it with each other, but sometimes I hate to say dumb it down, but speaking more in layman's terms so they understand. It's like the quicksand or the termites in the foundation. And I want to get you the pretty smile, but let's make sure it's there forever because.   This is the foundation, right? How are we having those conversations? And then how are we supporting our hygienist with those   Tiffanie (20:29) Yeah.   DAT- Kristy (20:30) conversations?   Tiffanie (20:31) Yeah. I love that. I think periosystem gaps in general in the diagnosis, in the tree in the case acceptance, and then in the follow up as well. And I I really do think we hit something hard today with really just doing it together, supporting. I love that support and making sure that everyone's on the same page and training as a team. We do my suggestion is perio.   program. Like make sure your period programs and your period protocols are in place. They're foundational, that they're utilized, everyone's using them the same. And make sure that everyone knows them. Like everyone in the practice knows what they are because that's so key to have everyone cross-trained in this kind of at least verbiage and these conversations. It's so key in ensuring the patient's health. So I would say Kristy today, I I think hands down   It's address your period protocols, make sure that   DAT- Kristy (21:32) Yeah.   Tiffanie (21:32) they're systematic, everyone's using them, and cross-train the whole team. Dental assistants, front office, dentists, everyone. I think your periode departments, my hygienists who are listening today, Kristy, I love how you said my hygiene friends, go advocate for your periodontal systems. Go advocate for your period programs and schedule a freaking meeting. Put it on the books.   Get everyone in the practice together and you step up and teach the team something that they might not know.   DAT- Kristy (22:04) I agree with you, Tiff. And to be honest with you, maybe step one is you as a hygiene department get together and pull out what is our hygiene standard, right? What when do we all agree that we are gonna intervene in the disease process and create some clarity around that? Because again, too, sometimes I see it with hygienists where one's calling it one thing, but the other one's not. And again, we can we can get in trouble with that because   You have a husband and wife come in as new patients and they see different hygienists, then they start going home and comparing. So start with you guys and get really solid on what is our philosophy and when do we intervene in the disease process and then roll it out to team. And I I love Tiff that you empowered them to be the ones to do it. And yeah, I that it's fun. It's fun. And then you'll align the team and   Have questions and answers. How do you answer when we speak to this? Or, you know, any of those things that come up so we all are speaking that same language.   Tiffanie (23:08) Yeah. Yeah. Beautiful. I love it. That's our wrap. That's our action item. Kristy, thank you so much. This was this was fun. I love that we go into it thinking like we have a plan, you know, but something sparks and we just we always expand and come up with new fun tools for ourselves as well. So Kristy, thank you for taking that adventure with me today.   DAT- Kristy (23:29) Absolutely, my pleasure. Have fun.   Tiffanie (23:31) Thanks. Awesome. All   right, guys. Go do the things. You heard Kristy. If you were driving while you were listening to this, I want you to get where you're going, replay this soccer because I really think there's a few gems in there that a lot of you guys can go implement. So go do the things Kristy said to do. Drop us a five-star review as always. Hi Janus who are listening, please give us some some feedback. Give us some yes, this is great. We want a team who supports us, whatever that looks like.   in your reviews, doctors go through and read those, they'll see them too, and they need to feel empowerment as well. So go do the things, Hello@TheDentalATeam.com. We are here to support you. We love you guys and we will catch you next time.

A dentist, practice owner, and self-described “billing and documentation geek” sits down with us and tells a story most of dentistry never expects to hear: Dr. Roy Shelburne was convicted and went to prison after years of investigation tied to his Medicaid-heavy practice. The numbers are not the point. The system is. If you think “we didn't mean to” protects you, this conversation will change how you look at dental billing compliance and clinical documentation.We dig into the uncomfortable legal reality behind intent to defraud, including “blind disregard,” where repeated errors without a system to find and fix them can be treated as fraud. From there, we get practical fast: what defensive documentation looks like before a claim is ever sent, why diagnosis must come before treatment, and how dentistry is inching toward more diagnosis-driven workflows (think ICD-10, not just CDT codes). Perio examples make it crystal clear: if the record doesn't state the diagnosis, your SRP and inflammation-based codes are standing on thin ice.We also talk audit triggers you can prevent today: crown claims with no justification in the chart, radiographs that are not diagnostic, and documentation gaps created when notes get entered later or copied from rigid templates. Dr. Shelburne shares how to delegate documentation safely with flexible templates, how to track non-diagnostic radiographs to improve training, and how to stop “billing to benefit” so your treatment aligns with standard of care. We close with appeal strategies, payer criteria, and the mindset that helps you get paid what you are legitimately owed while lowering risk.If you want fewer denials, fewer clawbacks, and more peace of mind, listen, share this with your team, and then subscribe and leave a review so more practices build safer systems.Send us Fan Mail Registration Link for Diagnosis Codes on a Dental Claim Form Webinar:https://dentiqhub-diagnosis-codes.vercel.app/Get your Dental Billing Toolkit Here:https://www.dentalbillingdoneright.com/the-dental-billing-toolkitDownload "The Most Underused Codes in Dentistry - And How to Get Them Paid" checklist here:https://docs.google.com/forms/d/e/1FAIpQLSfxnnfSlNd0NPhMoBWq-1D_xU5R8LS4xPhHNKIjfLQwStOUag/viewform?usp=headerSchedule a billing chat with Ericka:https://calendly.com/ericka-dentalbillingdoneright/30minEmail Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.com

As Q3 2026 progresses amid weak homebuying demand, stubborn rates, and roughly $11K origination costs, lenders are focused on improving pull-through while adapting their products, originator base, and investor strategies to shifting demographics, rental-market trends, and the growing share of childless households. Robbie interviews Zillow's Meg McGrath Vaccaro on Zillow Home Loans' AI strategy: from helping buyers and automating mortgage workflows to enabling smarter pricing conversations, and how Zillow's unique ecosystem could reshape the entire mortgage industry. And sticky inflation and resilient employment could push the Fed toward further 2026 tightening and keep front-end yields elevated, while in the mortgage market MSR valuations remain highly regime-dependent, with today's “higher-for-longer” rates supporting elevated bulk MSR multiples even as new-issue/SRP pricing has lagged the rise in primary mortgage rates.Thanks to Zillow Home Loans, Zillow's in-house mortgage lender, for sponsoring this week's podcasts. By integrating Zillow's real estate platform with financing, Zillow Home Loans helps buyers move from dreaming about a home to holding the keys. With tools built for modern lending, Zillow Home Loan's loan officers can focus on guiding buyers with care and confidence. Zillow Home Loans is an equal housing lender. NMLS #10287.The Chrisman Commentary is your go-to daily mortgage news podcast, where industry insights meet expert analysis. Hosted by Robbie Chrisman, this podcast delivers the latest updates on mortgage rates, capital markets, and the forces shaping the housing finance landscape. Whether you're a seasoned professional or just looking to stay informed, you'll get clear, concise breakdowns of market trends and economic shifts that impact the mortgage world.

IRS Notice CP21H means the IRS changed your tax return in a way that affected your Shared Responsibility Payment (SRP). In this video, I explain what CP21H means, why the IRS sends it, and what you should do after receiving one.

In this episode, Dr. Steve Gard, editor-in-chief of the Journal of Prosthetics and Orthotics, welcomes Elaine Owen, MBE, MSc, SRP, MCSP, to examine how well researchers and journals are following best-practice reporting guidelines for ankle-foot orthosis (AFO) interventions in children with cerebral palsy. Owen explains why three key parameters, AFO ankle angle, the shank-to-vertical angle (SVA) of the AFO-footwear combination, and any tuning or optimization, are essential for understanding, replicating and evaluating these interventions. A review of literature published between 2010 and July 2024 found significant gaps in reporting, with only nine of 64 articles focused on rigid AFOs documenting all three parameters. Owen discusses the confusion surrounding alignment terminology and calls for better training, adequate clinical time and resources, greater involvement of experienced orthotists in research, and stronger reporting expectations from journals and peer reviewers. Show notes JPO article: Do Authors and Editors Comply With Best Practice Reporting Guidelines for AFO Interventions in Studies Involving Children With Cerebral Palsy? A Scoping Review   O&P Research Insights is produced by Association Briefings.

En este episodio de la Franja Radial FIUSAC (Radio Universidad 92.1 FM), transmitimos los aportes de la Especialización en Investigación Científica de la Escuela de Estudios de Postgrado de la Facultad de Ingeniería (USAC).Acompaña a nuestra moderadora a conocer dos investigaciones clave para el desarrollo médico y social del país:1️⃣ Inteligencia Artificial en el Razonamiento ClínicoDiscutimos la percepción y aceptación de la IA como herramienta de apoyo para diagnósticos oportunos en médicos de postgrado.Inv. Dra. Amelia Karina Yoc Cux (Médico y Cirujano) & Ing. Darwin Alexis Fuentes Fuentes (Ingeniero en Sistemas).2️⃣ Cobertura de Vacunación Infantil (Triple Viral - SRP) en RetalhuleuAnalizamos los factores que influyen en el retraso de la primera dosis de la vacuna SRP en el Centro de Salud Centro Dos La Máquina, proponiendo estrategias para una vacunación oportuna.Inv. Dra. Silvia Yucely Bernal Pineda & Dra. Sharon Emileny Díaz Rodas (Médicas y Cirujanas).

Scientists funded by the NIEHS Superfund Research Program (SRP) developed a new strategy to effectively break down stubborn chemicals in water. Researchers at the Yale University SRP Center, led by Jaehong Kim, Ph.D., used advanced engineering approaches to create a stable and reusable material that targets specific pollutants.

A new poll shows people living in the Colorado River Basin overwhelmingly want their governments to do more to secure water for the future. Arizona's two largest utilities APS and SRP say they saw record-breaking demands for energy late last week. And to help answer questions about what is happening and why, we're launching a reporting project called “A.I. in Arizona.” Plus the latest politics, health, Fronteras Desk, arts, and metro Phoenix news.

Text us about this show.Bruce Lee Rose has been crafting high quality musical instruments for over thirty years. This has included electric and acoustic guitars, ukuleles, mandolins, and an assortment of cigar box instruments. Along with that Bruce winds custom pickups to go into his creations or to upgrade just about any guitarist's sound. He's an avid fan of the local music scene and the artists are a fan of his. Even when a hand injury put his building and playing in question, Bruce kept moving along with the help of his wife, MaryAnn. This is the story of a man with a passion to simply build the best quality instruments and pickups with the love of his life by his side. Plus we have music featuring some of the instruments created by Bruce."This Is You" written and performed by Weston Davis Rose & Country Mouse℗ Weston Davis."Up This Road" written and performed by The Chris Aaron Band℗ 2015 Rock Garden Studio."Question of Desire" written and performed by Cathy Grier℗ 2020 CG Music Works, LLC."Bemsha Swing/Blister In The Sun (mashup)" arranged and performed by Son Reis Project℗ 2026 Tsurumi Records.Melody Audiology LLCAudiology services for all. Specializing in music industry professionals and hearing conservation.Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showVisit Into The Music at https://intothemusicpodcast.com!Support the show: https://www.buymeacoffee.com/intothemusic E-mail us at intothemusic@newprojectx.comYouTubeFacebookInstagramINTO THE MUSIC is a production of Project X Productions.Host/producer: Rob MarnochaVoiceovers: Brad BordiniRecording, engineering, and post production: Rob MarnochaOpening theme: "Aerostar" by Los Straitjackets* (℗2013 Yep Roc Records)Closing theme: "Close to Champaign" by Los Straitjackets* (℗1999 Yep Roc Records)*Used with permission of Eddie Angel of Los StraitjacketsThis podcast copyright ©2026 by Project X Productions. All rights reserved....

This Progress in Research webinar series, hosted by the National Institute of Environmental Health Sciences (NIEHS) Superfund Research Program (SRP), showcases research from 6 schools funded by SRP in 2025. These awards were made as part of the P42 grant solicitation RFA-ES-20-014. In the two-part series, awardees will highlight their research projects, accomplishments, and next steps. The newly funded centers, including Baylor College of Medicine, University of Arizona, and University of Iowa, are bringing fresh ideas and approaches to tackle complex problems related to hazardous substances. The Baylor College of Medicine (BCM) SRP Center investigates whether the maternal exposure to polycyclic aromatic hydrocarbons (PAHs) emanating from superfund sites, as well as other environmental chemicals, increases the risk of preterm births (PTBs) and augments major neonatal morbidities such as bronchopulmonary dysplasia. The BCM SRP Center wants to determine the mechanisms by which PAHs contribute to PTBs and understand the factors that could be targets for interventions to prevent and reduce the health burden associated with PAHs present in Superfund sites. The University of Arizona SRP Center works to address the unique human health risks encountered in the U.S. Southwest, a region with a rich history of metal mining and generation of mine wastes. Their overall goal is to construct a mechanistic model of how chronic exposure to mining-impacted dust that is co-contaminated with metal(loid)s and fungal spores contributes to the development of nonmalignant lung diseases. They aim to implement this model to predict exposures and associated health outcomes, to inform public health prevention in communities neighboring mine waste sites, and design remediation-based interventions to exposure. The University of Iowa SRP Center focuses its research on polychlorinated biphenyls (PCBs). The center studies PCBs in the air, particularly in schools and those emitted from contaminated soils and water of Superfund sites. Researchers examine the health impacts of inhaled PCBs, particularly on adolescents, with a focus on neurodevelopmental and metabolic effects. The University of Iowa SRP Center's long-term goal is to develop recommendations to prevent and/or limit human exposure to airborne PCBs and to improve the health and well-being of the population. To learn about and register for the other session in this webinar series, please see the SRP website. To view this archive online or download the slides associated with this seminar, please visit http://www.clu-in.org/conf/tio/SRPPIR27_071626/

This Progress in Research webinar series, hosted by the National Institute of Environmental Health Sciences (NIEHS) Superfund Research Program (SRP), showcases research from 6 schools funded by SRP in 2025. These awards were made as part of the P42 grant solicitation RFA-ES-20-014. In the two-part series, awardees will highlight their research projects, accomplishments, and next steps. The newly funded centers, including Baylor College of Medicine, University of Arizona, and University of Iowa, are bringing fresh ideas and approaches to tackle complex problems related to hazardous substances. The Baylor College of Medicine (BCM) SRP Center investigates whether the maternal exposure to polycyclic aromatic hydrocarbons (PAHs) emanating from superfund sites, as well as other environmental chemicals, increases the risk of preterm births (PTBs) and augments major neonatal morbidities such as bronchopulmonary dysplasia. The BCM SRP Center wants to determine the mechanisms by which PAHs contribute to PTBs and understand the factors that could be targets for interventions to prevent and reduce the health burden associated with PAHs present in Superfund sites. The University of Arizona SRP Center works to address the unique human health risks encountered in the U.S. Southwest, a region with a rich history of metal mining and generation of mine wastes. Their overall goal is to construct a mechanistic model of how chronic exposure to mining-impacted dust that is co-contaminated with metal(loid)s and fungal spores contributes to the development of nonmalignant lung diseases. They aim to implement this model to predict exposures and associated health outcomes, to inform public health prevention in communities neighboring mine waste sites, and design remediation-based interventions to exposure. The University of Iowa SRP Center focuses its research on polychlorinated biphenyls (PCBs). The center studies PCBs in the air, particularly in schools and those emitted from contaminated soils and water of Superfund sites. Researchers examine the health impacts of inhaled PCBs, particularly on adolescents, with a focus on neurodevelopmental and metabolic effects. The University of Iowa SRP Center's long-term goal is to develop recommendations to prevent and/or limit human exposure to airborne PCBs and to improve the health and well-being of the population. To learn about and register for the other session in this webinar series, please see the SRP website. To view this archive online or download the slides associated with this seminar, please visit http://www.clu-in.org/conf/tio/SRPPIR27_071626/

In the latest episode of Public Power Now, Barry Johnson, a Fire Mitigation Specialist at Arizona public power utility Salt River Project, discusses SRP's recent announcement that it is working with Northern Arizona University to install new wireless moisture sensors designed by a company called Growvera to improve how wildfire risk is monitored in the Tonto National Forest in Arizona. The pilot project is testing new technology from Growvera that enables continuous, real-time tracking of forest fuel and soil moisture conditions.This episode is brought to you by Caterpillar Energy Services. Energy costs are rising -- and municipalities are feeling the pressure to do more with less. Cat AMP from Caterpillar Energy Services gives utilities and communities a powerful way forward.

A study in mice funded by the NIEHS Superfund Research Program (SRP) reported that juvenile mice may be more susceptible to the damaging effects of N-nitrosodimethylamine (NDMA) exposure than adult mice. Experiments that artificially increased cell growth and division also show that susceptibility may be driven by cell division during exposure.

Kelli Verdi joins The Wrench Turners Podcast for a conversation about faith, family, automotive, customer trust, dealership culture, and why care is never just a soft skill.Kelli's story starts long before her career in automotive marketing. Her grandfather owned an automotive repair shop in Tampa, and without realizing it at the time, she was learning some of the most important lessons in the industry: how to treat people, how to earn trust, and how much the smallest details matter.That idea became one of the biggest lines from this episode:“Care levels become culture levels.”We talk about how that applies inside dealerships, service departments, websites, customer experiences, technician leadership, and even vendor relationships. From Google Analytics and dealership websites to service scheduling, reviews, AI search, OEM programs, and real conversations with people on the ground, Kelli brings a rare mix of marketing intelligence, automotive experience, and genuine human care.This episode also goes deeper than business. We talk about faith, burnout, leadership, personal loss, and the importance of taking care of yourself before you try to keep pouring into everyone else.In this episode, we cover:Kelli's early connection to automotive through her grandfather's repair shopWhy trust is built through tiny detailsHow care levels become culture levelsWhat dealership websites get wrong about customer experienceWhy service departments need better contentHow technicians and service leaders can help build trust before the customer arrivesWhy AI search and website content matter more than everHow Team MXS is approaching automotive website visibilityWhy taking care of yourself matters in this industryThe role faith has played in Kelli's storyThis is a conversation for technicians, advisors, service managers, fixed ops leaders, vendors, marketers, and anyone who still believes this industry is about people first.Follow Kelli:LinkedIn: https://www.linkedin.com/in/kelliverdi/Team MXSLinkedIn: https://www.linkedin.com/company/team-mxs/postsWebsite: https://www.teammxs.comPhone: 1-866-665-4669Subscribe to The Wrench Turners Podcast for real conversations with technicians, shop foremen, service leaders, trainers, and automotive professionals who are working to make this trade healthier, happier, and more productive.Negative pushes.Positive pulls.God Blessj.⚠️ Disclaimer:I'm a licensed mechanic. That doesn't mean I know what I'm doing, whether it's fixing things or filming things. Do your own due diligence.Listen to The Wrench Turners Podcast:Spotify:https://open.spotify.com/show/1ScwRP0DFMtDsp83JxPhPK?si=26aeb4be65da45ebInstagram:https://www.instagram.com/mrjoshuataylor/LinkedIn:https://www.linkedin.com/in/mrjtaylor/Chapters0:00 Prayer before the episode1:38 Kelli's unexpected path into automotive7:38 Care levels become culture levels11:11 How customers feel the little details19:09 Kelli's first year fully in automotive marketing24:25 CDP, SRP, and VDP explained for service leaders28:11 From analytics and events to Team MXS38:03 Why service leaders need to understand vendors44:12 OEM approvals, AI search, and website visibility1:00:12 Kelli's advice: take care of yourself

Dana is talking with dental hygiene student Julianna Page about the realities of returning to school after working in dentistry for over 20 years and what dental hygiene school has been like for her as she nears the end of her last semester. They discuss burnout in accelerated dental hygiene programs, the stress of finding patients, balancing family life, and learning how to ask for support before reaching a breaking point. Julianna also shares how her background in oral surgery and periodontics shaped her passion for patient education, SRP, and public health dental hygiene. If you're a current or future dental hygiene student also navigating the pressure of school, boards, and the transition into clinical practice, know you are not alone, and learn the beauty of finding your outlet in this episode.

Será este el último programa de la temporada?? Será (de hecho) el último programa de SRP para siempre??? Qué música traerá hoy PJ??? O La traerá otro miembro del equipo??? Que disparate, dale al play y descúbrelo tú mismo!!! 00:00 Intro del programa. El podcast realmente no empieza nunca aquí. 13:36 Sección de Cine y Series. Hablamos de un montón de cosas (sin spoilers) aquí las tenéis: 1. Dutton Ranch (Skyshowtime) 2. School Spirits (Skyshowtime) 3. Spider Noir (Prime Video) 4. Jack Ryan Guerra Encubierta (Prime Video) 5. El Cabo Del Miedo / Cape Fear (AppleTV) 6. The Audacity (AMC+) 7. Sherlock A Ciegas (AMC) 8. Veteranos Contra El Crimen (Cosmo) 9. Espiritus Del Inframundo (Crunchyroll) 10. Leonard Y Hungry Paul (Filmin) 11. Ravalear (HBO Max) 12. Idolos (HBO Max) 13. No Aptos Para El Trabajo (Disney+) 14. Alice Y Steve (Disney+) 15. Hoppers (Disney+) 16. The Lady (Movistar+) 17. Dear England (Movistar+) 18. Leyendas (Netflix) 19. The Boroughs (Netflix) 20. Nemesis (Netflix) 21. Turbulencia En La Oficina (Netflix) 22. El Último Refugio (Sundance TV) 23. Fuerzas Especiales / Coeurs Noirs (Xtrm) 24. Anaconda (alquiler en varias plat.) 25. Te Van A Matar (alquiler en varias plat.) 2:01:07 Despedida, Comentarios, Camarote De los Marx, Iván Ferreiro, Pelos Nocturnos, Murdokus, Anécdotas y Concurso (PARTICIPEN !! Oiga). ANIMAOS A ENTRAR AL GRUPO DE TELEGRAM!! Gracias por estar ahí un programa más!!! Y recordad: TENEMOS LISTA DE SPOTIFY CON TODA LA MÚSICA QUE HA SONADO EN EL PODCAST A LO LARGO DE ESTAS TEMPORADAS (Menos la canciones hechas con IA porque no se pueden subir allí). Esperamos que lo disfrutéis. ♥️ GRACIAS POR VUESTRO APOYO Y POR ESTAR SIEMPRE AHÍ!!! Únete a nuestro grupo de Telegram (ES GRATIS!!!!): https://t.me/seriesreality Déjanos tus comentarios y likes en IVOOX, Apple Podcast, Spreaker, Podimo, Castbox, TuneIn, PocketCast, Spotify, Amazon Music y en nuestra web: www.seriesrealitypodcast.com. Aceptamos café virtual en https://ko-fi.com/seriesreality1 Twitter: @seriesreality1 Instagram: Seriesreality1 YouTube: Series Reality Podcast email: seriesreality1@gmail.com La música que se reproduce en este programa : Mica En Mica - Joan Thelorius Get Myself Into It - The Rapture Alanis Morissette - You Oughta Now Las tonterías de PJ y Leo

**Title:**Quick Wins for Honda & Acura Dealers: 5 Digital Moves to Drive More LeadsDescription**:**In this 30-minute Quick Wins session, David Farmer from Intice shares five practical digital marketing moves Honda and Acura dealers can review and implement this month to create better shopper engagement and drive more measurable opportunities.The session focuses on simple, high-impact improvements dealers can make without rebuilding their entire digital strategy, including stronger SRP and VDP call-to-action hierarchy, turning offers into full-funnel campaigns, matching CTAs to shopper intent, aligning ads, landing pages, and lead response, and running a monthly digital health check.Attendees will also learn how better message consistency, offer visibility, CRM handoffs, and lead response scripts can help turn more existing traffic into real showroom opportunities.**Key Topics Covered:*** Strengthening SRP and VDP CTAs* Turning OEM and dealer offers into full-funnel campaigns* Matching website CTAs to shopper intent* Aligning ads, landing pages, CRM leads, and follow-up scripts* Using the Intice Lead Playbook to improve lead response* Running a simple digital health check across speed, mobile, tracking, SEO, accessibility, and offer accuracyThis session is designed for Honda and Acura dealers looking for practical ways to improve website performance, campaign consistency, lead quality, and digital-to-showroom handoffs.

Part one of Kiera's conversation with Howard Farran on the Dentaltown podcast. They discuss how many details a dentist should know about their business, what about the COVID-19 pandemic still haunts practices, the AI of dentistry and the human care of patients, hidden gaps draining profitability, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today we are sharing a guest interview I did on another podcast. And it was too valuable not to bring you guys here.   this episode, you're gonna hear this host lead the conversation and then I'll wrap us up at the end. I cannot wait. It was truly one of my most   episodes and I truly hope you enjoy.   The Dental A Team (00:17) It's just a huge honor for me today to bring back Kiera Dent. How are you doing, Kiera? my gosh, Howard. It's so great to be back. I remember my very first podcast with you. I was actually at an office in Alabama and I went like hid in this room because I was starstruck podcasting with you. So to be able to be back on the show with you ⁓ several years later is just fun. I love what you guys are doing. I love Dentaltown. I love your posts. so it's really fun to be back. So thank you. ⁓ the honor is all mine. Just remember Kiera likes Shakira.   And Dent is just her nickname. The full name is Dental Queen Goddess. So thank you. And ⁓ she is the founder and CEO of the Dental A Team, committed to elevating dentists and their teams to their highest level through customized in-office and virtual consulting and training. Her vast experience ranges from the front office to assistant, regional manager, and dental practice owner, giving her a perspective few consultants can claim.   She and her team work with hundreds of dental practices nationwide and confidently say we don't just understand you, we are you. Among her many accomplishments, Ciara has grown a practice from 500,000 to 2.4 million in just nine months with a doctor straight out of dental school. She's coached hundreds of practices, authored numerous articles, and designed a customizable operations manual manual that serves as a roadmap for systems and team success.   Her Dental A Team podcast has amassed nearly 2 million downloads, making it one of the most impactful resources in all of dentistry. Kiera lives every day by her core values. Do the right thing, ownership, passion for excellence, ease, grit, innovator, die, and fun. Her motto says it all. There is always a solution. And my gosh, I just want to tell you the truth. And the reason I was so excited to bring you on. It seems like dentistry has turned into two groups of dentists.   There's all the old farts like me who, you know, we had, you know, we had great practices, great lives, great careers. And then you got these younger dentists that look at us and say, ⁓ man, you graduated in the good old days. You know, you didn't have five hundred thousand dollars of student loans, you didn't have DSOs, Delta hasn't given us a raise in four generations, and and and they're mad at the ADA. I think they're even mad at their mom. I I they're I think so and they're not happy. Do you have any good news?   For these dental graduates with $500,000 of student loans, or did they make the wrong decision and should have become a plumber? I mean, you know, plumbing is always a backup plan if dentistry doesn't work. So I think you're like at least in that realm. Like, you know, there's always options. But I love dentistry and I actually, ⁓ I think we're actually in the best time of dentistry. And I know that yes, there's the good old days. Then Howard, those were great days for you. But I think like, how many options do people have now? We have AI, we have these innovations, and I mean.   Your my example of a student straight out of dental school, we actually had one million. So I actually called her 2.5 because we had $2.5 million. So from student debt to practice loan debt to buying another location, all within a couple of months of us starting the practice. And so I called her 2.5 every time I walked past her. I was like, get that back straight, girl. Like we got 2.5 mil of debt on us. but to be able to grow our practice in nine months was   Absolutely incredible. And I think that that's where dentistry is amazing. There is no cap, there is no ceiling, and you have a way to truly impact and change people's lives. And I'm like, you have DSOs as options. Like there were not the times where you were getting the multiples that you get today. You also have like there are so many avenues that dentistry can afford you. but I think it's a it's a matter of what you choose to focus on, is what you're going to find more of. If you want to sit here and say, ⁓ my gosh, it's awful. We have 500,000 of debt. And I'm like, Yeah, but guess what? My husband had   Not quite the same, but we had several hundreds, thousands of dollars of debt. And he's a pharmacist. And so I understand what it's like to come out of school and have hundreds of thousands of dollars of debt on us. But guess what? He's making, you know, hundred, hundred and fifty. If we're lucky on a good day, we're capped out. It took us forever to pay back our student loans. But as dentistry, you have untapped and uncapped potential. And so for me, you get to change people's lives, you get to give them confidence, you get to help them have better health, and you're able to make people smile like.   I can't think of a better opportunity to be a part of. And I'm not just Pollyanna over here. I coach hundreds and thousands of offices. I've seen the good, the bad, the ugly, and the in between. But I'll tell you, depending upon how you choose to view this, you can either find the good or the bad. And I'd recommend like, let's find the great because it's a gold line of opportunity if you want to see it. What what do you say to dentists who say, Mm-mm, you know, I I really don't want to complain really a bit. I mean, on paper my   My practice looks perfect. I got two hygienists. I do a million dollars. I do all this, but just internally it just feels chaotic and stressful. So it looks like on paper he's doing everything right. But she says, I still feel like chaos and stress. What's what's that about? I think like welcome to being a business owner. I think that there's two sides of success. In the word success, there's literally the word suck. Like there are parts of success that are going to suck. Like that's just how it is, guys.   And so that chaos and internal turmoil, I think I there I have lots of offices where you don't have to be that way. And I think going from like operator doing all the pieces, being stressed out into like a CEO of a business. ⁓ I think sometimes dentists are such gunners doers, they're so hands-on that they have this internal chaos. But there there are paths again that don't have to be that way. But I also think this is part of the game of business that we signed up for. And I think when you get to the level like Howard.   You've seen, I've seen over our career, we've got the gunners and the doers and the like zero to two year business owners. Like it's freaking chaos. It's psycho. Like you're learning these things just like you're back in dental school. But as you mature, you start to realize that the chaos is just part of the game. And the more you're able to learn to weather it, to see it, and to not do all the pieces, elevate your team, get great people, do like hire it out. You can hire, I mean, a practice is doing a million and you got great profitability and overhead.   You can hire a lot of great people to take away a lot of your problems. And so like, let's get some of those things done. And then you actually become happier and you make more money. So that you don't have to sit in that chaos. I think that there's a part of it that will always suck. but there's also a part that can really be the successful part too, that's fulfillment and enjoyment. But you got to make the steps and take the steps to do it rather than just sit and complain about it.   Love it, love it, love it. ⁓ what do you what do you say about the ⁓ the dentist who got out of school, goes and works for a major DSO, say say he's working for Rick Workman, Heartland, and he works there two years, and you know, he you know, he's working for a guy that owns eighteen, nineteen hundred dental offices, but he can't tell you the code for a profit. Can't he'll say, like, you know, are they paying my pay right? Really? You can't check at you. I mean, it it's like   It's like they'll listen to a forty hour lecture on the difference between two different composites, but they did I mean th they worked through two years, they don't know insurance codes, they can't check out a patient, they don't know the software. I mean, I had one guy tell me, ⁓ the only thing you could tell me about the practice manager software is the brand name. He couldn't tell me and then he's asking me, you know, it what which one you know, but anyway, do you think do you think a dentist doesn't need to know all the business details?   Or do you think that's a blind spot and you can't delegate anything till you can do it and master it? I think that there's two types of owners. And I think that there's some that are really great at hiring people that they are great at hiring people, knowing it, listening to podcasts, hiring coaches, training the team, and like having somebody spot check for you. Then there's others that like they've got to know the ins and outs. But I think that like Howard, there's   To me, there's also a middle ground where I think that you can go sit with your biller for one day and just like say, like, walk me through your process. So you have a general idea and an understanding of what they do. Go watch to see how they schedule. ⁓ I think when it comes to billing, I do think the dentists have a very big blind spot. And to me, that is like as a business owner, not to know how your money comes to you. To me, that feels like a pretty big blind spot of like even just understanding that knowledge. And so   If I were to say, I don't think you need to know the ins and outs. I love like I recognize this. I was a business owner of it. I own practices. I worked with hundreds of dentists at Midwestern University's Dental College. Like, I hear what you guys are taught. Plus, I'm a team member on the other side. And so I created a billing course and an office manager course because I just want a dentist to know like, what should I be able to expect? And I think like if you want to just have a general overview so you don't get blindsided, you you can have it. I think you can quickly within like a week.   Know the bulk of like everything you need to know in a practice very simply, very easily. So that way you can delegate. That way you can have it. You're not gonna be perfect. but I think just having a general awareness. And then I love to give doctors just a quick checklist, like once a month, go spot check, go grab an EOB. Even if you don't know what the heck that EOB is, go ask your front office for it, check it. And just the more you learn that language, just like the language of business, I think it doesn't need to be an overnight sensation.   But I do think the more you're aware of it, I don't think you have to do every single role though to be a successful practice owner. And I mean, shoot, if Heartland can do it, I think it's a good example. But I think who are you? And are you a hands-on tactical person? Are you somebody who's really good at hiring people, t trusting other people, getting the checklist and spot checking? I think you can do it either way. But my recommendation is like just like one week, go like sit in every seat of your practice and get a general awareness and educate yourself on the things that you don't know. I'm really big on money, understanding at least how insurance works. And then also how do we like   present cases, what are kind of the flow that way those big zones that really impact your financials, you can you can be aware of. So those courses, those online CE courses, your website is The Dental A Team. The Dental A Team. Now I think the A Team, you need that guy with the Mohawk and all the bling. I mean that's who I am in my like spare time. This hair is just a facade. Like, you know, I hang out as Mr T. Mr T. Mr T, Mr T, yeah.   That's why I was thinking the A Team, but is that on your on your website, the th those courses? Yeah, they are. So we have an online library, it's all C E. We've got downloadable checklists, we've got operations manual. You got it. That's exactly right. And Howard, in real time, I'll have our marketing team actually put together a code. If you guys put in Dentaltown, since you're listening, we'll make sure that you guys get a coupon code for that as well. Well, since it's my compass podcast IRS that you just put Fabio.   you want Fabio? Okay. well in that case. So ⁓ so is I also see you have a ⁓ Summit twenty twenty six is live on Friday, April twenty fourth. Grab your ticket. Where's where's that show gonna be? Is it Reno where you are? You know, that's actually virtual, Howard, and it's one of our like favorite comebacks constantly. And the reason I do it virtual, people have been asking me for years, like, why don't you do it in person, Kiera? And what I found is   Because it's so like again as a team member, I really struggle to get my team ramped up, amped up, and have it be financially affordable. So what I found is if we can have it virtual in your practice with your full team, you guys are able to get this boost and surge of energy and have a good time. So it's for leadership teams, it's for doctors. ⁓ we've been doing it for six years strong and we tend to have hundreds of offices. You get your whole office there, you have a good time.   But yeah, it's virtual and it's C E and it's a great time. ⁓ I attend a lot of Tony Robbins, a lot of Brendan Bouchard, Rachel Hollis. So we've learned how to do people have told me the online experience is so fun. ⁓ we just get continual people coming back year after year after year. So yeah, come join us. It'd be a great time. I love Tony Robbins because ⁓ you know, my boys they wrestled year round from age five to fifteen.   Yeah. Made our garage. I got two real wrestling mats from the manufacturer in Pennsylvania delivered by an AJ Miller. So I never ever parked in my garage ever. And we would we were listening to that Tony Robbins 30 day, 30 day personal power. Yep. And then I and then I bought my first laptop when I went to MBA school. And so I took notes on it. And then when I was done, I I ⁓ closed down Saturday and I went to a studio Saturday, Sunday, and I ranted out my notes.   And I said, this has got to be 30 hours because I mean it's still Tony Robbins 30 day personal power. And that was the 30-day dental MBA. ⁓ and it worked out to be about thirty hours. But I'm telling you, the pandemic changed everything. That was when ⁓ online CE at Dentaltown just went through the roof and it hasn't come back and dental meetings haven't come back. Cause why do I need to fly to Chicago to listen to you if I got a Zoom call or   or streaming video or this event. I mean, I mean, just think of the plane ticket, the hotel, the sitting and attending. If you're in Phoenix, you know, just to get to New York is a five hour flight. I mean, why I I gotta fly five hours each way when I could see you on YouTube or a podcast or or whatever. But I wanna but I want to go back to that pandemic because that pandemic, I really think the reason you can really do this so successfully today is because of that pandemic. That's why we realize   I don't have to be in the flesh to learn knowledge. And and like I I I feel fine talking to you. I me too. The only thing I regret is teaching my mother how to do that. I got her FaceTime and all that kind of stuff. And because she calls to tell me about ever every one of her exciting things is junk mail she has. She's eighty seven and she believes every piece of junk mail. I love it. She's always free freaking out on her junk mail. But but I want to talk about the pan the dark side of the pandemic.   And that is a lot of people think about 20% of the hygienists left to practice. Before, you know, when I got out of school, your labor was supposed to be twenty percent, your overhead was supposed to be fifty percent. And by the time it was it didn't even take 10 or 20 years, and and due to insurance, I think not keeping up, ⁓ overhead went to basically two thirds. It went to about sixty-five percent and labor went to about twenty five, sometimes twenty-seven percent.   I'm hearing thirty percent labor all the time. And I mean I mean I'm talking about serious dudes who know the business of dentistry. And I don't I don't want to get my buddy Rick Kirstram out of me. He owns a hundred comfort dentals and he said he can't he said he's got the mean and lean where labor is twenty. He says he's got mean and leans with labor at twenty-eight, twenty-eight and a half. So so the the pandemic is ⁓ it that was five years ago. Why do you think it   seriously impacted labor cost of the pandemic. I do, Howard. And I think I think we kind of have this perfect storm, right? Like I think we've got multiple waves coming at us that have impacted. I think the pandemic pushed out those that were like, you know, I'm done. Like, like I'm good. I'm at the end of my career. I don't really want to do that. ⁓ a lot of hygienists are female and I think a lot of them realize they did not need two incomes anymore. And so it's like, you know, I want to be with my kids. I want to be home.   And then hygiene schools don't pump out a lot of hygienists and it's usually like a two year span. So yes, I have actually seen like hygiene is it really did, and then it clicked up. So the cost of hygienist has gone up astronomically. I mean, I think the highest I've seen of a hygienist being paid was 85 an hour. And to me, I was like, at that point, that was up in ⁓ it was up in Washington, up by Bellevue, Mount Vernon, that area. And I literally saw the the posting for 85 plus a a bonus, and I was like,   Screw that at that point. Like in all respect to hygienists, I'm gonna hire a dentist for that cost. Like I truly will. And that's not being disrespectful. It's just like a dentist is a more multifaceted. I understand they are not great hygienists, but if I have to and I'm gonna be putting this number up, like we've got to get to a space where it does work. So yes, I do. However, there are more hygienists coming onto the market. I still know that this is one of the hardest things, but ⁓ I have a practice that's out in Maui, rough life, huh, Howard? I get to fly to Maui to go do work, like.   You know, shout out to that office. ⁓ but what we found is we were able to find a way to get the hygienist to be paid exponentially higher by doing assisted hygiene. And so I think I'm seeing people innovate. I think I'm watching them create. I think I'm seeing people do some more outsourced costs in the front office. And so they're able to then offset the costs of the clinical team. ⁓ I think that people are just getting innovative and creative. And what I want to highlight is while this feels annoying, this is also business. And if we don't innovate and if we don't continue to evolve,   We actually decay and decline as an as an organization and as an industry. And so I know it's annoying and I absolutely empathize. And you're right. Like for me on our payroll, we're at 30%. Like I've had that as our metric for our clients for the last five years because payroll costs have gone up. But I'm like, but just because they've gone up, like let's look at several other industries. I mean, we're not here to like love on or hate on McDonald's, but I'm like, they have kiosks. They figured it out.   I checked in at a hotel in downtown San Francisco. There was no person there when I checked in. It was literally a person on Zoom just like this. I clicked in, they said hello to me. They took my information, but they didn't have to have a physical body in the office. And I think with AI and technology, dentistry is going to evolve, but I think the art and the care of patients does not need to evolve. And so, like, let's put our dollars where that matters and let's be able to look and innovate in other ways that keep our costs low. ⁓ I still think dentistry, I mean, why is there a one percent default rate on loans? Like,   Banks are still lending. We had the first down year of DSOs last year and the first uptick of private practice last year. And so when I look at these things, like it is still a great business to be in, even though labor costs, like, guys, again, it's just another flavor of business. So like let's figure out how to innovate. Let's figure out how to do it. And like, yes, I'm gonna pay for great people. I see team members as assets, not liabilities. And I'm gonna cut and chop on other areas that I can, but I'm also gonna be smart with my labor costs and make sure each person hitting their KPIs, they've got numbers that they're driving.   We are running this as an efficient business while like loving and taking care of our patients at the same time. I'm glad you mentioned bank loans because it's less than one percent default rate. Yes. All the defaults have the same thing in common. They all had their license taken away. Right. Always. And and if it's for drugs or alcohol, they now treat that as a medical disease. And the dentists still say, Screw you, I'm not gonna quit doing biking. And then they run south of the border. And that's why whenever you find a dentist down there that looks like me.   They're running for free Vicada. They they they said I'm not peeing any. So unless you, you know, do something just horrible. I mean, and you know, you have you have to get your it licensed in your way. But I w I wanna tell you about you know, there's just so many other things that you can focus on besides labor, like increasing their productivity. ⁓ I know dental offices. you can get a full if you pay a dentist in the Philippines five dollars an hour.   You get the best dentists in the Philippines. And I and there's dental offices that with Zoom and things like that are doing all their insurance and their claims and all that stuff. I mean, ⁓ so the with with with ⁓ with the internet, I mean you can literally have someone ⁓ be at the front desk ⁓ on a on a kiosk that's actually a dentist from the Philippines from five dollars an hour who when he's not busy can be calling your insurance companies all that. I I want to ask you another thing that's really hot on Dentaltown.   today. Everybody keeps talking about these dental insurance EFTs versus virtual credit cards. but basically everybody's reporting that major dental companies like even Delta are gonna stop sending paper checks and you gotta do it all electronic. And I guess that that electronic could be free, but it could be you know it could be another three and a half or three percent credit card fee on all your claims. Or what or what are your thoughts on all that? I'm hard on that   I have and I'm a hard no on the credit cards. Like, why? Why are you doing that? EFTs are so fast. Like there's absolutely no reason to be paying this. Explain to my home. A lot of them don't even know what a EFT. Mo I I bet 80% of the the dentists listen don't even know what we're talking about. Will you explain it? Will you explain it like I just graduated from dental school eight minutes ago? Of course. Well, I think that this is also where going back a little bit where you said, like, do dentists need to know the business? To me.   You don't even have to know that much, but I want to just challenge you that if you're getting a three, three and a half percent cut on your payments for quote unquote ease, that's a real big hit. And I would just challenge you to think about like for what and why. And so coming in, there's different ways the insurances are going to pay you. So they're gonna pay you via paper check, they're gonna pay you via EFT, which is a electronic fund transfer, or they've got this new thing where they're gonna pay you via credit card. And like honestly, to me, the credit card is so scammy.   And I've talked to so many people and like educate me, like, why would anybody do this? Like, I cannot comprehend. Like, I'm already taking a cut on insurance as is. Like, thank you for my marketing fee to be an insurance. Like, that's how I view that that write-off. Like, I know you hate it, but you're also gonna, you're either gonna have to do that, or you're gonna have to pay for marketing to bring in fee for service patients. So, like, again, let's just think about that. But I'm like, so I've already got a cut there, but I'm then gonna take another hit in addition to that for a credit card ease.   So as we're talking about that electronic fund transfers, they deposit straight into your bank account. The reason that some offices don't care for electronic fund transfers is because like trying to match it up is a like it kind of dumps and chunks into your bank account. So all you need to do is help your team members. Like there's ways that you can have it where it automatically emails your team when that comes through. So then they can go online and they can find out what the EFT was, so then they can balance and like enter it in.   I do think dentistry software is so dated because what happens is when we get paid from the insurance company, we get either like it's called an EOB, it's an explanation of benefits, and it's like batch checks. So when they dump this money to you, Delta's gonna give me like 20 grand. But like, who do I allocate that 20 grand to of all these patients? So that's I think where some people have like, well, electronic funds are so annoying and this and that. But I'm like, they're very quick, they're very fast, they're a lot safer than paper checks. Paper checks people do get embezzled on.   That I literally see no reason. Like, I don't care if you get it like one day sooner with a credit card, you are paying a huge hefty fee on that unnecessarily when electronic fund transfers are pretty much just as fast. Like maybe a like smidgey of a delay. But to me, that's a that's a very worthwhile smidgey of a delay. Because you're getting your payments so much faster. And as long as you're staying on top of it, you should still be able to maintain a 98% collections rate, even if you do checks or if you do electronic fund transfers. It just is so.   So dumb. I've yet to see a reason. But to me, I'm like insurances are so smart because it's just another way for them to take a chip out of what they're paying you and to have it come back to them. So again, think of the motive as to why they're offering. These people are not dumb. Those insurance companies, if you've ever gone to a business who's the biggest building in the entire city, it's your insurance companies. They're not dumb businesses. And I think we need to be smarter business owners that out think that. They always but Delta always says, we're   Yeah, so is Rolex Watch. Rolex Watch is a non profit. And and some of the CEOs of some of the anyway, we won't go there. But ⁓ yeah, ⁓ so what other ⁓ besides you know, when when someone tells me about their overhead, I tell them, look, I can't call the government and have my tax rate lowered. I can't call the nuclear power plant SRP or APS and tell them to lower my electric bill. I mean, something I i if the hygienists can   Wants a dollar an hour and if I say no, I'll give you 75 cents and she can go get a dollar across the street. I mean the market sets many, many prices. So the only way to fight that back is to ⁓ increase your productivity. You know, I mean if if if you have a dollar in labor and they do a dollar in dentistry, your overhead is a hundred percent. But if your dollar in overhead can do two dollars in dentistry, now it's down to fifty percent. So how so ⁓ are there other   ⁓ hidden gaps that are quietly draining profitability, or has it just come down to production? Or is it both I like I'm so glad you brought this up because I think like it's so easy to sit here and say, like, dentistry's not profitable. But I'm like, go find me another business that has a one percent fell rate that usually can run twenty to thirty percent profit margins if you run a business right. And this is not just Kiera sitting here fluff. This is like I got real clients running at these margins consistently. They've got large practices, small practices.   And so when I look at this and I'm like, okay, how do we make this more efficient? A lot of people want to go to the first thing of like, let's cut insurances. And I'm like, yay, pop the confetti, but be real smart. Because again, you're gonna then increase marketing fees, you're gonna lose a lot of your patient base. Like, let's just think through the ramifications. And so there's lots of different ways that we can increase productivity and not have to go for the cut. So I look at three levers that I found that can increase a practice. So one is we can increase our production. We're talking net production, not gross, like please feed your family, not your ego. So that's number one.   Number two is what's your collection percentage? Cause half the time doctors feel like they're broke and they don't have money, but your money's sitting in AR, which is your aging reports or your accounts receivable. We're not collecting the money and we don't have a good billing process. We got to get our collections up to 98%. And then the third thing is like we cut costs. And so looking at that, a lot of people want to go to just cut costs. I'm like, but in dentistry, let's break it down. If I want to add 10 grand more to my practice.   I love to help teams. Most offices are working four days a week. So if we're wanting to add 10 grand to a practice, working four days a week, let's do 10,000 and we're working 16 days a month. That's an extra six twenty-five a day. Well, how can we make six twenty-five in a dental practice? Let's think about our fluoride applications. Let's think about FMXs. Like I'm just talking, this is your lowest hanging fruit for you. Let's talk about could we add one or two fillings? Could we add like same-day dentistry, which is going to make more raving fans for our patients? There is so much ease in there.   Now, to increase our production, we can also look at our case acceptance. Doctors have so much case acceptance. And also, what are we diagnosing? I'm like, doctors, if you want to be producing 100 grand a month, the statistics are you need to be diagnosing three times that amount. And then we need to make sure our treatment coordinators are really good at diagnosing explaining treatment to them. They're not diagnosing, but they're explaining the treatment. They're presenting it in a way. We're not using insurance as our main driver. We're using it as like a coupon. And then we're really good at our follow through and our follow up.   Gotta have a right person, right seat in your treatment coordinator seat that's obsessive with hitting the right goals. And so there's like so many little ways. Like you can in I have added block scheduling, which I know is like a consultant's number one favorite thing to talk about, but like make it really make sense and easy for your team. I've added a million to a practice with no extra days, no extra work. We literally are just being more strategic with how we schedule. And so there's just so many little ways that I want dentists to realize like,   To me, I get really excited. This is where I geek out as a consultant. I geek out and I love to help that is because I'm like, how can I like squeeze more juice from the lemon you're already in? Like, let's just make more lemonade. Let's figure out ways to do it. And then let's make sure our costs are effective. So we teach your teams how to look at the business as a business. We teach each team member about their one KPI that's really going to drive it forward. We help them track. I just did this with an office manager this week and she's so lit up to look at her numbers, to look at her metrics, to see how she can do it.   And when they start to see how they can click it through, it's not you trying to push and drive more money. Like doctors, I tell everybody, every team member, you want your doctor to be so freaking profitable. Because if they're profitable and they're like they're secure, your life is so much better. So like I'm like dentists, we got to get you profitable, we to get the cash flow, we got to get you less stressed because you're gonna be a better dentist and a better business owner. But how are there's so many little easy ways where it's just low-hanging   Typically I'm able to add 10 to 30% of production in usually 90 days to an office, like very consistently with just small little reps, no real extra work. How are we doing our exams? Are we being directive in our treatment planning? Are we using like, okay, next visit I want to see you for this? And when do I want to see you back? And how much time is this going to take? Like, let's break down the barriers of treatment planning. There's so many little simple things that if you just implement, you can be very profitable very easily.   And then look at your P L. If you're not looking at your P and L every single week or month, like just being aware, getting into the language of business, that's also gonna help you too. So yes, cut. ⁓ but I found that it's always a lot easier to make sure our collections match, our production matches, and we use those little low hanging fruits. ⁓ and it's there. Like dentistry is such a magical, like, like it's a great lemon tree. You can make a lot of lemonade out of a dental practice. I want you to tell me if I'm right or wrong or or   I think I think there's two threes to double your price. Number one, if three people call your front desk, one is going to come in because they're smart and they need to they know they need to get their teeth clean. One isn't gonna come in for anything and you can hear them vaping and smoking and drinking beer and eating Cheetos on the call. But one out of three needs a little extra push. And if you train the person answering the phone, they can close that one out of three. And if they do, they doubled your practice. Then when they get in, you still got the now you got three people in chair.   One's gonna do what you say because you're a doctor and they've done their their author search and and you say they got a cavity, they're not gonna argue with you. One's not gonna do anything. In fact, in fact in fact I was like I had about a dozen patients that in the middle of my treatment plan, they asked me if they could just take a cigarette break ⁓ from my presentation and they went outside, had a cigarette, came back. They're gonna do it. But the other one in three needs some some closing skills. And so if you if you can close on the phone   You doubled your practice. You you got two butts in instead of instead of one. And if you fix your treatment plan presentation, you're gonna do two cases at one. And I think it's so funny now because the dentists have never let their hygienist or assistant, let alone receptionist, do any diagnosing treatment plan. But now AI, Pearl, and Overjet diagnosing all the cavities. So you wouldn't let your hygienist while she's in there for an hour.   Diagnose and treatment plan and sell the dentistry, the assistant while they're taking FMX, they they can't point out, yeah, see, that's a cavity, you don't need a filling and a root now. yeah, they couldn't do it because they were humans. But now Pearl and Overjeck can do it all day long and you're good with that. I mean, so so what how do you how do you double the close rate from one out of three to two out of three on the phone? How do you double the treatment plan acceptance rate from one to two out of three? Yeah. Do you do you agree those are possible goals?   Absolutely, Howard. I think again, this is the low hanging fruit that people are like, but that feels so hard. And I'm like, choose your hard. Like, is it harder to spend a little time with a front office and train them how to do this? Is it a little like, or is it harder to be cash flow negative? Like you choose what's your hard to me? Absolutely. Let's go after that. And I agree with you. Like teaching a team to preheat an oven, I call it what would doctor do. And so like, let's train our hygienist.   Like I tell all hygienists, doctor should be the second opinion, not the first opinion. And you got Pearl and you got Overjet. And so just spending a little bit of time with your team. So what we typically do for case acceptance, like let's go hit that one quick and then we'll talk about scheduling. Is I'm really big on let's get the whole team where we're talking the same language. So we recommend, like, what would doctor do? I recommend you run this over the course of six weeks, is typically how long it takes, anywhere from six weeks to maybe three months.   but we're gonna sit there and we're literally going to go through. We're gonna pull up an FMX. We're gonna do it one day over lunch. Hygienists, doctors, and if you want front office and dental assistance, rock on. But really, I want my like people that are seeing the bulk of my patients with doctor and hygiene. We're gonna look there and I want all of our hygienists to start like if we have an FMX up there and the interaurals, what is doctor going to recommend and how is doctor gonna talk about it? We're not just gonna sit here and have a nice little chit-chat. We're each gonna write it down because I wanna make sure every hygienist starts to get very, very comfortable. And the goal that I tell all hygienists is   Your goal should be at the end of this, what would doctor do training over six weeks? And if doctors are really consistent with it, I'm like six weeks of training to be able to double your practice and increase your case acceptance to me is a very good use of my time. So if I can do that, doctors and hygienists, you should be able to have 95% accuracy with your doctors at the end of this. And they do it. So hygienists get really lit up and they get very excited about it because now they're able to preheat the oven. They're able to talk to patients about it, use Pearl, use Overjet.   And then doctors, when they tee it up to you, and I say like hygienist, you've got to be the ones who first like introduce it, talk about it with the doctor as soon as they come in, but be real quick. So we introduce the patient, we compliment the patient on something, we recap the treatment that's discussed and we say something personal. Hygienist, you do that, your doctor exams will be much shorter for you and doctors will love it because it's very quick. If we can get that dialed in, and then doctors, you have a very like confirm the treatment.   then recommend exactly what needs to happen. And then we take that same baton up to the front office and front office, we schedule first. We then present the treatment. We use insurance secondary. I'm never leading with insurance. You do these little items which seem like, ⁓ no, that's like very quick, easy things. You're going to rapidly be able to help those ones. And then I do a two two two follow-up. So if they did not close for me and I'm going to go through it and I'm going to work through and I'm going to track all the people that didn't say yes to me and all the people that did say yes to me.   I'm gonna look for patterns. What are people saying yes? Like those are easy ones. Those are the gimme's. Those are the easy patients that Howard said. I'm looking for the people that say no and what's my pattern in there? And how do I change my verbiage? Because treatment planning is 80% psychology, 20% skill. So like what are you thinking? How are we presenting it? What are the words we're saying? One or two little changes usually will close that. What are the patterns and how can I get that number up higher? And I follow up with them in two days, two weeks, two months to make sure that they don't follow off.   People are like, Kiera, you really make your treatment coordinator do that? And like, yeah, I was your treatment coordinator that closed $50,000 same day. And this is exactly what I did. This is how I've trained co offices across the nation to do it. You just have these simple little things that help them out. And then you flip over to our scheduling. Like, I think scheduling's easy, Howard. I genuinely do. I'm like, half of it is just be nice. Like you got the COVID crank, and so many people are so grumpy and so like.   Annoyed when they pick up the phone, then I'm like, you can already leap your ahead by just being nice and being excited to welcome a patient. Then take like charge of that conversation. So let's take the ownership of that conversation. If someone's Do you take my insurance? I'm going to quickly redirect and say, my gosh, how did you hear about us? I'm going to answer that, but I want to find out how did they hear about us? If it's our Google reviews, if it's a referral, if it's somewhere else, I want to like say, my gosh, you're so lucky to be here.   We love our patients. We love our reviews. I can't wait for you to be a great raving fan too. let's talk about this. I can everything can be overcome. Please do not let being out of network stop people. It's a thousand dollar coupon and we're turning people away over that. No, no, no. We are better than that. And if we are the best dentist, they need to be coming to us. We need to win these patients over, make them feel so loved. Let's get them scheduled. Let's make this a great experience for them. Let's make them feel so excited. I did it with PT called like six offices.   And the office I chose, like so many people were annoyed I was calling. Can I put you on hold? Can I do this? And I was like, no one really wants my business. If you're just nice and you take control of that conversation, you can easily turn and transform your practice. So hopefully that was like not too much. I like I love these things. I love training treatment planning. I love training how to like take control of a phone call. I love helping teams overcome those little simple objections because it's very, very simple things.   that make massive leaps and bounds of change. And it's a great way to double your practice very easily, like you said.   The Dental A Team (36:13) All right, Dental A Team listeners, that was the guest interview that I absolutely loved. And I hope that if there was one idea that stood out to you, don't just agree with it, but actually go implement it this week. And if you need help setting this up in your practice or you need help just navigating or need a friend, head on over to TheDentalATeam.com and I'll be able to help you guys out. Click on the book of call or any way that we can support and serve you. That's what we're here for. That's what we're obsessed with. And as always, thanks for listening and I'll catch you next time on the Dental A Team podcast.

A new study may help improve cleanup strategies for groundwater and sediment contaminated with persistent chlorinated organic pollutants. Funded by the NIEHS Superfund Research Program, researchers at the University of Maryland Baltimore County used modeling tools to better understand and optimize their cleanup technology that combines pollutant-degrading bacteria with an activated carbon sorbent, called bioaugmented sorbents.

This Progress in Research webinar series, hosted by the National Institute of Environmental Health Sciences (NIEHS) Superfund Research Program (SRP), showcases research from 6 schools funded by SRP in 2025. These awards were made as part of the P42 grant solicitation RFA-ES-20-014. In the two-part series, awardees will highlight their research projects, accomplishments, and next steps. The newly funded centers, including Oregon State University, University of North Carolina-Chapel Hill, and University of Southern California, are bringing fresh ideas and approaches to tackle complex problems related to hazardous substances. The Oregon State University (OSU) SRP Center is driven to identify polycyclic aromatic hydrocarbons (PAHs) in the environment, to characterize their toxicity, and to specify the environmental concentrations at which they pose no threat to human health. The OSU SRP Center studies the composition of complex PAH mixtures, the changes in composition after remediation and natural attenuation, and the implications of PAH mixtures for human health. The University of North Carolina (UNC)-Chapel Hill SRP Center addresses serious public health challenges faced by communities in North Carolina and across the nation related to inorganic arsenic (iAs). The UNC-Chapel Hill SRP Center is working to identify these factors that would facilitate the development of novel solutions/interventions to reduce the prevalence of iAs-associated diabetes, as well as other diseases associated with iAs exposure. The University of Southern California (USC) SRP Center works to develop problem-based, solution-oriented scientific knowledge and innovative technologies to address the issue of poly- and perfluoroalkyl substances (PFAS) water contamination in Superfund and other sites. The USC SRP Center has the goal of specifically addressing PFAS in relation to their effects on liver disease and addressing urgent concerns regarding water quality and human health in populations affected by PFAS exposures and Superfund sites. To learn about and register for the other session in this webinar series, please see the SRP website. To view this archive online or download the slides associated with this seminar, please visit http://www.clu-in.org/conf/tio/SRPPIR26_060126/

This Progress in Research webinar series, hosted by the National Institute of Environmental Health Sciences (NIEHS) Superfund Research Program (SRP), showcases research from 6 schools funded by SRP in 2025. These awards were made as part of the P42 grant solicitation RFA-ES-20-014. In the two-part series, awardees will highlight their research projects, accomplishments, and next steps. The newly funded centers, including Oregon State University, University of North Carolina-Chapel Hill, and University of Southern California, are bringing fresh ideas and approaches to tackle complex problems related to hazardous substances. The Oregon State University (OSU) SRP Center is driven to identify polycyclic aromatic hydrocarbons (PAHs) in the environment, to characterize their toxicity, and to specify the environmental concentrations at which they pose no threat to human health. The OSU SRP Center studies the composition of complex PAH mixtures, the changes in composition after remediation and natural attenuation, and the implications of PAH mixtures for human health. The University of North Carolina (UNC)-Chapel Hill SRP Center addresses serious public health challenges faced by communities in North Carolina and across the nation related to inorganic arsenic (iAs). The UNC-Chapel Hill SRP Center is working to identify these factors that would facilitate the development of novel solutions/interventions to reduce the prevalence of iAs-associated diabetes, as well as other diseases associated with iAs exposure. The University of Southern California (USC) SRP Center works to develop problem-based, solution-oriented scientific knowledge and innovative technologies to address the issue of poly- and perfluoroalkyl substances (PFAS) water contamination in Superfund and other sites. The USC SRP Center has the goal of specifically addressing PFAS in relation to their effects on liver disease and addressing urgent concerns regarding water quality and human health in populations affected by PFAS exposures and Superfund sites. To learn about and register for the other session in this webinar series, please see the SRP website. To view this archive online or download the slides associated with this seminar, please visit http://www.clu-in.org/conf/tio/SRPPIR26_060126/

Dr. Beckett continues his hobby “education” series by using a gifted 25-26 Upper Deck SPX Hockey box (3 cards per pack, 8 packs, ~$150 SRP; 20 boxes per case) to explain how collectors are really buying probabilities and should evaluate true scarcity and expected value rather than relying on luck. He estimates production by totaling serial-numbered parallels across a 165-card set (roughly 50,000 serial-numbered cards implying about 50,000 boxes, or ~2,500 cases) and shows how even a hypothetical $1,000,000 card would add only about $20 to a box's expected value at 1-in-50,000 odds; similarly, 165 one-of-ones are extremely unlikely to hit. He discusses non-serial “gold” and “silver” parallels, arguing serial numbers could change perception, compares buying sealed product vs singles, and notes David Adams' discounted random-team breaks versus case pricing, plus grading backlogs and volatility that reward informed, math-savvy decisions.   01:05 Box Basics and Pricing 01:40 Buying Probabilities Not Cards 03:37 Estimating Print Run 04:47 Expected Value Reality Check 06:28 One of Ones Math 07:19 Gold and Silver Scarcity 08:31 Buy the Product 09:23 Breaks Versus Cases 10:45 Volatile Prices and Grading      

Send us Fan MailThe SRP election caught most Arizonans completely off guard, and then it became one of the most-watched utility board races in state history. What started as a sleepy, low-turnout local election turned into a four-times-higher-than-normal turnout event the moment Turning Point USA put its logo on candidate signs, and the fallout is still rippling through Arizona energy policy, water politics, and the 2026 election cycle.Chuck Coughlin is the CEO and President of HighGround Inc., Arizona's longest continuously operating public affairs firm. A five-time winner of Arizona's Best Political Operative award from the Arizona Capital Times, Chuck has run gubernatorial and congressional campaigns, worked alongside Senator John McCain, and has been a strategist and lobbyist for clients including the City of Phoenix, Maricopa County, and the Salt River Project itself. If anyone can break down what actually happened and what it means, it is him.What you will learn in this episode:Why most Arizonans had never heard of an SRP election before this year, and why that changed overnightHow SRP's voting structure works, including the acreage-based system that traces back to 1903 federal lawWhy SRP territory residents have essentially no water insecurity, and how electricity revenue subsidizes that water supplyWhat actually separated the two slates, including the real policy debate over natural gas as a peak-power resourceHow Turning Point's logo on candidate signs triggered a partisan wave in a nonpartisan election and produced historic turnoutWhy the new board majority could create friction with SRP management and what that means for rate stabilityHow Arizona utilities are expected to double their generating capacity in the next decade to meet data center demandWhy SRP, APS, and Tucson Electric are all requiring data centers to sign base-load contracts so ratepayers are not on the hookThe key structural difference between SRP as a not-for-profit federal franchise and APS as a for-profit investor-owned utility regulated by the Arizona Corporation CommissionWhat Attorney General Kris Mayes taking on APS over rate increases could mean for Arizona consumersWhat the Project Blue data center fight in Tucson reveals about how communities can push back and winWhy Chuck believes open primaries are the only structural fix for a political system he sees as built to oppose rather than governConnect with Chuck Coughlin:Email: info@azhighground.com Facebook: facebook.com/AZHighGround LinkedIn: linkedin.com/company/azhighground Instagram: instagram.com/azhighground

QUOTES from the episode: "Utilities are no longer just incentive providers. They are becoming design partners." "High performance is not a luxury in affordable housing. It is a necessity for predictable living costs." "If you want this to scale, it starts with early coordination and shared goals."  In this episode of RESTalk, we head to Tempe, Arizona, where extreme heat, rising energy costs, and housing needs are converging, and where a standout project is redefining what ENERGY STAR Multifamily New Construction can look like in a hot, dry climate. Bill is joined by Rebecca Smout of Salt River Project (SRP), Joe Keeper of Copa Health, and Jacob Alvarez of Desert Skies Energy to unpack the story behind La Victoria Commons, an ENERGY STAR–certified multifamily development designed with both performance and people in mind. At the center of the conversation is a powerful idea: utilities are no longer just incentive providers; they are becoming design partners. Through early collaboration, flexible program design, and deep involvement from HERS® raters, this project demonstrates how technical rigor and cost awareness can coexist. The team walks through how early modeling, integrated design, and verification helped align multiple programs and certifications while still delivering a practical, buildable project. But the real impact shows up at the resident level. As Joe explains, high-performance construction is not just about energy savings; it is about creating predictable, manageable utility costs for families in affordable housing. Combined with transit access, EV infrastructure, and community services, La Victoria Commons becomes more than a development. It becomes a replicable blueprint for housing equity and market transformation in some of the most demanding climates in the country. Rebecca's LinkedIn: https://www.linkedin.com/in/rebecca-smout-31a08644/ SRP: https://www.srpnet.com/   Jacob's LinkedIn: https://www.linkedin.com/in/jacob-alvarez125/ Desert Skies: https://desertskiesenergy.com/   Joe's LinkedIn: https://www.linkedin.com/in/joe-keeper-183aa13ab/ https://copahealth.org/   LaVictoria Commons in the news: https://www.tempe.gov/Home/Components/News/News/18749/   To the RESNET® community, we hear you and want to engage. Learn more at www.RESNET.us. For more info on this topic, contact RESNET at INFO@RESNET.US  

People with higher lead exposure before birth may have lower cognitive function in late adulthood, according to researchers from the Harvard School of Public Health Superfund Research Program (SRP) Center. This finding was most significant for women exposed to lead during the second trimester.

The boys are back from their post-Super Round haze and geez there's a bit to unpack here with less than a month to SRP finals.Two Aussie derbies in Round 12 meant a double-points weekend for Reds and Force fans while the Tahs are on thin ice and the Brums look shaky in sixth.Are any Aussies a genuine chance come finals or will we be making up numbers?On a cheerier note, Super Round was a blast and we cannot recommend it highly enough - our full breakdown + tips for 2027 and beyond!Also floating around - ANZAC Day Test rugby, Wallaroos wobbles and a few U20 sneak peeks - tune in for the whole kit and caboodle. Patreon - https://patreon.com/ScrumbagsRugbyWallaby Shop - https://wallaby.sjv.io/WyRyVGLinktree - https://linktr.ee/Scrumbags_rugbyInstagram - https://www.instagram.com/scrumbagsrugby/Twitter/X - @scrumbagsrugby Hosted on Acast. See acast.com/privacy for more information.

Released in February 2026, the King of Kentucky Small Batch is a premium, limited-release bourbon from Brown-Forman, featuring a blend of 12-to-18-year-old barrels. The 2026 series introduced three distinct batches (105, 107.5, and 110 proof) with a $299 SRP. It offers12-year aged, high-proof, complex flavors with a 75% corn, 15% rye, and 10% malted barley mash bill. Cheers!

Dr. Beckett discusses what collectors call “cash grabs” in the sports card hobby and why the term is subjective, often depending on whether something feels gimmicky, low-effort, or overpriced versus a real innovation. He contrasts short-term profit plays with building long-term trust, argues that profitable companies should reinvest, and cites examples such as Fanatics debut patches, Topps Now, PSA upcharges, LCS pricing above SRP based on replacement cost, and even stadium concessions as “captive audience” pricing. Beckett emphasizes market forces, reputation, and consumer choice—buy, boycott, grade elsewhere, or not at all—while warning against judging intent too quickly and noting that sustained customer resistance and competition can correct pricing and product excesses.   00:54 Defining Cash Grab 03:29 Pricing Power And Ethics 05:05 Reputation And Bad Actors 05:55 Who Sets Fair Price 08:04 LCS Pricing And Comps 09:58 Expected Value And SRP 10:56 PSA Upcharges And Fees 11:58 Optimizing Not Maximizing    

Dental peeps, this one is super personal… what happens when oral care is overlooked in cancer patients? We see these patients in our ops, but what happens when that patient is your Dad? My dad... My patient In this episode of the Tooth or Dare Podcast, I share the story of my father's battle with cancer and the parts of care that too often get missed. It began with the kind of phone call no one is ever ready for: “Your dad is coughing blood.” While I'm elbow deep in a 6mm pocket during an SRP.  From that moment on, life changed quickly. Emergency visits. Hospital admissions. A diagnosis that had likely been developing quietly for some time. The truth is, many lung cancers are not found until they are already advanced. But this episode is about more than the diagnosis and the outcome being tragic. It is also about something rarely talked about enough: oral health during cancer treatment. What I learned, what we created and how I shared it with the folks at the Cancer Center. If you want the same download, you can grab it here: Oral Cancer Products Digital Download from Toothlife.ca   We discuss: ⚪ How life can change in a single moment ⚪ Warning signs that were easy to dismiss: chronic headaches, rapid weight loss, persistent coughing ⚪ The emotional reality of watching a parent go through cancer ⚪ My memories of my dad: motorcycle rides, soccer, scuba diving, and the bond we shared. #1 dental dad.  ⚪ How families can be close, yet still silent about health concerns ⚪ What hospitals commonly recommend for oral care during treatment ⚪ Why “rinse with baking soda four times a day” is not enough   Clinical + real-world insight: ⚪ A firsthand look at how oral health can be overlooked in hospital settings ⚪ The absence of dental professionals on many cancer care teams ⚪ Four separate hospital admissions within 4 months and oral hygiene was never meaningfully addressed ⚪ The effects of radiation and cancer treatment can have on the mouth ⚪ Why preventive oral care should be part of treatment planning from day one At its core, this is not a story about my loss. It is a call to do better, and perhaps for us dental people who have not seen this journey firsthand to trust me and talk about this with our patients and teams.  Oral health is connected to overall health. Always has been, not new news to us, but to the folks at the hospital, I was speaking gibberish, apparently.   And when that connection is ignored in critical care, patients feel the consequences even if they don't know it. Increased risks of infections, lower immune response... the list goes on, and we discuss that here.  A simple takeaway: Awareness → Advocacy → Integration   Because patients deserve complete care, and that includes the mouth, too.  If you made it all the way down here, hit a like and share a comment. Until next time, Peace out peeps! ✌️

Dental A-Team is all about case acceptance. In this episode, Kiera shares how a practice can double its case acceptance in one month (or even one day! She has receipts!). She gives five tactical tips practices can apply today to refine that acceptance and start upping that percentage of "yes." Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today is a great day. I hope that you're loving it and I hope that you remember just as a quick little motivational thought for you that what's right is just as available as what's wrong. And I think so often we're looking at what's wrong in my life and why isn't this working versus thinking what's going well, what's right in the world, what's what's and I'm not saying to   belittle, miss sunshine and not see all the things that are really going on. But I do think that what we focus on, we attract and we achieve more of. so practices that are high performing practices that really have great cultures, they're looking for what's right in this world. They're looking for the good, the positive, they're building that. But that does not mean that they're not seeing the things that need to be impacted and fixed. And so I just really want you to, to think about that today as we as we tackle a fun topic, and that's about case acceptance. And if you know me, you know that I'm obsessed about case acceptance and   Today we're gonna go through how to double your case acceptance in 30 days or even just one day. And it's really true. I've done this multiple times. We've taken practices from 50 % case acceptance to 100 % in one day. I have some practices, they know who they are, they listen to the podcast, shout out to them, where we coach their treatment coordinators. And we've been doing this for several years and we've added multiple millions to their practices. We're not quite to the billions, no pressure team. I know you guys like a good challenge, ⁓ but genuinely, and it's through helping.   just people have better lives. And I think about case acceptance and people are like, but you know, case acceptance, Kiera, it's about like money or it's this objection. And I just want to say that realistically, most treatment coordinators, what happens is we accidentally plant weeds in our flower gardens, aka objections in our case acceptance, unintentionally. And I can have the exact same patient, exact same scenario, different treatment coordinator, different result. And so what I found, and this is why I love this, this is where I got my start.   You guys know that I'm obsessed with helping patients and teams and dentists just have their best lives possible. And so really just giving you guys some tips on how we can do this, how you can boost your case acceptance. And these are tactical ways. So like take the recipe today, take this in, apply it. But what I want to say is I believe that case acceptance is a journey and it's not an overnight sensation. And these practices I alluded to, again, they are some of my favorite clients to work with. The team is amazing. They show up, they have grit.   and they recognize that it is always a next level to improve. And so that's why we work together because we are like, I've trained them for years and yet they keep coming back and we keep refining and we keep going to the next level and we keep improving because there's always a next level within case acceptance. And I think when you recognize that and you see that you can actually be an even stronger treatment coordinator. you guys know, Dental A Team, we are obsessed with making your life better. We love to work with doctors and teams. We love to   do it virtually or in person with you and to possibly influence and impact the world of dentistry in the greatest way possible. So I'm so glad you're here on the podcast with us. If you love our podcast, please be sure to like, subscribe, share this with people, leave us a review. I do personally read those reviews and I'm so thankful for you guys. I'm thankful for this community. I'm thankful for ⁓ the, I think just the lives that have been changed. I love meeting you in real life. I love hearing from you in emails. I love.   this community of people. I just love people in general. And so I hope that you know that I just truly love and adore you and I hope that you feel that and if I was in person, I'd give you a giant hug today and tell you that I know you're doing better than you think you are. And they're simple tips. ⁓ I can speak very confidently to case acceptance. I was speaking to a candidate that I'm interviewing and there was this there was this humble confidence about them where   They didn't have to prove anything to me on the interview. was like, Kiera, I've done this. I've done this many times. It's like, I know how to get the winning championship and it's not hard. And I don't say this egotistically. I will say that I do know how to get case acceptance boosted and our team knows how to do this. And I think this is one of the greatest services you can give your patients is helping them say yes to dentistry that's necessary. And so I hope that you feel that what I'm teaching you today comes from very strong.   Experience is not just theories and ideas, but genuinely been there done that done it successfully and I'm here to share that with you So a couple of things is number one. I'm really big on when we are working with this So first steps first I work hard on making sure that we have the right mindset I say mindsets everything So if you think a patient is gonna say no to you You're gonna make yourself correct if you say a patient is gonna say yes to you You're going to make yourself correct. So whichever one it is and to me. I'm like both of those are free   Thoughts are free, words are free. Let's pick the ones that serve us. And I'm going to choose the one of everybody says yes to me. I even have doctors that text me and they're like, remember Kiera how you say this? And I'm like, I genuinely believe it. It's because I believe in my doctors. I believe in what we're doing. And I believe that patients deserve to have the best dental treatment and new doctors and new teams are the ones who are going to give it to them. So I'm not going to let this patient leave me just like I'm not going to let somebody who's looking for a great consultant.   Leave me, I know we are the best freaking consulting company you could ever have. So if you wanna have the best consultant, call me, call our team, let's work with you because you're going to see results and that's what I'm about. So with your office, same thing, you should have that same level of confidence in your practice. You should be able to say, I want these patients, I'm going to help these patients. Now that doesn't mean I take on their problems, but I do believe that mindset is 80 % of the game of case acceptance. So that's step one is we gotta start with that. Doctors, when you walk into the room, I wanna when you put your foot on that threshold, walking in to do an exam,   You come into doctor 2.0, whomever it is, like patients say yes to you. Your job is to give them a very clear diagnosis and to be able to guide them into correct decisions. Words create worlds. What world am I creating for our patients? What am I doing for our patients? Am I helping them see like this is easy to say yes or am I making it so confusing and hard with multiple options? Doctors, I'm calling you out on this. I know you wanna explain everything. You're freaking brilliant, but sometimes that's called confusion. And that makes a patient not wanna say yes to you.   Complexity is the enemy of execution. I'll say that again. Complexity is the enemy of execution. So if you don't have clarity and you don't drive people with clean, concise routes, you can give them the options, but let's talk about, do they want fixed or removable? You've got to be very clear and you've got to be very confident when you deliver. Patients are buying your confidence. So number one, I want you to 1,000 % change your mindset. I don't care what you got to do, who you've got to be, but you've got to start with a correct mindset. And if you will do that, your case acceptance will automatically just with that one thing,   go up and that's between treatment coordinators, team members and dentists. All of us patients love us. They want to say yes to us and we have a moral obligation to help them. Number two, I'm really big on you guys know we have this where we're going to have doctors having great presentations. So I talk a lot about ⁓ child Dini's principles of persuasion and whether you like those or not, that's fine. Words are free. Options are free. Thoughts are free. Take them if you want them and I'm obsessed with this because if I can get a patient in the mindset of saying yes to me,   I've already teed them up into that confidence space. So I recommend doctors when you lean the patient back, you say, can I lean you back? They will say yes. Can I do an exam? They will say yes. This is helping them prime and we're priming them to get them into the mindset to say yes to you. Really, really, really important. And I know you don't want to do this, but guess what? It's very easy. So we have the mindset already there. Then we get them to be saying yes to us. Be very careful treatment coordinators. This does not always apply to you because the last thing I want you to do is do you want to get treatment scheduled? We are not leading them to answers with no.   We are only leading to answers of yes. So if you're going to use a yes or a no, you've got to make sure it's gonna lead to a yes. I do not want you planting them with nos. You've gotta be very careful with this. Then step three is going to be, we do comprehensive exams and we wrap it with the NDTR. You guys have heard me preach about this. This was made up in a practice, I don't know, 10 years ago. Shout out to ⁓ my Tucson practice. I know you listened to this. It was your office because your office manager didn't wanna use a route slip.   So I made up this acronym that has stuck with us for years and it's become one of the bread and butter of dentistry that I use. And I will tell you, you put this into place, you're going to add multiples to your practice. We call it the NDTR, next visit, date, time, re-care. You get those items, you put it in a nice pretty bow, doctors, you do a comprehensive exam, you make sure you don't have too many of them being crazy. Like get them into pretty much where they're onto one solution. If you are my mom or my grandma or my dad or my brother or my sister, whatever it is.   This is what I would recommend for you. If cost wasn't an option, what would you select? You can ask them, what's the most important thing to you? Cosmetic function, cost or longevity. There are ways you can tee people up and then you can guide conversations into exactly what they want. This takes finesse, this takes practice, but ultimately we're after results, we're after the W, we're after helping the most amount of freaking patients that we can, all right? So for you, if you want the W, to me, case acceptance, the way we win is by helping more patients say yes.   If you're a great doctor, I want patients saying yes to you. If you're not a great doctor, I want you to become a great doctor so more patients can say yes to you. That's where we're at. So we've got to wrap our pretty little treatment plan up with the next visit. It's clear. What is our exact next visit? Kiera, I want to see you back for the crown in the upper right. I want to see you back in two weeks. That's the date. And I need about an hour and a half of that. Please, for the love of everything, this is step whatever. I don't know. I think this is step three for you. But I want you to make sure it's very clear and concise because   Complexity is the enemy of execution. If they're walking up of like, don't even know what treatment I'm coming back for. I don't know what I need to come. A crown is gonna take me all day. I can't do that. Your patient is subconsciously planting objections and why they can't say yes to this. But if you eliminate those, like we're clearing the fog, it's very easy. I just need to see you back in two weeks. I need to see you for an hour and a half and we're gonna take care of that crown for you in the upper right and the fillings. Or we're gonna do implants, whatever it is, I don't care.   or like, hey, we're gonna see you in three visits. We're gonna start with the upper right. We're gonna take care of that. Then we're gonna go and do your SRP. And then we're gonna finalize with all the rest of the fillings. I don't care, but make it so clear and simple for them. They don't need it all. And I know we sometimes go, this is where we go from clinical jargon to patient simplicity. Make it simple. When I go in and I'm trying, I remember I was at the van store and this girl was like, so do you want a bag? And I was like, no. Do you want this? Do you want that? Do you want this? I'm like, just like I'm done.   You guys mean far too many questions. I don't even want to come back and talk to you. Like keep it. I don't even want to buy it. And I think we often forget that our patients, while we're trying to educate and explain, and there is a line of that, this isn't their passion. And I say that with the most amount of like love, like, know, I know you care about this so much, but they don't. What they care about is, are you the right person? And how are you going to get me healthy and confident? Now they might have questions that they need answers to. That's okay. But for the bulk, people want to know.   Where am I at? Why does this need to get done? And what are my steps to get it fixed? I was at the jeweler the other day and like, my gosh, it was like, you have these chips, you've got this, you've got this warranty. And I just, I didn't do anything because it was too much. I don't care about jewelry and chips and this like, is my diamond going to fall out or not? And what do I need to do to prevent that? And then they were like, well, it's this amount. And I was like, okay. But the ring didn't even cost me that much to begin with.   So you've got to make sure that it really makes sense to patients in the simplicity. So confidence, number one, you've got that. Words create worlds, you're gonna walk in there. Number two, we're gonna tee them up with giving the yeses. Number three, we're gonna give a very simple NDTR, give it to the patient, make sure it's clear and concise, what is the very next step. It's very clear, very simple for them to go through. And then we take them up to the front office and every person, if they follow this, we use route slips, we have handoffs, I don't care, you can have a virtual.   hand off, I don't care, you can type it in, but we need next visit date, time, so we're all saying the exact same thing. So this patient knows my goal for every practice is that that patient leaves the operatory, walks to the front office, which they should not do, but the visual is there that they walk up and like, hey, Kiera, Dr. Smith wants to see me back in two weeks for a crown and it needs an hour and a half for that. If it is that clear, and I need to schedule my cleaning with Sarah. Do you think that patient's bought in? The answer is yes.   You've already got them like 90 % of the way. Now all we've got to do is deal with finances. Like that's truly it. And sometimes that's not even the issue, but we need to make sure that we have that. Now, step four is schedule first. Put the emphasis and the priority on the schedule. People are like, so we got to do the crowds. It's going to be this amount. No, why are we talking money first? Dentist diagnosed it. We need to get this treatment done.   Why are we sitting here wondering if money is the issue or not? It's not, let's get the treatment done. Let's assume they want to do treatment. Remember, everybody says yes to Why would they the dentist if they don't want to get treatment done? They are here because they want to get their mouth healthy. They don't come here because they're like, well, I'm not gonna do anything with it. I went to the jeweler because I wanted my ring fixed. They made it so hard, I walked out of there because it was too hard for me. If they would have said, Kiera, perfect, your two choices are, we can either do it on warranty and this is how much it is, or if you don't, this is how much the total is.   If they would have just said it that simply for me, I would have probably fixed my ring. But it was all this nonsense that I walked out. So think about your patients the same way. So schedule first, that is our next step. Hey, perfect, so Dr. Smith wants to see you. He wants to see you back in two weeks. You're like, care of my schedule is so booked. Fine, when your schedule and my schedule align, please stop making objections for things that are simple. I need you to get out of your own way on case acceptance.   You sit there and over explain, give too many options, don't think it's good to give them urgency, cause you're like, well, the two is not gonna break. I hear you. But what you're lacking is they're gonna leave your practice, go to Costco, be thinking about cereal and the kids and dance. This is the time that they're dedicating to themselves to get their dentistry done. Be respectful of their time and make them a raving freaking fan. Make it so easy for them. I think about Disney. Disney makes it so easy for me to spend money with them.   It's a mobile app. I don't have to go stand in lines. I have this, I have that. They make it so easy for me to say yes. And my question to you is, are you making it easy for your patients to say yes to you or are you making it so hard that they don't want to? Are you making them so confused? They're like, I don't even know what just happened. With IVF, do you know how many words they talked to me about that I don't even know? But it was like, Kiera, this is your next step. This is the total of how much you'll pay and here are financing options if you need them. Now, the only reason I use that as an example,   is because IVF is about $50,000 per treatment. Just like you're all on excess cases, that is the appropriate time to talk about financing there because not everybody has 50 grand just sitting there, just like in that. But most people usually are okay with one to two to three to five to 10,000 even. Not all the time, and I'm not saying that, but be careful that then with treatment coordinate, and this is the fifth step, is we need to make sure that when we're presenting treatment, we don't assume that it's money. We don't assume it's all these things. It's not, it's your confidence in how you're saying it.   Schedule first, talk money second. Now when we're talking money, we go into it and they're like, but what's it gonna cost? No problem, I'm go over that. You're gonna be super confident. We're gonna make sure we take care of all that. Dr. Smith's super busy and I wanna make sure I reserve that time for you. I have Monday or Wednesday, which works best for you. Control the conversation, make it very simple for them. Make it very, very easy for them. Then after that, what we're gonna do is we present the totals. Here's the total amount. Here's the estimated insurance amount. This'll be your total when I see you on Wednesday.   What questions do you have for me? I want you to be super confident moving forward. I say super confident moving forward. I am guiding them. I am saying what I want them to do. This is all words again are free. Use them. I believe that this patient deserves it the best dentistry and I wanna make it as easy as possible. There was no pressure on it. There was nothing. It is very, very simple. I've told you what you need. We've got you scheduled. Here's the total. What questions do you have? Some people will be like, let's talk about financing.   Absolutely, we've got financing. Do you have savings or do you want to talk about third party financing? I'm not just throwing out my Rolodex because what happens is, and I did this, we were buying bikes. My husband and I were buying bikes back in COVID. And I remember they were like, ⁓ and or you could do this like thing and you won't have any interest. My husband and had the money. We would have paid right then and there, but because they would not stop talking and assume we weren't going to say yes,   They offered financing. And I know a lot of people fight me in the industry on this and like, no, Kiera, you should offer financing. Like that's the way of the world. I am really pro simple equates results. And if I can have simple things, I'm going to get a lot more yeses. So treatment coordination, we're going to have financial options. Make sure you have it. We want to have them immediately. We want to be really, really solid with this. We are going to present all of our treatment there. And then if they are not on a yes, I go past it two times.   If they're still not a yes, I'm gonna follow up with them in two days, two weeks, two months. Follow-up matters. You have got to follow up on this. We need to check in with them. People get busy, they've got questions. Love them. Do this out of love, not obligation. And that might be like my best line for you. Do everything with case acceptance out of love. I told the team the other day, I just imagine when a patient sits with me, I'm giving them a warm hug. And it's like, not an actual one. Please don't get weird. But like, how can I make you...   feel like you are the most important, incredible human being sitting right in front of me and I'm gonna help you get the best dentistry possible and I'm gonna make your day just a little bit better because you happen to be in my world today. That's the direction to come from. Doctors, that's the direction to come from when you're doing your case presentation. Hygienist, this is how we tee it up to our doctors. These are simple little steps and I promise you, if you will do these items, your case acceptance will flourish. If you choose to pick and choose like this as a buffet, it won't grow. It is all of these steps.   consistently every time when we look at the results, we review the results, we see how are we doing and we refine. Case acceptance is about refinement, it's not about perfection. Where am I having that one or two words where I just need to do that, just change it a little bit, what needs to happen? And I promise you, you're going to get it. So if you want help with this or you wanna be like the team where we're adding multiple millions, please, please, please join us. Reach out, Hello@TheDentalATeam.com. But you, your practice and your team.   deserve to have the best case acceptance. You deserve to have patients that love you, that wanna work with you. This is what it's about. They love you. So let them work with you. Make it easy to work with you. Progress over perfection is where it's at. And I am obsessed with this. Just think about it. People are like, well consulting, can cost so much. And I say, if I helped you get one or two more cases closed every single month, we'd pay for ourselves. And you have a fairy godmother on your team.   And you have somebody you can talk to about finances and you have somebody who grows your team and you have somebody who's going to help you with the business side of it. And you're going to have somebody who's way freaking smart in dentistry. And you're going to be able to have access to our entire group. And you're going to be able to come to a mastermind. Like why not? It is that simple. And this is what we do. And this is how we pay for our consulting. Plus give you your life back, plus help you with your patients and make your life incredible. So reach out. Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.

Iran blinks and the people who wanted war don't know what to do with peace. The crazy thing is global media outlets get it, as British news understands the Trump playbook while American media like MSNOW reads soap opera-esc monologues about war crimes and the end of our own civilization. What happens when you have skeletons in your closet and you're a leading candidate for governor in California? Well, Swalwell is in hot water. Plus, some RINOS side with Dems on a new bill that is basically amnesty, Dems try to separate themselves from a hateful communist associated with big name candidates, SRP rates are going to climb but there's more to know, Mamdani poll numbers, and so much more on your Conservative Circus show.

In a place where losing power can turn deadly, keeping the lights on is a high-stakes balancing act. What infrastructure mystery keeps you up at night? Submit your Service Request by recording a voice memo with your question and emailing it to servicerequest@99pi.org. Service Request is a production of 99% Invisible and Campside Media. Subscribe to SiriusXM Podcasts+ to listen to new episodes of 99% Invisible ad-free and a whole week early. Start a free trial now on Apple Podcasts or by visiting siriusxm.com/podcastsplus. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Researchers funded by the NIEHS Superfund Research Program developed a new biocatalyst technology to clean up chlorinated hydrocarbons, or CHCs, a large class of persistent groundwater pollutants.

Welcome to another episode of AZREIA Show! In this episode, Mike Del Prete sits down with Barry Paceley, Arizona native, construction company owner, longtime Phoenix planning volunteer, SRP council vice chair, and candidate for SRP vice president, to explain why the upcoming SRP election is so important for real estate investors. Barry shares the history of SRP as the first federal reclamation project in 1902 and how its power generation helped fund Arizona's water infrastructure. He explains why buying in SRP territory can mean roughly 20% lower electricity costs than APS, along with reliable water and flood irrigation tied to entitled water, benefits that can directly impact property value and cash flow. The conversation also covers SRP's growth-driven energy needs, its focus on affordability and reliability, common misconceptions about data centers, and the current energy mix as the utility transitions from coal to solar, natural gas, and nuclear. Mike and Barry also guide investors on how to check voter eligibility and cast their vote online or in person by April 7, emphasizing why being informed in this election can make a real difference for anyone investing in Arizona real estate. 01:39 Meet Barry Paisley 04:10 Real Estate Wealth Playbook 07:34 Barry Role at SRP 10:35 What Is Salt River Project 13:10 Why Investors Choose SRP 14:32 SRP Territory Boundaries 15:35 Flood Irrigation Water Rights 16:38 Buckeye Water Sources 17:30 SRP Rates and Value 17:52 Why This Election Matters 19:36 Affordable Reliable Track Record 20:23 Data Centers Explained 22:42 SRP Power Mix Future 23:47 Solar Fields and Land Use 24:32 Debunking Campaign Myths 26:10 Transparency and Public Plans 27:16 Why He Said Yes 29:10 How SRP Voting Works 30:51 How to Register and Vote 33:43 Final Message and Wrap -- Contact Alden of Silver Crest Opportunity Fund at http://silvercrestopportunityfund.com "AZREIA does not endorse specific investments. Please do your own due diligence." Want to grow your real estate business?

SRP Researchers developed an advanced cell culture model that better represents the human lung.

Tiff and Trish break down what it means to have the right person in the right chair that's best for your practice. This means gauging comfort levels and the ability to stay calm, but it also means supporting each position so they feel like they can win at their job. Listeners are invited to review their positions based on what personality would thrive there — not only to increase treatment, but to make everyone's lives better, too. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. We are here today with, honestly, really fun one. These are some of my favorite subjects, the things that we talk about on here. I tell you guys that all the time, but I have Ms. Trish here with us today. Her internal nickname, Dental A Team name, for all of her clients, you guys can use this, is Tada. There's all kinds of reasons for it. We don't need to hash out today, but just know Tada is here. And I know I've said this on the podcast before, but if you're new here, you haven't heard it yet, I love.   podcasting with these women and I love also handpicking the topics. get topics given to us from our marketing company. We have a lot of input and say on them as the consultants, but really we just kind of look, I look ahead and I'm like, that's what we're doing in the month of March. So fantastic. And then I kind of handpick which consultants I want because I love when   I get to watch someone and partake with someone speaking on things that they're passionate about, that they truly thrive in and they love. And Trish, this topic specifically today, I know I tell you guys this, I don't know if you believe me or not, maybe you do, maybe you don't, but I know this is something that lights you up and I'm excited to be here with you. Thank you for blocking your calendar for me. Thank you for getting this set up. know it's like, both of us are like a little chaotic storms.   when it comes to things like this. So I know both of us were like frantically getting ready. So thank you. How are you today? And how excited are you to be here? Like just, you know.   Tricia Lee Ackerman (01:24) Thanks. ⁓   Thank you. Thank you.   I'm doing great. I always love it when I get to podcast with you.   The Dental A Team (01:34) Thank you, thank you. I ⁓ feel like all of you ladies bring your own sense of ease to podcasting for me, which is fantastic, because then I don't feel like totally exhausted by the end, so thank you. ⁓ Something you're really phenomenal at is people, Trish. I think you read people really well. I think you read people quickly, and I think that it's very easy for you to determine.   where people should sit or what they should be doing, what they're really great at. It's very easy for you to walk into a room and say, my gosh, this person is born to be a treatment coordinator. She is born to be a billing representative. you mentioned, gosh, what were we on? We were on some call this week. And you mentioned that you were a really great treatment coordinator. And I think we did it. It was on our coaching call we did together.   Tricia Lee Ackerman (02:24) Yes.   The Dental A Team (02:24) last week and you mentioned that you are a phenomenal treatment coordinator and is your passion and I think that reading people piece is part of that. It's part of who you are, it's part of your personality and it's part of what makes you a phenomenal consultant but also what fed into that piece of treatment coordinating for you and I think Trish if I had to read you correctly I think you love it and I think it lights you up to be able to read people and get people established in something they can be passionate about.   because you can read personalities. So very easy to see why this kind of topic we're doing, know, personality versus experience when it comes to team members. Very easy to see why that was such an easy fit for me to choose you to be here today. And before we dive in too much Trish, I want to ask what, ⁓ gosh, what about reading people and being able to peg that?   What do you love the most? What do you love when you walk into a room and you can say, my gosh, this, like what lights you up the most about it?   Tricia Lee Ackerman (03:28) I think what lights me up the most is like I can easily target somebody who is comfortable talking. So if somebody just kind of looks like their, you know, their shoulders are down, they look like they're at ease, that's going to be a pretty easy person to go and approach. Then you have your people that smile and they obviously they still look very friendly, but there is, it's, again, Tiff, it's like they don't have something written on their forehead. So it is really a read.   It's an internal emotional read that I have where it's like, you know what, that person actually probably doesn't want me just going up to them, just like starting a big conversation. And even if I do, you can read a person's body language and see how they're engaging back. And if the engagement back is kind of light, then like that's not a person that you push on. I'm not gonna make them have a conversation with me about a recent wedding they attended if they...   The Dental A Team (04:04) Yeah.   Tricia Lee Ackerman (04:24) clearly see if it's showing that they just kind of don't want to do that. So I don't know, like, I don't think there's a book that you can read on how to do this. Maybe there is. I, I personally think that this is something that you either kind of have or you don't. That's just my, that's just my thoughts on that. because again, I mean, some people really struggle, really struggle with knowing how to read a room. I'm sure they don't want to, but yeah, if there was a secret sauce, I would   love to share it, but I do think it's kind of an internal characteristic that you may or may not be born with.   The Dental A Team (05:01) For sure, I totally agree. actually, have my son, you he's 17 now, the recording of this and we've always, myself and just the people on my side that have been involved in his life and forming him into the kid that he is, we were always really big on being like socially aware and really just aware of his surroundings. One, because you know, as a parent, was a single mom scared to death that somebody's gonna steal my kid, you know.   So I made sure like he was always insanely, intentional about watching his surroundings, but then also being the one that's courteous to everyone else. Like you just don't be in the way and not so much that you make yourself small, but don't be in the way because it's very easy to just be like, ⁓ awesome. Yep, you go around, know, like don't make it a thing. Just be super aware. And I know that Brody's got that kind of intentionality and that intuitiveness that   he can read people as well. And I wonder, often I watch him do it, and I'm like, gosh, is that because you're so aware of your surroundings and you're watching for your next move, right? Because I know for me, it's like, where am I going to step next even of a crowded grocery store? What's the easiest path? When I'm driving down the street, well, which lane is going to be the easiest for me that I'm not an inconvenience to other people as well? So kind of like double dipping there.   So I watch him do these things and I think to myself, there are so many people that are not aware of their surroundings. Is that a piece of it, right? And like you said, it's kind of ingrained as personality. Anyway, it's high tangent there, but I think one thing to do is to really ramp up your awareness of present, I guess really, right? It's being present with where you are at and the people that you're with. Because when we're in our heads ahead or behind,   we're not here and we're not intentionally paying attention to the things going on in the people around us. How do you feel like then? I mean, where can we talk about hiring? We can talk about all the pieces, but realistically, we get the biggest question is like, gosh, do I hire for personality? Do I hire for ⁓ experience? Do they have to have dental experience? Do they have to have management experience? But really, I think this also applies to looking at the team that you have today and making sure that   Tricia Lee Ackerman (06:59) Anyway.   The Dental A Team (07:23) We say this all the time, right? Person, right? Seed. It's a massive piece. And I think these pieces you can take and apply to both. When it comes to personality, Trish, and it comes to not just like, that's one thing, to be able to read personalities and be able to be in a room and navigate the situation, but personality versus experience. How do you help practices differentiate the two, even in any situation at all?   Tricia Lee Ackerman (07:50) Well, obviously, ideally, personality and experience at a high level, both. That's perfect. That's awesome. But but more than more times than than than not, we do have that situation where the doctor will say like she was really not, you know, hiring for an office manager. She was really nice. She was really great. She was all these things. But that's awesome. However, that's a position where we do need to see the skill set.   What type of leadership ⁓ experience does she have? And maybe she doesn't have any, but can we set her up for some? And how quick, how sharp is this individual? Because if they're really, really, I use the word cool. We can train skills, but we really can't train cool. You kind of either cool or you're not. And if they really like this person and they're sharp, then maybe we should entertain giving them some leadership activity homework.   and see how that comes. If it's somebody that has all the experience in the world, say like as a treatment coordinator, they've been doing it for a very long time, but they're kind of cold, they're kind of direct, ⁓ they kind of really don't know how to like maybe laugh or break some ice. Is that really the best treatment coordinator? Because that is really a role where you have got to be able to do both.   The Dental A Team (09:12) Yeah.   Tricia Lee Ackerman (09:15) And that's where I shined and loved it so much because I was able to read the room and I was so passionate about what I was actually getting ready to sell to them. But I could also tell if, if, mean, if they started sweating and like, okay, slow down, back up, let's start to find like what's happening with this person. So the personality, you know, that's, that's great. Most offices are looking for somebody that knows how to smile and   and things like that. The skill set, it doesn't always have to be right on point as long as we can give them some tools slash tests, which we can and we could deploy those to monitor like almost like their sharp skill set. Like how sharp are they? How quick are they? Because if they're nice and quick and sharp, it might just be our person. Some of the best people that I have hired through the years had zero dental experience, but they were sharp.   They were quick. were in the restaurant industry. That's an amazing industry because people know how multi-task like crazy they can order drinks, they can order food, they can serve, and they have to do it all with a smile because their tips depend on it. those are perfect. That particular group of people are excellent examples because most of them do have the personality and they're sharp. Easy to.   The Dental A Team (10:16) Mm, I agree.   Yep.   Yeah, I agree.   I totally agree with that. have hired, I tell practices all the time, when you're at a restaurant and you have a hostess or a server or somebody that you love, give them your card, whether you're hiring now or not, give them your card. ⁓ I totally agree. I think too, as you're chatting through all of that, I agree 100 % with all of it. And I'm thinking too, as you're saying that, yes, you're front office lead, you've got to have the leadership skills, you got to have these pieces, and does the dental   Is the dental necessary? Not necessarily, right? My best treatment coordinator ever, she didn't have any dental experience, but she loved people and she believed in the product, like you said. So she didn't even, half the time she didn't even know what she was selling. She was just like, I know that they said this was going to make you healthier. So like, why would you not get this done? And I was like, this is wild. Like, it's an SRP. Yeah, yeah. And they would schedule and it was great. And they would prepay, right? And it was like, gosh, she blew my mind with it, but she believed so much in the people being healthier.   Tricia Lee Ackerman (11:26) And it works. Yep.   The Dental A Team (11:36) that she just did it. But I'm also thinking as you're saying this, yes, there are personality pieces for that that's necessary. And then it's like, yes, there's also personality pieces for our billing coordinator. So I think that's where the avatar comes into play, right? And knowing what are the goals of this position and what kind of a personality can do that? Because you're bubbly, like for sure this person can do billing.   Right, I can do billing, Trish, can do billing. If we sat down, we can do it. But I'm gonna be bored out my mind and it's gonna take me 10 times longer than the personality who was built for it. Because my personality, I need to be, I need to move. I need to move more, I need less details. I am not a detailed person. And I need to just, I need more interaction. So that billing personality might be someone who's a little bit more muted, a little bit, you know.   and more introverted, ⁓ detail oriented, loves the numbers, wants to dig in, and you probably are gonna want some experience if you can find it, but again, a skill set that can be taught. How do you help your practices kind of navigate those avatars?   Tricia Lee Ackerman (12:51) Just yesterday, literally just yesterday, this was a topic. And it's an office that does have, that like the skillsets is there for all of the team members. However, they weren't in the right seats. So when I started digging a little, because of course case acceptance is always something that I really want to target, because what does that do? It increases production and it's just a big win. Okay. But what we discovered was that,   The Dental A Team (13:02) Awesome.   Tricia Lee Ackerman (13:18) the team member that was actually more say like the checkout seat that was kind of finalizing and kind of closing up the treatment plan was, was like really shy when it came to money, ⁓ really shy when it came to like asking for any kind of deposit. And so what we found was that when that particular team member is in that seat, we had less people scheduling.   So meanwhile, I had gotten to know this front office team a little bit more over the last even just six weeks. And I thought to myself, hold on a second. I know exactly who needs to be in that seat all the time. So no more rotating of seats. We're going to lock down this chair is for that person, this chair. And I had ⁓ a touch base this morning with the O.M. They're already feeling like less anxious.   because the person that is now there is good at both. She has no problem, you know, wrapping up a financial piece of things, but she can also talk dentistry if any of those questions do come up. we, and that was a fun exercise. I do like doing that. Like, let's look at your team. Who are all these people and where did they shine? ⁓ okay. But they're sterile tech. Maybe just maybe.   The Dental A Team (14:19) Yep.   Tricia Lee Ackerman (14:42) We could just hire a sterile tech and this could be your main treatment coordinator. So evaluating those seats and I think consistently evaluating the seats, because we do evolve with change, that is a really successful and not time consuming project that I think a lot of OMS and doctors could and should do regularly.   The Dental A Team (15:03) I totally agree with you. I love that you just did that yesterday. ⁓ And I love that you keyed in on the rotation of seats because I feel like a lot of practices do and I hear a lot of managers and team members and doctors say, yes, but I want everyone to know how to do everything. Cool. I do too. I want you to be able to fill in if someone decides to take a vacation. Absolutely agree with you. I don't want things to go left undone. But being responsible for everything.   Tricia Lee Ackerman (15:21) Yes.   The Dental A Team (15:31) because no one's responsible for anything, and then that means no one's, everyone's responsible for nothing, is a whole lot of things not getting done effectively and a ton of underlying stress that people don't even realize they're feeling. The anxiety of not knowing how to win in your position or not feeling fully confident in the things that you're doing because you're doing so many things that require different brain sets.   You actually, you, you feel it, but you really don't know that it's happening until you get stabilized in that seat with clear goals and a clear way to win and in a space and a seat that you thrive in. You're like, I feel free. Like I feel so much less stressed and I didn't even realize I was stressed. It's, so much fun to watch. And if you've ever felt it, you know what that feels like and Trish.   you keying in on that right now might be to me at least the biggest piece of this whole podcast because so many practices and I think both of us experience this fight that like no we all do it right we all do it we all we help each other we don't want to be a team that can't help each other ⁓ golly if you become a team that can't help each other because you're in a treatment coordinator seat instead of this float seat where you're doing 15 000 things that's a different issue   Tricia Lee Ackerman (16:44) Yes.   The Dental A Team (16:57) That's completely separate and your culture needs to be fixed. But right now, you're not helping each other. You're actually holding each other back and you're, as the manager, I think I'm gonna just, hard truth, as the manager and the doctor, allowing a space like that to exist is a detriment to the people that you've hired. And it, to me, says, I don't think you can do one thing really well, so we're gonna do all of the things all together to make sure nothing gets missed.   And in reality, there's so much stuff that gets missed.   Tricia Lee Ackerman (17:31) Yeah, a lot of missed opportunity for growth there. And it can be so, and now like this, in this case, the gal that is now in this seat and she's not moving, she's going to be so empowered. And then the other two that we moved into the seats that are appropriate for them, same thing. They're going to feel so empowered. And that, and I'm looking forward to a check in with them in two weeks. That I really truly am, but.   The Dental A Team (17:34) for sure.   Tricia Lee Ackerman (17:56) That's the key. The right people, right seats, we say it all the time, almost every day to at least one client or more. That's the ticket. Who are your people? Where do they shine? Where are they currently sitting? And where could a better seat be for them?   The Dental A Team (18:15) Yeah, yeah, and I think what are the seats that you have and what's the goal of that seat? Because when we don't know, when we just say, well, I've got five front office team members or three front office team members, cool, but what are those seats? Well, we have two that sit at the front and then one that sits in the back. Okay, but like, what is the seat? So if we're saying we've got a check-in, a check-out, and an office manager who does billing and treatment planning, great.   Tricia Lee Ackerman (18:30) Right, I did.   The Dental A Team (18:44) We got five seats, label the seats. What is the seat? What is their main goal, the main duty of that seat? And how can they win in that seat? I did that exercise. I think it's very similar to what you just did, Trish. I did this with a big practice, three doctors, lots of hygienists, lots of, and I've done it with, we've both done it with so many practices. The big guys are the ones that are the most fun to untangle because those webs are deep.   Tricia Lee Ackerman (19:08) Yes.   The Dental A Team (19:11) But we started untangling them and the doctors were like, wait, I like, want to, I want to help with this. And they untangled the seats and the goals. And even as far as three metrics per position in the front office that they can say this position is winning so that now that front office gal can take this job description and say, great, these are the things that I'm going to do. This is my operations manual for my seat.   on how I'm going to get there. And just being able to have that clarity alone, even for the doctors, they think it opened up a ton for them and I can't wait till they deliver it to the team because it's just, it's empowering. And when you're hiring, that's how you know if you've interviewed the right person. Does this, this seat, the seat that I've created, the job description, the goal and the metrics, what kind of a person will thrive   reaching those. I'm not going to put a like introverted, great with numbers person. I want great with numbers for a treatment coordinator for sure, but they're not selling anything. They're just reviewing it, which is fine, but if you want a different result, you've got to do it differently.   Tricia Lee Ackerman (20:29) Something else that comes up Tiff quite often is, and this can be such a hard decision for a doctor, they might have like their best dental assistant that they've ever had. And those two work so well side by side. However, that particular say dental assistant could be an absolutely incredible treatment coordinator. But when we bring that to the doctor, that's when they're like,   because they just can't imagine not having that person side by side with them as their assistant. And the doctors that do recognize it and go, ⁓ my gosh, you were so on to something. Those are amazing transitions because number one, that dental assistant that we're even considering putting into like a full-time treatment coordinator role, she knows that doctor inside and out. She believes in him. I she knows everything about him, the dentist.   that is somebody that can really grow a business, then we just hire, we replace the dental assistant and sharpen those skills with the same ones, the one that stepped out. But like that is also something that doctors don't, sometimes they don't even entertain that idea. We have to entertain it for them. And then when they see that, it's like, and I can only imagine, it's very scary for them to lose their key person sitting next to them all day, every day, but it can also be a,   The Dental A Team (21:45) I agree.   Tricia Lee Ackerman (21:54) really great move.   The Dental A Team (21:56) I totally agree with you. Totally agree. Love it. Thank you. I knew this topic would be fun for both of us. We both kind of love moving people around. I love seeing, I love when we can move someone, like you just said, like giving someone the empowerment to try something they've maybe not really done before, but that growth opportunity to go from chair side dental assistant to treatment coordinator and just like learn a new skill set is, it's super cool. Super fun to watch. So.   Thank you Trish. I think if I had to pick out some action items for everyone, I think based on what Trish is saying here, evaluate the people you have. Look at their personalities and look at their skill sets. Trish, said, like, where do they thrive? So what do they love to do? Oftentimes, too, when I say that, I like to look at their personal lives. Like, what kind of sports are they playing? Like, what activities are they doing? Are they knitting? Are they pottery? Are they, you know, are they volleyball players? Like, look at their personalities.   And then also look at your positions and what personality would thrive in that position, not only to get us more treatment on the schedule, but to fulfill them, to make their lives better, to make them happy, to make them love where they work, and in turn, make you love where you work. So I'd say go evaluate your people, evaluate your positions, and get the personality straight. Build those avatars and take a look. Trish, anything you want to add before we wrap this up?   Tricia Lee Ackerman (23:23) don't think so. really don't. The disc test, maybe I'll toss that in. That's always kind of good one. Doctors do love to do that. ⁓ You know, evaluate those. Everybody can even do them together when you hire somebody else on or if you're considering. and you know, vibe checks. We always talk about that. Do your vibe check. Let your team do a vibe check. And again, how's their personality? Does that personality fit the actual practice? Some practices are full of spunk and fun and craziness. I see some of these teams on Instagram and they just   The Dental A Team (23:24) Awesome. Yeah.   Tricia Lee Ackerman (23:52) track me up, that would be a great one for fun. And you know, some doctors are not. So you might not want to bring in say like a clown into a really conservative practice. They might not mesh. So evaluating personalities slash the skill set. Yes, it's not always that easy, but we can certainly help. And ⁓ once you do get those right personalities in those right seats, like you said, Tim, everybody wins.   The Dental A Team (24:21) Yeah, I love it. Thank you. All right, guys, you heard it here. Go do the things. Trish, this was phenomenal. Thank you for taking this journey with me. Everyone, you know where to get ahold of us. Hello@TheDentalATeam.com or leave us five-star review below or both. We love both of those. So we can't wait to hear from you. Hello@TheDentalATeam.com. Trish, thank you.   Tricia Lee Ackerman (24:29) Thank you.   Thanks, Tiff.

f you're a dental professional curious about using technology to SEE sub-G this is the episode for you! In this episode, Irene sits down with Kristen Ranaldo, a perio-focused hygienist who has spent her career using dental endoscopy to treat advanced perio and failing implants. Kristen shares how seeing below the gumline transforms diagnosis, treatment, and patient communication and why blind SRP and laser-only approaches often fall short. They also discuss how desiccation gels like PerioDT and Hybenx fit into workflows and what it takes to implement this technology in everyday practice. In this episode, we talk about: ▪️ Kristen's early hygiene career and how she became part of the 1% of hygienists using an endoscope routinely ▪️ When to use endoscopy alone vs. combining it with lasers, biologics, and desiccation gels like PerioDT ▪️ Practical implementation: appointment flow, patient communication, coding, fees, and how general practices can keep more advanced cases in-house ▪️ The bigger picture: technology, insurance, and why hygiene needs better protocols, standardization, and support to truly move forward Connect with Kristen: Instagram → @thesubgingivalqueen _____________________________________________________ If you made it all the way down here, hit a like and share a comment.  Until next time, Peace out peeps! ✌️ _______________________________________  

In the latest episode of the Public Power Now podcast, John Pfeiffer, Supervisor of the Line Apprenticeship Program at Arizona public power utility Salt River Project, discusses SRP's “Grunt Olympics,” a unique way in which SRP tests and trains apprenticeship hopefuls.

SRP Researchers uncovered how underground conditions influence the success of chemical oxidation-based groundwater cleanup.

Resguardan a menor hallada sola en Apaseo el Alto UNAM impartirá curso gratuito sobre cómo hacer tesisAlemania alerta por riesgos del cannabis en adolescentesMás información en nuestro podcast

Homeopathy is growing —and that's a good thing. But growth raises real questions. In episode 106 of the SRP podcast, Denise and Alastair dive into Aphorism 9 and Hahnemann's definition of health to explore how homeopathy is being used, taught, and shared today. They reflect on the appeal of simplified approaches—protocols, shortcuts, and single-symptom-focused prescribing—and ask what happens when homeopathy is simplified for speed, scale, and market appeal.We're calling the community into a thoughtful conversation about how we carry this medicine forward without losing what makes it whole.Here's the link for the culmination of Aphorism Friday, a weekly special production of 1M a Homeopath's Podcast by Kelly Callahan we referenced. https://podcasts.apple.com/us/podcast/1m-podcast-presents-the-organon/id1635602485Where homeopathy lives and breathes.Strange, Rare & Peculiar is a weekly podcast with Denise Straiges and Alastair Gray of the Institute for the Advancement of Homeopathy and the Academy of Homeopathy Education.This season, we're focusing on truth — what it means to Aude Sapere (“dare to know”) in homeopathy today. From Hahnemann's original insights to the realities of modern practice, research, and education, Denise and Alastair bring over 50 years of experience to conversations that challenge assumptions and invite curiosity.

Most dentists push for a yes right now. We take a different path and show how planting a clear, respectful seed today leads to an easy yes at the next visit—no pressure, no awkward sales pitch, just a plan the patient helped shape. Using four common scenarios—SRP hesitation, x-ray refusal, cracked teeth without symptoms, and adult crowding—we walk through the exact words, visuals, and boundaries that turn doubt into acceptance.Enjoy the strategies? Subscribe, share with a colleague, and leave a quick review on Apple Podcasts. If you want personal guidance for your team, book a free strategy call at dentalpracticeheroes.com/strategy.  SET UP A CONSULTATION WITH GARY @ LEGALLY MINE CLICK HERE Take Control of Your Practice and Your Life We help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams. Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.

Send us a textWelcome to The Helicopter Podcast, brought to you by Vertical HeliCASTS!In this episode of The Helicopter Podcast, host Halsey J. Schider sits down with Mark Wegele, director of operations for the Salt River Project, to explore how helicopters support critical infrastructure across the Phoenix region.Mark shares how SRP's flight department uses helicopters for power line maintenance, environmental management, dam inspections, and utility operations, and why these missions demand a strong balance between pilots, maintainers, and leadership. Coming from a maintenance background himself, Mark offers a unique perspective on managing a growing flight department without being pulled away to fly — allowing the team to stay focused as operations scale.The conversation also dives into in-house maintenance, hiring challenges in aviation, and why personality, adaptability, and team fit matter just as much as technical skill. Mark and Halsey discuss how drones and submersible systems now complement helicopter operations, drastically reducing inspection time while improving safety — without replacing the helicopter's core role.From career progression and industry advocacy to workforce development and future technology, this episode offers valuable insight for pilots, maintainers, managers, and anyone interested in how helicopters quietly keep essential services running.Thank you to our sponsors Metro Aviation, Quantum Helicopters and Airbus.

In this episode of The Bourbon Lens Podcast, Jake and Scott travel to Clermont, Kentucky to sit down with Alex Bowie, Director of Homeplace Experiences at the James B. Beam Distilling Co. The conversation was recorded on location in Beam's brand-new podcast studio, with Bourbon Lens receiving early access to the space for an exclusive insider look. While working through a few first-day kinks in the new studio, Jake and Scott explore what makes the Beam Homeplace experience unique and dive into the current and upcoming whiskey innovations coming out of the James B. Beam Distilling Co. Alex shares insight into how Beam approaches storytelling, hospitality, and innovation while honoring generations of bourbon-making tradition. A major focus of the episode is the debut of the Hardin's Creek Warehouse Series, a new limited collection designed to showcase how different warehouse environments shape bourbon flavor. The discussion breaks down how rickhouse design, height, and microclimate influence maturation—even when all other production variables remain the same. The episode wraps with a look at Beam's newly announced partnership with the Cadillac Formula One Team, set to debut during Cadillac's inaugural 2026 F1 season, highlighting Beam's expanding global presence and crossover into motorsports culture. Hardin's Creek Warehouse Series: Release Details A New Chapter in Hardin's Creek Innovation The Hardin's Creek Warehouse Series is a limited, three-part collection that builds on the brand's experimental roots. Following the 2023 Kentucky Series—which explored terroir across multiple Beam campuses—this release isolates a single variable: the warehouse itself. Each bourbon uses the same mash bill and production process, allowing the aging environment to take center stage. As Freddie Noe, Eighth Generation Master Distiller at the James B. Beam Distilling Co., explains, the Warehouse Series demonstrates how maturation environments alone can dramatically shape flavor. The Three Warehouse Expressions Warehouse R – "The Mushroom" Aged in a single-story, windowless warehouse Cool, dark conditions similar to a forest floor Flavor profile emphasizes deep oak influence and toasted sweetness 55% ABV (110 proof), 11 years old Warehouse W – "The Beaver" Aged in a nearly 100-year-old, five-story rickhouse near a creek Produces a balanced bourbon with lighter oak smoke and depth 55% ABV (110 proof), 11 years old Warehouse G – "The Owl" Aged in a towering nine-story warehouse Results in layered aromatics and increased complexity 55% ABV (110 proof), 11 years old Each bottle features artwork by surrealist artist Max Loeffler, using symbolic characters and hidden design elements to tell the story of each warehouse environment. SRP: $149.99 per 700mL bottle Availability: Limited, select markets   Stream this episode on your favorite podcast platform, and if you enjoy what you hear, we'd love for you to leave us a review. We're incredibly grateful for your continued support over the past six years. A special thank you goes out to our amazing community of Patreon supporters—your support helps keep Bourbon Lens going strong! If you're enjoying the podcast, consider leaving a 5-star rating, writing a quick review, and sharing the show with a fellow bourbon enthusiast. You can follow us @BourbonLens on Instagram, Facebook, LinkedIn, and X. Want to go a step further? Support us on Patreon for exclusive behind-the-scenes content, Bourbon Lens swag, access to our Tasting Club, and more. Have questions, feedback, or guest suggestions? Drop us a line at Info@BourbonLens.com. Explore BourbonLens.com for blog posts, the latest whiskey news, our full podcast archive, and detailed whiskey reviews. Cheers, Scott & Jake Bourbon Lens  

Merry Christmas and Happy Holidays from the Dental A-Team! Kiera encourages listeners to acknowledge and celebrate the people in their lives in real time. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript:   The Dental A Team (00:01) Hello, Dental A Team listeners. This is Kiera and Merry Christmas. I hope that you guys are so happy and I don't know, I feel so honored that you're sharing Christmas Day with me. I hope that you unwrapped your packages. I hope that you were able to give amazing gifts. I hope that you were not naughty this year and you were nice. I hope that like, my gosh, like I just wish that I was with you like walking down the stairs to your Christmas morning. I hope that you were with your friends, your family. And if you don't celebrate Christmas, I hope that you woke up today just feeling the special magic.   of this time of year of anticipating our next year. And I just hope that you're surrounded by friends and family and that you just feel love. I hope you feel love for yourself and just Merry Christmas. I am so, I love this time of year. I love this holiday and I did not used to love this holiday. It was my favorite growing up. And then there was a short stint of time where I hated it. Like no Christmas music, no things. I don't even know how that was possible because I was Mrs. Claus.   I worked for United Way of Utah County and I was Mrs. Claus for the year and we did Sub for Santa. And that was a year I realized that there is truly magic in our communities and in us serving each other. And gosh, I just like, I remember growing up like, yes, I loved presents and I love those things, but a lot of times it was just like my family being together and little things. And like in my family, had, when I was really, really little, we had these like dollars. don't know, they were called like.   I to say scholar dollars, but that wasn't right. They were these like little dollars that my mom gave us. And it was like little things that we did that were kind gestures to our siblings, like helping each other out. My family was lawn mowing business. And so we'd help each other with that. And growing up and getting older, I think, well, yes, it's so fun to have gifts for my siblings. The real gift that I look forward to, and I'm sure a lot of you can relate to this is   being with these people, being able to be present with them, being able to share special moments, to be able to share magic with them, that's what makes holidays magical. ⁓ And when I think about like this time of year, giving's not just about gifts, it's about like our presence. So not present, but presence, our impact, and how we're able to like show up for our families and for our teams and our practices. And so when I look at this, I just really think about like,   in the spirit of Christmas, the spirit of giving, in the spirit of that, like leadership and team culture are so important of gifts that you can give your team. And this is what can help you guys thrive. So of course, it's the holidays. I'll make this short and sweet for you ⁓ because I really want you to think about like when we're looking at our families and we're looking at today, being present with our family.   is one of the greatest gifts that we can give them. think of how many times are we scrolling on social media? How many times are we not present? I even think about me and Jason, like we're hanging out together and we are both knee deep in our phones. And I look up and like 45 minutes have passed by and I've been sitting by the person that I absolutely love. And the world is so obnoxiously annoying on asking for our time, asking for our attention. And I think that that's why we get so excited about holidays is we actually have this like   Dedicated shutoff time where we can be with our families and holidays sometimes actually bring out the worst in us I know two Christmases ago It was absolutely one of the worst days and I felt so annoyed because I had to slow down and I couldn't go anywhere and I couldn't call anybody because people with their families and I felt stuck and I felt trapped and I was like this is not a good thing Kiera you clearly are operating at such a high velocity all the time that you slowing down was actually one of your worst days and so I think when I look at like being present in life   I think being present for my team. How many times is my team talking to me and I'm slacking or I'm sending an email off or I'm not fully listening or I'm responding to a text message. I think the world today is craving people being present, of being intentional, of listening, of caring. And I think that that's like when my family gets together, yes, a gift is nice, but the gift of their time and attention is becoming more and more valuable because I think it's so hard to capture that from people. And also I think being present for yourself.   showing up for yourself every single day, having meditation time, having journal time. Like the world can be so loud. Things can be like, we have dinging things, reminders constantly that it's like being present, listening, showing up, engaged, engage with your team. I think about Britt, there's certain times that her and I would just like shoot the breeze and we're just hanging out with each other. And I'm like, those are more meaningful than our meetings. And we're just like trying to rattle things off and get things done.   And so I just think like, if we're giving a gift of presence, not present, how can you as a leader do that? And I think one of the biggest things that doctors can do is to actually be fully attentive in team meetings. ⁓ And for team members to be fully attentive in team meetings, I can't tell you how many times I watched teams and the doctors on their phone, they're not engaged. And I just think like, if you're asking your team to be here and you're asking them to solve problems, but we're not willing to be present,   Gosh, like that's just such a hard ask. And I think as leaders, that is your job to silence them, to be present, to be with the people in front of you and not to be distracted elsewhere. And I say team members to do the same. We've got to also have our minds be there. I could be completely checked out of my phone and Slack, but my mind could be elsewhere. And so how can I be fully attentive in my team meetings when I'm having conversations with people? And I will say like, doctors, this is like, Merry Christmas. Be present for your team.   ⁓ I watch often and I see doctors just scrolling on social media, even when I'm there having conversations with them. And I just think if you're willing to do that with me, that you're paying me to be here. ⁓ and that feels icky to me. How do think your team feels when they're coming to you as a leader, as someone that they're looking for, for support. And I just think for your family, the gift of like, even if it's like five seconds, even if you put the phone down, ⁓ even if you just like really commit to be there.   be there. ⁓ Another thing is like to pause during the day like a short connection. ⁓ It doesn't take a lot to be connected to people. It doesn't take a lot for you to just say hello to ask them like genuinely with no agenda, no time construction, not having your phone, not having your watch go off. Like even people is like, my watch like, hmm. Yep. huh. I'm listening. I'm like, you're not listening to me. I literally have my watch to where it will not have text messages come through at all. I use it specifically for a watch. If I need to later, I can have things pop in but   I shut off the notifications because it drives me nuts when I'm in a conversation and I'm having a conversation and they pull up their watch, they pull up their phone like, uh-huh, uh-huh, uh-huh. No, it's not uh-huh, uh-huh, uh-huh. You're not listening to me. You're not present with me. So I think like today, practice being present with those around you. You might be Kiera who had like one of her worst Christmases a few years ago and it was awful, but I realized this is, I'm out of touch. I'm out of practice. I don't do this often.   And if we can train that muscle, gosh, what a gift it's for yourself, a gift for your team, a gift for your family to truly be present. ⁓ I also think another way for you to do it is to celebrate people in real time. So the reason why this is a gift of presence is because you have to be intentional. You have to be paying attention to them to celebrate them in real time. like look for it, look for when your assistant does like perfect handoffs to you, like.   They're handing the instruments and they're just crushing it. Celebrate that with them. Celebrate when someone closes the case for you. Celebrate when we fill this schedule hole. Celebrate when we like got that claim collected. Celebrate when like doctors, got that perfect endo, like you got all the way to the bottom of that root tip. Celebrate when you did a perfect crown prep. Celebrate and be present in that moment. Celebrate when patients tell you great things. Celebrate when we get an SRP diagnosis and we went from a bloody profie to an SRP and we told them what they really needed. Celebrate when our team   is like giving a great patient experience, celebrate when our team does a tour of the office and highlights how great of a place it is, celebrate when people edify each other, celebrate those little pieces in your life. This is such a fun, easy way, because I really do believe that we're just becoming a society that's not present. We're giving presence, but we're not present. ⁓ We're so distracted trying to be connected that   we're missing the people right in front of us. And I think about that. We have no social media Sundays in our house. And Jason and I are shocked at how many times we like go to the app on that day. And it's just a habit. It's like these habits that have been formed. And so I think like, can you be attentive in team meetings? Can you be just connected at little points, like busy times throughout the day and just pause and connect? Can you connect with your spouse or your kids? Text them, send out little magic moments to them every day. Like,   Tell them how much you love them. I will tell you like, shout out to Jace, he's such an incredible man. He's like my greatest gift in this world. Every day he texts me three reasons he loves me. And ⁓ sometimes I don't read those with intentionality. I just think, Kiera, he sat there and thought about you. The least you can do is just be like so present and say thank you. ⁓ To give that gift to me every single day is beyond magical. To send a little love bomb, you could even do it in the morning. It can be part of your morning routine of like,   I meditate and then I send out magic to somebody and just tell them how much you love them to be present, to be connected to somebody truly connected, to pick up the phone. My brother calls me and I think about how often am I distracted while I'm on the phone with my siblings rather than being present and intentional with them. Jason tells me he'll take five minutes of me being intentional rather than 30 minutes of me being distracted. And I just think like, a gift we can give each other to not just give presents this year.   but give our presence. And on our team meeting, say that like passion, present, results, solutions are four things we say in our company. We want to show up with passion. We want to be present. And that means we show up with the people in front of us, email, Slack, text, phones are closed. And I'm not here to say that we have to be perfect at it, but I am here to say that today of all days, I hope you take time to go be present with your family, present with the people in front of you, and to maybe give a little bit more of that gift of presence to your team this year.   Be attentive in team meetings, be connected during busy times, celebrate the small wins with your team. And I will tell you that, and this means like being at morning huddle, being connected and doctors who do this have higher morale, have stronger retention of teams because they feel cared about. They feel seen, they feel heard, they feel like they're a human. So I'm telling you that's five minutes of your time that you are giving up to get this huge outcome. You're gonna have stronger relationships. You're gonna have better relationships with your kids, better relationships with your spouse, parents, siblings.   aunts, uncles, neighbors, and I think it's a gift to give. And I think it's something for all of us to do. So I would just say like today, give someone your full attention, no phone, no distractions for five minutes. See if you can do it. And then maybe work up to 10 minutes and just try it and just see. And also for yourself, sit there in silence for five minutes. See if you can do it. Sit there for 10 minutes. See if you can start to train yourself that your, your preferred operating system, unlike mine a few years ago,   is to be present rather than to be distracted feeling like I am present. And I would just say that's I think a gift for all of you. And so today is Christmas. I hope that you're celebrating with family. I hope that you love yourself. I hope that you give yourself the gift of presence to be present for yourself, to shut off, to disconnect, connect to yourself, to connect to ⁓ the universe, to God, to your higher self, to the space around you, whatever you believe today that you really truly do.   Give that great gift to yourself and to those that you love, including your team. You guys, we are so blessed to be alive today. We're so blessed to have experiences. I'm so blessed to have all of you in my life, my Dental A Team family. Gosh, I just like want to celebrate you. I want to be there with you. I want to drink, you know, non-alcoholic eggnog with you. I want to be like, cheersing you on the great things you're doing. I want to be present with you. I want to listen to your struggles. I want to listen to your wins.   I want you to be a part of our community. I want to see you the first Tuesday of every single month. I want to meet you in person. I want to be that cheering cheerleader for you. I want you to see what it feels like to have somebody see you, to know you, to recognize you, to love you, to encourage you, to give you a good like push when you need a push to hold you accountable. That's our gift to you. So if that feels good to you, reach out. Hello@TheDentalATeam.com. I am not working today, but I will be working tomorrow and our team will be there for you.   So reach out. know this is a time where you guys settle down. You are more present. You're not busy with patients. You have time to connect to yourself, to connect to your family. And I think, hey, maybe giving yourself the gift of time to get a team that's trained a little bit better, to get a patient experience that's a little bit better, to help you be a CEO instead of an operator all day long, every single day. It might be the time. You might be able to settle into that and to be present, to give yourself even more time back. be a gift to give yourself. So if that feels right to you, reach out. Hello@TheDentalATeam.com.   I'd love to chat more with you about it. And I hope you just go celebrate with your family. No, I'm like sitting there with you, drinking the eggnog, sitting there, chestnuts roasting on an open fire, hanging out with you at the beach, wherever you are. Just know that I'm giving you a giant hug. You're doing better than you think you are. I adore you. I love you. I'm here with you. You don't have to do this alone. And I'm happy to be the person to guide you. I'm also happy to be your friend on the podcast that walks with you every single day. But just know you're not alone. You're doing better than you think you are.   and I'm willing to give you the presence that you deserve. And I hope that you give that to those that you love as well. And as always, thanks for listening. Go have a magical, merry day, and I'll catch you next time on the Dental A Team Podcast.  

It's office autopsy time! Kiera shares the story of a practice that recently discovered $2.5 million going unnoticed. She talks about the doctors and their (very) busy schedules, the need for an additional hygienist, and what the cold, hard numbers told this practice about next steps. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A Team listeners. This is Kiera. And today I am excited. I was just in a practice and we were going through a lot of really fun things. And whenever I come from an office, I get so excited to come back and chat with our podcast family of things that you and your practice should and could be doing. I was told when I was in this office, this is the Dental A Team magic where we physically fly to your practice. We work with your teams. We work with you as a doctor. We uncover hidden pieces that maybe you didn't even know to bring to a call.   I think it's so magical to be able to do this for practices. And so today is a little office autopsy of finding $2.5 million left behind on the table in ways that you would never expect. Sound interesting? Well, I hope you're ready because I wanna take you through and uncover hidden little cashflow pits that you might not even be looking at. So number one, we decided to go through...   because this doctor is so busy. So many of you tell me I'm so busy, Kiera, my schedule is jam-packed, and I say congratulations, but what is the cost of that? So for example, if you have your hygiene department, you should be looking at your active patient base. So an active patient base for a general dentist should be 1,500 patients as an active patient for one doctor. High end, like where you can kind of get by is 1,900, but beyond that, that's very high. And we're talking 12 months and 18 months. So take a look at both of those numbers.   and just look to see where are you at. So this practice, they have about 4,500 active patients with two full-time doctors. They're at capacity. So what's happening is we have options. We can add more hygiene, but then that's going to have our doctor to hygiene, AKA our exams at the wrong amount. What's happening is they're dropping periopatients because they don't have space for their...   Regular prophy patients, then they're diagnosing SRPs, but they have nowhere to put them for six months. They're pushing new patients out for four to five months. So we did a little bit of fun math and we didn't even, this is just gonna be some hypotheticals, but I think for you just to hear like, what are some of the things that actually can hurt your practice and how much are you leaving on the table when we do things like this? So for this practice, when we went through and we looked at it, we thought, all right, let's take an average prophy and whatever it is for you.   Maybe it's 150 up to 200 for an average prophy. We're talking prophy, x-rays, cleanings, or just even prophy and an exam. How much is that for you and your practice? Now, look to see how many active patients you have. If we've got 4,500, well guess what? You get a double that because those patients are coming in two times a year. So have fun with those numbers. We divide that by 12. We look at how many patients we're seeing per day. Now that doesn't necessarily mean how many you are, but that's how many you're going to need to see.   Then we look to see how much hygiene we have right now today to see, we actually have enough hygiene spaces for it? But let's not forget that we also have to add new patients because in addition to our active base, we are constantly adding more patients. Yes, we are losing some patients, but my hope is that you at least are adding more than we're losing. So we've got to look at those two together and see how much time we actually have in a week, in a month that we need to be seeing patients. This is gonna then show you your gap. So for this practice, they had over 200 appointments   that they were short every single month. That's at a minimum. So clearly they're ready to bring on another hygienist. This was great numbers to see, do I bring on a hygienist? Do I not bring on a hygienist? But the problem is they're already at five hygienists with two doctors. You can start to do the math. So it's like, well, great. Well, we're not diagnosing perio either. So options are we could bring on a sixth hygienist and that hygienist would just do SRP. That doesn't mean just that person, but we'd have eight hours of SRP in a given day.   spread across all the hygienists. That means we don't increase our exam numbers, but we do increase our number of perio. We do increase our number of hygiene spots. That's going to help in some instances. But even if we fix that problem, remember we still have all these patients that we're not seeing. So this practice right now, they told me, hey, Kiera, we're pushing our patients out about eight months is where we've got to put them. We can't see them on the six month mark. We've got to push them to the eight month. So I did the math and I was like, okay, average pro fee is going to be about $150 per patient.   but you gotta take all those patients that would be seen in one month and we times that by 150. Now, I understand this is very loose math, but it gives a good idea because think about it, those patients, if we saw them every six months, that's money from insurance and also from seeing them on a regular schedule, plus not just that, but patient care. We see them on the six month interval, but these ones we're not seeing every six months, we're seeing them every eight months. So that means there's two months that we're missing out on opportunities to see them.   So when we did the math, it averaged out to about $450,000 with this patient base annually, just of miss hygiene. And that was only on one month. If you want to do it on two months, which is realistically what it would be, that's almost a million dollars worth of revenue, just in hygiene miss opportunity. That's fascinating to me. This is why I think a consultant is so powerful because we come in and we do crazy numbers like this and we look at your numbers and we look at where you're at. And it really gives you the confidence to know, can I bring on an associate? Can I bring on more hygiene?   I feel like this, what does the number and the data suggest? So just looking at that, I was like, a simple fix is bring a hygienist in, let's have our perio go up. And then also we need to bring a doctor in for whether it's full time or not. So we ran scenarios of if we brought a doctor in, if we added more hygiene, if we had our doctors do this, what do we need to do? How do we keep our doctor to hygiene ratio running all these scenarios to then say, my gosh, this really would help our practice out.   And when I think about this and I think about practices for us, are you looking at numbers and metrics like this? Are you calculating the cost of missed appointments or not scheduling our hygiene patients back? Not to mention that we're certainly not doing 30 % of our patient base as perio. What these hygienists are doing is they're seeing that they need perio, but they don't have space to put them. So they don't want to have the conversation. This is no knock to a hygiene team. Several hygienists do it because I'm going to tell you, you've got this awful disease.   but then I'm not actually going to be able to get you in for X number of days, weeks, months. That feels really, really, really hard to try and convince a patient of this. So what do we do? We clean it out and we say, you know what, we're just gonna get it next time. But next time then fumbles and then we gotta have these conversations. Then we don't wanna have these conversations. We're constantly looking at like, we're just punting the ball down the line. So what do we need to do on this? What are the scenarios in this option? How much money is being left behind, but also how much patient? And this is great.   Other options that we considered are, we cut insurances? Because, hey, if we've got this many patients, what if we cut out our lowest producing insurance that pays us? And the doctor said, no, my mission and vision for this practice is that we care for the average patient, that we are here to take care of them and support them. And that's what this doctor wants to do. So it's like, great. They have an incredible building. They've got more space to build out. Fantastic. Let's bring in the other doctors. Let's bring in more hygiene. Let's serve these patients because instantly if we brought on one or two more hygienists,   Guess what? We could backfill very quickly with all those patients. Plus we need to hold space for new patients and perio that would be ideal based on the number of perio. So then you look at your patient base, you figure out 30 % of that. That's going to tell you how much SRP spaces you need to hold every single month in the practice. Don't forget, once you have SRP, you also need to have perio maintenance is in there. So this you can see is like this amazing web of data, of knowledge, of fun.   to figure out how much is your practice actually leaving on the table unintentionally. And when I looked at that, the doctor, he was like, well, Kiera, number one, you're always worth your weight in gold. You come in and you find little things. You guys, that is one small change that's worth 450 to $900,000 just in the amount of pro fees. That's nothing else, nothing. Like that's all we did. And to be able to uncover little opportunities like this and so,   for you to look at your practice, this is why I wanted to give you this scenario of this practice. There were several others that we looked at that we found that we were able to just quickly identify. But I think so often people are looking for big moves. They're looking for these all on X cases. They're looking for what could I do here? How could I do this? What could we change this for? And what I wanna highlight to you is I promise you there are little gold nuggets in your practice of true solid gold that's serving patients at a higher level.   or you have to do nothing else in this practice. And all you need to do is just shift one or two things and instantly your practice is going to grow 10, 20, 30, 40, 50%. Small little tweaks and changes, small little gaps, small little pieces. So it's let's look to see our hygiene patients coming in on time, like on the six month interval. Do we have the correct active patient base for the number of doctors that we have? Do we have enough hygiene to doctor ratio? What's our perio percentage?   How many perio maintenance are we doing? Are we solid on those pieces with our patient base? And then if we are on those, let's look at our x-rays. Are we doing our FMXs and our comp exams on regular frequencies? Are we doing perio, excuse me, are we doing fluoride therapy on all of our patients if you believe in that? These little tiny opportunities just in hygiene I've highlighted for you, not to mention all the other spaces that we could go after, but just hygiene alone. Are we collecting before patients walk out the door?   Are we using our block schedules and getting enough block time in our schedules for our new patients, for our perio? Do we have those blocked in there? Because if we don't, guess what? Like I don't even do the math for you on how much SRP patients are, but you wanna tack that on with the number of patients that we're missing out on. That's for sure a $1.2 million mistake with no extra effort. So I just want you today, it's a quick fast episode. It's a down and dirty of one, I think this is a huge.   A-ha of what a consultant can do for your practice. Number two, I think it's a quick a-ha for you to look at your practice and say, hey, during my CEO time, let me go walk through my practice and let me see these little gaps and cashflow gaps in my practice and let's see how we can close those up. And number three, I really hope you realize so many people think they need to expand, go get another practice, all these different things to grow their business. And I will tell you that 99, maybe I'll say 90 % of the time, we can find growth, we can find opportunities.   right underneath your roof with no extra effort, no extra energy, just to do a small change. Perfect block scheduling. Usually can add $1 million plus to a practice if we do it correctly. No extra hours, no extra time, no extra team members, just being more strategic with it. Increasing your case acceptance, small little change, small little tweak, way more revenue to your practice. So my question to you is, what's it worth? What's your hour, two hours, three hours of admin time worth to you if it could show that you could create this?   What's it worth not to call a consultant to just come check your practice and see what are maybe the hidden gaps? You guys, this practice is doing amazing. Their overhead's great, their team's great, all of that. You would think on paper that this person doesn't need a consultant. They're not stressed, they're not cashflow poor, they're none of those things. What they are is they are looking for the hidden opportunities that a consultant who's been in practices hundreds of times can come and find for them. They're looking for, what am I not thinking about that you're gonna think about? I want you to come in and find that.   And I love it. I feel like I get to go in as a sleuth. I'm not looking for systems or operations. This practice, like I said, on paper, this practice looks like they would never need to call a consultant. But what I want to highlight for you is we found in a less than day and a half, over a million, and I just told you one part of this story, over a million dollars worth of opportunity for this practice. Would that be worth your time? Something to consider.   Something to think about. And I hope today you take this and you don't just think about it, but you go do action because I promise you there is just this same, if not bigger cashflow leak in your practice or hit an opportunity that you're not thinking about that would radically change your practice, your patients, your team, your life. So go find it. And if you don't know how to do it, reach out, or if you're like, Hey, I'd love you just to come see like come sleuth. Let's do this together. Reach out. Hello@TheDentalATeam.com your practice, your team, your life is worth it.   and you deserve all the happiness in the world. And I'm happy that you chose to listen today. I'm happy to hear you hung out. And if you thought this was a fascinating podcast, share it with a friend because I think all of us could think a little bit differently, find these little opportunities. Again, no extra diagnosis, no extra work, just changing it up a little bit, doing things a little differently and their practice is going to exponentially grow. Yes, they need to bring a doctor. Yes, they need to find a hygienist. Yes, they're strategic, but we talked about all the different scenarios, ran all the different numbers and hey, here's all the options. Now pick which one you want to do.   There's so many ways to do it, but look at the awesome opportunities that they could do. And I hope that you do the same. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

It's This Week in Bourbon for November 14th 2025. Tennessee Distilling to Acquire Waterford Whiskey, Michter's Drops their 20 Year Bourbon, and Willett Distillery has announced its new Willett Family Estate Small Batch Bourbon.Show Notes: Tennessee Distilling Group (TDG) is in exclusive talks to acquire the collapsed Irish company Waterford Whisky for €6M, excluding its existing cask inventory Hong Kong authorities report a rise in drug trafficking, with narcotics like liquid cocaine increasingly concealed within alcohol and wine shipments Buffalo Trace will open "Perfectly Untamed" in Spring 2026, a remote Wyoming tasting room with wild buffalo views, offering guided tastings with Freddie Johnson for a $500 donation Castle & Key announced its 2025 Cask Strength releases: a 7-year Wheated Bourbon and an Experimental Rye finished in Extra Old Haitian Rhum Casks Southern Distilling Company released the highly anticipated second batch of Southern Star Bourbon Finished in Honey Barrels (108.4 proof) in North Carolina Garrison Brothers announced the 11th annual release of its Cowboy Bourbon, an 8-year, uncut, and unfiltered straight bourbon bottled at a robust 146.4 proof Yea Alabama (the NIL entity) partnered with Bespoken Spirits to launch the Yea Alabama Bourbon line, featuring two expressions celebrating the Crimson Tide Willett Distillery released the Willett Family Estate Small Batch Bourbon, a new cask-strength blend of two distinct mashbills from Master Distiller Drew Kulsveen Michter's 20 Year Kentucky Straight Bourbon (114.2 proof, $1,200 SRP) has been approved and begins shipping to retailers on December 1st Fr. Jim Sichko concluded his "Papal Series" with a limited 11-year Wheated Bourbon honoring Pope Leo XIV, with proceeds supporting various charities Jack Daniel's increased its donation to $150,000 for the 15th year of "Operation Ride Home," helping service members travel home for the holidays Booker's Bourbon's fourth 2025 batch, the "Phantom Pipes Batch" (126.4 proof), is inspired by old distillery remnants and aged over seven years Bardstown Bourbon Co. concluded its 2025 Reserve series with the Normandie Calvados Brandy Barrel Finish, an 11-12 year bourbon finished for 28 months Buffalo Trace introduced Sazerac Rye Whiskey Full Proof (125 proof) as a new, permanent addition to the Sazerac Rye portfolio, retailing for $39.99 Support this podcast on Patreon Learn more about your ad choices. Visit megaphone.fm/adchoices