1241 Dr. Bill Lee on Giving Back Through Organized Dentistry : Dentistry Uncensored with Howard Farran
Is just a huge honor to be at the kentucky dental association annual meeting in louisville with nine other than the president of the kentucky dental association <hes> he goes by bill. There seems william. E lane lay d._d._s. a native luxembourg lexin tony. What's lexin. Tony in dr william ely graduated from henry clay high school in seventy three are- vanderbilt university and seventy seven and the university of kentucky college dentistry in one thousand nine hundred ninety one. That's here in louisville knowing lexington. Oh that's okay okay. He started a private dental practice with his wife dr janet lee in nine hundred eighty four and then merged practice with dr after john thompson in one thousand nine hundred ninety very active and organized dentistry. Dr leaves the member the a._d._a. The kentucky dental association and the bluegrass dental society is honored to be a fellow in the national college of dentists. The american college dentists and the pierre for charlotte academy having served many roles and organiz dentistry. Dr lee is is currently the president of the kentucky dental association and a delegate of the american dental association. He has also served on many boards for organizations in the lexington area area most us mostly associated with his children's activities. An avid learner dr lee attends numeracy courses throughout the year away from the dental office enjoy spending time with his adult children megan and michael exercising travelling and playing racket ball so thank you so much for so much volunteers and i'm an organized dentistry i am. I don't think non-members have any idea many hours. You guys spend volunteering. Take time away from family in practice how many hours using eastbound non-compensation that's <hes> that's hard to say. It's you know it but it's also a hobby. I don't play golf. You know <hes>. I do play racket ball. That's my that's my <hes> my exercise my fun. That's i but i get it up and play at six in the morning. You know getting exercise my mind stimulated go out and play racquetball and <hes> i'm ready to go to work now but as far as organized industry and stuff like that that's you know <hes> i enjoy giving back to the profession. I enjoy giving back to go to my colleagues and counting the hours. I know it's a lot though it's well to others yes to me. It's probably not enough so you been allan. Listen to been out of school. You graduate eighty. Ah one eight hundred twenty nineteen so thirty eight years so almost four decades sometimes the kids come out of school and they look ask bill how they get out in the goal and now it's a is it still the golden years our outlook later this change. I've made comments this. This means back in the galt house where i started my organized industry career guy it's it's been it's been in the galt house for two decades now of course when he was here before the phones hang on the wall. You know to change your tv channels. You've got off the cats win over push the but now our phones in our pockets along with our t._v.'s along with our our cameras along with our internet. You know things have changed so what i did to get into dentistry and what you did to get into dentistry. It's different from what you know. The new graduates are facing so organizers. He's gotta change to meet those demands <hes> and those individuals. Let's see what organized industry need has to give them to. So so what what do you see what are the biggest challenges on just to dentistry today is it insurance is corporate ministries a smile dot com. What what are the major storms. During thing in your opinion membership organised dentistry is is it's the voice okay you know it is the organization it is the <hes> the <hes> <hes> if we don't have the majority of we don't have the voices just to make an impact. We don't have an impact and that's the message that we're trying trying to get that we have to get across to are not on new members but but our older members to that that aren't aren't participating now once we had voice voiced within yet. We can't start making a difference on non covered services. We can make a difference on smile directs in we can make a difference on <hes> <hes> live patient exams. You know <hes> you know we can make a difference on on those types of things <hes> <hes> or medicate indicates these but we have to have a substantial voice in order to do that otherwise we're you know we're kind of blown away but dentistry has far more membership than the american dell's american medicals. Yes oh yes yes you look at what's happened in medicine to you know <hes> dentistry still roughly eighty percent general practice twenty percent especially well medicines just the opposite and they've done it to themselves. You know they don't have the real voice of of you know. The the medical association and dentistry still does but our membership is declining you know and our voices declining so late like how much of a decline i mean how much <hes> when when i graduated <hes> you know the membership was well over seventy five percent or around seventy percent for kentucky or national national okay yeah i was on capitol membership and it's like seventy three percent and we tried to make a push to get up to seventy five percent now. This is back in the nineties. You know i think now nationally. It's like sixty. Three percents of like that now is that the actor does that count the all the retirees your members for free or ariza count <hes> that's active membership and it may be life retired. I'm not sure ask what the number is a number of uses <hes>. I know they're so it's sixty. Three cents about two out of three yeah right and is is two out of three. Is it giving you an effective voice. Well yeah i still does it still does now in kentucky. We're just a little over fifty percent so when i go to a legislator to an administrator and i'd say well you know i'm speaking for about half the dennis kentucky where they have the opportunity say welcome. You're not talking about the other half and how many how many dentists are have they live over two thousand two thousand total your total about a thousand or two thousand and you're close stu <hes> you're very close to national how far from nashville nashville from here from louisville about three hours and that's club is nationally. I guess i am yeah so that's racy your backyard. Oh yeah oh yeah so what do you what do you think of things like smiles dirk club. Well obviously the practicing dentistry without a license musically now <hes> and a._d._a. Has has filed a lawsuit against small direct now now and i support them yeah now that they claim they're telling dentistry. You see this story. I don't you know you know now that i mean you've been doing this thirty years. As i just celebrate thirty two in my practice i'm so much the podcast people. They just walked out of school. What would it would advise after almost four decades of doing this all the the president of the kentucky dental association what would you what advice would you give to someone just coming out of dental school where i'm i'm thinking involved. Okay certainly get involved in in in in organizers. Let me put it this way if you go out and started practice is easy to start a practice from the ground floor or is it easier to start a practice in practice by practice practice. You know the only the the thing that draws the main drawback with that is is is the expense no but you can you can buy practice and <hes> and then time customize your the the way you wanna practices as well yeah. You've got a practice called the eight hundred sixty years old. Okay it is it is old you know but but he's got a tremendous reputation. It's got some grey hairs on the topic but you get a group of guys were bringing year that can come in customized tailored to their needs and you've you've bought a practice. You bought an organization. You has the reputation the respect effect of of the nation and you're not inventing the we know you're not building it from the ground up. I i'm i. I'm afraid that a lot of the young kids they have these very <hes> wonderful visions of america that just made in truth liberty and justice and the american way and they ever saw how to actually operates its money or what's the question if you're not in there with your lobbyists fighting fighting tooth and nail for your positioning the insurance you're gonna take it away corporate every they. They just think that that it's judged in this aw fair in a fair way. It's a war twenty four hours a day and it's what's joke you don't wanna. We see how sausage right right so have you. Have you seen that in your yes yeah we up as as spreads the kentucky dental association. I've had the opportunity to try to make the opportunity to meet with several people in the administration. We've got a medicare issue kentucky now and <hes> <hes> we set up appointments with several administrators in last minute get canceled or postponed changed. Well you know it seems like they've got better things to do to talk to dennis well. You got five digits in their paul. Go sir from arizona on the national. I love you. I actually went to creighton university. We were both in same swanson hall early yeah yeah. We were both in the same <hes> <hes>. What do you call that dormitory. Okay you got a guy from alabama georgia texas rice. I know there's five dentists and just did you ever meet with any of those. I have met met them. Yes yeah <hes> <hes> to spend any time with him. No personally no. I haven't yeah but i mean but do you think they're that helps dentistry congressman there absolutely yeah unfortunately we don't have any any legislators in the state of kentucky in in our general assembly here in kentucky yeah and that's something that we've asked for push for something like that but nobody stepped forward yet but yeah they have national representation from from the the dental profession absolutely now so what do you what do you think <hes> what what other challenges do you think these young done so have and what advice well debt now when when students are graduating with a quarter million dollar debt <hes> they're already <hes> behind the eight ball now <hes> and it affects them being able to go out and and get financing needs to start a practice or practice or to buy a home depot car start family no those types of things but on the flip side of that too i i was fortunate. I just got i just sold my practice <hes> just a year or so ago <hes> but i was fortunate i i had a very nice young man who who <hes> had all the qualifications i would look for in <hes> <hes> but <hes> there's a lot of a lot of people in my situation who are looking to sell or or or to <hes> associate <hes> get an associate in the practice but they they can't find somebody because the younger people have so much data can't afford to come into their practices and housing housing is down the united states. Have some student loan the house <hes>. Would you say that your practice was rural or urban now. It's urban. It's i'm in lexington just right on the ballot andre did you and you're you're married to a dentist. Yes yes janet and so what advice there's as a quarter. <hes> listeners are still in dental school so they're dating right now. Other little love birds <hes> what advice would you give to too little young love birds that are gonna get married. Did you meet your wife in school school. Yeah it's one exact thing or is that a rare thing it was well. There weren't that many women in dentistry back then so in that sense of israel. How many how many people are in your classes at sixty we had twelve women well for the highest at that point <hes> and my wife's class year behind there was twenty out of the sixty so that would that was the highest and then it went back drop down a force now women make up half the heff classes and has for for quite awhile so yeah. Dentist dentists are fairly common now now. I said i'm never going to dated. Dental students. Don't never gonna marry a dentist. I'm never going to work from my wife and i did all three and it turned out to be the best thing ever yeah <hes> yeah. We work together. We merged practice with dr john thompson <hes> my wife <hes> we had two kids so she went part time and then she went back to teach at the dental school and ended up starting half a day a week to day and a half a week two three days a week to full-time so she ended up teaching fulltime <hes> she developed cancer and and <hes> <hes> seven years ago passed away <hes> so thank you that's okay so <hes> but she he had already moved out of the practice. It was teaching when when that happened. Our kids were grown fortunately <hes> but <hes> as far as advice ice you know we looked at it as we were. We were equal now we were. We're both professionals <hes> it was you know there's times when we would come home <hes> for for dinner and we were talking dentistry and finally daughter said one time then okay enough shop talk talk family and then we kinda go. Oh yeah yeah so we we really made an effort to limit ourselves a homeless home workers were and understand that life is good so when something that painful happened to see how how long does taking to get back to your feet when something you never really we never really get back you adapt. You know used you know as an example. This is the first time i back in this building from <hes> for my dental dental meetings. I have very very fond memories of of spinning meetings here with my wife and my family and it's it's been a challenge at times. I'm society. Thanks <hes> his <hes>. That has got to be the toughest urine so so i got asked. What is the bluegrass. That'll site. Is that the local component. That's what it's called. No it's not it's not a bunch of dennis at play <hes> bluegrass now well. It's in central kentucky. Which is the bluegrass bluegrass state. It's the horse farms arms. You know <hes> it's you know that's what the region is known as you know you look in the grass bluegrass variety in it's funny funny. I saw in a patient's week. We're going to that kentucky dental socially and she said to me. He's a she said is that where the kentucky derby as i was. I thought it was. I imagine the kentucky derby in kentucky but that is a route churchill vance that way and it's my mom's. It's my mom super super bowl. Oh yeah i mean we. It's every time there's a horse race anywhere in fact what was the big run so many years ago the the triple derby-winner well secretaria secretary. Okay i mean that was that was an amazing deal so oh. You're also a lot of the kids. Your fellow in the international college of dentists ran the american college dentists and the pierre sharp academy and talk about those three things. I'm sure a lot of the listeners don't <hes> well. They're <hes> they're honorary societies and you're nominated for for the work that you do in in different things they're all different organizations meaning different things <hes> the the enter the american college has a lot to do with with the ethics of dentistry. You know <hes> in their profiles you know white coat ceremonies and stuff like that international college is just what it says. It's it's international fear for shard. This is <hes> charitable contributions events or internationally yeah when i was was in when i was in france and we're doing podcasts from paris france i go to the pier for chard museum. Yes okay. It's close remodeling a really so what are you. What are you being the president of the kentucky association. What would you think you how you see dentistry different now that you've done that experience when you walked out of dental school. What's i mean your your journey being the the president of the kentucky dental all that you've been through with. How do you think you easy dentistry different than this doctor here who just graduated an hour ago from dental school different. That's a good question and i'm not exactly exactly sure how to answer it. You know the one of the things that that philosophies or whatever one of the things. I want to leave the world on one of the profession better than we found it now and can. I say i've done that. I'm not one hundred percent sure honestly when i graduated profession chen with <hes> our organizations were seventy three seventy five percents. You know we didn't have the third party issue that we have now. We didn't have the student debt. We have now. We didn't have so many issues that we do have now so in that regard. I'm not sure that we're in a better situation that regard on the other hand. If if i hadn't done what you know participated in organized way a half jeff and my colleagues and people like us. Where would you be now. You know so have a done good. Yes is a profession in in good hands as is it. Yeah i'll tell you what the science and the technology <hes> <hes>. If i were coming out industry right now i would be excited to be practicing now running the business. I'm not so sure so ah i think one of the biggest differences ask school as i had my fees and if you had delta dental eyesight you the my what idea i and they paid one hundred percent and claims eighty percent of root canals fillings crowns parcells now they send me the the and i mean i actually i actually my my fees are forty two percent lower than they. We're in one thousand nine hundred eighty seven <hes>. How has that been a game and what is the relationship between the katie a. and delta. I mean are they. Are i mean you. They have to work together. Somehow i mean it's yeah. I'm the same boat that you are when when i graduated delton uh-huh and all the other insurance companies had had a max of a thousand dollars well <hes> delta still has a maximum thousand dollars dollars for mafia stayed at two hundred dollars round now and is your assistance. They'll get paid the same amount of money per hour yeah now now. Have we made efforts. Have we been in discussions. Try to change that. Of course we have now but you know. Have we been able to make that happen. Well obviously not well. What would you what is e relationship though i mean when when you talk to delta <hes> <hes> because if you look at the thousand dollar max when delta started if it was adjusted for inflation it would be well over five thousand all right so every time the earth goes around the sun invasion. Just the cost of labor lab supplies all that stuff <hes> but insurance same so let when you're having what is there. What is their side of the story well. We're we're we're. We're kind of stuck in my opinion because you know the way to <hes> to combat that is saying well. We're just going to stop treating our patients stopped taking taking yeah yeah and you know and who does that. Hurt doesn't necessarily hurt us. It hurts our patients and we're you're and our business to serve our patients and you know that's what medicaid is is is a whole nother example of that. You know we're we're there to treat our patients particularly the underserved you know so we you know we try rather to try to help those who can't help cells and if we get paid for it great that that's what we wanted to do but if we can't <hes> you know governmental brenton administrations have is that lock. It's amazing is delta. Dental kentucky is affiliated with affiliates in arkansas into michigan shiga new mexico north carolina ohio tennessee collectively are among the largest dental pint ministers in the nation. I think there's only one bigger than this one night. <hes> probably probably what california and <hes> <hes>. It's amazing so insurance. Exchange biggio said technologies chains big. I mean <hes> <hes> my gosh <hes> when we got out of school. The big new thing was going from a gold counter p._f._m. Right now p._m. Is almost a it's on its death bed eh well. It's not doing well in our practice. I when we merged with john thompson we were on the i ten in the nation to get took it a dental laser. The laser went on the i ten in the nation to get that and that was the new technology you know <hes> <hes> gosh several years ago we got the e four. D you know <hes> so we're doing our prancer day. You know <hes> so yeah talk about p._f._m.'s. We don't even doing that anymore. You're right now. You know the science. The technologies were growing enamel. Damn i talked to the graduating classes and i'm saying you know <hes>. Tell you what happened. You know when i graduated thirty eight years ago we were talking about <hes> gold crafts and that was my standard in in now that you're saying that <hes> <hes> you know the standard is full porcelain crowns and thirty years now when you guys standing up here at the at the podium saying well back in my day i had to put my fingers in your mouth and we actually had to restore to not gratitude now. Where's john dunstan your website. He retired. I mean he yeah doc thorne <hes> ten twelve years ago but dr thompson out dr thompson was older than i am. Okay okay <hes> ten years older than i am <hes> so talk to dr harm who was who's twenty years younger than i am and then now i have you know we ran. It's course i was the the old guy and i just sold my practice to dr cartesian who's who just graduated from university of louisville school dentistry couple years ago and you'd pick him because he had the same name william well that was coincidental. That was the main reason why that was just turned out to be real nice guy so that's another great question is how do you what is the best transition when when you sell a practice some some people say that they me what you to sell it and disappear tomorrow some say they want you to stay on for six months or a year. How do you see a transition. What were what's the whatever works best. You and that's the best thing that i'll say okay. I'll what worked for us on boat well. When dr the thompson faced out dr calif- team in dakar gentleman was associate for for a year and a half or something like that and then he then he bought thomson apps <hes> over a course of a two year period so there are three of us in that practice were about three or four year period for dr thompson finally phased out now and calderon lorne came in he was ready to go start boom and originally had tried to do the same type of setup that dr thompson bucker child porn did <hes> but he will let me ride you check and <hes> you you say on for a year a year and a half and <hes> and then we'll we'll we'll let it go and that was amenable to me so <hes> that's the way it worked for me. <hes> there there are some practices where you know the the older doctor trying to get at he wants to hand you the keys and turn walk away or physically or he's in a position where he can't or she can't continue the cracks or you know the <hes> <hes> the new dentists needs to be mentor <hes> needs to be brought along aw which takes longer time it depends on the situation and that's that's where good broker good good well eight eight practice transitions <hes> <hes> a new program that the f._d._a. has actually it's a pilot in maine and wisconsin wisconsin. That's is a practice brokerage practice transition program that <hes> the a._d._a. Has developing which will do that it will it appear a a a a new dentist with an older dentist <hes> but it's a it's a process that matches <hes> not just dollars but the personalities and philosophies and so far. It's working so dr padded telephone. One is married to an orthodontist yes so does she get mad he likes to do or do you see much turf wars words between general denison specialists and and how does it play off and a husband wife when when the general dentists do biz line and maybe the wife thinks she should be sending it to my office well in that situation. It's not that big radio because <hes> you know she's a wonderful person has a great practice. What does she has a partner to actually he'll bring. He'll bring stuff home to her as a console. Hey look you know. Can you help me with this or you know you need to be. Now you see many. Have you had much experience different. I the the reason i ask is let let's say you're a young kid and and we see this dental town proposing a lot with their like. <hes> you know they were in a small town. They go to study club. Maybe it's children's texas and she's he's thinking why would he do this molar indo but one of the fails there's kyle the ended honest and design but you know there's you know bill will the orthodontist. I mean how does how does a little young graduate fit in at the study club. Avoiding turf wars or should are shot think about our new thing about it. Don't think about it. Yeah just yeah i in fact the opposite i'd say if i was going to indo and and bill is only in my small town. I'd say hey bill. I'm gonna i'm gonna try this root canal and if his reaction was fear and scarcely like we you shouldn't do that yeah you should give it to me. Then you can just check out. Bills name is losing. The're and don't waste any more time but he said hey. We'll let me know how it goes. Nathanson unhoped growth in abundancy and you just ended out all the toxic people in your life life get so much more fun and happiness and no. I understand that yeah yeah now. Don't be afraid to ask for help. Don't be afraid to ask for you know ask questions of of it specialists of of colleagues now. I never did and if you if you get into an abrasive response on your right check them off. You know not to go there anymore now. Ask experience is been has been that you're gonna find. Most host dentists are going to be open to to offer assistance or help guide into whatever okay that's been my experience now. I'm gray hair got to so we'll at least you have hair will never give any something for gray hair when i can have none so another thing i would ask about is <hes> at these partnerships you know when you're married their social glues you have love and family and children and then when you marry a dentist partner you you know how all those those blooms and a half the marriages end in divorce. I'm near the pros of a partnership is with the cost of a laser cad cam right hanno hopefully with a partner you cover more hours in the week <hes> since and where i come from an arizona eight percent of all emergency room visits or a don to genetic in origin because mr close the dennis so could you give out a partnership. That's good. That's a hard question. I've always had a partnership you know i i never wanted to practice alone. You know but that's my personal philosophy. I always liked having a second opinion. I always liked having a colleague big bounce ideas off <hes> but that's that's that's me most dentists think referred to be a solo practitioner a lot <hes> having a partnership it you're right. It is a marriage it. Is this much you giving us. It is receiving and you've got to be willing to see that and to be willing to to sacrifice some of the <hes> control aw without obviously sacrificing you know you're yourself and that's and that's a that's a delicate balance because maybe one dennis wants to buy a hundred and fifty thousand dollars cad cam machine and the other. No one wants to buy a hundred thousand laser and the other one doesn't want to buy anything. How do you work your way and there again. It's it's also what stage of life you know i. I say we were <hes> if an older partner is you don't want putting more money back into the practice because he doesn't. I want you know he's not going to get it back out. Where younger practice younger practitioners is looking to invest in the practice so that he can build it out now. So there's different philosophies so would expensive. I you guys have awesome expensive equipment. You guys got violence laser on that. That's <hes> humor how much that cost or <hes> off top ahead. No no i mean i it was expensive. You know so. Do you think there's violence. Laser was a return on investment. Are you glad you bought it. We bought it yes from a a charge or a material sandpoint hard to say whether it paid for itself <hes> from the <hes> <hes> publicity the d. so to speak or the marketing <hes> although we didn't direct market <hes> <hes> yeah i would say it did the <hes> the the e four d the the office crowns <hes> mill that certainly did as expensive as it was to set up and and why did you go with the plan mec is e. Four d. plan meccas in helsinki. Finland and there is in dallas as opposed to serono corona dense leisa rona when we did the research. That just seemed to be the when we did it. We had five. We've had four or five years something like that. <hes> and you know about it yeah. We'd like we did that. Just spoke to us the you know the the literature at the time was <hes> you know the the margin of error was better the the the software was easier to manipulate the you know it's funny because on dental town talk about oh my gosh sometimes sometimes my homeys can be challenging but we had to <hes> so so easy for these owned by plan mac. It's the biggest companies in the world and we had to separate on a cad cam under <hes> on <hes> yeah we had to separate casiraghi harm with the plant metaphor because the people who are paid spokesman for iraq. They're so aggressive they are. You got a separate ban a bunch of them because anytime they asked the question on plant mega they they just go on there and say well what about us machine so and we ban those people. We actually ban them. We there's no place for talks z. Remember on dental town every post. There's a report abuse about and they goes <hes> howard goals scene and and volunteer dentist and <hes> we play baseball three strikes out but the main question is <hes>. You're you are not rule your urban right but you still found million. You're on grounds was was a good yes now now. <hes> our office was was large enough that we actually had an in house laboratory we had a we had a <hes> a dental lab technician and in our office we had that from the time that <hes> dr thompson our practice merged back nineteen ninety so we always had a lab tech <hes> and <hes> which was which was fabulous so if if the shade resolve just a little bit or something needed a tweak there so whatever gary come over. Oh i took a look immediately. It was done. We didn't have to send them back. Their lab re temporizing or whatever <hes> <hes> and actually that's era scary yeah yeah that was the thing that when i was in high school and i would go visit kenny anderson prepared and pelzer and khanates and having your own lab was far more common today so do you think the <hes> the the cab cam is the new modern day latman but you still had gary do yeah we do it. Is he doing more removable lab work or he crown and bridge he he does eat as our <hes>. He does all removable up to processing guy he doesn't do what do we do. We do outsource that <hes> not because he can't just he doesn't okay but he's yeah he's. He's cranach trained in even though yeah <hes> technically i can i can you know design and mill of <hes> the the the like that i've got an experienced lab tech who knows all the stuff yeah stain it and everything like that why why waste my time when a lot of my friends that bought bought sarah machinery forties or whatever that you know in order to get them to schedule patients in phnom prob scan mill we'll see was taken to three hours so what they did is they <hes> perhaps skin make the temporary release awesome and then at the end of the one day a week a lab tech comes in and out all all the crowns are really now someone who you know because because albany crowns has gary made in his lifetime oh hundred thousand yeah and so when you go buy a cad cam and your best side is your donaldson donelson. He's never made a crown is now going to start making their crowns or you didn't go to school to be a laptop but when school dentist now you're going to slow down and be lab tech <hes> on it. It's a challenging situation but i'm well so that's our situation with theory is that you know yeah. <hes> patient comes in was scheduled ninety minutes. I would do ours numb. Preps can <hes> then. I move on laptop goes the lab gary. Very you know <hes> designs mills. <hes> i'm seeing another patient over here. Another chairs the patient neil impatience with their kindle solar book or magazine or whatever you know takes <hes> you know five to seven minutes to to design it <hes> twenty minutes to mill it so half an hour later. I've got a we got crown right there. Patients still numb after already you know nasa ties and prepped and scanned the next patient sitting sitting in the chair next to them. I come back insert this crown now and the process keeps on going. We'll we'll. Do you know if we're doing single units. Can do you know four or five in the morning four or five patients. You know now of course multiple units. That's yeah it is for celia so you wouldn't be doing well. No not not in that way you know not in that way yeah <hes> it's a <hes> it's amazing okay. How <hes> cad cam has come so far <hes>. Would you recommend if you didn't have an n._l. Slab of talking about d._s._o.'s the the only d._s._l. That i know that has an in house lab in all cases aspen and i think they have a better term market before i left i was in safeway and i saw a patient and i said how are you doing. How's it going us. You know. I don't come to you anymore. He goes because whenever i have to remind or whatever well you have to send it to the lab and be back he said but a new aspen dental opened up by me in <hes> where the night not keep greek <hes> casagrande and goes i go down there and they do the reliable i sit in the waiting room and they do the whole thing and i thought well that is is better and <hes> so so when i know that has a lab and all they're looking real clear choice ties with the implants. You're you're okay the all on four or they have and that was your bislama mixing the surgery with right in the process on us the lab tech all in one whereas that's kind of what you've been doing when when when when you talk about <hes> <hes> you know the the same day crowns or that type of your patient you haven't temporizing and the you don't have to worry about that temporary coming off the next week before they have to come back and then you have to reappoint them. Take more chair time. Take it up wonder if they're gonna show up. You know that type of stuff so yeah patient comes bache comes in a cusp off the need a crown will they you know with within an hour and a half two hours later they're done. They're complete their fixed and they're happy when when i asked the dentist what they're most stressed about most of them will say it's all the people the people the patients people staff. You have a whole whole load of staff members here <hes>. She's just got out of school. She's gonna probably be someone's associate for two you're three or she'll start her own practice with would advice. Would you give her. How do you manage a team of people. I mean there weren't any courses on how no how were where did. Where did you learn them well. It's nice staff is probably the most important to me. <hes> asked aspect of dentistry the technical skills <hes> the you know the patients dentists are now you know. Do you want to see good dentistry. You don't look at the at the at the final restorations you look at the press. You know that's that's how you judge. It dentists yeah. That's how you judge a dentist. You don't look at you. Judge your lab tech by looking at the restorations new guy but you know to me yeah okay yeah but to me young alf patients not not gonna know whether you are a great dinner. Just a good inst okay yeah <hes> but they're going to they're going to relate to to to you as a personality finale. That's going to relate to your staff even more so you know so the having good staff. <hes> you know that that that can <hes> can relate to your patients <hes> that honest with you that <hes> that work hard those are the individuals. You have to find out how to do that. That's that's a crap shoot now now. I got fortunate because most of my staff. I just retired but you know most of my staff had been there for ten years or more now got somebody. There was there when i first got there isn't a red flag. Is it a red flag idea when you see somebody who has an office ten twenty thirty years old but no one is worked there longer than two or three years. Yes yes when you got that revolving door then. You've got to ask why well when when office has revolving door that the honors gotta own it right well. That's my opinion miami. I mean because song invisible so i know the different walker jesus in a big mac. You're wikipedia but when you tell me i have four cavities. He's i mean i don't know if he told me he had prostate cancer and needed my gallbladder mood. I i met the mercy of you right so if everybody's a revolving door and everytime that's the number one complaint they have all these they come into mile. Will you win win. There and he said i had five cavities. I thought well that's weird but when it went back he doesn't even work there anymore and every time i go in there so if you're a d._s._l. And you can't even even keep your dentist. I mean that's the number one. I hear this and it's the same with with other revolving. We don't tell you about d._s._o.'s if they're averaged. Dentists works there one year well. It's it's it's walmart now. I it's you're getting what you paid for. You know i don't trust that you know but as i say i've been fortunate i've got. I've got a whole patient pool. It comes back to my hygienist. Agilis outcome see me but they can s- bahaji it's because they spent five minutes behind just five minutes with me and that's the relationship that brings them back no but if that hygienists is different every six months that trust is isn't there the- trust you know it's a wise patient combat yeah and plus. They don't even know what a good cleaning is. They drive there used to write and i remember the funniest you're saying i when i sold my practice i thought i had one of the worst identity has she always use that baking powders machine and made a mass of the patient jason was done they had it everywhere and so she went on maternity and the next hygienist that cover for i thought it was much better shipping amash the everybody was upside that the that the this one didn't really thought wow so. I mean yeah so it's it's. It's it just who you have your relationship. So when when you have an invisible product like medicine like we do trust is very important. Oh yes oh yes yeah i to me this. I as for example i went to <hes> my mom's internist you know at the doctor that <hes> that that i started with and <hes> <hes> developed a relationship with him him and they turned out to be a patient of mine too now so mutual trust in that regard well. He retired two years ago and <hes> gimme a name. Give me somebody that can go to and he was busy didn't get me a name by the time i needed to go back to see a doctor at least among where my regular recall came out so i went someplace i hated. It absolutely hated it. You know i would just not comfortable. I think at the time of day. I just didn't think that that this individual was paying. Menia tend to me personally no the number. I called him old dhaka gobs. You're going to have to help me here. If i can't see you. Give me somebody who's going to be like you did yeah and i've got a great relationship h._v._a._c. with minute dot now now i it just it's got trusted him now whether he's saying right things or not. I don't know now they they would have a much more successful practice. A person with great people skills but a below average dentist are perfect dental skills and below average people people still without a heartbeat people's i not i know i know some of the most busiest practices in the world. We're guys his crushing. It never take any complain about the ce that the state recommends ata but man if you get a in relation to the people skills staff they're never gonna know that your crown the anthony the best clinician in my class graduating class the best <unk> overall clinic in my class could not make improper practice yeah yeah so <hes> people skills is worth far more dollars. I then tap yup after because we saw an invisible product and that's why and that's why i believe that so many people are always his experts in politics <hes> because you can't see their thoughts that you see on goal when you go golf every says you're era lousy golfer and then you go try to lay up on a basketball and they say you get done correct so the the that's why people hate math. We know where the hit math because there's there's a right answer and the answer and you're wrong because you're crazy but then so they say okay we're working to go where there's no scorecard and i can just be right because i believe it and it's all like are a brick critics music expert right yeah this anything without a scorecard scorecard is where they gravitates and when people say they're not good at math. I say well then be a music critic the him i have both my kids were in in in band. Marching band and of lafayette marching band at in kentucky was either number one number number two in the state for route two decades now always been on the top well. I'm tone deaf almost i you know i couldn't tell what's what's good or bad on the field. I'm jack. I concede lines that concede steps and you know the the continuity that type of stuff but whether it was a good performance i didn't know now but gosh somebody did you know and <hes> the subjective scores. They always always worry the number one number two in the nation in so you know i'm which on a._b._c.'s are. What would you say a._b._c. The dr j. or let's see other one. Oh not mondays sunday monday tuesday april <hes> a._b._c. a._b._c. song long and then what's the <hes> the twinkle twinkle little star. Oh okay and which song do you like better. <hes> you always tell oh you better. It's the same song and i love that with my it. Granddaughter is moser moser song others. Rely your the f. g. twinkle twinkle so i always sing that to my <hes> grandchildren as big a little star than a._b._c._d. The city of i didn't realize they mail you see act oriented version of it. It's it's three and and a half hours long fourteen different renditions is the most wild you'll never think of a tweet a little star how i wonder were you are without listening to iranian. Thank you so much for <hes>. Let me podcast interview. Thank you so much for all you've been dentistry erling congratulations on being the president of the kentucky dental association and thank you for sharing all your wisdom with all my my home as well and actually i appreciate you being here <hes> welcome to kentucky and hopefully you come back to dr meeting. You know that that my father i actually lived in this town. When i was ten years old. So i tell you long story short my dad had nine songs and five maroon which saw and then he wanna go national also had one in louisville abilene kansas carney nebraska scheduled taxes and i learn more from my father on what is mistake tour then what he actually did. I i love the fact entrepreneur. I loved the but in in in wichita we had five he had a manta team is doing really really well. What killed them was the one in abilene kansas nebraska in louisville kentucky so iceland each one of my high school summers on opening pro. I spent a summer in louisville kentucky which the summers are awesome awesome because david levy there with his lincoln towncar opening his aren't drive in in a hotel with a credit card for three month's childress and abilene and carney. I had the most amazing summer my life would be in all four or those and <hes> i gotta tell you i'm the one lesson i had to learn the hardest. This is the only place i ever got shot at. I was <hes>. I saw my first vacaville night just like in kansas to hop the fence and pull up some plants and throw them in the back of the car. There are some shack over there. I heard that was not a shot in a b and a holy shit on me and so real them. Why why don't you can play cornfield in nebraska at anyone sweet felt in kansas league playing. It's vacaville kenya. No i guess not the backfield around anymore. Whether they're a bunch of back then that will happen for sure but <hes> the the plants were more higher dollar but man. I love my summary and low the memories here or good and that <hes> that river <hes> i pulled a catfish out of that <hes> river <hes> size my arm fun funny fun time. We'll good for you. We're welcome back and thank you for all you've done thank you. I appreciate it very very day appreciate.