Dr. Julia Jackson of Int. Implant Institute - Dr. Gallagher's Podcast x Dose of Dental Podcast #105

Full Podcast Title: “Revolutionizing Implant Dentistry with Live Surgeries & Life-Saving Skills”

1. Questions Asked:

(00:00) "Is it possible? Can you open up our screen a little bit bigger? Can you see the wall that says International Implant Institute?"

(12:42) "How would you sign up for your course?"

(14:34) "Where are we going forward in the years to come? Give me a little insight into the vision for what's to come this year, next year, and so on."

2. Topics & Stories:

(00:34) Introduction to the International Implant Institute and its global participants, including dentists from various locations around the world.

(02:39) Course overview detailing implant placement, socket grafting, and restoration techniques, including analog and digital methods with practical, hands-on sessions.

(05:13) Technological advancements in dentistry, especially with AI, 3D printing, and dental scanners, as witnessed in a dental lab visit.

(07:46) Emergency preparedness with CPR training for dentists, explaining life-saving techniques, chest compressions, and bag-mask ventilation.

(10:19) Detailed description of live patient surgeries, IV tutorials, and implant procedures that students observe as part of their training.

(12:44) Future vision and expansion plans for the International Implant Institute, including live patient surgeries in Cancun and collaboration with restorative dentists.

(19:30) Invitation for international students and information on course sign-ups, visa assistance, and future course dates in November, January, February, and April.

(19:54) Story of how Dr. Julia Jackson and Dr. Ibrahim Haroon built the International Implant Institute and their journey as co-founders.

3. Quotes & Wisdom:

(14:40) "The vision is broad. The vision is grand. We start small and we think big."

(20:13) "It takes a team."

(20:44) "We were working hard and we were all in the grind. And then he'd say, 'Why don't we start our own practice?' I said, 'No, I don't want to start my own practice.' He said, 'Yes, you got to start your own practice.'"

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

- Dose of Dental Podcast #105

Watch worn in this episode = Citizen Chrono H500-S078199

9.2024

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Full Podcast Title: “Life Transformations, All-On-X Dentistry, Running a Practice Without Letting The Practice Run You, Balancing Family Life & Dentistry”

1. Questions Asked:

(00:02) Where do you practice again, Brendan?

(00:16) How long do you have left in your residency?

(00:25) Are you pumped about finishing your residency?

(01:05) How was the day? Did you work today or teach classes?

(02:50) Why did you push back the podcast a half hour?

(09:34) Are you a morning or afternoon workout person?

(10:04) How long have you been working out at 4 a.m.?

(10:57) How do you balance work, family, and dentistry?

(12:25) Did you sell your other practice? How did that decision come about?

(13:33) What are some tools you've learned to manage stress?

(17:31) What was your experience like during Warrior Week?

(19:16) What have you implemented from the Warrior program?

(25:27) What trait or characteristic makes a person most successful in life?

(27:48) What advice do you have for new dentists starting their careers?

(32:34) What is your drink of choice? Do you drink?

(33:46) How do you create such a positive culture in your practice?

(47:34) What was the key thing that made the dentist you hired stand out?

2. Topics & Stories:

(01:19) Daily Work in Dentistry: Jeff talks about his typical day, performing surgeries like sinus lifts and full arches.

(02:50) Podcast Ratings and Social Media: Brendan shares an Instagram experience and podcast ratings, feeling down about negative reviews.

(03:53) Dealing with Negative Feedback: Jeff shares advice on how negative feedback often comes from people who aren't doing better than you.

(08:11) Morning Routine: Jeff mentions his 4 a.m. workout routine and how it shapes his day.

(10:57) Balancing Work and Family: Jeff talks about balancing dentistry, family life, and personal growth, sharing struggles like almost losing his marriage due to stress.

(16:17) Personal Growth and Mentorship: He shares how mentorship, specifically through Wake Up Warrior, transformed his mindset.

(24:18) Mindset and Success: He discusses the importance of mindset, consistency, and staying focused on goals.

(26:59) Advice for New Dentists: Jeff advises young dentists to find their passion areas in dentistry and develop skills gradually.

(29:48) Interviewing and Hiring: Jeff shares how he flipped the narrative during interviews to make the candidates convince him why they were the right fit.

(34:39) Story about a Rio Trip: Jeff recounts a humorous story about being pickpocketed by two women in Rio, illustrating his philosophy of enjoying life’s experiences.

3. Quotes & Wisdom:

"You're not for everybody, and that's okay. The people you're for will find you." – Jeff (03:48)

"It's never from people doing better than you that you get negative feedback." – Jeff (04:06)

"You need to stay consistent. It's easy to sprint out of the gate, but slow and steady wins the race." – Jeff (26:23)

"If you're in a tough place, recognize that you're the best person to fix it, because you're in the position you're in due to your actions or inactions." – Jeff (52:47)

"Nobody is entitled to anything. Keep going until you get the result." – Jeff (43:18)

"Ask yourself: is this useful? If it is, put it into play. If it's not, change it." – Jeff (24:25)

"Create a culture in your practice that's bigger than you." – Jeff (33:46)

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

- Dose of Dental Podcast #104

Watch worn in this episode = Jack Mason Halyard Chrono

9.2024

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Full Podcast Title: “@surgicalgourmet on Oral Surgery Life, Running His Private Practice, From 6-Year to 4-Year Residency Change, and Wine Tasting as He Studies For Sommelier Status”

1. Questions Asked:

(03:58) Does the personality of the general dentist correlate with the insurance plan they use?

(15:55) Where did you go to undergrad, and what’s your ethnic background?

(03:11) Why did you decide to focus on working with specific referrals and drop others?

(04:00) Is there a correlation between patient personality and the personality of the general dentist?

(19:45) Why is Argentina known for producing great and affordable Malbec wine?

(29:00) Will you be graduating in London for your sommelier certification?

(30:50) Can you explain the significance of regional characteristics on wine flavor, like eucalyptus in Chilean Cabernet Sauvignon?

(37:22) How did you transition from a six-year oral surgery residency to a four-year track?

(39:51) How did surgical practice schedules change with the 80-hour workweek rule?

(46:51) How do you engage your staff and train them to operate independently?

(53:55) How do you manage expectations and referrals from general dentists who try advanced procedures like implants?

2. Topics & Stories:

(00:54) Typical Day for an Oral Surgeon: Emergency cases, implants, and working with a trusted team.

(03:29) Choosing Referrals: Grading referrals based on experience and how to handle difficult cases.

(13:29) UCLA Story: Using implant knowledge gained while balancing studies with social life during the Lakers' championship run.

(17:02) Wine Tasting Techniques: Explanation of the different tasting notes in Malbec and wine preferences.

(24:00) Education and Background: Grew up in LA, studied medieval history and molecular biology, and researched oral cancer pathways.

(27:06) Oral Surgery Clinics vs. Other Dental Specialties: How oral surgery clinics tend to outproduce others in terms of productivity.

(30:19) Sommelier Exams: The challenging process of blind-tasting wines for certification and the nuances of identifying wines.

(37:22) Residency Switch from Six to Four Years: Navigating personal issues, residency structure, and shifting hospital culture.

(41:08) Building a Practice from Scratch: Overcoming the challenges of starting out as a new oral surgeon, building relationships with referrals, and the importance of the "Three A's" (Affable, Affordable, Available).

(50:09) Legal Expert Witness Work: Discussing implant complications and malpractice cases.

(1:01:08) Origin of Surgical Gourmet: Combining cooking and oral surgery into a unique social media presence that connected him with other professionals.

3. Quotes & Wisdom:

"The best advice I can give you going into private practice: be the three A's—Affable, Affordable, Available." (43:08)

"You need to find people you can gel with; the ones you like, work with them. The ones you don't, it's okay to let go." (01:47)

"Wine isn't just about getting trashed. There's history, there's science, there's a story in every bottle." (26:42)

"Treat your staff like people. Give them a mission, not just a task, and you'll be surprised by their ingenuity." (1:21:30)

"I truly believed in the technology when no one else did, and sticking with it made all the difference." (49:05)

"If you want to be an implant god, you need to know not just the surgical side but also the restorative side." (1:36:54)

"Social media allows you to communicate effectively what your capabilities are. Otherwise, you're just a legend in your own mind." (46:51)

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

- Dose of Dental Podcast #102

Watch worn in this episode = Citizen Caliber 2100 Chronograph Panda

9.2024

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Full Podcast Title: “Dr. Suzie Bergman’s Ted Talk, A Surprising TMJ Diagnosis, How Disjointed Healthcare Is”

1. Questions Asked:

(00:41) "How was the day?"

(01:41) "How many kids do you have, by the way?"

(02:06) "Any dentists?"

(03:48) "Why is healthcare so disjointed?"

(04:13) "Where has your passion taken you from there?"

(07:19) "What are your thoughts on treating TMD patients holistically?"

(08:28) "Is it covered by insurance or medical insurance?"

(09:43) "What are your thoughts on patient-centered care vs. insurance-centered care?"

(13:17) "What do you think about corporate influence in dentistry?"

(18:06) "What are the factors causing pressure in healthcare, and how can we mitigate that?"

(25:51) "What’s the next step for you?"

(28:38) "When’s your next TED Talk?"

(28:51) "Or maybe a book?"

2. Topics & Stories:

(00:00) Introduction of Dr. Suzie Bergman and her TEDx talk on healthcare disjointedness.

(01:00) Suzie discusses the weather in the Pacific Northwest and her snowboarding family.

(02:18) Story about her kids avoiding medical careers despite parental influence.

(02:55) Transition from West Virginia to Pacific Northwest for bigger mountains and snowboarding.

(04:13) Healthcare being disjointed and her involvement in advocacy, including a TMJ patient registry.

(05:23) Her work at a neurosurgery clinic focusing on facial pain beyond trigeminal neuralgia.

(09:18) Patients struggling to afford healthcare and having to prioritize medical expenses over personal wants.

(09:43) Discussion of the shift from patient-centered care to insurance-centered care.

(12:31) Story of running a private practice with her husband for 25 years and prioritizing patient care over profit.

(15:25) Work-life balance and the mental health pressures on providers.

(21:46) Interdisciplinary healthcare and integrating different providers into patient care.

(25:57) Future aspirations: Suzie discusses influencing healthcare policy and working with federal agencies.

(28:56) Story about her upcoming book for patients with difficulty chewing and swallowing due to TMD.

3. Quotes & Wisdom:

(05:59) "There’s nothing really we can do to turn back time, but our patients deserve better than they’ve received up until this point."

(06:46) "We’re starting to approach things from a biopsychosocial model... looking at the whole person, not just the condition."

(12:31) "At the end of the day, we are in a field where what we’re doing is serving, and we need to serve our patients."

(14:45) "There’s so much emphasis on the health part of it sometimes, and not enough emphasis on the word care."

(15:25) "Efficiency has become a buzzword, but we need to make sure that, while we work, we take care of ourselves as well."

(18:44) "We have to have compassion for our patients, but we also have to have compassion for ourselves."

(21:46) "When we put healthy boundaries around what we’re willing to do and how much time we spend, we can be healthier and show up better for our patients."

(25:57) "Next for me is to influence policy more... to work with the players who really have the ability to change the narrative for the future."

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

- Dose of Dental Podcast #103

Watch worn in this episode = Jack Mason Avigator

9.2024

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

*PODCAST EXCLUSIVE* - 9.28.24

- 9.27.24

Quick Review #236 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental

1. Radical Neck Dissection (RND):

This is the most extensive type of neck dissection and involves the removal of:

• All lymph nodes from Levels I to V.

• The sternocleidomastoid muscle (SCM).

• The internal jugular vein (IJV).

• The spinal accessory nerve (cranial nerve XI).

This procedure is used when cancer has extensively involved these structures, and there is no option for their preservation.

2. Modified Radical Neck Dissection (MRND):

The goal of the modified radical neck dissection is to remove all lymphatic tissue from Levels I-V while preserving one or more of the following non-lymphatic structures that are removed in a radical neck dissection:

• Type I: Spinal accessory nerve preserved.

• Type II: Spinal accessory nerve and internal jugular vein preserved.

• Type III: Spinal accessory nerve, internal jugular vein, and sternocleidomastoid muscle preserved.

This approach is designed to reduce morbidity, particularly related to shoulder dysfunction, while still removing the affected lymph nodes.

3. Selective Neck Dissection (SND):

Selective neck dissection involves the removal of only certain groups of lymph nodes, depending on the location of the primary tumor and the risk of metastasis to specific levels. The following are the most common types of selective neck dissections:

• SND (I-III): Levels I, II, and III lymph nodes are removed (used for oral cavity cancers).

• SND (II-IV): Levels II, III, and IV are removed (used for oropharyngeal, laryngeal, and hypopharyngeal cancers).

• SND (I-IV): Levels I, II, III, and IV lymph nodes are removed.

• SND (Posterior Triangle or Level V): Lymph nodes in Level V are removed (often used for skin cancers or melanoma of the head and neck).

The selective approach is designed to minimize functional and cosmetic morbidity while still achieving oncologic control.

4. Extended Neck Dissection:

This involves removing lymph node groups or structures when cancer extends into areas beyond the typical boundaries of the neck:

• Retropharyngeal lymph nodes.

• Paratracheal nodes.

• Mediastinal nodes.

• Additional non-lymphatic structures like the hypoglossal nerve or vagus nerve, depending on cancer involvement.

References:

1. BrainKart. (n.d.). Neck dissection. Medical surgical nursing: Management of patients with oral and esophageal disorders.

2. Shah, J. P., & Patel, S. G. (2012). Head and neck surgery and oncology (4th ed.). Elsevier.

3. Robbins, K. T., Ferlito, A., Shah, J. P., Hamoir, M., Takes, R. P., & Rinaldo, A. (2011). The evolving role of selective neck dissection for head and neck squamous cell carcinoma. European Archives of Oto-Rhino-Laryngology, 268(3), 433-438.

4. Medina, J. E., & Byers, R. M. (1989). Supraomohyoid neck dissection: Rationale, indications, and surgical technique. Head & Neck, 11(2), 111-122.

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

👉 Full episode on Dr. Gallagher’s Podcast on Spotify, Apple Podcasts and YouTube Channel

🎙️ From TikTok LIVE #32

🗓️ I do TikTok LIVE’s on Sunday evenings randomly between 6:00-9:30pm EST (or Monday evenings, if I’m in the OR or presenting early Monday morning) so stay tuned on my TikTok @doctorgallagher_

🏆 Top 3 Longest Viewers of the TikTok LIVE get a shoutout in the caption!

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

- 9.26.24

Quick Review #235 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental #grafting #splitthicknessskingraft

A split-thickness skin graft (STSG) is a type of graft that involves harvesting the epidermis and a portion of the dermis, typically leaving behind the deeper layers of the dermis at the donor site, which allows for quicker healing. The donor site is commonly taken from areas such as the thigh or buttocks, where skin is relatively abundant. STSGs are generally thinner and more flexible than full-thickness skin grafts, making them easier to cover larger or more irregular surfaces. However, they are more prone to contraction and may have a less desirable cosmetic outcome than full-thickness grafts.

In oral and maxillofacial surgery, STSGs are used for a variety of reconstructive purposes, particularly in cases of large soft tissue defects following the resection of oral cancers. After the excision of malignancies like squamous cell carcinoma, which often results in the loss of significant amounts of tissue, an STSG can be applied to cover exposed bone, muscle, or other structures. This helps to protect the underlying tissue, reduce the risk of infection, and promote healing by facilitating revascularization.

A key application is covering defects in the oral mucosa and oropharyngeal regions post-tumor resection. STSGs offer several advantages, including their ability to cover extensive areas with relatively minimal donor site morbidity. This is particularly beneficial when large intraoral resections create significant defects that cannot be closed primarily or reconstructed with local flaps.

While STSGs may not provide the same level of esthetic or functional restoration as other grafting techniques like free flaps, they are often employed in patients where simpler and quicker options are needed due to the patient’s general health or other constraints. For instance, STSGs are sometimes used as an interim solution in cases where a more definitive reconstructive option, like a microvascular free flap, might be delayed or contraindicated.

In summary, STSGs are versatile grafts that serve an important role in the reconstruction of large defects in oral and maxillofacial surgery, especially following cancer resection. Their use helps expedite the healing process, cover vital structures, and minimize complications associated with exposed tissues.

References:

1. Mount Sinai. (n.d.). Skin graft. Mount Sinai Health Library.

2. Shibahara, T. (2016). Reconstruction after oral cancer resection: Current perspectives and challenges. Journal of Clinical and Experimental Dentistry.

3. Barker, J., Clayton, J., & Harwood, P. (2017). The principles of split-thickness skin grafts in maxillofacial surgery. British Journal of Oral and Maxillofacial Surgery, 55(2), 135-139.

4. ChatGPT.2024

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Food for thought 💭

Our collective insight outweighs any singular thought- this is why I love social media, and podcast especially

I think we outlined a bunch and I shouted everyone out who answered- thank you for being a part of this special one 🙌🙏🫶

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

*PODCAST EXCLUSIVE* - 9.25.24 - my thoughts on a recent discovery.