Why You Shouldn’t Carry a Gun Every Day… Three Good Reasons.

Click here to read this fantastic article!I don’t often post links to other blogs here.  But, this article on The Truth About Guns is so good (in my opinion), it’s worth sharing.  I know a lot of people who are licensed to carry concealed that do not actually carry often… or at all.  I’d bet a majority virtually never carry.

This article by my friend, Robert Farago, is clever in that it pulls double-duty.  First, it does a great job of addressing the concerns of those people who have considered carrying a concealed weapon but just haven’t found a way to do it conveniently… or, they just aren’t convinced it’s “needed.”

Secondly, the article is a great essay that answers the concerns of those people who are reflexively opposed to concealed carry, are frightened by the concept, or simply don’t understand the “need.”

Check it out!  Click the image above or on the title:  Three Good Reasons Not to Carry a Gun Every Day, And How to Overcome Them

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Posted in Personal Security & Safety | Tagged , , , | 3 Comments

Mr. & Mrs. America… You Are Being Ripped Off!

Check this out:  Obamacare pays for dental clinic for uninsured

taj mahalObamacare built a 6,000 sq. ft. clinic to house only 10 dental chairs in New Jersey (big surprise).  And, they’re PROUD of it.  That’s a CRAZY waste of space.  Ten chairs??   Six thousand square feet??   A private office that size (would be a very large group practice) would likely have (by my estimation) at 15 – 20 chairs.  If there are any dental office design experts reading this, feel free to correct me.  I might even be low.

And, then they also proudly tell us they spent $3.4 million dollars to build this 10-chair clinic!!  Holy shit!  Did they line the walls with gold leaf?  Who bid this contract??   Who got kick-backs?

Any dentist who has built an office (me included) will tell you that something is VERY amiss with the amount spent.  It comes to $566 / sq. ft.!!  Good gawd!  Again, someone correct me if I’m wrong, but that’s at least DOUBLE what it costs the rest of us to build a VERY nice office.

“The ERs are overflowing!”  Not.

From the article:  <<The law is trying to put the brakes on the skyrocketing cost of health care in part by changing the habits of consumers who visit expensive hospital emergency departments for maladies that aren’t emergencies.>>

That statement would be funny if it wasn’t such a provably blatant lie.  Continue reading

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Posted in Current Events, Editorial | Tagged , , , , | 16 Comments

The Thriving Dentist Show!

Thriving-Dentist-ShowMy friend and dental practice consultant extraordinaire, Gary Takacs, has a podcast called, “The Thriving Dentist.”  He publishes a new show about every week and has a guest to discuss issues that affect all of us in dental practice.  It is well worth checking out.  You will definitely learn something every episode.

Gary asked to interview me, and I couldn’t resist the opportunity to blab about dentistry.  Our discussion covered:

  • Managed care vs Fee-for-Service / Private Care models of practice.
  • How online dental forums have shaped dentistry today.
  • The ADA (American Dental Association).
  • Online marketing (dental practice websites).

It was unscripted and completely off-the-cuff.  It was a lot of fun.  Be sure to check it out:

The Thriving Dentist Interviews The Dental Warrior.  <—click!

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Posted in Uncategorized | 3 Comments

“Check Your Six” at Gas Stations!

check your six“Check your six” is an axiomatic phrase to live by for fighter pilots.  It means be aware of what’s behind you.  Having a “bogey” (enemy aircraft) on your six can be fatal.  If you use a clock to refer to what’s around you, 12 o’clock is in front of you, and six o’clock is behind you.

If you study surveillance video of robberies, muggings, or other violent crimes, you’ll notice that the victim is often completely unaware of the approaching bad guys.  This is the case in the video below.

A lot of people go about their day in a bubble of distraction.  Today, distraction often involves cell phones, electronic games, and music delivered by headphones.  It can also be as simple as a conversation, kids demanding attention, or just the task at hand (such as fueling up your car or loading groceries).

Being AWARE of your surroundings, and the PEOPLE lurking around you can be your BEST defense.  Continue reading

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Posted in Personal Security & Safety | Tagged , , | 6 Comments

New PMS! No… Not That Kind!

open dental--6We all have a long “to do” list, both at home and the office.  One item that’s been on my list at the office has been to upgrade the computer and Practice Management Software (PMS).

I’ve delayed doing it for a few reasons.  First, my computer and PMS have been working just fine.  If it ain’t broke, why fix it, eh?  But, here’s the thing…  I knew I was working with a ticking time bomb of a computer.  Believe it or not, my front desk computer is a Windows 98 machine.  I’m not kidding.  It’s at least 12 years old, and it’s still running!  It moans and groans on start-up.

Windows 98!  Really!

Windows 98! Really!

The power supply fan is rather loud (bearings are probably shot).  But, it works!  Laugh at me all you want!  Windows 98 is still regarded as the most stable version of Windows.  My old computer never crashed.  Not once in all those years.

open dental--5

For the PMS, I’ve been running Softdent version 9.1b.  That’s many, many generations old.  It WORKED!  It served me well.  But, this old version didn’t even have a field in the patient chart for an email address or cell phone.

But, I’ve become increasingly worried that one day, I’d hear a “pop” and see a puff of smoke around the old computer.  The next puff of smoke would be coming out of my ears.  Sure, we backed it up every day.  But, it’s so old, what am I going to RESTORE it to??  This version of Softdent required a “dongle” plugged into a parallel port for the software to work.  Today’s computers don’t even have a parallel port. Continue reading

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Posted in Dental Product Reviews, What Happened Today | Tagged , , , , , | 7 Comments

What The Dental Warrior Is Reading

books-6832I tend to read in fits and starts.  Recently, I decided to get back on the treadmill at home to get some exercise.  I get bored very quickly on the treadmill, so I need something to distract me.  And, it may as well be something that enlightens me.  I’ve got a large stack of unread books.  But, over the past few weeks, I’ve made a dent in my reading project.

Without further ado, here’s what I’ve read or am currently reading:


Reviews of each book after the jump! Continue reading

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Posted in Must Read Books! | Tagged , | 3 Comments

Do You Have an Evil Plan?

If everyone is zigging, should you be zagging?

A Vector Cute Cartoon Devil Smiling FaceI just finished reading a book, Evil Plans: Having Fun on the Road to World Domination,” by Hugh Macleod.  It reminded me of a thought that occasionally percolates in my brain.  What can I do (in my career and life) that is different?  Really different.  I ponder the question, and then…. “Look!  Squirrel!”  Life gets in the way. 

Routine is comfortable.  Homeostasis is comforting.  Conformity is easy.  Stretching is painful.

Just boo it.

One thing I’ve learned as I cross the threshold of middle age is that if an idea is hated by some people… even many people…. it’s probably a good idea.  If many tell you it can’t be done, then you should probably do it.  Dentists are particularly anxious to shoot down (boo) any colleague who strays from the straight and narrow.

Just screw it.

How could you micro-niche your dental practice?  How could you transform your practice in a way that would stand out?  What could you do that is “impossible?”  What would you like to do that would piss off a lot of dentists? Continue reading

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Posted in Editorial, Must Read Books!, Practice Management | Tagged | 25 Comments

I’m a Bad Businessman – Bridge Repair

We’ve fallen and can’t get up!

A new patient was referred to me by a local periodontist.  She’s in her 70s.  Her husband fell down, and in the process of helping him, she fell on her face and fractured porcelain on teeth #9 and #10.  They are part of a larger bridge, #6 – #14.  Teeth #s 8, 10, and 12 are pontics.  Teeth #s 7 and 9 aren’t so hot, as you can see.


The patient and her husband were due to return home (up north) for the summer.  Her husband is still in the hospital.

bridge repair-6763

Porcelain fractured down to the metal on the incisal.

bridge repair-6764

Metal is just visible at the incisal edge.

bridge repair-6762

Metal is visible on the incisal edge and lingual.  Apologies for the poor quality photo (scratched mirror).

Plan A, Plan B, Plan C

Treatment options discussed included: Continue reading

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Posted in Case Presentation | Tagged , , | 19 Comments

Slam-Dunk Anesthesia for Lower Molars!

PDL-blog-6770And, painless, too!  Promise!

I’ve learned a lot of tricks over the years, and the internet has been my go-to source.  For at least 20 years, I’ve been an active participant in online forums.  The ability to access the minds of hundreds and even thousands of my colleagues has proved invaluable throughout my career.

A friend of mine, Dr. Michael Nugent (aka the “Shooting Dentist“) from the Great State of Texas, has been cajoling me about writing this particular article for at least a year.  He finally and unabashedly resorted to bribery by sending me a 40-round AR-15 Magpul magazine.


And, it worked.  So… all my readers… take note!  ;)

I’m still feeling it!

One frustrating aspect of daily dental practice for many dentists is consistent and profound anesthesia for lower molars.  We were taught to administer an inferior alveolar nerve block… aka “IANB.”  And, many of us have run into situations where the patient exhibits the classic signs of anesthesia, yet they still feel pain.  So, we give them another block.  And, wait.  And, then HOPE that we got it that time.

Mind you, administering a “painless” IANB is quite the challenge.  It’s not a fun injection to receive.

There are other techniques such as Gow Gates and Akinosi techniques, sworn by some to be very effective.  And, in their hands, I’m sure they are.  I’ve never felt comfortable with either.

Years ago, I briefly tried the intra-osseous technique branded as the “X-tip.”  With this gizmo, you actually punch a hole through the gingiva and cortical plate with the needle mounted on a slow-speed handpiece.  It works, but it can be a bit scary / traumatic to both the patient and the dentist!  You’ve got to make sure your aim is good and not running into a root.  I had a couple of cases that ended up sloughing some tissue and bone post-operatively.   I abandoned the technique shortly thereafter.  I consider it more an issue of my own shortcomings, not the product or technique.

Another fall-back technique, after all else has failed, is the PDL (periodontal ligament) injection.  For some reason, this has been long held as the technique of last resort.  And, by the time you get to it (after trying multiple blocks), the patient is pretty weary and probably losing confidence.  And, chances are that many dentists are not doing the PDL injection correctly.

Make your life easier and patients’ experience better with PDL (intraligamentary) injections.

Why not make it the PDL technique of FIRST resort?  If it can work when all else fails, why not use it routinely… first?  OMG!  FIRST?   Well, yeah… sorta.  Read on. Continue reading

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Posted in Clinical Technique, Editor's Picks, Tips & Tricks | Tagged , , | 42 Comments

“I wish I had a gun.” Not!

juan-williamsI just came across an article about auto theft with the victim being the wife of a Fox News commentator, Juan Williams.

And another article.

Williams is known for his beliefs that Americans should not be able to keep and bear arms.  He’s “anti-gun.”  And, that’s fine.  He’s free to believe that, as wrong as he is.

A liberal is a conservative who hasn’t been mugged, yet.


Don’t leave your key’s in the car while fueling up at the gas station!

Well, his wife was at a gas station and while putting her credit card into the pump, a thief jumped into her car and drove away.  Presumably, she foolishly left the key in the ignition.  DUH!

But, according to an interview with Juan Williams, he said that his wife remarked, “I wish I had a gun.”  Oh, really?  Never mind that she could not have legally used a gun in this scenario.  The use of lethal force is limited to protecting / defending LIFE (not a car) in most states.

Having a gun is not a talisman that wards off all crime / criminals.  Nor does it Continue reading

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Posted in Guns & Knives, Personal Security & Safety | Tagged , , , | 10 Comments