|
Howard:
|
It is absolutely a huge, huge honor today that Sandra Calleros?
|
|
Sandra:
|
Calleros.
|
|
Howard:
|
Calleros.
|
|
Sandra:
|
Calleros.
|
|
Howard:
|
How do you say it in Spanish?
|
|
Sandra:
|
Calleros.
|
|
Howard:
|
Calleros; came by my house today to film a podcast. I'm so excited because the number 1 complaint I get with the podcast is that, "Howard, every time you podcast interview a dentist, it's a man. Every time you podcast interview a woman, it's a consultant." I try so hard. I call you guy’s unicorns because you're so rare, because half the class now is women. When you were in school how many were in the class, and how many were women.
|
|
Sandra:
|
I think it might have been 20 to 30, max: 30 percent max.
|
|
Howard:
|
Oh it's 30 percent.
|
|
Sandra:
|
Maybe we 25. I don't know.
|
|
Howard:
|
That's actually a lot.
|
|
Sandra:
|
It's a long time ago and I have bad memory but …
|
|
Howard:
|
That's a long time ago?
|
|
Sandra:
|
I think it was about 25 percent maybe.
|
|
Howard:
|
I go to the women that I went to dental school with, I begged them to be on the show. I got one the show. The others ones they're all scared, they’re all like … They're just nervous.
|
|
Sandra:
|
I'm a little nervous too.
|
|
Howard:
|
You're a little nervous?
|
|
Sandra:
|
You told me the reason you wanted me to do it is that it would help younger women dentists or maybe young dentists in general. I like helping people even if I'm not that comfortable.
|
|
Howard:
|
Well everybody should be out of their comfort zone, every once in a while.
|
|
Sandra:
|
Yeah exactly.
|
|
Howard:
|
You're hell of a role model for young women dentist. We're in Phoenix and you fell love in Phoenix because you fell in love in Scottsdale, because you and your boyfriend, bike, you motorcycle and all that stuff. You're a big fan of MTS [inaudible 00:01:53] at the Scottsdale Center.
|
|
Sandra:
|
Yes, I love the Scottsdale Center.
|
|
Howard:
|
Why do you love the Scott ... would you have loved it if it had been the Phoenix center? See I always tease MTS because I love in Phoenix, that's where all the poor people live and all the rich people love in Scottsdale.
|
|
Sandra:
|
Well it is in Scottsdale and that's just how I happened upon it.
|
|
Howard:
|
The difference between Phoenix and Scottsdale, is if you live in Phoenix and own a Lexus, have a Lexus or Mercedes, it's pay for cash. If you go to Scottsdale, it's on a lease.
|
|
Sandra:
|
I lease my car too.
|
|
Howard:
|
Scottsdale's motto is “fake it till you make it.” Anyway, tell me why you love the Scottsdale Center? Is it just because MTS [inaudible 00:02:32] is so charismatic?
|
|
Sandra:
|
When you walk in, it's all of a sudden, "Wow." I think, that's how you want your dental practice to be too. Great first impression. I think the people they hire there are top notch people. They really seem to have a passion for dentistry. They're really good with people.
|
|
|
I think the best people teach there. Frank Spear, I was looking for the collision course and coincidentally it was Frank Spear who was teaching there. I signed for one course and it just blew me away. I just kept taking course after course after course over the years. My office practice was slow at the time. It was 2009, I think when the economy was ...
|
|
Howard:
|
Rock bottom.
|
|
Sandra:
|
It was horrible.
|
|
Howard:
|
It crashed 2008 and 2009 was rock bottom.
|
|
Sandra:
|
Things were slow so I just took the opportunity to spend extra time taking, great continuing education. I was just lucky that I stumbled upon the Scottsdale Center because it led to one thing and then to another thing and then to where I am now.
|
|
Howard:
|
Talk about the things, the one thing, the second thing, the third thing. You started off with a Frank Spear, I assume treating the worn dentition. Was that your first class?
|
|
Sandra:
|
It's like one of those. Maybe it was facially generated treatment planning which I think everybody should take. It's just the basic, I think intro course at the Scottsdale Center. That led to another seminar which led to the workshops. I think I did every single class. I got into the Spirit Faculty Club. At that time, I was renting space and I didn't have my own office but that was my plan, to build my own office.
|
|
Howard:
|
You're in Manhattan beach, California?
|
|
Sandra:
|
Yeah, I live in Manhattan beach and I work in ...
|
|
Howard:
|
See I thought you lived in San Bernardino because this was the Mexican American princess during the Ross Bowl Parade. You were weren't you?
|
|
Sandra:
|
I was.
|
|
Howard:
|
You were the Mexican American princess. Are you still the princess?
|
|
Sandra:
|
No, now I'm a queen.
|
|
Howard:
|
Now you're a queen. When you go to the Scottsdale Center, do you stay in there, princess?
|
|
Sandra:
|
Well we did have a little condo that we're renting for a while but now I do stay at the Princess or I can stay at my son’s.
|
|
Howard:
|
You've graduated from a princess in San Bernardino, to now you're a queen in Manhattan Beach?
|
|
Sandra:
|
I live in Manhattan Beach and my practice is in El Segundo, which is right next to Manhattan Beach.
|
|
Howard:
|
Which is I assume near LA.
|
|
Sandra:
|
Yeah. The LAX international airport is in El Segundo.
|
|
Howard:
|
Right on.
|
|
Sandra:
|
One of the Pattison branch is in El Segundo, one of their main branches. I'm a big Pattison supporter. I feel like they did help me build my practice.
|
|
Howard:
|
You went from renting to building your own?
|
|
Sandra:
|
Yes.
|
|
Howard:
|
You own the land and building?
|
|
Sandra:
|
Well I wish I did, no. I just own the practice. I don’t own the building.
|
|
Howard:
|
Okay so you're renting a practice and now you own it?
|
|
Sandra:
|
I was renting space from other dentists for a long time. I had my two kids ... I kind of wanted to wait until my kids were at least done with high school. I was working. It's just less responsibility if you can rent space. When you have your own practice, it's a lot more responsibility.
|
|
Howard:
|
Let's talk about that. True or false: because we're about the same age; even though you look 10 years younger than me, we're about the same age. I was not the Irish American king in the San Bernardino Rose Bowl Parade. They told us when I got out of school in '87 … What year did you get out of school?
|
|
Sandra:
|
Same year.
|
|
Howard:
|
'87? Same year?
|
|
Sandra:
|
'87.
|
|
Howard:
|
They told us, they told all those girls in the class that their total lifelong productivity of how many years and hours they drilled, filled and billed would be probably only half of what the men would do. They were going to all get pregnant, have children and not return to the workforce blah, blah.
|
|
|
Every one of those women in my class is still cranking out today. I would say the average women in my dental school class, is actually more successful and cranking up more hours and everything than their male counterparts.
|
|
|
Say the Colorado Dental School; the last graduating class, every single one of them got a job at corporate. The studies I'm seeing nationally for the 56 dental schools is over 60 percent, will go get a job in corporate. Do you think that these people who want to have children, have a family that that's a good idea, to be Mr. Dad or Mr. Mom and own your business, that's just pretty overwhelming?
|
|
Sandra:
|
I think it's a big responsibility, like I said. I just had an associate that moved to Austin, Texas. She's working for corporate now. She just started. I think for her, I think it's …
|
|
Howard:
|
Which corporate did she go to?
|
|
Sandra:
|
Pacific dental.
|
|
Howard:
|
Which is Steve Thorn?
|
|
Sandra:
|
I don't know. It seems like it might work out for her because I think with her loans from school, and then how much she would have to come up with to start her own practice, it seems like it's just a lot these days.
|
|
|
I did hire a new associate. She's 27. She's been out of school for a couple of years. She doesn't have any kids yet. I think either being an associate or maybe working for corporate isn't a bad idea when you're first starting out and you want to have kids.
|
|
|
I think if you have kids, your focus should be on your kids. Maybe you can't focus on dentistry as much as you would like to, if you have children. I think it's individual. If you have a stay at home husband, maybe you can take care of your kids. I think that exists too. I don't know anybody who's doing that but I don't see why that cannot be something.
|
|
Howard:
|
You're out there in California. There’s 5 dental schools in California. 10 percent of all the dentists in the United States, are in California. The saturation of dentists in California, makes places like Idaho, Montana and Kansas just look like, they need to build a 100 dental schools.
|
|
|
What would you say to a young kid in one of those 5 dental schools say, "You know I'd like to practice in Manhattan Beach,” or any of those nice areas and all that. Do you think that is just completely insane in that you just have to go far inland or far away or would you say, "You know what, if you're passion is you want to practice in Manhattan beach and live by the ocean just do it. “ What would you say?
|
|
Sandra:
|
I think if you really wanted to do it, I think you could do it. Like they say, “The cream always rises to the top.” If you're passionate and you're really focused on it and that's your dream and you're willing to put in the effort, then I think you can do it.
|
|
|
There's a lot of doctors that are … They've been practicing a long time and I know they're not putting a lot of effort. I think, some of those people are your competition. I think you could easily do it.
|
|
Howard:
|
That's great advice, because my 4 boys, whenever we're going to dinner or out with them, they bring their friends with them, they're saying, “What do you think about going into this business or that business.” I was talking about their two uncles that went into construction in Kansas. There's nothing new in construction really, I mean it’s the same old deal. They built the largest construction company in Kansas and they said, "From the beginning, the thing they noticed that nobody talked good about the construction people, they didn't show up on time, they didn't do their job. If they fail and you call them back they wouldn’t come back.”
|
|
|
They just said everybody was so crappy that they were just going to go in there and do good work, and warranty everything and be a man of their word and be on time and show up with a white shirt and tie, when all their competitors have 3 inch of their butt cracking out. They built … Key Constructions is one of the biggest companies.
|
|
|
When I go around, it’s just like almost every business you go into America is lame. I tell everybody to open up their own business because, I believe 90 percent of your customers are going to be lame. You're right. If you go in there and it doesn't matter if you go into the UFC or you want to be a prize fighter, whatever. The best will always rise to the top.
|
|
Sandra:
|
Yeah, I agree with that totally.
|
|
Howard:
|
Scottsdale Center, I always associate with Paterson. There seems to be Paterson … I don't know the logistics of it, but it's very Paterson dominant. You say Paterson really helped you, go from space sharing to having your own office?
|
|
Sandra:
|
Yeah and it wasn't like I sought out Patterson. One of their reps happened to walk into my office one day, back when I was renting from someone else. I developed a relationship with him and then I developed a relationship with their equipment specialist, who is now the manager of the branch, in El Segundo. His name is Jason Owens.
|
|
Howard:
|
Jason Owens?
|
|
Sandra:
|
Jason Owens in El Segundo.
|
|
Howard:
|
In where?
|
|
Sandra:
|
El Segundo.
|
|
Howard:
|
El Segundo, just like E-L ...
|
|
Sandra:
|
2 words. El Segundo.
|
|
Howard:
|
El Segundo. My Hispanic patients call me El Gordo Gringo. Is that good? Does that mean handsome? I assume that means handsome in Spanish. They say, "El Gordo Gringo." Jason Owens; he was an equipment specialist, now he's a branch …
|
|
Sandra:
|
He would go … I would find the space that was for rent, and I'd say, “Jason can you come out and check out this space for me.” He'd sit down on the ground with his laptop, and he'd map it out and say, “You could put your front office here.” He just looked and looked. We looked and looked until actually I finally found the right space. By then he was already the manager and there was another equipment specialist.
|
|
Howard:
|
How many places that he go to?
|
|
Sandra:
|
I looked at a lot.
|
|
Howard:
|
How many did you take Jason to?
|
|
Sandra:
|
Probably 5, 6 or 7.
|
|
Howard:
|
Now you know they only do that with hot dentists. They would never do that for a bald dentist. They're just like, “Get the blueprints and drive them by my office.” You got Jason to go with you. You also, seems like looking at your website, talking to you, you kind of fell in love with CEREC.
|
|
Sandra:
|
I love CEREC. At the Pattison branch they invited us to come over and take a look at this machine. The first time I saw a crown being milled, I was like, "Oh my God, I love this machine, I'm going to marry this machine.” I just fell in love with it. I was so fascinated by it and at that time I was still renting space. As soon as I built my office I thought, "Okay in about a year then I'll able to afford it. It was less than a year, maybe 6 months later. I said, “I want the CEREC machine.”
|
|
Howard:
|
The reality is, in everything is, the devil's in the details. When I see a CEREC machine, it really works in some offices, doesn't work in other offices, so why does it work in your office?
|
|
Sandra:
|
Well you have to know there's a high learning curve. I remember, my first case, I did it was an Onlay and it fit great and I thought what are they talking about. This is easy. Then I kept using it. It's not easy. I did call the tech support every day, it seemed like and I was calling out my friend in Manhattan Beach, Steve Ozer. He's kind of like a mentor for me.
|
|
Howard:
|
Steve Ozer?
|
|
Sandra:
|
Steve Ozer.
|
|
Howard:
|
Is that a dentist?
|
|
Sandra:
|
Yes.
|
|
Howard:
|
O-S-E-R?
|
|
Sandra:
|
O-Z-E-R.
|
|
Howard:
|
O-Z-E-R?
|
|
Sandra:
|
Yes.
|
|
Howard:
|
Wow what kind of a name is that, with a Z.
|
|
Sandra:
|
It's Russian or something.
|
|
Howard:
|
It's got to be Russian or Turkish?
|
|
Sandra:
|
I think he has a Russian background.
|
|
Howard:
|
Does he have a CEREC machine too?
|
|
Sandra:
|
Yes so he had already a CEREC for 8 years and he was just starting to get into training. He lives in Manhattan Beach and his practice is in Manhattan Beach. I kind of knew him, but not really. Now we're good friends. He was my first trainer in the office. I would call Steve all the time and then being a member of cerecdoctors.com, you can upload your cases.
|
|
Howard:
|
By the way, cerecdoctors.com was formed on Dental Town. That’s started on Dental Town by Sameer Puri and I think [inaudible 00:15:47] . I feel like I’m the proud father of cerecdoctors.com. I mean every one of their initial … I bet the first 500 people that were first on dentaltown.com, I'm the proud father of cerecdoctors.com
|
|
Sandra:
|
That's amazing.
|
|
Howard:
|
Is it CEREC doctors.com or .net?
|
|
Sandra:
|
Com
|
|
Howard:
|
.com, okay.
|
|
Sandra:
|
What was I saying?
|
|
Howard:
|
That you thought that joining cerecdoctors and having a mentor was helping you. There was a long learning curve.
|
|
Sandra:
|
Owning a CEREC you know, I think it takes about a year before you're finally comfortable. Now, I love social media, I love technology. I'm friends with Mike Skramstad.
|
|
Howard:
|
Sure.
|
|
Sandra:
|
He's one of the faculty at Scottsdale cell. Now, if I have a problem I don't spend time uploading the case. I tend to get my Iphone out, I take a screenshot and say, “Mike what's up with this.” and he'll answer me in like 2 minutes.”
|
|
Howard:
|
I actually bought the CEREC 1 back in the 80's. I had a CEREC 1 before any of those Skramstad, Sameer Puri and those guys were even in Grammar school. Then it was CEREC 2, then it was CEREC 3. When you started, what did you start with? CEREC 3? CEREC 3?
|
|
Sandra:
|
4.
|
|
Howard:
|
You started with CEREC 4?
|
|
Sandra:
|
I think it was 4
|
|
Howard:
|
Or the blue Omnicam.
|
|
Sandra:
|
Well I have the bluecam and I got it at the end of 2011. I think it was 4.
|
|
Howard:
|
What I like most about it was, I think one of the fundamental basics of quality dentistry is magnification. I think the dentists that go from the naked eye to 2X, to 3X, is just, that's the road up. Endodontist with a microscope.
|
|
|
What I love the most about my CEREC is that, you would scan that prep. I mean the first time you ever scanned when you look at your prep, did Stevie Wonder prep. Was that a blind dentist or was it Ray Charles? I mean who did that ugly prep. Talk about your prep, when you scan the prep, and you look at it, 40 times larger, what percent of times does that make you go back and do something to your problem.
|
|
Sandra:
|
I think it’s made me a better dentist because I really pay more attention to my preps. I feel bad for some of the lab techs in the past before CEREC. I would say you know, "Why is he telling me to take an impression? What a dumb lab tech".
|
|
|
Now I feel bad because probably I did send them some bad impressions. I didn't maybe clear the margin like I should have. I don't go back too often, times I go back and re-prep are usually because I didn't reduce enough. I don't have enough clearance.
|
|
Howard:
|
Let me talk about some of the negatives I see on CEREC. If you’re talking to a prosthodontist, he says, "Most all my cases are multiple units.” For them it's so much faster to do impression. All right, when you do a CEREC, Mike Titola always says [inaudible 00:18:58], 96 out of 100 crowns came in, one at a time. Is the CEREC machine for you, one tooth at a time, or you’re doing multiple units. If you had a big case, and it’s a woman needing 10 veneers or 4 crowns, would you use CEREC or would you go back to traditional?
|
|
Sandra:
|
If I had a big case I might want to call in Eddie Corellas. He’ll come to your office and he's a wizard at … He'll bring in extra milling machines and he knows how to scan himself. You do a lot of prepping and he'll do most of the work. I did try …
|
|
Howard:
|
You bring Eddie into your office?
|
|
Sandra:
|
Yeah. Well I haven’t …
|
|
Howard:
|
He's an amazing man. I love Eddie. I love that guy
|
|
Sandra:
|
Have you had him in your office?
|
|
Howard:
|
No because, I'm in Phoenix. Well I guess he does fly around
|
|
Sandra:
|
He travels. He goes all over.
|
|
Howard:
|
Yeah. He's contacted us to do a podcast. We need to …
|
|
Sandra:
|
Oh you should get Eddie. He's a character.
|
|
Howard:
|
That would be a good one. We should release his after yours.
|
|
Sandra:
|
Yeah, have Eddie. He's funny.
|
|
Howard:
|
Now, where's he out in California. By any chance, [inaudible 00:19:53] San Bernardino?
|
|
Sandra:
|
He's in San Diego.
|
|
Howard:
|
He's in San Diego.
|
|
Sandra:
|
One time I brought in this other lab tech and I did 10 veneers. It took all day. This tech wasn't … He didn't know CEREC. I just thought ...
|
|
Howard:
|
One that case all day, do you, looking back, do you wish on that case you just would have taken an impression.
|
|
Sandra:
|
Oh, I regret doing it all today. It's just too long. It's tiring for me, it's tiring for my assistant, tiring for the patient and it’s just, I won't do it. I don't do every case on CEREC. I don't think you should have to do every case just because you have it. You're still going to send something ...
|
|
Howard:
|
That's seems to be the human condition. Humans are never moderate. They're always right, left, up down, black, white, red, yellow. You know they're binomial. CEREC works when you're not an extremist when you say, "Hey if the patient wants it today or it’s a single tooth or the schedule fits.” It seems like a lot of people will buy a CEREC machine and tell their lab man goodbye, and just torture themselves.
|
|
Sandra:
|
No, I don't like to torture myself. Even now, with the imprint crowns. I’ve been doing most by myself and I love the way they turn out, but even lately I’m like, “Oh do I want to spend the extra time.” If it's like 2, 19 and 20, I might pour it up and have my lab tech do it. Or maybe I'll just mill it and let them finish the case. I'll start and let him finish it because I just don't want to spend that extra time doing the lab work.
|
|
Howard:
|
What about the assistance? How much are you delegating the CEREC to them? Because I'm really bad. I love it the most when the hygienist dumps the tooth, I go and there and prep, then I'm in another realm pulling wisdom teeth and a root canal and an hour and a half later, they go in there and we cement.
|
|
Sandra:
|
Yes.
|
|
Howard:
|
Then I'll meet a dentist and they'll ask me some technical question about CEREC and I haven't had one for 2 decades. I don't even know what they're talking about. I mean Gian and Yonee they do all that stuff.
|
|
Sandra:
|
Well in the beginning I wanted to do everything. I was having too much fun with it. I loved doing it. I loved designing it. I became pretty fast. Then I hired this consultant recently. She said, "You need to let your assistants, you need to delegate more so he can do ...
|
|
Howard:
|
Who's the consultant?
|
|
Sandra:
|
I hired Jameson, consultant.
|
|
Howard:
|
Cathy Jameson?
|
|
Sandra:
|
Yes.
|
|
Howard:
|
Out of Texas?
|
|
Sandra:
|
I think they're at ...
|
|
Howard:
|
I mean Oklahoma, I'm sorry.
|
|
Sandra:
|
Yes. We started with them in November.
|
|
Howard:
|
How's that going?
|
|
Sandra:
|
It's good. She helped us a lot with the scheduling. Now with the CEREC, I'm delegating more to the assistants and I kind of like it. I get a patient now, I do the prep and they can do all the scanning and I can come back and pretty much just check the contacts. If they have a question about the margin, maybe I'll make it really clear. Then they'll say, “Is this where the margin is.” Especially on onlays I think.
|
|
Howard:
|
Let's see what you do. If you have cement and there's just open contacts, you just give them a ortho referral.
|
|
Sandra:
|
Or doing this line.
|
|
Howard:
|
That was a joke.
|
|
Sandra:
|
That's the great thing about CEREC. You make a big mistake, or something doesn't turn out quite right. So what? You're not paying a lab $300 to redo your crown. You're going to change it yourself. Just replace it in one visit.
|
|
Howard:
|
I wanted to talk about … Why is it that …? You graduated in '87. We've been doing this, coming up on 30 years. Here you are the phenomenon, I always see is that the smart, successful people gone through Scottsdale Center blah blah, are hiring consultants. Every time I meet some poor, nearly bankrupt, unhappy miserable, whatever and I say, "Dude, you haven’t been out of school 5 years. Get a consultant.” They won't do it.
|
|
|
The next time they see and they bought a $25,000 tech scan occlusal adjustor or they bought a $75,000 laser. They'll buy a shiny object but they won't buy a consultant. Why is it that the successful people are hiring Jameson Consulting and going to the Scottsdale Center and the unhappy people think that's a waste of money?
|
|
Sandra:
|
Well, you know I love your podcast. It's just a great way to become exposed to so many awesome people in the industry, is by listening to your podcast or Gary Takac’s. One of your podcasts you were talking about using consultants. I’ve used them in past and I was having some issues in the office. I just decided, I need to work on my leadership skills.
|
|
|
I learned CEREC, I'm placing implants now. I just started a couple of years ago. I have my XG3D, X-Ray machine in the office, so I'm doing all this high tech stuff but bringing in new things to the office, it does create some stress. “How do we bill it, how do we do it, how you we appoint.” I just thought, I need to work on my leadership skills. I got the idea from listening to podcasts. I got a lot of great ideas by the way from your podcasts.
|
|
Howard:
|
You mentioned Gary Takac’s podcast. He actually lives right over by the Scottsdale Center. Did you know that?
|
|
Sandra:
|
Yeah, so a lot of good stuff in Scottsdale and Phoenix. I asked one of my CEREC doctor’s friends, Lyndial Kenneth. We wre at a Bicon seminar in Boston. I said, "Do you have a consultant?” He told me about Jameson so I called them and that's how I found out about Jameson.
|
|
Howard:
|
Bicon's out of Boston, easy to remember, they both start with a ‘B’ Is that, mostly the more [inaudible 00:25:52] implant or, are you surgically placing the implants or restoring them?
|
|
Sandra:
|
I'm not. During Boston it was more of an introductory seminar. I felt, since I just started, I just wanted to stick with one line. I picked Strawman. I picked Strawman because, and I could have picked cheaper implants so that it would have cost me less money to buy, per implant. I wanted a line where I could have a rep come into my office and to just have that support. I need the hand holding as a beginner implantologist. The rep's coming to my office. If I need a part, I don't have it; if I have a question they're just right during surgery.
|
|
Howard:
|
That's another phenomenon we always talk about in Dental Town. It seems like everybody's saving money and buying implants online, or placing like 5 or 10 a year and everybody that is crushing it and placing hundreds a year, buys the expensive because they're paying for the rep. [inaudible 00:26:55] Nobel Biocare, it's because he's in love with the rep.
|
|
|
When you have a relationship with a human being and you love and adore and respect each other, it just gets done. When you get rid of that other human, it's like why is every dentist on Facebook and they're not buying all the supplies online. Almost everyone's buying through Patterson, Shine, Berkhart, Benco because that human, there's more to getting your gauge and Septocaine, than having Amazon delivered to your door. It's that human.
|
|
Sandra:
|
I need the humans.
|
|
Howard:
|
Well, we all do.
|
|
Sandra:
|
My specialist too, they'll come in and help me out. In the beginning ...
|
|
Howard:
|
You're placing or restoring?
|
|
Sandra:
|
I'm doing both. I took Aaron Guard’s course 2 years ago.
|
|
Howard:
|
In the Dominican Republic?
|
|
Sandra:
|
Yeah, I went to the Dominican, I placed implants for 3 days in a row.
|
|
Howard:
|
Did you just drink on the beach or did you actually go the class?
|
|
Sandra:
|
I actually went.
|
|
Howard:
|
You did go to the class.
|
|
Sandra:
|
I did see the beach.
|
|
Howard:
|
Well congratulations.
|
|
Sandra:
|
I have seen the beach.
|
|
Howard:
|
Most people just go there and drink on the beach for a week and then say they went to Aaron Guard's course.
|
|
Sandra:
|
No, I did his course. 3 days of implants in the Dominican and then I went back a year later and did 3 days of just extractions. I felt like I needed … You got to extract the tooth first before you can place an implant. I thought I really need to work on my extraction technique. When you do 3 days in a row of extractions or implants, you just come back with so much more confidence. I learnt how to do PRP which is pretty cool.
|
|
Howard:
|
Talk about that, PRP. Platelet rich ...
|
|
Sandra:
|
Plasma.
|
|
Howard:
|
Plasma. You're drawing blood ...
|
|
Sandra:
|
I'm drawing blood.
|
|
Howard:
|
Centrifuging it.
|
|
Sandra:
|
In the office, something I never thought I would do. I never even used to do surgery.
|
|
Howard:
|
You weren't a blood and guts doctor?
|
|
Sandra:
|
No, I didn't like seeing blood. I liked everything dry, pristine and pretty. Now I'm into the blood and it's so fun.
|
|
Howard:
|
You're no longer the Mexican American princess for San Bernardino in the Rose Bowl Parade. Now you're the blood and guts dentist in Manhattan Beach?
|
|
Sandra:
|
Yeah now I'm drawing blood.
|
|
Howard:
|
Talk about that. That doesn't scare you? Talk about drawing blood because there's a lot of people there that are, I don't know what percent of dentists …
|
|
Sandra:
|
Just the thought of it.
|
|
Howard:
|
The thing that is so special about people like ... I always admire the people who want to become pediatric dentists. I’d rather jump off the Empire state building head first.
|
|
Sandra:
|
Oh, that would be tough.
|
|
Howard:
|
I can't think of anything more miserable. I mean that would be ...
|
|
Sandra:
|
One of my instructors wanted me to go into pediatric dentistry. I remember, Dr. McCann. He said, "I think you should to pediatric dentistry." I felt like it that was a compliment but ...
|
|
Howard:
|
Oh my god. I don't know what would be more rock bottom. A pediatric dentist or a cosmo-dentist, because I didn't go to school for eight years because some 40 year old lady is coming in and she wants this and they're saying. I don't get the cosmetic dentistry thing either. I like 2 things. I like …
|
|
|
In dental school, whenever I had an opening I’d go with Susan Wires and Brett Ferguson and Charlie Watson and sit in the pain chair. People coming in and the challenge to help them and to get them comfortable and managing infection or do a root canal. All the blood … I don’t know what percent … What percent of the dentists do you think just like blood and guts?
|
|
Sandra:
|
My associate, just the thought of even drawing blood, makes her queasy. I don't know. Probably most of them don't. Most of them probably refer out.
|
|
Howard:
|
It’s [inaudible 00:30:40] different.
|
|
Sandra:
|
I was one of those for years and years.
|
|
Howard:
|
Well you're son's a firemen in Scottsdale, he's not afraid. Was it him running into a building on fire, you decided you can start drawing blood?
|
|
Sandra:
|
I went to Scottsdale Center. I took the Spirit courses and then I got my practice. It used to be a tanning salon. It was called Bronze buns. I was going to call it Bronze Buns Dental but I didn't.
|
|
Howard:
|
Did they do a lot of bleaching in there?
|
|
Sandra:
|
I was thinking we could keep one room, have a tanning bed and do the teeth whitening at the same time.
|
|
Howard:
|
Teeth whitening.
|
|
Sandra:
|
You have dark skin and white teeth but I didn't do that. What was I saying? When I got my CEREC, being around the CEREC doctors, a lot of them place implants, just knowing them and talking to them, you should start doing it.
|
|
Howard:
|
What percentage of the CEREC doctors you think place implants?
|
|
Sandra:
|
It's not like this voodoo, like I don't think I could ever do that. Anybody can do it. You can learn it if you put your mind to it.
|
|
Howard:
|
That’d be an interesting stat. The data I see, there's about 15,000 CEREC users in the United States, what percent would you think also place implants?
|
|
Sandra:
|
A lot of them, I would say … They asked, “Everybody raise your hands. How many of you place implants.” I see a lot of hands going up. I would say 80 percent
|
|
Howard:
|
Really?
|
|
Sandra:
|
I could be wrong but it's a high, more than 50.
|
|
Howard:
|
I need to do a poll on that. Text me, email me. I need to start a poll on that. People buying $150,000 CEREC machines are more likely to be just going for it at many levels including surgery.
|
|
Sandra:
|
Yeah because, if you have 3d, the Sirona, Galileos, you can merge your CEREC data with your 3d scan, you're going to design your crown first and then you're going to digitally place your implants, I'm sure you know all this. I'm not telling you anything you don't know.
|
|
Howard:
|
I don't.
|
|
Sandra:
|
You don't.
|
|
Howard:
|
I have no idea what you're talking about.
|
|
Sandra:
|
Okay so have your CEREC is made by [inaudible 00:32:48], do you know.
|
|
Howard:
|
I was thinking, you're a tri athlete too. Do you know Jay Resnick, the world's ...
|
|
Sandra:
|
Yes.
|
|
Howard:
|
Do you go by and see him because he's in your backyard, he's the world renowned expert on it. Galileo’s and ....
|
|
Sandra:
|
When you live in LA, anybody who's even 12 or 15, 20 miles away … It's not like Phoenix where you might get there in 20 minutes. It could be like an hour and a half or two hours’ drive, just to go that far in LA.
|
|
Howard:
|
Have you ever met Jay?
|
|
Sandra:
|
Yes I have. I met him in Vegas at the CEREC 30.
|
|
Howard:
|
He would like to go on a bike ride with you. He's an iron man. We did iron man together. I know you like biking and all that.
|
|
Sandra:
|
Yeah we talked about that.
|
|
Howard:
|
You should get on a bike ride because I don't anybody in the world knows more about 3D Galileos, implants, surgical guides, then Jay Resnick and he's right in your backyard.
|
|
Sandra:
|
Yeah so being able to do that, we can make … I either send him the side CAT or Cat-Ray which is [inaudible 00:33:50] [company. They make the guides. For me, I feel like it's a safety net. I know exactly how deep my implant’s going to go. It’s not going to go in the wrong direction.
|
|
Howard:
|
Now is in Armond near Manhattan too.
|
|
Sandra:
|
Armond is in Glendale Pasadena area.
|
|
Howard:
|
How far is that from here?
|
|
Sandra:
|
Hour and a half.
|
|
Howard:
|
Now did you buy a Galileos or do you have Armond …
|
|
Sandra:
|
No I bought my own.
|
|
Howard:
|
What is Armond’s …? Does he have actually a van that drives up to your office or does he have physical bogey centers?
|
|
Sandra:
|
Armond has dentists like me, if you're in my area and you don't have the 3d machine, you can send your patients to me and I'll scan them, or you can send them to Steve Ozer in Manhattan Beach.
|
|
Howard:
|
You're part of Armond network?
|
|
Sandra:
|
Yeah kind of, just for that. I mean, I've been to his courses. We started CAD-Ray.
|
|
Howard:
|
That's very cool. Tell me about that. That’s www.cad … Is it cadray.com
|
|
Sandra:
|
That's www.cadray.com
|
|
Howard:
|
Is it cadray.com or cad-ray.com
|
|
Sandra:
|
It might have a hyphen.
|
|
Howard:
|
Explain that?
|
|
Sandra:
|
You can send models. If you want to place an implant on tooth number 3, send an upper and lower model or actually just an upper model. They will scan the model for you as if you would with your CEREC and you send your scan to them. If you did your scan at another office, that office can send the scan to CAD-Ray electronically. They have your scan, they have your model. They work with Burbank lab …
|
|
Howard:
|
Burbank tony
|
|
Sandra:
|
Well in Burbank.
|
|
Howard:
|
Who's the owner of that? Tony Sedphulus? Tony Sedphulur?
|
|
Sandra:
|
I don't know. You know the owners I don't.
|
|
Howard:
|
He's a Russian man, just one of the nicest guys in the world. If you ever go to lab he’ll ...
|
|
Sandra:
|
I think I might have met him on the tour of the lab. They use a different software. I think they use Bluesky bio. They will design your crown for you and they'll place it and then you can go on remotely with then, and he'll say, “Do you like it here or here?” “Oh I like it right there.” “Okay. Does that look good?” You can do it that if you want.
|
|
Howard:
|
Then you’re going to place …
|
|
Sandra:
|
Or you can send it to PsyCat in Germany, you could get it made that way too.
|
|
Howard:
|
How long have you been placing them and how many have you placed?
|
|
Sandra:
|
I've only been placing for a couple of years and I'm starting to place more and more of them. I’ve gotten into it very slowly but it's starting to pick up more and more. I think I've only done only 10 in private practice. I'm doing 1 or 2 a month.
|
|
Howard:
|
Would you say it's got you more motivated and more happy?
|
|
Sandra:
|
Yeah.
|
|
Howard:
|
I mean, how long have we been dentists? 29 years?
|
|
Howard:
|
Yeah
|
|
Sandra:
|
It's been a long time.
|
|
Howard:
|
From '87 to 2016. Next year will be our big 3 O.
|
|
Sandra:
|
If I were doing things the same way for that many years I think I'd have to go do something different. I'd be bored. I get bored easily. I love learning new things. Keeps me motivated, keeps my staff motivated. It's more fun. They like learning new things too.
|
|
|
I try to keep my staff trained. I take them to seminars whenever I can. That excitement, it's contagious. If I get excited about something, the staff picks up on it and the patients pick up on it. Just makes it a more fun place to work.
|
|
Howard:
|
Humans need daily deodorant and they need daily motivation. If you can keep a human motivated. Sometimes they mix up like, “I have to get a laser.” No you don't have to get a laser. If getting a laser makes you passionate and have fun and play, then as a business, you can’t afford not to get a laser and we work back from what makes you happy and healthy.
|
|
|
Sometimes they turn around, they think, I don't want to place implants, I hate that but I'm going to because I need to do that because I have $350,000 of student loans.
|
|
Sandra:
|
Well that's not a good reason.
|
|
Howard:
|
By the way Randy and I started a new word today; instead of a dentist, a debtist; same thing without him. Instead of a dentist. D-E-B-Tist. It’s the same thing with that. That is nothing is your life, goal, dream, passion was to be a dentist. I mean what's 3-4 hundred thousand dollars to reach your life dream. I see there's a UOC fight training place up here in Mesa and these kids come from Brazil and Venezuela and live there for nothing for years just for a shot at a match. You know what I mean.
|
|
|
If that's your one thing, if that's your passion. You seem always very upbeat, very passionate, very motivated, you're just completely full of life. In fact, I never read your bio. I got to read your bio.
|
|
Sandra:
|
Oh okay.
|
|
Howard:
|
Dr. Calleros. Is that ...
|
|
Sandra:
|
Calleros
|
|
Howard:
|
Calleros.
|
|
Sandra:
|
Just say Calleros.
|
|
Howard:
|
That's the Gringo way of saying it but how does is it properly said.
|
|
Sandra:
|
Well the gringo is Calleros and that's how I say it but if you spoke to my grandma who's not alive anymore, she would say Calleros.
|
|
Howard:
|
The only D, I ever got was in Spanish. My Spanish teacher St Martine told me that I was linguistically retarded. The piano teacher dropped me after a year, said I couldn't carry a tune in a lunchbox. Dr. Calleros grew up in San Bernardino, California where she was the Mexican American princess in the Rose Bowl Parade. She's the fourth of 6 kids, so I assume that your parents were Catholic?
|
|
Sandra:
|
Yes.
|
|
Howard:
|
4 boys, 2 girls. Her dad was an electrician, her mom was a homemaker. She went to UC Riverside for undergrad and UCLA dental school in '87. She was pre veterinary until her junior in college decided to go for dentistry. She married a dentist right out of dental school. Now that could not have been a good idea. Had 2 kids who are now 24, 26. Divorced and now she's been a single mom since her kids were 4 and 6.
|
|
|
She rented space till 2011, when she built her own office. She discovered the Scottsdale Center for dentistry by accident, in 2008 when the economy dumped, which led to CEREC doctors mentoring, which led to implant education. She recently discovered Dental Town podcast which are addicting. Dr. Calleros loves animals, outdoor sports, hiking, horseback riding, tennis, golf, running, biking, skiing. Goal for next year is the steady sleep apnea. What do you think about sleep apnea? Are you trying to treat your own insomnia?
|
|
Sandra:
|
Again, I heard one of your podcasts. My staff, probably they’re tired of me saying, "I was listening to the podcast and …” Every year I have a goal of what I want to study. Two years ago my goal in January 2014 was, ‘I'm going to study implants. I'm going to start placing implants.” I learned how to do that, I studied in aunts, I'm still learning. I'm don’t think you ever stop learning.
|
|
|
2015 I said, I'm just going continue my implant education and in 2016, I just said, I'm going to learn about sleep dentistry because I listen to a lot of podcasts and it just seems like it’s something that’s going to be … I feel that we really need to learn because it really affects your health if you have it in a really bad way. If I can help somebody by maybe referring them to somebody that can diagnose sleep that they do have it and it could change their life for the better then, that's what I would like to do if I can, if I can help somebody.
|
|
Howard:
|
Have you started sleep apnea yet or ...
|
|
Sandra:
|
I haven't started yet because at the end of the year, I decided instead of that, I really should work on my practice. There's things like [inaudible 00:42:13] where I haven't taken courses in a long time. I signed for an [inaudible 00:42:17] course and an endo course and just working with my consultants. Sleep apnea, might have to until next year. There's so much to learn in dentistry, I just think ...
|
|
Howard:
|
When you listen to us, do you ever at this point wonder if you have it?
|
|
Sandra:
|
Yes because I snore. I do wonder.
|
|
Howard:
|
I remember dental school thinking a dozen times, "I'm so lucky I became a dentist." Because now that I’ve learnt about all this, I'm never going to lose all my teeth wear a denture like every one of my uncles did, you know what I mean.
|
|
Sandra:
|
You’ve got a nightmare about that.
|
|
Howard:
|
I have not.
|
|
Sandra:
|
I have one, oh my god. It's the worst nightmare for a dentist.
|
|
Howard:
|
About losing your teeth?
|
|
Sandra:
|
Yes.
|
|
Howard:
|
Well they actually say that 90 percent of the women have had a nightmare of losing all their teeth before their age 40 whereas for men that's like 10 percent or 15 percent.
|
|
Sandra:
|
I wonder why
|
|
Howard:
|
When I did that sleep apnea, I went to 2 day course in Scottsdale a several years ago, and the first thing I thought the whole course was, “Oh my god.” Next thing I did was I went and checked myself in for the all night center. They put all the leads on.
|
|
|
The whole time I was taking the 2 day course I, "Oh my god, I know I have this, I know I have this." I got up the next morning and the lady said, "I legally can't give you a diagnosis blab blah.” I’m just like, “Oh come on, come on. How long have you been doing this?” She said, “Seriously I've never seen anybody sleep that sound.” She was weird joking that, “You were in a Coma.” Sleep, that’s a really big buzz word.
|
|
Sandra:
|
I grind my teeth and I snore. I wonder. I don't know. I just think in dentistry, it’s such a great book is there's so much to learn. I'm 54 years old; learning so much in my field. I just feel there's not enough time to learn everything I want to learn.
|
|
Howard:
|
I want to ask you another question. I want to go in a different direction with you because I don't have the credentials to say it because I 'm a man, but the Arizona Dental association, and I’ve have seen with other states, have literally had meetings that were called ‘Women’s issues in Dentistry’. They don't have those meetings for bald guys in dentistry
|
|
Sandra:
|
That's not fair.
|
|
Howard:
|
I'm a male. You're a woman. When I go into dental schools they get mad with me that I don’t have, half my dentists guests on Howard Uncensored, are women. I tell them that's all I try for. In fact if you're a women dentist listening to this and you're over the age of 40, you better email me, howard@dentaltown.com on this show because it is my number one complaint. I try so hard to do it but why would the Arizona Dental association have a convention, "Women's issues in Dentistry."
|
|
|
How come they would never have a convention, "Men's issues …" Do you think there's any issues that half the graduating class being women … Talk to that 25 year old little girl. She's going to graduate this year. Does she have any issues because she's a girl and not a boy?
|
|
Sandra:
|
I remember when I was younger and I met with an accountant and he said, “You need to cut your hair.” I’m like, "What?" “Yeah your hair's too long.” I don't think you need to give up your femininity. You can still wear makeup and do your hair and be feminine women just because you're in a so called male field. I never bought that, I have to dress like a man and act like a man.
|
|
|
I think you can still be a woman. I think in other countries, the percentage isn't it 50 percent or higher are dentists, women dentists. Was I just in the states. I think it's more of your personality. I think your leadership skills. I don't think it matters if you're a man or a woman.
|
|
Howard:
|
This is the sad thing I have to comment on about. You asked around the world does everyone … In the United States, where there's money, it's been mostly men for the last 50 years, or last 100 years. United States, the most money industries are of course medicine, 17 percent of the economy, military, insurance making, finance, movies and music.
|
|
|
It's a male dominated world. In America where there is no money like in teaching, it's all women. When you go around the world, when you're in one of the 20 countries where they have medium household incomes like 35 to $50,000. United States, medium household income is almost 50,000, it's all men. I mean mostly men. Then when you go where there's no money, it's all women. Like Guadalupe, like I'm across you for Guadalupe Indian reservation. They're all Catholic.
|
|
|
They're all Yachee, Indian and Mexican, they're all Catholic. There's no money, there's not even a precinct in Guadalupe. They have a church and there's a nun there. You know its poor when it's all Catholic, and there's no priests just a nun. Then you come to [inaudible 00:47:34] where there’s a lot of money and the Catholic Church has 3 male priests and no nuns. You know what I mean.
|
|
|
That's why , I always think the best thing of women going into dentistry, seems like women always go there for the right reasons and men are usually going there to find a paycheck.
|
|
Sandra:
|
I do think it is difficult when you have young kids. Most women are going to focus on the kids more than their dad. If you're a career woman, I think it is more difficult. That's why I waited until I was older to build my practice. I wanted to wait until my kids were out of high school.
|
|
Howard:
|
Now that we're both the same age, our kids our raised and gone, going back do you think having the kids was a really bad idea and we should have just focused on our practice?
|
|
Sandra:
|
No.
|
|
Howard:
|
You're saying that because my son Ryan is filming the podcast. I always tease my four boys, if I go back to dental school the only thing I would have done different is the first two canals of endo I would have done, would have been on my vast deference. I should filed my vast deference to a 45. [inaudible 00:48:50] and that would have saved me a lot of money. Well they say the average kit costs 350 to 400 thousand dollars. Is that the figure you're seeing?
|
|
Sandra:
|
Well my daughter went to state school, she went to San Diego state so I think that saved a lot of money for her parents. My son, he's a fire fighter so I didn't have to spend a lot on college.
|
|
Howard:
|
What do you think about the marketing of it because I always thought the number advantage a women would have is that, dentistry, the number one thing about dentistry in my opinion in America and just this country that I know very well is, number one half the market is money. They're always asking you, “How much is it, what is the interest paid, payments, finance.” Half the issues we deal with our money.
|
|
|
Then, the next big chunk which could be a third to 40 percent is fear. “Are you going to give me a shot, is it going to hurt, can you put me to sleep, can you knock me up blah blah”. I just totally think that if I was looking for a dentist, just looking at you that I would want to go to you and not some big burly guy. If I had some children … My four boys when they were little, I would just have them go to a women dentist. I would just think she would relate to her maternal instincts.
|
|
|
Do you market that? Do you put your picture and face all over all your social media and try to take advantage of “Do I look like I’d hurt you. Common I’ll talk ... I’m not intimidating” I would think women; moms, would feel less intimated to ask you five follow up questions about their kid’s treatment than a man. I never saw a single person ask one question during mass, and I went to mass every single day for 17 years with my mom and dad.
|
|
Sandra:
|
That's a lot of mass.
|
|
Howard:
|
I know. It was mandatory in our house. You could not miss morning mass unless you're bleeding in 2 places. Do you take advantage of that as you’re marketing? I mean, is that an issue in dentistry. Do you think it's a huge advantage for marketing or social …?
|
|
Sandra:
|
I've always been a woman so I guess I don't think about it that much. It is funny though when patients come in office and once in a while they'll say, "Wow that's pretty cool. Your whole office is women." I'm like, "Yeah. Yes we don't have any men." I guess I don't think about it that much. I have a woman associate. My last associate was a woman. I don't have any male staff just because not many of them apply. I wouldn't mind having a male assistant or a hygienist. I just haven't had that many apply for the jobs.
|
|
|
Myself, I'm not prejudiced against men or women doctors. My OBGYN for most of my life was a man, Dr. Basin, I loved him to death. I have women and men doctors. I don't know. Sometimes I wonder how a man can get such big hands into the mouth. I think it has to be easier to have a smaller hand. You have small hands?
|
|
Howard:
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I do have small hands.
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Sandra:
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I would go to you.
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Howard:
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You’d go to me?
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Sandra:
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Yeah.
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Howard:
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There are national trends we can't deny like, women in the last 20 years have gone from 20 percent of graduating class to half.
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Sandra:
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That's awesome.
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Howard:
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When I got out of school, most OBGYN graduates were males. Now it's all women. They don't even graduate male OBGYNs. I see the same trend following pediatric dentistry. Pediatric dentistry, most of, all the schools that I check with myself personally, last year only graduated women, and their freshman class was only women. That whole specially is going women only.
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Sandra:
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A lot of the specialists that I work with are women. 2 periodontists in town. Seems like the orthodontists are women.
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Howard:
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If you know any of them our age, to do the podcast, I want that because like I said … This podcast has been booked out 6 months in advance and the only time we bump someone is if a girl will be on the show. It's like, “Okay right get rid of three white male men. We don’t need them.”
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Sandra:
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I'll send you my friends because they're successful, full time, working general dentists and specialists. We work really well together.
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Howard:
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I wanted to ask you another question; the last question. This is the day before Valentine's Day. Actually, I'm going to lie. This is actually Valentine's. I told her, I wanted to be her Valentine so she showed up. The economy, eight years ago it hit rock bottom.
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Lehmann's brother was I believe August 15th 2008. 2009 was the bottom. Phoenix had literally, I think, 86 dental offices go bankrupt. In the last 3 or 4 months, oil fell from a 100 to 30, China’s markets lost trillions, our market is lost almost 20 percent. Whenever the economy is not doing good, you always see really intelligent country like Germany, Italy, United States, voting for crazy political candidates that are way to the right, way to the left.
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What is the economy like in the most crowded …? You're in the most competitive area. I can't think of any place more competitive than Southern California. What are you feeling out there and having seen economies go up and down for 30 years, does stuff like that bother or you don’t even care?
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Sandra:
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Well in 2008, 2009. It was really bad. I told my staff, I said I don't want my patients even watching the news, when they’re here. Don't turn on the news channels. It was just so negative. I don't want them seeing that the economy is horrible.
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I need to do work on them and I want them to get the work done. They're not going to want to spend their money, if they're watching the horrible news.
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Right now, I don't feel it. I think, it's been like 5 years since I built my office but I've been in practice for a long time and I really don't notice it. I work in an area where patients have … I think 60 percent of my patients, they have a PPO dental insurance so as long as things are covered …I’m just trying right now, working with the consultants, as far as their verbiage and communication with patients.
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Howard:
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When Jameson came in you said the first thing they focused on was scheduling, is that what you said?
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Sandra:
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Well that was one thing. They interviewed privately all the team members and I think maybe that came up as a thing where we're getting our lunches. You know we're working into lunch ...
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Howard:
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Are you one of those doctors that doesn’t mind going through lunch?
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Sandra:
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I do like to take a lunch.
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Howard:
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You do like to take a lunch?
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Sandra:
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I do. I like to have an hour
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Howard:
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See I hate doing that.
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Sandra:
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I like to have an hour. I like to just decompress for a little bit and eat. I think it’s important to get your nutrition, get your sleep, get your rest …
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Howard:
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You see what I do is, I walk in there with a big belly because a belly is future meals are already eaten, stored as fat. I like to go in there with a big fat belly. I look at lunch as … What I do in the morning, I just say, “Okay there’s 4 assistants, who’s going to go without Howey through lunch and who would go long at the end of the day.”
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Usually between the 4 of them, one will say, “if He goes through lunch I’ll take and if goes after 5, they’ll take it.” They decide that upfront so they can juggle around. I don’t know, for me sometimes, you see someone they’re in pain, they need extraction, they need a root canal and whatever and I’m looking at the schedule and it’s like 11:30. It’s like 30 minutes, get him numb, get him antibiotics. I’d just rather do it through to lunch. We’re all different. We’re all different [crosstalk 00:57:19]
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Sandra:
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If we have an emergency we always pick a time like where are we going to put the emergency. We all decide, okay 11:30, 3:00 if there’s an emergency, they know where to put that patient.
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Howard:
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What did Jameson really do for you on this scheduling? What was the really …?
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Sandra:
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One of the things was like the CEREC appointments. For me to delegate more because I would get patient numb, do all the scanning, do all the designing, I’d usually remove the screw, polish it, glaze it, throw it in the oven. I can do it so fast now because I’ve been doing it for a while.
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Now I’m letting the assistants do all the scanning, they take the screw off, they polish it, you know if there’s two assistants together they can try it in, try it in with the flask and then they’ll just stain and glaze it. I can see another patient during that CEREC appointment.
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Howard:
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That is so tough to call because when you’re [inaudible 00:57:59], first of all it’s your life; it’s no one else’s. We’re all going to die anyway. That’s why I always tell, all my homies “I’d just want you to be happy and healthy. That’s all I want you to be. If you just totally love that, you got to, you just do it.”
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Then if they take of the hat and say okay, “Forget the love and passion, what makes the most economic sense.” I’m like, “Well the most economic sense is you don’t pay $150,000 from a machine to demote yourself from a dentist to a lab tech. You were taking impression when the lab man up the street, or up street from [inaudible 00:58:29] or what other lab did you say. Tony’s lab …
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Sandra:
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The Burbank
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Howard:
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Burbank. Which by the way, I think, he’s got to be one of the coolest lab owners that ever lived. He is so damn cool and he’s so damn smart. If you ever go to dinner with him, he’ll keep you eating and drinking till literally one in the morning with enough wild stories.
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Sandra:
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So you think, doing CEREC is more of like being a lab tech? I think it’s a lot different.
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Howard:
|
Well I mean, if you bring in the CEREC and you have your assistant do all of that while you’re in another room, it can be a cat show. If you’re a dentist who used to do 3 crowns in the morning, where every patient was an hour and you prep and impress, temporize and leave and while that’s going on in the next room is a crown seat and 4 to 6 times a day you’re just spending an hour, or an hour and a half prepping a crown and impressing and temporizing, while seating in another room, so this person is running a 4 to 6 crown a day at a thousand bucks a whap.
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He’s doing 4 to 6 thousand on current on crown bridge. Then he buys a CEREC machine and now he’s doing that himself and he’s doing it in one appointment but each appointment’s 2 and a half hours and now he’s doing 3 crowns a day …
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Sandra:
|
He can still do those for if you schedule it properly and your assistants are trained. I hate making temporaries. My appointments were never an hour anyway. I think I’m fast but I’ve never been like Speedy Gonzales.
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Howard:
|
Common that was racist, Speedy Gonzales. You just offended the Hispanic people.
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Sandra:
|
I offended myself.
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Howard:
|
You just offended myself. Your racist against yourself.
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Sandra:
|
If I have to make a temporary nowadays, I just like, “Oh I got to make a temporary today, I got to take an impression, I got to send it to the lab, I got to track it, I have to bring patient back, get him numb, take the temporary out, take the smell of the tooth. I hate that now. I call it the old fashioned way. My assistants Ramone and [inaudible 01:00:2], “Oh we have to do it the old fashioned way. “
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Howard:
|
By the way last question, we’re in overtime, our hour is over. Is that the apple watch?
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Sandra:
|
Yes.
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Howard:
|
You got the apple watch. Ryan you got the apple watch. What do you …?
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Sandra:
|
See you can read my messages, Shannon’s saying something to me.
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Howard:
|
What do you think of the new apple watch?
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Sandra:
|
I love it.
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Howard:
|
Why do you love it?
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Sandra:
|
Look I can read a couple messages, hop on to messages, I have my brother’s birthday’s is tomorrow and I know what time it is, everything’s on there.
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Howard:
|
Wow. Now, does that have apps on there.
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Sandra:
|
Those are all my apps.
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Howard:
|
Does it have the Dental Town app?
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Sandra:
|
Yeah it’s right there.
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Howard:
|
Do you use the Dental Town app? Be honest.
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Sandra:
|
I don’t use the app but I found my associate on Dental Town. I wanted to say that. I had a lot of things I wanted to say I didn’t to say them.
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Howard:
|
You use it on your desktop. Dental Town on your desktop not on your cell phone?
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Sandra:
|
Yeah
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Howard:
|
You know what’s really cool about the Dental Town app though. We have the online C. Now there’s 350 online C courses. Like when you’re flying, on your way to the Scottsdale center. You’re in an airplane and here’s the view of the course. There he is.
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Sandra:
|
I could take a sleep apnea course.
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(video plays 01:01:52 - 01:01:56)
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Howard:
|
There it is. It’s just amazing. All I’m trying to do with podcasts …
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Sandra:
|
I learn so much from your podcasts.
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Howard:
|
Now the apps … On the podcast, when you’re on the podcast if go under more, under podcast you can listen to the podcast. Instead of just Apple, you can listen to them on Dental Town because you see all these other dental ... All the top dental apps, there’s a dozen different dentists putting podcasts on Dental Town. Then if you don’t want to watch the podcast and you’re on your iPhone or Smartphone and joy, then you switch to online C and there’s 350 special courses on Endodontics and Prosthodontics.
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Sandra:
|
I can do my sleep apnea this year.
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Howard:
|
Absolutely you can do all your sleep apnea on your IPhone. Do you use an IPhone or an Android?
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Sandra:
|
I have a IPhone.
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Howard:
|
You have an IPhone. Did you see the movie Steve Jobs?
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Sandra:
|
Yes.
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Howard:
|
That was a wild movie wasn’t it?
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Sandra:
|
Yeah I didn’t like I it that much though.
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Howard:
|
You didn’t like …?
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Sandra:
|
I didn’t like the movie that much.
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Howard:
|
Yeah. They kind of painted him out to be a crazy man.
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Sandra:
|
Yeah with a capital D.
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Howard:
|
Crazy man with a capital D.
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Sandra:
|
He didn’t seem nice.
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Howard:
|
Yeah, crazy man with a capital D, I’ve not heard that one.
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|
|
Thanks for being a big fan of the show, thanks for coming in.
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Sandra:
|
Thank you for having me. I was surprised that you wanted me to be on the show because like I said I’m no expert on anything but I hope I was of some help to somebody.
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Howard:
|
Well I challenge that when you say … You’ve been a dentist for 30 years and you’re happy, and your healthy, and you’re having fun and you’re crushing it and that’s what it’s all about.
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I know most of the most famous dentists on earth and a lot of it is there’s a lot behind … Remember the Wizard of OZ, you know the man behind the curtain,. You know what I mean. Just because they’re on stage and they’re [inaudible 01:04:02] this doesn’t mean that they’re happy and healthy. It doesn’t mean that … I want happy, healthy guests and I think that you crushed it because like you say, you’ve been doing this 30 years and there’s just a ton of people especially in the dental school class are half women and they’re complaining to me and Ryan. They’re basically saying that you know all the dentists on my show are men and all the women are consultants.
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|
Stephanie [inaudible 01:04:29] you’re my classmate from dental school. Stephanie was out of here for a 3 day weekend and she talked herself in and out of doing the podcast, 3 times during the weekend, but I appreciate you bravery and if you know any other 50 year old women that have been doing this for 25 years.
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Sandra:
|
I do. I’m going to send it to you.
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Howard:
|
Yeah send them to me.
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Sandra:
|
I want to see my friends on the show.
|
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Howard:
|
Because I don’t want those girls in dental school to be looking at all the people on the circuit as being males. Do you remember when they came out with a women’s dentistry journal? It was Pennwell. I think it was Pennwell .They come out with a women’s dental journal or something. It was a dental magazine just for women and it backfired on them because the women are like, “I’m already in this all male society and now I’m going to go in there with a special magazine. I’m not a women dentist, I’m a dentist and I want to be in the club and I don’t see myself as a woman, I see myself as a dentist when I go to a dental meeting.”
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|
|
So thanks so much for coming by the house; had fun visiting your son, Michael,the Scottsdale firefighter and thanks for bringing your dog. What’s your dog’s name?
|
|
Sandra:
|
Brandy.
|
|
Howard:
|
Brandy is adorable.
|
|
Sandra:
|
Her name was Sandy when I adopted here. I had to change it. But she’s Brandy.
|
|
Howard:
|
You didn’t people saying that you’re named after your dog?
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|
Sandra:
|
No.
|
|
Howard:
|
Alright well thanks so much.
|
|
Sandra:
|
Thank you so much it was a pleasure
|
|
Howard:
|
Oh thank you.
|
|
Sandra:
|
It was fun
|
|
Howard:
|
Thank you Ryan for working on a Saturday.
|
|
Sandra:
|
Thanks Ryan.
|