Dentistry Uncensored with Howard Farran
Dentistry Uncensored with Howard Farran
How to perform dentistry faster, easier, higher in quality and lower in cost.
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1202 Hitesh Tolani DMD, Founder & CEO of Virtudent : Dentistry Uncensored with Howard Farran

1202 Hitesh Tolani DMD, Founder & CEO of Virtudent : Dentistry Uncensored with Howard Farran

6/3/2019 6:23:10 PM   |   Comments: 0   |   Views: 148

Hitesh Tolani is the founder and CEO of virtudent, the leading provider of mobile dental clinics and teledentistry services, making dental care more easily accessible for busy employees at some of the world's most renowned employers. 

VIDEO - DUwHF #1202 - Hitesh Tolani

AUDIO - DUwHF #1202 - Hitesh Tolani

The virtudent model not only brings the dental office onsite, but also focuses on lowering costs, reducing iatrogenic care, and providing patients the transparency necessary to make more knowledgeable decisions regarding their healthcare. As the founder of virtudent, the first commercial teledentistry practice in the United States, Dr. Tolani has been named Benco Dental's 40 under 40 US. dentists. Dr. Tolani is also a Harvard President's Challenge Winner, a Tufts 100K Winner, and a Mass Challenge Winner.

Howard: it's just a huge honor for me today to be podcast interviewing dr. Hitesh t'lani the founder and CEO of virtue debt the leading provider of mobile dental clinics and Teledyne history services making dental care more easily accessible for busy employees as some of the world's most renowned employers the virtue debt model not only brings a dental office on site but also focuses on lowering costs reducing iatrogenic care and providing patients a transparency necessary to make more knowledgeable decisions regarding their health care as the founder of virtue debt the first commercial tell identity practice the United States doctor t'lani has been named been Co dentals 40 under 40 u.s. Dennis he is also a Harvard president's Challenger winner a Tufts hundred thousand winner and a Massachusetts Challenger winner Natasha's inspiration for Virtua starts one night in 2004 during his senior year at Wofford College when he met his scholarship donor the Honorable Dennis W shed a Fourth Circuit appellate court judge of the United States when Hitoshi asked Judge shed what can we do to thank you judge said looked back at him and said you want to be a dentist when you finally become one you will have a skill that will empower you to treat and heal when you use that skill to help those who need it most consider me thanked these words echoed and he touches ears throughout his training and instilled in him the responsibility and desire to pay it forward however high-test soon discovered the number of people who could not access dental care overwhelmingly one day a friend emailed attest asking him to read his recent dental x-rays to provide a second opinion and that was his inspiration for leveraging telemedicine to increase access to oral health care and drive down Kosh he felt this is a solution that could change it impact the entire profession and empowered Dennis to use her skills to treat and heal on a larger scale for the next three years attached work to pilot virtue dead bring onboard the key stakeholders necessarily launched an entirely new health care delivery model today Virgina takes proceeds from commercial visits as Microsoft fair EF education first and many others and dedicates them to serving underserved populations children at the Boys and Girls Club patients with autism or Down syndrome so I mean this is just amazing how was your journey going now with virtue dent

Dr Hitesh:  it's been probably one of the best experiences of my life it's been it's been wonderful our patients range anywhere from hourly workers who are on the line all the way up to c-suite executives of you know world-renowned blue chip companies they all receive the same quality of care and our average patient has not been to the dentist when I first see us in five point eight years and you know we're very fortunate to be able to go out there and serve individuals and make doll care easy and accessible for them and then as you mentioned it's a great intro there you know we take a portion of our profits and serve about 5,000 kids for free many of whom have never been to the dentist in their lives and so you know when you become a doctor that's why that's why you become a doctor it's a kind of not kind of to help others and do good and yeah I'm the best best journey of my life 

Howard:  Wow so um you know they only start about healthcare it's gonna be affordable it's gotta be available it's gotta be accessible and how do you think until the dentistry is gonna change OHS

Dr Hitesh:  sure so I mean if you look at if you look at cost to deliver you know dental care right now the United States it costs more to deliver dental care that does all cancer treatments combined and that makes sense right because everyone has to fortunately not everyone has cancer um but you know we need to find ways to make it lower cost and easier to access I don't think that you know what  is needed is you know scaling dentists because you know training dentists is expensive opening donal schools is expensive there's a lot more dentists graduating right now you know who have empty chair time and so there are enough Dennis the patients aren't coming to their chairs so how do we you know empower those dentists to kind of think of the operatory or their dental practices slightly differently and you know it is through methods like this through telemedicine it allows you to extend the operatory beyond the four walls of your clinic and you know you think of you think of you know someone like a hygienist who's in New York who's in your operatory you can now be working with that hygienist outside of your operatory and the hygienist still reports to you still under the general supervision of you are you know guiding the care of every single patient but using modern technology such as Teledentistry and I think that you know by doing so we can reduce costs now you have to build the brick-and-mortar practice you know you can reach more patients and you know medicine has already started doing this and you know you see the availability of medical care basic preventive medical care be more accessible because of technologies like this and I think it's time that you know dentistry catches up and you know we were piloting that and as I said like we down treat thousands of patients who otherwise haven't been to the dentist and once we identify them we actually care coordinate them into local practices and Dentist who otherwise that had empty chairs we're filling their chairs with patients thousands of patients so you know once again delivers basic care easily more accessible to people who that difficulty commanding in right and then once they're back in the system which we care coordinate them to the proper place

Howard:  so I follow you on LinkedIn and Twitter on LinkedIn says virtue done delivers high-quality on-site dental screenings and preventive dental care to businesses and their employees our state-of-the-art pop-up dental clinic bringing the dentist to you via telehealth technologies virtue dent is offered as a service to corporations and organizations as a no-cost perk to increase access to health care benefits and preventive care that are convenient right now on your Twitter your at virtuedent I'm confused on Twitter because on Twitter you have a capital v and in all the other places the V is not capitalized so I wasn't sure at virtue that is capital or non-capital which one is it presiden

Dr Hitesh:  is capital however for some reason we've had some difficulty capitalizing it on some of these platforms and for whatever reason they're working to get it back up to a regular V that's interesting that you our marketing department is actually making sure that that is happening 

Howard: well it's funny when you're an old man when your four kids have made you for grandkids and you realize you're old you never know it's that some young millennial hot new thing that  I'm too old to understand so I was going with it was a cool hipster with a small V but it turned out that but on your last tweet you tweet on at virtue dent it's officially the end of our first full week at our new Fenway office and the team couldn't be more excited looking to join a fun dedicated team we're hiring check out our career page so that picture I'm looking at that's a tell me what I'm looking at on that picture

Dr Hitesh:  you're seeing our team I mean think of a dental office right you have front  the people who are doing billing you have people who are you know making sure supplies are on site you know you're looking at some of our head shots our dentists and so I mean you're looking at our you're looking at our team

Howard: and when you say you show up with your state-of-the-art pop-up dental clinic what is your state of the art pop-up dental clinic and how could how could we take a look at that

Dr Hitesh:  so we worked with engineers that have worked with Nike NASA and Under Armour to develop a dental office that was fully modular fit into the back of a car was easily you know could easily be break down and picked up you know by a hygienist usually a female you know usually around you know a certain weight who could do this without you know much difficulty so we developed this clinic and this clinic now can roll into any practice any location and it's easy right when you think of traditional mobile dental equipment it's very heavy cumbersome and not practical to move around easily so this was this was done to do just that

Howard:  and where is the best where is the best picture that would you say it's that that for the 411 on virtually on  YouTube 

Dr Hitesh:  there isn't there isn't a picture that is I think online that is made for viewing so you may have some difficulty finding it but I'm sure if you look somewhere you know someone has tweeted it out or you know some patients have taken pictures of it but there is I don't think there's an official picture somewhere online

Howard:  would you um you have a youtube video a two-minute youtube video it's the four one one on Virtua Den do you like that video love that video can you can we splice it in right now yeah sure okay we're gonna leave you're gonna listen to our two-minute video 

Video: how it works the four one one non-virtue in one seamless process and five simple steps after coordinating with the HR department we show up at your office to clean your teeth the first step is the prep we take the conference room and transform it into a clean and inviting space with a dental chair curtains for privacy and individual toolkits for each vision we're able to make every visit as sanitary as possible the second step is the appointment each appointment is 45 minutes and we work with insurance providers and booked online to create more time for what really matters once each patient settles into the virtue and chair we clean their teeth take x-rays and teach them tips and tricks for maintaining a healthy smile the third step is the preventative component through the gathering of patient records we're able to let our team of highly qualified dentists give their expert opinion on what next steps should be and advice on where patients should go for additional treatment this approach ensures that our patients are healthy happy and only paying for the treatment they need and that's important the fourth step is giving back at the end of each appointment instead of giving patients toothbrush that will most likely go unused we give those toothbrushes to children in need we know oral care can impact a child's health for the better not just for now but for the rest of their lives once we filled up a box of toothbrushes we distribute them to underserved kids in Boston and teach them about the importance of preventative health care because if we're fortunate enough to share healthy smiles why wouldn't we the fifth and final step is the clean up we wipe down sanitize and disinfect the conference room we're in to make sure it's in the same pristine condition as when we found it then we fold up our chair pack up our things and hit the road and that's how it works five simple hassle-free steps we're in we're out and we make it as seamless as possible cleaning teeth and sharing smiles for the greater grin 

Howard: so talk about that video they just watched 

Dr Hitesh: it basically walks you through how birch networks you know how we come on site how we set up the clinic how patients sign up right how they get a referral and it's basically just walks you through the process of what Virtuetown is 

Howard:so how do you separate the charity side of it versus the business is that more of a is this more of a new business model that will be do very well in free enterprise or is it more of a charity model 

Dr Hitesh: so as I was building Virtua that I first started building it in order to write grants around it was never supposed to be a business it was supposed to be a way for me to you know continue some of the research I wanted to do and you know as  I started doing that someone very wise said to me no money no mission find a way to you know make it sustainable then maybe you can you know do good with it so you know because you know I focused so much on public health public health doesn't necessarily mean just you know the traditional underserved children or you know you know geriatric population and you know elderly care facilities public health is total population health and as you look at the data busy Millennials are foregoing dental visits right and this is leading to doused downstream additional care and you know higher costs and so a public health intervention is to bring care to them these people can't afford it, it is you know a service that they need they have insurance for it and so you know you can do that and then you can take a portion if you choose in a business you can take a portion of that to serve whomever you want so we you know started off serving some smaller communities but we've been very fortunate that our model was immediately recognized by organizations such as Northeast Delta Dental who actually worked with us to spread it across the state of New Hampshire and that's where we serve these 5,000 are available to these 5000 children

Howard:  I love your work I love that you said no money no mission was that from the book by Mark Eason no money no mission finding create new sources of funding for your nonprofit organization

Dr Hitesh:  it was actually it was actually a quote from a Harvard Business School professor who was giving me advice and said I know that you want to save the world but no money no mission find a way to make it sustainable 

Howard: and so on so how is your mission going is this sustainable is this something you're gonna scale to other cities or more teams or how how what what year did you graduate and how long has this been going on

Dr Hitesh:  I graduated dental school in 2009 I started this in 2014 you know it has taken off it has been a labor of love right I didn't take a salary for three years building it how as you as you read about Denis shed doesn't shed so you know I I'm actually a former what is now called a dreamer my parents came to the US when I was one and took enact with the US Congress to keep me and my mom in the country and the DREAM Act is based on a few major cases in the country and mine as one spouse and 35,000 people around the u.s. wrote in for me and my mom to keep us here and so you know my goal as a dentist was to find ways to pay it forward I am a pure product of other people's generosity and you know this model is to find ways to make basic preventive care accessible dentistry is a hundred percent predictable preventable suppressible it is a basic health care need if many people don't get it and when we as doctors young doctors or doctors who are coming up it's our responsibility to find ways to the people that we became doctors for and you know that is why I picked up and did this because you know when Dennis had said one day pay it forward sure you have one patient you have two patients you have ten patients who come into your chair but then when it turns into 100 200 300 you realize I have to get up and I have to change the system now I'm very passionate about that the fact that I am you know indebted to 35,000 people around the country who believed in me and my mom and today I am you know an Ivy League doctor it's because I've had people support me and so how do I pay that forward in 2018 the American Dental Association released national codes for tell a dentistry and so this model is not about a matter of if first of all it's already happening but the widespread of it is about a matter of when and so we're showing that it can be done but it could be replicated and that it can impact thousands of people who haven't been to the dentist and so you know currently we're working with you know whether it's Medicaid organizations to show them how to do it for underserved populations or large companies who've said you know our utilization of dental care within our company is low how can we work with you to bring people in the fold as I said you know a number of pay people who come see us on average have embedded the dentist in 5.8 years and you know I am a dentist I do have a lot of student loans and I think of my peers and I think of you know their practices and you know trying to get patients care and there's patients who need care but you know they are they're not going and so here we are you know infusing practices with patients and everyone in the everyone in the system wins right when you are able to think outside the box and kind of reconfigure the system just a little bit and that's what we're doing but

Howard: so you came here when you were one I did so I doubt you have very many memories of the home before that

Dr Hitesh:  well home for me is Columbia South Carolina of a suburb called thermo where I went to school and I will always be a yellowjacket and for me that is home that's what I remember 

Howard: yeah it is the most bizarre thing for me to comprehend is a view if you if anybody could ask what was the American phenomena why did this great country appear and it was because everyone migrated here for five hundred years to ten thousand years and I mean we're  just a pleurisy you numb I mean it's been our secret sauce for forever and why white people think that's not a good idea anymore is so is it's just very  bizarre but so you have a lot of case studies on your website if you go to my how it works case studies talking about log mountain promotes total well-being through virtue dance on-site care and convenience Wayfair say it's 350 for employee work hours so when you're so you're targeting these big companies like  this Friday our dental office they centel's having a blood drive so we're we  do that and a lot of our patients enjoy it because they want to give blood but it's just never really easy to do convenient so you're  targeting companies where a lot of their employees for I haven't been in the dentist it's like say five years plus and you're just going there and it's a win-win that the employees like it the employers like it and you're doing it for profit yes so I think that for many years you know doctors have been siloed off into the world of medicine operating on their own right patients come to them and that's it

Dr Hitesh:  I think that as doctors we should be thinking how do we expand our scope and who do we bring into our fold and how do we work with them to you know fit into what's happening in the world people today I think you have to look at the bigger picture of what's happening outside of medicine and how people are living and consuming their lives people today are consuming and living their lives through technology and on-demand services everything comes to you  can literally order something an Amazon will apparently drone it to you I have not used that but I have heard of it I can't wait till one day you know buying drone arrived with my groceries but you know that's in the works begin health care you know it's still siloed off we're traditional brick-and-mortar practices people still get up and go especially to the dentist medicine has moved to fades huge strides so I think that's one thing that doctors should be looking at the other thing is  that what other trends are happening and there is a trend of people working a lot more and there is a trend that people trying to retain talent and bring talent in and I personally am convinced that the gatekeeper to a lot of gatekeeper to health care and a gatekeeper to populations and a gatekeeper to wellness is actually people in people operations otherwise known as HR when a HR representative HR makes a decision to change an insurance benefit of a company that has 250,000 employees that trickles down to those employees plus their families and so that is a huge impact where that one person makes that decision and as doctors when you start working with them and you have help explain to them here's how oral health impacts overall health here's how here's what happens when you  know bringing in this type of service for them it's you know addressing many things with one stone right it's addressing workplace wellness  it's a dressing company culture it's a dressing you know a perk that you know allows employees to have work-life balance but it's also a dressing for them to have you know healthy and happy employees you know there's statistics that show that when you have happy healthy employees the you output from the stock market two point three to one so as doctors we should understand how the bigger world is you know operating around us and finding ways to plug into it to reach our patients especially in the world where people are busy and as I said they're using technology and on-demand services

Howard: you've um you've been giving lot of press for this I've been is that your skill I mean are you good in PR do you have a good marketing person I mean you're getting picked up by the big boys often as or is that just because you're so handsome

Dr Hitesh:  yeah I think you're making me blush but thank you so much for the for the kind words of my mom who is a huge influence on my lives has always said do the right thing and everything would fall into place and that's for that's me mimicking or Indian accent but I think that um you could you could have you know the most you know intense or robust PR marketing organization but if what you're doing is not impactful or worth a you know worth the media's time I don't think that they spend time doing it um I think that we're very fortunate that people find this interesting and then it helps us get the word out because the at the end of the day there's 300 million people in the United States there's more teeth that verge dent or I or anyone who's affiliated to us will ever be able to clean and to show that we're able to you know do something and do it well hopefully there's a dentist in Idaho or Minnesota or Nebraska right who's interested and wants to learn more and can treat people in those and you know in those communities and so I'm very grateful for the press but it's been wonderful they've been coming to us just like you did you know you reached out to us and thank you for making time oh we're very grateful for that 

Howard:  yeah I mean I I think you're on the are you on the bleeding edge or the leading edge of this new technology is tell a dentist bleeding edge or leading-edge

Dr Hitesh:  definitely think it's leading-edge it's a you know I think that we're paving the way and hopefully people will people will start you know acknowledging or learning about it I really think that this is the way to move forward and he's recognized it right unfortunately and I think that dental schools across the country haven't really picked up this and you know if you want dentist to pick it up and have become mainstream that really the you know institutions where we train our future providers should be should be incorporating it and if there's any educators out there that are interested we are more than happy to work with them i do lecture a lot of schools and you know but even though the lecture is made the practice of it is not and so you really it's  wonderful to make students aware of it that this exists out there but to really start training them in what Tella dentistry is i think is the way that we will treat the masses as we move into the next generation

Howard: and who else is in this space that's I got your attention where you think it's they're doing well

Dr Hitesh:  so when you define space you can define it in a number of ways you can define it as tella dentistry or you can define it as on-site mobile care in the terms of tell a dentistry  and the way that we you know we do it I don't I do not believe that there is anyone else who does it just the way we do there are others there are other organizations that are bringing dentist on site through mobile vans or you know our setting up but the way we do it is you know our hygienists are all under our general supervision we have a team of dentists who work with us full-time and our hygienists are full-time and these are dentists just like a traditional practice the hygienists are under their general supervision we have a clinical advisory board that system you know the clinical Dean of Columbia dental school eighty-eight subcommittee members you know faculty from some of the top tier dental schools in the country who meet on a regular basis to go over cases methods you know ways in which we can continuously improve the patient experience care rate care coordination at the end of the day it's important to make sure that the patient gets to the last mile that I write if they need care into the dental chair so the model is not just tell a dentist's tree the model is comprehensive patient care and partnerships in the community and so yes there are other organizations that go on-site but they do the traditional many of them do the traditional full-service of care that full-service of care even includes doing care outside so what it does is that it maybe intervenes a patient from the local dentist or you know doesn't really work with the community where us we will see the patient then make sure that you know they find a dental home that's nearby and we will work with that dentist and you know communicate back and forth share notes with them and make sure that you know we're keeping abreast with what's happening with patients that we've referred just like when they traditional dentists general dentists will refer to a periodontist or a oral surgeon you know a record is sent back we work with those dentists to get that information that once again comprehensive patient care 

Howard: now are you involved with patient pain is that you - patient pain is not us but they're a wonderful company that's located in Massachusetts and we know them but patient thing is not us

Howard: oh she follows you on twitter so close I thought maybe that was your I your  friend or something like that so so we do how are

Dr Hitesh:  they are they they are a client they're wonderful they're wonderful organization that's also changing healthcare but that's not us or are they in dentistry 

Howard:- you know they're in traditional healthcare they actually help Ashley help with communication with patients through hospital systems and so forth well you know it's a it's it's May 20th so last week yeah how many graduates did we have last week you got a total number yet have you heard I do not know it's probably what 6,000 it's

Dr Hitesh:  gotta be it sounds about right last time I checked was there last time I checked it was like 4,000 something but I probably checked a few years ago and I think there's been other schools that have opened up so make sense 

Howard:so um what advice would you give them um you you've been out a decade and you're doing something like City reunion yes I have been out a decade yeah and that's a really fun time I mean I've been out three decades and I felt the end of the first decade was really good because you really had your  dental skills down yeah I mean you you've come a long way I mean when you graduate they don't realize they just got out of dental kindergarten school they  have no idea how young they are and but ten years out is a good feeling because you finally got you're finally doing great dentistry great business you know you're it's all coming together after ten years so after a decade of this what would you say to the graduating class

Dr Hitesh:  so many things okay hey remember that the people that are in your chair are someone's sister someone's mom someone's dad son let's brother and that they're real humans and that's why you became a dentist is to care for them I think that is something we always need to remind ourselves and you know as I as I teach and as I see you graduates come out or you know I talked to them they're so overwhelmed with student debt personally I am too but if they're Dean but it's like it's even on a whole other scale and when I was in school ten years ago and you know they're so worried about that the other day I remember why you became a dentist thereafter my advice is uh you know you  as dentists are gonna be the ones who find solutions to many of the you know research things that we need to figure out many of the care coordination issues many of the cost issues and we're merge dentists trying to put a dent today it's gonna be somebody who is my peer or younger or maybe a little bit older who will figure it out and if you have these ideas for them and finally as Dentist we are highly-trained you know doctors and our degrees can be leveraged for many different things and I think that Dentist need to be you know entering the world of business public health policy not just on the dental side on the overall medical side because I think that you know a lot of dentists are trained to be Dentist and they stay within the world of dentistry but when you start working with you know Medicaid at a cos and you start you know working with consulting organizations and help them understand that oral health impacts overall health and when you start leveraging your degree and your knowledge you know to intersect in two different parts of you know industry or just the world around you that's when you start making a bigger impact and so you know just realize that your degrees are very powerful and you can leverage them for a lot of other things and

Howard:  you grew up in a country music right and that were you there's nothing in the south but

Dr Hitesh:  I personally did not listen to much country music okay well I say me 

Howard:  I grew up in  wichita kansas and everybody listens to country but i was i liked a lot of that rock and roll but you know there that song i forgot you know two steps forward one step back one of the things about you know being alive you know as long as I have I mean you see water fluoridation was a really big thing and then the next generation about 1/4 of them decides it's a communist plot and it's bad and those vaccines I mean when I was your age I mean that was the hallmark they said it was just plumbing sewage and vaccines that explained for almost all of our life increase and now you have the big anti-vaxxer you know this I I look at tElla dentistry as part of it could be so amazing for preventative care dental care accessibility and then I just immediately think of you going to some town to do this and they just took water fluoridation out last week and vaccines are gonna be taken out the week after how do you how do you see this helping the efforts that our generation did with water fluoridation and combining it with your new efforts telli dentistry

Dr Hitesh:  so I think that anything that's new takes a combination of forward-thinking established people experts of that generation so you know people who may be a slightly older or who understand and have the wherewithal to see you know the future but then also you know younger people in the profession who you know our digital natives or you know who understand the sciences that are you know being currently released and whether that was for water  fluoridation you had people who were you know very passionate and you know younger who understood it then you had people who were established who also understood it right and together it was a combination I also think that even though you may have some you know pushback I go not to not to sound too cliche but like you know there is a saying that I grew up with is that my mom would say for Mother Teresa do good anyways right  so it is your response it's your responsibility to try to educate people it is your responsibility to show how this can be helpful and you know to garner support from the established individuals like do not think that a dental organization is the one to push back go work with them and say hey Dental organization here's how this works right work with me to do it properly in your jurisdiction in your world because they're the established body they understand their people their jurisdiction way better than you will ever do I'm sorry way better than you ever will entering into it so you know as as a younger person or someone who understands the technology it is my job to work with them to roll it out the best way possible it is not my job to you know take take everything they know and discard it so how do you kind of you know have a meeting of the minds and you know work together and I think that's the solution to moving anything like this forward 

Howard: we have so much in common that was I was raised on Catholic and that was my mom's favorite Saint as Mother Teresa and it was just it's just a hell of a poem and that it that is really nice they just said that because so and

Dr Hitesh:  I don't mean to be cliche and so forth but you know you will hear many knows I had a dentist in my face as I have built birch dent saying that I will ruin the profession but that shouldn't be actually something that hinders you right it's your job to be even kinder to that dentist and work with them to help them understand today that dentist who did spit in my face is now a dentist who understands the model a little bit better and it is supportive but don't back down right you have to just you know understand how to work with them not at you know not against company yeah 

Howard:but  I mean a dentist spitting in your face I mean how do you how do you become a dentist and still have those cavemen features I mean I mean it just uh it's just so 

Dr Hitesh: I don't so actually you know as I you know as I think about this I think Dennis actually very proud of their profession I know that I love being a dentist right you have a skill set you have the ability to heal people it is such a gift you know to be able to do what we do and you know there are there are reasons that if you don't understand something you want to you know kind of guard your profession because you want to make sure that I still have high quality and so when you work with Dennis help them understand and understand the quality of a delivery you know they get it so I think that those dentists may not be actually the ones that ones who do get upset or do get you know a little passionate data actually may not be the issue because they're passionate enough to learn and ask and you know come up and say this is you know not something I'm used to and they want to take it in and you have to just work with them it may be the dentist who is quiet and he's not going to ask you the questions there is not gonna come up to you right and just me disregarding we know what you're saying those people may be more difficult so I love it when people come up and ask questions it's an opportunity to engage Howard: so you um did you go to Harvard I know I didn't but Amelie you're connected with them somehow am the company that I've built so I went to 

Dr Hitesh: I went to the University of Pennsylvania and you know I did I did a few residency's and then the company actually was I had a friend who you know I was talking to about the idea he was at Harvard Law School at the time and he said hey how about you come and you know build this with me at the Harvard Innovation Lab while I was there I ended up you know get the opportunity to work with some of the you know faculty at the Harvard dental school who you know had me come lecture a number of times you know offered me a Harvard faculty position but really I couldn't dedicate the time to that off you have to that opportunity and you know I was asked to stay on as an adviser for health care and entrepreneurship for a number of the undergrad houses and so I actually talked to students who are interested in making an impact but I eyes on as I said alternative healthcare career paths I advise on healthcare entrepreneurship and I am I am actually an adjunct faculty at Tufts where I did my special needs training and I am very grateful to all the institutions have been a part of because I tell you every single one of them has been they're very supportive and forward-thinking and vertudent would not be where it is if it weren't for all of them so it's really exciting to see the universities and the people who taught me right saying yes let's like you know help support this because it takes our profession to the next level and I'm very grateful for that 

Howard: so that mother teresa's our poem anyway that was actually written by a Harvard a 19 year old sophomore Harvard Kent Keith did you ever hear about that 

Dr Hitesh: no you're teaching me something new that's just something I always says yeah my mom would said too but he wrote it was 

Howard: um it was Kent Smith 19 year old sophomore from Harvard College and he he basically wrote that Paradoxal commandments and mother Teresa hanging out on his walls so now everybody thinks it's her poem but basically it was a very turbulent time in the world and it was the 60s and the government wanted this war Vietnam and a lot of the people did not want the war and  he noticed that so many young kids would just give up and so he took all their excuses to give up and then end it was like people are often unreasonable illogical and self-centered forgive them anyway if you're kind people may accuse your selfish ulterior motives be kind anyway if you are successful you will win some folks friends and some true enemies succeed anyway if you're honest and frank people may cheat you be honest and frank anyway what you spend years building someone could destroy overnight build anyway if you find serenity and happiness they may be jealous be happy anyway the good you do today people will often forget tomorrow do good anyway give the world the best you have and it may never be enough give the world the best you've got anyway my mom used to always drill at my head that that all you're saying is an excuse to give up and the answer is you're not gonna give up you we're gonna keep going and it's gonna be two steps forward and one step back I forgot that country song I'm always good you remember that construct two steps forward one step back

Dr Hitesh:  I think it's I think what you do I think one of the things is that everything in that poem is true and when you are when you are growing a company and you are doing something new you know the idea of you know when people will say you know something that's not positive do good anyway the truth it is that the truth is that you have to also understand that the feedback that they are giving you is something that you can learn from and you know we we've received tons of feedback and you know we get you know people who are you know will say hey have you thought of XYZ and being open-minded and understanding that you're building something new and you know how do you continue to take feedback how do you continue to grow how do you continue to and make it even better is that yes move forward anyways but move forward with you know grace and gratitude to take you know and you know feedback where you may not be doing it the best you could or you may not be doing it in the perfect way because at the end of the day it's not about you doing it anyways it's about doing it the right way and so I think that is really important as someone you know building a new innovative model is to understand that you know how do you continuously improve it 

Howard: so yeah thanks for all that you do for dentistry thanks for being a pioneer and thanks for coming on the show is an honor to podcast you great as I said doing wanted to do is been a gift thank you for having me on here on your show I really appreciate it alright have a rockin hot day  

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