Implantologist and dental educator Sumair Khan recounts his journey from childhood to becoming a respected figure in implant dentistry—with a little help from an Airfix model aeroplane.

The discussion delves into the crucial role of mentoring, leadership, and effective communication skills, providing a sense of guidance and support for young dental professionals. 

Sumair candidly discusses his experiences as an expert witness and his own clinical mistake story, provides advice for young dentists entering implantology, and reflects on work-life balance and burnout in the profession.

Enjoy!

 

In This Episode

00:01:20 – Backstory

00:03:55 – Dental school

00:06:00 – Early career

00:08:35 – Transition to implant dentistry 

00:21:20 – Zero bone loss concept

00:24:35 – Restorative training at Eastman

00:26:50 – Suturing in implant surgery

00:29:25 – 3D thinking

00:31:30 – Teaching foundation dentists

00:35:00 – Medico-legal climate

00:38:00 – Blackbox thinking

00:51:35 – Meeting and working with Jaz Kish

00:54:40 – Advice for young dentists

00:59:50 – Work-life balance and burnout

01:04:00 – Leadership and communication

01:06:20 – Fantasy dinner party

01:09:00 – Last days and legacy

01:14:40 – Most rewarding clinical case

 

About Sumair Khan

Dr Sumair Khan is an implantologist, educator and owner of three dental practices. 

He holds an MSc in Implant Dentistry, a Diploma in Restorative Dentistry, and Postgraduate Certificates in Medical/Dental Education and Leadership Coaching and Mentoring. 

Sumair’s teaching career includes roles as an Oral Surgery lecturer, Educational Supervisor, and Training Program Director. He has also served as Associate Dean for NHS Health Education England. 

He holds additional roles with Health Education England as a GDP appraiser and PLVE assessor, and serves as a clinical adviser and expert witness for the General Dental Council. 

Sumair has published in the British Dental Journal and BDA Indemnity Journal, and is co-authoring a textbook chapter on traumatised dentition restoration.

Sumair Khan: And make sure you have the basic skills down. Basic skills of Perrier restorative [00:00:05] oral surgery and prosthodontics. Period. Definitely you need to understand how [00:00:10] to recognise it, manage it and how to stabilise it and maintain it. Yeah. Oral [00:00:15] surgery. You need to be able to raise flaps, draw bone, cut gum safely, raise [00:00:20] flaps safely, draw bone safely and close with sutures as well. Some of the times you see [00:00:25] people taking hours to put sutures and you think, this is this is not right. It’s not fair for a patient. It’s not right. [00:00:30]

[VOICE]: This [00:00:35] is Dental Leaders, the podcast where you get [00:00:40] to go one on one with emerging leaders in dentistry. Your [00:00:45] hosts Payman Langroudi and Prav [00:00:50] Solanki.

Payman Langroudi: It gives me great pleasure to welcome Sum Khan onto [00:00:55] the podcast. Summer has three practices of his own and [00:01:00] implantologists in partnership with Gillian Kish with the smile Group. [00:01:05] And I see some really at the events a lot where he’s teaching. [00:01:10] Implantology his son was responsible for the implant diploma that the [00:01:15] Smile Clinic group do. Massive pleasure to have you, buddy.

Sumair Khan: No, it’s absolute pleasure to be here. It’s been [00:01:20] a long time coming. Yeah. It has, it really has. Really? First, I want to just get into your [00:01:25] childhood.

Payman Langroudi: What kind of kid were you? What did your parents do? Why? Dentistry? [00:01:30] Where did you grow up? All of that sort of stuff.

Sumair Khan: That’s interesting. Um, my. My parents were both, uh, doctors. [00:01:35] My dad was an orthopaedic surgeon. My mom was a GP. My dad was told very [00:01:40] early on when I was. I was born in 1972. So I’m 52 now. [00:01:45] Um, and my dad, when I was about ten, was told that he was the wrong colour [00:01:50] to be a surgeon consultant in this country because he was training alongside lots of stress and not [00:01:55] being appointed so.

Payman Langroudi: Outright just.

Sumair Khan: Said that. Yeah, I think in those days you could say that’s a different [00:02:00] time. So he left the country and became a consultant, uh, back home in Pakistan, [00:02:05] became a professor, ran his own clinic, a very successful, uh, so I grew up here with my two brothers. [00:02:10] The three of us with my mum was my who’s busy GP she that 40 years. [00:02:15] And they still kept pushing us to be like doctors, dentists or like professionals of [00:02:20] some kind. I was off the rails a bit, a little bit when I, when I was [00:02:25] 18, I wanted to be a fireman. I thought, what is not to like? You get like awarded medals, [00:02:30] you get to work out all day. You get yourself on a calendar, you know, I mean, it’s, uh, women [00:02:35] swooning over you. This is brilliant. My parents were like, no, you’re out your mind. You are going to be a doctor. So [00:02:40] I applied for medicine and I had already had to retake. And my parents said, [00:02:45] apply for medicine. I applied and Kings said we could give it to you after another year. And they were like, no, [00:02:50] no, you’ll be two years behind. And embarked. Interestingly called me back after my interview with [00:02:55] medicine and said and said, look, we really like you. Can you come for dentistry? I was like, [00:03:00] uh, dentistry wants to be a dentist. I hate dentists type of thing. My only experience [00:03:05] of dentistry was going to a local dentist pretending to have an emergency so I could get [00:03:10] out of school, uh, with a friend of mine.

Sumair Khan: And so I rocked up at that local dentist [00:03:15] that night, and, uh, I knocked on her door, and she’s like, oh, what do you want? And [00:03:20] I said, look, I need a note from you saying that I’ve been here a few times. You think I’ve got a really good aptitude towards dentistry [00:03:25] and I’ll make a good dentist. And she said, oh, shut up. She went to shut the door and I put my foot in the door [00:03:30] and her husband came running down. And what the hell was going on? Here she goes, oh, this guy, he just turns up with [00:03:35] his mate to get like a letter for scored. So he’s off school with the dentist and [00:03:40] and it’s completely. I’m not writing him this letter. He has been here a few times, [00:03:45] but I’m not writing him his letter, and he’s her husband. Just. I’ll write it. So he wrote the letter. They [00:03:50] were both like, um, he was an accountant at upstairs. Well, he wrote a letter. She signed [00:03:55] it. And I took that letter to the interview and a couple of my brothers Airfix models to pretend I was good at in [00:04:00] my hands. So, yeah, I got into dentistry and, uh, it was great. I did it at Barts. I was very [00:04:05] happy. Barts was a lovely place. And Mile End is just a mad cultural [00:04:10] mix. Um, it’s shocking.

Payman Langroudi: When you see mile in the first walk.

Sumair Khan: Out. You see it first time, you’re like, what [00:04:15] is going on? Yeah, absolutely. But the amount of pathology and disease [00:04:20] that you see there, it gives you a great experience, a really good experience, especially the medical side, [00:04:25] uh, in the first few years as well. And I’ll get.

Payman Langroudi: Serious when you got there. I mean, it [00:04:30] sounds like you weren’t serious before.

Sumair Khan: No, no, I wasn’t the first two years. I still was hanging out with my friends outside of school [00:04:35] more, and it was a very, very. He’s a dear personal tutor. His [00:04:40] name was Gary Pollock. Really, really nice man. Sat me down at the end of my second year and said, look, he goes, [00:04:45] something’s got to change or you’re not going to, um, you’re not going to pass, uh, on time. And so [00:04:50] he told me what I was doing wrong. I’ve moved into college then because I was still driving in from home [00:04:55] in north London, and I changed. So my third year I changed, got serious, uh, and I actually [00:05:00] liked oral surgery quite a lot. So when I qualified, I did find ocean training. I [00:05:05] was very lucky to be on a brilliant scheme with some amazing people. Rajaratnam’s Lvrt advisor, [00:05:10] or at the time, the TPD and I had Chris Treadwell, who’s a dean at [00:05:15] Barts now, uh, I had a Daljit Gill. I had some very, very amazing people. [00:05:20] Um, they’re still friends of mine today. And let’s talk about 96 when I did, um, foundation training. [00:05:25] Uh, straight after that, um, I was actually kicked out my house, so I went [00:05:30] back to Ground Zero. I had, uh, I had, um, made, I think £27,000 [00:05:35] that year and spent 29 on a car, uh, and then [00:05:40] took, uh, a Hindu girl home to my Muslim parents, Pakistan, and said, this is where I’m marrying. And they were [00:05:45] like, you’re out of. Door. So I was driving around in my car with all my belongings, uh, and [00:05:50] £2,000 in debt. And, uh, I had to find a [00:05:55] place that would housed me as well as, uh, let me work. So I was desperate for a, uh, what they called [00:06:00] an sa ho job back then with DCT. Now it’s called. And I got one out in Ipswich, and I ended up [00:06:05] doing maxillofacial training as DCT for two and a half years in, uh, [00:06:10] Ipswich, Chase and Barnet over two and a half years until my parents came round and my wife [00:06:15] converted and we were married. And then.

Payman Langroudi: Did you meet her at.

Sumair Khan: The year above me [00:06:20] at uni? Yeah, yeah. A year above me in uni. So we, I knew I was going to marry her in my foundation training [00:06:25] year, but I didn’t realise my parents reaction. I mean, for that generation, that whole, [00:06:30] uh, India Hindu and Pakistan Muslim thing is a big no no. Still, both [00:06:35] my parents came over in the partition from India to Pakistan and have vivid memories of [00:06:40] that.

Payman Langroudi: So you were surprised, were you?

Sumair Khan: I just felt like I underestimated how [00:06:45] deep it ran. They ran that resentment still, because especially because my mum [00:06:50] was a GP and she was hanging out with most of her friends are like like Hindus, Sikhs and like Greeks, [00:06:55] Turkish. All her patients are Greek, Turkish in north London, like she gets on with everyone. But then [00:07:00] this hit her quite deep. Like a visceral level. Yeah, yeah, a level where she was like, [00:07:05] no, I don’t want this for my son type of thing. And I was like, wow.

Payman Langroudi: So what made them come around?

Sumair Khan: Well, [00:07:10] my aunt converted my wife. Uh, she taught her how to pray. She taught her how to read the Quran. And my [00:07:15] wife was already, um, she wasn’t from a very strict Hindu family. They were her [00:07:20] parents, her mum. Her dad was a GP in Stoke on Trent. And [00:07:25] they had integrated. They had or he had given them all English names and they were very, um, anglicised [00:07:30] in their manners. And they’d gone to a Catholic school and their Catholic school. Background and [00:07:35] religious upbringing. She understood religion as part of that. It was not difficult for her to make [00:07:40] the jump from that to Islam, actually, and she understood it quite well and she was quite happy to accept it. [00:07:45] It was a it was a blessing. Otherwise we’d still be in trouble.

Payman Langroudi: So [00:07:50] she’s a doctor.

Sumair Khan: She’s, uh. No, she’s a dentist.

Payman Langroudi: Yeah. [00:07:55]

Sumair Khan: She’s a year above me at uni.

Payman Langroudi: Oh, I see, I see. Yeah. So take me through some of those first jobs that you [00:08:00] did.

Sumair Khan: So the show jobs were tricky because I was away from home. I hadn’t lived away [00:08:05] from home for my first one. The second jobs, I understood a bit more the politics, because there’s [00:08:10] a lot of politics in hospital jobs, especially between consultants. You understand the competitiveness. [00:08:15] Not so much racism, but a bit of discrimination. I understood as [00:08:20] well that went on and it was a bit more acceptable back in 97, 98. And people want [00:08:25] us woke back then to some of the stuff that was going on. I would you just bite your tongue [00:08:30] and just take it. I think.

Payman Langroudi: Also the general abuse of juniors, yes, the bullying [00:08:35] culture, let alone the bullying culture is.

Sumair Khan: Still there. Yeah, but nowhere [00:08:40] near as bad as it was. Yeah. Uh, some of the things that your consultant could say to you and ask you to [00:08:45] do. Yeah, yeah, yeah. Wouldn’t get away with that now. But the consultants have changed. That’s a generational [00:08:50] change completely now since those days.

Payman Langroudi: I mean, I did similar thing. I did an oral surgery house job [00:08:55] around the same time, actually around 96, 97, in Cardiff. And I hated my life. [00:09:00] But at the same time, I’d recommend it to anyone. I would, I would, it’s [00:09:05] almost like going to the gym or something. It’s like a rite.

Sumair Khan: Rites of.

Payman Langroudi: Passages.

Sumair Khan: Yeah, you [00:09:10] have to have done it. You have to have that hardening or that quickening.

Payman Langroudi: Nothing fazes you after you’ve done a job like [00:09:15] that.

Sumair Khan: That’s exactly what I was going to say at the moment. I went back into general practice and we’re talking, uh, I [00:09:20] was working for one of these, um, original, uh, White cross was, oh, really? Corporate [00:09:25] in Barnet? Yeah, I got married. We’ve got a house, a flat, and, uh, I said, well, I’ll come [00:09:30] into general practice now. And the options were to go in, continue and do medicine to become [00:09:35] max fac or come in. Did you consider that I was I was still up for that even [00:09:40] when I was doing my in practice. But my wife was like marriages don’t [00:09:45] tend to do very well when, when people are uh, uh, do that. I mean, most Max surgeons [00:09:50] have been married at least twice. And so by the time they’ve done another five years at uni [00:09:55] with, uh, you know, it’s the socials and stuff, it’s difficult. And I understood that as well. Plus [00:10:00] the money, it doesn’t come so takes ages. It takes ages. Yeah. It takes ages to [00:10:05] specialise in things like that. And we were by ourselves. It was just me and my wife again. My mum was still a bit resentful [00:10:10] of the whole thing until we had our first child. And everything doesn’t matter anymore. But, [00:10:15] um.

Payman Langroudi: But so is that the reason? I mean, I.

Sumair Khan: Was very driven, I was very driven. [00:10:20] And I went into practice and I went to make money. And rather than Max fac, my wife’s idea was [00:10:25] that, why don’t you start doing implants? You’re good at oral surgery. You’re teaching oral surgery? I’d taken up a teaching role. [00:10:30] I always kept one hand one day in hospital. So even as a max fac, [00:10:35] I was doing locums, uh, as a staff grade. And I was teaching oral [00:10:40] surgery at Barts in London, where I taught mediation in Milan and people like that. I thought I [00:10:45] taught these guys oral surgery for seven years. I was at Barts. I kept one hand in hospital [00:10:50] always, and kept my oral surgery going. I was interested, so she said, look, if [00:10:55] you’re into oral surgery and you’re learning the sort of stuff now in practice, why don’t you do implants? [00:11:00] And so I got into implant dentistry in 2005. It was one of these [00:11:05] specialities where everyone thought they should be doing implants. So the period people thought they should be doing [00:11:10] implants Prosthetists think they should be doing it. The oral surgeons think they should have the right to do it, so it will never [00:11:15] be a speciality. So it lends itself very nicely to the generalist who can do oral surgery, [00:11:20] who understands peril and has done plenty of procedure as well. Yeah, you can just keep [00:11:25] upping your upskilling in those three disciplines and then add implant dentistry. And [00:11:30] I was at that stage in 2005. So that was nine [00:11:35] years after I, uh, had qualified, uh, when I started the MSC and placed [00:11:40] my first implants in 2005. So I’ve been doing it for 20 years, placing and restoring implants.

Payman Langroudi: So you did an MSC?

Sumair Khan: I [00:11:45] did an MSC at Warwick University was one of these private customers. I also realised you don’t have to go to [00:11:50] an ahsn, a proper teaching hospital to get upskilled and especially the [00:11:55] politics of being in a hospital job isn’t there, where you’re competing with others for like [00:12:00] cases or like trying to like round nose one consultant because he’ll give you this opportunity, [00:12:05] or this consultant doesn’t like you, so he won’t call you into theatres as much. None [00:12:10] of that mattered anymore. This was a very well known institution at university [00:12:15] that had was dabbling in, uh, healthcare and sciences. And they ran this MSC. [00:12:20] And it was absolutely brilliant. The patients were taken to, um, Harley [00:12:25] Street on a Saturday where they had their training centre, and we used to do the cases there under supervision. The [00:12:30] mentoring is how you learn it. And that’s what I understood, the importance of mentoring and [00:12:35] coaching and that’s, uh, that’s it. It’s I mean, since then I just it just [00:12:40] took off.

Payman Langroudi: So take me through that. My, my understanding of implantology is pretty basic. [00:12:45] But I get the feeling that back then, the surgery [00:12:50] was the main sort of thing that you play these days. Yeah, but you place the implants [00:12:55] where you thought there was most bone. No, that’s because.

Sumair Khan: I was an oral surgeon. So the oral surgeons. [00:13:00]

Payman Langroudi: The surgeons approved for it.

Sumair Khan: So the oral surgeons approach is to just raise a huge flap and look [00:13:05] at where the bone is, and put your implant in as much bone as possible and not worry about the angle. Yeah, [00:13:10] because that’s a technician problem or restorative dentist problem. Yeah. The prosthodontist will always [00:13:15] think of the occlusion first. Yeah. And the periodontist will always make sure that the bone, the gum, [00:13:20] the right type of gum is in the right place first before they put the implant.

Payman Langroudi: But are we not agreed on what’s the best [00:13:25] we are now?

Sumair Khan: And this is why you’ve got to have associations like the Adai. Yeah. Uh, and I’ve [00:13:30] got massive respect for Amit as well. Uh, a recent president and George now as well. I mean, [00:13:35] the guy does wonders to bring the whole profession together. So the speakers [00:13:40] internationally and nationally are generalists, periodontists, oral [00:13:45] surgeons, prosthodontists they all come together and they are all implant dentists. And it [00:13:50] is really, really good for the profession to have an interest like that rather than [00:13:55] just the restorative or just perio or just endo type of thing.

Payman Langroudi: And then even within [00:14:00] implants you get sort of subspecialists yeah, it’s crazy, it’s crazy. And where [00:14:05] and where are you on that level of, of I mean, do you what don’t you [00:14:10] do.

Sumair Khan: So I don’t I might am I, I don’t do um the zygomatic type implants. [00:14:15] I’m not doing pterygoid implants as much although I have done some recently under supervision with [00:14:20] uh reside uh, great mentor, great guy. Yeah. And Adeel Ali [00:14:25] is the other guy who’s doing them. There’s a couple of people who have made it a niche. Like there’s [00:14:30] a practice, in fact, Evo Dental that.

Payman Langroudi: Has all these.

Sumair Khan: That’s pretty much all they do. They put the [00:14:35] the all on four if you like. Yeah. Patients understand that. And there is a need for that. The [00:14:40] issue I have with that is a biological cost sometimes of taking healthy teeth out or potentially [00:14:45] saveable teeth out, uh, in order to sacrificing them or sacrificing [00:14:50] alveolar bone as well, in order to place the basal level implants and fit the [00:14:55] whole kitchen sink. And and it’s done. You’re done. Because everything in dentistry [00:15:00] fails. Yeah. It’s I teach all my trainees three certainties in life death, taxes, [00:15:05] and dentistry will fail. Uh, every technique you do, everything will fail at some point. So [00:15:10] where do you go once a zygomatic fail? I always think of that guy in, uh, Skyfall [00:15:15] when he says, look what you did to me, mummy. And he pulls his denture out and his face caves in. I think [00:15:20] that I don’t ever want a patient of mine to turn up saying to me, daddy and his face caves [00:15:25] in when he takes his denture out because his zygomatic implants fail. Zygoma has just melted away, [00:15:30] so I just that’s my limit.

Sumair Khan: So I, I do have people I refer to for [00:15:35] that. I was referring a lot of block grafting and sinus grafting until recently. Then a good friend [00:15:40] of mine, Victor Gurney, and me, we went on a course with us up in Manchester [00:15:45] and Prof. Right. Brilliant teachers, cadaver course and online stuff. It was [00:15:50] just at the end of Covid. In fact, we re-upped our skills or [00:15:55] reskilled ourselves in sinus and that since the last two [00:16:00] years have probably been my main area where I have been practising myself [00:16:05] and improving myself and getting more and more experience of block grafting, like [00:16:10] ridge splitting and sinus augmentation through lateral window in order [00:16:15] to gain enough alveolar bone to be able to house implants. And [00:16:20] majority of the time that I’m called in now to do surgery or people are referred to me, it’s for the difficult type of cases. [00:16:25] But, um, I mean, it’s it’s it’s not a niche as such, but that’s my [00:16:30] it’s the augmentation side that I’m trying to keep getting. Because what.

Payman Langroudi: You’re doing most.

Sumair Khan: Of right is what I’m doing most of is [00:16:35] augmentation cases. And I still have learning needs. Development needs. I mean, um, [00:16:40] the last three years I’ve been going a course in Dubai in [00:16:45] February, it runs alongside Adec, and we’ve been seeing people like Ramon Gomez made. I’ve [00:16:50] seen Ricardo Kearns and more recently Paolo Carvalho, and I’m taking the mentors [00:16:55] that teach with me on the SmartThings Academy. I’m taking them with me. I’m saying, look, this is the stuff we need to be able to [00:17:00] do. This is cutting edge. We have to keep inspiring to be better. I mean, what we do [00:17:05] is a very good level, and clearly we’re obviously more capable [00:17:10] and experienced than the trainees. But we need to be at a level where you can’t know it or [00:17:15] no one ever knows it all. Okay? I mean, I’m not even coming close. I don’t think even though I’ve been doing this [00:17:20] 20 years, I still feel like soft tissue grafting. Um, I mean, bone augmentation, [00:17:25] ridge augmentation, some of the stuff going on around the world, uh, internationally is absolutely stunning. [00:17:30] Uh, results people are getting. And they’re very, very talented surgeons, very talented surgeons. [00:17:35] We are limited here in the UK. I think we’re limited by the national health. We’re limited [00:17:40] in our access to that specialist type of training. Because, [00:17:45] because.

Payman Langroudi: Very few training places.

Sumair Khan: The National can’t afford to have all these specialists. If you look [00:17:50] at the number of specialists on the list and the type of demand there is out there for this type of [00:17:55] surgery, you’re never going to have to all just specialists providing this. You’re going to need [00:18:00] generalists who are upskilled to be able to do that.

Payman Langroudi: So look, when you did your [00:18:05] training, it made sense for you to do that. Msc the private one in Warwick. [00:18:10]

Sumair Khan: Yes.

Payman Langroudi: But if a if a young dentist today is trying to get into implantology, [00:18:15] what’s your advice?

Sumair Khan: I would say, think about why you want to get into surgery, [00:18:20] because it’s when you’re starting off. The first five years is not profitable at [00:18:25] all in anything. I think really, if you start learning because you learn through a lot of mistakes. And [00:18:30] mistakes in implant dentistry are expensive businesses. Yeah. So I, um, I mean, [00:18:35] like I said, 20 years down the line, I think now maybe 15% of my work is [00:18:40] dealing with mistakes. Other people’s mistakes. Yeah. Well, some of mine, very few of them [00:18:45] mine, thankfully, but mainly, yeah, I get other people’s mistakes. Foreign, um, dentistry. Referring [00:18:50] to me saying that this has fallen out or this broken stuff like that. And fixing implant dentistry mistakes [00:18:55] is expensive. It’s difficult. It’s expensive for me. So it’s expensive for the patient. Uh, [00:19:00] it’s very rewarding, especially if you if they’ve had it for more than, like, 5 [00:19:05] or 10 years. And then you can get them another 5 or 10 years out of, out of it that they’re [00:19:10] very, very happy. But it is difficult it fixing implant dentistry is [00:19:15] difficult. So if you want to get into it, firstly you can’t be doing it for profit. It’s [00:19:20] got to be because you want to be doing dentistry at a level where your perio is already [00:19:25] very good. Your profit flow is all understanding and skills are already very good and [00:19:30] you’re already all surgery skills are already very good, and you want to combine them to be able to provide [00:19:35] something that is additional to normal run of the mill dentistry, then [00:19:40] getting to implant dentistry and make sure you mean you’ve got the setup and the support around [00:19:45] you.

Sumair Khan: There’s no way I could do what I do without the team around me. My nurses, my receptionists, [00:19:50] both at the Woodhouse Practice, the Smile Clinic in Essex and Cobbins Brook Dental [00:19:55] Smile Clinic, and the one in Oxford. The broadcast practice superb teams around me because [00:20:00] they manage the patients when I’m not there. I’m only there, like I said at the Oxford practice [00:20:05] twice a month, the Essex practice twice a month and the north London practice. I’m [00:20:10] there two days a week, so that’s where my main practice is. But, um, my practice is this year, thankfully [00:20:15] limited slowly now down to oral surgery and implant dentistry because the demand is [00:20:20] increasing because not everyone does it. And is an issue with having, I think, [00:20:25] visiting implant dentists. Yeah. In your practice, everyone has [00:20:30] implants on the front of their. Yeah, on their brochures and stuff like that. But a lot of practices have someone [00:20:35] who comes in and visits.

Payman Langroudi: Who’s hardly seen the patient. Never seen the patient. Yeah. There’s no relationship. [00:20:40]

Sumair Khan: There with the patient. It is difficult if they don’t have a relationship with the team, the [00:20:45] staff, the nursing, the reception staff, they don’t. Then that makes it much more difficult. [00:20:50] And then the kit and the equipment, like I said, it’s all very expensive to set up and then people don’t like travelling [00:20:55] around with it in their car, I mean, reside. Last month I think it was had his car broken [00:21:00] into, had £60,000 worth of kit nicked. They just took two suitcases. They didn’t know what was in [00:21:05] it. £60,000 worth of kit. Well it mad [00:21:10] so yeah. Visiting implant dentistry. I’ve done it for a while and I’d rather not do it anymore. I’d rather [00:21:15] it came to me.

Payman Langroudi: So back to the advice. Number one be serious because you need the. [00:21:20]

Sumair Khan: Serious.

Payman Langroudi: All in or not. Because a serious dentistry.

Sumair Khan: Serious dentists, expensive.

Payman Langroudi: Expensive [00:21:25] and difficult and dangerous. Right?

Sumair Khan: And make sure you have the basic skills down. [00:21:30]

Payman Langroudi: Basic skills of perio restorative, oral surgery.

Sumair Khan: Extrusion and prosthodontics. [00:21:35] Perio. Definitely you need to understand how to recognise it, manage it and what how [00:21:40] to stabilise it and maintain it. Yeah. Oral surgery you need to be able to raise flaps, draw bone, [00:21:45] cut gums safely, raise flaps safely, draw bone safely and close [00:21:50] with sutures as well. Some of the times you see people taking hours to put sutures and you think, this is [00:21:55] this is not right. It’s not fair for a patient. It’s not right. It’s got to be.

Payman Langroudi: But then the education side, [00:22:00] you’re saying have a mentor.

Sumair Khan: Definitely. There’s no doubt that that is I mean, if you look at [00:22:05] the training standards in implant dentistry that will produce originally in 2012, [00:22:10] this was the A.D again doing brilliant work with the then FDP, UK. Now [00:22:15] it’s KG dent. But they produce those guidelines and they do review them every. I think they’re [00:22:20] due for a review in either this year or next year, but they have added mentoring [00:22:25] to it. They’ve said you should be on a longitudinal course, meant they’ve added mentoring, you should be [00:22:30] mentored for your first cases of any type. And they’ve also said build a portfolio of cases [00:22:35] and all of that. We’ve included in our diploma the course that we’ve designed. [00:22:40] All the diploma courses should cover all of that and the mentor cases especially. And [00:22:45] without knowing it, that’s what the Warwick University did for me as well. But now those have been [00:22:50] standardised. So all if you’re looking for a course to learn about implants, make sure that they are covering [00:22:55] not just the theory, because you can get a certificate by attending a year’s worth of lectures and [00:23:00] not place it in the implants. And we have plenty of people come on our course who’ve got that certificate. You can [00:23:05] do a diploma and place only maybe 2 or 3 implants, and not gain [00:23:10] the confidence to go and set up and start doing it in your own practice. We have plenty of people who’ve done [00:23:15] short courses, um, who come on to our course. We have specialist trainees in [00:23:20] post-war period and in all surgery who have done the implants in [00:23:25] these big courses. No, no, in their hospitals. Yeah, yeah. But because it’s so [00:23:30] sheltered and because it’s all done for them, someone’s holding their hand. Someone else did this, someone else did that [00:23:35] part of it. It wasn’t comprehensive care by you. Total whole patient care for [00:23:40] that patient. They don’t. And the set up, they knew nothing about it.

Payman Langroudi: I think the variability between [00:23:45] specialist training. Yes. You know I had a I had a guy ask me should you do fixed [00:23:50] course at Harvard or should you do it at Michigan. Uh, okay. [00:23:55]

Sumair Khan: Because Michigan was rated number one. Yeah. Uh, for many, many years.

Payman Langroudi: Yeah. So classic Iranian [00:24:00] guy. I was at Harvard.

Sumair Khan: Yeah.

Payman Langroudi: The name, the name. Snobbery.

Sumair Khan: Badge snobbery. [00:24:05]

Payman Langroudi: Yeah. And then, but then he said, then he put, set out what they do. And [00:24:10] on the Michigan course they were doing three times the number of implant placements. Absolutely. And just, [00:24:15] just amongst two very famous American universities. You’ve got such variability. Absolutely, [00:24:20] absolutely.

Sumair Khan: And one of the best mentors we have a guy called Viraj Patel on our [00:24:25] course, went to the States and did the NYU course, two year course in implant [00:24:30] dentistry. And his skills are phenomenal. Absolutely brilliant dentists, absolutely brilliant, [00:24:35] uh, clinician and a very good teacher as well. And he’s learnt all of that from [00:24:40] his skills. She’s gained the skills and the confidence, but came back here and he then got [00:24:45] mentored by myself, by Gene Kish, being part of the Smile Dental Academy. We’ve trained him up to [00:24:50] be a mentor as well, because now you have to have a qualification in teaching and education as [00:24:55] well as proven skills. You need to have pace. I think latest mentoring guidelines [00:25:00] say 250 implants, or at least done nothing but implants for at least two years. And [00:25:05] you have to have experience of teaching and mentoring, as well as the [00:25:10] indemnity for teaching as well. You can’t just place 250 implants and start mentoring [00:25:15] people and doing sinus lifts, for example. You need to have done a certain [00:25:20] number of lateral windows, for example. Gain the confidence. Had experience of teaching them before. You can start saying [00:25:25] yes, okay, I’ll, I’ll mentor you to do a sinus lift.

Payman Langroudi: What about I’m going to ask you a really unfair [00:25:30] question now, but I kind of like the question. Yeah. Go. What was your aha [00:25:35] moment? Uh, in implantology like, if you had to boil it down to one. [00:25:40] Yeah, it was.

Sumair Khan: When I was on a course with a guy called Thomas [00:25:45] Linkevicius who has this thing called the zero bone loss concept. Uh, [00:25:50] he talks about basket of indicators like apples. And if you get all the apples in the basket, [00:25:55] you will get zero bone loss around your implants. And the aha moment was when he [00:26:00] was sinking his implants into the subcostally about a millimetre [00:26:05] and a half, because the soft tissue on top wasn’t thick enough. So when [00:26:10] you raise a flat. You just need to use a period probe against the bit that you haven’t pulled [00:26:15] up and see how many millimetres of thickness of.

Payman Langroudi: Bias I have.

Sumair Khan: Yeah, basically because [00:26:20] if you leave it at the crest and nurse tissue is only two [00:26:25] millimetres or less than three millimetres thick, then when a restoration is fitted and it [00:26:30] re-establishes a biological width which they now call scat super [00:26:35] crest attachment tissue as that re-establishes, it will remodel that bone. And that’s why people [00:26:40] used to accept bone loss down to the first thread. Oh, and I was like, oh wow. [00:26:45]

Payman Langroudi: That makes so much sense. You you place the implant deeper [00:26:50] than that so that the tissues aren’t thick enough. If the tissues aren’t thick enough, so.

Sumair Khan: Then it will create that [00:26:55] biological width. But you won’t get bone loss down to the first thread.

Payman Langroudi: Oh how interesting.

Sumair Khan: It’s just it just so [00:27:00] simple. And he explained it so beautifully. And he’d been doing the research in [00:27:05] Lithuania is brilliant guy Thomas Linkevicius zero bone concept. You’ve got to subscribe [00:27:10] to it or read it, whatever. It is absolutely fantastic about a different materials that that repel [00:27:15] tissues because it’s all about longevity. People don’t actually care how many millimetres [00:27:20] of titanium you manage to get into their bone. They want to lift their life up and they want to see [00:27:25] something that looks like a tooth. So it’s a pink and the white aesthetics. And [00:27:30] in my case, that’s why I went back, uh, to the Eastman in 2011 [00:27:35] or 12. And I started an, uh, MSC in restorative. [00:27:40]

Payman Langroudi: Uh, that.

Sumair Khan: To. Yeah, I had to do that because I was doing implants [00:27:45] as an oral surgeon. And, you know, the Dunning-Kruger effect, you get to the top of Mount Stupid really quickly, and [00:27:50] you see all these cases coming back. They look okay when you look at them straight on. But when you look in the [00:27:55] pallets, there’s like pins and screws going everywhere you go. Hmm. Maybe they should have been placed at a different angle. So [00:28:00] I went back and I did this and I can’t thank enough. The people at the Eastman there was Dev Patel [00:28:05] there. Paracha, Pranay Sharma, especially Rishi Patel, these guys [00:28:10] were absolutely fabulous. Teachers at the Eastman on the restorative diploma did that with Jenny Kish. [00:28:15] They in fact took it to the MSC and that’s how they, um, kicked off their, [00:28:20] um, teaching careers as well. And I dragged them kicking and screaming to that, actually, uh, [00:28:25] but I finished a diploma because I already had an MSC. I did not have the will to myself with [00:28:30] another MSC. So I finished the diploma stage and I got what I needed from that to get my implant [00:28:35] dentistry.

Payman Langroudi: I know there’s a difference between doing an MSC because you want the letters after your [00:28:40] name to get a job. Yes, yes, yes or doing the MSC because you literally want [00:28:45] that education. You need that education to absolutely push yourself forward. And I think a lot of times [00:28:50] people do courses for the first reason. Yeah, because they feel kudos.

Sumair Khan: And interestingly, [00:28:55] you’re right, because the other kind of people we get on the course that surprised me is people who’ve been [00:29:00] doing implants longer than me. Oh, uh, and they turn up because they want to be they want a qualification [00:29:05] because they were just placing them without any formal training in implant dentistry. They were just, [00:29:10] uh, had been mentored and cracked on with it. And some of them just want to be updated [00:29:15] to make sure what they’re doing is evidence based. And some of them just want to be, uh, want to see what [00:29:20] the latest techniques and materials and everything can do for them and improve their practice. [00:29:25] So you’re right, some people will come and do our diploma because they want the qualification for lots of different reasons. And [00:29:30] there are a few people, the younger ones, who feel like they want to go on and do an MSC [00:29:35] so they can take our diploma. They can take the credits for our our diplomas at postgraduate level, seven [00:29:40] diplomas. They can take that onto a university. The cap points [00:29:45] cumulative accredited. I can’t remember what it is. Credits of something it’s [00:29:50] recognised. Yeah it’s recognised training points um for education. But they can take [00:29:55] our diploma and they can take the cap points and they can go to university, apply it and they can start the embassy. They have [00:30:00] to surrender the diploma. They do an MSC. And we had an agreement with, uh, Chris Treadway at [00:30:05] Peninsula when he was at Peninsula. And hopefully we’ll get that accreditation again so that we can do it at Barts as [00:30:10] well. Uh, so they should be able to go and apply to universities with [00:30:15] our diploma, hand in the diploma and their credits and get on to an MSC and [00:30:20] just finish with one year MSE. It’s usually cheaper as well.

Payman Langroudi: So it’s so interesting, [00:30:25] isn’t it, that this notion of, you know, when I say, gee, what’s an aha moment, I ask, I’ve asked several [00:30:30] implantologists, for instance, that question. Yeah. Nilesh who you talked. Yeah. Said something [00:30:35] about suturing. Yes. He said, he said for him it all comes down to suturing. [00:30:40]

Sumair Khan: Yeah. The closure. He’s he’s right. Some a lot of that. Um, uh, he’s [00:30:45] absolutely right getting the passive closure. Yeah. And you see that sometimes [00:30:50] when you’re teaching suturing and you see especially the periosteal release. So when [00:30:55] you need to advance the flap and you first see someone holding the [00:31:00] C, I see it with my foundation dentist as well, because you teach them that on beachheads as well. Flap design. [00:31:05] And when they first pierce the periosteum it’s only about a millimetre or a half a [00:31:10] millimetre in. To do it first. And they play and they see the flap just opening [00:31:15] up and that you see their eyes just winding up like, wow, okay, this thing is going to go right [00:31:20] over the socket. Now I’ll be able to extend that and that just understanding [00:31:25] that the periosteum is what’s restricting the flap from extending over and just releasing [00:31:30] it the way it can be released. That also, I mean, was it was an aha moment for [00:31:35] me. Yeah. Uh, when I was in Chicago. Uh, but it was always I found it [00:31:40] difficult to explain it, much easier to show it on a pig’s jaw. So I’ve always [00:31:45] said when we do our foundation, when we do our foundation training, I’ve got as many as skills like [00:31:50] days as possible. Even with the diploma, none of our days have no hands on element to them [00:31:55] because people learn differently. Some people like to research and read things, but [00:32:00] a lot of dentists like to touch things and see things and feel things happening before they [00:32:05] will try it on a patient, which is right. I think it should.

Payman Langroudi: I asked Andrew Darwood, who [00:32:10] must have placed thousands and thousands of implants, and he said something about 3D thinking. [00:32:15] Yes, and and look, it’s all of these things. It’s all of these things. But you’d [00:32:20] be amazed.

Sumair Khan: About the availability of Cbct has revolutionised [00:32:25] implant dentistry. Definitely. And I do some GDC work, fitness practice [00:32:30] work for you as an expert witness and, uh, um, clinical advisor for implant [00:32:35] cases. Interestingly, the GDC in its like kind of revolution [00:32:40] in about three years ago, um, the guy’s name, but he’s a brilliant guy. [00:32:45] The GDC, he recruited about 20 or 30 of us who are [00:32:50] established implant dentists to be expert witnesses. So he put us through the expert witness training [00:32:55] and showed us how to write a report and stuff like that. And he’s now we get the stuff from [00:33:00] general practitioners that’s gone wrong, because traditionally they [00:33:05] would all be seen by a specialist, or those cases would be the expert witnesses would be specialists. [00:33:10] But the GDC charter or the rules, if you like, say that you will be assessed [00:33:15] or your case will be assessed by a peer.

Payman Langroudi: Oh yeah.

Sumair Khan: Someone. So you shouldn’t really have a specialist prosthodontist [00:33:20] looking at a case done by a generalist. So they recruited about 20 or 30 of [00:33:25] us and put us through this training pathway for expert witnesses. And I’ve seen a few cases, and you’ll be amazed [00:33:30] at the amount of people who will plan implants and place implants using RPGs [00:33:35] and using Pas. And I was trained in 2005, and I wouldn’t [00:33:40] want to place an implant without. Uh cbct. But you still get people teaching that. [00:33:45] You still get people on their courses teaching that it’s okay, uh, to take a PA roughly [00:33:50] measure clinically what a bone is going to be like, and then just place, place, implant immediately, [00:33:55] if you like. I just, I just medico legally. I don’t know where you stand with that level [00:34:00] of planning. I mean, it’s okay if you were trained that way and you were experienced in [00:34:05] that way. But for new graduates, a lot of the surgery will be cbct [00:34:10] and guided.

Payman Langroudi: We look at a lot of things in 2D when it’s an x ray like we were talking about, and [00:34:15] it’s different.

Sumair Khan: I mean, you can look at an OPG and we’ll see something very different than what [00:34:20] a new graduate would.

Payman Langroudi: Yeah, yeah.

Sumair Khan: Because we’ve been looking at RPGs for many, many years. Yeah. We have [00:34:25] then treated those patients who are the 3D model of that OPG. And we understand that, oh God, [00:34:30] that was this. This was that type of thing. Yeah. When you see it. But then nowadays [00:34:35] you they can’t make mistakes and medical legal climate in this that we are in now [00:34:40] in the last five years with dental law partnership and what is uh, I mean which [00:34:45] is why the insurance based stuff is like coming up so, so much because the indemnities [00:34:50] can turn around and say that wasn’t safe. We’re not they have discretionary cover. They don’t have to cover [00:34:55] you. So a lot of people are now just gone with the insurance based stuff. Do you think.

Payman Langroudi: That climate of [00:35:00] the medico legal that we’ve got here is holding us back? Yes. In [00:35:05] terms of progress, there’s no doubt trying things.

Sumair Khan: There’s no doubt. But I mean, I take two [00:35:10] cohorts a year to Cairo to place implants that are planned by a professor over [00:35:15] there and his department. Yeah. The future university in Egypt. Yeah. Uh, and these guys can go there and they can place [00:35:20] implants. They’ll get it wrong. They’ll take it out and put it in again. And the patients are grateful because they’re getting the implants [00:35:25] are free. The implants are restored by their final year, their students and their post grads. But these [00:35:30] guys can go there without that element of fear. They’ve signed up to be trainees of the of the university [00:35:35] temporarily. They pay for that, and then they pay for the implants and they they crack on [00:35:40] and they place 1015 implants.

Payman Langroudi: And like in your practice, let’s say, I don’t [00:35:45] know, 2010 or something where you had a few years of experience. Yeah, yeah. What [00:35:50] you actually take on when the medico legal environment [00:35:55] is like this compared to what it was back then? Yeah. Have you found that [00:36:00] there are times where you think, you know, if I would have done that, but the risk. [00:36:05]

Sumair Khan: Yes, the.

Payman Langroudi: Risk is too high. But legally, there’s no doubt.

Sumair Khan: That the people.

Payman Langroudi: That we go.

Sumair Khan: And learn [00:36:10] from. Nationally. Yeah. The people that come here and teach and go abroad, like the [00:36:15] Ramon Gomez made as a Palm Pilot, Cavaliers, Ricardo Gomez, they have worked. [00:36:20] They have made mistakes. They have learned from their mistakes and they have got better. Whereas [00:36:25] here we are all fearful of making mistakes and it is a throwing [00:36:30] each other under the bus type of culture that has done it. The ambulance chasers, [00:36:35] dental law, partnership, all these things have done it. And I understand that they’re trying to make things safer for [00:36:40] people. They’re trying to get people their money back because they’ve been harmed type of thing, but it’s just [00:36:45] gone too far. Yeah, the.

Payman Langroudi: Pendulum swung too far. It has.

Sumair Khan: Got.

Payman Langroudi: It’s just Ricardo Kearns [00:36:50] wouldn’t have come out with all of the innovations that he came out with. Wait, if he was working here? Wait. [00:36:55]

Sumair Khan: We are stifled. We are stifled by by the NHS. Because the undergraduates. [00:37:00]

Payman Langroudi: Because there are rules and regulations.

Sumair Khan: The undergraduates have zero exposure to tooth whitening, implants, [00:37:05] facials, anything that the patient that that brings the peoples practices. Yeah, they [00:37:10] have very limited because they are trained as undergrads to do foundation training. And foundation [00:37:15] training is 99% NHS dentistry. So all the upskilling and the [00:37:20] stuff that will enable them to grow a practice, it happens after the foundation training so they [00:37:25] are stifled till then and they are still in this environment trying to upskill while not [00:37:30] being allowed to make any mistakes or being severely punished for any any mistakes they make. [00:37:35] Do you want to talk about mistakes?

Payman Langroudi: I yeah, yeah we come, we come. Nicely [00:37:40] on to my favourite part of the podcast. So clinical mistakes.

Sumair Khan: I [00:37:45] made it easy. I had a very very difficult patient. She had [00:37:50] a, an old lady. She’s in her 60s, late 60s coming up to 17. She had [00:37:55] a, she had her upper teeth, but she had a severe class two malocclusion. [00:38:00] So her lower jaw was set quite far back from, from when she [00:38:05] was a child. She never had corrected or anything, and her lower teeth had virtually, in order to be able to touch [00:38:10] her upper front teeth, they had just extruded virtually. They were pointing out those [00:38:15] tips of the roots were just hanging in the bone. Uh, and I said to her, look, you’re [00:38:20] going to lose these teeth. I’m going to place him. We’re going to have a denture here. You’re going to find [00:38:25] it difficult. But I need to take these teeth out and put a denture in to see what the bite is I [00:38:30] can achieve and where I can put implants type of thing for you. This is like five years into it. This is actually [00:38:35] before my MSC at the Eastman. But but I took those teeth out and [00:38:40] I gave her a denture, and it was going to be at least three months before I could [00:38:45] put the implants in for those three months, she came in every week to have that denture adjusted. [00:38:50] She hated it. And you can imagine it’s a massive class to the [00:38:55] teeth are like edge like that. So she just has to touch and the denture like tips. Um, I was like, this, [00:39:00] this is awful. The day finally came, I walked in and, uh, Saturday morning, [00:39:05] was it.

Payman Langroudi: Edentulous on the.

Sumair Khan: Blower? Yeah, I made her edentulous, so she just had the lower front, like three.

Payman Langroudi: So [00:39:10] it was like a freehand. Yeah. Yeah, yeah, yeah.

Sumair Khan: So she was already on a losing battle. She was going to lose her teeth. Yeah. [00:39:15] So they finally came like three months down, almost down the line. I [00:39:20] went into the surgery on that Saturday morning. I said I can’t wait to for this lady’s implants because three months later [00:39:25] I can give her a dentures fitted or a fixed bridge. I think she wanted a fixed bridge. She [00:39:30] was set on that idea. She didn’t want a denture. And I said, that’s fine. So she comes in her first thing my nurses [00:39:35] say to me at the top of the stairs. I was like, oh, it’s like, oh my God, we haven’t got any bone. I was like, what? You [00:39:40] mean you haven’t got a bone? She goes, I’m going to buy some wire guide. I go, well, actually it doesn’t matter. She’s got I’ve [00:39:45] measured the implants so that they will fit exactly in. I don’t need and I can harvest [00:39:50] bone from her if I need to augment as well. It’s not going to be an issue. So we’ve draped the surgery [00:39:55] patients in antibiotics. Everything draped up of of numbed [00:40:00] her completely up. Opened the flap from lower right five to lower left five. Okay. And [00:40:05] peeled it back and made sure I’ve seen the mental frame and I’m nowhere near it. I’m going in between it with four implants. [00:40:10] I made the first hole and I said, right, can I have the first implant? And [00:40:15] that’s when my nurses realise they didn’t order the implants. And [00:40:20] I, they just at that.

Payman Langroudi: Moment they couldn’t find him.

Sumair Khan: They said, um, we don’t have the [00:40:25] implant. So what do you mean don’t have the implants? And they looked around and one of them started crying. The other one started, went into [00:40:30] a cupboard and started throwing out all these implants, uh, for other cases, saying, oh, we’ve got a four [00:40:35] by five, we’ve got four by ten, we’ve got a five by ten, we’ve got four by five. I said, put those back. [00:40:40] Otherwise we’re going to have exactly the same situation for next week for those cases. [00:40:45] And I just in silence. So this lady ladies are flat back [00:40:50] up and just kept thinking in my head, how am I going to word this to her? She knew something was wrong straight away [00:40:55] because the nurse was crying like crying hysterically.

Payman Langroudi: That would do it.

Sumair Khan: And I just sat [00:41:00] her up and I said, clearly this hasn’t gone the way it needed to. I’m going [00:41:05] to find out exactly why we don’t have your implants. I’m going to [00:41:10] find out what we’re. Long, and we will take measures to make sure it doesn’t happen to anyone else for you. I’m afraid you will have [00:41:15] to come back on Tuesday now, because Monday I will need to order the implants [00:41:20] and get them. And on Tuesday afternoon I’ll clear my diary. I’ll get you in. I’ll reopen [00:41:25] this place. The implants. She goes. I would like an explanation. I said, you’re absolutely entitled [00:41:30] to that as well. She went home. I turned to my nurses. I go [00:41:35] if she makes a complaint, that could end my career. And I just walked out of there. No nurse, both [00:41:40] crying by then type of thing. And on Tuesday she came back. She was fine [00:41:45] because it wasn’t that much pain, thankfully, and I just opened a flap again. Placed her for implants. [00:41:50] She’s been good for 15 years, Bob. She’s she’s had the implant bridge of lights, six [00:41:55] months a year, all paid. It’s a.

Payman Langroudi: Good story.

Sumair Khan: It’s a scary one.

Payman Langroudi: Because.

Sumair Khan: Story, it [00:42:00] tells you the importance of the team around you. Yeah. I mean, the [00:42:05] fact that they were crying meant that they knew instantly something had gone wrong. But they will never make [00:42:10] a mistake like that again.

Payman Langroudi: And, you know, a lot of dentistry mistakes [00:42:15] and errors. And these are non actual clinical.

Sumair Khan: Absolutely absolutely absolutely absolutely [00:42:20] absolutely.

Payman Langroudi: And it goes to show right that the training of your team and all of that [00:42:25] very very important.

Sumair Khan: That’s a good.

Payman Langroudi: Areas to end your career.

Sumair Khan: Yes you could. She made a complaint. That’s [00:42:30] harm that’s negligent.

Payman Langroudi: And ordering error. Yeah. Could have ended your career. Yeah. Yeah. Which [00:42:35] you know it’s sobering.

Sumair Khan: It’s crazy to think that.

Payman Langroudi: Now what did you look into or what was the error with. [00:42:40]

Sumair Khan: They both left it to each other. So I had two nurses both implant nurses. [00:42:45] Both were responsible, but they both left it to each other to make sure that along [00:42:50] with the side the lab work, the implant, the four implants were there. One of them thought the other one had done [00:42:55] it. One of them thought the other one had done it.

Payman Langroudi: But it never happened before, right?

Sumair Khan: It hadn’t. But this was, [00:43:00] say, 2010. Like I said, it’s nearly 15 years ago. So [00:43:05] it was only like five years after I had started. And this was one of my bigger cases, [00:43:10] like I said. And we had lots of cases lined up as well.

Payman Langroudi: And it’s also, you know, that perfect [00:43:15] storm of the denture didn’t go very well. Yeah, exactly. And in a way, [00:43:20] you were lucky. Yeah. Yeah.

Sumair Khan: In fact, she’s come back because she had a fall and I’ve done upper bridge for her implant bridge for. [00:43:25]

Payman Langroudi: Her as well. Okay.

Sumair Khan: So she’s come back and every time she comes in she goes, I remember what you did with that lower. And [00:43:30] my friend said, I’m mad for coming back to see you, but she comes back every year. Delight.

Payman Langroudi: Did you say something like, I’m not going [00:43:35] to charge you something like that?

Sumair Khan: No, no, I said to her, I can’t charge you any less because I’m charging [00:43:40] you the minimum already. And she said, that’s fine, but she was. I wrote her a very long letter [00:43:45] explaining how I was very sorry, and it was completely a failure of the team. I [00:43:50] hold ultimate responsibility. You mean at any point, if anything goes wrong, I’ll [00:43:55] fix it free of charge as a result of that. But luckily that’s 15 years down the line. It’s [00:44:00] a good one.

Payman Langroudi: That’s a good about what? About in your expert witness role, can [00:44:05] you can you stuff that’s gone wrong that you’ve seen? I think [00:44:10] the one of the worst case I’ll learn from you know.

Sumair Khan: So one of the worst cases. So I don’t accept [00:44:15] all cases. Uh, some of them, I’ll read the brief and said, like, this is not for [00:44:20] me or I don’t I can’t see anything wrong here. So one of the least pleasant aspects of fitness [00:44:25] practice work is when the cases you feel are not really a case. So we had [00:44:30] a guy who was sent to fitness practice because a patient had complained that he had called the practice. [00:44:35] So this guy was like me and you sitting at a computer at work. His receptionist knocked on the door, comes in and said, look, we’ve [00:44:40] got a patient on the phone who’s in pain and can you see him today? And he goes, well, what’s the problem? And [00:44:45] the guy, then she went away. She came back and said, actually, he’s had the implant in Turkey or Romania [00:44:50] or something like that two weeks ago. And now he’s got a facial swelling and he’s in pain. And this guy said, no, I’m having [00:44:55] nothing to do with it. And that patient went straight to GDC, and GDC opened the fitness [00:45:00] practice case because they felt that he had at least the [00:45:05] duty to get the patient in to see what the problem was. Make [00:45:10] sure it wasn’t a severe problem. At least give some antibiotics or refer him on to someone who could [00:45:15] help him. But he hadn’t done, even though he hadn’t shown that level of care either. But he didn’t know this patient from Adam. [00:45:20] He anyone random just calling any random practice like that. And I felt like that [00:45:25] was a bit harsh for him to have a fitness to practice against him. Because of that, that patient, [00:45:30] the receptionist, could maybe have said, look, you’re going to need to go somewhere else.

Sumair Khan: We can’t see you today. You’re going to [00:45:35] need to go to A&E if it’s severe. So those things they could have done. But the worst [00:45:40] fitness practice, um, case that was sent to me was a blue on blue. [00:45:45] Um, so this is the visiting dentist issue I told you about. So a visiting [00:45:50] dentist had come in. Very good dentist, someone I know and very well [00:45:55] now, but he was a visiting scientist. He was quite well known and renowned [00:46:00] at the time. I didn’t know him that well, so I was happy, uh, to take on the case. [00:46:05] I know, like, there was no conflict of interest. And so I [00:46:10] was surprised to see his name. Go on. I know this guy. He does. He does a lot of implants. He’s quite well known. Not seen him [00:46:15] teaching stuff like that. And he had been invited in to do a case for a lady [00:46:20] by another, a lady dentist, and that lady dentist had then [00:46:25] seen the patient post-op to take the stitches out, things like that. And the patient was complaining. They were complaining [00:46:30] that bits of the implant were visible, which can be if you’re doing tissue level. Some of the stitches [00:46:35] had opened up, which can happen to any of us post-op. It was a big case. She’d had [00:46:40] teeth taken out at the same time, which is always painful post-op. And she came back [00:46:45] maybe 4 or 5 times within two weeks to say she’s in pain. She [00:46:50] was hurting. It wasn’t nice. She’s not happy. So that dentist, the one [00:46:55] who invited the implant dentist in, told the patient to refer him to fitness to practice well, [00:47:00] and that’s.

Payman Langroudi: Throwing them under the bus. Question.

Sumair Khan: Absolutely not. Managing [00:47:05] post-op pain, not being able to manage patients expectations. So [00:47:10] there was full on the dentist part as well. Slightly. But it was like I said, [00:47:15] blue on blue. It would not have happened if they had just got together and seen the patient together and explained [00:47:20] things to the patient together. It’s majority of the issue is communication stuff. Yeah, yeah. [00:47:25] When it’s when it’s, uh, implant stuff, then the implants just fall out. So when it’s clinical stuff. So they haven’t [00:47:30] managed the perio to the implants just all fall out. There’s a guy who paid, like, 20 grand for his [00:47:35] upper and lower teeth. And after two years, he was wearing dentures and then being sent [00:47:40] for cbct been planned on an OPG and everything failed. And even on the wiki [00:47:45] you can see perio and some of the other teeth. So you think that’s that’s that’s substandard.

Payman Langroudi: Yeah. So [00:47:50] was that dentist the female dentist, was she the principal? Yes. Because, [00:47:55] you know, sometimes the nuance is so important. Yeah. And [00:48:00] sometimes, I mean, there’s nothing like your situation, but sometimes we get dentists tell patients [00:48:05] to contact us when there’s a problem with the bleaching. Yeah. And. Oh, right. [00:48:10] Okay. Well it happens. So when I.

Sumair Khan: Say when I say the team around you. Yeah. I’m not just my [00:48:15] nurse, I’m a receptionist. I work with amazing implant companies as well.

Payman Langroudi: But [00:48:20] my point is my point is so some sometimes you call up that dentist and say, hey, what’s going [00:48:25] on? Yeah.

Sumair Khan: So it’s not the dentist. I don’t think it’s ever the [00:48:30] Austin Straumann noble. Whatever system you’re using, I don’t think it’s their fault. [00:48:35] But you want their backing.

Payman Langroudi: Yes. Yes, of course, of course you want to know. My point [00:48:40] is when when I call up that dentist and say, what are you doing? Why are you telling the dentist patient, [00:48:45] contact me. Yeah. The patient shouldn’t be contacted. We do handle it. We try and make [00:48:50] sure the dentist does.

Sumair Khan: Your dentist?

Payman Langroudi: Yeah, because of that. But sometimes. Yeah. You [00:48:55] find that dentist. Yeah. Has got another problem. Yeah. With the practice [00:49:00] associate or something. And is under massive stress. [00:49:05] Yes. And you know we all know it’s a stressful job. Life is stressful now. Now the principal’s doing something [00:49:10] to that dentist or is pissed off. Anyway.

Sumair Khan: Very interesting. I was just at a talk, [00:49:15] so I went to an alumni event after 28 years back at the Barts, and there was a [00:49:20] speaker there called Gan who was talking about Black Box. He runs a company called Black [00:49:25] Box that talks about human factors, teaching human factors, and they talk about your capacity bucket [00:49:30] and, and in the morning, like waking up and there’s a bit of traffic or you’re late, someone [00:49:35] cuts you up. You’re already like on edge. On edge. You get into work and then your favourite nurse [00:49:40] isn’t there. Yeah, you’ve got a locum nurse you’ve never worked before, takes you slightly up to the edge. And [00:49:45] then while you’re doing a difficult procedure, the last patient turns back up and sits down because [00:49:50] he’s still bleeding and you’re like, the capacity bucket overflows. Yeah. And you start to lose [00:49:55] it. Then you don’t. You can’t manage other bits. So then if this patient comes [00:50:00] in he’s not happy with whitening. Then you say just call Payman.

Payman Langroudi: Yeah, yeah, yeah yeah I think that’s what happened to it. I [00:50:05] think that’s what happened. That’s exactly what happened. Very well put.

Sumair Khan: Capacity. But people need to be operating [00:50:10] at. Well, if you’ve got your peak operating like like a bell [00:50:15] curve and the top is B, you need to be operating at a most of the day. [00:50:20] And people always overestimate how much time they can work at maximum [00:50:25] capacity in the day. And you should be working at a not at the top of the bell curve because you need [00:50:30] the capacity to go up there if things start going pear shaped.

Payman Langroudi: And I think for me, [00:50:35] if you’re doing intense dentistry like you’re doing, I’d say four days, [00:50:40] not.

Sumair Khan: Yeah. Or even just do a little bit of day.

Payman Langroudi: Yeah.

Sumair Khan: Just just do one [00:50:45] intense case in a day or do two days of dentistry.

Payman Langroudi: It’s hard when [00:50:50] it’s when it’s when it’s intense dentistry. Like, I’ll.

Sumair Khan: I’ve never done it. I’ve always [00:50:55] had one day teaching. Yeah. Uh, which is like my weekend, which is my day off, if you like. Uh, [00:51:00] and I can, I.

Payman Langroudi: Can just, I can just imagine this principal’s listening to this going, shut the hell up. Yeah, because [00:51:05] everyone’s really annoyed with all these young dentists saying, I want to work two days a week, but.

Sumair Khan: They’ve got it right. I think [00:51:10] they can see our generation. Yeah. And they think, I don’t want to be stressed out like that. And yeah, I [00:51:15] still want to have hair when I’m 50. I still want to be healthy. Want to be able to like, yeah, [00:51:20] go like scuba diving or whatnot. And when I’m in my 50s, I just feel like they want [00:51:25] that work life balance and they’re right to ask for it at the start as well. And I think start [00:51:30] as you mean to go on. Yeah.

Payman Langroudi: Tell me about when you first met Jen and Kish.

Sumair Khan: So [00:51:35] Jim was my foundation dentist back in 2000, I think 13, 12, [00:51:40] something like that.

Payman Langroudi: Oh, he was your.

Sumair Khan: He was my vet and my practice.

Payman Langroudi: Okay.

Sumair Khan: And I mean, there was [00:51:45] he was quite he was a King’s guy. So he was quite full of himself. We had to take all the mirrors out [00:51:50] of practice because he couldn’t walk past them without fixing his hair. And then. But [00:51:55] he was a lovely guy. He really, really humble. And what Jen and Kish were actually [00:52:00] part of, because I was part of what everyone thought was an elite, uh, team [00:52:05] of trainers. We used to deal with the March Ummidia scheme, so the people who didn’t pass [00:52:10] their finals on time joined our scheme. So all the other trainers looked at us like, oh, they deal with the difficult [00:52:15] trainees, what they don’t realise. And what I realised when I became a training program there and ran [00:52:20] my own schemes, is that the March scheme trainees have actually [00:52:25] already are easier to teach and and progress faster [00:52:30] because they’ve already had a massive knock back lesson in resilience. Yeah, yeah. [00:52:35] So they know things don’t go well all the time. Whereas you get September trainees [00:52:40] where everything has been rosy all their lives. I mean, the first time an amalgam comes [00:52:45] out with a matrix band, they don’t know what to do.

Sumair Khan: They’re like panicking, run around the circle thinking, what’s happened here? [00:52:50] Uh, whereas these guys know things don’t go right all the time. So they were [00:52:55] very actually easy to treat in terms of their egos and their attitude. [00:53:00] They’d already taken a knock. Okay, so I felt like these guys [00:53:05] both, but they also were very driven the way, like I say, I was driven [00:53:10] because I was kicked out of my house when I finished Foundation. These guys were driven because they felt like they were playing [00:53:15] catch up. Yeah, I’ve also Shahab was one of them as well. You know Shahab very well as well. Jafari. [00:53:20] Yeah, he was one of them and Nahum was one of them as well. Nihar Patel isn’t is a now [00:53:25] teaches a PhD at King’s and ended up. Yeah. So these guys already were very, [00:53:30] very driven from the fact that I feel like they were playing catch up anyways, six months behind and they had to like prove [00:53:35] themselves. So that’s how I met them. And they have not stopped. They [00:53:40] are still just driven, very, very driven guys. Really humble, [00:53:45] really charismatic.

Payman Langroudi: Yeah.

Sumair Khan: It’s difficult to describe [00:53:50] because charisma, everyone thinks is I mean, this guy is good looking. He’s tall, [00:53:55] his ears, he’s fine. He’s got he’s got this, he does this, he does that. He’s charismatic. But [00:54:00] charisma is not about how people think about you when you walk in a room. [00:54:05] Charisma is about how people feel about themselves because [00:54:10] you’ve walked in the room. So when you walk in a room, if you’ve got that servant [00:54:15] leadership style where you’re empathetic, you’re present, you’re there [00:54:20] for these people for their benefit. That immediately gives you amazing [00:54:25] charisma and presence.

Payman Langroudi: Yeah, very good point. Very good. Because I think Majid and Kish, [00:54:30] you when you look if let’s say you don’t know them. Yeah. I mean yeah, I mean you see [00:54:35] the photos. Yeah. Well I.

Sumair Khan: Mean that’s a branding thing with appointing.

Payman Langroudi: Each other.

Sumair Khan: No socks, [00:54:40] the spiky hair and spiky hair.

Payman Langroudi: Yeah. And let’s say you don’t know them. You’ve never met them. Yeah. You’d get annoyed. You’d get [00:54:45] a bit wound up. You’ll have one. One particular angle on what’s going on. Yeah, yeah, [00:54:50] yeah. But then when you do meet them, you’re quite right. I mean, for me, the most interesting [00:54:55] thing is how serious they are. Yeah. Of course, very serious people.

Sumair Khan: Credibly driven, incredibly.

Payman Langroudi: Driven, driven, [00:55:00] kind and still.

Sumair Khan: Empathetic and humble with it.

Payman Langroudi: Great nation. Fantastic. [00:55:05] It’s a great. And they deserve the sort of the the movement they built. Yeah, [00:55:10] absolutely.

Sumair Khan: I’ve always been there for them. They’ve always like helped included [00:55:15] me when they’re doing something, uh, big or like I said, with the diploma and stuff like that where they [00:55:20] see my skill set would benefit them as well. They say, are you available? I’m always available for those guys, [00:55:25] always have an advice. And even socially, if you’re out and about, they’d always invite me. I’m a bit old now, but I still [00:55:30] rock up. Keeps you young, though, right? It does. It does serve as a foundation training job. Like every year [00:55:35] I get a new bunch of 25 to 28 year olds, 12 of them, to bring them into the general practice [00:55:40] every year. And I guess.

Payman Langroudi: Your spiky hair came from. Yeah, it.

Sumair Khan: Came from them. Yeah, yeah. Gene has cut my [00:55:45] hair once, I will admit.

Payman Langroudi: Tell me this about younger dentists. I mean, you train [00:55:50] so many of them. Do you can you spot early [00:55:55] on? Like how quickly can you spot people with with talent or with potential or [00:56:00] or am I framing it incorrectly? Do we all have talent and potential? But I think.

Sumair Khan: Everyone has [00:56:05] talent and potential. I think not everyone’s talent and potential [00:56:10] is clinical. I think some of them are more academic, some [00:56:15] of them are more social. They’ve got social skills, communication skills. Uh, some of them are, [00:56:20] like I said, more academic. They’re more into the theory and uh, and uh, and research type stuff. [00:56:25] I think it takes at least 3 to 5 years for them to work out [00:56:30] what they enjoy the most. But I said to you earlier when we were talking, I can’t imagine [00:56:35] anything worse for a dentist or a professional to wake up and go to their job [00:56:40] and hate what they do every day, especially five days a week. That would be horrible. [00:56:45] So the whole point of foundation training is to give them a taste of as much as possible [00:56:50] the NHS, a private get them involved in conferences. It’s a shame that our [00:56:55] deanery, the Thames Valley and Wessex uh area is the only one that goes to the BDA. Um, [00:57:00] this year anyway, a lot of the other deaneries see it as a conflict, [00:57:05] not conflict, uh, or like a commercial type two commercial for the NHS, whereas [00:57:10] it is the only union that dentists have. And it was actually very educational this year. It [00:57:15] was brilliant. You guys were there. We had Prof. Bartlett there and we had some fantastic speakers [00:57:20] there. Uh, from Shannon was there from uh, from guys as well. And the [00:57:25] guys. So it was brilliant. It was very, very educational as well as inspiration. And yes, they’re going to be [00:57:30] exposed to the commercial stuff, but what isn’t commercial in dentistry.

Payman Langroudi: The [00:57:35] majority are going to be business owners. Yeah, not just that.

Sumair Khan: I mean, they can’t even when they’re teaching them in the schools that [00:57:40] you can’t teach them composite and cover the computers with like a white tape to say generic [00:57:45] composite. Yeah. It ever says 3 a.m. or it says GCC or it says something doesn’t, you can’t. It’s [00:57:50] not possible to hide. If you’re going to cut teeth, you’re going to have to buy a burr from somewhere. You’re going to have to cut it [00:57:55] with like a stone and a chisel. It’s it. Everything [00:58:00] is commercial in dentistry, and you have to they have to be introduced to that in a controlled [00:58:05] way as well. Yeah. It’s, uh, it’s interesting how conflicts of interests are [00:58:10] always highlighted in favour of some people and. Yeah. And [00:58:15] rather than.

Payman Langroudi: Others. And you were saying your, your son has decided he wants to be a dentist. [00:58:20] Yeah. One of your. Yeah. Yeah, yeah. And we were talking about did you encourage that. [00:58:25] Would you encourage that. And the general doom and gloom [00:58:30] that there is sometimes and I’ve asked the question in this room from [00:58:35] lots of people, would you encourage your kids to do dentistry?

Sumair Khan: I think if they show an aptitude [00:58:40] for it so they’re actually interested in it. They are impressed by what we do. [00:58:45] They would like to be able to do that. They can see the rewards in it for the patient and [00:58:50] for you, and they are interested in exploring that. Definitely. [00:58:55] I would encourage them to go and visit. So I’ll my my son is doing work [00:59:00] experience now. He’s actually training to be a dental nurse while he’s doing his intercalated BSc. Now he’s [00:59:05] doing his dental nurse qualification so he can come and nurse with us, takes the photos of our cases and I show him what [00:59:10] I was discussing with him. So he’s getting interested and he does want to do it. The old one [00:59:15] was not interested at all. He was like he had taken photos of us doing like, uh, full [00:59:20] arch case. And he was like, man, you know, he’s like, it’s just one aspect [00:59:25] of surgery or medicine that you’re doing. There’s so much more. He was his eyes [00:59:30] were much wider field. He was. So he’s like I said, just done a master’s [00:59:35] underlain, uh, in physics at UCL and has applied to do medicine. [00:59:40] So, um, I don’t know where that’s going to go, but we’ll see. But I wouldn’t force [00:59:45] it on anyone. There are a lot of doctors and dentists.

Payman Langroudi: The enthusiasm that you’ve got, I mean, it’s clear when you talk about [00:59:50] dentistry, your your eyes light up. Yeah, yeah. What’s the difference between you [00:59:55] at 52, you said.

Sumair Khan: Yeah, yeah, yeah.

Payman Langroudi: Still trying to learn all the time. Still excited. [01:00:00] And many of us at 52 maybe stopped [01:00:05] learning at 32. Yeah. And just do the same thing every day. Yeah. And [01:00:10] you know why I think you’re right I think why why do some people really love [01:00:15] it and some people don’t?

Sumair Khan: I think you have personality types and you have [01:00:20] the culture that you’re around as well. So when you’re around young people who are learning still and [01:00:25] you can teach them and you want to learn something else to teach them as well, I think that is is a driver [01:00:30] for you to keep learning. I think definitely being able to offer your patients something [01:00:35] else and get the reward of giving them something else [01:00:40] apart from amalgam fillings, for example, like you want to be able to give them something really good that they will [01:00:45] appreciate. It’s got to be a win win win. It’s a win for you, a win for the patient, a win for whatever system you’re using [01:00:50] as well. It’s. A collaborative thing, but definitely it is an [01:00:55] attitude. It’s to do with your attitude and your zest for life. [01:01:00] And when you have to love what you’re doing, okay, I get up, I can.

Payman Langroudi: With you [01:01:05] just listening to you. Yeah, it seems to me like improvement is is a key [01:01:10] thing. Oh no. No. And you can see, I mean, even even in the five, eight years that I was [01:01:15] a dentist. Yeah, I got to a point where I wasn’t improving in particular in some areas. Yeah, [01:01:20] yeah. And then if you’re not improving those areas, you’re just doing the same thing every day. Yeah. Yeah. It [01:01:25] can get it can get terrible I agree, I agree. It took me.

Sumair Khan: A long time to start dropping bits that [01:01:30] wasn’t good at as well.

Payman Langroudi: Right, right. Um, but especially because, you know okay, you’re across three practices. You’ve got [01:01:35] the thing, you’ve got a lot of sort of different levels of things that it.

Sumair Khan: Means I’ve got people who are good [01:01:40] at the bits I’m not good at.

Payman Langroudi: Yeah, but but from the, from the, you know, when you assess your life. Yeah. A [01:01:45] lot of dentists are in one room. Yeah. One nurse who they don’t necessarily like. [01:01:50] Yeah. For the sake of the argument. Tolerate. Yeah. Yeah. They tolerate, let’s say the two of them, they like each other. Yeah. So [01:01:55] already you’ve got a situation where you’re in a room with someone you’re not particularly want to be in that room with. Yeah. Yeah. Let’s [01:02:00] say the dentist wants to do four handed and the nurse does for the sake of the argument. Or let’s say I [01:02:05] had a nurse who wanted the local radio station on the radio, or a.

Sumair Khan: Temperature cooler.

Payman Langroudi: Than [01:02:10] the temperature. Yeah, yeah. And loops would team. So you’ve got these weird, like, uh, yeah. [01:02:15] Tension already there. Yeah, yeah. Now the patient comes in and, uh, let’s say [01:02:20] you’re in a situation where there’s a third party who’s constantly telling you what you have to do [01:02:25] and can’t do. Yeah. Or let’s say you’re in a private situation where you’re not improving. You’re doing the same thing every [01:02:30] day. It keeps, you know, this question of why do dentists kill themselves? Yeah, I [01:02:35] think.

Sumair Khan: Upskilling isn’t just about. There’s a big part of it is being able to charge [01:02:40] more. Okay. So doing the higher level stuff so you can charge more definitely [01:02:45] because you want your.

Payman Langroudi: That conversation needs to be heard.

Sumair Khan: Your time needs to be more [01:02:50] money for your time as it what you’re making per hour as a foundation dentist should [01:02:55] be very different to what you’re making per hour five years later, and then five years after that, you should [01:03:00] be making more because as you get older, you can’t actually work that much. [01:03:05] You can’t put those hours in or as quickly or as quickly you can’t. I couldn’t see 30 patients [01:03:10] a day. Now, if I tried to, I think I would suffer. I mean, the moment you start upskilling, [01:03:15] you can start slowing down and charging your money’s worth as well. And and when you start [01:03:20] enjoying what you do as well, you don’t feel bad charging for the money because a lot of dentists don’t like [01:03:25] doing is talking money. A lot of dentists don’t like talking money with their patients, and they find it difficult to [01:03:30] charge. The younger generation are better at that than we are, by the way, but they still [01:03:35] will feel like unless they’re giving extra, they’re able to upskill and give more. They [01:03:40] don’t feel justified in charging more as well. So I think a lot of it drive comes from that being [01:03:45] able to justify what you’re charging and get what you’re worth money wise, because the [01:03:50] NHS, unfortunately, has not just stifled our development in terms of upskilling, [01:03:55] but it has demoralised us as a profession.

Sumair Khan: If you look at what we [01:04:00] get paid for, a silver fillings or amalgam, or even for a [01:04:05] composite or even for an endo compared to what you [01:04:10] can charge privately in Australia, America, anywhere in Europe, even in India and Pakistan, they [01:04:15] charge more for an endo. And it’s crazy. It’s absolutely crazy. [01:04:20] I mean, it’s been underfunded. A years and years of underfunding has [01:04:25] just demoralised the profession, which is where all the doom and gloom comes from. But the fact that [01:04:30] the upskilling is there so you can upsell and it’s all acceptable [01:04:35] now, it’s not seen as like you’re not seen as like an evil car salesman type of thing anymore. [01:04:40] You’re upskilling appropriate and charging appropriately for your time, and it’s not seen as a bad thing. I [01:04:45] think that has changed the generational. There has been a change that people understand.

Payman Langroudi: How do you [01:04:50] deal with the youngsters who are so scared of being sued all the time? Because I hear that a lot. Yeah, I. [01:04:55]

Sumair Khan: Do as well. And it can they can get frozen. So we actually have to stop [01:05:00] them going to the Edu and NPS coming in to talk to the FDS now.

Payman Langroudi: Because [01:05:05] it was scaring.

Sumair Khan: Them. They scared them. So they’re already scared. And then they would just do nothing. They’ll work like therapists. [01:05:10] Yeah. Like just simple fittings and scaled and polished because. Didn’t want to do anything complex. [01:05:15] Yeah. So what we’ve done is for foundation training, for example, there is a minimum standard [01:05:20] of complex minimum number of complex items they have to do before they do [01:05:25] it. So they have to do at least 12 windows, of which six have to be older windows. They have to do at least 12 [01:05:30] cast restorations of a certain foundation. Now we have this we’ve [01:05:35] had it, uh, satisfactory completion and foundation training. It was, um, myself and Liz Jones wrote those [01:05:40] requirements as a pilot first, about 2000, I think 15, [01:05:45] something like that. 14 is when it came in and it’s been mandatory now. So they have minimum [01:05:50] standards, and those are the standards that all the ORS or the POVs need [01:05:55] to meet to get onto the NHS performance list. Now it’s the same I see.

Payman Langroudi: Well, [01:06:00] we come near to the end of our time. Um, it’s been a massive, massive pleasure [01:06:05] to have the dawn of the small clinic here. I’ve been wanting to [01:06:10] have you for the privilege. I was going to ask you the same questions as we ask everyone, [01:06:15] please. Fantasy dinner party. Oh, yes. Three [01:06:20] guests, dead or alive.

Sumair Khan: Brian, would you had I had Mohammed Ali, the boxer. Uh huh. [01:06:25] Uh, just I mean, achieving what he did, having everything stripped off him when [01:06:30] he didn’t want to go to Vietnam and then coming back and then.

Payman Langroudi: And just all around.

Sumair Khan: Just [01:06:35] all around. Cool guy. Absolute legend. I had asked him winger then as [01:06:40] well, what are you, an awesome I am an awesome fan and what he did for that club is just phenomenal. [01:06:45] I mean, it’s still the Invincibles, it’s still not been done. And like I was a season [01:06:50] ticket holder that season, just absolutely brilliant, absolutely phenomenal. And in fact, I qualified [01:06:55] as 90 sixes when he joined. So because I had my career as of in the start [01:07:00] was.

Payman Langroudi: It was it was a beautiful time when the Blair government came in as well. And there was a lot [01:07:05] of absolutely positivity around it.

Sumair Khan: And then, uh, for my third person, I was I [01:07:10] was struggling, but I thought I might have Jeremy Corbyn in who? Jeremy Corbyn. Oh, Jeremy.

Payman Langroudi: Corbyn. [01:07:15]

Sumair Khan: Yeah. Just because he.

Payman Langroudi: Always is interesting. Yeah.

Sumair Khan: He always seems [01:07:20] to be standing up for the right thing. And he was also [01:07:25] ousted after being, like, labelled an anti-Semite in the media and everyone just [01:07:30] abandoned him. But he’s still there standing for the same things. And I was ousted as well when [01:07:35] I was at the, um, in the London, uh. As well. There was a lot of, uh, toxicity, [01:07:40] uh, going on when, uh, London in cases combined and I was labelled [01:07:45] as a bully and a sexist. So I made a little joke, and it [01:07:50] was just horrific. Um, what you go through when, when people are trying to oust you. [01:07:55] But I was very lucky the BDA supported me. They investigated [01:08:00] his role, and I was given an option to move, and I was able to reinvent myself back [01:08:05] as a TPD in Oxford and I’ve loved it. The culture there is so much different. And it [01:08:10] comes back to that thing about having the right culture and team around you, and that’s very, [01:08:15] very important going forward for anyone in any career to really make [01:08:20] sure you’re never going to get to a point where you love what you do and you do what you love. Unless you’ve got [01:08:25] the culture and the support and the team around you. If a team around you is toxic and just [01:08:30] self-serving Leaders rather than servant leaders, then you’re going to be in trouble. [01:08:35] You need to get out.

Payman Langroudi: And it must be a very difficult time.

Sumair Khan: It was it was very difficult.

Payman Langroudi: Would you [01:08:40] class that as the most stressful period in your work?

Sumair Khan: In my work career, yes. Apart from that time that [01:08:45] I opened that lady’s flap flap and I didn’t have the implants.

Payman Langroudi: Um, [01:08:50] the next question is a deathbed [01:08:55] question. Yeah. On your deathbed, surrounded by your loved ones? Yeah. [01:09:00] In many years time. What are three pieces of advice you would leave them?

Sumair Khan: So [01:09:05] first and most important is what my dad said to me many [01:09:10] years ago. And that is just get good at what you do. Don’t chase [01:09:15] money. Don’t get good at something because it will make you money. Get good at what you do and the money will [01:09:20] come. The second thing would be to get into a position [01:09:25] where you’re blessed enough to do what you love, and love what you do. Exactly what Steve [01:09:30] Jobs said is, the only way you can do good work is to love what you do. And the third thing is to [01:09:35] be don’t be afraid to make mistakes, because when you make [01:09:40] mistakes, you learn from them. And. Learning from [01:09:45] mistakes is how you get better. The difference between a novice and an expert. I tell this to [01:09:50] my implant trainees as well, is that the expert has tried and failed more times than you’ve [01:09:55] even tried. Okay, and I’ve had to deal with that failure. And that’s why I’m an expert, because [01:10:00] I’ve managed it. So don’t be afraid to fail. That’s how you grow.

Payman Langroudi: Continuous growth. [01:10:05] Word. That word. Experience. It’s all about mistakes. Absolutely. [01:10:10] That is what experience is.

Sumair Khan: Experience equals mistakes. Mistakes equals experience. That [01:10:15] Dunning-Kruger thing. I’m now climbing the second curve that comes up where you are [01:10:20] more cautious about what you take on, but you are much more come from a position of experience, of lots [01:10:25] of failures.

Payman Langroudi: How would you like to be remembered?

Sumair Khan: As a servant leader, [01:10:30] as a leader who inspired and helped [01:10:35] other leaders to grow to where they are now, like Jean, like ish, like Nihar Patel. You know, just [01:10:40] someone who they look back and when they think about or who helped them in their career, they go, [01:10:45] oh, it was him or someone. When they’re teaching a certain technique, the way you raise a flag like, oh, Doctor [01:10:50] Khan used to teach this, or Doctor Khan taught me this back in the day. I hear it sometimes and I hear my [01:10:55] my previous PhDs who are now trainers themselves when they’re talking to their trainees, [01:11:00] and they say that thing like the three certainties in life death, taxes. And I know [01:11:05] they got it from me. So I love I love just hearing that. I like inspiring future [01:11:10] teachers and future leaders as well, even if they’re just learning from my mistakes. Because I’ve got [01:11:15] like I said, I’ve I’ve been loud, I’ve been brash, I’m a type A or [01:11:20] Red personality and not everyone can work with that. So at times I’ve made mistakes. I swear [01:11:25] quite a lot when sometimes when I’m teaching, I’m quite aggressive. Like when I was at Barts [01:11:30] and the London, it was called Khan’s Kitchen. I had the, the what’s his name? [01:11:35] Gordon Ramsay style of teaching. So it was, it was just what those trainees [01:11:40] needed at the time. But now it’s very different.

Payman Langroudi: So after that incident, did you now did you have [01:11:45] to start worrying about your style of teaching or.

Sumair Khan: No, [01:11:50] I what I did is I developed, I had some coaching. The good thing about what hap [01:11:55] came out of it is they, they paid for these top um coaches to come in that deal with NHS [01:12:00] consultants. So they paid for me to have some coaching sessions. And I’m really, really [01:12:05] good coaches. And they taught me about emotional intelligence, personality types and [01:12:10] and that’s where I learned all this stuff about empathy, servant leadership and things like that. [01:12:15] And then I did a coaching and mentoring, um, degree in uh, coaching, mentoring and leadership [01:12:20] qualification as well with the Chartered Management Institute. But it is [01:12:25] absolutely amazing how many people get into those high positions and [01:12:30] have no idea how to actually be a leader and how to inspire the people around them [01:12:35] that all about themselves. It’s they’re still like just like an [01:12:40] inward facing rather than outward facing. And you can see the cultures in like [01:12:45] in some top NHS places as well, where it’s very toxic. [01:12:50] And it’s because the leaders don’t understand servant leadership.

Payman Langroudi: Institutions lend themselves [01:12:55] to these sort of problems.

Sumair Khan: Politics wherever there’s money.

Payman Langroudi: And yeah, but even [01:13:00] in a dental practice, you’re leading a dental practice. Yes. Of course. Yeah. I mean, even even leading [01:13:05] a small company like this one. Yeah. There are things that I’m good at. There are things that my partner [01:13:10] is good at. You build on each other’s. Yeah, but but but you know, this course that you’re talking about. Yeah. [01:13:15] I reckon I’d really benefit from that. Definitely. You know. Absolutely. There are times where I put my foot right [01:13:20] in it in communication. Absolutely, absolutely.

Sumair Khan: That’s there. I mean, if I could say a fourth [01:13:25] thing, my deathbed, I’ll say learn how to communicate with everyone. Yeah. Because [01:13:30] there are lots of different people. They all communicate differently. People have different backgrounds, upbringings, [01:13:35] just learn how to not just communicate, but properly on a level, touch [01:13:40] everyone’s lives positively. Because that’s what people will remember. You is what change [01:13:45] you made in their lives, how you touch their lives. If you made it better, if you made it worse, and [01:13:50] going around making people’s lives worse, that’s just toxic behaviour. You don’t [01:13:55] want to be remembered like that, that’s all.

Payman Langroudi: Will you look back on your career? If you had to think of maybe [01:14:00] one incident one day that you felt like was best. What [01:14:05] comes to mind?

Sumair Khan: Well, my first son was born. Definitely. Your first son was. Yeah. [01:14:10] Yeah, absolutely. Absolutely. Because I knew it would change the dynamics for me at work, for me in my [01:14:15] life, for me, in my my responsibility wise in terms of growing up, but [01:14:20] also for my parents. Like I said, they were already.

Payman Langroudi: I found I found that very difficult, but it was.

Sumair Khan: Difficult.

Payman Langroudi: But [01:14:25] but I mean, on that day, I found that day difficult, I didn’t already. Yeah, yeah, I said that. [01:14:30] I said that on episode one and my, my son listened to it three years later, I [01:14:35] had to apologise to him. But no, I mean, you worked life in your work life. What was the. [01:14:40]

Sumair Khan: The best day in my work life?

Payman Langroudi: What comes to mind? Oh, God.

Sumair Khan: Ah, [01:14:45] there were so many great days in terms of clinical practice. Like I said, [01:14:50] fixing things that have gone really wrong for people. So one of the best days, very [01:14:55] like a lady who had come in, she has got this hydrocephalus. This on my Instagram, this, [01:15:00] this. She’s got hydrocephalus. She’s got very smaller jaw and she’s got tube coming out [01:15:05] that drains this, um, excessive CSF. And she had been fitted with some implants. [01:15:10] Her lodge was very crowded, very retro, um, retro kind. And her upper denture [01:15:15] that she came in with, it would walk in the door before she did. It was that far [01:15:20] forward, her lips thing come over it fully. It was really bad. And she had had it fitted 18 [01:15:25] months ago. So 18 months she’d been a pariah in her room, scared to go out and practice. [01:15:30] And her mum and dad, her mum had come in with her. They couldn’t afford [01:15:35] the new implants or anything like that. So I had worked with the implants that she had had, and it was a specialist practice [01:15:40] in Essex that had done this for her, and she’d been back at least six times to try and have the [01:15:45] denture adjusted and stuff.

Sumair Khan: It wasn’t right. So I managed to give her a fixed [01:15:50] upper bridge with the teeth in the right place for her to be able to close the lips over it and smile. And [01:15:55] just the look on that lady’s face and the tears in her mom’s eyes up for me. Like this. [01:16:00] This is what? This is why I should be an implant dentist. This is why [01:16:05] I’m glad I got to a point where I could do that for that person, not refer her to someone who [01:16:10] could fix it for her. I could be the person that fix that for her. And it’s [01:16:15] immensely rewarding to see patients win like that. And it’s not about like, [01:16:20] disrespecting the what the work that had been done before. It clearly wasn’t what that patient [01:16:25] needed or wanted or could live with. And I could give her something that she could live with, and it just changed [01:16:30] her whole face. But her mum took from the way she was crying is like as well. I was like, wow, okay, [01:16:35] this is special. This is special.

Payman Langroudi: Sometimes, you know, we’re guilty of not remembering [01:16:40] because we’re so in it. We’re guilty of not remembering. The teeth are stuck to people. Yeah, that’s right. Changing [01:16:45] lives. Especially in implant dentistry. Maybe you’re giving someone a chance to kiss [01:16:50] for the first time.

Sumair Khan: Just go out and eat and eat.

Payman Langroudi: Exactly. You know, the lives [01:16:55] question of it is what? I constantly have this conversation with my marketing people to say that, you know, [01:17:00] you can talk about teeth, you can talk about the colour of teeth, but they’re stuck to people. Absolutely. Tell those. Absolutely. [01:17:05] That’s the most.

Sumair Khan: Important part, isn’t.

Payman Langroudi: It? It’s been a massive pleasure, mate.

Sumair Khan: Thank you so much, Dawn.

Payman Langroudi: It’s [01:17:10] been an absolute pleasure to have you. Thank you so.

Sumair Khan: Much for coming. Look after yourself. Thank you. Have a good day. [01:17:15] Thank you.

[VOICE]: This is Dental Leaders, [01:17:20] the podcast where you get to go one on one with emerging leaders in dentistry. [01:17:25] Your hosts. Payman [01:17:30] Langroudi and Prav Solanki.

Prav Solanki: Thanks for listening, guys. [01:17:35] If you got this far, you must have listened to the whole thing. And just a huge thank you both from me [01:17:40] and pay for actually sticking through and listening to what we had to say and what our guest has had to [01:17:45] say, because I’m assuming you got some value out of it.

Payman Langroudi: If you did get some value out of it, think about [01:17:50] subscribing. And if you would share this with a friend who you think might [01:17:55] get some value out of it too. Thank you so so so much for listening. Thanks.

Prav Solanki: And don’t forget our six star [01:18:00] rating.

This episode of Mind Movers features an intimate conversation with renowned dentist Nilesh Parmar. The discussion delves into Nilesh’s personal life and professional journey, exploring themes of success, relationships, and mental health in the dental profession.

The conversation offers a candid look at the personal side of a successful professional, highlighting the importance of balancing career achievements with personal growth and meaningful relationships. It also touches on broader issues affecting the dental profession, including mental health, professional conduct, and the challenges of maintaining a public image.

Enjoy!

 

In This Episode

00:02:05 – Public Vs private life

00:13:35 – Landmark Forum

00:15:50 – Relationships and culture

00:21:25 – Formative experiences

00:32:25 – Male vulnerability

00:37:35 – Marriage

00:49:55 – Darkest moment

00:52:25 – Bullying and dentistry

01:00:45 – Political ambitions

01:03:25 – Karma and charity

 

About Nilesh Parmar

Nilesh Parmar is an implant and cosmetic dentist, author, mentor, and media personality.

Nilesh Parmar: And it was for me. It was just a realisation that you’ve focussed so much on career [00:00:05] and the things. When I talk to a lot of younger people and I mentor now as well, one [00:00:10] of the things I say is look, don’t lose sight of what the end goal is and what you want from your life. Sit down and write [00:00:15] it down. What do you want from your life? It’s so easy to get tied up in the kind of Instagram realities [00:00:20] that I want. Private jets and I want to go this. I want to do car tours and all this sort of stuff. [00:00:25] But then you can only do that for so long. You need to develop those deep, meaningful [00:00:30] connections. You can’t just sacrifice everything for that. [00:00:35] You need to have family. You need to put effort into relationships. And that was something that I didn’t learn [00:00:40] until probably in the last five years.

[VOICE]: This [00:00:50] is mind movers moving the conversation [00:00:55] forward on mental health and optimisation for dental professionals. Your [00:01:00] hosts Rhona Eskander and Payman Langroudi.

Payman Langroudi: It [00:01:05] gives me great pleasure to welcome Nils Palmer onto [00:01:10] Mind Movers. We’ve had Nilesh on Dental Leaders. Um, but fresh [00:01:15] off his interview with Steven Bartlett. Nilesh, thanks for coming in. Firstly, [00:01:20] pleasure and it’s much more intimate when you’re actually in the same room. Um. [00:01:25] My idea. Yeah, your. When someone, when someone looks at your life [00:01:30] from the outside. On paper, it does look delicious. Racing [00:01:35] cars, multiple degrees, practice owner, implantologists, [00:01:40] all of that. But we’re going to go now is what you’re struggling [00:01:45] with right now.

Nilesh Parmar: Thank you for the introduction. That’s very nice. And it’s a really good question. I love the [00:01:50] way you just go straight into it, you know. Um, what am I struggling with at the moment? You know, the [00:01:55] thing is the the life you see online, I think we all know that isn’t [00:02:00] always the reality, right? It’s the highlights. It’s not everything else that goes on behind closed doors. And I think [00:02:05] we almost have this issue of not sharing, kind of like the bad stuff that happens for me. Touch [00:02:10] wood career has been good. You know what I do I find very easy. [00:02:15] I don’t find it difficult. It doesn’t stress me out. I don’t find it challenging. If now that I’m, [00:02:20] I hate to say it, 42 going on 43 in a few months, 42.

Payman Langroudi: Going on 17. [00:02:25]

Nilesh Parmar: Acting like a 17 year old is Asian. Don’t raisin Asian, [00:02:30] don’t race. Exactly, I like that. Yeah, I knew I’d get some one liners from this is [00:02:35] is that. Now. I started doing my will recently. [00:02:40] And it actually, it’s really strange to see your life [00:02:45] down on paper. Like every asset, everything you have, just down on paper, it’s it’s quite [00:02:50] a humbling experience. And then when the solicitor who you’re doing it with says, [00:02:55] okay, so, um, have you got a wife? And you go, no. He goes, okay, um, [00:03:00] I’ve got a girlfriend. And you go, no, he goes, children, partner? No. Ex-wife. No. Do you [00:03:05] have anyone to leave this stuff to? And I said, yeah, my sisters and my nephew. And he goes, okay. He goes, oh, that’s really [00:03:10] unusual. And I go, why? He goes, someone in your position who’s amassed wealth [00:03:15] usually has a partner, usually has someone, and you don’t have anyone. And that [00:03:20] kind of hit me. That really, really hit me. I was like, shit. All these years I’ve been working my ass off. [00:03:25] And it was. And it wasn’t the pursuit of happiness. It was the happiness I got from the pursuit. [00:03:30] It was just the next thing, the next thing, the next thing. And then you sit down and you think, if I met [00:03:35] someone now, and if I got married, let’s say in 3 or 4 years time and [00:03:40] we had kids, would I see my grandkids, like, would I be alive? Or [00:03:45] would I be alive to see my grandkids go to school or do like their first fun run or something? [00:03:50] And I think that was something that I struggled with. It was that realisation of, you’ve done so [00:03:55] much, but also you’ve done so little, like, what’s your legacy? And that’s something that kept popping up [00:04:00] in my head is what’s your legacy?

Rhona Eskander: I think a couple of things from what you’ve just said really resonate in a [00:04:05] way, and I think it’s quite refreshing for a man to be speaking about these things. The reason why I say this, [00:04:10] Payman and I talk about this often, is that women often talk about the biological clock, so you often [00:04:15] hear them panicking about children, recognising that they have a finite time. But what I’ve come to recognise [00:04:20] is, is that men also don’t necessarily want to be really old dads, which is pretty much what you’re saying. [00:04:25] I want children, but I also want to potentially live to see my grandchildren. And I think that’s [00:04:30] something that we don’t hear men talk about often enough, and we just assume, you know, if you’re a good looking, successful [00:04:35] guy who’s 50, you’re going to go for a 35 year old woman. That’s fine. But as you said, when your kid’s ten, [00:04:40] you’re 60 and your kid’s 20, you’re 70. And sure, we’re living a lot longer, etc., [00:04:45] etc. but I think, you know, there is something to be said for that one pattern, though, I [00:04:50] think that I’ve noticed is that the older you get, the more picky that you become. Because [00:04:55] also I feel that your wisdom allows you to become more picky about partners. [00:05:00] I was having dinner with a friend yesterday, and we were having a little bit of a catch up about our university friends. [00:05:05]

Rhona Eskander: They got married when they were 2728, and surely ten years later [00:05:10] the problem starts showing up the cracks. You know, I’m like, how’s this couple doing? Oh [00:05:15] well, he works all the time and he’s never in the house and he’s been coming home at 3 a.m. and she’s just looking after the kids. [00:05:20] And when I see them together in the kitchen, it’s not even as if they like each other anymore. And then there’s another [00:05:25] couple on the verge of divorce. Because the conflict in the Middle East, [00:05:30] she’s Jewish, she’s Muslim, has driven them apart. Yeah. And you know what I think to myself, I think, you know, [00:05:35] there’s two sides to every story. I think you got young Payman. You got married young as well. So be interesting to hear your point [00:05:40] of view. But I think there’s two sides to this, right? Because if you have waited [00:05:45] till later on, which includes me and you, to settle down, you [00:05:50] develop language and wisdom that may help your future relationship. You know, [00:05:55] and I think that that’s a healthy thing because then you know how to relate to them. Make sure that you’re [00:06:00] not triggering them. You have the language and the communication basically around this kind of stuff. So [00:06:05] I think, you know, it can work both ways. You know.

Nilesh Parmar: Conversely, I think you also [00:06:10] become very set in your ways and you become very much a creature of habit, especially men. I think we’re very [00:06:15] much like, right, I do this, and especially for me, I’m so regimented in everything I do, I find [00:06:20] great happiness in getting up and knowing that my day is planned. I’ve got this, this, this and this, and in my head I’ll have timings [00:06:25] for certain things, not exact timings, but timings. So I’ve never lived with [00:06:30] a woman, I’ve never lived with a girlfriend or anything like that I’ve lived with. Why? Um, it’s a good [00:06:35] question. For a long time, especially when I was studying, I used to [00:06:40] see my girlfriend at the weekends. It’d be like Friday night, Saturday night. [00:06:45] And then she was gone, and then I’d reboot. And on a Monday I was back to work. So I had all these [00:06:50] work things that I wanted to do, all these things that I wanted to achieve, and the girlfriend just seemed like [00:06:55] a weekend sort of thing. I wasn’t willing to commit the weekdays to her, and it was only [00:07:00] recently, or perhaps in the last few years, that I start understanding that, okay, you need a relationship, you need [00:07:05] to have time. And as Stephen Bartlett says, you want deep, meaningful connections [00:07:10] with people. That’s the key thing. If you can develop deep, meaningful connections with people, everything else comes easily. [00:07:15] And when you’re so set in your ways, I mean, the only woman I live with is my sister, and we used to drive [00:07:20] each other well. She used to drive me mad, but generally we used to get along quite well. But when you’ve not lived with [00:07:25] someone, you don’t get to know them as well, because life isn’t going out and going on holidays [00:07:30] and going out for dinners and things like that. It’s that core familiarity you get when you live with [00:07:35] someone. And, and I think a lot of the guys that I know, I don’t know any single guys. [00:07:40] I’m the only one. I don’t know really.

Rhona Eskander: What within the Dental community or wider circle [00:07:45] or.

Nilesh Parmar: Both in my close friend circle. So in my friend circle and I had my 20 year [00:07:50] reunion from my first degree, and we went round and there was about 35 of us who turned up. We [00:07:55] went round the room and I was expecting everyone to be fat and ugly and dishevelled. I was really disappointed. They all [00:08:00] looked really good, actually. And um, and they everyone was like married kid, married [00:08:05] kid, married kid married kid second married, second married third kid. And everyone who went [00:08:10] round and it was for me, it was just a realisation that you focussed so much [00:08:15] on career and the things. When I talk to a lot of younger people and [00:08:20] I mentor now as well, one of the things I say is look, don’t lose sight of what the end goal is or what you want from [00:08:25] your life. Sit down and write it down. What do you want from your life? It’s so easy to get tied up in the [00:08:30] kind of Instagram realities that I want. Private jets and I want to go this. I want to do car tours [00:08:35] and all this sort of stuff. But then you can only do that for so long. You need to develop [00:08:40] those deep, meaningful connections. You can’t just sacrifice everything for [00:08:45] that. You need to have family. You need to put effort into relationships. And [00:08:50] that’s something that I didn’t learn until probably in the last five years.

Rhona Eskander: I think I’m going to challenge you on that as well, because [00:08:55] again, it’s a two fold situation. People that you don’t know who they are and [00:09:00] then choose to get married young, sure, they can form a connection, but then I would argue that perhaps they find [00:09:05] it even more difficult to pursue their dreams that set them up for the life that they can have [00:09:10] and provide for their family. Like you’re unlikely to say you marry someone young. You’ve grown together. [00:09:15] Sure, it worked out for a few years, but then you’ve got a mortgage, kids, alimony, etc. and [00:09:20] you have this dream of like leaving your job in the city and pursuing a Start-Up. You can’t really do that. [00:09:25] Does that make sense? So I think we have to make conscientious choices. Come on. Like what you’re [00:09:30] going to say to me that somebody that’s the sole provider, he’s got a wife that became a housewife, has [00:09:35] two children, say that he wants to leave the marriage because he’s unhappy, and then he’s still got [00:09:40] to pay for the house, the divorce, etc., etc. he’s not going to suddenly quit his job with stable [00:09:45] income to, you know, do a start up.

Payman Langroudi: It’s less likely to take risk.

Rhona Eskander: It’s less likely to take risks. [00:09:50] Now, I think you’re right. Like, have you both seen the deathbed thing? You know, about the [00:09:55] nurse that said the biggest, um, death. Do you know it? Yeah. So for those [00:10:00] that don’t know it, you know, basically a nurse to come out, she wrote a book on it. So I really recommend [00:10:05] it about the five, um, deathbed things that people said that they wished they had achieved in their life. [00:10:10] One big factor, as you said, is that they’d wish they’d spend more time with their loved ones. So you can interpret [00:10:15] that in any way that you consider. I think that that is really [00:10:20] important to nourish relationships. But I don’t think your only relationship in life is your [00:10:25] relationship, that you still have deep, meaningful connections with your family, for example. And [00:10:30] I think hindsight I mean, Payman chime in, please, because how old were you when you got married? 31. [00:10:35] Yeah. So how do you feel like on the other side? Because I’d say that’s fairly young, you know, to get married. [00:10:40] And do you feel because obviously as you got older and wiser, like, how do you feel your life changed, [00:10:45] how you navigated a relationship? What do you what’s your kind of perception? [00:10:50]

Payman Langroudi: I mean, it depends on the particular relationship, right? So [00:10:55] you have a particular relationship. But I’m interested in in what you’re saying about girlfriends. [00:11:00] Mm. I’ve seen lots of girlfriends of yours over the years. Over [00:11:05] the years. Over the.

Rhona Eskander: Years.

Nilesh Parmar: Like over the years.

Payman Langroudi: Yeah. [00:11:10] And so when and each of these relationships has failed before you’ve [00:11:15] even lived together. Yeah. So when you look back on it, do you see a pattern of [00:11:20] self-sabotage? Does it get to a certain point and you get scared and and push him [00:11:25] away, or are you attracting the wrong kind of woman, or are you attracted.

Rhona Eskander: To the wrong person.

Payman Langroudi: Kind of patterns [00:11:30] are you seeing in the so failure of those relationships?

Nilesh Parmar: It’s really interesting. So, um, the last relationship I was in, [00:11:35] she sat me down one day and she said, look, I don’t feel we’re making. I’m not getting to know the real [00:11:40] you. We’re not having that connection. And I was like, what do you mean? How did you feel? Yeah, I [00:11:45] felt a bit prosecuted, almost. I felt as if I was. But did you feel.

Rhona Eskander: A connection with [00:11:50] her?

Nilesh Parmar: I did, yeah, yeah, I thought I did, but. So she, um, [00:11:55] suggested doing something called the Landmark Forum, I don’t know. Yeah, yeah, yeah.

Payman Langroudi: I’ve been on it.

Rhona Eskander: So [00:12:00] some dodgy stuff about it too.

Nilesh Parmar: So it’s very American. They they really push [00:12:05] it. They’re very, very pushy. Yeah. Um, but you get [00:12:10] from it what you want to get from it, right? You don’t take it too seriously the first time I did it, and I’ve done it twice. [00:12:15] I walked out on the last day. I just had enough. You were like, done? Yeah. I was like, I’m done. And I’ve [00:12:20] got a very logical brain. Not a very emotional brain, very, very. It’s really hard to break [00:12:25] through to me for that sort of stuff. I’m like one plus one is two. I don’t deal with, you know, [00:12:30] non absolutes. And then, um, I did it and I almost had a revelation about [00:12:35] so many things, and it made me understand how. And coming from an Asian background where your parents [00:12:40] were, my dad, who was is a dentist, an orthodontist, did six days a week [00:12:45] working as and you guys know, doing six days a week, 40 years is [00:12:50] intense right in in what we do. And his main rhetoric [00:12:55] was because they were born very he was born very, very poor. And he would tell me amazing [00:13:00] stories about how they would save up to go to the cinema on a Friday and the ad, um, [00:13:05] seven brothers and sisters, they would save up, they’d buy one chicken. I used to get a piece [00:13:10] and one bottle of Coke and that would be shared amongst everyone. So they they grew up with nothing. And [00:13:15] his thing was just to work very, very hard. And it was just working hard, sheer, sheer, [00:13:20] um, willpower to be successful and to put money and to put the kids through education, etc. it’s all our [00:13:25] parents ever wanted. So I grew up just seeing hard work. I didn’t grow up [00:13:30] seeing deep, meaningful connections. I grew up just seeing work. And that’s what I emulated right when [00:13:35] I when I grew up, that’s what I did. I did what my dad did, just worked my ass off. And it was only after [00:13:40] I did that course. Then I started having conversations with people that I never had before. [00:13:45]

Payman Langroudi: Yeah. So explain in that course they they encourage you to phone someone that you’ve wronged.

Nilesh Parmar: Yeah. They’ll [00:13:50] encourage you to phone someone who’s wrong.

Rhona Eskander: They do that in like AA and all those addictions stuff. Like you have to kind of like [00:13:55] repent, like the way you’ve treated people. So I had to agree to that. I had a very.

Payman Langroudi: Strange conversation with my brother. But [00:14:00] go ahead. Who did you call?

Nilesh Parmar: I phoned up an ex-girlfriend.

Rhona Eskander: Okay, okay. Well, [00:14:05] you felt that you’d wronged her.

Nilesh Parmar: So I phoned up an ex girlfriend that I had wronged and apologised, [00:14:10] etc., etc..

Rhona Eskander: And did she take that?

Nilesh Parmar: She was fine. She was. I mean, it was a long, long time ago, but what was [00:14:15] it?

Payman Langroudi: What was the thing you’d wronged her with? If you if you’re happy to talk about it?

Nilesh Parmar: Basically, she was very much in love and [00:14:20] I just thought, I’ve had enough. Now I don’t want to be in a relationship anymore. I want to be single again. I want to [00:14:25] have some fun and be a lad about town. So I just ended the relationship when she was madly in [00:14:30] love, like madly, madly, because.

Rhona Eskander: She just she felt blindsided.

Nilesh Parmar: Almost totally blindsided. It’s like having [00:14:35] the best day of your life. And the next day somebody saying no, but just pulling all of that from under you. And that’s exactly what I did. And it was a really shit thing [00:14:40] to do. But I didn’t understand. For me, it was like, okay, done, delete the number. I’m finished. It’s out of sight, [00:14:45] out of mind. And you didn’t realise that there are repercussions when you’re in a relationship with someone and you do things, [00:14:50] there’s repercussions onto their life as well. And whatever you do, even after the relationship, [00:14:55] there can be repercussions on their life as well. Once you imprint on each other, you [00:15:00] are almost connected for quite a long time.

Rhona Eskander: Do you believe in karma?

Nilesh Parmar: Yeah, yeah, very much so.

Rhona Eskander: So [00:15:05] I feel because I feel like you’re talking about karma basically, in a way.

Payman Langroudi: But what what do you believe about karma? You. I [00:15:10] bet you do, right? I bet you I.

Rhona Eskander: Mean, I have a real innate sense of wrong and right [00:15:15] in a real sense of consciousness. And I often wonder, because I grew up in a my father’s side [00:15:20] of the family is extremely Christian like, extremely like Coptic Christians are basically like Greek [00:15:25] Orthodox. They’re very religious. And because they’re the minority of Christians in the Middle East, [00:15:30] they take it very seriously. And my father really wasn’t like that. And my mom’s Catholic [00:15:35] and my my father did like the blasphemous thing by marrying a Catholic when he was a Coptic Christian. [00:15:40] But my grandmother, like, made me feel like this. Like I’m going to go to hell. Like for wearing, like, revealing [00:15:45] clothes for like, not like. And I went to a Catholic primary school. So I feel like this [00:15:50] innate sense of wrong and right, like, did you ever have that thing, a kid where you, like, tell a white lie [00:15:55] or you wouldn’t do something, and then you felt like you’d go to hell? I don’t know, like I’ve had that really. Like [00:16:00] I really have that, like innate sense.

Payman Langroudi: There’s a lot of guilt in religion, but how does that [00:16:05] relate to karma?

Rhona Eskander: Because then I thought that if I wrong, somebody would come back to me tenfold. Yeah. So I [00:16:10] think that that’s what makes me think about karma, as I often think about if I’m impacting [00:16:15] somebody’s life in a negative way, it’s going to come back at me tenfold. So every [00:16:20] decision and often like people describe me as being a bit of a pushover. I’m very emotional, [00:16:25] sensitive. You know, this and I think, yeah, okay, I might be a pushover sometimes, but [00:16:30] my genuine thing is, is like, if I do respond with kindness and genuine [00:16:35] kindness, I do believe it comes back to me in another way rather than responding with like, aggression and [00:16:40] hate. And has that happened over time? I think that over time, the kindness has [00:16:45] enabled me to forgive more easily. And I think that forgiveness is a lot more powerful than people think, [00:16:50] because forgiveness allows you to move on with your life. You know, I don’t forget, but I forgive. [00:16:55] That’s what I say. I’ll be like, cool, they did this to me, I forgive them. This is their own shit that’s going [00:17:00] on. But I won’t forget. Therefore, I won’t really trust them anymore. But I just move on from it, you [00:17:05] know?

Payman Langroudi: So what do you. What’s your understanding of karma?

Nilesh Parmar: So I was always brought up with the good [00:17:10] from my dad. A good sense of right and wrong. Right. You treat people well, you do things as they should be done. [00:17:15] And you try and be. You try and do the right thing as a man should do, right? But sometimes [00:17:20] we always steer from. We always walk away from the path now and then it always come back. We walk away from the path. [00:17:25] And karma for me was just if you’re a good person, good things will happen to you. It’s very simple. It’s very black [00:17:30] and white. But sometimes it’s also that self awareness because you might be [00:17:35] doing something and you don’t realise how much you’re hurting someone. Yeah, and you’re doing it without even thinking about [00:17:40] it. And for, for me, after I did landmark, the conversations [00:17:45] I had with a girlfriend at the time became very, very different in my eyes. We connected [00:17:50] a lot more and we were having much more, deeper conversations. Not just where are we going, what [00:17:55] we’re going to eat, what we’re doing here. And, you know, just just, um, surface level, you know, you have like level one, two, [00:18:00] three, four, whatever. So we were more dotting around three and four as opposed to one and two. [00:18:05] And I’d been seeing this, this individual for, you know, 6 to 9 months. [00:18:10]

Nilesh Parmar: And only after I’d done landmark were we having conversations that I never knew so many of these things [00:18:15] about her. And then I started revealing things about me. And I’m quite private about my vulnerable [00:18:20] conversations. And you’re and especially with the girlfriend who you don’t, you have that [00:18:25] kind of old fashioned Indian mentality where the man has to be the man, right? You don’t want to give, you don’t want to be vulnerable [00:18:30] in front of your partner. But then it all just started to flow out. And I remember one night, [00:18:35] I think we must have spoken for 4 or 5 hours about everything and [00:18:40] everything. So literally that person knows everything about me and things that I don’t [00:18:45] think I’ve ever told anyone. And that was that kind of idea of deep, meaningful connection. I mean, we broke up in [00:18:50] the end, which was a bit ironic anyway, but that that kind of maybe I scared her off, but that [00:18:55] that idea of having that connection, you felt so much closer to that person because a, [00:19:00] the level of trust just goes up to another level, because you’ve told them all of these things about you that you’ve never told [00:19:05] anyone, you know. And that was one thing that I always struggled with.

Payman Langroudi: But so is that what you’re saying? Are you saying [00:19:10] the pattern of relationship breakdown in the past has been that you haven’t shown all of yourself? Definitely. [00:19:15] To your your girlfriend?

Nilesh Parmar: Yeah. You’re always hold something back. You’d always hold. [00:19:20] What do you.

Payman Langroudi: Think that comes from?

Nilesh Parmar: Um, a lot of it comes from, I would say, being bullied [00:19:25] as a kid. I think being made to feel as if you weren’t good enough when loads of [00:19:30] loads of bullying. When I was a child and I said I had a stammer and I was quite short and fat, and [00:19:35] my mum really liked me having like a big afro kind of haircut. So, um, so the kids used [00:19:40] to call me mushroom because I had like a big headphone, a bit like that, and I didn’t realise people would call me mushroom [00:19:45] and chant mushroom to me. And I was like, why mushroom? Some Indian thing? And it’s only the teacher said, okay, [00:19:50] they’re calling you mushroom. And I was like, why? And he goes, because of your hair. And I was like, oh, that’s really not nice. Um, [00:19:55] and I think you because of that, you became quite closed off. So as a child, I [00:20:00] remember I’d come home from school where the other kids were playing football and stuff outside the South End. This was [00:20:05] in South End. And were there not.

Payman Langroudi: Many Asians in South End back then?

Nilesh Parmar: There were in my class there was one other brown guy. [00:20:10] And then I would get. I remember I used to get a little Cadbury’s [00:20:15] chocolate buttons, little mini thing, packet of crisps and a little mini can of like [00:20:20] Coke, because go to my room and I’d watch TV like I wouldn’t go outside. And then I was playing computer. I was very introverted [00:20:25] as a child, so much so that I became very shy around women. [00:20:30] Um, the more attractive the woman, the more shy I got and the more attractive the woman, the more my stomach came out. [00:20:35] And then at sixth form, they used because I went to a boys school at sixth form. That’s when you had girls [00:20:40] come in, and I was sat next to one of the most gorgeous at the time, all the most gorgeous [00:20:45] girls. I literally just was paralysed, I couldn’t talk, I found it so difficult and this girl was lovely. She’d have [00:20:50] a conversation with me. She must have thought I was some stupid kid that had a speech impediment because I was just [00:20:55] like, uh, literally couldn’t talk to her. And when you have, there’s different types [00:21:00] of stigma. But the stigma I had, there was certain words you can’t say, and you change [00:21:05] the phrasing of the sentence, so you change the word. But the usually [00:21:10] that word doesn’t always make sense. So you would say things and they’ll sound [00:21:15] really weird to it, and that would get the more stressed I got, the worse it would get. [00:21:20] And then my gag reflex would kick in as well. So you’re almost like a nervous wreck at one. And [00:21:25] when I got into university, it just disappeared. Well, overnight. Why did.

Rhona Eskander: I [00:21:30] think dentistry.

Payman Langroudi: Give you reinvented himself in university?

Rhona Eskander: Dentistry give you confidence? [00:21:35]

Nilesh Parmar: Both do you both right. And getting into dental school gave me confidence because I’m so hard. I [00:21:40] never got in. I got no offers, nothing. I got in through clearing. Yeah. My parents hid all the failure letters [00:21:45] from me. It was all like, shoved down the back of the sofa. He really got it. And I don’t think it’s gonna happen. [00:21:50] I was so strange. Nobody’s read to me.

[TRANSITION]: What’s going on? Yeah.

Nilesh Parmar: So I got in through clearing and, [00:21:55] um. And then turned out first day of uni, and it just disappeared. Because you’re right, you just. It’s [00:22:00] a new start. You reinvent yourself. And that I’d [00:22:05] like to say that was nice. And then it became nil. It was very too different.

Payman Langroudi: I remember clearly in Cardiff [00:22:10] on my first night in Cardiff, being this other person than the person I [00:22:15] was two nights before. As a sixth former, a lot of people reinvented themselves. I’m actually telling [00:22:20] my son to leave London for this same reason in case there’s an evolution. Yeah, yeah.

Rhona Eskander: I mean, [00:22:25] I think like it completely depends. Like some people I remember very clearly, like, first of all, I had no interest [00:22:30] in the dentists themselves because as soon as I saw them I was like, these are not my people. I [00:22:35] naturally love people in the creative and the arts. I did English, philosophy, [00:22:40] chemistry and biology, so I naturally gravitated towards people that did like very [00:22:45] woo woo type subjects, you know, really analysing human behaviour. So I applied to the halls, [00:22:50] they called it the Harry Potter halls. It was called Devonshire Halls. I remember it really hard to get into, [00:22:55] and it was all the boarding school lot that the that were there and I almost I was done with North London [00:23:00] because, you know, it was like north London. I was like done with Highgate UK’s boys, done with all that, like, you know, [00:23:05] all the Jews, the Arabs, the Chinese. I was like, I want to go like completely opposite and [00:23:10] go into something like white boarding school, that Harry Potter type territory. And that was the kind [00:23:15] of experience that I had. And Dental school for me was very closed off. It was very [00:23:20] much like Dental people hung out with Dental, people dated Dental, people did everything, and I just hated [00:23:25] that cliquey ness of it. I just hated it. I had no interest, you know, I wanted to be around [00:23:30] diversity. I think that was really important. But what I was trying to say to the point that you were saying about people almost [00:23:35] reinventing themselves, there were a few people that came to university that had gone to school with [00:23:40] other people, and they were like, she’s nothing like that. She’s reinvented herself. But after two years, her true character came out [00:23:45] anyway. Not necessarily bad, but say she was a bit of a geek, for example, like the geekiness came [00:23:50] out after two years. So I think it’s not necessarily about reinventing yourself, it’s either about finding [00:23:55] yourself. But I think if you try too hard to pretend to be someone you’re not, it’s going to it’s not authentic, [00:24:00] but it’s.

Payman Langroudi: Someone sometimes it’s someone you are. But you couldn’t be be at school. At school, [00:24:05] sometimes it’s there.

Nilesh Parmar: Or if you’re at school and you’re the cool kid, right? You don’t need to reinvent [00:24:10] yourself when you come to university. Yeah, yeah, there’s that too. Don’t have that social pressure if you’re at school [00:24:15] and you’re the awkward fat kid that people wouldn’t remember, you’re in the [00:24:20] room, right? Then you you do want to read because you want to be something. For [00:24:25] me. I always want to be something called relevance, right? I want it to be relevant. If I came into a room, I wanted people [00:24:30] to think, that’s nice. He’s he’s relevant. You know, that was always a thing. Always had that insecurity [00:24:35] about just fading away and not being important.

Rhona Eskander: So do you think. [00:24:40] And I’m just going to throw it out there for you. Do you think that perhaps your overcompensation [00:24:45] for success and legacy was perhaps a childhood trauma because you weren’t fit, you didn’t [00:24:50] fit in to the school, in the schools, etc.? So the ability to really prove [00:24:55] that you were incredible, which you are, you’ve left a real mark on the industry was, [00:25:00] you know, also a mask for your childhood trauma and worth, as it were. And I’m just [00:25:05] going to analyse the situation and, and on top of, on top of that. [00:25:10] Okay. And.

Payman Langroudi: Psychology.

Rhona Eskander: And then I need to pay.

Nilesh Parmar: You like an hourly rate. [00:25:15]

Rhona Eskander: And then on top of that, you also, on some level [00:25:20] have not been emotionally available for a very long time and you think you’ve [00:25:25] been available, but there’s been a part of you that’s been like, unresolved and that’s why the relationships [00:25:30] have failed. So you just said there. Welcome to my Ted talk.

Nilesh Parmar: That’s fantastic. We can just go home now.

[TRANSITION]: Just [00:25:35] complete it.

Nilesh Parmar: That is that is so true. It was [00:25:40] it was. You take the emotion out of the equation. You take emotion out of the equation. You focus [00:25:45] on the in the black and the white. And then you can make things all right. What’s tangible. You can do this, you can [00:25:50] do that whatever it is. And yeah, I was closed off. And I’m sure if any of my ex-girlfriends [00:25:55] are listening to this, they’re all probably thinking, that’s so true.

[TRANSITION]: I knew he was like this.

Nilesh Parmar: And [00:26:00] I think it was only and I think the other thing was, is that and also [00:26:05] the after lockdown, I decided to do some more media work, right, to do some more TV, [00:26:10] radio, etc. that I hadn’t done before. And I started to do it. And the only people who are really doing it was you [00:26:15] and Mila. You’re probably much the only two who did a lot of TV and media work, and I was like, I quite like that. I’d quite like to do [00:26:20] that. So I started doing some and then the Bartlett gig came up and a few other gigs came [00:26:25] up and I was like, okay. And then I think I got to that stage. I was like, you know what? I think I’m I’ve [00:26:30] reached my I’ve reached this level of success that I want, like, I’m happy with. Yeah, I [00:26:35] don’t want more.

[TRANSITION]: Yeah, yeah. So true.

Nilesh Parmar: And it was materialistic possessions. I was like, if [00:26:40] I bought another Ferrari right. Would it make any difference? I don’t have time to drive [00:26:45] the ones I have. If I bought another watch or another.

[TRANSITION]: Or another practice. Yeah. Yeah.

Nilesh Parmar: It doesn’t make [00:26:50] a difference. And it was, it was, it was, you know, a lot of the revelations when I was researching the Steven Bartlett thing [00:26:55] and when he was talking to billionaires, etc., and you know, how much is enough [00:27:00] and you have that Pavlovian need. You want food, shelter, accommodation, right? When you have [00:27:05] that, everything else is a positive. Everything else is just on top. And there’s one thing he said, he goes, do [00:27:10] you think a billionaire is happier when he when he changes in his 80 foot yacht [00:27:15] for 100 foot yacht, right. It doesn’t make any difference, right? If you go from earning two [00:27:20] grand to earning 60 grand, that’s a big difference. But if you go from earning 1 [00:27:25] million to earning 2 million, is it really going to make much of a difference to what you do in the morning? No, [00:27:30] does not make that much difference. So now that I feel as if the pressure is [00:27:35] off me in terms of the having to prove yourself right now that I don’t feel that’s [00:27:40] there anymore, that’s now where I’m like, okay, right, let’s concentrate on relationships, let’s concentrate on my friends and [00:27:45] become so much closer to some of my closer friends or my inner circle [00:27:50] than I ever have, you know, because I don’t have that pressure of having to prove myself anymore because I [00:27:55] am who I am now. And the people that are, they love me. They love me for who I am. Whereas before [00:28:00] I felt as if I had to be successful in order to get any attention, order to matter. When [00:28:05] I walked into a room where I don’t feel that pressure anymore. But you could only do that by going through the journey. [00:28:10] If I hadn’t gone through that journey, then I’d still be that kid with the stammer.

Rhona Eskander: But [00:28:15] that’s the thing. That’s why I think sometimes that we’re so hard on ourselves about the things that we should [00:28:20] and shouldn’t have done. And I’m like, I’m similar to you in a way, because like, should I have done this earlier? [00:28:25] Why didn’t I do it? And I was the same as you. I was like, when I reached this amount of followers, [00:28:30] when I reached, and I still really bad at that. And like when I do an ITV gig, a [00:28:35] makeover program, this, this, this. And I think deep down it was like maybe my I will [00:28:40] be seen and my worth will be enough. That’s pretty much why I think I was doing that. If I really if [00:28:45] I really think about it, obviously, you know, there’s the altruistic side, I wanted to help people, etc. [00:28:50] but then I also thought that it would constantly having these goals would make me feel. And then like you said, you get it. [00:28:55] I have my practice in Chelsea, expanded my team. I’ve completed media. Do you know what I mean? [00:29:00] Like what more. And I think that’s when you have to go on this inward journey. My I have a I have [00:29:05] a coach and he’s amazing. And he showed me two mountains and he said, there’s one mountain that people climb, right? And [00:29:10] they think that those things would make them happy. So on the way to the top, it’s all the materialistic [00:29:15] things, all the external stuff that we think about, and then we reach the top and we’re like, it’s actually not that [00:29:20] fucking great up here.

Rhona Eskander: It’s not that great up here. So what we do is we then start on a second [00:29:25] mountain, and the second mountain is all about the internal stuff, and that’s somewhat more challenging. And [00:29:30] I feel like it’s important. What I do want to ask you is, do you think that because I’ve [00:29:35] known you for a long time, the less you know, you helped me when I was like a nobody dentist. You know, you took your time out [00:29:40] because, you know, I was a very ambitious, you know, young dentist. And I’m always grateful for those times you take, [00:29:45] you know, to meet me for coffee or, you know, try to guide me through different things. There’s [00:29:50] been a change. I feel like you’re definitely on a different journey from, like, that man that I spoke to, [00:29:55] like seven years ago or whatever. Do you think that’s also because people have been having more [00:30:00] conversations, like, now we have access to these conversations. You know, for example, Bartlett talks [00:30:05] about this stuff all the time, podcasts in general. You’ve got Louis. How’s that? All these different people, do [00:30:10] you think that? It has been. That has been a change, particularly within the male circuit [00:30:15] of men talking about their emotions and their relationships and their struggles.

Nilesh Parmar: The before [00:30:20] you know, when we first started talking, men [00:30:25] didn’t show vulnerability. They did and [00:30:30] our fathers didn’t. Um, and the men that I looked up to, they [00:30:35] didn’t show vulnerability. They’re very macho, macho men. And we always thought that if you’re vulnerable, then, you know, [00:30:40] you’re a little bit, you know, you’re a bit of a wet blanket or whatever. And now you [00:30:45] have so many successful men, successful not only in a career perspective, but [00:30:50] in a relationship perspective, family, men, etc., etc. if you do show vulnerability. And [00:30:55] I think that has been a big shift, right? And when I look at my [00:31:00] social media, I cringe when I look at my social media like five, six, seven years ago. So bad. But when [00:31:05] you look at things now, there’s so many more men sharing things or being vulnerable [00:31:10] and sharing intimate things in their lives and saying, look, I have a weak spot. This [00:31:15] is my weak spot, right? This is an area for me that I’m not good at. This is something that I struggle [00:31:20] with, right? And they’re willing to share that with people. You never had that before. And it’s [00:31:25] those kind of trailblazing men who said it’s okay. And you remember that the [00:31:30] thing on this clothing brand that said, boys get sad too?

[TRANSITION]: Yes. Why do.

Rhona Eskander: I feel [00:31:35] like I know.

[TRANSITION]: That?

Nilesh Parmar: So that was a big movement, basically. Um, I don’t remember the guy. [00:31:40] It became quite popular and that was resonated with me because [00:31:45] as a man, if you were going to cry, right, if you were getting really upset about something, what do you do? You’d. For me, [00:31:50] I’d almost leave the room, go to the bathroom, have a cry and come back and be like, hey, yeah, I’m fine, let’s do this. [00:31:55] Whereas now I don’t think there’s anything wrong. So I’ve, I was thinking, have I did I ever cry in front [00:32:00] of a girlfriend? Like that for me is a big sense of vulnerability of course. And [00:32:05] yeah, I have, but only probably the last in the last three, three years or so. Would [00:32:10] I even entertain? Yeah. Because before you would never do that. And you are right. There’s been [00:32:15] there’s been a paradigm shift in men who can now be vulnerable and say, look, this [00:32:20] is an emotive subject for me. I can talk about it and I can show that emotion. And I think you [00:32:25] are right. As people like Bartlett, etc., who have pushed that agenda forward for us, but the whole boys get [00:32:30] sad. Two thing I think was a really powerful movement. And now we know it’s Men’s Health Awareness Month. And going [00:32:35] back to some of the things I’ve said, especially on some of the like, Asian Man podcasts. So I did [00:32:40] one which was aimed at young Asian male professionals who have an intense [00:32:45] pressure to be successful, to do this, to do that, to do that.

Rhona Eskander: And similar to Middle Eastern. [00:32:50]

Nilesh Parmar: Similar to Middle Eastern. Yeah. And um, one of the the things that we spoke about was [00:32:55] that mental health amongst young or South Asian males [00:33:00] is really around suicide rates for men are so much higher than women. Of course [00:33:05] we know, and my age is the peak age for men to commit suicide. And amongst South [00:33:10] Asian males, it’s even higher than anyone else. And it’s because they put so much pressure on themselves [00:33:15] to be something right that when they can’t achieve it because life [00:33:20] is tough, life is hard, right? We know that we’ve all been very fortunate and very lucky to be in the position that we are, [00:33:25] and we’ve all had help, right? We’ve all had a good education and we’ve all been [00:33:30] able to eat when we needed to eat. We’ve all had, you know, a roof over our heads. But for those people who don’t quite make [00:33:35] it in their eyes, a lot of them do choose to take their own lives. And in this country, we don’t [00:33:40] really cater for mental health as well. It was only recently did I consider going to therapy, and there’s a very good friend of [00:33:45] mine who has been having therapy and we’ve been discussing it, and I was like, maybe that’s [00:33:50] something I would consider. And I have done a few sessions and it has been really, really interesting just to learn about [00:33:55] yourself because you spend your life learning about what we do, learning about the head, the neck, the mouth, [00:34:00] bone pathology, everything but your own self. I never really knew myself [00:34:05] and that was something that I’m learning now.

Rhona Eskander: I spend thousands [00:34:10] and thousands of pounds on my inner self when Payman. [00:34:15] When I first approached Payman about this mental health podcast, he was like absolute rubbish. No one’s going to listen [00:34:20] to it. And then I re-approached him. Yes, don’t give me that look incorrect. And um, and uh. [00:34:25]

[TRANSITION]: And uh, incorrect information.

Rhona Eskander: And then you know what he really saw? That was something. [00:34:30] And I think particularly within the Dental arena, like mental health is rife. But I also feel like people don’t [00:34:35] have the awareness to know they’re going through something. And I think when I really think about it, I think I [00:34:40] started having mental health stuff since I was like 11. I had been in and out of therapy since I was like 21, [00:34:45] I would say, and I had a really crappy therapist for years, but I was like, is this what therapy [00:34:50] is? And how does that make you feel? I don’t know, you tell me.

[TRANSITION]: How it makes.

Rhona Eskander: Me feel that way. And [00:34:55] then it wasn’t until I found my current therapist who we had on this podcast, Ella, who also spoke at [00:35:00] his event, the most recent one who I introduced him to and I think like half the Dental arena [00:35:05] now use her just because, like she’s so brilliant. And having a good therapist is almost like having a good dentist. [00:35:10] Like you’re like, you get me? You explain everything and it’s so great and you know, your brain [00:35:15] is like, it’s a muscle, right? As in, like if you are exercising it [00:35:20] in the way you can impact the output. So I think it’s been one [00:35:25] of the most beneficial things. But what I have noticed, I have an Asian friend. And her brother [00:35:30] wanted to go to therapy, and she’d completely shamed him for it because [00:35:35] it was not. Not in a way that she loved her brother, but she was like, you’re wasting your money. And [00:35:40] how can you know like this? How can you have therapy? There’s nothing wrong with you. Well, you don’t have to [00:35:45] have a therapist to have something imminently wrong with you. You know, that’s the whole point. Like, let’s take away that stigma.

Payman Langroudi: You [00:35:50] think that the sort of, you know, the way you’ve described [00:35:55] it is that you you weren’t fully open with [00:36:00] with relationships, you weren’t fully open with yourself. Yeah, yeah, yeah. And and now [00:36:05] you’re now things are more normalised and you can talk about it and all that. Do you think that sort of the evolution. [00:36:10] Of let’s let’s just call it minorities for [00:36:15] the sake of the argument here. Insomuch as, you know, it mustn’t [00:36:20] be that you’re you live the same experience as your dad. You [00:36:25] know, it has to evolve. It has to go forward. But there’s for me a tension [00:36:30] between keeping your identity as a as a young boy. Not [00:36:35] anymore. An old man like that.

[TRANSITION]: An old.

Rhona Eskander: Man agent.

Payman Langroudi: In [00:36:40] keeping your identity as what it is, but also evolving [00:36:45] intellectually. And, you know, in a way, in a way, I understand why people [00:36:50] marry people from the same religion and the same caste and the same. I get it, because, you know, there’s [00:36:55] that normality in it. There’s so we know where it is. At the same time, I find it a little bit disconcerting, [00:37:00] you know, that so few Asians marry out.

[TRANSITION]: It’s true, I.

Rhona Eskander: Have noticed [00:37:05] and I because I have a lot of Asian friends.

[TRANSITION]: And it’s part of the evolution.

Rhona Eskander: But also I find it really [00:37:10] remarkable how controversial things are. Like there’s disputes [00:37:15] because they’re not from the same caste. There’s disputes because, yeah, like and I’m like, wow, [00:37:20] it’s kind of fascinating. But also I think I moved away from all that Middle Eastern [00:37:25] bullshit, to be honest with you, because my father also married Catholic when he was Coptic Christian. [00:37:30] So that was like super controversial. But I find it like like as Payman said, like [00:37:35] it’s especially within the Dental arena.

Nilesh Parmar: I feel as if not our [00:37:40] generation, but the next generation I think will be much more open.

[TRANSITION]: Do you think?

Nilesh Parmar: Yeah, I mean, I tried I mean, [00:37:45] I was with the Iranian girl for a long time, right? And we almost went the whole way. And [00:37:50] the thing is, for me, I mean, my parents were never that religious. They have [00:37:55] their moments, but generally they weren’t that religious. And my dad was always a thing that, you know, as long as they’re a good person, [00:38:00] right? They’re a good person. I mean, we’re not religious ourselves anyway, so [00:38:05] it never really meant that much to me sometimes. But when you are with somebody who’s [00:38:10] the same religion, you do have a lot more things in common, etc.. Um, and it can make things easier [00:38:15] because Indian families generally are very interconnected. So I still [00:38:20] see my parents every week, I still see my sister and nephew, etc. every week. And when you [00:38:25] bring somebody into that sort of equation, if they are aware of some of the [00:38:30] idiosyncrasies of being in an Indian family, that just makes life easier, right? But you are [00:38:35] correct that Indians do still have some old school traditional values [00:38:40] which don’t really apply anymore in this country, and.

Payman Langroudi: It might [00:38:45] be the best thing and the worst thing at the same time. Yeah, exactly.

Nilesh Parmar: And I think if you come to this country and your kids are growing [00:38:50] up and your kids are going to school with white people, Iranian people, Middle Eastern people, etc., there will be. [00:38:55]

[TRANSITION]: Interconnection.

Nilesh Parmar: Interconnection with them. And if you look at Middle Eastern people, Iranian [00:39:00] people, Indian people, they do have very, very similar, similar ideologies. Right. And [00:39:05] two three of my closest friends are Iranian, and they always love telling me that this is an Iranian dish.

[TRANSITION]: I’m like, [00:39:10] no.

Nilesh Parmar: That’s an Indian dish or burnt potato dish is.

[TRANSITION]: Rubbish. I don’t like it, whatever it is. [00:39:15]

Nilesh Parmar: And um, but because there is that you, there’s that familiarity there. It’s [00:39:20] easier to make connections with those people. Right. But amongst our cohort [00:39:25] or in our family kind of, um, situation, there have been Hindus [00:39:30] marrying Sikhs, there have been Hindus marrying Christians, there have been Hindus marrying Muslims. Like [00:39:35] it’s it’s now I don’t think that’s as much of a big deal as perhaps.

Payman Langroudi: If you if you bought [00:39:40] an English girl home and said, I want to marry her, would there be eyebrows raised?

[TRANSITION]: Money would just go for anything. Yeah. [00:39:45] You like you can bring me home.

Rhona Eskander: I want to chime in here. I think from a personal point [00:39:50] of view, I had a bit of an identity crisis in the sense that when I went to Leeds [00:39:55] because of the halls that I was in, it was all like white, posh [00:40:00] public school people. Um, I lived with Prince Harry’s ex-girlfriend. [00:40:05] I made the book and I was saying that, yeah, I’m in the book. I’m in. He trusted [00:40:10] us. He trusted us. But anyway, it was a very, like, white public [00:40:15] school kind of thing. And, you know, they were very much like, oh, you’re so exotic, you know what I mean? That [00:40:20] kind of chat. And for me, for the first time in my life, I was like the brown person. And I think I tried [00:40:25] desperately, desperately to fit in like it was really important for me to fit in and feel [00:40:30] like I belonged. And I think understanding that my father struggled as an immigrant when he first came [00:40:35] to the UK, I was like trying to be white, if I’m completely honest with you. Anyway, [00:40:40] what happened was, is that the series of boyfriends that I had had a long term boyfriend, they [00:40:45] were all English, like I say all, but I had three white English boyfriends. But in the [00:40:50] end, it was like I had this epiphany when I hit 30 and I was like, I don’t want to marry [00:40:55] a white person because I actually love my culture and I know this is complete [00:41:00] generalisation, but what I found was they didn’t necessarily get my culture and get the craziness [00:41:05] and get the Middle Eastern thing and get my parents like they they would get involved, like [00:41:10] to a degree. But I think I actually craved something like that. And I think that’s [00:41:15] why I’ve ended up with a Greek person who also has similar kind of qualities and values.

Payman Langroudi: This question [00:41:20] is interesting because you’re just about about to get married. Yeah, you. Hopefully [00:41:25] we’ll get married soon. Or not. By the way, by the way, if [00:41:30] you don’t.

[TRANSITION]: Yeah, who cares mate? Who cares?

Payman Langroudi: But, but but it’s important to understand [00:41:35] that when you marry someone, the two families marry. It’s real. Yeah. [00:41:40]

[TRANSITION]: Is it real about this?

Payman Langroudi: Because, I mean.

Rhona Eskander: You know, I’m lucky because my mother in law don’t [00:41:45] speak a word of English. Really? Not even, like. Not even like. Hello, Jack. Jack. [00:41:50] He said Google.

[TRANSITION]: Translate.

Rhona Eskander: It’s amazing.

Nilesh Parmar: No Google translator might mess you up.

Payman Langroudi: Lucky [00:41:55] you’re unlucky. Look, the thing is that you end up spending a lot of time with that family. Yeah, [00:42:00] there’s no way around that. I mean, they’re.

Rhona Eskander: In Greece, but.

[TRANSITION]: Sure, but you end up.

Payman Langroudi: Spending a lot of time with that family. Yeah. Unless [00:42:05] you are happy for your the dad of your kids to be away a lot. Yeah. Um, or [00:42:10] you end up taking that that son away from their family. So there’s no there’s no easy [00:42:15] answer to it. Yeah. So the generally, you’re not spending a lot of time with the other family. And [00:42:20] if the other if you don’t get on with the other family, that’s a problem. Um, and it’s easier to get on with the other [00:42:25] family if there’s some, some things you have in common. All of that is true.

Rhona Eskander: I don’t know, I don’t know, Payman. Because, like, [00:42:30] the thing is, is that my my dad’s family, they completely rejected my mum, like, horrendously so. And [00:42:35] still till this day sadly. Okay. And then I would maybe agree with you in the sense that like, we’re not close [00:42:40] to my dad’s family as a result because they completely first of all, they’re all in America. Secondly, [00:42:45] they ostracised my mum because they just would never accept her and that anything in life was like, [00:42:50] Rhona and Tanya aren’t married and living with boyfriends because they’re sinned, because she was [00:42:55] Catholic. And he was like, do you know what I mean? Even now, even now, like.

[TRANSITION]: The religious [00:43:00] extremism. But like, you guys have seen.

Rhona Eskander: My parents and my parents are like such [00:43:05] an inspiring couple. And the thing is, my dad is like, this is the woman I [00:43:10] chose, and I love her. And like, they still stuck by that, so you don’t. Yeah, I get what you’re saying. [00:43:15] But I also feel if you as a relationship are strong enough, the worst thing you want to do as [00:43:20] well, which I’ve seen happen, is marry someone that your parents want you to marry, or vice versa [00:43:25] because you’re doing it to appease them or be the perfect child. You know? And I’m sure [00:43:30] you’ve had opportunities to be set up or whatever, whatever. And they’ve had like the ideal type of girl. But you [00:43:35] know who you are as a man and you’re like, I’m not going to marry someone just because she ticks a few boxes. Do you know what I mean? [00:43:40]

Nilesh Parmar: I still remember my dad saying, I’ve got this. They call it a mongrel, which is basically like a request [00:43:45] for marriage. It’s called a mongrel. He’s like, you know, she’s from America, she’s got a [00:43:50] law degree. She’s this. And he goes, she’s a bit fat.

[TRANSITION]: Yeah, it’s okay. We’ve got Jim. I was like that. [00:43:55] Yeah.

Nilesh Parmar: But luckily my parents were never that pushy. Pushy, right. They saw what I was trying [00:44:00] to do. And to their credit, they kind of left me alone. I think now.

[TRANSITION]: Maybe their grandkids and they’ve [00:44:05] got one grandkids.

Nilesh Parmar: Um, or they’ve got two actually, they’ve got two from my cousins. But I think maybe [00:44:10] they were just worried that, you know, this will be lonely when he’s older. Like, what will he do when he’s older? You know, I think it’s [00:44:15] that concern from your parents, but from what you were saying before, and I’ve [00:44:20] seen so many of my friends get married, so many of our friends get divorced. So many. Your friends have good relationships, some of my friends are [00:44:25] on their second marriages, etc. and there’s so many moving parts to it. Right? There’s [00:44:30] from what Payman said, it’s the family agenda. So do the families. If the families [00:44:35] don’t get along, you keep them apart, right? It’s when they get together. [00:44:40] That’s when the that’s when the friction happens, right? That’s when you get the flames. If the mother in law is this or the [00:44:45] father in law is that, you just have to manage the situation. But the key thing is that as long as the relationship [00:44:50] between the husband and the wife is good, then you can get through everything. And I think every [00:44:55] marriage that I’ve seen, they all have ups and downs. Nothing is easy, but it’s all about open [00:45:00] lines of communication. So if if I did ever get married and that’s another question [00:45:05] right now in my position, getting married is can be a daunting [00:45:10] thing because you have a lot to lose, right? Even financially, financially, especially. [00:45:15]

[TRANSITION]: For a man.

Nilesh Parmar: And and I’ve seen and I’ve got friends who are getting divorced and they’re giving everything, giving [00:45:20] 80%. And when I look at the action it gives me, my hoop starts buzzing because [00:45:25] my heart rate goes up so high, because I’m like, Holy shit, you’re literally just giving everything away, like everything [00:45:30] you’ve ever done. And then for someone like me in my position.

[TRANSITION]: That’s a lot.

Nilesh Parmar: I’m I’m like, [00:45:35] well, you know, is that something that I want to do? Would it just be nice to just to live with her or do I need to trust her? Or [00:45:40] do you get a prenup? And there’s all these difficult conversations that you need to have because you do have to protect yourself. [00:45:45]

Rhona Eskander: Can I just say so? My partner is extremely successful. He’s actually more successful [00:45:50] than me, and he’s accrued a lot of assets. And obviously I’ve accrued assets as well, like [00:45:55] the clinic and stuff. And we actually had a conversation, a transparent conversation, [00:46:00] and I said, I’m fine with a prenup because I [00:46:05] don’t want you to feel like I’ll take anything from you. And, you know, I’ve got my own stuff. And [00:46:10] but it’s so funny because, like you said, like when we were talking about it and then exploring it, like you said, [00:46:15] automatically by me living in his house, not even being married, I’m entitled [00:46:20] to half the house. I’m entitled to half.

[TRANSITION]: The house subconsciously.

Nilesh Parmar: That’s why girlfriends don’t live.

[TRANSITION]: Um. [00:46:25]

Rhona Eskander: And, you know, like, it’s really crazy because I was like, wow, the law is not [00:46:30] in favour.

Payman Langroudi: You know what? It’s reminding me what you’re saying here. What it’s reminding me of is the time where [00:46:35] I thought, oh, I haven’t got time to go to the gym. And then I saw President [00:46:40] Clinton in the gym. You know, there are there are people 100 times more valuable [00:46:45] than you getting married. Mhm. Yeah. So in a way it’s an irrational fear in itself.

[TRANSITION]: That is true. [00:46:50] But I think there’s.

Nilesh Parmar: Just something you need to have in the back of so. So let’s say if I turned up with some 22 [00:46:55] year.

[TRANSITION]: Old come on. Yeah exactly. It’s a bit different when finished.

Nilesh Parmar: You just you, you just [00:47:00] keep that in the back of your mind. You assess. And for me, I also go [00:47:05] on the opinion of my inner circle. Like my close friends. They’ll meet her, see what they think [00:47:10] you know. Is it approved? Is it because I feel as if sometimes we just have rose tinted glasses, right? You’re with someone. [00:47:15] You love her. You love him. Whatever your your ability to make determinations [00:47:20] on that person is skewed because of how you feel. Your family’s ability [00:47:25] to make determination be skewed because how they want to protect you. There’s only your friends who can look at [00:47:30] that person and say, right? And I remember I had this one patient who sadly [00:47:35] passed away a few years ago that I did mad work for, like hip Bone. [00:47:40] Everything totally changed her smile. She became the most happiest person in the world, but she was a [00:47:45] former CEO of a company very, very die hard, cutthroat, really good with [00:47:50] people. And she’s like, Ellis, if you ever are going to get married, I want to meet this [00:47:55] guy. And I was thinking, shit, I feel sorry for her because she will just obliterate her, just take her apart. And [00:48:00] you need people like that to meet the person that you’re going to spend the rest of your life with [00:48:05] and to help you make those decisions. But like you say, Bill Clinton has got time to go.

Rhona Eskander: Martin was their CEO, [00:48:10] married, by the way.

[TRANSITION]: Yes. She was.

Rhona Eskander: Successful marriage.

[TRANSITION]: Yeah yeah yeah yeah, yeah.

Nilesh Parmar: She [00:48:15] was good.

[TRANSITION]: Yeah. Good.

Nilesh Parmar: Bill Clinton has got time to go to the gym. He always got time to cheat on his wife.

Rhona Eskander: Exactly. [00:48:20] And let’s not forget what happened to Monica Lewinsky.

Payman Langroudi: Well, I was talking about the gym. There I was, I was saying [00:48:25] I didn’t have time for the gym. And yet the president of the United States back then did have time to give to you.

Nilesh Parmar: But [00:48:30] again, I think you just have to be a little bit protected about yourself, because everything [00:48:35] you’ve worked for and I and the way I look at it, it’s also not just my assets, it’s the assets of the family [00:48:40] and what’s been built up.

[TRANSITION]: Yeah, exactly.

Nilesh Parmar: I should choose where those assets go. It should go to [00:48:45] my nephew. Should go to my sisters.

[TRANSITION]: Um, you got to start.

Rhona Eskander: Thinking about your will and stuff. It’s all very complicated. [00:48:50]

[TRANSITION]: Yeah, but.

Payman Langroudi: Look, the Duke of Westminster just got married. Yes. Yeah, I know babies. Which is. Man, he just.

[TRANSITION]: Got [00:48:55] married. But also, like you.

Payman Langroudi: Can rich people get married every day?

[TRANSITION]: I know, I.

Rhona Eskander: Get that, and they get fucked over all the time as well, and [00:49:00] they.

Nilesh Parmar: Get fucked over.

[TRANSITION]: But yeah, but you.

Nilesh Parmar: Just have to have that conversation with that person.

[TRANSITION]: Correct.

Rhona Eskander: And I think if you’re in a really [00:49:05] loving, safe, secure, like, do you not remember me and you about eight years ago? I think it was [00:49:10] on Facebook. I don’t know if you remember this. We had a conversation or someone put something up about a prenup. [00:49:15] I think you did. And I said, and at this time, I was single. I was like, I don’t see anything wrong. [00:49:20] Like, if you love the person, you can have the conversation and all these girls that are kicking off being like, if anyone [00:49:25] asks me to prenup, I would like, I’m gone and all this stuff. And I was like, guys like, it’s [00:49:30] like the freezing the egg thing. It’s like an insurance policy. Hopefully you never need the fucking [00:49:35] action it, but you don’t know what life is going to throw at you, you know, that kind of thing. Yeah. And right, [00:49:40] I know we’ve talked about relationships like pretty much the whole way through this podcast, but I do want to ask [00:49:45] you a bit about dentistry if that’s okay with you. So obviously you’re one of the most successful dentists [00:49:50] in the industry. You know, you, um, pave the way for a lot of dentists, including myself [00:49:55] and my embryonic stages of my career. What was your darkest moment in dentistry? [00:50:00]

Nilesh Parmar: Oh. Good question. Um, us getting struck off, I think, was probably my darkest moment. [00:50:05] So in the and that happened very, very early on. So, um, I had [00:50:10] a GDC case, um, which I said I was going to talk about, but what the hell? It’s out there. Yeah, I had a GDC case. [00:50:15] Um, and if you Google it, it’s really hard to find now because there’s so much other stuff about me and [00:50:20] there wasn’t anything patient related. It was just something very silly. And when you’re young, you make stupid [00:50:25] mistakes. And that was deep. And and I think there’s been quite a few dentists or well [00:50:30] known dentists who’ve gone through that, who’ve talked about it and written about it. And I think I always [00:50:35] used to make a joke that if I won the lottery, I would spend my time trying to sort [00:50:40] out our regulatory body and how dentists if I just didn’t give a shit, right. If [00:50:45] I had, if I had enough money to do what I want to do, which would be to race cars around [00:50:50] the world and give up dentistry, I would put aside a considerable sum of money [00:50:55] and get some people on board to say, right, the way we regulate [00:51:00] dentists or the way we look at dentists when potentially they’ve done something wrong, even if they haven’t, [00:51:05] is so detrimental to their mental health. And we have had so many [00:51:10] dentists commit suicide because they’ve had GDC cases. And there was one dentist that he had a case going on [00:51:15] for two years.

Nilesh Parmar: Nothing happened at the end of it, but he had this little sword [00:51:20] of Damocles dangling across his head for two years. It’s really difficult. Delivered [00:51:25] when I was in that position. It was done after about six months or so, and [00:51:30] I didn’t have any family. I didn’t have any kids to look after a mortgage or anything at that time. [00:51:35] It was really early on. And, um, it was almost like getting in trouble for [00:51:40] being drunk and stupid and sending a few stupid emails. But, um, what [00:51:45] I found really difficult was once the case was finished, you think, okay, [00:51:50] it’s done. I can move on with my life. And you and I have both been the victim of [00:51:55] bullying as well. Yeah, and you’d get online trolling. And there was. There was a point where [00:52:00] I almost thought to myself, I’m going to go to this person’s house and I’m going to kick the shit out of it. I’m [00:52:05] actually going to go there and physically knock him out, and you would never do it. But [00:52:10] you became so angry at these people, you think, how dare they say these things? They’ve [00:52:15] never met me. They don’t know anything about me. And then, you know, I used to do. And I think that’s [00:52:20] also rife in our profession. I think it’s rife in any profession is jealousy and his online [00:52:25] trolling and bullying. And we don’t control it. And I think there’s Shiraz. So Shiraz Khan, [00:52:30] who I’m very friendly with, he was he was being trolled online, really. [00:52:35] And I remember I was the only one because I sort of got PTSD from what happened to me. [00:52:40]

Nilesh Parmar: And Shiraz and I are so close now because of it, because I was the only one that stood up for him and said, you [00:52:45] know what, guys, leave this guy alone. Just back off and leave him alone. And I think we’re now in a position [00:52:50] where we don’t really care what the other people think because we’ve made [00:52:55] it or we’ve we’ve got enough now. We don’t really care. So I don’t have an issue standing [00:53:00] up to bullies anymore. But back then I was very, very meek. I was very quiet. And I remember [00:53:05] there was a well known dentist who actually screenshotted one of my Instagram posts and sent it to my dad [00:53:10] saying, what is your son doing? And it was something to do with a car or like a, you know, the [00:53:15] steering wheel of the car or something. I remember my dad showing this to me, going, who’s this guy? And I said, oh, [00:53:20] he’s, he’s a, he’s a dentist in central London. Um, and um, he’s [00:53:25] just a bit jealous. And my dad said some profanities in, in Hindi and then we kind of left it. And that [00:53:30] online trolling and online bullying I think happened so much more now. It happened so much more in university. [00:53:35] It happens so much more undergraduate because it’s it can be a very, very prolific [00:53:40] way of getting underneath someone’s skin. When we had it, I think it was in its [00:53:45] embryonic stages. No, I mean.

Rhona Eskander: Unfortunately Payman knows already. I still get it all the time because [00:53:50] obviously my profile is not just for dentists, but it’s also out there to the public. But pretty [00:53:55] much most of my trolls are dentists. And the abuse I get and, you know, there was an eminent [00:54:00] person within the industry, which is I’m not going to mention his name, but sometimes when he’s [00:54:05] trolling, they’ll have other dentists be like, what is wrong with this guy? He’s literally an old man. Like heckling [00:54:10] a young girl, like, what is even going on here? And sometimes it makes him look bad. But [00:54:15] like, Payman was like, no, but like, you know, his people will think that he’s like, really cool for, like, calling you. I’m like calling me out [00:54:20] for what? Like my page isn’t to him, you know what I mean? My page is very patient orientated. [00:54:25]

Payman Langroudi: Wait wait wait wait wait the the we talked about this before, [00:54:30] but but the separate arguments about clinical work, [00:54:35] you know that that’s the bucket I would put that in. Yeah. It wasn’t. [00:54:40]

Rhona Eskander: Really I mean this is just.

[TRANSITION]: Offline like.

Payman Langroudi: No I agree with you. Some people use clinical work to bully people. [00:54:45] Yeah they do. That’s that’s right. But let’s separate that out from the other stuff. You showed me where [00:54:50] someone was. I hope your parents die.

Rhona Eskander: Yeah. No. Like that’s the stuff. Like, if you don’t speak, you don’t speak about the [00:54:55] conflict, the war, then like you deserve to burn in hell, that kind of stuff. But the thing is, I had [00:55:00] three dentists that had sent me messages, didn’t even hide their profile. Like, you know what I mean? Just being like, shut [00:55:05] the f up. Are you being paid by this side and all this stuff? But the point is, I think [00:55:10] it is disgusting. Now people say in every industry you’re going to have bullies and trolls. But I tell you [00:55:15] one thing like my partner works in finance, that ever happened in finance, that is it. They lose their [00:55:20] job. They lose their job. Do you use social media to bully or heckle a colleague? Done. [00:55:25] Even if they’re not in your company, it’s done. It’s done. And the thing is, we are [00:55:30] healthcare professionals. We are under oath. We have a code of conduct and how we should behave towards [00:55:35] patients. Therefore, I think we should have a code of conduct on how we actually communicate with each [00:55:40] other. And I think part of the problem, as you’re saying, is also the profession wanting [00:55:45] to whistle blow on their colleagues for jealousy, which I think happens as well. You know, there’d be like, [00:55:50] there is a dentist who I bumped into and I don’t know if it’s the same one they’re talking about. You know him very well. My [00:55:55] heart broke last week because he had a GDC case. He was whistleblower. One of his colleagues [00:56:00] was a whistleblower, and he went on antidepressants for two years. And [00:56:05] he’s basically left dentistry now because by the end of it, he ended up suing the GDC.

[TRANSITION]: So [00:56:10] he sued.

Rhona Eskander: The GDC for what they put him through because suddenly he wasn’t allowed to work. He had his [00:56:15] own practice. His day was wake up, take his daughter to school and then just sit around. [00:56:20] They they investigated his laptop. They investigated every. Everything right, and [00:56:25] he felt like a criminal. So as a result, he got one of the best barristers. Um, [00:56:30] one of the, the, his indemnity were like, no, no, no. Are you sure you want to see [00:56:35] the GDC? He was like, I am so sure I’m gonna sue. And he won. He won. But the point is, [00:56:40] is now his mental health had been destroyed. He’s a 47 year old man and [00:56:45] he’s leaving. He’s like, I’m done, I am done. And he was a dentist that loved his profession. [00:56:50] So it’s a I think it really does need an overhaul.

Nilesh Parmar: We don’t have that ability [00:56:55] to self regulate our own dentists. So if a dentist is [00:57:00] trolling another dentist, especially if it’s online or whatever, there’s it’s very difficult to do anything [00:57:05] about it. Right. Unless you if you call them out, then that could have repercussions. If other people [00:57:10] get involved, that could have repercussions. And ah, I really would like our governing body [00:57:15] to say, right, we’re now all looking to online trolling. If you’ve got proof that somebody [00:57:20] is trolling, which.

Rhona Eskander: We can.

Nilesh Parmar: Easy. And if you’ve got whatever you need to prove it, then [00:57:25] they really need to be looked at. And I would love for, you know, where we have our little names [00:57:30] on the little list to say this dentist has been suspended for online trolling. I’d just [00:57:35] love if that was on there because and you know, the thing is, whatever you do, whatever [00:57:40] good you do, right, you’ll always get people that will see the bad. And when I did Ice White, there was a [00:57:45] well known specialist in central London who was going around telling people that needles kept the money. [00:57:50] So I kept the profits and the charity companies. Right. Despite the fact that there’s a big picture of me with a check with the owner [00:57:55] of the charity going, here’s the money. Right. And so that made me understand [00:58:00] that you can be the best person in the world, right? But there’ll always be people that will try and get you to roll around [00:58:05] in the mud with them. And there was that Oprah Winfrey quote, isn’t it? Which is just be excellent. [00:58:10] Whatever you do, just be excellent. Just try and rise above it. But you know what?

[TRANSITION]: Sometimes you can’t.

Nilesh Parmar: You don’t want to rise, [00:58:15] but you want to get in the mud and you want to punch that guy in the face.

Payman Langroudi: I want to say a couple of things. I want to say a couple of things. Oh, here we [00:58:20] go. There is this is a symptom of the change from analogue to digital. Yeah. [00:58:25] And and you’re right. You know, you both of you have [00:58:30] social media veterans if you like. Yes. People almost almost native to social media [00:58:35] understand what a troll is. What what what the rules of engagement [00:58:40] are. Yeah. But some of these older guys, you know, they weren’t they weren’t in the social [00:58:45] media age. It’s basically I’m going to say what’s in my head. But I think.

[TRANSITION]: Yeah I.

Payman Langroudi: Disagree. [00:58:50] Yeah. Now your your solution to this issue [00:58:55] this problem or yours. Yeah. Of you know having the GDC involved. Yeah. It’s [00:59:00] not necessarily a better world. Yeah. It’s not necessarily just imagine this accountability. Wait a minute. [00:59:05] This guy said I don’t think your approach on that composite was right for the sake.

[TRANSITION]: Of I mean, [00:59:10] he didn’t.

Payman Langroudi: Say for the sake of the argument, for the sake of the argument is I don’t think your approach on that composite was right. You say? Yes, [00:59:15] it was, I think I think I did this and then he says something slightly, slightly off. Yeah. Now what we’re [00:59:20] going to do, we’re going to, we’re going to send it to the judiciary.

[TRANSITION]: You know.

Rhona Eskander: It’s not that kind of trolling like you’ve seen like [00:59:25] screenshotting and ridiculing your lifestyle screenshotting and ridiculing the way [00:59:30] that you look, making fun of, you know, that bullying tactics. I’m not saying whether they agree [00:59:35] or not with your bonding protocol. You know, your implant protocol, like we’re talking about things that are [00:59:40] deeply personal.

[TRANSITION]: You know, within.

Payman Langroudi: A practice, bullying goes on a hundred times a day. You know, all [00:59:45] the time.

[TRANSITION]: It happens all the time.

Rhona Eskander: Okay, fine. I hear what you’re saying. Like it’s [00:59:50] the same argument, like with, you know, do we put criminals in prison because it doesn’t like most criminals when [00:59:55] they’ve released.

[TRANSITION]: Less GDC, not more? No, no. What I mean.

Rhona Eskander: But I think there is accountability, right? [01:00:00] Because although like the GDC, the law firms, etc., to [01:00:05] some degree make a lot of dentists behave in line with patients [01:00:10] because there’s always that fear that things that your job is on the line. So if we regulate people’s behaviour [01:00:15] online, we therefore make people accountable for their actions. They will think twice [01:00:20] before they type. Or there could be some kind of guideline like you should like [01:00:25] treat your colleagues with respect if you have a genuine concern about something, blah blah blah. [01:00:30] But listen, we’re not going to resolve this now. Neelasha is going to become a multi-billionaire. I sought out the GDC. We’ve decided [01:00:35] that. Okay.

[TRANSITION]: Tell me about.

Payman Langroudi: Your political ambitions, because I remember that was a thing [01:00:40] for a while and I remember it was conservatives. Surely you’re not.

Nilesh Parmar: Still are. [01:00:45] It’s absolute shambles, isn’t it? Yeah. You know, yesterday Keir Starmer said I [01:00:50] do go to an NHS dentist but I’m seeing privately because they don’t see NHS [01:00:55] patients.

[TRANSITION]: Dude, you don’t.

Nilesh Parmar: Even understand how the health service.

[TRANSITION]: Works. Yeah.

Nilesh Parmar: So we’ve got no [01:01:00] hope basically. Um political ambitions. Yeah. There always was. [01:01:05] I mean, I really love that sort of stuff. But for me it’s it’ll be something a bit later [01:01:10] on. I think not now. I think there’s a lot of good that we can do, [01:01:15] especially in our profession, which I think kind of gets sidelined. Right, especially in as a political [01:01:20] hot potato. And nobody really cares. Nobody really deals with it. Nothing really. Changes. We’ve had the same [01:01:25] system. I mean, I think NHS entry, if it was handled properly, [01:01:30] could be the envy of the world because the clinicians we have a very, [01:01:35] very good and you’ve got clinicians who will work in the health service. If they’re remunerated a [01:01:40] fair amount. That doesn’t mean it has to be a crazy amount. But you’ve got you’ve got that. Most of the dentistry in the UK [01:01:45] is NHS dentistry, right? It’s just over 50%, I think, in the last numbers. So if you [01:01:50] had good amount of money thrown at it then yeah, you could do something special.

Payman Langroudi: There’s no more money going into [01:01:55] dentistry, let’s face that.

Nilesh Parmar: But the thing is, if the money.

Payman Langroudi: So that’s a reallocation question.

[TRANSITION]: Well, if it’s about.

Nilesh Parmar: They [01:02:00] put about a billion in right. For that I think that’s about £1 billion.

[TRANSITION]: I think it’s 2%.

Payman Langroudi: Of health spending [01:02:05] is. Yeah.

Nilesh Parmar: But you see I think it’s where the priorities lie. And is it something that we’re going [01:02:10] to sort out. No. But it’s something I’d like to be a part of at some point just to try and improve the lives of dentists, [01:02:15] improve the lives of nurses, hygienists and also the patients. Because at the end of the day, right, [01:02:20] we’re here to help people. And if we can make a positive impact [01:02:25] on somebody’s oral health, which I think has such a big deal with the rest of the body that we know, then maybe [01:02:30] it’s something we need to look at. And I still see NHS patients. I’ve got loads of little old ladies that I still see. I do [01:02:35] get the odd pro bono case like Rona, and you just try and help people because if we don’t [01:02:40] help them, nobody else will help them. And sometimes it’s, it’s, it’s karma as well. [01:02:45] Right. You want to help people and you feel as if that’s going to come around. I think some of my most [01:02:50] happiest moments have been helping those patients smile and eat and talk, and they’ll send you pictures of the wedding [01:02:55] or pictures of them with the grandkids or whatever. And it it hits a spot that nothing else does [01:03:00] this.

Payman Langroudi: Well, let’s finish with karma again. Yeah, because I’ll tell you where [01:03:05] the problem I’ve got with karma. Two things really. One, it seems a bit selfish. [01:03:10] Yeah, that I’m doing this so that something comes back to me. Yeah. [01:03:15] If you really believe it does. Right. Um, the second thing is I, [01:03:20] I fully accept doing nice things ends up with you getting nice stuff. A bag [01:03:25] in a in a obvious way. In a practical way. But when I say, do you believe [01:03:30] in karma? I’m not saying that. I’m not saying, hey, she came over, I was nice to you and [01:03:35] gave you a coffee. Next time I call you, you’ll be nice to me. It’s not that karma is some sort of supernatural. [01:03:40] Thing where I don’t know, I [01:03:45] found I found £20 on the floor. Instead of handing it in, I spent it on something. That thing ended [01:03:50] up ruining my life. And that kind of karma. Yeah, is what I know you [01:03:55] do.

Nilesh Parmar: Pretty much Payman.

[TRANSITION]: I think too much, Steve. Just do good and good things. [01:04:00] It’s not a hinduistic I’m doing good. But yeah, I get it.

Rhona Eskander: And I love that. I think.

[TRANSITION]: Hinduism [01:04:05] and Buddhism, the difference.

Payman Langroudi: That you’ve given money to charity. Yeah. Yeah. You know.

[TRANSITION]: To [01:04:10] Lesvos.

Rhona Eskander: Many times.

Payman Langroudi: Yeah. Although I find that less, less interesting [01:04:15] than it sounds.

[TRANSITION]: Yeah.

Rhona Eskander: I don’t do it for interest. Payman like I do it for like [01:04:20] I said, like I. And again, for me, for me, this is much [01:04:25] more important than reposting a middle eastern post. I have been going for many years [01:04:30] to refugee camps. I’ve been going to refugee camps. Why? Because I have a skill. [01:04:35] Is it for you can help people? No, because I genuinely want to help people.

[TRANSITION]: If you.

Payman Langroudi: Genuinely want to help people, [01:04:40] why don’t you donate a month’s salary and send 3030 dentists to.

Rhona Eskander: I [01:04:45] have, I.

[TRANSITION]: Have you’re talking about.

Rhona Eskander: That book my partner told me.

[TRANSITION]: About, you know, the same.

Payman Langroudi: Week that you’re spending [01:04:50] in Lesbos you could spend in Chelsea, make enough money to send five dentists to Lesbos. Yeah, because if you really cared.

[TRANSITION]: But [01:04:55] also people know.

Rhona Eskander: Because I also think, of course I care about people.

[TRANSITION]: If you really cared about.

Rhona Eskander: I [01:05:00] really care about people. Let me finish. But yeah, the point is [01:05:05] right as well. It’s like my grandfather is half Palestinian. Right? So meeting like Middle Eastern, [01:05:10] Syrian, Palestinian refugees is something that I feel very connected to. And there is something [01:05:15] much more profound about that. And, you know, being with those children and be and because [01:05:20] I have a large following, I am influencing a lot of dentists to go out there, which is what I do. [01:05:25] And you know that.

Payman Langroudi: Good, good, good, good answer.

[TRANSITION]: But it’s.

Payman Langroudi: Effective [01:05:30] altruism. Have you heard about it?

[TRANSITION]: So and I also.

Nilesh Parmar: Think, you know, it takes more hard work [01:05:35] for her to go.

[TRANSITION]: Herself. Correct.

Nilesh Parmar: As opposed.

[TRANSITION]: To just throwing money at it, just writing.

Nilesh Parmar: A check [01:05:40] because that there’s a risk involved. You know, there’s time out. There’s time out of her life. [01:05:45] There’s a travel, there’s this, there’s that. It’s ruining her routine. So that’s why I think we can’t [01:05:50] just write checks and we can give. We can.

Payman Langroudi: But my point is, though. Yeah. You know. No, no, [01:05:55] you could drive this truck and give give food to the hungry. Yeah. And there’s a power [01:06:00] dynamic in that. Yeah. That if I didn’t drive this truck and I didn’t give the food, they [01:06:05] wouldn’t eat today. Yeah. And this, of course you get something out of it yourself. [01:06:10] Right. And all all I’m saying is, yeah, that a lot of charity work can be seen as you’re [01:06:15] doing it for yourself.

[TRANSITION]: Rather than totally.

Payman Langroudi: Yeah. And I’m not saying that’s what you’re doing. Yeah. [01:06:20] I’m saying that’s what you’re doing.

[TRANSITION]: That’s what some.

Rhona Eskander: People say about Gandhi and Mother Teresa, you know? But at the end of the day, they [01:06:25] affected a lot of people. So I’m here.

Nilesh Parmar: At the end.

[TRANSITION]: Result. Thank you, thank you.

Nilesh Parmar: It doesn’t matter if somebody’s [01:06:30] going there just to do this, but the fact that the kid gets fed exactly is the [01:06:35] end result.

[TRANSITION]: I know, but.

Payman Langroudi: More kids would be fed if that was the thing we were really measuring. [01:06:40] Two more kids would be fed by horsetail in Chelsea and working her butt off [01:06:45] in Chelsea and and playing loads of other people. But then to go. But his hourly rate is a lot lower. [01:06:50]

Nilesh Parmar: And then look at it if you’re if you have a control freak like me and Rona, right. For me, I [01:06:55] know that the kid will get be fed better if I feed the kid.

Payman Langroudi: Somebody professional like [01:07:00] someone who feeds kids. That’s a job he does.

[TRANSITION]: Listen, at the end of the day, I mean, at the end of the day, go back and forth [01:07:05] on that one.

Rhona Eskander: At the end of the day, you need to write a book on this because I’m not convinced and we [01:07:10] are running out of time. So, Niklas, it has been such a pleasure having you [01:07:15] today on my movies and hearing a different side to you. And thank you so much for your vulnerability. [01:07:20] I’m sure it will help a lot of dentists. We’ve all heard. You know, how you’ve become one of the most [01:07:25] successful dentists, but I think it’s so important to have other dentists inspired on conversations that [01:07:30] we don’t have on the regular. So thank you very much. My pleasure.

Payman Langroudi: Perfect. Thanks a lot for coming in, buddy. Thanks.

Clinical dental technician Michael Joseph recounts his journey from sales rep to clinical dental technician and lab owner.

Michael touches on the dentist-lab relationship and communication, keeping abreast of new tech, and the life-changing business and personal impacts of lab life under COVID restrictions.

Enjoy! 

 

In This Episode

00:02:00 – Michael’s journey to becoming a dental lab technician

00:06:25 – Marketing, growth and business models

00:16:10 – Dentist-lab relationships

00:23:40 – Veneers and aesthetics

00:26:00 – Running a lab

00:41:35 – Downsides and challenges

00:51:50 – Parental influence

00:56:20 – The COVID pandemic

01:03:00 – Working with dentists

01:13:55 –  Social media and education

01:23:00 –  Five-year plan

01:27:15 – The future of dental technology

01:31:00 – Fantasy dinner party

01:31:55 – Fitness and flow

01:36:40 – Last days and legacy

 

About Michael Joseph

Michael Joseph is a clinical dental technician and founder of London-based BiteRite Dental Laboratory providing nationwide restorative support. 

Payman Langroudi: I’d kind of call you an extrovert, though. Not not an introvert. How would you characterise. Yeah, I’m an extrovert. [00:00:05] Yeah. I think a lot of people who work with me, it’s because they they enjoy. We have a lot of fun together. I [00:00:10] have a lot of fun doing this. But most technicians I find are sort of borderline sort of autistic [00:00:15] on the spectrum. That’s the reason why a lot of labs fail. They can’t deal with [00:00:20] the human side of it, the human side of it. So then what is with your top customers? [00:00:25] Are you friends with them? Do you or are you on the phone with them? Some of them I have lunch with once a week. Oh, really? [00:00:30] So there’s one in particular. I talk to him every day.

[VOICE]: This [00:00:35] is Dental Leaders, the [00:00:40] podcast where you get to go one on one with emerging leaders [00:00:45] in dentistry. Your hosts [00:00:50] Payman Langroudi and Prav Solanki.

Payman Langroudi: It [00:00:55] gives me great pleasure to welcome Michael Joseph onto the podcast, the second technician we’ve had [00:01:00] in a couple of months. Really? Uh, you know, I found a lot of times a great [00:01:05] technician can turn an average dentist into a great dentist, but the opposite is also [00:01:10] true. You can also have a technician who makes you feel like a terrible dentist. And my [00:01:15] personal story was I my first ever technician, a guy [00:01:20] called John Oliver, an absolute master. I learned more from him about [00:01:25] fixed problems than I did in my whole dental course, and I thought I [00:01:30] was such a brilliant dentist when he was my technician. And then I moved practice and they made me [00:01:35] use another lab, and I suddenly realised that, um, no, I’m not as good at [00:01:40] enters as I thought. And you know, that variable of the technician and, [00:01:45] and the communication I thought was the most important thing with him? [00:01:50] Um, we don’t we don’t give our technicians enough credit for what we [00:01:55] do. So massive pleasure to have you.

Michael Joseph: Thank you for having me on.

Payman Langroudi: So I’ve known you for years. [00:02:00] How long has it been? A good 15 years.

Michael Joseph: A lot I’ve known you since I think you started [00:02:05] enlightened 2000 and 4001 2001. So, yeah, I remember when, uh, [00:02:10] the Royal College of Physicians I was exhibiting, I was working for evident at the time. And you marched [00:02:15] in with this 20 foot tall sign that sort of dominated the whole room. Yeah. [00:02:20] Who’s this guy? And we became friends.

Payman Langroudi: Yeah. So at that time, [00:02:25] you were, uh, sales rep for evident.

Michael Joseph: Yeah, I worked for evident.

Payman Langroudi: So were you a technician [00:02:30] at that point? Yeah, I.

Michael Joseph: I trained as a technician in and what I [00:02:35] started initially I worked in the laboratory in Walthamstow as a trainee, [00:02:40] and my brother was going to Manchester to do, to do, um, accountancy. [00:02:45] And I was just reading the prospectus and I saw Dental technology course and I thought, oh, I [00:02:50] fancy going to university as well. So like for that. And I went on the course and then when [00:02:55] I graduated, I worked for, well, John Whibley had just taken over boots and [00:03:00] he’d opened a big laboratory. I went to work for him for a year. But then, you know, I [00:03:05] was earning 12 grand a year. I was like, I can’t live like this. So I came back to London and [00:03:10] I took a maternity position at Everton, and that’s when my sales career started. [00:03:15]

Payman Langroudi: How long did you do that for?

Michael Joseph: I was it evident for about 3 or 4 years. Then I [00:03:20] worked in sales with Sirona. Oh. Did you? And then. [00:03:25] Yeah. Yeah, I worked for, um. Calmann-lévy. The Sarona [00:03:30] deal at the time. And then after that I didn’t really like that very much, doing surgery [00:03:35] sales. And I saw a job with Skill Bond, who you probably know, like the main supplier [00:03:40] for dental materials and like the dental.

Payman Langroudi: Directory.

Michael Joseph: Dental labs. Yeah. So I worked to work for them [00:03:45] for a year, and then after being away from labs for so many years, I sort of thought I really [00:03:50] quite like this. And when registration came in some years before I registered and I kept it up, [00:03:55] so I thought I’d. And then eventually, within a year, I left and opened a laboratory. [00:04:00]

Payman Langroudi: What kind of a kid were you?

Michael Joseph: That’s really naughty. Um, [00:04:05] I was really busy. I was busy doing stuff I was always into. Uh. Where did you grow up? I grew [00:04:10] up in Temple Fortune in, uh, north London, and I just went to a local school, [00:04:15] and I was really into, like, building things and, [00:04:20] you know, like models. And at the time, there was, um, kits for, uh, Airfix [00:04:25] remote control stuff. Tammy. Tammy. Tammy. Tammy. Yeah, I used to. I used to make all those remote [00:04:30] control cars, even though the batteries lasted about four minutes. Yeah, yeah, yeah. Um. Yeah. [00:04:35] And sort of my interest in sort of building and making things stems from [00:04:40] that. But also I think, um, I had dyslexia at school. So in those days they used most put them down [00:04:45] as like he’s a plumber. Mhm. Um, so I think that’s why I was pushed in that direction. [00:04:50]

Payman Langroudi: So then tell me about that first lab that you opened.

Michael Joseph: Right? [00:04:55] Right.

Payman Langroudi: Yeah, yeah.

Michael Joseph: So when I first opened [00:05:00] it. Um, it was just me on my own. So I was literally [00:05:05] doing collections marketing. I got my in those days, no [00:05:10] labs were really doing any marketing. So I put together a letter, had loads of brochures printed [00:05:15] out with like a folder, as you did with a business card. Yeah. And I put them all in envelopes, and I just [00:05:20] gave my mum a list that I printed out. I think I got a database from somewhere and she just posted them [00:05:25] all and people, people started calling me. So it went, it went from that. [00:05:30] So I got a lot of customers like that. And then I did stuff with then I got more [00:05:35] sophisticated. I did stuff with FMC and I was actually in a service office, so I had [00:05:40] this lab in a service office, and I made sure the management never got in because if they realised what I was doing there [00:05:45] and it wasn’t a busy service office, there were no neighbours. Then it got busier, some accountants moved in and they [00:05:50] were complaining about these noises. They were hearing and grinding and, you know, destroyed the [00:05:55] floor. It was like plaster everywhere. And um, they asked me to move out. So I [00:06:00] took a small premises and I refurbished it and built [00:06:05] a lab there where I’m still there today.

Payman Langroudi: So I remember you in doing that FMC [00:06:10] phase. I remember just massive exposure for bitrate [00:06:15] back then. That’s right. Kind of thinking outside the box a bit. You know, [00:06:20] other lab was really doing that. Um.

Michael Joseph: You threw out the McMichael campaign. Yeah, yeah. [00:06:25]

Payman Langroudi: I remember just like being everywhere for a while. And, you know, in general [00:06:30] business skills, I find a lot of technicians are technicians, [00:06:35] technical people, but don’t have those business skills. Whereas every time I’ve talked to you, you’re very [00:06:40] on it from from the business perspective.

Michael Joseph: Yeah. I think that’s because I those [00:06:45] years I spent in sales. Yeah. And especially working with evident you know Stephen Stephen Selwyn. [00:06:50] Yeah. So I kind of it was a small company and I sort of just really he taught me a lot [00:06:55] about selling, about business, about getting leads. And actually when I first opened [00:07:00] the lab, I my skills weren’t as a technician, weren’t as great as they are [00:07:05] now because I hadn’t I hadn’t been practising, I hadn’t been doing any technical dentistry. I’ve been in [00:07:10] sales. So I had technicians to do that, and I just focussed a lot on [00:07:15] going out and getting business because I needed the business, you know, I needed a critical mass turnover [00:07:20] just to survive.

Payman Langroudi: So were you doing sort of as if visiting practices as if you were going to [00:07:25] sell them? Yeah, I took the.

Michael Joseph: Same mode, the same idea using, you know, generating leads, [00:07:30] making appointments, going to see people following up. In those days I couldn’t afford [00:07:35] there wasn’t like all the apps now you can get which are CRMs. He had sales logics at the time, [00:07:40] which was sort of £30,000 investment. So I just had a spreadsheet and I used to tick when I’d called them [00:07:45] back and. And just went on like that. And then as I grew, I got in touch with [00:07:50] FMC. I started doing some work with them and Facebook [00:07:55] advertising. And then it was generally SEO trying to get up the ranks. [00:08:00] I was number one, but they never got anything from that.

Payman Langroudi: So you [00:08:05] had the process of getting a new user, a new dentist to use [00:08:10] you, because most of us have a lab that we’re kind of happy with. Um, [00:08:15] but then a lot of us have a lab that we’re not 100% happy with. [00:08:20] Do you? How do you do it? I mean, do you what’s the general profile of a dentist you [00:08:25] come to? Do you get those guys to say, I’ve got no problem, and then you have to come in on price or on [00:08:30] technology or how does it work? How do you get a new customer? Well, I think. [00:08:35]

Michael Joseph: As you say, for the. For a large proportion. Most [00:08:40] people have a lab they’re working with. They do, because otherwise you can’t practice. Yeah. And then two [00:08:45] things either happens their lab screws up or they perceive that they’ve screwed up and they’ve had [00:08:50] enough and they look for someone else. Yeah. And then you’ve just got to be sort of in their vicinity. Yeah. [00:08:55] Which is how my marketing strategy now works to an extent. Or they’re upping [00:09:00] their game and they realise these are really good for what I’ve been doing up until now. But I’m really starting to [00:09:05] do a lot of aesthetic work and I need a lot. I need a better, better quality work. [00:09:10]

Payman Langroudi: And do is the profile of most dentists that they use more than one lab. [00:09:15]

Michael Joseph: Yes, some dentists use use me primarily and but then other [00:09:20] dentists, you know, they might send their inlays to one lab that veneers to another lab. Implant work. Some people [00:09:25] work like that. They prefer it or. But most people, once you sort of gain their trust, [00:09:30] then they’ll continue and they’ll send you everything. And it’s it’s infectious. [00:09:35] It spreads to their associates, then their associate moves to another practice. It spreads to that practice. [00:09:40] That’s generally how labs. Rely on getting customers basically through reputation. [00:09:45] And it’s a slow process.

Payman Langroudi: Yeah, yeah. But then the positioning [00:09:50] of it, I mean, in a dental practice, you’ve got the sort of the NHS [00:09:55] and private. Right. And there’s a similar thing with labs. There’s some labs that [00:10:00] brand themselves as private labs.

Michael Joseph: Right. Yeah.

Payman Langroudi: So and some, some as NHS labs. But when [00:10:05] you come to position the business, of course you’re going to take into account, you know, your skill [00:10:10] set and who you can hire. And sure. But talk to me about that. I mean, [00:10:15] well, how did the unit economics work? Are are the most profitable labs giant [00:10:20] NHS ones or are they private? High margin, high [00:10:25] end? Talk to me. I think the.

Michael Joseph: Most the well there’s different models. You can either do [00:10:30] volume at a very let’s say fair price. Yeah. But you have to have a lot of [00:10:35] volume and you have to have the processes in place to make that very economical.

Payman Langroudi: And you’re coming in on price, [00:10:40] you’re.

Michael Joseph: Coming in on price.

Payman Langroudi: Well, but but then there’s a price war. Then how does it get [00:10:45] to race.

Michael Joseph: To the bottom, which traditionally has happened with labs. Yeah. But I think that’s that’s one of the things [00:10:50] that’s about right now. What’s happening is that it’s becoming a less of a [00:10:55] price based market. I think that’s why it’s a gold. Despite everyone talking about all the problems with not being able [00:11:00] to get staff, you know, there’s a lack of technicians. I think it’s a golden era for dental technology [00:11:05] in that the market’s moved up. The private market that I operate in has moved away [00:11:10] from price. People are looking more for quality and people are realising. I think it’s to do [00:11:15] with the the continuation of the wellness revolution of the 90s that’s coming to the [00:11:20] Instagram era. Everyone wants to look good. People are prepared to spend money on their teeth. You know, Botox. [00:11:25] Everyone wants to look good so people are prepared to pay for it, and [00:11:30] they’re more aware of what they’re looking, what they’re looking at. They know what looks good and what doesn’t look good. So they go [00:11:35] to the dentist and they and they have a couple of veneers done. And they’re not great.

Michael Joseph: You know, they’ve [00:11:40] realised I’ve got to spend a bit more money and then the dentist realise I’ve got to up my game too. So [00:11:45] the. The market where I’m positioning myself in is [00:11:50] is it’s not on a price based market. I’m not particularly expensive, [00:11:55] let’s say. But, um, it’s on a director led personal service. Yeah. [00:12:00] Um, but the NHS is purely price driven. Yeah. And, you [00:12:05] know, I think in terms of NHS laboratories, I mean, most of it’s done in the north [00:12:10] where Labour is cheaper and a lot of it’s outsourced to China. And do you know what? I think they’re probably getting [00:12:15] a better quality product from China than they are from anywhere else, simply because the economics [00:12:20] of how China works and what they produce is, is they’re getting from [00:12:25] for the money, they can produce better quality. Crown. When you translate that into an R&B, [00:12:30] that’s a decent bit of money and it can make a decent product. Regardless of what anyone says [00:12:35] about Chinese work for the NHS market, I think it’s a good thing. I think an NHS [00:12:40] from.

Payman Langroudi: The regulatory perspective, is that still doable? I believe so, yeah.

Michael Joseph: I don’t [00:12:45] think there’s any any issues there.

Payman Langroudi: So then what’s the downside? How long it takes? [00:12:50]

Michael Joseph: I think so. Yeah, I think so. It takes it takes a lot of time.

Payman Langroudi: Quality [00:12:55] control, quality control.

Michael Joseph: There’s there’s all kinds of issues with it. I mean, if you’re running a [00:13:00] high end private laboratory, you’ve got to do as much as you can in-house. Yeah. Um, [00:13:05] even even even like. Using Createch very high quality [00:13:10] milling centres based in Spain that’s owned by Straumann. Even that, that takes a bit away [00:13:15] from you if you can do it yourself, which is something I’m trying I’m doing now and expanding. [00:13:20] You have more control and also time with private work. People think want things quickly, you know, [00:13:25] and createch you’ve got to wait a week for an abutment, whereas if you can make it in-house, they can make it straight away. [00:13:30]

Payman Langroudi: And as far as the scope of the work, is there some lab work that is [00:13:35] more profitable than others? And for instance, do you do everything? Do you do dentures the least?

Michael Joseph: No, I [00:13:40] don’t do denture work. But the least profitable thing is the thing that is always been [00:13:45] the cheapest thing. It’s the most expensive to make, which is the bonded crown. Oh, really? Yeah. I [00:13:50] hate doing bonded work. If anyone sends me a bonded crown, I call them on. Why? Why do you want a bonded crown? Let’s [00:13:55] do a metal free. Because it’s so labour intensive. It’s the most. Traditionally it was. It was viewed by the [00:14:00] dentist as the cheapest. Yeah. Crown. Yeah. It should be the [00:14:05] least expensive crown. And it. And it was always very labour intensive to produce. But now it’s [00:14:10] become even with digital technology, even more labour intensive. We don’t have a casting machine anymore. [00:14:15] Really. Yeah.

Payman Langroudi: So. So you try not to do them at all?

Michael Joseph: No. And [00:14:20] if we do do them, we’ve got a partner skill bond who will use SLM selective laser [00:14:25] melting and produce a coating for us. We’ll send them design. And so.

Payman Langroudi: If a dentist [00:14:30] keeps on sending you bonded crowns, do you have a chat and say, yeah, if.

Michael Joseph: They send one. [00:14:35] Why? Why do you want this? I think they’re stuck in that.

Payman Langroudi: I think the teaching kind of still, [00:14:40] still something in the teaching. It’s kind of a gold standard.

Michael Joseph: And full contoured zirconia. [00:14:45] Zirconia crown is is probably the best crown overall [00:14:50] I’d say. Okay.

Payman Langroudi: So that’s that’s a very strong crown. And is it now aesthetic as [00:14:55] well. You can layer it and all that.

Michael Joseph: You don’t need to layer it 95% of the time. You don’t need to layer [00:15:00] it.

Payman Langroudi: So how do you get the aesthetics from it.

Michael Joseph: Using surface stain the the technology of surface stain with [00:15:05] um, things like Myo, which is the American staining system where you’re creating you’re not creating [00:15:10] the it’s not three dimensional, but you’re giving the illusion of it. And and it’s [00:15:15] really it’s really up there. I mean, there’s always going to be a place for layering. Yeah. For [00:15:20] now, I think eventually everything will be printed.

Payman Langroudi: So if we’re talking [00:15:25] a percentage of your work, what percentage is 90%?

Michael Joseph: Is full contour.

Payman Langroudi: Full contour [00:15:30] zirconia. Yeah. Not Emax either. Oh how interesting. Yeah. Is that because [00:15:35] you steer them that way.

Michael Joseph: I steer them that way. And it’s the quality of the product and [00:15:40] the results are very predictable.

Payman Langroudi: I think the market is the market [00:15:45] sending you 90% zirconia. The market’s not so aware of zirconia being aesthetic. Not [00:15:50] really.

Michael Joseph: But I’m educating people one by one. Yeah yeah yeah yeah I’m I mean I’m I’m putting [00:15:55] out a PDF this week all about that. Oh really. That’s what you should you [00:16:00] should be doing. Emax is great, but you can’t do knife edge prep with Emax. You can with zirconia. [00:16:05] And Emax has its has its problems. It’s more difficult to mask [00:16:10] a dark stump post and core zirconia. It’s pretty simple. Plus the production is [00:16:15] from a laboratory perspective producing. Zirconia quickly [00:16:20] and in volume. This is is not difficult.

Payman Langroudi: Why is that? What’s the difference? [00:16:25]

Michael Joseph: Well, if you producing Emax, if you either got to press it or mill [00:16:30] it. Now if you’re going to mill emax, you can’t always mill the undercuts. Then you end up spending loads of time [00:16:35] physically fitting it to to the die. Yeah. And if you’ve got to press it. So [00:16:40] let’s say you’re doing digital. You’re going to have to design the coping or the three quarter crown or the full contour [00:16:45] crown. Then you’re going to mill it in wax, invest it, press it, divest it, fit it. [00:16:50]

Payman Langroudi: A lot of extra jobs, a.

Michael Joseph: Lot of extra jobs. Whereas zirconia, you’re either going to you know, you’re going to design, design [00:16:55] it on screen, send it to the milling machine, mill it out, fit it very [00:17:00] quickly. They fit very well, minimal adjustments.

Payman Langroudi: And are you doing all [00:17:05] of those bits in house. Yeah, because some people send the design away right. Yeah.

Michael Joseph: So we we [00:17:10] have design in-house and also we use, we use other designers [00:17:15] because a lot of people work from home. The problem now is, is anyone who’s become really [00:17:20] good at design, they’ve realised, hang on, this is an opportunity for me. I buy my own software, have it at home and I can work as [00:17:25] a contractor. And also to have one person do so much work or two. [00:17:30] People do so much work. It’s just it’s just not practical.

Payman Langroudi: Mhm.

Michael Joseph: So having [00:17:35] one person doing design in house and then other designers all over the country.

Payman Langroudi: So [00:17:40] from the prep perspective, what’s the difference between a zirconia prep [00:17:45] and an Emacs and an Emacs. Well you can.

Michael Joseph: Prep less an Emacs. You’ve got to have a shoulder. If [00:17:50] you don’t have a 360 shoulder, you might get away with that deep of a shoulder millimetre all [00:17:55] the way around. Yeah, people. People do less. Yeah. But in the end, what happens if the material is designed? [00:18:00] But if you look at the Emacs prep guide, they want you to make a millimetre shoulder occlusal 1.5mm [00:18:05] reduction. You can get away with doing less and you can make them really thin. And people, you know, and I’m sure they’ve been [00:18:10] there for a very long time, people have done that. But ultimately the material stops functioning mechanically [00:18:15] when you get thinner than one millimetre, 0.6. Yeah. And [00:18:20] you’re not getting the full characteristics.

Payman Langroudi: That I think is so interesting. Yeah. Because I’m sure you [00:18:25] talk to a bunch of dentists who say, I do Emacs, I do less than that prep and I’m fine. Yeah, [00:18:30] but when you see thousands of cases, that’s [00:18:35] when you start to see the situation as it actually is. Yeah. Yeah. Because [00:18:40] you know, obviously as a technician you’re seeing way, way, way more cases than a single dentist is. [00:18:45] And so for instance, we have a similar thing, you know, three times a month [00:18:50] we get this very patchiness weird patchiness comes up in bleaching right now. [00:18:55] I talked to some dentists. This has never happened to me. Yeah, okay. It’s never happened to you because you’re doing [00:19:00] 12 cases a year. When we’re doing thousands of cases a month, we start to see the patterns [00:19:05] of what’s working and what isn’t. And, you know, the question of what [00:19:10] you can learn from your technician. I think we underestimate [00:19:15] that in the same way as we underestimate what you can learn from your sales rep. Yeah. So while [00:19:20] you were working at evident, you were trying to get in and talk to dentists and all that.

Payman Langroudi: And [00:19:25] a lot of dentists have gatekeepers, don’t they? They have these people trying to the receptionist. Yeah. Stop [00:19:30] you from getting to them. Yeah. And whenever I visit a practice I try to impress on, on the, [00:19:35] on the dentists that, you know, a salesperson is a massive fountain of knowledge [00:19:40] because you’ve got knowledge from the whole market. You’re hearing things, you’re you’re seeing [00:19:45] things. And, you know, you should look at a salesperson or a lab technician [00:19:50] as knowledge base and use that knowledge base. [00:19:55] Absolutely. You know, that that it’s an important point and as far as, you know, constantly [00:20:00] trying to keep away from technicians, away from, you know, the the value add, I [00:20:05] would say from the difference between a brilliant technician and a good technician, is [00:20:10] that communication because fit function [00:20:15] aesthetics, of course. Right. All of that is real. But the amount of [00:20:20] education you can get from your technician now, what do you do about that? Do you do you [00:20:25] build in something regarding feedback on the guys prep? [00:20:30] Yeah, I.

Michael Joseph: Will I’ll tell people if if it’s I’ll let [00:20:35] them know that’s that’s not going to be great. And then like do your best.

Payman Langroudi: That’s the most [00:20:40] common answer right.

Michael Joseph: Yeah. Do your best with what we’ve got. And I’m and they’re like the patients are really difficult. I’m like they’re going [00:20:45] to be really difficult when this doesn’t work out. So it’s easier to get someone back for a re prep than [00:20:50] it is when something doesn’t fit. Yeah. They start to think, hang on, what’s going on here?

Payman Langroudi: So tell me, [00:20:55] there must have been times where you told the dentist this impression isn’t good enough. [00:21:00] He said do your best and then it didn’t fit, or there was a contact point issue or whatever. [00:21:05] And he wants to remake. And now he doesn’t want to pay for a remake, right? That must [00:21:10] have happened. That must happen all the time. Well, I tell them.

Michael Joseph: At that point, if and that usually stops people doing it, I say, [00:21:15] if you want to go ahead with this can be a fully chargeable remake. And then I own. Because [00:21:20] I understand the pressures they’re under. Yeah. You [00:21:25] know the diaries for got to get them back in again. But it’s worth it the [00:21:30] point. And it improves and it improves. We they improve. They’re more careful. [00:21:35] Yeah I think.

Payman Langroudi: You know from the dentist side. Yeah. The especially [00:21:40] less experienced dentists might think that if I have to bring the patient back in it’s embarrassing [00:21:45] and it’s almost an admission of having done something wrong. Mhm.

Michael Joseph: Whereas [00:21:50] I’d say the opposite.

Payman Langroudi: Yeah. Yeah. Exactly. If you speak with authority and you and you’re honest [00:21:55] and you say look it didn’t quite go the way I wanted it, I want to improve it, [00:22:00] that, that should build relationships rather than. Great. Absolutely. But [00:22:05] too many of us are so worried about bringing the patient back in. Yeah, you can understand [00:22:10] it. You can understand it.

Michael Joseph: I understand why there’s the pressures of the diary, the, um, you know, they’ve done this great selling [00:22:15] thing. We’re going to make you these veneers and it’s going to go on and you’re going to beautiful. Yeah. Behind that is a [00:22:20] lot of work to get that right. And. At every step. It’s got to be done correctly. [00:22:25] So I would say if you’re doing a ten unit prep and you’re running out of time, stop. [00:22:30] Put a temporary on, get them back in again. Yeah. So it’s perfect.

Payman Langroudi: It’s [00:22:35] let’s talk veneers. Mhm. Because they were very much in fashion 1520 [00:22:40] years ago. Yeah. We we used.

Michael Joseph: To do the, the Rosenthal stuff. Yeah. Yeah.

Payman Langroudi: Yeah. Then they kind of went [00:22:45] out of fashion and you know a line bleach bond. Now that feels like they’re coming back into fashion again.

Michael Joseph: They [00:22:50] are.

Payman Langroudi: Is that right or am I wrong about that.

Michael Joseph: I’m getting more cases. They’re coming a bit more into fashion. [00:22:55] Well I think it’s as we said, people want their aesthetic demands from [00:23:00] Instagram. Yeah, people want to look better and better. And some people, they, they, they look at cosmetic [00:23:05] bonding as the cheaper option. Yeah. And veneers is the more expensive option. [00:23:10] I think cosmetic cosmetic bonding has its place, but it’s only going to last a few [00:23:15] years depending on how well it’s done. Yeah. And it’s it’s really it’s really hard to do it.

Payman Langroudi: Well [00:23:20] it is and I think in the US a lot of our colleagues they call composite just transitional. [00:23:25] You know, they don’t think of it as a permanent material. You know, because it’s so hard to do. [00:23:30] Well you know that. That’s right. But let’s talk veneers. What what [00:23:35] are you getting asked for? You’re getting asked for contact lens. Minimal prep a lot more.

Michael Joseph: Yeah. [00:23:40] Some some of the time. Yeah. You get asked that. But I always say to people why.

Payman Langroudi: Well because I don’t want to prep. [00:23:45]

Michael Joseph: If you’re going to cut the tooth, the tooth is never going to be a virgin tooth again. That’s it. You’ve cut [00:23:50] it. And if you if you do this, you know, people talk about minimally minimal prep and all that. All you end up [00:23:55] with is really bulky stuff. Yeah, yeah. In most parts there are some cases where [00:24:00] there’s smaller teeth, of course, gaps between the teeth. Yeah, you can do no prep, but they’re few and far [00:24:05] between in reality. I know you see them on Instagram. That’s the one case out of a thousand that they could put up there [00:24:10] that yeah, looks good.

Payman Langroudi: The thing is there’s a few things about it. You want to stay in enamel. Yeah. [00:24:15] Because the bond to enamel is way stronger than the bond to dentine. Right. And [00:24:20] if the tooth is in the wrong position to pull that off, then you’re going to be the [00:24:25] one who’s got the problem. Yeah. Because the dentist is trying to stay in enamel and there [00:24:30] is this tension anyway. Every single time you do a prep and send it off to a technician, of course the technician [00:24:35] would want massive occlusal clearance, big, big shoulders. But as as [00:24:40] the dentist you’re constantly trying to not not cut.

Michael Joseph: Yeah I think with these cases you’ve got to start [00:24:45] backwards. You’ve got to start with the end result. You’ve got to do a digital wax up. Yeah. And [00:24:50] then mock that up in the mouth with no prep and see where things stick out.

Payman Langroudi: Yeah. And what about [00:24:55] shade if you’ve got a dark tooth. Mhm.

Michael Joseph: With [00:25:00] a veneer.

Payman Langroudi: For a veneer or for a crown. What’s the what’s the best [00:25:05] way of number one? Communicating with the technician machine. So [00:25:10] what does that mean?

Michael Joseph: I’m actually this is another thing I’m putting out a PDF all about this. So if you’re going to [00:25:15] do a way of doing a single, let’s say any anterior teeth and getting it right 95% of the time, [00:25:20] yeah, get the patient in and tell them initially I’m going to take a pre-op impression, [00:25:25] take some photographs. Right. Then send them to us for a shade. [00:25:30] Pre-prep. Pre-prep? Yeah. Then when at the beginning of the process, you explain to them that there’s [00:25:35] going to be the process is like this. You’re going to go to the lab, I’m going to prep, then we’re going to do a trying. [00:25:40] And I’m probably going to need we’re going to need to send it back for an adjustment.

Payman Langroudi: Right. [00:25:45] You set them up for them. Set them up for the ability. Right? Right. Okay.

Michael Joseph: Then come to the lab. [00:25:50] We take a shape. They. They take SLR photographs of the stump with the stump. Proper [00:25:55] stump shape guide. Not a V to shade guide.

Payman Langroudi: So what is that? What’s what’s that called?

Michael Joseph: It’s called a [00:26:00] natural guide material. It was made by by Ivoclar. It’s instead of ABCd it’s Nd1 [00:26:05] and D2. Right. Absolutely. You take a photograph with that.

Payman Langroudi: Percentage of dentists have that very few.

Michael Joseph: Some [00:26:10] do those. Yeah some do. I used to give them out.

Payman Langroudi: Because it made [00:26:15] your life that much easier.

Michael Joseph: I used to give them out. And then when the patient comes for. So [00:26:20] we glazed the crown. We want to get it right first time, but the patient thinks it’s a trying use [00:26:25] trial cement because often this happens. It looks really good. And then you cement it in. Yeah. [00:26:30] Just I just had a bit of translucent. So I stuck that in crown changes colour, use trial paste [00:26:35] and then use the corresponding cement to the trial paste. So it’s the same colour. [00:26:40] And maybe first time you’ll be able to cement it. But. And [00:26:45] then the patient’s elated, wow, we got it. We just what? No need. This wasn’t a trade. Or you can tell them this was [00:26:50] it’s come out right. So yeah. And if it’s not right take some more photography with [00:26:55] it in send it back and likelihood. Second [00:27:00] time is going to be right. And and I know a lot of people think I get this. Some people say I paid, I send you them [00:27:05] a shade and it’s not right. It’s artistry. Everything in dentistry we can make to [00:27:10] the micron fit everything but colour, shade. You’ve got to take in [00:27:15] the stump, shade, the thickness of the material, the type of material.

Payman Langroudi: Cement shade.

Michael Joseph: The cement shade. All [00:27:20] of that’s going to be taken into consideration. There’s some really good ways of doing it now with with [00:27:25] a shade I which actually if we use it in the lab, it gives us a prescription.

Payman Langroudi: Oh, so [00:27:30] the machine that gives you the shade. Yeah.

Michael Joseph: And it gives us the prescription and it’s very accurate. [00:27:35]

Payman Langroudi: Yeah.

Michael Joseph: It’s very good really. You have to know how to use it. It’s like anything. It’s just a tool. You’ve got to you’ve got [00:27:40] to learn how to use it.

Payman Langroudi: Is that the Vita?

Michael Joseph: No, it’s it’s made by, um. [00:27:45] I can’t remember the name of.

Payman Langroudi: The shade I.

Michael Joseph: It’s called a shade. I it’s not really [00:27:50] for a dentist, it’s for a lab. And then there’s a guy called Matisse in Switzerland who works with them, who’s developed [00:27:55] this whole system that gives you a, um, accurate shade more than that, gives [00:28:00] you the recipe, tells you what type of zirconia to use, whether you should use Emax, which [00:28:05] stain colours. You should use a mix up to get the desired effect.

Payman Langroudi: Oh, brilliant. Yeah. [00:28:10]

Michael Joseph: But it has to have person with the skill to use that, like a top top [00:28:15] ceramist to be able to do that, to get it right.

Payman Langroudi: So let’s talk about the prep. [00:28:20] Um, outside of the obvious, okay. You need good margins. [00:28:25] Yeah. What would you like from your veneer prep? Would you would you like.

Michael Joseph: Contacts split, the.

Payman Langroudi: Contacts [00:28:30] broken?

Michael Joseph: Yeah. Break the contacts.

Payman Langroudi: Does that help? Yeah.

Michael Joseph: Because otherwise it’s just a [00:28:35] there’s no separation on the model. Yeah. So split contacts [00:28:40] and as much reduction as possible. So even enamel and according to the, according [00:28:45] to what we’ve the wax the wax surface. So it’s got to follow from that. So you have to have a [00:28:50] wax up. Then from the wax up you want to have a invasive, what I call [00:28:55] an invasive wax up. And this is all done functionally on an articulator I’m actually worked with I have a [00:29:00] designer who just does this for me. Um, and in the.

Payman Langroudi: Proximal proximal [00:29:05] thing.

Michael Joseph: Yeah. Nice shape and no undercuts because the knees can’t [00:29:10] go around. They can’t go around corners. You won’t be able to fit them.

Payman Langroudi: And the path [00:29:15] of insertion of a veneer is that sort of facial straight in.

Michael Joseph: Yeah. You want to ideally you want you [00:29:20] want to you want to fit Central’s outwards. Yeah. Because if something’s not [00:29:25] 100% right it’s 99% right. It’s going to be a tiny bit off somewhere over here. Not here. [00:29:30]

Payman Langroudi: And which cement do you like or do you don’t mind.

Michael Joseph: I don’t I don’t.

Payman Langroudi: You [00:29:35] know.

Michael Joseph: I don’t I don’t know much about it. That’s another, another thing [00:29:40] is with zirconia now you can you can etch it if we treat it with a lithium disilicate. Lithium [00:29:45] disilicate is, um, is what Emacs is made out of. Yeah, yeah. So when we glaze it, we spray [00:29:50] on the wings if it’s a Maryland or glaze that and then we. And then that’ll [00:29:55] stain just like, uh, just like a non-precious Maryland will stain veneers [00:30:00] as well. Do inlays, onlays from zirconia.

Payman Langroudi: You know [00:30:05] we we’ve got a lab. You just you just saw our lab. Yeah. And we make one item bleaching tray. Right. Simple. [00:30:10] Um, most technicians laugh at me when I talk about it because it’s just the [00:30:15] one item that we make. And yet they have so many hassles, so many hassles [00:30:20] with technicians leaving the time it takes to train one. Believe [00:30:25] it or not, it takes time to train someone. Yeah, no, our bleaching tray takes a bit of training. [00:30:30] How do you manage all of that? From the sort of the business management perspective, how many guys have you [00:30:35] got working there? How do you make sure that if one of them leaves, you’re not suddenly stuck?

Michael Joseph: That [00:30:40] you have that every the each technician could do more than their [00:30:45] own job and then you sort of constantly recording. Yeah. Yeah. And, and also I can pick up [00:30:50] the slack as well if need be. And just building a team where people don’t want [00:30:55] to leave. Creating an environment where people want to stay.

Payman Langroudi: But so the labs that I’ve [00:31:00] had some experience with, they they tend to have people stay late and, you know, it’s [00:31:05] a deadline business. Yeah. Yeah. So does that happen or do people clock off [00:31:10] at 530. What happens? Yeah.

Michael Joseph: Some people finish off a bit later. [00:31:15] Some some people have their own working hours. I’ve got one guy starts 4:00 in the morning, goes home at two. Really? [00:31:20] Yeah. And then sometimes he comes at three and he works till 910 at night. That’s [00:31:25] just what he does. But. Ideally, you can be organised [00:31:30] in a in a way that 95% of the stuff is done on time.

Payman Langroudi: But [00:31:35] from the recruitment perspective, I mean, we recruit.

Michael Joseph: We’re all having is impossible right now.

Payman Langroudi: Yeah, we’re all having trouble. [00:31:40]

Michael Joseph: Yeah, it’s impossible to find anyone.

Payman Langroudi: But technicians particularly.

Michael Joseph: Particularly. Yeah, there’s less on the register. [00:31:45] There’s a thousand less than a few years ago than pre-COVID. But I see I, I, [00:31:50] I see that despite all of that, I see the great opportunity because technology means we can do [00:31:55] more and more with less people. Yeah. And I think the most important [00:32:00] thing we’ve got right now, we can, we can use properly is our time. So if we can minimise [00:32:05] the time doing mundane tasks, which is where I think in the next few years most of the tasks, [00:32:10] such as booking in work, does. A lot of the designing will be AI. Yeah, AI [00:32:15] is really going to come in. I don’t think it’s five years ahead. I think it’s 12, 18 months around the corner. [00:32:20] Yeah, yeah. It’s really it’s really there. So that’s going to take save loads of time doing that.

Payman Langroudi: So [00:32:25] when you recruit a technician, are there technicians that are very artistic and [00:32:30] they’re technicians that are very functional.

Michael Joseph: Yeah some are more more. More [00:32:35] technically brilliant than they than their aesthetics, and they both have their value. Yeah.

Payman Langroudi: So then [00:32:40] do you end up having one guy do one bit of it and the other guy do another bit of it? Is [00:32:45] that how it works? Yeah.

Michael Joseph: So I have one ceramist who only does posteriors. Another guy that gives [00:32:50] most of the most of the anterior work to and the larger cases.

Payman Langroudi: And [00:32:55] tell me about scanning versus traditional impressions. What [00:33:00] do you prefer? Scanning. Because of the workflow? Yeah, because.

Michael Joseph: Of the workflow, the accuracy. [00:33:05]

Payman Langroudi: But what about what are the limitations? I mean, my, my understanding.

Michael Joseph: Is limitations.

Payman Langroudi: For [00:33:10] large. Yeah. My, my understanding of it is unless.

Michael Joseph: You’ve got a, um. One [00:33:15] of the a special scanner because you have to verify the position to say you’re doing an [00:33:20] all on four, all on six. So you scan your the scan bodies. But how can we verify. That’s right. [00:33:25] So in the end you end up making a model using open training session code. Pink’s making [00:33:30] a jig picking up an impression, working from a plaster model. There’s no really good way of doing that right now. [00:33:35] And verifying.

Payman Langroudi: Okay, but my understanding is that a scanner is not as good for subgingival. [00:33:40] Stuff. Obviously not.

Michael Joseph: Retraction cord?

Payman Langroudi: Yes. Do you need [00:33:45] to be more aggressive with retraction?

Michael Joseph: Well, the beauty of it is, is when you take an impression, sometimes it’s hard. It’s [00:33:50] hard to read everything back to front. But when you’re scanning, you can see on your screen there. If it’s [00:33:55] not there, start again.

Payman Langroudi: Yeah, but but from the clinical perspective, I suspect [00:34:00] you have to you have to be more more retractive. Yeah.

Michael Joseph: You need to retract.

Payman Langroudi: Retract [00:34:05] more.

Michael Joseph: You can’t get away with not using cord or spraying a bit of extra. So it’s not going to work. Yeah yeah, yeah. [00:34:10]

Payman Langroudi: What else? I mean, what other situations is scanning? Not as good. Um. [00:34:15]

Michael Joseph: It’s really just a full artwork. Really? Yeah.

Payman Langroudi: And [00:34:20] do you have a preference on scanners? I mean, you must be scans coming in from all different.

Michael Joseph: They’re all pretty good. The [00:34:25] Dex’s seitaro. Three shape. They’re all pretty good. I [00:34:30] mean, there’s some off market ones and some made by different companies in China that are just as good.

Payman Langroudi: So [00:34:35] you don’t see any pattern of one scanner being better than another.

Michael Joseph: Not that I’ve noticed, really. [00:34:40] No.

Payman Langroudi: I find that surprising than you’d imagine. Yeah, I.

Michael Joseph: Would, I [00:34:45] would have thought so, but they’re all pretty. I maybe I if I probably did a study [00:34:50] you might find came from where I might find something. But they’re all they’re all pretty good now the technology is really [00:34:55] good. But also with scanning things got to be dry. Yeah.

Payman Langroudi: And [00:35:00] you must have people who don’t check their scans properly. Sort of. Just [00:35:05] send it off. You can.

Michael Joseph: See it. It’s staring you in the face.

Payman Langroudi: Yeah, but I mean, dude, we get [00:35:10] impressions sometimes.

Michael Joseph: Sometimes impressions. Yeah. We get impressions.

Payman Langroudi: And scans that are wrong. [00:35:15]

Michael Joseph: Sometimes. Sometimes.

Payman Langroudi: You know, and if I do.

Michael Joseph: Call me up and they [00:35:20] say, can you have a quick look at this? Do I need to re scan. Yeah. While I’ve got the they’ve got the patient [00:35:25] there. Yeah. So yeah. Um but sometimes you get stuff and you’re like what the hell is that. Yeah. [00:35:30] And I always think, why are you, why are you only scanning half the arch.

Payman Langroudi: Yeah. It’s like using a triple [00:35:35] tray.

Michael Joseph: Yeah I hate triple tray D ah.

Payman Langroudi: Do you still receive triple injections? [00:35:40]

Michael Joseph: And I know people are going to say yeah, I’ve had I take triple triple all the time and everything fits great.

Payman Langroudi: It doesn’t [00:35:45] it can’t do right. I mean I never understood it that people think that it’s as good. [00:35:50] It’s an American.

Michael Joseph: Thing isn’t it.

Payman Langroudi: Great.

Michael Joseph: Save time and money. Yeah. The 3 in 1 go. Yeah.

Payman Langroudi: See, [00:35:55] you know, the more, the more I sort of think about it, the more I realise. Just [00:36:00] do the basics very well.

Michael Joseph: I get implant impressions. People take people.

Payman Langroudi: Trace. You’re [00:36:05] kidding.

Michael Joseph: And then. Yeah, and they complain about contact points. I’m like, no, I make them videos of [00:36:10] the whole thing moving around before I make the model and send it to them. That’s a yeah. [00:36:15] It’s. Triple tree is fine if you’re doing NHS [00:36:20] work. But if, like someone sent me the other day, they’re doing two veneers, patients come for a shade and [00:36:25] they sent me a triple tray. And I just called them up and said, you got to retake it. Also, [00:36:30] I could see there was a piece of the margin missing, but triple trade, when they’re buying, the whole thing distorts. And I know [00:36:35] there’s probably loads of people use it day in, day out. It’s fine. Maybe if they changed [00:36:40] to taking either scanning or taking full arch impressions, they’d notice they’re adjusting less. I [00:36:45] think people can become unaware of. They’re just like, I’m satisfied with that. Yeah, yeah. [00:36:50]

Payman Langroudi: Tell me about the international situation. So you did some training in Norway, [00:36:55] I remember.

Michael Joseph: Yeah, I know, well, I worked in neon. They were like [00:37:00] a their testing centre. Yeah. And at the time when I was in Norway, it was a really strange experience because [00:37:05] it never got dark. Yeah. So you’d be out at night like three in the morning. It’s like we’re.

Payman Langroudi: In the north.

Michael Joseph: No, I was, [00:37:10] I was in Oslo, but it’s also the same in midsummer. It’s like that. Yeah. And I remember they were testing Emacs. [00:37:15] I didn’t know it at the time. They had it there. And I walked into a room and there was some discussion and they came with an NDA. [00:37:20] You got to sign this. Never going there again. Yeah.

Payman Langroudi: But but technician [00:37:25] wise, yeah. Are some technicians from some countries known to be better. Better at something. [00:37:30]

Michael Joseph: Sometimes. Yeah it was. The German technicians have always had a reputation. But right now I’m noticing [00:37:35] the best technicians in this country come from Romania.

Payman Langroudi: Romania generally.

Michael Joseph: Yeah. Romania, [00:37:40] Romania and Hungary. Dental the best guys right now. I’m thinking [00:37:45] of them. Yeah.

Payman Langroudi: And when you look at the profile of the people you hire, [00:37:50] how many are trained here and what percentage are.

Michael Joseph: No, they’re all foreign. [00:37:55]

Payman Langroudi: All foreign.

Michael Joseph: Except one. Yeah.

Payman Langroudi: That’s the pattern that you’ve been seeing. [00:38:00] Yeah. So what’s the reason for that. Why do people not want to become technicians in the UK?

Michael Joseph: Well [00:38:05] before you ever tell. If I ever tell anyone I’m a dental technician, they’re like, what’s that? There’s no awareness of it. Yeah, [00:38:10] no one knows about it. Really? Unless. Unless you’re in it. You don’t know. Unless you’re a dentist, you don’t know much [00:38:15] about it. And also there isn’t there isn’t really a structured career path. Plus lots [00:38:20] of the places where they’re teaching it don’t exist anymore. And I guess the wages [00:38:25] previously are not very appealing. But now they are. Yeah.

Payman Langroudi: You [00:38:30] see. You see some some labs doing really well. Right. Something for millions and [00:38:35] and then you see lots of labs struggling as well. Mhm. What’s your analysis [00:38:40] as a, as a businessman as you are. You’re very good with business. What’s [00:38:45] your analysis of the reason some labs do so badly and some do so. Well [00:38:50] I think it’s like.

Michael Joseph: John Whibley used to say I used to work for in his northern accent. Say [00:38:55] there’s always work for those who can do it. Mhm. Meaning? Yeah, [00:39:00] if the better your work, the more traditionally if you if you notice, you’ve probably noticed there’s not [00:39:05] much marketing by labs. There’s a bit more on Instagram now, a little bit more. No one. You’ve never seen massive [00:39:10] campaigns by laboratories in this country. You know, that’s because it’s on reputation. So one [00:39:15] dentist tells another tells another, and associate moves. And that’s how people build. [00:39:20] And you just get to know who’s who’s who’s good.

Payman Langroudi: But I mean okay, good work. [00:39:25] But I don’t know why I think this, but I’m thinking there are plenty of technicians who do good [00:39:30] work whose businesses fail.

Michael Joseph: Is that because they’re technicians? They’re not business.

Payman Langroudi: People. [00:39:35] Yeah. So so what are the classic errors? Are they the the same classic errors.

Michael Joseph: Not doing too [00:39:40] much for not enough money.

Payman Langroudi: Yeah.

Michael Joseph: So so and not understanding the economies of the economies [00:39:45] of employing people staff. Yeah.

Payman Langroudi: The expenses and working in [00:39:50] the business rather than on the business.

Michael Joseph: Right. Like I don’t work at the bench. You can’t I don’t think you can work on [00:39:55] the business while working in it, being in the midst of it.

Payman Langroudi: So how often are you on the bench? [00:40:00] Very, very little.

Michael Joseph: Very rarely.

Payman Langroudi: I ever.

Michael Joseph: See everything. Yeah, but most of the time I’m [00:40:05] in my office either checking things on the way in or on the way out, or if there’s some questions, what are [00:40:10] we going to do here? So I’ll look at something. I’ll make a plan. The guys will execute it. If there’s a problem, [00:40:15] they’ll come, they’ll come and tell me. But generally most of my time is working on the business. [00:40:20] Thinking about the future. I mean, I’ve just moved. I’ve just refurbished and moved. I [00:40:25] moved out for a few months and completely refurbished the laboratory, fully state [00:40:30] of the art now, and I’m thinking I’m going to have to do this again in two years. Hopefully. So a bigger place.

Payman Langroudi: And [00:40:35] what about.

Michael Joseph: I’ve already got no room. Yeah, machines or people.

Payman Langroudi: So already one thing I’ve noticed [00:40:40] that one of the biggest differences between having a lab and having a practice is [00:40:45] that the cost of technology and the frequency of having to [00:40:50] update your technology is way more in a lab than it is in a dental practice. [00:40:55] I mean, we think in a dental practice, you know, you’ve got expensive machines and things in a lab. It’s just [00:41:00] the.

Michael Joseph: Capital expenditure is enormous. That’s why it’s huge. There’s a lot of right now. There’s a lot [00:41:05] there’s a couple of PE companies buying up labs. Yeah. And where I think they’re going to come a cropper is when they, [00:41:10] the capital expenditure that’s realised the cash needed just to run the business.

Payman Langroudi: Just to [00:41:15] renew everything and stay up to date. Right. Yeah. And what do you do about that? I mean staying [00:41:20] up to date. I mean, you’ve got to be a very technical person. Number one, just.

Michael Joseph: Keep watching [00:41:25] the.

Payman Langroudi: Trends.

Michael Joseph: Yeah, yeah. Watching the trends. And I think meaning is coming to an end. [00:41:30] I think it’s going to move into printing. Yeah. You’ll print the zirconia, everything will be printed. And [00:41:35] eventually I think where it’s going to go is that your, your draw a shade diagram [00:41:40] or the photo with the shade tab will be the eye will absorb that and translate [00:41:45] that and print that out. Exactly. And it will just be a matter of finishing it.

Payman Langroudi: But you know, you [00:41:50] were looking at my printers downstairs and we were both talking about how they’re they’re accurate, [00:41:55] but they’re slow and they’re expensive. And, but when we bought them, we bought them for a reason. Right. They were much [00:42:00] better than the previous generation.

Michael Joseph: But that’s that’s the thing. Now everything is moving so quickly. And the [00:42:05] pace of things. Yeah, every week there’s something new.

Payman Langroudi: So then you have to number one from a business perspective, [00:42:10] have this constant like I’m going to have to be spending money on new technology. I think you got to [00:42:15] watch.

Michael Joseph: It very carefully and be very it’s very myself. It’s very easy to become excited about [00:42:20] a new. Yeah, a new thing. Like how much was that carbon, the carbon printer. [00:42:25] Yeah. Well you can’t buy one. I don’t have one. Okay. It’s a subscription model. Oh, it’s about [00:42:30] 5000 a month plus VAT.

Payman Langroudi: Wow.

Michael Joseph: But it’s a brilliant printer. [00:42:35] In the sense it never goes. It’s a production machine. It’s what you need.

Payman Langroudi: Yeah, [00:42:40] it is what I need. It is. Yeah, I was I was in a hit, slap hit Palmer and yeah, I’ve been there maybe [00:42:45] three times. And every time he’s there unboxing and and plugging stuff [00:42:50] in and, you know, continuous CapEx. Yeah.

Michael Joseph: Yeah. Just in the last two weeks [00:42:55] I’ve got a I’ve got a new wet mill and a new printer.

Payman Langroudi: Yeah. Yeah.

Michael Joseph: It’s continuous [00:43:00] I think at the moment it’s, it’s getting to the decisions. Right. I know one [00:43:05] lab in particular that was very, very successful. They embraced digital very, very [00:43:10] early on. And he made the right decisions about which direction to go. If [00:43:15] you can imagine when when zirconia first started there were the three machines. Yeah, right. [00:43:20] The 200, there were 250 K bloodier. And all they could do was mirror zirconia, [00:43:25] crown or bridge. And then within three years, Roland made a machine for 20 grand [00:43:30] that did the same, in fact, probably better. It moves like that. [00:43:35] You know, it’s really like even me, I my first printer like using a £12,000. [00:43:40] Yeah. Can print two, three models on the build tray. I’ve got smaller, smaller one. And then. [00:43:45] I realised I can get a something like a frozen print. 20 models [00:43:50] cost £2,000.

Payman Langroudi: So [00:43:55] then when your business moves forward and you need to grow, [00:44:00] you have to constantly like sort of think about the financial implications of [00:44:05] growth. Massive CapEx. Yeah.

Michael Joseph: Yeah. All the time.

Payman Langroudi: Yeah. So [00:44:10] you must have done this several times in the past right? Yeah.

Michael Joseph: So recently being the the the biggest [00:44:15] one.

Payman Langroudi: Yeah. So, so like how much did you spend.

Michael Joseph: A 500,000. [00:44:20]

Payman Langroudi: 500,000. Yeah. Just on this latest evolution.

Michael Joseph: On, um, [00:44:25] that’s refurbishing the place. I mean, like ripping everything out the floor, the plumbing, putting a proper [00:44:30] cat6 network in a proper compressed air network in, um, proper [00:44:35] flooring, benching. I didn’t even if I was gone for, like, sort of carbo benching. That’s million. [00:44:40] I had it custom made. It was just cvos just out of reach to have like Italian proper [00:44:45] made benching hundreds of thousands just for the benching. Really? Um, yeah. [00:44:50] So I had custom made benching. And then there’s all the equipment, there’s the hand pieces, the, the extraction [00:44:55] sandblasters, mini machines, furnaces. Herm [00:45:00] pieces.

Payman Langroudi: And I mean, do you worry that you spend that money in it and you’ll never [00:45:05] get it back like that? That worry must be constant, right?

Michael Joseph: Yeah, I think over, over [00:45:10] time. I’ll get that back.

Payman Langroudi: Yeah, I’m sure you will. I’m sure. Yeah, I’m sure you will. But. But in general. Yeah, of course. [00:45:15]

Michael Joseph: It’s a massive expenditure. Yeah.

Payman Langroudi: It’s a big risk to take.

Michael Joseph: And every month there’s always something.

Payman Langroudi: Yeah yeah, [00:45:20] yeah.

Michael Joseph: You know, you know, like in any business, you know it can be it can be anything as well. It’s not always. It’s [00:45:25] not always the machinery. Last week it was the front door.

Payman Langroudi: Yeah yeah yeah.

Michael Joseph: It just wouldn’t [00:45:30] shut. Let’s get a new front door.

Payman Langroudi: What about trends [00:45:35] as far as dentists? I mean, how do you stay abreast of those? I mean, now there’s this VAT prep, [00:45:40] right? Do you does that surprise you? Something must do, right? Yeah.

Michael Joseph: I’m just I’m just sort [00:45:45] of monitoring it and see see what’s going on. Yeah. You know, see see see how well that works for [00:45:50] people before I sort of dive in and think, oh, we’ve got to do it like this. I think there’s also the, [00:45:55] you know, using, um, full arches with no bases or abutments. [00:46:00] The what’s it called again? The rose and screw.

Payman Langroudi: You know. And I know what you’re talking about.

Michael Joseph: Yeah. [00:46:05] So instead of, you know, when you’ve got a zirconia frame so you have some titanium [00:46:10] bases or a framework inside. So now no frame screws straight into zirconia.

Payman Langroudi: Oh, [00:46:15] really? Yeah.

Michael Joseph: So just seeing where that goes.

Payman Langroudi: And [00:46:20] from the implant perspective, um, what are what are you seeing [00:46:25] happening more now? I mean, I saw you had that document on how to how to fix a [00:46:30] malaligned implant. Yeah. And I scanned it. [00:46:35] Man. It was kind of a bent screwdriver sort of thing.

Michael Joseph: Yeah. Talking about angulated screws. Yeah.

Payman Langroudi: So [00:46:40] the screw itself is angulated. Yeah. The, the.

Michael Joseph: The screw height is, is hexa [00:46:45] lobule. And the screw driver can engage. Come in from the side. Yeah. Come in from the side. That’s one one of the things. And [00:46:50] even now using multi units. Multi units. Correct the angle. And then you can on top of that you can use [00:46:55] an angled screw with the multi unit.

Payman Langroudi: I.

Michael Joseph: See. Yeah. Because you want everything to be screw retained. [00:47:00] Its the best. You don’t want to use cement around your implants.

Payman Langroudi: Periodontitis on [00:47:05] this port. We like to talk about mistakes. And if you read [00:47:10] black box thinking. Yeah about plane crashes. Um and it’s about [00:47:15] when there’s a plane crash, they, they first of all figure out what [00:47:20] went wrong without assigning blame. Right.

Michael Joseph: Whereas air [00:47:25] crash investigation. Yeah. The first thing they want to get is the black box. What went.

Payman Langroudi: Wrong? What went wrong? As [00:47:30] soon as they find out what went wrong, they share that with the whole pilot community [00:47:35] again without assigning blame. And then the whole pilot community [00:47:40] learns from that mistake because there was a, you know, massive crash. People died, right? Mhm. But [00:47:45] in medical, when things go wrong, we tend to try [00:47:50] and hide. And particularly the blame part of it because [00:47:55] we tend to look for someone to blame. Mhm. And so to [00:48:00] sort of counteract that. On this pod. We like to talk about biggest mistakes you’ve [00:48:05] made. And there must be many.

Michael Joseph: Um, [00:48:10] I think one of the biggest, the biggest mistakes was not embracing digital technology early [00:48:15] earlier on. Yeah, I could have, I, I should have I should have got into that [00:48:20] earlier. That’s one of the biggest things, and. [00:48:25]

Payman Langroudi: I’d like a juicier one than that, though.

Michael Joseph: A juicier one.

Payman Langroudi: Yeah. Like this one in particular. So yeah, a situation [00:48:30] that went wrong for you, you know, like, uh, some [00:48:35] crown you made wrong.

Michael Joseph: Yeah. I once made a full arch for someone, [00:48:40] and and and we were using, what, the time they call, um, southern passive [00:48:45] abutments. And I ordered hexed ones without [00:48:50] knowing it, so they were engaging. So you got six. So you need non hex. You need so it doesn’t engage [00:48:55] the hex. Yeah. And I only noticed this when I went to glue them on and it’s never going [00:49:00] to fit. So I thought oh I’ll just order the non hex ones and they’ll fit the same. And they had a different fitting [00:49:05] and I spent. About six hours trying to grind [00:49:10] off to get them to fit. I got them to fit. It’s actually the best piece of work I’ve ever done. Yeah, [00:49:15] right. Still, I was talking to the dentist. I did it for the other day. I was saying to him, I need the photos, I want them for Instagram. [00:49:20] And that was fun. Things like that.

Payman Langroudi: Yeah. But yesterday [00:49:25] they went right. I want something that went wrong.

Michael Joseph: Yesterday I mailed a full arch and the the [00:49:30] block was upside down. So the translucency, instead of being in the tips of the eye [00:49:35] like that was in the tissue, that was yesterday. And that was because when [00:49:40] we imported the file it was upside down. The bridge was upside down. Okay. So when [00:49:45] when did you notice I didn’t nest it? I, I only noticed it yesterday afternoon. It’s got to go out tomorrow [00:49:50] okay.

Payman Langroudi: So it didn’t go out at least. No. That’s something that went out. Dentist got pissed or something like that. [00:49:55]

Michael Joseph: Loads of times.

Payman Langroudi: Well I was wrong I think. I think what I’m really interested in here, some technique [00:50:00] that you brought in that turned out to be a [00:50:05] turkey and then you were seeing failure on failure on failure, failure going forward [00:50:10] because we’ve all done it as a dentist, right? Someone said, hey, try the procera crown [00:50:15] or something, something some turkey, and you’ve done a 40 of them and then [00:50:20] they start coming back break broken or oh yeah, whatever it was. Oh.

Michael Joseph: Doing [00:50:25] implant restorations, denture teeth with bars. You know, like a hybrid. Yeah. I won’t do any of those anymore. [00:50:30]

Payman Langroudi: Because they kept breaking.

Michael Joseph: They keep breaking because if the bike’s not perfect, the function’s not right. They’re going to break. And [00:50:35] they just. And they just keep coming back for repairs and repairs, and you end up spending thousands or [00:50:40] something you build a couple of grand for. It’s like, it just just won’t do it. Had you.

Payman Langroudi: Done a bunch before, [00:50:45] you realised.

Michael Joseph: I had loads of them, about 20 of them, and some in particular that [00:50:50] were like the weekly, you know, it’s back in the end. I said to me, but I’m just going to remake it [00:50:55] just in full contour and it just done it. That’s that’s also a great thing [00:51:00] about digital. Now if you if you made if you before you went through the whole pace of process of making [00:51:05] a full arch, let’s say. So you’ve done a you’ve done a denture trying, you’ve done the verification [00:51:10] jig, you’ve made the frame, you’ve cast it in metal, you’ve layered the ceramic. If anything [00:51:15] happens to that, it breaks. You’ve got to start at the beginning. So now let’s say we do a full arch [00:51:20] on a titanium bar that’s bonded together with a zirconia sleeve on the top. And this has [00:51:25] happened. Someone fell off their bike, smashed the front two teeth. Guy called me out. [00:51:30] He says, what can we do about this? I said, I’ll mill another one from the file. Stain [00:51:35] it, get it ready, then bring him in on Tuesday morning. Unscrew it. Send it to us. [00:51:40] Getting to hang around in the practice because he can’t walk around without any teeth, and we just bonded [00:51:45] the old one put the other one together. It was a bit risky. There’s no model. These things are not. And [00:51:50] then the afternoon bang done. That was nice. That saved 15 appointments and [00:51:55] 20,000 hours work and yeah so but loads loads loads [00:52:00] loads of screw ups loads. You know over.

Payman Langroudi: In the last 15 years, 20 years, whatever it is you’ve been in [00:52:05] business was your hardest day in business.

Michael Joseph: My hardest day. I [00:52:10] think it was. It was a day my dad died and I came in and and [00:52:15] someone was screaming at me on the phone. Something was totally their fault. And I was just I was [00:52:20] just listening to it. And yeah, that was really that was really hard because [00:52:25] it wouldn’t be professional for me to say, well, actually, my dad just died and leave me, leave me alone. Yeah. Um, [00:52:30] and they were completely in the wrong and they were just venting their own frustration. Which [00:52:35] I can understand, you know, and I standing there listening to it and at [00:52:40] the time. My my operations manager is just sitting there going, [00:52:45] but she knows what’s going on. And I was just like, okay, okay, okay. A [00:52:50] week later, he called me and he realised. To which normally I might have argued [00:52:55] with him, but at that point I was just like, yeah, yeah, yeah.

Payman Langroudi: So you were at work when you heard [00:53:00] about your dad?

Michael Joseph: He died that morning. But the nature of the lab is [00:53:05] you’ve got to go. I can’t leave it. People are relying on me. I can’t that can’t [00:53:10] be an excuse.

Payman Langroudi: You went in on the day you passed away.

Michael Joseph: I spoke to the the the people [00:53:15] that arranged, you know, the funeral. And I actually went to go to [00:53:20] the the office and get this bit of paper signed so they can release the body. And it’s like running around to a few offices and [00:53:25] not waiting. And then I got this piece of, I think it’s a green bit of paper. So the hospital [00:53:30] released the body. So I got that done and I thought, okay, I’ve got an hour before the funeral, so I’ll go [00:53:35] quickly to work. And just as I walked in, this, this guy called and I happened to pick up the phone. I don’t [00:53:40] know why. I was a bit in a daze. I just picked up the phone. Hasn’t sunk in what’s happened? But yeah, that’s a pretty hard [00:53:45] day.

Payman Langroudi: Yeah. Batman. I don’t want to get too Freudian, but [00:53:50] how was your relationship with your dad?

Michael Joseph: It was good. He was my. He [00:53:55] was my. He was a really interesting guy. You know what? My slogan right now is? Keep smiling. [00:54:00] I’ve got it in on a neon sign now in the in the office. And it’s [00:54:05] on my boxes. It’s on. You’ve probably seen it on all my all my marketing stuff. And I actually [00:54:10] got that from him. He was an osteopath. And in the 70s he was kind of way ahead of his time. He went [00:54:15] to to the Parker School of Chiropractic in in Michigan. Like in these, these [00:54:20] mid-winter, darkest Michigan in mid-winter to learn cranial osteopathy and bring it to the UK. [00:54:25] And while he was there way before Anthony Robbins or any of these guys even existed, [00:54:30] there was Zig Ziglar, if you’ve ever heard of him. Right. Zig Ziglar to the Zig Ziglar seminars, really. [00:54:35] And I had I remember my first Zig Ziglar tapes. They were tapes because they were in his car. He used to listen to [00:54:40] them, and he had this business card that said, keep smiling on it. [00:54:45] And that was his thing. You got to keep your patients smiling. It was like a 70s American thing. And [00:54:50] till he died, he had that. He had that business card. So I’ve kind of [00:54:55] using Keep Smiling Now as my slogan. Yeah, he was a big inspiration [00:55:00] for me.

Payman Langroudi: And was it, I guess another like a business owner, [00:55:05] right. Did you learn some of the business skills from him?

Michael Joseph: Well, he was an osteopath. He had a practice, but he also had other businesses [00:55:10] in orthotics and making medical devices. Oh really? Yeah. Yeah, yeah, no orthotics business. And [00:55:15] yeah, he was very into business and. He [00:55:20] was encouraged. He was encouraged me to do things like that. And he was like, he was actually [00:55:25] how I got the job in a lab was I’d been travelling and I had this. I, you know, I’ve been as [00:55:30] you do after school. And I came back and I’d grown an interest in dental technology through [00:55:35] working overseas as a courier on a bike, taking stuff from labs to [00:55:40] to practices. And I came back and is the days of the Evening Standard and he saw [00:55:45] a trainee dental technician wanted he didn’t even tell me he called them up. And so yes, [00:55:50] he was premiered in in East London and he, he called up John Gerrard and [00:55:55] he said, I’m going to bring my son down, you know, and I’d been travelling, you know, I was like taking it easy. And [00:56:00] that’s how I got into it. Yeah, I love that. Yeah. Also my, my job [00:56:05] with evident was that him as well evening standard. Um [00:56:10] Stephen he was he was advertising for someone to cover. Do you remember saffron. [00:56:15] Saffron Saunders. Yeah. Yeah. So I was her maternity cover. Yeah. Oh, and [00:56:20] that’s how I got into it. Yeah.

Payman Langroudi: Oh I see, and did you not think about doing something around [00:56:25] loops yourself? Yeah I did.

Michael Joseph: Oh you did. Yeah I did. Initially I thought that. But [00:56:30] at the time there was just Horoscopic and a couple of others. But I really [00:56:35] did learn so much from him about selling and being professional. [00:56:40] Whatever he had, that, that thing, whatever happens, you know, he was very he was like almost like a strict [00:56:45] taskmaster. But I remember getting my first sales and realising, yeah, [00:56:50] this stuff, he’s right.

Payman Langroudi: This works well ahead of his time. Stephen. Yeah, yeah. [00:56:55] Well ahead of his time.

Michael Joseph: And he taught me I learned from him doing something properly. Yeah. [00:57:00] Like even his database. There wasn’t an out of place comma, a capital letter that shouldn’t [00:57:05] be there. He was. Yeah. I learned a lot from him in those years about.

Payman Langroudi: I know [00:57:10] you’re divorced. You must have had periods of stress in that. No, I [00:57:15] mean, as it relates to work, though, do you have times where I.

Michael Joseph: Was completely [00:57:20] burnt out? At times.

Payman Langroudi: Yeah.

Michael Joseph: I mean, during the pandemic, obviously we were closed when that happened. [00:57:25] That was like, I remember I was in the I was at the Sharks, Chicago at the day [00:57:30] Midwinter. Yeah, I think that was the end of February. Yeah. It was a beginning of March. [00:57:35] It was freezing. It was freezing. It was quite mild. It was it was a mild one. And I was out [00:57:40] there and I came back and I got off the plane in the morning and I was, you know, the train that takes you from terminal to terminal in Heathrow. [00:57:45] And I was holding on to the thing and I was looking down and there’s a guy sitting down, he’s wearing a mask. And I thought to myself, well, [00:57:50] Wally, what are you wearing that for? And then within three weeks we were all in lockdown, the lab was closed [00:57:55] and I was just my, my, my wife at the time had [00:58:00] to watch. She kept working from home. She worked for a clothing manufacturer, and I used to take my son every day [00:58:05] to the park the whole day to get him out of the house, because he was two and we were living in a small house [00:58:10] and she had to work.

Michael Joseph: And then when I came back when we opened in June or July, [00:58:15] you know, some of my staff had gone. They’d left, they’d gone to Poland, and I didn’t have [00:58:20] the staff anymore. I lost a lot of business. I couldn’t maintain what I was doing. I lost probably [00:58:25] about half the customer base. Wow. It was. And then I was and I was also completely burnt out. [00:58:30] Wow. Yeah. And then and then got divorced and [00:58:35] then coming out of that. So a couple of years ago, I was actually looking at all different things. [00:58:40] I mean, I was even looking into producing suppositories for things [00:58:45] at the time. There was glycerine suppositories. They couldn’t buy them in this country. And the [00:58:50] pharmacist next door to me, I was looking into I was looking to all kinds of things. And then it kind of dawned on me, I know how [00:58:55] to do this dentistry thing really well. And I’m going to focus on this. [00:59:00] And that’s when I embrace digital. And then a few months later [00:59:05] I realised I need a new lab. I need to gut this place and start again. [00:59:10] And that’s what I did.

Payman Langroudi: And what would you say? I mean, you’re kind of framing it as the timing [00:59:15] of your divorce was also the timing of the business dropping. Would you say that that [00:59:20] the pandemic.

Michael Joseph: The pandemic.

Payman Langroudi: Accelerated your divorce somehow?

Michael Joseph: No. [00:59:25] Not necessarily.

Payman Langroudi: Was it on the cards? How did you feel about it was on.

Michael Joseph: The I guess it was on the cards. It [00:59:30] was on the cards. And I realised it’s the best thing. For all [00:59:35] of us. But it all came together. Burn out. It all happen at the same. Yeah, it was a really [00:59:40] getting getting that way.

Payman Langroudi: And when you say burn out, what does that actually mean? [00:59:45] You don’t want to get out of bed?

Michael Joseph: No. Just no passion for it. Oh, it’s [00:59:50] just.

Payman Langroudi: Like just going through the motions. Yeah, yeah. I’ve been through periods [00:59:55] of my life like that. Not necessarily because I’m working too hard, but just somehow it wasn’t.

Michael Joseph: From working too. [01:00:00]

Payman Langroudi: Hard. Oh, okay. Just too much.

Michael Joseph: Point for the previous few years, right. Five years. It just [01:00:05] been going along business okay growing particularly, but [01:00:10] I was maintaining what I was doing. I was pretty happy. And then then I realised it kind [01:00:15] of just I suppose over a period of time it got to me and then the pandemic and then I had a lot of time [01:00:20] to think. And normally you don’t have time to think. I don’t have time to think.

Payman Langroudi: And I [01:00:25] think, you know, with a, with a it’s definitely.

Michael Joseph: The pressure.

Payman Langroudi: Cooker. Yeah.

Michael Joseph: Yeah, yeah it definitely it, it [01:00:30] kicked the stuffing out of the business in me when.

Payman Langroudi: When you’ve spent years [01:00:35] building something up to watch it drop away quickly is [01:00:40] particularly painful.

Michael Joseph: It was painful because when I came back [01:00:45] the start the customers were all there. I just lost staff, [01:00:50] critical people that I couldn’t, I couldn’t replace.

Payman Langroudi: You can actually do the work.

Michael Joseph: And there weren’t any [01:00:55] staff. It was like now it was. I couldn’t and I couldn’t physically do it all myself. So [01:01:00] I, you know, that all dropped off. And then a couple of big clients, they were like. [01:01:05] And especially then they just come back from the pandemic. They were inundated with work. [01:01:10] That’s right. And I couldn’t I couldn’t keep up.

Payman Langroudi: That’s right.

Michael Joseph: The thing that really got me one [01:01:15] day was I was making a bridge for someone who selectively extracts teeth and [01:01:20] places a temporary. Okay. Yeah. Then. And he called me up and he said, he said to me, this [01:01:25] is like a4 lc for B1. And I realised. [01:01:30] Explain this. I’m just too stretched. Yeah, and I lost [01:01:35] it. And that’s a ten year customer. One of my originals.

Payman Langroudi: It’s a nightmare, [01:01:40] man. It’s a nightmare. Because, I mean, I remember before furlough [01:01:45] came into play.

Michael Joseph: You having nightmares, too, about it?

Payman Langroudi: Hell, [01:01:50] yeah. I mean, we closed maybe two weeks before the [01:01:55] word furlough came out.

Michael Joseph: Yeah. Me too.

Payman Langroudi: Yeah, and we closed before they told [01:02:00] us to close. Maybe, I don’t know, a week before they told us to close, but we [01:02:05] we got our team together, and at the time, we were overstaffed. We’ve got [01:02:10] fewer people now. That time we had a lot of people. And, uh, we said, look, [01:02:15] we’ve got to either fire half our team or everyone’s got to take a 50% pay cut. You know, [01:02:20] what do we do? What should we do? And they all kind of, uh, said, [01:02:25] we’ll take a pay cut. And a bunch of all of them. They were losing their flats and [01:02:30] things because their roommates were suddenly getting up and leaving and going home, and it was a really [01:02:35] weird time.

Michael Joseph: It’s weird. I remember that period.

Payman Langroudi: Yeah. And everyone went, I was thinking.

Michael Joseph: That, do I have to let [01:02:40] everyone go? Yeah.

Payman Langroudi: No, but, you know, it’s not a it’s not a it’s not a story that, that every single business went through [01:02:45] it. Yeah. But the feeling of I’ve spent 20 years building this thing and [01:02:50] in 20 days time, it could just disappear. It’s gone. Yeah. It’s a really strange feeling. [01:02:55] And we’re in business in general. You have got that feeling of it could all end tomorrow. [01:03:00] You know what keeps you up about the business? What keeps you up at night? [01:03:05]

Michael Joseph: Keeping the work coming in. Yeah, sometimes [01:03:10] I do. I do think about particular bits of work can get me up at night. [01:03:15]

Payman Langroudi: Oh, a particular job? Yeah.

Michael Joseph: As I feel. I feel the, you know, you feel a lot of pressure. [01:03:20]

Payman Langroudi: A lot of dentists can relate to that.

Michael Joseph: Yeah, sure. I, you know, I might call them up and said, you know what? [01:03:25] If I called this the dentist up, who’s involved? He’d probably say, yeah, I was thinking about that. Yeah, [01:03:30] yeah, yeah. Sometimes there’s a lot of a lot of pressure to get things right and [01:03:35] on time. And there’s no there’s no leeway. It’s either right [01:03:40] and on time or it’s not. It’s not nearly that, you know, it’s not one of those, you know, it’s not an essay. [01:03:45] It’s decent but not good enough.

Payman Langroudi: It could be a technician, could be a thankless job as well, [01:03:50] insomuch as it is. Yeah. Insomuch as you don’t see the final.

Michael Joseph: As a technician. [01:03:55] Anything that happens in a dentist’s life is your fault. I used to have a joke with one of my clients [01:04:00] that said, you’re one of your kids falls over in the playground. Somehow that’s my fault. I’m [01:04:05] somehow involved in that.

Payman Langroudi: But even when it goes brilliantly, you don’t end up really [01:04:10] seeing that. I mean, I guess I don’t.

Michael Joseph: Care about that. Well, I don’t need the recognition. Well, you.

Payman Langroudi: Kind of want [01:04:15] it, don’t you? I don’t mean recognition in public. I mean just just from other dentists. No, [01:04:20] just as a dentist. Okay. You do a brilliant plan. You prep it properly, you scan it, you [01:04:25] send it off, then this fit day, right? And you fit it and it all works. And then you’ve got appreciative patients [01:04:30] saying, thank you so much, paying their money as a technician, you miss out on both [01:04:35] ends of that, right? And even if it goes really well, most often you’re [01:04:40] not getting call from a dentist saying, hey, that really fit well.

Michael Joseph: You only hear when it’s wrong.

Payman Langroudi: Yeah, [01:04:45] yeah. Well, do you sometimes get that call occasionally?

Michael Joseph: Yeah. I don’t for me, that’s never. [01:04:50] If I don’t, if I don’t hear, if I do ask and it’s right and it and [01:04:55] it it fitted well, then I’ve done my job. That’s my job. I’m [01:05:00] not bothered by public recognition. I want the word to spread [01:05:05] that my my work is good, but I’m not bothered by that. My motivations are. [01:05:10] But I’d kind of.

Payman Langroudi: Call you an extrovert, though. Not not an introvert. How would you characterise. [01:05:15] Yeah, I’m an extrovert.

Michael Joseph: Yeah. I think a lot of people who work with me, it’s because they they enjoy. We have [01:05:20] a lot of fun together. I have a lot of fun doing this.

Payman Langroudi: But most technicians I find are sort of borderline [01:05:25] sort of autistic on the spectrum.

Michael Joseph: That’s the reason why a lot of labs fail. They [01:05:30] can’t deal with the.

Payman Langroudi: Human side of it.

Michael Joseph: The human side of it.

Payman Langroudi: So then what is [01:05:35] with your top customers? Are you friends with them? Do you or are you on the phone with them? Some of them.

Michael Joseph: I have lunch with once [01:05:40] a week.

Payman Langroudi: Oh, really?

Michael Joseph: So there’s one in particular. I talk to him every day, and I know when [01:05:45] he calls me up and he goes, you know, when I did this yesterday, that wasn’t right. And, you know, it wasn’t good enough. I know he’s just it’s [01:05:50] that morning bad mood. I don’t say anything. I’m just like, yeah, yeah, just [01:05:55] let him. Yeah. And like this guy, right? I’m friends with him. But even though we’re from [01:06:00] the same community, he’d never invite me to his house for dinner party to a dinner party. [01:06:05] I’m the friend he’s got. He can be real with. There’s no social [01:06:10] norms to be adhered to. He can go to lunch with me, say whatever he wants. It’s not connected to his family, [01:06:15] his wider social circle. It’s like. Like like a priest, [01:06:20] almost. Yeah, yeah, not not so much. But he can, you know, he can tell me everything. He can’t tell any [01:06:25] of his other friends. I’m also. And I see he makes an effort to keep me out of that. [01:06:30] And he’s quite happy with that. I like that. I mean, in.

Payman Langroudi: Life we do sometimes do have this compartmentalisation [01:06:35] kind of thing. Yeah.

Michael Joseph: We all do have friends that we don’t mix. Yeah, some circles [01:06:40] don’t mix.

Payman Langroudi: Yeah, because we’re different people in different situations. But I’m interested in this [01:06:45] sort of I want to unpack some of the sort of hierarchy of it. [01:06:50] And I bet there are dentists who sort of they feel like they’re above you and [01:06:55] they, they order you about, or you come back with something. You shouldn’t have come back [01:07:00] with that because they’re they made the decision. And they may tell me about that, that it must [01:07:05] happen.

Michael Joseph: It does. Yeah.

Payman Langroudi: So I’ll unpack [01:07:10] it for me a little bit. Well, that’s.

Michael Joseph: You know what it reminds me of? Um. [01:07:15] It’s like, well, let me explain first. I’ll tell you my analogy. [01:07:20] I just know it works like that. I’m I’m doing the [01:07:25] technical work. Klipsch is doing his bit and sometimes there’s a bit of [01:07:30] it should be a collaborative approach, but a lot of the time sometimes it just it just feeds down. You [01:07:35] get the negativity. That’s part of it. That’s part of the business. Just accept it so it doesn’t [01:07:40] look great with, you know, it’s like, have you seen The Godfather Part two? Yeah. When Hyman Roth. [01:07:45] Meets Michael Corleone. And he said. And he talks about when he killed Moe Greene. He didn’t. [01:07:50] He just says, this is the business we were in. That’s how I view it. This is the business we’re in. This is how it works. I’m trying [01:07:55] to change it. You know, it stems from it actually being [01:08:00] an upstairs downstairs business. Yeah, 100%. But it comes from that, [01:08:05] that hierarchy socially in in this country for sure.

Payman Langroudi: Yeah. But [01:08:10] what I’m saying is sometimes that hierarchy must get in the way. Right. Because [01:08:15] sometimes you’re right. He’s wrong. He pulls rank. What are you doing? Do [01:08:20] you. You must have had a situation where it’s come.

Michael Joseph: To sometimes.

Payman Langroudi: Blows.

Michael Joseph: Yeah, sometimes. Sometimes it’s [01:08:25] ended the relationship.

Payman Langroudi: Yeah.

Michael Joseph: It’s ended the relationship.

Payman Langroudi: Go on, tell me. Explain it. Go talk me [01:08:30] through a situation.

Michael Joseph: Sorry, I sent I sent a guy a verification jig. We’re doing a full arch. [01:08:35] What is that, a verification jig? So he’s taken a primary impression with just pre digital a few [01:08:40] years ago. Yeah. Taking a primary impression. I’ve taken made a model. Taking the impression copings off. I’ve [01:08:45] screwed them in the model. Linked it all together with Jewel, sliced it up and made it a [01:08:50] special tray to go on the top. So the idea is he screws that in the mouth, links up the the [01:08:55] jewel and takes an impression. Yeah. So he sends me the impression I make the frame bearing [01:09:00] in mind with Atlantis thousand quid to minute. Well. And he [01:09:05] gets it back for trying. He says it doesn’t fit. And I’m like, what? And I remembered I [01:09:10] hadn’t asked him to take a photograph on his phone of the verification. So I said, have you got [01:09:15] a photo of the verification? He said, yeah, sure. And he sent it to me and he he’d screwed it in on the model, [01:09:20] his original model. Linked it all together and send it back to me. [01:09:25] So we verified. And I said to him, well, [01:09:30] you know, I’m going to charge you another grand. We never we never we never did the work. And [01:09:35] he said, what should I do with this stuff? And I was just like, just keep it.

Payman Langroudi: Yeah. Did he pull around [01:09:40] it? Yeah. What did he say? He said.

Michael Joseph: I verified it, you know, I know what [01:09:45] I’m doing. I’m like, you just sent me a picture of a model where you you meant to verify in the [01:09:50] patient’s mouth. And I realised you haven’t got a grasp of what we’re actually trying to do here. Not [01:09:55] not, you know, and a lot of [01:10:00] a lot of the time I work with people I see immediately. Wow. These guys different level. [01:10:05] I got to keep up here and I got to learn here. Yeah, I.

Payman Langroudi: Mean, technicians, [01:10:10] probably the best person to ask about who’s the best dentist, right?

Michael Joseph: Yeah. People always ask me for socially. [01:10:15] People ask me. I always tell them the same thing. What? Go to the same people. I’m not going to say oh, [01:10:20] something the same because I know they’re never going to go there. Never, never. I’m done with like [01:10:25] sending people to like dentist. I know because it always comes back to me somehow. They’re not happy, or [01:10:30] so I just tell them. Go to the most expensive dentist in town. You probably know. Yeah. [01:10:35] And then they call them up, find out this and that, and then when they get it wrong, I [01:10:40] say, I told you you should have gone there.

Payman Langroudi: But but as part of that issue, you see [01:10:45] loads of preps coming in. Yeah. Some people are consistently doing [01:10:50] excellent preps, excellent impressions. Yeah. And the opposite right.

Michael Joseph: And the opposite is some people I [01:10:55] literally make everything twice. I’m just used to it. Yeah. It’s so.

Payman Langroudi: Interesting. Is it.

Michael Joseph: Yeah. And some [01:11:00] people it’s so precise.

Payman Langroudi: And then what relationship is [01:11:05] there between sort of the, the status of that guy. And I mean.

Michael Joseph: All [01:11:10] we say all the same, I don’t, I don’t.

Payman Langroudi: Know. But what I’m saying is, do you see some general [01:11:15] practitioner that no one’s heard of doing brilliant work.

Michael Joseph: Yes, absolutely. Someone is [01:11:20] literally the dirtiest mic surgery in in, I don’t know, wherever [01:11:25] it is, wherever it is in terrible part of London or something. Doing fantastic work. Yeah. And [01:11:30] then you get someone in the swisher’s practice, you know, with the famous name all [01:11:35] over Instagram, all over the place, 150,000 followers, consistently, consistently [01:11:40] giving you rubbish. Absolutely. Oh, yeah. Interesting. [01:11:45] But, I mean, there’s no everyone [01:11:50] gets I, you know, I deal with everyone in the same in the same manner, trying to provide them with the very [01:11:55] best service I can, the best work the best. And I try, I try [01:12:00] to be there. You know, like a good. If [01:12:05] you’ve got a good assistant, let’s say good operations manager, who knows [01:12:10] you, you’ve got this appointment and you’re likely to forget your keys. Yeah, she’s standing there with your keys, [01:12:15] or he’s standing there with your keys. So I know that if I’ve sent someone. A job which [01:12:20] needs an angled screwdriver. I’m going to call him up and put a big sticker on it, because they’re not going to remember [01:12:25] just thinking ahead because they’re busy.

Michael Joseph: Or I remind them, we’re doing this. [01:12:30] Don’t forget to do that. You know, or call me up and let [01:12:35] me know what that takes a picture. Let me. You know, because I’m thinking ahead. I don’t want him to have to do something again or. And [01:12:40] they appreciate that. Yeah. I’m thinking for them that’s part of the service. We’re thinking, [01:12:45] what what are you going to encounter? I love that. So if you’re gonna. Yeah. It’s [01:12:50] like I send someone. In the other day. It was they’ve done a central [01:12:55] and for some reason very deep, and I didn’t think, I thought they may be the impression coping hadn’t engaged [01:13:00] properly, because the crown is in the mouth is like two millimetres shorter than it is on the model. [01:13:05] So. When I sent him the crown, I wasn’t sure. So I made him a special tray [01:13:10] because he complained, you can’t cut through the tray at that corner. It’s very thick to [01:13:15] take an open tray impression, and he was using a closed train. I think that was the problem. So try and think [01:13:20] ahead.

Payman Langroudi: So notice now you’re much more on social [01:13:25] media. Yeah. Is that sort of an active effort to get back this 500 [01:13:30] grand you just spent?

Michael Joseph: Yes, absolutely. And and then [01:13:35] just live on Instagram.

Payman Langroudi: I know, I know that, I know that. So, you know, but you yourself are on [01:13:40] camera demonstrating stuff, talking about stuff.

Michael Joseph: And there’s loads more [01:13:45] to come. I’m going to be doing a masterclasses. So our lunchtime, uh, webinars. [01:13:50] Yeah. Webinars to learn about stuff that I see like. Yeah. The sort of topics [01:13:55] that. Like doing implant work, which, if they use scanning, don’t just have one [01:14:00] scan like this, have a whole range for the same implant, depending on what you want us to make, because they all [01:14:05] limit you to different things. So things like that. But we talked about full [01:14:10] contour zirconia. Um, if you’re not going if you’re not scanning, why not? [01:14:15] I’m going to I’m going to do a master class on that. Why you should be scanning and using digital. [01:14:20]

Payman Langroudi: Because I think, look, there’s a an area of dental education [01:14:25] that is how does dentistry relate with the lab? You [01:14:30] know, the whole lab. The whole lab part of it.

Michael Joseph: I want to educate more than anything. I don’t I don’t want to [01:14:35] just be. Wow, look at us. Yeah, yeah, yeah, there’s an element of that. We’re saying these are this is what we can [01:14:40] do for you. But I’m. I’m saying to Emma, who does the social media, I’m saying to her, let’s not tell them. [01:14:45] Let’s show them. Yeah, let’s show them our quality. Show them what we can do by example. [01:14:50] So you can tell people as much as you want. But seeing is believing. Like when, when.

Payman Langroudi: When someone does a [01:14:55] master’s in fixed promise. Yeah. A big part of that first six months they do the [01:15:00] lab work and then those guys, they come out with this massive kudos, um, and [01:15:05] knowledge right of, you know, they know both sides of it. Or sometimes you get the [01:15:10] odd technician who becomes a dentist. Yeah. You know, famously Christian coachman and all the. [01:15:15] Yeah. Um, and again, those guys, you know, they.

Michael Joseph: Can be really good.

Payman Langroudi: They tend to be really good. So. [01:15:20] Yeah. Um, Neil Gerrard, there’s a yeah, there’s a few.

Michael Joseph: I [01:15:25] work Neil Gerrard with Brendan. Oh really. His dad was John. So I worked there. But he was in dental school [01:15:30] at the time. His brother Paul. Paul who’s also a brilliant technician. Technician. Yeah. Very good. [01:15:35] Yeah. Yeah. So I know them from back then.

Payman Langroudi: Quite different to each other. Yeah. But so [01:15:40] my point is that, you know, that side of it being a dentist and knowing exactly what happens in [01:15:45] the lab and, and getting the best out of your lab, the whole lab part of being a dentist [01:15:50] needs addressing because most of us haven’t got time to go on a [01:15:55] fixed postmasters. So yeah. So these webinars you’re doing, I think, you [01:16:00] know, it would make a lot of sense for someone and.

Michael Joseph: Lab visits as well. Come and come and see and see [01:16:05] what. Yeah, yeah. I’ve got, um, a calendar just for that. It’s on my Instagram [01:16:10] book, a lab, is it? Come and see us or come? Yeah. People come, people come. Um, I’d like [01:16:15] more people to come. Because if I sit down with you and show you what we’re doing. And then when you’re [01:16:20] doing your work, you’re thinking, oh, you know. You know, I need to do it like that.

Payman Langroudi: Yeah, yeah, yeah. [01:16:25]

Michael Joseph: Save time. And things have changed so much. The possibilities [01:16:30] and the ways of doing things are so different now, especially small design and stuff like that. Like [01:16:35] the coaching and stuff. Yeah, yeah, yeah. It’s really if it’s done properly, it really works [01:16:40] out. Well.

Payman Langroudi: Give me a couple of factoids. That stuff [01:16:45] that you wish more dentists knew. That [01:16:50] they don’t know.

Michael Joseph: Most of each made a crown. [01:16:55] Just one once.

Payman Langroudi: In their life.

Michael Joseph: To understand what what [01:17:00] is required. The skill level. I think people are doing cosmetic bonding, especially [01:17:05] if you’re doing it freehand. If they’re trying to do it freehand and not using a wax up and [01:17:10] the zealous, then yeah, they really see how difficult it is. [01:17:15] Yeah. You see some I see some work on Instagram.

Payman Langroudi: I’m thinking no line angles.

Michael Joseph: I [01:17:20] think if I take new veneers that look like that, you punch me in the face. But [01:17:25] I think when you make something yourself, there’s something in it. You think, wow. [01:17:30] Books that I made it. It’s a psychological thing. Yeah. So give me.

Payman Langroudi: Then regarding [01:17:35] that, regarding aesthetic anterior aesthetics. Yeah. What’s a what’s a [01:17:40] kind of a hack? Hack? I don’t like the word hack because it implies cutting corners. But [01:17:45] what’s an aha?

Michael Joseph: Draw the line angles.

Payman Langroudi: With a pencil.

Michael Joseph: With a pencil. Sure. [01:17:50] Draw on. Draw on their teeth. If you if you’re going to be doing this, draw it on. Yeah, yeah. [01:17:55] Get a really good wax up done. Really well defined.

Payman Langroudi: Look, [01:18:00] I find for me with composite, every time you adjust the facial, you [01:18:05] have to readjust the interproximal. Because every time you adjust the face, you push the line angle out. Yeah. [01:18:10] You’re almost delete the line angle if you’re not careful. Yeah. And so continuously [01:18:15] re re it’s really difficult in interior.

Michael Joseph: Work is to get [01:18:20] it to get it to look right, not to look flat. You see loads of bacteria.

Payman Langroudi: Just don’t don’t. [01:18:25]

Michael Joseph: The worst it’s getting it’s getting the angles right. Yeah. But then you get those [01:18:30] late line angles right.

Payman Langroudi: With you guys there’s not not only is there a shade question, [01:18:35] there’s also a shape question in that there’s a shrinkage or not with the ceramic. [01:18:40] Yeah.

Michael Joseph: Yeah. It’s not as much as it used to be but is that right. Yeah. But it’s it’s um, I [01:18:45] mean.

Payman Langroudi: Imagine that if you, if you.

Michael Joseph: If you’ve got to build everything up about 10% bigger.

Payman Langroudi: Yeah. I mean if it. [01:18:50]

Michael Joseph: Shrinks down.

Payman Langroudi: Composite if you had to constantly think that, that after everything is going to shrink by [01:18:55] 10%, that would just, just make it even more.

Michael Joseph: That’s the great thing with with full contours. [01:19:00]

Payman Langroudi: You don’t need to know when.

Michael Joseph: We meet it, it’s two and a half times bigger in the green [01:19:05] state, and then it’s centred overnight and it comes down to the right size. Yeah, you’re doing it there. [01:19:10] But yeah, it’s it’s I often think that I often, I often think that [01:19:15] about building up fillings. Well like you see some posterior fillings people post [01:19:20] on Instagram look really nice where they rebuilt the occlusal surface. I’m like, wow, that’s really, really good. [01:19:25] Yeah. So we were.

Payman Langroudi: Talking about that. Yeah. Some it’s something that is becoming making beautiful posters [01:19:30] is a funny thing because there’s sort of this aesthetic side of it because people are taking a lot [01:19:35] more pictures.

Michael Joseph: No one’s going to see it.

Payman Langroudi: Yeah, it’s like Victorian.

Michael Joseph: Buildings where they’ve got yeah, great [01:19:40] ornate architecture on the other patients.

Payman Langroudi: Will see it if you take a picture. Right. Yeah.

Michael Joseph: So there.

Payman Langroudi: Yeah [01:19:45] there is that. But just knowing.

Michael Joseph: It’s there like that.

Payman Langroudi: Yeah. But also you know it’s simple things like [01:19:50] you know if you’re going to do a filling, make the angles, the cusp angles the same [01:19:55] as they were before. It’s hard to do it.

Michael Joseph: Yeah. It’s really hard.

Payman Langroudi: Yeah.

Michael Joseph: Or a sticky [01:20:00] material that sticks.

Payman Langroudi: Yeah. Or use articulating paper before you start. [01:20:05] Right. Yeah.

Michael Joseph: See where things are.

Payman Langroudi: Where things are hitting um, simple [01:20:10] tips like that’s.

Michael Joseph: With lab work. Just. You just made me think about that. [01:20:15] Most people want three things. They want to [01:20:20] go on the context to be right and not be high. That’s it. You [01:20:25] keep as a technician, you’re keeping most of your customers.

Payman Langroudi: What do I do if I if I’m coming to fit [01:20:30] a crown and it doesn’t fit because of the contacts being too tight, [01:20:35] what’s gone wrong there?

Michael Joseph: Either. The models worn.

Payman Langroudi: By [01:20:40] actors come in and out so many times.

Michael Joseph: While they’re making.

Payman Langroudi: It. Yeah.

Michael Joseph: On a plaster model. Yeah. [01:20:45] Or they’ve not checked it with floss. I checked everything with floss. It’s got a click right on the solid, [01:20:50] not on the sexual model. On the on the solid model. Well, they’ve just they’re [01:20:55] just not judging it. Right.

Payman Langroudi: So so so what do I do there? [01:21:00] Do I start prepping. Do I start cutting some porcelain. Yeah. Or do I send it back. Send [01:21:05] it back, send it back.

Michael Joseph: If it’s really if it’s sometimes it’s a little bit snug. Yeah. [01:21:10] Rubber wheel. Once you start cutting into things with the burr, with the turbine, [01:21:15] they’re ruined. It’s going to break at some point. You’re introducing.

Payman Langroudi: Introducing.

Michael Joseph: Cracks, cracks [01:21:20] and fractures. Yeah, it should fit.

Payman Langroudi: It should fit.

Michael Joseph: And if it doesn’t [01:21:25] fit, they should have asked you for a new scanner or a new impression.

Payman Langroudi: Yeah. See, when I said to you about going from [01:21:30] my super duper technician to the one who wasn’t that strong. No, with the super duper [01:21:35] that it never happened once, that the thing wouldn’t seat. It never happened.

Michael Joseph: Ever. [01:21:40]

Payman Langroudi: He. Yeah.

Michael Joseph: Because he he made it out of the boy.

Payman Langroudi: Yeah.

Michael Joseph: Right. So it’s at [01:21:45] least half a millimetre out.

Payman Langroudi: Well I’m talking about the contact points. Oh the contact. Yeah. Yeah. He’s [01:21:50] got them just right.

Michael Joseph: Yeah. Because he knows from experience. Yeah. That’s gonna ruin a site that’s not going to be.

Payman Langroudi: I [01:21:55] changed lab and they made me use this other lab. It was happening 1 in 4 cases that the Crown [01:22:00] wouldn’t see because the contacts were too tight or something. Right. And, you know, at that point, I realised that previous [01:22:05] technician was so good.

Michael Joseph: It’s because it does consistency. You’ve got to be consistent, reliable in [01:22:10] the lab business. You’ve got to be consistent and reliable. Those are the two things.

Payman Langroudi: Like the restaurant business, [01:22:15] the consistent.

Michael Joseph: And stay that way. Um, [01:22:20] yeah. Because why do you keep going back to what’s the success of McDonald’s? [01:22:25] It’s not the quality of the food. Definitely not. It’s the consistency. What you’re going to get no matter where you go in the [01:22:30] world. Yeah, it’s going to taste roughly the same.

Payman Langroudi: What do you reckon if, if, if you had like [01:22:35] a magic wand and we were projecting forward five years, [01:22:40] um, what would be your sort of ideal outcome? What does the future hold for [01:22:45] me? Yeah.

Michael Joseph: Business. Why, sure.

Payman Langroudi: Let’s [01:22:50] go both directions if you want.

Michael Joseph: Size of business or.

Payman Langroudi: Yeah, like, [01:22:55] what’s the future hold? I mean, I know it’s a weird. I’d like.

Michael Joseph: To. I’d [01:23:00] like to quadruple the size I am in terms of business and [01:23:05] much more automation. Something, something I’m working on right now is a there’s [01:23:10] no decent lab software out there, you know, like you’ve got software of excellence. I don’t even know how many different. And they’re pretty good [01:23:15] because if you think about it, the market for what you can charge a dentist, how many dentists there [01:23:20] are in the world, it’s worth it for a big software operation to really invest in time. The lab software [01:23:25] is crap.

Payman Langroudi: Does it exist?

Michael Joseph: Yeah. It’s rubbish. Like if I told you it’s [01:23:30] it’s not cloud based. And if you want to send an email through it, you’ve got to have [01:23:35] another module. And it’s like I had two choices. Either get a server [01:23:40] which is like white today. To have a server is ridiculous. Should be on the cloud. And if I [01:23:45] wanted to host it on the cloud, they don’t provide that. It was so expensive to host it myself on the cloud I [01:23:50] decided to get a server. Also, it’s so complicated and because the software [01:23:55] was designed when we were doing manual processes, there’s nothing digital. [01:24:00]

Payman Langroudi: Yeah, it’s stuff.

Michael Joseph: That’s been modified, but it’s all pretty rubbish.

Payman Langroudi: And is there a [01:24:05] dominant product?

Michael Joseph: Yeah, there’s a couple. There’s uh, there’s lab track. There’s [01:24:10] another company called evident the American Program, but they’re all rubbish.

Payman Langroudi: And why are we talking [01:24:15] about this? Because you think you could do better. Is that what you’re saying? Yeah. Like that? Yeah. [01:24:20]

Michael Joseph: I’m actually something I’m working on is to provide us a system [01:24:25] where the user interface is easy to use. The dentist, the [01:24:30] apps in three versions, there’s the version we our login as a technician, there’s the admin, [01:24:35] there’s practice admin, and then there’s the dentist on his phone.

Payman Langroudi: That’s a good idea.

Michael Joseph: Never asked [01:24:40] for a statement. Never ask where something’s at in the production, where it’s being delivered, [01:24:45] where is it going? It’s all there. The tracking numbers. It’s. You don’t need to call us.

Payman Langroudi: That’s a good idea.

Michael Joseph: And [01:24:50] for us, similarly as things come in. It automatically [01:24:55] has intelligent stock. Check to check. We’ve got the right components. If [01:25:00] not, it’ll it’ll send our advance we can get with. This is. It’s something Exocad [01:25:05] the main software designer is looking at. But. And if [01:25:10] you’ve got 500 boxes, work in the lab. How do you manage that? So [01:25:15] at the moment, the workflows with these softwares that manage that are not there [01:25:20] to they’re over complicated. I won’t get into the tech and they’re not fit for purpose. [01:25:25] I mean, we want to have 3D QR codes printed on all the models. And [01:25:30] tattoo the inside of the crown. Typekit QR code on [01:25:35] it.

Payman Langroudi: Is that doable?

Michael Joseph: Yeah, it’s all doable. Well, it’s not a tattoo, but it’s like, yeah, [01:25:40] it’s something like that.

Payman Langroudi: So if you quadruple the size of the business as far as [01:25:45] revenue. Mhm. What’s your estimate on the sort of on the other side. On the people [01:25:50] side would you have to quadruple the number of people or.

Michael Joseph: Yeah, I need. [01:25:55]

Payman Langroudi: Like, how many people? You know.

Michael Joseph: 30 people.

Payman Langroudi: Are you, like eight? Nine people now? Yeah.

Michael Joseph: Yeah. [01:26:00] But I think as technology, as things change in the next few years, technology.

Payman Langroudi: Is going to reduce.

Michael Joseph: The I think AI [01:26:05] is going to is going to really kick in in the next year. But so [01:26:10] simple crowns will be designed by AI. A scan will come in the. It will [01:26:15] be booked in automatically. It’ll go into design. It’ll be designed. They’ll be checking processes [01:26:20] that might need a bit of a touch up. Then it’ll go to be milled and then the [01:26:25] finishing will be relatively. But then won’t that.

Payman Langroudi: Won’t that just be run.

Michael Joseph: Of the mill.

Payman Langroudi: If [01:26:30] it’s like.

Michael Joseph: Saric. Saric market is never really grown that much because there’s only a particular [01:26:35] type of dentist that wants to sit and mess about with that. But you know [01:26:40] market size is stayed the same.

Payman Langroudi: If it’s if it’s that brilliant here that it it does it all itself. [01:26:45]

Michael Joseph: But it needs it needs supervision. The job of the technician will [01:26:50] become understanding that technology and getting it to do what we want it to do, that’s going to be very [01:26:55] complicated.

Payman Langroudi: So I was I was talking to a dentist yesterday.

Michael Joseph: It’s like now with the, [01:27:00] um, with, with like car manufacturing if you look at it like that now. Right. Yeah. Used [01:27:05] to be when they made a Rolls-Royce, it was all handmade. Yeah, yeah. Now it’s all machine made. [01:27:10] But the technicians controlling that machinery and understanding the milling [01:27:15] protocols and strategies and to produce all these parts, they are just as highly as their [01:27:20] skill set. Just doesn’t lie. Underneath a car, screwing something on it. On a computer [01:27:25] screen.

Payman Langroudi: Yeah, but the, you know, the notion of Ireland five years time, could [01:27:30] it be that there’s no need for a technician at all?

Michael Joseph: No. It’ll always [01:27:35] be.

Payman Langroudi: Needed. Are you.

Michael Joseph: Sure? Because what’s going to happen? It’s like. It’s like. It’s like any. It’s like. It’s like any [01:27:40] industry. What’s going to happen? It’s like, what are you seeing now in the fashion industry? It went from mass production to people [01:27:45] want things handmade. What’s going to happen, I think, is that everything’s going to be digital, and then someone’s [01:27:50] going to go out and launch an old fashioned habit. Handmade. And [01:27:55] that’s going to be a thing. It’s going to go full circle because like now what do people want? Handmade clothing [01:28:00] and everything. Artisan handmade. This is put together right.

Payman Langroudi: Talking [01:28:05] of handmade do you do feldspathic as well. Yeah.

Michael Joseph: Don’t want to. Yeah. [01:28:10] Is it hard. No they’re just they’re just they’re weaker but they have their place. Yeah. More beautiful. Really [01:28:15] really thin veneer. Yeah.

Payman Langroudi: And you can’t do them digitally at all. Is that right? [01:28:20] No.

Michael Joseph: No, it’s just there’s no design. You just you just make it on the die. You [01:28:25] just do it there and then. Yeah.

Payman Langroudi: So look, this this question of whether or not [01:28:30] a technician is necessary is I’m not attacking technicians. Right. It’s all of our jobs [01:28:35] are in danger. All of us. Everybody. I’d say good. 80% of jobs. Have you seen. [01:28:40]

Michael Joseph: Did you hear about the thing they testing in China now.

Payman Langroudi: For.

Michael Joseph: The. I think it’s [01:28:45] a treatment to. Get your teeth to regrow. Yeah, right. Listen, [01:28:50] in China, let’s see. But no, I just think the roles will change. Roles will change. [01:28:55] It’s like. It’s like the skills will still be different.

Payman Langroudi: I think you’re right. It’ll [01:29:00] be. It’ll be a case of fewer technicians doing more work. Yeah. You know, it’s a [01:29:05] possibility eventually.

Michael Joseph: This is what I think is going to happen, is that the design will pretty [01:29:10] much be all automate all AI automated, but it will need controlling. And then the crowns will just [01:29:15] be printed out in the right colour and they’ll need minimal hand finishing.

Payman Langroudi: Yeah. But [01:29:20] then someone will come up with this unit that will print Chairside and then the design piece. [01:29:25] Okay, you can.

Michael Joseph: Already do it. You can use a cerec.

Payman Langroudi: I know, I know, I know, but there’s only will [01:29:30] be more, more more more like easy to use than it is right now. Because right now it’s still very [01:29:35] clunky and.

Michael Joseph: Always been like that, even even when it’s in the version I see in. It’s not [01:29:40] clunky. It needs attention. Mm. Interesting. We’re the most advanced machine in the [01:29:45] world. Nothing is going to be more advanced than us.

Payman Langroudi: Everything.

Michael Joseph: Everything that’s come, [01:29:50] it comes through us. We’re the most sophisticated machine in the world. It’s [01:29:55] because all the other machines have been made by us.

Payman Langroudi: It’s a funny time to try and predict the future, you know, [01:30:00] because it’s changing. It’s changing very quickly.

Michael Joseph: Dentistry, landscape, landscape. [01:30:05]

Payman Langroudi: Just generally, you know. Yeah, I the way it is.

Michael Joseph: Like, [01:30:10] what if they. What if they get a vaccine for caries. That’s it. Dentistry is finished. It’s just [01:30:15] hygiene.

Payman Langroudi: Yeah, you say that, but I’m not going to lose your teeth. There’s [01:30:20] very few for trauma. There’s much less. There’s much less caries than there used to be. Yeah. Um, especially, [01:30:25] you know, the practices you’re dealing with. Yeah. The private practices. Mhm. Caries is a [01:30:30] lot of it. You’re right though is historical dentistry that’s failed.

Michael Joseph: Um [01:30:35] there’s loads of young people that brush their teeth. Fortunately [01:30:40] for us, fortunately for you.

Payman Langroudi: All [01:30:45] it’s been a brilliant conversation. I’ve really enjoyed that, man. Yeah. Me too. I’m going to end it with our usual [01:30:50] questions. No. First getting the sector. Um.

Michael Joseph: I [01:30:55] just switched it off.

Payman Langroudi: Fancy dinner party. Three guests. [01:31:00] Dead or alive. Who?

Michael Joseph: David Bowie.

Payman Langroudi: David Bowie. Wicked. Good answer. [01:31:05]

Michael Joseph: Sadhguru.

Payman Langroudi: Oh really? Yeah, really. [01:31:10]

Michael Joseph: And my dad are brilliant.

Payman Langroudi: Yeah.

Michael Joseph: David [01:31:15] Bowie. You know, I say David Bowie. Why he’s so accurately [01:31:20] predicted the future of music. If you’ve seen any of those videos and [01:31:25] his whole take on general culture. Yeah, how it was going to evolve with.

Payman Langroudi: It all the way [01:31:30] to the end.

Michael Joseph: He sold his music rights years ago. Everyone’s doing that now, you know, you saw it back then. I [01:31:35] need to do this. And Sadhguru to be in the presence of an [01:31:40] enlightened being who’s had a massive effect on my life as he.

Payman Langroudi: Yeah. So [01:31:45] what?

Michael Joseph: Just stripped away all the bullshit.

Payman Langroudi: So kind of that Buddhism angle. [01:31:50]

Michael Joseph: Yoga, but not as in, like, contortion in the gym.

Payman Langroudi: The mental [01:31:55] yoga. Yeah, yeah, yeah. And you died for obvious reasons. Yeah. [01:32:00] Final question. Its deathbed question. On [01:32:05] your deathbed, surrounded by all your loved ones. One [01:32:10] of three pieces of advice you’d leave them.

Michael Joseph: Be kind [01:32:15] to everyone. Uh. Always [01:32:20] do your best with everything you do and everything you do, do it properly. [01:32:25] It’s the best, best of your ability. Assess those. That’s the same thing and [01:32:30] don’t get into dentistry. Um, [01:32:35] yeah.

Payman Langroudi: You know, I mean, the last one. [01:32:40]

Michael Joseph: No no no no no. But I think being kind and considerate, [01:32:45] I think my zig Zig Ziglar said that. He said, you know, be what did he say? Be compassionate [01:32:50] with the weak. Be kind to the young. Um, be respectful of the of your [01:32:55] elders, because at one point in your life you will be all of these things. Um, yeah.

Payman Langroudi: Zig Ziglar [01:33:00] was when was it? 60s? 70s? He was 80s. Yeah.

Michael Joseph: Yeah, yeah. [01:33:05] No, he died in the, in the, I think in the, in the late in the early 2000. [01:33:10]

Payman Langroudi: I mean, the videos I’ve seen, they look pretty black and white or something old. Yeah. It hasn’t [01:33:15] aged. The information has not aged the same.

Michael Joseph: It’s universal.

Payman Langroudi: Yeah. Yeah. And [01:33:20] it’s interesting. You know the basic principles stay the same, you know. And you can say this about [01:33:25] lab. You can say this about dentistry. Like the things you’ve been saying, right. Don’t cut corners, [01:33:30] do things properly, do the simple things.

Michael Joseph: Right.

Payman Langroudi: Yeah. I mean.

Michael Joseph: We were discussing this the other day. Yeah.

Payman Langroudi: Now [01:33:35] I could come and change everything. Yet the basic principles will be the [01:33:40] same. And it’s.

Michael Joseph: But the AI learns from us.

Payman Langroudi: Yeah. Look, I’m [01:33:45] not as optimistic about that as as you are. I mean, learns from us, but, you know, imagine the [01:33:50] AI has every single input that every single human has ever put in. [01:33:55] It’s a it’s a different learning than. If you heard from me and you. Yeah. [01:34:00]

Michael Joseph: I see what you mean.

Payman Langroudi: You know the pattern recognition part of it. [01:34:05] Like, in a way, I see, you know. Are you on tick tock? Yeah. Tick tick tock. Serves you. [01:34:10] It serves you exactly what you’re after.

Michael Joseph: So that’s the algorithm though.

Payman Langroudi: Yeah, but let’s just call that let’s [01:34:15] call that the AI. The way. The way it serves you exactly what you’re after. Very. [01:34:20] It learns. It learns who you are very quickly. You know what I’m getting at the moment? What are you getting?

Michael Joseph: I [01:34:25] know why.

Payman Langroudi: I’m getting bent. Cops. Cow, cow [01:34:30] hoof trimming.

Michael Joseph: You know that one? I’m like, I get those [01:34:35] these videos about these guys trimming councils, you know, like the count foot doctor. [01:34:40] Yeah, like a.

Payman Langroudi: Coroner or something. He’s like, you know, it’s.

Michael Joseph: Quite interesting.

Payman Langroudi: Hammering the. [01:34:45]

Michael Joseph: Yeah. No, no, no, no trimming like toenail cutter. I [01:34:50] get bent.

Payman Langroudi: Cops. I get a lot of bent cops.

Michael Joseph: Cops. I think I know what [01:34:55] you want. Yeah, I don’t I don’t look at TikTok that much. But it’s very easy. [01:35:00] I find, you know, it can fall into it.

Payman Langroudi: Yeah.

Michael Joseph: I can be sitting on the sofa. It’s about 10:00. I look around, it’s 1 [01:35:05] a.m. and I’ve been.

Payman Langroudi: Yeah. My latest hack on that is on the, uh, walking machine. Running [01:35:10] machine? Watch TikTok. Yeah.

Michael Joseph: Time passes.

Payman Langroudi: Quicker. Yeah. Much quicker. Much. Seriously, man. [01:35:15] 30 minutes on on that thing. Yeah. Before you for me, you just feel like six hours. No, [01:35:20] no, no.

Michael Joseph: Just when I used to run, I never I never listened to music. [01:35:25]

Payman Langroudi: What would you do? Because you suddenly started becoming very fit, right? So when you started running, what what [01:35:30] was the sort of did you meditate? No, no. But how did you what was going through [01:35:35] your head?

Michael Joseph: I’m thinking about what? Work. Thinking? No. Thinking about nothing. If you don’t, if [01:35:40] you just concentrate on what you’re doing, you get into the state of flow. Sometimes I could [01:35:45] go for an 18 mile run and feel like half an hour. Yeah, because it’s gone. [01:35:50] Especially. I’m doing a route. I know where there’s no cars or anything. I’ve got to think about it. I have to think about [01:35:55] it. You get to that flow state and that’s to do with separation. That’s all. That’s [01:36:00] all to do with yoga. Yeah, it’s very.

Payman Langroudi: Much the opposite of my.

Michael Joseph: Dancers. Say they experience flow. Yeah yeah yeah [01:36:05] yeah. Any coffee? Coffee pickers. Technicians technically [01:36:10] even know there’s a phone ringing, so someone has to go.

Payman Langroudi: We used to have it. We have. We used to [01:36:15] have a technician here. But when you walk into the room, you could see it in her face [01:36:20] that whether or not you could interrupt what she was doing. Because if you [01:36:25] could somehow you could tell that if you interrupt her now, there’s going to be a situation [01:36:30] because she was so in it, you know. Yeah. You can get.

Michael Joseph: Into what you’re doing. Yeah. For sure. [01:36:35] It’s a flow state. Yeah.

Payman Langroudi: How would you like to be remembered?

Michael Joseph: The [01:36:40] data.

Payman Langroudi: I could do.

Michael Joseph: So. As [01:36:45] a coin person.

Payman Langroudi: Louis. I mean, it’s been a [01:36:50] massive pleasure to have you. Thank you. Likewise.

Michael Joseph: Thank you for having me on.

Payman Langroudi: Thanks for coming in. And, [01:36:55] uh, you know, Prav told me that, uh, you’re working with Prav now. Yeah. Prav [01:37:00] told me that you, of all of his clients, the one who quickest does [01:37:05] what he says. You know what?

Michael Joseph: I called him up. I said to him, I realised what you’re doing to me, it’s like the Karate Kid. [01:37:10] Wax on, wax off. Go and make lead magnets. Do CRM, do this, do that. [01:37:15] I’ve done it all. And then suddenly it’s all coming together. Yeah, but.

Payman Langroudi: That, you know, that says a lot, [01:37:20] man. It says a lot. Oh that’s great. But it says a lot about the fact that you’re sort of, you know, you’re [01:37:25] willing to get out of your comfort zone to do this. Because I remember having the conversation with you about social media before. [01:37:30] Yeah. And you saying, oh, it’s not my bag and it’s got to be. And two years later, it [01:37:35] perhaps telling me you’re his number one executor. Executor on social [01:37:40] media. So you know. Yeah. Well done man. Thank you. Thanks a lot for coming in.

Michael Joseph: Yeah a pleasure. Thanks [01:37:45] for having me.

[VOICE]: This is Dental Leaders, [01:37:50] the podcast where you get to go one on one with emerging leaders in dentistry. [01:37:55] Your hosts. Payman Langroudi [01:38:00] and Prav Solanki.

Prav Solanki: Thanks for listening, guys. [01:38:05] If you got this far, you must have listened to the whole thing. And just a huge thank you both from me and [01:38:10] pay for actually sticking through and listening to what we’ve had to say and what our guest has had to [01:38:15] say, because I’m assuming you got some value out of it.

Payman Langroudi: If you did get some value out of it, think about [01:38:20] subscribing. And if you would share this with a friend who you think might get [01:38:25] some value out of it too. Thank you so so, so much for listening. Thanks.

Prav Solanki: And don’t forget our six star rating. [01:38:30]

Rhona and Payman meet Talitha Price, the founder of the successful hair extension business Fox and Vamp. 

Talitha shares her entrepreneurial journey, from her early days in the beauty industry working for Virgin Atlantic and major cosmetics brands to starting her own salon and product line.

The conversation delves into the challenges and triumphs of building a business, including the loneliness of being a sole founder, the importance of having a supportive partner, and the difficulties of juggling motherhood and entrepreneurship. 

Talitha also opens up about her personal struggles, growth, and overcoming her lowest moments.

 

In This Episode

00:02:00 – Starting in business

00:09:20 – Entrepreneurial spirit and intuition

00:19:20 – New business challenges

00:27:25 – Transition from service to products

00:32:40 – Motherhood, family and business

00:44:00- Low points 

00:49:45 – The Prince’s Trust charity

00:51:30 – Vision and challenges

00:58:45 – Teamwork, support, and vulnerability

01:00:20 – Family health crisis

01:01:40 – Unhappy clients

01:06:55 – Provide a brief episode summary

 

About Talitha Price

Talitha Price is the founder of Chelsea’s Fox and Vamp hair salon and hair extension products.

Rhona/Talitha: Found a loneliness is a really big thing. If you’re a sole founder, it’s much lonelier [00:00:05] than people having co-founders. And there’s some people that fail at their first Start-Up, and it’s only them they actually [00:00:10] prefer. They’re like quite traumatised at the loneliness aspect of it on every level. You know, we’ve.

Payman Langroudi: All [00:00:15] started a business. Yeah. And it’s quite interesting that if you tell friends and family, [00:00:20] I’ve got this idea yours was a hair salon, was it? Yeah.

Rhona/Talitha: Well it was. Yeah. [00:00:25] Exactly. Yeah.

Payman Langroudi: Or you were going to do what you did. I remember you pitching it at me, telling me [00:00:30] this is what you’re going to do. Yeah, a lot of people will tell you it’s a bad idea.

Rhona/Talitha: Honestly, my I [00:00:35] will never forget my auntie. I love her dearly, but she looked at me in pity, like she looked at me like she was going [00:00:40] to burst into tears. And she was like, you’re leaving this corporate role. You know you’re doing. Yeah.

Payman Langroudi: And some people will live their own fear [00:00:45] out in you.

Rhona/Talitha: Yeah.

Payman Langroudi: But it’s really interesting that if loads of people tell [00:00:50] you it’s a good idea, it’s not a good idea. So true. Yeah. Because the reason is if it’s such [00:00:55] an obviously good idea, then there’ll be many competitors that be loads of people doing [00:01:00] it. If everyone’s telling you it’s not a good idea, it may not be, but [00:01:05] it may be. Yeah. And it’s that, it’s that that when you say does [00:01:10] someone have entrepreneurial spirit in them, it’s that question when people are telling you it’s not going to work, [00:01:15] and yet you still have this voice in your head, go.

[VOICE]: This [00:01:25] is mind movers. Moving [00:01:30] the conversation forward on mental health and optimisation for dental professionals. [00:01:35] Your hosts Rhona Eskander and Payman [00:01:40] Langroudi.

Rhona/Talitha: Welcome to another episode of Mind Movers, [00:01:45] the mental health podcast in dentistry, where today we’re speaking with Talitha mackey, the creator [00:01:50] force and successful business owner of Fox and Vamp. I had the pleasure [00:01:55] of meeting Talitha on another podcast and was blown away by her story and journey. [00:02:00] She is an incredible woman who has been balancing motherhood, [00:02:05] mental health and offers valuable insights and inspiration. So join us as we delve [00:02:10] into her story. Welcome to Leesa. Thank you. So lively, so [00:02:15] weird to hear. Talitha mackey. I mean, that is my name. It’s my married name, but every [00:02:20] day I never use it. Oh my god. But it’s nice to hear my husband [00:02:25] will be delighted. What’s the, um. The price like? I managed to leave. The price is everything [00:02:30] on everything on print. Even when I send it off, I’m always leave the price. And he’s like, why? But you know what? We [00:02:35] had this whole debate. We’re not going to get into this debate now. But I did a podcast with my really good friend Shivani, and [00:02:40] we did the whole podcast about would you change your surname? Yeah. And I think it was it was a really [00:02:45] controversial conversation and obviously all the like Andrew Tate lovers came for us and were like, these women are going [00:02:50] to be single forever and like, no one’s going to marry them. But I think there was something about the identity [00:02:55] of your maiden name with your business because I’m Doctor Iskander, my dad’s Doctor Iskander, because he’s [00:03:00] a doctor.

Rhona/Talitha: Um, and I am, I feel like Doctor Iskander. It’s just [00:03:05] like it just goes to, you know, and I quite enjoy that. So, like, Talitha Price might [00:03:10] be like. It just feels. It feels I can’t I feel my husband’s going to listen to this. It [00:03:15] feels better. But equally my children’s surnames are murky. Yeah. So I love machi. Machi is a very cool [00:03:20] okay smell of it. This is the first bit though. So Talitha, I want to ask [00:03:25] you about the creation of Fox and Vamp. Okay. So we, you know, it’s [00:03:30] always so inspiring to have a business woman here. And I want you to tell us a little bit about Fox [00:03:35] and what it is and how it started. Yeah. So I have always been [00:03:40] really passionate about her beauty makeup. And since [00:03:45] a very young age, I basically dropped out of college before I was thrown [00:03:50] out of college and had to go, had to go and get a job. And I remember my mum [00:03:55] being like, if you don’t get a job in one week, she’s like, you are going back to college. [00:04:00] It was the end of the summer. At this point. She was like, you are going back to college in September and you’re going to be down a year at that point. [00:04:05]

Rhona/Talitha: And I was like, oh my God. Frantically trying to find a job, I phoned up every single [00:04:10] salon, and at that point I was too old to be taken on because it’s government funded. [00:04:15] So you have to be of a certain age, um, to be taken on. I was already 17. You have [00:04:20] to be like 16 when you’re doing it. Anyway, I begged the salon. They asked me what my GCSEs were. [00:04:25] I actually got really good GCSEs. I just wasn’t focussed in college. It wasn’t what I wanted to do anyway. [00:04:30] They took a risk on me, so I started doing hairdressing. How old were you then? I was [00:04:35] 17. Wow. Yeah, yeah, yeah, but I had to complete the course in two years where usually I take three and [00:04:40] a half to four, I disappear. So they had to fast track me through the course. Um, so really [00:04:45] enjoyed it. But I lived in a really small town and just had really itchy feet. [00:04:50] Um, so I actually ended I didn’t speak about this on the other podcast, [00:04:55] but I ended up working for Virgin Atlantic. Oh, wow. Yeah. Which was amazing. [00:05:00] And I did that again. I was actually one of the youngest to ever fly with Virgin Atlantic. Oh my [00:05:05] God, what is that of Richard Branson saying? I was one of the youngest people too. Wow. Um, [00:05:10] were you.

Payman Langroudi: An air stewardess? Yeah. What’s it like?

Rhona/Talitha: Wow, that’s so young. It’s [00:05:15] hard work. Yeah, I was young at the time. It was amazing. But I was literally driving from [00:05:20] Southport, where I’m from, which is up north.

Payman Langroudi: Tiny town. Liverpool.

Rhona/Talitha: Yeah, past Liverpool. [00:05:25] And I was driving to Heathrow or Gatwick to fly, so [00:05:30] I would spend all my money driving just to do the flight to go away for a few days, [00:05:35] which was amazing. And so it just really wasn’t kind of sustainable. When I was on board, [00:05:40] though, I kind of fell in love with like, um, selling makeup products. And this person [00:05:45] who at the time, I didn’t know who it was, she handed me a card and she turned out to be one of [00:05:50] the head people in Estee Lauder. She was like a sales manager and like the highest sales manager in Estee Lauder. [00:05:55] And she’s like, if you ever want a job, let me know. So I ended up getting in touch with her, moved to London. [00:06:00] And this is, by the way, I didn’t just get in touch with her. This was like maybe a year later, moved [00:06:05] to London. Like I said, I’d always loved makeup beauty, I loved hair, but I [00:06:10] didn’t want to go back into it. At that point, I fell into working in makeup, started off in a makeup counter [00:06:15] a year and a half later, was an area manager. Yeah. Worked for LVMH, [00:06:20] worked for Estee Lauder Group, ran Selfridges, Beauty Hall and Oxford [00:06:25] Street. The whole two hall. Yeah, a 250 staff under me. Wow. How old [00:06:30] were you then? 21. 22. She’s young. Yeah, [00:06:35] amazing. I feel like a fast border. I feel like I’m speaking. But while I was [00:06:40] doing this. I’d had like a really unfortunate hair experience [00:06:45] and I found myself needing hair extensions. And listen, I’m a northern girl. Having hair extensions [00:06:50] is very normal.

Rhona/Talitha: Yeah, I’m always pretty much had hair extensions. But anyway, my hair had been really compromised, [00:06:55] so I just couldn’t find anywhere good in London to get [00:07:00] them. And I was travelling back up north to Liverpool to get them. I was literally hopping on a flight to Marbella [00:07:05] to get my hair done. When my mum was leaving to go to the person she was using [00:07:10] who was amazing, and I was like, oh my God. I mean, I literally did this for a year and I was like, [00:07:15] why isn’t there somewhere in London where you can go with a really high quality hair extensions [00:07:20] that’s affordable? Of course, there are places, there’s a handful of places, but it was a bit unattainable [00:07:25] to me at the time because it was too expensive, or you’d have to compromise on quality. [00:07:30] And I was like, there’s a real gap in the market here. This should be good hair available [00:07:35] at a better price. So really, that’s kind of how the business [00:07:40] was formed. I trained on my days off to do hair extensions. Obviously, somewhere back in my [00:07:45] mind I did have the skill set technically being a hairdresser, so it’s not like you can just pick [00:07:50] it up where you left off. Obviously I had to train and retrain and really that’s how the brand was [00:07:55] started and that’s how that’s how it began. I left my corporate role. [00:08:00] I started doing it out of my flat. My husband, who now my husband, who was my boyfriend at the [00:08:05] time, said to me, if it doesn’t work out, you’ll have to get a job. I’ll give you three months. And [00:08:10] I was like, yeah, fine, I’ll get a job.

Rhona/Talitha: I’m a hustler. I’ll get a job. That’s fine. They did work out. So we [00:08:15] are. So I think, you know, one of the fascinating things is, is that people [00:08:20] I mean, actually I’m going to put it out there to both of you. Do you think that some people are [00:08:25] just born with entrepreneurial spirit and some people aren’t? Or do you think it’s something [00:08:30] that you can get into, as it were? You know, because what I’m hearing, you know, Talitha was kicked out [00:08:35] of school, clearly conventional school didn’t, you know, left school was almost kicked out. She didn’t [00:08:40] want to pursue that role, but still became incredibly successful and had that [00:08:45] drive from a young age. Do you think entrepreneurial spirit is something that you’re born with, or do [00:08:50] you think that you do? Yeah, I honestly have always my mum was like, I remember [00:08:55] I had a fascination with like designer handbags when I was young and my mum was like, well, [00:09:00] you know, they’re so expensive. And I was like, well, I’ll get a job. Yeah, I was 14 or 15 at the time. I had [00:09:05] three jobs. At 15, I would literally work in a designer clothes shop for a day. I would go to work [00:09:10] in a restaurant at midnight, and then I would go glass collect in a nightclub. I was 15 [00:09:15] and I bought my handbag. After two months, I saved up myself. So it’s just in me. Yeah, I am not [00:09:20] afraid of hard work anywhere. I’ll do any of the work. I wouldn’t ask anybody to do anything that I [00:09:25] would.

Payman Langroudi: Put the question to answer. The question is interesting, insomuch as like you were very successful at what you were [00:09:30] doing, you know, you were running the floor, 250 people working. You’re obviously very [00:09:35] good at sales. It’s clear, but entrepreneurial. You’re. Yeah, that’s true. [00:09:40] There’s an element of risk. Yeah. That some people really shy away from.

Rhona/Talitha: Correct. [00:09:45] Yeah.

Payman Langroudi: And there’s a loneliness to it as well that some people can’t handle and some [00:09:50] people are fine with. Yeah. There’s definitely a loneliness to it.

Rhona/Talitha: Yeah. There is, there is, there is like [00:09:55] these communities now because we went to this parlour event a few weeks ago. Yeah. And at this [00:10:00] parlour event there were loads of like start up brands. And they said that like founder loneliness is like [00:10:05] a really big thing. Like if you’re a sole founder, it’s much lonelier than people having co-founders. [00:10:10] And there’s some people that fail at their first Start-Up and it’s only them they actually prefer. They’re like quite traumatised [00:10:15] at the loneliness aspect of it on every level.

Payman Langroudi: You know, we’ve all started a business. Yeah. [00:10:20] And it’s quite interesting that if you tell friends and family, I’ve got this idea yours [00:10:25] was a hair salon, was it? Yeah.

Rhona/Talitha: Well, yeah. Exactly. Yeah.

Payman Langroudi: Or [00:10:30] you were going to do what you did. I remember you pitching it at me, telling me this is what you’re going to do. Yeah, [00:10:35] a lot of people will tell you it’s a bad idea.

Rhona/Talitha: Honestly, I will never forget my auntie. [00:10:40] I love her dearly. But she looked at me in pity, like she looked at me like she was going to burst into tears. And she was like, [00:10:45] you’re leaving this corporate role. You know you’re doing. Yeah.

Payman Langroudi: And some people will live their own fear out in you.

Rhona/Talitha: Yeah. [00:10:50]

Payman Langroudi: But it’s really interesting that if loads of people tell you it’s a good idea, [00:10:55] it’s not a good idea. So true. Yeah. Because the reason is if it’s such an obviously good idea, [00:11:00] then there’ll be many competitors to be loads of people doing it. If [00:11:05] everyone’s telling you it’s not a good idea, it may not be, but it may [00:11:10] be. Yeah. And it’s that, it’s that that when you say does someone have entrepreneurial spirit [00:11:15] in them is that question people are telling you it’s not going to work, and yet you still have [00:11:20] this voice in your head, go.

Rhona/Talitha: But I want to ask you, Talitha was your background. Did you grow up in a privileged background or [00:11:25] a like normal background, a working class background? What was your background working class? [00:11:30] I would say I did go to private school, but my mum like struggled to put us through private school. My dad [00:11:35] wasn’t very present, so yeah, I was. Did that drive you? I think [00:11:40] so I’ve done some. Therapy. And actually I was literally just thinking that. And I think that I’ve [00:11:45] done in a child work and all sorts. And I think that actually she came to the conclusion of [00:11:50] you are the way you are, and you’re so determined because no one else was going to look after it was up [00:11:55] to you. You felt very determined to be able to look after your mum, and [00:12:00] I would have never come to that conclusion on my own. It’s just how I am. Yeah, I’m happy [00:12:05] to work and I’m happy, but potentially that is because, [00:12:10] I mean, look, obviously Payman made some really good points because we talk about like being a nepo baby and [00:12:15] all that sort of thing. So sometimes when you come from a very privileged or very rich background, it’s sometimes even harder [00:12:20] to prove yourself because people just assume you are where you are because of who your parents are or like, and [00:12:25] sometimes that’s more difficult. I think definitely when I think about my own childhood, when we [00:12:30] first came back to the UK after my dad had left, like we did not have any money, and I remember my dad [00:12:35] taking us to Asda and I wasn’t allowed to buy like normal coke.

Rhona/Talitha: We had to buy Asda’s like [00:12:40] best or whatever. Yeah, and I remember my parents like your mum, she, [00:12:45] my mum was like, we have to put them in private school because the schools were so rough and education was always like the highest [00:12:50] pillar in life. So like again, my mum was like working two jobs. My dad was paid really [00:12:55] badly on the NHS at that time, and every single penny went to school that we didn’t take holidays, [00:13:00] we didn’t go out for meals, it just went on schools and then going to the school because we couldn’t [00:13:05] afford school uniform and had to buy it from the charity. I was bullied because mine had holes or whatever or whatever. [00:13:10] Yeah, and then I remember the children’s. I was always popular because I was always a sociable person, but the children’s [00:13:15] parents didn’t want their kids to hang out with me because my parents were never present. So they [00:13:20] thought I’d be a bad influence because they never picked me up or would never come to any of these clubs, and we couldn’t afford it. But [00:13:25] it was that as young as like six years old, that was like, I’m going to prove all these parents wrong, [00:13:30] like on a subconscious level, because I was so protective of the way that they thought so negatively of my [00:13:35] parents.

Rhona/Talitha: And I recognised the power of having like financial freedom was. So [00:13:40] I think that drove me to a certain extent. That’s amazing to think what you’ve achieved now. [00:13:45] Well, no thank you. But but I, I honestly I think what you’ve achieved is amazing. And back [00:13:50] to Paiman’s point though, you say like if someone says the ID is really good, [00:13:55] then it’s almost like it should deter you. But I’m going to put something out there. Here is [00:14:00] something that’s been around for a really long time, and how businesses haven’t thrived in [00:14:05] the way that it’s thrived with you. So why do you think, like, what do you think is [00:14:10] has made Fox and the success and tell us about like what happened during the pandemic as well? Because I know [00:14:15] that’s when you had the launch. Yeah. Of course. So we actually opened the Chelsea Salon in um, [00:14:20] uh, 20 19th December. Obviously we were shut in March of [00:14:25] 2020. So that was a really obviously difficult time. I’d [00:14:30] just opened the business up for it to just be closed, and obviously it was such a risk at the time. And I remember [00:14:35] like when I was given the rent at the time, like working it out per client, how many clients I’d have [00:14:40] to do by yourself.

Payman Langroudi: Would you have a co-founder?

Rhona/Talitha: No, just by myself. So I took this on by [00:14:45] myself and I’d taken only one employee on. At that point.

Payman Langroudi: I saved up loads of money [00:14:50] and put it all in. Yeah, actually. Fund it.

Rhona/Talitha: Yeah. It’s just so lucky. I know a detour [00:14:55] now, but it is actually an interesting story. And actually I love this story because, um, it just shows [00:15:00] about being a good person. So I had when I was renting a space in Wandsworth Town, I had a client, [00:15:05] super nice client. However, when you’re just starting off and [00:15:10] you have appointments, you’ll know yourself and someone lets you down. It’s quite a big deal. Huge deal. Huge. You [00:15:15] take it so personal because that that appointment is everything to you. Yeah. And she had actually done it [00:15:20] to me a few times maybe like 2 or 3. So obviously you feel really defeated. [00:15:25] Anyway, she’d messaged me she wanted to come in. I was like, I’m just gonna of course I’m gonna, you know, [00:15:30] welcome her in. And I was just super, super nice to her as I would always be. And we were [00:15:35] just chatting. But I was a bit deflated in this appointment and she said, you just don’t see me like yourself. I said, well, I’ve started [00:15:40] looking for premises so expensive. I was like, I can’t believe it. Like, I just feel like [00:15:45] I’m never going to be able to get a salon. Like, how on earth do people take it on? They need X, Y and Z. And [00:15:50] anyway, she was quite and she was like, this is really strange, but my next [00:15:55] door neighbour has a salon in a house and the people are moving out to Notting Hill because they’ve expanded. She [00:16:00] was like, she’s actually changing it back into part of the house, but do you want me to speak to her? And I was like, [00:16:05] yes, we show me pictures, show me the images.

Rhona/Talitha: It’s amazing. So I met with her that [00:16:10] night, signed for it the next day. Amazing. Yeah. So there was no like big and obviously it [00:16:15] because it’s technically residential. It was done in a very different way. And I [00:16:20] think actually now, like I would never want a salon that was different to what the salon is now [00:16:25] because it’s within a townhouse. It’s, it’s it’s stunning. It makes it really special in [00:16:30] the same place, still in the same place. It’s on Sydney Street and Chelsea. So just around the corner from yourself. It’s [00:16:35] a beautiful space. And I think coming back to your original question of what [00:16:40] what makes it. You know what makes it? I don’t want to say thrive, but what makes it different [00:16:45] is really the experience. I’ve obviously, I’m I worked really hard building relationships [00:16:50] with clients and anybody that I brought into the business. I’ve waited, [00:16:55] even if it’s meant that I’ve taken more on myself or it’s been super stressful. I’ll only [00:17:00] bring on people who really align with my values just so that we can keep the business [00:17:05] at a certain level. We try to keep ahead of the curve [00:17:10] in terms of any different methods. I’m not like set in my ways that it has to be done [00:17:15] this way. I’ll very much pivot exactly what we were mentioning before the podcast, before I’ll pivot [00:17:20] when needed.

Rhona/Talitha: And I just think it’s about really being honest, having integrity. [00:17:25] We know we’ve got a we’re lucky that we [00:17:30] same as you, you know, we work with a lot of influencers, but we don’t hunt down the influencers. We never, ever [00:17:35] get in touch with them. Yes, exactly. These are people coming to us because they want the service. And, you know, that’s [00:17:40] because we’re providing a good service, which I think, again, says a lot. Yeah. Um, [00:17:45] what? So during lockdown then what happened? We [00:17:50] obviously could not open. I mean, like, did you panic? Yeah. Of course. Yeah. Absolutely. [00:17:55] Panicked. Um, panicked, was worried about money, [00:18:00] had to continue to pay the rent because I’d just taken it on. I was so scared of losing it. [00:18:05] So I had to pay the rent fully for around nine months, I think. [00:18:10] And then I was just like, I just can’t do this. And then we negotiated to bring it down to half. I didn’t [00:18:15] have any help, any government help because it was classed as residential. Yeah. Wow. Yeah. So [00:18:20] that was really hard. Did you have lost stars by that point? No. So I didn’t have too many [00:18:25] staff. And the staff that I did have were self-employed. So that was probably better. But then equally you worry that you’re not going [00:18:30] to have those staff back. You feel guilty because you’re not able to look after them even though you want to. I wasn’t in a position [00:18:35] where I could, so yeah, there was a lot of panic. There was a lot of obviously crappy [00:18:40] days, like, of course, for everyone.

Rhona/Talitha: And the only thing I would [00:18:45] say, though, looking back on Covid is my business really [00:18:50] thrived after Covid. Yeah. How long were you guys allowed open for? Because that’s same with dentists. Like three [00:18:55] months after the announcement. Yeah, we were allowed to go back, so we were [00:19:00] allowed to go back much earlier. Yes. I also had just bought the clinic and I suddenly had all this staff and [00:19:05] everything. Yeah, I switched to doing like online consults and I pivoted and I was just quite, [00:19:10] you know, I really did my best to try and stay with us. I completely forgot that [00:19:15] actually. Yeah, yeah. So I would literally have to put my face on, like, obviously like in my pyjamas and exactly the same. [00:19:20] Yeah. I’d be doing online consultations, getting everyone booked up. We had waitlist upon waitlist. Same. Yeah. [00:19:25] We would go in at six in the morning. We wouldn’t leave till 11 at night like we were just round the clock. And it was [00:19:30] actually such a weird, great momentum. Everyone was just so happy to see us, so happy [00:19:35] to be there throwing money at you. Let’s be honest, because people had it. They had money in their pocket. Money? [00:19:40] Yeah, they were so happy to spend it. So I always think, I don’t know if my [00:19:45] business would be the same actually, because actually, you know, I try to look out the positive from it. So off [00:19:50] the back of it we did. Well, you know.

Payman Langroudi: There’s a massive similarity between dentistry [00:19:55] and hairdressing.

Rhona/Talitha: Yeah that’s massive. But also a lot of our dentists are self-employed. [00:20:00]

Payman Langroudi: Well let’s let’s start with dentists I know hairdressers the very early days.

Rhona/Talitha: Yeah. [00:20:05]

Payman Langroudi: The very before university started teaching dentistry, [00:20:10] it was just like.

Rhona/Talitha: What.

Payman Langroudi: Was the hairdressers that were doing the tea.

Rhona/Talitha: No [00:20:15] way.

Payman Langroudi: 100 years ago. Right.

Rhona/Talitha: I heard more than a hundred years ago and 50. My [00:20:20] goodness, clothes on. Electricity. We have the same skill set. But no. But then I [00:20:25] see.

Payman Langroudi: There’s a very similar in that if someone doesn’t turn up, you’ve lost money.

Rhona/Talitha: Yeah, [00:20:30] it’s client facing, you’ve got intimate.

Payman Langroudi: Owner and you’ve got, we call them associates, but you would call them. [00:20:35]

Rhona/Talitha: Clients.

Payman Langroudi: Well no. The other.

Rhona/Talitha: Oh sorry. Yeah, yeah, yeah.

Payman Langroudi: Uh, hairdressers who work.

Rhona/Talitha: For [00:20:40] you, you know, of course, the stylist.

Payman Langroudi: The stylist, they’re on a percentage of what they. Yeah, it’s very similar.

Rhona/Talitha: Yeah. [00:20:45] What it is. Yeah. What I’m.

Payman Langroudi: Interested in is, as a new business.

Rhona/Talitha: Medieval Europe. [00:20:50] I’m just putting out there medieval Europe, 1745. This is not 100 years [00:20:55] ago.

Payman Langroudi: 150.

Rhona/Talitha: 250. But [00:21:00] but.

Payman Langroudi: But then. But then as a new business. Yes. And let’s face it, Sydney Street. Yes. [00:21:05] That’s not a cheap place to rent, right where you’ve got. I know you had a few [00:21:10] clients from, from your Wandsworth days, but where you’ve got essentially empty seats. What [00:21:15] did you do marketing wise to get patients in, get patients to get [00:21:20] clients in.

Rhona/Talitha: Yeah. No. Well but you know I yeah it’s [00:21:25] interesting. Listen there’s always going to be ups and downs. Sometimes we’re super busy. Sometimes obviously it’s quieter. I [00:21:30] don’t really sweat the quiet times now because I understand the business enough to know that [00:21:35] we will go through the motions. At the time, of course, I sweated it more. What I would do [00:21:40] is we’re very present. On social media. I think that it’s really easy [00:21:45] to show the results that instant. So it’s very easy to show visual, very [00:21:50] visual. So I think having our clients are a really good asset and they’re obviously willing [00:21:55] to be on the Instagram. We’ve always utilised that really well. We do quite a lot of Q and A’s that [00:22:00] we get so many consultations on the back of, and honestly, [00:22:05] word of mouth. I’ve never really worked with marketing at all or PR [00:22:10] and yeah, I’ve just literally relied on word of mouth, [00:22:15] relied on doing a good job. And of course, were you very strong on.

Payman Langroudi: Social media before you [00:22:20] even started?

Rhona/Talitha: No. Literally absolutely shocking. And I also know did you start when what [00:22:25] year? 2008, 2019. So yeah. So the beginning of so the most.

Payman Langroudi: You [00:22:30] didn’t have thousands or hundreds of thousands of followers.

Rhona/Talitha: No. Still don’t sadly. But you [00:22:35] can a pretty decent following. Yeah. No we have we have we have a nice following and we have an engaged following as well. [00:22:40] But, um, you know, I’ve worked with different influencers. I mentioned on the other podcast that, um, Sophie [00:22:45] Milner’s one. Sophie Milner is one of them. Laura Will’s fashion book blog. I speak about her on every podcast [00:22:50] because she really was a pivotal mindset. She’s my Melissa’s wardrobe. Yeah. Go on. Yeah [00:22:55] she is. She was a pivotal moment within the business. She is somebody that [00:23:00] doesn’t look like your typical extension client. And I think there’s obviously, [00:23:05] you know, the people’s thoughts behind extensions aren’t necessarily true. [00:23:10] Like maybe mine doesn’t look like extensions, but it is it’s full head of extensions, you know, and that’s maybe not where their head goes. [00:23:15] And in Laura Wales is a very Chelsea mum, very natural looking [00:23:20] and her style is incredible. And I think [00:23:25] she really drove the women in, in the area into the salon. And I [00:23:30] always say to her, I wouldn’t have been. I actually always say I don’t think I’d have been able to keep the salon if it wasn’t for you initially. [00:23:35] And but, you know, she’s still a client today, and I think that says so much that she’s been with me from [00:23:40] the beginning and she’s like, I can never she actually always says, I can never take my hair out.

Rhona/Talitha: It’s my superpower. [00:23:45] Yeah. And I’m like, that’s amazing. The fact that she’s still coming speaks volumes. You know, we don’t [00:23:50] always post it. We don’t. You know, it’s not the same. It’s the same age. Melissa. She’s a paying client now. Like I [00:23:55] would never take it. But she insists, you know. And like she’s just loves her hair. And yeah, I [00:24:00] think that your hair is like. I mean, so your hair. Yeah. [00:24:05] Like, I know you can’t relate. So that’s like my hair. You know, my [00:24:10] hair is something like, I’m lucky because I’ve always had, you know, Middle Eastern [00:24:15] hair essentially. But last year I was going through quite a lot, and I lost a lot of hair. And then [00:24:20] I went to a trichologist and a doctor and they basically were like, look, you’ve got signs of androgenic [00:24:25] alopecia, um, because of all the stress. And I just felt like I wasn’t myself. So people [00:24:30] underestimate and hair is one of those things that it does reflect your state of mind. Yeah, 100%. [00:24:35] So I think, you know, that’s really, really important. Um, influencer marketing is always something [00:24:40] that I talk about and the power of that, and if you’ve got the right influencers and I think the formula that people get wrong, I see [00:24:45] it in dentistry as well, is that people bombard a load of influencers and they expect [00:24:50] stuff, or they start putting these KPIs on them, and it doesn’t work like that because they’re also human beings. [00:24:55]

Rhona/Talitha: And you’ve got to understand that when they want to post something, they it is their job [00:25:00] and they want to be like credible and authentic, because that’s the whole reason the audience aren’t going to believe [00:25:05] you if you’re paying to promote a service essentially 100%. And listen, it [00:25:10] doesn’t, I think you’ll agree it doesn’t really have the same hit these days. Yeah. It doesn’t. You know, [00:25:15] it’s great if you get a great influencer that really makes a difference. But I don’t [00:25:20] see it impacting the business. Maybe because we’ve grown or maybe because it just people [00:25:25] just don’t buy into it as much. But I think working with really well aligned [00:25:30] influencers is the right thing to do. Somebody asked me the other day, would you stop working with them? [00:25:35] And I was like, no, I think it’s actually more damaging for them to go somewhere else, you know, get their hair done, [00:25:40] happy to have them, you know, the right people in the salon. But like I say, we don’t really reach out there. [00:25:45] Of course, there’s like people on my wish list. Yeah, exactly. Yeah. Manifest. [00:25:50] Yeah.

Payman Langroudi: So are you then turned it from a service business to a product [00:25:55] business.

Rhona/Talitha: Yeah, exactly.

Payman Langroudi: That was a big step, right?

Rhona/Talitha: It was a big step. Yeah. It [00:26:00] still.

Payman Langroudi: Made you do that.

Rhona/Talitha: Because. But also for those that don’t know. So yeah. Telethon [00:26:05] now sells. Yeah. Go through go through that. So we have a product [00:26:10] line now. So we sell the hair. So we sell it in clippings. We sell it in taping [00:26:15] method and we sell it in the keratin bonds. I’m also wholesaling the methods as well so we can [00:26:20] wholesale into other salons. We’re actually starting in Dubai at the moment. Um, [00:26:25] and the reason it was created is purely because every supplier [00:26:30] I was working with just wasn’t quite right. So I [00:26:35] started looking for the hair literally in 2019. I have only just got the hair, by the way, to [00:26:40] the point. Where it’s ready to wholesale. It’s taken years. It’s taken thousands of pounds. [00:26:45] It’s taken lots of breakdowns, loads of tears, loads of giving up. Don’t want to do it. Absolutely [00:26:50] hate it. To get to this point now. And I still feel like we’ve got a long way to go. You know [00:26:55] a lot. But the product side I’m really excited about because obviously that’s how you can start to scale your business. [00:27:00] And again, I’m just always it was never going to be I will never stand still. [00:27:05] I just think that’s the way I am. It’s probably my best quality in business, my [00:27:10] worst quality in home life, because nothing is ever quite enough. [00:27:15] Like I’m always looking for the next thing. But yeah, that’s that’s basically it’s here [00:27:20] that you sell. So sorry. Yes, it’s fair that we sell. We have hairbrushes as well. We have scrunchies, the accessories side, [00:27:25] and we are launching three products next year as well.

Rhona/Talitha: Why did you decide [00:27:30] to transition into that space? What motivated you to transition just because [00:27:35] she never made sense. Yeah. And also it made sense I couldn’t have [00:27:40] I couldn’t get it off a supplier. So I had to create it ourselves. So we created the different hair lines ourselves. [00:27:45] Like the hair I know, I know, it’s I’m talking about hair extensions. Not everybody gets it, but [00:27:50] in every shade of hair extensions it’s like six different colours going through. That’s what makes it look [00:27:55] super natural. Whereas like if it’s not as dimensional, it doesn’t look as natural. And obviously [00:28:00] our whole thing is that it looks really, really natural in your hair. And also, I actually had a fall out with one [00:28:05] of the suppliers when I spoke about this, and she actually I was, you know, we were spending a lot [00:28:10] of money with her, and she dropped me due to somebody coming to work for me that used to work for [00:28:15] her, and that was probably the best thing that happened. I feel like it was the universe. [00:28:20] Obviously at the time it left me in a really difficult, yeah, difficult situation [00:28:25] because our main hair supplier cut us off. Um, but it really forced [00:28:30] me into taking the leap that I needed into putting the money down. [00:28:35] It’s expensive to create your own hair line, right? You can’t just order hair by [00:28:40] the pack. You have to order in the kilogram like kilograms of hair.

Payman Langroudi: And are you selling direct to [00:28:45] consumers as well as to salons?

Rhona/Talitha: So we sell online as well. So that book just for [00:28:50] clippings and tapes. So these are things that they can take to the hairdresser or do themselves at home. [00:28:55] Because I’m aware that not everyone can get to Chelsea. Right. Not everyone can come to Chelsea.

Payman Langroudi: Different skill. [00:29:00] Right?

Rhona/Talitha: Yeah, exactly.

Payman Langroudi: I mean, what are you doing to address that? Are you. So you’re now getting good at ecom [00:29:05] and. Yeah.

Rhona/Talitha: Or did you get a team? I got a team to do the website. I [00:29:10] am really trying my hardest to get my head around it, but I enjoy [00:29:15] Shopify because I like Shopify is pretty easy, right. And if you’ve used it, it’s [00:29:20] yeah, it’s pretty basic. So I can I can wrap my head around that. I’m still terrible [00:29:25] on e-commerce and all these kind of things. I need to get better. Yeah. But, um, yeah, it’s a different side of [00:29:30] the business. And again, it’s all pretty new. The products have only just launched within the past like two, two and a half [00:29:35] months. So yeah. Yeah. Right at the beginning. Yeah. We’ve had the products to sell directly [00:29:40] to our clients in salon for over a year, but I didn’t want to take them online [00:29:45] until we, you know, one.

Payman Langroudi: Big difference between products and services, yeah, [00:29:50] is that services can be profitable immediately. Products very rare that [00:29:55] they’re profitable in the first place.

Rhona/Talitha: He used to be a dentist. He gave up dentistry and he did you what? Whitening [00:30:00] systems like whitening. I would love to use your whitening. I don’t use any. I haven’t whiten my teeth in about two years. [00:30:05] Enlighten is the one to Payman Owens enlighten. Amazing.

Payman Langroudi: Yeah, but but but [00:30:10] my point is that with products. Yeah. If you’re not profitable for [00:30:15] three four years, really? That’s normal.

Rhona/Talitha: Well I was I’ve always had services.

Payman Langroudi: It’s [00:30:20] very unlikely. And for services you.

Rhona/Talitha: Tend to be.

Payman Langroudi: Profitable in the first year you know. [00:30:25]

Rhona/Talitha: Yeah I had this image because I’m obviously very naive in this [00:30:30] world that I would, you know, launch them online and ding dong. Yeah yeah [00:30:35] yeah yeah. So I was like, wait a minute. Yeah. What do you mean sorry? Why are they just sat online [00:30:40] like we’ve done a few posts. What’s happening here. Let me just start to get some traction. Actually [00:30:45] the last week was brilliant. We’ve just got loads of traction from American. I just don’t know why nothing was [00:30:50] said. Nothing was done that I can see on social. And yet most of our clients that are buying [00:30:55] online are literally 70% is from the US.

Payman Langroudi: Oh, crazy.

Rhona/Talitha: It’s [00:31:00] really, really interesting. I want to ask you though. What is [00:31:05] your home life situation? Yes, because this is one of the most [00:31:10] important things for me to understand. Like, obviously I see a strong, empowered boss woman [00:31:15] here in front of me and you know, you, from what I understand, were working day [00:31:20] and night. So when you first met your partner, was that challenging on the relationship? [00:31:25] Was it also difficult for you to like ease into a space where [00:31:30] you, you know, are trusting somebody or giving to a relationship, you know, how [00:31:35] did you navigate through that? So when I met my partner, I was still working in Selfridges. [00:31:40] So it was a different, different kind of job. I’m lucky that he’s really [00:31:45] supportive. He’s obviously now my husband. Um, and he also is works hard, [00:31:50] right? He’s not always he’s he’s busy as well, which helps. When [00:31:55] I left to start up the business, I think the biggest thing, rather than me being [00:32:00] so busy day and night, the biggest thing that you had the problem of is probably just the constant meltdowns [00:32:05] that you had to support me through. And like, I mean, making the right decision. What am I doing? [00:32:10] And I think, you know, he has definitely I’ve never said this to him, my God. So when he listens to [00:32:15] this podcast, I’m sure you listen to his podcast. Like, I probably couldn’t have done it without him. Like [00:32:20] he was such a support. No, but I think it’s really important that you have [00:32:25] some kind of support. You have that right. And he was just a stable person that I could [00:32:30] just have those meltdowns to constantly. But ideas off before [00:32:35] that, did you find that you weren’t having those sorts of interactions and relationships for [00:32:40] sure. Yeah, yeah. And also, yeah, just a completely different relationship I [00:32:45] can’t are you married him?

Payman Langroudi: Yeah.

Rhona/Talitha: Yeah, exactly. That’s why I’m married though. So like, I know it sounds weird, but I [00:32:50] also can’t really remember not being with him. We’ve been together almost ten years. Yeah, well it’s quite. We’ve been together almost a decade. [00:32:55] It’s been quite a while. Obviously been with a few shockers before him. [00:33:00] We’ll have to go through them. We all have to. Yeah. And I can’t imagine being with them. And I tried to set up my business. I probably, maybe [00:33:05] wouldn’t have even tried to sell my business, because maybe they were putting me in a place where I wouldn’t have felt confident. Yeah. [00:33:10] You know. Yeah. Whereas he’s always treated me so well or he’s believed in me. And I think that’s a really important thing. [00:33:15] My mum as well, my mum is such a solid and she’s amazing. And I always say [00:33:20] when I obviously I don’t have a relationship with my dad and I always said I, I’m sure [00:33:25] obviously I’m affected by it, but I never feel like I am because she’s such a solid. Yeah, she’s such a [00:33:30] she feels like both. Yeah. I don’t feel like I’m missing anything. Yeah, yeah, yeah.

Payman Langroudi: My hair. But what about the juggle [00:33:35] with kids. Yes.

Rhona/Talitha: Well we’re going to get on to that. So. So the relationship was solid from the start. [00:33:40] Yeah. You felt that he could support your visions and your dreams which is great. And [00:33:45] the breakdowns can totally relate to that sort of relationship. But yeah. [00:33:50] How did you ease into motherhood? Let’s talk about that, because I feel like people don’t [00:33:55] really talk about that side of things. I my. I got pregnant with my [00:34:00] first son, Jagger. He’s three now. So we had him we got pregnant with him in lockdown. So [00:34:05] lockdown babies, lockdown babies. Everyone loved having a baby like that, which [00:34:10] I now look back on again. And I know obviously so many people had a terrible time, so I obviously [00:34:15] wanted careful what I say, but for me with the lockdown, because obviously I had Jagger and [00:34:20] it was a time that I was at home. Everyone was kind of at home. It was actually probably [00:34:25] the perfect time to have. Yeah, I know that. I don’t want to speak out of turn, but it was perfect for [00:34:30] us because. I didn’t have the pressure of work. Of course, I had the pressure of [00:34:35] not being open, but I didn’t have the pressure of work, which I just had with my daughter. So it was almost like your maternity [00:34:40] leave, basically. Yeah, exactly. And and actually, so we reopened. [00:34:45] Jagger was born in January. We reopened in the April 21st. [00:34:50]

Rhona/Talitha: Yeah, it must have been. Right. So we fully reopened in April 21st. And I was back then, so [00:34:55] I’d had January, February, March, I’d had like that time off with him where I didn’t have to feel guilty. [00:35:00] For me. It’s a guilt thing, right? I didn’t have to feel guilty about not being in the business or not being [00:35:05] present in the business. I could just enjoy my baby. Whereas it was a very different scenario with my daughter. [00:35:10] Now, Sloane, who’s eight months old, we were literally doing [00:35:15] photo shoots when I was nine months for the products. Wow. We were like staffed down. [00:35:20] I was interviewing like a maniac, like out here about to pop, afraid my water [00:35:25] break at any point. We were in negotiations with Dubai about all sorts. Things like [00:35:30] deals were dropping. It was a very stressful time, and we’re in the process [00:35:35] of creating some products that we have to constantly be speaking to different factories about. And I [00:35:40] remember being on a call, a zoom call two days after Sloane was born, and I was late to [00:35:45] the zoom, and I was like, I’m so sorry, I’ve just had a baby. And they were like, okay, but you know, we need an answer. And [00:35:50] I was like, wow. Um, yeah. They didn’t care. Like, we talk about [00:35:55] this sort of stuff all the time, though, that like, there was a we had a female dentist as well that was [00:36:00] freaking out because they wanted to do, I think, um, caesarean.

Rhona/Talitha: And she [00:36:05] said, I have to be back at work like in two weeks, like, no, it’s not an option. And even though I like [00:36:10] dental chairs are like designed and things like this, like, you know, there are still, I think, so much [00:36:15] to understand about what women need, you know, during this time. So [00:36:20] it’s really difficult. It’s really listen, I struggle with this juggle with two children [00:36:25] for sure. I find it really hard. Also, Sloane is at an age where technically it [00:36:30] would be very normal for me not to be working at this point. She’s. Yeah. So people do take years off. I mean, I [00:36:35] couldn’t, you know, of course they take a year off and they’re perfectly entitled [00:36:40] to do so. But I barely had any time off since she’s been born. And then [00:36:45] the guilt of not being with her is bad. But the, the guilt when I’m [00:36:50] with my business that it needs, you know, I need to be with the business. I have to focus on the business. I [00:36:55] have the guilt of not being with the children. When I’m with the children, I have the guilt about what’s going on in the business, [00:37:00] and I. I feel that all the time. It’s really what gives. What [00:37:05] gives? Yeah.

Payman Langroudi: The relationship. Right?

Rhona/Talitha: Yeah, absolutely.

Payman Langroudi: Yeah. It’s not going to be the kid [00:37:10] of the business.

Rhona/Talitha: The only thing I have with it. Well honestly at times, sometimes I think is it worth [00:37:15] it? But you know, it is. The baby was my first baby was my business. Yeah, I believe [00:37:20] in it. I believe in what I’m trying to create here. And [00:37:25] that’s ultimately what will keep me going. Yeah. And I also just try and be really [00:37:30] present with the kids when I am with them.

Payman Langroudi: When you are with them. Yeah.

Rhona/Talitha: A [00:37:35] really important I put my phone away. Good. And literally I’ll do that and [00:37:40] I’ll put it on the other side of the room because I’m too distracted. My phone doesn’t stop. You’ll know yourself, your phone doesn’t stop. Right. And there’s always something. [00:37:45] There is always something. So I’ll just put it away. So when I’m with them, [00:37:50] I’m with them. And also I of course have helped. She’s eight months old, right? But I [00:37:55] don’t. I spend at least an hour and a half with her in the morning and then set on my day. So [00:38:00] I’ve spent that with her, dropped him off at nursery and then on to work. I go and [00:38:05] it’s not for everyone. Definitely not for everyone. It’s hard. [00:38:10] But also, I feel like society kind of puts you in a box sometimes of like, you’re this [00:38:15] mum and you’re this amazing mum that’s at home with your children. You want to be, you know, you’re [00:38:20] just with your children. You’re the best mom ever because you’re always present or you’re working, [00:38:25] right. You’re one or the other. And it’s like, actually, you can be both. Like, I [00:38:30] really enjoy my children, I enjoy motherhood, but I also really like to work [00:38:35] and like to do all things. I think one of the scariest thing that’s happening online, particularly, is [00:38:40] that we’re having extremist views, like things have become so polarising. Recently [00:38:45] I posted about that NFL player Hunter. Did you see that whole [00:38:50] controversy? Here’s this NFL player and he went to a school [00:38:55] graduation, a female school graduation. And he was like, I want to congratulate you on your like whatever. [00:39:00] And he’s like one of the biggest lies that you’ve ever been told is [00:39:05] that, like, motherhood is actually the most important thing that you’ll ever do. Pretty much. Okay. [00:39:10] And that’s the kind of the lines. He’s super Christian. So like there was definitely this, um, sense of him, [00:39:15] you know, like talking about Christianity and that rhetoric. However, [00:39:20] obviously it riled up a lot of women because essentially.

Payman Langroudi: What was his point?

Rhona/Talitha: He [00:39:25] was he was basically like motherhood and having kids is way more important. And the biggest lie that you’re ever told is that, like [00:39:30] education and being successful is. Oh, so he was actually sticking up for mum? [00:39:35] Yes. Correct. And I just feel like again, we’re having this polarised. And it was really interesting because I was like, what [00:39:40] do you guys think? I talked about it on my social media. And a couple of dentists actually [00:39:45] had also said to me, like, I think that he’s really valid. Me and my partner have talked [00:39:50] about it, and I actually think that, you know, you can’t do it all. Like someone has to be the caretaker [00:39:55] of the children and someone has to be the provider. Now like that, that’s [00:40:00] fine. I understand, and a lot of women in the comments obviously were riled up. They were like, what? So you expect me not [00:40:05] to have an education and like, wait for a prince to just turn up on my door? And then I obviously made [00:40:10] the point that was, you know, imagine if you are in an abusive relationship and you don’t have any qualifications or education. [00:40:15] You can’t get out of the situation because you’ve not got this. Anyways, my point is, is that [00:40:20] again, like everything on social media, everything has become so polarised. It’s [00:40:25] either you’re the perfect mum and you’re at home, or you’re the boss woman. And it’s like there’s these like polarised [00:40:30] categories.

Payman Langroudi: Social media to one side. Yeah, right.

Rhona/Talitha: Yeah.

Payman Langroudi: Starting and running [00:40:35] and making a business successful. Yeah. Is a massive sacrifice. Yeah, [00:40:40] yeah. Whoever you are. Yeah. You could be a mum. As a mum, it’s even harder because [00:40:45] you’ve got that massive guilt thing. But yeah, let’s say you’re not a mum. Let’s say you’re not even a dad. [00:40:50] Let’s say you’re just a single guy. Yeah. You won’t, you will not see your family as much as. Yeah, you’re [00:40:55] going to miss birthdays. You know, it’s it’s that kind of. It’s like being in the army or something. Yeah. [00:41:00] It has its upside, but it has its downside. Yeah. And we’ve got to, we’ve got to just be open with [00:41:05] that. Yeah. That your kids will miss out on you a little bit. They will. [00:41:10] It’s going to.

Rhona/Talitha: Give their you know.

Payman Langroudi: Yeah. And they’ll learn. Yeah. If I watch my mum create [00:41:15] an empire. Yeah. Like if you put one of these salons in every capital city [00:41:20] or something. Yeah, well I’ve learnt massive things just by being around you.

Rhona/Talitha: This is what my husband says [00:41:25] to me. Yeah. He literally says the same. He’s like, one day they’re going to look at you and be like, wow, look at my mum’s. [00:41:30] Done. Um, so let’s hope. How did your.

Payman Langroudi: Mum was your mum working when you were growing up? [00:41:35]

Rhona/Talitha: She was working, but she’s not entrepreneurial, like, um, I that’s not even a main thing. She [00:41:40] isn’t. You know, she just worked hard. She worked hard to put us through education. So. Yeah. [00:41:45] Really different. The one thing I will say as well about having kids is obviously I started my business pre-kids, [00:41:50] so probably took a lot more risks because there was a lot less to risk. There [00:41:55] was a lot less risk to have. Whereas now things obviously, you [00:42:00] know, I have to try and make things work and make sensible decisions because we have a family. [00:42:05] I think that’s what a lot of people struggle with. Right? Like, you know, you hear people and often [00:42:10] I go back to the deathbed situation and, you know, they they did. A [00:42:15] nurse talked about how people had their deathbed regrets about their life. And I think [00:42:20] one of the most difficult thing is like, if you’re somebody, for example, that worked in finance or a corporate job and then it [00:42:25] you ever wanted to try something, but you’ve got family to look after. Like it’s so difficult, [00:42:30] like to kind of be like, right, I’m sucking off my 100 K salary to try something, and I [00:42:35] have no idea if it’s going to work. It’s a really difficult thing, and I think the younger you take [00:42:40] the risks or miss, the better, dare I say for sure, I think so, right? And I think [00:42:45] that anyone it takes balls right, to be able to do that, whoever you are, whatever age you are. But [00:42:50] if it pays off, it pays off.

Rhona/Talitha: And I just think there’s nothing better than something working [00:42:55] out when you put the work into it. Honestly, anything that’s been successful in my life and I know [00:43:00] that we’ve worked so hard for, it’s so much more enjoyable. Yeah. Like, it’s back to your [00:43:05] point as well. If you were given something, it’s you’re never going to look at it the same, are you. So [00:43:10] you’ve earned it. Yeah. I do think pain is necessary sometimes. And pain [00:43:15] discomfort is the thing that really gets you into growth. You know, someone [00:43:20] once said to me, A comfortable or okay situation [00:43:25] is much worse than a really difficult situation, because if it’s easy for [00:43:30] you to just be in that situation where it’s just, okay, it’s not awful, it’s not amazing, yeah, you’re going to stick at it. Whereas [00:43:35] if you have something that causes you incredible pain, it forces you to grow. And I think it is really [00:43:40] important, you know, in some way I don’t wish pain upon my [00:43:45] life. But now I understand that it’s a part of the necessary journey to get me [00:43:50] to where I need to be regardless. Driver. Exactly, exactly. So speaking [00:43:55] of which, though, what was your lowest point in [00:44:00] the last ten years? Um, [00:44:05] that you felt that you were struggling. I think [00:44:10] when I moved initially, when I moved to London, I was doing the corporate role. I felt very [00:44:15] like I was on a hamster wheel. I felt like I was, you know, I had all these teams. [00:44:20] I was under immense pressure. I mean, I’m under pressure now, but the pressure that I was, it’s intensified. [00:44:25]

Rhona/Talitha: They call Selfridges the Beast and he would like. It’s a known thing. You’re working really [00:44:30] long hours and you’re under incredible pressure for, let’s face it, not much money. Yeah. [00:44:35] And I was head to toe in psoriasis at the time. Wow. Literally from stress [00:44:40] head? Yeah. From stress. I still suffer with it now, but very like. It’s like it’s [00:44:45] under I manage it. I just felt like I had no social life because I was just [00:44:50] always exhausted. But I was this young girl trying to work all the time. When [00:44:55] I went out, I was meeting the wrong people, drinking too much when I went out, probably because I was [00:45:00] just trying to mask the fact that I just wasn’t happy. But equally, I’d moved to London. I’d left a relationship [00:45:05] that nobody could understand why I left as I went back up north, up north, I suppose. The guy for a long time, [00:45:10] his family were very successful. He was very successful. He’d have married me. If I’d have done that, [00:45:15] I would have had a very nice life, till to this day would have had a very nice life. It just wasn’t enough. And [00:45:20] I just knew I had this point to prove. I couldn’t go home. And [00:45:25] I was just really unhappy and felt really lonely and moved to London with [00:45:30] one of my closest friends, and she met somebody and got pregnant within six months. So then I [00:45:35] had to change a lot of my friends now, really. And then I always had to live with somebody that I didn’t know.

Rhona/Talitha: So again, I was [00:45:40] just lonely. And then I actually, like we said about the therapist, I started speaking to this therapist and [00:45:45] did a lot of inner child work. Then within six months I met my husband. Oh wow. But I think you have to do that work [00:45:50] first. Yeah. So do you feel because you had those pain points quite early on that now when [00:45:55] you have challenges, it rarely affects your mental health, if that makes sense. Because you understand [00:46:00] the triggers. Yeah. So you can like even if you’ve got something at work [00:46:05] that triggers you or something with your kids like you, you understand how to manage it. Now [00:46:10] because so many years ago you had understood. Yeah, all [00:46:15] those different things. Listen, I’ll still go through times I like I said, I, I have [00:46:20] found it after having Sloan like not so much with my son, but after my daughter, [00:46:25] I even found social media really intense. Like being on there. Because [00:46:30] I always say one of my favourite sayings is comparison is the thief of joy. But you can’t help [00:46:35] it. Especially like when you feel like you almost have an out-of-body experience. When you have a child, [00:46:40] you don’t really recognise yourself because you don’t look like yourself. It looks [00:46:45] on social media like everybody is doing so incredibly well. Yeah, yeah, you feel [00:46:50] like you’re not. Listen, if ten of people looked at my social media, it looks like I’ve had this amazing baby. [00:46:55] You know, she’s beautiful. I’m running a business. No one knows what’s going on behind social media.

Payman Langroudi: But [00:47:00] is there a loss of identity in becoming a mother? Must be right. There must be [00:47:05] an element of that.

Rhona/Talitha: I just, I just yeah, I [00:47:10] would say that I did struggle with, like I said, with the social side of things and the comparison [00:47:15] side of things, but. Equally. I do always try and bring myself back to [00:47:20] one. I’m very lucky to have healthy children and amazing children. And yeah, the identity thing. I [00:47:25] would just say that you become a little bit more. For me personally. I’m not saying you have to be a [00:47:30] mother to be empathetic at all, but like for me, I just found myself being a lot more empathetic, a lot [00:47:35] more patient because you have to be with children, which I had zero patience before. [00:47:40] I mean, my patience isn’t great now, but it’s better.

Payman Langroudi: I think. I agree with you, it makes you a better person, [00:47:45] but I think it’s.

Rhona/Talitha: Unfair to say, yeah, I think it’s fair to say because, listen, not everyone’s [00:47:50] going to have kids. It doesn’t make you a bad person, but it makes you for me. It’s taught [00:47:55] me those things. I’m more empathetic. And also I don’t sweat the small stuff as much because [00:48:00] of the children. Yeah, I think so. I think, you know, at the end [00:48:05] of the day, everybody’s experiences are different. And like you said, some people may [00:48:10] choose, may not choose. I think the nuanced way of thinking is [00:48:15] so, so important in the world that we live in today. And I think it’s recognising that [00:48:20] mothers will have struggles. And if you do want to be a stay at home mom, you be a stay at home mom, right? If [00:48:25] you want to be a boss girl that doesn’t want to have children, that’s your choice too. If you want to do a bit of both, [00:48:30] which I’m hearing that you do, and I’d like to do eventually, that’s cool too. [00:48:35] I think what we’ve got to recognise is, is that it’s not one fits all. Yeah. And [00:48:40] I get it. Like women are biologically programmed to have children, [00:48:45] as it were. But not all women can have children either. Exactly. You know, whether or not they’ve been gifted that. So [00:48:50] I think it’s it’s really, really important. And the social media thing, [00:48:55] I think the whole like sort of mummy influencers or all of the stuff around [00:49:00] motherhood, I think it’s difficult, even me, who’s not a mother yet.

Rhona/Talitha: I look at [00:49:05] that stuff and like you say, I’m like, how are they doing it all? And there’s so much on there that I think can be quite overwhelming [00:49:10] if people don’t show the real behind the scenes, because there are behind the scenes of everything. Of course, [00:49:15] it’s a struggle. It is a struggle for most mum, most mums, of [00:49:20] course, people just take to it. But I am a really good mum. I am like, I can’t say [00:49:25] that because I am but I struggle of course and sometimes, you know, like when everything’s [00:49:30] going on with the business, one of the kids is sick and you know you’re torn and it is just constant, [00:49:35] but you’ve just got to ride that wave. They’re not always going to be this little. Yeah. So I just have to try and enjoy it, do [00:49:40] the best I can and that’s all I can see really. So tell me a little [00:49:45] bit about the Princess Trust and your involvement with them. So we recently [00:49:50] did an event with them, which was amazing. And with my client now friend Stacey Gololo, [00:49:55] who has Galileo Italia, which is an amazing brand. And she actually came to me with the Princess [00:50:00] Trust as a charity to support women supporting International Women’s Day. But they have [00:50:05] an amazing program and Women supporting women, where they actually [00:50:10] empower young girls from all kinds of different backgrounds, [00:50:15] underprivileged backgrounds, if you like.

Rhona/Talitha: And they help put them into job [00:50:20] roles, they help educate. They do all sorts. So yeah, I’ve just [00:50:25] started working with them now and we are going to be taking on somebody to help within the salon. [00:50:30] And again, it’s just such a small thing for me to be able to do, but it’s so nice to be able to work [00:50:35] with such an incredible charity. I love that so much. But tell us about how they’ve been working with you [00:50:40] as well. Sending the girls. Yes. So the girls will come into the salon [00:50:45] and then you’re asking kind of like, what? What does that mean? Like what? And I was like, well, anybody [00:50:50] that’s reached out to the Princess Trust first, please, because they want to make a change within their lives. So these are people [00:50:55] who really want to make a change, haven’t had privilege necessarily privilege. And they want to learn [00:51:00] this isn’t going to be their job forever in the salon, but they just want work experience. So that’s what we’re [00:51:05] able to offer I love that, I wish we could do that in dentistry. Imagine maybe you get nurses like [00:51:10] nurses and things like that. But but you have to like training nurses and all that stuff [00:51:15] is you could potentially do it as a receptionist. Really like that. Yeah. Yeah, I love that. [00:51:20]

Payman Langroudi: If, if you could, if I had like a magic wand and I [00:51:25] can you could, you can for your business in the next sort of five years, [00:51:30] what would be your sort of dream outcome. What are you looking to do. Are you looking to have [00:51:35] more salons or.

Rhona/Talitha: Manifest it here? Yeah, let’s manifest it when you say it comes true. Um, [00:51:40] actually, having more salons is actually not on my radar because I want to wholesale [00:51:45] to salons. So wholesaling out the hair into LA, New [00:51:50] York, Dubai, Abu Dhabi would be definitely be within the next five years. More states for [00:51:55] sure. In America, potentially another salon. I’m just going to put it out there. Why not? [00:52:00] And, um, if it’s a magic wand. Yeah. And then the products [00:52:05] that we’re bringing out were actually in talks with really exciting buyers. So it would be to be I can’t I’m [00:52:10] under NDA about the products, but that they would be stocked in these dream stores [00:52:15] around the world. One being in America, one being in Australia, and that [00:52:20] it’s very, very successful. And I’m still loving what I’m doing and we’re [00:52:25] constantly evolving. And that would be really the dream. The dream? Yeah. [00:52:30] And you wanna tell us any more about Dubai? Yes. So Dubai. I [00:52:35] recently just got back and can you believe we were there when that my whole work week was there when the floods were [00:52:40] happening. Oh gosh, I know. So that was tricky because I’d actually, uh, [00:52:45] me and my husband were like, we really need a holiday. So we were going to work. He has an office over in Dubai while his [00:52:50] company has an office. So we’re going to work the first week. Second week we’re on holiday and we we got hit with [00:52:55] the floods on the first week.

Rhona/Talitha: So we ended up working our whole holiday in the second week. That’s what I mean. Things always [00:53:00] happen, right? We’re supposed to spend it with the kids. And like every morning I was out by half. Seven missed breakfast most [00:53:05] days, didn’t see the kids till 3 p.m. on our holiday. But anyway, whatever. So yeah, [00:53:10] when we’re when I was over there, I was originally supposed to do a pop up. But, you know, I always think things always [00:53:15] happen for a reason. I always believe in my gut. And I just didn’t feel right. I changed things last minute and moved it to [00:53:20] September. And actually, it would have been the week of the floods. Oh my gosh, I know. [00:53:25] So actually that was amazing. But while I was out there, I had meetings with, um, different salons and it’s all just [00:53:30] about wholesaling the hair into their salons. So that’s all in negotiate final negotiation stages. [00:53:35] Now one of the salons is incredible. They have 30 salons in Dubai in UAE. So that [00:53:40] means our hair will be able to be available to them. We’re doing a pop up in Atlantis The Royal in September. [00:53:45] So yeah, that’s that’s kind of the amazing. And the whole family came out with you whole [00:53:50] fam came. Love it. Yeah. That’s how you take the tribe. You never say anything still.

Payman Langroudi: Right. [00:53:55] You go Liverpool. London. Virgin suffragette. Sally, what do you [00:54:00] reckon is the sort of the driver. How how did this come about?

Rhona/Talitha: The driver for just not [00:54:05] standing still.

Payman Langroudi: Yeah.

Rhona/Talitha: Do you just think it’s in you I think [00:54:10] is it just. Do you hate it when you have to stand still? I was just about to say I actually [00:54:15] really enjoy a night in on my own and sometimes being in silence, which I [00:54:20] couldn’t do years ago when we were talking about that stage when I worked in Selfridges, I could never be on my own. I [00:54:25] used to literally have panic attack anxiety. I would really struggle to be on my own, be in my own head. [00:54:30] I enjoy time on my own now because I enjoy the quiet. But I even [00:54:35] if I’m on a night on my own, I’m always thinking, planning what’s next. And I don’t know, [00:54:40] I think is it just my personality? I’m the same. I’ve started crying on Saturday because I was like in [00:54:45] and reading a book, and I said to my partner, I was like, I hate this. And he was like, you need to [00:54:50] find joy in things that you don’t feel like you’re being productive. And sometimes I can get really stuck [00:54:55] into, like a Netflix series, you know, like I watch Baby Reindeer and I finish, like, every episode, you know, [00:55:00] like, I can and like, I, you know, I really hate it when people are like, oh, I don’t watch television. [00:55:05] It’s a waste of time. I’m like, no, because actually I learn loads from like documentaries and films [00:55:10] and things like that. And I, I actually think it can be a really nice way to escape as well. You know, [00:55:15] it’s a switch off. Yeah. Exactly. To switch off is it.

Payman Langroudi: But is it some sort of like ADHD [00:55:20] trait? Do you know.

Rhona/Talitha: What I actually have done? Like a few online quizzes to see if I have ADHD? [00:55:25] Because I am sure I do. It’s obviously a lot more common than we think [00:55:30] maybe. And also we think of like, I think sometimes when you think of ADHD, you think of the extremes, right? Whereas most [00:55:35] people probably have some aspect of ADHD within them. I don’t know, maybe I should go and be diagnosed. [00:55:40] Yeah. But I think I think also I mean, ultimately I had a chat with my therapist [00:55:45] and she’s just referred me to be checked because she was like, I just think you do have ADHD and a lot of my friends do. But [00:55:50] it’s, you know, they say that on the one hand, it makes people really successful because [00:55:55] I think when when I thought of ADHD like ten years ago, 15 years ago, I think of those really hyper children I was going to [00:56:00] say having done like really climbing up the walls.

Payman Langroudi: But it’s being this thing [00:56:05] being her biggest strength and her biggest weakness. I think it’s really insightful, you know? Yeah. [00:56:10]

Rhona/Talitha: Personal life. Not great business. Great. Yeah. And that’s and I think [00:56:15] that’s the thing like they they talk exactly about that that you can multitask, get stuff done, [00:56:20] etc.. But it’s in the personal life that it can become more difficult. So it is really [00:56:25] interesting. Um, is.

Payman Langroudi: There an aspect of your business that you hate?

Rhona/Talitha: Aecom. [00:56:30] Yeah, I mean, I listen, [00:56:35] there’s this isn’t there’s no way.

Payman Langroudi: Yeah, yeah, [00:56:40] I think there’s to hire a person to do that. Exactly.

Rhona/Talitha: Me too. I [00:56:45] hire people for the things obviously I’m not good at, and that’s obviously just a smart way to do things.

Payman Langroudi: So what do you think [00:56:50] you’re not good at?

Rhona/Talitha: I’m really not good at numbers. Figures. Me too. Me too, [00:56:55] me too. Um. Me too. I just got because that’s not the way our brain works. Yeah, because we have [00:57:00] ADHD. Yeah, I literally, literally, I hate it, I know I do it, I can’t do it. [00:57:05] And even like the accounts at the end of the year, now I give them the accounts were like sitting there and it’s like your [00:57:10] head’s like, oh my God, I’m so overwhelmed. I would literally rather do anything else. I have to speak to my accountant, actually, [00:57:15] when I get out of here and we’re running through a few things and I’m already, like, overwhelmed. [00:57:20] Yeah, I just don’t want to even the thought of it. It’s just not where I comfortably sit. My husband [00:57:25] comfortably sits there. He deals with my guys. Exactly. Finance. Right. Exactly.

Payman Langroudi: He’s in finance. [00:57:30]

Rhona/Talitha: He’s in finance. So I can sometimes send him things and he’ll break it down. Like [00:57:35] he really helps with that aspect. But yeah, I absolutely hate those side of things. But of course it’s important you’re running [00:57:40] a business. You need to kind of know where the figures are at. So it’s somewhat important. Yeah. I [00:57:45] think at the end of the day, if you are an entrepreneur that sits more in the creative space like you [00:57:50] and I do, marketing also is like, you know, the thing that I love, you need [00:57:55] people on your team who trust, and you need people that can help you make those decisions. And I think it’s not [00:58:00] about trying to put the pressure on yourself to be 100% amazing at every single aspect. [00:58:05] Yeah, I definitely I’ve actually just heard well, she’s been here a year now. I’ve got an amazing manager of the salon. [00:58:10] Her name’s Brooke, she’s from Australia and she’s incredible. And actually she we were talking you you touched [00:58:15] on it before about being lonely when, you know, start the job. And sometimes I feel very like [00:58:20] founder. Loneliness is a thing. I feel like I have all these decisions on me.

Rhona/Talitha: If [00:58:25] I don’t make a decision, who else is going to make a decision? If this doesn’t work, it’s not on anybody else but me. I’ve got to pay [00:58:30] all these people da da da da da. And but she’s actually been a real pillar of strength in me bouncing ideas off. [00:58:35] And it’s actually been amazing. And I really value her opinion. So she’s been really good, actually [00:58:40] for the business and good for my sanity as well. And sometimes when I go to pull out of things because I’m too overwhelmed, she’s [00:58:45] like, no, you need to do this because of X, Y, and Z. And she’s made me go forward with [00:58:50] things which I’m so glad I’ve got. Question for you. Yeah. One of the last questions. Yeah. Do you find it difficult [00:58:55] to be vulnerable? I feel like I’ve been quite vulnerable in this podcast. Yeah, yeah, [00:59:00] and you have. But do you feel like you find it difficult to be vulnerable at work or at home? Yeah. [00:59:05] Interesting. Yeah. You stopped me in my tracks. Yeah, [00:59:10] yeah, I think I.

Payman Langroudi: Think that’s weakness. It.

Rhona/Talitha: Do you see it as weakness, or do [00:59:15] you fear like.

Payman Langroudi: I feel like you see it as strength.

Rhona/Talitha: I see it as strength. It is the moment [00:59:20] that I. I will be that person that will break down at work. Will you? And I will be that person [00:59:25] that will cry and ask for help. And I feel that [00:59:30] sometimes I feel judgement and sometimes I recognise how backward it is. But I [00:59:35] also think that we’re all human beings, and shared experience of vulnerability is almost a [00:59:40] superpower, and shared experience of vulnerability makes people know and understand [00:59:45] that we are human. Yeah. Will everyone understand it? No. Will everyone break [00:59:50] down their walls? No. But I think that the old school notion of, you know, just [00:59:55] there’s no such thing as depression, there’s no such thing as anxiety. Just get on with it, okay? Sure. You know, [01:00:00] my parents grew up in the Middle East, war torn countries. I don’t think they had time to be depressed, you [01:00:05] know? But I think that there is something to be said for these shared experiences. [01:00:10] I think it’s amazing that you can do that. Yeah, for sure. And that’s exactly how [01:00:15] everybody should be. It’s not the way that I am. And sometimes I felt like I was carrying [01:00:20] the weight of the world on my shoulders. My daughter actually went through a really awful time [01:00:25] when she was very young, like ten weeks old. She was in intensive care unit. Sorry. And [01:00:30] she’s absolutely fine now. Perfect health. But like, you know, it’s a very challenging time and I still like a week later I was coming to [01:00:35] work facing work. And I was really traumatised obviously by the whole experience. And I sometimes [01:00:40] I felt like I was there, but I wasn’t present, like people were talking, but I couldn’t. I couldn’t take [01:00:45] it in. And then I just walk out of like a zombie and they God knows what my team or anyone thought of me [01:00:50] at the time like, but I never shared with them until later. I find it very hard [01:00:55] to talk about. I’ve never really even talked about this, because I find it very hard to talk about very difficult situations [01:01:00] whilst they’re happening. Yeah, I just won’t do it.

Payman Langroudi: Process.

Rhona/Talitha: First I have to process. [01:01:05] I do that usually alone. Alone. Yeah, but that’s okay. You know, [01:01:10] people process things in different ways. You know, I’m interested.

Payman Langroudi: In one other thing. Um, you know, both [01:01:15] of you are in the business of cosmetics, right? And, and we know as [01:01:20] dentists, one of the worst situations is you stick all the stuff on, the person says [01:01:25] love, it goes home, and then someone says something, and then they come back and.

Rhona/Talitha: Come back, and my partner doesn’t like [01:01:30] them. And then they.

Payman Langroudi: Say, I hate it. Yeah, yeah. And with us, it’s actually quite damaging now to remove [01:01:35] all this stuff, let alone let alone costly. Yeah. For everyone. Yeah. But damaging. But [01:01:40] you must have had some. And we sometimes call that a body dysmorphia thing where the person’s [01:01:45] sort of got a problem and they think fixing the teeth will fix that problem. You must come to a point.

Rhona/Talitha: Actually. [01:01:50] Yeah. I’ve never looked at it like that.

Payman Langroudi: It must come across that sort of situation with women in hair, right?

Rhona/Talitha: Yeah. Listen, [01:01:55] we work with all, you know, all sorts of people, all sorts of people. And of course, we’ve had [01:02:00] that happen. And I think I just have to call it at the end of the day, is it worth the brand [01:02:05] damage and what she’s going to go around saying about us saying about the hair extensions, saying [01:02:10] about everything the Google reviews, the da da da. Do we just take it, [01:02:15] take the hit, take them out, refund, walk away. It’s a lesson learnt, both [01:02:20] sides. That’s usually what I’ll do. And what will really do is to try. [01:02:25] And I’m sure you’re the exact same both of you. Like, you know, we’ll really try and safeguard that. As in like we have [01:02:30] a very strict process now and they have to sign saying say they [01:02:35] are happy this is not coming out the head. Yeah. Because they are very happy [01:02:40] to pay this amount. And now it’s very rarely happened since we’ve put that [01:02:45] we’ve we’ve actually now implemented a no refund policy. I had a very yeah [01:02:50] I’ll tell you what happened. I had a girl come in. Um, uh, God. Six, seven [01:02:55] months ago, her teeth were really in a bad, bad state. Like, really bad falling apart, like [01:03:00] bonding. Um, we talked about it, everything, etc.. Then she decided [01:03:05] to have her. So she was happy to go ahead with the treatment plan. And [01:03:10] she was really weird on the day. I was getting a bit of a bad vibe off her, so I made sure [01:03:15] to make like really like copious notes about what she had wanted with her teeth. And [01:03:20] like halfway through the appointment, she was like, oh, can I have anaesthetic? [01:03:25] Like raise the hand? And I was like, okay, yeah, of course, even though I’d offered her before, she didn’t want it.

Rhona/Talitha: And then [01:03:30] when I showed her the mirror, she was like, oh yeah, they look nice. And then she went upstairs. Five minutes later [01:03:35] my receptionist messaged me saying, X patient is not happy. So I ran upstairs and I was like, I’ve got to bring in [01:03:40] someone. But it’s bonding. You can adjust it, you know, like, so don’t panic. Like it’s not like, you know, it’s an [01:03:45] unadjustable thing. She was like, no, no, no, I think I need to live with it first. And I said, okay, sure. Because I’m numb. I’m [01:03:50] like, that’s fine, live with it. We can always come back and you can always come back in two weeks or whatever. And [01:03:55] then we basically called her a million times to try and review her, [01:04:00] and then she wasn’t coming back and she’d called Amex to take the refund. [01:04:05] We’ve had the exact same thing. And then we disputed [01:04:10] it with Amex. And then she came back. And then eventually my practice manager, my treatment coordinator [01:04:15] were like, if you. Okay, so I decided to call her bluff. I said, if she doesn’t like [01:04:20] it and she wants a refund, I’ll remove all the bonding 100% because if she doesn’t [01:04:25] like it, I can remove it because I’m very minimal with my bonding. It’s not a great big deal. And her teeth underneath weren’t [01:04:30] horrendous. So I was like, that’s fine, I could remove it all if she wants a refund. She refused to [01:04:35] come in and then eventually I just don’t feel comfortable seeing her and I don’t feel comfortable.

Rhona/Talitha: This went on for like months because [01:04:40] I was like, I’m so mortified that this has happened. Eventually we offered her to see like one of my, [01:04:45] like, best cosmetic dentists. He was like, this is a really good like, I can tweak it a bit. She’ll be happy. She [01:04:50] agreed. As soon as she walks in, she’s like, I’m not having anything removed. That’s the first thing. Imagine if you hate something [01:04:55] so much, aren’t you going to be like, get it off? So she spent five minutes in the chair and then left and then still [01:05:00] insisted, insisted, and by the end of it, I just did what you did. I said, you know what? Give her the flipping money [01:05:05] back, I don’t care. But since then we’ve now written a refund policy saying no refunds. [01:05:10] And if you if for bonding and if you want to get a refund, you have to get it removed. I think, you know, [01:05:15] it’s interesting with the Amex thing because we’ve actually had it twice and we had it twice over Christmas. And what happens is [01:05:20] people spend so much money, they panic that they then have to Christmas time. Yeah, it always happens [01:05:25] around Christmas, I swear to you. And it’ll be like they’ve spent all this money and then [01:05:30] they’ve got the teeth done and they’ve got the hair extensions done. It’s over a grand couple grand, whatever. And [01:05:35] they need the money back and they go to Amex. And I have disputed every single one with Amex and I’ve won them. Yeah. [01:05:40] Because I think one key.

Payman Langroudi: Thing though, one key thing that you should both be aware of, is [01:05:45] that it’s not worth ruining the experience for your reasonable [01:05:50] patience, patience and customers because you’re trying to protect from the one that [01:05:55] might be trying to get something over on you. So let me give you an example of that. I’ll be one [01:06:00] guarantee. Yeah, we guarantee results with our product.

Rhona/Talitha: B one is the lightest colour.

Payman Langroudi: Okay. There’s no [01:06:05] way of checking. I mean, you know someone. Yeah. Someone can take two pictures at the beginning. [01:06:10] Send us these two pictures and say it didn’t work, you know, cannot check that. Yeah. On occasion, [01:06:15] several times, three, four times a year. The team say this guy is trying it on. Yeah. [01:06:20] I’m happy for this guy to try it on so that when the, you know, [01:06:25] you, one of my top customers calls me up and say, hey, pay this. This didn’t work this time. But yeah, [01:06:30] the team were like, sort you out. Oh yeah.

Rhona/Talitha: You’re.

Payman Langroudi: Right. You’re important as [01:06:35] a top customer. Yeah. The fact that someone got one over on me isn’t [01:06:40] as painful as it should be. And it’s difficult because you don’t want anyone to get one over you and our sales team, or actually [01:06:45] in touch with the people. They feel it, you know? They feel it. Yeah. This guy thinks he got one [01:06:50] over on me. Yeah, yeah.

Rhona/Talitha: I get you. But I also think, like, it’s important to protect because you [01:06:55] work so hard and you have to remember, like, doing treatments like hair extensions and bond. It’s so much time, [01:07:00] you know, and I get it time and a time and expense. And you also don’t want to develop a reputation [01:07:05] where people think they can constantly do one over you as well. You know, I think that’s important. Now, we’d have to probably bring [01:07:10] you back for part two of like business disputes. But we have run out of time. I just want to thank [01:07:15] you so much, Talitha, for being so honest, open and vulnerable today. You are honestly such an inspiration, [01:07:20] not only an incredible mother, an incredible businesswoman, and I really appreciate you coming [01:07:25] to speak to us today. Thank you so much for having me. I really enjoyed it. Yeah, so did I, Fox and fam [01:07:30] guys, go have a look. It is amazing okay. Thank you so much. Thank.

Rory Boyd shares his journey to being a specialist prosthodontist and owner of Dublin’s Belfield Clinic. 

Rory discusses the value of work-life balance, adopting new tech, and growing and managing his referral-based practice. 

Rory also discusses his involvement with the Irish Dental Association and his efforts to advocate for the profession. 

Enjoy!

 

In This Episode

00:02:50 – Backstory

00:11:30 – Choosing dentistry

00:17:00 – SPOcast Show Notesutside interests

00:21:20 – Postgraduate training

00:43:50 – Specialists Vs general practitioners

00:46:50 – Simplicity and education

00:50:35 – New technologies

00:57:15 – Irish Dental Association

01:04:45 – Blackbox thinking

01:11:40 – Advances in dentistry 

01:27:55 – From research to adoption 

01:31:30 – Belfield Clinic

01:43:10 –  Fee setting

01:48:50 – Aha! moments

01:54:35 – The IDA and lobbying

01:58:25 – Fantasy dinner party

02:00:05 – Last days and legacy

 

About Rory Boyd

Rory Boyd is a specialist prosthodontist and owner of the Belfield Clinic specialist practice in Dublin, ROI. In 2019 Dr Boyd became the President of the Irish Dental Association Metropolitan branch and currently sits on the Irish Dental Association committee.

Rory Boyd: 100% basics and knowing your own limits and just doing the basics right. And again, [00:00:05] it comes back to for me, it’s assessment and planning. You know, cutting [00:00:10] a crown or executing a veneer or doing a good composite bond up [00:00:15] or posting core crowns and over there fading them out. But you know, if you can assess properly [00:00:20] and pick the case and pick the easy one, pick the best way to do it. Executing the treatment is easy. Picking [00:00:25] the right time to do it is the tricky bit and that’s the basics. It’s understanding good diagnosis, [00:00:30] good planning. And then once you have your problem list, I don’t start any treatment. Won’t [00:00:35] touch the patient with any burr until you have your list of treatments that you you know I’m going tip tip [00:00:40] tip I just got my it’s like cooking and I like I make my recipe and I write [00:00:45] out the recipe before I start. And it’s just go through one, two, three. And that is just pure assessment [00:00:50] and planning. But if you do not have that, you don’t have the vehicle to get to [00:00:55] success. You can’t go through a treatment without having it absolutely planned to the nth [00:01:00] degree beforehand. And and you know, don’t get me wrong, some stuff may change along the, the treatment. [00:01:05] You know, some of our patients are three, five years long. Um, some stuff changes. Ortho [00:01:10] can’t achieve what you thought they could or, you know, think teeth fail in the interim things change. [00:01:15] But but it’s assessment and planning and and that is the basics.

[VOICE]: This [00:01:20] is Dental Leaders. The [00:01:25] podcast where you get to go one on one with emerging leaders [00:01:30] in dentistry. Your hosts [00:01:35] Payman Langroudi and Prav Solanki.

Payman Langroudi: It [00:01:40] gives me great pleasure to welcome Doctor Rory Boyd onto the podcast. Rory [00:01:45] is a specialist Prosthodontist co-owner of the [00:01:50] famous Belfield Clinic in Dublin, a multidisciplinary referral [00:01:55] centre. I met Rory at the Ida event in Killarney, [00:02:00] where he was the president of the Irish Dental Association as [00:02:05] well. And um, what the youngest did you tell me you were the youngest? [00:02:10] I think it’s.

Rory Boyd: Fair to say.

Payman Langroudi: Yeah, a bit young for that joke.

Rory Boyd: Got that accolade as well. Yeah.

Payman Langroudi: Lovely [00:02:15] to have you on the pod, buddy. Thanks for doing this. No. Pleasure to be.

Rory Boyd: Here. Thanks for asking me.

Payman Langroudi: So, [00:02:20] Rory, when we came over, um, we came over with my niece, ma’am, over [00:02:25] to the conference. It was one of the friendliest conferences I’ve been to. I would actually [00:02:30] suggest lots of people go go to that one as a weekend away, because everyone is so lovely. And [00:02:35] then, you know, the Irish know how to drink. And we drank into the early hours. And then [00:02:40] Rory, I caught the next day going for a run first thing. [00:02:45] And I just thought, what a successful human man.

Rory Boyd: I [00:02:50] think they’re running it anyway.

Payman Langroudi: Have you always been.

Payman Langroudi: Like a [00:02:55] high achiever, buddy?

Rory Boyd: I wouldn’t say high achiever, but yeah, I’ve always enjoyed, I [00:03:00] suppose, working my working hard at it, at things. Um, and [00:03:05] I guess if we’re talking about dental careers, my dental career really started in school. Um, most people talk about [00:03:10] our university or college, but I think with regards to high achievement, one of my best A-level subjects was [00:03:15] actually technology and design. And everyone talks about, uh, how sciences or [00:03:20] biology or chemistry is probably most important for dentistry. I actually think for for mine, especially as a prosthodontist, [00:03:25] my technology and design A-level was probably my most important.

Payman Langroudi: So interesting, so [00:03:30] interesting. Dipesh says exactly the same thing. Yeah, he did, he did the same. And he says that’s the thing [00:03:35] that’s made him the composite guy that he.

Rory Boyd: Yeah. I remember sitting in labs in third year undergraduate [00:03:40] and we were doing I think we’d come to the Crown and Bridge section. And when we were talking [00:03:45] and they were talking about, you know, the CAD cam aspect and talking about like when [00:03:50] I was 16, um, at Campbell College in Belfast, we were using the same we were using a [00:03:55] CAD design software called Pro Desktop, which was a kind of a dumbed down version of Pro Engineer, [00:04:00] which was kind of the CAD engineering CAD system at the time. And actually, if you look at actual [00:04:05] Cod or Dental designer or whatever design software you want, you want to use, they’re all based on the [00:04:10] same model, which was actually the same thing I was using 20 years ago in my GCSEs. And, you [00:04:15] know, if you look at the systems that we that we learned at school with regard to vacuum forming, CAD, [00:04:20] cam milling, we called it, we only had a 2D milling. So it was writing at the time. But [00:04:25] actually, yeah, I mean from that was one of my favourite subjects you talk about, you [00:04:30] know, have you always been successful. That was that was probably when I was most successful in my A-levels. Uh, and [00:04:35] it’s corresponding. It’s corresponded well to my, to my career, but I think I haven’t.

Payman Langroudi: So you grew up in [00:04:40] Belfast?

Rory Boyd: I’m from Belfast, and I suppose I moved to Dublin for college [00:04:45] and I’ve had some brief spells away from here, but I’ve been in Dublin for the guts of 18 years and, [00:04:50] you know, again, coming back to your your question [00:04:55] around, you know, high achievement. I think my background in sport has probably been my second biggest. Influence [00:05:00] in my career. Um, and I think never played to any [00:05:05] extreme levels or anything like that, but played a lot of rugby growing up in the team environment there. And I [00:05:10] think that the kind of skills that you learned and the team sport environment, whether it be at school or college [00:05:15] or in clubs, I think that transfers hugely to how we work as Dental [00:05:20] team and from, you know, moving through college and then into into practice that, [00:05:25] you know, that team, the ability to work within a team and know your know and understand your role [00:05:30] both as an individual but also as a part of a bigger machine. I think that that’s another area [00:05:35] from, you know, from outside of the career. So whether it be school, whether it be sport, those things are all influences [00:05:40] to your career, more so than sometimes what you learn at college or courses. You do, [00:05:45] you know.

Payman Langroudi: So I mean, I’m going to ask you might resent the fact that [00:05:50] any time you say you’re from Belfast, someone brings up the troubles. Do you know?

Rory Boyd: Look, the troubles [00:05:55] is part of our history. Um, it’s part of part of our fabric. It’s part of how we’re made up, you know? And I’m [00:06:00] a I suppose I’m a Protestant from Belfast that’s been living in Dublin for 18 years. [00:06:05] Um, that has no like I have no major. I suppose at home we’d say, you [00:06:10] know, political opinion, I guess. But the troubles are something. When you’re from [00:06:15] Belfast, it’s just part of your makeup. You don’t really know that it’s that different at the time. And everyone kind of, [00:06:20] you know. Yeah, people who you meet always ask you, oh, how was it? You’re like, well, I actually don’t [00:06:25] know any different. So and we were lucky enough that the guy I left school in [00:06:30] 2000.

Payman Langroudi: The too young.

Rory Boyd: To read and I left school in 2006. So if we look [00:06:35] at the peace process, which kind of probably 99 in my formative years, we [00:06:40] lived in peace and and we were we were the lucky. We were the first generation that were lucky enough [00:06:45] in Belfast to. There were small things that would have affected your life, but not very much. Um, and [00:06:50] I don’t think, you know, look, the troubles are something that we need to look back [00:06:55] on and understand that it carved, you know, carved out what Northern Ireland is. And [00:07:00] you know, how things have changed since it. But as a population, [00:07:05] hopefully, you know, you’ve got to look at the positives and hopefully it’s made us stronger and hopefully, you know, we can continue the same [00:07:10] path that we’ve been taking for the last whatever since, you know, whatever it is, 25 [00:07:15] years. So yeah, look, I’ve been living in Dublin for 18 years and [00:07:20] it does. It does thankfully doesn’t come up too often. But um, and it’s interesting, I’m also part of a rugby [00:07:25] background. You know, I’ve played rugby, I played, you know, rugby at school, played rugby [00:07:30] for in clubs in Belfast, played rugby in New Zealand. Uh came back played rugby in Dublin. And [00:07:35] I think rugby’s probably an amazing sport because it obviously transcended the Northern Ireland Southern [00:07:40] Ireland issues.

Rory Boyd: And we you know we’ve, we’ve ever you know, we’ve always only ever had an Irish rugby team. We [00:07:45] don’t have a Northern Irish rugby team. Um, so you grew up if you lived within the rugby, you [00:07:50] know, term in an all Ireland within that sport. And it doesn’t [00:07:55] really matter what country you go to having played it abroad as well. [00:08:00] You know rugby, rugby’s one of those sports that transcends boundaries. And you know there’s an ethos [00:08:05] to the sport that is like everyone comes up with their, you know, what is it, hooligans [00:08:10] game played by gentlemen. Um, but it is. And rugby is one of those [00:08:15] sports that transcends that. And I think in Ireland especially, you know, you can see you can see that within the rugby [00:08:20] family here. My father has been the chairman of the rugby club in Dublin, living [00:08:25] in Belfast for the last 12 years. Um, and I’m still involved and that’s 20 [00:08:30] cuts the university, Trinity College and I’m still involved with the rugby club there. So yeah, I think, I think, [00:08:35] you know, growing up in Belfast, being, you know, being part of the rugby family there also gives you [00:08:40] a potentially a slightly wider look on things.

Rory Boyd: But look, there’s no I’m not getting around [00:08:45] the fact that Belfast has had some significant issues, whether whatever side of the fence [00:08:50] that you live on and, you know, I’m not trying to belittle them, they’re certainly very important. But [00:08:55] I think over the last 25 years we’ve had huge, huge leaps [00:09:00] forward. And I’m an example of that. I mean, I in fact, so much so even when I went to college [00:09:05] in Dublin, my fees were paid for by the Northern Irish Education [00:09:10] Board for cross-community, um, reasons. So the effectively the [00:09:15] Belfast Education and Library Board paid your fees only for undergrad now post grad certainly certainly [00:09:20] you had to pay for yourself but uh but you know so there were some positives [00:09:25] to it as well. And we you know I think look, I’m a I’m an optimistic person. I look back [00:09:30] probably a rose tinted glasses and say that it didn’t affect me very much. And, you know, there still are problems [00:09:35] there. And and there always will always will be. Certainly in my, in my lifetime I think, [00:09:40] um, but thankfully we’re, we’re moving forward and kind of hopefully [00:09:45] learning to live with those issues, um, and keep them, um, where [00:09:50] they’re peaceful.

Payman Langroudi: And what do.

Payman Langroudi: You feel Irish as in the [00:09:55] island of Ireland. That’s an interesting one.

Payman Langroudi: What do you feel?

Rory Boyd: So. And everyone. Irish, Northern [00:10:00] Irish. So if I’m on holiday and somebody asks me where I’m from, I say Ireland just because it’s easier. Uh, [00:10:05] so it doesn’t open up a strange conversation. If I get into it, I [00:10:10] would say I’m Northern Irish. I’m from the country of Northern Ireland. That is my nationality. [00:10:15] I can and have applied for the Irish passport. So [00:10:20] I do carry both passports, but that’s mainly because of Brexit, so I don’t have to stand the queues. Um, [00:10:25] the if you’re flying within Europe. But yeah I’m Northern Irish, northern. It’s the same some [00:10:30] someone said you know, it’s the same as Scotland. You know the Scottish people say they’re [00:10:35] British or do they say they’re Scottish and I. Yeah. So Scottish, I’m Northern Irish, I’m [00:10:40] from the island of Ireland. Um, and if somebody abroad [00:10:45] asks me, I just say Ireland because it’s easier. And I live in Dublin, so I don’t have to explain that. So yeah, [00:10:50] I suppose I don’t have a huge look. I enjoy being Irish. I enjoy Irish [00:10:55] traditions and and heritage. I enjoy traditional music here. I enjoy [00:11:00] our traditional national drink of Guinness here. But yeah, I think if I came down to it, I’m Northern Irish, [00:11:05] that’s my home. That’s where I was brought up and that’s that’s still home. Um, [00:11:10] even though I may not, uh, may not live, live there again, but we’ll see. But, [00:11:15] um, no, certainly I would say I’m Northern Irish, but I’m from the island of Ireland, just to be to [00:11:20] be clear, but no. And I like Dublin’s home now for me, like, my parents still live in Belfast, [00:11:25] but I think Dublin’s home for me for the foreseeable future.

Payman Langroudi: And so tell me about [00:11:30] dentistry. Why dentistry? Is your dad dentist? Anyone? Anyone in your family?

Payman Langroudi: Dentists? Good question.

Rory Boyd: I actually [00:11:35] wanted the architecture. Uh, so my brother’s a dentist. We [00:11:40] we don’t know. My dad’s not a dentist. My dad worked for one of the banks in Belfast, and my mum [00:11:45] is a special education teacher. She, interestingly enough, actually [00:11:50] one of the reasons I probably ended up so I was diagnosed with dyslexia when I was, uh, [00:11:55] just before about 6 or 7. And my mum at the time was a PE teacher. Um, [00:12:00] and she decided that when I was diagnosed with dyslexia to, to to go [00:12:05] heavy into dyslexia and kind of move out of PE, she actually dislocated her shoulder at the time as well. [00:12:10] So I think she needed a change. And um, she got big into that, which probably [00:12:15] I probably don’t appreciate enough how much that helped me along the way actually, [00:12:20] because because she got big into it. Then I got a lot of additional help at home. Don’t get me wrong, English [00:12:25] or any language wasn’t in my A-level choice, but but you know, that was a huge help [00:12:30] growing up. And then I think initially I wanted to be a chef because I really enjoyed cooking. [00:12:35] And then I really enjoyed technical, technical drawing from my [00:12:40] kind of technology and design subjects. So I kind of wanted do architecture, and then I took the head staggers when I got to it [00:12:45] because I when I got to A-levels and then my brother had applied for dentistry and [00:12:50] he had gone travelling for a year beforehand. So I wanted to go travelling, but my parents said I wasn’t allowed [00:12:55] to go travelling for a year unless I had a university place to come back to in case I never came back.

Rory Boyd: So [00:13:00] then I applied to to Dublin and I didn’t really know what I wanted to do. [00:13:05] I didn’t have dentistry now because I was basically the younger brother trying to copy his older brother. And I think [00:13:10] if I remember correctly, I put on physio. It didn’t. Yeah, I think physio [00:13:15] and pharmacy maybe. And I don’t know why I put pharmacy. That would have been a nightmare for me. But I really was just [00:13:20] shotgun approach to applying to university and I didn’t have, I didn’t have chemistry. So when [00:13:25] we applied from the north to the south, it doesn’t matter on the grade, it just matters on the on the points you get. Um, so [00:13:30] when I looked at dentistry, which was the kind of at that stage was the number one, and probably again, [00:13:35] just copying my brother, I couldn’t apply to the UK. There were no I had too much science for [00:13:40] the pre dent courses, the six year programmes, and I hadn’t enough science because [00:13:45] I hadn’t, I had done biology and physics, but I hadn’t done chemistry for the, for the, for the five year programme. So I couldn’t [00:13:50] actually apply to the UK, which is actually where I wanted to go because all my friends were going there from Belfast. So I ended up applying [00:13:55] to university not knowing what I wanted to do, and only applied to the university that I didn’t really want to go [00:14:00] to at the time. So um, but then I got in and [00:14:05] I actually, I took the year, I deferred it for a year, took the year I went travelling and a brilliant time [00:14:10] and I came back.

Payman Langroudi: Where’d you go? Where’d you go?

Rory Boyd: I did your your standard gap route. Uh, whatever it [00:14:15] was Thailand, Vietnam, Cambodia, Malaysia, Singapore, Australia, New Zealand, Fiji, Hawaii, California, [00:14:20] Arizona, Nevada, New York. Um.

Payman Langroudi: It was a big trip. [00:14:25]

Rory Boyd: Yeah, me and my best friend from school. So I came back, started dentistry. [00:14:30] And just from the word go was like a duck to water. Loved it. And [00:14:35] I think, you know, again, when you talk about high achievement or, you know, high performance or [00:14:40] those I think the number one, the high achievement of performance is enjoy it. And if [00:14:45] you enjoy it then then it’s game on. And and it doesn’t seem like a chore. Studying isn’t [00:14:50] as difficult. It always is, but isn’t as difficult. So yeah. [00:14:55]

Payman Langroudi: But you tell yourself to enjoy it. I mean, I’m sure there’s, there’s bits of [00:15:00] the job in the Ida that are, you know, difficult. I remember you running off to the media interviews [00:15:05] and all that. Um, do you tell yourself to enjoy things and then find find [00:15:10] the enjoyment in them? Yeah.

Rory Boyd: Yeah, potentially. And I think, yeah, [00:15:15] don’t get me wrong, you know, everyone, I’m not going to sit here and say that, you know, I still work five days a week. [00:15:20] I work and I’ve got a lot going on outside of my, my, my practice, um, job as well [00:15:25] with Irish Dental Association and other bits and pieces for different education, [00:15:30] um, reasons. And I still teach in the dental school and yeah, I’m busy, but yeah, [00:15:35] I think there might be some of it that you kind of go, you know, I’m not going to sit here and say that I, you know, every [00:15:40] minute of every day anything to do with dentistry is, is a is a is a love and a passion. And there [00:15:45] are certain aspects of it I don’t love, I don’t love admin, I don’t love the practice [00:15:50] management stuff. I don’t love HR, I don’t love, you know, there’s definitely some aspects [00:15:55] to it that that are a chore. But I think the number one still has to be I look, I’m [00:16:00] a clinician, I love treating patients and I love, I love I’m a prosthodontist, I [00:16:05] live for fit day. You know, that’s if you know, you have a big fit day coming up that week and, [00:16:10] you know, maybe, I don’t know, ten, 15, 20 units, whatever it may be for large, [00:16:15] you know, anterior work, you know, that’s what that’s what makes you tick. That’s [00:16:20] the that’s the buzz you fit the work, the patients and tears and happiness. Hopefully not sadness. [00:16:25] And and they’re the day. They’re the days I do it for. I really enjoy [00:16:30] teaching, um, because I have a real respect for educators. It’s [00:16:35] not just because you’ve you’ve got some accolades in your own personal academic achievement [00:16:40] does not make you an educator or a teacher. So that’s an area that I, that I really enjoy and [00:16:45] I enjoy trying to get better at. Um, and I’ve always committed to, [00:16:50] to teaching.

Payman Langroudi: At what point did you decide you want to be a specialist? Were you even in undergrad [00:16:55] thinking that or was it after?

Rory Boyd: No, I knew from the word go. The first. [00:17:00] And I was our third year, uh, undergraduate when we were doing our laboratories in [00:17:05] Cronin Bridge and Dancers. And that was the point. I knew and I [00:17:10] knew very, very, very quickly at that because they were the techniques that I enjoyed. I enjoyed [00:17:15] making stuff. And the same reason why I think I have a passion for cooking. I have a passion for, you know, [00:17:20] maybe not a passion for DIY, but I enjoy making stuff for problem solving and fixing things. And [00:17:25] I think process just really lent itself to me for that. And, you know, from there, [00:17:30] I kind of made it clear to everyone around me that prosthodontics is where I was trying [00:17:35] to go, and everything I did was based around owning that goal. Like the one piece of advice [00:17:40] I also give to younger dentists, and you get a lot of a lot of guys and final [00:17:45] year coming up and asking, oh, what should I do? Should what should I specialise in? Like, that’s not the question. [00:17:50] It’s what do I enjoy doing? Because especially those who do well in [00:17:55] exams or, you know, that kind of they’re coming top of their class and they see being a specialist [00:18:00] as the pinnacle of success, which I don’t think a specialist is having the privilege of being a specialist, having [00:18:05] the privilege to know nothing about everything else, and just having to do that little bit all day, every day. And [00:18:10] yes, okay, you have to be half decent at that. But I don’t see being a specialist [00:18:15] as, as above the general practitioner, I see it alongside and we’re we’re a lateral [00:18:20] referral. It’s not a hierarchical scheme that if you to be successful in dentistry you have to [00:18:25] be a specialist. That is not that is not the case. And anyone who does think that has too big an ego. [00:18:30]

Payman Langroudi: But when you tell.

Payman Langroudi: When you tell the youngster to to figure out what they enjoy.

Payman Langroudi: Yeah. [00:18:35]

Rory Boyd: And I do think, I.

Payman Langroudi: Do think.

Payman Langroudi: No position there, no position there. No. They’re in no position to figure [00:18:40] out what like if I’ve done if I’ve done only ten root canals, how do [00:18:45] I know whether I want to be an artist. And I find that my advice is opposite. [00:18:50] My advice is get good at something and you will enjoy that thing. Yeah, rather than figure [00:18:55] out what you enjoy.

Payman Langroudi: Yeah. Question.

Payman Langroudi: Because a lot of the a lot of them really stumble on that question all the time.

Rory Boyd: And it takes time. [00:19:00] I was very lucky that that that I knew my focus early on. But [00:19:05] I don’t think that’s the best route for everybody. I did, I did [00:19:10] I started a specialist program two years after graduation, and at that time I was the youngest specialist [00:19:15] on the program in Ireland. There has been some behind who’ve done it in the same timeline. I [00:19:20] don’t think that’s the best way to do it for everyone. Um, and having a broader experience [00:19:25] and practice beforehand can often be far more beneficial than [00:19:30] jumping into a speciality early doors, because if you don’t like it, [00:19:35] you’re stuck. At least in general dentistry, there are there are still avenues and pathways [00:19:40] to go. But if you narrow yourself so to to tightly at the start [00:19:45] in the quest of you know what you think will be perceived success. If I [00:19:50] become a specialist, that’s that’s going to get you into trouble because you’re going to end up doing a job you don’t enjoy. [00:19:55] So as you come back to what you said, enjoying what you do is, number one, you [00:20:00] know that that has to be your driver because success will follow when you enjoy it. [00:20:05] And that again, coming back to your question with high performance and and high achievement, [00:20:10] it it comes when you enjoy it. And the reason why I [00:20:15] was accepted onto the program earlier was because I’d made it very clear to the to the course [00:20:20] directors and things that this is this is what I enjoy, and that’s why I want to do the program, not not [00:20:25] for any other reason. And then, yeah, I was lucky enough to be to be accepted at the time. [00:20:30]

Payman Langroudi: But I’m interested. The reason I brought up the running thing is because I’m interested [00:20:35] in, in order to be to excel at Dental school or at anything in life. [00:20:40] Is there sacrifice? Of course there is, right. There is sacrifice. You all know that you’re [00:20:45] you’re sacrificing right now. Yeah. Spending this hour with me that you could be spending.

Payman Langroudi: You [00:20:50] know, with.

Payman Langroudi: No. But you know what I’m saying? This there’s sacrifice left right and centre. Now, [00:20:55] the question that that kind of intrigues me, right is that [00:21:00] is that sacrifice for some people at the cost of what? Yeah. So [00:21:05] the cost of the sacrifice. So when I say, oh, you turned up and you ran like, were [00:21:10] you the kind of Dental student who used to work your ass off and then party your ass off later on? Because there are [00:21:15] these individuals you meet in life who manage to pull that off. And I just [00:21:20] take my hat off to all of those types.

Rory Boyd: Yeah. I think if you if you knew me personally as [00:21:25] socially, you’d probably say, yeah, I think having a, having a good engine, having a good engine has [00:21:30] been, uh, has been, has been a term used before. Yeah. Look. Yeah. Look, I’ve, I [00:21:35] enjoy myself in all facets. Um, and. Yeah, but I think one of my biggest pieces [00:21:40] of advice. Never mind your partying and socialising. Yes, it’s definitely something that’s, that’s in [00:21:45] my repertoire. But I think having hobbies and interests outside of [00:21:50] dentistry is massively important. I think. Look, dentistry takes over a solid college, you [00:21:55] know, it’s all it’s everything you eat, breathe, sleep, sleep, drink. You know, I tried [00:22:00] to play rugby at college and it just didn’t fit with the timetable and injuries and [00:22:05] things. So I stopped playing serious rugby when I was in my second year. I still played some social Hospitals [00:22:10] Cup stuff, but still managed to fracture the base of my skull once, [00:22:15] shattered my eye socket. And third year oh my god, I’ve broken l5 c6 [00:22:20] like those. Just don’t. Those don’t comply with rugby. So rugby kind of for [00:22:25] any serious level of rugby stop for me and and kind of second year. But I do think what’s been [00:22:30] most important. So I obviously did a lot of college. I did my undergrad, I worked then as a kind of house [00:22:35] officer, which is like an nchd role, a hospital role for the year.

Rory Boyd: And then I worked [00:22:40] in practice in Belfast for a year, and I went back to my postgrad. So I was kind of in the dental hospital for [00:22:45] ten years, bar one in between. I spent a small bit of time at UCLA as [00:22:50] part of a postgrad and undergrad actually. But but otherwise I was in the dental hospital for the guts of ten years, I think [00:22:55] indirectly. So once I came out of dental school when I was 29, [00:23:00] I finished and I bought the practice. It [00:23:05] then practice takes over your life. Um, so that fills that void. But then [00:23:10] at some point there’s, there’s a, there’s kind of a realisation of this is it. [00:23:15] And you know, once you, you know, for me, I was lucky enough to buy a practice. So you knew you weren’t moving. [00:23:20] You’re the, you’re the you’re the only member of staff who isn’t at risk of leaving because it’s your house. [00:23:25] So there comes a point once that practice is up and running and kind of taking over and everything, you [00:23:30] kind of realise this is it. And because you go through college and you do first years, [00:23:35] you go through and you do your exams in second year and you get to fifth year and everything’s targeted, everything’s like there’s hurdles to [00:23:40] get over and you get over that and then you’re like, right, I want to do post-grad.

Rory Boyd: And then the targets, the post-grad. You get into that [00:23:45] and you’ve got three years of that, and then you’ve got, you know that and you’ve got your, your fellowships and your membership [00:23:50] exams or whatever. And once they’re done, then probably for specialists especially, I know there’s a lot more, [00:23:55] um, who don’t end up as practice owners, but specialist wise here still, the route would be that you would own your [00:24:00] business generally and that was the next target. Then you get that done, that’s up and running and then you’ve no more targets. Then. [00:24:05] Then what’s that’s it. And there’s this point in your career which happens earlier on early on [00:24:10] going right. Well what what am I to do next or what’s the and for me [00:24:15] look obviously building building and growing the practice is one, education is two. But enjoying yourself outside of dentistry [00:24:20] is three because you will burn out and you’ve just spent, whether it’s been undergrad and post grad, maybe you spent ten years [00:24:25] of your life committed to dentistry all in you look, you’re still going holidays and things, but but it’s all [00:24:30] in committed commitment. And I think it’s super important that we have time for travel [00:24:35] or for cooking, or for rugby, or for socialising or for partying, whenever that’s appropriate.

Rory Boyd: You [00:24:40] know that we that we have a full, you know, a full gamut of things that we enjoy [00:24:45] because the dentistry is a tough job. Um, it’s a physical job. It’s, [00:24:50] you know, it’s it’s patient facing 90% of the time. There’s no you know, you look [00:24:55] at our colleagues who work in offices, they’re meeting clients three times a week, you know, and otherwise they’re [00:25:00] in the office, you know, having 20 minutes to the coffee, the coffee machine with somebody and chit chat. And so [00:25:05] so we’re full on 9 to 5 patient facing. And that that is that is a [00:25:10] that’s a tough slog. And if that’s all you have in your in your enjoyment category that that can get [00:25:15] tough. So I think it’s really important whether look I obviously like to exercise in all [00:25:20] different areas. And as we get older, you generally hit that middle aged man who starts running marathons and doing triathlons. [00:25:25] I’m there. Um, but but I think it’s super important to have to [00:25:30] have serious enjoyment outside of dentistry as well. Look, I love dentistry more than anyone else in the planet. But [00:25:35] you have to have other aspects of your life that you enjoy that [00:25:40] you set time apart for. And dentistry we’re lucky enough for. Dentistry is a great job that you can you can take [00:25:45] time off.

Rory Boyd: You can, you can, you can travel. You can, you can do super interesting things. And [00:25:50] look, I think it’s I think it’s super important that we bring that into, we bring that into, into our [00:25:55] life. But you know, because dentistry does take can take over. And I think it’s really important that we that we remember [00:26:00] that and remind ourselves at times because there are times you can start chasing the waiting list, you can start working all [00:26:05] the hours in the day, and you can start to feel that kind of sense of, oh, there’s burnout. I [00:26:10] can feel it. You know? It’s like that’s that’s another, another six months of that. You can okay. You [00:26:15] can, you can get up, put yourself under pressure that you don’t need to. So it’s really important we recognise that and it’s absolutely [00:26:20] normal and like I yeah exercise would be my my my I exercise cooking [00:26:25] and travel would be my three. But but yeah like it’s super important that we recognise that especially for you [00:26:30] know I love teaching I love kind of mentorship of younger dentists. I love I love [00:26:35] seeing people that you have an influence on influencing blossom. And I [00:26:40] think that’s one of my major points is, is trying to make sure that you have interests outside of [00:26:45] outside of practice.

Payman Langroudi: So take me through the course [00:26:50] itself. The postgrad course was, I mean, a lot of people see doing a masters [00:26:55] as, as kind of the same whatever, wherever it is. And also [00:27:00] two different students on the same masters get completely different things out of it depending [00:27:05] on, you know, what they do and you spend that time at UCLA. I spent some time at UCSF [00:27:10] and the the mindset was very different out there. I found [00:27:15] amongst the post-grads, maybe because they were paying so much money or whatever it was, but not [00:27:20] I mean, they were getting into it younger than than here, earlier than here. I [00:27:25] from my experience, um, give me your reflections on, on, on on all of that sort of [00:27:30] specialising as a fixed price guy as a, as a pros guy. Um, the [00:27:35] course where to go. How much is going to cost you for a young guy thinking of specialising break [00:27:40] it down.

Payman Langroudi: Yeah.

Rory Boyd: It’s probably changed a little bit since I, I’m seven years out now. [00:27:45] But look, when I, when I first talked about wanting to do it and seriously talking about wanting [00:27:50] to do pros and kind of my final year of college and I what I would do, my best piece of advice [00:27:55] is get a mentor, find someone that you respect, appreciate what they do [00:28:00] have a relationship with, and and ask them, um, and ask them to guide you. And [00:28:05] if they can’t find out who can. Because for me, I there were a couple of, [00:28:10] um, you know, professional Colonel Mike Doctor Sullivan. At the time, they were kind of my [00:28:15] my mentors at the undergraduate level. I also had a couple of other [00:28:20] kind of younger prosthodontists that I really looked up to and knew very well socially. So it was easy for me because I had that [00:28:25] kind of natural communication line with mentors, which is which is hard because [00:28:30] especially if you’re a quieter, less I mean, I call it confidence, [00:28:35] but some people call it cockiness. Uh, if you’re less confidence, then it can be [00:28:40] difficult to approach somebody and ask them that within college. But that was for me. So I asked, [00:28:45] you know, what should I do? And I wanted to go to the States because going to the States was the thing every, you know, American [00:28:50] trained prosthodontist that’s, you know, at the time in Ireland, our Prosthodontic course has only [00:28:55] really been running well, it’s been running 23 years now, but at that time 20, 15 years old. [00:29:00]

Rory Boyd: So all the senior prosthodontist that you knew were all American trained, therefore American trained had to be the [00:29:05] thing that the way to go. So. But, but, but what I didn’t realise at the time was every single [00:29:10] course is completely different. The makeups different, what they actually study is different. The how they study [00:29:15] it is completely different. You know, for example, if I remember correctly, in my [00:29:20] intake, we place some implants on the, on the, on the POS program. But it was a handful, just [00:29:25] that you knew what you were basically asking for when you were referring it. But not enough. Not enough for you to [00:29:30] go ahead and place them. But it would be enough for you to go, right? Okay, maybe I want to add that to my repertoire when I get out, maybe go. And do [00:29:35] you know another program in surgery? But we placement, I don’t know, 5 [00:29:40] or 6 fixtures or something in our program. Then you go over the same [00:29:45] year group, you go to Chicago and they’re placing 100 fixtures a year in the program. Right. [00:29:50] So I was like, why didn’t she do the prosthodontics? But then removable [00:29:55] partial dentures, they did none. Right. So so every the courses are not heterogeneous [00:30:00] or homogeneous.

Rory Boyd: They’re they’re all very different. So, so [00:30:05] I so the first piece of advice was go and research the programs, get the syllabus and the curriculum. But the other problem [00:30:10] is when you’re qualifying fifth year, you read the syllabus. You don’t really know that either. You know, because you kind of go, well, what? [00:30:15] How much how much removable work is or how much. So you don’t you really need mentorship [00:30:20] or somebody you trust to go through that with you. So I had I looked at the States and that was kind [00:30:25] of where I was going to go. And then I threw an application into Dublin. Um, it opened [00:30:30] earlier, so I was going to apply to both. But really, in my heart of hearts, I wanted to go to the States and I and I [00:30:35] knew usually you needed about six years experience to get into Dublin, whereas obviously you’re right, in the States [00:30:40] they go straight from undergrad or, well, from, from from dental school they’ll call it. Yeah, their undergrad [00:30:45] before dental school. But they go straight from dental school, might do GPR or something, and then they’ll go into into the program. So they are [00:30:50] generally younger in their dental career than, than we would be in the UK or in Ireland. So [00:30:55] I didn’t think I’d get into Dublin because you needed six years, you know, anyone before me had had six years experience, not two. [00:31:00]

Rory Boyd: So then Dublin offered me a place and the whole American dream fell apart. Um, [00:31:05] so I was like, oh God. Right. Okay. You know, that’s brilliant. I get to study, [00:31:10] I get to stay at home night. There was part of me still wanted to go to the States and experience that. Um, my dad had been to [00:31:15] UCLA in the 70s. We’d spent a lot of time over there on summer holidays, you [00:31:20] know, meeting up with his pals. And and we have lots of friends that live in Los Angeles. So I kind of still [00:31:25] I still had that little itch that I wanted to scratch. Um, so that’s that’s [00:31:30] so that’s why I organised the externship and it was just basically the guts of a semester in my first [00:31:35] year. Um, I spent over there, but. So. Yeah. So the first thing I would, I would [00:31:40] when you’re, when you’re looking to apply is find out what they, what the [00:31:45] courses in the curriculums are, ask a mentor to go through those with you and then do everything [00:31:50] in your power, but find to find out what admissions criteria [00:31:55] they have, and then do everything in your power to, to go to, to meet those. And [00:32:00] the other thing I would also suggest is meet the universities, go over there, meet the, meet the staff, because [00:32:05] there aren’t going to be that many people applying.

Rory Boyd: I mean, if you look at, say Dublin here, we’ve, we’ve, we take [00:32:10] we prosthodontics, we take two a year. So if you’ve come over and met [00:32:15] the course director for a meeting and asked for a tour of the hospital, you’re showing that you want to go [00:32:20] when they’re sitting down in front of, you know, whatever shortlisting that they’re doing that you’re obviously going to get shortlisted [00:32:25] because they know they’ve got a face to the name on the CV or the or the application form. So that would be [00:32:30] from an admissions point of view, probably the best piece of advice I could give from that. So find a mentor, [00:32:35] find the right school, find the right curriculum, find out what they want and do absolutely everything [00:32:40] and more and meet them. Meeting them, I think, is, you know, even if you’re a [00:32:45] little bit short in the CV, they’re showing the effort to go over and meet them or um, and it’s [00:32:50] like, I remember being on the program in Dublin, and what they would do [00:32:55] is they would actually send the prospective um, students and they would actually sit with [00:33:00] the, the other students and the other students, or the prospective student probably [00:33:05] thought that was, oh, just for us to get to know them, but actually, what? Then they come around and ask us who we liked and who would [00:33:10] we want on the course. And, you know, people on the course and the staff within the course have all of the power [00:33:15] to, you know, make the decisions.

Rory Boyd: And it’s such a tricky decision because it can be a life changer. [00:33:20] You know, if you get onto the program, you don’t could change the course of everything, you know. So it is it is a stressful time. [00:33:25] But the Dublin course is based on the Air Force Manual. It’s an Air Force based curriculum which you’ll [00:33:30] find in the States that’s, you know, a kind of a theme. We’re Air Force based [00:33:35] in design with regards to our program, first six months with the tech course. So you don’t treat it, don’t [00:33:40] don’t treat a patient for the first year. Um, you do six months of, of [00:33:45] lab tech and then you do basically. Well, whatever the second half of [00:33:50] the year is basically assessments and workshops. Um, that’s about it. So, [00:33:55] um, because look, at the end of the day, every [00:34:00] everyone can cut grinds and cut veneers and, and, you know, whatever. But it’s planning [00:34:05] the cases. And assessing the cases are the two that I think are specialist [00:34:10] prosthodontist. That’s your speciality. Your speciality is planning. Good assessment, good diagnosis, [00:34:15] good planning. That’s it. The rest of it’s just executing okay. It might be bigger treatment, but [00:34:20] if you’ve got the case well planned and assessed you can’t. You know it’s not going to go [00:34:25] too far wrong.

Payman Langroudi: How many years was was your course.

Rory Boyd: Uh, three. And a bit [00:34:30] full time. Full time. Yeah. And you know your.

Payman Langroudi: How did you [00:34:35] fund.

Payman Langroudi: It?

Rory Boyd: Tricky one. When I was doing it, I think the was [00:34:40] what was it. Was it 25 grand a year unpaid [00:34:45] in Dublin through tricky one I, I went we I was very lucky [00:34:50] um I went to every bank in Dublin. Not one would give us [00:34:55] any money as you one offered me €3,000, I think. And you’re looking at 75 [00:35:00] grand fees to start with. So that was a tricky one. But I’m very, very lucky because [00:35:05] my parents funded it. Um, I knew that it did [00:35:10] clean out most of their savings account. And I remember very specifically, I [00:35:15] remember specifically having the sit down at the kitchen table with my mum and dad. My dad [00:35:20] asked me how much it was and I said 75 grand over three years. Mum, I think fell off [00:35:25] the chair at the end of the table. But dad with a bunch of background in banking was [00:35:30] like, right, well, if something costs 75 grand, what’s the what’s the um what’s the [00:35:35] payout? You know, what’s the what’s the return on investment. What’s the what’s your salary going to be when you finish. [00:35:40] And I obviously had no idea. So I. I came up with a number. [00:35:45] Um, that was huge. He kind of looked at me and was like, okay, [00:35:50] we can do it. And I sort of inside was like, oh, Jesus. So anyway, when [00:35:55] Full Circle did the program and when I bought the practice, my dad was my age [00:36:00] and still is my financial director, and we had the end of year one directors [00:36:05] meeting to discuss how things had gone. And it was an emotional enough [00:36:10] moment when dad put the hand across the table and, and put his hand out and said, um, congratulations. [00:36:15] And I said, oh, what’s that for? And he said, do you remember sitting at the kitchen table and [00:36:20] you told me the number that you thought you’d make when you finish this program? And [00:36:25] I said, oh, yeah. And he’s like, well, well done. You did it. And he said, I knew you were bullshitting me, [00:36:30] but you did it. And it was a full circle moment. And you [00:36:35] know.

Payman Langroudi: How many years in was.

Payman Langroudi: That first year?

Rory Boyd: It was first year, yeah. We had a [00:36:40] bumper with a bumper start, but yeah. So so the finance thing is difficult. I was very lucky. Uh, my parents, [00:36:45] my parents funded it, but I also got funded research, which is like hen’s teeth. [00:36:50] So I had a piece of research on a night appliance [00:36:55] called the Smart splint, which measured bruxism. So it effectively covered my fee second [00:37:00] and third year. So it was just living costs and doubling rent, which, which was really needed needed [00:37:05] to be covered. But it’s extremely difficult. And those fees have only gone up. And that’s one of the reasons [00:37:10] why I think there’s a lot more people who spend a couple of years in practice saving up, um, because it is difficult. And unfortunately, [00:37:15] the banks aren’t, aren’t willing to, to lend to that sector, even though I think that’s [00:37:20] madness because, yeah, you know, you’re effectively hopefully a good bet if you’ve got into that program. [00:37:25]

Payman Langroudi: How long after you qualified from the program did you start or buy [00:37:30] the practice?

Payman Langroudi: Yeah.

Rory Boyd: So, uh, spin off, um, [00:37:35] I had big plans to do because I think we discussed this, but because I was the youngest at the [00:37:40] time, I was the youngest qualifying post-grad here. I’ve kind of felt I should do [00:37:45] something weird and wonderful with with with my time. I had no wife, I had no kids, I had no [00:37:50] dependents, or I didn’t have a mortgage. I was, I was I remember [00:37:55] going in to get the funding for the practice and, uh, the [00:38:00] bank manager at the time asked me, did I have any, um, asset collateral? [00:38:05] And the only thing I could think of was my golf clubs and my watch. So at that stage, I didn’t have an [00:38:10] awful lot, so I was I planned to do this for a maverick. Um, I wanted to go to I said [00:38:15] it, most of it up at the time. I wanted to go to Europe and the States, and I was going to work a month [00:38:20] with each with different, you know, famous individuals or who I felt were famous in the prosthodontic [00:38:25] and implant world and just go for a year’s experience and kind of travel, um, [00:38:30] and learn some really cool dentistry along the way. Because I’d really enjoyed my time at UCLA, and I kind of felt, [00:38:35] you know, I’d learned a lot from that, um, just how different people work, how different [00:38:40] industries work in different countries and, and how, you know, there’s there’s not just one way to do [00:38:45] everything.

Rory Boyd: And in fact, the prosthodontics is probably 10 or 15. But. So I had that all kind of planned out. And then [00:38:50] one of my professors came to me and, and who had helped me organise this, um, doctor Jerry Cleary, [00:38:55] and he just sat me down and said, Rory, unfortunately, that’s not going to happen. Okay. [00:39:00] Uh, something happened. And he said, no, there is a very eminent [00:39:05] colleague that is is retiring. And he asked me, could I think of anyone [00:39:10] that was eligible or appropriate to take on his practice? And Doctor [00:39:15] Billy Davis was the, the the dentist that I took over from. And he was the second ever [00:39:20] board certified um prosthodontist in Europe and it was a lady in Norway was the first. Um, [00:39:25] so it was a long standing, you know, very famous practice in Ireland. And he [00:39:30] just said, look, these don’t come up very often. In fact, this, this, this particular practice would never [00:39:35] come. You know, this is a once in a career practice that that’ll be available to take on. So [00:39:40] I sort of like a rabbit in the headlights. And yes, I kind of, most of my career, you know, too [00:39:45] young to to understand really what you’re going through at the time.

Rory Boyd: So I kind of said, well, I don’t know how to [00:39:50] I wouldn’t know one where to start with, with, with managing a practice. [00:39:55] I mean, remember, I’d only worked in an NHS practice in West Belfast for [00:40:00] a year here, so I don’t have a lot of practice experience. And that was, you know, with all due respect. [00:40:05] And I love that year and it was brilliant practice, great fun. And Pierce Stinson, the principal, was was [00:40:10] a brilliant mentor. But in practice, ownership and, uh, you know, acquisition. [00:40:15] I certainly didn’t have a breadth of experience. So my professor [00:40:20] supervisor at the time, Gerry, just said, well, don’t worry about that. I’ll sort that out. All [00:40:25] right. Okay. So he said, just go for a meeting with Billy and, you know, [00:40:30] see what, see what the numbers are and if you what you feel and whatever. So I met with him and he’s, he’s [00:40:35] a, he’s a legend of a gentleman. Just, just just a really soft touch, soft approach [00:40:40] and beautiful human being. Met him. I was just like, yeah, this is it. This is, this is, this is going to this [00:40:45] is the practice for me. And we discussed numbers and I remember going, Gerry said, look, once you’ve had that [00:40:50] conversation, come and meet me.

Rory Boyd: We’ll have a glass of wine and let’s discuss it. So [00:40:55] we did that, discussed it. And you know, Gerry and Term basically said, look, when I was your age, [00:41:00] there was a dentist in Dublin called called Colin O’Sullivan, who basically did the same thing for him, [00:41:05] that Gerry came back from the States. He studied in Indiana, and he came back kind of fresh off the boat [00:41:10] and call him, kind of took him under the wing and said, right, you’re going to buy my practice and I’m going [00:41:15] to help you up, up the ladder. And with regards to costs and finance and and you’re going to pick somebody [00:41:20] at the end of your career. So Gerry said, then that’s what I’m doing now. So I’m going to help you out. I’m [00:41:25] going to get you on your feet. And you’re only promise. Well, he kind of give me two promises. One was that [00:41:30] I give everything to the Ida and got heavily involved in that, and two was that I did the same for for someone [00:41:35] that I felt appropriate at the end of my career to make sure I helped somebody to to [00:41:40] the line and practice and get somebody, you know, pull them up with help, mentorship and [00:41:45] some finance. Um, so yeah, it’s an incredible, incredible [00:41:50] way to get started. What a.

Payman Langroudi: Beautiful, beautiful, beautiful.

Payman Langroudi: Story that.

Payman Langroudi: Is, man. And yeah it’s.

Rory Boyd: Great. And [00:41:55] look, I don’t know how many times and how many stages that I’ve [00:42:00] said. Everything in my career is due to the mentors that I’ve had and Gerry being, you know, probably [00:42:05] the number one with regards to practice. But it’s those, it’s those and those are what I [00:42:10] call educators, you know, and look what Gerry did for me and got me a practice going is different. That’s brilliant. [00:42:15] And I’m really looking forward to being able to do that for someone else. But it’s those mentors [00:42:20] that surround you and you know, that mould you as a, as a clinician and. And, [00:42:25] you know, an academic and as an educator, those are those are the those are the educators. [00:42:30] Those are what I’m trying to live up to their who I have the most respect for. And, you know, you [00:42:35] see all these dentists or, you know, see all these centres all over Instagram and all over, you know, go to conferences [00:42:40] and they’re waxing, you know, I have grateful respect for them and they’re great clinicians. But it’s the guys that actually [00:42:45] shape younger dentists and actually give up their time. You know, you look at [00:42:50] the supervisors and the educators that are giving up their time because they do not get paid well, being one of them at [00:42:55] this point. You know, I teach in the dental school one afternoon a week. I think what I get for it probably covers my parking. [00:43:00]

Rory Boyd: Um, and that’s about it. Um, so I understand that. And those [00:43:05] guys have, you know, given up their time and their and their expertise because they, they feel a privilege [00:43:10] to have the expertise. And it’s even more of a privilege to be able to pass them on. And those [00:43:15] are the dentists that I have the most respect for is the educators, because [00:43:20] you can go out into practice and you can make all the money in the world. You can have the, you know, the, [00:43:25] the champagne life. And but to give up your time is [00:43:30] probably the most expensive thing. Um, but on the flip side, I also understand why [00:43:35] they do it. Because the kudos or the feeling you get when you see somebody over a three, four, six, [00:43:40] 12 month period and develop is why they do it, and it’s why I do it. And [00:43:45] they are the dentists that I have to just Uber respect for. And they’re the ones that, you [00:43:50] know, I’m trying to learn to get better at with regards to education and [00:43:55] understanding how to try and simplify, um, things because you forget, [00:44:00] I mean, when you when you first go back to teach and you’ve got fifth years, you think when you were in fifth year, you were, you [00:44:05] know, shooting bazookas, you were you were.

Payman Langroudi: You were you were.

Rory Boyd: You were nothing. You could no [00:44:10] tooth could not be saved. You know, everything was favourable and you could take on any film [00:44:15] or rehab and you thought you were. But actually, looking back now, you realise how inexperienced [00:44:20] I’ll put it, that you were at the time. And, and I, you know, I take a group of fifth years now and. Yes, [00:44:25] look, there’s there’s still lots of experience to go and you know, but God that’s you know, dental [00:44:30] school is the start, not the finish. But we forget where we were at when we [00:44:35] were in fifth year. Until you go back and teach them and you go, oh gosh, that’s where we’re at. And we’ve got a bit to go here. But when you see [00:44:40] them develop over however long you have that group for, that’s the that’s [00:44:45] the payment, that’s the excitement. That’s that’s the buzz for me. That’s the same as, you know, [00:44:50] for my rehab fit day. That’s why you do it. And for no other reason than [00:44:55] the satisfaction that you get out of passing on the knowledge that you had the privilege to get in the first place.

Payman Langroudi: You [00:45:00] know, also, education and educators come in all [00:45:05] shapes and sizes these days, right? Yeah. But but Jaz Gulati, I don’t know [00:45:10] if you’ve come across his podcast, right.

Rory Boyd: Yeah. Yeah, briefly I have we actually we asked him to speak at the [00:45:15] Ida last year. So yeah. Yeah.

Payman Langroudi: He’s I don’t know, he’s 7 or 8 years out of dental [00:45:20] school and I’d say he’s one of the top educators in the country. Yeah. Yeah. And [00:45:25] it’s a whole different form of education. It’s not it’s not you know, it’s a podcast. You [00:45:30] know, I’ve stopped practising 12 years ago and I still listen to his podcast [00:45:35] on snoring or something. Yeah. Because he just he just makes it interesting and kind of answers [00:45:40] the questions in your head.

Payman Langroudi: Yeah.

Rory Boyd: And it’s the ability to mimic exactly the way he does it. It’s the ability [00:45:45] to make something so boring, so interesting at times. I mean, you think [00:45:50] of even I know I still get a buzz out of material science, but some stuff can get really heavy and and fairly [00:45:55] boring. And I also think, you know, if you look at the who I, on an international level, look [00:46:00] up to and have a really good relationship with, you know, to simplify things as Marcus Platz, if anybody doesn’t [00:46:05] follow Marcus Platz Instagram, he has the ability to make especially [00:46:10] generally fixed posts so simple and just makes, you know, 2 or 3 variations [00:46:15] of every single thing. Just simplify it, simplify, simplify. And that’s something I very much try and take into my [00:46:20] education or teaching or whatever, is to try and simplify [00:46:25] things, because at times you get every Tom, Dick and Harry is trying to make their own method their own way and [00:46:30] they’ll name it after, you know, this is the the Boyd method or whatever it may be. Right? But [00:46:35] the really good educators just simplify it down. They don’t make more more issues, more [00:46:40] confusion. They actually simplify it down and go, right. These are the these are the three best ways. And these are these are the [00:46:45] indications for each one done. Move on next one.

Rory Boyd: And I find that, you know, I find from an education point of [00:46:50] view is the ability to simplify. Yes. To make it exciting and enjoyable. Case number one. But to [00:46:55] simplify things down, especially in process, you know, there’s so many different [00:47:00] variations and methods and different birds and different concepts and different materials [00:47:05] and different cements and different, you know, and, you know, it’s it’s somebody [00:47:10] who’s, you know, Marcus Blass, I find it fascinating person because he’s to start with [00:47:15] extremely smart and a serious academic. You know, if you look at the papers he’s [00:47:20] published, the academia is where he came from. But the education. Asian. [00:47:25] The the educator then came second. And he’s right there in pen [00:47:30] and like the work. I don’t know how many hours because he is a brilliant surfer. He is brilliant [00:47:35] at drums and I don’t because he travels the world educating everyone else [00:47:40] outside of his own university. He also then has his own postgraduate and undergraduate systems. [00:47:45] And if you’ve ever been to the university, it’s one of the most incredible outfits. And how [00:47:50] he has the time, because if you follow on Instagram, he seems to be in a different country every week. [00:47:55] And when he comes, when he comes to your country and when you go and see him speak, [00:48:00] because I hope everyone gets the opportunity to. He has so much energy and makes you feel as if you’re the only [00:48:05] person in the room.

Rory Boyd: Every time he speaks and I find it, I find him. I find like we [00:48:10] we I find him really fascinating. I the pleasure to drive him from Dublin, Dublin to Galway. [00:48:15] We I picked him up and he went over and spoke for us, the Irish Dental Association, a number of years ago, [00:48:20] and I picked him up and he just got off the overnight flight from, from New York. And [00:48:25] I think I must it must be 9:00 in the morning. He’d been up all night. He jumped in my car and [00:48:30] we drove Dublin to Galway, probably two and a half, three hours, 2.5 hours. And [00:48:35] the radio didn’t go on once we just talked. We’d met once before in Chicago [00:48:40] at an event, and that’s why I’d asked him to come over. And we just talked industry the whole way to Galway, and we [00:48:45] kind of got to Galway and I was like, how’s your battery level? You, you, you’re tired. And he [00:48:50] and he said, no, no, I’m good, I’m good. I was like, well, do you want to go on to Connemara? Because I’m enjoying this conversation so much and [00:48:55] go and get more out of you here. So we then took off. I took him down to Connemara. We had lunch in Ballynahinch Castle, [00:49:00] Connemara.

Rory Boyd: For anyone who hasn’t been. It’s just like. Disneyland for people who like landscapes. [00:49:05] Um, and Marcus just put his phone and record set up in the front of the car and recorded [00:49:10] the whole drive down through up to Ballynahinch Castle. We launched and we came back and he got out of the car and he said that was [00:49:15] one of the best drives I’ve ever had. And I was like, it definitely wasn’t my conversation. It was definitely more the landscape. [00:49:20] Um, but yeah, we have a good relationship. I find him one of the most [00:49:25] fascinating human beings, just because he is he’s the most the most intelligent [00:49:30] person I think I’ve ever met, especially in a Dental. And, you know, within dentistry and the [00:49:35] ability for him to simplify, simplify things and educate them is incredible. Never mind is [00:49:40] his other hobbies and bits and pieces. I just don’t see how. Because, you know, I try my best to have all the time in the world as [00:49:45] well. But he has. He’s some sort of teleporting device or something, I think, because, [00:49:50] you know, he’s in different countries every week with the same energy and the same buzz and, you know, [00:49:55] and never mind all of the research output that he still does, all the education stuff he still does [00:50:00] in Japan. And yeah, incredible.

Payman Langroudi: You know, [00:50:05] that that thing about a lot of times simplicity comes from deep understanding. [00:50:10] Yeah. You know, because you say, I mean, kind of you were [00:50:15] alluding to all right. The three ways of doing this, the three ways to bring it down to [00:50:20] three succinct things. You need a deep understanding. The other thing I the [00:50:25] older I get, the more I realise. I mean, you probably know this already, but being an expert [00:50:30] at something. It comes down to just doing the basics, correct? Yeah. [00:50:35] That’s it. That’s the whole.

Payman Langroudi: Thing.

Rory Boyd: And it’s playing [00:50:40] by the rules that you know.

Payman Langroudi: Yeah.

Payman Langroudi: Not not shortcuts.

Payman Langroudi: No shortcuts.

Rory Boyd: And [00:50:45] and if there isn’t enough for all, there isn’t enough for all okay. You know. Yeah. You know, [00:50:50] and I, you know, I often get it when, especially in the dental school, someone comes over. Oh, well, [00:50:55] can I, can I do the root canal treatment on this tooth? You know that tooth that’s a retained [00:51:00] root, in my opinion. That’s not a. Yeah, but you know, but I can still do the root canal. It’s like. Yeah, right. It’s [00:51:05] playing by the rules. Yeah. It’s like 100% basics. And knowing your own limits [00:51:10] and just doing the basics right. And again, it comes back to for me it’s [00:51:15] assessment and planning, you know, cutting a crown or executing a veneer or [00:51:20] doing a good composite bond up or posting core crowns and over [00:51:25] feeding them out. But you know, if you can assess properly and pick the case and pick the easy one, pick the best way to [00:51:30] do it. Executing the treatment is easy. Picking the right time to do it is the tricky bit [00:51:35] and that’s the basics. It’s understanding good diagnosis, good planning. And then [00:51:40] once you have your problem list, I don’t start any treatment. Won’t touch the patient with any burr until you have your [00:51:45] list of treatments that you you know I’m going tip tip tip I just got my it’s like cooking and I [00:51:50] like I make my recipe and I write out the recipe before I start and I just go through one, [00:51:55] two, three.

Rory Boyd: And that is just pure assessment and planning. But if you do not have that, [00:52:00] you don’t have the vehicle to get to success. You can’t go through a treatment without having it [00:52:05] absolutely planned to the nth degree beforehand. And and you know, don’t get [00:52:10] me wrong, some stuff may change along the the treatment. You know, some of our patients are three, five years [00:52:15] long. Um, some stuff changes. Ortho can’t achieve what you thought they could or, [00:52:20] you know, think teeth fail in the interim things change. But but it’s assessment and planning and and that is the basics [00:52:25] and it’s success. You know, what you’re doing is diagnosing problems [00:52:30] and setting the dentistry rules of what I can and can’t do against that. That’s it. Everything [00:52:35] else is, you know, that’s that’s as complicated as it needs to be. And I also [00:52:40] think the best the experts are the best philosophy of the best treatment [00:52:45] philosophy is I need to do as little dentistry as physically possible [00:52:50] to get to the desired outcome. And a lot of times we can overengineer and we’re using dentistry, [00:52:55] you know, different dentistry to cut corners, taking teeth out and putting implants in where we maybe we [00:53:00] should hold on to them is the least amount of dentistry somebody has in their mouth.

Rory Boyd: And the more amount of [00:53:05] their beautiful, healthy, natural teeth they have in their mouth. For me, that’s successful dentistry, [00:53:10] and that might be slightly against the grain for somebody to think, oh, well, he’s a prosthodontist. And [00:53:15] he, you know, specialises in treating porcelain deficiencies. And um, [00:53:20] but for me the the best treatment plan is the smallest one to, [00:53:25] to achieve the desired outcome and not overengineer it. Keeping it simple, keeping it basic [00:53:30] and just really meticulous assessment and planning I think [00:53:35] and I think I think as you said, you know, experts are you know, to [00:53:40] simplify something, you need to know a lot. And I appreciate that. And I think that is fair enough, you know, to to apply [00:53:45] the correct system to a problem, um, to or to an input if you, you know, if [00:53:50] we go back to systems and input process output, you know, to apply the best process [00:53:55] to whatever the input is to achieve the desired outcome does take a breadth of knowledge [00:54:00] or experience. And it’s interesting. I was listening to your I’m trying to remember who it was, but one of your [00:54:05] other guests that you had on and you were talking about experience and you couldn’t buy it and experience you have to [00:54:10] go through and that you have to make mistakes to, to develop.

Rory Boyd: I [00:54:15] agree with that to a point. Where I disagree with that is that you can’t buy experience to [00:54:20] to a point, uh, and that’s education, because the difference, you know, and the difference [00:54:25] between postgraduate and undergraduate education for me is that undergraduate education is [00:54:30] based on textbooks and it’s based on these are the rules. And this is the way postgraduate [00:54:35] education is based on research. I’m learning of somebody else’s experience. So [00:54:40] if I follow the rules of the research or the guidelines or, [00:54:45] or that I’m actually using somebody else’s experience and adding it [00:54:50] to my own without having to actually do it right? Don’t get me wrong, that doesn’t there’s there’s nothing that [00:54:55] will, you know, teach you how to do a crime, prep better, you know, change your crime preps from [00:55:00] 12 degrees to six degrees of taper. You know, that is you need hands on experience. But [00:55:05] for people out there that that think that they can just start tackling any [00:55:10] case and put it down to experience if it goes wrong, is is where I [00:55:15] and I, that’s where I, I’m, I’m an academic. I, I enjoy the education, I enjoy [00:55:20] the postgraduate thing. And I think what you do and effectively what you’re doing in [00:55:25] three years of a postgraduate is accelerating the ability to do what you could do if [00:55:30] you didn’t know.

Rory Boyd: Not everyone has to do a. To get there. There’s plenty of ways to skin a cat, and if you want to do your high level [00:55:35] portion ceramic work, you don’t need to be a prosthodontist. It might take you 15, 20 years or whatever [00:55:40] of different weekend courses and different bits to add to your to your to your, you know, [00:55:45] strings to add to your bow. But what you’re doing by doing a postgrad is buying the experience of everyone [00:55:50] before you, because that’s where you’re going to learn the classic literature, the modern literature. And [00:55:55] then you put that together with your own outlook and overview on, on on things and where that fits into [00:56:00] your own practice. And that’s the, that’s the difference. And, and for me [00:56:05] then, then yes, you still need the experience of, of, you know, cutting crowns and talking to patients [00:56:10] and all of that. But I think education is, you know, with regards to experience, [00:56:15] just when I, when I was listening to that, I was like, can buy a little bit, but don’t get me wrong, you [00:56:20] know, and you still need experience of things going wrong, that it happens to all of us. [00:56:25]

Payman Langroudi: Yeah.

Payman Langroudi: Which brings us nicely onto I think. I think, you know, the reason I said that was because I asked the lady [00:56:30] about mistakes and she she was stuttering. And then I wanted to sort [00:56:35] of, sort of frame it in the experience, uh, bucket. But but, but [00:56:40] I, I take on what you say completely. Let’s, let’s move on to the darker [00:56:45] side of this port. Errors, mistakes, [00:56:50] clinical mistakes in the light of, you know, the black box thinking [00:56:55] plane goes down, they figure out what went wrong. Not not [00:57:00] who’s to blame. And then they put it out for the whole community to to learn from [00:57:05] that mistake. Yeah, it would be lovely if Ireland’s top prosthodontist [00:57:10] could hit us with some mistakes.

Rory Boyd: Can I have a look under the curtain? Yeah. [00:57:15] Look, I mean, mistakes happen, everyone. And I’ve always funny. I’ve always said, you know, the best speakers are the ones [00:57:20] that get up and they give a presentation on everything that went wrong in their career. And they’ve got so much you [00:57:25] kind of think you look up to them. Oh, how much confidence they have to to show that it’s still difficult to [00:57:30] go through mistakes and but yeah, it’s 100% you know, that’s that’s one of the reasons we you know, we [00:57:35] would encourage certainly when I’m teaching is to take photographs of everything because you don’t you you [00:57:40] get more out of case analysis and retrospective analysis of your cases than you do out of anything else. [00:57:45] And it’s another one of the reasons why I think digital dentistry and scanners [00:57:50] are improving everybody’s preparation design tenfold. Because [00:57:55] when you blow your I’ve a curve like in my practice, I have a curve, I don’t know, 42 [00:58:00] inch screen or something connected to my, um, my scanner. So my preps [00:58:05] are now like a foot and a half wide when I’m looking at them. And that retrospective [00:58:10] analysis will make you go back and re prep every one that you do and repolish [00:58:15] and re and make sure you’ve actually smoothed out margins. So, so retrospective analysis is obviously I [00:58:20] think super key start off in my career. Biggest mistake I was working in Belfast [00:58:25] and this is just time management is the is what this should be titled. As I was working in an [00:58:30] NHS practice in West Belfast and you know, it was very much, [00:58:35] you know, look as, as we know them, it’s fee per item in Belfast, very different to the UDA [00:58:40] system.

Rory Boyd: And in England it was certainly at the time. But you’re trying to do we were trying trying [00:58:45] to you know, you weren’t, you weren’t getting paid an awful lot for it. We were trying to push the push the boundaries and the time management. [00:58:50] And I remember unfortunately this patient needed IV sedation as well. So that kind of brought [00:58:55] you down to 45 odd minutes of whatever of decent sedation. So we [00:59:00] had our data and my plan was to do a multi root canal treatment on a lower six. This is granted 16 [00:59:05] months out of college. I was doing a lower rate six multi Indo [00:59:10] post and core prep impression temporary [00:59:15] uh in 45 minutes. So this is where [00:59:20] I, you know this is where I’ll go back to the, you know, not knowing your limits. And time management was definitely not at [00:59:25] its best at this point in time. Granted, it was the guts of whatever 15 years ago. [00:59:30] So anyway, I’m working away with the the, um, [00:59:35] the Ando and I’m struggling. You know, I’m not really. I’m not really finding [00:59:40] that. Never mind the distal canal. I’m not finding the two major ones either. So anyway, [00:59:45] I end up, you know, getting through their gates, getting a bit of pressure. I got through it. We [00:59:50] were using thermal fill at the time, so there wasn’t. I was using an apex locator, which gave [00:59:55] me slightly weird readings, but I could get pretty consistent with the readings.

Rory Boyd: And [01:00:00] anyway, I took my post-op after my my after my post was placed and after [01:00:05] my core was placed, I took my post-op x ray and realised both medial observations [01:00:10] were perfectly to length, but unfortunately not inside the tooth. And [01:00:15] I perforated both of them. Um, yeah. No, actually they were right in [01:00:20] the trabecular bone. They were, I mean, length wise, bang on. But, uh, they were not, not in the right [01:00:25] spot. And to be fair, to this day, it’s still the worst thing I’ve ever done in the dental chair. And, um, I have the X-ray [01:00:30] of it, I show it. Lectures often said, look, things can go wrong and can happen. [01:00:35] And this is what happens when time management was an issue. I was inexperienced, I [01:00:40] was trying to do too much in one session. We ended up repairing the perforations [01:00:45] and the tooth to well, I don’t know. It’s a long time ago, but [01:00:50] certainly five five years post-operatively the tooth was still there. So there is, there is a there is a positive [01:00:55] end to that story, but I just remember it so clearly. It was the first time I’d made a big mistake. [01:01:00] Uh, or. Well, you know, I was, uh, same mistake. I’d perforated a tooth and I hadn’t taken a working length radiograph, [01:01:05] and it was the first time I felt that gut feeling of. Was my technique. Right enough. [01:01:10] Did I leave enough time? And I could see holes in my planning for even [01:01:15] such a small case. But I could see holes in my time.

Rory Boyd: Management was poor. I was I was [01:01:20] being a bit gung ho. That should have been separated in a different, you know, different appointments. But it was [01:01:25] the first ever case that rocked me. It was the first one that made me feel a bit, oh, I used to I [01:01:30] thought I was good at this. And, you know, until that happens, I think, you know, I think it’s [01:01:35] obviously not important that if that happens, if there’s a negative outcome for a patient, you know, that goes without being said. [01:01:40] But it’s important that you do have either near misses or [01:01:45] issues that you that you that you see, that you appreciate, you understand, and you then realise [01:01:50] you have to make a change in how you execute, whatever it may be. The other one, [01:01:55] I’ll so that was kind of the the start of my undergraduate or my, my, my general [01:02:00] dentistry career. The other one I’ll use, which hurts me a little [01:02:05] bit more is, is, is, is. And the advice on this one is, no, no, your [01:02:10] new lab would be that I would title this one. And I had done a [01:02:15] veneer case and I was using a fancy new lab, um, based [01:02:20] internationally. And they came back and this [01:02:25] again would be relatively close to the start of my prosthodontic career. And I’d never used [01:02:30] the lab before, and I’d always used labs that preached [01:02:35] the veneers. This lab, I for some reason [01:02:40] presumed they preached the veneers and therefore I only just did a washout [01:02:45] etch with with phosphoric. I didn’t use ferric acid on them, so thinking [01:02:50] that they were pre etched and I fitted the veneers and they were beautiful.

Rory Boyd: They were they. [01:02:55] I still have photographs of them saying that they’re some of the finest ceramic work. They’re beautifully done. Beautiful [01:03:00] feldspathic hand stack. You know, whatever they were, they were they were just [01:03:05] the bee’s knees. I was delighted with myself. And the patient came [01:03:10] back, I’d say with the first one D bonded six months later, which I was actually quite surprised that [01:03:15] it would that that it would stay on for that long. And initially I was like, gosh, that’s very strange. [01:03:20] And, you know, really wouldn’t expect that. And fine, we [01:03:25] we were actually able to re cement that one. And then about a month later the next one went, [01:03:30] I was like, oh my God, what on earth is I racked my brains. What is going wrong here? You [01:03:35] know, they were I they were cemented under isolation. We’ve gone through the whole, you know, everything [01:03:40] was cracked and then it twigged. It dawned on me. So I phoned the technician and thankfully [01:03:45] I hadn’t done a lot of cases with him because it took six months to come back and work. Right. [01:03:50] I said, just a quick question. The veneers that we did there six months ago, they [01:03:55] for some reason they’re de-bonding and they’re not de-bonding under, you know, it’s not a bruxism issue or [01:04:00] whatever. But anyway, we got to the bottom of it. They weren’t etched. So I had fitted the set [01:04:05] of six anterior veneers as a specialist prosthodontist that were not etched.

Payman Langroudi: So [01:04:10] labs what what did you do.

Payman Langroudi: Get the patient in.

Payman Langroudi: And.

Rory Boyd: Did them all again? [01:04:15] Um, and thankfully she was a wonderful patient and you [01:04:20] know, and she was happy to get them redone. That could have been very different. [01:04:25] Um, as you can imagine, you know, the three hour session that that I would take off to do that. Uh, [01:04:30] and the three, you know, the second three hour fit that she, I’m sure didn’t love and enjoy. So thankfully [01:04:35] communication was, well, good.

Payman Langroudi: But I just, you know, that both of those were really good. Good, [01:04:40] good good ones. Yeah. Because you can learn something from both of those. But I kind of want one that went [01:04:45] badly because both of those went really well. You want a bad one? Yeah. Like you’re most likely. Think of it this [01:04:50] way. Your most difficult patient.

Rory Boyd: Yeah. I’ll [01:04:55] be honest with you. I’m lucky enough. And I think actually, when we’re [01:05:00] discussing difficulties, I actually think the biggest thing that you need to learn when you’re having a difficult [01:05:05] or, I suppose, miscommunication or difficult, I think communication with a patient [01:05:10] after any difficult case is key. It gets you out of trouble, and if you can communicate [01:05:15] with the patient and explain to them why, you know, an [01:05:20] issue has arisen or problems, that the communication with the patient is key. So when you ask me, tell [01:05:25] me about a patient that went horribly wrong or your worst patient or you know, anyone that sued you or [01:05:30] issues like that, I don’t have many, I have some, I [01:05:35] have some, you know, I don’t have many that that have turned that have been a lasting problem. I [01:05:40] have certainly let me think now.

Payman Langroudi: I [01:05:45] mean, okay, another way of looking at it, but if you want is, you know, you’re [01:05:50] in digital. And in digital, it’s still very much [01:05:55] sort of in the evolutionary phase. So, you know, one one [01:06:00] way of looking at obviously the etching issue that was that was an error, communication error, [01:06:05] I guess. But with digital, you must have had moments right where you tried tried something and it didn’t [01:06:10] work. I mean, how can you how can you be at the forefront of that.

Payman Langroudi: Without full charge?

Rory Boyd: So [01:06:15] as you said, when you’re when you’re when you’re learning, I first started, I did the, the [01:06:20] three ship course when I was in UCLA and that would have been. 2013? [01:06:25] Maybe. So. I’m like ten years using three [01:06:30] ships. Uh, and formlabs. Um, but there are different [01:06:35] iterations and. Yeah, 100%. Okay, so let’s open up the closet of the digital [01:06:40] tries and fails. Um, first, first ever digital workshop that took [01:06:45] me, I think, about 36 hours sitting at the table at, uh, over total. [01:06:50] Um, I was doing it with a Dental designer with three ship, and the thing crashed every [01:06:55] time you did. Maybe six teeth crash. Next one start again. Not nearly [01:07:00] nearly never. I nearly never went back to digital again. That was that was it. I think the big ones [01:07:05] that clinically was full arch implant, 3D printed. Um, [01:07:10] uh, yeah. I mean, all of them broke. And [01:07:15] look, I know the materials have got a little better, but they still break. Okay. [01:07:20] And look, milled acrylic breaks. So printed acrylics definitely got a break. Um, just the impact resistance. [01:07:25] And the fracture toughness isn’t good enough. And the other one that will really, for anybody out there that’ll really [01:07:30] kill them is, uh, just milled or 3D printed templates [01:07:35] because there are two when you try and put it on a tie base, the the neck [01:07:40] of the whether it’s acrylic or, um, printed materials, it’s too [01:07:45] thin. So it fractures off the tie base. So the amount of times [01:07:50] that I thought I was saving money and I was doing it, really, I was being really cool and I was, I was getting [01:07:55] I was, I was 3D printing teeth before because I was using basically I would use the denture teeth.

Rory Boyd: Um, [01:08:00] when they were first marked, they had a crown and Formlabs had a crown and an original crown [01:08:05] and bridge material, but actually the denture teeth material I found a little bit better, a little bit more fracture toughness [01:08:10] to it. And the 3D printed that. And then, you know, you put it and I dined [01:08:15] out in lectures of doing that. And oh, it was the new tooth coloured printable material that was CE marked [01:08:20] at the time. I didn’t at that point have that every single one of them fractured [01:08:25] because I didn’t have the longevity evidence. I was like 30 [01:08:30] and I’d been using, you know, this material come out six months. It didn’t have any evidence. And [01:08:35] the. Yeah. So I mean, then we learned that we need new materials and it’s interesting. And like, [01:08:40] I’ve worked with Formlabs for a long time. If you look at the hard acrylic, which is called Dental [01:08:45] light, if you look at their acrylic material, I don’t know how many hundred [01:08:50] night guards I’ve made with light version one, but I would say I’ve probably had about, [01:08:55] I’d say 90 fractures probably over the time. And it was interesting. [01:09:00] I always asked the question, did it? And I should fair. I should have done some evidence on it because [01:09:05] we I make a lot of night appearances. You’ve got a lot of ceramic work in there that needs insurance [01:09:10] policies over them. So that’s your night guard. Um, and yeah, I’d say I’d [01:09:15] say I’m probably 90 fractures, probably.

Rory Boyd: But when you always ask the patient, how did it, you know, did it break and function and oh, [01:09:20] you know, you kind of looked a bit shocked. No, no. It’s when they dropped it in the sink when they were washing it. And it was always [01:09:25] when they dropped it in the sink. And it just didn’t have the impact resistance. It didn’t have the [01:09:30] durability and fracture toughness of of that. And interestingly enough, Formlabs got fed that information [01:09:35] back and said, look, these are breaking all the time. And if you look when they they then went back re-engineered [01:09:40] and brought out V2, the version two of it haven’t had one fracture. And it’s a really good evidence [01:09:45] of seeing in a very short space of time. And if you look at 3D printing in total, it’s [01:09:50] a really good a really good evidence. If you look at the evolution of the materials, the printing hasn’t really changed. [01:09:55] You can still use like Formlabs just brought out their new one, but you can still use a form two, [01:10:00] right? Which is, which is uh, by modern standards are relic. [01:10:05] You know, it’s a classic printer. You can still use that with new [01:10:10] materials and still works fine. That’s I mean, that’s in print. I still have a form two. It’s just in the corner. And if I [01:10:15] need multiple materials for tomorrow, so I’ll throw it on. It still prints prints pretty good. And [01:10:20] you know, you can use the modern materials in a printer that was bought for three and a half grand. [01:10:25] I got that seven years ago. The technology changes slightly. And yeah, if you want to get into [01:10:30] difference between, you know, SLA printing and and DLP or [01:10:35] LCD versus, you know, that’s fine.

Rory Boyd: We can get into that detail no problem. But the [01:10:40] hardware and the printers hasn’t changed. The materials have, [01:10:45] because when we went through the evolution or the or the the kind of that first [01:10:50] use or issue of everything breaking and everything going haywire [01:10:55] and not having your settings correct. And when you when we first went to print the crown and bridge material, there were way [01:11:00] too tight in the dies. We needed to create more, more leeway in the cement [01:11:05] space or whatever you want to call it, drill offset if it was in a mill. But yeah, and [01:11:10] the biggest one with regards to patience was breaking temporaries and breaking night guards. And [01:11:15] those and you know, those are the two big changes, I think certainly in the materials science [01:11:20] was the everything that came out of a printer was brittle. Um, and. Due to [01:11:25] the process of how the was being cured, photopolymers and the polymerisation [01:11:30] of it just couldn’t create a durable fracture toughness, so they had to put atoms into it. But [01:11:35] that’s just a perfect example of being the first adopter. Or I’m not going to say I [01:11:40] was the first, you know, being one of the early adopters of something. And it’s why someone says, oh, yeah, always [01:11:45] use it. Second, you know, because you’re the first guy. It’s gonna work out, you know, when it goes wrong. But unfortunately, we [01:11:50] need some guys to use it first to further work out what’s going on. So with the digital [01:11:55] side.

Payman Langroudi: Look, it’s a funny. It’s a funny.

Payman Langroudi: Dance, isn’t it? Yeah, it’s a funny dance because I had Professor [01:12:00] Banerjee on a couple of weeks ago, and he was saying 17 years from [01:12:05] initial paper to general usage of stuff, 17 [01:12:10] years, you can’t be at the forefront and wait 17 years before you can. Yeah. [01:12:15]

Payman Langroudi: And so it’s.

Rory Boyd: That’s the same as when a patient asks me how long does an implant last? And you’re like, oh, you know, [01:12:20] you know, we I’ve actually come around to saying, actually, I have no idea. And they [01:12:25] kind of they kind of like stand up and say, well, if somebody says they know how long it’s last, they they don’t know enough, [01:12:30] because the more the more the more research you read and the more literature you read. We [01:12:35] realise that implants have their issues. They’re not the golden bullet that we hoped and wanted. They’re definitely [01:12:40] the gold standard for any tooth repair and replacement. But but we also need to [01:12:45] be aware that the research that we’re reading around implants now were implants that were designed [01:12:50] 20 years ago. So they’re not the same fixture that we’re placing now. [01:12:55] If you look at all the early research that tells us, you know, absolutely what the type two implant [01:13:00] for me is still possibly, from my experience, the best implant, because it’s the one you’re [01:13:05] seeing lasting the longest. You know, and, you know, if we’re thinking if we’re placing implants in 20 and 30 [01:13:10] year olds, we’re expecting to get an 80 year lifespan out of them. Hopefully. [01:13:15] All right. Well, certainly hopefully some of them will.

Rory Boyd: Um, but if we look at the the best evidence [01:13:20] we have on longevity, especially the early stuff, um, you know, peri implantitis and these [01:13:25] things are probably something we made with, with moving away from machined surfaces. Now, I let my periodontal [01:13:30] colleagues argue that one out. But but but no, you’re correct. And we’re saying like when [01:13:35] you said 17 years, if you waited on 17 years for research on [01:13:40] margin elevation, if you waited 17 years on, you know, let’s look at some of the [01:13:45] the evidence in biomimetic dentistry and the new, the new areas of dentistry that are, that are [01:13:50] moving to the forefront. If you wait 17 years for the evidence, you’re going to 17 years potentially [01:13:55] doing the wrong thing. Um, or, you know, not as good a thing. So that is [01:14:00] a massive problem. And especially one of the things in dentistry, sorry, in digital dentistry is [01:14:05] I hope and I think that that, that that gap is faster because it’s actually industry [01:14:10] led. And again, the same again, I hope the implant data and things [01:14:15] is faster because there are pros and cons to industry leading research. Okay. So obviously we know the cons of [01:14:20] it can be a you know, I’m not going to say manipulated, but we can get results that maybe wouldn’t be [01:14:25] found in other people’s hands at times.

Rory Boyd: But what we also get is, is, is fast [01:14:30] movement, um, with regards to research, because they need to have evidence to show that their products better [01:14:35] or faster or whatever way, whatever way it may be. But at least we’re getting evidence done quickly. And [01:14:40] if you look at kind of, you know, look at all the different every, every new composite brand has new new composite [01:14:45] new material coming out every couple of years. They need evidence on that good and quick. [01:14:50] So at least they threw money at it. And it happens quickly. Now for [01:14:55] an academic purist, they will be rolling their eyes and pulling their hair out at that. I understand, but [01:15:00] at least if you look at the 3D printing world, the development that we’ve had in materials in [01:15:05] five years and last five years probably has been huge. And that’s continuing [01:15:10] in the background because they knew the hardware was fine, it was accurate enough. It’s reliable enough, um, [01:15:15] you know, and it’s good and consistent. It was the material was letting the process down. And look, if [01:15:20] the golden goose is 3D printing ceramics, which, you know, look, you go to [01:15:25] any conference now you’ll see a zirconia printer somewhere.

Rory Boyd: Um, so they do exist. They [01:15:30] are there. But if the golden goose is getting our, you know, our our being able to print everything [01:15:35] in house, which I think is, you know, I, I kind of teach a philosophy of [01:15:40] chairside, data acquisition, outsource design Chairside manufacture because we get we [01:15:45] get all the data we make, we, you know, we photograph scans, cone beams, whatever it may be. We put [01:15:50] the we put the we put the input into the into the system. The process is then [01:15:55] the design, which is the time, you know, it takes the time and the and [01:16:00] the and the artistry skills and the design skills, software skills, all of that. We outsource that and then we [01:16:05] chairside manufacture. So you can make that, that, that system far faster, more efficient [01:16:10] system with better communication lines in between the input process and output. That’s how I see [01:16:15] the future of digital dentistry integrating into practice. I think the design aspect is the [01:16:20] issue with regards to high quality, um, and time, whereas [01:16:25] the input and the and the manufacture, if it can be done chairside that whole process [01:16:30] just speeds up and you then also have more, potentially more control as a user. That’s [01:16:35] how I see that process.

Payman Langroudi: It’s nice. So when we look at.

Rory Boyd: We look at printing, [01:16:40] they want to be able to do everything. And obviously, you know, additive manufacture is [01:16:45] more efficient than reductive. And, you know, and if we look at, you know, the wastage that we have when we’re milling [01:16:50] and the issues with regards to accuracy and drill size [01:16:55] and all the issues that come along with milling, if we could print it and the fact that we could [01:17:00] potentially print it with depth of colour into it, okay. So we can actually print it in layers and we actually print it in [01:17:05] layers of different materials potentially. Then that’s for me [01:17:10] probably the golden goose for with regards to printing. And it’s just a material science. The hardware [01:17:15] is there. It’s getting the chemistry and the materials correct. And because you can, you can already print [01:17:20] it as a quinacrine the physical characteristics are nothing like what we can do with [01:17:25] traditional zirconia milled from pucks or whatever. But it will get there. And that will, I [01:17:30] think, be something that we’re looking at coming into laboratories that we’re using in the next 5 to 10 years [01:17:35] has to be because it just gets better control. Imagine, imagine being able to print [01:17:40] the shades into a zirconia monolithic zirconia crown. You can print depth of translucence, you can print [01:17:45] cracks in it. You can print. So you can effectively take a photometrically perfect photograph [01:17:50] of the adjacent central incisor. Pixelate that in whatever way.

Rory Boyd: Let’s just say [01:17:55] for your brain pixelate it and then print the exact copy [01:18:00] from a from of that tooth like unbelievable. And you can print the translucency [01:18:05] depth into it. The cracks, the stains there. You know, if we did monolithic. Now we’ve got stains on the outside which come [01:18:10] off over time whatever. So for me that in in the printing world, [01:18:15] in digital world, that’s, that’s, that’s a golden goose. And it was the same actually. Let’s go back to mistakes. [01:18:20] Digital articulation. We’ve been doing full mouth rehabs digitally for [01:18:25] for decades. And we really haven’t cracked articulation. And I [01:18:30] had I have a method or had a method and I somewhat modified over the last probably 18, [01:18:35] 20 months. But my issue. So my issue was you could make beautiful [01:18:40] restorations in MIP. Um, or in CR, whatever your treatment position [01:18:45] is in the case. But what you couldn’t do really was control X, so so what you ended up doing was making [01:18:50] restorations that had really flat molars and are really prominent anterior guidance, right? [01:18:55] To get just completely overwhelm the system with anterior guidance so that you weren’t going to have [01:19:00] interferences posteriorly. And you kind of thought, well, you can get away with that. And [01:19:05] you know, patients don’t, you know, patients are like, oh, what are my cusp angles are my lower sevens. You know, they weren’t [01:19:10] too aware of it. But when you saw the case and you look back on it, it’s like, that’s not good enough [01:19:15] because I can do that better with an articulator.

Rory Boyd: Okay. And again, like you go through all of your classic [01:19:20] training and your classic literature and God go back to all the [01:19:25] occlusion stuff and yeah, look at, you know, men of men of spent blood [01:19:30] learning that stuff and you’ve just decided, oh, well, I actually have a scanner, so I don’t need to do [01:19:35] it. Um, and I’m just going to flatten out all the cusps, basically make Fillmore three hubs that are like, um, [01:19:40] you know, costless teeth or mono monoplane teeth. And I [01:19:45] think I can do it better than that. So then I kind of went, well, actually, look, if I’m not going to use [01:19:50] an articulator, I need to use patients the best articulator we have. Right? So I was like, let’s [01:19:55] actually if we can, you know, copy mill stuff, let’s actually put it into the patient [01:20:00] with full anatomy test, the occlusal scheme in full anatomy. And [01:20:05] I can either use those acrylic crowns as tests and just mill them again in zirconia [01:20:10] or Imax or whatever, so I can actually use them same. Or I can put them in, adjust them to where I want [01:20:15] the occlusion in the mouth, and hopefully you get it pretty close. You’re not you’re not there for 2 to 4 [01:20:20] days equilibrating acrylic. But you can make adjustments, rescan [01:20:25] those temps and then you then use that as your as your guide for your for your finals. [01:20:30]

Rory Boyd: So that was the process and how I did it for a long time. And then the evolution you started [01:20:35] off with like not being very occlusal aware to to being a lot better. And I still think [01:20:40] like the patient’s the best articulator. And I’m not I don’t love adjusting stuff. So I’ll generally try to do it in, [01:20:45] in provisionals and then adjust those rescanned those and show the show the technician where to make adjustments [01:20:50] when you reach under temps. But then the introduction of using [01:20:55] a face scanner, um, was an interesting way to integrate occlusion into your my system. So [01:21:00] basically what I did was I made a face scan of the patient, and I could integrate my intraoral [01:21:05] scans into that scan. You basically had two scans. You just scan with retractors in and you just a regular [01:21:10] smiling face scan. And on the patient I mark Berman’s point, which [01:21:15] I change axis and my Frankfurt plane, which effectively, if you think of [01:21:20] the upper arm of an Articulator, the top limb is the Frankfurt plane and the [01:21:25] the little notch, which is where which is effectively Baron’s Point, the terminal hinge axis. So [01:21:30] as long as we have those two pieces of information, I can mount the upper jaw into my digital [01:21:35] face scan. So then we mounted that and then you [01:21:40] through all of that into exocad.

Rory Boyd: And now you can mount the articulator into the patient because you’ve got those, those [01:21:45] reference points to the incisal the maxillary incisal edge or maxillary plane. And [01:21:50] then that’s your, that’s your, that’s your mounted. So off you go. And and we did that. And [01:21:55] I suppose the next step is module. And I think you know I haven’t got my jaw [01:22:00] yet. I don’t have the, the financial remit to, to to purchase that just yet. [01:22:05] Um, but yeah I think, I think articulation is probably the next, you know, digital [01:22:10] articulation is the next kind of big step forward with, you know, [01:22:15] modules. Certainly the big step forward in the last couple of years, modules. Now the, you know, the, you know, face [01:22:20] scanner, the original face scanners, was it uh plane or Pathfinder and [01:22:25] plane. It was Arkansans system was really good. It used a funny articulation [01:22:30] process. But it was it was really good. And the face scanners kind of went out, kind of went away. And then they kind of came back. [01:22:35] But I think, you know, real time articulation with module. And I think like module, [01:22:40] I don’t know, there’s 60 odd grand for a unit at this point that’s going to come down. There will be copies. [01:22:45] There’s going to be lots of you know, they’re definitely digital articulation will be the next, next [01:22:50] area to jump I think area.

Payman Langroudi: I went to, I went to a [01:22:55] lecture by, um, Nasri. Um, I [01:23:00] can’t say his surname. You know who I’m talking about? Nasri. Milk. [01:23:05] And, um. Dcd. [01:23:10] And it blew me away, man. It blew me away. I [01:23:15] mean, it was weird because I came out of it just blown away, and everyone else seemed to be not as [01:23:20] impressed as I was. And I kind of figured maybe, uh, I’m just not following, like, [01:23:25] I’m a bit behind, but but the amount of different technologies [01:23:30] that he had going on in that and that, uh, lecture.

Payman Langroudi: Yeah.

Rory Boyd: No. It’s bad. [01:23:35] And like, I remember the first and that is one of the issues with digital, especially when you’re when you’re giving talks [01:23:40] on it. I went over I spoke at the Pan-Hellenic, uh Dental Congress in Greece two years ago, [01:23:45] I think it was. And, um, I was doing I was doing a talk on 3D printing, and I was, I [01:23:50] think the title was, uh, chairside 3D printing A to Z or something along those lines. And I [01:23:55] was in Athens and I flew over and I was I remember arriving, I was like, gosh, this is quite big. I’d never been [01:24:00] to the conference before. And I was like, I was like, how many are here? And they said, yeah, I think there was 4500. I was like, [01:24:05] all right, okay. Yeah. Sizeable.

Payman Langroudi: Wow.

Rory Boyd: And uh, I kind of turned up [01:24:10] and I was like, right. And I walked through the trade show, just get a gauge on, like, what was kind of going on in the trade show was full [01:24:15] of zirconia printers, every 3D loads of brands I’d never heard of, and [01:24:20] every scanner under the sun. And then I walked through, had, you know, my best, [01:24:25] you know, 3D printing. I shall fill my three halves. And I integrated every, you know, systems [01:24:30] and how we use 3D printed temporaries. And we moved through, you know, how we move through the process of all the rehabs [01:24:35] and everything. And at the start, I don’t know how many were in the room. I’d say there was maybe [01:24:40] 2000 people. And, uh, I asked, I just said at the start, like, I’d like to gauge [01:24:45] what? Because in digital you can often get a wide range of. And it’s really hard one to [01:24:50] kind of set a talk for because you could have someone who doesn’t know what 3D printer is to someone who uses it every day and is [01:24:55] trying to, you know, apparently you’re the guru and you’re going to teach them all the kind of new, intricate bits. So [01:25:00] it’s really hard to try and serve everybody in the audience.

Rory Boyd: So when I asked them to put their hands up [01:25:05] of who you who has the 3D printer in their office and there was one. [01:25:10] So I was like, oh gosh, right, okay, I’m [01:25:15] gonna have to completely re-engineer this talk and kind of, you know, spend a lot more time on it already starts [01:25:20] kind of introducing 3D, 3D printing technology, but that’s one of the most, the biggest difficulties with [01:25:25] regards to digital, because there’s such a wide spectrum of people who use it. And the other thing you often [01:25:30] forget, and it’s one of the biggest things I learned about when I, when I, when I was doing talks or conferences or stuff like that [01:25:35] is that you forget. And this is going to sound really like, you know, [01:25:40] self promoting, but you kind of forget how much you know, and like if someone’s asking you to speak, it’s something they [01:25:45] obviously think you know a lot about it. But you also forget how if you if you haven’t spent the last ten years doing [01:25:50] it, how little others sometimes do as well. So it’s time to tailor your what you think [01:25:55] is quite a simple concept, but you forget the fact that you’ve been studying this for an extra number [01:26:00] of years and you’ve been you’ve kind of really.

Rory Boyd: And I really went down the rabbit hole with digital, so you forget that people don’t know [01:26:05] what the different 3D printers are or what the materials are, how they work, you know, the simple, basic [01:26:10] stuff. And that’s something that I’ve tried to evolve as I, you know, over my career of speaking at things or whatever, is [01:26:15] to try and really understand that there’s a wide spectrum of people that have a wide spectrum of knowledge. And [01:26:20] I got the same thing that you got when I went and saw Wally Rene speak at [01:26:25] the first, um, American College of Prosthodontists digital symposium that was [01:26:30] on the midwinter. And I don’t know, we’re talking ten years ago, I think, and I walked into the room [01:26:35] with no digital experience whatsoever. Um, I’d never used a scanner. [01:26:40] And again, it was ten years ago. And, you know, so everything was kind of at [01:26:45] its earlier stage, scan flags were just coming out for implants, you know, it was it was at its [01:26:50] early. I think Nobel had brought out their kind of, you know, guided, semi [01:26:55] guided. But a guided implant was like, oh my gosh, you know.

Payman Langroudi: And.

Rory Boyd: Um, [01:27:00] and anyway I sat down and I was blown away and I knew boom, this is for me. I’m gonna I’m [01:27:05] getting launched into this because it was the first digital thing I’d been to, and I got blown away. And [01:27:10] the funny thing is, I went back and I go to quite a few digital meetings, but I went [01:27:15] back to one, and at the point where I realised it’s like, okay, I’m doing okay. Here’s when I [01:27:20] went in, I didn’t see anything, you know, blew me away or I didn’t see anything too new, like you said, like other people were like, yeah, [01:27:25] it was all right. Pretty, you know, pretty normal stuff. That’s the point, you know? Okay. You [01:27:30] know, I need to still obviously develop and and critique, but now I [01:27:35] have a decent handle on it. Once you’re starting to go to, like, world leading talks and you’ve a decent, you [01:27:40] know, you’ll always get a nugget, right? It doesn’t matter whether you go to a talk that is in your local area, with [01:27:45] your study club, with with five people, or whether you go to the the world’s best, [01:27:50] you know, whatever digital symposium or, you know, prosthodontics.

Payman Langroudi: I think what’s.

Payman Langroudi: What’s one [01:27:55] of the loveliest. One of the. Can you hear.

Payman Langroudi: Me? Yeah, yeah, yeah. Okay.

Payman Langroudi: One of the loveliest [01:28:00] things is when you’ve suspected something and then you see an expert, a worldwide [01:28:05] leader, say that thing. And it’s just such a weird, wonderful thing, isn’t it? [01:28:10]

Payman Langroudi: Yeah, I know, 100% and I.

Rory Boyd: Because, you know, those little ideas come from somewhere. And, [01:28:15] you know, we all have them. There’s always something you think. Mhm. And then yeah you get getting that vindicated thought [01:28:20] vindicated I suppose.

Payman Langroudi: Yeah. Yeah. Thought vindicated.

Rory Boyd: Yeah I know 100%. No. [01:28:25] Like and from a digital for anybody who is listening that that finds [01:28:30] it that it’s too big a mountain to walk up or like oh gosh everyone’s ahead of me. And like digital [01:28:35] is such an easy thing to pick up because you just start small. You just start with one piece of kit, [01:28:40] you know? And like if somebody says about digital, you probably are, you probably have digital x rays. You probably have a digital, you [01:28:45] know, patient, patient dental record you probably have. Or if you don’t, you have [01:28:50] access to a digital OPG or cone beam or what have you. But everyone [01:28:55] sees entry to digital as an internal scanner. That’s fine. Okay, so let’s start there. But that’s but [01:29:00] digital is super easy. So and like whenever I’m talking to somebody about digital dentistry, you don’t need to go [01:29:05] and buy £200,000 worth of kit. You could go and have to buy an internal [01:29:10] scanner. There are so many now that are at a far more reasonable fraction [01:29:15] of what the price point that we originally bought them for. I mean, over here, 12, [01:29:20] €13,000 will get you an extremely good, you know, scanner. If you look at the kind of market disruptors [01:29:25] shining 3D metal whatever company I’m not, you know, aligned to any any of them specifically, [01:29:30] but those, you know, if you’re doing simple cases and not trying to, you know. [01:29:35]

Rory Boyd: Set the world alight. Those things work so well. They’re so user friendly. The software [01:29:40] interfaces are so simple and just getting into, you know, getting into the scanners. Then, okay, [01:29:45] maybe you want to do some more advanced cases. Maybe you want to look at upgrading. Look, I’ve always used three [01:29:50] ship. So I’m like, you know I’m not I don’t work for them. I don’t promote them. But [01:29:55] I’m like brand completely done in by three ship. I will never look [01:30:00] at another scanner. That’s not quite true but but at the minute I the three ship system has worked really [01:30:05] well in my hands. But you know, then what you’ll do is you’ll add a little 3D printer to it if you want to start making [01:30:10] some bleaching trays or some Essex retainers or something like that, and you just slowly but surely add [01:30:15] to your. And it’s the same process that everybody has done before, because we all had we kind of had [01:30:20] to learn it on the hop. So we’re kind of like, well, we use the scanner first, then, well, what could you use the scanner for? And okay, [01:30:25] we’ve got a 3D printer and then now you’ve added 3D printer. Now you add different materials. We can use those different materials [01:30:30] for different things. You can get kind of creative and then you maybe get a digital designer outsourced, which [01:30:35] I use, a digital designer who’s based in Ukraine.

Rory Boyd: And he’s amazing digital technician. [01:30:40] And he sends me back the work within three hours of me sending it to him, I can turn around. Time starts [01:30:45] getting. So you just added incrementally. It doesn’t have to be Everest. It doesn’t have to. You don’t have to be doing [01:30:50] full, large 3D printed prosthesis in the first week. It is just you can use it just as an impression [01:30:55] replacement to start with. And then you over time, you’ll find it so easy to use [01:31:00] and you can start to use different things taking scans of wax up, sending those along with cases, whatever it may be. [01:31:05] And but it just starts small. I think that’s the best advice I would give to anybody listening if they are trying to get into digital [01:31:10] dentistry. I’m a geek, so I try and I enjoy getting into getting [01:31:15] into areas that sometimes don’t work and come back out of those and you know, but yeah, just start small and there’s [01:31:20] so much the cost the cost barrier and I is I don’t think is a reasonable [01:31:25] excuse anymore. Look, when scanners were 4050 K that’s a, that’s an issue. But [01:31:30] when you know, when scanners are about the same price as your autoclave, I think, okay, we can start to, you [01:31:35] know, we can start to maybe look at those and add those to, to the business.

Payman Langroudi: And in the in the [01:31:40] practice. You’ve got a co-founder. Well, a co-principal, is that right? [01:31:45] Is it one of you? It’s two of us or. Yeah. What did he do? Is he a specialist too?

Rory Boyd: Yes [01:31:50] he is. Yeah. He’s. Period. So we met. He was. He was two years behind me when [01:31:55] he was doing his perio program. And basically. Yeah, I think whenever [01:32:00] you’re starting a business with somebody else, you’ve got to be very careful. Um, [01:32:05] especially if it’s one of your friends, because that person needs to have the same values plan, [01:32:10] life plan to some extent as you because you’re going to grow and evolve [01:32:15] together. Um, and I suppose it’s like any good relationship, you need to grow and evolve together at [01:32:20] the same time, at the same pace, um, to stay on the same page. So like when [01:32:25] I first met Ed Ed’s from Cardiff or outside Cardiff. He’d trained [01:32:30] in Cardiff and he came over to Ireland before he did. He’s [01:32:35] actually an interesting, you know, case study in himself. He, he did he kind of did general dentistry [01:32:40] and wanted out a few strings to his bow. And he ended up doing the Royal College Implant program and [01:32:45] started placing some implants. Then he got to the surgeries placing implants. He just felt he didn’t know enough. [01:32:50] You know, his grafting techniques weren’t good enough. And he decided, actually, that’s his look, I’ve I [01:32:55] enjoy implants, I’ve got into this and I really just don’t feel I know enough. I really want to, you know, really [01:33:00] keep coming across barriers. I want to know more. And I end up going back to do perio. Um, and our program [01:33:05] here would be very strong on the implant side as well. So he ended up in that he worked for about [01:33:10] maybe 6 or 7 years in practice before doing it. So he did kind of more orthodox [01:33:15] route. And therefore I love saying he’s a little bit older than me.

Rory Boyd: And, uh, so [01:33:20] he basically from when we started, when he first came to came to college, I knew [01:33:25] we got on really well. We had very similar values, very similar outlooks on dentistry and careers and personally and [01:33:30] whenever I by four years, maybe three years after [01:33:35] I was in the practice when I bought in, there was a periodontist there. Um, at the time he had [01:33:40] his own separate business, but in the same building. So he then came to me and asked and said, look, [01:33:45] Rory, do you know anyone that you think would be good and who you. Because I don’t want to sell to [01:33:50] somebody you don’t want to work with because you’re going to be, you know, inevitably you’re going to be working with them to some, to [01:33:55] some level. Now, you could easily separate the business out and it could be separate. But the ideal plan would [01:34:00] be to have someone and they partner up and you join forces. And um, and at the time Ed was qualifying and [01:34:05] it was the perfect it just again, it’s just similar to my own story. Very lucky. Right place, right time. Um, [01:34:10] and was surrounded by the right people. Um, and I then, you know, said [01:34:15] to Doctor Cork and said, look, I’d love, um, you to discuss this with Ed. And, you know, thankfully [01:34:20] they worked, worked, worked it all out between themselves. And he started work shortly [01:34:25] after and yeah, since then. So when we first started, it was just the two of us. And then [01:34:30] we added, uh, friend of ours and Endodontist Doctor Craven started and [01:34:35] then I took over. Um, we.

Payman Langroudi: Had as a partner.

Rory Boyd: Associate. And [01:34:40] then I added, uh, we, I bought a radiology referral business [01:34:45] out of that to it. And then we added two more periodontists. We [01:34:50] also have an oral surgeon three days a week, and we are starting, [01:34:55] um, hopefully in the next month or two, a new prosthodontist. So we’re kind of [01:35:00] grown a little in the last three years.

Payman Langroudi: So, you know, you said, um, someone [01:35:05] going into partnership with someone who’s got the same basic values as you. I totally agree [01:35:10] with that. But but I’d add on to that. Someone with opposite skill sets. [01:35:15]

Payman Langroudi: Yeah, yeah, yeah.

Payman Langroudi: And so you said you don’t like the. Air [01:35:20] part. You don’t like the practice management side does does [01:35:25] Ed?

Rory Boyd: Yeah. He certainly he certainly better than I am. Um, I’m [01:35:30] lucky enough that I my father is still effectively my financial director, which [01:35:35] was to be honest, I couldn’t have done it otherwise because, you know, I [01:35:40] took over a practice at the time, I think under my estimate, maybe ten staff [01:35:45] between nurses and receptionists, a couple of hygienists and stuff. And, you know, just [01:35:50] even just just even knowing how to do payroll or knowing how to [01:35:55] yeah, appropriately financial forecast and what have you. And thankfully, my father’s [01:36:00] background was in corporate banking, so he had a rough idea of how to [01:36:05] run a small business. So he and so from a business point of view, my dad and still does, [01:36:10] which I’m so grateful and happy for, uh, that takes a lot of stress [01:36:15] out of my, my life. But yeah, Ed’s definitely a little bit better on the old admin and the HR front. [01:36:20] But the other thing is we run a really open house, and it’s one of the things if anybody [01:36:25] was starting a practice, you’ve got to make that decision early. How big are you planning to try and get? Because [01:36:30] we’re we’re probably at max. I think at this point I don’t think we want to look, if [01:36:35] we wanted to grow any bigger, we’d need to start building more surgeries. So we definitely aren’t doing that any time soon. But [01:36:40] but what I mean by that is, is that we can man manage our staff, whereas when you get big [01:36:45] enough that you have a mid, you need to employ mid-level management. You become [01:36:50] separated from the HR aspect, which is great, but you also separate yourself from control. [01:36:55]

Rory Boyd: So you’ve got to make a decision on how big am I trying to go, and [01:37:00] am I going to get to a stage where I’ve got middle management like say, HR staff or, you know, clinical [01:37:05] directors or whatever we’re going to, you know, call them practice managers, whereas [01:37:10] we actually run a very open house. We have a we have a very, very, very loyal and beautiful [01:37:15] team that we work with with regards to their so giving of their time and of their expertise. [01:37:20] And we work very much like a family. And that if you know, if a nurse has any issues, whether it be in work [01:37:25] or outside of work, we have open door policy. It’s come in and chat to us. And and from an HR point [01:37:30] of view, that’s how we manage it. Now that can’t be the same for everybody. And you need to have a very specific team [01:37:35] that that will fit that ethos or that ethic. And everyone needs [01:37:40] to to pull in the same direction because that becomes an issue. If you do have issues with HR, because when you when [01:37:45] you when you work so closely on an open door policy that can either be taken advantage of or, [01:37:50] you know, it can run into trouble if there are problems. So it’s a fine line. But that’s how we run our house and we’re [01:37:55] just happy. You know, people talk about happy wife, happy life, we’re happy house happy life. And we and [01:38:00] we call the practice a house. But I agree with you.

Payman Langroudi: It’s interesting. I agree with.

Rory Boyd: You. The skill set. [01:38:05] You want somebody who’s got a complementing skill set to yours.

Payman Langroudi: Yeah.

Payman Langroudi: Yeah, but but [01:38:10] what I was going to say was what I was going to say. Like it could happen. You’re very young. Yeah, you [01:38:15] really are. It could happen that some private equity guy comes to you and says, [01:38:20] let’s open 30 of these in all over the world for the sake of the argument. [01:38:25] Yeah. And, you know, when you balance up what you’re going to do next in your life. [01:38:30] Yeah, I look back to times when we were, I don’t know, 12 people, 14 people, [01:38:35] some of the happiest times in my career. Yeah. [01:38:40] You know, as, as in enlightened. Yeah. And okay. [01:38:45] At that time, we just weren’t making much money. So it just didn’t. That was the problem with the [01:38:50] situation. But because it was a small team, they were happy times because we understood [01:38:55] everyone in the thing. Now, if you were making enough money to do the things you want to do, your hobbies, [01:39:00] you know, whatever, whatever you want to do with your life, it should. We need to normalise the question [01:39:05] of everyone doesn’t have to open 100 practices or, you know, like making [01:39:10] one place perfect is as beautiful a thing as [01:39:15] 50 or 100, you know what I mean? It’s we need to normalise that.

Payman Langroudi: Yeah, yeah.

Payman Langroudi: But these these days, [01:39:20] these days everyone’s big time.

Rory Boyd: And you know, if you look, I suppose. [01:39:25] Look, we’re a specialist practice referral centre. Our are our prices [01:39:30] might be increased or our margins might be slightly higher, but it’s making [01:39:35] fine if you want to own 30 or 40 practices and, you know, get into [01:39:40] the corporate side of things, go for it. But at that point, for me, you’re a businessman. My life [01:39:45] and my career life revolves around treating patients and teaching dentists. That’s that’s [01:39:50] that when it comes down to it, that’s what I do. I treat patients, and if I’m not treating patients, I’m teaching. [01:39:55] And those are what define me. And when those define you and you’re good [01:40:00] at them, I’ve never had to worry too much about the, you know, the revenue lines [01:40:05] or the, you know, the you know, they kind of sort themselves out. So for [01:40:10] my again, advice, if I was talking to a younger dentist and somebody said, oh yeah, but I want to, I want to [01:40:15] start I want 40 practices. Well, that’s fine if you want to. And if that’s chasing, if you enjoy business, that’s that’s great. [01:40:20] If you are trying to chase money, then that’s not [01:40:25] I don’t think that’s the best way to do it. I think the best way to, to, to get renumeration [01:40:30] is become brilliant at something. And when you’re brilliant like it’s, [01:40:35] there’s I’m sure somebody else used this analogy because it’s quite famous and it was [01:40:40] a Alan Watts was the I think I heard it off him and it was when [01:40:45] a student came to him and said, look, what am I going to do? And he said, well, that’s not a question for me.

Rory Boyd: It’s a question for you. What do you want [01:40:50] to do? What do you want? Because if you become brilliant at something, you don’t have to worry [01:40:55] about the revenue lines or the, you know, the financial side of it because somebody is willing to pay for pay for [01:41:00] those services. If you’re brilliant at it, the only reason you become brilliant at it is because you love it. And therefore, if you’re [01:41:05] trying to work out, do I want a massive practice? Do I want small practice? Work out what bit you like. If you like the [01:41:10] business side of things and you want to, you know, you think you’ve got acumen in that and you want to, [01:41:15] you want to get good and you get you get the buzz out of growing a business and being a successful [01:41:20] business, then fine. And if you don’t get the same buzz out of dentistry, that’s no problem. Go that way 100% and [01:41:25] and go for it. And I’ve respect for that. [01:41:30] But from our point of view, our, our main goal is to to provide the highest quality of care, full [01:41:35] stop. So our pursuit of perfection, because no one can ever get perfect, you can get [01:41:40] close. And it’s how close you can get is how good you are. And that would be what our mantra is. And [01:41:45] therefore if you’ve a, you know, if you do things the right way, then you end up in [01:41:50] our position where we’ve multiple people working. Everybody’s pretty much got a six month waiting list, if not [01:41:55] longer.

Payman Langroudi: Well, so give me a, give me give.

Payman Langroudi: Me some of the headlines. So how many how many [01:42:00] people work overall in the place.

Rory Boyd: Um, we have we’ve got three. [01:42:05] Perio one seemed to be two pros and oral surgery. So seven dentists, [01:42:10] two hygienists. So that’s nine. And then auxiliary staff we’ve 123456. [01:42:15] That’s called seven.

Payman Langroudi: I [01:42:20] can I can see you’re not in charge of payroll. Yeah I’m not sure how [01:42:25] many people we pay.

Rory Boyd: Uh, something along those lines. Um, but we’ve seven [01:42:30] operating dentists.

Payman Langroudi: Everyone is busy. Six months.

Payman Langroudi: Yeah. Pretty much.

Payman Langroudi: That’s [01:42:35] crazy.

Payman Langroudi: Something in that.

Rory Boyd: Region, I’d say. Yeah, I mean, certainly. And those little, little lighter. But that [01:42:40] needs to be because I don’t think you’re gonna wait in pain for six months. Um, but certainly [01:42:45] from a sort of pariah on my side, it would certainly be, you know, for new patient exam would be in that region. [01:42:50] It’s one of the reasons we’re trying to bring on another prosthodontist.

Payman Langroudi: You could put your price [01:42:55] up, do you?

Rory Boyd: Uh, no, I think we’re we’re I still struggle with charging big [01:43:00] money, so I’m keeping that.

Payman Langroudi: Uh, well, I don’t know if that’s the case.

Payman Langroudi: But. So. [01:43:05]

Payman Langroudi: So hold on. Let’s get let’s get down to the reason why that is. I mean, okay, so there was a legacy [01:43:10] from what’s his name, Doctor Davis. Who? The original [01:43:15] guy. But but your customer then is the referring dentist, is that [01:43:20] right?

Payman Langroudi: Yeah. And I think.

Payman Langroudi: Is that the way you look at it?

Payman Langroudi: Yeah. Yeah.

Rory Boyd: I mean, if you if you look at it from a commercial point of [01:43:25] view, my clients are other dentists. And look, I think [01:43:30] if you’re building a referral practice, you need to understand that. But the other thing is, is just [01:43:35] I think being. Yeah. Look, Ed and I both took on, you know, existing practices [01:43:40] that were highly respected. So much so that whenever we took [01:43:45] over the practice, there was always going to be a letter from that dentist saying please keep referring here and thankfully [01:43:50] touch wood. I think probably 90% of the already [01:43:55] referring dentists have have maintained. But you’ve got to also realise that if that [01:44:00] dentist, when you’ve taken over is of any age, then the ones that refer to him are probably of an age. [01:44:05] So they’re not, they’re not going to be practising forever. So you need to, you know, it’s the same way as you know, a general [01:44:10] practice needs to turn over patients because you have patients that, um, are, you know, your elderly patients aren’t going to be your patients [01:44:15] forever, unfortunately. And it’s the same referring dentists. They retire. So [01:44:20] and I, I suppose would have always had a good relationship within the dental community with socially [01:44:25] and um, and then within the hospital. And it’s one of actually one of the advantages, I think, of training in your hometown [01:44:30] or your home time, but the time that you plan to live in, a lot of people will say, well, go away [01:44:35] and whatever.

Rory Boyd: But actually when you train, you know, when Dublin’s a small enough place, when you train [01:44:40] here, you start meeting a lot of other dentists and you start building your dental network, unbeknown to you. But at the [01:44:45] time, at the time, but certainly afterwards, you start to appreciate the the dinners out and the drinks out [01:44:50] that you had with certain dentists, you know, 5 or 6 years ago. And so you end up developing a dental network [01:44:55] edge also from a bit of a dental family. His wife’s a dentist, his father in law [01:45:00] was a very well known dentist. He retired last year, and so he would have had a good connection with a group [01:45:05] of, of, of general dentists or referring dentists in that vicinity. But we [01:45:10] you know, the other thing is still a surprise is you get patients from I had patients from Geneva [01:45:15] this year. I had patients, you know, plenty of patients from London that have come across my somebody [01:45:20] has given them my name from somewhere. I’ve patients who’ve come over from the States.

Rory Boyd: So you’d [01:45:25] still be shocked sometimes. But don’t get me wrong, the majority of them are relative within from Ireland and within dentists. We know. [01:45:30] But the other thing, again, for anybody who is looking at setting up a referral practice, [01:45:35] you don’t need that many referrals. You know, if you have, [01:45:40] you know, if you have 5 or 6 really good general [01:45:45] practitioners that send you really good high quality referrals, you know, that have had all the, you [01:45:50] know, disease cessation completed before they get to you, that I’m not saying they have to have the plan, the care side, [01:45:55] but, you know, dealt with the basic stuff. So when they come to you, they’re kind of ready to go. [01:46:00] If you get a couple of those a month from 5 or 6, that is a lot of work. And [01:46:05] so, you know, especially from a process side, and if you’re doing more big, bigger cases, [01:46:10] you don’t actually need a huge. And to any one of [01:46:15] my referrals who are listening, thank you very much. And uh, and don’t think of going anywhere else. [01:46:20] I’m not saying we’ve got too many and, uh, you need any urgent cases. Please send me an urgent and I [01:46:25] will see them next week. No problem.

Payman Langroudi: But.

Rory Boyd: But you don’t actually need a huge referral base. [01:46:30] You need 5 or 6 that are. Send it and then you’ll always have. I think I probably have about 40 or 50 on [01:46:35] my list that I send, you know, wine to at Christmas or whatever. But I think, you know, if you look at the, you know, [01:46:40] you’ve 4 or 5 that are sending you a lot of work and that that keeps that keeps the [01:46:45] list very, very busy. And it’s the same with perio, you know, again, if you’re doing their implant [01:46:50] cases and stuff, he’s got probably a faster turnaround. You know, if it’s soft tissue grafts or implants they’re a little bit quicker. Maybe, [01:46:55] you know, if I have to fill my three have I’m seeing them for six months, 12 months. If it’s if it’s, you know, implants [01:47:00] included, they’re going to be with me for 2 or 3 years. If there’s ortho included, it’s going to be longer. So I have probably [01:47:05] my patients are longer and see them more often. But yeah, I think it’s the same. I think last [01:47:10] month I saw we really we really new referrals last month as a practice and [01:47:15] 80 new referrals a month is a lot of work.

Payman Langroudi: So a lot of work.

Rory Boyd: You know, 8080 [01:47:20] referrals is going to increase our waiting list. Um, and that’s great. And that’s that’s the whole practice. That’s all. That’s [01:47:25] that’s a solid. But you know, if you saw 80 new patients that need some sort of complex work done, [01:47:30] that’s, that’s you’re good. So that’s kind of how that but again, it’s not [01:47:35] it I think look, I’m obviously involved heavily with the Irish Dental Association have been a, you know, president this [01:47:40] year. But I’ve been president of my local area for uh, and starting on the, on the, you know, the branch area [01:47:45] for probably six years I’ve been involved in, you know, Irish Dental Association committees. [01:47:50] I’ve been involved with education here. And being kind of omnipresent, [01:47:55] I suppose, keeps you in the forefront of people’s minds when they’re, uh, thinking of referrals. But [01:48:00] but yeah, I really do think it’s just through social. Um, look, obviously you’ve got to be half decent [01:48:05] at what you do. We use social media marginally to put that out there. And I think your reputation [01:48:10] is, is where that build up. Yeah. And, [01:48:15] you know, I think both of us have the put out the same similar image of we are [01:48:20] in the pursuit of perfection. That’s how close we can get to that. And if you’re patient and you’re, you’re, you’re you’re referring [01:48:25] dentist knows and understands. That’s the philosophy. Well then you can’t go too far, too far [01:48:30] wrong.

Payman Langroudi: I’m going to ask you some unfair questions now. It’s like little aha [01:48:35] moment. Give me an aha moment in cross. [01:48:40] Like something. Something that untangled cross for you.

Rory Boyd: Understanding [01:48:45] that every patient is just a complete denture.

Payman Langroudi: Oh, [01:48:50] look. Go on, expand on that quickly.

Rory Boyd: When people find occlusion difficult [01:48:55] or, you know, don’t understand occlusion or [01:49:00] there’s too many different philosophies and you, Pinkman, Skyler or your mythologist or whatever [01:49:05] kind of struggle you just think back to your complete denture training. [01:49:10] And if you can learn occlusion that that you can create for complete dentures. [01:49:15] And I’m not saying we need to make, you know, bilateral balance and whatever, we can use canine guidance to get [01:49:20] around that. But if you just think that that from the complete denture, is everything [01:49:25] okay. Right.

Payman Langroudi: And we all know how they come together. Right?

Payman Langroudi: But if you go [01:49:30] from.

Rory Boyd: Let’s keep it small, let’s talk about smile design. That’s many, many smile makeover. When [01:49:35] you set the front set of teeth in a complete denture, that is what you’re trying to achieve. And your mini smile makeover. Okay, [01:49:40] so from an aesthetic smile design, if you look at all of the smile design, DSD, DSD, [01:49:45] 3D, whatever smile design system you want, all of that literature [01:49:50] came from complete dentures. Okay, you look at your setup, your smile frame smile, [01:49:55] your canine position, your tooth proportions that all came from complete dentures. Then [01:50:00] you go. Then you go. One step. Let’s let’s go slightly bigger. Let’s talk about a [01:50:05] full arch or kind of a full arch. Restoration of occlusion. The occlusal planes on a complete [01:50:10] denture that set the maxillary occlusal plane as what you would use the same thing. You know, the [01:50:15] contact points, the premolars, the rotation of, you know, when you look at your maxillary occlusal plane, that, um, [01:50:20] buccal cusp of the four touches the plane, both cusps of the five mes, your palatal [01:50:25] teeth rotation, right? So that that all comes from complete dentures. And then when we get to occlusion, [01:50:30] the setup is slightly different okay. Because we want a little bit of freedom and centric. And we [01:50:35] want to, you know, we want a little bit of space in the anterior. We don’t want to cause too much. We’re actually reverse anterior guidance. But [01:50:40] when we actually look at even just like MIP contacts and [01:50:45] we’re looking at assessment of excursive contacts, okay. For the first two millimetres of movement, the [01:50:50] understanding of that. And if you throw in an equilibrated Michigan [01:50:55] splint, because that teaches you everything you basically need to do with dynamic occlusion. In my opinion, those [01:51:00] two removable devices basically explain 90% of dentistry to me.

Payman Langroudi: I [01:51:05] know that might be a slightly obscure.

Rory Boyd: So when people say, oh, I hate [01:51:10] complete dentures, I’m like, well, you must be a terrible dentist, because in my life I don’t make [01:51:15] that. I still make quite a lot of complete dentures. But like every patient I see, [01:51:20] especially like film rehab or aesthetic setup, I’m looking at them like a complete denture [01:51:25] case and how I would do it in a complete denture. And then that. That’s so.

Payman Langroudi: Interesting.

Payman Langroudi: It’s [01:51:30] so interesting because I was asking someone, what would you take out of the dental course to put in all this digital stuff? And he [01:51:35] was saying, complete dentures, but.

Payman Langroudi: Not the not that you.

Rory Boyd: Might ever do any. Okay. And like.

Payman Langroudi: No, [01:51:40] but what.

Payman Langroudi: You’re saying now.

Payman Langroudi: Puts.

Payman Langroudi: That on its head.

Payman Langroudi: The teaching of the complete denture.

Rory Boyd: Isn’t [01:51:45] just okay, right. Impression making fine. Border moulding [01:51:50] fine. Right. So that okay, I still love that, but that’s put that aside. But [01:51:55] everything else in this complete denture program to set up, you know, wax rim set up understanding maxillary [01:52:00] plains with regards to, you know, Fox’s playing guide and understanding how the trigger lines and and [01:52:05] you know Frankfurt planes and inter papillary lines. That is that’s the anterior [01:52:10] design work to set up anterior design work using the articulator occlusion. [01:52:15] So in a complete denture course, I don’t care if you never do a complete denture in your life, but [01:52:20] that actually that course will teach you more on global dentistry [01:52:25] theory than anything else you’ll do in dental school. So I so for me, [01:52:30] I have joy and love of making good complete dentures. I still think it’s [01:52:35] a beautiful art. And, you know, cross that over with a bit of digital on some of [01:52:40] it. And that’s a big thing for me. But the actually the fundamentals [01:52:45] of complete dentures is where you where you learn everything. And the biggest problem with [01:52:50] digital is it does give people the false ability to skip [01:52:55] corners and digital. You can get away with stuff [01:53:00] doing it a little bit, kind of off the cuff without any major [01:53:05] understanding. You probably get away with it seven out of ten times, but the three times it’ll get you, it’ll bite you.

Rory Boyd: So [01:53:10] and it’s the same with like technician, you start working with a technician that never did [01:53:15] the basics. They understandings of occlusion and the understanding that with digital [01:53:20] they’re just going to make it worse. Um, so the fun and that’s my one of my biggest worries [01:53:25] for actually dental technicians is the classic teaching of, you know, waxing a frog or crying the post [01:53:30] ceramic solid or like the love of the old, you know, the traditional technician ways. But [01:53:35] those concepts with regards to say, occlusion and like, you know, margination [01:53:40] why you’re doing it, why why you’re doing that and the traditional FMS to get, you know, so you actually [01:53:45] think that, you know, the marginal gap is the is the be all and end all to get that done. Like why you should be hand [01:53:50] finishing, um, after milling to make sure that that that little sometimes you get a [01:53:55] zirconia crown back. It’s got that little lip. Well that’s there because the machine over milled better because didn’t want it [01:54:00] thin enough because of a chip that’s going to be hand finished back, you know. So so those understandings of the [01:54:05] kind of minutiae only come from the classic training. I haven’t seen a, you know, a digital [01:54:10] program that will still cover those. So, yeah, that’s kind of it. That was an aha moment for me, as the complete [01:54:15] denture is basically what.

Payman Langroudi: A brilliant, brilliant be all and end all.

Payman Langroudi: What about in [01:54:20] your aha moment regarding um, you know, like you said, your, um, [01:54:25] part of the Metropolitan branch and then and then [01:54:30] and then becoming president, like, like, you know, I’m, I’m the opposite. I’m like an outsider cat, [01:54:35] like, I don’t I don’t get myself involved in associations and.

Payman Langroudi: Well. [01:54:40]

Payman Langroudi: I mean, I mean, you said you said you said your dad was involved and stuff.

Payman Langroudi: Yeah, [01:54:45] I did.

Payman Langroudi: That rub off.

Rory Boyd: Yeah. I suppose dad’s been involved in, you know, lots of different manly [01:54:50] sporting outside of career, but on different committees and, and clubs and charity [01:54:55] fundraising, um associations. And I get, I get a I [01:55:00] suppose it’s very different when you move out of the clinical practice. Let’s move out of the business sense. It’s [01:55:05] well, what else can dentistry give you? Right. So financial renumeration right. That’s that’s done. [01:55:10] Right. And and then you get super success and not kind [01:55:15] of a great feedback from patients. It makes you feel brilliant about yourself and and treating [01:55:20] patients as my sole driver. And that’s I really enjoy that interaction. But what does what does [01:55:25] the career of dentistry give you outside of your your your practice? Okay. [01:55:30] So we’re part of a profession that has very like minded people and a very big [01:55:35] network group. We have 3200 dentists in Ireland. I’m sure the UK has stratospherically [01:55:40] more than that, and we’re part of a community that all are relatively like minded people, and [01:55:45] the only thing that actually brings those together are the associations, whether it be BCD [01:55:50] or BDA or whatever. And I do get a lot [01:55:55] of enjoyment in the networking side. And it’s funny like, yeah, like I’m president [01:56:00] now. I’m the youngest ever president. There’s been and it’s a new [01:56:05] process for me because usually the presidents and there’s no disrespect to anyone that’s [01:56:10] come before me, but either towards the end of their career or then they have the ability to, you know, [01:56:15] maybe take a day off a week to give to the idea, which I can.

Rory Boyd: And when I was asked, it was very much [01:56:20] on the understanding that this might be a slightly different. I’m going to give everything I have to it, but [01:56:25] I’m not going to have the same ability for the, you know, the day to day running time commitments. So, [01:56:30] you know, simple things. I moved all the management committee meetings to the evenings, and we moved a lot of the [01:56:35] the kind of the day to day running stuff to the evenings or weekends, which, you know, again, thank you very much to [01:56:40] the team over there that we’re happy to have flexible working hours like that because we have I [01:56:45] think it’s nine staff and, you know, that work very, very hard behind the scenes to to to keep the association [01:56:50] on track for what we want to do with it. But I think the aha moment, because I [01:56:55] joined the EDA, because I enjoyed the CPD aspect, the networking aspect and socialising [01:57:00] aspect within the profession and the community, I suppose, of that. You know, I [01:57:05] look at our profession as, as a community, but the aha moment was [01:57:10] uh, my first. So for those, the committee is the joint Health committee and [01:57:15] government, obviously the joint Health Committee in government. Uh, it was the week after actually, the conference where [01:57:20] I met you. And when I was sitting in the government chambers with [01:57:25] my name on the the tab in front and, uh, Gerry Cleary [01:57:30] to bring that full circle, he was the one that helped me get set up in practice, was also [01:57:35] sitting in front of me as the chair of the Dental council.

Rory Boyd: I was like, okay, now we’re going [01:57:40] to it now, now, now we’re together. So myself and Gerry and a three other, uh, [01:57:45] our CEO and our, uh, president elect and our one of our past presidents were also there to lobby government [01:57:50] on a whole raft of, uh, different issues, but mainly in, around, you know, paediatric [01:57:55] care and our public services for, for, for children. That was like, yeah, that was an aha [01:58:00] moment of like, I’m not in government. I’m actually making a difference. Or I certainly feel like I’m making a [01:58:05] difference if government are listening anyway, as you feel like I’m making a difference to not only [01:58:10] your dental community, but I’m now making a difference to my general community. And I wouldn’t [01:58:15] have been, you know, if anybody knows me that well, I wouldn’t have been massively politically active. You know, I [01:58:20] I’d be fairly. Yeah. I wouldn’t, you know, I’d be would be fairly soft [01:58:25] individual. I would probably be the last person that some people would think it would be lobbying government for various different [01:58:30] areas. But and I, before I went in didn’t think that I was going to be, [01:58:35] you know, massively boisterous. But once you get in there and it’s like, okay, let’s strap the [01:58:40] strap the armour on here and let’s go to war, because this is where we’re actually this is this is the one room [01:58:45] I can actually make a significant difference in.

Rory Boyd: And I’d never done that before, and I’d never been [01:58:50] in that had that experience or had that. And we had four hours in that chamber [01:58:55] fighting for whether it be right to the profession or right to, for the patient. And [01:59:00] I never really done that type of work before. Um, it’s very different to my, [01:59:05] my 9 to 5. I mean, I don’t I don’t treat that many children to start with. Um, but [01:59:10] but yeah, I find that fascinating and that was not. And I was like, that’s this is why you do this. Um, this is why [01:59:15] you get involved with this, and you sit on committees and, yeah, there’s a lot of work involved and there’s lots of time given up [01:59:20] for it. But one is that the dental profession is a community. Um, and I like I like giving [01:59:25] back to that. But now that I have, I have the privilege to have the position to [01:59:30] to fight for patient rights to, uh, that’s, that was the aha moment for that. So it’s something [01:59:35] that I hope we’ll get the chance to do a number of times in my, uh, in my time. Under this year. [01:59:40] And thankfully there’s there’s been good responses to it and we’re starting to see some change. [01:59:45] So that makes it feel feel all the better.

Payman Langroudi: Amazing, man. Amazing. We’ve [01:59:50] come to the end of our time. We always end it with the same questions. [01:59:55] Fantasy dinner party. Three [02:00:00] guests, dead or alive. Who would you have?

Rory Boyd: So when you [02:00:05] sent this to me. I was like, oh God, because I do, I do quite a lot of dinner parties. Uh. [02:00:10]

Payman Langroudi: So you could you could cook.

Rory Boyd: Uh, so yeah, I would be known for the seven course [02:00:15] tasting menu with wine pairings on a relatively regular basis. So and I kind of I [02:00:20] generally invite different people. So I kind of know what works, what characters [02:00:25] work together and what somewhat don’t. But yeah, tricky one I think [02:00:30] like I’ll keep it on a theme and as the podcast is called Dental Leaders, I will [02:00:35] kind of think of who has influenced me in leadership. And [02:00:40] I think, again, you’ll hear my sporting background now. So I think the first one I’d pick is Alex Ferguson. [02:00:45] I’m sure everybody knows who he is or Sir Alex Ferguson, I should say. And I think [02:00:50] in particular with regards to characteristics of why I think he was such a good leader was his man management skills [02:00:55] and his ability to his ability to just be able to get the best out [02:01:00] of the team members that that he works with and have a you know, I don’t know if you’re quite an open door policy, [02:01:05] but certainly, you know, you look at that group that, you know, that he man [02:01:10] managed through throughout their careers that had all different characters, different problems, different issues, and [02:01:15] was able to get the best out of whoever was on the pitch.

Rory Boyd: So I think yeah. So I think from, from [02:01:20] from somebody I find very impressive. I go with that. I then [02:01:25] follow up with Richie McCaw, probably the greatest All Blacks captain, um, [02:01:30] of all time. Somebody I got the privilege of meeting when I was in Christchurch. And I just [02:01:35] find he’s just an awesome human being. Um, his ability to lead by example and [02:01:40] just his attention to detail is pursued a perfection with maybe not [02:01:45] ever getting there, I think. Yeah. All all in all, just a brilliant, brilliant [02:01:50] human being. Um. And then I [02:01:55] was actually sitting before this, and I was sitting with my girlfriend and I said, what am I going? I’m kind of, you know, Leaders. And I was thinking [02:02:00] of, you know, you know, I was thinking of when I keep it, you know, I need I have no females [02:02:05] in there. So, you know, I need to keep it quality based. And then I was thinking of Northern Irish. [02:02:10] Can I get some, you know, trying to make it, you know. It’s [02:02:15] really important. Um, and I was thinking of Mary Peters and, you know, the [02:02:20] Olympian and she’s. But actually, I’ve gone for Taylor Swift. Um. Uh, [02:02:25] one because she’d be brilliant after.

Payman Langroudi: Dinner on [02:02:30] song.

Rory Boyd: Also because I listen to a hell [02:02:35] of a lot of music and I really look up to her. So, yeah, as sad as it is, I wanted to make it kind of, you [02:02:40] know, political and yeah, make a statement with it. But actually, I just I’d love to have dinner with Taylor Swift. [02:02:45] That’s my third.

Payman Langroudi: Alex and Richie and Taylor [02:02:50] Swift. It’s an interesting combination.

Payman Langroudi: That’s good. That’s real good that.

Payman Langroudi: The [02:02:55] final question. Is a deathbed question difficult with someone so young? But [02:03:00] let’s imagine years and years and years from now on your deathbed, surrounded by [02:03:05] your friends and family, loved ones, anyone who’s important to you. With [02:03:10] three pieces of advice. Yeah. What would you.

Payman Langroudi: Say?

Rory Boyd: I’ve been lucky enough [02:03:15] to have great mentors throughout my career, though. It’s short, you know, and appreciate that. I’ve [02:03:20] done some things faster than significant, a lot of most of others, but [02:03:25] I’ve only been able to do that because I’ve had the best mentors and the people around [02:03:30] me, whether it be through dental school, whether it be through my professional, [02:03:35] you know, post dental school career, post graduate, post dental school, I would have the I [02:03:40] have to say I the reason I have what I have or I’ve achieved what I’ve achieved. Nothing. You know, [02:03:45] something to do with me, but it’s mainly to do with the people who’ve been around me. And from an early age, [02:03:50] my dad had always said to me, the key to success in life is to surround yourself by the [02:03:55] best team, okay? And that team may change. Unfortunately, you’ll be the only consistent [02:04:00] member of that team. But throughout your life, whether it be school life, whether it be university life, whether [02:04:05] it be family life, whether it be professional career life, whether it be anything outside of that surrounding [02:04:10] yourself. And it’s not, you know, I need if you’re the smartest person in the room, you’re in the wrong place. It’s [02:04:15] not about that. It’s about having a team of people [02:04:20] who have shared values and respect for what you do [02:04:25] and for and for you to what they do.

Rory Boyd: So it’s a mutually beneficial relationship. [02:04:30] So my first best piece of advice is from my dad. Surround yourself with the best team. And I’ve always [02:04:35] and that includes mentors. And I think that’s just like if you’re trying to do anything [02:04:40] within your career that maybe in any way somewhat different, or is to have [02:04:45] mentors, that you just trust everything they say, and if they tell you to jump, you [02:04:50] say, hi, hi, what do I need to do? How do I get there? And I’ve been so lucky to have a [02:04:55] different stages along my career. People, um, some consistent, but people who that [02:05:00] have been able to be so giving to me of their time and everything I have [02:05:05] is due to what they’ve given me. So I’ve just huge appreciation for that. Somebody [02:05:10] my first one. Surround yourself by the best team possible. My second one be [02:05:15] is I’m not actually sure where I heard this. I’m not going to try and say that I coined it, but [02:05:20] I heard it somewhere. But enjoy the journey, not the destination. You know, we [02:05:25] spend our lives, especially in dental school. And again, I spend a lot of time with students and stuff. And [02:05:30] it’s always they’re always thinking about what the next hurdle is or the next thing they’re not enjoying [02:05:35] the now or being present with it.

Rory Boyd: And yeah, don’t get me wrong, there’s some parts of dental school that aren’t that enjoyable. But if you [02:05:40] know everyone, there’s a point in life. And again, it sounds like [02:05:45] I’m 65 there, but where you hit and you go, this is it. And you know, I probably hit [02:05:50] that. I’d say probably a year three of, um, of opening the practice of this is it as [02:05:55] in, I’m going to do the same thing ish. For the next, however long. At [02:06:00] that stage I was 32, so I was probably thinking I would be retired by 50 at that point. [02:06:05] Uh, I know, I know, I’ll be working till I’m 70. Um, but [02:06:10] you go, this is what I’m going to do every day or every, you know, five days [02:06:15] a week. For the next probably 35 years. Realistically, right now [02:06:20] it hits a point. So if you don’t enjoy that journey, you’re going to be one of those people. You turn around when they’re 55 [02:06:25] and go, oh my God, that’s it. So basically you need [02:06:30] to make sure that you’re joining it along the way. Just achieving the the degree at the end of dental school, achieving [02:06:35] the buying of the practice, achieving of the of next year’s management committee. When [02:06:40] we go through turnover and the balance sheet and, and you know, having [02:06:45] all these targets that are far away thinking the grass is going to be greener when I get there, [02:06:50] and then you get there and you realise actually the grass was greener on the way up, there’s this doesn’t, you know, [02:06:55] you can get to the end and go, yeah, I made, you know, £50 million [02:07:00] this year.

Rory Boyd: It doesn’t get any better. Right. So it doesn’t matter what that is. [02:07:05] You’ve got to enjoy getting there. And when you and if you’re somebody that thinks they’ll enjoy [02:07:10] it when they get to whatever this place may be, they’ll be horribly disappointed when they get [02:07:15] there. I mean, I kind of, you know, I had that aspiration at points when, you know, you went through your [02:07:20] undergrad and you’re like, I just need to get the post-grad and I get the post-grad, and I get out now by the practice and everything will just turn into [02:07:25] like, rainbows and butterflies, and there’ll be unicorns running around, and it will [02:07:30] be the promised land. And I’d sure like Jesus. I’ve now taken on more than I probably had back there. [02:07:35] Right. And, you know, and different stresses and different drivers. And then you’ve got, you know, family [02:07:40] life kicks in and life is a constantly evolving. Again, [02:07:45] I’m 36, not 70.

Rory Boyd: But life is a constantly evolving journey. And [02:07:50] and you’ve got to enjoy the journey, not whatever you think you’re going because you probably won’t [02:07:55] ever end up there. So that would probably be, you know, that then blends into my [02:08:00] third one and we kind of talked a little bit about it earlier, but as have other stuff. Right, [02:08:05] because dentistry is the best career on the planet in my opinion. You can do [02:08:10] so many different things. You can work so many different are some people work two days a week, some [02:08:15] and have brilliant lives on that. Some people work seven days a week and it [02:08:20] gives you the flexibility when, when and touchwood. Hopefully family life does [02:08:25] happen for me with kids and stuff. It gives you that ability to, you know, at times work less, at [02:08:30] times work more. It’s such a flexible job. Um, it gives you massive satisfaction. [02:08:35] That’s not make any bones about it. The renumeration can be very [02:08:40] solid. That means you have no cares or worries around that. Um, or certainly fewer than others. [02:08:45] But it’s not the be all and end all. And it doesn’t. It shouldn’t take over [02:08:50] your life. It should accent it. And don’t get me wrong, I’m defined as a dentist. That’s that’s that’s [02:08:55] my definition. It’s my it’s my biggest hobby. Well, let’s say that I leave, I still [02:09:00] live, breathe, eat, sleep, drink it.

Rory Boyd: But I have 36 flights this year for a reason. I enjoy travel too, [02:09:05] and I enjoy cooking, I enjoy sport, I enjoy training, [02:09:10] I enjoy racing, whether it be half ironmans, whether it be half marathons, marathons, [02:09:15] whatever it may be, you have to have something outside of work that makes you [02:09:20] tick because otherwise burnout is only around the corner and you want to keep [02:09:25] your journey that you’re enjoying as long as possible. And so I think my third, you know, whatever way you title it, but [02:09:30] have other things because you want to leave or leave the office, when you leave the office, [02:09:35] you leave the office. It’s another privilege we have as dentists. Yes, of course, practice owners have bits and things to worry about, [02:09:40] but as a dentist solely, there ain’t much you can do when you’re sitting at [02:09:45] home. And that’s a that’s a that’s a lovely thing. You’re not a solicitor whose phones off. You know, the [02:09:50] eastern markets have popped up. If you’re in finance and you’re now going to start looking at them, or some [02:09:55] American clients phoning in the middle of the night, we don’t have that. So you’ve got to utilise that opportunity in that time for doing [02:10:00] other things. That would be my third.

Payman Langroudi: Very nice, buddy. I think you’ve come, my [02:10:05] one. You’ve become a hero of mine. It’s rare that someone younger than me [02:10:10] becomes a hero of mine. But I think you’ve become a hero of mine. Thanks, I like that.

Payman Langroudi: There’s [02:10:15] a first time for everything.

Payman Langroudi: Long may it.

Payman Langroudi: Continue. [02:10:20] Yeah.

Payman Langroudi: Continue.

Payman Langroudi: Thank you very much for having me on.

Payman Langroudi: But he’s seven years out is nothing. You [02:10:25] know, you’re still at the very beginning, and all the stuff you’re doing is super duper. Really, [02:10:30] really impressive. He really enjoyed that very much.

[VOICE]: This [02:10:35] is Dental Leaders, the podcast where you get to go one on one [02:10:40] with emerging leaders in dentistry. Your [02:10:45] hosts. Payman Langroudi and Prav Solanki.

Prav Solanki: Thanks [02:10:50] for listening, guys. If you got this far, you must have listened to the whole thing. And just [02:10:55] a huge thank you both from me and pay for actually sticking through and listening to what we’ve had to [02:11:00] say and what our guest has had to say, because I’m assuming you got some value out of it.

Payman Langroudi: If [02:11:05] you did get some value out of it, think about subscribing. And if you would share [02:11:10] this with a friend who you think might get some value out of it too. Thank you so so, so much for listening. Thanks. [02:11:15]

Prav Solanki: And don’t forget our six star rating.

Rhona chats with celebrity personal trainer Sana Shirvani about her journey in the fitness industry. Sana shares her experience working long hours and taking on clients’ stress, as well as the pressure she faced from her conservative father to pursue a traditional career. 

Sana candidly shares the mental health challenges she faced after her cousin’s suicide and her own battles with depression and addiction.

 

In This Episode

00:00:05 – Stress and negative energy

00:06:55 – Becoming a personal trainer

00:32:35 – Women’s fitness

00:38:40 – Eating and body image

00:50:25 – Ozempic

00:53:05 – Mental health challenges

01:02:00 – Gender, dating and relationship dynamics

01:07:10 – Sexual harassment

01:13:15 – Scaling and growth

 

About Sana Shirvani

Sana Shirvani is a London-based personal trainer with a background in strength and conditioning who supports busy people to take control of their health, fitness and wellness.

Rhona Eskander/Sana Shirvani: One point in life I was doing like 10 to 12 sessions a day, every day, seven days a week. And I [00:00:05] was literally like pushing myself into the ground. It was it was almost [00:00:10] a way of me coping, but also like coping with what I was going through at the time. But [00:00:15] it was also this connection that I had with every single client of mine. And I literally, [00:00:20] I can’t say yes to one client and no to another if I’m saying yes to a client. I had [00:00:25] to see every other client that day. And you’ve got to think it’s probably similar to actually maybe not [00:00:30] in dentistry because they’ve got their mouth wide open and can’t speak much, but but they take on a lot [00:00:35] of stress. You do, you do. Yeah. And I think that every hour you’re taking on somebody’s energy [00:00:40] and it’s mostly something like negative or something they’re going through in their life and you’re taking on this energy [00:00:45] and you need to give energy back to them, and no one’s giving you energy. Imagine [00:00:50] if you do that every single day, like mentally, you’re completely at a loss.

[VOICE]: This [00:01:00] is mind movers. [00:01:05] Moving the conversation forward on mental health and optimisation [00:01:10] for dental professionals. Your hosts Rhona [00:01:15] Eskander and Payman Langroudi. Hello [00:01:20] everyone!

Rhona Eskander/Sana Shirvani: Welcome to Mind Movies, where we explore the journeys and insights of remarkable [00:01:25] individuals shaping their fields. Today we’re joined by Sana Shivani, a renowned personal [00:01:30] trainer whose work extends beyond the gym into empowering individuals with the tools that they need for mental [00:01:35] and physical wellness. Sana was actually my personal trainer. We met during lockdown. I saw [00:01:40] her walking down Warwick No near Warwick Avenue in Little Venice, and I’d also seen her at events. Okay, [00:01:45] you’d already seen each other at events and I was absolutely blown away by the work [00:01:50] she was doing. One of the things that attracted me to Sana is actually her work around mental health online. [00:01:55] She was someone that I followed before I had my own following. I had about 200 followers. She had about 10,000 [00:02:00] and this was all the way in 2015. Sana was a trailblazer [00:02:05] in the fitness space and she was somebody that I idolised. I wanted to have her body, [00:02:10] I wanted to have her face and I thought she was pretty incredible. Sana’s journey is one of inspiration, [00:02:15] resilience and dedication, touching the lives from Hollywood to everyday fitness enthusiasts. [00:02:20] Welcome, Sana. Thank you. An intro. Wow. Thank you. Oh [00:02:25] so lovely to be here. Yeah, it’s amazing to be here. And I feel like you were trying to tell everyone [00:02:30] why and how we met. Which Payman likes to know.

Rhona Eskander/Sana Shirvani: So you can you can tell the world how we met. Okay, so actually, [00:02:35] we were at a, um. It was a party. It was the jewellers, wasn’t it? Jewellers? [00:02:40] Yes. No. Nima and that lot go to his parties, you know, like bougie [00:02:45] Iranian vibes, I don’t know. Yeah. Okay, so they had a massive party. I met Rona Naeem, a [00:02:50] couple of other guys at the party, and then lockdown happened, like, what, a week after [00:02:55] that? And then I saw her running with her boyfriend down the road near my house, and I was like, [00:03:00] very nice. So I saw that and then she got in contact with me basically. But yeah, we met out and [00:03:05] we just clicked from the first moment I actually thought you were Iranian. Yeah, everyone thinks I’m Iranian. I’ll take it to [00:03:10] the eyebrows. Um, no. Sana was amazing because she changed my [00:03:15] life. When it comes to fitness, I was very much about just burn calories and trying to lose weight. So [00:03:20] I started my journey into really, like, building muscle, doing training for like, [00:03:25] mindfulness and wellbeing and also like not over exercising and over doing [00:03:30] things bodies. And we spent a lot of time together because I was going to her house during lockdown and doing sessions, etc. you know, when [00:03:35] we were allowed to do all of that stuff.

Payman Langroudi: Am I right that you’ve had loads of trainers?

Rhona Eskander/Sana Shirvani: I’ve had a few [00:03:40] trainers, not loads actually. I’m actually, you know, I have real issues breaking up with my professional [00:03:45] people. Like I honestly like I can’t break better watch out. You know like honestly I can’t [00:03:50] break out, I can’t I found it really hard to break up with my therapist. And now that I have Ella, I’m like, [00:03:55] why did I stick to my therapist for so you know, when you suddenly are like, you just think it’s the way it is. [00:04:00] I’m sure people feel that about dentists. Like they go to dentists and they’re like, I’m just used to going to this person and they find someone they really love. [00:04:05] And they’re like, why the hell didn’t I break up with the other person much earlier, you know? So I had that with Sana a bit [00:04:10] like I had okay, personal trainers, but I think there was something to be said also about being [00:04:15] trained by a female, because I had a judgement against female trainers, only because I felt like they didn’t push [00:04:20] their clients as hard as male trainers. It was really weird, like I said, like I felt like being battered, you [00:04:25] know? But actually, there’s something to be said for someone that understands the female body and hormones, etc. [00:04:30] and also listening to your needs. So that was it. But Sana, I want you to [00:04:35] start from the beginning. I always get all of our, um, guests to come start from the beginning. And I want you to talk about your [00:04:40] early experiences, because just like me and Payman, you’re from a background, you’re Iranian, [00:04:45] I’m Middle Eastern, you know, we are used to growing up with being told that we should be [00:04:50] professionals. We know that your sister Zahra is well known as Zahra, the hygienist on [00:04:55] Instagram. Everyone knows. Yeah, everyone knows that Instagram likes favourites.

Payman Langroudi: One of my favourites. Oh, there we go.

Rhona Eskander/Sana Shirvani: Sorry. [00:05:00] Um, yeah. So we know that she works in dentistry. So [00:05:05] how did you basically, like, break the mould, you know, within your family? Tell us a bit about your [00:05:10] background, how you got into fitness okay, so I’m not going to lie, it was really, really hard. Like my dad is [00:05:15] a pretty conservative Iranian and he wanted me to either be a dentist, a doctor or a [00:05:20] lawyer. So it was one of the three and I just did. I didn’t have really any interest in [00:05:25] like sciences, English in school. I also didn’t have any interest in interests in PE, which [00:05:30] is really crazy because now I obviously love training, I love fitness, but I kid [00:05:35] you not, I was on my period every single day of the year for a whole year and to get out of PE classes, [00:05:40] I just I didn’t want to do it and I felt almost like a bit ashamed of my body. I didn’t want [00:05:45] to put my body in like gym care and yeah, sort of be out there, which is I think [00:05:50] that also comes from certain ways of speech when you’re growing up [00:05:55] and, you know, like parents being like, oh, don’t eat that. That’s really bad for you, or, um, only [00:06:00] providing, let’s say, bread and cheese, um, for breakfast and not having like, a varied diet growing [00:06:05] up. Um, but I think that’s when I was in [00:06:10] school, I didn’t really know what I wanted to do.

Rhona Eskander/Sana Shirvani: I went to university, I studied business management. The only [00:06:15] thing I was actually quite good at in school was business management. I took. Accounting, economics, and those are the subjects. I was [00:06:20] really good at that pull with that. Business management. Yes. Ish. Um, but [00:06:25] he always, always, and even to this day still says to me, take a conversion course into, [00:06:30] um, law. Oh, yeah. Yeah. Um, but I went to university, [00:06:35] and when I went to uni, I was that’s when I really started having, like, body issues, because when I was [00:06:40] in London, my parents were quite protective. When I was younger, I wasn’t allowed to sort [00:06:45] of like, go out and, you know, I wasn’t allowed to go to sleepovers with my friends or anything like [00:06:50] that. So I wasn’t really exposed to, like, the social side of the world that much. I went [00:06:55] to school, I came back, I lived a pretty chilled life. Um, when I went to uni, I was more exposed [00:07:00] to everything, and that’s when I started becoming hyper aware of my body. And I went to [00:07:05] uni in Cambridge and back in 2010, there was no [00:07:10] person of colour in sight in Cambridge like now. It’s a beautiful city, it’s multicultural. [00:07:15] Back then everyone was a skinny blonde girl and white, you know, [00:07:20] type. Yeah. Skinny white, blue [00:07:25] eyes. Um, and no offence to anyone who’s like skinny white blue eyes, [00:07:30] but I just felt like I was different and there was nobody that looked like me.

Rhona Eskander/Sana Shirvani: There was nobody [00:07:35] that was like I was a little bit soft around the edges, and I wasn’t as toned and long and lean [00:07:40] as them. And I didn’t have long legs, and I just felt super insecure about my body. So [00:07:45] I started to go to the gym when I was in uni. Granted, I was still that person who would like go onto [00:07:50] the treadmill, do like a 20 minute run and be like, okay, I’ve done the gym. But then I started realising [00:07:55] that actually fuelling your body in the correct way is the way that you’re meant to sort of think [00:08:00] of training, exercise, nutrition and wellness as a whole. So I started just taking [00:08:05] up these like mini nutrition courses just on my own. In my spare time, I wasn’t really [00:08:10] interested in going out as much with like the uni law, and instead all I wanted to do was [00:08:15] learn about nutrition and learn about training. And that’s when I started going into like strength training and [00:08:20] understanding the benefits of strength training. So this is during uni, whilst this is during uni. Yeah. While I was [00:08:25] studying, then in my third year of uni, I started suffering with my own mental health quite a bit [00:08:30] and that’s when I realised actually this is a bit of a release for me.

Rhona Eskander/Sana Shirvani: You know, going to the gym, having that [00:08:35] one hour to myself, being able to really just like do what I want to do, I know I’m doing something good for myself [00:08:40] was a bit of a release for me mentally. I also wouldn’t think about all my worries and [00:08:45] things like that when I’m, you know, in the gym training, so I started. At [00:08:50] that point, probably overtraining, you know, because you get like most people get into those cycles [00:08:55] where they’re like, I’m doing something so good for my mind and my body, and [00:09:00] you do it every single day, twice a day, sometimes if you have to, which obviously is very unhealthy. [00:09:05] Um, so I got the body that I sort of wanted or thought I wanted, and [00:09:10] I was still wasn’t happy. It wasn’t bringing me any sort of joy or fulfilment. [00:09:15] And after university, I really didn’t know what I wanted to do, job [00:09:20] wise, career wise. I didn’t really have a major interest in anything. I enjoyed business, it’s [00:09:25] such a broad subject. And so I got a sales [00:09:30] job in okay. Is it Moorgate in the city? Yeah. Yeah, I’m so bad with the city. Um, [00:09:35] so I got a job in Moorgate and I didn’t last more than I think it was like seven weeks. [00:09:40] And I was like, your dad freaking out? Yeah, he.

Rhona Eskander/Sana Shirvani: I came home one day and I was like, I’m just not going [00:09:45] back. It’s not for me. The central line. I can’t deal with it. I can’t deal with, like, the city workers, [00:09:50] anything like the office. Everyone’s just shouting and it’s so male dominated and I just [00:09:55] really hated it. So I just quit. I started working for my dad, so my dad works in property. My [00:10:00] dad thought that I was going to, like, work for him forever. And, you know, take the name [00:10:05] of the business and continue the continue the business as I get older. Um, but again, [00:10:10] I thought I was quite good at it because I dealt with like the lettings side of things. And I would like meet with [00:10:15] people. I would show them around houses, do all the contracts. It was a very [00:10:20] like it was a people skill that I had. I was really [00:10:25] good at speaking with people and getting them to whatever it was that I [00:10:30] was selling, getting them to sort of buy into that. And I enjoyed working with [00:10:35] people. I didn’t enjoy doing the office stuff. I didn’t enjoy sitting, writing, the contracts or anything like that, so [00:10:40] I was pretty good at it. But again, I would finish the working day and I would want nothing more but to go to [00:10:45] the gym and I would sit there in my breaks research and training methods, researching nutrition, and [00:10:50] it was all I cared about.

Rhona Eskander/Sana Shirvani: So after about two and a half years of working for my dad, [00:10:55] I said to my dad, I’m going part time. I was like, why? Why are you going part time? Have you got another [00:11:00] job? What are you doing? Are you going to study law? And I’m like, uh, no, I’m just going to go and work at [00:11:05] this studio and I’m just going to do front of house. So you’re a dosser. You have no like, [00:11:10] I want the Iranian accent. I can do it. You know, I don’t Payman. That’s okay. [00:11:15] Go for it. Yeah, but to be fair, like, my dad’s [00:11:20] been here since he was, like, 13 years old. He’s been here for a very long time, and. But his [00:11:25] mentality is still very, very Iranian. So he was he was really not happy. But [00:11:30] by that age, I was like, this is what I want to do. And I can’t live a life where I’m not fulfilled every single [00:11:35] day. So I took that part time job and I started to slowly wean off my [00:11:40] dad and the work I was doing with him. We actually, like, fell out for a short period of time because [00:11:45] I obviously left the business and he never, ever took my work seriously, [00:11:50] actually, all the way up until I got my, like my deal with Under Armour [00:11:55] in 2017.

Rhona Eskander/Sana Shirvani: And even then, he didn’t take it seriously. What were you working for other people [00:12:00] though, at this point? No, I was just doing front of house work, so I was literally [00:12:05] doing front of house work just to get my foot into the industry. And I was I was getting paid like £10 [00:12:10] an hour or something, and it was the most boring job. It was very small studio. It was a studio called Ten Health [00:12:15] and Fitness, but it was one of the smallest studios and it was predominantly [00:12:20] Pilates physio work. And I wouldn’t say I enjoyed it because I found it quite [00:12:25] boring. I wanted that side of the job where I’m like talking to people, interacting with people, and instead I got the computer [00:12:30] stuff, which I absolutely hate. Um, but anyway, so I [00:12:35] then started making that transition. I was now full time at ten. Health and fitness. And I [00:12:40] decided after I got my qualifications that I was going to get a mentor in the business. I got a mentor. [00:12:45] Who was it? Tyrone Barnard. He’s my patient. Oh. Is he. Yeah. Yeah. [00:12:50] He’s from. Well, yeah, he’s from Chelsea. Yeah. So, um, be the fittest [00:12:55] on Instagram. I think he still is. So I asked him to mentor me. Um, and I knew [00:13:00] I wasn’t. Did you just approach him? Because I think, like, that’s an important point because people often ask, how [00:13:05] do people, like, get what they want? And I think, like Payman, you probably remember when I first [00:13:10] met you, I had no problem.

Rhona Eskander/Sana Shirvani: And just going out there and asking people so I’d find people that were inspiring [00:13:15] and be like, I’m just going to take a punt. Can you help me? Can you give me advice? And I’ll never forget you drove [00:13:20] me back all the way from Raphael’s practice in wherever it was, Hertfordshire. And [00:13:25] I just basically grilled him and I was a nobody. And Payman loved all the like, Dental geeks that were, like, [00:13:30] amazing at, like, stuff. And I was like, listen, I’m not one of those, but like, help me on this path. [00:13:35] And I think it’s a really important point to make. Like, if you don’t ask, you don’t get I think even [00:13:40] if you think you’re nobody compared to these like, people that you consider very [00:13:45] inspirational or aspirational, just ask. Yeah, I totally agree. If you don’t like [00:13:50] if you don’t ask, you don’t get. Yeah. And so I did just directly ask him. But we did [00:13:55] have a couple of mutual friends. So I knew of him. We didn’t really know each other personally. I knew a little bit of his [00:14:00] story and, um, we just got on. So I literally had that mindset. I was like, what is the [00:14:05] worst that’s going to happen? He’s going to say, no, I’m back to like where I currently am.

Rhona Eskander/Sana Shirvani: Yeah. Um, he [00:14:10] was really, really kind. He took me on and mentored me for like a whole year. He also gave me my first [00:14:15] ever client, so he gave me my first ever client. He was taking a cut and I was earning. Did you have a [00:14:20] PC qualification at this point? Yeah, yeah, yeah, I did it all. Sort of like as I was working with my dad. [00:14:25] Yeah. So I remember oh my God. Now when I think about it, I’m like, I was such a shit [00:14:30] PC, but when you’re so young and you just feel like, you know, I [00:14:35] like I had that thing in my head. If I get a mentor who has done what I want to do, [00:14:40] has a successful business, can teach me the ropes, can teach me like the principles [00:14:45] that are really important, then maybe I can be where he is sort of at, you know, [00:14:50] you’ve got you you kind of want proof of, of the business like working from proof [00:14:55] of concept. Yeah. Proof of concept. So anyway, um, I had my first client from him. I remember [00:15:00] I would drive every single day from Saint John’s Wood to Ealing to do this one PT session with [00:15:05] this lady used to get a ticket every single time, because I always parked my car in the wrong place, so I’d make like no [00:15:10] money.

Rhona Eskander/Sana Shirvani: But I did that solidly for like six months with that, [00:15:15] with that one lady. And then I was like, right, I’m going to start putting. Out there that I [00:15:20] am taking on clients and if they want, they can get in touch with me. And people just started [00:15:25] getting in touch with me. I think it was just where I was getting advice and education from, [00:15:30] like the people in my industry who had already done it. They could see that I was somebody who was hungry to learn. [00:15:35] I learnt a lot around strength training specifically for women and why it’s [00:15:40] so important, and that was literally one of the main factors that really drove [00:15:45] me in my business, because when I started learning about all these stats about women in menopause, women, [00:15:50] when even they even when women reached the age of 27 as young as 27, [00:15:55] you are so much more prone to osteoporosis as a female than you are as a male. As soon as you hit menopause, [00:16:00] 30% bigger drop than a male with all your muscle, your bone density. [00:16:05] When you hear that your grandmothers just had a random thought, that’s because her knees, her ankles, [00:16:10] her core can’t support her, she hasn’t got stability. And all of those things [00:16:15] really, really drove me to learn as much as I could about the human body, [00:16:20] about strength training females and then being able to sort of apply it.

Rhona Eskander/Sana Shirvani: And I think [00:16:25] where people started realising that I was talking some sort of sense is [00:16:30] because I was putting this education out there on my platform. Back then, there wasn’t that many like fitness influencers, [00:16:35] and I was, um, but this is also like the era where people were really concerned [00:16:40] because obviously when I found your profile. Yeah, to be honest, like, I had disordered eating, as you know, [00:16:45] and like body dysmorphia. So I wanted to be as skinny as you like. That’s why I followed you. [00:16:50] Wasn’t because, like, I was like, wow, this girl is like. And you even said that was a really unhealthy weight where [00:16:55] you were at that point and you said it was unsustainable. So like, was there not an [00:17:00] element at that time because conversations, I mean, I have to still educate Payman all the time on this. [00:17:05] And it was there not there. Was there not an element of like conversations around the fact that actually [00:17:10] this size of body is not necessarily sustainable nor healthy. But were you educated [00:17:15] enough at that point? See, at that time, no, because the majority of the fitness industry, [00:17:20] which was quite small at that time online, were all like that, like they all went [00:17:25] down that road of, um, like she was she was eating between [00:17:30] 2016 to 2018. That’s when like the fitness industry really started. Like, are [00:17:35] you.

Payman Langroudi: Saying that there was almost the fashion was to be super skinny and now the fashion is to be a.

Rhona Eskander/Sana Shirvani: Bit more? No, [00:17:40] I think that I think at that time people started becoming more engaged with [00:17:45] training as they did, that it’s so natural. If you’ve never trained before and you [00:17:50] become obsessed with it, for you to go overboard and over train and under eat because you’re seeing these results, [00:17:55] you’re feeling great. But eventually there will be a catch. You’ll either get injured, something will happen with your [00:18:00] hormones. Something will happen with your body because it is so unsustainable. But at the time, [00:18:05] the whole of the fitness industry, the way I knew it back then, was almost like that. [00:18:10] Like there wasn’t that many people in the industry. I think unfortunately, we’ve taken a couple of steps back [00:18:15] like, this is my $0.02 into it. Like I grew up in 90s, 2000. I told you I went to university. [00:18:20] I was completely like comfortable. My parents always told me to lose weight because again, [00:18:25] they’re like, they were of that ilk that like the skinny you are, you look like better not blaming them. That was what they grew [00:18:30] up with. Then I went to university, got like scouted to do modelling quite a lot, and then [00:18:35] the girls that I lived with, which were white boarding school [00:18:40] eating disorders were like part of life, were like, oh, you better lose some weight. You’ve got a casting, oh, [00:18:45] your legs are too big for this. Or like, oh. So all of a sudden I was like, oh my God, you know, like I need to [00:18:50] lose weight. And I really wanted to fit in. I wanted to be part of the crowd. I wanted to feel like I belonged. So [00:18:55] I went into like, under-eating overexercising. Exercising for me was just [00:19:00] like walking on a treadmill or a cross trainer. Yeah, to burn as many calories. Exactly. And that was kind of the vibe. [00:19:05] And then I go out and I was really like my ribs were protruding, my arms were.

Payman Langroudi: Like thin, was heroin chic [00:19:10] and all that. Correct.

Rhona Eskander/Sana Shirvani: And then obviously I got the validation. But then I also got to a point where people like, she looks really ill, because obviously, [00:19:15] like my top half is pretty skinny. So it looked really unwell, you know. Anyway, then [00:19:20] what happened was I like I said, I came to London, I worked and I started putting [00:19:25] on the weight. And the thing is, I put on a lot of weight, and the reason why I put on a lot of weight is because my body wasn’t used to food, [00:19:30] but I couldn’t work without food. So I take a bite of something and suddenly five kilos, [00:19:35] I mean, you know, and I was like binging, restricting, binging, restricting. And so like, I went through [00:19:40] like a period of, like real self-loathing. Then Sana obviously educated me. I think we were lucky [00:19:45] because also like a bunch of influencers came out that were like, muscle is sexy, [00:19:50] tone is sexy. You can have like, you can be like curvy but toned, you know? I mean, that’s another [00:19:55] thing. Narrative started changing now. And I think the biggest thing is, is as Mpic, which I’ve [00:20:00] told Sana about and I think like people now are taking these [00:20:05] injections to restrict their appetite. And they’re already thin. They’re already [00:20:10] thin. It’s but it’s quite worrying because I have a friend of mine who’s a GP and she [00:20:15] said there has been an increase in the amount of people in.

Rhona Eskander/Sana Shirvani: In the A&E waiting room because [00:20:20] of the zenpix because people are sorry. I find this so, so crazy. [00:20:25] The reason why I find it crazy is because, look, I think it’s great that there’s something like ozempic [00:20:30] on the market for the people who need it. Um, feel about it, right? Yeah. [00:20:35] Of course. Yeah. For your general population, if you are going on a zembic to lose weight, you [00:20:40] will lose weight, right? However, the majority of that will come from your muscle. Do [00:20:45] you know how unhealthy that is for your body? Then you are firstly, when you take your [00:20:50] calories so low, which is what happens when you’re on a ozempic, your metabolism starts to really slow [00:20:55] down. And that’s why after when you come off it, as soon as you eat anything, you will [00:21:00] put on weight. You will put on weight because your metabolism has massively slowed down. So now your set point [00:21:05] is so low, your maintenance calories just to maintain your body is so low. So you’ve got to be [00:21:10] able to take that back up to its normal like maintenance to be able to [00:21:15] not put on weight. And that’s not even my problem with it. The problem is that there’s so many bad things that happen [00:21:20] internally just in terms of like your muscles.

Payman Langroudi: And that Joe Rogan clip.

Rhona Eskander/Sana Shirvani: Tell [00:21:25] me, tell me, tell me where.

Payman Langroudi: Well, the guy was saying that they didn’t have to do these tests for [00:21:30] the FDA clearance or whatever, but he realised people are losing weight, but they’re becoming fatter, like [00:21:35] their their fat to like muscle.

Rhona Eskander/Sana Shirvani: Muscle. Yes. Muscle fat percentage. Yeah. So [00:21:40] like any weight that they have will be fat rather than muscle. Yeah. And that’s really. [00:21:45]

Payman Langroudi: You know the, the job itself of being a personal [00:21:50] trainer. She look Ronan’s just made it clear there’s a massive mental element to that. So like [00:21:55] what do you call them. Clients. Yeah. Client comes in. You’ve got to unpick the [00:22:00] whole mental side. And you know they’re essentially they’re there for their physical side. Right. [00:22:05] But the mental side is really important right. As she’s just shown. But then also I’m quite interested. [00:22:10] We were talking to Artur about this. Yeah.

Rhona Eskander/Sana Shirvani: Oh yeah Sonia introduced me to Artur. Oh, really?

Payman Langroudi: Really. Yeah. [00:22:15] So how much of your value add is your knowledge and how much of your [00:22:20] value add is your delivery? Yeah, because it’s a massive thing dentistry as well. Right. You know, you can be the best [00:22:25] dentist but not have the best chance.

Rhona Eskander/Sana Shirvani: Right. Can I just interject there, Sonia. Like, listen, Payman [00:22:30] always jokes. He’s like, Rona doesn’t hang out with normal people. She doesn’t know normal people. Like, [00:22:35] I pick the special ones.

Payman Langroudi: I don’t say it as a compliment.

Rhona Eskander/Sana Shirvani: I know, he says it’s a really bad thing. You know, I like I [00:22:40] know that, I know, but I’m just saying to you, you’ve got it all wrong. It’s because I like I naturally gravitate [00:22:45] to people that I know are the best at what they do. And in terms of like, I’m not talking about [00:22:50] just the skill they provide, but the heart that they do it with. And like, that’s why I said to you, the same with Ella. [00:22:55] Sonia is special. And once I when I started like raving about her, she suddenly had [00:23:00] like a billion dentists. She still laughs about this because she literally changed. Changed my life in lockdown. [00:23:05] Yeah. No. But like she literally started training so many dentists because they believed me and [00:23:10] they were seeing the results on my socials. But it’s because she has that compassion and understanding, [00:23:15] you know, and I sometimes got told by personal trainers I wasn’t being strict enough, I wasn’t working hard enough, [00:23:20] or I was like, she’d be like, you’re having a bad day. Let’s do something low intensity. Do [00:23:25] you know what I mean? Like, she has the special touch. The thing is, with personal training, it is something [00:23:30] it’s. You spend a lot of time with that person and you get to know them. And I think that there’s [00:23:35] a huge part of it that is completely a mental side of it, rather than a physical [00:23:40] side. And naturally, I’m quite a big empath, but I have become more and more empathetic [00:23:45] as the years have gone, gone by and it. It almost [00:23:50] works to my detriment sometimes because I’m in a situation where I literally can’t stop myself, [00:23:55] but feeling something that my client is feeling when they’re explaining something to me, and then I’m like, but am I doing [00:24:00] my job properly? Because actually I should be training them and I shouldn’t be sitting here like feeling with them. [00:24:05] But it is a huge part of my job. Personally, I think because of how vocal I’ve been around [00:24:10] mental health on my socials over the years, I think I attract a certain type of client. [00:24:15]

Payman Langroudi: Do you only train women?

Rhona Eskander/Sana Shirvani: No, no. So even the men that I [00:24:20] train, I still think they fall within this bucket of people who are in touch with them. [00:24:25] Their own mental health may be struggling at the time and have, you know, [00:24:30] reached out to me in order to help their physical health, but then actually see such [00:24:35] an improvement in their mental health. I think, like, I’ve got this one client, he’s male. [00:24:40] He contacted me at a time where both his parents had passed away [00:24:45] within like a six month period, and it was also a time where my cousin [00:24:50] passed away as well. And then within we sort of met at that time together, [00:24:55] and he was in a really bad place, and I wasn’t in the greatest place either. And it [00:25:00] was more how we were mentally helping each other through that time that actually got [00:25:05] the results that he even got physically. He’s like, imagine if you [00:25:10] hate the gym and you decide to go to the gym.

Payman Langroudi: I do hate the gym.

Rhona Eskander/Sana Shirvani: I [00:25:15] say, um, but no, imagine you [00:25:20] really hate the gym. You decide to reach out to a personal trainer and go to the gym, and [00:25:25] you still hate the gym after two weeks, but you start noticing certain things in your head is a little bit clearer. You can [00:25:30] think through things a little bit better. You’ve just got this like spark in your mind that isn’t as negative as always. [00:25:35] Then you start to think, okay, well, this must be good for me, and you start doing it [00:25:40] more. Then your results actually become a by-product. And I do have a lot of clients that that is the way [00:25:45] around. You know, it’s first the mental change and the physical change is just a by-product and it just happens. [00:25:50] And it’s a long time. Like I was looking at photos of me from like ten years ago and [00:25:55] I was like, oh my God. Like, I’ve changed. I’m actually proud of myself. As in, like, I’ve got so [00:26:00] much more muscle tone and stuff. And I was like, but that took me ten years because now I don’t go into the gym [00:26:05] with any goal, just go to the gym. Do you see what I mean? Yeah, yeah. But I would say also [00:26:10] it takes its toll on the trainer as well because.

Payman Langroudi: Like a psychiatrist, [00:26:15] right. You take it on other people’s. Yeah. Stress.

Rhona Eskander/Sana Shirvani: At one point in life I was doing like 10 [00:26:20] to 12 sessions a day, every day, seven days a week. And I was literally [00:26:25] like pushing myself into the ground. It was it was almost a way of me coping, but [00:26:30] also like coping with what I was going through at the time. But it was also this [00:26:35] connection that I had with every single client of mine. And I literally, I can’t say yes to one client and [00:26:40] no to another if I’m saying yes to a client. I had to see every other client that day. [00:26:45] And you’ve got to think it’s probably similar to actually maybe not in dentistry because they’ve got their mouth wide open [00:26:50] and can’t speak much, but but they take on a lot of stress. You do, you do. Yeah. [00:26:55] And I think that every hour you’re taking on somebody’s energy and it’s mostly something like [00:27:00] negative or something they’re going through in their life and you’re taking on this energy and you need to give energy [00:27:05] back to them. And no one’s giving you energy. Someone’s either draining your energy [00:27:10] and you’re draining it yourself by giving that energy back to them. But like, no. [00:27:15]

Payman Langroudi: That up day after day after day.

Rhona Eskander/Sana Shirvani: No one’s filling up your cup. Yeah. So if imagine if you do that [00:27:20] every single day, like mentally you’re completely at a loss. Like I literally got [00:27:25] to the point where I could not get out of my bed to go to work. I literally could not move. [00:27:30] And I had this guilt in my head about not being able to train my clients or [00:27:35] see my clients. I had to start them being a bit honest with my clients when I got to that really negative place. But [00:27:40] it’s it’s a massive balancing act that I think new pets need to be really, really [00:27:45] wary of. Like now I’m so much better and I have boundaries and I have to protect my own mental [00:27:50] health to be able to help you with your physical and mental, you know?

Payman Langroudi: But also, Otto was saying things [00:27:55] like, he has to know what’s going on in the news, what’s going on in business, because the, you know, he’s [00:28:00] a high net worth whatever CEO of a company says something about a board meeting. [00:28:05] Otto has to be able to answer that question. Yeah, yeah. And I never would have thought that.

Rhona Eskander/Sana Shirvani: Yeah, [00:28:10] but I think.

Payman Langroudi: That’s the value add he gives to those people.

Rhona Eskander/Sana Shirvani: 100%. But I think it’s so interesting as well, [00:28:15] like your clientele is you’ve got to know your niche, your clients. Right. And when [00:28:20] I started building my 1 to 1 business, I got like my niche was the more higher [00:28:25] net worth, sort of like business owners or like, yeah, high net worth people that could afford [00:28:30] my services. And I had tough conversations with these people. But I [00:28:35] want to rewind a little bit before we get on to that, because Sonja was working for a very well known [00:28:40] gym company, um, where actually I think that you could say it was almost [00:28:45] like a cult. Yeah. I’m not going to mention who it is. And then, um, she met. A lot of big parts [00:28:50] that were out there, etc. but one of the reasons why Sana [00:28:55] actually quit, even though it made her meet a sort of bunch of clients, is because of their [00:29:00] ethics and values. So the real turning point was this company during Black [00:29:05] Lives Matter, had a lot of black personal trainers, but they didn’t do anything [00:29:10] on their social media to support their trainers, to make a statement, to do anything like that. And [00:29:15] then Sana felt very passionately about that. So all those trainers left during lockdown [00:29:20] for that reason.

Rhona Eskander/Sana Shirvani: And then Sana soon followed suit. And I think that’s really interesting, because [00:29:25] I think that it’s really hard to stand up for your own, like [00:29:30] values and ethics, especially in a corporate company that’s quite like successful. So do you want to tell us a bit about [00:29:35] that? Agreed. And also coming from I never thought I could make it in this industry because [00:29:40] when I first started in this industry, firstly no one looked like me. Secondly, I was like, [00:29:45] right, when you see like a name of a brand, sorry, like [00:29:50] a influencer of any type, like representing a brand, it’s always like Sarah Davis, [00:29:55] sorry. To your name, Sarah Davis, she’s on Dragons Den. Dead. Oh, that’s what I got. Yeah, but, [00:30:00] like, it’s such a white name. I was like, Sana Shivani, it’s never really going to be up in lights, [00:30:05] is it? Yeah. Like it’s just never. I just never saw it as. Because I’ve got a foreign name [00:30:10] and, you know, I’m just not going to get the jobs that everyone else gets. And building myself [00:30:15] to the point that I was when I was a part of this company was like, it’s quite a big step for me to to leave [00:30:20] and be like, okay, well, I don’t know what I’m going to do after this.

Rhona Eskander/Sana Shirvani: I’ve got my own client base, [00:30:25] but that was where I trained them. And I think for me, being [00:30:30] in a service based industry, you also have to service your employees to an [00:30:35] extent as well. And I think that in our industry, employees and personal [00:30:40] trainers give so much to the company, so much to their clients, and it was just the bare minimum, [00:30:45] you know, to be vocal about something that that obviously we all feel very strongly about. So [00:30:50] there was a group of us that decided to leave. I was one of them. Um, and you’d never been freelance [00:30:55] before, is it? Not? Like, I know, like within a gym, but as in, like just. Well, that was when I was, like, completely [00:31:00] freelance. I’m still freelance while I was working there, but I was obviously I had certain classes that I was teaching at [00:31:05] the time and things like that. So I had a regular income then. But then shortly after that, I got my job at Disney [00:31:10] and it sort of all worked out. What do you think this comes.

Payman Langroudi: From, this sort of idealistic things? I’ve seen that [00:31:15] in your sister as well. Very sort of fixed based, idealistic. Come [00:31:20] to your parents?

Rhona Eskander/Sana Shirvani: I think it comes from my parents.

Payman Langroudi: Let’s do it.

Rhona Eskander/Sana Shirvani: Yeah, yeah. Um, I [00:31:25] think that same thing we talked about this immigrant thing. Yeah. Like my dad.

Payman Langroudi: Everyone, [00:31:30] not every immigrant would do it, though.

Rhona Eskander/Sana Shirvani: But I think it’s like, I don’t know, like, I think we have this, like, DNA to kind of, [00:31:35] like, really perform and do well.

Payman Langroudi: And that’s not what she’s done, though. She’s left her job. Yeah. [00:31:40] For a for a point of, you know, ethics. Yeah. I can see many immigrants keeping [00:31:45] their head down and considering it’s an immigrant thing.

Rhona Eskander/Sana Shirvani: Farnese’s son is not afraid as well. I mean, she’s [00:31:50] been very vocal about lots of political things. I just think I’m quite like I’m quite a straight [00:31:55] up person as well. Like, sometimes I get myself into trouble. My mom’s like, why are you saying things like so directly? [00:32:00] I cannot, I’m very bad at being diplomatic. And even when I’m like [00:32:05] vocal about like, things going on in the world and stuff, I’m like, have I said that really directly? Should I not, [00:32:10] you know, because I, I’m just a very direct person. I think it’s sometimes the best [00:32:15] way to be because you just otherwise I will constantly be trying [00:32:20] to please people and I’ll constantly be picking my views, my opinions under the carpet. If not, [00:32:25] um, but I do think it comes from my parents as well. My dad is a very, very strong character, very strong [00:32:30] character. He was a workaholic growing up, and I think I’ve also like got that trait from him as well. Yeah, [00:32:35] because you’re working with seven days a week. Um, but Sana, one of the major things I mean, we’ve talked [00:32:40] about, you know, your career trajectory, but I think one of the things that really shaped you is [00:32:45] what happened to your cousin.

Rhona Eskander/Sana Shirvani: And I think that also had a huge impact on your physical health, because that’s something [00:32:50] that you told me. Yeah. And I think, you know, it’s something that we have touched on before on my [00:32:55] movies. And, you know, I really appreciate that you’re going to talk about this, but can we talk about your cousin [00:33:00] and what had happened and how that shaped you? Yeah. So my cousin at the time was [00:33:05] 25 years old, male. He was a year younger than me at the time. So we were like [00:33:10] the closest cousins in age from the top. My sister’s older and, um, [00:33:15] it, I was at the [00:33:20] ear, nose and throat hospital, I think, in Charing Cross. And, um, I was [00:33:25] having an argument with my dad, and I was in the hospital waiting for something. I was on the phone to my dad, and I was [00:33:30] having an argument, and he said that my cousin’s name is Abbas. Um, [00:33:35] he said, well, Abbas is dead. I just didn’t believe him, but it didn’t even cross my mind that [00:33:40] this was a true statement. I was arguing with him about something, so I just put the phone down and that [00:33:45] was that.

Rhona Eskander/Sana Shirvani: And then I got in a taxi and I was like, hold on, did he just say Abbas [00:33:50] is dead? Like, surely not. So I took the taxi. I told him to go back [00:33:55] to the hospital. My mum was there, my sister was there, and then I just walked [00:34:00] in and I was like, what do you mean? Abbas is dead and. [00:34:05] Like I could just tell by their faces everything. It was true. And I [00:34:10] literally remember the moment I just dropped to the ground. And I was like, no, [00:34:15] no, like fucking. He like how, how like, how can he be dead? Um, [00:34:20] and then I started putting two and two together and I [00:34:25] rang his dad. And I remember I was outside speaking to his dad, [00:34:30] and, um, I was just like, I didn’t know what to say. I was just, like, crying. I [00:34:35] remember a stranger came up to me and gave me a hug, and it was just I remember the exact [00:34:40] moment. But basically he was really struggling with his mental health and he. Um. [00:34:45] It was the night of my birthday. He committed suicide, and. [00:34:50] Also within like my family, who are quite conservative. [00:34:55] That’s like such a like what?

Payman Langroudi: No taboo.

Rhona Eskander/Sana Shirvani: Taboo thing. Yeah. [00:35:00] Initially, my family didn’t want to tell the rest of the family, like they were like, we [00:35:05] can’t say it’s suicide. Like, what do you mean? Like, what do you mean you cannot say it’s suicide? [00:35:10] Um. So I had like a major effect on me. [00:35:15] My mental health. And that’s when I started working seven days a week. So I used [00:35:20] my work as a coping mechanism because I was around people and I thought, you know what? If I’m [00:35:25] around a client, I can’t break down. I can’t, you know, it’s a show [00:35:30] sort of thing. I used to also teach classes back then. So I’d go into like my class [00:35:35] and be like, right, it’s a 45 minute show and I’m just going to put on a show and give these people the best time of their lives for the next [00:35:40] hour. And that’s just like me not thinking about everything. I did that for like [00:35:45] a very long period, and I remember I could feel I was like internally breaking down, breaking down, breaking [00:35:50] down. Like, how much longer can I go on like this? And then I spoke to a friend who [00:35:55] was I didn’t really understand my own mental health then. I didn’t really understand what [00:36:00] was going on in my mind. I didn’t realise, like, why I’m having these conversations with myself. [00:36:05] Almost in my brain. I feel like there’s two voices. And then my friend said, like, you’ve [00:36:10] literally right now you are in a very depressed state and you have to treat your [00:36:15] depression as a real illness.

Rhona Eskander/Sana Shirvani: And she [00:36:20] said something to me and it’s always stuck with me. If you had, like, broken your knee, you [00:36:25] would not be able to go to work. You’d have to call work up and you’d have to say, look, I’ve got a broken leg and I cannot come [00:36:30] to work. You’ve got a broken head right now. Like, mentally you’re not okay, and you need to [00:36:35] call work and just tell them that you need some time off. I didn’t do that because I [00:36:40] didn’t want to. I wanted to, like, continue. And I was just like. But then I’ll be at home and I’ll be with my mind and [00:36:45] like all of these things. So I continued working. And at the time, this [00:36:50] is something that like, I’ve never really publicly said. F off. But I [00:36:55] used to be addicted to weed. And I know that, like, some people are like, oh [00:37:00] yeah, it’s fine. Like you smoked a spliff every now and then, like it’s okay. No, I was addicted. [00:37:05] Like only now. Over the past, like few years, I’ve been like, right, I have an addiction. [00:37:10] I was an addict, but I was smoking it every day for a good part of like 8 to 10 [00:37:15] years, every single night. It was a way of me [00:37:20] numbing my brain, numbing my body, being able to sleep, [00:37:25] being able to sort of like that last portion of the day when you get home [00:37:30] and you get into bed and you’re like, everything goes through your mind.

Rhona Eskander/Sana Shirvani: I would numb that portion, [00:37:35] so I’d wake up and I’d go again. I was literally on autopilot. But that’s what they define as an [00:37:40] addiction, right? Like it’s a an escapism. Gabor Maté was talking about [00:37:45] someone from the Rolling Stones or some kind of famous band, and people [00:37:50] couldn’t understand why this person was a heroin addict. And Gabor Maté said that when [00:37:55] he heard an interview, they said to escape the reality of their mind, and that is sometimes [00:38:00] so deep for someone, and we don’t understand that. I also think weed is a really interesting thing [00:38:05] because I’ve never tried, as you know, any drugs or anything like that. But weed [00:38:10] for me is really interesting because one of the reasons I was really deterred from even trying it is because I actually [00:38:15] saw people’s minds completely go from weed, like from over excessive [00:38:20] smoking, like they became hyper paranoid, didn’t do anything with their life. I’m talking about ten years plus. [00:38:25] That really scared me to be honest, you know, and I really saw the impact of that. So it’s quite interesting because they’re talking [00:38:30] about legalising it in so many places.

Payman Langroudi: Is misuse of anything. A misuse of exercise can damage [00:38:35] you, but.

Rhona Eskander/Sana Shirvani: When you’re addicted, it’s misuse, right. And I, I got to the point where I [00:38:40] was scared that I’d literally lose my whole business. I was like, I am smoking so much that if [00:38:45] I put one block in the wrong place, I could. Everything could collapse [00:38:50] and I could lose everything. And it was I actually, um, had to take myself. [00:38:55] I didn’t tell anyone. I got an Airbnb. Um, and I took myself away to, like, the countryside [00:39:00] with no access to weed and no access to anything. And that’s [00:39:05] how I started coming off it, as well as a lot of therapy and all of that. But that’s how I started, because I couldn’t [00:39:10] do it in my own environment because I associated my environment with smoking.

Payman Langroudi: Was your cousin [00:39:15] suicide? What started? Yeah.

Rhona Eskander/Sana Shirvani: Um, it didn’t start it. [00:39:20] No. Exacerbated. Exacerbated it massively.

Payman Langroudi: And you know how anytime anyone [00:39:25] passes away, guilt seems to just come into even whichever way anyone passes away, [00:39:30] the question of should have spent more time with them or whatever. Yeah, but when it’s suicide, that becomes [00:39:35] particularly poignant. Did you have guilt?

Rhona Eskander/Sana Shirvani: Massively. Um, the Christmas [00:39:40] that I go to my cousin’s house every Christmas, we do Christmas at his house. That Christmas, before he [00:39:45] passed away, which was 15 days before he passed away. I didn’t go to Essex. He lives in Essex. [00:39:50] I couldn’t make it. And for [00:39:55] years I literally, like, had this massive guilt. I was like, I didn’t make it. Maybe [00:40:00] if I went because I actually, like, also go through my own mental health, maybe I would have seen something. [00:40:05] Maybe I would have like noticed something. And only when [00:40:10] I went through a lot of therapy and Rhona helped me a lot, [00:40:15] kind of working through all of the grief and the emotions, the guilt. Only [00:40:20] then I was like, I knew, like only now I can say, I know that regardless [00:40:25] of anything that was in his head, you know, like, and I’m not saying every single suicide case [00:40:30] is like this because I don’t think it is, but I know for a fact that [00:40:35] that was not a decision in a split second that was thought through. [00:40:40] There was conversations. We took him to the GP for depression. He was a doctor. [00:40:45] Yeah. He was four months away from finishing his PhD. He was younger [00:40:50] than me. He was 25. He had a brand new Audi sitting in the driveway. Hadn’t even insured it. Beautiful [00:40:55] girlfriend, beautiful girl.

Rhona Eskander/Sana Shirvani: He’s half Ray and half English like. Stunning blue eyes. [00:41:00] Gorgeous, gorgeous boy. And no, like the life of the party, no one would have ever, ever known. [00:41:05] But they say, you know, like sometimes, like the loudest in the room. You [00:41:10] bring the most. Like I sent Payman this video. I’m sure you’ve seen it about those two men at a football game. [00:41:15] And they’re like in their like 50s. 60s. Yeah. And you see the one that’s like really happy and exciting, the [00:41:20] one that’s a little bit like grumpy. And in the end, it’s the one that seems the happiest. And that’s [00:41:25] why it’s like, you know, you never know what people are going through. Absolutely. You know you never know. And it’s like be kind [00:41:30] like I like that’s like the motto that I think is so, so, so important 100% [00:41:35] because you know, like, again, this is this wasn’t my cousin’s situation, [00:41:40] but let’s say if there was somebody and someone was like, they were on their way home and [00:41:45] they got spoken to in a certain way, or somebody said something that really got to them, like [00:41:50] they could then go and make decisions like that. And that’s why I really live by that as well. You’ve really got to be kind [00:41:55] because you just don’t know what people are going through.

Payman Langroudi: So I know, look, this is going to sound ridiculous, but in a way, [00:42:00] what good came of it did you do you now treasure people more?

Rhona Eskander/Sana Shirvani: I [00:42:05] think you do a lot of mental health work, especially for male suicide. Yes. Yeah. [00:42:10] So I work with, um, a few charities. I still want to do so much more though. I work [00:42:15] with a few charities, um, for around mental health. And I specifically want to go into helping [00:42:20] children in schools because I don’t think there’s the support or the resources. And I think that [00:42:25] it depends like what kind of family you come from. You might not be open to speaking about your problems [00:42:30] and your issues with your parents, and I think there needs to be a bit more support around that. I [00:42:35] also just like want to raise more awareness. And, you know, I try and raise awareness with charities. I [00:42:40] try and go on, um, like charitable events and things like that. But I think [00:42:45] the good that came from it is I became like I was already an empathetic person, but I [00:42:50] really became a lot more compassionate towards people. I really, really understood that [00:42:55] everyone is fucking fighting a battle of some sort.

Payman Langroudi: We’ve all got some [00:43:00] sort of mental illness.

Rhona Eskander/Sana Shirvani: Yeah, yeah, yeah, absolutely. But do you really think that. Yeah. Honestly. Because, [00:43:05] you know, it’s so funny, like I really stepped into the whole idea of like, vulnerability being [00:43:10] a superpower. Did you see my post today? No. Have you seen it? No. So I was quite nervous about [00:43:15] posting it because it was like these like Instagram is a highlight reel of your life [00:43:20] and I’m just going to show you my like, non-glamorous behind the scenes. And there’s basically like five photos [00:43:25] of like things that I’ve been struggling with and people have, like, responded in a way that I didn’t [00:43:30] imagine and like, even like, like really cool, like people that I didn’t like, [00:43:35] you know, like people that like archetypally like, have a perfect life. And they were like, thank you so much. Like, [00:43:40] this makes you, like, even better of a human being because I’m there, like, showing, like really uncool, [00:43:45] unsexy, unglamorous parts of me that affect my mental health.

Payman Langroudi: Like [00:43:50] what? What did.

Rhona Eskander/Sana Shirvani: You do? So I talked about like the fact that, like, for example, I, [00:43:55] you know, I lost my hair last year because of stress. And I show the kind of like bald patches [00:44:00] and how I think about it all the time. I showed the fact that I suddenly, like, developed [00:44:05] like acne last year as well because of the chronic fatigue that I often showed [00:44:10] a photo of, like me, like having a mental breakdown because I feel like I haven’t done enough, I haven’t achieved enough, showed [00:44:15] a photo of my body and was like, you know, I have body image anxiety [00:44:20] because people always tell me that, like, my body is flawed and like I just opened up and it was people [00:44:25] were like, this is so relatable. And I think the fact is, is that we just don’t have enough of these open [00:44:30] conversations, recognising that we all have our things that really, truly [00:44:35] affect us in different ways. Like, I’m not even there yet, but I think I imagine as well, like even like as [00:44:40] a father and a husband, as a wife and as a mother. Like there’s a whole other realm layer [00:44:45] to like your mental health, you know what I mean?

Payman Langroudi: Your body image issues have really surprised [00:44:50] the hell out of me now.

Rhona Eskander/Sana Shirvani: Like, they know they have breakdowns. They have breakdowns too.

Payman Langroudi: It’s really [00:44:55] made me realise, like it’s made me see the world in a whole different way. The fact that you’ve got body image issues. Yeah, it [00:45:00] really has. And then also, you know, the conversations we were having about, uh, um, [00:45:05] talking to your younger self. Yeah. So I took a wrong turn on my [00:45:10] on my lime bike, and I ended up right outside the first school that we [00:45:15] went to when we came from revolution in Iran, we ran away from Iran, came to Phillips [00:45:20] and off Gloucester Road. Yeah. And, um, I saw this school and I just [00:45:25] went up the stairs, really, and I, and I, and I had a little conversation with little five year old. [00:45:30] Oh, my son and I never thought I had any sort of mental problem [00:45:35] with it. Yeah, but but it really helped me, you know, like, you know, like everything’s going to be okay because [00:45:40] I was like, you know, in a new country, new school, new language, new everything. Yeah. I love that interesting portrait. [00:45:45]

Rhona Eskander/Sana Shirvani: Yeah. Uh, but. [00:45:50] So, Sana, I want to, um, also move on. So now we all know that you are a celebrity trainer. So the amazing [00:45:55] thing was, Payman that you asked, like, what is it about you? But she was. She’s one of those people that people [00:46:00] started talking about her in the industry. So she was getting approached, you know, I mean, it’s like you didn’t put that much effort, but [00:46:05] people were like, do you want to go and be the personal trainer on Disney? You know what I mean? Like things like, did land in your lap [00:46:10] a little bit because of the hard work and because of the reputation that you had. So there she was on the [00:46:15] set of Little Mermaid. Can you imagine with like the likes of Javier Bardem, Hayley like [00:46:20] the whole lot, travelling with them, filming the whole of, like, The Little Mermaid, you know? Incredible. So [00:46:25] do you want to tell us a little bit about that? Yeah. So, um, yeah. Like [00:46:30] Rowena mentioned, I got approached for that job. Um, it was off a recommendation. They were actually, I think, looking for [00:46:35] a female strength trainer because the main, um, costs. She was quite young when she first started [00:46:40] the job. So it all happened really quickly. I got approached, I thought it was one [00:46:45] of these, like, spam emails that come through your Instagram.

Rhona Eskander/Sana Shirvani: Um, and then I went over [00:46:50] to the to Pinewood, had an interview with the producer, and it sort of really [00:46:55] happened overnight. I got an email that night like it was a Friday night, 5:00, [00:47:00] I got that email. And then by the time it was the Monday, I was like signing my contract. But [00:47:05] like that job specifically, I was in charge of eight cast members. [00:47:10] They weren’t all full time. Um, so you had sort of like the mermaid Prince. Um, and then you’ve got everyone [00:47:15] else who’s, um, around that it was a really big job. It was meant to be a nine month [00:47:20] job, ended up being a two year job because of Covid. So Covid happened on the first day of opening [00:47:25] production. But then we were quite lucky that after [00:47:30] the first sort of like Covid lockdown, production companies were one of the first to be able to open [00:47:35] back up. We were getting tested every day. It was like working at Disney, coming back home, seeing my [00:47:40] clients. It was just a mad, mad period of time. But I found the job [00:47:45] quite intense actually, and a lot of people think they’re always like, oh, tell us all about Disney and like, [00:47:50] tell us about, you know, training all of these stars.

Rhona Eskander/Sana Shirvani: And I think, um, it’s a lot more glamorised [00:47:55] than it is to put it quite like you hated it. I remember I had a really tough time. [00:48:00] I was solely in charge of the training, the nutrition, [00:48:05] and I had sort of like someone who was above me, [00:48:10] sort of like playing to the power trips of the way things work. And [00:48:15] I started to feel really uncomfortable in the position that I was within. I had [00:48:20] someone who was older, male, had a bit more power than me, constantly around me. And [00:48:25] um, the long and short of it is that it was a big harassment case and [00:48:30] sexual assault case, and I’ve also never spoken about this publicly [00:48:35] again. Now I can, because everything has been sort of dealt with and I’ve [00:48:40] worked through it and I’ve come to a place of like acceptance with it. But it had such [00:48:45] a huge impact on my confidence on just me as a person. I [00:48:50] became like a shell of myself there. Like when I look back now at my time there, it [00:48:55] I can’t, I don’t even recognise the person that was there. I yeah, [00:49:00] I found it really difficult. Basically the production, um, the production guys asked me to write [00:49:05] out a document of evidence and things, and it was like a 26 page document that [00:49:10] my best friend helped me with.

Rhona Eskander/Sana Shirvani: It was all writing like it had links to like a Dropbox for any [00:49:15] imagery. So there was a lot, a lot there. I handed that in on the Friday, and [00:49:20] um, on the Saturday I got a call from the production team saying [00:49:25] that, oh my God, we can’t believe you were kind of like going through all of this. And we can’t believe you’ve not said [00:49:30] anything until now. And we’re really, really sorry. And we’re going to fire him straight away. Now [00:49:35] looking back at the situation, firing him without telling him what he’s done, [00:49:40] without telling any other department. What he’s done was just a way to sweep it under the carpet [00:49:45] and shut me up, and the effect that it had on me. I was having physical panic [00:49:50] attacks on set. The nurse who was on set had to take me into like an ambulance to get [00:49:55] my ECG done and everything. They put me on antidepressants, the doctor on [00:50:00] Disney, um, the doctor on set, he gave me Xanax. [00:50:05] He gave me all of these drugs because I literally couldn’t go to work without being in, [00:50:10] like, such a high state of anxiety and panic.

Payman Langroudi: Want to talk about what was actually [00:50:15] happening.

Rhona Eskander/Sana Shirvani: So it was, um, sexual harassment [00:50:20] and. Well, Payman means was it like messages? Was he trying it on set? [00:50:25] Was it okay? So it was verbal in person as well as messages as well as pictures [00:50:30] as well as situations of making me feel really, really uncomfortable, like [00:50:35] just a very small example. So we don’t get into everything. I was single [00:50:40] for like four years at the time. He knew I was single for four years, and he would say to me things [00:50:45] like, oh, so you’re single, so how do you like sort yourself out? Do you just like [00:50:50] have somebody you call or do you sit inappropriate sexual questions like made me feel [00:50:55] very uncomfortable in that position. But I also didn’t know what to do. I was like, this is my [00:51:00] first film job. This is somebody of higher power than me, who also has [00:51:05] a relationship with the people higher than him as well. Like I don’t have that relationship with those people. I [00:51:10] am the only female on set like in my department. I didn’t know how to deal with it [00:51:15] even when I. The only reason I went to production in the end was because I [00:51:20] had a panic attack. The nurse saw me and the nurse said, you have to go to HR. And then [00:51:25] even when I went to HR, I could tell HR didn’t believe me when I was just verbally [00:51:30] explaining everything. That’s why they asked me for all this evidence. And I had a panic attack in the room and the [00:51:35] lady didn’t know what to do. She was like, do you want to put your head out the window? And I was like, hyperventilating. [00:51:40] It was just a really tricky situation. And off the back of that, [00:51:45] what happened was I felt like I was never meant to be in that job. I felt like I. She [00:51:50] felt it was your fault. Yeah. I felt like it was a crazy thing.

Payman Langroudi: Is, on the outside, anyone would think [00:51:55] that’s the pinnacle of your career. Disney movie set. You know, famous people. [00:52:00] Yeah. But actually on the inside, that was one of the hardest moments of your life.

Rhona Eskander/Sana Shirvani: The hardest.

Payman Langroudi: What do [00:52:05] you think was going through his head? Do you think he understood?

Rhona Eskander/Sana Shirvani: I think.

Payman Langroudi: It was inadvertent, like he thought [00:52:10] he was having a go, like.

Rhona Eskander/Sana Shirvani: I’m not entirely sure. Um. [00:52:15] Like it makes my skin crawl. Thinking about it now. Yeah, but [00:52:20] I think. I don’t think I’m the first person that he’s had that behaviour [00:52:25] with, because he has said stories in front of me about his other colleagues, and [00:52:30] that makes me worry for the future people that he also works with, [00:52:35] even if he doesn’t think he’s like fully putting himself onto somebody, I think. Comments. [00:52:40] I think just making people feel uncomfortable and make using your power as a way [00:52:45] to silence them is not appropriate. Um. And [00:52:50] that’s why I was like, after the whole situation, I was so annoyed that the production team didn’t [00:52:55] tell anybody. He’ll get hired again, I think. This I think this poses [00:53:00] a very important question. And I think it’s, you know, important to get like a male perspective. [00:53:05] The MeToo movement has completely changed the narrative [00:53:10] around a lot of things, and it has posed historical questions. So what I mean by that [00:53:15] is, is that until really the Harvey Weinstein thing came along, there were so many [00:53:20] women that came forward and said, this has happened. But then obviously we [00:53:25] now have people that said, well, hang on a second, look, let’s look at Russell Brand. Right? Like people [00:53:30] are like, I thought it was okay then. And now I can speak up and say it wasn’t okay, [00:53:35] you know? And then there’s all this stuff about people questioning women, you know, for their judgement, [00:53:40] etc. and I think it’s a really like we’re living in an interesting [00:53:45] time because there are so many disbelievers.

Rhona Eskander/Sana Shirvani: And what I mean by [00:53:50] that is, is that there are a lot of people would say the women are lying, and there’s a lot of people that don’t also [00:53:55] allow for space for the woman to be correct or incorrect. So do you know [00:54:00] what I mean by that? You know, for example, if you know, like if a male [00:54:05] has done something wrong, absolutely, he should be held accountable. But there might be the one [00:54:10] case where a woman is trying it. Do you see what I mean? For financial [00:54:15] reasons, let’s just say, or something like that. But I think it’s an interesting time because [00:54:20] we are not allowing any room for anything. And like you said, we’ve [00:54:25] got extreme cases where Disney should have dealt with it but didn’t want any drama. But [00:54:30] people just don’t want to look into stuff. And I think we don’t like we don’t. We’re not [00:54:35] like getting any further like closer to like solving these issues. Okay. So I’ve actually got a question for you [00:54:40] as a male, because I did like when I was going through that initially [00:54:45] I was just telling my best friend she was like, Sana, this is sexual harassment. I didn’t know it was sexual harassment. [00:54:50] I didn’t know it was a thing. Do you? Where do you draw the line [00:54:55] of? Falcon playfully with your colleague. Exactly. [00:55:00] Or sexual harassment? Yeah. What do you think? You have a lot of females.

Payman Langroudi: Difficult to know, isn’t it? That’s [00:55:05] what I’m saying, that I wonder whether this guy knew or not.

Rhona Eskander/Sana Shirvani: Do you think you [00:55:10] would know?

Payman Langroudi: Like, was it a power play or do you think.

Rhona Eskander/Sana Shirvani: He would know, though, as you have a lot of young females here, do you think, [00:55:15] you know, like.

Payman Langroudi: I hope so, I hope so, but, you know, I don’t know because [00:55:20] I wasn’t there.

Rhona Eskander/Sana Shirvani: I think like in your.

Payman Langroudi: Situation, I wasn’t there.

Rhona Eskander/Sana Shirvani: Photos of themselves. Yeah.

Payman Langroudi: Is [00:55:25] that what happened? Yeah.

Rhona Eskander/Sana Shirvani: Like I think then then he knows clearly. I mean, I saw this [00:55:30] the other day and I just pulled it up to read it out because I think it’s it’s quite. Telling [00:55:35] get harassed. It’s only banter. Wary of strange men. Uptight, [00:55:40] wary of familiar men. Paranoid. Friendly with guys. A slut. Trusting of guys. [00:55:45] Stupid. Report a liar. Don’t report part of the problem. Dress up asking [00:55:50] for it. Dress down ugly and lazy. When is it not our fault? That’s quite obviously [00:55:55] like yeah, and I’d love to know what you hear when you hear that.

Payman Langroudi: We’ve [00:56:00] had this this debate.

Rhona Eskander/Sana Shirvani: Many.

Payman Langroudi: Times. Yeah. Insomuch as I just think it’s [00:56:05] right now. It’s the best time ever to be a woman. Yeah. Women are more empowered, [00:56:10] more, more financially empowered, got more going on, [00:56:15] more rights, more everything than they’ve ever had before. And yet, if you read [00:56:20] the narrative, the narrative. Maybe it’s because women are now finally empowered [00:56:25] that they can finally say these things. Yeah. At the same time, at the same time, I [00:56:30] only figured out, I mean, it took me 48 years to figure out that it [00:56:35] was. My daughter had to tell me that all women every day feel threatened. Yeah, [00:56:40] I didn’t know that. I did not know that. Every day there’s a as [00:56:45] as as she’s walking down a road on her own. She constantly has to look around. [00:56:50] How old? 14. 13. So I mean, the. That [00:56:55] certainly isn’t the case for a man. Yeah. That doesn’t every day I don’t feel threatened. Yeah. [00:57:00] So what I’m saying is the conversation needs to be had. People need to [00:57:05] say these things because I didn’t know this until I was 48. So people need to hear these things at the [00:57:10] same time. Right here, right now is the best time in history to be a woman.

Rhona Eskander/Sana Shirvani: What [00:57:15] do you hear when you hear that? When I hear that passage specifically. [00:57:20] Regardless. Like we’re never going to get it right [00:57:25] or always be blamed to an extent. Do you know what you know? And I really do think [00:57:30] that you could.

Payman Langroudi: Write a similar thing for me.

Rhona Eskander/Sana Shirvani: I think, okay, listen, I agree [00:57:35] that obviously in the Western world we do have more rights. We have this debate over and over again. You heard it with the Sareeta [00:57:40] podcast. Like we go over and over and over again. Obviously, for a woman in Afghanistan [00:57:45] or Iran, life is a lot harder than a woman here.

Payman Langroudi: I hear you or a woman here five years ago, I hear you. But [00:57:50] ten years ago.

Rhona Eskander/Sana Shirvani: Yeah, yeah, yeah, I hear you. But also, I still think that we’ve got a long way to go. Like [00:57:55] we said, even though you don’t believe it. Gender pay gap. Gap is a thing. The orgasm gap is [00:58:00] a thing. Like we’ve had enough people. Orgasm gap I believe. So I don’t.

Payman Langroudi: Believe in the gender [00:58:05] pay gap. Yeah.

Rhona Eskander/Sana Shirvani: I think it’s a thing. It’s a thing like go argue with okay, I think it is a thing. [00:58:10] It might be different from industry to industry, but it’s a thing. Yeah, but it’s still a thing. But but my point is, [00:58:15] is that I still feel Sana and I went for coffee before we met you, and I was about [00:58:20] to tell us, and I can tell you because we didn’t have time to do it. She was like, how do you feel about the next stage of your life? And I was like, [00:58:25] do you know what I was like? I have some like, weird, kind of like anxiety about getting older at the [00:58:30] moment. I was like, I’ve never. It was weird because when everyone told me I was going to get like ugly [00:58:35] and old in my 30s, I felt more better than ever. I told, like, I [00:58:40] even showed Ahmed a picture of me in my 20. He was like, you look, Moschino. Moschino in Arabic means like miskeen. Like, you [00:58:45] know, like poor little thing. I was like, I look better now. But then, like at this stage I just feel [00:58:50] like this anxiety.

Rhona Eskander/Sana Shirvani: And I went for dinner with a friend yesterday and he was like, oh, you know, we were [00:58:55] talking about like, marriage and kids and he’s quite a lot like younger and stuff. And he was like, you know, the thing is, like, [00:59:00] if you ever broke up with your partner, you would never get anyone as hot [00:59:05] or young as him. And I was just like, that’s such a mean thing to say. But [00:59:10] also at the same time, it’s the reality of being an older woman. That’s what I feel. Do [00:59:15] you see what I mean? Are you older than him? No, but I’m saying, okay, he’s 40. Right? But let’s say, like, things [00:59:20] go tits up, right? You never know. Like, hopefully not touch wood. Okay. But let’s say that I [00:59:25] think he could easily find a woman that’s, like, ten years younger. Sure. Of course. Right. He’s like a good looking [00:59:30] guy, works in the city, good job, etc.. He ticks the boxes. Yeah. Do you think I could find [00:59:35] someone decent now that I’m 37? I know that’s like. I’m sorry. I’m just being totally, like, vulnerable. I’m not [00:59:40] sure. I think you could.

Payman Langroudi: I think you could, but. 42. No. Huh?

Rhona Eskander/Sana Shirvani: 42. No. [00:59:45] Si si si si si.

Payman Langroudi: I’m joking.

Rhona Eskander/Sana Shirvani: Do you think that I do you [00:59:50] think you could be eligible? Men would go for a woman that is like 37. Do you see what I mean? [00:59:55]

Payman Langroudi: Sure, sure. Some men like, uh, what they call cougars. Yeah, cougars.

Rhona Eskander/Sana Shirvani: Am I a cougar? To [01:00:00] be fair, though, I always say Amal Clooney met George when she was 38. [01:00:05]

Payman Langroudi: Yeah, yeah.

Rhona Eskander/Sana Shirvani: Yeah, I think you could. I do think that obviously [01:00:10] it is a lot easier for a man to find somebody decent [01:00:15] at that age than it is for a woman, just because, like, obviously, men want a young, pretty wife. [01:00:20]

Payman Langroudi: What do women want?

Rhona Eskander/Sana Shirvani: I think women want different things from a primal [01:00:25] point of view and from a like so. I always have this conversation with Ella. Actually, I [01:00:30] was really interested. You read Mating in Captivity, haven’t, you know? So that’s Esther I haven’t, [01:00:35] but she was we were talking about it that biologically, Lex Fridman talks about this in one of [01:00:40] his podcasts. Biologically, what women and men want from a reproduction point of view is different. [01:00:45] Obviously, men naturally will gravitate towards fertility, as in like from that hormonal like. I want [01:00:50] someone that can produce loads of children. Men will go for someone with a T shaped body because [01:00:55] it’s more about strength and that I want someone to give me. Babies are going to be big and strong. In [01:01:00] fact, I told you this stat before. Apparently the reason why Vikings are so big is because all of the Viking [01:01:05] men used to rape the big, broad women back in the day because they [01:01:10] wanted to produce big, strong men like as children’s offspring. So on a primal level. But as [01:01:15] we’ve grown and adapted and because our environments aren’t just about reproduction and survival, we [01:01:20] look for different things. So a woman would typically look for safety, security, financial [01:01:25] as well, like provision to some degree, some women not all. So there are all these different elements. And [01:01:30] then obviously a man will be looking for something different, you know. So I think it’s very different to.

Payman Langroudi: Both financially [01:01:35] independent women. That’s a new thing isn’t it, that financially [01:01:40] lots and lots of financially independent women have changed [01:01:45] that balance of power, if you like, where money was used as a as a as a tool. [01:01:50]

Rhona Eskander/Sana Shirvani: I think there’s still a lot of women that aren’t like us.

Payman Langroudi: But I know many, [01:01:55] many financial independent women now.

Rhona Eskander/Sana Shirvani: Okay, I know a lot of financial independent women, but [01:02:00] even those financially independent women, I think they still want those same things in a guy that they did. [01:02:05] If they weren’t like the things that Rhona just mentioned, the security, the safety, the even [01:02:10] from a financial perspective, even if they are financially secure.

Payman Langroudi: How do you feel about being in a relationship [01:02:15] where you’re making loads more money than the man?

Rhona Eskander/Sana Shirvani: You have dated guys where you’ve made more than [01:02:20] them. Yeah, I don’t mind it as such. As long as he is not like prancing [01:02:25] off me or doing absolutely nothing with his life. Like I find you.

Payman Langroudi: Find you, find. [01:02:30]

Rhona Eskander/Sana Shirvani: Ambition, attraction really attractive. Really, really. I wouldn’t want to financially support, man. Just putting it out [01:02:35] there.

Payman Langroudi: I don’t mean support. I mean you could do. I don’t want to.

Rhona Eskander/Sana Shirvani: Support a man I support, not support like scrub [01:02:40] I don’t want I don’t see myself.

Payman Langroudi: Let’s say, let’s say you fall in love with a guy [01:02:45] who earns half what you’re earning. You earn a lot of money. Yeah. So someone who earns half what you’re earning because could be a guy working [01:02:50] in the city. Someone. Someone successful person. Yeah. So it could be fine.

Rhona Eskander/Sana Shirvani: Yeah.

Payman Langroudi: That’s fine. But [01:02:55] what I’m saying is that in a relationship where the woman earns more than the man, [01:03:00] are the dynamics different?

Rhona Eskander/Sana Shirvani: I think so, but I also have a friend of mine. She [01:03:05] shall not, shall not be named. She has exponential wealth, as in, like beyond [01:03:10] anyone that you know, like beyond on another level. And she always chooses men that [01:03:15] earn substantially less than her. Like substantially less. Yeah. Because I also think she enjoys [01:03:20] that money. Yeah. But also I think that she enjoys that to some degree because she can [01:03:25] control it. Do you see? I mean, it’s like every time she split up with a partner, it’s like, get out of my house. She’s good. [01:03:30] She can move on to the next. You see, I think in a way she’s using.

Payman Langroudi: Money as a tool.

Rhona Eskander/Sana Shirvani: I think [01:03:35] so, yeah. And I think that, like, you know, she’s the kind of person that would probably, like, end [01:03:40] up like giving, like contributing to her own engagement ring. Do you know what I [01:03:45] mean? That kind of thing. Because she can. But like, that’s a really rare case. Like I find that really [01:03:50] stressful. Then there’s other people, like I have another girlfriend. Her her [01:03:55] highest value is the way a man looks. So she is obsessed with like, an arm candy [01:04:00] guy. And I’m sitting there thinking, but he doesn’t have X, Y, and Z, which is important to me. So I think it’s extremely [01:04:05] personal. But I also think in London, like you said, there is an abundance of successful [01:04:10] women with a lot of money. I used to be part of this dating agency. Have you ever heard of it? Grey and [01:04:15] Farrah? No. Super interesting. So one of my friends, when I was at 30, she [01:04:20] ended up dating the guy from the owns Moneysupermarket.com. [01:04:25] Right. So this is an agency for very high end. Yeah, but their caveat is [01:04:30] they don’t want escort type girls and the woman has to be earning X amount. Do you understand? [01:04:35] Because the men don’t want to feel like. The men don’t want to feel like, yeah, it’s all about the money. [01:04:40] So I was like, cool. Like I decided to join. It wasn’t right for me because at the time [01:04:45] I was in a different stage of my life and I was like, I had to go for these, like, dates. So I’d been made to sit for like six [01:04:50] hours and Scott’s with someone that was like 15 years older than me. And I was like, not at that stage in my life. [01:04:55] But anyways, the point is, is that when you go on to the review, why did you why did you join it? [01:05:00]

Payman Langroudi: Because you were looking for a mate.

Rhona Eskander/Sana Shirvani: And I was like, I really didn’t want to do like I wanted something that was super vetted. [01:05:05] So I basically did that and dry up. That’s. Yeah, exactly. Have you ever done Tinder? [01:05:10] No. Have you? Have I what? Tinder. Tinder? I went on it for one day and [01:05:15] actually never like matched with anybody. But the one person I saw on it is my now [01:05:20] boyfriend. Oh, really? Did you see him on it?

Payman Langroudi: But you [01:05:25] dated on it? No, you just saw him there.

Rhona Eskander/Sana Shirvani: I saw him, and the reason why I was on Tinder was because [01:05:30] I hadn’t dated him 4 or 5 years. And then the clients that I was with abroad [01:05:35] were like, right, we’re just going to open up. I was in Barbados at the time. We’re just going to make you a Tinder. I was like, okay, whatever. [01:05:40] Um, and then saw him, but then saw Primrose Hill as his location and I was like, nah, [01:05:45] too close to home and swiped no. And then she met him organically. Met him that night in Barbados [01:05:50] randomly. And then I was like, oh, is your name Nick? And [01:05:55] he was like, yeah. I was like, oh my God. I swiped no to you on Tinder yesterday and [01:06:00] now he’s my boyfriend. But the point is, is when you go on the, um, the [01:06:05] story about Graham Farrow’s, when you go on the Google reviews, it’s properly [01:06:10] vexed women that are like, I pay so much. This is a joke. This [01:06:15] is like a joke, kind of like dating agencies and these are high net worth women. So I think it’s like [01:06:20] a really tricky spot for high net worth women for them to like, meet [01:06:25] men and typically do those high net worth men want to be with those kinds of women? [01:06:30] I don’t know, like the dates that I went on.

Rhona Eskander/Sana Shirvani: They all wanted to pursue it further, but I was like, I [01:06:35] just wasn’t vibing it or wasn’t feeling it, but it’s just quite interesting. I think there’s two types of women. If [01:06:40] you are like, let’s say you’ve got so much money and you’re really high net worth, I think you either know [01:06:45] you have those expectations of like, okay, I know I am worth something and [01:06:50] I know that I’m going to find somebody who’s either a lot younger than me, hasn’t got a stable job, [01:06:55] and I will be supporting them to an extent, or I’m going to try and find somebody on my actual level, [01:07:00] and then they grow together that way. So I think it just depends on what you want in that [01:07:05] situation. Some women, I think, will really love having a younger partner and really like supporting them. I think [01:07:10] they’d love it. So, Sana, I want to, um, ask [01:07:15] you a little bit now. You’ve obviously gone through a massive change. Recently in your life where [01:07:20] you decided you had to make changes you’ve gone from seeing. I used to say to you, got to change something. These 10 to [01:07:25] 12 clients you’ve seen every day for seven days a week, it wasn’t conducive to your mental health.

Rhona Eskander/Sana Shirvani: You experienced [01:07:30] a lot of like physical and mental pain. So tell us what you did to change it. And [01:07:35] about the new exciting thing that’s out. So yeah, I. I [01:07:40] found it really difficult to transition from being a full time pet to what I do now. [01:07:45] But basically recently I took on two coaches, so I have two coaches working for me. They [01:07:50] now train my clients for me in the gym. I’m no longer, um, based there at the gym. I [01:07:55] have an online business now as well. I just wanted to make. My [01:08:00] issue with my business was I have a super inaccessible business. I’m [01:08:05] a 1 to 1 PT, I charge high end rates. They are for a certain demographic of people and it’s just not [01:08:10] accessible for everybody. So I wanted to make a product that is more accessible both financially, geographically, [01:08:15] geographically and something that actually had a bit of value in it, you know? Um, [01:08:20] so I’ve been working for the past year on an app and we launched [01:08:25] literally last week. Thank you. So the app is basically training, [01:08:30] nutrition and education. So my whole concept with that app is to be able [01:08:35] to bridge the gap between 1 to 1 PT and the online world, because I find some of the online [01:08:40] world is super vague and it’s like, here’s your program, here’s your training session, go get on with it. [01:08:45]

Rhona Eskander/Sana Shirvani: They don’t really learn anything in that process. They’re constantly relying on you as a coach [01:08:50] and the 1 to 1. Like I said, it’s for a certain type of person to train 3 or 4 times a week and pay £100. [01:08:55] Plus, it’s not feasible for everybody. So, uh, my main point of [01:09:00] this app is to educate people. So we have it’s almost like a hub where [01:09:05] we talk through everything in terms of training, training terms, rest sets, [01:09:10] tempo, um, how you should be training, the intensity you’re training at. And then we’ve got the same for the, um, [01:09:15] nutrition side of things. A lot of education. We have a nutritionist and a gut health [01:09:20] specialist coming on board. We have a hit coach on there, Yasmin Garcia. [01:09:25] Um, and we have a mental health coach on there, Lauren White, who [01:09:30] you know as well. So I’m trying to sort of bridge the gap, like I said, between the 1 to [01:09:35] 1 coaching and the online world. Give the client as much support without the access [01:09:40] to me as a coach. So is there what’s it called? Is there 1.

Payman Langroudi: To 1 support on the app [01:09:45] as well, or is it on the app?

Rhona Eskander/Sana Shirvani: It’s content on the on the app is just content. But what we do is we [01:09:50] listen to the feedback of the users. And if there’s any specific questions, we what was the process [01:09:55] of doing the app? Yeah.

Payman Langroudi: Was it was it a difficult process?

Rhona Eskander/Sana Shirvani: Oh my god. So much more difficult than I thought. [01:10:00] Yeah.

Payman Langroudi: And expensive.

Rhona Eskander/Sana Shirvani: Expensive and I also so I had [01:10:05] I’ve got a friend in the industry who has a very successful app. Um, she [01:10:10] does incredibly well on it. And like, like we said earlier, if you don’t ask, you don’t get. So [01:10:15] I literally just messaged her one day and I was like, babe, can we meet for dinner? I want to, I want to pick your brain about [01:10:20] your app and how you sort of like, did what you did. Because my problem with bringing something mass [01:10:25] to the market is I don’t totally agree with it being so vague and [01:10:30] like not one size fits all sort of thing. Yeah. Um, so I sort of like, picked her brain. [01:10:35] She was super, super helpful and not like, gatekeeping any of her tips and tricks. [01:10:40] So she kind of like told me who her contacts were, etc. helped me out a little bit. And, [01:10:45] um, the process was a lot of coding and understanding the backend of a [01:10:50] tech business. Um, so I write the programs myself. I [01:10:55] then have to put them into certain coded things on an Excel spreadsheet. I then [01:11:00] send that over to the tech team. They then input that on the back end of the app. I’m trying to sort of [01:11:05] learn that side of things myself a little bit more, because then I have more access to update things when [01:11:10] and how I want. But yeah, it was a super long process. I did not think, well done. Honestly, I’ve [01:11:15] never ever thought that it would take as long as it did. And content is the bane of my life. [01:11:20] Um, content, like people like say. And it’s like, you really enjoy it though. It’s like it’s such an investment. I was exhausted [01:11:25] yesterday. Exhausted. And I had my TikTok girl come. She’s been on the podcast and [01:11:30] she gets some really good advice. Yeah. Do you know I had one? Yeah. She’s [01:11:35] amazing. Yeah. And she takes the stress out like we filmed for three hours yesterday and it’s done for the [01:11:40] month.

Payman Langroudi: I’ve got to hand it to you, man. The amount of content you’re putting out. Yeah, but.

Rhona Eskander/Sana Shirvani: But but [01:11:45] like, listen, I’m a different platforms, but like, Ellie does my TikTok, Chelsea Stewart [01:11:50] does my, um, my Instagram like the branding and like the way that, [01:11:55] like, you know, that they like she’s got a team and it’s an investment that costs me money, [01:12:00] Prav costs me money, all that stuff. And people don’t realise. They think, you [01:12:05] know, it falls out of the sky. They’re like, oh, she actually a busy dentist to be doing all of this. But I made a conscious decision. [01:12:10] Three clinical days. The rest is brand building. And the brand building is what keeps [01:12:15] the clinic going. Do you see what I mean? You know, but I think also it comes from you having a certain vision in your head, [01:12:20] like you’ve got a vision of what you’re going to achieve with, like your Instagram, your TikTok, your, you know, whatever it is. [01:12:25] And I have imposter syndrome. Like I literally call up Shivani and go, I’m shit, I’m not growing. You [01:12:30] got 100 K followers in six months. I’ve only grown by like five K followers. [01:12:35] Like why aren’t I growing? Is my content crap?

Payman Langroudi: And then to have the humility, to have the humility. Start [01:12:40] TikTok at zero when you are already at 90,000. Yeah, it’s [01:12:45] took a lot of people wouldn’t have had that humility. Yeah. And now you know, now, as you can see, it’s like I can see it’s kind of [01:12:50] it’s kind of working out. The fact that he started TikTok was a good idea. Yeah, that takes a degree of humility. [01:12:55]

Rhona Eskander/Sana Shirvani: Totally. But yeah, but it’s patience and persistence. And I was just saying to you, like, obviously [01:13:00] Shauna was like, it’s amazing that Payman has got 10,000 subscribers, you know, for Dental [01:13:05] Leaders, it’s incredible. It’s incredible. But also, I said to him, I was like, I’m so happy about my movies. And he was [01:13:10] like, Brennan, we’ve only been doing this for like ten months or 11 months.

Payman Langroudi: Whatever it is, whether it’s getting fit, [01:13:15] whether it’s doing TikTok is turning up, isn’t it?

Rhona Eskander/Sana Shirvani: It’s a.

Payman Langroudi: Consistency.

Rhona Eskander/Sana Shirvani: Thing. [01:13:20] Exactly. And that and that’s the thing, you know, consistency will get you to places that motivation [01:13:25] can’t do. You see what I mean? And it’s just about showing up. Yeah. Sauna. Love you so much [01:13:30] guys. Please check out the app. I’m not just saying everyone always says the name.

Payman Langroudi: Of the app.

Rhona Eskander/Sana Shirvani: So it’s the SSC app. [01:13:35] Yes, it’s SS coaching, SS coaching and for those as well, for those that can’t afford, [01:13:40] you know, personal training. As I said, sauna would have put her heart and soul into it. She [01:13:45] is amazing. She changed my life, my body. Um, and you know, [01:13:50] a lot of dentists would also advocate for her because about 100 dentists started training with her because of me. What [01:13:55] do you charge? What do you charge.

Payman Langroudi: For one, 1.

Rhona Eskander/Sana Shirvani: To 1? Um, 1 to 1 is £150. And then my, my [01:14:00] two coaches are slightly less than that. They’re on around 140, which obviously I know is not [01:14:05] accessible for everybody. Right. Why are you thinking to join? No, no.

Payman Langroudi: But [01:14:10] I mean, you could charge twice as much and have half the number of people. [01:14:15] Is that is that how.

Rhona Eskander/Sana Shirvani: She does have some how it works. You could and I like [01:14:20] there’s still a cap. Let’s say I charge £500 an hour and I’m working for five [01:14:25] hours a day. That is still a cap. I know, and it’s.

Payman Langroudi: Like being a dentist.

Rhona Eskander/Sana Shirvani: Yeah, [01:14:30] you’re you’re literally exchanging your time for money. Right. And how much does the app. So the app [01:14:35] is £29.99 a month. Oh cool. Amazing. So massive difference. Amazing. And thank [01:14:40] you. So thank you guys for having me. It was amazing. Yeah. Thank you. Take care soon okay. [01:14:45] Bye bye.

Kevin Shannon discusses leaving dentistry to focus on his dental software startup, DigitalTCO.

Kevin shares how his frustration with the inefficiencies of dental note-taking and a difficult patient complaint inspired him to create DigitalTCO, which uses AI to automatically generate clinical notes and consent forms from audio recordings of patient consultations. 

He taught himself to code to build the software, which is now used by over 350 dental practices.

 

In This Episode

00:01:10 – Backstory

00:16:10 – Discovering dentistry

00:20:35 – Dental school

00:22:25 – Early jobs

00:27:30 – Frustrations

00:38:00 – Digital TCO

00:56:35 – Digital TCO vision

01:00:50 – Technical aspects

01:05:20 – Scaling and growth

01:09:25 – Last days and legacy

 

About Kevin Shannon

Kevin Shannon is the founder of DigitalTCO, the dental notetaking software used by hundreds of UK practices.

Kevin Shannon: So it’s like it’s simply what it is is it’s, uh, some buttons and each one says, like, composite [00:00:05] bridge, crown, whatever, all your different treatments. Yeah. And then you just put the patient’s name [00:00:10] in on the website interface type thing. Yeah, yeah, yeah. On the website interface. [00:00:15] So then you just log on under that, click the button. Whatever treatments you want to do composite [00:00:20] bridge extraction hit generate and then gives you a big form just [00:00:25] like an under 10s. So I posted that on people are like oh and it generated a bit. It’s funny when I posted [00:00:30] that I was like so like, oh my god, are they going to delete my post? Am I going to? I was so anxious about the film thing, thinking, [00:00:35] people are going to think I’m an idiot anyway. And then I ended up with like over 200 dentists in [00:00:40] the Facebook group and in the WhatsApp group. So I was like, okay, like there’s something, there’s something in this here.

[VOICE]: This [00:00:50] is Dental Leaders the podcast where you get to go [00:00:55] one on one with emerging leaders in dentistry. Your [00:01:00] hosts, Payman Langroudi and Prav Solanki. [00:01:05]

Kevin Shannon: Ladies and gentlemen, it gives me great pleasure [00:01:10] to.

Prav Solanki: Introduce Kevin Shannon on the Dental Leaders podcast. [00:01:15] And Kevin came across my radar, I think [00:01:20] by accident really. And it’s through jazz variety. So he I [00:01:25] was on Instagram and then he put this post up saying digital TCO, I’ll [00:01:30] never have to write notes again. And I thought, you know what? If someone else has said [00:01:35] that this is just sort of a load of bollocks, but with jazz, when he puts something out [00:01:40] there and he talks about a product, I know it’s going to be high quality. So what I did is [00:01:45] I signed up for a free trial for digital TCO because it was curious and nosy, [00:01:50] nosy, and because I’m in the software development game, I thought, let me see what this is all [00:01:55] about. And I pretended to be a patient and I dentist. Sorry. And I, [00:02:00] um, press record on this thing and it got the transcription band gone, which for a [00:02:05] mancunian is really, really tricky and strange. And in addition to that, it [00:02:10] sparked a load of notes and I was really impressed by it. And [00:02:15] so I picked up the phone and spoke to jazz and he said, listen, mate, this is game changer for me. [00:02:20] And I’m at the moment preparing for a talk I’m going to [00:02:25] give at Clearcorrect Elevating Excellence event. And I’m talking about [00:02:30] the ultimate Clearcorrect consultation or clear aligner or orthodontic [00:02:35] consultation. Call it whatever you want. Um, and I thought, actually, you know what? I [00:02:40] want to learn how something like digital TCO would stop you ever writing [00:02:45] notes again. And we’re going to talk about what digital TCO is. But and Kevin, before [00:02:50] we get stuck into this, welcome to the podcast. And we just like to just [00:02:55] get a little bit of information about sort of where you grew up, um, [00:03:00] what your upbringing was like. So welcome to the podcast. You just like to start by just [00:03:05] telling us about your upbringing, where you were born, brothers and sisters, sort of family you [00:03:10] were born into. Yeah.

Kevin Shannon: Thanks, Prav. Uh, thanks for having me on. Um, yeah. [00:03:15] So I grew up in a little town outside Glasgow. It’s called Kilsyth. It’s [00:03:20] literally right on the on the hills. So from from the back of where I grew up, it’s [00:03:25] just like up into the hills. Into the Campsie hills. Like a beautiful place to grow up. So we grew [00:03:30] up a lot, you know, climbing trees, running about, playing about outside, all that kind of stuff. Had [00:03:35] a really good upbringing. We didn’t I didn’t really come from any money at anything at all, single parent family. [00:03:40] So my mum brought up me and my brother. But we have a really close family, [00:03:45] not massive family. My mum’s got three sisters a bit, you know, so my cousins and you [00:03:50] know, it was a really good, um, a really good upbringing. Didn’t have a lot of money but didn’t know it, [00:03:55] if you know what I mean.

Prav Solanki: Totally get it, Kevin. And then when you say you had a close family, were they close [00:04:00] in proximity as well? Were you mucking about with your cousins and your aunties and your and your uncles [00:04:05] and stuff like that, or really quite far. You know, you said you were just climbing trees and stuff. [00:04:10] Was that with sort of with sort of fat, close family who live nearby. [00:04:15]

Kevin Shannon: Yeah. Well, some live nearby. And then my grandparents, they left a little bit further away, some [00:04:20] other cousins that lived further away. But my grandmother always take is like, you know, like, you know, six, [00:04:25] seven of us away up in like caravan holidays for like weeks during the summer as well. So [00:04:30] yeah like just had had a really good, had a really good childhood. I would wouldn’t [00:04:35] change a thing. Happy childhood. Happy childhood indeed.

Prav Solanki: You mentioned something there like you didn’t [00:04:40] have you didn’t come from money. You didn’t have money, but you didn’t realise it or know it [00:04:45] either. And what makes you think back now, reflecting from today, looking [00:04:50] backwards and say, well, we didn’t have money. And how would [00:04:55] you describe that if you were to just sort of say, well, why? Why do you even say that?

Kevin Shannon: I [00:05:00] think it’s important because it gives me quite a lot of drive to do all this [00:05:05] stuff. It’s always kind of given me a drive. I think I’ve got a natural natural [00:05:10] intelligence that, you know, a gift that I’ve been given. And yeah, [00:05:15] I think that’s really just the main thing. It’s just I’ve got this drive that comes from that, [00:05:20] a stubbornness. It may be sometimes a bit too much of an ego that occurs [00:05:25] because of that, because I’m like, I’ve, you know, I’m I’m going to do this because of this, this. And the next [00:05:30] thing if you don’t want me.

Prav Solanki: Is there a part of you, Kevin, that says, I had nothing and I’ve got a band. And [00:05:35] to prove this, that I can do this on my own. I can come from nothing and [00:05:40] have a success story, or I want to just do better for myself because I’ve [00:05:45] had that. I don’t want to say struggle, but because it doesn’t sound like you did struggle [00:05:50] as a child because you said you had a very happy childhood and you didn’t know it. [00:05:55] And I think, I think that in itself is pretty amazing that, um, [00:06:00] you know, happiness doesn’t revolve around things. And, you know, you [00:06:05] can have so much fun climbing trees and looking around like we did on that as kids. [00:06:10] We were just bombing around on BMX and skateboards and stuff like that and getting [00:06:15] it getting into trouble. Yeah, we didn’t have money, right? We, you know, we didn’t [00:06:20] even get the caravan holidays. Right. And I remember we did like holidays didn’t exist and going [00:06:25] abroad was just it was something so foreign that it didn’t happen. Right. But [00:06:30] me and my brother and our mates, we used to muck around with really happy childhood and we [00:06:35] didn’t have money, but we also weren’t surrounded by friends who had it either, so we didn’t know [00:06:40] what we were missing, if that makes sense.

Prav Solanki: But looking back now and I think about what my children [00:06:45] have got sometimes I think the spoilt sometimes I think wouldn’t be good [00:06:50] for them to have a similar upbringing to us. But at the same respect I look at and think, well, I want to give them what I [00:06:55] didn’t have is that it’s always a constant sort of internal battle I have with myself [00:07:00] for, you know, with yourself. Was was there ever any time as a kid [00:07:05] where you thought, hmm, be nice if I had this or had that? Or was we just totally oblivious [00:07:10] to it? And secondly, like you, you say you’ve got this drive now, right? Does [00:07:15] that does that have its roots in the fact that, well, I’ve come from nothing and I’m going [00:07:20] to prove it to either myself or the world or whatever. You mentioned your ego, but I’m going to [00:07:25] I’m going to do this.

Kevin Shannon: Yeah. Um, yeah. I think you touched you touched on something, [00:07:30] I think when you said, like, you know, oh, I’m going to do this, do this myself. And I was like, yeah, I [00:07:35] think that’s that’s probably my own. This isn’t directly answering that question, but I think sometimes that’s to my own detriment. [00:07:40] Um, that I do that I need to be able to open up things up [00:07:45] more and connect. With with more things, more people to [00:07:50] help with it further myself because like, yeah, I think I’ve been quite narrow focus. I can do this and [00:07:55] do this alone because that’s the way I’ve always had to be essentially. Mhm.

Prav Solanki: I guess the thrust [00:08:00] of my question is, does the fact that you’ve come from not very much drive [00:08:05] you to be even more. Is that a driving force for you from, for me growing [00:08:10] up it was part of that. It was part I was brought up in a single parent family as well. But my [00:08:15] it was my dad, not my mum. And there was two driving factors for me. [00:08:20] One was we had nothing and I’m gonna I’m gonna build a future here, right? And I’m [00:08:25] going to be successful, whatever successful means. And that definition of success has changed for me over the years. [00:08:30] But also I wanted to make my dad proud. Yeah, I wanted [00:08:35] to do right by him. And I’ve always seeks my father’s [00:08:40] approval, and he has been a massive driving force in me [00:08:45] doing what I do even today. Yeah, as a 46 year old adult, [00:08:50] I still seek my father’s approval for things that I really [00:08:55] shouldn’t have to do. You see what I mean? Is there any sort of parallels there for you? [00:09:00]

Kevin Shannon: Yeah, I think it’s a lot about, you know, looking after my mum and my [00:09:05] mum’s just done everything for me and my brother. You know, it’s [00:09:10] unconditional love, you know, thankless thanklessly just doing so much stuff. [00:09:15] You know, it’s just you could never you could never repay that. So [00:09:20] I think that’s like a big, a big factor. But I’ve kind of had the drive [00:09:25] but then lost the drive and then refound the drive again. I think it’s really what’s happened in [00:09:30] my life, just as things became a bit routine. And so I feel like there is that aspect of it, [00:09:35] but there’s also the aspect now where I just because it’s my own [00:09:40] frustrations and things, it’s I want to be able to help other people. And as I’m and as I’m seeing how this [00:09:45] thing is helping other people, it’s just pushing me on even more. So. Yeah, it’s interesting [00:09:50] because I don’t know exactly what it’s about. It’s just right now pretty [00:09:55] much a complete obsession. Like it’s just constantly on my mind, if [00:10:00] you know what I mean.

Prav Solanki: So just going back to your childhood. So what what did mum do [00:10:05] as bringing up two young boys? What what is it that you in terms [00:10:10] of how does she make ends meet when when you were younger? Just, just I just want to paint [00:10:15] a picture of what that was like growing up in a single parent family in Scotland. [00:10:20] And what you went with, what you went with out, and what mum was doing at that time [00:10:25] to give you where you are today.

Kevin Shannon: Yeah. Well, um, my [00:10:30] mom worked as a dental and a medical receptionist, so she was she [00:10:35] did a few different jobs, things before that, but then, then she started doing that. But we didn’t live in like, a, [00:10:40] like a nice area as well either. It was pretty, pretty rough. Like, the street was [00:10:45] pretty rough and but you know, we were kind of always sheltered from that [00:10:50] just, you know, she really brought us up well, taught us, you know, [00:10:55] just manners and how to be, you know, reasonable people.

Prav Solanki: Hey. [00:11:00]

Kevin Shannon: And then both me and my brother are, you [00:11:05] know, successful in what? In what we do. But we like [00:11:10] we like the thing that we do. And if I look around about, you know, in that street that other people who are there, [00:11:15] you know, I can maybe name one other person who’s maybe got out of that. And that’s I think that’s [00:11:20] the thing is, like, she she’s given us the route out of there. You’ve broke [00:11:25] out.

Prav Solanki: You’ve broken out of that circle cycle, whatever it is of your [00:11:30] local environment and do well, whereas other kids maybe [00:11:35] haven’t or have gone down the wrong path. Right. And as I’m talking to you, Kevin, I’m thinking [00:11:40] about my own childhood because me and my brother were brought up on in on [00:11:45] the back of quite a rough estate. And it was literally, you know, whether people [00:11:50] were getting into scraps, selling drugs, getting expelled from school, all [00:11:55] of the above. And although we hung around in that environment [00:12:00] and knew everyone, dad always used to push education. And he’s like, listen, [00:12:05] I don’t want you to be like these guys, right? I want you to build a future, and I don’t [00:12:10] want you to do what I do. So we had a corner shop, he drove taxis, [00:12:15] he worked in factories, but he he did everything he could. And it sounds [00:12:20] like he mum did the same to break us out of that sort of cycle. So just [00:12:25] talk me through. What is it? What does your brother do and at what point did you decide [00:12:30] I’m going to be a medical dental professional?

Kevin Shannon: Yeah. My brother, he’s [00:12:35] a barber, which is interesting because back in the day, a barber and a dentist were the same thing. [00:12:40]

Prav Solanki: Yeah.

Kevin Shannon: He’s gifted in other [00:12:45] ways. Like, I’m not really so good with people, like, because [00:12:50] I liked it, you know, have to think things through. And I could do all that kind [00:12:55] of stuff. And he is a very, very good with people. So he’s [00:13:00] manages and runs this, you know, these barber shops. So he’s very, [00:13:05] very good at that. That’s doing great.

Prav Solanki: What’s the age gap between you both covered.

Kevin Shannon: Three years. [00:13:10]

Prav Solanki: Right. All the younger.

Kevin Shannon: He’s the younger brother and the older brother. The younger brother [00:13:15] right.

Prav Solanki: That’s really interesting. So my dad is younger than me. I’m [00:13:20] okay with people, but my brother’s a lot better. A lot better. Yeah. Yeah, he’s [00:13:25] got the gift of the gab. He’s a social butterfly. It’s really interesting [00:13:30] that, um, I am a little bit more. I definitely more academic than my brother, [00:13:35] for sure. Yeah, but you put us both in a room with [00:13:40] a group of people. He will work that room, work that audience, and it will. [00:13:45] We’re like chalk and cheese in that respect. He’s so much better than me socially. Yeah. [00:13:50]

Kevin Shannon: And that’s, I think, coming back to them, coming back to my mum again about that because I went to school [00:13:55] and then I just, you know, straight straight, everything’s just all this. So then when he was going through [00:14:00] school, teachers would try and compare my brother to me. Yeah. And [00:14:05] my mum just would never stand for it. You know, you’re two different people. Really [00:14:10] an asset and he was never pressured that you have to do this or have to do that. Like she allowed us to just [00:14:15] be your be yourselves.

Prav Solanki: It’s funny. And you look back at that and I think [00:14:20] that, you know, your mom’s almost like doing everything that these parenting books tell you to do now, and all these sort [00:14:25] of things of how you bring children up and stuff, right, is to raise you to be to very decent human [00:14:30] beings and be the best of who you are. Right? So talk me through [00:14:35] the dentistry side of things. When did that so you were at school and you were smashing your grades, [00:14:40] right? You were. Whether you were working hard, revising or whatever you had was tuned in. I [00:14:45] can get me A’s and me A’s and all the rest of it. So I guess career options [00:14:50] were open to you. And what made you choose at what point during sort of school and that, did [00:14:55] you decide? Right? I mean, they were doing this.

Kevin Shannon: I was thinking about doing [00:15:00] maths. Um, okay. First of all, that was my kind of my first [00:15:05] thought. And then my cousin, she was working as a dental therapist and [00:15:10] she was like, oh, um, come in and just see what I do. So then I went in there [00:15:15] and then I went back, you know, and just did a bit of shadowing. Right. So this seems to be quite a good, a good thing. And I just thought, okay, [00:15:20] well I’ll do that. I thought about doing medicine as well, but I didn’t like the idea of which is this is a funny [00:15:25] thing, which I guess we can come back to, um, that I didn’t like the idea of I [00:15:30] don’t want to have to go through all this stuff and not really get a job until I’m in my, you know, early [00:15:35] get my real job until I’m in my early 30s. Um, yeah. So I kind [00:15:40] of liked the idea I could go and do that and do the dentistry. But what feels like what’s happened is that is exactly what’s happened. [00:15:45] I feel like the dentistry was just like this kind of thing that I did, and now I’ve found my real job. [00:15:50] Yeah. So, yeah, it’s kind of funny.

Prav Solanki: Um, and, um, [00:15:55] so at what point? So you did this work experience. What? At what point did you say. Yeah, I’m. [00:16:00] At what age? What what age were you at? What stage in your education were you where you were [00:16:05] sort of yeah, I’m going to be a dentist.

Kevin Shannon: Like 16 years old.

Prav Solanki: Wow. [00:16:10] And what was it? Was it that was it at that [00:16:15] stage that. It’s a career where I could make a decent living. Was [00:16:20] it? I’ve been on work experience and I’ve seen the patient interaction in the journey, and I want to do that. [00:16:25] Was it. I want to fix things like teeth. What? What was it at that age [00:16:30] that made you say, yeah, I’m at the dentist?

Kevin Shannon: I think it was all just a bit of of all, all of [00:16:35] that. The working with. I like the idea of being able to do things with my hands and make things. [00:16:40] I like that. Yeah. And then the money. Funny thing is, when you’re applying, you don’t [00:16:45] speak about the money. You know, it’s like, don’t don’t mention the money. But really. Yeah, it was very [00:16:50] much forefront in my mind. Yeah, I could do this job and I’ll do this and it’s like a 9 to 5 job and blah [00:16:55] blah blah. That was my thinking at the time. Yeah.

Prav Solanki: Um, and you can make a few quid. [00:17:00] Going back to my brother, it was everything. It was just about money for him. That was it. So [00:17:05] he did work experience with a dentist. That dentist played [00:17:10] golf on a weekend, and he took my brother to play golf. He drove a really flashy Mercedes at [00:17:15] the time. And, you know, like like like we we grew up with [00:17:20] with, with no money. So my dad had a really rusty Ford Escort where [00:17:25] the bumper was hanging off. And then to see someone pull up in a Mercedes was like, wow, do [00:17:30] you know what I mean? That guy has made it. And so my brother was held back because I am going to become [00:17:35] that dentist. I’m going to make that money and I’m going to have that life. And so that was the the but you don’t [00:17:40] talk about it during the application process, do you? Uh, no. Even even though that’s [00:17:45] the that’s the driving force. And do you think that that coming from where you come sort of motivated [00:17:50] you further in terms of making that decision that actually, do you know what I’m going to break out of this [00:17:55] cycle? Yeah.

Kevin Shannon: Yeah, yeah. And then and [00:18:00] then doing it, you know, going to university, it was just like just so much fun. [00:18:05] It was just absolutely brilliant. What did you go? At Dundee.

Prav Solanki: Dundee. [00:18:10] Okay, so not too far from home.

Kevin Shannon: Not. Not too far away from home, but also the only place [00:18:15] I got in. Right.

Prav Solanki: Okay, okay, so we went through [00:18:20] the application process. Was it interviews back then or was it just paper exercise or what [00:18:25] was the process like?

Kevin Shannon: My my interview was how did you get here? I got the [00:18:30] bus. Right. Okay. There’s a there’s a bus. Fine. I was like, yep. Okay. See [00:18:35] you in August. You know, it was like it was nothing complicated. It was as easy as that. [00:18:40] Yeah yeah yeah yeah yeah.

Prav Solanki: And so what was what was dental school like for you in Dundee [00:18:45] in terms of mixture of between work and fun and all the rest of it. And then [00:18:50] I sort of like the first time you were like properly away from home.

Kevin Shannon: Yeah. So [00:18:55] it was like 17 moved out of the house, you know, moved away up. You’re up there. It [00:19:00] was quite good because pretty much everybody in the year, there was no one really from Dundee. Everybody [00:19:05] was from all over the place. So a good mix of people. Um, yeah. [00:19:10] It was just it was a fantastic, fantastic time. Just a lot of drinking and a lot of partying, a [00:19:15] lot of then a lot of late nights in the library, uh, and then.

Prav Solanki: Squeeze through your [00:19:20] exams. And during that time, when you were at uni, did you know what you wanted to do in dentistry? [00:19:25] Did you have an idea? I want to be a business owner or I wanted to do cosmetic dentistry. I’d [00:19:30] like to niche down on this. Or are you too focussed on partying [00:19:35] and drinking at the time?

Kevin Shannon: No, I thought, I thought I really, I thought I wanted [00:19:40] to be the best that I, that I could be in this. Yeah, I did think about at some point where I’ll go down the route [00:19:45] of this funny thinking now, but I’ll go down the route of like, you know, being a consultant in something [00:19:50] or being a specialist. Um, I did always want to have my own business. I always wanted [00:19:55] to, I thought I always wanted to own a practice as well. So that’s what. [00:20:00] That’s what I thought when I graduated, I thought, well, go and do the vet and [00:20:05] then we’ll see what happens. And then as I started doing that, I was thinking more about, [00:20:10] okay, well maybe get the business and whatnot. But then my thoughts on that started to change over time, really. [00:20:15]

Prav Solanki: So walk me through a potted history if you get your dental degree. [00:20:20] What happened next in terms of first job, second job, [00:20:25] whatever, and how dentistry panned out for you in that first job, was it what you [00:20:30] expected? Just talk me through your career since graduating.

Kevin Shannon: Wasn’t [00:20:35] what I expected. I mean, I guess it was what I expected. You’re doing the work. But that’s [00:20:40] really when I realised that I really had to kind of separate [00:20:45] out the day job from the night thing and not be bringing that home. I realised very quickly, [00:20:50] like, I can’t be bringing this stuff home, you know, when I’m like in. You’ve [00:20:55] made it, you’ve done a crown and it’s like not fitting in and you’ve had to do like six revisions on this crown [00:21:00] for this patient or whatever, because you’re just absolutely useless. You can’t just be like letting that go [00:21:05] through your head constantly at night. And so I did that job for a year. [00:21:10] And then I wanted to that was up in Dundee. And then I wanted to move back down to, to [00:21:15] Glasgow. So then I just, I took a job down and stayed here, but it was like a brand new, um, squat [00:21:20] practice that had opened up, but it was very NHS area. So [00:21:25] I was working like six days a week and hardly making anything because it was just extractions and NHS dentures.

Prav Solanki: And [00:21:30] did you, did you move back to Glasgow to be close back, close to mum or [00:21:35] family. What was the what pulled you back?

Kevin Shannon: Um, I just wanted to be down here. [00:21:40]

Prav Solanki: I guess you want to see that as you always seen that as home that draws [00:21:45] you back in terms of this is where home is or.

Kevin Shannon: Yeah, I think so. Yeah, this [00:21:50] is the home. But I just kind of wanted I’d never because we’d lived in Kilsyth. I hadn’t really lived in the city down here before. [00:21:55] So I just wanted to like, live down here in the city and see what it’s all about. So. [00:22:00] So we did that. We moved down here, did that job for [00:22:05] a for a year, and then I got offered pretty good job. Um, with good [00:22:10] dentist who was building up a group of practices. So it’s all [00:22:15] the marketing, the sales. Everything’s all really well organised. [00:22:20]

Prav Solanki: Who was that?

Kevin Shannon: Mark skimming.

Prav Solanki: I know that, yeah, yeah. [00:22:25] Hey, free group.

Kevin Shannon: Pain free group.

Prav Solanki: Yeah yeah yeah I know Mark. Yeah yeah yeah yeah yeah. [00:22:30]

Kevin Shannon: Yeah. Give me that really good opportunity at that job in there. [00:22:35] And so because working with Mark then it was I was just doing a lot of courses [00:22:40] and learning a lot more and just trying to, just trying to really better myself with. With dentistry [00:22:45] and just trying to trying to do that. But, you know, I would just I think then I started to let things [00:22:50] get to me a bit too much with patients that are like, what? People [00:22:55] not liking the danger that you’ve, that there’s nothing wrong with it. And, uh, you [00:23:00] know, this, these kind of things. Um, and I didn’t I just didn’t get on with the manager [00:23:05] in there as well. And it’s upon reflection, when I look back at it now, you know, it’s [00:23:10] it’s on me, really. And it’s just because of. This is why what I’m [00:23:15] doing now really suits me, because I like to have the thing in my head and then and then go [00:23:20] for it. When I’m getting loads and loads of questions about why are you doing that with the Buddha? We can’t do that. But I’ve it [00:23:25] was just too much butting of heads because I’ve got my own ideas about things and I don’t really like [00:23:30] being told what to do. It’s taken a long time for me to realise that and accept that, [00:23:35] I think. Um, but yeah. So then after that I left there because I [00:23:40] just really couldn’t handle that anymore. Um, and then I got [00:23:45] another job. But that job. Then what happened as lockdown hit? So that was just like [00:23:50] a year and a half of, like, just floating about.

Prav Solanki: So before we go on to that, Kevin, the [00:23:55] Mark Simmons practice, did you start making money there? Yes. Is that [00:24:00] the first time in your life where you thought to myself, Now I’m making money?

Kevin Shannon: Yeah. [00:24:05] Yeah, we did like, we did like, a lot of good things. You know, we had a lot of a [00:24:10] lot of a lot of fun, a lot of nice places. Seen a lot of good food eaten and all that. Just [00:24:15] a totally opposite life from what I’d grown up into. Totally [00:24:20] different world. Yeah.

Prav Solanki: And so at that point where you’d sort of said, right. [00:24:25] Was that a point you said, right, this the future is great. Now I’ve cracked it. I’m making money. [00:24:30] It’s great. Obviously, I’m bashing heads with people here in this role. And, you know, [00:24:35] on reflection, it’s me. Back then, maybe you didn’t realise that and you moved on, but it was at [00:24:40] this point in your life where you thought, I can make a few quid in this career now of I’ve made it. Was [00:24:45] that a sort of a and then it was like that was it at that point you sort of said, well, I can afford these luxuries [00:24:50] and stuff like that. Was that the turning point around that time where you went from that NHC [00:24:55] type role to this?

Kevin Shannon: Yeah, I think so. But I don’t really know if it was like a like [00:25:00] a turning point, really, because I feel like I feel like I [00:25:05] didn’t really funny to say, like I didn’t really appreciate it so [00:25:10] much because I don’t think that I really enjoyed the job. I [00:25:15] didn’t it didn’t equate in my mind, you know, it didn’t equate [00:25:20] my mind that I’m going these things here are then given me this money. It was like, I need to do this job, and then [00:25:25] I’ve got this money. And like there was no happiness really in amongst it. It [00:25:30] wasn’t it wasn’t a fulfilling thing for me. Um, is.

Prav Solanki: Is that because you were [00:25:35] stressed in your role and you were having a hard time and you were bashing heads and pissed off that people didn’t like your dentures, [00:25:40] and that was mixed in with the money. And so the happiness you used [00:25:45] to get from having £0.30 in your pocket and bumming around on BMX and [00:25:50] climbing trees was a totally different thing for you.

Kevin Shannon: Yeah, [00:25:55] yeah, I think I’m just not suited for it. It’s not my vocation [00:26:00] and that’s it. It’s dentistry is a vocation and I’ve and I’ve, I’ve done this thing and it’s not always meant to do [00:26:05] long term. Okay, because I think one of the things [00:26:10] that I just that I don’t particularly enjoy is hopefully having that list [00:26:15] of patients in front of me and going, I need to do all of this before I can [00:26:20] get home. Just it’s, you know, because I’m, I like to do things quickly. [00:26:25] And if I’m, if I have to see a patient and then there’s a bit of a gap or, you know, I’ve preferred the days when it was just [00:26:30] jam packed full. You get three patients in three different rooms and you’re running around about just, you know, like, yeah, [00:26:35] yeah. Because then the days going by quick, you know, if it was a bit of a, there’s a bit of a loner. [00:26:40] It’s just like sitting around going, oh come on, you know I could be doing this. I could be doing that, you know, all [00:26:45] these other things. Yeah. So what happened next?

Prav Solanki: You left that role and you got another, [00:26:50] another role somewhere else.

Kevin Shannon: Is that right? Yeah, I got another role. It was like a Covid. I just, I think [00:26:55] that was like a Covid year or Covid year in a bit. So that was like just, you know, bumming [00:27:00] around pretty much. And yeah. And then I got another I got another [00:27:05] good private job. And then that ended up pretty much in the same fashion. Uh, okay. You know, [00:27:10] not, you know, not not getting on with the managers again. Same same thing. So [00:27:15] then that’s where, you know, there’s a bit of a repetitive pattern here. Maybe, uh, me [00:27:20] maybe, maybe, maybe I am the problem and not everybody else. Yeah. Yeah. [00:27:25]

Prav Solanki: Um, yeah.

Kevin Shannon: So then I got this other, this other job, which I really actually enjoyed. [00:27:30] But then, you know, again.

Prav Solanki: Where was where was the other job? It’s still [00:27:35] still in and around Scotland, Glasgow, where it.

Kevin Shannon: Is around these bits. And I got this job and I really enjoyed [00:27:40] it. And, um, I was kind of building things up and it was getting like quite good. And [00:27:45] then, um, we were just chatting before and you were talking about how you got to this stage [00:27:50] and you just fired all the customers. So, you know, by this, by this point, I’m getting to that [00:27:55] point of like, patients are coming in, I’m going, I don’t want to work with you. Really. Um, and [00:28:00] I’ve had the had you’re talking about these dangers.

Prav Solanki: Why. So I’ve [00:28:05] got a couple of questions in and around this job that you really like. Why did you really like [00:28:10] it? Was the manager in sync with you at that time was, you know. Yes. Because it seems [00:28:15] it seems like the reason why you left these roles is you were butting heads with the manager, right? And [00:28:20] then you get into this role and you’ve just said, I really liked this. Now, was it because you were doing better dentistry, [00:28:25] making more money, or was it just that you had an easier time? Was getting less shit off your manager? What what [00:28:30] made you say that? I really enjoyed this job.

Kevin Shannon: Yeah, I had a bit more freedom. Everything. [00:28:35] Everything at the end of the day comes back to me now about freedom. The [00:28:40] freedom to make the decisions, essentially. So yeah, we we had we could we could have the conversations, [00:28:45] we could work things out. And yeah, it was good that way. And. [00:28:50]

Prav Solanki: So you’re in this role. Manager’s not giving [00:28:55] you any grief. You’re enjoying it. And then you turn around. So you turn around. I’ll probably say this to a patient, I [00:29:00] don’t want to work with you, but in your mind, you may think it. I just don’t want to see this. I don’t want to treat [00:29:05] this patient. Whatever. So what? Just talk me through that and what I can next.

Kevin Shannon: Yeah. [00:29:10] So I just said to the patient, you know, look, as you should see, [00:29:15] there’s a breakdown in the patient dentist relationship here. I don’t think that [00:29:20] I’m the best dentist for you. Yeah. You don’t seem to be happy with what I’m providing you, [00:29:25] even though you. I’ve asked you multiple times and you’re saying. Yes, but, you know, just [00:29:30] nothing was matching up. Um. And I was like, this is just a complaint waiting to happen. So [00:29:35] I said that I’ll help you find an identity or whatever, blah, blah, blah. And [00:29:40] they just did not like that. It was it was almost like, uh, from [00:29:45] from how I, how I was or what [00:29:50] the situations have happened in these other practices with these managers, how we butted heads, [00:29:55] then we butted heads with the patient. But this time it was like, you know, I [00:30:00] was getting it. This thing is my is my karma. That’s what [00:30:05] it felt like. So they began a tirade that lasted. [00:30:10] By Tay Tay ten months, 11 months [00:30:15] of just complaints. And they were [00:30:20] just essentially just poking everything just until they could find the, the, the link [00:30:25] in the chain. Um, but then again, I’d, [00:30:30] I’d found out from the indemnity that the this was a serial patient [00:30:35] that they were aware of this patient and who they were and what they were doing and all this kind of stuff.

Kevin Shannon: So [00:30:40] then when I found that out as well, then that’s when I was a bit like, I don’t I’m not having that. Like, this [00:30:45] is if they’re going to be doing this at like, I would much rather they did it to me because I can [00:30:50] handle it. Rather than they go round and they get they get the vet and some other practice and they just cause them [00:30:55] untold hell. And then somebody in their home, you know, specially it can’t get to sleep at night and all these things. I was like, no, I’m not [00:31:00] having it. I’m going to I’m going to stick up for myself with this. And. So [00:31:05] I fought against them, which was, you know, I should have just at the end of the day, just gone take [00:31:10] your money back because that’s eventually what happened at the end of the day. And that’s what made them go down. Yeah, [00:31:15] sure. But, you know, sometimes it’s hard to do that.

Prav Solanki: Yeah yeah yeah yeah [00:31:20] yeah. So what happened next in your career, Kevin. In this in this better job. [00:31:25] Obviously you had a problem. Patient management was okay. How did you get from there? To [00:31:30] retiring from dentistry and now being a [00:31:35] dental software entrepreneur. What was the journey?

Kevin Shannon: So, [00:31:40] well, off the back of those patients, I was like. If [00:31:45] I had. You don’t because my notes are not good. My [00:31:50] notes are not good. My consent forms, things just, [00:31:55] you know, and actually, I had quite a lot of stuff for those patients. But at the end of the day, it still wasn’t good [00:32:00] enough. So I was like, see if I could have just had like a for like a form that [00:32:05] said, look, and it’s not for the GDC, really. It was more just so I could say to them, look, I [00:32:10] told you all of this, it is here, it’s written down, you know, and if it was just easier for me to do [00:32:15] that. And so I thought, right, I’m going to make a thing that does that [00:32:20] and just see what happens. So I just gave it a go. It worked, and [00:32:25] I went on to found Dentist by Dentist Facebook group, and I just posted a [00:32:30] thing on there and said, I’ve made this thing I make, I make a WhatsApp group. Anybody can join it if they want to join it. [00:32:35]

Prav Solanki: And what was the thing? Tell me about this thing. What was it? Describe this thing that you met and you were still, at this point, [00:32:40] a practising clinical dentist. Right? Or not?

Kevin Shannon: Still dentistry?

Prav Solanki: Yeah. Still doing dentistry. [00:32:45] Describe the thing that you’d made and what problem is solved.

Kevin Shannon: So it’s like it’s [00:32:50] just simply what it is is it’s, uh, some buttons and each one says composite bridge, [00:32:55] crown, whatever. All your different treatments. Yeah. And then you just put the patient’s name in on the website. [00:33:00]

Prav Solanki: Interface type thing.

Kevin Shannon: Yeah, yeah, yeah. On the website interface. So then you just log on under [00:33:05] that, click the button did, did, did whatever treatments you want to do composite bridge extraction [00:33:10] hit generate and then give you a big form just like an under 10s. [00:33:15] So I posted that on people are like oh and it generated a bit. It’s funny when I posted that I was like, so like, oh my [00:33:20] god, are they going to delete my post? Am I going to? I was so anxious about the film thing. I think if people are going to think I’m an idiot, I’m [00:33:25] going to anyway. And then I ended up like over 200 dentists in the Facebook group and in the WhatsApp [00:33:30] group. So I was like, okay, like there’s something there’s something in this here that.

Prav Solanki: I’m still trying to wrap my [00:33:35] head around. What? You created a web interface where you press Composite bridge or whatever. You press a button and it [00:33:40] generates a form. What does that generates a form with what? Like what [00:33:45] information or what consent form. Right. Yes. Okay. Got you. Sorry I [00:33:50] missed the point there. So basically what you’ve done is you’ve created a piece of software [00:33:55] that no matter what treatment is press a couple of buttons. Boom. There’s your consent [00:34:00] form. Hand it over to the patient. It’s got you back. Yeah. And you spent the [00:34:05] time going through all the information that you had about consent forms and thought, I’m [00:34:10] going to make life easier for them. Now when it comes to consent, I’ve got a button you can press no matter what treatment [00:34:15] is. Boom. There’s concern for any kind of commercial thing [00:34:20] behind this. Or was this just like a, hey, I’m going to give this out to the world and [00:34:25] see what feedback I get, and I want to get some validation from my community. [00:34:30] I’ve, I’ve, I created something that’s only useful for me. Or is it useful for the rest of the community? [00:34:35]

Kevin Shannon: Yeah. I mean, there was a bit of that. There was a bit of as well thinking like, you know, after [00:34:40] having that with those patients, I was thinking, is this, is this what I want to be doing? You know, [00:34:45] like, because I’m, I waking up in the morning, am I happy? And I’m starting to [00:34:50] get to that realisation of that maybe this just isn’t the thing for me. So [00:34:55] yeah. So I guess I just I put it out there. I mean, there was, there’s obviously the thought of [00:35:00] the commercial output of it, but at that point in time, um, [00:35:05] it was like I was just giving people a tenner just to cover some running [00:35:10] costs. And like a few people signing up, a few people signed up, like almost straight away, [00:35:15] and they’re still paying a tenner. Ten a month, ten a month. They, uh, [00:35:20] and they’re still paying a tenner. I’ve just let for for the early support. I was like, you can keep it. [00:35:25] You can keep it as a tenner. Yeah.

Prav Solanki: Early adopters. Yeah. Um, founding members.

Kevin Shannon: Yeah. Indeed. [00:35:30] Indeed. Which I’m very grateful for. Um, but. Yeah, but then the feedback [00:35:35] was good and then it was just all the other ideas and things that people were having. And then I was thinking, well, there must [00:35:40] then there must be a way that we can just make everything else more efficient, because I did, you [00:35:45] know, I I’ve got that obsession with efficiency. Everything’s like, you know, you pick [00:35:50] that up and you use it until it’s done with, and then you put it down and then. Having [00:35:55] the bend in the right place so the nurse isn’t having to walk around the boat. Um, I [00:36:00] always like the the Ray Kroc story about setting up the McDonald’s and having all. Yeah, you [00:36:05] know, systemised.

Prav Solanki: Yeah.

Kevin Shannon: And there’s that. There’s the movie where they make it and [00:36:10] you see them designing it and the the basketball field, and they draw it all out and stuff like that, you know, [00:36:15] just having it all. So you’re just not wasting any movements, I get it. [00:36:20] Um, so I thought that from that after that point, um, I [00:36:25] thought, well, I’ll just have a look at maybe doing some notes next, because that’s the thing I was rubbish at, um. [00:36:30]

Prav Solanki: As well. Okay. So what happened? So what happened next? [00:36:35] You’ve created this piece of software, you maintain a tenner a month off a bunch of dentists. [00:36:40] You’re still working as a dentist. But in your mind, what’s going on? [00:36:45] Are you saying I actually want to quit? What did you say? I want to quit dentistry. [00:36:50] Until full time into this software development. Quick and easy [00:36:55] for them was the returning point was a rapacious what what [00:37:00] happened? And what was that day where you said, right, I’m done. I’m handing the drive up now for God.

Kevin Shannon: Hey, [00:37:05] well, I think I was. We went because you’re in Manchester, aren’t you? Yeah, [00:37:10] yeah. Had a big night out in Manchester. And then after that, you know, rough [00:37:15] hung over and things. I was like, man, this is just not the, the [00:37:20] way to be going through life. I don’t think so. I was like, I’m going to make a few changes. [00:37:25] So I started making just start making those changes. So I stopped. So [00:37:30] I left my work at that point and I thought, I’m going to give this my all here [00:37:35] with really no safety net whatsoever. Just dive in and. [00:37:40] Diving two feet first, because I knew if I was still kind of hovering about [00:37:45] dentistry. I just I just didn’t see how that was going to work. I was like, am I [00:37:50] enjoy this? Like when I’m doing this, I’m it’s filling me with like some sort of pleasure. [00:37:55] So, um, maybe I should just give it my all. So that’s what I did. Stop [00:38:00] working in.

Prav Solanki: Making that decision of stopping the work. Was [00:38:05] there a moment where you thought, okay, now the software bit is making me enough money for me [00:38:10] to afford to give up? Was there was there a a financial decision here, or did you just think, you know, [00:38:15] dentistry is not for me. And in order for me to give this everything, [00:38:20] I need to stop doing dentistry. Where was your head at that point? Because I [00:38:25] speak to a lot of I have a want to be business owners or business owners that have got like, let’s [00:38:30] say, a side hustle and this, that and the other. And the advice I usually give them is this you’ve [00:38:35] just opened a squat and you’re working three associate jobs. There’s a point where you’re going to have to give [00:38:40] those up and put 110% into that squat, otherwise it’s going to be as successful as [00:38:45] 15% of your time, energy and headspace you’re putting into it. So you either go all [00:38:50] in. Will you carry on plodding along, and your business will always be a fraction [00:38:55] of what it is. And then that’s always the advice I give when it comes to sort of taking [00:39:00] this high risk approach. And where is your head at that time? What [00:39:05] were you thinking in terms of, well, what money have I got coming in? Did you have some savings in the bank [00:39:10] and thought, do you know what, I can cover myself for a few months or a year or whatever, but I’m going to go all in on this [00:39:15] now. And actually, I’ve had enough of dentistry. Well, where was your head?

Kevin Shannon: I [00:39:20] definitely couldn’t afford it. Definitely couldn’t afford to do it at that point. Um, [00:39:25] interesting. My. Yeah, my partner has supported [00:39:30] the beginning of this business. Like, it would have been completely impossible to do it without [00:39:35] Sophie. Like allowing me just to live.

Prav Solanki: Kudos [00:39:40] to Sophie.

Kevin Shannon: Kudos to Sophie. Yes yes indeed. Yes indeed. Brilliant. [00:39:45] Yes. She’s she’s allowed me to to do it. She’s like being because [00:39:50] this isn’t like to me this does not feel like real work. You know, like getting up and just mucking [00:39:55] about on a computer all day is is so easy compared to dentistry, [00:40:00] you know, it’s that it’s like it’s such a difficult it’s a difficult job. It’s [00:40:05] you need to work so hard like this is just, you know, this is nothing [00:40:10] really compared to doing that. So I’m really grateful for her for, uh, allowing [00:40:15] me to do that. But yeah, no, I couldn’t I couldn’t afford it. But that’s why I’ve, I [00:40:20] it’s one of those things I’ve don’t really I’ve never really taken a pause to think and make a decision. I think with all [00:40:25] these things we’ve been speaking about the dentistry, the jobs. I’ve just [00:40:30] always, um. Made a snap decision and just just random. Um, [00:40:35] which is. I guess in the short term being [00:40:40] to my detriment. But over the longer term, I think all the things have worked out because it’s all led to this [00:40:45] point.

Prav Solanki: I always think that certainly [00:40:50] the people I work with are myself the hardest, [00:40:55] the biggest, the boldest decisions that I’ve made or even [00:41:00] those that I’ve observed other people have made have led to the biggest successes. [00:41:05] Like, how did that decision or the more difficult it is, or where you’re at that cliff edge and you [00:41:10] think, should I jump? Or should I just ease back and get myself a rope and lowered [00:41:15] myself down slowly? Do you see what I mean? Like those that have made the leap and the [00:41:20] risky jumps. Those are the decisions that have had the biggest impact. [00:41:25] And it just sounds like you’ve just sort of like, screw it. Just going all in now. Right. [00:41:30] Yeah. Um, this is it.

Kevin Shannon: Yeah. But like you’re saying, there’s like, I know what that other [00:41:35] I know what that other road is. If you go that other road, you know what’s going to happen. It’s going to be a [00:41:40] bit easier and a bit more comfortable, you know? And that’s fine. Maybe. But yeah, um, [00:41:45] this is a bit more of an adventure because I have absolutely no idea what’s going to happen. [00:41:50] Um, I always had a I’ve always had a path. Set out for me [00:41:55] from school. You could do this. You get these grades, you go here. You do this year, you do that, you do [00:42:00] five years of this, then you do the VTI, then you get the job. Then I got the [00:42:05] job and I was like, oh my God. Like, well, you know, 35 years of this. And it just I [00:42:10] felt like I was just gonna say it. Yeah, like I could. And that’s why I didn’t want to get a practice, [00:42:15] because there was, there was all there could have been opportunities for that to buy any practices or anything. And I just thought [00:42:20] I. So then I was at that, I was at that crossroads of like, I, where am I going to go with this? Because I [00:42:25] do not want to own a practice. It just wasn’t it just wasn’t for me. After thinking it was something that I really wanted to do. [00:42:30] Um, yeah. Yeah. So yeah.

Prav Solanki: Okay. [00:42:35] So you’ve got this concern for generally are you [00:42:40] getting ideas from clinicians? So tell me about now [00:42:45] your journey as a computer maker about a software [00:42:50] guy, SAS producer call it whatever you want. Right. You know, I think I was mentioning [00:42:55] earlier that, you know, I think I signed up to a free trial period of this software. [00:43:00] And as a non clinician, I mucked about with it and I pretended to play [00:43:05] dentist. And the AI generated a transcript of what I’ve said, which [00:43:10] is a mancunian. It says it’s not an easy thing to do. There’s other software platforms that think I’m Welsh and, [00:43:15] um, it produced a pretty accurate transcript. But what I, what I was really [00:43:20] impressed with was the summary that it produced and the notes. And then I spoke to jazz [00:43:25] about it and I said, this is effing insane. They just did this, that. And it really goes, mate, you’ve [00:43:30] not scratched the surface. Have a look at jazz mode. He goes, what that will do. [00:43:35] And this is how I describe your software. And I like to look at things from a very, [00:43:40] very simple point of view is that I can now have a consultation with [00:43:45] a patient flicky software on and wear a microphone and forget about my notes. [00:43:50] And then what I do is that instead of thinking, I’ve got to do this consultation [00:43:55] and write the notes and do all the content razzmatazz, I just have a conversation with gauged [00:44:00] with that patient or jazz says what he’s done is he’s slightly [00:44:05] changed how he talks to patients so that the software captures things [00:44:10] in the right way. But it’s small tweaks. And then at the end of the consultation, [00:44:15] the notes are written, but he’ll still cast his eye over it and maybe tweak [00:44:20] a few things.

Prav Solanki: But he’s telling me now that the amount of tweaking he has to do is become less [00:44:25] and less, and you notice it don’t. You’re not worried? As my nurse got my back, [00:44:30] did she capture that thing I said or this thing? And the AI [00:44:35] summary is insane. And then it produces your treatment letter for you, and that’s pretty decent as [00:44:40] well. And so when I sort of like, how do you speak to this guy? This is brilliant. Absolutely [00:44:45] amazing. And if jazz endorses it then it must be okay. And [00:44:50] so we see you here at this point where you’ve created a piece of software that I think is [00:44:55] is amazing. And from my perspective, somebody who teaches sales [00:45:00] and communication and is involved in that part of the patient journey for a lot of practices [00:45:05] and a lot of the courses that are done, anything that gives you time back [00:45:10] with the patient so you can develop a better relationship with them, have more rapport, and [00:45:15] not be thinking in the background and distracted about this thing called nurse [00:45:20] has got a bit positive, right? So you’ve produced this software [00:45:25] is where it is. Tell me about like the day in the life of a SAS product [00:45:30] owner. Where’s your head at now? How many people are using your platform? What’s [00:45:35] the best thing about it and what’s the worst that what are the bugs? Tell me about [00:45:40] the things that have gone wrong, as well as as somebody who’s got a piece of software myself that [00:45:45] loads of stuff go wrong. So I just want to learn about the highs and lows of that. Right. [00:45:50] As somebody who’s created a piece of software that people have signed up to. Yeah.

Kevin Shannon: So [00:45:55] I guess the day in the life is, is I’ll get a wake up and [00:46:00] I go. Which, and this is interesting because as a dentist, [00:46:05] I never woke up and I thought, right, how can I go and help people today? It was all it was always, how [00:46:10] can I go and put as much money as I possibly can into my pocket?

Prav Solanki: Okay.

Kevin Shannon: You know, just [00:46:15] being honest was very much.

Prav Solanki: Yeah, yeah.

Kevin Shannon: Pretty much the thinking. But it’s now.

Prav Solanki: And [00:46:20] what’s and what’s getting in the way of the pocket is a few fill ins, some align the treatment blah [00:46:25] blah, blah, blah blah. And those are jobs and tasks that you’re going to do that’s going to generate [00:46:30] cash at the end of the month. And that is purely how you saw it, right?

Kevin Shannon: Yeah. Just completely like [00:46:35] a transactional thing. But it’s not a good way to be doing that job. Cool. Okay. [00:46:40] What’s the shift?

Prav Solanki: What’s the shift now? As, as as a guy who’s producing [00:46:45] software. What is this. What is the shift for you? Helping people.

Kevin Shannon: Yeah, [00:46:50] okay, I can go, right? I wake up and I go, right, how can I? What can I do that’s going to help people today? [00:46:55] And I can do it all day. I could start at 6:00 and I could finish at 10:00 at night. I could [00:47:00] finish at 11:00. I could be literally sitting there all day. Some days I get up and I go, oh my God, I’ve [00:47:05] hardly moved today. My legs are like, you know that? Like jelly and numb.

Prav Solanki: And another [00:47:10] feeling. Yeah.

Kevin Shannon: So but it’s just like it’s complete passion. Like I really just enjoy [00:47:15] it because you’re doing different things, chatting to people, sorting things out for people and improving [00:47:20] it, building other features. Like, I can see [00:47:25] where it’s all because you’re asking me, you know, what was my product roadmap and all that for this? Like, [00:47:30] it all just exists in my head and on the back of napkins that are all scribbled around about the place at the moment. It needs to just get a little [00:47:35] bit more tightened up. It’s called it’s called forward. I think that’s really the next [00:47:40] kind of stages building a team. So I really need to do. But yeah, so the [00:47:45] the good things are well it’s at the moment it’s in over 350 practices. [00:47:50] We’ve got 350 practices using it. So that’s.

Prav Solanki: Amazing.

Kevin Shannon: Yeah. [00:47:55] And a really short period of time. And you got.

Prav Solanki: 300 and have you got 350 subscribers [00:48:00] using it.

Kevin Shannon: Um, yes.

Prav Solanki: Okay.

Kevin Shannon: Pushed [00:48:05] over that.

Prav Solanki: And out of interest of those 350 [00:48:10] subscribers, how many of them are using it every day in their [00:48:15] day to day consultation process?

Kevin Shannon: Yeah, but probably [00:48:20] looking a bit like it’s probably about 80% at the moment. What’s [00:48:25] happening is it’s becoming like an integral thing. [00:48:30] Yeah. You know, if sometimes I’ll get these messages like, oh, this is it’s not working, you know, and [00:48:35] it’s like your microphone is running out of battery, you know. But it’s the, the, the panic [00:48:40] that I can sense is like, oh, this is yeah. You know, it kind of makes me smile a little bit [00:48:45] like I’ve built something that’s become so useful that without it it’s like, oh, what am I going to do? [00:48:50] I’m actually going to have to write this, write these notes. Yeah.

Prav Solanki: And so [00:48:55] it’s almost becoming the way of working for clinicians for, for at least the I [00:49:00] would say, well, maybe 300 out of the 350 or so clinicians who are using it. It’s become [00:49:05] that way of working. Right?

Kevin Shannon: Yeah. Um, yeah. So we’re over [00:49:10] like 20,000 notes created.

Prav Solanki: Wow.

Kevin Shannon: Yeah. [00:49:15] It’s just it’s crazy.

Prav Solanki: So how many how much communication do [00:49:20] you have with your users? Do you have a sort of. Do you get a ton of emails every day and you say, great, I’ve got to sift [00:49:25] through this. There’s these 20 are asking this question, which I’ve answered [00:49:30] a hundred times. So I’m going to create a little video and send this out. What’s your how do you deal [00:49:35] with the product feedback? For us, when we’re developing products, we take [00:49:40] everything in from our customers. Then that goes to the team. And [00:49:45] then we look at it and say, right, what is the biggest impact we can have with our software? [00:49:50] That’s going to be the easiest thing to implement that will impact the most people. And then we have [00:49:55] like a matrix of what our roadmap looks like and how are we going to do it. How do you deal with [00:50:00] like with that many users, all the people requesting things, [00:50:05] telling you, hey, this isn’t working. If only you could do this. It’s just done this. It’s just done that. What? What’s your [00:50:10] day look like? Are you dealing with that throughout the day? Are you dealing with actually [00:50:15] producing, writing code or producing the software? What what what [00:50:20] are you doing?

Kevin Shannon: I don’t really have too much problems with people using it [00:50:25] because I’ve done the job. It’s built to be easy to use, [00:50:30] easy to update, easy for dentists. And the little example I give is like [00:50:35] your GI, you know, any product that you buy or material that you use [00:50:40] has this simple instructions. You put this on and you do this and you do it like a monkey could do it. [00:50:45] That’s how I’ve built it. Like it should be easy to understand. There is a [00:50:50] kind of small learning curve with it, so it’s a lot of the time it’s trying to explain the concept [00:50:55] of how it works, because there’s a specific concept behind it that [00:51:00] once that’s understood, then the rest of it’s just it’s all pretty straightforward. So I [00:51:05] have some times just a little bit of explaining of the concept, um, or [00:51:10] adjusting some things for people. At the moment I’m just trying to do [00:51:15] some, um, uh, marketing things, just kind of get it out there a bit more making [00:51:20] making some ads, making videos, these kind of things. These are all these kind of things that I learned [00:51:25] when I was working with Mark, like how important that is. Yeah. To be doing, getting getting [00:51:30] the videos, getting the stuff and all that. Um, the thing I love the most is the coding. [00:51:35] I love doing it. I love creating the okay, how can we get this to work? And just the problem [00:51:40] solving of that, however, it’s I don’t know if it’s where I’m going to be best placed. [00:51:45] Going forward, you know, as we’re building a team up and whatnot. [00:51:50] So it’s a really.

Prav Solanki: Interesting thing you said earlier on in this podcast. And he said when [00:51:55] I was thinking about dentistry. I was also thinking about doing [00:52:00] maths. Yeah, right. And and what [00:52:05] you do and certainly what my software engineers, the way their brain thinks [00:52:10] and they’re some of the best software engineers are very good mathematicians. [00:52:15] Yeah. And they use mathematical basis to their problem [00:52:20] solving, if that makes sense. And as soon as you said that, I thought to myself [00:52:25] that maybe the reason why you’ve landed here is your brain is [00:52:30] a logical mathematical software development type setup [00:52:35] where that’s where you get your kicks. Yeah. That’s what [00:52:40] drives you. That’s what gives you your sense of accomplishment. And even now you’ve just [00:52:45] said, I like getting stuck into the weeds of the code. Yeah. Which [00:52:50] I am guessing, Kevin, because you are not a software developer by [00:52:55] education or trade or whatever, you kind of having to learn it as you go along as [00:53:00] well, right? So you write in the code, you’re learning about it, you’re figuring out how to make it more efficient [00:53:05] or whatever, but you’re not a software developer as such. And [00:53:10] so I think it’s incredibly amazing that you’ve built a piece of software that’s 350 [00:53:15] people are paying money for, and it’s making a difference and it’s impacting [00:53:20] their every day. And have you written every line of code? Yeah, yeah, [00:53:25] yeah. It’s pretty amazing isn’t it?

Kevin Shannon: Yeah. It’s been a lot of YouTubing [00:53:30] and all that good stuff and googling things, but it’s [00:53:35] just like it’s all there for you. Like it’s, you know, if it’s if it’s the kind of thing that you [00:53:40] that you like to know, it’s there. And that’s [00:53:45] the thing, you know, dentistry’s very closed with it’s, um, education. Everything’s [00:53:50] you go to university and after that, if you want to learn anything more, it’s, you got to go do all these courses, all [00:53:55] this kind of stuff. Tech is just all out there on online for free to learn.

Prav Solanki: Yeah, [00:54:00] yeah, but you can say that. But but how many people have implemented [00:54:05] and executed this. Right. So it’s all about execution as well right. Yeah for sure. [00:54:10] And so what what are the next steps for digital TCL as you see it [00:54:15] Kevin. Like I’m assuming now that um, you don’t need to rely too much on something.now [00:54:20] and um, you can you can treat it to dinner every now and then and, um, you [00:54:25] know, take her out and whatnot, and she’s not having to support you as much. And things are [00:54:30] looking better financially for you.

Kevin Shannon: Yeah, yeah, we’ve got a bit more freedom. [00:54:35] Um, again, although, like, I was, we went out for dinner last night, [00:54:40] and, uh, that was a little treat. Okay, let’s go get some dinner or we’ll go to the place that you like for food. And then. So [00:54:45] we ended up having anaphylaxis, so I don’t really know how to treat that was maybe I should just stay [00:54:50] on the computer, you know. Um. Yeah. Yeah. But the. Yeah, [00:54:55] I think my, my vision has always been that if you’re doing something on a computer. So it [00:55:00] started off with a consent forms, but it’s also just the repetitive nature of everything on the computer and having [00:55:05] to or when I click on the patient record I have [00:55:10] to click here, click there, click there to find out the piece of information that I want to find. I [00:55:15] just want I see this vision where I just everything is really efficient. It just all [00:55:20] works the way you want it to work. Um, like an iPhone of [00:55:25] management management software in the in the dental surgery [00:55:30] essentially like the real vision is you chart, you do your composite, you charge it [00:55:35] through and everything else happens. That’s it. All you need to do is just click that charge charge button. [00:55:40] That’s it. That’s what I want to make.

Prav Solanki: An absolutely [00:55:45] seamless user experience. Right. The the simplest and the simplest requires [00:55:50] no training, requires no instruction manual. You [00:55:55] just go there, press that button. Everything else just happens in the background.

Kevin Shannon: Ideally, [00:56:00] you know, it sounds a bit like a pipe dream, isn’t it? No, it’s a bit, uh, a bit mad, but I [00:56:05] think I can see it. And I think this is it’s my naivety and [00:56:10] my lack of because I’ve spoken to people that this is what I want to do. And they go, oh, we’ve thought about [00:56:15] doing this and, you know, but because I’ve not really thought about doing it and I don’t have that knowledge [00:56:20] about it, then I’m like, okay, well, I’ll just I’ll just give it a go and deal with the challenges as and when they, they arise. [00:56:25] Um, rather than sitting there worrying, I won’t be able to do this, am I going to get that done? Because [00:56:30] I’ll just. I’ll not get anywhere if that’s, um. The mode of modus operandi.

Prav Solanki: So [00:56:35] what? So where? Where is your digital teeth? You got 300 [00:56:40] users. Now, if you to wave a magic wand or if you say, look. Well, this is [00:56:45] what my dream is. Where is it? How far can this product go, [00:56:50] do you think in terms of I know you said you’ve got a few clients in the States and they’re [00:56:55] not as worried about their nose, so it’s not as big a deal or whatever. So do [00:57:00] you see this? Do you see yourself sort of sort of dominating the UK [00:57:05] market mainly. Is that is that the addressable market for you or are you sort of thinking [00:57:10] actually the boundaries are not anywhere, and you want to take this product [00:57:15] essentially global? What does that what does that look like if we if we [00:57:20] if let’s say we were sat here in, um, 1st of June 2025 [00:57:25] and we were sat having a meal or a drink at a bar [00:57:30] or something, and you looked back to this day, what must [00:57:35] have happened for you to say this has been a success? I have really smashed [00:57:40] this year. What’s what’s in your vision for the next 12 months?

Kevin Shannon: Um, [00:57:45] I want to I want to get, like, the next thing I’ve got coming is [00:57:50] a treatment planner process. So have that coming in with users using that [00:57:55] and then. Have probably. Also [00:58:00] more just more people on this, because the more people that are using this, the better is going to get. [00:58:05] The more people that are using digital TCO is just going to get exponentially better. But the main thing [00:58:10] is, is I think to have like version one of the patient management system. Yeah, [00:58:15] built and maybe a couple of people on using that. That [00:58:20] would be the ideal thing for the for the next year. But [00:58:25] over maybe the next 5 to 10, I would like it to be just a thing that [00:58:30] everybody uses. It’s just that this is just the thing that’s in the in [00:58:35] the.

Prav Solanki: Lack of trust we need safe.

Kevin Shannon: Yeah. And like a scanner should be for [00:58:40] everybody as well. That should be a thing that everybody.

Prav Solanki: Yeah, just has.

Kevin Shannon: Scanners, intraoral camera. [00:58:45]

Prav Solanki: But it sounds like it is the thing for those 300 dentists, [00:58:50] right? That, like you say, that if they think it’s broken or something, it’s like the world’s [00:58:55] falling apart, right? You can sense the anxiety that. Hold on a minute. My digital tko’s not [00:59:00] here today. Um, see what I mean? So I think I think it is the same for, [00:59:05] for a lot of people right now. Um, yeah. I guess it’s just taking that to the masses, [00:59:10] right?

Kevin Shannon: Yeah, I think I think really that would be the answer is to have my [00:59:15] 1000 true fans. Because that’s really what I’m trying. That’s really what I’m trying to build. I’m really [00:59:20] trying to make something for for the people. So it’s so cheesy, right? But like, [00:59:25] if I could have that in a year’s time, that would be pretty good. Amazing.

Prav Solanki: Okay. [00:59:30] And, um, so how do people get access to this? I know you’ve got, um, [00:59:35] obviously your website and stuff, and, uh, do you offer, like a free trial or something like that? [00:59:40] So Dennis can can play around with it and whatnot? How if, if I’m [00:59:45] a dentist listening to this podcast, I think, oh, this digital SEO sounds all right. How do [00:59:50] I get involved and where do I sign up?

Kevin Shannon: Yeah, just Google it. Go [00:59:55] with the website digital Tsuyako UK. Uh, you can try it for 28 days [01:00:00] for free. There’s different methods, so you can just dive straight into doing the full appointment [01:00:05] recordings, but you don’t even have to do that. Like there’s other there’s other things that it’s all [01:00:10] fully explained out. I take I take people through the process of how I would recommend that they actually [01:00:15] go about using it. Um, but to really to start off, you just need any sort of microphone [01:00:20] that you can plug in and you’re good to go. You have a button, you speak your notes [01:00:25] and then that’s it. It’s done. So just try it. Try 28 days. Yeah, hopefully it just [01:00:30] makes life a little bit easier. What are the.

Prav Solanki: What are the downsides of this piece of software? [01:00:35] I spoke to a few dentists about and they said, yeah, but what if the AI gets things wrong [01:00:40] and then drops me in the shit and and stuff like that? So have you had any sort [01:00:45] of negatives about that?

Kevin Shannon: Yeah, but people do worry about that. Like the [01:00:50] AI is going to make stuff up. But yeah, it’s not designed. It’s not designed [01:00:55] that way. Because what it does is it takes your voice input and converts [01:01:00] that into notes. So it’s not making anything up. It’s just taking what you tell it and writing [01:01:05] it out nicely. And a very, very simplified format. Um, [01:01:10] but at the end of the day, it’s like it’s just a note taking system. Like anything else, it’s still [01:01:15] the dentist responsibility to check it and make sure that. That [01:01:20] is correct because it’s there. It’s your patience, your record. At the end of the day, what [01:01:25] it does is, is it just makes it 95% easier to do that.

Prav Solanki: Um. [01:01:30]

Kevin Shannon: The other the other problem is, um, there’s a couple of funny things. [01:01:35] Well, well, the other problem is people not understanding the overall concept of it because it works differently [01:01:40] from other systems, which is other things like addition and subtraction [01:01:45] to the notes. This is not addition or subtraction. That’s not how it works. Um, it addition subtraction [01:01:50] to templates. Sorry. Um, doesn’t work like that. And the the funniest [01:01:55] thing that people have a thing is about the output style. They don’t like the style, they [01:02:00] would rather they could have bold headings. And it said the tooth in this [01:02:05] format or that format. Never mind that it does it for you automatically. It’s not. Yeah. No it’s not I [01:02:10] like I like to have a line break at that point, you know whatever. So yeah. Are you working [01:02:15] on that? Um, yeah. Working on it. However, it’s very small. [01:02:20] You know, there’s a balance that has to be struck between not [01:02:25] having to do any work and the style [01:02:30] of the output.

Prav Solanki: I get it, you know, the, the we’ve got, we’ve [01:02:35] got the piece of software. Right. And we got a lot of, um, a lot of people saying, well, if we could do this or we [01:02:40] could do that, and we think, just think about what it’s already doing for you. Right? It’s a bit like patience, [01:02:45] I think. I take it like this. It’s a bit like patients who come in and their teeth [01:02:50] are mashed. Right. Absolute car crash. Right. And you come in and you give them [01:02:55] perfectly straight teeth and they look beautiful and all the rest of it, and they come back and go, but this little [01:03:00] tooth is a millimetre off. And this little thing gave me like look at you before [01:03:05] picture, you buffoon. Yeah. This is where you started me and but [01:03:10] you know, I think I think the thing is with software that you will always have people [01:03:15] giving you feedback. And I think feedback is, is a great [01:03:20] thing for product development. It’s just. How [01:03:25] you integrate that into the future. Right. And so maybe making this [01:03:30] thing bold is not as important. And headaches and migraines line breaks [01:03:35] as as writing your treatment plan for you for example. Right. Like [01:03:40] that’s definitely a bigger, more important problem to solve. And you’ve just got to manage those challenges. [01:03:45] Has there ever been a point during the development of this [01:03:50] where things went absolutely tits up and you had a really low moment.

Kevin Shannon: And [01:03:55] it’s not that’s not happening quite yet. There was a day, though, where [01:04:00] um, it was quite early on. And I [01:04:05] just thought, I think I just actually it’s got shared around a bit. And then a [01:04:10] WhatsApp group run about it’s not my, not my thing that I had, but another group. Yeah, it was [01:04:15] like a big burst of signups. It happened. And then that day it just all completely crashed [01:04:20] and I wasn’t anywhere near the flat I was that was out. So I had to sprint halfway across Glasgow, [01:04:25] um, to get back in here. And I had to very, very quickly recode [01:04:30] just, just everything that was like the that [01:04:35] was the how long did that take?

Prav Solanki: How long did that take?

Kevin Shannon: Well, I say record everything. I just did the certain [01:04:40] bit. I just fixed the, the crash bits. I think it went down about 11:00 [01:04:45] and I had it back up by one. So a couple of hours. But this is this is the thing. It’s just me that’s doing this. [01:04:50] So I’m. Going forward as well, that in a year’s time, having a having [01:04:55] a team a bit of. Yeah.

Prav Solanki: Do you have any concerns [01:05:00] about that next step like going from UI, the [01:05:05] developer, the marketeer, the customer support, the [01:05:10] guy that deals with things when shit goes wrong, the product roadmap guy [01:05:15] you are the business right? Do you have any sort of concerns [01:05:20] anxieties like you must have thought about what the future is. What’s holding you back? What? What [01:05:25] are your, um, what’s stopping you jumping off that cliff and making that leap and setting out on the [01:05:30] go for it now. No.

Kevin Shannon: What about the team and all this kind of stuff and giving it up? [01:05:35]

Prav Solanki: Well, you did it. You did it with.

Kevin Shannon: Dentistry.

Prav Solanki: Right? You hung your drill up and said, I’m out of it. Yeah. [01:05:40] Dropped your mike and said, this is me done now, right? I’m going fully Sophie’s [01:05:45] support me. Happy days. Right. What’s the next big [01:05:50] leap with this? And is it getting the team? Is anything holding you back? [01:05:55]

Kevin Shannon: Uh, there’s nothing really holding me back, I guess. [01:06:00] For example.

Prav Solanki: For example. Trust.

Kevin Shannon: Um, [01:06:05] I’m not so sure about this trust thing. I think I would trust people. I mean, it is [01:06:10] I am a bit of a control freak over it and that trying not to micromanage every single [01:06:15] detail of it. Yeah. But I think because I’ve been, you know, [01:06:20] speaking to people, they’ve said, you know, oh. You could hire, you know, software [01:06:25] engineer and things like that. And I think that I’m not sure if that’s the road that would go down for building [01:06:30] the team. It would be more the marketing and the interesting sales. And, [01:06:35] you know, all those kind of things would be more, more beneficial. Yeah. [01:06:40] Well, hope is holding me back really. Just even more. I [01:06:45] either need to go out and get investment or I need more numbers so that I can pay people. [01:06:50]

Prav Solanki: Uh, yeah. Essentially.

Kevin Shannon: So at the moment, it’s got to a point where [01:06:55] it’s allowing me to live my life. And from the business and do all this kind of [01:07:00] thing. But it’s not a stage where I could be going out and hiring a team of people. [01:07:05] So it’s either that I just keep on bootstrapping it or it’s investment.

Prav Solanki: Okay, so [01:07:10] how many subscribers do you think you would need? Before [01:07:15] you’re able to. So it’s either a [01:07:20] investment thing or it’s a I’ve got enough subscribers so that [01:07:25] it’s making enough money to be able to fund the team. Where does [01:07:30] that what does that need to be for you to say? Right, I can get a team on board now, whether [01:07:35] it’s marketing, whether it’s the software development side of things. I would [01:07:40] be in a marketeer myself and a software [01:07:45] guy. I’d probably argue that you need the software people, [01:07:50] right? But that’s that’s just my opinion, right? You’ve without [01:07:55] that, you’ve single handedly created a phenomenal platform [01:08:00] that supports 300 plus dentists. I mean, that’s that’s [01:08:05] phenomenal. For somebody who was bootstrapped that as an individual and done [01:08:10] that herself. So, um, don’t necessarily listen to what I’m telling you to do. Um, it’s [01:08:15] just what I would do. But where does that need to be for you to be able to say, right, this business [01:08:20] can wash its own face and I can get him on board. Is it is it that [01:08:25] thousand raving fans? Is it does it need to be more than that?

Kevin Shannon: I think things started [01:08:30] getting a team sooner than that. To be honest, it’s probably getting quite close. Maybe another 100 to [01:08:35] 100, and your work will really be able to get people on board. But that’s something [01:08:40] that I really don’t know anything about, you know? So it’s really. But as with everything, [01:08:45] it’s just. You’ve just got the go. Go for it and learn as you go and make your mistakes. It’s [01:08:50] really the only way to learn is to do something and be [01:08:55] willing to mess it up.

Prav Solanki: You will make a ton of mistakes, but it’s just it [01:09:00] is the way it is. Do you know what I mean? That’s business. That’s whether it’s practice ownership or software [01:09:05] or whatever. Yeah. Britney and Kevin, this brings me towards the end [01:09:10] of the podcast and we have some we have some questions that we ask all of our guests. [01:09:15] Um, and one of them is that, um, imagine it was your last [01:09:20] day on the planet. Kevin. Yeah. Um, and you were surrounded by your [01:09:25] loved ones, and, um, you had to leave them with three pieces [01:09:30] of wisdom. What would they be?

Kevin Shannon: Three pieces of wisdom.

Prav Solanki: Three [01:09:35] pieces of wisdom that you didn’t put out into the world. What would they be based on your own life [01:09:40] experiences?

Kevin Shannon: And. You have to have the courage [01:09:45] just to do things, especially the things that really scary. You’ve just got [01:09:50] to do them because that’s where most the most growth comes from. That’s where most of my youth has come from, when [01:09:55] I’ve been really scared and I’ve just gone and done it.

Prav Solanki: Yeah. Um.

Kevin Shannon: That. [01:10:00] Uh, it’s really important [01:10:05] is to be trying to just be as honest as you can in life. And but, I [01:10:10] mean, it’s like having that vulnerability with people is just really [01:10:15] important. So, so that you can connect with people because if you can’t connect with people, that’s [01:10:20] why you have problems. I think that’s the biggest thing I’ve learned about what we’ve been talking about there with these other jobs that [01:10:25] just are never, ever really connected with anybody. And. [01:10:30] And just. Just enjoy it, isn’t it really? Just try [01:10:35] and enjoy. Just try and enjoy it. Because. If you’re [01:10:40] not enjoying it. It’s not really, it’s not really much point. And if you’re not enjoying [01:10:45] it, just. Do something else. Really change it. Make a change [01:10:50] because you’ll be all right. I think that’s a thing. You’ll be okay. That’ll be my final one. [01:10:55] Yeah.

Prav Solanki: Good. Good. Can you go back to those moments of where [01:11:00] nothing really mattered? You didn’t have a pot to piss in, but you were having loads of fun climbing trees. [01:11:05] Yeah.

Kevin Shannon: Yeah, that’s that’s that’s that’s the aim of this. Yeah, [01:11:10] but build a big treehouse.

Prav Solanki: Yeah. Yeah, yeah. Brilliant, brilliant. Kevin. Actually, [01:11:15] I’ve got one more question. Payman would shoot me for this. Ask this question. Um, which is [01:11:20] fantasy dinner party. Three people, dead or alive. Who [01:11:25] would they be? Three guests.

Kevin Shannon: Julius Caesar. Napoleon [01:11:30] Bonaparte.

Prav Solanki: And Fatima and. [01:11:35]

Speaker4: Mm. Right?

Kevin Shannon: Probably Steve Jobs. [01:11:40] Good, good, good.

Prav Solanki: Yeah. Cool. Yeah. Yeah. Brilliant. [01:11:45] Kevin, thanks so much for your time today. Um. It’s been it’s been really cool [01:11:50] speaking to you. And, um, you know, just learning about your journey. [01:11:55] Um, not many people have the courage to just hang up that drill and move on and pursue [01:12:00] their dream of passion. And, uh, I really do hope digital TCO does [01:12:05] very quickly like to sit down with you this time next year and talk about your thousand raving fans [01:12:10] and where, where it’s got to. But but I think it’s really cool that you’ve followed [01:12:15] your passion, taken those leaps and, um, and shared that story with us today.

Kevin Shannon: Well, [01:12:20] thank you so much. I really, really appreciate it. I’ve really enjoyed the conversation we’ve had this morning. It’s been [01:12:25] a good it’s been a good morning. So thank you so much.

[VOICE]: This is Dental [01:12:30] Leaders the podcast where you get to go one on one with emerging [01:12:35] leaders in dentistry. Your hosts. [01:12:40] Payman Langroudi and Prav Solanki.

Prav Solanki: Thanks for [01:12:45] listening, guys. If you got this far, you must have listened to the whole thing. And just a huge [01:12:50] thank you both from me and pay for actually sticking through and listening to what we’ve had to say and [01:12:55] what our guest has had to say, because I’m assuming you got some value out of it.

Payman Langroudi: If you did get some value [01:13:00] out of it, think about subscribing. And if you would share this with a friend [01:13:05] who you think might get some value out of it too. Thank you so so, so much for listening. Thanks.

Prav Solanki: And don’t [01:13:10] forget our six star rating.