In this deeply personal first part of a two-part interview, Payman Langroudi sits down with the dental power couple Martin and Vinnie Attariani. 

They share their remarkable journey to the UK – Martin’s harrowing escape from Iran as a 14-year-old refugee to Sweden, and Vinnie’s move from Canada to the UK through an arranged marriage at 17. 

The conversation explores their paths into dentistry, their approach to clinical excellence, and their philosophy about practice ownership. With candid reflections on mistakes, patient management, and work-life balance, the Adrianis offer invaluable insights into what makes a fulfilling career in dentistry while maintaining perspective on what truly matters in life.

 

In This Episode

00:01:55 – Meeting and getting together
00:05:40 – Martin’s escape from Iran
00:25:25 – First reunion with family
00:31:40 – Vinnie’s journey from Canada
00:43:35 – Balancing education and motherhood
00:51:45 – Swedish dental education
01:03:55 – Digital dentistry and scanning
01:11:35 – Blackbox thinking: Clinical errors
01:17:15 – Fitness to practice investigation
01:22:40 – Managing cosmetic patient expectations
01:31:25 – Partnership practice model
01:39:00 – Mental health in dentistry
01:51:40 – Fantasy dinner party
01:54:35 – Last days and legacy

 

About Martin and Vinnie Attariani

Martin Attariani fled Iran as a teenage refugee before qualifying as a dentist in Sweden, where he also holds a master’s in biochemistry. 

Now practising in the UK for 17 years, he operates a beautifully refurbished listed building practice where he excels in complex dentistry, including implants, endodontics, and orthodontics. 

Vinnie Attariani, originally from Canada, moved to the UK through an arranged marriage at 17, qualifying in dentistry from Birmingham in 2000 while raising two sons during her undergraduate years. 

She practices in a partnership at Houston Place, one of the UK’s oldest dental practices, established in the 1840s.

Payman Langroudi: One of the most common questions I get is how do I do more teeth whitening? The basis of that is to really [00:00:05] believe in it, and the basis of that is to fully understand it. Join us for enlightened online training on [00:00:10] Enlightened Online Training.com to understand how to assess a case quickly, how to deliver [00:00:15] brilliant results every time. Next time whitening Underwhelms try and lighten. Now let’s get to the [00:00:20] pod.

[VOICE]: This [00:00:25] is Dental Leaders. The podcast where you [00:00:30] get to go one on one with emerging leaders in dentistry. Your [00:00:35] hosts Payman Langroudi and Prav [00:00:40] Solanki.

Payman Langroudi: It gives me great pleasure to welcome a power couple from [00:00:45] dentistry, one of the first power couples we’ve ever had, I think. I think we had Kunal and Lucy [00:00:50] as well, but actually Martin and Vinny Adriani, who I knew separately [00:00:55] before they got together. And then one day they said, oh, we’re together and then got married [00:01:00] and all of that. I think I’ve known both of you for at least a decade. Yeah. Yes. Yeah, [00:01:05] it must be. I mean, yeah, Covid was only five years. Yeah. More, more more than that.

Martin Attariani: Started [00:01:10] being enlightened in 2011.

Payman Langroudi: Was it? Do you remember.

Martin Attariani: That? Yeah, yeah.

Payman Langroudi: How do you remember that?

Martin Attariani: I [00:01:15] mean, it’s just an amazing brand. How can I forget? You [00:01:20] don’t remember when you first meet a great thing, right? When did you meet me, by the way?

Payman Langroudi: I probably met both [00:01:25] of you before you met each other. But let’s let’s go into. How did you meet each other? Let’s start with [00:01:30] that. How did you meet?

Vinne Attariani: How did we meet? Yeah. Okay. [00:01:35] Um. So me and Martin used to. Well, we first met when we used to work [00:01:40] at a NHS practice in Coventry. So I was an associate [00:01:45] there already. And then you came to work in 2006? [00:01:50] 2006.

Martin Attariani: So I just kicked in.

Vinne Attariani: And [00:01:55] funnily enough. Right, we used to work next door to each other, so his surgery used to be next to my [00:02:00] surgery, and I think it was about 18 months before I even said hello [00:02:05] to him. I didn’t even say hello.

Payman Langroudi: Dental practices are like that.

Martin Attariani: Well, it was a big, large 12 surgery [00:02:10] practice as well. Oh yeah. Yeah. Huge one. Yeah. Oh was it. Yeah. Yeah.

Payman Langroudi: It was [00:02:15] it in Coventry. Yeah I’ve been.

Martin Attariani: There.

Payman Langroudi: I think it’s probably 24 surgeries now. [00:02:20]

Martin Attariani: It probably is now. Yeah yeah yeah yeah.

Vinne Attariani: And it wasn’t for the fact of being rude. You were [00:02:25] literally so busy.

Martin Attariani: Yeah.

Vinne Attariani: You were just fly in, fly out, and you wouldn’t even leave the room. [00:02:30] We had. I had two nurses. You had two nurses. It was.

Payman Langroudi: It’s still like that. When I went last time I went, [00:02:35] it felt more like a dental hospital than a dental practice. I mean, it was a gigantic. It was huge. 60 [00:02:40] people waiting.

Martin Attariani: To be seen. Yeah.

Vinne Attariani: Very busy. And, um.

Payman Langroudi: So. Okay, so you knew you [00:02:45] you knew each other. Existed at that point.

Vinne Attariani: Knew each other existed. Busy with our own lives. You [00:02:50] left and bought your own practice in 2008. 2008. [00:02:55]

Martin Attariani: Eight and.

Vinne Attariani: And then I carried on. Carried on there. Eventually I moved [00:03:00] out and got my own practice. Um, and then we just basically [00:03:05] saw each other at Dental courses. Right. Conferences. Courses.

Payman Langroudi: Yeah. But both.

Vinne Attariani: Of you.

Payman Langroudi: Are permanent [00:03:10] permanent fixtures on the Dental.

Vinne Attariani: Yeah, we were then. So, you know, I.

Payman Langroudi: Was going.

Vinne Attariani: To every showcase, [00:03:15] every event. And you know, we used to sort of really enjoy that. And that’s where we used to bump into [00:03:20] each other. Then just you know on socially and I. [00:03:25]

Payman Langroudi: Yeah. What line did he use.

Vinne Attariani: Well.

Martin Attariani: It [00:03:30] was my magic trick was a.

Vinne Attariani: Magician, right. So I.

Martin Attariani: Think.

Vinne Attariani: He cast like some kind of spell on me [00:03:35] there, but.

Martin Attariani: Um, no.

Vinne Attariani: We just got on really well, and we just became friends then, right? Um, [00:03:40] I’m trying to actually think back to you, then started [00:03:45] going through your life story of your kind of divorce and everything. I [00:03:50] my story with my divorce, obviously. And then after that, [00:03:55] we just started becoming friends, didn’t we? We kind of, sort of probably met up on the scenes with like, Dental course, [00:04:00] and things more often. I think we were going through probably similar type of things [00:04:05] with our backgrounds. Well, after probably today you’ll hear more about our background. They are quite similar. [00:04:10] I think that kind of made us click more. Um, yeah. Yeah. Then eventually, [00:04:15] obviously, you know, a couple more magic tricks and spells and resist.

Payman Langroudi: And when did [00:04:20] you actually get married?

Vinne Attariani: We got on, darling.

Martin Attariani: Oh, do you remember?

Vinne Attariani: You remember? [00:04:25] Enlighten.

Martin Attariani: So we got married, uh, on the 15th [00:04:30] August 2019. Was our first marriage just [00:04:35] pre-COVID? Yeah.

Vinne Attariani: Pre-covid.

Martin Attariani: Pre-covid. Day after we got married [00:04:40] again in the morning. And then the afternoon of that day, we got married again. [00:04:45] So we got married three times.

Vinne Attariani: Three times in two days.

Martin Attariani: Yeah. Why? She wanted to make sure [00:04:50] that. Yeah.

Vinne Attariani: You know, when you find a good one, you don’t want to let it go, right?

Martin Attariani: So an Indian wedding [00:04:55] on the Thursday.

Vinne Attariani: Wedding. Wedding. Thursday.

Martin Attariani: On the Friday morning, we had a Persian [00:05:00] wedding. And then in the afternoon, we had a white wedding in the chapel. Oh. So we got three [00:05:05] documents.

Payman Langroudi: Nice.

Martin Attariani: Nice. Why would you say. Obviously [00:05:10] satisfied. All our families and the different cultures and everything. [00:05:15] But. Yeah. In August 2019, just six, six months before Covid. [00:05:20] Yeah, just before we were lucky.

Vinne Attariani: Yeah, we were very lucky. It was.

Martin Attariani: Last minute.

Vinne Attariani: As well, wasn’t it? We [00:05:25] planned everything really last minute.

Martin Attariani: Yeah.

Payman Langroudi: And you’ve both got a sort of interesting backstory as to how [00:05:30] you ended up in the UK. Mhm. Um, should we start with you, Martin? [00:05:35]

Martin Attariani: Yeah. Where do you want to start?

Payman Langroudi: Just Iran. Right. [00:05:40]

Martin Attariani: Iran. Right. So yeah, I was born in Iran, uh, in [00:05:45] 1972. And, um, um. Um, at [00:05:50] the time, my dad was, uh, [00:05:55] in the Air Force, in King’s army, back in the day when Shah was in Iran, [00:06:00] obviously. And, um, dad used to, um, uh, [00:06:05] get a lot of, uh, positions and educations in the United [00:06:10] States. So a few times he ended up going there, uh, [00:06:15] for educations. This is when I was very little. And then probably [00:06:20] 1977, 78, we were living there as a family. Yeah. Two brothers. [00:06:25] And my youngest brother, Charlie, was actually born in in Texas.

Payman Langroudi: Another [00:06:30] dentist. Who? Another dentist?

Martin Attariani: Yeah. And, uh, what happened [00:06:35] then is that, um, we were living in Texas, and, uh, [00:06:40] family got a bit homesick, so we decided to move back [00:06:45] to Iran, not knowing what the future holds in 78. This [00:06:50] is 78.

Payman Langroudi: So just at the time of the troubles in [00:06:55] Iran, the revolution and all that.

Martin Attariani: We basically when we got back two months later, [00:07:00] the revolution started and all the airports [00:07:05] got shut down. And you know, the story, everything just erupted.

Payman Langroudi: Yeah.

Martin Attariani: Um, [00:07:10] massively. And then we were stuck. Then a year later, was [00:07:15] it a year later or something? The war started between Iran and Iraq, Iraq. And [00:07:20] obviously it was grim times in Iran. And I mean, [00:07:25] I remember.

Payman Langroudi: So you were 6 or 7 years old.

Martin Attariani: I was, uh, no, I did at that [00:07:30] time. So I was probably seven. Yeah, I was 7 or [00:07:35] 8 at the time of the revolution. I, you know, I’ve got very [00:07:40] vivid memories of the bombings and the air raids [00:07:45] over Tehran and how we used to as soon as we heard the sirens, you [00:07:50] know, we were getting together in this small hallway in the middle of the building [00:07:55] and everything. We had to turn all the lights off and, [00:08:00] you know, just stay indoors for days or what have you.

Payman Langroudi: You get some sort of PTSD [00:08:05] when you see.

Martin Attariani: I don’t like the very gory movies. Yeah. And [00:08:10] and I used to explain to Vinnie that, you know, I’ve seen horror.

Payman Langroudi: Horrible [00:08:15] things.

Martin Attariani: Horror scenes in real life. So for me, watching [00:08:20] gory movies just reminds me of those scenes I used. [00:08:25] I remember of of people having, you know, their legs [00:08:30] and arms cut off and, you know, it’s just it’s stuff that stays with you [00:08:35] for life. I had two cousins or. Yeah, two cousins who went [00:08:40] to to to the front line and never came back. One of them was only 16. [00:08:45] Wow. So, you know, these are things that stays with you for life. [00:08:50] You can never shake. Shake it off. Um, that was [00:08:55] what we were going through at the time. And I think, um, uh, [00:09:00] especially constantly. You heard about people you knew, [00:09:05] friends, relatives going to the war and not come back. That [00:09:10] started to prompt my dad that it’s probably time to leave [00:09:15] the country again. But obviously you couldn’t because, you [00:09:20] know, the country was in shutdown. You couldn’t just take a [00:09:25] flight and leave the country. So he started to explore the different ways of getting out of the country. [00:09:30] And this is back in the time where, you know, you didn’t have Google, [00:09:35] uh, you you couldn’t get any information. So just getting information [00:09:40] was impossible. In a country [00:09:45] with obviously a lot of oppression at the time, you wouldn’t even discuss [00:09:50] with your next door neighbour or even your with your brother or anybody [00:09:55] that I want to leave the country.

Martin Attariani: You know, you just couldn’t. So just getting information [00:10:00] was difficult. And I know at one point he was looking at boarding schools for [00:10:05] us with three sons at that time. Then, as [00:10:10] I say, he was planning and doing research about that. And then it was one [00:10:15] particular incident that happened. At one point we used to have a villa by [00:10:20] the Caspian Sea summer villa. And at one point when we were there, the [00:10:25] moral police, as you know, they are, they look after how people are, [00:10:30] how they dress up and how they behave and everything. They took my brother with his friends, [00:10:35] my older brother. He was probably 18 at that time. They took him to [00:10:40] custody because he had long hair, because he had short sleeve t shirts [00:10:45] with foreign language writing on his t shirt. So that [00:10:50] obviously had to go and get him out. And, um, it was [00:10:55] from that incident that he started to talk about immigration [00:11:00] with a next door neighbour, and this lady was working [00:11:05] at Iran Air, the official airline in Iran, and [00:11:10] she said, maybe I can do something for you guys. And then through her, we found out [00:11:15] that there is a lot of Iranians moving to Germany at the time.

Martin Attariani: Before [00:11:20] I know it, I was in a language school to learn German. [00:11:25] And why me? My [00:11:30] older brother was 18. He was due for national services. He had to [00:11:35] join the army or be ready to join. My younger brother Charlie was [00:11:40] probably 6 or 7 at that time, too young. I was 13 [00:11:45] and had I filled 14 fully, [00:11:50] uh, I would not be able to leave the country because [00:11:55] that was the rules. Once you filled, uh, 14, then you can’t [00:12:00] leave the country. You need to be ready to go to the war. So I was the only [00:12:05] person in the family, as she explained to dad that. Why don’t you send [00:12:10] Martin away? And then once he’s there, he’s outside. Hopefully he can [00:12:15] help open a path for the rest of the family. And that’s that’s what happened, [00:12:20] basically. So I started to study German, waiting for [00:12:25] arrangements to be sent to German Germany by myself. [00:12:30] It was around April time, 1986. May I turn [00:12:35] 14, So I had to the end of that year, um, to, [00:12:40] to leave basically. Summer came perfect time for me to start to study German. [00:12:45] So I was in a language school. Three months later, rumours [00:12:50] came that Germany has stopped taking refugees.

Martin Attariani: So it was [00:12:55] very panic. Plan A didn’t work out. What do we do now? Let’s find plan B. [00:13:00] One day she came back and said, well, apparently Sweden has opened their doors [00:13:05] up and and Sweden people is a new route. If you want [00:13:10] to go out, we have to send Martin to Sweden. And, you know, for us it was like way [00:13:15] Sweden, Germany we knew more about. But Sweden, it was like, uh, [00:13:20] up north is that is that, you know, Eskimos there. So [00:13:25] but it had to be that way. And that was it. Last minute. [00:13:30] We had to change all the plans. German was not needed anymore. Uh, people [00:13:35] speak Swedish in Sweden. And that was it then? Uh, they had to find a new route. And, [00:13:40] uh, she managed to get. So you couldn’t get visa to [00:13:45] many countries because we were on the war. She managed to get a [00:13:50] visa to East Berlin. It was [00:13:55] the West and East Germany at the time. Yeah. But what she did, uh, is [00:14:00] that she planned a route. A flight route that would take me from Tehran [00:14:05] to West Berlin. From there, I would change plane [00:14:10] to East Berlin. But [00:14:15] with one hour’s stop in Stockholm, in Sweden. So [00:14:20] I was given all the instructions.

Payman Langroudi: What [00:14:25] were the.

Martin Attariani: Instructions? The instructions was you take the plane from Tehran [00:14:30] when you get to West Berlin. You’re one [00:14:35] of my cousins. Were living there at the time. Your cousin will pick you up from the airport. You spend one [00:14:40] night with her, she will drop you off back to the airport the following day. [00:14:45] You hop on the plane. You take the plane to [00:14:50] East Berlin. You have to make sure you get off the plane when it [00:14:55] stops in Stockholm. And that’s. That’s what I did. I [00:15:00] had one bag with me. Just. Just one duffel bag. And we got [00:15:05] to the airport at five in the morning on that day. Uh, 22nd of September, 1986. [00:15:10] Those are dates and times that you’d never forget. And, um, [00:15:15] obviously, that age, you know, very nervous about how things are going [00:15:20] to go. But, you know, I was I was.

Payman Langroudi: So you got to Stockholm.

Martin Attariani: Adamant [00:15:25] that I’m just gonna do it.

Payman Langroudi: Yeah.

Martin Attariani: So I got to West Berlin, spend [00:15:30] the night there? On my way to Stockholm. As [00:15:35] per the instructions, I went into the toilet on the [00:15:40] plane and I had to shred my passport.

Payman Langroudi: They told you to do that?

Martin Attariani: Yeah. [00:15:45]

Payman Langroudi: So you could arrive with no papers?

Martin Attariani: Exactly. Because if I had [00:15:50] my passport with me, they would force me. They could potentially force me on the same plane and carry [00:15:55] on to Berlin. So what? I ended up in Berlin. So I had to shred my passport. [00:16:00] And that was the probably the most scariest thing I had to do. [00:16:05] 14 on, you know, on that day. And I remember just [00:16:10] shaking as I was doing it. I managed to rip everything up, small pieces [00:16:15] flushing the toilet, and I got to the to the plastic folder [00:16:20] and I was like, what? Nobody told me what to do with this. I remember I was like, well, [00:16:25] what do I do with this, you know? Still scared, but I can’t stop now. There’s [00:16:30] evidence that I’ve got a passport, and I just managed to find [00:16:35] a tiny little crack between the cabinetry. And I just. I just, [00:16:40] you know, I just pushed it through, and, you know, that [00:16:45] was only that was quite traumatic because I knew I was doing something, you know, [00:16:50] illegal potentially. And till this day, 38 years [00:16:55] later, I can’t get on a plane and go to the toilet without, you know, [00:17:00] getting a vivid image of that day or every single [00:17:05] time I’m on a plane. I’ve told you before as well. Every time, you know it’s with me all the time anyways. [00:17:10] Got to the to Stockholm airport and I waited for [00:17:15] an hour again, as per the instructions. Wait for the plane to carry on [00:17:20] and leave the airport. And then, um, I was just sat, well, [00:17:25] hung around in the bathroom again at the airport. Uh, then [00:17:30] I walked up to a police in the end. Um, and I said, I’m [00:17:35] here to seek refugee. Not knowing English a lot. Obviously, I [00:17:40] had practice. I knew what was going on. I was had instructions, what to say.

Payman Langroudi: But [00:17:45] what did they do with you then?

Martin Attariani: Yeah. So? So I was at the airport for 24 hours. Um, [00:17:50] they gave me took me to another hall, I think, because it was even [00:17:55] the Swedish government and police and immigration [00:18:00] services, they were not ready for this. All of a sudden they had an influx [00:18:05] of miners coming to the country. Yeah. So I was sent to a refugee [00:18:10] camp like anybody else. And I remember that was put into a room [00:18:15] with three other adults.

Payman Langroudi: Wow.

Martin Attariani: And every night [00:18:20] they would drink, get drunk and everything. I was in [00:18:25] my bad. I remember that I used to hide my. I had a bit of money with me. I would [00:18:30] just put all my valuables under my pillow, and I would sleep with my [00:18:35] one eye open because I was, you know, I was a kid. Yeah. So, um, [00:18:40] that was not very pleasant at all. There were nice guys. No. No problem as such. But [00:18:45] again, leaving your family home and your, you know, your bedroom [00:18:50] and all of a sudden you’re sharing room with adults. So it was more that. But [00:18:55] I was there for a month and then I was moved to another refugee [00:19:00] camp until they finally send me to what they called [00:19:05] group houses. Group home in in Swedish. And [00:19:10] that was what government potentially gradually set [00:19:15] start to set up where it was an establishment with uh [00:19:20] staff and few 3 or 4 staff stuff, maybe, and then [00:19:25] 8 or 9 minor.

Payman Langroudi: Like a boarding school kind of boarding.

Martin Attariani: Situation. Like a boarding school.

Payman Langroudi: How [00:19:30] long did it take before you got to a situation that was anywhere near normality of like [00:19:35] going going to school and.

Martin Attariani: Yeah. So I was in a, in a, in a [00:19:40] initial group group house in south Sweden somewhere [00:19:45] for six months. But they did tell us that this is going to be a temporary. Yeah. So although we [00:19:50] went to school, we knew we’re not going to stay there for too long.

Payman Langroudi: So six months later you got to like [00:19:55] six months.

Martin Attariani: Later we all got spread out. It was eight of us, nine of us. And then [00:20:00] we were all spread out across the country.

Payman Langroudi: Living with the family or something.

Martin Attariani: So then [00:20:05] we went, sent to other, more permanent group [00:20:10] houses.

Payman Langroudi: Oh I.

Martin Attariani: See. Yeah. We were allocated families as well. [00:20:15] Foster families. So each child did have a family that [00:20:20] they could spend time with.

Payman Langroudi: How long after that was the first time you saw your own family [00:20:25] again?

Martin Attariani: Um, so a year later. But [00:20:30] as as as this is happening with me. Yeah. My brother, my older brother. [00:20:35]

Payman Langroudi: He managed to come as well.

Martin Attariani: Um, because he couldn’t leave the country legally. [00:20:40] Yeah. My dad had to pay smugglers to get him out of Iran. [00:20:45]

Payman Langroudi: Through across the border with Turkey.

Martin Attariani: Turkey?

Payman Langroudi: Yeah, yeah. And so many people who did that.

Martin Attariani: He ended [00:20:50] up in jail. They took him.

Payman Langroudi: Yeah.

Martin Attariani: He ended up in jail for a month. Dad [00:20:55] had to go and bribe him out, and then he carried on to Turkey. [00:21:00] The first smuggler took them all dad’s money and disappeared. [00:21:05] The second one managed to send him through in the end, after [00:21:10] six months. Once he got to the airport in Stockholm. [00:21:15] It was a group of five of them. Six of them. Maybe They [00:21:20] decided to deport them back to Turkey. I [00:21:25] found out and I managed to get a train up to Arlanda, which [00:21:30] is the airport in Stockholm. Yeah. Had I not been there. [00:21:35]

Payman Langroudi: He would have been sent back.

Martin Attariani: He would have been sent back to Turkey. And they did with the rest of the [00:21:40] crew. But because I was there, they let my brother stay. Wow. So he. [00:21:45]

Payman Langroudi: Came. That was a year later.

Martin Attariani: That was a year later. He was sent to another, [00:21:50] an adult refugee parents.

Payman Langroudi: When was the first time you saw your parents?

Martin Attariani: And then during the time? Um, [00:21:55] my older brother was in Turkey because of the problems. My [00:22:00] at that, at that point, my mom and my youngest brother were in Turkey helping [00:22:05] him. Yeah. So probably six months after him or [00:22:10] eight months, mom and my youngest brother managed to get to Sweden. [00:22:15] And then after that, a year later, Finally, dad [00:22:20] joined us in Sweden.

Payman Langroudi: So now we’re in this environment of, [00:22:25] you know, immigration being such a big issue here. When you when you see people [00:22:30] coming over on a boat or whatever, I guess you see those people differently [00:22:35] to the man in the street. Yeah.

Martin Attariani: You know.

Payman Langroudi: The man in.

Martin Attariani: My heart.

Payman Langroudi: Yeah. The man in the street sort of [00:22:40] sees that as illegal immigration. Like it’s all put into that bucket. But [00:22:45] people don’t really understand that those people are running away from something. Right. It’s.

Martin Attariani: You [00:22:50] know, I read and it’s happening quite often. Unfortunately. People dying. [00:22:55]

Payman Langroudi: 50 this year, 50 this.

Martin Attariani: Year. It’s heartbreaking because I was one [00:23:00] of them. Yeah. But I was fortunate enough to, you [00:23:05] know, get to the other side without losing my life. But it does break my heart when I [00:23:10] read it. And I can understand why they’re doing it, why they actually taking [00:23:15] such a big risk. Many times people think, how [00:23:20] could your parents send you away at that young age?

Payman Langroudi: But [00:23:25] the other choice was.

Martin Attariani: You have to be in that situation. What are the choices? [00:23:30] If you ask my parents now, they still say that was [00:23:35] the toughest thing we ever did. But if you have to do it again, we probably wouldn’t [00:23:40] do it again for 14 days. My parents didn’t know whether I made it to Sweden [00:23:45] or not for 14 days. Not knowing before.

Payman Langroudi: Mobile phones, before [00:23:50] internet. Right?

Martin Attariani: It took 14 days before I managed to speak [00:23:55] to them over the phone. So just imagine that. My mum says [00:24:00] I was just cursing myself for sending you away because we thought you dead. [00:24:05] We thought something’s happened to you. Yeah, it was back before these times. You didn’t know [00:24:10] anything about the rest of the world. You know, you didn’t have Google. You don’t have any [00:24:15] information about where Sweden is. Maybe he froze to death over there. He [00:24:20] was very tough. They had sleepless nights for 14 days until [00:24:25] I managed to make the first contact. Even the phone. I used to have my [00:24:30] whole pocket full of coins, and I only managed to speak for 30s [00:24:35] while I’m doing this and putting.

Payman Langroudi: I remember, I remember international [00:24:40] calls were super expensive, so expensive.

Martin Attariani: I remember and my parents didn’t [00:24:45] even have a phone at home, so dad would have to go [00:24:50] sit.

Payman Langroudi: Somewhere, call centres.

Martin Attariani: And wait for me to [00:24:55] call. It took 14 days before we managed to make [00:25:00] the first contact and say, I’m safe, I’m in Sweden.

Payman Langroudi: Do you think that’s given you like [00:25:05] a survival instinct? Like an independence? Like when I think about my kid at 14 [00:25:10] who had everything given to him on a plate. Or your kids, I’m sure. Yeah. Do [00:25:15] you think you’ve got. You’ve got something from that?

Martin Attariani: Absolutely. I mean, he [00:25:20] completely changed me as a as a person.

Payman Langroudi: Yeah, but something beneficial, right?

Martin Attariani: Absolutely. I mean, [00:25:25] since since then, I’ve just been extremely independent, self-reliant. [00:25:30] And, you know, I once you’ve gone through that, you think I can’t go through [00:25:35] anything? Yeah. Um, not that you’re not scared of anything. You’re still scared [00:25:40] of situations you’re put into, but you are prepared to take risks. [00:25:45] Yeah. You are. Just approach everything differently because [00:25:50] of that background. So it really changes you as [00:25:55] a person. Wouldn’t be who I am today if it wasn’t for that, obviously. [00:26:00]

Payman Langroudi: What a story. And you know, people talk about why didn’t you stop at the first safe country. People [00:26:05] talk about that now. Why do people come from France to the UK? Yeah. Yeah. And that ignores [00:26:10] the fact that, you know, we sign up to the Geneva Convention, right? The Geneva Convention doesn’t say that. [00:26:15] You get out of the country and go to the first safe country. The Geneva Convention says, you go to wherever you go to [00:26:20] and make an application there. And then people say, why do people [00:26:25] come without their papers? Yeah, because there’s no legal routes to come. Yeah. And you’re [00:26:30] running. Exactly. And people don’t understand that.

Martin Attariani: No, no. When you [00:26:35] are in that situation, you just want out. You don’t care where.

Payman Langroudi: Yeah.

Martin Attariani: Anywhere. [00:26:40]

Payman Langroudi: Philly. Did you come on a.

Vinne Attariani: I didn’t.

Payman Langroudi: Were you a.

Vinne Attariani: Legal. [00:26:45]

Payman Langroudi: Were you a legal immigrant?

Vinne Attariani: I was actually there is a little bit of illegality [00:26:50] about how I got here. Um, how did I get.

Payman Langroudi: You were brought up in Canada. [00:26:55]

Vinne Attariani: I was born in Canada. So my parents immigrated in 1975 [00:27:00] from India. So my dad, um, left India. He actually. Actually, my [00:27:05] dad left first. He lived in the UK for a couple of years for us, did a [00:27:10] bit of work here and then emigrated to Canada, where he worked at [00:27:15] a large aluminium factory called Alcan. That’s where Alcan [00:27:20] is, in a tiny little town that no one’s ever heard of. Um, it’s called Kitimat [00:27:25] in British Columbia. Um. Up north. Yeah. So we’re closer to Alaska [00:27:30] than Vancouver. A bit cold, yeah. Bit cold. But you used to get nice snow, you know, proper [00:27:35] snow. Yeah, yeah. None of these little speckly, you know, wet stuff. Yeah, yeah yeah, yeah. [00:27:40] And then, um. Yeah. So my mum came from India straight to Kitimat, and [00:27:45] then I was born in 76, in this little valley town between [00:27:50] two mountains. And it was beautiful, you know. Beautiful place to grow up. Really safe place to grow up. [00:27:55] Um, I’m one of five girls, so I’m the eldest. [00:28:00]

Payman Langroudi: Oh, really?

Vinne Attariani: My parents tried five times for a boy, I would say. Um, so [00:28:05] now dad’s gone.

Payman Langroudi: So imagine that story like that was 100% [00:28:10] true.

Vinne Attariani: They always had true story.

Payman Langroudi: That’s not a joke.

Vinne Attariani: Are you supposed to be a boy? You’re just one big disappointment, [00:28:15] though. Um, so I was the honorary son. Eldest child. Most [00:28:20] responsibilities growing up. Um. And yes, my dad worked. I grew up with my [00:28:25] dad working two jobs to support the family. Mum lived at. Well. Mum was a housewife [00:28:30] looking after her five girls. And my childhood was [00:28:35] not, as you know, exciting as Martin’s, right? But, you know, it wasn’t. [00:28:40] But it was. I grew up in a really safe, safe place. Safe environment. Very, [00:28:45] um, strict parents, you know, with, like, an Indian Sikh background. My parents, [00:28:50] you know, first generation coming from India. You know, they were very strict. I wasn’t allowed [00:28:55] to go out. I wasn’t allowed to have friends or go to friend’s houses. It was all about studying [00:29:00] and education. My dad was a teacher in India. So for him, education was a really big thing. [00:29:05] And then with us obviously being all girls, his his main goal was [00:29:10] that I want my all my daughters to be educated. He didn’t want us to have [00:29:15] to ever depend, I suppose, on a man, you know, to [00:29:20] be independent or earn your own, have your own job, make your own money, um, [00:29:25] stand on your own two feet.

Payman Langroudi: It’s interesting when you have kids, you realise how important that actually [00:29:30] is.

Vinne Attariani: Yeah. Yeah. Oh, yeah. Yeah.

Payman Langroudi: Especially for a girl. You know.

Vinne Attariani: As much as you.

Payman Langroudi: Don’t want a girl for.

Vinne Attariani: A.

Payman Langroudi: Girl on [00:29:35] a on a on a guy.

Vinne Attariani: Because I think.

Payman Langroudi: For, for for money, you know, you’d be able to do your [00:29:40] own. Get away, get out of any situation. Right.

Vinne Attariani: Exactly. I think obviously, because our parents have grown up [00:29:45] in India, you know, the the background there is different, isn’t it, for I think for [00:29:50] females and males it is a lot different there. So dad obviously was very overprotective of us. [00:29:55] Um, we used to get get away from doing housework all the time, which was the best thing. You know, if mom’s like, oh, [00:30:00] I need the girls to do work. They’re like, no, no, they’re studying. They’re, you know, doing their education. Let them be. So [00:30:05] yeah, my childhood was just like, you’re going to study, you’re going to become a doctor of something. Of [00:30:10] course, of course. Yeah. Um, and yeah. So my [00:30:15] dad fell. Once they fell ill. But he did [00:30:20] have a bit of an injury when I was about 15. And he did start to get some [00:30:25] heart conditions where I think he started to worry about our future [00:30:30] because obviously there was no son in the family. You kind of. So there was a lot of pressure [00:30:35] on me to do well, to set the example for the rest of the sisters as well. [00:30:40] And I think with part of that, they still obviously carried that mentality of [00:30:45] arranged marriages, you know, daughter getting married and, um, you [00:30:50] know, the sort of boyfriend or pick your own husband back at that time. [00:30:55] And I then was introduced and [00:31:00] arranged to be married when I was 17. So I moved [00:31:05] here in 1994. Got married.

Payman Langroudi: Did you have a say [00:31:10] in it? Surely.

Vinne Attariani: Well, so it was. It was, I did, [00:31:15] and I didn’t know. Not that I didn’t know I was. I was probably [00:31:20] too scared to say to my parents that I didn’t want to. It was, it was quite. [00:31:25] It was like that, um, you know, it was was, it was it was [00:31:30] a loving environment, but it was kind of like I think it was expected. So I still got raised the old [00:31:35] fashioned way.

Payman Langroudi: Yeah. And you didn’t know any better.

Vinne Attariani: And I didn’t know any different. And you know, this is what Indian [00:31:40] girls do. And you just follow what your parents say.

Payman Langroudi: And often, often [00:31:45] people, immigrants often are even more traditional than the people back home [00:31:50] because they’re almost like overcompensating for being abroad.

Vinne Attariani: Because they probably feel [00:31:55] they’re fighting everything. They’re fighting all the, you know, the modern life.

Payman Langroudi: And by that time, Maybe back [00:32:00] home it wasn’t as strict as. But because your parents moved over there trying to keep some things, [00:32:05] to try to.

Vinne Attariani: Keep all their traditions and everything. Right. And they obviously don’t know any better because that’s how they were [00:32:10] raised. Yeah. And so yeah. So we moved here. We all came for the wedding 1994, [00:32:15] and my family was with me for about two weeks. And then they all left and I was still here. [00:32:20] But what did help was that the, um, my ex now, but his [00:32:25] dad and my dad were really good friends, and I think my dad made a point of [00:32:30] making sure that I was going to get married into a family where I would be looked after, and that they would understand [00:32:35] that she is going to study and do her education. That was really important to him because I was 17, I just finished [00:32:40] what is equivalent of A-levels. So it was like high school, I just graduated. And part of the [00:32:45] sort of, you know, discussion was that my daughter has to go to university straight away and [00:32:50] is my ex is a doctor, medical doctor. And [00:32:55] so there was, you know, education did run in their family. So yeah. It was.

Payman Langroudi: So you studied [00:33:00] here?

Vinne Attariani: He studied. So I studied here. Yeah. Birmingham, so I yeah. So I graduated in 2000, [00:33:05] so qualified in 2000 and had both my sons in my [00:33:10] undergraduate.

Payman Langroudi: We live in Birmingham.

Vinne Attariani: I was living in Birmingham at that point. Yeah.

Payman Langroudi: So [00:33:15] yeah. So both your sons in undergrad?

Vinne Attariani: Both my sons are always. We always laugh. [00:33:20] I was the strange Canadian girl in the first year. And then I was the the the girl with a funny accent [00:33:25] who was pregnant in the second year. Third year I was the funny accent Canadian with a [00:33:30] baby. So I always stuck out. I always I stuck out initially because I was from Canada and [00:33:35] then I was married and then now I’ve got a kid and then I got pregnant again in my final year. So [00:33:40] yeah, my final year of photos. I was 41 weeks pregnant with my second child. [00:33:45]

Martin Attariani: To have.

Vinne Attariani: Children.

Martin Attariani: Through dentistry.

Vinne Attariani: Do you.

Martin Attariani: Still [00:33:50] make.

Vinne Attariani: It? And but I look back, I think I don’t think I could do that the Vinnie now, I don’t think I could [00:33:55] do that now. I was, I was I was very mature [00:34:00] for my age. I feel because one I was I had a lot of pressure from my parents [00:34:05] and I kind of I accepted that role and responsibility very [00:34:10] well.

Payman Langroudi: What was the urgency to have kids? I mean, couldn’t you wait until after you qualified to have kids? [00:34:15] Like what? Conversations.

Vinne Attariani: There was no urgency. Do you know what? They were both [00:34:20] unplanned. Oh, they were both unplanned. But I always say to them they were the best two mistakes [00:34:25] I’ve ever made. Because of course, yeah, they were. It was. I would not have done it [00:34:30] any other way. It was obviously brilliant. You know, I graduated with a almost three year old. [00:34:35]

Payman Langroudi: It’s interesting in its own way. That’s what gives you strength, right? Getting [00:34:40] through that massive shift from Canada to Birmingham to dental school to. [00:34:45]

Martin Attariani: Another young.

Payman Langroudi: Mother of.

Vinne Attariani: Three. Well, no, I had my son was three when I graduated. [00:34:50] Mother of two. Yeah. So I’ve got no two boys now.

Payman Langroudi: Two boys. Two boys.

Vinne Attariani: Two boys.

Payman Langroudi: What a.

Vinne Attariani: Story. So, um. And [00:34:55] they just grew. I grew up along with me. I was still a kid, you know. I remember sitting there with [00:35:00] my then three year old, still pregnant, playing like Super Mario, you know, as a 20 [00:35:05] year old just before final exams. So, um, yeah, they just grew alongside [00:35:10] with me, and it was the best.

Payman Langroudi: And how old are they now?

Vinne Attariani: So now you ask [00:35:15] me. Well, eldest is 27 and my youngest is 24.

Payman Langroudi: And how old [00:35:20] are yours?

Martin Attariani: So mine. I’ve got two daughters and I’ve got 127 as well. I’m [00:35:25] 27. So Amanda and Cameron. Same age. 27? Yeah. And then Miranda’s [00:35:30] 26.

Payman Langroudi: So you started early too?

Martin Attariani: Yeah.

Vinne Attariani: Yeah.

Payman Langroudi: Yeah, yeah. Because we’re the [00:35:35] same age.

Martin Attariani: I was 25 when I had, uh. Amanda. I’m four years older [00:35:40] than Renee.

Payman Langroudi: What was the story of you going into dentistry, and what were you like as a what you studied [00:35:45] in Sweden? Yes. Did you did you manage to get in easily? And then [00:35:50] what were what were you like? What were you like, sir?

Martin Attariani: So I was 19, right? I was [00:35:55] 19.

Payman Langroudi: And you did other things before then?

Martin Attariani: Well, I just finished school then, uh, or A-levels. [00:36:00] And my dad was very keen. He could see I’ve always been very good [00:36:05] with my hands and very artistic and, you know, building stuff. You [00:36:10] know, I was into computers very early. I had a computer when I was 17. Commodore [00:36:15] 64. I don’t know if you remember.

Payman Langroudi: Yeah.

Martin Attariani: Of course. That was my first computer.

Payman Langroudi: I remember, you.

Martin Attariani: Know, seeing [00:36:20] I was putting my own computer together and everything so he could see all that. And he [00:36:25] he used to say, do you know what, dentistry. Because my dad used to work within [00:36:30] the healthcare system in Iran when he was in Air Force. He used to [00:36:35] say, look, dentistry is really good. You should become a dentist. It will suit you. Yeah. [00:36:40] And at that time, I was like, dad, there’s no way I’m gonna be setting people, people [00:36:45] watching, people looking people in the mouth day in, day out. That is not for me. So. [00:36:50] Um, I used to enjoy chemistry at the time. I [00:36:55] really enjoyed the subject, so I carried on doing. I did two years chemical [00:37:00] engineering. Wow. From there, I fell in love with biochemistry. [00:37:05] And then I did my master’s in biochemistry for another, [00:37:10] uh, three years.

Payman Langroudi: So what were you thinking? Were you thinking career wise? [00:37:15]

Martin Attariani: Yeah. So I.

Payman Langroudi: Was.

Martin Attariani: Thinking, like, I really enjoying it. And the education was absolutely [00:37:20] for me was really interesting.

Payman Langroudi: Job. Did you think you were going to do?

Martin Attariani: So I wanted to get into pharmaceutical [00:37:25] companies. So where I used to live in Gothenburg, Astra Zeneca, [00:37:30] which was only Astra back then, the HQ is in Gothenburg, Sweden, so [00:37:35] I was aiming for Astra. Unfortunately the year I finished 97 [00:37:40] they were not taking on anybody at all and that [00:37:45] carried on for maybe two years. They would not take anybody on. So I started to apply [00:37:50] for other jobs. But at the same time I had Amanda was just born [00:37:55] and Miranda was, uh, on her way because it was only a year between [00:38:00] the two girls. So I was like, well, I have to do something. And, uh, because I [00:38:05] was good with computers and everything while I was searching for jobs, [00:38:10] um, I sell my own marketing company, [00:38:15] so I bought a computer, and, uh, I bought some old [00:38:20] machinery to produce letters. So a vinyl [00:38:25] cutter from somebody that I knew, he said, [00:38:30] well, while you’re waiting, why don’t you do this? Yeah. Uh, well, you can do this, uh, [00:38:35] on the side. So at the time, my ex-wife had a hair salon, the [00:38:40] back of the hair salon. It was a big room that was not being used.

Payman Langroudi: This was your.

Martin Attariani: Great. [00:38:45] You know, I can at least bring him money for the family while I’m searching for jobs. [00:38:50] And that’s what I did. And, um. Great job. Uh, [00:38:55] you make really good money in marketing. Uh, as you know, even today, I think [00:39:00] if I stop doing dentistry one day, I’ll happily go back to that branch. [00:39:05] Honestly, it’s very good. Good job, good money. Um, [00:39:10] but then I just. I just carried on because it was I was [00:39:15] doing fine. And it gave me flexibility to [00:39:20] be around my daughters, which I really treasured at the time. Yeah. So because [00:39:25] it was my own business, I would be home. Yeah. Dropped them [00:39:30] off to school, picked them up. Yeah. And made the most out of being with my [00:39:35] daughters when they were that young. So it suited me. After a few [00:39:40] years, I started to miss my intellectual side of me. [00:39:45] So I was like, okay, maybe I should carry on doing, [00:39:50] um, do my PhD. Maybe [00:39:55] I can stand out more than, uh, and get a job as a, as a [00:40:00] as a PhD, um, qualified chemist. So [00:40:05] that was my aim. I started to look into getting obviously a position as [00:40:10] it happened. I was in town one day and I just [00:40:15] came across two of my friends, well, people I knew from uni when [00:40:20] I was doing my undergraduate master’s degree education, basically. [00:40:25] Um, and they were doing their PhD at the time, and [00:40:30] when I met them in town, I was like, okay, well, you finished, how’s it going for you guys? [00:40:35] Both of them were jobless. So I was like, well, [00:40:40] I definitely don’t want to go to another four years of PhD degree and end up in the same situation. [00:40:45] This is 2000. In 2000, I actually came to [00:40:50] London looking for a job as a chemist over here. And, [00:40:55] uh, I was staying with two of my friends who studied [00:41:00] dentistry when I was studying chemistry. We were in the same, [00:41:05] same uni.

Payman Langroudi: They’d moved to London by this time.

Martin Attariani: By that.

Payman Langroudi: Time.

Martin Attariani: They were in London practising. [00:41:10]

Payman Langroudi: Because dental school in Sweden is full of Iranians. I went [00:41:15] to the dental school in Gothenburg and I saw the when it would have been 2008, [00:41:20] nine, ten. So around then, and I saw the [00:41:25] list of students and it was like 70% Iranians. Yeah.

Martin Attariani: Did [00:41:30] you see my picture there?

Payman Langroudi: I don’t know.

Martin Attariani: Yeah. It was, it was, [00:41:35] it was especially at that time, probably 50% of, of [00:41:40] each, year was, was, was Iranians. And that’s why you have. [00:41:45]

Payman Langroudi: Such then came here.

Martin Attariani: And they moved here. That’s why you have so many Iranians, Swedish dentists, [00:41:50] especially in London, you see a lot of them.

Payman Langroudi: So then so then you decide, I’m going to study dentistry.

Martin Attariani: Do [00:41:55] you know what? One day I was going to job centres to find a job as a chemist. [00:42:00] And then one day I came to my friend, uh, friends, uh, practice, uh, and [00:42:05] I sat as I sat in the waiting room waiting for him to finish work so we can go [00:42:10] home. I looked around, well, I said, you know, this is really nice. You [00:42:15] get to see people, you get to help people out. And it’s a, you [00:42:20] know, respectable profession. And at the time, I was like, if [00:42:25] nobody gives me a job, I set up my own business. At least I’m not [00:42:30] relying on that. And that was it. That evening I called my ex-wife. I said, [00:42:35] I’m coming home. And she said, oh, you got a job? I said, no.

Payman Langroudi: How did you [00:42:40] feed the family while you do five years of dental school?

Martin Attariani: Yeah. So.

Payman Langroudi: So I [00:42:45] still did marketing on the side.

Martin Attariani: So I had my business. I had my business.

Payman Langroudi: Interesting. So [00:42:50] quick question. Quick question. Before you go any further. Um, I know you’re one of these guys. I’ve [00:42:55] known you a while, right? You kind of love technology and you love dentistry. Well, [00:43:00] you’re one of the people who loves dentistry more than most. You and Depeche? Yeah. Love teeth [00:43:05] man. Yes, probably. And. But there. Has the chemistry helped [00:43:10] at all?

Martin Attariani: Yes.

Payman Langroudi: Because often, I mean, I’m in a situation now where I’m like, gosh, [00:43:15] should I be paying more attention than chemistry levels, man? Yeah. You know, I’m trying to get bioglass [00:43:20] into a desensitiser. The guy goes, oh yeah, it’s calcium. Sodium phosphosilicate. [00:43:25] Yeah, yeah, yeah, yeah. It’s one of the seven ingredients of this. [00:43:30] Yeah. So how has it helped? So bonding and all that?

Martin Attariani: Do you know what? Um, so firstly, [00:43:35] when I did, um, the the education. Yeah. Uh, everybody [00:43:40] were dreading biochemistry.

Payman Langroudi: Oh, you were cool. Right. You’ve done it all.

Martin Attariani: I didn’t even have to do it. [00:43:45]

Payman Langroudi: Yeah.

Martin Attariani: So I didn’t even I skipped that. Um, I can’t remember. Four months of biochemistry. [00:43:50]

Payman Langroudi: That was easy for you.

Martin Attariani: I didn’t have to do it at all.

Payman Langroudi: I didn’t have to even go. I [00:43:55] didn’t even do it. So you’re busy printing marketing?

Martin Attariani: No, I was just. I was actually [00:44:00] doing my business, and it was good. Um, the university [00:44:05] and my business and my home was just ten minutes, 15 minutes from, [00:44:10] um, away from each other. So that’s exactly what I used to do.

Payman Langroudi: Were you top of your class?

Martin Attariani: So, [00:44:15] um.

Payman Langroudi: Or were you middle or were you like me?

Martin Attariani: I think I was probably, [00:44:20] um, you know, I was probably one of the best, so I [00:44:25] think I think, you know, the lowest I got in [00:44:30] any exam for dentistry was 85%.

Payman Langroudi: Oh, yeah. [00:44:35]

Martin Attariani: But I think I owe that to my [00:44:40] excitement for the education. I really love [00:44:45] that education, and I think having that chemistry background [00:44:50] helped me to understand and or grow [00:44:55] more passion, because by that time I was on a molecular [00:45:00] level, I my understanding was just the very tiniest molecules. [00:45:05]

Payman Langroudi: That clicked for.

Martin Attariani: You. I had no idea or education about what [00:45:10] this means in the bigger organs, which is the [00:45:15] human. When I did dentistry, everything just fell into place [00:45:20] and it was like, this is amazing. I was like a sponge. How amazing. By the [00:45:25] second year, because we did, um, general medicine the first two years. And one [00:45:30] day I came home and I said to my wife, I’m going to change to medicine. I want to become a doctor. [00:45:35] This is amazing.

Payman Langroudi: I wish it was over the moon about that.

Martin Attariani: Honestly. And [00:45:40] I did change my mind. And I’m happy I did. Yeah. Um. And [00:45:45] what put me off is, again, having small children, I was like, it’s going to be a hospital job. [00:45:50] It’s going to be more demanding hours and everything. I don’t want that. So I changed my mind [00:45:55] again. I stuck to to dentist, which I’m thrilled that I did.

Payman Langroudi: And did you work in Sweden [00:46:00] at all before you moved here?

Martin Attariani: So between the last two terms, we [00:46:05] were allowed to work as as a dentist. So then [00:46:10] I did three months dentistry in Sweden. And then when I finished my last term. [00:46:15] Then I’ll move straight away here.

Payman Langroudi: To the UK.

Martin Attariani: To the UK.

Payman Langroudi: And what were your initial [00:46:20] like feelings? Because the standard in Sweden is definitely [00:46:25] higher, I would say, and definitely much more prevention based.

Martin Attariani: Yeah.

Payman Langroudi: And [00:46:30] then I guess that practice. I know the practice in Coventry is a mixed bag. Like it’s a. Yeah, [00:46:35] but how did you feel the first time you saw the NHS.

Martin Attariani: You know.

Payman Langroudi: System [00:46:40] and.

Martin Attariani: All that? I was.

Payman Langroudi: Shocked.

Martin Attariani: So the first day I came to work.

Payman Langroudi: Yeah. [00:46:45]

Martin Attariani: And I had a full list of patients obviously. [00:46:50] Yeah. And 40 I remember the first patient was 40 minutes [00:46:55] Crown prep and I was like, [00:47:00] is this how you know? But [00:47:05] I was thrown into it straight away. So I was shocked. But I was like, [00:47:10] let’s get on with it.

Payman Langroudi: I was told a story recently that, you know, in [00:47:15] NHS they pride themselves. Some people pride themselves on speed.

Vinne Attariani: Yes of course.

Martin Attariani: Yeah.

Vinne Attariani: Because [00:47:20] you got, I think.

Martin Attariani: You got.

Vinne Attariani: Targets to hit and you think.

Martin Attariani: It’s brilliant. I think it’s brilliant [00:47:25] experience. And I always say once you nearly qualified you need [00:47:30] NHS work.

Payman Langroudi: I still.

Martin Attariani: I still say that I.

Payman Langroudi: Disagree with that. I disagree [00:47:35] with that. Um, I know it’s it’s good. It’s a good experience. But you [00:47:40] need. Yeah, it’s a bit much. Right. Because they don’t seem to need it in Sweden and Germany. But [00:47:45] over here we need it. Yeah. Yeah. And by the way, a [00:47:50] lot of that. Hey, get your experience in the NHS. Yeah. There is another way of saying that. Make massive mistakes [00:47:55] on NHS patients.

Martin Attariani: Does it have to be. No, I don’t agree with that.

Payman Langroudi: No, but it can be. But it [00:48:00] doesn’t.

Martin Attariani: Need to be. The reason I say that.

Payman Langroudi: Sorted out in the NHS and then coming.

Martin Attariani: From the, the, [00:48:05] the intellectual side of our profession. Yeah. End of the day it’s [00:48:10] the work of hands. Yeah. Agree. Yeah. You’re only going to get experience if you’re [00:48:15] exposed to a lot of treatments. So it’s not about making mistakes on the [00:48:20] NHS. It’s about getting the experience up quickly because [00:48:25] you’ve got a bigger It turnaround of patients on [00:48:30] the NHS. That’s where you’re going to do a lot of dentures. I know [00:48:35] that’s where you’re going to do lots of root canals. That’s where you’re going to do lots of crowns.

Payman Langroudi: We’re all aware of [00:48:40] that, right.

Vinne Attariani: I think I mean like for example, vocational training. So I feel was very important [00:48:45] for me because, because, because you need that transition between coming out of dental [00:48:50] school where you might have done like five fillings. Right. I haven’t even done a complete [00:48:55] root canal. I did 1 or 2 crowns. Right. I would never want to go into private practice [00:49:00] coming out of dental school. That vocational training, even just that even 1 to 2 [00:49:05] years in some sort of system where it’s not driven by udas and targets, but you’re [00:49:10] in a bit of a safer, supervised environment where you can take [00:49:15] the time and, you know, not make your mistakes, but find your feet, find your confidence, [00:49:20] learn how to speak to patients because you don’t even learn anything about communication or interactions. [00:49:25] And and you know, just how to work as a team, how to work as a leader, [00:49:30] how to work as a follower. There’s so much to learn about practice that you do not learn in dental school. And then [00:49:35] you can’t afford to jump straight into private practice and then make these mistakes. Your mistakes don’t [00:49:40] have to be just hands on dentistry.

Payman Langroudi: I know someone, I know someone, um, [00:49:45] maybe, you know, he qualified the day after qualifying, went [00:49:50] into a master’s program in Harvard. So he qualified here.

Martin Attariani: And why is he now.

Payman Langroudi: In [00:49:55] the master’s program at Harvard?

Martin Attariani: But he’s a specialist now.

Payman Langroudi: No, he just started the process. So [00:50:00] he finished his five year course. Yeah. One day after straight into the master [00:50:05] program. Yeah.

Martin Attariani: Okay.

Payman Langroudi: Yeah. And and in the process of program, I think they placed, I don’t know, 120 [00:50:10] implants or something. And they do full mouth rehabs and, and all of that. So he’s never [00:50:15] going to see at the end of that. He can practice as a specialist in six [00:50:20] states in the US. Yeah. He’s never going to see that high volume, high demand. [00:50:25]

Martin Attariani: It depends on what your path is and what you want to do.

Payman Langroudi: By the way, he’ll never be the super [00:50:30] generalist that you are. No. Yeah.

Martin Attariani: Because that’s what I mean.

Payman Langroudi: That’s somewhere we need to get to. Yeah. You [00:50:35] do everything right. You do everything to a very, very high standard. Yeah. I’ve [00:50:40] come across a few cats like that. Do you refer much or. No.

Martin Attariani: No.

Payman Langroudi: I [00:50:45] mean, you do all of your own endo.

Martin Attariani: I do all my endo’s are surgical [00:50:50] extraction.

Payman Langroudi: Wisdom teeth and all that.

Martin Attariani: Yeah, yeah.

Payman Langroudi: Where did you learn that?

Martin Attariani: So [00:50:55] I think, you know, we had a very good, robust, um, [00:51:00] education, uh, in Sweden, especially coming from Gothenburg. [00:51:05]

Payman Langroudi: Surgical training.

Martin Attariani: Surgically. We were, um, we were trained, uh, [00:51:10] and I placed my first implant as a student. I was the first [00:51:15] student in Gothenburg to ever place my own implant. Wow. While I was on [00:51:20] the fourth. Uh, no. Fifth year. And that’s because I’ve finished my quota for the education [00:51:25] that I had to do very early. Yeah. And I had extra time.

Payman Langroudi: So was. Was Branemark [00:51:30] in? In Gothenburg?

Martin Attariani: Yeah. Yeah, yeah. We had the clinic and [00:51:35] the guy that I actually placed my first implant with, uh, Professor Larcombe, [00:51:40] he was the head of Brownmark. Well, he was one of the big [00:51:45] guys with Brownmark developing the whole implant and everything.

Payman Langroudi: And [00:51:50] now you.

Martin Attariani: Do on Linda.

Payman Langroudi: Oh.

Martin Attariani: You know, as.

Payman Langroudi: A.

Martin Attariani: Tutor. [00:51:55]

Payman Langroudi: All on for sinus.

Martin Attariani: Full arch implants. Uh, [00:52:00] and, uh, I do sinus lifts, bone grafts.

Payman Langroudi: And you lecture [00:52:05] on digital. Digital dentistry.

Martin Attariani: And implants. Um, I as much [00:52:10] as I have time, I love sharing. I think that’s what our profession [00:52:15] is about. It’s not just about learning, and it’s just going to be meeting [00:52:20] a good job. I think it’s about sharing with each other. That’s how we’re all gonna learn [00:52:25] from each other’s mistakes and get better at what we do. So [00:52:30] as and when I have the time, I try to to share my [00:52:35] experience.

Payman Langroudi: And ortho fixed. Ortho.

Martin Attariani: I’ve been doing fixed ortho [00:52:40] for maybe 12 years. It started it started [00:52:45] uh, it started actually with.

Payman Langroudi: Uh, six months. Smiles.

Martin Attariani: No. Was it earlier? [00:52:50] No. What was it called? The system.

Vinne Attariani: Clear step.

Payman Langroudi: Step.

Martin Attariani: Clear step started [00:52:55] with clear step aligners. It was aligners. And then it just disappeared. [00:53:00] And then it was like as a substitute. Uh, going to fix, fix, fix [00:53:05] fixed ortho. And, uh, you know, I just absolutely love [00:53:10] it. Payman. I just love it. I come to work on the same day, you know, I might [00:53:15] have a simple filling and then which I even that still excites [00:53:20] me. I did the, you know, the perfect, the most perfect way I can [00:53:25] do. And then I have an implant and a guy and an endo. And I might have [00:53:30] an ortho later. So, you know, my days are so varied and that I [00:53:35] thrive just from that.

Payman Langroudi: Why? Why do you think some of us as [00:53:40] dentists are like you, constantly learning and [00:53:45] constantly improving and constantly on the tip of the spear, trying to understand what’s [00:53:50] going on next? And then some of us get to a certain standard [00:53:55] and almost give up and don’t want to go any further. I mean, you can be a dentist [00:54:00] right now and use just a total regular matrix without rubber dam for an MOT. Or [00:54:05] you could be a dentist and rubber dam sectional matrices, photographs, [00:54:10] scans. You know, by the way, all of the stuff you do. And what’s [00:54:15] the difference between those two dentists.

Martin Attariani: Vinnie, [00:54:20] I think I think, you know, I’m in [00:54:25] in in a mindset that, you know, either you do a job and [00:54:30] you do it properly.

Payman Langroudi: Yeah, but why.

Martin Attariani: Or you don’t do it.

Payman Langroudi: Why? That’s why I.

Martin Attariani: Think. [00:54:35]

Payman Langroudi: Like, what’s different about you compared to the next man who isn’t that guy.

Martin Attariani: I [00:54:40] think it’s for me, it’s just a passion for what I’m doing.

Payman Langroudi: I [00:54:45] but why?

Vinne Attariani: I think I think it’s a reflection of the type of person that you are. Because, like, I [00:54:50] find that I’m the sort of person that if I’m going to do something when I do it properly, if I’m going to do my workout, [00:54:55] I’m going to get the full set in. If I’m going to do a filling, I’m going to finish it properly. [00:55:00] If I’m going to everything. I think you’re the same that if we’re going to, it’s just [00:55:05] in our nature that everything that we like to do or want to do, whether [00:55:10] it’s work or whether it’s with, you know, home life, extracurricular activities [00:55:15] we do. We just. I think we’re perfectionists. I think we do like to [00:55:20] do everything perfectly. So if we’re going to do it, it’s your quality of your work is a reflection [00:55:25] of yourself. Same way you look after your health, the same way you maintain everything else in your life [00:55:30] as well. It is just not.

Martin Attariani: One reason is our background where, [00:55:35] you know, we just learn to just make [00:55:40] the most out of.

Payman Langroudi: I mean, what you said about, you know, you were up for the [00:55:45] college and all that I was what was going through my head was, you know, having been given this opportunity [00:55:50] of running away and all those fears and nightmares you went through to now finally be in [00:55:55] dental school in Sweden, you made the most of it. Whereas I was just thinking about all the years you were mentioning, [00:56:00] I was thinking about where was I, where was I, where was I, right? And I remember getting to university. Spoilt kid. [00:56:05] Yeah. Spoilt kid. Yeah.

Vinne Attariani: And we didn’t have a lot, you know.

Payman Langroudi: Looking to party. I was a spoilt kid looking [00:56:10] to party. It was a different situation. Yeah. I didn’t feel like this was a chance given to me, which.

Martin Attariani: Was the [00:56:15] majority of my classmates, exactly the same. But because I was a bit older, I [00:56:20] had my children and everything. I was more driven and I was like, goal in my head and [00:56:25] this is what I’m gonna do.

Payman Langroudi: This question of the dentist, right?

Martin Attariani: Maybe that stays with stayed with me ever since, [00:56:30] I don’t know.

Payman Langroudi: But for instance, I see people from my year. We had a small year. It wasn’t a big [00:56:35] year. By the time we qualified, it was only like 50, 40 people or something. But I [00:56:40] see the same people from my year at the events and [00:56:45] all the events. Yeah, the same 3 or 4. Yeah. Why are those 3 or [00:56:50] 4 constantly coming to events, trying to trying to learn, trying to get better and all that. And the others [00:56:55] aren’t, you know, like it’s it’s a mindset thing around. And I think it’s to do with improvement. [00:57:00] And I think if you don’t, the thing about dentistry is if you don’t improve, you start to hate [00:57:05] it. That’s that’s the that’s the thing.

Vinne Attariani: Yeah. If you get I think if.

Martin Attariani: Yeah.

[EVERYONE]: Sorry. [00:57:10]

Vinne Attariani: If you if because it’s constantly dynamic, right? Dentistry. Dentistry now [00:57:15] is nothing that I learned when I like is completely different from when I qualified, you know, 2000 to now. [00:57:20] So if you’re not continually moving along, you’ll fall behind. You [00:57:25] start to feel, you start to doubt yourself. You see a bigger gap between what everyone’s [00:57:30] doing and what you’re doing. And I.

[EVERYONE]: Think that creates a.

Vinne Attariani: Fear. And you start.

[EVERYONE]: To fall [00:57:35] behind. Fall behind much.

Martin Attariani: It’s difficult to catch.

Payman Langroudi: Up.

Martin Attariani: And you’re like, just [00:57:40] give up.

Payman Langroudi: I fully stopped 12 years ago, and 12 years ago I did an Invisalign case. [00:57:45] And then the day before yesterday, I was looking at my wife planning an Invisalign [00:57:50] case, and I couldn’t believe how much that had moved on.

Vinne Attariani: Yeah.

Payman Langroudi: I knew. [00:57:55] I knew that it had moved on, but I didn’t believe how much it had moved on. [00:58:00] The design of the attachments and all this crazy stuff. Back then, it just said, [00:58:05] hey, stick it here and do that. And that was the end of that.

Vinne Attariani: Yeah, it keeps you engaged, doesn’t it, as [00:58:10] well. Because if you don’t do all that, you know, go on the choruses, learn stuff, read stuff, go to showcases. [00:58:15] It does get. It will get boring. It will get boring like any other job, because you become comfortable [00:58:20] and you then can’t you can’t conform to change. And that’s.

Payman Langroudi: Difficult. Listen, [00:58:25] listen. I mean, we can sit here and say, hey, that’s the guy I am and all that, but there is the work to live type [00:58:30] of person and the live to work.

Vinne Attariani: Kind.

Payman Langroudi: Of person.

Martin Attariani: But again, you’re [00:58:35] talking about a profession where you can even be that guy and still, still be [00:58:40] good, still be okay.

Payman Langroudi: It’s a good profession.

Martin Attariani: I love this profession. It’s got so many angles [00:58:45] to it that, you know, you can make whatever you want from it. You [00:58:50] can be a very driven and keep up to date with everything all the time. Or you [00:58:55] can come out from dental school and just do the work.

Payman Langroudi: Two days.

Martin Attariani: A week, and you still [00:59:00] be a successful dentist. Yeah, that’s what I love about this.

Payman Langroudi: Did you did you advise your [00:59:05] kids to become dentists?

Martin Attariani: Uh, so. I did. Yeah. [00:59:10] When they asked for my, uh, opinion. And I did [00:59:15] say to them that look, I think is, well, I probably [00:59:20] didn’t even need to say because they could see how much I loved the profession. But when it was [00:59:25] the time I did say to them, which I did to my two brothers, that’s why they are both dentists. My [00:59:30] two brothers, two younger brothers. They’re both dentists. From me getting them into dentistry, [00:59:35] because they were both Charlie was being completely different and and [00:59:40] Shahab was too young at the time. But I managed to get Charlie into dentistry. Uh, [00:59:45] and then after that, it became a bit more natural for, for my youngest to get into dentistry [00:59:50] as well.

Payman Langroudi: Did you advise your kids or would you advise your kids to become dentists? [00:59:55] Not that it helps, you know. Not that anyone’s listening to anyone.

[EVERYONE]: Yeah. Are you going to say no? [01:00:00]

Vinne Attariani: Do you know what I did with my, um. With my eldest? And [01:00:05] he just you know, one, he can’t stand the sight of blood. Okay. He used to worry him. He used [01:00:10] to come out. Just fair enough. He used to come for work, experience, spend. They they spent a lot of time [01:00:15] in dental practice as they were growing up because they, you know, we just wanted to take them in. We were on call or come [01:00:20] in after school and and he just did not used to like it. He just [01:00:25] did not see anything enjoyable about it. He can’t stand needles like, you know. So [01:00:30] needles blood wasn’t his thing at all. I thought, you know what, let him do what he wants to do. [01:00:35] Same as like Martin. Now, he did dentistry when he was after his first degree.

Martin Attariani: I [01:00:40] thought he was 29 when I started.

Vinne Attariani: I said, it’s not your first degree. Doesn’t have to be your last one. [01:00:45] So I thought, you know, he can do something he wants to do. Should he choose to change direction later. He [01:00:50] could always do it later. So it didn’t. It didn’t bother me that they didn’t want to do it.

Martin Attariani: But you can only advise them end [01:00:55] of the day, right? So it’s up to them and their interests, what they like.

Payman Langroudi: You’ve you’ve [01:01:00] been in the same practice for 17 years.

Martin Attariani: Yeah.

Payman Langroudi: And how long have [01:01:05] you been at Houston Place?

Vinne Attariani: 13 years.

Payman Langroudi: Oh. 13 years?

Vinne Attariani: Yeah, 13 years now.

Payman Langroudi: And Tiff talks about [01:01:10] this a lot about the best teacher being your own patients, seeing seeing [01:01:15] your own results. Yeah. And and yet I spoke to some young dentists and [01:01:20] they think the best education is moving around a lot to see how people run their practices. [01:01:25] You know, and I think I think, you know, there’s, there’s there’s some sort of benefit [01:01:30] in both ideas, both ideas. But in the short period that I did dentistry, that, [01:01:35] you know, some of the best lessons I learned were lessons taught [01:01:40] to me by my own crappy work. Yeah, yeah, yeah.

Martin Attariani: I think so.

Payman Langroudi: It’s [01:01:45] massive, isn’t it? It’s huge.

Martin Attariani: I think, you know, uh, I think it’s important [01:01:50] to be able to, um, see your [01:01:55] own work after.

Vinne Attariani: Yes, after, like ten years.

Martin Attariani: When you see your [01:02:00] work after ten years.

Payman Langroudi: Yeah.

Martin Attariani: That’s when you can start your [01:02:05] thought process.

Payman Langroudi: Yeah.

Martin Attariani: Am I being a good dentist or not? [01:02:10] With my work? And I think that’s that’s priceless to be in that position. [01:02:15]

Payman Langroudi: It’s difficult to get that education anywhere else, isn’t it?

Martin Attariani: Yeah, exactly. [01:02:20] It’s good to probably when you start off to go different practices and everything. [01:02:25] Get as much as, you know, different.

Payman Langroudi: To different things.

Martin Attariani: Exactly. But I [01:02:30] think long term you would benefit from being in one place [01:02:35] and get to see your own work. I mean, you see, you know, beautiful cases on, on, [01:02:40] on social media. I want to see that case in ten years time because [01:02:45] we are working on people, and [01:02:50] it’s the long term result that counts. And you’re only going to see that [01:02:55] if you are at the same practice and you get to see, I mean, you know, I see [01:03:00] my own implants. I play 16 years ago. Mhm. You know, it’s it’s [01:03:05] teaches you invaluable, uh, information that I can.

Payman Langroudi: Not to mention. [01:03:10] Yeah. That, you know, when I, I gave up um once [01:03:15] only once you give up, you realise what you miss. Yeah. Like exactly [01:03:20] what it is you miss.

Martin Attariani: Why did he give up?

Payman Langroudi: I was too.

Martin Attariani: Busy.

Payman Langroudi: I was too busy. I was.

Martin Attariani: Too busy. [01:03:25]

Payman Langroudi: I was I was too busy. I was doing one day a week for a long time. Then I had a crappy day. Forget [01:03:30] it. But, um, the other part of being [01:03:35] in the same place for a long time. What do I miss about being a dentist? Yeah. Is the conversations [01:03:40] with the humans? Yeah, yeah. And I know you two are humans, but right now, I [01:03:45] only speak to dentists. Yeah. Yeah, or mainly speak to dentists. And dentists are great. And I [01:03:50] love dentists. And you have a good time with dentists and, you know, barrel of laughs.

Vinne Attariani: Special type of people.

Payman Langroudi: But [01:03:55] seeing a patient every six months And especially in private practice, where [01:04:00] you have time to talk to people and talking to people is actually the biggest business builder. Yes. [01:04:05] You know, so talking is not only pleasurable but also profitable in private practice. [01:04:10] So it makes a hell of a lot of sense to really get to know your patients. You [01:04:15] you see lives of families. You see little kids grow up.

Martin Attariani: Kids a [01:04:20] uni now at my practice, you know, I see them. I’ve been seeing them since you were five.

Payman Langroudi: I [01:04:25] only stayed somewhere for five years. Was the longest I stayed anywhere. But, you know, in 17 years. Yeah. You’ve. [01:04:30]

Martin Attariani: You’re part of that community.

Payman Langroudi: Yeah. And I don’t know, you’re the kind of guy that [01:04:35] you might. Let’s say I had to make you stop tomorrow. Yeah. You might miss the tech [01:04:40] as much as you miss the humans. Yeah. I don’t miss the teeth particularly. [01:04:45] I don’t miss necessarily the Meccano part of it. I don’t particularly I wasn’t [01:04:50] any good at treatment planning anyway. So I don’t miss any of that. And I know some people adore those, but I [01:04:55] 100% miss the human interaction? Yeah. Which was staying in one place. Makes a big difference. [01:05:00] Yeah. You know, and 13 years is a long time, too. Now, your situation is you’re sort [01:05:05] of in a partnership situation.

Vinne Attariani: Partnership. Yeah.

Payman Langroudi: I know Doug very [01:05:10] well. Yeah. Yeah. It’s very different. Right?

Vinne Attariani: It is very different.

Payman Langroudi: In some ways. It’s the [01:05:15] worst of all worlds. No.

Vinne Attariani: No. Um.

Payman Langroudi: So from [01:05:20] the perspective of you haven’t got control really, because you have to convince four other people.

Vinne Attariani: Do you know what [01:05:25] helps is that one, um, three of us are from the same university. So one [01:05:30] partner, Doug. Doug, who’s the year below me? Um, Paul was in the [01:05:35] year above me. And then the other partner, Charlie, is a mutual friend [01:05:40] of the other two. And, you know, we’ve all got the same. The same mindset.

Payman Langroudi: Same ethos.

Vinne Attariani: Same mindset. [01:05:45] Yeah. We don’t I mean.

Payman Langroudi: We’re very technical, aren’t they?

Vinne Attariani: All those we’re all kind of, [01:05:50] you know, digitally driven.

Payman Langroudi: Yeah. What a beautiful practice it is.

Vinne Attariani: Yeah. It’s been there since the 1840s. [01:05:55] This fact is.

Martin Attariani: The oldest practices in the country.

Vinne Attariani: In the country. We just got noted [01:06:00] for. Yeah. And so someone, one of the local historians dug up all the history of it. It’s [01:06:05] a beautiful.

Payman Langroudi: Town anyway, but it’s a.

Vinne Attariani: Beautiful.

Payman Langroudi: Beautiful building in that beautiful.

Vinne Attariani: Town. We’re really proud [01:06:10] of the practice and its background and all our, you know, our team. So we [01:06:15] we we haven’t to date fallen out in all this time. Um, and [01:06:20] we come to decisions really quickly. So I think we we’ve all got the same mindset of what we, how we want the practice to [01:06:25] grow, what we want to do, where we want to see it in the future.

Payman Langroudi: And is there internal referral? [01:06:30]

Vinne Attariani: Yeah, there’s most of it’s internally. So I, so I, [01:06:35] I’m general dentist. I do my sort of favourite sort of treatments for patients [01:06:40] are doing all the cosmetic work and the Invisalign. So I do my focus on that. I don’t do [01:06:45] any implants, so I either give the implants to Martin to do or in-house. [01:06:50] So the implants, everything else I do myself. So don’t we refer [01:06:55] literally just the implants that I refer to the other partners? And then if they have Invisalign or, um, [01:07:00] some facial aesthetics as well. So then we pass it on to each other. We don’t tend to refer [01:07:05] out of house, so everything is done in-house. And then we’ve got we’re all milling and you [01:07:10] know, doing ceramics and we’ve got.

Payman Langroudi: Okay, just to explain to someone who isn’t aware of [01:07:15] the sort of the arrangements of, um, of, I mean, is it one of these expense [01:07:20] sharing partnerships?

Vinne Attariani: So ours is an expense. So, no. So it’s an expense sharing partnership.

Payman Langroudi: Just explain [01:07:25] what that means to someone who doesn’t know.

Vinne Attariani: So we’re we’re four individual businesses, right. [01:07:30] So we any profit that we make is our own. So individually [01:07:35] but we expend share the staff um, and the common costs or the building [01:07:40] costs.

Payman Langroudi: So it’s not even materials.

Vinne Attariani: So materials. So, so some of the basic materials we do [01:07:45] share. But then obviously if I’m doing I’m doing Invisalign, I that is a sort of a speciality. [01:07:50] So it’s my own expense. If the other partners are doing implants, that’s their own. [01:07:55] So yeah, pretty much everything else is shared. Uh, because we tend to do everything equally. We’re using the same [01:08:00] materials, the same composites, um, same, you know, root canal equipment. So [01:08:05] that’s all shared. And it works well. So we have a certain we have an equal number of hours [01:08:10] in the week dedicated to.

Payman Langroudi: So in a way you do have a lot of control over your own.

Vinne Attariani: Yeah. [01:08:15] Oh yeah. So whatever I do my surgery is completely my own.

Payman Langroudi: Completely.

Vinne Attariani: Up to three days. You know, I do three days [01:08:20] of practice half a day and, um, Martin’s practice and then everybody works [01:08:25] what they want. The hours that were not working will have associates in or specialists in and [01:08:30] hygienists. I guess I.

Payman Langroudi: Just like added benefit of like if you’re away for a couple of weeks, [01:08:35] they can take care of your.

Vinne Attariani: Patients. That’s the joke. That’s the joke at the moment is that [01:08:40] everybody’s always on holiday, but they are.

Payman Langroudi: So every time I see you guys on social [01:08:45] media somewhere else in the world.

Vinne Attariani: But, um, we do like to travel, but do you like having [01:08:50] that? That, um, set up means that. Yeah, you can just be away and [01:08:55] somebody else will see all your emergencies. So I never worry about my emergency patients. The partners [01:09:00] will see them in the same way. If they’re off, then I will look after their patients, which is nice. [01:09:05]

Payman Langroudi: Let’s get to the darker part of the podcast.

Vinne Attariani: Okay.

Payman Langroudi: It’s. [01:09:10]

Martin Attariani: I didn’t know there was a dark part.

Payman Langroudi: Um, [01:09:15] have either of you read Black Box thinking?

Vinne Attariani: No.

Payman Langroudi: No, no. [01:09:20] Um, it’s basically it’s a book about plane crashes. And [01:09:25] it also talks about the similarity between a plane crash and [01:09:30] an incident in medical in hospitals. Yeah. And it contrasts the [01:09:35] difference between these two situations. When a plane crashes, they look at the black box, and then [01:09:40] they circulate amongst all the pilots in the world. What [01:09:45] happened in this crash so that no one else makes that mistake again. But [01:09:50] then in medical, we have and there’s no blame culture in it. In medical, [01:09:55] as soon as something goes wrong. And by the way, stuff goes wrong. You know, people die in operations. [01:10:00] All sorts of things happen, right? As soon as something goes wrong, blame comes into the equation. [01:10:05] And because blame comes into the equation, when we make a mistake, we tend to [01:10:10] hide it. We don’t tend to share it. We tend to be very ashamed of it somehow. [01:10:15] Yeah. And we don’t tend to share it. And hence what happens is I [01:10:20] don’t learn from Vinny’s mistakes. Vinny doesn’t learn from Martin’s mistakes. None of us learn from some guy in Scotland’s [01:10:25] mistake. So to buck that trend on this podcast, we like to talk about what comes [01:10:30] to mind when I say clinical error. What clinical error have you made? What have you learned from it? You [01:10:35] don’t make any mistakes. We all. [01:10:40]

Martin Attariani: Do mistakes. We all do mistakes. I couldn’t relate to the black box because when I [01:10:45] fly, it’s a little Cessna. We don’t have a black box.

Payman Langroudi: Oh, you’re a pilot. Are [01:10:50] you a pilot?

Martin Attariani: Yeah, I’m a pilot. Pilot? License for about. What is it, ten years [01:10:55] now?

Payman Langroudi: Oh, I just went flying with you. Do you know Jason Jason from FMC?

[EVERYONE]: Oh, okay.

Payman Langroudi: I went [01:11:00] with.

[EVERYONE]: Him. Right? Super. Super fun. It’s good, it’s good fun. It’s good fun.

Payman Langroudi: Clinical error. [01:11:05]

Martin Attariani: I mean, we all do mistakes 100%. Obviously, I don’t think any dentist can [01:11:10] say I haven’t done any clinical error. Uh, it’s how you manage it. Uh, [01:11:15] but I do agree with you. I think the best.

Payman Langroudi: Course is on the actual.

Martin Attariani: Error. Yeah. Okay, [01:11:20] so the the best courses I’ve been to are courses where people do. [01:11:25]

Payman Langroudi: Show their failures.

Martin Attariani: Right? Exactly. Show the failures. So I agree with you that there should be [01:11:30] a bit, a lot more of that. Um, but I think it’s it’s the culture. [01:11:35] Yeah. Unfortunately that that we are exposed to. It’s [01:11:40] just very.

Payman Langroudi: I’ll tell you the kind of error I’m not looking for. I’m not looking for. Oh, once I drop something [01:11:45] in someone’s.

[EVERYONE]: Yeah.

Vinne Attariani: No, no. Look, I can give you an example where I learned from something was in my own [01:11:50] mistake, but it was a mistake. But this was this was. This was a quite a good one because it [01:11:55] was one of the dentists at the practice and and prepped the wrong tooth [01:12:00] on the wrong side, you know. So because it’s they both needed crowns. Um, [01:12:05] it was mis charted by the nurse. Maybe not double checked on the day, [01:12:10] started prepping it. Patient goes, okay, why are we doing this side? He’d already [01:12:15] done it by then, you know. And so because he shared that it [01:12:20] then makes you then think, okay, on the day of anytime I do a treatment now I’ve always asked the patient, what [01:12:25] are we doing today? As you know, sort of do you know what we’re doing today and double check it and make [01:12:30] sure I don’t make that same mistake. So that’s that’s stayed with me.

Payman Langroudi: So what happened with me? Back in the day of x [01:12:35] rays, the nurse marked the OPG left and right incorrectly. The patient didn’t [01:12:40] have any fillings in their mouth at all. I was doing the first ever filling on this patient. Seeing [01:12:45] this big hole in.

Vinne Attariani: That reminded me of something else, a mistake I made.

Payman Langroudi: I’m [01:12:50] drilling low right? Seven going. It’s strange. I’m drilling. Just. I can’t believe it. Because the [01:12:55] hole should be here.

[EVERYONE]: There’s nothing here. Keep going.

Payman Langroudi: Suddenly realise what’s going on.

Vinne Attariani: There’s [01:13:00] a mistake I made, actually. Well, I picked up a hand piece and this is in my [01:13:05] hair. Yeah, I picked up the hand. No, actually, it was when I became an associate. First year of associateship. [01:13:10] I picked it up, just started drilling. It’s all been set out for me, right? Yeah. And what happens? The. The [01:13:15] bird flies out.

Payman Langroudi: Flies out.

Vinne Attariani: The patient swallows it. Okay.

Payman Langroudi: This falls every [01:13:20] single time you pick up a hand.

Vinne Attariani: Single time I every single time I pick up any hand [01:13:25] piece I check and do not. I don’t just check once I check.

Payman Langroudi: Yeah, yeah yeah yeah.

Vinne Attariani: Even even three and [01:13:30] one tips I three and one tip sometimes worry me I check them every flies out. It does [01:13:35] not ever get picked up now and just used. No way.

Payman Langroudi: Okay so while you think about this? [01:13:40] I like those two. I do like those two because they’re two learning points, right? They’re too important. But while. While [01:13:45] Martin tells me his one. I want you to think about your most difficult patient.

Vinne Attariani: Oh. [01:13:50]

Payman Langroudi: Yeah? The one you know, the one that you know. When you see them in the diary, you’re like, God, [01:13:55] I don’t want to treat this patient.

Vinne Attariani: I wasn’t difficult to treat because of [01:14:00] their attitude.

Payman Langroudi: Yeah, like a management error. Like a management situation. [01:14:05] Martin, what comes to mind when I say clinical error to you?

Martin Attariani: Uh. I [01:14:10] mean, apart from what Vinny said, I touch wood. [01:14:15] I haven’t done any major errors as such. Uh, apart from. Yes, [01:14:20] the burrs coming loose or I have enjoyed the wrong tooth. Not [01:14:25] just yet. Uh, I probably did on Monday night because we’re talking about it. Uh, [01:14:30] but it’s been cases where I’m probably misjudged. Um, I [01:14:35] remember this NHS patient who came to me for [01:14:40] a crown, for example. And um, and um, she had a root [01:14:45] canal done somewhere else and she came to me and um, the [01:14:50] NHS dentist had said to her that, um, you can’t [01:14:55] have a crown on this. Uh, it’s not enough tooth left. And, uh, um, [01:15:00] she came to me and I said, no, no, I can [01:15:05] make a crown work on this for you. Uh, and I did the crown, and then she came [01:15:10] back. Probably eight months later. The tooth was completely gone down to gum. [01:15:15] So the whole core just just broke off, and then that escalated to patient [01:15:20] complaining. So that’s probably the one that sticks out.

Payman Langroudi: But then what.

Martin Attariani: Happened that just. [01:15:25] Well, um, it ended up with me just returning her [01:15:30] money back for that crown, and, um, I offered implants, so I said, [01:15:35] if you’re happy, come back for free. Not for free. So I return her money. I explained [01:15:40] the end of the day. Uh, it is a tooth with an existing root canal. [01:15:45] So it can happen. Uh, but I can’t, you know, uh, there’s no.

Payman Langroudi: How did [01:15:50] she take it? Was she happy with it?

Martin Attariani: She was. Well, she was happy by the time I said, what? Have your money back?

Payman Langroudi: Basically, [01:15:55] yes. And that was it again. That’s such a happy ending. I’m looking for an unhappy ending.

Martin Attariani: Yeah. Touchwood, [01:16:00] Touchwood. I haven’t had any unhappy ending.

Payman Langroudi: This many years in [01:16:05] practice. There must have been some unhappy endings, I mean.

Vinne Attariani: Well, I’m trying. I mean.

Payman Langroudi: If you want to keep going until.

Martin Attariani: You. [01:16:10] If you’re looking for a GDC case, we.

[EVERYONE]: Don’t have a.

Payman Langroudi: Gdc [01:16:15] case. I’ve had a happy ending.

Vinne Attariani: I had a fitness to practise inquiry.

Payman Langroudi: Are you happy to [01:16:20] talk about it?

Vinne Attariani: Yeah, I think so. Well, we can see. Right. Um, so this was back in [01:16:25] when I worked at Vandals. Yeah. And it was. I took [01:16:30] a tooth out on a patient, a Periodontally involved [01:16:35] tooth straightforward extraction. Heavy smoker. Right. And gave [01:16:40] him the usual instructions don’t smoke, you know, no rinsing, blah blah blah blah blah. [01:16:45] And then a few months later, I got a fitness [01:16:50] to practice letter from the GDC saying that no, no complaint from the patient, [01:16:55] no indication of anything, you know, upsetting or untoward [01:17:00] and saying that, um, you because I did not give him post-operative [01:17:05] instructions and he got an infected socket so that that was and [01:17:10] you know what I looked at, I was absolutely shocked. I was like, fitness to [01:17:15] practice. Okay. Wasn’t even like, this is being investigated. It was a full on this is going to, [01:17:20] you know, be quite dramatic.

Payman Langroudi: When you see those words.

Vinne Attariani: It was it was it was a week [01:17:25] before my birthday. It was a week before my birthday. And I thought it was the worst time. Like I was completely [01:17:30] shocked. And, um, I mean it all. It was absolutely fine because in the end, [01:17:35] you know, I went to my indemnity print out the patient notes, and there was a, you know, [01:17:40] obviously I had in the records I’d given him the information. We print out a handout [01:17:45] that explains not to smoke. It was all in the record. So it was all, you know, written off and [01:17:50] and it was fine. But just that process of being given a document like that, [01:17:55] you know, is you all of a sudden you see your career and your life just drain away. [01:18:00] You just think what is going to happen here because that is the biggest nightmare. You know, it’s only because my [01:18:05] record keeping obviously was all there that I was fine. But I can’t believe that it just the patient was able [01:18:10] to just go straight to the GDC without being kind of told that, look, you should go to the practice, [01:18:15] go see the resolution. And he’s a smoker. He probably he I think he was someone who smoked, like, you [01:18:20] know, 10 or 15 a day who was not going to be able to comply to instructions that are given to them [01:18:25] after after an extraction. And it was nothing worthy of taking, you know, [01:18:30] to that that degree of that far. But it was it was really worrying [01:18:35] and upsetting. Yeah. The stress that it caused.

[EVERYONE]: You know.

Martin Attariani: Through is unbelievable.

Payman Langroudi: What [01:18:40] about you? What would you say is your hardest patient or one that comes to mind?

Martin Attariani: Yeah, it [01:18:45] was one patient. Uh, cosmetic case crown trying [01:18:50] to think this is probably 7 or 8 years ago. Top left one. [01:18:55] And I just could not satisfy this lady.

Payman Langroudi: Single crown. [01:19:00]

Martin Attariani: Single tooth, single crown. Yeah. Back and forth. Maybe 20 or 30 times. [01:19:05] Oh, but, you know, it just turned into nightmare to the point [01:19:10] that I would I would be happy to just give him money and say, please just go somewhere else. But [01:19:15] I kept trying to please her and nothing was good for her. And [01:19:20] today she she was happy enough not to come back anymore. Was the happiest day. It [01:19:25] was like, oh my God. Thank God for that. So we all get those type of patients who [01:19:30] are so fixed on just one tooth. I remember thinking, [01:19:35] how can you be so fixated on one tooth? I [01:19:40] mean, I’m a dentist, you know? For me, details are important. But, you know, you’re whole. [01:19:45] You’re obsessed with this tooth. Yeah. There’s so much more to life than what?

Payman Langroudi: What [01:19:50] you think it needs to be talked about. I mean, you’re both involved in cosmetic. Cosmetic dentistry. Cosmetic [01:19:55] dentistry has a massive psychological element.

Martin Attariani: That’s exactly what it was with this lady.

Vinne Attariani: It was managing [01:20:00] the expectations. Which is. Which is a big thing. I think one one thing that I’ve learned, um, [01:20:05] with experience, and I suppose sometimes you do get things wrong on occasion, [01:20:10] which you learn from, um, is when to say, no, I’m not going to do it. I refuse patients. [01:20:15]

Payman Langroudi: And the more and the more experienced you are, the more you’re sort of spidey sense. Yeah.

Vinne Attariani: Yeah, I’m I’m there. [01:20:20] I’m I’m. I am judging that patient by their words, their actions. [01:20:25]

Payman Langroudi: Are there things that you’re saying? Because one thing I learned, for instance, one thing I learned when I was a dentist, I’d done [01:20:30] some veneers. The patient was super happy. Nurse was over the moon. That looks [01:20:35] amazing. Everyone was happy. Went away. Came back? Don’t like them anymore? Why? Someone [01:20:40] family member doesn’t like them? Yeah. Then after that, that situation [01:20:45] always at fit. I would say someone in your family is not going to [01:20:50] like them and prepare them for that. But don’t worry, they’re not used to you like this. And and you know [01:20:55] that that came into my routine.

Vinne Attariani: Yeah, yeah.

Payman Langroudi: So do you with cosmetics, with Invisalign. I mean, people become. [01:21:00] We did it ourselves with our own kids. Actually, people become incredibly picky.

[EVERYONE]: Yes. At the [01:21:05] end of all.

Vinne Attariani: Amazing. I was talking about this with my nurse yesterday because it was this young girl and [01:21:10] completely transformed her smile. And I was showing her before and afters and and I was saying to my nurse said, [01:21:15] the girl’s still not happy, the patient’s still not happy. There’s the tiniest.

[EVERYONE]: Tiniest.

Vinne Attariani: Tiniest [01:21:20] little bit with this lateral, the lateral that was completely behind the bite 18 months ago, [01:21:25] it didn’t even exist.

Martin Attariani: Transformation.

Vinne Attariani: But look at this. Right. And I’ve got to the point. [01:21:30] Are you something you said to me once? Right. I actually use this one on patients. [01:21:35] I say to them, look, God couldn’t get your teeth perfect. Yeah, I’m [01:21:40] not going to be able to get them. I’m not God. I actually, I have used that line. I have used that. But [01:21:45] but I say that I say to patients when I do Invisalign, I said, look, we’re going to get your teeth 90% there. [01:21:50] I said, they’re not going to be 100% perfect. And I tell them that from day one. [01:21:55] You know, it’s very.

Martin Attariani: Important to manage patient expectations. And that’s where you learn [01:22:00] as, as a or you have to learn as a, as a cosmetic.

Vinne Attariani: I never promise.

Martin Attariani: You have to [01:22:05] under promise and over deliver. I think that’s, that’s. [01:22:10]

Payman Langroudi: I mean, I was speaking to someone whose whole life is, is Smile Designs. [01:22:15] And she said to me that she tells patients that if we’re lucky [01:22:20] the second time, we’re going to get it right. Yeah, yeah, yeah yeah. As a, as a general [01:22:25] says that to all the smart design patients so that if it’s right, first [01:22:30] time people are over the moon, you know, so, so that if it gets to the second time [01:22:35] told you that if we’re lucky. So it can go to a third time if you want without anyone [01:22:40] questioning it. And it’s just a simple thing to say. Right. That kind of gives you some sort of latitude [01:22:45] for that issue that might suddenly come up. Because one [01:22:50] awful thing, I mean, the two awful things about being a dentist. I think, number one, whatever [01:22:55] amount of consent you go through, the patient can afterwards say, I didn’t understand.

Vinne Attariani: I have the perfect [01:23:00] case. It is so upsetting.

Payman Langroudi: That’s one. And the other one is whatever you do, the patient [01:23:05] don’t like them. There’s no way out of those two situations in dentistry. [01:23:10]

Vinne Attariani: Consent forms don’t. They don’t help you. They don’t protect you. At the end, if the.

Payman Langroudi: Patients didn’t understand.

Vinne Attariani: There’s.

Payman Langroudi: Nothing.

Vinne Attariani: You can say [01:23:15] about what patients said to me. Owes me a large amount of money. Yeah. Was very happy when the [01:23:20] treatment was finished. Yeah. Very happy a week later, two weeks later, a month later, and then just [01:23:25] came back all of a sudden and says that, oh, I’m not happy, and then gave his reasons. Right. And, [01:23:30] um, and there was an issue about the casting, and he threw out at the end that I didn’t [01:23:35] understand what I was signing. And this is a very educated person, okay, who [01:23:40] works in a well-known company, is head of a massive, um, fitness [01:23:45] department. And it was extremely upsetting because he [01:23:50] basically walking away from a large bill, saying that I didn’t understand.

Payman Langroudi: How large was the.

Vinne Attariani: Bill ten [01:23:55] K plus? Well, for me.

Payman Langroudi: That’s a lot of money.

Vinne Attariani: Which is a lot of money.

Payman Langroudi: If.

Vinne Attariani: It was a couple [01:24:00] hundred pounds, but he hasn’t paid to this date. And I said, tell you what, don’t [01:24:05] pay. Let’s make you happy. Let’s correct these little issues that you’re not happy with. [01:24:10] Yeah. Um, didn’t come back for that correction appointment and just hasn’t paid, but is [01:24:15] the teeth are perfect beautiful.

Payman Langroudi: You know, now you’re you’re implying there that he was trying [01:24:20] it on to save the ten grand. Yeah, but yeah, you have to have you have to have an [01:24:25] element of your of your management that says, I will allow the odd guy to try it [01:24:30] on so that the guy who isn’t trying it on doesn’t make me. I don’t think [01:24:35] he, like, feels like he’s trying it on. Yeah, we have it all the time. Enlightened B1 guarantee. [01:24:40] Yeah. Yeah. You can take two pictures before send them. Didn’t change colour. Yeah. I’m [01:24:45] sure many people do it. I’m sure of it.

Vinne Attariani: Oh, okay.

Payman Langroudi: I know a few people who have done it. I’ve had people [01:24:50] tell me they’ve done it. Yeah, but to get that through to our team. Yeah. [01:24:55] That treat everyone as if they’re not lying. Even if you think they are. So that when [01:25:00] the odd guy or the many, whatever, whoever who’s a really good, honest [01:25:05] customer of ours says it didn’t work. That guy is treated not like a liar, not like [01:25:10] a criminal. We’re not going to prove it to me that there’s no way of proving it anyway, right?

Vinne Attariani: Yeah, it’s [01:25:15] difficult.

Payman Langroudi: And it’s important. It’s an important thing to note. Now, maybe you knew this guy in the sixth sense. And you, you [01:25:20] know, you know, he’s trying it on.

Vinne Attariani: Oh, 100%.

Payman Langroudi: But but but.

Vinne Attariani: But.

Payman Langroudi: Yeah, I find that one [01:25:25] of the biggest challenges I have with the team. You know, our customer care team is [01:25:30] I’m telling them, even if you think someone’s pulling it off, pulling the wool over your eyes, let [01:25:35] that one go. Let that one go so that our great customers never feel that way. [01:25:40]

Vinne Attariani: Yeah.

Payman Langroudi: Yeah. And it’s almost like cost of business, you know?

Vinne Attariani: Yeah. And you learn from that. I mean, normally [01:25:45] we have treatments paid in full beforehand, you know, and then this was a bit of a special [01:25:50] patient. And I thought, you know what? We’ll leave it till the end. And I think the ones, the ones that the one time [01:25:55] that you try.

Payman Langroudi: It always.

Vinne Attariani: Happens. Yeah.

Martin Attariani: That always going to be.

Vinne Attariani: It’s always. It’s always influencer [01:26:00] Instagrammer type ones. They’re the ones I get the most trouble with. Yeah. They’re the ones [01:26:05] that. Yeah.

Payman Langroudi: What about as business owners? I mean, sometimes a [01:26:10] bit lonely being a business owner, right? Um, you’re a single handed business owner. I [01:26:15] mean, I’ve got partners and I often think about it. And of course, with partners you have to share the profits. [01:26:20] That’s an important point. Yeah. But when things are going wrong, [01:26:25] when, when when someone leaves unexpectedly for the sake of the argument, in [01:26:30] our world, things that go wrong. Sometimes the cardboard is the wrong shape or whatever. When things [01:26:35] are going wrong, partners are so important. And I often think about it if I was on my own [01:26:40] in this situation, sometimes it’s like management versus staff kind of, you [01:26:45] know, intrigue, you know, what’s your darkest day in that sense? Like what [01:26:50] comes to mind, like from the business aspect of owning a practice for 17 years? [01:26:55] Yeah.

Martin Attariani: Yeah.

Payman Langroudi: What challenges you? I mean, you just did your place up. I bet that was a challenge.

Martin Attariani: Um, [01:27:00] so I bought the business [01:27:05] from my best friend who actually said the practice up.

Payman Langroudi: Okay. [01:27:10]

Martin Attariani: Uh, from scratch in 2001 and 2008. He said, I want to sell [01:27:15] and move back to Sweden, and it was an easy choice to just buy [01:27:20] it off him because I knew it was well set up practice. He was [01:27:25] educated or he had his degree from Sweden, so we had same type [01:27:30] of, uh, approach to dentistry as a whole. Um, but the one [01:27:35] thing that’s been challenging for me since I’ve had my wife there, obviously it’s [01:27:40] been a lot easier, but the times that I was there just by myself, [01:27:45] only that was, has been quite challenging to be by yourself and [01:27:50] having to do everything. Even if you got your practice manager, it still can [01:27:55] be quite lonely. Many times as a dentist, it’s lonely. The times you’re not [01:28:00] there, you’re still on your phone trying to manage the business.

Payman Langroudi: Yeah.

Martin Attariani: Um, [01:28:05] and, um.

Payman Langroudi: You’ve never had associates?

Martin Attariani: I’ve never had associates on purpose. So on purpose, [01:28:10] I think. I think the best setup is in dentistry is the setup I have, [01:28:15] uh, business wise. Not that I’m a great businessman, but [01:28:20] I think, um, and I have, you know, discussed that with many other dentists [01:28:25] who does have different size of businesses and practices. I [01:28:30] think if you got one dentist, one hygienist and one [01:28:35] therapist therapist, which is what I have now, you’ve probably got the best, um, setup [01:28:40] for a dental practice at the most profitable, um, business. [01:28:45] What, and you start to take on associates. It’s just obviously [01:28:50] it’s, in a way your profits. Uh, and it just adds a lot of headache [01:28:55] to your business as well. Yeah. And I think, uh, again, not that I’m an expert, [01:29:00] but I think you need to go beyond maybe 4 or 5 associates to [01:29:05] start to, you know, make it feel that it’s it’s Is worthwhile. [01:29:10] Once you’ve been there in one practice for 17 years, uh, [01:29:15] you don’t need to do any marketing. And I haven’t.

Payman Langroudi: The [01:29:20] word of.

Martin Attariani: Mouth.

Payman Langroudi: I haven’t done a certain.

Martin Attariani: After that time, you just get patients coming through [01:29:25] the door. So it’s either you turn them away or you just take [01:29:30] them on. And I, I don’t like turning people away. I’ve never said I’m not [01:29:35] taking any patients on. I work harder, but I don’t. I think that’s the worst [01:29:40] thing you can do as a business to send people away. Yeah. So I take them [01:29:45] on and then I just explain. Look, it’s a long waiting list, if you don’t mind waiting. Uh, [01:29:50] I can see you, you know, um, as soon as possible. And [01:29:55] people tend to stay on because they’ve come through word of mouth. They [01:30:00] want to be seen by by us. And it works.

Payman Langroudi: Yeah. [01:30:05] Beautiful practice to. I’ve been to both of your practices, but I haven’t been to yours since the the refurbishment. [01:30:10] Since even then, when I went, it was a nice place. Very [01:30:15] old building listed.

Martin Attariani: Very, very character to it.

Payman Langroudi: Is it.

Martin Attariani: Listed? It is. Yeah.

Payman Langroudi: Oh, that [01:30:20] must be a nightmare doing that up, right?

Martin Attariani: It was, it was, it was.

Payman Langroudi: It was extraordinary what you’ve [01:30:25] done with it. I saw the pictures. Um, it’s like ultra modern and an ultra old [01:30:30] building. Yeah.

Martin Attariani: Yeah, yeah. It’s such a nice contrast. Yeah, but I had we [01:30:35] had amazing feedback from the patients having we had extreme good feedback [01:30:40] and, uh, I think, uh, the setup is we’re very [01:30:45] happy with the setup we have now.

Vinne Attariani: It’s good. It works. Well, um, and it’s nice [01:30:50] patients. I mean, people want to come to modern practices now. They want to see that your your [01:30:55] practice is is pretty, it’s clean. It’s got all the they’re expecting to see high tech [01:31:00] gadgets now people people come in asking for oh I want a digital scan. I don’t want an [01:31:05] impression. We get patients coming up. They come because they just want cerec. I only want cerec. You [01:31:10] do cerec so they know about it.

Martin Attariani: So many people.

Vinne Attariani: Come.

Martin Attariani: And ask.

Vinne Attariani: You get [01:31:15] so many that just want enlightened. You know, they want to come here. They look it up [01:31:20] on the internet also.

Payman Langroudi: The great thing is, let’s say the patient has never, ever seen a scanner before. Yeah, they’re the [01:31:25] best, right?

Vinne Attariani: It blows their.

Payman Langroudi: Minds. Totally blown away by it.

Martin Attariani: Like every single new [01:31:30] patient.

Vinne Attariani: Now there’s no way someone took my scanner away. I think I would just stop dentistry.

Martin Attariani: Every [01:31:35] single new patient gets an arterial scan, and we show them on [01:31:40] the screen explaining everything. And once you do that, there [01:31:45] are stuck with you. They want to be with you. Honestly, you don’t [01:31:50] need to sell yourself. Just. They get so impressed. [01:31:55]

Payman Langroudi: I’m surprised you went for itero. Not three shape someone like you.

Martin Attariani: So we got. We got three [01:32:00] scanners. We got. We got three scanners. Between the two of us. I think we got [01:32:05] all the brands, essentially.

Vinne Attariani: Yeah, I got 3 in 1, my one surgery. So [01:32:10] I got the blue, the cerec itero and the three trials.

Martin Attariani: Wow. [01:32:15]

Vinne Attariani: Yeah, I use all three.

Payman Langroudi: For different situations.

Vinne Attariani: Literally all day. We [01:32:20] just use it for different.

Martin Attariani: Uh, you know, treatments that we do, basically.

Payman Langroudi: I mean, forgive me for [01:32:25] not knowing, but the both Itero and trios have that [01:32:30] feature where you can see the tooth wear. Yeah, yeah, yeah. That must be useful.

Vinne Attariani: It’s amazing. [01:32:35]

Martin Attariani: It’s really good.

Vinne Attariani: It is amazing.

Payman Langroudi: What are the what are the little fancy things does it do that I’m not aware of? [01:32:40]

Vinne Attariani: Well, the.

Payman Langroudi: Things like that, that.

Vinne Attariani: It is like, um, simulations for Invisalign. [01:32:45] So you can just press a button, right? But the three shape does it as well. Oh, really? Yeah. Three shape does it [01:32:50] as well. And, um, you can do a small design on on the [01:32:55] copy.

Martin Attariani: I do a lot of copy teeth carries. Let’s put.

Vinne Attariani: It this.

Payman Langroudi: Way. Copy the [01:33:00] shape of copy.

Martin Attariani: So I had a patient just two days ago and broken, uh, [01:33:05] tooth. Uh, no. Sorry. No, uh, secondary caries on on a tooth. [01:33:10] Yeah. Uh, which, uh, is is retention, which is retention for his his [01:33:15] cobalt newly made cobalt chrome denture. Yeah. That, uh, he had done, uh, before [01:33:20] he came to me. So, um, he came and I said, well, we have to [01:33:25] replace you need a crown on this tooth. And, uh, obviously [01:33:30] having a cobalt chrome straight away, he was like, well, I just had my, um, denture [01:33:35] denture made. I said, don’t worry, I’m just going to copy your tooth exactly how it [01:33:40] is. And, you know, that’s a technology that you can’t see any other way. So [01:33:45] I did that in front of. I’ve done that over the years, many times.

Payman Langroudi: I did it [01:33:50] for him as well.

Martin Attariani: So I scanned the.

Vinne Attariani: Tooth copy.

Martin Attariani: Before I prepped.

Vinne Attariani: It. [01:33:55]

Martin Attariani: And I just copied that into the new crown. And, you know, the [01:34:00] the, um, cobalt chrome went on.

Payman Langroudi: There a few times where I think, God, I wish I could go back and be [01:34:05] a dentist. You got me there. You got me there for a second there. That’s interesting. [01:34:10]

Martin Attariani: It’s it’s priceless, you know? Yeah. It’s priceless because it was, like, perfect [01:34:15] fits straight away.

Payman Langroudi: I didn’t hear your practice management nightmare moment. [01:34:20] What was that?

Martin Attariani: Um.

Vinne Attariani: What’s that?

Martin Attariani: Practice [01:34:25] management nightmare.

Vinne Attariani: What is what?

Payman Langroudi: Yeah, like a business nightmare moment. [01:34:30] It could have been, I don’t know, a leaky roof suddenly became a situation someone left [01:34:35] unexpectedly. Like, not a clinical error. A business owner’s [01:34:40] error.

Vinne Attariani: Oh, yeah.

Payman Langroudi: It comes to mind.

Vinne Attariani: Stuff.

Martin Attariani: That stuff leaving many times, [01:34:45] right?

Vinne Attariani: Yeah. We’ve had a practice manager leave to another practice and steal all our [01:34:50] data and all our data files and policies, patients notes, no procedures. [01:34:55] Oh, so the printing off everything stuff? Yeah. Just printed [01:35:00] everything off and took it to the new practice with her.

Payman Langroudi: Yeah.

Vinne Attariani: Practice manager.

Payman Langroudi: Practice manager is one [01:35:05] of those jobs, right? I had the CEO of Bupa sitting here, and he said he’s a veteran [01:35:10] of insurance, uh, company. You know, like insurance products. And he said [01:35:15] practice manager is one of the hardest jobs he’s ever seen. Yeah. Considering what [01:35:20] different things they have to take care of. Right. And if a practice manager suddenly disappears. [01:35:25] Yeah, it’s like the heart of the business suddenly disappearing, right?

Vinne Attariani: Yeah.

Martin Attariani: I can think [01:35:30] of, um, actually, one of the hardest things, actually, when I think about [01:35:35] it now. Yeah. It was when CQC was introduced. Um. Oh, God. [01:35:40] The evenings and weekends that I. We spend [01:35:45] time.

Vinne Attariani: On.

Martin Attariani: Inspection. No, just just when it kicked in. Do you remember you [01:35:50] had to add all.

Payman Langroudi: The for all the compliance companies existed? Yeah. You couldn’t just push it, like, [01:35:55] buy it in?

Vinne Attariani: No.

Martin Attariani: Yeah, exactly. All of a sudden you had to have all sorts [01:36:00] of policies and procedures in place and distress and [01:36:05] the unknown. We didn’t even know what was required and nowhere to even [01:36:10] get help from because nobody knew nobody. Yeah, that was very [01:36:15] stressful. Stressful times, honestly.

Payman Langroudi: And Covid.

Vinne Attariani: Oh, Covid. [01:36:20]

Martin Attariani: Was.

Payman Langroudi: As a private dentist, you got nothing, right?

Vinne Attariani: Nothing? Nothing. No. [01:36:25] Not nothing. Not even like any business rate relief. Nothing. Our staff were all [01:36:30] furloughed.

Payman Langroudi: You did. You got that?

Vinne Attariani: What? We didn’t get anything. The staff got paid. Yeah. [01:36:35] Yeah, we.

Payman Langroudi: So you were just like us in that situation?

Vinne Attariani: Yeah. We just had.

Payman Langroudi: Zero income.

Vinne Attariani: Zero income. And it got to the [01:36:40] point that if it went on for another month, it would have had to actually personally start paying into [01:36:45] the business.

Payman Langroudi: Yeah.

Martin Attariani: Because the the first time your staff were earning more than you.

Vinne Attariani: Yeah, exactly. [01:36:50] Our staff were earning more than me. That was strange. But do you know what? Because we have we have a practice Plan. [01:36:55] Right. The that that that ticked along that that.

Payman Langroudi: Plan.

Martin Attariani: As well. [01:37:00] Yes. Yes.

Vinne Attariani: That was a that was a saviour. If we didn’t have that we would have been in a lot [01:37:05] of trouble.

Payman Langroudi: My my wife’s an associate. Right. And you know, got nothing private. [01:37:10] Associate. Got nothing.

Vinne Attariani: Private. There is a lot about that. Wasn’t that private? Private associates. [01:37:15]

Payman Langroudi: And the. You know, I was there. We have a company. But I was [01:37:20] thinking, you know, if she was a single mom. Yeah, yeah. And for the. I think it was three months. Four months? [01:37:25] Yeah. Suddenly for four months, income gets taken out. Yeah. I think [01:37:30] I think if you earn over a certain amount, you got nothing. Yeah. So I guess that’s what they were thinking.

Vinne Attariani: Yeah. [01:37:35] Yeah.

Payman Langroudi: You know, there’d be some suffering there, you know, that that could cause some suffering. There’s [01:37:40] some people just got forgotten, you know, self-employed people. Yeah. Self-employed people just got forgotten.

Vinne Attariani: Which is quite upsetting [01:37:45] because I was thinking, you know, we we take we employ 34 staff [01:37:50] members. Okay. Is a big team to furlough everyone else, to be [01:37:55] furloughed and to make an income, and then the business owner not to be given any [01:38:00] support. What are they going to come back to if that business owner had to close their business now because [01:38:05] during Covid they couldn’t, you know, couldn’t make things work. Where are those 34 [01:38:10] people going to go? What job are they going to go back to afterwards? And it was it was really frustrating.

Payman Langroudi: I don’t think [01:38:15] they managed it that badly though, because if you talk to people abroad, many countries government did nothing. [01:38:20] Zero.

Vinne Attariani: Yeah. Zero.

Payman Langroudi: Yeah.

Vinne Attariani: As us as like self-employed and business owners. We [01:38:25] didn’t get anything right?

Payman Langroudi: No. So, I mean, not even furlough?

Vinne Attariani: No. Nothing.

Payman Langroudi: Yeah. So [01:38:30] before the I mean, look, we learned all these new words, right? But before the word furlough came along. Yeah, we [01:38:35] sat down with our team and said, look, we’ve got two choices. We can either halve everyone’s salary or [01:38:40] we can lose half of you. Yeah. There was the only thing we could do. Furlough hadn’t been announced [01:38:45] yet. Right. Yeah. But it was clear everything was going to close. Yeah. And and and they [01:38:50] to their credit, they said, all right, we’ll all take half salary, you know. And then they announced furlough. [01:38:55] And, you know, that was great. But, you know, imagine imagine if there was no furlough. Yeah. [01:39:00] By the way, I mean, we’re paying for it now, right? Yeah, yeah.

Vinne Attariani: But again, it’s a business owners who [01:39:05] are paying for it. Again it comes back again. It comes out from um.

Payman Langroudi: But you said Martin, [01:39:10] you said that, you know, having done a lot of different jobs, you [01:39:15] see dentistry as a very good job compared to most of the other stuff [01:39:20] you’ve done. And you’re saying it more than the [01:39:25] love of teeth that you have. In particular, you’re saying that for in general you see it [01:39:30] as a good job. Yeah. At the same time, we’ve got this other pod. It’s called the Mind Movers. It’s about [01:39:35] mental health. We’re talking with Rona. We’re trying to get to. [01:39:40] Why? Why do dentists commit suicide? Why do dentists take their [01:39:45] own lives more than many other professional profession? Yeah. Yeah.

Martin Attariani: Look, [01:39:50] the reality is.

Payman Langroudi: There’s there’s there’s there’s a I [01:39:55] mean, we looked into it a lot. We’ve asked a lot of people, we’ve read a book, but it’s multifactorial. Yeah, [01:40:00] but what do you what do you think is the reason if it’s this brilliant job?

Martin Attariani: It [01:40:05] is a very [01:40:10] stressful job as well.

Payman Langroudi: Yeah.

Martin Attariani: Why? I is because you [01:40:15] have to be so many different personalities [01:40:20] in one to deliver this job.

Payman Langroudi: Yeah. Business owner, [01:40:25] nurse, engineer, marketing guy. Yeah. Is this what you mean? [01:40:30]

Martin Attariani: Exactly. Yeah. The people.

Payman Langroudi: Dude.

Martin Attariani: People person. And you got so many [01:40:35] different people to to to satisfy. Yeah. [01:40:40] It’s just not about your patience, right?

Payman Langroudi: Your team.

Martin Attariani: Like you said, it’s your team, your [01:40:45] staff, your, uh, my CQC, GDC [01:40:50] you got so many eyes on.

Payman Langroudi: I could have a pizza.

Martin Attariani: Shop.

Payman Langroudi: Right? I’ve [01:40:55] got customers, I’ve got staff, I’ve got regulations like, you know, [01:41:00] hygiene regulations. Yeah, but pizza owner isn’t killing himself as much as a dentist. [01:41:05]

Martin Attariani: But you’re dealing with a different type of people, I think.

Payman Langroudi: As [01:41:10] in what patients.

Martin Attariani: Know, the the person as, as a dentist.

Payman Langroudi: I [01:41:15] see a perfectionist.

Martin Attariani: Yeah. It’s it’s a person who’s been through a lot to get where he [01:41:20] is. And he’s got a lot to lose if he loses.

Payman Langroudi: Brain surgeon.

Martin Attariani: His his [01:41:25] same I would say he.

Payman Langroudi: Doesn’t. Brain surgeons don’t kill themselves as much as um, Vinnie. [01:41:30]

Vinne Attariani: Does. I think [01:41:35] we’re really highly driven. We’re intelligent breed. Right. We are [01:41:40] very empathetic. We are very critical [01:41:45] of ourselves, I think, like, I’m probably describing myself. You know, I think we are as in nature. [01:41:50] We are very highly driven. We want to we want to perform. We want to do well. I [01:41:55] think we are taking a lot of risks. We’re dealing with people, their health, [01:42:00] their personalities. Anything can go wrong. I think we are, um, [01:42:05] regulated heavily, which makes you gives you the fear [01:42:10] of failing, fear of failure, fear of making the slightest mistake. [01:42:15] I don’t think any. I feel that no other profession is as heavily regulated or critically, [01:42:20] critically, kind of, you know, criticised or.

Payman Langroudi: Or.

Vinne Attariani: Or the newspapers. [01:42:25]

Payman Langroudi: Even in 1932, in Kansas.

Vinne Attariani: Yeah.

Payman Langroudi: Dentists were taking [01:42:30] their lives in.

Martin Attariani: This is quite global. You’re right. What you’re saying is global.

Payman Langroudi: It’s [01:42:35] not just before there was so much regulation.

Vinne Attariani: Yeah, yeah, yeah, yeah.

Payman Langroudi: There’s something about the job. Yeah. Now. [01:42:40] Yeah. My. I told this to my cousin’s, uh, The eye surgeon, [01:42:45] and he sits in a dark room and and and he says when he treats [01:42:50] GA patients, at the end of the day, he’s relaxed. When he treats [01:42:55] LA patients, at the end of the day, he’s broken.

Martin Attariani: Yeah.

Payman Langroudi: Yeah. And and it makes some [01:43:00] sense, right? I mean, when the patients live and scared. Yeah. And in his [01:43:05] case, they’re scared, right? Sticking needles into their eye. And in our case, they’re scared. Yeah. Yeah. [01:43:10] And every move might make a thing. And you’re constantly on show. Constantly. You know, it’s [01:43:15] not like a, I don’t know, a lawyer or something. And see a customer. Then go and [01:43:20] think about it. Read a book, you know, look something up or whatever. We’re in and out, in [01:43:25] and out. Whether it’s 40 a day or three a day, it’s still you’re fully busy [01:43:30] in and out and you’re on show all day. Then in a room with [01:43:35] one person, your nurse, who maybe you don’t get on with. [01:43:40] Yeah. There’s plenty of that going on? Yeah. And then everything [01:43:45] you do kind of fails. Kind of not yours. Of course. [01:43:50]

Martin Attariani: I know, but that’s that’s exactly what I meant.

Payman Langroudi: This combination is.

Martin Attariani: Very stressful. [01:43:55]

Payman Langroudi: Because.

Martin Attariani: There’s so much happening. Yeah, just just imagine we [01:44:00] are working in a small field all the time. We’re doing microsurgery [01:44:05] every single day. And then you’ve got all this around as well. Like you said, [01:44:10] dealing with the patient with with the nurse that you might not like at the business [01:44:15] side of it, there is actually so much happening. So it only takes just one last [01:44:20] drop to make everything overflow.

Vinne Attariani: Is your capacity, isn’t [01:44:25] it?

Martin Attariani: And then if.

Vinne Attariani: Your.

Martin Attariani: Capacity.

Vinne Attariani: Yeah, you you’re absorbing lots.

Payman Langroudi: Of [01:44:30] little micro.

Vinne Attariani: Problems. You’re doing the physical stuff. Yeah. You’re doing the.

Martin Attariani: Mentally.

Vinne Attariani: Dental. [01:44:35] Yeah. Mentally you’re there. You’ve got the medical care of the patient. You’re emotionally attached [01:44:40] to this patient. Right. The one you like now? I’ve been there 13 years. You’ve been [01:44:45] there 17 years. Patients tell you everything about them. You know, all the hardships, hardships they’ve [01:44:50] gone through. You know their good times, bad times. You feel their stress or anxieties. [01:44:55] You feel their happiness or so.

Martin Attariani: Much.

Vinne Attariani: Input. You are absorbing that [01:45:00] all day long. I think sometimes, like I was saying earlier about like Covid after Covid, [01:45:05] um, I found Covid really difficult. You know, I stopped watching the news. I have not watched [01:45:10] the news since Covid. I used to read the news every single day. I [01:45:15] haven’t got the capacity to absorb negative.

Martin Attariani: More negative.

Vinne Attariani: Negativity. [01:45:20] Yeah, because it made me really depressed. So I just stopped watching it. You know, I stopped asking [01:45:25] patients. Now, um, when I go collect them from the waiting room, I don’t ask them how they are. I never [01:45:30] ask, how are you? Because I know if they. If I say, how are you? They’re going they’re not [01:45:35] going to tell me good things. They’re going to Unload it because it is a bit of [01:45:40] a psychological visit for them. There is psychology with dentistry. I was saying the dentistry, the [01:45:45] actual doing, the filling all the mechanics is easy. Okay. It’s the patient. [01:45:50] It’s it’s it’s their emotions that day. Is is your nurse feeling happy? [01:45:55] It’s you know, it’s it’s all that it’s.

Martin Attariani: So.

Vinne Attariani: Much about the psychology of managing that person. That [01:46:00] person like I’ll see ten, 20 patients a day, but on [01:46:05] that one visit for that patient that day. Right. I’ve got to make sure that visit is comfortable. I’ve got [01:46:10] to make sure it’s pain free. I’ve got to make sure they like me. I make sure they don’t feel I’m stressed for any [01:46:15] reason, that they go out with a magical, great experience. You know, they’re comfortable. They’re going to come back and [01:46:20] see me. There’s so much going through your head. You don’t actually realise that your brain is just constantly [01:46:25] worrying, right? And we just adapted to that. You either can adapt and you’re okay [01:46:30] with it and you manage. You know, again, I think like having busy backgrounds, busy [01:46:35] lifestyles, managing kids, doing all that. Some some people are really good at being able [01:46:40] to control that kind of, you know, capacity of input. Other [01:46:45] people can’t, and I don’t think you realise it until you actually go through it, because they don’t [01:46:50] teach you that in dental school. You’re not told that, you know, you’re going to have difficult patients, you’re going to have patients who, [01:46:55] you know, I’ve got sexist patients, I’ve got patients who are, you know, have [01:47:00] an issue with me being a female dentist. Okay. That you you could you I’ve got [01:47:05] patients who. Yeah. I’ve got I’ve had racial slurs before, you know, in [01:47:10] my surgery. I’ve got all sorts of things that you just don’t learn that you [01:47:15] are going to you are, are almost acting, putting on a [01:47:20] persona for every patient. And then that is difficult to do.

Payman Langroudi: It wears you down in the long [01:47:25] run.

Vinne Attariani: Yeah. It does, it does, it does. Because again, I’ve learned now the time [01:47:30] that I am not. It’s something that’s a bit of a skill set, I think I try not [01:47:35] to change myself. I’ve tried to change my patients. Into what? Into [01:47:40] how I am, if that makes sense. You know, kind of like I, I try to, um, get them [01:47:45] to adapt to me. And it’s because you’ve got time to do that now, once you’re in practice, right? [01:47:50] You you learn first that you’ll do everything. You’ll dive down and try and be all, you know, bells [01:47:55] and whistles for your patient. But then you realise you can’t, you can’t sustain. That is really hard to sustain. [01:48:00] So you try to get your patients to become conform to how you are as well. [01:48:05] And your methodology.

Payman Langroudi: Your patient base ends up like you in the long run.

Vinne Attariani: Yeah, yeah. You know, they’re more chilled. They’re [01:48:10] more relaxed. They you know, they.

Payman Langroudi: How many days do you.

Martin Attariani: Work. You don’t they they feel of you. Yeah.

Payman Langroudi: When you’re. [01:48:15]

Martin Attariani: Treating.

Payman Langroudi: Them how many days do you work.

Martin Attariani: So I do four days a week for four days.

Vinne Attariani: I [01:48:20] do three days at Houston and half a day at Martin’s practice. [01:48:25] I just do Invisalign and.

Martin Attariani: Well, we’ve worked six days a week before.

Vinne Attariani: When we.

Martin Attariani: Used. [01:48:30]

Vinne Attariani: To do.

Martin Attariani: Children’s private schools and everything. We were doing six days a week for maybe ten [01:48:35] years. 12 years. So we’ve been there as well.

Payman Langroudi: I’m not sure it’s a good idea.

Martin Attariani: Well, [01:48:40] we didn’t have a lot of choice, really. When you go, you know.

Vinne Attariani: Two young. [01:48:45]

Martin Attariani: Kids and two kids in private schools and everything. It was just [01:48:50] a. Yeah, it’s just a cycle.

Vinne Attariani: I used to do six days every other week. [01:48:55] Yeah.

Martin Attariani: Just couldn’t get out of it.

Payman Langroudi: But there is, there is a I mean, why didn’t you work seven days a week? If [01:49:00] you want to take it to its. You know, there is a there’s an optimum. Yeah. [01:49:05]

Martin Attariani: Well, I mean.

Payman Langroudi: Why didn’t you work seven days a.

Martin Attariani: Week again? It was.

Payman Langroudi: Just it wouldn’t [01:49:10] have made sense.

Martin Attariani: Because one day you would.

Payman Langroudi: Have.

Martin Attariani: Had to dedicate it to the family then obviously.

Payman Langroudi: Yeah, yeah. [01:49:15]

Martin Attariani: And you need that break. I mean, no, obviously six days is not ideal for suggesting [01:49:20] that.

Payman Langroudi: Four is correct when you’re working at the.

Martin Attariani: Level.

Payman Langroudi: At the level that you do.

Vinne Attariani: Yeah.

Martin Attariani: We’re very comfortable [01:49:25] now.

Payman Langroudi: No, no.

Martin Attariani: But it’s it’s.

Payman Langroudi: It’s hard work. You just went through it. Yeah. I mean [01:49:30] the stress management, the social side of it. Not to mention you’ve got three scanners [01:49:35] and full mouth rehabs and implants and sinus lifts and, you know, making sure everything [01:49:40] happens correctly. Lasers. You have lasers, I think. Yeah. Of course.

Martin Attariani: Lasers [01:49:45] to lasers.

Payman Langroudi: So four days a week at that level? Yeah. By the [01:49:50] way NHS as well because that’s bloody hard work. It’s taxing four days a week. I remember that [01:49:55] classic cliche 5 to 4. You make the same amount of money. Yeah. You know, because [01:50:00] you’re sharper. You’re finishing stuff off. You’re not temporising anything. [01:50:05] You’re a dirty word. You’re selling better because you’re sharper.

Vinne Attariani: Your experience. [01:50:10] Right? Yeah, I’m doing the same on three as I did on four and a half.

Payman Langroudi: Yeah. [01:50:15] So by the way, I tried to take that to three days a week to see whether I could, and I just couldn’t. [01:50:20] I just couldn’t make.

Vinne Attariani: It three days.

Payman Langroudi: A week.

Vinne Attariani: But you have you have to have if [01:50:25] you don’t have a work life balance, it’s all going to unravel as well. That’s sometimes what I [01:50:30] think. Being very determined. Most people aren’t professional. Very highly driven. And we will just [01:50:35] keep churning and working and working and taking work home. And there’s no cut off, especially if it’s your own business. [01:50:40] If it’s your own practice. There is no 9 to 5. It’s. Yeah. Into the evening, [01:50:45] into weekends. Right. But you have to you have to control that yourself. You know, [01:50:50] you have to have the time off. That’s why we travel a lot, you know, enjoy our evenings, [01:50:55] weekends. We’re always, you know, we’re not doing anything. Dental on the weekend. It’s just [01:51:00] me, Martin family go out, you know, sports, [01:51:05] holidays, and that’s important.

Payman Langroudi: We’ve we’ve come to the end of our time. [01:51:10] So we’re going to I’m going to end it with a quick, quick fire round that. I want to hear both of [01:51:15] your responses.

Vinne Attariani: Oh, gosh.

Payman Langroudi: What’s the best course you’ve ever been on?

Vinne Attariani: The [01:51:20] best course.

Martin Attariani: Um, I just I just saw [01:51:25] the enlightened sign And lighter and lighter and 100 Payman [01:51:30] composite makeover.

[EVERYONE]: What’s the right answer? No no no no. Come on. Do [01:51:35] you know what?

Payman Langroudi: What comes to mind?

[EVERYONE]: So quick, quick quick quick. The best courses. [01:51:40]

Martin Attariani: For me are cadaver courses.

[EVERYONE]: Oh, 100%.

Payman Langroudi: Implant.

[EVERYONE]: Cadaver.

Martin Attariani: Well, anything cadaver. [01:51:45] If it’s cadaver, the facial aesthetics course.

[EVERYONE]: The best.

Martin Attariani: Course.

[EVERYONE]: Ever.

Payman Langroudi: I didn’t know there was [01:51:50] such a thing.

Vinne Attariani: You did that. That was actually the hands on Holland. Brilliant.

Payman Langroudi: Who would you. Who would you say is your hero [01:51:55] in dentistry?

Martin Attariani: Payman.

Payman Langroudi: Oh.

[EVERYONE]: Come on. Good. [01:52:00]

Vinne Attariani: I would say my husband.

[EVERYONE]: Really?

Vinne Attariani: Yeah. [01:52:05]

Martin Attariani: Oh.

Vinne Attariani: I have I have learned a lot from him. Even before we were together, actually. [01:52:10] And I think maybe that’s a call to your education in Sweden. It was a different. [01:52:15] It was just an eye opener of seeing things in a different viewpoint. You know, I still lean on him [01:52:20] for, for support with, um, cases and things. Yeah, I would say [01:52:25] that.

Payman Langroudi: Who would you.

[EVERYONE]: Say?

Payman Langroudi: Mentor.

[EVERYONE]: Um.

Payman Langroudi: I book [01:52:30] that you read.

Martin Attariani: I learned a lot from Stuart Harding, to be honest.

[EVERYONE]: Oh, really?

Martin Attariani: Yeah. [01:52:35] I did an MSC with him. Yeah. And I really look up to to him. He’s [01:52:40] very humble. He’s very good at educating. Yeah. And he’s very approachable. [01:52:45] And I do like people like that in dentistry. I think we should all be approachable, [01:52:50] uh, towards each other. And, uh, he’s he’s made a huge impact [01:52:55] in, in especially my implant work, to be honest.

Payman Langroudi: Favourite piece [01:53:00] of kit? I can’t live without. Scanner. Scanner. Scanner.

Martin Attariani: Uh, [01:53:05] I can mention three.

[EVERYONE]: Yeah.

Martin Attariani: Uh, scanner. [01:53:10]

[EVERYONE]: Yeah.

Martin Attariani: Loops. And my foot operated, uh, chair. I [01:53:15] can’t be without them.

Payman Langroudi: Foot operated.

[EVERYONE]: Chair.

Payman Langroudi: So it.

[EVERYONE]: Goes up.

Martin Attariani: And down [01:53:20] with your foot.

[EVERYONE]: Pedal.

Payman Langroudi: Oh, it doesn’t move.

[EVERYONE]: Yeah, yeah.

Martin Attariani: I couldn’t work without these three. Honestly. [01:53:25]

[EVERYONE]: Am I psychic?

Martin Attariani: Okay.

[EVERYONE]: That’s four.

Vinne Attariani: He said one.

Payman Langroudi: Actually, [01:53:30] this is this is one of our final two questions that we ask everyone.

[EVERYONE]: Okay.

Payman Langroudi: Fantasy dinner party. [01:53:35]

[EVERYONE]: Yeah.

Payman Langroudi: Three guests, dead or alive.

Vinne Attariani: You go first.

[EVERYONE]: So I [01:53:40] would.

Martin Attariani: Probably have my dad, my granddad and my dad’s [01:53:45] granddad.

[EVERYONE]: For generations.

Payman Langroudi: I’ve never had that before.

[EVERYONE]: Interesting [01:53:50] idea.

Martin Attariani: Honestly, if I could, because you mentioned dead or alive, I think [01:53:55] I would get so much out of that conversation.

Payman Langroudi: What an interesting idea.

Martin Attariani: You know, um, [01:54:00] because life is experience. And imagine if you had [01:54:05] that sort of knowledge in your in, in in, in, in, in [01:54:10] your luggage through life. So that’s probably why I.

[EVERYONE]: Would.

Payman Langroudi: Say.

[EVERYONE]: Idea.

Payman Langroudi: What comes [01:54:15] to mind for me.

Vinne Attariani: Is a Captain America Thor and Iron Man.

[EVERYONE]: You [01:54:20] never had that before.

Payman Langroudi: Who was the third one?

Vinne Attariani: Iron [01:54:25] man.

Payman Langroudi: What’s that? I don’t even know what that is.

Vinne Attariani: They are the Avengers.

Payman Langroudi: Oh, is he Iron [01:54:30] Man? Final question. It’s a deathbed question. On your deathbed, [01:54:35] surrounded by your loved ones. Three pieces [01:54:40] of wisdom. You can leave them with. What would that be?

Vinne Attariani: I [01:54:45] would say enjoy the journey. Don’t. [01:54:50] Don’t wind yourself up over worrying about tomorrow. It’s [01:54:55] all today.

Payman Langroudi: Live in the.

Vinne Attariani: Present. Everything is today. You can’t [01:55:00] think about tomorrow. It’s good to be thinking ahead. But your focus has to be day [01:55:05] to day. Because you don’t know if you’re going to be here tomorrow. My patients say this to me on the way out. I say, I’ll [01:55:10] see you in six months because they’re older. They’re like, oh, if I’m still here. And I always say, If I’m [01:55:15] still here because. Because I’ve got just as much, you know, chance as somebody [01:55:20] who’s, you know, in their 80s and 90s. So I think you just you have to enjoy today, just be present [01:55:25] with what you’re doing. Um, look after yourself before you look [01:55:30] after everybody else. Because if you’re not looking after you there, there is nothing [01:55:35] for anyone else. And that’s really important because that’s hard to do if you’re naturally a giver [01:55:40] or a giver, you know? Um, we’re again, we always give our time to everybody [01:55:45] else. You forget that you need that same kind of nurturing. Um, and [01:55:50] the third bit of advice. Have fun. [01:55:55] You know, it’s really important. Life is. Don’t take things so seriously. [01:56:00] Things aren’t as serious as you know. You think they are. Everything at the end of the day is [01:56:05] going to be a drop in the ocean. You know, one occurrence. Now you’re going to forget it. You know, [01:56:10] one bad time, you’ll hopefully forget it in three months or six months. In a year, it won’t be there anymore. So [01:56:15] sometimes you’ve just got to see the bright side of everything.

[TRANSITION]: I like this.

Payman Langroudi: What [01:56:20] comes to mind?

[EVERYONE]: Milton.

Martin Attariani: I would probably say, um, do [01:56:25] your best in in whatever you do. And that could be your job, your [01:56:30] your marriage, even a travel you do always do your best in what you do. [01:56:35] Because when you get to your last years of, of of life, you’re always going to people [01:56:40] tend I’m saying tend because I’m not there yet, hopefully. [01:56:45] But people tend to live with a lot of regrets. Yeah. And I think if you do your best in whatever [01:56:50] you do, you minimise that risk. Um, thinking, oh, [01:56:55] I wish I would have done that better or just do your best in whatever you do. Even your marriage. You know your friendship. [01:57:00] Do your best. Um, the second thing I would say is that what you don’t, [01:57:05] uh, wish for yourself? Don’t wish upon other [01:57:10] people. And I think that’s.

[EVERYONE]: Doesn’t treat.

Payman Langroudi: People as you wish to be treated yourself.

[EVERYONE]: Yeah.

Martin Attariani: So, you know, [01:57:15] um, that probably teaches you if you just follow by that rule, you just teach. It teaches [01:57:20] you to be a kind human being. Yeah. And again, when you get to those last, [01:57:25] uh, years of your life, you know, you start to analyse, maybe I should have [01:57:30] done that to this person. Or should I have lied to that person? Again, it’s it’s all about, [01:57:35] uh, preparing yourself for those last years or end of [01:57:40] your journey to feel that, you know, again, I did my best.

[EVERYONE]: I [01:57:45] treated.

Martin Attariani: Everybody nicely. But then the last thing I would say is travel [01:57:50] the world because we live on an. Well, probably the most [01:57:55] beautiful planet. And and unfortunately, I think it’s a shame [01:58:00] to leave this planet without having seen many places. That’s why we travel so much [01:58:05] past, uh, eight, nine years. I think we’ve been to 30, [01:58:10] 40 countries now. Or places. Yeah. Uh, you know, the more you travel, the more [01:58:15] you want to see.

Payman Langroudi: Add to that travel young.

Martin Attariani: Travel young I think at [01:58:20] any time. I mean.

Payman Langroudi: Sure, but you.

Martin Attariani: Are getting older.

Vinne Attariani: My because we didn’t [01:58:25] have the opportunity. That’s what I’m saying. Ours was different.

Martin Attariani: So whenever you can obviously if [01:58:30] you can do young which the younger generation, by the way, are doing beautifully nowadays don’t they. [01:58:35] Yeah. Yeah I agree with you. Yeah. But at any time I think.

Payman Langroudi: It’s almost like what I mean is.

Martin Attariani: It’s [01:58:40] important for two.

Payman Langroudi: Reasons. Two reasons for that. Of course it’s important to see. Of course. Yeah. I really want to go to Peru [01:58:45] and I haven’t seen it yet. I would love to.

Vinne Attariani: We just came.

Payman Langroudi: Back. Oh.

Vinne Attariani: Yeah.

Martin Attariani: Do the Inca trail. [01:58:50] Yeah, yeah.

Payman Langroudi: Well, I don’t know, but I sit on the train.

Vinne Attariani: We we [01:58:55] we did the Inca Trail.

Payman Langroudi: I was I want the ceviche, actually. But my point is, when you go [01:59:00] young anywhere, you haven’t yet made your mind up about everything.

Martin Attariani: That’s one thing to see. [01:59:05] Yeah.

Payman Langroudi: And number two, when you get to our age, you want five star stuff. And a five [01:59:10] star hotel in Lima is pretty much the same as a five star hotel in Moscow. You know what I mean? Like [01:59:15] you’re almost. You’re not, you know, you’re going to top restaurant. You know what I mean? You want comfort so much [01:59:20] that you prioritise comfort and you don’t really live with the people.

Martin Attariani: You don’t think it’s important to eat. So I [01:59:25] think it’s important to go see places, see cultures, see [01:59:30] people as they live, as they are.

Payman Langroudi: Because that’s why I like Airbnbs. Yes. [01:59:35] Kind of feel like.

Martin Attariani: There’s there’s so much it you know life [01:59:40] is is about perspective. Yeah. And we were talking about [01:59:45] suicide and everything. Yeah I think it’s important to have perspective in your life when [01:59:50] you feel that you’ve failed as a dentist. And this case is going to be [01:59:55] the ruin of me, I’m going to lose everything. I’m going to lose, you know, all my [02:00:00] money, this and that. If you got perspective, then you need to think, [02:00:05] okay, so what?

Payman Langroudi: Tomorrow you might be happy.

Martin Attariani: So what? I remember About [02:00:10] being in Kilimanjaro. And we were walking, uh, or we were travelling [02:00:15] through villages there and people living in, in just home [02:00:20] handmade homes with just literally a curtain as a door into [02:00:25] their homes. I mean, if people can live like that on this planet, [02:00:30] I don’t care. Even if I lose everything, uh, then [02:00:35] I’m still going to be fine. So then hopefully you don’t do what? You know [02:00:40] what you do. Uh, so I think that only comes when you’ve been exposed [02:00:45] to that, to when you’ve seen how other [02:00:50] people live on this planet and the way. Yeah. I think it’s really important because you [02:00:55] lose your perception as a dentist. You lose your perception, as you say. You get comfortable [02:01:00] with your five star hotels and nice car, this and that. But end of the day, what if you [02:01:05] lose everything? So what? You can work your way up again.

Payman Langroudi: It’s been such a brilliant conversation [02:01:10] I really enjoyed. I’ve learnt a lot as well really. I knew I would. Really, really lovely to have you both [02:01:15] in person.

Martin Attariani: Thank you for having us. It’s been a.

Payman Langroudi: Long time coming.

Martin Attariani: It has? Absolutely. [02:01:20]

Payman Langroudi: Thank you so much.

Martin Attariani: Thank you so.

Vinne Attariani: Much.

Martin Attariani: For having us.

[VOICE]: This [02:01:25] is Dental Leaders, the podcast where you get to go one [02:01:30] on one with emerging leaders in dentistry. Your [02:01:35] hosts, Payman Langroudi and Prav Solanki.

Prav Solanki: Thanks [02:01:40] for listening, guys. If you got this far, you must have listened to the whole thing. [02:01:45] And just a huge thank you both from me and pay for actually sticking through and listening to what we [02:01:50] had to say and what our guest has had to say, because I’m assuming you got some value out of it. [02:01:55]

Payman Langroudi: If you did get some value out of it, think about subscribing. And if you would [02:02:00] share this with a friend who you think might get some value out of it too. Thank you so so, so much for listening. [02:02:05] Thanks.

Prav Solanki: And don’t forget our six star rating.

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